2024-08-14T16:10:17-05:00 2023-09-30 440160260 FORVIS MAZARS LLP 120 E PALMETTO PARK ROAD SUITE 403 BOCA RATON FL 33432 990 2022-10-01 843851693 HEALTH FIRST FOUNDATION INC HEAL 3214345150 3300 FISKE BLVD ROCKLEDGE FL 329554306 ARTHUR C SPRINGER II SYS VP CAO 3214345150 2024-08-13 1 0 APRIL ARNOLD P01559426 8164894235 2024-08-13 2022 2024-08-08 14:25:15Z TAYLOR K SMITH 3300 FISKE BLVD ROCKLEDGE FL 329554306 2490035 0 X HTTPS://HF.ORG X 2019 FL HEALTH FIRST FOUNDATION, INC. HELPS IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY BY RAISING FUNDS TO SUPPORT AND ADVANCE THE MISSION OF HEALTH FIRST, INC. AND ITS FAMILY OF CHARITABLE HEALTHCARE PROVIDERS. 24 20 0 375 0 0 1173192 2388521 0 0 -253955 38004 256834 -93974 1176071 2332551 1430594 884498 0 0 1328107 1273670 124964 93342 1386663 369363 550468 3253028 2801978 -2076957 -469427 7759840 12604746 684468 514584 7075372 12090162 X THE HEALTH FIRST FOUNDATION HELPS IMPROVE THE HEALTH AND WELL-BEING OF RESIDENTS IN OUR COMMUNITY BY RAISING FUNDS TO SUPPORT AND ADVANCE THE MISSION OF HEALTH FIRST AND ITS FAMILY OF CHARITABLE HEALTHCARE PROVIDERS.THESE INCLUDE FOUR NOT-FOR-PROFIT HOSPITALS - HEALTH FIRST CAPE CANAVERAL HOSPITAL, HEALTH FIRST HOLMES REGIONAL MEDICAL CENTER, HEALTH FIRST PALM BAY HOSPITAL, AND HEALTH FIRST VIERA HOSPITAL - AS WELL AS MANY OUTPATIENT & WELLNESS SERVICES, INCLUDING HOSPICE OF HEALTH FIRST AND HEALTH FIRST AGING SERVICES. 0 0 884498 884498 HEALTH FIRST FOUNDATION, INC. (HFFI) IS THE FUNDRAISING ARM OF HEALTH FIRST, WHOSE MISSION IS TO HELP IMPROVE THE HEALTH AND WELL-BEING OF RESIDENTS IN THE COMMUNITY BY RAISING FUNDS TO SUPPORT AND ADVANCE THE MISSION OF HEALTH FIRST AND ITS FAMILY OF CHARITABLE HEALTHCARE PROVIDERS. 100% OF THE FUNDS RAISED GO TO DIRECT SUPPORT IN THE FOLLOWING AREAS: CAPITAL CONSTRUCTION AND RENOVATION, CAPITAL EQUIPMENT AND TECHNOLOGY, PATIENT CARE, PROGRAM SERVICES, SPECIAL PROJECTS, EDUCATION AND CLINICAL EXCELLENCE, INDIGENT CARE AND PATIENT EDUCATION.DURING FY23, MORE THAN 4,530 INDIVIDUALS, FOUNDATIONS, CORPORATIONS AND OTHER ORGANIZATIONS SUPPORTED THE MISSION AND VISION OF HFFI. THROUGH THEIR GENEROSITY AND THE DEDICATED STEWARDSHIP OF THE RESOURCES ENTRUSTED TO US, HFFI WAS ABLE TO PROVIDE OVER $766,176 IN PROGRAM SUPPORT IN THE FOLLOWING AREAS: CAPITAL EQUIPMENT AND TECHNOLOGY, PATIENT CARE, PROGRAM SERVICES, SPECIAL PROJECTS, EDUCATION AND CLINICAL EXCELLENCE, INDIGENT CARE AND PATIENT EDUCATION. GIFTS WERE USED TO IMPROVE HOSPITAL FACILITIES, PURCHASE LIFE-SAVING MEDICAL EQUIPMENT AND TECHNOLOGIES LIKE GI GENIUS AND TRAUMA HAL, PROVIDE PATIENT WELLNESS INFORMATION, FUND SCHOLARSHIPS FOR CLINICAL EDUCATION, OFFER