Health First Shared Services Inc
91% goes to programs $0 to raise $100 Strong reserves Declining revenue
Health First Shared Services Inc is a 501(c)(3) organization based in Rockledge, Florida, registered in 2020, with $82,240,712 in FY2024 revenue. CharityIndex grades it B+, and it directs about 91% of spending to programs.
6450 Us Highway 1, Rockledge, FL, 32955 EIN 59-3336894 Since 2020
Revenue (FY2024)
$82.2M
▼ 75.6% vs prior year
Health median: $840K
Expenses (FY2024)
$94.2M
Net assets
$1.6B
Employees
12,163
CharityIndex rating
One independent A+ to F grade from four published criteria, each scored separately from IRS filings and combined by weight.
B+
★★★★
Rated on 4 of 4 criteria.
Held down by its weakest criterion — a strong score on one criterion can't hide a weak one.
How the rating works →AProgram efficiency40% of the rating91% to programs · $0 to raise $100
Measures how much of every dollar spent actually reaches programs, plus what it costs to raise $100 of donations. The worse of the two measures sets the letter (85%+ to programs is an A; under $15 to raise $100 is an A), averaged over the three most recent filings. For Health First Shared Services Inc: 91% to programs · $0 to raise $100 earns a A on this criterion. See the exact thresholds →
C+Financial health25% of the rating205 mo reserves · -15% margin
Measures whether the organization is built to last: how many months its reserves would cover expenses (3+ months earns an A-range score, but hoarding 5+ years of budget is capped) and whether it runs a surplus or a deficit. For Health First Shared Services Inc: 205 mo reserves · -15% margin earns a C+ on this criterion. See the exact thresholds →
A+Governance25% of the rating6 of 6 checks met
Checks how the organization is run, from its own Form 990: an independent board majority, a board of five or more, conflict-of-interest, whistleblower and document-retention policies, and independently audited financials. The share of disclosed checks that pass sets the letter. For Health First Shared Services Inc: 6 of 6 checks met earns a A+ on this criterion. See the exact thresholds →
ATransparency10% of the rating4 of 5 disclosure signals
Counts five disclosure signals: a recent filing, a mission statement, program descriptions, a listed website, and the full expense breakdown. More disclosure, better letter. For Health First Shared Services Inc: 4 of 5 disclosure signals earns a A on this criterion. See the exact thresholds →
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Mission
We exist to improve the health and wellness of the communities we serve.
Contact & location
- Address
- 6450 Us Highway 1, Rockledge, FL, 32955
- City
- Rockledge
- State
- Florida
- Category
- Health Care
- Subcategory
- Hospitals
- Phone
- …
- Website
- …
Financial trends
Revenue declined from $164.1M (FY2013) to $82.2M (FY2024) across 11 reported years.
Financial snapshot
Financial health & position (FY2024)
Liabilities $440.7MNet assets $1.6B
Operating margin
-14.5%
Spent more than it raised in the latest fiscal year.
Total assets
$2.1B
Total liabilities
$440.7M
Net assets
$1.6B
Salaries & benefits
$30.3M
32% of expenses
Board members
14
12 independent
Financials by year
| Fiscal year | Revenue | Expenses | Net assets | Total assets | Form |
|---|---|---|---|---|---|
| 2024 | $82,240,712▼75.6% | $94,183,859▼69.0% | $1,610,846,449▲1.7% | $2,051,551,035▲0.4% | 990 |
| 2023 | $337,507,437▼13.2% | $303,635,663▼15.2% | $1,584,104,176▲16.9% | $2,043,524,511▲12.3% | 990 |
| 2022 | $388,946,104▲33.6% | $358,050,153▲12.0% | $1,354,790,152▲17.4% | $1,819,267,420▲14.6% | 990 |
| 2021 | $291,100,092▲7.2% | $319,774,723▲20.4% | $1,153,868,616▼11.1% | $1,587,486,387▼5.3% | 990 |
| 2020 | $271,514,090▼2.8% | $265,668,880▲11.2% | $1,298,409,287▲67.7% | $1,676,572,579▲51.5% | 990 |
| 2018 | $279,445,215▲18.1% | $238,991,416▲7.7% | $774,203,841▲12.5% | $1,106,623,021▲9.5% | 990 |
| 2017 | $236,663,256▲1.8% | $221,908,048▲0.8% | $688,369,858▲16.8% | $1,010,974,076▲6.4% | 990 |
| 2016 | $232,555,985▲2.5% | $220,056,016▼16.8% | $589,337,798▲19.7% | $950,183,619▼1.6% | 990 |
| 2015 | $226,923,314▲10.4% | $264,591,914▲33.7% | $492,212,981▲8.5% | $966,097,650▲18.7% | 990 |
| 2014 | $205,581,665▲25.3% | $197,933,579▲19.2% | $453,528,608▲10.1% | $813,808,171▲7.3% | 990 |
| 2013 | $164,126,546 | $166,032,329▲7.3% | $411,843,481▲26.2% | $758,141,675▲19.7% | 990 |
| 2012 | — | $154,713,925▼6.8% | $326,381,505▲22.2% | $633,385,792▲22.9% | 990 |
| 2011 | — | $166,015,630▲28.0% | $267,176,537▲18.7% | $515,350,247▲7.0% | 990 |
| 2010 | — | $129,722,155▲14.7% | $225,129,118▼23.4% | $481,586,889▼25.9% | 990 |
| 2009 | — | $113,127,446 | $293,799,436 | $649,695,796 | 990 |
Original Form 990 PDFs (the Form column) are served by ProPublica Nonprofit Explorer, as filed with the IRS. Create a free account to download the CSV report.
