2025-05-14T12:06:27-05:00 2024-09-30 990 2023-10-01 590624371 HOLMES REGIONAL MEDICAL CENTER INC HOLM 3214345150 3300 FISKE BLVD ROCKLEDGE FL 329554306 KRISTEN M PULIO EXECUTIVE VP CFO 3214345150 2025-05-14 1 2023 2025-03-06 01:10:19Z TERRY L FORDE 3300 FISKE BLVD ROCKLEDGE FL 329554306 948806116 0 X HTTPS://HF.ORG/ X 1931 FL WE EXIST TO IMPROVE THE HEALTH AND WELLNESS OF THE COMMUNITIES WE SERVE. 11 11 0 558 4284763 2507030 1077610 377519 855413959 936407481 3868872 8400122 4212440 3512580 864572881 948697702 287519 348573 0 0 365830686 362495535 0 0 0 452827613 497333359 818945818 860177467 45627063 88520235 949988447 1011795378 385150435 404742626 564838012 607052752 X WE EXIST TO IMPROVE THE HEALTH AND WELLNESS OF THE COMMUNITIES WE SERVE. 0 0 765648693 348573 932122718 HOLMES REGIONAL MEDICAL CENTER (HRMC) FEATURES 550 ACUTE BEDS, 10 NICU, MORE THAN 570 PHYSICIANS AND IS THE REGION'S PREMIER TERTIARY REFERRAL HOSPITAL. HRMC OFFERS ALL PATIENTS INNOVATIVE, LIFE-SAVING TECHNOLOGY, INCLUDING VITALWATCH EICU WHICH COMBINES TELEMEDICINE SOFTWARE AND 24/7 ELECTRONIC MONITORING TECHNOLOGY. HRMC IS ALSO ONE OF THE LOCATIONS OF HEALTH FIRST'S FMAILY PHARMACY AND HOME OF BREVARD COUNTY'S ONLY PEDIATRIC ER AND LEVEL II NICU.HRMC WAS RANKED NO. 22 IN THE STATE OF FLORIDA (AMONG MORE THAN 300 HOSPITALS) AND NO. 1 IN BREVARD COUNTY AS PART OF THE ANNUAL U.S. NEWS & WORLD REPORT TOP HOSPITALS LIST. AS PART OF THE ANNUAL REPORT, HOSPITALS ARE RATED ACCORDING TO THEIR PERFORMANCE IN COMPLEX CARE IN MEDICAL SPECIALTIES AND IN COMMON PROCEDURES AND CONDITIONS. TO HELP PATIENTS DECIDE WHERE TO RECEIVE CARE, U.S. NEWS GENERATES HOSPITAL RANKINGS BY EVALUATING DATA ON NEARLY 5,000 HOSPITALS NATIONWIDE. TO BE NATIONALLY RANKED IN A SPECIALTY, A HOSPITAL MUST EXCEL IN CARING FOR THE SICKEST, MOST MEDICALLY COMPLEX PATIENTS. HRMC WAS RECOGNIZED FOR SEVEN HIGH PERFORMANCE SPECIALTIES (HEART ATTACK, HEART BYPASS SURGERY, HEART FAILURE, DIABETES, STROKE, HIP REPLACEMENT, PNEUMONIA). THE HEART CENTER AT HRMC PERFORMS MORE CARDIAC PROCEDURES THAN ALL THE OTHER HOSPITALS IN BREVARD. AS THE AREA'S LEADER IN HEART AND VASCULAR SERVICES, THE HEART CENTER FEATURES STATE-OF-THE ART CARDIAC CATHETERIZATION SUITES AND ADJOINING PRE-AND POST-PROCEDURE RECOVERY AREAS. A ROOFTOP LANDING SITE FOR THE FIRST FLIGHT EC135 MEDICAL HELICOPTER HAS DEDICATED ELEVATOR ACCESS TO THE LEVEL II TRAUMA CENTER, EMERGENCY HEART CATHETERIZATION, AND STROKE INTERVENTION SERVICES AT THE HEART CENTER. THE ADVANCED STRUCTURAL HEART PROGRAM OFFERS PROGRESSIVE PROCEDURES, INCLUDING TRANSCATHETER AORTIC VALVE REPLACEMENT (TAVR), WATCHMAN, MITRACLIP, AND ATRICLIP.HEALTH FIRST'S HEART & VASCULAR PROGRAM HAS RECEIVED A PRESTIGIOUS THREE-STAR OVERALL ISOLATED CABG RECOGNITION FROM THE SOCIETY OF THORACIC SURGEONS. THE HONOR RECOGNIZES HEALTH FIRST'S PATIENT CARE AND OUTCOMES RELATIVE TO ISOLATED CORONARY ARTERY BYPASS GRAFTING (CABG) PROCEDURES. THE THREE-STAR RATING, WHICH DENOTES THE HIGHEST CATEGORY OF QUALITY, PLACES HEALTH FIRST'S HEART & VASCULAR PROGRAM AMONG THE ELITE FOR HEART BYPASS SURGERY IN THE UNITED STATES AND CANADA.THE STAR RATING SYSTEM (SRS) IS ONE OF THE MOST SOPHISTICATED AND HIGHLY REGARDED OVERALL MEASURES OF QUALITY IN HEALTH CARE, RATING THE BENCHMARKED OUTCOMES OF CARDIOTHORACIC SURGERY PROGRAMS ACROSS THE UNITED STATES AND CANADA. THE STAR RATING IS CALCULATED USING A COMBINATION OF QUALITY MEASURES FOR SPECIFIC PROCEDURES PERFORMED BY AN STS ADULT CARDIAC SURGERY DATABASE PARTICIPANT.HEALTH FIRST'S HEART & VASCULAR PROGRAM NOW FEATURES THE GENERAL ELECTRIC SIGNA ARTIST MRI MACHINE THAT DOES NOT USE X-RAYS OR RADIATION BUT RELIES ON A LARGE MAGNET, RADIO WAVES, AND A COMPUTER TO CREATE A SERIES OF IMAGES OF THE HEART AND ITS SURROUNDING BLOOD VESSELS. THIS NEW CARDIAC MRI MACHINE IS THE FIRST OF ITS KIND IN BREVARD, PROVIDING PATIENTS WITH THE DIAGNOSIS THEY NEED, FASTER AND MORE COMFORTABLY.HRMC IS ALSO THE FIRST HOSPITAL IN BREVARD TO OFFER STATE-OF-THE-ART ROBOTICS-ASSISTED SURGERY (DAVINCI XI) FOR CARDIOTHORACIC, GENERAL SURGERY, UROLOGY, AND GYNECOLOGICAL PROCEDURES.THE STROKE CENTER AT HOLMES REGIONAL MEDICAL CENTER IS THE ONLY JOINT COMMISSION - CERTIFIED THROMBECTOMY-CAPABLE STROKE CENTER (TSC) SERVING BOTH BREVARD AND INDIAN RIVER COUNTY. THE STROKE PROGRAM UTILIZES AN ARTIFICIAL INTELLIGENCE PLATFORM TO STREAMLINE THE IDENTIFICATION AND MANAGEMENT OF STROKE. OUR "VIZ.AI" SOFTWARE ALERTS OUR STROKE TEAM OF SUSPECTED STROKES AND LARGE VESSEL OCCLUSIONS WITHIN 5 MINUTES OF ANALYZING MEDICAL IMAGING DATA FROM OUR COMPUTED TOMOGRAPHY (CT) SCANNER. THIS LEADS TO BETTER OUTCOMES FOR OUR STROKE PATIENTS. TSC OFFERS LIFE-CHANGING INTERVENTIONAL NEURO-RADIOLOGY SERVICES FOR ADVANCED STROKE TREATMENT. THE STROKE CENTER IS EQUIPPED WITH A BIPLANE ANGIOGRAPHY AND ENDOVASCULAR SUITE, OFFERING HIGHLY ADVANCED IMAGING AND MINIMAL INVASIVE ENDOVASCULAR SURGERY AND STROKE INTERVENTION SERVICES. THE COMPREHENSIVE NEUROSCIENCE PROGRAM OFFERS ADVANCED TREATMENT AND SURGICAL PROCEDURES FOR THE BRAIN, SKULL, SPINE, SPINAL CORD, AND PERIPHERAL NERVOUS SYSTEM.PALM BAY HOSPITAL (PBH) FEATURES 120 ACUTE BEDS, AND MORE THAN 200 HIGHLY SKILLED PHYSICIANS. FOCUSED ON INNOVATIVE TECHNOLOGY, PBH OFFERS PATIENTS EXTENSIVE DIGITAL DIAGNOSTIC RADIOLOGY INCLUDING DIGITAL MAMMOGRAPHY, X-RAY, MRI, CT, ULTRASOUND, NUCLEAR MEDICINE, DIAGNOSTIC CARDIAC CATHETERIZATION, PCI PROCEDURES, TELESTROKE, TELERADIOLOGY AND VITALWATCH EICU. PBH ALSO OFFERS A FULL SPECTRUM OF HEALTHCARE SERVICES