FLAGLER HOME CARE LLC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- FLAGLER HOME CARE LLC (EIN 82-1562462)
- Tax period
- 2021-10-01 to 2022-09-30
- Filed
- 2023-08-10
- IRS object ID
- 202302229349301035
- Schema version
- 2021v4.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-08-10T15:06:06-05:00 | ReturnTs |
| Tax Period End | 2022-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 381357951 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLANTE & MORAN PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 S HIGH ST SUITE 100 | AddressLine1Txt |
| City | COLUMBUS | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43215 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 821562462 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FLAGLER HOME CARE LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FLAG | BusinessNameControlTxt |
| Phone | 9048242501 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 301 HEALTH PARK BLVD 327 | AddressLine1Txt |
| City | ST AUGUSTINE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32086 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TOM BAILEY | PersonNm |
| Person Title | INTERIM CFO | PersonTitleTxt |
| Phone | 9048194069 | PhoneNum |
| Signature | 2023-08-09 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | TOM | PersonFirstNm |
| Person Last | BAILEY | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMY CIMINELLO | PreparerPersonNm |
| PTIN | P00796388 | PTIN |
| Phone | 6148493000 | PhoneNum |
| Preparation | 2023-08-09 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FLAGLER HOME HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | TOM BAILEY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 HEALTH PARK BLVD | AddressLine1Txt |
| City | ST AUGUSTINE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32086 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,630,364 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.FLAGLERHOSPITAL.ORG/MEDICAL-SERVICES/HOME-CAR | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2017 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | 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. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $839,299 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,630,364 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $839,299 | PYTotalRevenueAmt |
| CY Total Revenue | $1,630,364 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,723,938 | PYOtherExpensesAmt |
| CY Other Expenses | $1,963,181 | CYOtherExpensesAmt |
| PY Total Expenses | $1,723,938 | PYTotalExpensesAmt |
| CY Total Expenses | $1,963,181 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$884,639 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$332,817 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,516,960 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,088,064 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,769,666 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $47,116 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$252,706 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,040,948 | NetAssetsOrFundBalancesEOYAmt |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,789,532 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $1,630,364 | RevenueAmt |
| Desc | FLAGLER HOME CARE PROVIDES PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY, SKILLED NURSING, HOME AIDE AND MEDICAL SOCIAL SERVICES TO THE PUBLIC. | Desc |
| Total Program Service Expenses | $1,789,532 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 7 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DEBORAH COSTABILE | PersonNm |
| Phone | 9048194756 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 HEALTH PARK BLVD | AddressLine1Txt |
| City | ST AUGUSTINE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32086 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| CARLTON DEVOOGHT | ||||||||
| PRESIDENT/CEO | 1.00 | 41.00 | Yes (X) | Yes (X) | $0 | $491,592 | $25,957 | |
| DONNA WAGNER | ||||||||
| VP CNO | 1.00 | 41.00 | Yes (X) | Yes (X) | $0 | $217,093 | $1,224 | |
| TOM BAILEY | ||||||||
| INTERIM CFO/ ADMINISTRATOR | 0.06 | 40.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DAVID RICE MD | ||||||||
| EVP/CHIEF PHYSICIAN EXECUTIVE | 0.06 | 40.00 | Yes (X) | $0 | $597,634 | $35,023 | ||
| JILL BERRY | ||||||||
| VP, CHIEF LEGAL OFFICER | 0.06 | 40.00 | Yes (X) | Yes (X) | $0 | $163,902 | $18,681 | |
| JASON P BARRETT | ||||||||
| PRESIDENT/CEO (PART YEAR) | 0.06 | 40.00 | Yes (X) | Yes (X) | $0 | $798,855 | $42,957 | |
| MIGUEL A MACHADO | ||||||||
