Civic Intelligence

Health First Foundation Inc

EIN 84-3851693 • 501(c)3 • Rockledge, FL

Profile

The health first foundation helps improve the health and well-being of residents in our community by raising funds to support and advance the mission of health first and its family of charitable healthcare providers.these include four not-for-profit hospitals - health first cape canaveral hospital, health first holmes regional medical center, health first palm bay hospital, and health first viera hospital - as well as many outpatient & wellness services, including hospice of health first and health first aging services.

3300 Fiske BlvdRockledge, FL 32955-4306

hf.org

Siviq Scores

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

Liabilities / Assets

21st percentile

0.02x

Higher debt load relative to assets than 21% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Liabilities / Revenue

42nd percentile

0.16x

Higher debt load relative to revenue than 42% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Net Margin

93rd percentile

64%

Higher net margin than 93% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

90th percentile

40%

Faster asset growth than 90% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2022 to 2024

Revenue Growth

81st percentile

33%

Faster revenue growth than 81% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2022 to 2024

Assets

Up

$15,131,950

Up $2,527,204 (+20%) from 2023

Liabilities

Down

$336,966

Down $177,618 (-35%) from 2023

Net Assets

Up

$14,794,984

Up $2,704,822 (+22%) from 2023

Revenue

Down

$2,069,822

Down $262,729 (-11%) from 2023

Expenses

Down

$742,407

Down $2,059,571 (-74%) from 2023

Net Income

Up

$1,327,415

Up $1,796,842 (+383%) from 2023

Trend Graphs

Balance Sheet Trend

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

$20M$15M$10M$5.0M$0Assets 2021: $8,113,598Liabilities 2021: $1,101,395Net Assets 2021: $7,012,2032021Assets 2022: $7,759,840Liabilities 2022: $684,468Net Assets 2022: $7,075,3722022Assets 2023: $12,604,746Liabilities 2023: $514,584Net Assets 2023: $12,090,1622023Assets 2024: $15,131,950Liabilities 2024: $336,966Net Assets 2024: $14,794,9842024

Highlighted filing

2024

Assets$15,131,950
Liabilities$336,966
Net Assets$14,794,984

Operations Trend

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

$4.0M$2.0M$0-$2.0M-$4.0MRevenue 2021: $1,323,822Expenses 2021: $3,138,709Net Income 2021: -$1,814,8872021Revenue 2022: $1,176,071Expenses 2022: $3,253,028Net Income 2022: -$2,076,9572022Revenue 2023: $2,332,551Expenses 2023: $2,801,978Net Income 2023: -$469,4272023Revenue 2024: $2,069,822Expenses 2024: $742,407Net Income 2024: $1,327,4152024

Highlighted filing

2024

Revenue$2,069,822
Expenses$742,407
Net Income$1,327,415

Filings

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
$2,070,267
Mission and Program Overview

Mission

The health first foundation helps improve the health and well-being of residents in our community by raising funds to support and advance the mission of health first and its family of charitable healthcare providers.these include four not-for-profit hospitals - health first cape canaveral hospital, health first holmes regional medical center, health first palm bay hospital, and health first viera hospital - as well as many outpatient & wellness services, including hospice of health first and health first aging services.

Health first foundation, inc. Helps improve the health and well-being of our community by raising funds to support and advance the mission of health first, inc. And its family of charitable healthcare providers.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$2,274,836$2,123,215▼ $151,621
Investments Program Related$253,300$253,300→ $0
Land, Buildings, and Equipment, Net$84,344$78,525▼ $5,819
Prepaid Expenses and Deferred Charges$67,147$44,688▼ $22,459
Pledges and Grants Receivable$43,875$40,125▼ $3,750
Total Assets$13,482,724$15,131,950▲ $1,649,226
Other Assets Total$10,759,222$12,592,097▲ $1,832,875
Liabilities
Other Liabilities$217,520$259,552▲ $42,032
Accounts Payable and Accrued Expenses$88,585$77,414▼ $11,171
Total Liabilities$306,105$336,966▲ $30,861
Net Assets / Fund Balance
Net Assets With Donor Restrictions$9,290,889$9,543,157▲ $252,268
Net Assets Without Donor Restrictions$3,885,730$5,251,827▲ $1,366,097
Total Net Assets Fund Balance$13,176,619$14,794,984▲ $1,618,365
Total Liabilities and Net Assets / Fund Balance$13,482,724$15,131,950▲ $1,649,226