CAREGIVER RESOURCES AND SUPPORT, PROVIDE GRIEF COUNSELING FOR CHILDREN AND FAMILIES WHO HAVE LOST A LOVED ONE, AS WELL AS ENSURE ACCESS TO QUALITY CARE FOR INDIGENT PATIENTS.FY23 SAW THE GROWTH OF THE COMPASSIONATE CARE FUND. THIS FUND ENABLES AWARDS OF GUARDIAN ANGEL GRANTS TO ASSIST ELIGIBLE PATIENTS WITH TRANSPORTATION, PRESCRIPTIONS, AND MEDICAL EQUIPMENT. THESE GRANTS ARE COORDINATED BY OUR CLINICAL CARE TEAMS AND ARE MADE POSSIBLE BY DONATIONS TO THE COMPASSIONATE CARE FUND.PHILANTHROPIC SUPPORT OF HFFI ALSO PROVIDES FUNDING FOR HEALTH FIRST AGING SERVICES, WHICH SERVED OVER 5,527 CAREGIVERS AND THEIR LOVED ONES WITH SERVICES SUCH AS: -MEMORY EVALUATION AND MANAGEMENT -FUTURE PLANNING AND CARE COORDINATION WITH FAMILY MEMBERS AND PHYSICIANS -MEDICATION REVIEW AND EDUCATION -FALL PREVENTION EDUCATION WITH GAIT AND BALANCE EXAM AND TREATMENT -CAREGIVING TRAINING AND SUPPORT ENDOWED FUNDS HELD BY HEALTH FIRST TOTALED $1,221,226 AT END OF FY23. THREE OF THESE ENDOWED FUNDS, MIKE MEANS LARRY GARRISON ENDOWMENT FOR NURSING EXCELLENCE, THE IGO ENDOWMENT FUND AND HENRY NURSING ENDOWMENT, ALONG WITH GIFTS FROM THE COMMUNITY AND ASSOCIATES PROVIDED A TOTAL OF $87,500 IN NURSING SCHOLARSHIP AWARDS TO 35 ASSOCIATES PURSING A BACHELOR'S OR MASTER OF SCIENCE IN NURSING.DONATIONS ALSO FUNDED SCHOLARSHIPS TO TRAIN ASSOCIATES FOR THE IN-DEMAND ROLES OF MEDICAL ASSISTING AND RESPIRATORY THERAPISTS, PROVIDED UPDATED EQUIPMENT FOR THE SKILLS LAB AT HEALTH FIRST'S HOLMES REGIONAL MEDICAL CENTER, INC., ONGOING TRAINING MODULES FOR NURSES, AND TRAINING AND SUPPLIES FOR TEAM LAVENDER - A COORDINATED RESPONSE TEAM TO ADDRESS THE SPIRITUAL, EMOTIONAL, AND PSYCHOLOGICAL NEEDS OF HEALTHCARE WORKERS FOLLOWING ADVERSE EVENTS AND ACCUMULATED STRESS. DONATIONS ENHANCED PATIENT CARE BY SUPPLYING FUNDS FOR PATIENT INFORMATION BINDERS FOR NEWLY DIAGNOSED CANCER PATIENTS, BREAST CANCER TREATMENT HANDBOOKS FOR NEWLY DIAGNOSED BREAST CANCER PATIENTS AND CHEMO BAGS TO SUPPORT THE EXPERIENCE OF PATIENTS RECEIVING CHEMOTHERAPY. GIFTS TO HFFI ALSO PROVIDED: - MATERIALS FOR 'REACH OUT AND READ' LITERACY PROGRAM THROUGH HEALTH FIRST PEDIATRICS - HALO SLEEP SACKS FOR NEWBORNS BORN AT HOLMES REGIONAL MEDICAL CENTER - CHILD LIFE SPECIALIST PROGRAM SUPPLIES FOR THE PEDIATRIC ED AT HOLMES REGIONAL MEDICAL CENTER - ONGOING SUPPORT FOR HOSPICE OF HEALTH FIRST'S BRIGHT STAR PROGRAMS AND CAMPS - SUPPLIES FOR FOREVER A HERO AND LOVE STITCHES PROGRAMS THROUGH HOSPICE OF HEALTH FIRSTDONOR SUPPORT HELPED ADVANCE MEDICAL TECHNOLOGY, EXPAND PATIENT CARE AND EMPOWER CLINICAL EXCELLENCE THROUGH HEALTH FIRST. 