INCLUDING CARDIOPULMONARY, SURGERY, REHABILITATION, INTENSIVE CARE, EMERGENCY, ENDOSCOPY SERVICES, AND IS ONE OF THE HEALTH FIRST FAMILY PHARMACY LOCATIONS.AS PART OF THE U.S. NEWS & WORLD REPORT TOP HOSPITALS LIST, PBH EARNED HIGH PERFORMING RECOGNITION IN FOUR AREAS HIP REPLACEMENT, KNEE REPLACEMENT, DIABETES, AND CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD).PBH RECEIVED A 4-STAR RATING BY THE CENTERS FOR MEDICARE & MEDICAID SERVICES IN 2024 AND ACHIEVED RECERTIFICATION BY THE JOINT COMMISSION AS A PRIMARY STROKE CENTER. PBH ALSO RECEIVED ACCREDITATION BY THE INTERSOCIETAL ACCREDITATION COMMISSION FOR ECHOCARDIOGRAPHY IN ADULT TRANSTHORACIC.HRMC AND PBH PROVIDE HIGH-QUALITY MEDICAL SERVICES REGARDLESS OF RACE, CREED, GENDER, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES AND FURTHER, THAT OUR MISSION IS TO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTHCARE SERVICES AND HEALTHCARE EDUCATION.IN KEEPING WITH THE HOSPITAL'S COMMITMENT, TO SERVE ALL MEMBERS OF ITS COMMUNITY:(1) FREE CARE AND/OR SUBSIDIZED CARE IS PROVIDED WHERE THE NEED AND/OR INABILITY TO PAY EXISTS AS DETERMINED BY HEALTH FIRST'S FINANCIAL ASSISTANCE POLICY.(2) CARE IS PROVIDED AT BELOW COST TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS SUCH AS MEDICARE AND MEDICAID.(3) FREE WELLNESS AND HEALTH ACTIVITIES AND PROGRAMS ARE PROVIDED TO THE COMMUNITY. THESE ACTIVITIES INCLUDE WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, SPECIAL PROGRAMS FOR ELDERLY, DISABLED, AND MENTALLY UNDERSERVED, ALONG WITH A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES.AS NOT-FOR-PROFIT HOSPITALS, HRMC AND PBH ARE SUPPORTED IN PART BY CONTRIBUTIONS TO THE HEALTH FIRST FOUNDATION. 765648693 1 1 0 0 0 0 0 0 0 0 1 0 1 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 X KIMBERLY MYERS 3214345150 3300 FISKE BLVD ROCKLEDGE FL 329554306 X BRETT A ESROCK FRMR. SR. VP HOSP SVC/EXEC VP CFO/COO END 7/15/2 9.00 31.00 X X 0 980450 28047 TAYLOR K SMITH INTERM CEO HFI END 8/5/2024 9.00 31.00 X X 0 516274 0 ALAN L PRESTWOOD FORMER TRUSTEE END 9/30/2023 0.00 0.00 X 0 151760 0 LARRY S BISHOP MD TRUSTEE 1.00 5.00 X 0 27206 0 JAMES C SHAW VICE CHAIR 1.00 5.00 X X 0 23489 0 ROBERT K HENRY TRUSTEE (FRMR SECRETARY) 1.00 5.00 X X 0 19875 0 JOSEPH GURRI MD TRUSTEE 1.00 5.00 X 0 18219 0 DANA S KILBORNE TREASURER 1.00 5.00 X X 0 18000 0 SCOTT T MIKUEN TRUSTEE SECRETARY 1.00 5.00 X X 0 0 0 ANTHONY TRAN MD TRUSTEE 1.00 0.00 X 0 0 0 TAMER AHMED MD TRUSTEE 1.00 0.00 X 0 0 0 KIM K PATRICK TRUSTEE (BEG 10/2021) 1.00 8.00 X 0 0 0 DR THEODORE RICHARDSON III TRUSTEE BEG. 10/2023 1.00 5.00 X 0 0 0 NICHOLAS W ROMANELLO ESQ ASSISTANT SECRETARY 9.00 31.00 X 0 817230 30967 JEFFREY C STALNAKER MD SR VP CCO/INTERIM CEO HOSP END 7/31/2024 9.00 31.00 X 0 875347 26054 JAMES S MITCHELL III FRMR EXEC VP/COO HFI/ INTERIM PRES HOSPITAL DIVISI 1.00 3.00 X 0 0 0 TERRY L FORDE PRESIDENT/CEO BEG. 8/5/2024 9.00 31.00 X 0 0 0 KRISTEN M PULIO EXECUTIVE VP CFO BEG. 9/23/2024 9.00 31.00 X 0 0 0 VICTOR M VARGAS VP MEDICAL AFFAIRS HRMC 40.00 0.00 X 0 480298 11903 ANGELICA M RASTEGARLARI HOSPITAL ADMINISTRATOR HRM 40.00 0.00 X 0 425441 21840 PAULA ABRAHAO VP MED AFFAIRS COMM HOSPITAL 40.00 0.00 X 0 391256 18175 JABAR E HADID PHYSICIAN ADVISOR 40.00 0.00 X 0 344933 30106 ELIZABETH BORRERO PHYSICIAN ADVISOR 40.00 0.00 X 0 359462 15352 STEVEN P JOHNSON FORMER PRESIDENT/CEO HFI 0.00 0.00 X 0 1703863 20932 MARTIN W ISENMAN MD FORMER TRUSTEE 0.00 0.00 X 0 20061 0 DALE A DETTMER ESQ FORMER TRUSTEE 0.00 0.00 X 0 14956 0 JOHN F BREITFELLER FORMER VICE CHAIR 0.00 0.00 X 0 14449 0 PAMELA A GATTO FORMER TRUSTEE 0.00 0.00 X 0 13570 0 MICHAEL A SCIALDONE FORMER EVP/CFO HFI 0.00 0.00 X 0 799466 20263 0 8015605 223639 0 1 1 0 0 29902 347617 377519 PATIENT SERVICE 621110 706790832 703541202 3249630 MEDICARE/MEDICAID 621110 221182556 221182556 RELATED COMPANY RENT 531120 4798582 4798582 PRO HEALTH FITNESS CEN 713940 2600378 2600378 REFERENCE LAB 621500 1035133 1035133 936407481 8400122 8400122 544109 108414 435695 435695 435695 CAFETERIA 722514 2079705 2079705 CHILD CARE 624410 730244 730244 OTHER REVENUE 900099 160105 160105 106831 106831 3076885 948697702 932122718 4284763 11912702 X 348573 348573 278909219 230825270 48083949 5373218 4446875 926343 56999509 47172794 9826715 21213589 17556366 3657223 1388622 1388622 208656 208656 102827833 95214940 7612893 672369 556453 115916 11996536 9928333 2068203 24998720 24929882 68838 14940456 12699388 2241068 195520 161812 33708 132732 109849 22883 7135486 5905328 1230158 38184059 31601127 6582932 21471399 18250689 3220710 MEDICAL SUPPLIES 171358615 171358615 BAD DEBT 38546756 38546756 FLORIDA INDIGENT TAX 9664374 9664374 UBI TAX 587195 587195 53024031 45784074 7239957 860177467 765648693 94528774 0 320167649 364373353 69000 62500 139538887 146302446 22075018 22735682 4117212 4587461 848910176 525187230 322975435 323722946 114116111 119098994 4343482 4343482 22585653 26568514 949988447 1011795378 43328267 50221783 76441 75185 202782768 204419302 138962959 150026356 385150435 404742626 X 564838012 607052752 564838012 607052752 949988447 1011795378 X 88520235 3481334 -49786829 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 35343526 35343526 478188882 272488955 205699927 541000 465829 75171 317972237 252232446 65739791 16864531 16864531 323722946 HEALTHCARE RELATED JOINT VENTURE 8205358 C DEMAND NOTE - HEALTH FIRST INC 110572613 C DEMAND NOTE - HEALTH FIRST FDN 321023 C 119098994 INTER-COMPANY PAYABLE 80882038 GOVERNMENT RELATED PAYABLE 16043107 OTHER CURRRENT LIABILITIES 51813148 OTHER NON CURRENT LIABILITIES 809220 OPERATING LEASE LIABILITIES 478843 150026356 X PART X, LINE 2: FASB ASC 740 FOOTNOTE: THE HOSPITAL IS GENERALLY EXEMPT FROM FEDERAL AND STATE INCOME TAXES APPLICABLE 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 ACCOMPANYING 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 OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. 