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Nonprofiteer
← HEALTH FIRST HEALTH PLANS INC

Form 990 for tax year 2023

Filed by HEALTH FIRST HEALTH PLANS INC.

Totals

Total revenue
$509,031,433
Total expenses
$488,466,332
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$502,332,068
Investment income
$6,699,365
Other revenue
$0
Total assets, end of year
$206,151,613
Total liabilities, end of year
$62,864,491
Net assets or fund balances, end of year
$143,287,122
Program services expenses (Part IX)
$463,370,173
Management and general expenses
$25,096,159
Fundraising expenses
$0
Program service expenses (Part III)
$463,370,173

Program services were 94.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: PREMIUM REVENUE

    total $502,332,068 · related or exempt $502,332,068

  • 3 · Investment income

    total $6,765,765 · excluded $6,765,765

  • 7a · Gross sales of assets other than inventory

    securities $47,484,718

  • 7b · Less cost or other basis and sales expenses

    securities $47,551,118

  • 7c · Gain or loss

    securities -$66,400

  • 7d · Net gain or loss

    total -$66,400 · excluded -$66,400

Functional expenses

Part IX, the statement of functional expenses.

  • 6 · Compensation of disqualified persons

    total $29,246,976 · program services $19,487,571 · management and general $9,759,405

  • 7 · Other salaries and wages

    total $547,933 · program services $365,094 · management and general $182,839

  • 8 · Pension plan contributions

    total $5,788,842 · program services $3,857,167 · management and general $1,931,675

  • 9 · Other employee benefits

    total $2,156,676 · program services $1,437,016 · management and general $719,660

  • 11c · Fees: accounting

    total $247,432 · management and general $247,432

  • 11f · Fees: investment management

    total $99,507 · management and general $99,507

  • 11g · Fees: other

    total $14,597,990 · program services $12,456,034 · management and general $2,141,956

  • 12 · Advertising and promotion

    total $3,514,489 · program services $2,341,741 · management and general $1,172,748

  • 13 · Office expenses

    total $1,981,867 · program services $1,320,539 · management and general $661,328

  • 14 · Information technology

    total $201,189 · program services $134,054 · management and general $67,135

  • 16 · Occupancy

    total $222,383 · program services $148,176 · management and general $74,207

  • 17 · Travel

    total $42,452 · program services $28,286 · management and general $14,166

  • 19 · Conferences, conventions and meetings

    total $29,668 · program services $19,768 · management and general $9,900

  • 23 · Insurance

    total $2,076 · program services $1,383 · management and general $693

  • 24a · Other expenses: MEDICAL SERVICES

    total $398,495,716 · program services $398,495,716

  • 24b · Other expenses: BROKER COMMISSIONS

    total $5,572,585 · program services $5,572,585

  • 24c · Other expenses: LICENSES & TAXES

    total $132,169 · management and general $132,169

  • 24e · All other expenses

    total $25,586,382 · program services $17,705,043 · management and general $7,881,339

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $100,199,947

  • 2 · Savings and temporary cash investments

    beginning of year $1,686,488 · end of year $73,171,941

  • 4 · Accounts receivable

    beginning of year $13,396,404 · end of year $12,599,222

  • 9 · Prepaid expenses and deferred charges

    beginning of year $1,652,782 · end of year $308,331

  • 11 · Investments: publicly traded securities

    beginning of year $76,834,952 · end of year $87,737,844

  • 15 · Other assets

    beginning of year $75,969,591 · end of year $32,334,275

  • 17 · Accounts payable and accrued expenses

    beginning of year $58,514,457 · end of year $40,552,071

  • 19 · Deferred revenue

    beginning of year $39,290,128 · end of year $293,182

  • 25 · Other liabilities

    beginning of year $40,821,997 · end of year $22,019,238

  • 27 · Net assets without donor restrictions

    beginning of year $131,113,582 · end of year $143,287,122

Mission and programs · 2023

Mission

WE EXIST TO IMPROVE THE HEALTH AND WELLNESS OF THE COMMUNITIES WE SERVE.

