2025-05-14T12:19:56-05:00 2024-09-30 990 2023-10-01 592477479 CAPE CANAVERAL HOSPITAL INC CAPE 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 214543660 0 X HTTPS://HF.ORG/ X 1984 FL WE EXIST TO IMPROVE THE HEALTH AND WELLNESS OF THE COMMUNITIES WE SERVE. 10 10 0 215 14492 0 690623 898616 196236201 211994995 362086 1089351 436505 560698 197725415 214543660 137910 165170 0 0 86034633 86625038 0 0 0 104428878 111131367 190601421 197921575 7123994 16622085 487459807 502653307 375333623 382047858 112126184 120605449 X WE EXIST TO IMPROVE THE HEALTH AND WELLNESS OF THE COMMUNITIES WE SERVE. 0 0 174416291 165170 211980503 HEALTH FIRST'S CAPE CANAVERAL HOSPITAL (CCH) IS A FULL SERVICE, NOT-FOR-PROFIT HOSPITAL FEATURING A CERTIFIED BABY-FRIENDLY MOTHER/BABY UNIT, FULLY EQUIPPED SURGICAL SERVICES, A STATE-OF-THE-ART CANCER PROGRAM AND FULL-SERVICE LABORATORY. CCH FEATURES 150 BEDS AND HAS OVER 200 HIGHLY SKILLED ATTENDING PHYSICIANS.THE WOMEN'S DIAGNOSTIC CENTER FEATURES STATE-OF-THE-ART, PERSONALIZED SERVICES INCLUDING DIGITAL MAMMOGRAPHY, ULTRASOUND, STEREOTACTIC BREAST BIOPSY, AND MRI BREAST IMAGING AND IS ACCREDITED BY THE AMERICAN COLLEGE OF RADIOLOGY AND THE U.S. FOOD AND DRUG ADMINISTRATION. AS PART OF THE WOMEN'S SERVICE LINE, THERE WERE APPROXIMATELY 814 BIRTHS DURING THE FISCAL YEAR.THE FACILITY ALSO OPERATES A SEVEN-SUITE OPERATING ROOM, TWO-SUITE CATH LAB, TWO-SUITE GASTROINTESTINAL (GI)/ENDOSCOPY AREA THAT ARE AVAILABLE FOR BOTH INPATIENT AND OUTPATIENT PROCEDURES. CCH ALSO BOASTS VITALWATCH EICU, WHICH COMBINES TELEMEDICINE, SOFTWARE AND 24/7 ELECTRONIC MONITORING TECHNOLOGY.ADDITIONALLY, CCH INCLUDES A 24-BED EMERGENCY DEPARTMENT AND AN ADJOINING SIX-STORY MEDICAL PLAZA THAT INCLUDES PHYSICIAN'S OFFICES, A CONFERENCE CENTER, PRE-OPERATIVE TESTING, OUTPATIENT REGISTRATION FOR LABORATORY TESTING AND SAME-DAY SURGERY, AS WELL AS A HEALTH RESOURCE CENTER FOR THE COMMUNITY.CCH RECEIVED A 4-STAR RATING BY THE CENTERS FOR MEDICARE & MEDICAID SERVICES IN 2024 AND WAS AWARED A LEAPFROG "A". CCH IS ACCREDITED BY THE JOINT COMMISSION AS A PRIMARY STROKE CENTER. AS PART OF THE U.S. NEWS & WORLD REPORT TOP HOSPITALIST LIST, CCH EARNED A HIGH PERFORMANCE RATING FOR HEART ATTACK CARE.CCH PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, GENDER, NATIONAL ORIGIN, DISABILITY, AGE, OR ABILITY TO PAY, ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF THE HOSPITAL.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/ORINABILITY TO PAY EXISTS AS DETERMINED BY HEALTH FIRST'S FINANCIAL ASSISTANCE POLICY.(2) CARE IS PROVIDED AT BELOW COST TO PERSONS COVERED BY GOVERNMENTALPROGRAMS 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, HANDICAPPED, ANDMENTALLY UNDERSERVED ALONG WITH A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES.AS A NOT-FOR-PROFIT HOSPITAL, CCH IS SUPPORTED IN PART BY CONTRIBUTIONS TO THE HEALTH FIRST FOUNDATION. 