1 1 X 1 X 0 1 0 1 1 38694066 125097 38568969 0.04690 63517185 36713888 26803297 0.03260 9961332 9961332 0.01210 112172583 36838985 75333598 0.09160 2233887 2233887 0.00270 2882928 2882928 0.00350 75048 75048 0.00010 323095 323095 0.00040 5514958 5514958 0.00670 117687541 36838985 80848556 0.09830 1 6067685 2091670 184468668 227710470 -43241802 X 1 1 2 1 HOLMES REGIONAL MEDICAL CENTER INC 1350 SOUTH HICKORY STREET MELBOURNE FL 32901 SEE SUPPLEMENTAL INFO FOR WEBSITE FL. STATE LIC.#4225 X X X X ACUTE CARE HOSPITAL A 2 PALM BAY HOSPITAL INC 1425 MALABAR ROAD NE PALM BAY FL 32907 SEE SUPPLEMENTAL INFO FOR WEBSITE FL STATE LIC.#4503 X X X ACUTE CARE HOSPITAL A FACILITY GROUP A 0 0 1 X X X X X X X X X 21 1 1 0 1 X SEE SUPPLEMENTAL INFO FOR WEBSITE X 1 21 1 SEE SUPPLEMENTAL INFO FOR WEBSITE 0 1 X 200.000000000000 0.000000000000 X X X X 1 1 X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X 1 X 0 X X X X 1 X 0 0 PART V, SECTION B, LINE 7A: HTTPS://HF.ORG/ABOUT-US/GIVING-BACK/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-IMPLEMENTATION-STRATEGIES PART V, SECTION B, LINE 10A: HTTPS://HF.ORG/ABOUT-US/GIVING-BACK/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-IMPLEMENTATION-STRATEGIES PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: HOLMES REGIONAL MEDICAL CENTER INC, - FACILITY 2: PALM BAY HOSPITAL INC FACILITY GROUP A PART V, SECTION B, LINE 5: THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM INDIVIDUALS REPRESENTING THE BROAD INTEREST OF THE COMMUNITY, INCLUDING THOSE WITH SPECIALIZED KNOWLEDGE AND EXPERTISE IN PUBLIC HEALTH. AS PART OF THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), THE PRC SURVEY RESULTS WERE ANALYZED TO IDENTIFY THIRTEEN "AREA OF OPPORTUNITY." THESE FINDINGS WERE PRESENTED TO THE SPACE COAST HEALTH FOUNDATION BOARD OF DIRECTORS, COMMUNITY PARTNERS, AND EQUITY FORUM ATTENDEES DURING THREE MEETING HELD IN APRIL AND MAY 2022. TO ENSURE A COMPREHENSIVE ASSESSMENT, INPUT WAS GATHERED FROM A PANEL OF 130 COMMUNITY LEADERS REPRESENTING BOTH PUBLIC AND PRIVATE ORGANIZATIONS. THESE LEADERS WERE CONSULTED THROUGHOUT THE PROCESS TO IDENTIFY SIGNIFICANT COMMUNITY HEALTH NEEDS. THE PRIORITIZATION OF HEALTH ISSUES WAS BASED ON AN AVERAGE OF MULTIPLE CRITERIA RATINGS, INCLUDING SCOPE/SEVERITY AND ABILITY TO IMPACT, USING A SCALE OF 1 (LOW PRIORITY) TO 10 (HIGH PRIORITY). FACILITY GROUP A PART V, SECTION B, LINE 6A: CAPE CANAVERAL HOSPITAL & VIERA HOSPITAL FACILITY GROUP A PART V, SECTION B, LINE 11: HEALTH FIRST IS ACTIVELY ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) THROUGH TARGETED INITIATIVES AND PARTNERSHIPS. IN FY24, THE ORGANIZATION FOCUSED ITS EFFORTS ON ADDRESSING HEALTH DISPARITIES BY IMPLEMENTING THE FOLLOWING PROGRAMS AND STRATEGIES:WELLNESS GRANT PROGRAM:IN ALIGNMENT WITH OUR IMPLEMENTATION STRATEGIES, HEALTH FIRST CONTINUED THE WELLNESS GRANT PROGRAM, AWARDING OVER $418,000 TO 15 LOCAL NON-PROFITS THAT DIRECTLY ADDRESS PRIORITY HEALTH AREAS, INCLUDING NUTRITION, PHYSICAL ACTIVITY, WEIGHT MANAGEMENT, AND ACCESS TO HEALTHCARE. COMMUNITY PARTNERS WERE SELECTED BASED ON THEIR PROVEN ABILITY TO MAKE A MEASURABLE IMPACT, AND PROGRAM OUTCOMES ARE REPORTED QUARTERLY TO HEALTH FIRST.ADDRESSED HEALTH NEEDS:1. NUTRITION, PHYSICAL ACTIVITY, AND WEIGHT -- RECOGNIZING THE CRITICAL ROLE OF HEALTHY EATING AND PHYSICAL ACTIVITY IN REDUCING CHRONIC DISEASE RISK, HEALTH FIRST'S WELLNESS GRANT PROGRAM SUPPORTED INITIATIVES THAT SERVED 12,450 INDIVIDUALS IN FY24. THESE PROGRAMS FOCUSED ON INCREASING FRUIT AND VEGETABLE CONSUMPTION, PROMOTING PHYSICAL ACTIVITY, AND ADDRESSING OVERWEIGHT AND OBESITY, PARTICULARLY AMONG CHILDREN AND FAMILIES. PARTNER ORGANIZATIONS INCLUDED BOYS & GIRLS CLUBS OF CENTRAL FLORIDA, SOUTH BREVARD SHARING CENTER, SPACE COAST SLED HOCKEY, THE CHILDREN'S HUNGER PROJECT, PROMISE IN BREVARD, AND THE JUNIOR LEAGUE OF THE SPACE COAST. 2. ACCESS TO HEALTHCARE ADDRESSING THE CHALLENGE OF MORE THAN 54% OF BREVARD COUNTY ADULTS EXPERIENCING DIFFICULTIES OR DELAYS IN ACCESSING HEALTHCARE, HEALTH FIRST'S WELLNESS GRANT PROGRAM FUNDED INITIATIVES THAT SERVED 12,450 INDIVIDUALS IN FY24. THESE PROGRAMS ENHANCED HEALTHCARE ACCESS THROUGH OUTREACH SERVICES, CARE COORDINATION, AND NAVIGATION ASSISTANCE. PARTNER ORGANIZATIONS INCLUDED WHO WE PLAY FOR, FLORIDA DEPARTMENT OF HEALTH-BREVARD COUNTY, FAMILY PROMISE OF BREVARD, STREETSIDE SHOWERS, NEW LIFE MISSION, WOMEN'S CENTER OF BREVARD, AND WAYS FOR LIFE. SIGNIFICANT HEALTH NEEDS NOT ADDRESSED: HEALTH FIRST ACKNOWLEDGES THE BROAD RANGE OF PRIORITY HEALTH ISSUES IDENTIFIED THROUGH THE CHNA PROCESS. TO MAKE THE MOST MEANINGFUL IMPACT, HEALTH FIRST PRIORITIZED ADDRESSING THE MOST PRESSING AND UNDER-ADDRESSED NEEDS WHILE LEVERAGING EXISTING COMMUNITY RESOURCES TO ADDRESS OTHERS. THE FOLLOWING NEEDS ARE NOT THE PRIMARY FOCUS DURING THE 2023-2025 CHNA PERIOD, WITH REASONS PROVIDED:1. DIABETES: ADDRESSED THROUGH HEALTH FIRST MEDICAL GROUP'S DIABETES EDUCATION AND MEDICAL NUTRITION THERAPY, FOCUSING ON RISK FACTORS ASSOCIATED WITH PHYSICAL ACTIVITY AND NUTRITION.2. ORAL HEALTH: ADDRESSED THROUGH A HEALTH FIRST-SPONSORED ADULT DENTAL