Totals
- Total revenue
- $0
- Total expenses
- $0
- Contributions and grants received
- $0
- Grants paid
- $0
- Program service revenue
- $0
- Investment income
- $0
- Other revenue
- $0
- Total assets, end of year
- $0
- Total liabilities, end of year
- $0
- Net assets or fund balances, end of year
- $0
- Program services expenses (Part IX)
- $0
- Management and general expenses
- $0
- Fundraising expenses
- $0
- Program service expenses (Part III)
- not reported
Listed in Part VII
-
STEVEN P JOHNSON
PRESIDENT/CEO (END 2/2023)
- Total calculated
- $2,208,499
- From this org
- $0
- From related orgs
- $2,183,427
- Other
- $25,072
- Hours/week
- 1 + 39 related
Schedule J breakdown matched by us
- Base
- $0 + $2,162,221 related
- Bonus
- $0
- Other
- $0 + $21,206 related
- Deferred
- $0 + $8,200 related
- Nontaxable benefits
- $0 + $16,872 related
- Filer's total
- $0 + $2,208,499 related
-
NICHOLAS W ROMANELLO ESQ
ASSISTANT SECRETARY
- Total calculated
- $765,983
- From this org
- $0
- From related orgs
- $736,683
- Other
- $29,300
- Hours/week
- 1 + 39 related
Schedule J breakdown matched by us
- Base
- $0 + $588,875 related
- Bonus
- $0
- Other
- $0 + $147,808 related
- Deferred
- $0 + $8,200 related
- Nontaxable benefits
- $0 + $21,100 related
- Filer's total
- $0 + $765,983 related
-
TAYLOR K SMITH
CHAIR / INTERIM CEO (BEG 2/2023)
- Total calculated
- $61,634
- From this org
- $0
- From related orgs
- $61,634
- Other
- $0
- Hours/week
- 1 + 39 related
-
JAMES C SHAW
VICE CHAIR
- Total calculated
- $25,837
- From this org
- $0
- From related orgs
- $25,837
- Other
- $0
- Hours/week
- 1 + 5 related
-
JOSEPH GURRI MD
TRUSTEE
- Total calculated
- $20,735
- From this org
- $0
- From related orgs
- $20,735
- Other
- $0
- Hours/week
- 1 + 5 related
-
DANA S KILBORNE
TREASURER
- Total calculated
- $18,000
- From this org
- $0
- From related orgs
- $18,000
- Other
- $0
- Hours/week
- 1 + 5 related
-
LARRY S BISHOP MD
TRUSTEE (BEG 10/2021)
- Total calculated
- $13,559
- From this org
- $0
- From related orgs
- $13,559
- Other
- $0
- Hours/week
- 1 + 4 related
-
ROBERT K HENRY
TRUSTEE
- Total calculated
- $12,368
- From this org
- $0
- From related orgs
- $12,368
- Other
- $0
- Hours/week
- 1 + 5 related
-
ALAN L PRESTWOOD
TRUSTEE
- Total calculated
- $7,891
- From this org
- $0
- From related orgs
- $7,891
- Other
- $0
- Hours/week
- 1 + 8 related
-
SCOTT T MIKUEN
SECRETARY
- Total calculated
- $0
- Hours/week
- 1 + 5 related
-
DAVID BANKS
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
ROBERT DUANE DAVIS MD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
TODD GOODMAN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
RANDALL L HAFFNER
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
KIM K PATRICK
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 8 related
-
DREW A RECTOR
EXEC VP CSO (END 4/2023)
- Total calculated
- $1,195,723
- From this org
- $0
- From related orgs
- $1,166,423
- Other
- $29,300
- Hours/week
- 1 + 39 related
Schedule J breakdown matched by us
- Base
- $0 + $844,570 related
- Bonus
- $0
- Other
- $0 + $321,853 related
- Deferred
- $0 + $8,200 related
- Nontaxable benefits
- $0 + $21,100 related
- Filer's total
- $0 + $1,195,723 related
-
MICHAEL A SCIALDONE
EVP/CFO HFI (END 1/2023)
- Total calculated
- $917,976
- From this org
- $0
- From related orgs
- $896,876
- Other
- $21,100
- Hours/week
- 1 + 39 related
Schedule J breakdown matched by us
- Base
- $0 + $723,726 related
- Bonus
- $0
- Other
- $0 + $173,150 related
- Deferred
- $0
- Nontaxable benefits
- $0 + $21,100 related
- Filer's total
- $0 + $917,976 related
-
BRETT A ESROCK
EXEC VP CFO/COO (BEG 1/2023)
- Total calculated
- $761,751
- From this org
- $0
- From related orgs
- $735,252
- Other
- $26,499
- Hours/week
- 1 + 39 related
Schedule J breakdown matched by us
- Base
- $0 + $725,700 related
- Bonus
- $0
- Other
- $0 + $9,552 related
- Deferred
- $0 + $8,200 related
- Nontaxable benefits
- $0 + $18,299 related
- Filer's total
- $0 + $761,751 related
-
MARTIN W ISENMAN MD
FORMER TRUSTEE (END 9/2021
- Total calculated
- $19,132
- From this org
- $0
- From related orgs
- $19,132
- Other
- $0
- Hours/week
- 0
Schedule J breakdown matched by us
- Base
- $0
- Bonus
- $0
- Other
- $0 + $19,132 related
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $0 + $19,132 related
-
PAMELA A GATTO
FORMER TRUSTEE (END 9/2021
- Total calculated
- $11,172
- From this org
- $0
- From related orgs
- $11,172
- Other
- $0
- Hours/week
- 0
Schedule J breakdown matched by us
- Base
- $0
- Bonus
- $0
- Other
- $0 + $11,172 related
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $0 + $11,172 related
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 4b · Supplemental nonqualified retirement plan
Answered no
- 4a · Severance or change-of-control payment
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- PART I, LINE 3
- COMPENSATION IS PAID BY HEALTH FIRST SHARED SERVICES, INC. EIN: 59-3336894. THE FILING ORGANIZATION RELIED ON HEALTH FIRST SHARED SERVICES, INC. FOR ESTABLISHING THE TOP MANAGEMENT OFFICIAL'S COMPENSATION. SEE CORE 990, PART VI, SECTION B, LINE 15 ON SCHEDULE O FOR FURTHER INFORMATION REGARDING THE PROCESS UTILIZED.