  • HEALTH FIRST HEALTH PLANS (HFHP) IS PRIMARILY ENGAGED IN PROMOTING THE HEALTH PLANS TO LOW INCOME, ELDERLY, OR UNDERSERVED PERSONS. ENROLLMENT IS OPEN TO ALL WHO QUALIFY FOR MEDICARE.HEALTH FIRST HEALTH PLANS' PRIMARY PLANS ARE MEDICARE ADVANTAGE (MA) HMO. MA PLANS OFFER EVERYTHING THAT TRADITIONAL MEDICARE COVERS. IN ADDITION TO GYM MEMBERSHIP AND ALLOWANCES FOR DENTAL AND VISION CARE. THE PLANS FEATURE AN EXTENSIVE NETWORK OF PROVIDERS AND COVER EMERGENCY CARE WORLDWIDE.HEALTH FIRST HEALTH PLANS ARE AVAILABLE TO MEDICARE ELIGIBLE INDIVIDUALS LIVING IN BREVARD, INDIAN RIVER, HARDEE, VOLUSIA, AND FLAGLER COUNTIES IN FLORIDA. HEALTH FIRST HEALTH PLANS' PRIORITIES ARE TO INVEST INTO QUALITY IMPROVEMENT, AFFORDABILITY, AND OTHER ACTIVITIES TO IMPROVE THE HEALTH AND HEALTHCARE OF THE ENTIRE COMMUNITY.

    Expenses $463,370,173 · Revenue $502,332,068

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • BRETT A ESROCK

    EXEC CFO/COO TREASURER END 7/15/2024

    Total calculated
    $1,008,497
    From this org
    $0
    From related orgs
    $980,450
    Other
    $28,047
    Hours/week
    4 + 36 related

    Schedule J breakdown matched by us

    Base
    $0 + $887,244 related
    Bonus
    $0 + $84,169 related
    Other
    $0 + $9,037 related
    Deferred
    $0 + $9,000 related
    Nontaxable benefits
    $0 + $19,047 related
    Filer's total
    $0 + $1,008,497 related

  • MATTHEW F GERRELL

    SR VP CEO HEALTH PLANS

    Total calculated
    $779,177
    From this org
    $0
    From related orgs
    $747,521
    Other
    $31,656
    Hours/week
    14 + 26 related

    Schedule J breakdown matched by us

    Base
    $0 + $582,403 related
    Bonus
    $0 + $55,049 related
    Other
    $0 + $110,069 related
    Deferred
    $0 + $8,672 related
    Nontaxable benefits
    $0 + $22,984 related
    Filer's total
    $0 + $779,177 related

  • FRANK S LETHERBY

    SR VP COMMUNITY HS /DIRECTOR END 8/8/2024

    Total calculated
    $794,306
    From this org
    $0
    From related orgs
    $764,659
    Other
    $29,647
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $689,396 related
    Bonus
    $0 + $65,269 related
    Other
    $0 + $9,994 related
    Deferred
    $0 + $9,000 related
    Nontaxable benefits
    $0 + $20,647 related
    Filer's total
    $0 + $794,306 related

  • DALE A DETTMER ESQ

    DIRECTOR

    Total calculated
    $14,956
    From this org
    $0
    From related orgs
    $14,956
    Other
    $0
    Hours/week
    1 + 2 related

  • ALAN L PRESTWOOD

    DIRECTOR

    Total calculated
    $151,760
    From this org
    $0
    From related orgs
    $151,760
    Other
    $0
    Hours/week
    1 + 2 related

    Schedule J breakdown matched by us

    Base
    $0 + $151,760 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $151,760 related

  • KIM K PATRICK

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 8 related

  • NICHOLAS W ROMANELLO ESQ

    SECRETARY

    Total calculated
    $848,197
    From this org
    $0
    From related orgs
    $817,230
    Other
    $30,967
    Hours/week
    4 + 36 related

    Schedule J breakdown matched by us

    Base
    $0 + $606,524 related
    Bonus
    $0 + $57,551 related
    Other
    $0 + $153,155 related
    Deferred
    $0 + $9,000 related
    Nontaxable benefits
    $0 + $21,967 related
    Filer's total
    $0 + $848,197 related

  • TAYLOR K SMITH

    INTERIM CEO HFI END 8/5/2024

    Total calculated
    $516,274
    From this org
    $0
    From related orgs
    $516,274
    Other
    $0
    Hours/week
    4 + 36 related

