Civic Intelligence

Hospice of Health First Inc

EIN 59-1911574 • 501(c)3 • Rockledge, FL

Profile

Our team positively changing the health and well-being of you andyour family through excellent and compassionate health care.For more than 25 years, Hospice of Health First has been leadinghospice care in Brevard County, FL. Hospice enables patients toremain at home during most or all of their illness, relatively freefrom pain, surrounded by family and friends, and living life as fullyas possible.

Refreshing map…

3300 Fiske BlvdRockledge, FL 32955-4306

www.health-first.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

49th percentile

0.21x

Higher debt load relative to assets than 49% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Liabilities / Revenue

83rd percentile

1.39x

Higher debt load relative to revenue than 83% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Net Margin

55th percentile

6.4%

Higher net margin than 55% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Top Officer Pay

95th percentile

$1,267,396

Higher top officer pay than 95% of similar nonprofits.

Top officer pay equals 25.3% of source-year revenue.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Asset Growth

31st percentile

0.3%

Faster asset growth than 31% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Revenue Growth

1st percentile

-77%

Faster revenue growth than 1% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Assets

Up

$33,847,392

Up $103,248 (+0.3%) from 2023

Liabilities

Up

$6,984,502

Up $1,516,607 (+28%) from 2023

Net Assets

Down

$26,862,890

Down $1,413,359 (-5.0%) from 2023

Revenue

Down

$5,013,801

Down $16,428,770 (-77%) from 2023

Expenses

Down

$4,695,170

Down $14,926,570 (-76%) from 2023

Net Income

Down

$318,631

Down $1,502,200 (-83%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$40M$30M$20M$10M$0Assets 2010: $28,630,163Liabilities 2010: $2,751,784Net Assets 2010: $25,878,3792010Assets 2011: $29,552,762Liabilities 2011: $2,829,751Net Assets 2011: $26,723,0112011Assets 2012: $29,713,065Liabilities 2012: $2,925,330Net Assets 2012: $26,787,7352012Assets 2013: $30,191,838Liabilities 2013: $2,678,485Net Assets 2013: $27,513,3532013Assets 2014: $30,636,222Liabilities 2014: $3,282,804Net Assets 2014: $27,353,4182014Assets 2015: $29,721,386Liabilities 2015: $3,366,524Net Assets 2015: $26,354,8622015Assets 2016: $30,053,163Liabilities 2016: $3,747,220Net Assets 2016: $26,305,9432016Assets 2017: $29,718,562Liabilities 2017: $3,535,842Net Assets 2017: $26,182,7202017Assets 2018: $30,487,576Liabilities 2018: $3,976,034Net Assets 2018: $26,511,5422018Assets 2019: $30,843,099Liabilities 2019: $4,113,368Net Assets 2019: $26,729,7312019Assets 2020: $35,631,029Liabilities 2020: $6,992,563Net Assets 2020: $28,638,4662020Assets 2021: $35,941,950Liabilities 2021: $6,097,844Net Assets 2021: $29,844,1062021Assets 2022: $34,482,828Liabilities 2022: $5,561,945Net Assets 2022: $28,920,8832022Assets 2023: $33,744,144Liabilities 2023: $5,467,895Net Assets 2023: $28,276,2492023Assets 2024: $33,847,392Liabilities 2024: $6,984,502Net Assets 2024: $26,862,8902024

Highlighted filing

2024

Assets$33,847,392
Liabilities$6,984,502
Net Assets$26,862,890

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$30M$20M$10M$0-$10MExpenses 2010: $9,161,3422010Expenses 2011: $9,182,8712011Revenue 2012: $9,192,646Expenses 2012: $9,203,322Net Income 2012: -$10,6762012Expenses 2013: $8,397,6092013Revenue 2014: $12,141,952Expenses 2014: $9,902,573Net Income 2014: $2,239,3792014Revenue 2015: $12,795,862Expenses 2015: $11,890,016Net Income 2015: $905,8462015Revenue 2016: $14,308,397Expenses 2016: $12,218,377Net Income 2016: $2,090,0202016Revenue 2017: $14,407,571Expenses 2017: $13,104,617Net Income 2017: $1,302,9542017Revenue 2018: $16,246,277Expenses 2018: $14,422,098Net Income 2018: $1,824,1792018Revenue 2019: $17,976,585Expenses 2019: $16,220,964Net Income 2019: $1,755,6212019Revenue 2020: $21,034,400Expenses 2020: $17,606,227Net Income 2020: $3,428,1732020Revenue 2021: $21,554,982Expenses 2021: $18,530,724Net Income 2021: $3,024,2582021Revenue 2022: $19,324,244Expenses 2022: $18,674,067Net Income 2022: $650,1772022Revenue 2023: $21,442,571Expenses 2023: $19,621,740Net Income 2023: $1,820,8312023Revenue 2024: $5,013,801Expenses 2024: $4,695,170Net Income 2024: $318,6312024