CLINIC IN PARTNERSHIP WITH THE FLORIDA DEPARTMENT OF HEALTH-BREVARD COUNTY.3. SUBSTANCE ABUSE: ADDRESSED BY CIRCLES OF CARE, A COMMUNITY-BASED PROVIDER OF SUBSTANCE ABUSE SERVICES.4. TOBACCO USE: ADDRESSED BY TOBACCO FREE FLORIDA'S AREA HEALTH EDUCATION CENTERS.5. RESPIRATORY DISEASES: ADDRESSED INDIRECTLY BY TACKLING RISK FACTORS ASSOCIATED WITH OVERWEIGHT AND OBESITY.6. CANCER: ADDRESSED BY HEALTH FIRST CANCER INSTITUTE THROUGH TREATMENT AND SUPPORT SERVICES.7. POTENTIALLY DISABLING CONDITIONS: ADDRESSED INDIRECTLY THROUGH INITIATIVES THAT REDUCE OVERWEIGHT AND OBESITY.8. MENTAL HEALTH: ADDRESSED BY CIRCLES OF CARE, WHICH PROVIDES COMPREHENSIVE MENTAL HEALTH SERVICES.9. SOCIAL DETERMINANTS OF HEALTH: ADDRESSED THROUGH PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS, INCLUDING FAMILY PROMISE OF BREVARD.10. HEART DISEASE/STROKE: ADDRESSED INDIRECTLY BY REDUCING CARDIOVASCULAR RISK FACTORS LINKED TO PHYSICAL INACTIVITY AND OBESITY.11. INJURY/VIOLENCE: ADDRESSED BY COMMUNITY ORGANIZATIONS INCLUDING SERENE HARBOR AND THE WOMEN'S CENTER. FACILITY GROUP A PART V, SECTION B, LINE 13B: THE ORGANIZATION DOES NOT OFFER DISCOUNTED CARE BASED ON FPG PERCENTAGES. ONLY SELF-PAY DISCOUNT IS PROVIDED TO PATIENTS REGARDLESS OF INCOME LEVEL, WHICH IS DETERMINED BY THE LOOK BACK METHOD AND IS REFERRED TO AS AVERAGE GENERALLY BILLED (AGB). PATIENTS WITH HOUSEHOLD INCOMES AT OR BELOW 200% OR WHOSE HOSPITAL-RELATED EXPENSES EXCEED 25% OF THE HOUSEHOLD INCOME WILL BE ENTITLED TO 100% WRITE-OFF CHARGES. PART V, SECTION B, LINE 16A-C: FINACIAL ASSISTANCE POLICY WEBSITE: HTTPS://HF.ORG/HEALTHCARE-HOME/PATIENTS-VISITORS/PRICE-ESTIMATES-AND-FINANCIAL-ASSISTANCE#-----------FINANCIAL-ASSISTANCE-POLICIES---------- 2 1 - PRO-HEALTH FITNESS CENTERS 8705 N WICKHAM ROAD VIERA FL 32940 HEALTH AND WELLNESS CENTER 2 - FAMILY PHARMACY 1350 SOUTH HICKORY STREET MELBOURNE FL 32901 PHARMACY PART I, LINE 3C: THE ORGANIZATION DOES NOT OFFER DISCOUNTED CARE BASED ON FPG PERCENTAGES. ONLY SELF-PAY DISCOUNT IS PROVIDED TO PATIENTS REGARDLESS OF INCOME LEVEL, WHICH IS DETERMINED BY THE LOOK BACK METHOD AND IS REFERRED TO AS AVERAGE GENERALLY BILLED (AGB). PATIENTS WITH HOUSEHOLD INCOMES AT OR BELOW 200% OR WHOSE HOSPITAL-RELATED EXPENSES EXCEED 25% OF THE HOUSEHOLD INCOME WILL BE ENTITLED TO 100% WRITE-OFF CHARGES. PART I, LINE 6A: THE COMMUNITY BENEFIT REPORT IS PREPARED BY HEALTH FIRST SHARED SERVICES, INC., THE PARENT COMPANY TO THE ORGANIZATION. THE COMMUNITY BENEFITS OF THIS ORGANIZATION ARE INCLUDED WITHIN THAT REPORT. PART I, LINE 7: THE ORGANIZATION CALCULATED THE COST AMOUNTS NOTED IN PART I, LINE 7 BY UTILIZING THE COST TO CHARGE RATIO ON THE MEDICARE COST REPORT WHICH ADDRESSES ALL PATIENT SEGMENTS REPORTED ON, INCLUDING, BUT NOT LIMITED TO INPATIENT, OUTPATIENT, MEDICAID, UNINSURED, AND MEDICARE.THE BAD DEBT EXPENSE INCLUDED ON THE FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR THE PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $38,546,756. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 38,546,756. PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY BUILDING ACTIVITIES ARE PRIMARILY SUBSIDIZED BY HEALTH FIRST SHARED SERVICES, INC. (PARENT) AND THEREFORE ARE NOT REPORTED AT EACH INDIVIDUAL HOSPITAL. THE NEEDS IDENTIFIED ARE, IN PART, BASED ON THE COMMUNITY NEEDS ASSESSMENT. HEALTH FIRST SHARED SERVICES, INC. (HFSS) UTILIZED HOURS OF PAID PHYSICIANS AND NURSES TO SUPPORT THE COMMUNITY WHILE ON PAYROLL. IN ADDITION, AN AMOUNT IN EXCESS OF $618K WAS CONTRIBUTED TO VARIOUS LOCAL ORGANIZATIONS PRIMARILY SUPPORTING THE VARIOUS COMMUNITY PUBLIC HEALTH NEEDS. HFSS ALSO SUPPORTED THE ECONOMIC DEVELOPMENT NEEDS, PROVIDED OTHER COMMUNITY SUPPORT, PARTICIPATED IN ENVIRONMENTAL IMPROVEMENTS, COALITION BUILDING PROJECTS, SUPPORTED A COMMUNITY HEALTH IMPROVEMENT ADVOCACY, AND SUPPORTED THE LOCAL WORKFORCE DEVELOPMENT PROGRAM. HFSS AND ITS EMPLOYEES ALSO ACTIVELY SUPPORT THE LOCAL UNITED WAY IN EXCESS OF $81K. PART III, LINE 2: THE FILING ORGANIZATION REPORTS BAD DEBT IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP). HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT 15 IS FOLLOWED TO THE EXTENT THAT IT ALIGNS WITH THE GUIDELINES SET FORTH IN GAAP.BAD DEBT AT COST IS CALCULATED BY MULTIPLYING ACTUAL BAD DEBT WRITE-OFFS BY THE FILING ORGANIZATION'S COST-TO-CHARGE RATIO ON THE MEDICARE COST REPORT. THE ORGANIZATION USED A COST TO CHARGE RATIO TO DETERMINE THE COST AMOUNT OF THE BAD DEBT EXPENSE. PATIENT CARE COST TO CHARGES, AS PROVIDED IN THE IRS INSTRUCTIONS WAS USED TO VALIDATE THE COST TO CHARGE RATIO WHICH APPROXIMATES INTERNAL COST CALCULATION. PART III, LINE 3: BASED ON THE GUIDANCE PROVIDED FOR HEALTH CARE ENTITIES REVENUE RECOGNITION, HEALTH FIRST PERFORMS AN ANNUAL ANALYSIS ON ALL FOUR OF OUR HOSPITALS. THE ANALYSIS PULLS A PATIENT LEVEL DETAIL OF A POPULATION OF CHARITY WRITE-OFF'S FOR SELF PAY AND NON SELF PAY ACCOUNTS DURING THE FISCAL YEAR. THE CLAIMS ARE REVIEWED BY A THIRD PARTY VENDOR SPECIALIZING IN CAPTURING INCOME AND POVERTY LEVEL SCORES AND PROVIDES RESULTS TO BE COMPARED WITH THE DOCUMENTED CHARITY ACCOUNTS MEETING THE APPROPRIATE POVERTY GUIDELINE REQUIREMENTS PER OUR POLICIES.THIS ANALYSIS ALSO REVIEWS THE INCOME LEVEL OF THOSE ACCOUNTS THAT ARE IN OUR BAD DEBT WRITE-OFF POPULATION OF CLAIMS, FOR EXAMPLE THOSE PATIENT ACCOUNTS THAT MAY NOT INITIALLY PRESENT WITH APPROPRIATE INCOME INFORMATION, AND THEREFORE WRITTEN OFF TO BAD DEBT RATHER THAN CHARITY AT THAT TIME.FROM THERE, FOR THOSE ACCOUNTS IN THE BAD