Health First Shared Services
Also known as Health First
Health First Shared Services reported $337.5 million in revenue and $303.6 million in expenses for the fiscal year ending September 30, 2024. Of every $100 it spent, $82.75 went to program services, $17.25 to management and general costs and $0.00 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 85.4% of the total. The highest compensation it reported for one person was $1,724,795 (FORMER PRESIDENT/CEO HFI). 815 people received more than $100,000 in reportable compensation. Revenue rose 24% between FY2021 and FY2024. Source: Form 990, FY2024 (3 mo.).
Where $100 of spending went
The 3-month short period ending December 31, 2024 · Form 990, Part IX, line 25 · total expenses $304MFor context, the median across 5,634 covered health care charities: $86.19 programs, $13.81 management, $0.00 fundraising (medians computed separately, so they may not sum to $100).
Where $100 of revenue came from
The 3-month short period ending December 31, 2024 · Form 990, Part VIII · total revenue $338M- Contributions & grants (non-government)$0.13 $443K
- Program service revenue$85.37 $288M
- Investment income$14.50 $49M
Other revenue was negative: −$276K. The bar shows the positive sources only.
The 990 scorecard · same measures for every charity, no grades
| Measure | FY2024 | Median |
|---|---|---|
| Program services Part IX 25(B) ÷ 25(A) | 82.7% | 85.6% |
| Management & general Part IX 25(C) ÷ 25(A) | 17.3% | 13.7% |
| Fundraising Part IX 25(D) ÷ 25(A) | 0.0% | 0.0% |
| Fundraising cost per $1 of contributions Part IX 25(D) ÷ Part VIII 1h | $0.00 | $0.00 |
| Contributions & grants share of revenue Part VIII 1h ÷ 12 | 0.1% | 1.3% |
| Government grants share of revenue Part VIII 1e ÷ 12 | 0.0% | 0.1% |
| Program service revenue share Part VIII 2g ÷ 12 | 85.4% | 93.7% |
| Highest reported compensation Part VII-A, columns D–F | $1,724,795 | $975,831 |
| Highest compensation as share of expenses Part VII-A ÷ Part IX 25(A) | 0.57% | 1.34% |
| People paid over $100,000 Part VII, line 2 | 815 | 27 |
| Net assets, in months of expenses Part X 33(B) ÷ monthly expenses | 62.6 | 6.6 |
| Independent voting board members Part VI 1a–1b | 13 of 13 | 88.9% |
A median is context, not a target: hospitals, universities, food banks and grantmakers spend in very different ways. What these measures can and can't tell you.
What the money paid for, in its own words
FY2024 (3 mo.) · Form 990, Part III · the three largest programs by expenseThe primary exempt purpose of Health First Shared Services, inc. (hfss) is to provide support and services that enable the integrated delivery network 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…
Highest reported compensation
FY2024 (3 mo.) · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here| Role | From this org | From related orgs | Other | Total |
|---|---|---|---|---|
| FORMER PRESIDENT/CEO HFI Former, 0.00 hrs/week | $1,703,863 | $0 | $20,932 | $1,724,795 |
| FORMER EXEC VP CSO Former, 0.00 hrs/week | $1,195,781 | $0 | $27,757 | $1,223,538 |
| EXEC VP CFO/COO END 7/15/2024 Officer, 4.00 hrs/week | $980,450 | $0 | $28,047 | $1,008,497 |
| SR VP CCO/INTERIM CEO HOSP END 7/31/2024 Key employee, 20.00 hrs/week | $875,347 | $0 | $26,054 | $901,401 |
| SR VP/CORP COUNSEL Key employee, 4.00 hrs/week | $817,230 | $0 | $30,967 | $848,197 |
| FORMER EVP/CFO HFI Former, 0.00 hrs/week | $799,466 | $0 | $20,263 | $819,729 |
| CHIEF EXPERIENCE OFFICER Officer, 30.00 hrs/week | $790,028 | $0 | $29,234 | $819,262 |
| SR VP CEO COMMUNITY HEALTH Highest compensated employee, 3.00 hrs/week | $764,659 | $0 | $29,647 | $794,306 |
815 people received more than $100,000 in reportable compensation from Health First Shared Services (Part VII, line 2). Compensation of current officers, directors and key employees totaled $6.1M (Part IX, line 5).
