2025-05-15T11:01:03+00:00 2024-06-30 350921680 CROWE LLP 401 East Las Olas Blvd Suite 1100 Fort Lauderdale FL 333014230 990 2023-10-01 590675143 Flagler Hospital Inc FLAG 9048254400 400 HEALTH PARK BLVD ST AUGUSTINE FL 32086 ROBERT W THORNTON TREASURER 2025-05-15 true true BRITTNEY KOCAJ P01320603 9542028600 2025-05-15 2023 2025-03-06 01:10:19Z UF Health St Johns ROBERT W THORNTON 400 HEALTH PARK BLVD ST AUGUSTINE FL 32086 239235568 false X https://stjohns.ufhealth.org/ X 1906 FL BECOME A TOTAL CARE ENTERPRISE THAT ADVANCES THE PHYSICAL, SOCIAL, AND ECONOMIC HEALTH OF THE COMMUNITIES WE SERVE. 9 3 2497 110 0 0 292560 9743422 329173875 226714666 204163 -672918 4032308 3261061 333702906 239046231 796885 454458 0 136251228 108785854 0 0 227292181 161294399 364340294 270534711 -30637388 -31488480 367496059 346616970 303785190 315017693 63710869 31599277 PROVIDE THE BEST PATIENT EXPERIENCE WITH THE BEST STAFF. false false 207785817 454458 226714666 SINCE ITS FOUNDING IN 1889, OUR PRIVATE, NOT-FOR-PROFIT FACILITY HAS GROWN INTO A DIVERSE CLINICAL ENTERPRISE THAT IS CONSISTENTLY RECOGNIZED NATIONALLY FOR CLINICAL EXCELLENCE BY HEALTHGRADES, TRUVEN, AND OTHER COMPARATIVE QUALITY DATA ORGANIZATIONS. HOSPITAL SERVICES ARE PROVIDED TO INPATIENTS AND OUTPATIENTS, INCLUDING CHARITY CARE TO THE INDIGENT AND OTHER PATIENTS. PLEASE SEE SCHEDULE H FOR DETAILS ON COMMUNITY BENEFITS. 207785817 true true false true false false false false true true false false true true true false true false false false false false false false false true true true false true true false false false false false false false false false false false false false false true true true true false false true 587 0 true 2497 true true true false false false false false false false false false true false X 9 3 false false false false true true true true true false false true true true true true true true true true true FL X DEBORAH COSTABILE 9048195259 400 HEALTH PARK BLVD ST AUGUSTINE FL 32086 CHRIS KAMEINSKI CHAIRMAN/ BOARD MEMBER 1.0 0 X X 0 0 0 KERRY WATSON BOARD MEMBER, Interim CEO Flagler Hospital (Beg June 2024) 40.0 1.0 X X 0 0 0 Robert Thornton TREASURER, Shands CFO 1.0 49.5 X X 0 617796 48963 STEPHEN MOTEW MD BOARD MEMBER, President/CEO UF Health (Beg April 2024) 1.0 46.5 X X 0 0 0 Thomas William Young ESQ SECRETARY/ CLO 1.0 50.0 X X 0 453991 56731 Timothy Morey MD VICE-CHAIRMAN/ CHIEF MEDICAL OFFICER 0.5 49.5 X X 0 786393 57061 David Nelson MD BOARD MEMBER/UF SVP Health Affairs 1.0 50.0 X 0 1233849 57666 James J Kelly Jr INTERIM STHC CEO / BOARD MEMBER (THRU MARCH 2024) 1.0 50.0 X 0 1297368 43894 RAY MATUZA BOARD MEMBER 1.0 1.0 X 0 0 0 SUSAN PONDER-STANSEL BOARD MEMBER 1.0 0 X 0 0 0 CARLTON DEVOOGHT PRESIDENT/CEO Flagler Hospital (THROUGH MAY 2024) 40.0 2.0 X 665470 0 79074 CAROLYN SCOTT JD VP, SENIOR COUNSEL (Beg Feb 2024) 40.0 1.0 X 0 0 0 DONNA WAGNER VP CHIEF NURSING OFFICER (through April 2024) 40.0 1.0 X 299490 0 27448 DR TODD BATENHORST VP, INTERIM CHIEF MEDICAL OFFICER 40.0 0 X 440202 0 47208 HUSON GILBERSTADT MD VP, CHIEF MEDICAL OFFICER (Beg June 2024) 40.0 1.0 X 0 0 0 JON D COOPER CHIEF OPERATING & STRATEGY OFFICER (Beg Jan 2024) 40.0 0 X 0 0 0 KEVIN SWEENY VP, CHIEF OF STAFF 40.0 1.0 X 269529 0 56609 KIMBERLY DIAZ VP, AMBULATORY ENTERPRISE (Beg Oct 2023) 40.0 0 X 60887 0 1303 MELISSA CECIL CHIEF INFORMATION OFFICER 40.0 0 X 402650 0 40926 MICHELLE PAULO INTERIM VP, NURSING (beg April 2024) 40.0 0 X 220996 0 2448 SIBEL MIGLINO INTERIM VP OF HUMAN RESOURCES (Beg Oct 2023) 40.0 0 X 222415 0 33738 TOM BAILEY INTERIM CHIEF FINANCIAL OFFICER (through March 2024) 40.0 2.0 X 265577 0 18162 Dawne Bysheim Administrator, Orthopaedics & General Surgery 40.0 0 X 158277 0 11674 Dennis Hoban Administrator, Talent Strategy & Management 40.0 0 X 140796 0 29519 DONALD R CRIST VP OF OPERATIONS/ SUPPORT SERVICES & PROCUREMENT 40.0 0 X 362277 0 45944 Erin Wallner Administrator, Marketing Communications 40.0 0 X 186524 0 20744 John Franks EVP, AMBULATORY ENTERPRISE (Thru Sept 2023) 40.0 0 X 278172 0 10426 Mark Michaels MD VP, Primary & Ambulatory Services 40.0 0 X 266297 0 35101 MICHAEL HALL ADMINISTRATOR, CLINICAL SERVICES (through April 2024) 40.0 0 X 251767 0 34414 Shannon Pickett Administrator, Med Surg Nursing Services & Care Coordination 39.0 1.0 X 210831 0 28329 Tabitha Vaughn Administrator, Surgical Services 40.0 0 X 188727 0 22814 Corey Rosenbaum DO Orthopedic Physician 40.0 0 X 1093235 0 64620 David Gay MD Orthopedic Physician 40.0 0 X 914735 0 66848 Garrett Schwarzman MD Orthopedic Physician 40.0 0 X 767959 0 20850 Jeffrey Keen MD Orthopedic Physician 40.0 0 X 921053 0 75515 Scott Putney MD Orthopedic Physician 40.0 0 X 1126415 0 65340 Angie Metcalf Former Chief Adminiatrative Officer 0.0 0 X 402284 0 13558 BRENDA BAKER Former CHIEF FINANCIAL OFFICER 0.0 0.0 X 366048 0 0 David Rice MD Former EVP/CHIEF PHYSICIAN EXECUTIVE 0.0 0.0 X 