| CMO | 0.06 | 40.00 | Yes (X) | Yes (X) | $0 | $558,904 | $2,403 | |
| BRENDA BAKER | ||||||||
| CFO (PART YEAR) | 40.00 | 0.00 | Yes (X) | $0 | $248,536 | $13,000 | ||
| SUZANNE EDWARDS | ||||||||
| ADMINISTRATOR | 40.00 | 0.00 | $103,463 | $0 | $0 | Yes (X) | ||
| DIANA TWOMBLY | ||||||||
| RN | 40.00 | 0.00 | $109,733 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $213,196 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,076,516 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $139,245 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | HOME HEALTH SERVICES | Desc |
| Business | 621610 | BusinessCd |
| Total Revenue Column | $1,630,364 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,630,364 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,630,364 | TotalProgramServiceRevenueAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,630,364 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,630,364 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $124,499 | TotalAmt |
| Program Services | $10,908 | ProgramServicesAmt |
| Management And General | $113,591 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $774 | TotalAmt |
| Management And General | $774 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,474 | TotalAmt |
| Program Services | $46,379 | ProgramServicesAmt |
| Management And General | $6,095 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,188 | TotalAmt |
| Management And General | $12,188 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,374 | TotalAmt |
| Program Services | $30,374 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $94,066 | TotalAmt |
| Program Services | $94,066 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,482 | TotalAmt |
| Program Services | $11,482 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| LEASED EMPLOYEES | $1,625,791 | $1,585,994 | $39,797 |
| DUES & SUBSCRIPTIONS | $10,329 | $10,329 | |
| BANKING FEES | $1,204 | $1,204 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,963,181 | TotalAmt |
| Program Services | $1,789,532 | ProgramServicesAmt |
| Management And General | $173,649 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $197,180 | BOYAmt |
| EOY | $386,324 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $844,814 | BOYAmt |
| EOY | $1,249,393 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,301 | BOYAmt |
| EOY | $12,880 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,716 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $141,880 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $57,798 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $95,564 | BOYAmt |
| EOY | $84,082 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $355,385 | BOYAmt |
| EOY | $355,385 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,516,960 | BOYAmt |
| EOY | $2,088,064 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,372 | BOYAmt |
| EOY | $22,164 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,642 | BOYAmt |
| EOY | $24,952 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,666,652 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,769,666 | BOYAmt |
| EOY | $47,116 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$252,706 | BOYAmt |
| EOY | $2,040,948 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$252,706 | BOYAmt |
| EOY | $2,040,948 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,516,960 | BOYAmt |
| EOY | $2,088,064 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$332,817 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $2,626,471 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | 0 | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,121,268 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,303,838 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,763,195 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $839,299 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,630,364 | CurrentTaxYearAmt |
| Total | $6,657,964 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,121,268 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,303,838 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,763,195 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $839,299 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,630,364 | CurrentTaxYearAmt |
| Total | $6,657,964 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $2,904 | CurrentTaxYearMinus3YearsAmt |
| Total | $2,904 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $2,904 | CurrentTaxYearMinus3YearsAmt |
