FLAGLER HOME CARE LLC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
FLAGLER HOME CARE LLC (EIN 82-1562462)
Tax period
2022-10-01 to 2023-09-30
Filed
2024-08-15
IRS object ID
202442289349301849
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-08-15T13:24:07-05:00ReturnTs
Tax Period End2023-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN381357951PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1250 S HIGH ST SUITE 100AddressLine1Txt
CityCOLUMBUSCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43215ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN821562462EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FLAGLER HOME CARE LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlFLAGBusinessNameControlTxt
Phone9048242501PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1301 HEALTH PARK BLVD 327AddressLine1Txt
CityST AUGUSTINECityNm
State AbbreviationFLStateAbbreviationCd
ZIP32086ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonROBERT W THORNTONPersonNm
Person TitleSENIOR VICE PRESIDENT AND CFOPersonTitleTxt
Phone9048194069PhoneNum
Signature2024-08-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAMY CIMINELLOPreparerPersonNm
PTINP00796388PTIN
Phone6148493000PhoneNum
Preparation2024-08-14PreparationDt
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2024-08-08 14:25:15ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1FLAGLER HOME HEALTHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerROBERT W THORNTONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 HEALTH PARK BLVDAddressLine1Txt
CityST AUGUSTINECityNm
State AbbreviationFLStateAbbreviationCd
ZIP32086ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$507,950GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.FLAGLERHOSPITAL.ORG/MEDICAL-SERVICES/HOME-CARWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2017FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionTO RESPECTFULLY AND COMPASSIONATELY MEET THE NEEDS OF ITS PATIENTS AND THEIR FAMILIES BY LISTENING, PLANNING, EDUCATING, AND DELIVERING THE HIGHEST QUALITY OF INDIVIDUALIZED HOME HEALTH CARE.ActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$1,630,364PYProgramServiceRevenueAmt
CY Program Service Revenue$507,950CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,630,364PYTotalRevenueAmt
CY Total Revenue$507,950CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,963,181PYOtherExpensesAmt
CY Other Expenses$1,922,640CYOtherExpensesAmt
PY Total Expenses$1,963,181PYTotalExpensesAmt
CY Total Expenses$1,922,640CYTotalExpensesAmt
PY Revenues Less Expenses-$332,817PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,414,690CYRevenuesLessExpensesAmt
Total Assets BOY$2,088,064TotalAssetsBOYAmt
Total Assets EOY$2,354,255TotalAssetsEOYAmt
Total Liabilities BOY$47,116TotalLiabilitiesBOYAmt
Total Liabilities EOY$36,185TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,040,948NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,318,070NetAssetsOrFundBalancesEOYAmt
MissionTO RESPECTFULLY AND COMPASSIONATELY MEET THE NEEDS OF ITS PATIENTS AND THEIR FAMILIES BY LISTENING, PLANNING, EDUCATING, AND DELIVERING THE HIGHEST QUALITY OF INDIVIDUALIZED HOME HEALTH CARE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,770,364ExpenseAmt
Grant$0GrantAmt
Revenue$507,950RevenueAmt
DescFLAGLER HOME CARE PROVIDES PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY, SKILLED NURSING, HOME AIDE AND MEDICAL SOCIAL SERVICES TO THE PUBLIC.Desc
Total Program Service Expenses$1,770,364TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document7IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDEBORAH COSTABILEPersonNm
Phone9048194756PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 HEALTH PARK BLVDAddressLine1Txt
CityST AUGUSTINECityNm
State AbbreviationFLStateAbbreviationCd
ZIP32086ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CARLTON DEVOOGHT
PRESIDENT/CEO1.0041.00Yes (X)Yes (X)$0$525,791$27,637
DONNA WAGNER
VP CNO1.0041.00Yes (X)Yes (X)$0$205,163$1,224
TOM BAILEY
INTERIM CFO/ ADMINISTRATOR0.0640.00Yes (X)Yes (X)$0$125,608$8,709
DAVID RICE MD
EVP/CHIEF PHYSICIAN EXECUTIVE0.0640.00Yes (X)Yes (X)$0$543,835$55,463
JILL BERRY
VP, CHIEF LEGAL OFFICER0.0640.00Yes (X)Yes (X)$0$235,614$18,225
JASON BARRETT
CEO (FORMER)0.000.00$0$379,229$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,015,240TotReportableCompRltdOrgAmt
Total Other Compensation$111,258TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescHOME HEALTH SERVICESDesc
Business621610BusinessCd
Total Revenue Column$507,950TotalRevenueColumnAmt
Related Or Exempt Func Income$507,950RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$507,950TotalProgramServiceRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$507,950TotalRevenueColumnAmt
