Liabilities / Assets
65th percentile
Higher debt load relative to assets than 65% of similar nonprofits.
EIN 59-0624371 • 501(c)3 • Rockledge, FL
Profile
Our team positively changing the health and well-being of you and your family through excellent and compassionate health care.
Refreshing map…
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
65th percentile
Higher debt load relative to assets than 65% of similar nonprofits.
Liabilities / Revenue
84th percentile
Higher debt load relative to revenue than 84% of similar nonprofits.
Net Margin
69th percentile
Higher net margin than 69% of similar nonprofits.
Top Officer Pay
34th percentile
Higher top officer pay than 34% of similar nonprofits.
Top officer pay equals 0.5% of source-year revenue.
Asset Growth
68th percentile
Faster asset growth than 68% of similar nonprofits.
Revenue Growth
1st percentile
Faster revenue growth than 1% of similar nonprofits.
Assets
Up$1,054,421,129
Up $104,432,682 (+11%) from 2023
Liabilities
Up$456,892,333
Up $71,741,898 (+19%) from 2023
Net Assets
Up$597,528,796
Up $32,690,784 (+5.8%) from 2023
Revenue
Down$252,118,635
Down $612,454,246 (-71%) from 2023
Expenses
Down$218,386,163
Down $600,559,655 (-73%) from 2023
Net Income
Down$33,732,472
Down $11,894,591 (-26%) from 2023
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
Our team improving the wellness and health of you and your family through excellent and compassionate health care.
We exist to improve the health and wellness of the communities we serve.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Cash and Non-Interest-Bearing Accounts | $364,373,353 | $381,022,827 | ▲ $16,649,474 |
| Land, Buildings, and Equipment, Net | $323,722,946 | $329,691,212 | ▲ $5,968,266 |
| Accounts Receivable | $146,302,446 | $153,728,680 | ▲ $7,426,234 |
| Investments Program Related | $119,098,994 | $120,245,040 | ▲ $1,146,046 |
| Inventories for Sale or Use | $22,735,682 | $23,477,901 | ▲ $742,219 |
| Prepaid Expenses and Deferred Charges | $4,587,461 | $5,569,447 | ▲ $981,986 |
| Intangible Assets | $4,343,482 | $4,343,482 | → $0 |
| Pledges and Grants Receivable | $62,500 | $61,000 | ▼ $1,500 |
| Total Assets | $1,011,795,378 | $1,054,421,129 | ▲ $42,625,751 |
| Other Assets Total | $26,568,514 | $36,281,540 | ▲ $9,713,026 |
| Liabilities | |||
| Other Liabilities | $150,026,356 | $211,868,639 | ▲ $61,842,283 |
| Tax Exempt Bond Liabilities | $204,419,302 | $204,290,763 | ▼ $128,539 |
| Accounts Payable and Accrued Expenses | $50,221,783 | $40,657,650 | ▼ $9,564,133 |
| Deferred Revenue | $75,185 | $75,281 | ▲ $96 |
| Total Liabilities | $404,742,626 | $456,892,333 | ▲ $52,149,707 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $607,052,752 | $597,528,796 | ▼ $9,523,956 |
| Total Net Assets Fund Balance | $607,052,752 | $597,528,796 | ▼ $9,523,956 |
| Total Liabilities and Net Assets / Fund Balance | $1,011,795,378 | $1,054,421,129 | ▲ $42,625,751 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $217,523,557 | $275,652,626 | $493,176,183 |
| Equipment | $67,764,379 | $254,743,608 | $322,507,987 |
| Other Land Buildings | $22,937,947 | - | $22,937,947 |
| Land | $21,393,380 | - | $21,393,380 |
| Leasehold Improvements | $71,949 | $469,052 | $541,001 |
| Investment Program Related Org | $324,660 | - | - |
| Name | Title | Full / Part Time | Other | Total |
|---|---|---|---|---|
| Brett a Esrock | Fmr VP CEO Hosp. Exe VP CFO/COO Asst Treasurer | - | $1,267,396 | $1,267,396 |
| Taylor K Smith | Secretary 10/24 Prior Chair Interm CEO End 8/5/202 | - | $678,744 | $678,744 |
| Michael E Mullowney | President Hospital Division Beg 10/2024 | PT | $651,230 | $651,230 |
| James C Shaw | Vice Chair | - | $23,575 | $23,575 |
| Dr Theodore R Richardson Iii | Trustee Beg 10/2023 | - | $19,625 | $19,625 |
| Kim K Patrick | Trustee Beg 10/2021 | - | $18,500 | $18,500 |
| Robert K Henry | Trustee (frmr Secretary) | - | $17,914 | $17,914 |
