Health First

What it reported doing in 2024

The primary exempt purpose of health first shared services, inc. (hfss) is to provide support and services that enable the infrastructure to provide exceptional patient care at health first's cape canaveral hospital, health first's holmes regional medical center, health first's palm bay hospital, health first's viera hospital and hospice of health first, inc. The services provided by hfss include, but are not limited to: strategic planning, management, administrative support services, and integral services in it and finance.more specifically, hfss supports its affiliated organizations with:1. Coordination of patient care services to reduce the duplication of resources and increase the cost-efficiency of patient care offered at any health first entity;2. Provision of enhanced clinical, marketing, planning, financial and organizational services and expertise, and;3. Service area community health planning to ensure that collectively all health first entities provide the healthcare services required to meet the needs of residents who reside in brevard county.some examples of enhanced clinical care include virtual visits, athenahealth, epic, and kyruus. These advancements ensure there is access to care with ease and convenience. Virtual visits are a way for physicians to offer healthcare to thousands of people from the comfort of their own homes. Health first has invested deeply in this technology to help keep our community safe.the virtual visit tools we effectively and immediately implemented during the first wave of covid-19 made a huge impact as health first continued to provide quality care to our patients.with the covid-19 pandemic, the future of virtual visits was no longer a "nice to have" but instead, a "must have," based on the response health first experienced from patients.the health first network has expanded these services to include well care visits, chronic disease management, acute visits, and specialist care. In 2024, there were 10,323 virtual visit patients that were seen by health first providers.health first partnered with athenahealth to modernize our patient intake process.athenahealth's electronic medical record (emr) system enhances the patient experience with a streamlined, user-friendly portal. Patients can conveniently check in online before their appointment or use self-service tools in the office for faster registration. The system allows secure online payments, real-time updates, and messaging, so patients can stay informed and wait in their vehicles until they are notified. With integrated tools for accurate recordkeeping, athena improves communication between patients and their care teams. Health first has announced the investment of more than $160 million as part of a two-year transformative plan to modernize and transform brevard county's healthcare experience for patients, health plans members, providers, and care teams.health first is partnering with healthcare software vendor epic to improve the health and wellness of the communities we serve. Epic's electronic health record (ehr) system provides a modern, intuitive platform to enhance the patient experience. With epic's mychart, patients can easily check in online before their appointment or use convenient self-service options in the office for faster registration. The system offers secure online bill payments, real-time appointment updates, and messaging, allowing patients to wait in their vehicles until notified it's time to enter. Epic's comprehensive tools streamline communication between patients and their care teams, ensuring accurate records and seamless care coordination.health first offers an enterprise-wide platform for our online provider directory named kyruus. The enhanced directory streamlines our online medical staff provider directory. The improvement will incorporate search filter criteria, mobile optimization and more. This not only increased ease of access to our network but also boosted the customer experience. With the hea

Financial Efficiency

• Mission deployment rate: 100%; rating input score 100
• Program expense ratio: 91.4%; rating input score 91
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
• Pay-setting controls: 4 of 6 controls in place; rating input score 67
  • Compensation committee: Pass
  • Independent consultant: Pass
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Scored; rating input score 0
• Grant itemization coverage: Scored; rating input score 0
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Yes; rating input score 100

Accountability

• Independent voting board: 85.7%; rating input score 86; 32nd percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: -14.5%; rating input score 5; 5th percentile among comparable filings
• Total-asset coverage ratio: 21.78; rating input score 98; 98th percentile among comparable filings
• Liabilities to assets ratio: 0.21; rating input score 67; 67th percentile among comparable filings
• Officer compensation ratio: 13.6%; rating input score 1; 1st percentile among comparable filings

Growth

• Program expense growth: 1.5% per year; rating input score 100; 13th percentile among comparable filings
• Revenue growth: 4.8% per year; rating input score 100; 40th percentile among comparable filings
• Asset growth: 9.6% per year; rating input score 100; 68th percentile among comparable filings