Related Or Exempt Func Income$507,950RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$193,458TotalAmt
Program Services$60,843ProgramServicesAmt
Management And General$132,615ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$15TotalAmt
Management And General$15ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$27,260TotalAmt
Program Services$25,754ProgramServicesAmt
Management And General$1,506ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,227TotalAmt
Management And General$2,227ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$32,451TotalAmt
Program Services$32,451ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$89,386TotalAmt
Program Services$89,386ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$10,879TotalAmt
Program Services$10,879ProgramServicesAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
LEASED EMPLOYEES$1,560,890$1,544,977$15,913
DUES & SUBSCRIPTIONS$6,074$6,074

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,922,640TotalAmt
Program Services$1,770,364ProgramServicesAmt
Management And General$152,276ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$386,324BOYAmt
EOY$1,057,727EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,249,393BOYAmt
EOY$851,946EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$12,880BOYAmt
EOY$10,747EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$5,248EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$141,880LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$68,678LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$84,082BOYAmt
EOY$73,202EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$355,385BOYAmt
EOY$355,385EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,088,064BOYAmt
EOY$2,354,255EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$22,164BOYAmt
EOY$15,862EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$24,952BOYAmt
EOY$20,323EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$47,116BOYAmt
EOY$36,185EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,040,948BOYAmt
EOY$2,318,070EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,040,948BOYAmt
EOY$2,318,070EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,088,064BOYAmt
EOY$2,354,255EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$1,414,690ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$1,691,812OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,303,838CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,763,195CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$839,299CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,630,364CurrentTaxYearMinus1YearAmt
Current Tax Year$507,950CurrentTaxYearAmt
Total$6,044,646TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,303,838CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,763,195CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$839,299CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,630,364CurrentTaxYearMinus1YearAmt
Current Tax Year$507,950CurrentTaxYearAmt
Total$6,044,646TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,904CurrentTaxYearMinus4YearsAmt
Total$2,904TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,904CurrentTaxYearMinus4YearsAmt
Total$2,904TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$6,041,742PublicSupportTotal509Amt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,303,838CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,763,195CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$839,299CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,630,364CurrentTaxYearMinus1YearAmt
Current Tax Year$507,950CurrentTaxYearAmt
Total$6,044,646TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99950PublicSupportCY509Pct
Public Support PY5090.99960PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$83,666OtherCostOrOtherBasisAmt
Depreciation$32,974DepreciationAmt
Book Value$50,692BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$58,214OtherCostOrOtherBasisAmt
Depreciation$35,704DepreciationAmt
Book Value$22,510BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$73,202TotalBookValueLandBuildingsAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DAVID RICE MD
EVP/CHIEF PHYSICIAN EXECUTIVE$0$543,835$0$0$0$0$0$0$0$55,463$0$599,298$0$0
CARLTON DEVOOGHT
PRESIDENT/CEO$0$525,791$0$0$0$0$0$0$0$27,637$0$553,428$0$0
JASON BARRETT
CEO (FORMER)$0$0$0$0$0$379,229$0$0$0$0$0$379,229$0$0
JILL BERRY
VP, CHIEF LEGAL OFFICER$0$226,928$0$8,686$0$0$0$0$0$18,225$0$253,839$0$0
DONNA WAGNER
VP CNO$0$205,163$0$0$0$0$0$0$0$1,224$0$206,387$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3A RELATED ORGANIZATION, FLAGLER HOSPITAL, CONDUCTS THE COMPENSATION REVIEW. THE REVIEW INCLUDES A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEYS, AND APPROVAL BY THE COMPENSATION COMMITTEE.