884498 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 1 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 24 20 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X KIMBERLY MYERS 3214345150 3300 FISKE BLVD ROCKLEDGE FL 32955 STEVEN P JOHNSON PRESIDENT/CEO HFI (END 2/2023) 1.00 39.00 X X 0 2183427 25072 KENNETH TIEU MD TRUSTEE 1.00 39.00 X 0 1309803 19369 NICHOLAS W ROMANELLO ESQ ASSISTANT SECRETARY 1.00 39.00 X X 0 736683 29300 MICHAEL E SEELEY SYS VP HFF PRESIDENT 40.00 0.00 X X 0 340207 21100 TAYLOR K SMITH INTERIM CEO/TRUSTEE (BEG 2/2023) 1.00 39.00 X X 0 61634 0 SANDRA HENRY TRUSTEE 1.00 0.00 X 0 2642 0 BARRY FORBES TRUSTEE / VICE CHAIR 1.00 0.00 X X 0 0 0 CHRISTINA GOINS IMMEDIATE PAST VC/CHAIR 1.00 0.00 X X 0 0 0 CHRISTINE LANCE TREASURER 1.00 0.00 X X 0 0 0 PATRICIA D PRUITT SECRETARY (END 7/2023) 1.00 1.00 X X 0 0 0 GOBIVENKATA BALAJI MD TRUSTEE 1.00 0.00 X 0 0 0 REBECCA BURGMAN TRUSTEE 1.00 0.00 X 0 0 0 BECKY DUKES TRUSTEE 1.00 0.00 X 0 0 0 ROBYN HATTAWAY TRUSTEE 1.00 0.00 X 0 0 0 KIRK KESSEL TRUSTEE 1.00 0.00 X 0 0 0 STEPHEN LACEY TRUSTEE/IMMED PAST CHAIR 1.00 0.00 X 0 0 0 PAULA G MOLNAR TRUSTEE 1.00 0.00 X 0 0 0 ROBERT PERERS TRUSTEE 1.00 1.00 X 0 0 0 BARRY F RICHARDSON TRUSTEE 1.00 0.00 X 0 0 0 NANCY TAYLOR TRUSTEE 1.00 0.00 X 0 0 0 BARBARA WALL TRUSTEE 1.00 0.00 X 0 0 0 AUTUMN SHRUM TRUSTEE (BEG 1/2023) 1.00 0.00 X 0 0 0 MONICA SHAH TRUSTEE (BEG 1/2023) 1.00 0.00 X 0 0 0 DAVID PELZMAN TRUSTEE (BEG 1/2023) 1.00 0.00 X 0 0 0 ELAINA GARVIN TRUSTEE (BEG 1/2023) 1.00 0.00 X 0 0 0 KAY CANTRELL TRUSTEE (BEG 1/2023) 1.00 0.00 X 0 0 0 JESSICA ANDRE IMMEDIATE PAST CHAIR (END 1/2023) 1.00 0.00 X 0 0 0 ROCHELLE COOPER TRUSTEE (END 1/2023) 1.00 0.00 X 0 0 0 RITA MORENO TRUSTEE (END 1/2023) 1.00 0.00 X 0 0 0 WILLIAM TRONER TRUSTEE (END 1/2023) 1.00 0.00 X 0 0 0 MICHAEL A SCIALDONE EVP/CFO HFI (END 1/2023) 1.00 39.00 X 0 896876 21100 BRETT A ESROCK EXEC VP CFO/COO (BEG 1/2023) 1.00 39.00 X 0 735252 26499 MARY C KERN SYS DIR OPS AND SUSTAINED 40.00 0.00 X 0 182193 19234 JEANENE E DONILON FOUNDATION DIRECTOR (END 4/2023) 40.00 0.00 X 0 160780 21443 0 6609497 183117 0 0 1 0 0 464553 1923968 7804 2388521 38004 38004 63510 464553 157484 -93974 -93974 2332551 0 0 -55970 750604 750604 133894 133894 372414 372414 693792 69391 624401 9593 959 8634 127793 12782 115011 70078 7009 63069 1067 1067 93342 93342 45521 3737 41784 48235 4824 43411 55092 5510 49582 14910 14910 76869 7688 69181 4883 488 4395 7238 724 6514 20711 882 19829 38033 3804 34229 CATERING & ENTERTAINMEN 164075 16410 147665 MAINTENANCE & REPAIR 3862 386 3476 LICENSE & TAXES 796 81 715 69176 22661 46515 2801978 884498 530817 1386663 403483 202913 1175484 1093547 94671 59718 20968 19998 160604 52987 66 107617 253300 253300 