2019-08-08T13:17:06-05:00 2018-09-30 381357951 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2017-10-01 821562462 FLAGLER HOME CARE LLC FLAG 9048242501 301 HEALTH PARK BLVD NO 327 ST AUGUSTINE FL 32086 MURRAY MARSH JR CFO 9048165155 2019-08-07 1 AMY CIMINELLO P00796388 6148493000 2019-08-07 67.59.56.31 2019-08-07 07:16:50 ED P 2CF7C5A78B789059D0734872C4021BB0B9EC4A92 2CF7C5A78B789059D0734872C4021BB0B9EC4A92 2017 2019-02-21 02:37:17Z X FLAGLER HOME HEALTH MURRAY S MARSH JR 400 HEALTH PARK BLVD ST AUGUSTINE FL 32086 1121268 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 1121268 0 0 1121268 0 0 0 0 0 1246279 1246279 -125011 1677341 1062685 614656 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 956870 1121268 FLAGLER HOME CARE PROVIDES PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY, SKILLED NURSING, HOME AIDE AND MEDICAL SOCIAL SERVICES TO THE PUBLIC. 956870 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 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 FL X MURRAY S MARSH JR 9048194400 400 HEALTH PARK BLVD ST AUGUSTINE FL 32086 X JASON BARRETT MANAGER/BOARD/PRESIDENT- FLAGLER HOSPITAL 1.00 40.00 X X 0 316840 55141 MURRAY S MARSH MANAGER/BOARD/CFO-FLAGLER HOSPITAL 1.00 40.00 X X 0 59567 11068 CARLTON A DEVOOGHT MANAGER/BOARD 0.06 40.00 X 0 0 0 DR LARRY LAKE MANAGER/BOARD 0.06 0.00 X 0 0 0 MIGUEL MACHADO MD MANAGER/BOARD 0.06 40.00 X 0 301921 26448 0 678328 92657 0 0 1 0 0 HOME HEALTH SERVICES 621610 1121268 1121268 1121268 1121268 1121268 0 0 X 466428 442440 23988 8809 8809 18623 10984 7639 8738 8738 26331 26331 32557 32557 11710 11710 LEASED EMPLOYEES 660978 469819 191159 DUES & SUBSCRIPTIONS 10705 10705 BANKING FEES 330 330 MAINTENANCE & REPAIRS 173 173 897 897 1246279 956870 289409 0 0 35683 0 1153088 0 3015 141880 11710 0 130170 0 355385 0 1677341 0 31743 0 152641 0 878301 0 1062685 X 0 614656 0 614656 0 1677341 X -125011 739667 X 0 1 X 1 0 X 1121268 1121268 1121268 1121268 0 0 0 1121268 1121268 1121268 X 83666 5478 78188 58214 6232 51982 130170 DUE TO FLAGLER HOSPITAL, INC. 873847 DUE TO FLAGLER HEALTH SERVICES, INC. 4454 878301 0 0 0 0 0 0 0 0 0 JASON BARRETT MANAGER/BOARD/PRESIDENT- FLAGLER HOS 0 316480 0 0 0 360 0 35250 0 19891 0 371981 0 0 MIGUEL MACHADO MD MANAGER/BOARD 0 300207 0 0 0 1714 0 17250 0 9198 0 328369 0 0 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 VI CARLTON A. DEVOOGHT WAS HIRED BY A RELATED ORGANIZATION IN 2018. THEREFORE COMPENSATION IS NOT PRESENTED ON PART VII AS THERE WAS NO 2017 FORM W-2. FORM 990, PART IX, LINE 11G PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 23,988. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,988. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 442,440. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 442,440. FORM 990, PART XI, LINE 9: GAIN ON ACQUISITION 739,667. 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