PART I, LINE 4BA RELATED ORGANIZATION CONTRIBUTED $181,419 TO A 457(F) PLAN FOR DAVID RICE AND CARLTON DEVOOGHT.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6FLAGLER HOME CARE LLC HAS ONE MEMBER: FLAGLER HEALTH NETWORK, LLC. FLAGLER HEALTH NETWORK IS A DISREGARDED ENTITY OF FLAGLER HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7AFLAGLER HEALTH NETWORK HAS THE POWER TO APPOINT FOUR OF THE FIVE MANAGERS OF FLAGLER HOME CARE. THE PRESIDENT OF FLAGLER HOSPITAL HAS THE POWER TO APPOINT ALL OF THE MANAGERS OF FLAGLER HEALTH NETWORK.
FORM 990, PART VI, SECTION A, LINE 7BTHE ORGANIZATIONS MEMBERS HAVE THE POWER TO REMOVE MANAGERS WITH OR WITHOUT CAUSE BY A VOTE OF SEVENTY-FIVE PERCENT OF THE ISSUED AND OUTSTANDING VOTING INTERESTS. ANY AMENDMENTS TO THE GOVERNING DOCUMENTS ALSO REQUIRES APPROVAL FROM THE MEMBERS BY A VOTE OF SEVENTY-FIVE PERCENT OF THE ISSUED AND OUTSTANDING VOTING INTERESTS.
FORM 990, PART VI, SECTION A, LINE 8BTHE ORGANIZATION DOES NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTANT AND REVIEWED AND APPROVED BY INTERNAL MANAGEMENT AND SHARED WITH EACH BOARD MEMBER PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE CONFLICT OF INTEREST POLICY COVERS ALL MEMBERS OF THE BOARD OF MANAGERS, ALL OFFICERS, AND ANY OTHER KEY MEMBERS ON STAFF. ON AN ANNUAL BASIS, ALL INDIVIDUALS SUBJECT TO THE CONFLICT OF INTEREST POLICY SHALL SIGN A STATEMENT ACKNOWLEDGING UNDERSTANDING OF THIS POLICY, AND SHALL COMPLETE AND RETURN A DISCLOSURE FORM TO THE BOARD OF MANAGERS, UPON ELECTION, APPOINTMENT, OR ENTERING THE DUTIES OF HIS OR HER OFFICE. THE BOARD WILL REVIEW ALL POTENTIAL CONFLICTS AND MAKE A DETERMINATION AS TO WHETHER AN ACTUAL CONFLICT EXISTS. ANY BOARD MEMBER WITH A CONFLICT OF INTEREST, WHETHER FINANCIAL OR PERSONAL, SHALL ABSTAIN FROM DISCUSSING OR VOTING ON MATTERS THAT MAY BE RELATED TO OR AFFECTED BY SUCH CONFLICT OF INTEREST.
FORM 990, PART VI, SECTION C, LINE 19DOCUMENTS ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICES.
FORM 990, PART IX, LINE 11GPURCHASED HEALTHCARE SERVICES: PROGRAM SERVICE EXPENSES 10,075. MANAGEMENT AND GENERAL EXPENSES 130,992. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 141,067. MEDICAL DIRECTORSHIP: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,623. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,623. EMPLOYMENT AGENCY EXPENSES: PROGRAM SERVICE EXPENSES 50,768. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 50,768.
FORM 990, PART XI, LINE 9:TRANSFER TO AFFILIATE 1,691,812.