1631883 0 45523 JASON BARRETT FORMER PRESIDENT/CEO Flagler Hospital 0.0 0.0 X 636122 0 0 JILL BERRY Former VP, CHIEF LEGAL OFFICER 0 X 192676 0 17378 Nangela Pulsfus Former CNO 0.0 0 X 298657 0 12375 REGINA R MANGUS FORMER EVP ADVANCEMENT & STRATEGY 0.0 0.0 X 238915 0 0 VINCENT JOHNSON Former CHIEF OPERATING OFFICER 0.0 0 X 222308 0 0 13703174 4389397 1192203 176 true true false P20 Global Holdings 222 VALLEY CREEK BLVD STE 100 EXTON PA 19341 STAFFING AGENCY 5438582 US Anesthesia Partners of Florida Inc 12222 MERIT DRIVE STE 600 DALLAS TX 75251 ANESTHESIA SERVICE 3505922 MEDXCEL FACILITIES MANAGEMENT 7702 WOODLAND DRIVE SUITE 200 Indianapolis IN 46278 FACILITIES MANAGEMENT SERVICE 3308040 Cogent Healthcare of Jacksonville 1498 Pacific Avenue Suite 400 Tacoma WA 98402 Hospital and Program director Services 2739333 CDW 75 Remittance Drive Suite 1515 Chicago IL 606751515 Subscriptions Service Contracts 2558277 102 455011 9288411 9743422 NET PATIENT SERVICE REVENUE 623000 213303737 213303737 ANCILLARY SERVICES 623000 1478939 1478939 OSC REVENUE 623000 11931990 11931990 0 0 0 0 226714666 -599989 -599989 3136476 16830 3119646 0 3119646 3119646 72929 -72929 0 -72929 -72929 101086 99578 1508 1508 139907 0 0 139907 139907 239046231 226714666 0 2588143 X 454458 454458 5266450 5266450 4077727 4077727 75884518 65859640 10024878 3001120 2604651 396469 13454242 11676842 1777400 7101797 6163600 938197 4594550 3835508 759042 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Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY ANNUAL LOBBYING EXPENSES REPRESENT PROFESSIONAL LOBBYISTs engaged TO MONITOR LEGISLATION DIRECTLY AFFECTING NOT-FOR-PROFIT HOSPITALS/RURAL COMMUNITY PROVIDERS, as well as HOSPITAL ASSOCIATION DUES ATTRIBUTABLE TO LOBBYING. 4064275 25000 1378 1500 4462 4084691 4064275 4064275 4064275 4064275 4064225 50 4064275 4064200 25 4064225 0.0 1.0 0.0 false true true 46195581 46195581 214438216 132199253 82238963 7347760 5587750 1760010 197473989 165087630 32386359 84348399 30211072 54137327 216718240 DUE FROM AFFILIATES 12753469 LONG-TERM RECOVERIES 9525072 RIGHT OF USE ASSETS 957874 Capital Lease 12337375 35573790 Capital Lease Liability 15223794 Medicare Accelerated Payments Intercompany Payables 20899738 Accrued Bonds 4009661 40133193 X Schedule D, Part V, Line 4 Intended uses of endowment funds THE ORGANIZATION'S ENDOWMENT CONSISTS OF FOUR INDIVIDUAL FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. THE ENDOWMENTS ARE ALL DONOR-RESTRICTED AND INTERNALLY CONTROLLED. FLAGLER HEALTH CARE FOUNDATION, A RELATED ORGANIZATION, HOLDS THESE ENDOWMENTS FOR BENEFIT OF FLAGLER HOSPITAL, INC. INVESTMENTS CONTAIN AMOUNTS TO BE HELD IN PERPETUITY, THE DIVIDEND AND INTEREST INCOME FROM WHICH IS EXPENDABLE TO SUPPORT HEALTHCARE SERVICES, AND THE REMAINING INVESTMENT INCOME, GAINS, AND LOSSES ARE TO ADJUST THE CORPUS. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote STHC, Elder Care, Southeastern, Auxiliary, UFHCF, UFHL, UFSP, UFHL Foundation, UFSP Foundation, UFHSJ, SJCC, FHN, FHC, and FHC Foundation are exempt from federal income taxes pursuant to Section 501(a) as organizations described in Section 501(c)(3) of the Internal Revenue Code and from state income taxes pursuant to Chapter 220.13 of the Florida Statutes. The other affiliates are single member LLCs and disregarded entities for federal and state tax purposes except for sales and use tax on non-medical purchases. true true X true X true X true true true false false 6183038 0 6183038 0.0229 23456427 19817822 3638605 0.0134 0 0 0 0.0 0 0 29639465 19817822 9821643 0.0363 1636443 0 1636443 0.0060 1006323 0 1006323 0.0037 0 0 0 0.0 195476 0 195476 0.0007 252630 0 252630 0.0009 0 0 3090872 0 3090872 0.0114 0 0 32730337 19817822 12912515 0.0477 0 0.0 0 0.0 1035869 1035869 0 0.0 0 0.0 8696 0 8696 0.0000 0 0.0 0 0.0 0 0.0 0 0.0 0 0 1044565 1035869 8696 0.0000 true 0 0 84515138 95330799 -10815661 X true true First Coast Health Alliance LLC HEALTHCARE SERVICES 0.5 0.5 Flagler Whitehall Radiation LLC HEALTHCARE SERVICES 0.5 0.5 1 1 Flagler Hospital Inc 400 Health Park Blvd St Augustine FL 32086 https://stjohns.ufhealth.org/ 10001 X X X Flagler Hospital Inc 1 false true true X X X X X X X X X 22 true false false true X https://stjohns.ufhealth.org/community-health-improvement/community-benefit-planning/st-johns-county X X true 22 true https://stjohns.ufhealth.org/community-health-improvement/community-benefit-planning/st-johns-county false true X 200.0 400.0 X X X X true true X X X true X https://stjohns.ufhealth.org/financial-services/financial-counseling-financial-assistance-policy/ X https://stjohns.ufhealth.org/financial-services/financial-counseling-financial-assistance-policy/ X https://stjohns.ufhealth.org/financial-services/fap-plain-language-summary/ X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 2 UF Health became the sole member of Flagler Hospital on September 1, 2023 Schedule H, Part V, Section B, Line 3E The significant health needs are a prioritized description of the significant health needs identified in the CHNA. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Flagler Hospital, Inc.. Flagler Hospital conducted interviews with community stakeholders to obtain input on health needs, barriers to care and resources available to address the identified health needs. Seventeen (17) phone interviews were conducted during February and March 2023. Community stakeholders identified by the hospital were contacted and asked to participate in the needs assessment interviews. Interview participants included a broad range of stakeholders concerned with health and wellbeing in the service area, who spoke about issues and needs in the communities served by the hospital. Focus was placed on organizations who serve and represent diverse community groups related to race, age, ethnicity, language, culture and social needs. The identified stakeholders were invited by email to participate in the phone interview. Appointments for the interviews were made on dates and times convenient for the stakeholders. At the beginning of each interview, the purpose of the interview in the context of the assessment was explained, the stakeholders were assured their responses would remain confidential, and consent to proceed was given. During the interviews, participants were asked to share their perspectives on the issues, challenges and barriers relative to the identified health needs (What makes each health need a significant issue in the community? What are the challenges people face in addressing these needs?), along with identifying known resources to address these health needs, such as services, programs and/or community efforts. The identified significant community needs were prioritized with input from the community. Interviews with community stakeholders were used to gather input on the significant needs. The following criteria were used to prioritize the significant needs: * The perceived severity of a health or community issue as it affects the health and lives of those in the community. * Improving or worsening of an issue in the community. * Availability of resources to address the need. * The level of importance the hospital should place on addressing the issue. The stakeholder interviewees were sent a link to an electronic survey (SurveyMonkey) in advance of the interview. The stakeholders were asked to rank each identified need. The percentage of responses were noted as those that identified the need as having severe or very severe impact on the community, had worsened over time, and had a shortage or absence of resources available in the community. Not all respondents answered every question, therefore, the response percentages were calculated based on respondents only and not on the entire sample size. Mental health, housing and homelessness, and substance use had the highest scores for severe and very severe impact on the community. Mental health, housing and homelessness, and substance use were the top three needs that had worsened over time. Mental health and housing and homelessness had the highest scores for insufficient resources available to address the need. Community input was obtained from interviews with community stakeholders from community agencies and organizations that represent medically underserved, low-income, and/or minority populations. The stakeholders and the agencies and organizations represented are listed on Attachment 2 of the CHNA. Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - Flagler Hospital, Inc.. Flagler Hospital utilized a variety of approaches to inform the community on the results of the 2022 St. Johns County Community Health Needs Assessment. Flagler Hospital invested in printing 50 hard copies of the publication. These copies were provided to all St. Johns County community stakeholders and displayed on-site at each member agency. In addition to these modalities, the CHNA was posted on the hospital website and continues to be used as a cornerstone and strategic plan for all community partnerships and investments in community health improvement. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Flagler Hospital, Inc.. The Implementation Strategy details how Flagler Hospital plans to address the significant health needs identified in the 2022 CHNA. The hospital will build on previous CHNA efforts and existing initiatives, while also considering new strategies and efforts to improve health. The following criteria were used to determine the significant health needs Flagler Hospital will address in the Implementation Strategy: * Existing infrastructure: There are programs, systems, staff, and support resources in place to address the issue. * Established relationships: There are established relationships with community partners to address the issue. * Ongoing investment: Existing resources are committed to the issue. Staff time and financial resources for this issue are counted as part of our community benefit effort. * Focus area: Has acknowledged competencies and expertise to address the issue and the issue fits with the organizational mission. The need was identified as a priority in the previous Implementation Strategy. Hospital leaders examined the identified health needs according to these criteria. As a result of the application of the above criteria, Flagler Hospital chose to focus on: * Access to care * Chronic disease (including overweight and obesity) * Housing and homelessness * Mental health Strategies to Address Prioritized Health Needs For each health need the hospital plans to address, the Implementation Strategy describes the following: actions the hospital intends to take, including programs and resources it plans to commit; anticipated impacts of these actions; and planned collaboration between the hospital and other organizations. See attached Implementation Strategy Taking existing hospital and community resources into consideration, Flagler Hospital will not directly address preventive practices and substance use as priority health needs. The hospital has insufficient resources to effectively address all the identified needs, and, in some cases, the needs are currently addressed by others in the community. Knowing that there are not sufficient resources to address all the community health needs, Flagler Hospital chose to concentrate on those health needs that can most effectively be addressed given the organization's areas of focus and expertise. 13 FLAGLER OUTPATIENT LAB 156-316 ST HWY 312 260-264 ST AUGUSTINE FL 32086 OUTPATIENT LAB SATELLITE DRAW STATION UF Health St Johns Surgical Center (formerly Flagler Surgery Center) 180 Southpark Blvd St Augustine FL 32086 Outpatient surgery center UF Health Imaging (formerly Flagler Imaging Center) 101 Health Park Blvd St Augustine FL 32086 Imaging Services UF Health Imaging MuraBella 70 Turin Terrace Suite 120 St Augustine FL 32092 Medical imaging UF Health Imaging Nocatee 351 Town Plaza Avenue Suite 101 Ponte Vedra FL 32081 Medical imaging UF Health Medical Lab Riverside Center 200 FL-312 St Augustine FL 32086 Medical Lab UF Health Orthopedics Flagler Hospital 120 Health Park Blvd Suite 1 St Augustine FL 32086 ORTHOPEDICS UF Health Primary Care Cypress Point 50 Cypress Point Parkway Suite C1-C 2 Palm Coast FL 32164 Primary care UF Health Primary Care Treaty Oaks 270 Plaza Blvd Suite B6 St Augustine FL 32086 Primary care UF Health Primary Care Whetstone Place 100 Whetstone Place Suite 105 St Augustine FL 32086 Primary care UF Health St Johns MRI 1 Orthopedic Place St Augustine FL 32086 Medical imaging UF Health Surgical Specialists Flagler Hospital 300 Health Park Blvd Suite 5002 St Augustine FL 32086 Outpatient Surgery UF Health Urgent Care Flagler Hospital 110 Health Park Blvd St Augustine FL 32086 Urgent Care Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance EXPENSES WERE CALCULATED USING THE COST-TO-CHARGE RATIO FROM WORKSHEET 2. Schedule H, Part II Community Building Activities Flagler Hospital donated paid staff time for employees who served on various boards for community events and committees which offered community support, coalition building with other agencies and health and welfare providers, and community health improvements advocacy. Through a partnership with the hospital, the St. Johns County School District created the Flagler Hospital Academy of Medical and Health Careers at Pedro Menendez High School in 2007-2008, that continues to support students today. In addition, Flagler Hospital started a new Health Academy at Tocoi Creek High school in January of 2023. The academies are open to students throughout the school system. They focus on providing skills and experience necessary to attain entry level jobs in health, medical and related fields, and provides academic preparation to continue training through clinical experience, community college and university programs. This past fiscal year the academies had 45 students enrolled and rotating through various departments at the hospital for training. The Life Institute works closely with the School District to administer the Academy. Four $1,000 scholarships were donated to students in the program for further education, given with no expectation of the student having to work for Flagler Hospital upon completion of school. In addition to the health academies, Flagler Hospital also administers and oversees the Youth Leadership St. Johns program. The Mission of Youth Leadership St. Johns (YLSJ) is to develop a corps of informed, committed and qualified young people capable of providing dynamic leadership in their schools, careers and communities as