2024-08-15T13:24:07-05:00 2023-09-30 381357951 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2022-10-01 821562462 FLAGLER HOME CARE LLC FLAG 9048242501 301 HEALTH PARK BLVD 327 ST AUGUSTINE FL 32086 ROBERT W THORNTON SENIOR VICE PRESIDENT AND CFO 9048194069 2024-08-14 1 1 AMY CIMINELLO P00796388 6148493000 2024-08-14 2022 2024-08-08 14:25:15Z FLAGLER HOME HEALTH ROBERT W THORNTON 400 HEALTH PARK BLVD ST AUGUSTINE FL 32086 507950 0 X WWW.FLAGLERHOSPITAL.ORG/MEDICAL-SERVICES/HOME-CAR X 2017 FL TO 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. 5 0 0 0 0 0 0 0 1630364 507950 0 0 0 0 1630364 507950 0 0 0 0 0 0 0 0 0 1963181 1922640 1963181 1922640 -332817 -1414690 2088064 2354255 47116 36185 2040948 2318070 TO 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. 0 0 1770364 0 507950 FLAGLER HOME CARE PROVIDES PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY, SKILLED NURSING, HOME AIDE AND MEDICAL SOCIAL SERVICES TO THE PUBLIC. 1770364 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 7 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 5 0 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 0 X DEBORAH COSTABILE 9048194756 400 HEALTH PARK BLVD ST AUGUSTINE FL 32086 CARLTON DEVOOGHT PRESIDENT/CEO 1.00 41.00 X X 0 525791 27637 DONNA WAGNER VP CNO 1.00 41.00 X X 0 205163 1224 TOM BAILEY INTERIM CFO/ ADMINISTRATOR 0.06 40.00 X X 0 125608 8709 DAVID RICE MD EVP/CHIEF PHYSICIAN EXECUTIVE 0.06 40.00 X X 0 543835 55463 JILL BERRY VP, CHIEF LEGAL OFFICER 0.06 40.00 X X 0 235614 18225 JASON BARRETT CEO (FORMER) 0.00 0.00 X 0 379229 0 0 2015240 111258 0 1 1 0 0 HOME HEALTH SERVICES 621610 507950 507950 507950 507950 507950 0 0 X 193458 60843 132615 15 15 27260 25754 1506 2227 2227 32451 32451 89386 89386 10879 10879 LEASED EMPLOYEES 1560890 1544977 15913 DUES & SUBSCRIPTIONS 6074 6074 1922640 1770364 152276 0 386324 1057727 1249393 851946 12880 10747 0 5248 141880 68678 84082 73202 355385 355385 2088064 2354255 22164 15862 24952 20323 47116 36185 X 2040948 2318070 2040948 2318070 2088064 2354255 X -1414690 1691812 X X 0 1 X 1 1 1 X 1303838 1763195 839299 1630364 507950 6044646 1303838 1763195 839299 1630364 507950 6044646 0 2904 2904 2904 2904 6041742 1303838 1763195 839299 1630364 507950 6044646 0.99950 0.99960 0.00000 X 83666 32974 50692 58214 35704 22510 73202 0 1 0 0 0 0 0 0 0 DAVID RICE MD EVP/CHIEF PHYSICIAN EXECUTIVE 0 543835 0 0 0 0 0 0 0 55463 0 599298 0 0 CARLTON DEVOOGHT PRESIDENT/CEO 0 525791 0 0 0 0 0 0 0 27637 0 553428 0 0 JASON BARRETT CEO (FORMER) 0 0 0 0 0 379229 0 0 0 0 0 379229 0 0 JILL BERRY VP, CHIEF LEGAL OFFICER 0 226928 0 8686 0 0 0 0 0 18225 0 253839 0 0 DONNA WAGNER VP CNO 0 205163 0 0 0 0 0 0 0 1224 0 206387 0 0 PART I, LINE 3 A 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 4B A RELATED ORGANIZATION CONTRIBUTED $181,419 TO A 457(F) PLAN FOR DAVID RICE AND CARLTON DEVOOGHT. FORM 990, PART VI, SECTION A, LINE 6 FLAGLER 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 7A FLAGLER 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 7B THE 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 8B THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE 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 12C THE 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 19 DOCUMENTS ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICES. FORM 990, PART IX, LINE 11G PURCHASED 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 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FLAGLER HEALTH CARE FOUNDATION INC 400 HEALTH PARK BLVD ST AUGUSTINE FL 32086 592440537 SUPPORTING ORGANIZATION FL 501(C)(3) LINE 12A, I FLAGLER HOSPITAL 1 FLAGLER HOME CARE LLC 301 HEALTH PARK BLVD ST AUGUSTINE FL 32086 821562462 HOME CARE SERVICES FL 501(C)(3) LINE 10 FLAGLER HEALTH NETWORK LLC 1 SHANDS TEACHING HOSPITAL AND CLINICS INC PO BOX 100336 GAINESVILLE FL 32610 591943502 MEDICAL SERVICES FL 501(C)(3) LINE 3 UF 0 UNIVERSITY OF FLORIDA 226 TIGERT HALL GAINESVILLE FL 32611 596002052 EDUCATION FL N/A 0 SHANDS JACKSONVILLE HEALTHCAREINC 655 WEST 8TH STREET JACKSONVILLE FL 32209 592441966 SUPPORT SJMC FL 501(C)(3) LINE 12B, II UF 0 SHANDS JACKSONVILLE MEDICAL CENTER INC 655 WEST 8TH STREET JACKSONVILLE FL 32209 592142859 MEDICAL SERVICES FL 501(C)(3) LINE 3 SJHC 0 SHANDS JACKSONVILLE PROPERTIES INC 655 WEST 8TH STREET JACKSONVILLE FL 32209 591158241 SUPPORT SJMC FL 501(C)(3) LINE 12B, II SJHC 0 SHANDS JACKSONVILLE COMMUNITY SERVICES INC 655 WEST 8TH STREET JACKSONVILLE FL 32209 510173761 SUPPORT SJMC FL 501(C)(3) LINE 12B, II SJHC 0 SHANDS JACKSONVILLE FOUNDATION INC 655 WEST 8TH STREET JACKSONVILLE FL 32209 592622323 SUPPORT SJMC FL 501(C)(3) LINE 12B, II SJHC 0 SHANDS JACKSONVILLE AFFILIATES INC 655 WEST 8TH STREET JACKSONVILLE FL 32209 591913819 SUPPORT SJMC FL 501(C)(3) LINE 12A, I SJMC 0 UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS INC 653 WEST 8TH STREET JACKSONVILLE FL 32209 591867557 SUPPORT UF COLLEGE OF MEDICINE - 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