Highlighted filing

2024

Revenue$5,013,801
Expenses$4,695,170
Net Income$318,631

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$33.8$6.98$26.9$5.01$4.70$0.32
2023Summary only. Only limited summary data is available for this year.$33.7$5.47$28.3$21.4$19.6$1.82
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$34.5$5.56$28.9$19.3$18.7$0.65
2021Summary only. Only limited summary data is available for this year.$35.9$6.10$29.8$21.6$18.5$3.02
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$35.6$6.99$28.6$21.0$17.6$3.43
2019Facts available. Structured filing facts are available, but richer extracted sections are limited.$30.8$4.11$26.7$18.0$16.2$1.76
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$30.5$3.98$26.5$16.2$14.4$1.82
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$29.7$3.54$26.2$14.4$13.1$1.30
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$30.1$3.75$26.3$14.3$12.2$2.09
2015Detailed filing. Detailed filing data is available for this year.$29.7$3.37$26.4$12.8$11.9$0.91
2014Detailed filing. Detailed filing data is available for this year.$30.6$3.28$27.4$12.1$9.90$2.24
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$30.2$2.68$27.5$8.40
2012Summary only. Only limited summary data is available for this year.$29.7$2.93$26.8$9.19$9.20$0.01
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$29.6$2.83$26.7$9.18
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$28.6$2.75$25.9$9.16
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2024 to Dec 31, 2024
Signed
Nov 17, 2025
Return Version
2024v5.2
Gross Receipts
$5,013,801
Mission and Program Overview

Mission

Our team positively changing the health and well-being of you andyour family through excellent and compassionate health care.For more than 25 years, Hospice of Health First has been leadinghospice care in Brevard County, FL. Hospice enables patients toremain at home during most or all of their illness, relatively freefrom pain, surrounded by family and friends, and living life as fullyas possible.

We exist to improve the health and wellness of the communities we serve.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$16,390,698$16,290,260▼ $100,438
Investments Program Related$11,646,813$11,778,773▲ $131,960
Land, Buildings, and Equipment, Net$2,969,892$2,953,629▼ $16,263
Accounts Receivable$2,126,118$2,486,437▲ $360,319
Prepaid Expenses and Deferred Charges$7,671$14,658▲ $6,987
Total Assets$33,517,408$33,847,392▲ $329,984
Other Assets Total$376,216$323,635▼ $52,581
Liabilities
Other Liabilities$4,066,800$5,657,993▲ $1,591,193
Accounts Payable and Accrued Expenses$1,191,696$1,027,572▼ $164,124
Mortgage Notes Payable Secured by Investment Property-$298,937-
Total Liabilities$5,258,496$6,984,502▲ $1,726,006
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$28,258,912$26,862,890▼ $1,396,022
Total Net Assets Fund Balance$28,258,912$26,862,890▼ $1,396,022
Total Liabilities and Net Assets / Fund Balance$33,517,408$33,847,392▲ $329,984

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$1,945,012$2,728,328$4,673,340
Equipment$472,415$1,038,953$1,511,368
Leasehold Improvements$536,202$273,851$810,053
Investment Program Related Org$11,778,773--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeOtherTotal
Matthew F GerrellFrmr Sr VP of Strateg/trustee / President-$1,031,733$1,031,733
Angelic J DixonHospice House Assist. Nurse Mgr.FT$141,029$141,029
Tina M OramHospice House Assist. Nurse Mgr.FT$130,997$130,997
Paula M KnappNurse ManagerFT$128,002$128,002
Terrie L RadaHospice RnFT$115,164$115,164