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$78,525$78,890$157,415
Other Assets Org$9,754--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2024$1,076,311$1,000▼ $1,546-$948,811
2023$1,180,137$2,250▲ $20,878-$1,076,311
2022$1,280,146$15,250▲ $13,798$2,103$1,180,137
2021$1,528,198$29,600▼ $264,537$2,991$1,280,146
2020$1,267,228$58,376▲ $228,185$738$1,528,198
Compensation and Service Providers

Employees

NameTitleOtherTotal
Sandra HenryTrustee$2,735$2,735

Board Members and Trustees

NameTitle
Barry ForbesTrustee /frmr Vc /chair Be
Steven P JohnsonFormer President/CEO Hfi
Terry L FordePresident/CEO Beg 8/5/24
Michael E SeeleySys VP Foundation President
Kirk KesselTrustee/vice Chair Beg 1/
Taylor K SmithFrmr Interim CEO/trustee End 8/
Mary C KernSys Director Ops and Sustained
Angela NealTrustee
Autumn ShrumTrustee
Barbara WallTrustee
David PelzmanTrustee
Elaina GarvinTrustee
Gobivenkata Balaji MdTrustee
Jane C GleasonTrustee
Kenneth Tieu MdTrustee
Monica ShahTrustee
Rebecca BurgmanTrustee
Robyn HattawayTrustee
Kay CantrellTrustee /secretary Beg 1/
Rita MorenoTrustee Beg 1/2024
Shelly CooperTrustee Beg 1/2024
William TronerTrustee Beg 1/2024
Becky DukesTrustee/treasurer Beg 1/2
Nicholas W Romanello EsqAssistant Secretary
Kristen M PulioExecutive VP CFO Beg 9/24
Michael a ScialdoneFormer Evp/CFO Hfi
Brett a EsrockFrmr Exec VP CFO/COO End 8/05/2
Revenue and Support

Revenue Composition

Contributions and Grants
$1,935,918
Program Service Revenue
$0
Investment Income
$110,809
Other Revenue
$23,095
All Other Contributions
$1,807,098
Change in Net Assets
$1,327,415
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$358,218
Total Fundraising Expense$295,501
Grants and Similar Amounts Paid$278,955
Other Expenses$78,462
Professional Fundraising Fees$26,772

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$221,745--$221,745
Current Officers, Directors, Trustees, and Key Employees-$148,369-$148,369
Other Salaries and Wages-$9,735$126,091$135,826
Grants to Domestic Individuals$57,210--$57,210
Pension Plan Contributions-$2,366$30,651$33,017
All Other Expenses-$843$27,847$28,690
Fees for Services Professional Fundraising--$26,772$26,772
Other Employee Benefits-$1,636$21,185$22,821
Payroll Taxes-$1,303$16,882$18,185
Office Expenses-$1,082$14,017$15,099
Occupancy-$661$8,562$9,223
Depreciation Depletion-$417$7,736$8,153
Information Technology--$4,520$4,520
Fees for Services Other-$211$2,947$3,158
Advertising-$146$1,885$2,031
Conferences and Meetings-$123$1,587$1,710
Insurance-$107$1,390$1,497
Fees for Services Accounting-$687-$687
Travel-$27$347$374
Other Expenses-$6$75$81
Total Functional Expenses$278,955$167,951$295,501$742,407
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Health First Shared Services IncRockledge, FL501(c)(3)Special Projects and Patient Care$156,923
Cape Canaveral Hospital IncRockledge, FL501(c)(3)Special Projects and Patient Care$42,516
Hospice of Health First IncRockledge, FL501(c)(3)Special Projects and Patient Care$21,813
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
Yes

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$26,772
Fundraising Gross Income$23,540
Fundraising Direct Expenses$445

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Golf Tournament$152,360$23,540$445$23,095
Total Events$152,360$23,540$445$23,095
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$249,071
Operating Lease Liab Long Term$10,481
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
Yes
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 health first foundation, inc. Is health first shared services, inc., a florida not-for-profit corporation that serves as the corporate parent of the health system.