FORM 990, PART XII, LINE 2CTHE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (27 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
FLAGLER HEALTH CARE FOUNDATION INC
400 HEALTH PARK BLVDST AUGUSTINEFL32086592440537SUPPORTING ORGANIZATIONFL501(C)(3)LINE 12A, IFLAGLER HOSPITALYes (1)
FLAGLER HOME CARE LLC
301 HEALTH PARK BLVDST AUGUSTINEFL32086821562462HOME CARE SERVICESFL501(C)(3)LINE 10FLAGLER HEALTH NETWORK LLCYes (1)
SHANDS TEACHING HOSPITAL AND CLINICS INC
PO BOX 100336GAINESVILLEFL32610591943502MEDICAL SERVICESFL501(C)(3)LINE 3UF0
UNIVERSITY OF FLORIDA
226 TIGERT HALLGAINESVILLEFL32611596002052EDUCATIONFL0N/A
SHANDS JACKSONVILLE HEALTHCAREINC
655 WEST 8TH STREETJACKSONVILLEFL32209592441966SUPPORT SJMCFL501(C)(3)LINE 12B, IIUF0
SHANDS JACKSONVILLE MEDICAL CENTER INC
655 WEST 8TH STREETJACKSONVILLEFL32209592142859MEDICAL SERVICESFL501(C)(3)LINE 3SJHC0
SHANDS JACKSONVILLE PROPERTIES INC
655 WEST 8TH STREETJACKSONVILLEFL32209591158241SUPPORT SJMCFL501(C)(3)LINE 12B, IISJHC0
SHANDS JACKSONVILLE COMMUNITY SERVICES INC
655 WEST 8TH STREETJACKSONVILLEFL32209510173761SUPPORT SJMCFL501(C)(3)LINE 12B, IISJHC0
SHANDS JACKSONVILLE FOUNDATION INC
655 WEST 8TH STREETJACKSONVILLEFL32209592622323SUPPORT SJMCFL501(C)(3)LINE 12B, IISJHC0
SHANDS JACKSONVILLE AFFILIATES INC
655 WEST 8TH STREETJACKSONVILLEFL32209591913819SUPPORT SJMCFL501(C)(3)LINE 12A, ISJMC0
UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS INC
653 WEST 8TH STREETJACKSONVILLEFL32209591867557SUPPORT UF COLLEGE OF MEDICINE - JACKSONVILLEFL501(C)(3)LINE 12A, IUF0
ELDER CARE OF ALACHUA COUNTY INC
PO BOX 100336GAINESVILLEFL32610593051104SERVICES FOR THE ELDERLYFL501(C)(3)LINE 7STHCYes (1)
SHANDS LAKE SHORE INC
PO BOX 100336GAINESVILLEFL32610592699965HEALTH CAREFL501(C)(3)LINE 3STHCYes (1)
SOUTHEASTERN HEALTHCARE FOUNDATION
PO BOX 100336GAINESVILLEFL32610592357609HOSPITAL SUPPORTFL501(C)(3)LINE 12B, IISTHCYes (1)
SHANDS AUXILIARY INC
PO BOX 100336GAINESVILLEFL32610593551267HOSPITAL SUPPORTFL501(C)(3)LINE 12A, ISEHFYes (1)
CENTRAL FLORIDA HEALTH INC DBA UF HEALTH CENTRAL FLORIDA
600 EAST DIXIE AVENUELEESBURGFL34748331197054SUPPORT STHC, UFHL, AND UFHVFL501(C)(3)LINE 12B, IISTHCYes (1)
LEESBURG REGIONAL MEDICAL CENTER INC DBA UF HEALTH LEESBURG HOSPITAL
600 EAST DIXIE AVENUELEESBURGFL34748590878982MEDICAL SERVICESFL501(C)(3)LINE 3UFHCFYes (1)
THE VILLAGES TRI-COUNTY MEDICAL CENTER INC DBA UF HEALTH THE VILLAGES HO
1451 EL CAMINO REALTHE VILLAGESFL32159593527036MEDICAL SERVICESFL501(C)(3)LINE 3UFHCFYes (1)