| Total | $2,904 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $6,655,060 | PublicSupportTotal509Amt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,121,268 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,303,838 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,763,195 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $839,299 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,630,364 | CurrentTaxYearAmt |
| Total | $6,657,964 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99960 | PublicSupportCY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $83,666 | OtherCostOrOtherBasisAmt |
| Depreciation | $27,483 | DepreciationAmt |
| Book Value | $56,183 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $58,214 | OtherCostOrOtherBasisAmt |
| Depreciation | $30,315 | DepreciationAmt |
| Book Value | $27,899 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $84,082 | TotalBookValueLandBuildingsAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JASON P BARRETT | ||||||||||||||
| PRESIDENT/CEO (PART YEAR) | $0 | $586,206 | $0 | $171,900 | $0 | $40,749 | $0 | $0 | $0 | $42,957 | $0 | $841,812 | $0 | $0 |
| DAVID RICE MD | ||||||||||||||
| EVP/CHIEF PHYSICIAN EXECUTIVE | $0 | $451,880 | $0 | $145,754 | $0 | $0 | $0 | $0 | $0 | $35,023 | $0 | $632,657 | $0 | $0 |
| MIGUEL A MACHADO | ||||||||||||||
| CMO | $0 | $467,904 | $0 | $91,000 | $0 | $0 | $0 | $0 | $0 | $2,403 | $0 | $561,307 | $0 | $0 |
| CARLTON DEVOOGHT | ||||||||||||||
| PRESIDENT/CEO | $0 | $392,215 | $0 | $99,377 | $0 | $0 | $0 | $0 | $0 | $25,957 | $0 | $517,549 | $0 | $0 |
| BRENDA BAKER | ||||||||||||||
| CFO (PART YEAR) | $0 | $182,284 | $0 | $65,977 | $0 | $275 | $0 | $0 | $0 | $13,000 | $0 | $261,536 | $0 | $0 |
| DONNA WAGNER | ||||||||||||||
| VP CNO | $0 | $188,350 | $0 | $28,383 | $0 | $360 | $0 | $0 | $0 | $1,224 | $0 | $218,317 | $0 | $0 |
| JILL BERRY | ||||||||||||||
| VP, CHIEF LEGAL OFFICER | $0 | $163,402 | $0 | $500 | $0 | $0 | $0 | $0 | $0 | $18,681 | $0 | $182,583 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 $151,000 TO A 457(F) PLAN FOR DAVID RICE, CARLTON DEVOOGHT AND MIGUEL MACHADO. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | FLAGLER HOME CARE LLC HAS TWO MEMBERS: FLAGLER HOME CARE LLC HAS TWO MEMBERS: FLAGLER HEALTH NETWORK, LLC AND ST. JOHN'S COUNTY WELFARE FEDERATION. 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 VII | SUZANNE EDWARDS AND DIANA TWOMBLY'S COMPENSATION IS PAID BY A RELATED ORGANIZATION AS A CENTRAL PAYMASTER, HOWEVER, 100% OF THEIR RESPONSIBILITIES ARE FOR FLAGLER HOME CARE, LLC. |
| FORM 990, PART XI, LINE 9: | TRANSFER TO AFFILIATE 2,626,471. |
| FORM 990, PART XII, LINE 2C | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
| FORM 990, PART XII, LINE 3B | THE REQUIRED SINGLE AUDIT AS SET FORTH IN THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133 HAS NOT BEEN COMPLETED YET FOR THE YEAR-END 9/30/22, BUT PLANS TO BE COMPLETED BY THE EXTENDED DUE DATE AS ESTABLISHED IN THE RELEVANT OMB GUIDANCE. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| FLAGLER HOSPITAL INC | |||||||||||
| 400 HEALTH PARK BLVD | ST AUGUSTINE | FL | 32086 | 590675143 | HOSPITAL | FL | 501(C)(3) | LINE 3 | N/A | 0 | |
| FLAGLER HEALTH CARE FOUNDATION INC | |||||||||||
| 400 HEALTH PARK BLVD | ST AUGUSTINE | FL | 32086 | 592440537 | SUPPORTING ORGANIZATION | FL | 501(C)(3) | LINE 12A, I | Yes (1) | FLAGLER HOSPITAL | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CF MANAGEMENT ADMINISTRATIVE COMPANY LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 30 TURIN TERRACE | AddressLine1Txt |
| City | ST AUGUSTINE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32092 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 843559295 | EIN |
| Primary Activities | HEALTHCARE | PrimaryActivitiesTxt |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | Yes (1) | GeneralOrManagingPartnerInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| FLAGLER PROFESSIONAL HEALTH CARE SERVICES INC | |||||||||
| 400 HEALTH PARK BLVD | ST AUGUSTINE | FL | 32086 | 364860252 | HEALTHCARE | FL | N/A | C | Yes (1) |
| FLAGLER HEALTH SERVICES INC | |||||||||
| 400 HEALTH PARK BLVD | ST AUGUSTINE | FL | 32086 | 592484352 | REAL ESTATE LEASING | FL | N/A | C | Yes (1) |
| ANDERSON GIBBS CONDOMINIUM | |||||||||
| 400 HEALTH PARK BLVD | ST AUGUSTINE | FL | 32086 | 593223458 | PROPERTY MANAGEMENT | FL | N/A | C | Yes (1) |
| HEALTH PARK OWNERS ASSOCIATION | |||||||||
| 400 HEALTH PARK BLVD | ST AUGUSTINE | FL | 32086 | 592869538 | PROPERTY MANAGEMENT | FL | N/A | C | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
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