5811868 10867653 7759840 12604746 84864 118608 48150 1650 551454 394326 684468 514584 X 3277985 3129902 3797387 8960260 7075372 12090162 7759840 12604746 X -469427 5484217 X X 0 1 X 1 0 X 904603 1169223 2388521 4462347 904603 1169223 2388521 4462347 788564 3673783 219057 -253955 38004 3106 200162 256834 456996 4922449 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1280146 15250 13798 126954 2103 1180137 1528198 29600 -264537 10124 2991 1280146 1267228 58376 228185 24853 738 1528198 1.00000 0 0 160604 52987 107617 107617 ASSETS LIMITED AS TO USE 8960260 OTHER CURRENT ASSETS 1867222 OPERATING LEASE ASSETS 40171 10867653 DUE TO AFFILIATES 353914 OPERATING LEASE LIAB LONG TERM 40412 394326 X PART X, LINE 2: FASB ASC 740 FOOTNOTE: THE FOUNDATION IS GENERALLY EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(A), AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3), OF THE INTERNAL REVENUE CODE AND SECTION 220.13 OF THE FLORIDA STATUTES, RESPECTIVELY. ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS MADE IN THE FINANCIAL STATEMENTS. ASC TOPIC 740, INCOME TAXES, PRESCRIBES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAX POSITIONS RECOGNIZED IN FINANCIAL STATEMENTS. ASC TOPIC 740 PROVIDES GUIDANCE FOR RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTES FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. PART V, LINE 4: THESE ENDOWMENTS ARE USED TO PROVIDE ASSISTANCE TO DISADVANTAGED PATIENTS AND THEIR FAMILIES IN NEED OF MEDICATIONS, MEDICAL SUPPLIES, DURABLE MEDICAL EQUIPMENT AND OTHER INCIDENTALS RELATED TO INDIGENT PATIENT CARE, AND TO PROVIDE NURSING SCHOLARSHIPS TO ASSOCIATES SEEKING TO PURSUE FURTHER EDUCATION (BSN, MSN). X X 1 ALLEGIANT DIRECT INC 278 FRANKLIN ROAD SUITE 290 BRENTWOOD TN 37027 DIRECT MAIL SOLICITATION 0 85512 87031 -1519 THE STELTER COMPANY 10435 NEW YORK AVENUE DES MOINES IA 50322 EDUCATION AND MARKETING 0 0 6123 -6123 85512 93154 -7642 FL GOLF TOURNAMENT 528063 464553 63510 78448 3407 75629 0 0 0 0 528063 464553 63510 78448 3407 75629 157484 -93974 SCHEDULE G, PART I, LINE 2B, COLUMN (V) DIRECT MAIL CAMPAIGN, EDUCATION, AND MARKETING 1 HEALTH FIRST SHARED SERVICES INC 3300 FISKE BLVD ROCKLEDGE FL 32955 593336894 501(C)(3) 375197 0 SPECIAL PROJECTS AND PATIENT CARE HOLMES REGIONAL MEDICAL CENTER INC 3300 FISKE BLVD ROCKLEDGE FL 32955 590624371 501(C)(3) 104057 0 SPECIAL PROJECTS AND PATIENT CARE CAPE CANAVERAL HOSPITAL INC 3300 FISKE BLVD ROCKLEDGE FL 32955 592477479 501(C)(3) 210966 0 SPECIAL PROJECTS AND PATIENT CARE HOSPICE OF HEALTH FIRST INC 3300 FISKE BLVD ROCKLEDGE FL 32955 591911574 501(C)(3) 58223 0 SPECIAL PROJECTS AND PATIENT CARE 4 0 SCHOLARSHIPS 10 21000 