Health First

What it reported doing in 2024

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

Financial Efficiency

• Mission deployment rate: 77.2%; rating input score 77
• Program expense ratio: 89.9%; rating input score 90
• 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: 37%; rating input score 37; 8th 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: 13.4%; rating input score 80; 80th percentile among comparable filings
• Total-asset coverage ratio: 4.83; rating input score 85; 85th percentile among comparable filings
• Liabilities to assets ratio: 0.43; rating input score 42; 42nd percentile among comparable filings
• Officer compensation ratio: 0.1%; rating input score 92; 92nd percentile among comparable filings

Growth

• Program expense growth: 3.3% per year; rating input score 100; 25th percentile among comparable filings
• Revenue growth: 2.5% per year; rating input score 100; 18th percentile among comparable filings
• Asset growth: 3.9% per year; rating input score 100; 27th percentile among comparable filings