| Larry S Bishop Md | Trustee | - | $16,547 | $16,547 |
| Joseph Gurri Md | Trustee | - | $9,932 | $9,932 |
| Dana S Kilborne | Treasurer | - | $4,500 | $4,500 |
| Name | Title |
|---|---|
| Taylor K Smith | Secretary 10/24 Prior Chair Interm C |
| Scott T Mikuen | Trustee Chair 10/24 Former Secretary |
| Steven P Johnson | Former President/CEO Hfi |
| James S Mitchell Iii | Frmr Exec VP/COO Hfi/ Interim President Hospital D |
| Michael E Mullowney | President Hospital Division Beg 10/2 |
| Terry L Forde | President/CEO Beg 8/5/2024 |
| John F Breitfeller | Former Vice Chair |
| Martin W Isenman Md | Former Trustee |
| Pamela a Gatto | Former Trustee |
| Tamer Ahmed Md | Trustee |
| Nicholas W Romanello Esq | Assistant Secretary |
| Christine M Tobin | CFO Hospital Services |
| Victor M Vargas Md | Chief Medical Offcer Hosp Division |
| Kristen M Pulio | Executive VP CFO Beg 9/2024 |
| Brett a Esrock | Fmr VP CEO Hosp. Exe VP CFO/COO Asst |
| Michael a Scialdone | Former Evp/CFO Hfi |
| Jeffrey C Stalnaker Md | Frmr Sr VP CCO/interim CEO Hosp |
| Craig M Candle | Physician Advisor |
| Angelica M Rastegarlari | Sys VP COO Hrmc Hd |
| Paula Abrahao | VP Med Affairs Comm Hospit |
| Line Item | Amount |
|---|---|
| Other Expenses | $123,872,817 |
| Salaries, Compensation, and Employee Benefits | $94,356,403 |
| Grants and Similar Amounts Paid | $156,943 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $62,850,646 | $11,158,567 | - | $74,009,213 |
| Fees for Services Other | $23,684,691 | $2,713,484 | - | $26,398,175 |
| All Other Expenses | $14,299,163 | $1,767,617 | - | $16,066,780 |
| Other Employee Benefits | $11,419,698 | $2,027,465 | - | $13,447,163 |
| Depreciation Depletion | $7,770,024 | $930,455 | - | $8,700,479 |
| Information Technology | $6,665,334 | $33,415 | - | $6,698,749 |
| Payroll Taxes | $4,873,937 | $865,324 | - | $5,739,261 |
| Occupancy | $3,072,803 | $545,549 | - | $3,618,352 |
| Office Expenses | $2,840,177 | $504,248 | - | $3,344,425 |
| Insurance | $1,542,352 | $272,180 | - | $1,814,532 |
| Interest | $1,502,800 | $266,808 | - | $1,769,608 |
| Other Expenses | $1,035,738 | - | - | $1,035,738 |
| Pension Plan Contributions | $847,494 | $150,465 | - | $997,959 |
| Fees for Services Legal | - | $322,164 | - | $322,164 |
| Fees for Services Accounting | - | $266,286 | - | $266,286 |
| Advertising | $207,892 | $36,909 | - | $244,801 |
| Current Officers, Directors, Trustees, and Key Employees | - | $162,807 | - | $162,807 |
| Grants to Domestic Orgs | $156,943 | - | - | $156,943 |
| Travel | $45,753 | $8,123 | - | $53,876 |
| Conferences and Meetings | $17,200 | $3,054 | - | $20,254 |
| Total Functional Expenses | $196,351,243 | $22,034,920 | $0 | $218,386,163 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Family Promise of Brevard Inc | Rockledge, FL | 501(c)(3) | General Support - Wellness Grant - Health Navigation Expansion | $15,000 |
| Boys & Girls Club of Central Florida | Orlando, FL | 501(c)(3) | General Support - Wellness Grant - Health & Life Skills Programming | $12,500 |
| THE CHILDREN'S HUNGER PROJECT | Cocoa, FL | 501(c)(3) | General Support - Health First Child Hunger 5k | $11,250 |
| Space Coast Sled Hockey | Rockledge, FL | 501(c)(3) | General Support - Wellness Grant - Adaptive Hockey Team Program | $7,500 |
| Brevard Public Schools Foundation | Viera, FL | 501(c)(3) | General Support - Wellness Grant - the Coffee Bean / No Barriers Initiative | $6,250 |
| Ways for Life Inc | Melbourne, FL | 501(c)(3) | General Support - Wellness Grant - Ways to Wellness | $5,625 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Inter-company Payable | $97,696,303 |
| Other Currrent Liabilities | $95,165,556 |
| Government Related Payable | $17,780,806 |
| Other Non Current Liabilities | $814,528 |
| Operating Lease Liabilities | $411,446 |
“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.”