Board Members and Trustees

NameTitle
Dana PackardChair
Steven P JohnsonFormer President/CEO Hfi
Andrew FinkPresident / Trustee Beg 10/24
Terry L FordePresident/CEO Beg 8/5/24
Michelle RobinsonVice Chair
Paula L LudwigDirector Pcs Hospice
Taylor K SmithFrmr Interim CEO Hfi/trustee En
Matthew F GerrellFrmr Sr VP of Strateg/trustee / Pres
Leonor Zies MdTrustee
Madeline ChildsTrustee
Michael C BrownlieTrustee
Robert LapeTrustee
Susan T StrahleTrustee
William StruthTrustee
Rudy Ruiz MdTrustee Beg 12/12/2023
Nicholas W Romanello EsqAssistant Secretary
Kristen M PulioExecutive VP CFO Beg 9/23/24
Michael a ScialdoneFormer Evp/CFO Hfi
Drew a RectorFormer Pres/evp CSO
Brett a EsrockFrmr Exec VP CFO/COO End 07/24
Frank S LetherbyFrmr Sr. VP Comm Hs / Presid. B
Rev Derly FoersteManager Pastoral Care
Robin M Petersen EsqSecretary/treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$21,813
Program Service Revenue
$4,854,120
Investment Income
$131,960
Other Revenue
$5,908
Change in Net Assets
$318,631
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$3,447,241
Other Expenses$1,247,929
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$2,346,968$213,664-$2,560,632
Other Employee Benefits$534,075$48,621-$582,696
Fees for Services Other$278,407$25,346-$303,753
Payroll Taxes$197,459$17,976-$215,435
Office Expenses$158,442$14,424-$172,866
Occupancy$109,723$9,989-$119,712
Information Technology$109,384$9,958-$119,342
Depreciation Depletion$83,479$7,600-$91,079
All Other Expenses$69,368$6,315-$75,683
Travel$68,684$6,253-$74,937
Pension Plan Contributions$46,262$4,212-$50,474
Current Officers, Directors, Trustees, and Key Employees-$38,004-$38,004
Advertising$9,992$910-$10,902
Insurance-$6,922-$6,922
Fees for Services Accounting-$6,806-$6,806
Other Expenses$11,897$1,765-$1,765
Total Functional Expenses$4,275,322$419,848$0$4,695,170
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Other Current Liabilities$3,518,840
Inter-company Payable$2,014,988
Operating Lease Liabilities$124,165
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

The sole member of hospice of health first, inc. Is health first shared services, inc., a florida not-for-profit corporation that serves as the corporate parent of the health system.

Form 990, Part VI, Section A, Line 7A

Health first shared services, inc. (hfss), a section 501(c)(3) exempt organization and the parent of the exempt healthcare system, is the sole corporate member of the filing organization with the power to elect or appoint any members of the governing body.

Form 990, Part VI, Section A, Line 7B

Per the bylaws and the laws of the state of florida, the administrative power of the corporation shall be vested in the board of trustees which shall have charge, control and management of property, affairs and funds of the corporation. The board of trustees shall not take any action with respect to the following without approval of the member: -any change in the mission, purpose or scope and operation; -the incurrence of long-term debt or guarantee the debt of another; -the approval of the sale, lease, purchase, conveyance or other disposition of any real property or any personal property having a fair market value in excess of $1,000,000; -the approval of the sale, lease, purchase, conveyance or other disposition of all or substantially all of the assets; -the approval of annual operating and capital expenditure budgets and any material deviations therefrom; -the approval of the appointment or engagement of all auditors and legal counsel and the engagement of consultants involving expenditures in excess of $50,000 annually; -the approval of any significant changes of human resource and employee benefit, accounting, financial and other policies and procedures; -the approval of strategic and long-range plans, major fundraising programs and financial commitments (over and above those contained in approved budgets) in excess of $1,000,000; -the creation, acquisition, sale, purchase, dissolution or other disposition of any affiliated or controlled entity or any joint venture or any interest in any such entity; -the relocation, implementation or discontinuation of a major program or service; -the approval of managed care agreements; -the repeal, amendment or restatement of articles of incorporation and bylaws of the corporation; and -election of members to the board of trustees and the filling of any vacancies occurring among the trustees between annual meetings.

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, upon new hire orientation and thereafter as part of the annual e-learning required for all associates. All individuals must review and electronically attest that they have agreed to the terms noted in the policy on an annual basis. In addition, senior leadership and bod 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 the parent company. The parent company's process is as follows: the salaries of our ceo and other health executives are reviewed and recommended annually to the board of trustees and approved in executive session by the full board of health first shared services. Health first shared services 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 conflicts of interest policy and governing documents is available upon request to the compliance officer.

PART VII, SECTION A:

Taylor k. Smith: former interim ceo hfi / trustee end 8/5/2024 matthew f. Gerrell former sr. Vp of strategy/ president/trustee end 12/2023 frank s. Letherby: former president /senior vp community health svc. / trustee end 8/8/2024

Filing and Contact Details

Filer

Filer Name
Hospice of Health First Inc
EIN
59-1911574
Phone
3214345150
Address
3300 FISKE BLVD, ROCKLEDGE, FL 32955-4306

Signing Officer

Name
Kristen M Pulio
Title
Executive VP CFO
Phone
3214345150
Signed
2025-11-17

Organization Details

Principal Officer
Terry L Forde
Formed
1978
Legal Domicile
Fl
Voting Board Members
14
Independent Board Members
10
Employees
0
Volunteers
187
Supplemental Narrative

Additional Explanations

FORM 990, SECTION A, TAX YEAR:

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.

