Health First

What it reported doing in 2024

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.

Financial Efficiency

• Mission deployment rate: 80.5%; rating input score 80
• Program expense ratio: 88.8%; rating input score 89
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 92.3%; rating input score 92; 12th percentile among comparable filings
• Pay-setting controls: 0 of 6 controls in place; rating input score 0
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Missing
  • Board or committee approval: Missing
• Foreign activity oversight: Limited
• Grant itemization coverage: 24.7%; rating input score 25; 7th percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Yes; rating input score 100

Accountability

• Independent voting board: 81.8%; rating input score 82; 29th percentile among comparable filings
• Governance controls: 7 of 9 controls in place; rating input score 78
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Fail
  • Other executive compensation review process: Fail
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 9.1%; rating input score 70; 70th percentile among comparable filings
• Total-asset coverage ratio: 10.38; rating input score 91; 91st percentile among comparable filings
• Liabilities to assets ratio: 0.76; rating input score 19; 19th percentile among comparable filings
• Officer compensation ratio: 0.5%; rating input score 84; 84th percentile among comparable filings

Growth

• Program expense growth: 4% per year; rating input score 100; 31st percentile among comparable filings
• Revenue growth: 2.8% per year; rating input score 100; 20th percentile among comparable filings
• Asset growth: 9.6% per year; rating input score 100; 68th percentile among comparable filings