EDUCATION - PROFESSIONAL DEVELOPMENT 7 81268 PATIENT CARE - INDIGENT GUARDIAN ANGEL GRANT 43 31381 PROGRAM SERVICES - VOLUNTEER REMEMBRANCE BOOKS 1 245 PART I, LINE 2: THE HEALTH FIRST FOUNDATION BOARD OF TRUSTEES MONITORS USAGE BY EACH ENTITY TO ASSURE FUNDS RAISED ARE USED APPROPRIATELY. THE TOTAL NUMBER OF RECIPIENTS REPRESENTED ON GRANTS PROVIDED TO DOMESTIC INDIVIDUALS ONLY REPRESENTS WHAT HEALTH FIRST FOUNDATION, INC. PROVIDED DIRECTLY TO THE INDIVIDUALS. HEALTH FIRST FOUNDATION, INC. ALSO PROVIDED TO THE DOMESTIC ORGANIZATIONS GRANT MONEY TO USE FOR THE PURPOSE OF EDUCATION, PATIENT CARE, SCHOLARSHIPS, PROGRAM SERVICES, AND ASSOCIATE RELIEF PROGRAM. 0 1 0 0 0 0 0 0 0 STEVEN P JOHNSON PRESIDENT/CEO HFI (END 2/2023) 0 2162221 0 0 0 21206 0 8200 0 16872 0 2208499 0 0 KENNETH TIEU MD TRUSTEE 0 1308093 0 0 0 1710 0 0 0 19369 0 1329172 0 0 MICHAEL A SCIALDONE EVP/CFO HFI (END 1/2023) 0 723726 0 0 0 173150 0 0 0 21100 0 917976 0 0 NICHOLAS W ROMANELLO ESQ ASSISTANT SECRETARY 0 588875 0 0 0 147808 0 8200 0 21100 0 765983 0 0 BRETT A ESROCK EXEC VP CFO/COO (BEG 1/2023) 0 725700 0 0 0 9552 0 8200 0 18299 0 761751 0 0 MICHAEL E SEELEY SYS VP HFF PRESIDENT 0 337585 0 0 0 2622 0 0 0 21100 0 361307 0 0 MARY C KERN SYS DIR OPS AND SUSTAINED 0 177774 0 0 0 4419 0 2895 0 16339 0 201427 0 0 JEANENE E DONILON FOUNDATION DIRECTOR (END 4/2023) 0 151960 0 0 0 8820 0 4659 0 16784 0 182223 0 0 PART I, LINE 3 COMPENSATION IS PAID BY HEALTH FIRST SHARED SERVICES, INC. EIN: 59-3336894 AND REIMBURSED BY HEALTH FIRST FOUNDATION, INC. SALARY AND BENEFIT EXPENSES DISCLOSED IN PART IX IS ALLOCATED TO THIS ENTITY. THE FILING ORGANIZATION RELIED ON HEALTH FIRST SHARED SERVICES, INC. FOR ESTABLISHING THE TOP MANAGEMENT OFFICIAL'S COMPENSATION. SEE CORE 990, PART VI, SECTION B, LINE 15 ON SCHEDULE O FOR FURTHER INFORMATION REGARDING THE PROCESS UTILIZED. PART I, LINE 4B THE FOLLOWING INDIVIDUALS PARTICIPATE IN CAP-EX (A SPLIT DOLLAR LIFE INSURANCE AGREEMENT IN PLACE OF A TRADITIONAL SERP) AND HAVE ESTABLISHED A PREMIUM DEPOSIT ACCOUNT. THE ACCOUNT IS CONNECTED TO THE INSURANCE POLICY AND WILL BE USED TO PAY FUTRE PREMIUMS ON THE POLICY. THE INDIVIDUALS ARE TAXED ON ANY EARNINGS GENERATED BY THIS ACCOUNT. DURING THE TAX YEAR, THE FOLLOWING INDIVIDUALS RECEIVED TAX WITHDRAWAL AMOUNTS TO COVER THEIR TAX LIABILITY. SEE HEALTH FIRST SHARED SERVICES, INC. (EIN: 59-3336894) FORM 990, AND RELATED SCHEDULES FOR FURTHER DETAILS ON THE PROGRAM. STEVEN P. JOHNSON $2,136 BRETT A. ESROCK $1,566 MICHAEL A. SCIALDONE $0 FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF HEALTH FIRST FOUNDATION, INC. IS HEALTH FIRST SHARED SERVICES, INC., A FLORIDA NOT-FOR-PROFIT