FORM 990, PART XI, LINE 9:

Transfer of net assets to a related tax-exempt -1,714,653. Other changes in net assets

Financial Statement Notes

PART X, LINE 2:

Fasb asc 740 footnote: hospice of health first, inc. 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. Asc topic 740, income taxes, prescribes the accounting for uncertainty in income tax positions recognized in financial statements. Asc topic 740 provides guidance for recognition threshold and measurement attributes for the financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return.

Raw XML AppendixShowing 400 of 1,096 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Desc0HOSPICE OF HEALTH FIRST, INC. (HHF) PROVIDES COMFORT CARE TO THE TERMINALLY ILL AND THEIR FAMILIES WITH A COMPREHENSIVE ARRAY OF SERVICES, FOCUSING ON PAIN CONTROL AND SYMPTOM MANAGEMENT ACROSS THE HEALTHCARE CONTINUUM (HOSPITAL, HOME, NURSING HOME, AND ASSISTED LIVING FACILITIES), AS WELL AS EDUCATIONAL AND BEREAVEMENT PROGRAMS TO ENHANCE THE COPING ABILITIES OF FAMILIES. HHF INCLUDES A FIELD PROGRAM, THE WILLIAM CHILDS HOSPICE HOUSE, THE CAPE CANAVERAL HOSPITAL INPATIENT UNIT, AND ROBUST BEREAVEMENT SERVICES.IN FISCAL YEAR 2024, HHF PROVIDED 97,973 DAYS OF CARE, SERVING A TOTAL OF 4,930 INDIVIDUALS (PATIENTS AND THEIR FAMILIES). THE ADMISSION TEAM PROCESSED 2,753 REFERRALS AND ADMITTED 1,699 PATIENTS. FOR THE FIRST YEAR SINCE THE PANDEMIC, VOLUNTEER SERVICES RETURNED TO FULL SWING. NOT ONLY DID HOSPICE OF HEALTH FIRST ONBOARD MANY NEW VOLUNTEERS, BUT COMBINED, THE VOLUNTEERS GAVE MORE THAN 9,590 HOURS OF THEIR TIME TO ASSIST HOSPICE PATIENTS, FAMILIES, AND STAFF DURING FY24. MAJOR PROGRAM ACCOMPLISHMENTS INCLUDE:1. HHF BECAME THE FIRST AND ONLY HOSPICE AGENCY IN THE STATE OF FLORIDA TO ACHIEVE A 5-STAR RATING FROM THE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS). IN AUGUST OF 2021, CMS ANNOUNCED THAT ALL HOSPICE AGENCIES WOULD BEGIN RECEIVING A STAR RATING SYSTEM BASED ON THEIR CAHPS SURVEY RESULTS, AND EVER SINCE THEN, THE QUALITY AND CLINICAL TEAMS AT HEALTH FIRST WERE LASER-FOCUSED ON THAT GOAL. THEY ACHIEVED THIS PRESTIGIOUS RANKING BY PUTTING MEASURES IN PLACE OVER SEVERAL YEARS, ENSURING FAMILIES UNDERSTOOD HOW TO CARE FOR THEIR LOVED ONES AND MAKING SURE THEY WERE VISITED FREQUENTLY DURING THEIR LAST DAYS OF LIFE, WHEN THE BURDEN OF TAKING CARE OF A FAMILY MEMBER ON HOSPICE CARE IS THE MOST STRESSFUL AND EMOTIONAL.2. THE BRIGHT STAR CENTER FOR GRIEVING CHILDREN AND FAMILIES EXPANDED THEIR OFFERINGS TO THE COMMUNITY DURING FY24. PART OF THE COMPREHENSIVE GRIEF AND BEREAVEMENT SERVICES OFFERED AT HHF, BRIGHT STAR IS A PEER-TO-PEER PROGRAM DESIGNED TO HELP CHILDREN PROCESS THE LOSS OF A LOVED ONE ALONGSIDE OTHER CHILDREN GOING THROUGH SIMILAR SITUATIONS. THIS TEAM WENT OUTSIDE OF THE BOX AND IMPLEMENTED SEVERAL NEW PROGRAMS, SUCH AS WEEK-LONG SUMMER CAMP, POTLUCK GET-TOGETHERS OVER THE HOLIDAYS, AND HOSTING A "FACES OF GRIEF" PICASSO-THEMED ART NIGHT FOR THE WHOLE FAMILY.
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