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

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

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

Per the bylaws and the laws of the state of florida, the administrative power of the corporation shall be vested in the board of trustees which shall have charge, control and management of property, affairs and funds of the corporation. The board of trustees shall not take any action with respect to the following without approval of the member: -change in the mission, purpose or scope of the corporation and its operation; -incurrence of debt or guarantee the debt of another; -approval of the sale, lease, purchase, conveyance or other disposition of any real property or any personal property of the corporation having a fair market value in excess of $100,000; -approval of the sale, lease, purchase, conveyance or other disposition of all or substantially all the assets of the corporation; -approval of annual operating and capital expenditure budgets of the corporation and any material deviations from such budgets; -approval of the engagement of any auditor, legal counsel or consultant involving expenditures in excess of $150,000 annually or per engagement; -approval of any significant changes of human resource and employee benefit, accounting, financial and other policies and procedures; -approval of strategic and long-range plans, major fund-raising programs and financial commitments (over and above those contained in approved budgets) in excess of $100,000; -creation, acquisition, sale, purchase, dissolution or other disposition of any affiliated or controlled entity or joint venture or any interest in any such entity; -the relocation, implementation or discontinuation of a major program service; and -the repeal, amendment or restatement of articles of incorporation and bylaws of the corporation.

Form 990, Part VI, Section B, Line 11B

The form 990 was prepared by health first's tax department and then reviewed by 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 our chief executive officer and other hfss executives are reviewed and recommended annually to the board of trustees and approved in executive session by the full board of hfss. Hfss contracts annually, with a highly respected national consulting firm, to provide these recommendations to ensure that our executives are compensated fairly and competitively when compared with similar roles in other healthcare organizations nationally. The compensation committee is independent for internal revenue code section 4958 for the individuals whose salary is reviewed. Minutes are kept for all board of trustees and compensation committee meetings. The process is documented contemporaneously in the board and committee meetings.

Form 990, Part VI, Section C, Line 19

Quarterly and annually consolidated financials and consolidated statistical information is filed electronically on www.dacbond.com and is available to the public. In addition, any requests made to the chief financial officer for the above referenced items are provided upon request in a timely manner. A copy of the governing documents and conflicts of interest policy are available upon request to the chief compliance officer. Documents are available for the same period of disclosure as provided in section 6104(d).

PART VII, SECTION A:

Brett a. Esrock: former sr vp ceo hospital services / executive vp cfo/coo end 7/15/2024. Taylor k. Smith: trustee / interim president and ceo end 8/5/2024 kirk kessel: trustee, vice chair 1/2024 rebecca dukes: trustee, treasurer 1/2024 kay cantrell: trustee/ secretary beg 10/2023

Filing and Contact Details

Filer

Filer Name
Health First Foundation Inc
EIN
84-3851693
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
2019
Legal Domicile
Fl
Voting Board Members
22
Independent Board Members
18
Employees
0
Volunteers
93
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 V, LINE 2A, NUMBER OF EMPLOYEES:

Employees at health first foundation, inc. Are included in the form 941 filed by health first shared services, inc., ein: 59-333684.

FORM 990, PART XI, LINE 9:

Transfer of net assets to foundation 1,586,810. Change in temp restricted net assets -729,790. Change in unrestricted net assets -566,070.

FORM 990, PART XII, LINE 2C, AUDITED FINANCIAL STATEMENTS:

The audit committee of health first reviews and approved the annual audit and compliance audit plans then makes its report to the health first board of trustees. The audit committee is responsible for the selection of the independent auditors. There was no change from prior year.

Financial Statement Notes

PART X, LINE 2:

Fasb asc 740 footnote: the foundation is generally exempt from federal and state income taxes under section 501(a), as an organization described in section 501(c)(3), of the internal revenue code and section 220.13 of the florida statutes, respectively. Accordingly, no provision for income taxes is made in the financial statements. Asc topic 740, income taxes, prescribes the accounting for uncertainty in income tax positions recognized in financial statements. Asc topic 740 provides guidance for recognition threshold and measurement attributes for the financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return.