CORPORATION THAT SERVES AS THE CORPORATE PARENT OF THE HEALTH SYSTEM. FORM 990, PART VI, SECTION A, LINE 7A HEALTH FIRST SHARED SERVICES, INC. (HFSS), A SECTION 501(C)(3) EXEMPT ORGANIZATION AND THE PARENT OF THE EXEMPT HEALTHCARE SYSTEM, IS THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION WITH THE POWER TO ELECT OR APPOINT ANY MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B PER THE BYLAWS AND THE LAWS OF THE STATE OF FLORIDA, THE ADMINISTRATIVE POWER OF THE CORPORATION SHALL BE VESTED IN THE BOARD OF TRUSTEES WHICH SHALL HAVE CHARGE, CONTROL AND MANAGEMENT OF PROPERTY, AFFAIRS AND FUNDS OF THE CORPORATION. THE BOARD OF TRUSTEES SHALL NOT TAKE ANY ACTION WITH RESPECT TO THE FOLLOWING WITHOUT APPROVAL OF THE MEMBER: -CHANGE IN THE MISSION, PURPOSE OR SCOPE OF THE CORPORATION AND ITS OPERATION; -INCURRENCE OF DEBT OR GUARANTEE THE DEBT OF ANOTHER; -APPROVAL OF THE SALE, LEASE, PURCHASE, CONVEYANCE OR OTHER DISPOSITION OF ANY REAL PROPERTY OR ANY PERSONAL PROPERTY OF THE CORPORATION HAVING A FAIR MARKET VALUE IN EXCESS OF $100,000; -APPROVAL OF THE SALE, LEASE, PURCHASE, CONVEYANCE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL THE ASSETS OF THE CORPORATION; -APPROVAL OF ANNUAL OPERATING AND CAPITAL EXPENDITURE BUDGETS OF THE CORPORATION AND ANY MATERIAL DEVIATIONS FROM SUCH BUDGETS; -APPROVAL OF THE ENGAGEMENT OF ANY AUDITOR, LEGAL COUNSEL OR CONSULTANT INVOLVING EXPENDITURES IN EXCESS OF $150,000 ANNUALLY OR PER ENGAGEMENT; -APPROVAL OF ANY SIGNIFICANT CHANGES OF HUMAN RESOURCE AND EMPLOYEE BENEFIT, ACCOUNTING, FINANCIAL AND OTHER POLICIES AND PROCEDURES; -APPROVAL OF STRATEGIC AND LONG-RANGE PLANS, MAJOR FUND-RAISING PROGRAMS AND FINANCIAL COMMITMENTS (OVER AND ABOVE THOSE CONTAINED IN APPROVED BUDGETS) IN EXCESS OF $100,000; -CREATION, ACQUISITION, SALE, PURCHASE, DISSOLUTION OR OTHER DISPOSITION OF ANY AFFILIATED OR CONTROLLED ENTITY OR JOINT VENTURE OR ANY INTEREST IN ANY SUCH ENTITY; -THE RELOCATION, IMPLEMENTATION OR DISCONTINUATION OF A MAJOR PROGRAM SERVICE; AND -THE REPEAL, AMENDMENT OR RESTATEMENT OF ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS PREPARED BY HEALTH FIRST'S TAX DEPARTMENT AND THEN REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. AFTER REVIEW AND APPROVAL BY THE SYSTEM VICE PRESIDENT CHIEF ACCOUNTING OFFICER, THE FORM 990 IS SENT TO EACH MEMBER OF THE BOARD OF TRUSTEES ELECTRONICALLY FOR THEIR REVIEW AND APPROVAL PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C A COPY OF THE CONFLICT OF INTEREST POLICY IS PROVIDED TO ALL ASSOCIATES, INCLUDING MANAGEMENT, IN WHICH THEY REVIEW AND ELECTRONICALLY ATTEST THAT THEY HAVE AGREED TO THE TERMS NOTED IN THE POLICY