they mature into adulthood. Students in the Youth Leadership St. Johns program must commit to a high standard of attendance and participation in the retreat and program sessions. In FY24 we had 22 students participate in the program. The Office on Homelessness recognizes and designates local entities to serve as lead agencies for local planning efforts to coordinate homeless assistance continuum of care systems. The purpose of the local continuum of care is to help communities envision, plan and implement coordinated, long-term solutions to address homelessness. UF Health St. Johns, formerly known as Flagler Hospital, became the Lead Agency for the St. Johns County Continuum of Care in December of 2017. The objective of the CoC is to improve the overall quality of life for homeless individuals and/or families through coordination with community agencies to provide quality services and programs including both facilities (i.e. homeless shelters, transitional housing, ect.) as well as prevention and re-housing initiatives (i.e. rental and financial assistance programs) or outreach activities including the competitively awarded Challenge Grant, Emergency Solutions Grant (ESG) and Temporary Assistance for Needy Families (TANF) Grants. These services will provide the homeless population the assistance needed to gain self-sufficiency and make suitable living conditions available. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount FOR FINANCIAL STATEMENT PURPOSES, THE ORGANIZATION DIRECTLY REDUCES THE AMOUNT OF PATIENT SERVICE REVENUE REPORTED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS BY THE AMOUT OF BAD DEBT EXPENSE. THEREFORE, BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE AND BAD DEBT EXPENSE IS NOT SEPARATELY REPORTED AS AN EXPENSE. Schedule H, Part III, Line 3 Bad Debt Expense Methodology THE ORGANIZATION REPORTS $0 BAD DEBT EXPENSE BECAUSE BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE. THEREFORE, THE AMOUNT OF BAD DEBTS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY IS ALSO $0. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE PROVISION FOR BAD DEBTS IS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN FEDERAL AND STATE GOVERNMENTAL HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON THESE TRENDS. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATION TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. PATIENT ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED UNDER Shands'S POLICIES. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE MEDICARE REVENUE AND ALLOWABLE COSTS ON LINES 5 AND 6, RESPECTIVELY, WERE TAKEN FROM THE MEDICARE COST REPORT. TOTAL REVENUE RECEIVED FROM MEDICARE IS THE REIMBURSEMENT ALLOWED, BEFORE REDUCTION OF CO-PAY AMOUNTS, LESS SEQUESTRATION AND ANY OTHER REDUCTIONS ASSOCIATED WITH VALUE BASED PURCHASING REDUCTIONS AS PER THE COST REPORT WORKSHEETS E PART A AND B. MEDICARE ALLOWABLE COSTS RELATING TO PAYMENTS ARE TAKEN FROM THE PART A AND PART B EXPENSES AS DETERMINED BY THE COST REPORT STEP DOWN AND COST APPORTIONMENT METHODOLOGY ON WORKSHEETS D-1 AND D PART V, PLUS THE 65% REDUCTION APPLIED TO MEDICARE BAD DEBTS. Flagler hospital ACCEPTS ALL MEDICARE PATIENTS WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS AND OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. Flagler hospital BELIEVES THAT ANY MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT BECAUSE MEDICARE DOES NOT TYPICALLY FULLY COMPENSATE Flagler hospital FOR THE COST OF PROVIDING HOSPITAL CARE TO MEDICARE BENEFICIARIES. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance FLAGLER HOSPITAL BUSINESS OFFICE STAFF REVIEW UNPAID PATIENT ACCOUNTS ON A REGULAR BASIS TO IDENTIFY THOSE ACCOUNTS THAT MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. ATTEMPTS TO CLASSIFY THESE PARTICULAR INDIVIDUALS START AT THE TIME THAT THEY ARE STILL IN-HOUSE. PATIENTS ARE ALSO CONTACTED AFTER DISCHARGE THROUGH PHONE CALLS OR MAIL. COMPLIANT INDIVIDUALS WHO MEET THE HOSPITAL'S FINANCIAL ASSISTANCE GUIDELINES ARE GRANTED THE APPROPRIATE DISCOUNT BASED ON WHERE THEY FALL IN RELATION TO THE FEDERAL POVERTY GUIDELINES. UF Health Flagler Hospital will not refer accounts for collection where the patient has initially applied for financial assistance or other UF Health Flagler Hospital sponsored program and UF Health Flagler Hospital has not yet notified the patient of its determination (provided the patient has complied with the timeline and information requests delineated during the application process). Schedule H, Part V, Section B, Line 16a FAP website - Flagler Hospital, Inc.: Line 16a URL: https://stjohns.ufhealth.org/financial-services/financial-counseling-financial-assistance-policy/; Schedule H, Part V, Section B, Line 16b FAP Application website - Flagler Hospital, Inc.: Line 16b URL: https://stjohns.ufhealth.org/financial-services/financial-counseling-financial-assistance-policy/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - Flagler Hospital, Inc.: Line 16c URL: https://stjohns.ufhealth.org/financial-services/fap-plain-language-summary/; Schedule H, Part VI, Line 2 Needs assessment Secondary data was collected from a variety of local, county, and state sources to present community demographics, social determinants of health, access to health care, birth characteristics, leading causes of death, COVID-19, acute and chronic disease, health behaviors, mental health, substance use and preventive practices. Where available, these data are presented in the context of Florida. Analysis of secondary data includes an examination and reporting of health disparities for some health indicators. The report includes benchmark comparison data that measure the data findings as compared to Healthy People 2030 objectives, where appropriate. Healthy People 2030 is a national initiative to improve the public's health by providing measurable objectives that are applicable at national, state, and local levels. Flagler Hospital was recognized as a Healthy People 2030 Champion in March 2023. Seventeen (17) phone interviews were conducted during February and March 2023. Community stakeholders identified by the hospital were contacted and asked to participate in the needs assessment interviews. Interview participants included a broad range of stakeholders concerned with health and wellbeing in St. Johns County, who spoke to issues and needs in the communities served by the hospital. Focus was placed on organizations who serve and represent diverse community groups related to race, age, ethnicity, language, culture and social needs. During the interviews, participants were asked to share their perspectives on the issues, challenges and barriers relative to the identified health needs (What makes each health need a significant issue in the community? What are the challenges people face in addressing these needs?), along with identifying known resources to address these health needs, such as services, programs and/or community efforts. Biel Consulting, Inc. conducted the CHNA. Dr. Melissa Biel was joined by Sevanne Sarkis, JD, MHA, MEd, and Denise Flanagan, BA. Biel Consulting, Inc. is an independent consulting firm that has over 25 years of experience conducting hospital CHNAs and working with hospitals on developing, implementing, and evaluating community benefit programs. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance THE HOSPITAL COMMUNICATES ITS CHARITY CARE POLICY, OR PATIENT-FRIENDLY SUMMARY THEREOF, IN THE FOLLOWING WAYS: - POSTED ON THE FLAGLER HOSPITAL WEBSITE - POSTED AT THE RECEPTION DESKS IN ALL REGISTRATION AREAS - POSTED AT ALL FINANCIAL COUNSELORS' DESKS WHEN UNINSURED OR UNDERINSURED PATIENTS ARE ADMITTED TO THE HOSPITAL, THEY ARE SCREENED FOR FINANCIAL ASSISTANCE. AT THE TIME OF SCREENING, THE PATIENT IS PROVIDED A FINANCIAL ASSISTANCE APPLICATION TO COMPLETE. THEY ARE THEN ASKED TO SUBMIT THE REQUIRED FINANCIAL DOCUMENTS (I.E., BANK STATEMENTS, PAY STUBS, TAX RETURNS, ETC.). THOSE PATIENTS DISCHARGED PRIOR TO SCREENING ARE CALLED BY THE BUSINESS OFFICE AND ARE SCREENED OVER THE PHONE. THE PATIENT IS INFORMED OF THE ELIGIBILITY REQUIREMENTS AND THE FINANCIAL DOCUMENTS NEEDED FOR VERIFICATION. UNINSURED PATIENTS TREATED IN THE EMERGENCY DEPARTMENT WHO MEET CERTAIN CRITERIA ARE SCREENED BY PHONE BY THE BUSINESS OFFICE. THE PATIENT IS INFORMED OF THE ELIGIBILITY REQUIREMENTS AND THE FINANCIAL DOCUMENTS NEEDED. A SEPARATE SCREENING IS PERFORMED TO DETERMINE ELIGIBILITY FOR COUNTY PROGRAMS AND MEDICAID. IN ADDITION, THE HOSPITAL UTILIZES A THIRD-PARTY VENDOR TO SCREEN SELF-PAY PATIENTS FOR POSSIBLE DISCOUNTS AND FINANCIAL ASSISTANCE OPTIONS. Schedule H, Part VI, Line 4 Community information St. Johns County is part of the Jacksonville Metropolitan Area and encompasses approximately 680 square miles of land in Northeast Florida, situated between the St. Johns River and more than 40 miles of beaches along the Atlantic Coast. According to the U.S. Census Bureau, the population of St. Johns County is 265,724. From 2016 to 2021, the population increased by 21.7%, which was more than triple the state rate of growth (7%). Population by gender: The area population is 51.1% female and 48.9% male. Population by age: Children and youth, ages 0-19, make up 24.2% of the population, 55.7% are adults, ages 20-64, and 20.1% of the population are senior adults, ages 65 and older. The population in the county has a higher percentage of children, ages 5-19, and adults, ages 45-64, and a lower percentage of adults, ages 20-44, than found at the state level. Race and Ethnicity: The majority population in the county are non-Hispanic White residents (80.9%). 