“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.”
“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.”
“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.”
“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.”
“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.”
“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).”
“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 taylor k. Smith: secretary beg 10/2024 / former chair and interim president and ceo end 8/2024 mike e. Mullowney: president hospital division beg 10/2024”
“The accounting period for calendar year 2024 is a short-term calendar year filing. The accounting period changed from fiscal year (october 1st - september 30th) to calendar year (january - december). For calendar year 2024 filing the period is covering october 1, 2024 - december 31, 2024. This change was necessary to simply operations and enhance comparibility.”
“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.”
“Employees at holmes regional medical center, inc. Are included in the form 941 filed by health first shared services, inc. Ein: 59-3336894.”
“Hfmg hospital support expense: program service expenses 12,826,763. Management and general expenses 839,819. Fundraising expenses 0. Total expenses 13,666,582. Purchased services: program service expenses 9,943,513. Management and general expenses 1,711,319. Fundraising expenses 0. Total expenses 11,654,832. Consultant fees: program service expenses 807,613. Management and general expenses 143,384. Fundraising expenses 0. Total expenses 950,997. Recruitment: program service expenses 55,818. Management and general expenses 9,910. Fundraising expenses 0. Total expenses 65,728. Relocation expense: program service expenses 50,382. Management and general expenses 8,945. Fundraising expenses 0. Total expenses 59,327. Physician reimbursement: program service expenses 602. Management and general expenses 107. Fundraising expenses 0. Total expenses 709.”
“Transfer of net assets to a related tax-exempt -43,259,259. Changes in unrestricted - released 2,831.”
“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.”
“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.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
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| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 50221783 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 40657650 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 146302446 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 153728680 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | WE EXIST TO IMPROVE THE HEALTH AND WELLNESS OF THE COMMUNITIES WE SERVE. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 36909 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 207892 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 244801 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 1767617 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 14299163 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 16066780 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/AuditedFinancialStmtAttInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | KIMBERLY MYERS |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 3214345150 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 3300 FISKE BLVD |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | ROCKLEDGE |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | FL |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 329554306 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 364373353 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 381022827 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 0 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 162807 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 162807 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 0 |
| IRS990/CompensationProcessOtherInd | 0 | 0 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 3054 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 17200 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 20254 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 59278 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 156943 |
| IRS990/CYInvestmentIncomeAmt | 0 | 2194722 |
| IRS990/CYOtherExpensesAmt | 0 | 123872817 |
| IRS990/CYOtherRevenueAmt | 0 | 584715 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 249279920 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 33732472 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 94356403 |
| IRS990/CYTotalExpensesAmt | 0 | 218386163 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 252118635 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 1 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 75185 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 75281 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 930455 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 7770024 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 8700479 |
| IRS990/Desc | 0 | 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 WI |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 0 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 196351243 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 266286 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 266286 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 322164 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 322164 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 2713484 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 23684691 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 26398175 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 6.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 8.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 31.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 31.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 22.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 32.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 20.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 21 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 22 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 23 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 24 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 25 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 26 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 9.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 9.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 18.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 8.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 39.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 20.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 24 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 25 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 26 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 7976 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 31967 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 33876 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 1251 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 17288 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 19439 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 16161 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 28484 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 33228 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 3102 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 31208 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 25 | 14612 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 26 | 11967 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | TAYLOR K SMITH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | LARRY S BISHOP MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | JAMES C SHAW |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | ROBERT K HENRY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | JOSEPH GURRI MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | DANA S KILBORNE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | SCOTT T MIKUEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | TAMER AHMED MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | KIM K PATRICK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | DR THEODORE