LEESBURG REGIONAL MEDICAL CENTER FOUNDATION INC DBA UF HEALTH LEESBURG H
600 EAST DIXIE AVENUELEESBURGFL34748591800743SUPPORT UFHLFL501(C)(3)LINE 12A, IUFHLYes (1)
THE VILLAGES REGIONAL HOSPITAL AUXILIARY FOUNDATION INC DBA UF HEALTH TH
1501 N US HIGHWAY 441 SUITE 182THE VILLAGESFL32159550818419SUPPORT UFHVFL501(C)(3)LINE 12A, IUFHVYes (1)
FACULTY CLINIC INC
PO BOX 44008JACKSONVILLEFL32231592856153SUPPORT UF JAX PHYSICIANSFL501(C)(3)LINE 12A, IUF0
UNIVERSITY OF FLORIDA FOUNDATION INC
PO BOX 14425GAINESVILLEFL32604590974739SUPPORT THE UNIVERSITY OF FLORIDAFL501(C)(3)LINE 7UF0
UNIVERSITY OF FLORIDA INVESTMENT CORPORATION (UFICO)
4510 NW 6TH PLACE 2ND FLOORGAINESVILLEFL32607201226494INVESTMENT MANAGEMENTFL501(C)(3)LINE 12A, IUF0
UNIVERSITY OF FLORIDA DEVELOPMENT CORPORATION
747 SW 2ND AVENUE IMB 49GAINESVILLEFL32601352427022SUPPORT THE UNIVERSITY OF FLORIDA AND PROMOTE ECONOMIC DEVELOPMENTFL501(C)(3)LINE 12A, IUF0
FLORIDA CLINICAL PRACTICE ASSOCIATION INC
PO BOX 100205GAINESVILLEFL32610591680273ENHANCE MEDICAL EDUCATION AND RESEARCH AT THE UNIVERSITY OF FLORIDAFL501(C)(3)LINE 12A, IUF0
GATORCARE HEALTH MANAGEMENT CORPORATION
1329 SW 16TH STREETGAINESVILLEFL32610461185106SELF-INSURED PLAN HEALTH INSFL501(C)(3)LINE 12A, IUF0
UNIVERSITY OF FLORIDA MEDICAL GUILD OF GAINESVILLE INC
PO BOX 100215GAINESVILLEFL32610510153878SUPPORT UFFL501(C)(3)LINE 10UF0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
CF MANAGEMENT ADMINISTRATIVE COMPANY LLC
30 TURIN TERRACEST AUGUSTINEFL32092843559295HEALTHCAREFLN/A0Yes (1)
UF HEALTH SOUTH CENTRAL LLC
PO BOX 100336GAINESVILLEFL32610814845198HEALTH SERVICES JOINT VENTUREFLN/A0Yes (1)
FLORIDA GLOBAL FIXED INCOME FUND LLC
800 SW 2ND AVEGAINESVILLEFL32601020277004INVESTMENTSFLN/A00
CARE DELIVERY ALLIANCE LLC
600 EAST DIXIE AVENUELEESBURGFL34748473889954PHYSICIAN-HOSPITAL ORGANIZATIONFLN/A00
CENTRAL FLORIDA CARDIOVASCULAR CO-MANAGEMENT COMPANY LLC
600 EAST DIXIE AVENUELEESBURGFL34748270781065HEALTHCAREFLN/A00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
FLAGLER PROFESSIONAL HEALTH CARE SERVICES INC
400 HEALTH PARK BLVDST AUGUSTINEFL32086364860252HEALTHCAREFLN/ACYes (1)
FLAGLER HEALTH SERVICES INC
400 HEALTH PARK BLVDST AUGUSTINEFL32086592484352REAL ESTATE LEASINGFLN/ACYes (1)
ANDERSON GIBBS CONDOMINIUM
400 HEALTH PARK BLVDST AUGUSTINEFL32086593223458PROPERTY MANAGEMENTFLN/ACYes (1)
HEALTH PARK OWNERS ASSOCIATION
400 HEALTH PARK BLVDST AUGUSTINEFL32086592869538PROPERTY MANAGEMENTFLN/ACYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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