Leadership & compensation (FY2024)
Highest-paid: Brett A Esrock — $1,236,188 (1.31% of total expenses)
| Name | Title | Hours/week | Compensation |
|---|---|---|---|
| Brett A Esrock | Former Exec Vp Cfo/coo End 7/24 | 0 | $1,236,188 |
| Terry L Forde | President/ceo Beg 8/5/2024 | 4 | $1,073,540 |
| Paula B Just | Chief Experience Officer | 30 | $1,014,712 |
| Nicholas W Romanello Esq | Sr Vp/corp Counsel | 4 | $1,010,140 |
| Matthew F Gerrell | Sr Vp Health Plans | 5 | $1,001,555 |
| Michael W Carr | Sr. Vp Cio | 30 | $729,013 |
| Cheyana D Fischer | Chief Clinical Officer Cno | 20 | $705,598 |
| Taylor K Smith | Secretary Beg 10/2024 Former Chair/ Interim Ceo | 1 | $678,744 |
| Michael E Mullowney | President Hospital Division Beg 10/24 | 10 | $617,354 |
| Jeffrey C Stalnaker Md | Former Sr Vp Cco/interim Ceo Hosp | 0 | $540,512 |
| Mary Jane Brecklin | System Vp Human Resources | 40 | $514,390 |
| Brian R Boggs | Sys Vp Chief Accounting Officer | 31 | $509,881 |
| Douglas B Mckee | Vp Chief Med Informatics | 40 | $488,956 |
| Michael A Scialdone | Former Evp/cfo Hfi | 0 | $461,162 |
| Arthur C Springer II | Sys Vp Chief Accounting Officer | 40 | $436,739 |
| Andrew Fink | Sr. Vp Community Health Svcs Beg 8/2024 | 1 | $424,399 |
| Drew A Rector | Former Exec Vp Cso | 0 | $322,036 |
| Steven P Johnson | Former President/ceo Hfi | 0 | $278,939 |
| Kristen M Pulio | Exec Vp Cfo Beg 09/2024 | 4 | $213,908 |
| James C Shaw | Vice Chair | 1 | $23,575 |
Top vendors & contractors (FY2024)
| Contractor | Services | Paid |
|---|---|---|
| Brevard Physicians Associates Pllc | Operational Services | $20,045,001 |
| Compass One Healthcare | Operational Services | $17,253,280 |
| Crothall Healthcare Inc | Operational Services | $10,792,155 |
| Altera Digital Health Inc | Operational Services | $7,299,269 |
| Sodexo Ctm LLC | Operational Services | $6,321,765 |
Grants received · $24K total
1 grant to Health First Shared Services Inc totaling $24K, reported by foundations on their Schedule I filings.
| Grantmaker | Purpose | Year | Amount |
|---|---|---|---|
| Jsi Research & Training Institute Inc | Operational support | 2019 | $23,976 |
Grants made · $50K in FY2023
1 grant totaling $50K in FY2023. All grants made by Health First Shared Services Inc →
| Recipient | Purpose | Amount |
|---|---|---|
| Economic Development Commission of Floridas Space Coast | General support - 2024 accelerate brevard sponorship | $50,000 |
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Frequently asked questions
- Is Health First Shared Services Inc a legitimate nonprofit?
- Yes. Health First Shared Services Inc is a 501(c)(3) organization registered with the U.S. Internal Revenue Service under EIN 59-3336894, based in Rockledge, Florida. Donations are tax-deductible.
- What is Health First Shared Services Inc's EIN?
- Health First Shared Services Inc's Employer Identification Number (EIN) is 59-3336894.
- How much revenue does Health First Shared Services Inc report?
- Health First Shared Services Inc reported $82,240,712 in total revenue on its fiscal year 2024 IRS Form 990 filing.
- How much of Health First Shared Services Inc's spending goes to programs?
- Health First Shared Services Inc spends about 91% of its total expenses on programs, based on its latest IRS Form 990.
- What financial grade does Health First Shared Services Inc have?
- CharityIndex grades Health First Shared Services Inc B+, based on program efficiency and fundraising cost.
- How much does Health First Shared Services Inc's highest-paid employee make?
- The highest reported compensation on Health First Shared Services Inc's latest Form 990 is $1,236,188, paid to Brett A Esrock (Former Exec Vp Cfo/coo End 7/24).
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Data for Health First Shared Services Inc (EIN 59-3336894) comes from the IRS Business Master File and e-filed Form 990 returns, via CharityIndex. Figures reflect what the organization reported to the IRS for each fiscal year.