PART V, LINE 4:

These endowments are used to provide assistance to disadvantaged patients and their families in need of medications, medical supplies, durable medical equipment and other incidentals related to indigent patient care, and to provide nursing scholarships to associates seeking to pursue further education (bsn, msn).

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IRS990/ActivityOrMissionDesc0HEALTH FIRST FOUNDATION, INC. HELPS IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY BY RAISING FUNDS TO SUPPORT AND ADVANCE THE MISSION OF HEALTH FIRST, INC. AND ITS FAMILY OF CHARITABLE HEALTHCARE PROVIDERS.
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IRS990/Desc0HEALTH FIRST FOUNDATION, INC. (HFFI) IS THE FUNDRAISING ARM OF HEALTH FIRST, WHOSE MISSION IS TO HELP IMPROVE THE HEALTH AND WELL-BEING OF RESIDENTS IN THE COMMUNITY BY RAISING FUNDS TO SUPPORT AND ADVANCE THE MISSION OF HEALTH FIRST AND ITS FAMILY OF CHARITABLE HEALTHCARE PROVIDERS. 100% OF THE FUNDS RAISED GO TO DIRECT SUPPORT IN THE FOLLOWING AREAS: CAPITAL CONSTRUCTION AND RENOVATION, CAPITAL EQUIPMENT AND TECHNOLOGY, PATIENT CARE, PROGRAM SERVICES, SPECIAL PROJECTS, EDUCATION AND CLINICAL EXCELLENCE, INDIGENT CARE AND PATIENT EDUCATION.DURING 2024, MORE THAN 2,522 INDIVIDUALS, FOUNDATIONS, CORPORATIONS AND OTHER ORGANIZATIONS SUPPORTED THE MISSION AND VISION OF HFFI. THROUGH THEIR GENEROSITY AND THE DEDICATED STEWARDSHIP OF THE RESOURCES ENTRUSTED TO US, HFFI WAS ABLE TO PROVIDE OVER $278,955 IN PROGRAM SUPPORT IN THE FOLLOWING AREAS: CAPITAL EQUIPMENT AND TECHNOLOGY, PATIENT CARE, PROGRAM SERVICES, SPECIAL PROJECTS, EDUCATION AND CLINICAL EXCELLENCE, INDIGENT CARE AND PATIENT EDUCATION. GIFTS WERE USED TO ADVANCE MEDICAL TECHNOLOGY, EMPOWER CLINICAL ASSOCIATES THROUGH SCHOLARSHIPS AND TRAINING PROGRAMS, AND EXPAND PATIENT CARE THROUGH PROGRAMS LIKE GLUCOMETER TEST STRIPS FOR INDIGENT PATIENTS, AND GRIEF AND BEREAVEMENT SUPPORT FOR CHILDREN AND FAMILIES.2024 ALSO SAW A CONTINUED NEED FOR GUARDIAN ANGEL GRANTS FUNDED BY DONATIONS TO THE COMPASSIONATE CARE FUND. THESE GRANTS ASSIST ELIGIBLE PATIENTS WITH TRANSPORTATION, PRESCRIPTIONS, AND MEDICAL EQUIPMENT AND ARE COORDINATED BY OUR CLINICAL CARE TEAMS. PHILANTHROPIC SUPPORT OF HFFI ALSO PROVIDES FUNDING FOR HEALTH FIRST AGING SERVICES WHICH SERVES OVER 4,500 CAREGIVERS AND THEIR LOVED ONES EACH YEAR WITH SERVICES SUCH AS: -MEMORY EVALUATION AND MANAGEMENT -FUTURE PLANNING AND CARE COORDINATION WITH FAMILY MEMBERS AND PHYSICIANS -MEDICATION REVIEW AND EDUCATION -FALL PREVENTION EDUCATION WITH GAIT AND BALANCE EXAM AND TREATMENT -CAREGIVING TRAINING AND SUPPORT ENDOWED FUNDS HELD BY HEALTH FIRST TOTALED $948,811 AT THE END OF 2024. FOUR OF THESE ENDOWED FUNDS, THE MIKE MEANS LARRY GARRISON ENDOWMENT FOR NURSING EXCELLENCE, THE