7.6% of the population are Hispanic or Latino residents, 5.1% of the population are Black or African American residents, and 3% of the population are Asian residents. Residents who are multiracial (two-or-more races) make up 2.8% of the population, while Native Hawaiian or Pacific Islander residents and American Indian or Alaskan Native residents each make up 0.1% of the population. Those who identify as a Race or Ethnicity not listed represent 0.4% of the population. The county has a higher population of White residents, and a lower population of Hispanic or Latino residents and Black or African American residents, when compared to the state population. Social and Economic Factors Ranking: County Health Rankings rank counties according to health factors data. Social and economic indicators are examined as a contributor to the health of a county's residents. Florida's 67 counties are ranked according to social and economic factors with 1 being the county with the best factors to 67 for the county with the poorest factors. This ranking examines: high school graduation rates, unemployment, children in poverty, social support, and others. St. Johns County is ranked first among Florida counties, according to social and economic factors. Schedule H, Part VI, Line 5 Promotion of community health The governing board of the hospital is made up of primarily community members that reside in St. Johns County and are familiar with the needs and services provided through the county. Each board member is provided with a copy of the CHNA to familiarize themselves with the most up-to-date assessment. Flagler hospital also extends medical staff privileges to all qualifying physicians who request to be credentialed with the hospital. Surplus funds are reinvested in expansion of facilities, services, and improvement of patient care. Schedule H, Part VI, Line 6 Affiliated health care system Effective September 1, 2023, STHC acquired Flagler Hospital, Inc., pursuant to which STHC became the sole corporate member of Flagler Hospital. STHC controls or owns various other affiliated entities that operate facilities and provide services as part of STHC. STHC and certain affiliated entities operate under names beginning with "UF Health." Flagler Hospital is also affiliated with Flagler Health Care Foundation, Inc. and Flagler Home Care LLC. In strategic partnership with its fellow UF Health affiliates, Flagler Hospital works to improve the health and quality of life of the St. Johns County community. true Tommy Tant Memorial surf Classic Corp PO Box 53 Flagler Beach FL 32136 932135024 501(c)(3) 5500 sponsorship and support of community events St Johns County Chamber of Commerce 100 Southpark Blvd Ste 405/406 St Augustine FL 32086 590432275 501(c)(6) 26665 OPERATIONAL SUPPORT AND PROGRAM ASSISTANCE RoscolUSA LLC 1611 Woodlant St Nashville TN 37206 462971411 45000 sponsorship and support of community events ST JOHNS COUNCIL ON AGING (SJCCOA) 180 Marine St St Augustine FL 32084 591525829 501(c)(3) 50000 OPERATIONAL SUPPORT AND PROGRAM ASSISTANCE EPIC Behavioral Healthcare 17 St Johns Medical Park Dr St Augustine FL 32086 591502582 501(c)(3) 150000 OPERATIONAL SUPPORT AND PROGRAM ASSISTANCE GOOD SAMARITAN HEALTH CENTERS INC 268 Herbert St St Augustine FL 32084 522125419 501(c)(3) 13784 OPERATIONAL SUPPORT AND PROGRAM ASSISTANCE Publix Supermarkets PO Box 32018 Lakeland FL 33802 590324412 29058 OPERATIONAL SUPPORT AND PROGRAM ASSISTANCE 4 3 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. THE FLAGLER HEALTH CARE FOUNDATION, A SUPPORTING ORGANIZATION OF THE HOSPITAL, REPORTS ITS FINANCIAL ACTIVITIES TO THE CFO OF FLAGLER HOSPITAL. THE HOSPITAL HAS A COMMUNITY BENEFITS GROUP THAT WORKS WITH ST. JOHNS COUNTY TO DETERMINE GRANT RECIPIENTS AND MONITOR THE USE OF FUNDS. X X X X true true false false false false false true false Timothy Morey MD VICE-CHAIRMAN/ CHIEF MEDICAL OFFICER 0 669609 0 111972 0 4812 0 32662 0 24399 0 843454 0 0 Robert Thornton TREASURER, Shands CFO 0 488561 0 79000 0 50235 0 23100 0 25863 0 666759 0 0 Thomas William Young ESQ SECRETARY/ CLO 0 355290 0 95800 0 2901 0 29109 0 27622 0 510722 0 0 James J Kelly Jr INTERIM STHC CEO / BOARD MEMBER (THRU MARCH 2024) 0 847811 0 295100 0 154457 0 26400 0 17494 0 1341262 0 0 David Nelson MD BOARD MEMBER/UF SVP Health Affairs 0 1229037 0 0 0 4812 0 32769 0 24897 0 1291515 0 0 BRENDA BAKER Former CHIEF FINANCIAL OFFICER 0 0 0 0 366048 0 0 0 0 0 366048 0 0 0 JASON BARRETT FORMER PRESIDENT/CEO Flagler Hospital 0 0 0 0 636122 0 0 0 0 0 636122 0 0 0 JILL BERRY Former VP, CHIEF LEGAL OFFICER 158230 0 0 0 34446 0 0 0 17378 0 210054 0 0 0 VINCENT JOHNSON Former CHIEF OPERATING OFFICER 0 0 0 0 222308 0 0 0 0 0 222308 0 0 0 REGINA R MANGUS FORMER EVP ADVANCEMENT & STRATEGY 0 0 0 0 238915 0 0 0 0 0 238915 0 0 0 Angie Metcalf Former Chief Adminiatrative Officer 293221 0 0 0 109063 0 0 0 13558 0 415842 0 0 0 David Rice MD Former EVP/CHIEF PHYSICIAN EXECUTIVE 375139 0 0 0 