2020-08-11T10:11:47-05:00 2019-09-30 381357951 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2018-10-01 821562462 FLAGLER HOME CARE LLC FLAG 9048242501 301 HEALTH PARK BLVD NO 327 ST AUGUSTINE FL 32086 MURRAY S MARSH JR CFO 9048165155 2020-08-07 1 AMY CIMINELLO P00796388 6148493000 2020-08-07 108.208.76.253 2020-08-07 12:16:19 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 2CF7C5A78B789059D0734872C4021BB0B9EC4A92 2018 2020-11-19 02:30:22Z FLAGLER HOME HEALTH MURRAY S MARSH JR 400 HEALTH PARK BLVD ST AUGUSTINE FL 32086 1303838 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 1 0 1 0 0 0 0 1121268 1303838 0 0 0 0 1121268 1303838 0 0 0 0 0 0 0 0 0 1246279 1403514 1246279 1403514 -125011 -99676 1677341 1984687 1062685 1469707 614656 514980 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 1376190 0 1303838 FLAGLER HOME CARE PROVIDES PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY, SKILLED NURSING, HOME AIDE AND MEDICAL SOCIAL SERVICES TO THE PUBLIC. 1376190 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 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 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 5 1 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 0 X MURRAY S MARSH JR 9048194400 400 HEALTH PARK BLVD ST AUGUSTINE FL 32086 JASON BARRETT MANAGER/BOARD/PRESIDENT- FLAGLER HOSPITAL 1.00 41.00 X X 0 608690 96457 MURRAY S MARSH MANAGER/BOARD/CFO-FLAGLER HOSPITAL 1.00 41.00 X X 0 318325 72747 CARLTON A DEVOOGHT MANAGER/BOARD 0.06 40.00 X 0 319015 45259 DR LARRY LAKE MANAGER/BOARD 0.06 0.00 X 0 0 0 MIGUEL MACHADO MD MANAGER/BOARD 0.06 40.00 X 0 454437 23348 0 1700467 237811 0 0 1 0 AEGIS THERAPIES PO BOX 936652 ATLANTA GA 31193 THERAPY SERVICES 352957 1 HOME HEALTH SERVICES 621610 1303838 1303838 1303838 1303838 1303838 0 0 X 466187 466187 1746 1746 25589 25589 31359 31359 27324 27324 34519 34519 11536 11536 LEASED EMPLOYEES 793093 793093 DUES & SUBSCRIPTIONS 11159 11159 SALES TAX 1002 1002 1403514 1376190 27324 0 35683 300061 1153088 1200470 3015 5556 0 4580 141880 23245 130170 118635 355385 355385 1677341 1984687 31743 58672 152641 140228 878301 1270807 1062685 1469707 X 614656 514980 614656 514980 1677341 1984687 -99676 0 X X 0 1 X 1 0 X 1121268 1303838 2425106 1121268 1303838 2425106 0 2904 2904 2904 2904 2422202 1121268 1303838 2425106 X 83666 10979 72687 58214 12266 45948 118635 DUE TO FLAGLER HOSPITAL, INC. 1263784 DUE TO FLAGLER HEALTH SERVICES, INC. 7023 1270807 0 1 0 0 0 0 0 0 0 JASON BARRETT MANAGER/BOARD/PRESIDENT- FLAGLER HOS 0 520045 0 88285 0 360 0 89100 0 7357 0 705147 0 0 MURRAY S MARSH MANAGER/BOARD/CFO-FLAGLER HOSPITAL 0 292312 0 25000 0 1013 0 60100 0 12647 0 391072 0 0 CARLTON A DEVOOGHT MANAGER/BOARD 0 283738 0 35000 0 277 0 34247 0 11012 0 364274 0 0 MIGUEL MACHADO MD MANAGER/BOARD 0 427723 0 25000 0 1714 0 17600 0 5748 0 477785 0 0 PART I, LINE 4B JASON BARRETT PARTICIPATES IN A 457(F) PLAN THAT IS OFFERED THROUGH A RELATED ORGANIZATION. THE AMOUNT ACCRUED FOR THE PLAN WAS $35,000 DURING THE YEAR. CARLTON DEVOOGHT PARTICIPATES IN A 457(F) PLAN THAT IS OFFERED THROUGH A RELATED ORGANIZATION. THE AMOUNT ACCRUED FOR THE PLAN WAS $17,700 DURING THE YEAR. SCHEDULE J, 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. FORM 990, PART VI, SECTION A, LINE 6 FLAGLER HOME CARE LLC HAS TWO MEMBERS: FLAGLER HEALTH NETWORK, LLC AND ST. JOHN'S COUNTY WELFARE FEDERATION, D/B/A BAYVIEW HOME HEALTH OF ST. AUGUSTINE. 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 INPATIENT CARE: PROGRAM SERVICE EXPENSES 16,770. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,770. ADMINISTRATIVE COSTS: PROGRAM SERVICE EXPENSES 46,464. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 46,464. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 7,564. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,564. DATA AND DOCUMENT MANAGEMENT: PROGRAM SERVICE EXPENSES 2,228. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,228. THERAPY SERVICES: PROGRAM SERVICE EXPENSES 388,816. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 388,816. DATA COLLECTION: PROGRAM SERVICE EXPENSES 4,345. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,345. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FLAGLER HOSPITAL INC 400 HEALTH PARK BLVD ST AUGUSTINE FL 32086 590675143 HOSPITAL FL 501(C)(3) LINE 3 COASTAL COMMUNITY HEALTH INC 1 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 COASTAL COMMUNITY HEALTH INC 841 PRUDENTIAL DR STE 1604 JACKSONVILLE FL 32207 471322041 SUPPORTING ORGANIZATION FL 501(C)(3) LINE 12A, I N/A 0 FLAGLER PROFESSIONAL HEALTH CARE SERVICES INC 400 HEALTH PARK BLVD ST AUGUSTINE FL 32086 364860252 HEALTHCARE FL N/A C 1 FLAGLER HEALTH SERVICES INC 400 HEALTH PARK BLVD ST AUGUSTINE FL 32086 592484352 REAL ESTATE LEASING FL N/A C 1 ANDERSON GIBBS CONDOMINIUM 400 HEALTH PARK BLVD ST AUGUSTINE FL 32086 593223458 PROPERTY MANAGEMENT FL N/A C 1 HEALTH PARK OWNERS ASSOCIATION 400 HEALTH PARK BLVD ST AUGUSTINE FL 32086 592869538 PROPERTY MANAGEMENT FL N/A C 1 0 0 0 0 1 0 0 0 0 0 1 0 0 1 1 0 1 0 0