174416291 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 10 10 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 329554306 X BRETT A ESROCK FRMR VP CEO HOSP /EXEC VP CFO/COO/ASST TREAS END 2.00 38.00 X X 0 980450 28047 TAYLOR K SMITH CHAIR/ INTERIM CEO HFI END 8/5/2024 2.00 38.00 X X 0 516274 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 1.00 5.00 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 SECRETARY 1.00 5.00 X X 0 0 0 KIM K PATRICK TRUSTEE 1.00 8.00 X 0 0 0 DR THEODORE RICHARDSON III TRUSTEE BEG. 10/2023 1.00 5.00 X 0 0 0 HANY GUIRGIS MD MEDICAL STAFF PRES CCH 1.00 0.00 X 0 0 0 JEFFREY C STALNAKER MD SR VP CCO / INTERIM CEO HOS END 7/31/2024 2.00 38.00 X 0 875347 26054 NICHOLAS W ROMANELLO ESQ ASSISTANT SECRETARY 2.00 38.00 X 0 817230 30967 JAMES S MITCHELL III FRMR EXEC VP/COO HFI/ INTERIM PRES OF HOSP. BEG. 5 1.00 3.00 X 0 0 0 TERRY L FORDE PRESIDENT/CEO BEG. 8/5/2024 2.00 38.00 X 0 0 0 KRISTEN M PULIO EXECUTIVE VP CFO BEG. 9/23/2024 2.00 38.00 X 0 0 0 BRIAN R BOGGS VP MED AFFAIRS COMM HOSPITALS 40.00 0.00 X 0 423559 30453 IAN R DAY PHYSICIAN ADVISOR END 7/15/2024 40.00 0.00 X 0 357317 25289 DANIEL R BOWEN HOSPITAL ADMINISTRATOR END 5/24/2024 40.00 0.00 X 0 307274 9519 EDWARDS B ROBERTS II VP OF NURSING COMM HOSPITA 40.00 0.00 X 0 215225 26623 MICHELLE S ROGERS SYS DIR HOME CARE PRIVATE 40.00 0.00 X 0 206200 25505 STEVEN P JOHNSON FORMER PRESIDENT/CEO HFI 0.00 0.00 X 0 1703863 20932 ALAN L PRESTWOOD FORMER TRUSTEE END 9/2023 0.00 0.00 X 0 151760 0 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 V CHAIR END 9/2020 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 VICTOR M VARGAS FORMER MED AFFAIRS COMM. H 0.00 0.00 X 0 480298 11903 0 8004088 255555 0 1 1 0 0 175815 722801 898616 PATIENT SERVICES 621110 165431330 165431330 MEDICARE/MEDICAID 621110 46490800 46490800 RELATED COMPANY RENT 531120 58373 58373 REFERENCE LAB 621500 14492 14492 211994995 1089351 1089351 CAFETERIA 722514 500224 500224 GIFT SHOP 459420 60474 60474 560698 214543660 211980503 14492 1650049 X 165170 165170 65881776 55208928 10672848 1428969 1197476 231493 14038669 11764404 2274265 5275624 4420973 854651 253130 253130 40333 40333 20185554 18440735 1744819 147467 123577 23890 2729964 2287709 442255 5294621 5265885 28736 3137482 2535399 602083 430067 360396 69671 3404 2852 552 15942375 13359711 2582664 12147107 10508123 1638984 3961969 3201667 760302 MEDICAL SUPPLIES 25503193 25503193 BAD DEBT 9393739 9393739 FLORIDA INDIGENT TAX 2021878 2021878 9939084 8654476 1284608 197921575 174416291 23505284 0 387851144 404932010 27004214 26450874 4248559 5773984 829292 942759 217834490 189530695 32800800 28303795 29657881 30521383 5067917 5728502 487459807 502653307 15273524 18103972 471195 857668 325138716 323204733 34450188 39881485 375333623 382047858 X 112126184 120605449 112126184 120605449 487459807 502653307 X 16622085 -8142820 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 71173 71173 116987358 104656954 12330404 1407993 1346784 61209 93712115 83452476 10259639 5655851 74481 5581370 28303795 DEMAND NOTE -HEALTH FIRST INC. 22981388 C DEMAND NOTE -HEALTH FIRST FOUNDATION 543289 C INVESTMENT IN JOINT VENTURE -COASTAL HEALTH 3703292 C INVESTMENT IN CAPE HEALTH PROPERTIES 3293414 C 30521383 INTER-COMPANY PAYABLE 18732124 GOVERNMENT RELATED PAYABLE 4678094 OTHER CURRENT LIABILITIES 8712100 OTHER NONCURRENT LIABILITIES 7695575 OPERATING LEASE LIABILITIES 63592 39881485 X PART X, LINE 2: FASB ASC 740 FOOTNOTE: THE HOSPITAL 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 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 9397931 371903 9026028 0.04790 11183944 5515344 5668600 0.03010 2070844 2070844 0.01100 