DEBT LIST THAT HAVE A INCOME LEVEL SCORE THAT FALLS WITHIN THE CHARITY SCORES, A PERCENTAGE OF THOSE TOTAL CLAIMS IS DERIVED. THIS PERCENTAGE IS THEN APPLIED TO THE BAD DEBT WRITE-OFFS, TO ESTIMATE THE AMOUNTS IN LINE 3. PART III, LINE 4: THE ORGANIZATION DOES NOT ISSUE A STAND ALONE FINANCIAL STATEMENT; HOWEVER, IT IS INCLUDED AS A PART OF THE HEALTH FIRST, INC. CONSOLIDATED FINANCIAL STATEMENTS. THE FOOTNOTE FROM THE HEALTH FIRST, INC. CONSOLIDATED FINANCIAL STATEMENTS CAN BE FOUND ON PAGES 10-14 OF THE SEPTEMBER 30, 2024 AUDITED STATEMENTS WITHIN THE REVENUE FOOTNOTE. PART III, LINE 8: THE ORGANIZATION DERIVED ITS COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE ORGANIZATION'S MEDICARE COST REPORT BY USING COST REPORT WORKSHEETS. MEDICARE COSTS ARE DETERMINED THROUGH THE MEDICARE COST FINDING PROCESS WHICH ALLOCATES GENERAL SERVICE CENTER COSTS TO REVENUE DEPARTMENTS. ROUTINE AND ICU COSTS ARE DETERMINED BASED ON AN AVERAGE COST PER DAY MULTIPLIED BY THE NUMBER OF MEDICARE ALLOWABLE DAYS. MEDICARE ANCILLARY COSTS ARE DETERMINED BY THE RATIO OF DEPARTMENT COSTS TO DEPARTMENT CHARGES THEN THE RESULTING PERCENTAGE IS APPLIED TO MEDICARE ALLOWABLE CHARGES. THE METHODOLOGY DESCRIBED IN THE INSTRUCTIONS TO SCHEDULE H, PART III, SECTION B, LINE 6 DOES NOT TAKE INTO ACCOUNT ALL COSTS INCURRED BY THE HOSPITAL AND DOES NOT REPRESENT THE TOTAL COMMUNITY BENEFIT CONFERRED IN THIS AREA. THE REASONS MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT ARE: ABSENT THE MEDICARE PROGRAM, IT IS LIKELY MANY OF THE INDIVIDUALS WOULD QUALIFY FOR FINANCIAL ASSISTANCE OR OTHER NEEDS-BASED GOVERNMENT PROGRAMS; BY ACCEPTING PAYMENT BELOW COST TO TREAT THESE INDIVIDUALS, THE BURDENS OF GOVERNMENT ARE RELIEVED WITH RESPECT TO THESE INDIVIDUALS; THERE IS A SIGNIFICANT POSSIBILITY THAT CONTINUED REDUCTION IN REIMBURSEMENT MAY ACTUALLY CREATE DIFFICULTIES IN ACCESS FOR THESE INDIVIDUALS; AND THE AMOUNT SPENT TO COVER MEDICARE SHORTFALL IS MONEY NOT AVAILABLE TO COVER FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFIT NEEDS. PART III, LINE 9B: WITHIN THE POLICY'S REASONABLE COLLECTION EFFORTS, PATIENTS ARE EVALUATED FINANCIALLY TO DETERMINE IF THE PATIENT IS ELIGIBLE FOR CHARITY CARE. THE EVALUATION IS BASED UPON THE CURRENT YEAR'S DEPARTMENT OF HEALTH AND HUMAN SERVICES FEDERAL POVERTY GUIDELINE AND THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. PATIENTS OR GUARANTORS DESIRING TO APPLY FOR FINANCIAL ASSISTANCE MAY BE REQUIRED TO COMPLETE A HEALTH FIRST FINANCIAL ASSISTANCE APPLICATION THAT CAN BE OBTAINED FROM THE HEALTH FIRST PATIENT BUSINESS SERVICES, THE HOSPITAL EMERGENCY DEPARTMENT, HOSPITAL REGISTRATION, OR HTTPS://HF.ORG/HEALTHCARE-HOME/PATIENTS-VISITORS/PRICE-ESTIMATES-AND-FINANCIAL-ASSISTANCE. PART V, SECTION A: HOLMES REGIONAL MEDICAL CENTER INC. WEBSITE: HTTPS://HF.ORG/HEALTHCARE-HOME/LOCATION-DIRECTORY/HOLMES-REGIONAL-MEDICAL-CENTER#ABOUT-THIS-LOCATION-PALM BAY HOSPITAL, INC. WEBSITE: HTTPS://HF.ORG/HEALTHCARE-HOME/LOCATION-DIRECTORY/PALM-BAY-HOSPITAL#ABOUT-THIS-LOCATION- PART VI, LINE 2: HEALTH FIRST ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITIES IT SERVES THROUGH ONGOING COLLABORATION WITH LOCAL COMMUNITY PARTNERS, INCLUDING BREVARD HEALTH ALLIANCE, A FEDERALLY QUALIFIED HEALTH CENTER. IN ADDITION, HEALTH FIRST'S LEADERSHIP ACTIVELY PARTICIPATES ON THE BOARDS OF SEVERAL LOCAL NOT-FOR-PROFIT ORGANIZATIONS, PROVIDING VALUABLE INSIGHTS INTO EMERGING HEALTHCARE CHALLENGES AND COMMUNITY PRIORITIES. THESE COLLABORATIVE EFFORTS ENSURE THAT HEALTH FIRST REMAINS ATTUNED TO THE EVOLVING HEALTH NEEDS OF THE COMMUNITY BEYOND FORMAL COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNAS). PART VI, LINE 3: IT IS THE POLICY OF HEALTH FIRST TO GRANT FINANCIAL ASSISTANCE TO ELIGIBLE INDIVIDUALS WHO ARE UNINSURED, UNDERINSURED, INELIGIBLE FOR A GOVERNMENT PROGRAM, OR OTHERWISE UNABLE TO PAY FOR HEALTH CARE SERVICES DUE TO THEIR LIMITED FINANCIAL RESOURCES. IT IS ALSO HEALTH FIRST'S POLICY TO PROVIDE, WITHOUT DISCRIMINATION, CARE FOR EMERGENCY MEDICAL CONDITIONS (AS DEFINED BY FEDERAL LAW KNOWN AS "EMTALA") TO INDIVIDUALS REGARDLESS OF THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE UNDER THIS POLICY.INFORMATION ABOUT HEALTH FIRST'S FINANCIAL ASSISTANCE PROGRAM SHALL BE MADE AVAILABLE TO PATIENTS AND GUARANTORS BY VARIOUS MEANS, INCLUDING THE PUBLICATION OF NOTICES IN PATIENT BILLS AND BY POSTING NOTICES IN THEEMERGENCY AND ADMITTING DEPARTMENTS, AND AT OTHER PUBLIC PLACES THE HEALTH FIRST FACILITY MAY ELECT. WRITTEN SUMMARY INFORMATION DESCRIBING THE POLICY ALONG WITH FINANCIAL ASSISTANCE CONTACT INFORMATION WILL BE MADEAVAILABLE TO EACH PATIENT IN ALL EMERGENCY AND ADMITTING DEPARTMENTS. THE POLICY WILL ALSO BE POSTED ON THE HEALTH FIRST WEBSITE. SUCH INFORMATION SHALL BE PROVIDED IN THE PRIMARY LANGUAGE SPOKEN BY THE GENERAL POPULATIONS SERVED BY THE HEALTH FIRST FACILITY.ANY HEALTH FIRST ASSOCIATE OR MEMBER OF THE MEDICAL STAFF MAY REFER PATIENTS FOR FINANCIAL ASSISTANCE. A PATIENT OR A FAMILY MEMBER, CLOSE FRIEND OR ASSOCIATE OF THE PATIENT MAY ALSO MAKE A REQUEST FOR FINANCIALASSISTANCE ON BEHALF OF THE PATIENT. PART VI, LINE 4: BREVARD COUNTY, KNOWN AS FLORIDA'S SPACE COAST, SPANS 1,015 SQUARE MILES AND STRETCHES MORE THAN 70 MILES ALONG THE ATLANTIC COAST. HOME TO THE ICONIC KENNEDY SPACE CENTER, THE COUNTY IS ALSO A MAJOR HUB FOR TOURISM AND COMMERCE THROUGH PORT CANAVERAL, ONE OF THE WORLD'S BUSIEST PASSENGER CRUISE PORTS.THE COUNTY IS COMMONLY DIVIDED INTO THREE SECTIONS:- NORTH COUNTY: INCLUDES TITUSVILLE, MIMS, AND PORT ST. JOHN.