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Florida · Nonprofit

HEALTH FIRST SHARED SERVICES INC

HEALTH FIRST SHARED SERVICES INC (Florida) receives grants from 2 organizations whose IRS filings report $47,576 to it, the largest being JSI RESEARCH & TRAINING INSTITUTE INC ($23,976). 0 of them have funded it in more than one year.

Revenue FY2024
$82M
Funders on record
2
Grants received
$48k
Net assets
$1.6B
0/2 repeat funderspeak grant-dependency 0%
01What it does

What Health First Shared Services Inc does

Mission

We exist to improve the health and wellness of the communities we serve.

As stated on its FY2024 Form 990.

Program

  1. The 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 organizations with:1. Coordination of patient care services to reduce the duplication of resources and increase the cost-efficiency of patient care offered at any health first entity;2. Provision of enhanced clinical, marketing, planning, financial and organizational services and expertise, and;3. Service area community health planning to ensure that collectively all health first entities provide the healthcare services required to meet the needs of residents who reside in brevard county.some examples of enhanced clinical care include virtual visits, phreesia and kyruus. These advancements ensure…

    $251,250,942 spentof which $50,000 as grants$288,355,019 earned by the program
    100% of program spending

The program described on its FY2023 Form 990. Program spending in total: $251,250,942.

02The organization over time

The organization over time

Each line starts at 100 in 2017, so what you read is the shape rather than the size: 150 means half as much again as 2017, 50 means half. The number beside each label in the key is where it ended. The shaded band is where the middle 50% of its peers' revenue would sit, given their growth.

100 = 20172017 Revenue 100 ($233M) Expenses 100 ($220M) Net assets 100 ($589M)2018 Revenue 102 ($237M) Expenses 101 ($222M) Net assets 117 ($688M)2019 Revenue 120 ($279M) Expenses 109 ($239M) Net assets 131 ($774M)2021 Revenue 117 ($272M) Expenses 121 ($266M) Net assets 220 ($1.3B)2022 Revenue 125 ($291M) Expenses 145 ($320M) Net assets 196 ($1.2B)2023 Revenue 167 ($389M) Expenses 163 ($358M) Net assets 230 ($1.4B)2024 Revenue 35 ($82M) Expenses 43 ($94M) Net assets 273 ($1.6B)
2017201820192021202220232024
Revenue (35)Expenses (43)Net assets (273)Peer revenue range

Balance sheet

Total assets and total liabilities at each year end, in dollars. The largest one-year move in total assets was 2023 to 2024, from $1.8B to $2.1B (+13%).

$950M
$1.0B
$1.1B
$1.7B
$1.6B
$1.8B
$2.1B
2017201820192021202220232024
Total assetsTotal liabilities

How it's funded, over time

Each bar is one year's revenue split into where it came from, and every bar is the same height — these are shares, not amounts, so a year that raised twice as much looks the same size. Hover a bar for the split.

2017
2018
2019
2021
2022
2023
2024
ContributionsProgram revenueInvestmentOther

0% of HEALTH FIRST SHARED SERVICES INC’s revenue is contributions — more earned-revenue than three-quarters of its peers (7% for the typical peer).

This organization
Typical peer · 4,743 orgs

Surplus & reserves

Operating surplus or deficit each year, and months of liquidity in hand. 2 of the last 7 reported years ran a deficit.

$12M
’17
$15M
’18
$40M
’19
$5.8M
’21
−$29M
’22
$31M
’23
−$12M
’24
101
months of
reserve

Leadership and staff

The officers, directors, trustees and key employees listed on each return. Joined and no longer listed compare each filing with the year before, matching people by surname and first initial; a year after a gap, or a roster under three people, has no comparison.

2017201820192021202220232024
Listed35353337343234
Joined·+5+3·+4+4+11
No longer listed·55·769
03Who funds it

Who funds it, year by year

2017 → 2020: the base held at 1 funder, grant income rose $24k → $24k.

Left out of every figure on this page: $1.9M from 2 payers (the payer shares this organization's board, largest Health First Foundation Inc). These are real filings, and they are not money HEALTH FIRST SHARED SERVICES INC raised.