22652719 5887247 16765472 0.08900 439317 439317 0.00230 881356 881356 0.00470 7256 7256 0.00000 0 158280 158280 0.00080 1486209 1486209 0.00780 24138928 5887247 18251681 0.09680 1 1957221 665883 40975456 49470604 -8495148 X 1 1 1 1 CAPE CANAVERAL HOSPITAL 701 W COCOA BEACH CSWY COCOA BEACH FL 32931 SEE SUPPLEMENTAL INFO FOR WEBSITE FL STATE LIC. NO.: 3948 X X X ACUTE CARE HOSPITAL CAPE CANAVERAL HOSPTIAL INC 1 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 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 CAPE CANAVERAL HOSPTIAL, INC. PART V, SECTION B, LINE 5: THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS 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 "AREAS OF OPPORTUNITY." THESE FINDINGS WERE PRESENTED TO THE SPACE COAST HEALTH FOUNDATION BOARD OF DIRECTORS, COMMUNITY PARTNERS, AND EQUITY FORUM ATTENDEES DURING THREE MEETINGS 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). CAPE CANAVERAL HOSPTIAL, INC. PART V, SECTION B, LINE 6A: HOLMES REGIONAL MEDICAL CENTER, PALM BAY HOSPITAL, & VIERA HOSPITAL CAPE CANAVERAL HOSPTIAL, INC. 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. CAPE CANAVERAL HOSPTIAL, INC. 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 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, LINE 16A-C: FINANCIAL ASSISTANCE POLICY WEBSITE: HTTPS://HF.ORG/HEALTHCARE-HOME/PATIENTS-VISITORS/PRICE-ESTIMATES-AND-FINANCIAL-ASSISTANCE#-----------FINANCIAL-ASSISTANCE-POLICIES---------- 2 1 - HEALTH FIRST AGING INSTITUTE 3661 S BABCOCK STREET SUITE B MELBOURNE FL 32901 ELDER CARE 2 - HEALTH FIRST HOME CARE 3566 N HARBOUR CITY BLVD MELBOURNE FL 32935 IN-HOME CARE 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 BYUTILIZING THE COST TO CHARGE RATIO ON THE MEDICARE COST REPORT WHICHADDRESSES ALL PATIENT SEGMENTS REPORTED ON, INCLUDING, BUT NOT LIMITED TOINPATIENT, OUTPATIENT, MEDICAID, UNINSURED, AND MEDICARE. THE BAD DEBT EXPENSE INCLUDED ON THE FORM 990, PART IX, LINE 25(A), BUT SUBTRACTD FOR THE PURPOSE OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $9,393,738.69. 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 $ 9,393,739. 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 ASSOCIATON 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 STANDALONE 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, 2023 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: CAPE CANAVERAL HOSPITAL, INC. WEBSITE: HTTPS://HF.ORG/HEALTHCARE-HOME/LOCATION-DIRECTORY/CAPE-CANAVERAL-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 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 CAPE CANAVERAL HOSPITAL, INC. IS COMPRISED OF PERSONS WHO PRIMARILY RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA AND ARE NEITHER EMPLOYEES NOR CONTRACTORS NOR FAMILY MEMBERSOF 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 $881K TO SUPPORT LOCAL STUDENTS VIA TRAINING, EDUCATION, AND SCHOLARSHIPS.THE EMERGENCY DEPARTMENT AT CAPE CANAVERAL HOSPITAL, INC. HAD MORE THAN 36,884 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.CAPE CANAVERAL HOSPITAL, INC. REINVEST 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) 20000 0 GENERAL SUPPORT - WELLNESS GRANT FY24 - SOURCE OF STRENGTH SCHOOL BOARD OF BREVARD COUNTY 2700 JUDGE FRAN JAMIESON WY VIERA FL 32940 596000522 PUBLIC