IGO ENDOWMENT FUND, THE HENRY NURSING ENDOWMENT AND THE BIMDA NURSING SCHOLARSHIP ENDOWMENT, ALONG WITH GIFTS FROM THE COMMUNITY AND HEALTH FIRST ASSOCIATES PROVIDE FOR ANNUAL NURSING SCHOLARSHIP AWARDS EACH SPRING. DONATIONS ALSO FUNDED SCHOLARSHIPS TO TRAIN ASSOCIATES FOR THE ROLES OF MEDICAL ASSISTING, RESPIRATORY THERAPY ASSISTANT, CERTIFIED NURSING ASSISTANT, AND SUPPORTED ONGOING CLINICAL TRAINING FOR NURSES. GIFTS WERE ALSO USED TO SUPPORT TRAINING AND SUPPLIES FOR TEAM LAVENDER, A COORDINATED RESPONSE TEAM TO ADDRESS THE SPIRITUAL, EMOTIONAL, AND PSYCHOLOGICAL NEEDS OF HEALTHCARE WORKERS FOLLOWING ADVERSE EVENTS AND ACCUMULATED STRESS.DONATIONS ENHANCED PATIENT CARE BY SUPPLYING FUNDS FOR BREAST CANCER TREATMENT HANDBOOKS FOR NEWLY DIAGNOSED BREAST CANCER PATIENTS AND GIFTS TO HFFI ALSO PROVIDED: -SUPPLIES FOR HOSPICE PROGRAMS INCLUDING LOVE STITCHES AND FOREVER A HERO PLUS THANKSGIVING MEALS FOR FAMILIES WITH A LOVED ONE IN HOSPICE CARE. -BRIEF NEUROLOGICAL EXAMS THROUGH MEMORY DISORDER CLINIC.- ONGOING SUPPORT FOR HOSPICE OF HEALTH FIRST'S BRIGHT STAR PROGRAMS AND CAMPS.DONOR SUPPORT HELPED ADVANCE MEDICAL TECHNOLOGY, EXPAND PATIENT CARE, AND EMPOWER CLINICAL EXCELLENCE THROUGHOUT HEALTH FIRST.
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IRS990/Form990PartVIISectionAGrp/TitleTxt0TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt1PRESIDENT/CEO BEG 8/5/24
IRS990/Form990PartVIISectionAGrp/TitleTxt2ASSISTANT SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt3SYS VP FOUNDATION PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt4TRUSTEE
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IRS990/Form990PartVIISectionAGrp/TitleTxt10TRUSTEE
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IRS990/Form990PartVIISectionAGrp/TitleTxt21TRUSTEE BEG 1/2024
IRS990/Form990PartVIISectionAGrp/TitleTxt22EXECUTIVE VP CFO BEG 9/24
IRS990/Form990PartVIISectionAGrp/TitleTxt23SYS DIR OPS AND SUSTAINED
IRS990/Form990PartVIISectionAGrp/TitleTxt24FRMR INTERIM CEO/TRUSTEE END 8/
IRS990/Form990PartVIISectionAGrp/TitleTxt25FORMER PRESIDENT/CEO HFI
IRS990/Form990PartVIISectionAGrp/TitleTxt26FRMR EXEC VP CFO/COO END 8/05/2
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IRS990/MissionDesc0THE HEALTH FIRST FOUNDATION HELPS IMPROVE THE HEALTH AND WELL-BEING OF RESIDENTS IN OUR COMMUNITY BY RAISING FUNDS TO SUPPORT AND ADVANCE THE MISSION OF HEALTH FIRST AND ITS FAMILY OF CHARITABLE HEALTHCARE PROVIDERS.THESE INCLUDE FOUR NOT-FOR-PROFIT HOSPITALS - HEALTH FIRST CAPE CANAVERAL HOSPITAL, HEALTH FIRST HOLMES REGIONAL MEDICAL CENTER, HEALTH FIRST PALM BAY HOSPITAL, AND HEALTH FIRST VIERA HOSPITAL - AS WELL AS MANY OUTPATIENT & WELLNESS SERVICES, INCLUDING HOSPICE OF HEALTH FIRST AND HEALTH FIRST AGING SERVICES.
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