5 filings since FY2021
Form 990, Parts I, VII, IX and X · each row is that year's own filing, linkedGovernance answers, as filed
FY2024 (3 mo.) · the organization's own yes/no answers; explanations, if any, are in Schedule O of the filing · what each means- Voting board members, and how many are independent Part VI, lines 1a–1b13 · 13 independent
- Audited financial statements Part XII 2bYes
- Conflict-of-interest policy Part VI 12aYes
- Whistleblower policy Part VI 13Yes
- Document retention policy Part VI 14Yes
- Independent process for top executive pay Part VI 15aYes
- Board given the 990 before filing Part VI 11aYes
- Family or business ties among insiders Part VI 2No
- Aware of a significant diversion of assets Part VI 5No
- Excess benefit transaction with an insider Part IV 25aNo
- Loans to or from insiders outstanding Part IV 26Yes
- Lobbying, or a 501(h) election in effect Part IV 4No
- Over $15,000 of professional fundraising services Part IV 18No
- Over $10,000 of activity outside the U.S. Part IV 14bYes
- Employees Part I, line 512,099
- Volunteers Part I, line 69
Largest outside contractors
FY2024 (3 mo.) · Form 990, Part VII, Section B · businesses only| COMPASS ONE HEALTHCARE Operational services | $16,913,716 |
| CROTHALL HEALTHCARE INC Operational services | $9,811,221 |
| SODEXO CTM LLC Operational services | $9,248,904 |
| CIELO INC Operational services | $6,796,528 |
| MISCROSOFT CORPORATION Operational services | $5,626,425 |
Individuals listed as contractors are left out. 188 contractors were paid more than $100,000 in all.
Correct a figure or respond
Every number above is copied from Health First Shared Services's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for Health First Shared Services, you can publish a response that is linked from this page.
Share or embed this breakdown
Of every $100 Health First Shared Services spent in FY2024, $82.75 went to programs. The full breakdown, from its IRS Form 990:
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Similar-sized charities in this cause
- Southcoast Physicians GroupFairhaven, MA · revenue $337M · programs 94.9% · FY2025
- Promedica Central PhysiciansToledo, OH · revenue $338M · programs 100.0% · 2024
- Texas Health Arlington Memorial HospitalArlington, TX · revenue $337M · programs 83.2% · 2024
- Deaconess Health SystemEvansville, IN · revenue $338M · programs 88.6% · FY2025
- St Elizabeth's Hospital of the Hospital Sisters of the Third Order of St Fr ancisOFallon, IL · revenue $337M · programs 79.2% · FY2025
Questions people ask
How much of Health First Shared Services's spending goes to programs?
In the fiscal year ending September 30, 2024, Health First Shared Services reported that 82.7% of its $303.6 million in expenses went to program services, 17.3% to management and general and 0.0% to fundraising (Form 990, Part IX).
How much does Health First Shared Services pay its top executive?
The largest total compensation Health First Shared Services reported for one person in the fiscal year ending September 30, 2024 was $1,724,795, for the role of FORMER PRESIDENT/CEO HFI (Form 990, Part VII, including compensation from related organizations and other compensation).
Where does Health First Shared Services get its money?
Of $337.5 million in revenue in the fiscal year ending September 30, 2024, 0.1% came from contributions and grants and 85.4% from program service revenue (Form 990, Part VIII).
Is Health First Shared Services a registered charity?
The IRS lists EIN 59-3336894 as a 501(c)(3) organization (publicly supported organization (509(a)(2))), and its records show contributions as tax-deductible. Form 990 filings on record here cover tax years 2020, 2021, 2022, 2023, 2024. A filing shows what the organization reported; it doesn't by itself show whether a program works.
Sources
- FY2024 (3 mo.): Form 990 for the 3-month short period ending December 31, 2024, object 202543219349305809 · read the filing · XML
- FY2024: Form 990 for the fiscal year ending September 30, 2024, object 202511349349305641 · read the filing
- FY2023: Form 990 for the fiscal year ending September 30, 2023, object 202412279349303181 · read the filing
- FY2022: Form 990 for the fiscal year ending September 30, 2022, object 202312279349301656 · read the filing
- FY2021: Form 990 for the fiscal year ending September 30, 2021, object 202232279349302348 · read the filing
All filings for EIN 59-3336894: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.