R RICHARDSON III |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | TERRY L FORDE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | NICHOLAS W ROMANELLO ESQ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | MICHAEL E MULLOWNEY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | JAMES S MITCHELL III |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | KRISTEN M PULIO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | VICTOR M VARGAS MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | ANGELICA M RASTEGARLARI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | PAULA ABRAHAO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | CHRISTINE M TOBIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | CRAIG M CANDLE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | STEVEN P JOHNSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | BRETT A ESROCK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | MARTIN W ISENMAN MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | JOHN F BREITFELLER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 24 | PAMELA A GATTO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 25 | JEFFREY C STALNAKER MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 26 | MICHAEL A SCIALDONE |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 25 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 26 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 678744 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 16547 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 23575 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 17914 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 9932 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 4500 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 18500 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 19625 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 1073540 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 1010140 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 617354 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 213908 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 581982 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 517917 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 477690 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 434673 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 407896 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 278939 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 1236188 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 20512 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 23 | 14866 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 24 | 14369 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 25 | 540512 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 26 | 461162 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | SECRETARY 10/24 PRIOR CHAIR INTERM CEO END 8/5/202 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | TRUSTEE (FRMR SECRETARY) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | TRUSTEE CHAIR 10/24 FORMER SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | TRUSTEE BEG 10/2021 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | TRUSTEE BEG 10/2023 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | PRESIDENT/CEO BEG 8/5/2024 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | ASSISTANT SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | PRESIDENT HOSPITAL DIVISION BEG 10/2024 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | FRMR EXEC VP/COO HFI/ INTERIM PRESIDENT HOSPITAL D |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | EXECUTIVE VP CFO BEG 9/2024 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | CHIEF MEDICAL OFFCER HOSP DIVISION |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | SYS VP COO HRMC HD |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | VP MED AFFAIRS COMM HOSPIT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | CFO HOSPITAL SERVICES |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | PHYSICIAN ADVISOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | FORMER PRESIDENT/CEO HFI |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | FMR VP CEO HOSP. EXE VP CFO/COO ASST TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | FORMER TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | FORMER VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 24 | FORMER TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 25 | FRMR SR VP CCO/INTERIM CEO HOSP |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 26 | FORMER EVP/CFO HFI |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/Form990TFiledInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1931 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 1 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 11 |
| IRS990/GovernmentGrantsAmt | 0 | 58785 |
| IRS990/GrantAmt | 0 | 156943 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 156943 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 156943 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 1 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 252118635 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 26270 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 9 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 0 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartVInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 33415 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 6665334 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 6698749 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 272180 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 1542352 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 1814532 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 4343482 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 4343482 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 266808 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 1502800 |
| IRS990/InterestGrp/TotalAmt | 0 | 1769608 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 22735682 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 23477901 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 2194722 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 2194722 |
| IRS990/InvestmentInJointVentureInd | 0 | 1 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 119098994 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 120245040 |
| IRS990/IRPDocumentCnt | 0 | 0 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 530865286 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 323722946 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 329691212 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 860556498 |
| IRS990/LegalDomicileStateCd | 0 | FL |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 0 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 1 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | WE EXIST TO IMPROVE THE HEALTH AND WELLNESS OF THE COMMUNITIES WE SERVE. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 607052752 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 597528796 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 26270 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 26270 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 2958392 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 607052752 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 597528796 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 545549 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 3072803 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 3618352 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 504248 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 2840177 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 3344425 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 1 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 26568514 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 36281540 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | -43256428 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 2027465 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 11419698 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 13447163 |
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