    Schedule J breakdown matched by us

    Base
    $0 + $516,274 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $516,274 related

  • TERRY L FORDE

    PRESIDENT/CEO BEG. 8/5/2024

    Total calculated
    $0
    Hours/week
    4 + 36 related

  • KRISTEN M PULIO

    EXECUTIVE VP CFO BEG. 9/23/2024

    Total calculated
    $0
    Hours/week
    4 + 36 related

  • JOSHUA P PULVER

    VP CFO HFHP

    Total calculated
    $412,650
    From this org
    $0
    From related orgs
    $384,072
    Other
    $28,578
    Hours/week
    22 + 18 related

    Schedule J breakdown matched by us

    Base
    $0 + $360,260 related
    Bonus
    $0 + $22,103 related
    Other
    $0 + $1,709 related
    Deferred
    $0 + $9,000 related
    Nontaxable benefits
    $0 + $19,578 related
    Filer's total
    $0 + $412,650 related

  • STEVEN P JOHNSON

    FORMER CHAIR/PRESIDENT/CEO HFI

    Total calculated
    $1,724,795
    From this org
    $0
    From related orgs
    $1,703,863
    Other
    $20,932
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $401,576 related
    Bonus
    $0
    Other
    $0 + $1,302,287 related
    Deferred
    $0 + $4,874 related
    Nontaxable benefits
    $0 + $16,058 related
    Filer's total
    $0 + $1,724,795 related

  • DREW A RECTOR

    FORMER EVP CSO/VC

    Total calculated
    $1,223,538
    From this org
    $0
    From related orgs
    $1,195,781
    Other
    $27,757
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $309,307 related
    Bonus
    $0
    Other
    $0 + $886,474 related
    Deferred
    $0 + $3,845 related
    Nontaxable benefits
    $0 + $23,912 related
    Filer's total
    $0 + $1,223,538 related

  • MICHAEL A SCIALDONE

    FORMER EVP/CFO HFI/SEC/TREA

    Total calculated
    $819,729
    From this org
    $0
    From related orgs
    $799,466
    Other
    $20,263
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $52,705 related
    Bonus
    $0
    Other
    $0 + $746,761 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $20,263 related
    Filer's total
    $0 + $819,729 related

  • ROBERT K HENRY

    FORMER DIRECTOR

    Total calculated
    $19,875
    From this org
    $0
    From related orgs
    $19,875
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $19,875 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $19,875 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

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 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)

SCHEDULE J: PART I, LINE 3
COMPENSATION IS PAID BY HEALTH FIRST SHARED SERVICES, INC. EIN: 59-3336894 AND REIMBURSED BY HEALTH FIRST COMMERCIAL PLANS, INC. 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 4A:
THE FOLLOWING SEVERANCE PAYMENTS ARE INCLUDED IN TAXABLE COMPENSATION REPORTED ON 2023 FORM W-2: STEVEN P. JOHNSON $1,289,669 DREW A. RECTOR $556,521 MICHAEL A. SCIALDONE $745,064
PART 1, LINE 4B:
THE FOLLOWING INDIVIDUALS PARTICIPATE IN CAP-EX (A SPLIT DOLLAR LIFE INSURANCE AGREEMENT IN PLACE OF A TRADITIONAL SERP) AND HAVE ESTABLISHED A PREMIUM DEPOSIT ACCOUNT. THE ACCOUNT IS CONNECTED TO THE INSURANCE POLICY AND WILL BE USED TO PAY FUTRE PREMIUMS ON THE POLICY. THE INDIVIDUALS ARE TAXED ON ANY EARNINGS GENERATED BY THIS ACCOUNT. DURING THE TAX YEAR, THE FOLLOWING INDIVIDUALS RECEIVED TAX WITHDRAWAL AMOUNTS TO COVER THEIR TAX LIABILITY. SEE HEALTH FIRST SHARED SERVICES, INC. (EIN: 59-3336894) FORM 990, AND RELATED SCHEDULES FOR FURTHER DETAILS ON THE PROGRAM. STEVEN P. JOHNSON $0 BRETT A. ESROCK $3,092 FRANK S. LETHERBY $6,645 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.

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 corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2023
Filed
14 May 2025
IRS schema version
2023v6.0
Source object
202501349349305740

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