ON AN ANNUAL BASIS. IN ADDITION, SENIOR LEADERSHIP AND BOARD OF TRUSTEES MEMBERS ON AN ANNUAL BASIS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE PREPARED AND MONITORED BY THE CHIEF COMPLIANCE OFFICER. THE QUESTIONNAIRE REQUIRES AN ATTESTATION STATING THAT THE INDIVIDUAL IS FREE OF CONFLICTS SHOULD THEY NOT REPORT ANYTHING OF CONCERN. THESE FORMS ARE TRACKED AND KEPT ON FILE. SHOULD A CONFLICT ARISE, THE CHIEF COMPLIANCE OFFICER INVESTIGATES THE ISSUE AND DETERMINES A COURSE OF ACTION TO ENSURE ENFORCEMENT OF THE POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION PROCESS IS DETERMINED BY HEALTH FIRST SHARED SERVICES, INC. (HFSS). HFSS PROCESS IS AS FOLLOWS: THE SALARIES OF OUR CHIEF EXECUTIVE OFFICER AND OTHER HFSS EXECUTIVES ARE REVIEWED AND RECOMMENDED ANNUALLY TO THE BOARD OF TRUSTEES AND APPROVED IN EXECUTIVE SESSION BY THE FULL BOARD OF HFSS. HFSS CONTRACTS ANNUALLY, WITH A HIGHLY RESPECTED NATIONAL CONSULTING FIRM, TO PROVIDE THESE RECOMMENDATIONS TO ENSURE THAT OUR EXECUTIVES ARE COMPENSATED FAIRLY AND COMPETITIVELY WHEN COMPARED WITH SIMILAR ROLES IN OTHER HEALTHCARE ORGANIZATIONS NATIONALLY. THE COMPENSATION COMMITTEE IS INDEPENDENT FOR INTERNAL REVENUE CODE SECTION 4958 FOR THE INDIVIDUALS WHOSE SALARY IS REVIEWED. MINUTES ARE KEPT FOR ALL BOARD OF TRUSTEES AND COMPENSATION COMMITTEE MEETINGS. THE PROCESS IS DOCUMENTED CONTEMPORANEOUSLY IN THE BOARD AND COMMITTEE MEETINGS. FORM 990, PART VI, SECTION C, LINE 19 QUARTERLY AND ANNUALLY CONSOLIDATED FINANCIALS AND CONSOLIDATED STATISTICAL INFORMATION IS FILED ELECTRONICALLY ON WWW.DACBOND.COM AND IS AVAILABLE TO THE PUBLIC. IN ADDITION, ANY REQUESTS MADE TO THE CHIEF FINANCIAL OFFICER FOR THE ABOVE REFERENCED ITEMS ARE PROVIDED UPON REQUEST IN A TIMELY MANNER. A COPY OF THE GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY ARE AVAILABLE UPON REQUEST TO THE CHIEF COMPLIANCE OFFICER. DOCUMENTS ARE AVAILABLE FOR THE SAME PERIOD OF DISCLOSURE AS PROVIDED IN SECTION 6104(D). FORM 990, PART XI, LINE 9: TRANSFER OF NET ASSETS TO FOUNDATION 5,155,322. CHANGE IN TEMP RESTRICTED NET ASSETS 133,894. CHANGE IN UNRESTRICTED NET ASSETS 195,001. FORM 990, PART XII, LINE 2C, AUDITED FINANCIAL STATEMENTS: THE AUDIT COMMITTEE OF HEALTH FIRST REVIEWS AND APPROVED THE ANNUAL AUDIT AND COMPLIANCE AUDIT PLANS THEN MAKES ITS REPORT TO THE HEALTH FIRST BOARD OF TRUSTEES. THE AUDIT COMMITTEE IS RESPONSIBLE FOR THE SELECTION OF THE INDEPENDENT AUDITORS. THERE WAS NO CHANGE FROM PRIOR YEAR. CAPE CANAVERAL HOSPITAL INC 3300 FISKE BLVD ROCKLEDGE FL 32955 592477479 HOSPITAL FL 501(C)(3) LINE 3 HEALTH FIRST SHARED SERVICES INC 1 VIERA HOSPITAL INC 3300 FISKE BLVD ROCKLEDGE FL 