SCHOOL GOV'T 16750 0 GENERAL SUPPORT - FIRST BOOKS TO NEWBORNS BREVARD RESCUE MISSION DBA NEW LIFE MISSION PO BOX 362203 MELBOURNE FL 32935 261686406 501(C)(3) 12500 0 GENERAL SUPPORT - WELLNESS GRANT FY24 PROMISE INC 4105 NORFOLK PARKWAY WEST MELBOURNE FL 32904 900520600 501(C)(3) 11540 0 GENERAL SUPPORT - WELLNESS GRANT FY24 NUTRITION & FOOD SKILLS WAYS FOR LIFE 1401 GUAVA AVE MELBOURNE FL 32935 843366048 501(C)(3) 11250 0 GENERAL SUPPORT - WELLNESS GRANT FY24 - HEALTHY WAYS MACEDONIA COMMUNITY DEVELOPMENT CORP OF SOUTH BREVARD PO BOX 482 MELBOURNE FL 32935 260898933 501(C)(3) 10557 0 GENERAL SUPPORT - WELLNESS GRANT FY24 ELDERLY COMPASSIONATE CARE CLUB ESTEEM 3316 MONROE ST MELBOURNE FL 32901 593317831 501(C)(3) 9625 0 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) 7875 0 GENERAL SUPPORT - WELLNESS GRANT FY24 MOBILE SHOWER FAMILY PROMISE OF BREVARD INC 3505 MURRELL RD ROCKLEDGE FL 32955 331170962 501(C)(3) 7500 0 GENERAL SUPPORT - WELLNESS GRANT FY24 HEALTH NAVIGATION EXPANSION 211 BREVARD PO BOX 561627 ROCKLEDGE FL 32956 591897447 501(C)(3) 6625 0 GENERAL SUPPORT - WELLNESS GRANT FY24 PROMOTING 988/211 SOUTH BREVARD WOMENS CENTER DBA WOMEN'S CENTER OF BREVARD 1565 SARNO RD MELBOURNE FL 32935 591628264 501(C)(3) 6250 0 GENERAL SUPPORT - WELLNESS GRANT FY24 - WOMEN'S CENTER PREVENTION PROGRAM BOYS & GIRLS CLUBS OF CENTRAL FLORIDA 101 E COLONIAL DR ORLANDO FL 32801 590951887 501(C)(3) 6250 0 GENERAL SUPPORT - WELLNESS GRANT FY24 HEALTH & LIFE SKILLS PROGRAMMING BREVARD NEIGHBORHOOD DEVELOPMENT COALITION DBA NEIGHBOR UP BREVARD 1151 MASTERSON ST MELBOURNE FL 32935 593483505 501(C)(3) 5200 0 GENERAL SUPPORT - WELLNESS GRANT FY24 - HEALTHY MIND AND HEALTHY BODIES 13 0 PART I, LINE 2: THE CAPE CANAVERAL HOSPITAL BOARD MONITORS USAGE BY EACH ENTITY TO ASSURE FUNDS ARE RAISED AND 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 VP CEO HOSP /EXEC VP CFO/COO/AS 0 887244 0 84169 0 9037 0 9000 0 19047 0 1008497 0 0 JEFFREY C STALNAKER MD SR VP CCO / INTERIM CEO HOS 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 CHAIR/ INTERIM CEO HFI END 8/5/2024 0 516274 0 0 0 0 0 0 0 0 0 516274 0 0 VICTOR M VARGAS FORMER MED AFFAIRS COMM. H 0 449588 0 28088 0 2622 0 9000 0 2903 0 492201 0 0 BRIAN R BOGGS VP MED AFFAIRS COMM HOSPITALS 0 397118 0 25200 0 1241 0 9000 0 21453 0 454012 0 0 IAN R DAY PHYSICIAN ADVISOR END 7/15/2024 0 345121 0 8755 0 3441 0 7276 0 18013 0 382606 0 0 DANIEL R BOWEN HOSPITAL ADMINISTRATOR END 5/24/2024 0 287629 0 17935 0 1710 0 6616 0 2903 0 316793 0 0 EDWARDS B ROBERTS II VP OF NURSING COMM HOSPITA 0 201253 0 12960 0 1012 0 7058 0 19565 0 241848 0 0 MICHELLE S ROGERS SYS DIR HOME CARE PRIVATE 0 195710 0 4940 0 5550 0 6080 0 19425 0 231705 0 0 ALAN L PRESTWOOD FORMER TRUSTEE END 9/2023 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 V CHAIR END 9/2020 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 CAPE CANAVERAL HOSPITAL, INC. SALARY AND BENEFITS EXPENSE DISCLOSED IN PART IX ARE ALLOCATED TO THIS ENTITY. THE FILING ORGANIZATION RELIED ON HEALTH FIRST SHARED SERVICES, INC. FOR ESTABLISHING THE TOP MANAGEMENT OFFICIAL'S COMPENSATION. SEE SCHEDULE O NARRATIVE FOR PART VI, LINE 15A 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 $1,289,699 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 