- CENTRAL BREVARD: ENCOMPASSES VIERA, COCOA, ROCKLEDGE, MERRITT ISLAND, AND COCOA BEACH.- SOUTH COUNTY: CONSISTS OF MELBOURNE, PALM BAY, GRANT-VALKARIA, AND THE SOUTH BEACHES, EXTENDING TO THE SOUTH BREVARD-INDIAN RIVER COUNTY LINE.POPULATION AND DEMOGRAPHICS:ACCORDING TO THE U.S. CENSUS BUREAU'S QUICK FACTS, AS OF JULY 1, 2024, BREVARD COUNTY'S ESTIMATED POPULATION WAS 658,447, REFLECTING STEADY GROWTH FROM THE APRIL 2020 CENSUS COUNT OF 606,612. THE DEMOGRAPHIC PROFILE IS AS FOLLOWS:- RACE AND HISPANIC ORIGIN: 82.2% WHITE, 11.1% BLACK OR AFRICAN AMERICAN, 12.5% HISPANIC OR LATINO, AND 6.5% OTHER OR TWO OR MORE RACES.- AGE DISTRIBUTION: 18.0% OF RESIDENTS ARE UNDER THE AGE OF 18, WHILE 24.9% ARE 65 YEARS OR OLDER, REFLECTING A SIGNIFICANT PROPORTION OF OLDER ADULTS.- HOUSEHOLD AND EDUCATION: THE AVERAGE HOUSEHOLD SIZE IS 2.43 PERSONS, WITH 93.1% OF RESIDENTS HAVING A HIGH SCHOOL DIPLOMA OR HIGHER.- ECONOMIC PROFILE: 10.3% OF RESIDENTS LIVE IN POVERTY, COMPARED TO 11.5% NATIONWIDE. THE UNEMPLOYMENT RATE AMONG THE CIVILIAN LABOR FORCE IS 4.8%, AND 23,786 INDIVIDUALS RECEIVED FOOD STAMP/SNAP BENEFITS IN THE PAST 12 MONTHS.- HOUSEHOLD COMPOSITION: 48.9% OF HOUSEHOLDS CONSIST OF MARRIED COUPLES LIVING TOGETHER, AND 23.2% HAVE CHILDREN UNDER THE AGE OF 18.- MEDIAN AGE: THE COUNTY'S MEDIAN AGE IS 59.2 YEARS, INDICATING A HIGHER PROPORTION OF OLDER ADULTS COMPARED TO STATE AND NATIONAL AVERAGES.HEALTHCARE INFRASTRUCTURE:BREVARD COUNTY IS SERVED BY SEVEN ACUTE-CARE HOSPITALS THAT PROVIDE COMPREHENSIVE HEALTHCARE SERVICES TO RESIDENTS THROUGHOUT THE REGION:- NORTH COUNTY: PARRISH MEDICAL CENTER.- CENTRAL BREVARD: HEALTH FIRST'S CAPE CANAVERAL HOSPITAL, HEALTH FIRST'S VIERA HOSPITAL, AND ORLANDO HEALTH ROCKLEDGE HOSPITAL.- SOUTH BREVARD: HEALTH FIRST'S HOLMES REGIONAL MEDICAL CENTER, HEALTH FIRST'S PALM BAY HOSPITAL, AND ORLANDO HEALTH MELBOURNE HOSPITAL.DATA REFERENCES: US CENSUS QUICK FACTS:HTTPS://WWW.CENSUS.GOV/QUICKFACTS/FACT/TABLE/BREVARDCOUNTYFLORIDA,US/PST045218US CENSUS BUREAU AMERICAN COMMUNITY SURVEY DATA: HTTPS://WWW.CENSUS.GOV/PROGRAMS-SURVEYS/ACS/DATA.HTML PART VI, LINE 5: THE GOVERNING BODY OF HOLMES REGIONAL MEDICAL CENTER, INC. IS COMPRISED OF PERSONS WHO PRIMARILY RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA AND ARE NEITHER EMPLOYEES NOR CONTRACTORS NOR FAMILY MEMBERS OF THE ORGANIZATION NOR ITS KEY EMPLOYEES.THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS.THE ORGANIZATION DOES APPLY RESOURCES THROUGHOUT THE YEAR TO SUPPORT IMPROVEMENTS IN PATIENT CARE, MEDICAL EDUCATION AND TRAINING. THE ORGANIZATION SPENT MORE THAN $2.9M TO SUPPORT LOCAL STUDENTS VIA TRAINING, EDUCATION, AND SCHOLARSHIPS.HOLMES REGIONAL MEDICAL CENTER, INC. PARTNERED WITH LOCAL ORGANIZATIONS IN THE COMMUNITY THAT SUPPORTED THOUSANDS OF UNINSURED OR UNDERINSURED BREVARD RESIDENTS WHO ARE OTHERWISE UNABLE TO PAY FOR HEALTHCARE SERVICES IN EXCESS OF $323K IN THE YEAR.THE EMERGENCY DEPARTMENTS AT HOLMES REGIONAL MEDICAL CENTER, INC. HAD MORE THAN 76,028 VISITS AND THE EMERGENCY DEPARTMENT LOCATED AT THE PALM BAY HOSPITAL (A DEPARTMENT OF HOLMES REGIONAL MEDICAL CENTER, INC.) HAD MORE THAN 53,193 VISITS DURING THE YEAR REGARDLESS OF ABILITY TO PAY. IN ADDITION, THE ORGANIZATION PARTICIPATES IN SEVERAL GOVERNMENT SPONSORED HEALTH CARE PROGRAMS INCLUDING BUT NOT LIMITED TO MEDICARE, MEDICAID, AND TRICARE.THE HEART CENTER AT HOLMES PERFORMS MORE CARDIAC PROCEDURES THAN ALL OTHER HOSPITALS IN BREVARD AND PROVIDES PATIENTS WITH ALL-PRIVATE ROOMS. AS THE ONLY STATE-ACCREDITED LEVEL II TRAUMA CENTER IN BREVARD AND INDIAN RIVER COUNTIES, HOLMES TRAUMA CENTER OFFERS 24/7 TRAUMA CARE AND RAPID PATIENT TRANSPORT VIA FIRST FLIGHT AEROMEDICAL HELICOPTER. ADDITIONALLY, THE BIRTH SUITES MOTHER/BABY UNIT OFFERS BREVARD'S FIRST LEVEL II NEONATAL ICU FOR OUR TINIEST PATIENTS.HOLMES REGIONAL MEDICAL CENTER, INC. IS ALSO PROUD TO BE THE FIRST HOSPITAL IN BREVARD TO OFFER STATE-OF-THE-ART ROBOTICS-ASSISTED SURGERY FOR UROLOGY, PROSTATE, AND GYNECOLOGICAL CONDITIONS, ADVANCED ANTERIOR HIP REPLACEMENT AND REVERSE SHOULDER SURGERIES. HOLMES IS CURRENTLY THE ONLY HOSPITAL IN BREVARD TO OFFER LIFE-CHANGING INTERVENTIONAL NEURO-RADIOLOGY PROCEDURES FOR ADVANCED STROKE TREATMENT.HOLMES REGIONAL MEDICAL CENTER, INC. REINVESTS THEIR NET OPERATING INCOME TO SUSTAIN ITS MISSION AND PREPARE FOR THE FUTURE. PART VI, LINE 6: THE ROOTS OF HEALTH FIRST RUN DEEP IN BREVARD, DATING BACK TO 1931 WHEN BREVARD HOSPITAL FIRST OPENED IN MELBOURNE WITH 27 BEDS. NOW KNOWN AS HOLMES REGIONAL MEDICAL CENTER (HRMC), THE HOSPITAL IS BREVARD'S LARGEST, WITH 550 BEDS. CAPE CANAVERAL HOSPITAL (CCH) OPENED IN 1962 WITH 44 BEDS, AND HAS SINCE GROWN TO 150 BEDS. PALM BAY HOSPITAL (PBH) OPENED IN 1992 AS A SATELLITE OF HRMC WITH 60 BEDS AND HAS SINCE GROWN TO 120 BEDS. VIERA HOSPITAL (VH) OPENED IN APRIL OF 2011 WITH 84 BEDS AND HAS SINCE GROWN TO 98 BEDS.HEALTH FIRST WAS FORMED WHEN CCH, HRMC, AND PBH JOINED TOGETHER IN AUGUST 1995 TO CREATE A TRULY INTEGRATED NOT-FOR-PROFIT HEALTHCARE DELIVERY SYSTEM AND FULFILL A COMMON MISSION OF IMPROVING THE HEALTH OF OUR COMMUNITY. THE FIRST NEW SERVICES ADDED IN THE HEALTH FIRST FAMILY WERE HEALTH FIRST PHYSICIANS, OPENING IN LATE 1995, AND HEALTH FIRST HEALTH PLANS, OPENING IN JANUARY 1996. SINCE THEN, WE'VE ALSO ADDED, HOLMES REGIONAL TRAUMA CENTER, VIERA HOSPITAL IN APRIL OF 2011, VITALWATCH - ELECTRONIC INTENSIVE CARE UNIT AND MANY OTHER SERVICES TO OUR FAMILY.OTHER SERVICES INCLUDE STATE-OF-THE-ART