32955 264019868 HOSPITAL FL 501(C)(3) LINE 3 HEALTH FIRST SHARED SERVICES INC 1 HEALTH FIRST SHARED SERVICES INC 3300 FISKE BLVD ROCKLEDGE FL 32955 593336894 SHARED SERVICES FL 501(C)(3) LINE 10 HEALTH FIRST INC 0 HEALTH FIRST INC 3300 FISKE BLVD ROCKLEDGE FL 32955 593528774 SUPPORT ORG FL 501(C)(3) LINE 12B, II N/A 0 HOLMES REGIONAL MEDICAL CENTER INC 3300 FISKE BLVD ROCKLEDGE FL 32955 590624371 HOSPITAL FL 501(C)(3) LINE 3 HEALTH FIRST SHARED SERVICES INC 1 HOSPICE OF HEALTH FIRST INC 3300 FISKE BLVD ROCKLEDGE FL 32955 591911574 HEALTHCARE FL 501(C)(3) LINE 10 HEALTH FIRST SHARED SERVICES INC 1 HEALTH FIRST ADMINISTRATIVE PLANS INC 3300 FISKE BLVD ROCKLEDGE FL 32955 821851221 HEALTHCARE FL 501(C)(4) HEALTH FIRST SHARED SERVICES INC 1 HEALTH FIRST COMMERCIAL PLANS INC 3300 FISKE BLVD ROCKLEDGE FL 32955 821866443 HEALTHCARE FL 501(C)(4) HEALTH FIRST SHARED SERVICES INC 1 HEALTH FIRST HEALTH PLANS INC 3300 FISKE BLVD ROCKLEDGE FL 32955 472736029 HEALTHCARE FL 501(C)(4) HEALTH FIRST SHARED SERVICES INC 1 DOCTORS GI PARTNERSHIP LTD 3300 FISKE BLVD ROCKLEDGE FL 32955 593758988 HEALTHCARE FL N/A RELATED 0 0 CAPE HEALTH PROPERTIES INC 3300 FISKE BLVD ROCKLEDGE FL 32955 593086711 REAL ESTATE FL N/A C 1 DOCTOR'S SURGICAL PARTNERSHIP LLC 3300 FISKE BLVD ROCKLEDGE FL 32955 593348252 HEALTH CARE FL N/A C 1 HEALTH FIRST HOLDING CORP 3300 FISKE BLVD ROCKLEDGE FL 32955 593509709 HOLDING CORP. FL N/A C 1 HEALTH FIRST INSURANCE INC 3300 FISKE BLVD ROCKLEDGE FL 32955 453131932 HEALTH CARE FL N/A C 1 HEALTH FIRST MEDICAL MANAGEMENT INC 3300 FISKE BLVD ROCKLEDGE FL 32955 593348252 HEALTH CARE FL N/A C 1 HEALTH FIRST PHYSICIAN SPECIALTIES 3300 FISKE BLVD ROCKLEDGE FL 32955 263094596 HEALTH CARE FL N/A C 1 HEALTH FIRST PHYSICIANS INC 3300 FISKE BLVD ROCKLEDGE FL 32955 593346397 HEALTH CARE FL N/A C 1 HOLMES REGIONAL ENTERPRISES INC 3300 FISKE BLVD ROCKLEDGE FL 32955 592109953 REAL ESTATE FL N/A C 1 PHYSICIANS GI PARTNERSHIP INC 3300 FISKE BLVD ROCKLEDGE FL 32955 593756961 HEALTH CARE FL N/A C 1 SPACE COAST INDEMNITY PO BOX 1051 GRAND CAYMAN CJ KY1-1102 981612801 SELF-INSURANCE CJ N/A C 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 0 1 1 0 1 HOLMES REGIONAL MEDICAL CENTER INC B 104057 SEE PART VII HOSPICE OF HEALTH FIRST INC B 58223 SEE PART VII CAPE CANAVERAL HOSPITAL INC B 210966 SEE PART VII HOLMES REGIONAL MEDICAL CENTER INC K 58202 SEE PART VII HOLMES REGIONAL MEDICAL CENTER INC S 2006024 SEE PART VII CAPE CANAVERAL HOSPITAL INC S 616916 SEE PART VII FORM 990, SCHEDULE R, PART V: ALL TRANSACTIONS REPORTED IN THIS SECTION ARE BASED UPON CORPORATE BOOKS AND RECORDS WHICH ARE KEPT ACCORDING TO GENERALLY ACCEPTED ACCOUNTING PRINCIPLES.