- PART I, LINE 4B
- THE FOLLOWING INDIVIDUAL PARTICIPATES IN CAP-EX (A SPLIT DOLLAR LIFE INSURANCE AGREEMENT IN PLACE OF A TRADITIONAL SERP) AND HAS ESTABLISHED A PREMIUM DEPOSIT ACCOUNT. THE ACCOUNT IS CONNECTED TO THE INSURANCE POLICY AND WILL BE USED TO PAY FUTURE PREMIUMS ON THE POLICY. THE INDIVIDUAL IS TAXED ON ANY EARNINGS GENERATED BY THIS ACCOUNT. DURING THE TAX YEAR, THE FOLLOWING INDIVIDUAL RECEIVED A TAX WITHDRAWAL AMOUNT TO COVER THEIR TAX LIABILITY. SEE HEALTH FIRST SHARED SERVICES, INC. (EIN: 59-3336894) FORM 990, AND RELATED SCHEDULES FOR FUTHER DETAILS ON THE PROGRAM. STEVEN P. JOHNSON $2,136 BRETT A. ESROCK $1,566 MICHAEL A. SCIALDONE $0
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
501(C)(3) · HOSPITAL · FL · controlled entity
Directly controlled by HEALTH FIRST SHARED SERVICES INC
-
501(C)(3) · FUNDRAISING · FL · controlled entity
Directly controlled by HEALTH FIRST SHARED SERVICES INC
-
HEALTH FIRST SHARED SERVICES INC
501(C)(3) · SHARED SERVICES · FL · controlled entity
Directly controlled by HEALTH FIRST INC
-
HOLMES REGIONAL MEDICAL CENTER INC
501(C)(3) · HOSPITAL · FL · controlled entity
Directly controlled by HEALTH FIRST SHARED SERVICES INC
-
501(C)(3) · HEALTHCARE · FL · controlled entity
Directly controlled by HEALTH FIRST SHARED SERVICES INC
-
501(C)(3) · HOSPITAL · FL · controlled entity
Directly controlled by HEALTH FIRST SHARED SERVICES INC
-
HEALTH FIRST ADMINISTRATIVE PLANS INC
501(C)(4) · HEALTHCARE · FL · controlled entity
Directly controlled by HEALTH FIRST SHARED SERVICES INC
-
HEALTH FIRST COMMERCIAL PLANS INC
501(C)(4) · HEALTHCARE · FL · controlled entity
Directly controlled by HEALTH FIRST SHARED SERVICES INC
-
501(C)(4) · HEALTHCARE · FL · controlled entity
Directly controlled by HEALTH FIRST SHARED SERVICES INC
Taxable family on this return
Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.
Related partnerships
Part III: related organizations taxable as a partnership, with the filer's share.
-
RELATED · HEALTHCARE · FL
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
C · REAL ESTATE · FL · controlled entity
-
DOCTOR'S SURGICAL PARTNERSHIP LLC
C · HEALTH CARE · FL · controlled entity
-
C · HOLDING CORP. · FL · controlled entity
-
C · HEALTH CARE · FL · controlled entity
-
HEALTH FIRST MEDICAL MANAGEMENT INC
C · HEALTH CARE · FL · controlled entity
-
HEALTH FIRST PHYSICIAN SPECIALTIES
C · HEALTH CARE · FL · controlled entity
-
C · HEALTH CARE · FL · controlled entity
-
HOLMES REGIONAL ENTERPRISES INC
C · REAL ESTATE · FL · controlled entity
-
C · HEALTH CARE · FL · controlled entity
-
C · SELF-INSURANCE · CJ · controlled entity
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 13 August 2024
- IRS schema version
- 2022v5.0
- Source object
- 202422279349302597
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