CAPE CANAVERAL HOSPITAL, INC. IS HEALTH FIRST SHARED SERVICES, INC. (HFSS), 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 OR OF ANY PERSONAL PROPERTY OF THE CORPORATION HAVING A FAIR MARKET VALUE IN EXCESS OF $250,000; - APPROVAL OF THE SALE, LEASE, PURCHASE, CONVEYANCE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF 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 AUDITORS, LEGAL COUNSEL; OR CONSULTANT; - APPROVAL OF SIGNIFICANT CHANGES OF HUMAN RESOURCE AND EMPLOYEE BENEFIT, ACCOUNTING, FINANCIAL AND OTHER POLICIES AND PROCEDURES; - APPROVAL OF STRATEGIC 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 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 AND CAPITAL LEASES EXCEEDING $500,000 ANNUALLY OR $1,000,000 IN TOTAL 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 THE SYSTEM CONTROLLER. AFTER REVIEW AND APPROVAL BY THE EXECUTIVE VP CFO, 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 THE 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 FINANCIAL STATEMENTS 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 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: BRETT A. ESROCK: FORMER SR. VP CEO HOSPITAL SERVICES/ EXEC VP CFO/COO/TREASURER END 7/15/2024 JEFFREY C. STALNAKER: SR. VP CCO/INTERIM CEO HOSPITAL DIVISION END 7/31/2024 VICTOR M. VARGAS FORMER VP MEDICAL AFFAIRS COMMUNITY HOSPITAL END 12/2022 JAMES S. MITCHELL III: FORMER EXEC VP/COO HFI (END 09/2020) / INTERIM PRESIDENT OF HOSPITAL DIVISION BEG. 5/2024 FORM 990, PART IX, LINE 11G HFMG HOSPITALISTS SUPPORT EXPENSE: PROGRAM SERVICE EXPENSES 8,584,851. MANAGEMENT AND GENERAL EXPENSES 863,676. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,448,527. RECRUITMENT: PROGRAM SERVICE EXPENSES 104,904. MANAGEMENT AND GENERAL EXPENSES 20,280. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 125,184. RELOCATION EXPENSES: PROGRAM SERVICE EXPENSES 21,580. MANAGEMENT AND GENERAL EXPENSES 4,172. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,752. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 9,109,377. MANAGEMENT AND GENERAL EXPENSES 736,830. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,846,207. CONSULTANT FEES: PROGRAM SERVICE EXPENSES 620,023. MANAGEMENT AND GENERAL EXPENSES 119,861. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 739,884. FORM 990, PART XI, LINE 9: TRANSFER OF NET ASSETS TO A RELATED TAX-EXEMPT -8,142,820. 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. 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 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 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 N/A RELATED 0 0 CAPE HEALTH PROPERTIES INC 3300 FISKE BLVD ROCKLEDGE FL 32955 593086711 REAL ESTATE FL CAPE CANAVERAL HOSPITAL INC C 1.00000 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 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 1 0 1 0 0 0 0 0 0 0 1 0 1 0 0 1 1 1 0 HOLMES REGIONAL ENTERPRISES INC A 2801 SEE PART VII HOSPICE OF HEALTH FIRST INC A 44753 SEE PART VII HEALTH FIRST FOUNDATION INC C 175815 SEE PART VII HOLMES REGIONAL MEDICAL CENTER INC K 187486 SEE PART VII VIERA HOSPITAL INC Q 60804 SEE PART VII HOLMES REGIONAL MEDICAL CENTER INC Q 192645 SEE PART VII HEALTH FIRST FOUNDATION INC R 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.