ROBOTICS-ASSISTED SURGERY FOR CARDIOTHORACIC, GENERAL SURGERY, UROLOGY AND GYNECOLOGICAL PROCEDURES; OUTPATIENT CENTERS; THE COUNTY'S ONLY TRAUMA CENTER; HOME CARE; SPECIALIZED PROGRAMS FOR CANCER, DIABETES, HEART, STROKE, AND REHABILITATIVE SERVICES; STATE-OF-THE-ART WOMEN'S DIAGNOSTIC CENTER FOR PERSONALIZED SERVICES; CENTRAL BREVARD'S LARGEST MEDICAL GROUP; A FITNESS CENTER; ELECTRONIC MEDICAL RECORDS (EMS); AND MEDICARE ADVANTAGE, COMMERCIAL POS AND HMO HEALTH PLANS.WORKING TOGETHER IN A SEAMLESS SYSTEM, HEALTH FIRST IS DEVOTED TO INTEGRATING QUALITY HEALTHCARE SERVICES WITH STATE-OF-THE-ART TECHNOLOGY. HFSS ALSO WORKS TOGETHER WITH OTHER ORGANIZATIONS AND PHYSICIANS IN OUR COMMUNITY.OUR ASSOCIATES ARE ALSO ACTIVELY BUILDING A HEALTHIER COMMUNITY THROUGH VOLUNTEERING FOR ORGANIZATIONS DEDICATED TO PREVENTING AND TREATING HEALTH CONCERNS SUCH AS CANCER, DIABETES, AND HEART DISEASE. WE'RE ALSO PROUD OF OUR ASSOCIATE CHARITABLE GIVING PROGRAM, SUPPORTING A VARIETY OF SERVICES AND A PATIENT AND FAMILY CARE FUND. PART VI, LINE 7: NOT APPLICABLE. NEITHER THE FILING ORGANIZATION NOR ANY RELATED ORGANIZATION FILES A COMMUNITY BENEFIT REPORT WITH ANY STATE OTHER THAN THE EXTENT TO WHICH THE COMMUNITY BENEFIT INFORMATION IS INCLUDED IN OTHER REPORTING REQUIREMENTS, SUCH AS INFORMATION PROVIDED TO THE FLORIDA HOSPITAL ASSOCIATION. 1 BREVARD PUBLIC SCHOOLS FOUNDATION 2700 JUDGE FRAN JAMIESON WY VIERA FL 32940 592895155 501(C)(3) 0 40000 GENERAL SUPPORT - WELLNESS GRANT FY24 - SOURCE OF STRENGTH SCHOOL BOARD OF BREVARD COUNTY 2700 JUDGE FRAN JAMIESON WY VIERA FL 32940 596000522 PUBLIC SCHOOL 0 33500 GENERAL SUPPORT - FIRST BOOKS TO NEWBORN BREVARD RESCUE MISSION DBA NEW LIFE MISSION PO BOX 362203 MELBOURNE FL 32935 261686406 501(C)(3) 0 25000 GENERAL SUPPORT - WELLNESS GRANT FY24 PROMISE INC 4105 NORFOLK PARKWAY WEST MELBOURNE FL 32904 900520600 501(C)(3) 0 23080 GENERAL SUPPORT - WELLNESS GRANT FY24 - NUTRITION & FOOD SKILLS WAYS FOR LIFE INC 1401 GUAVA AVENUE MELBOURNE FL 32935 843366048 501(C)(3) 0 22500 GENERAL SUPPORT - WELLNESS GRANT FY24 - HEALTHY WAYS MACEDONIA COMMUNITY DEVELOPMENT CORP OF SOUTH BREVARD PO BOX 482 MELBOURNE FL 32902 260898933 501(C)(3) 0 21113 GENERAL SUPPORT - WELLNESS GRANT FY24 - ELEDERLY COMPASSIONATE CARE CLUB ESTEEM 3316 MONROE ST MELBOURNE FL 32901 593317831 501(C)(3) 0 19250 GENERAL SUPPORT - WELLNESS GRANT FY24 - EQUITY THROUGH EDUCATION EXPANSION AFTER SCHOOL AND SUMMER PROGRAM STREETSIDE SHOWERS INC PO BOX 2623 MCKINNEY TX 75070 822043901 501(C)(3) 0 15750 GENERAL SUPPORT - WELLNESS GRANT FY24 - MOBILE SHOWER FAMILY PROMISE OF BREVARD INC 3505 MURRELL RD ROCKLEDGE FL 32955 331170962 501(C)(3) 0 15000 GENERAL SUPPORT - WELLNESS GRANT FY24 HEALTH NAVIGATION EXPANSION WHO WE PLAY FOR 106 DELEON RD COCOA BEACH FL 32931 462485938 501(C)(3) 0 15000 GENERAL SUPPORT - YOUTH HEART SCREENING PROGRAM RUNNING ZONE FOUNDATION INC 3696 N WICKHAM RD MELBOURNE FL 32935 263316016 501(C)(3) 0 14218 GENERAL SUPPORT - SPONSORSHIP FOR RACES 211 BREVARD PO BOX 561627 ROCKLEDGE FL 32956 591897447 501(C)(3) 0 13250 GENERAL SUPPORT - WELLNESS GRANT FY24 - WELLNESS GRANT FY24 PROMOTING 988/211 BOYS & GIRLS CLUB OF CENTRAL FLORIDA 101 E COLONIAL DR ORLANDO FL 32801 590951887 501(C)(3) 0 12500 GENERAL SUPPORT - WELLNESS GRANT FY24 - HEALTH & LIFE SKILLS PROGRAMMING SOUTH BREVARD WOMENS CENTER DBA WOMEN'S CENTER OF BREVARD 1565 SARNO RD MELBOURNE FL 32935 591628264 501(C)(3) 0 12500 GENERAL SUPPORT - WELLNESS GRANT FY24 - WOMEN'S CENTER PREVENTION PROGRAM BREVARD NEIGHBORHOOD DEVELOPMENT COALITION DBA NEIGHBOR UP BREVARD 1151 MASTERSON ST MELBOURNE FL 32935 593483505 501(C)(3) 0 10400 GENERAL SUPPORT - WELLNESS GRANT FY24 - HEALTHY MIND AND HEALTHY BODIES SPACE COAST SLED HOCKEY PO BOX 560791 ROCKLEDGE FL 32956 842537830 501(C)(3) 0 7500 GENERAL SUPPORT - WELLNESS GRANT FY24 - ADAPTIVE HOCKEY TEAM PROGRAM SOUTH BREVARD SHARING CENTER 17 E HIBISCUS AVE MELBOURNE FL 32901 591604414 501(C)(3) 0 6534 GENERAL SUPPORT - FOOD DELIVERY PROGRAM JUNIOR LEAGUE OF SPACE COAST INC 5445 MURRELL RD STE 102-126 ROCKLEDGE FL 32955 832322594 501(C)(3) 0 6000 GENERAL SUPPORT - WELLNESS GRANT FY24 - MIND BODY WELLNESS FOR CANCER 18 0 PART I, LINE 2: THE HOLMES REGIONAL MEDICAL CENTER BOARD MONITORS USAGE BY EACH ENTITY TO ASSURE FUNDS RAISED ARE USED APPROPRIATELY. 1 1 0 0 0 0 0 0 0 STEVEN P JOHNSON FORMER PRESIDENT/CEO HFI 0 401576 0 0 0 1302287 0 4874 0 16058 0 1724795 0 0 BRETT A ESROCK FRMR. SR. VP HOSP SVC/EXEC VP CFO/CO 0 887244 0 84169 0 9037 0 9000 0 19047 0 1008497 0 0 JEFFREY C STALNAKER MD SR VP CCO/INTERIM CEO HOSP END 7/31/ 0 787523 0 70404 0 17420 0 7313 0 18741 0 901401 0 0 NICHOLAS W ROMANELLO ESQ ASSISTANT SECRETARY 0 606524 0 57551 0 153155 0 9000 0 21967 0 848197 0 0 MICHAEL A SCIALDONE FORMER EVP/CFO HFI 0 52705 0 0 0 746761 0 0 0 20263 0 819729 0 0 TAYLOR K SMITH INTERM CEO HFI END 8/5/2024 0 516274 0 0 0 0 0 0 0 0 0 516274 0 0 VICTOR M VARGAS VP MEDICAL AFFAIRS HRMC 0 449588 0 28088 0 2622 0 9000 0 2903 0 492201 0 0 ANGELICA M RASTEGARLARI HOSPITAL ADMINISTRATOR HRM 0 397593 0 25226 0 2622 0 4968 0 16872 0 447281 0 0 PAULA ABRAHAO VP MED AFFAIRS COMM HOSPITAL 0 366151 0 23175 0 1930 0 1356 0 16819 0 409431 0 0 JABAR E HADID PHYSICIAN ADVISOR 0 335118 0 8572 0 1243 0 8444 0 21661 0 375038 0 0 ELIZABETH BORRERO PHYSICIAN ADVISOR 0 348380 0 8761 0 2321 0 2018 0 13334 0 374814 0 0 ALAN L PRESTWOOD FORMER TRUSTEE END 9/30/2023 0 151760 0 0 0 0 0 0 0 0 0 151760 0 0 MARTIN W ISENMAN MD FORMER TRUSTEE 0 20061 0 0 0 0 0 0 0 0 0 