From the IRS filings of HEALTH FIRST SHARED SERVICES INC’s funders (the co-funder graph). Association, not causation. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

How concentrated its funding is

HEALTH FIRST SHARED SERVICES INC leans on a few funders — its largest provides 50% of grant income and the top three 100%; half comes from just 1 funder.

the vertical line marks half of all grant income — 1 funder to its left

100% of the income these shares are computed over arrives through pass-through sponsors or from payers whose filings do not say what kind of payment it is. Concentration is still measured over all of it, because the money is real; what it does not support is a claim about how many institutions have chosen to fund HEALTH FIRST SHARED SERVICES INC.

50%
largest funder
100%
top three
~2
effective funders

Largest funder’s share by year: 2017 100% · 2020 100% — broadly stable.

“Effective funders” = inverse Herfindahl index (1 / Σ shareᵢ²) — the number of equal-sized funders that would give the same concentration. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

Where its funders are

HEALTH FIRST SHARED SERVICES INC draws 50% of its grant income from funders outside Florida, across 2 states in all.

MA
FL

In-state vs out-of-state, by year

’17
’20
Florida out of state home

Funder states come from each funder’s own filing. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

04Its place in the field

Against its field

HEALTH FIRST SHARED SERVICES INC holds deeper cash reserves than three-quarters of the 4,580 health nonprofits its size.

Operating margin−15% · bottom quartile
Months of reserve100.9mo · top quartile
Revenue growth (annualized)−14% · bottom quartile

this organization peer median middle 50% of peers· 4,580 health nonprofits $10M–$100M, FY2024

Organizations like HEALTH FIRST SHARED SERVICES INC

Organizations whose mission and program text most resemble this one, by semantic similarity over every organization in the US filings — the closest peers, and often the clearest route to shared or prospective funders.

In Florida

Nationally

05Profile & governance

Read directly from this organization’s own Form 990, as neutral context.

Where the money goes

91% of spending goes to programs.

Program 91%Management 9%Fundraising 0%

Governance

14
board members
86%
independent
✓Conflict-of-interest policy✓Whistleblower policy✓Document retention✓Board reviewed the 990✓Audited financials

Public support

90%

Share of support from the public (Schedule A) — the basis for its public-charity status.

Footprint & structure

Part of a family of 21 related entities

  • Cape Canaveral Hospital Inc · exempt
  • Health First Foundation Inc · exempt
  • Health First Inc · exempt
  • Holmes Regional Medical Center Inc · exempt
  • Hospice of Health First Inc · exempt

Screen this organization

A dated, signed PDF of the compliance screen for HEALTH FIRST SHARED SERVICES INC: IRS status (Business Master File, Publication 78, auto-revocation), the OFAC sanctions lists, the Internal Revenue Bulletin, and California registration, with the Rev. Proc. 2018-32 §8.01 reliance elements stated element by element. Generated from the current files at the moment you download it.

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Screens are triage, not determinations; a source that cannot be read reports not screened, never clear. Screen this nonprofit · How the screen works · on the API as GET /api/screening/{ein}?format=pdf

Questions and answers

Who funds HEALTH FIRST SHARED SERVICES INC?
HEALTH FIRST SHARED SERVICES INC (Florida) receives grants from 2 organizations whose IRS filings report $47,576 to it, the largest being JSI RESEARCH & TRAINING INSTITUTE INC ($23,976). 0 of them have funded it in more than one year.
How many funders does HEALTH FIRST SHARED SERVICES INC have?
IRS filings report 2 organizations giving $47,576 in grants to HEALTH FIRST SHARED SERVICES INC.
Who is the largest funder of HEALTH FIRST SHARED SERVICES INC?
JSI RESEARCH & TRAINING INSTITUTE INC is the largest funder on record, with $23,976 in grants. The full list of funders is on this page.
How can an organization like HEALTH FIRST SHARED SERVICES INC find more funders?
Start with the funders already giving here, then look at the foundations that back similar organizations in Florida. The funding by cause and by state pages list the largest funders for a given area and how to approach them.

These figures are read directly from IRS Form 990 / 990-PF e-file XML: this organization’s own return for FY2024 (financials across 2017–2024), and the filings of 2 funders that report grants to it. “On record” means captured in the filings we have parsed — a funder that does not e-file, or whose grant detail is not itemized, will not appear. Filings run roughly 12–24 months behind. Trends on this page end at FY2023, the last fiscal year that has finished arriving; later years are shown and marked, and move no figure. Data on this page was exported October 14, 2026. What this page cannot tell you · view filing