20061 0 0 DALE A DETTMER ESQ FORMER TRUSTEE 0 14956 0 0 0 0 0 0 0 0 0 14956 0 0 JOHN F BREITFELLER FORMER VICE CHAIR 0 14449 0 0 0 0 0 0 0 0 0 14449 0 0 PAMELA A GATTO FORMER TRUSTEE 0 13570 0 0 0 0 0 0 0 0 0 13570 0 0 PART I, LINE 3 COMPENSATION IS PAID BY HEALTH FIRST SHARED SERVICES, INC. EIN: 59-3336894 AND REIMBURSED BY HOLMES REGIONAL MEDICAL CENTER, 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 4A: THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS AND ARE INCLUDED IN TAXABLE COMPENSATION REPORTED ON 2023 FORM W-2: STEVEN P. JOHNSON $1,289,669 MICHAEL A. SCIALDONE $745,064 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 $0 JAMES S. MITCHELL III $2,117 BRETT A. ESROCK $3,092 JEFFREY C. STALNAKER $0 MICHAEL A. SCIALDONE $0 FORM 990, PART IV, LINE 24A, BONDS ISSUED AFTER DECEMBER 31, 2002: THE FILING ORGANIZATION IS PART OF AN OBLIGATED GROUP THAT HAD MORE THAN $100,000 IN BONDS ISSUED AFTER DECEMBER 31, 2002 THAT WERE OUTSTANDING ON THE LAST DAY OF ITS TAX YEAR. THE FILING ORGANIZATION'S SHARE OF THESE OBLIGATIONS IS REPORTED ON PART X, LINE 20 OF HEALTH FIRST SHARED SERVICES, INC. THE PARENT OF THE OBLIGATED GROUP IS FILING SCHEDULE K ON BEHALF OF ITSELF AND ALL MEMBERS OF THE OBLIGATED GROUP. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF HOLMES REGIONAL MEDICAL CENTER, INC. IS HEALTH FIRST SHARED SERVICES, INC. (HFSS), A FLORIDA NOT-FOR-PROFIT COMPANY 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 OR PERSONAL PROPERTY OF THE CORPORATION HAVING A FAIR MARKET VALUE IN EXCESS OF $200,000; -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; -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 NOT BUDGETED OR APPROVED BY THE MEMBER; -CREATION, ACQUISITION, SALE, PURCHASE, DISSOLUTION OR OTHER DISPOSITION OF ANY AFFILIATED OR CONTROLLED ENTITY OR JOINT VENTURE OR ANY INTEREST IN ANY SUCH ENTITY; -RELOCATION, IMPLEMENTATION OR DISCONTINUATION OF A MAJOR PROGRAM SERVICE. -THE APPROVAL OF MANAGED CARE AGREEMENTS; -THE REPEAL, AMENDMENT, OR RESTATEMENT OF ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION; AND -CAPITAL EXPENDITURES EXCEEDING $500,000 ANNUALLY OR $1,000,000 IN TOTAL. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS PREPARED BY HEALTH FIRST'S TAX DEPARTMENT AND THEN REVIEWED BY AN THE SYSTEM CONTROLLER. 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). PART VII, SECTION A: JEFFREY C. STALNAKER: SR VP CCO/INTERIM CEO HOSPITAL DIVISION END 7/31/2024 BRETT A. ESROCK: FORMER SR. VP CEO HOSPITAL DIVISION SERVICES/ EXEC VP CFO/COO AND ASST TREASURER END 7/15/2024 JAMES S. MITCHELL, III FORMER EXECUTIVE VP COO / INTERIM PRESIDENT HOSPITAL DIVISION BEG 5/2024 FORM 990, PART IX, LINE 11G HFMG HOSPITAL SUPPORT EXPENSE: PROGRAM SERVICE EXPENSES 53,020,497. MANAGEMENT AND GENERAL EXPENSES 3,817,620. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 56,838,117. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 38,052,239. MANAGEMENT AND GENERAL EXPENSES 2,932,398. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 40,984,637. CONSULTANT FEES: PROGRAM SERVICE EXPENSES 3,587,312. MANAGEMENT AND GENERAL EXPENSES 747,284. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,334,596. RECRUITMENT: PROGRAM SERVICE EXPENSES 460,218. MANAGEMENT AND GENERAL EXPENSES 95,870. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 556,088. RELOCATION EXPENSE: PROGRAM SERVICE EXPENSES 93,152. MANAGEMENT AND GENERAL EXPENSES 19,404. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 112,556. PHYSICIAN REIMBURSEMENT: PROGRAM SERVICE EXPENSES 1,522. MANAGEMENT AND GENERAL EXPENSES 317. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,839. FORM 990, PART XI, LINE 9: TRANSFER OF NET ASSETS TO A RELATED TAX-EXEMPT -49,790,646. CHANGES IN UNRESTRICTED - RELEASED 3,817. FORM 990, PART XII, LINE 2C, AUDITED FINANCIAL STATEMENT: THE AUDIT COMMITTEE OF HEALTH FIRST REVIEWS AND APPROVES 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 HEALTH FIRST FOUNDATION INC 3300 FISKE BLVD ROCKLEDGE FL 32955 843851693 FUNDRAISING FL 501(C)(3) LINE 7 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 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 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 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 HOLMES REGIONAL MEDICAL CENTER RELATED -37878 3753851 0 1 0.99000 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 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 PHYSICIAN GI PARTNERSHIP INC 3300 FISKE BLVD ROCKLEDGE FL 32955 593756961 HEALTH CARE FL HOLMES REGIONAL MEDICAL CENTER C -383 37917 1.00000 1 SPACE COAST INDEMNITY PO BOX 1051 GRAND CAYMAN CJ KY1-1102 981612801 SELF-INSURANCE CJ N/A C 1 1 0 1 0 0 0 0 0 0 0 1 0 1 0 0 1 1 1 0 HEALTH FIRST PHYSICIANS INC A 671428 SEE PART VII DOCTOR'S SURGICAL PARTNERSHIP LLC A 728286 SEE PART VII HOSPICE OF HEALTH FIRST INC A 2061 SEE PART VII HOLMES REGIONAL ENTERPRISES INC A 5110 SEE PART VII CAPE CANAVERAL HOSPITAL INC A 187486 SEE PART VII HEALTH FIRST FOUNDATION INC A 15912 SEE PART VII HEALTH FIRST FOUNDATION INC C 29902 SEE PART VII HEALTH FIRST PHYSICIANS INC P 599908 SEE PART VII CAPE CANAVERAL HOSPITAL INC P 192645 SEE PART VII VIERA HOSPITAL INC P 455824 SEE PART VII DOCTOR'S SURGICAL PARTNERSHIP LLC P 95969 SEE PART VII HEALTH FIRST FOUNDATION INC R 2006024 SEE PART VII FORM 990, SCHEDULE R, PART V, DISCLOSURES: ALL TRANSACTIONS REPORTED IN THIS SECTION ARE BASED UPON CORPORATE BOOKS AND RECORDS WHICH ARE KEPT ACCORDING TO GENERALLY ACCEPTED ACCOUNTING PRINCIPLES.