1256744 0 0 0 45523 0 1677406 0 129747 0 Nangela Pulsfus Former CNO 0 0 0 0 298657 0 0 0 12375 0 311032 0 0 0 TOM BAILEY INTERIM CHIEF FINANCIAL OFFICER (through March 2024) 215297 0 50000 0 280 0 0 0 18162 0 283739 0 0 0 DR TODD BATENHORST VP, INTERIM CHIEF MEDICAL OFFICER 423510 0 15783 0 909 0 0 0 47208 0 487410 0 0 0 MELISSA CECIL CHIEF INFORMATION OFFICER 248560 0 50000 0 104090 0 25300 0 15626 0 443576 0 94363 0 CARLTON DEVOOGHT PRESIDENT/CEO Flagler Hospital (THROUGH MAY 2024) 539982 0 55465 0 70023 0 35000 0 44074 0 744544 0 70023 0 SIBEL MIGLINO INTERIM VP OF HUMAN RESOURCES (Beg Oct 2023) 172092 0 50000 0 323 0 0 0 33738 0 256153 0 0 0 MICHELLE PAULO INTERIM VP, NURSING (beg April 2024) 170792 0 50000 0 204 0 0 0 2448 0 223444 0 0 0 KEVIN SWEENY VP, CHIEF OF STAFF 218512 0 50000 0 1017 0 22435 0 34174 0 326138 0 0 0 DONNA WAGNER VP CHIEF NURSING OFFICER (through April 2024) 248792 0 50000 0 698 0 25000 0 2448 0 326938 0 0 0 DONALD R CRIST VP OF OPERATIONS/ SUPPORT SERVICES & PROCUREMENT 245968 0 0 0 116309 0 25118 0 20826 0 408221 0 99780 0 MICHAEL HALL ADMINISTRATOR, CLINICAL SERVICES (through April 2024) 199900 0 50000 0 1867 0 0 0 34414 0 286181 0 0 0 John Franks EVP, AMBULATORY ENTERPRISE (Thru Sept 2023) 179545 0 0 0 98627 0 0 0 10426 0 288598 0 0 0 Mark Michaels MD VP, Primary & Ambulatory Services 222450 0 43635 0 212 0 0 0 35101 0 301398 0 0 0 Shannon Pickett Administrator, Med Surg Nursing Services & Care Coordination 156050 0 50000 0 4781 0 0 0 28329 0 239160 0 0 0 Tabitha Vaughn Administrator, Surgical Services 158594 0 30000 0 133 0 0 0 22814 0 211541 0 0 0 Erin Wallner Administrator, Marketing Communications 136421 0 50000 0 103 0 0 0 20744 0 207268 0 0 0 Dawne Bysheim Administrator, Orthopaedics & General Surgery 128063 0 30000 0 214 0 0 0 11674 0 169951 0 0 0 Dennis Hoban Administrator, Talent Strategy & Management 140564 0 232 0 0 0 0 0 29519 0 170315 0 0 0 Scott Putney MD Orthopedic Physician 890330 0 158611 0 77474 0 0 0 65340 0 1191755 0 0 0 Corey Rosenbaum DO Orthopedic Physician 890690 0 17071 0 185474 0 0 0 64620 0 1157855 0 0 0 Jeffrey Keen MD Orthopedic Physician 883798 0 28112 0 9143 0 0 0 75515 0 996568 0 0 0 David Gay MD Orthopedic Physician 889575 0 15717 0 9443 0 0 0 66848 0 981583 0 0 0 Garrett Schwarzman MD Orthopedic Physician 519775 0 192785 0 55399 0 0 0 20850 0 788809 0 0 0 Schedule J, Part I, Line 4a Severance or change-of-control payment THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING CALENDAR YEAR 2023: Brenda Baker: $366,048 Jason Barrett: $636,122 John Franks: $55,427 Vincent Johnson: $222,308 Regina Mangus: $238,915 Angelica Metcalf: $90,000 Nangela Pulsfus: $298,657 David Rice: $1,100,028 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan The following listed person(s) participated in the 457(F) plan and received plan payments as follows: Melissa Cecil: $94,363 Donald Crist: $99,780 Carlton Devooght: $70,023 THE FOLLOWING INTERESTED PERSONS CONSTRUCTIVELY RECEIVED DEFERRALS TO THE 457(F) PLAN IN CALENDAR YEAR 2023: Melissa Cecil: $25,300 Donald Crist: $25,118 Carlton Devooght: $35,000 Donna Wagner: $25,000 Kevin Sweeny: $22,435 Schedule J, Part I, Line 7 Non-fixed payments BONUSES ARE BASED ON PERFORMANCE METRICS SET AT THE BEGINNING OF THE PERFORMANCE YEAR. THE BOARD HAS APPROVAL RIGHTS FOR THE FINAL AMOUNT PAID AT THE END OF THE PERFORMANCE YEAR. A ST JOHNS COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY 592146640 2017-09-28 71400000 CURRENT REFUNDING OF SERIES 2010A & SERIES 2010B BONDS, FINANCING OF FACILITIES IMPROVEMENT PROJECT. false false false A 21340000 71400000 471961 17506726 53421313 2019 true false true true A false false false false 0.0 0.0 0.0 false false false A false false false true true false false false false A false Schedule K, Part IV, Line 2c COLUMN A Issuer name: ST JOHNS COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY The calculation for computing no rebate due was performed on 09/28/2022 Form 990, Part VI, Line 1a Delegate broad authority to a committee The Organization's Executive Committee shall consist of the Chair of the Board, the Vice Chair of the Board, and no more than four other current, non-physician members of the Board appointed by the Chair, all of whom shall be voting members of the Executive Committee. The Executive Committee shall act on behalf of the Board to handle matters that, in the judgment of the Chair of the Board and/or the President, do not warrant a special Board meeting but should not be postponed, subject to limitations set forth in Florida Statutes and subject to limitations otherwise imposed by the Board. The Executive Committee shall have the authority to coordinate recommendations from other committees of the Board, to make recommendations from other committees of the Board, to make recommendations to the Board on all matters of policy, and to keep the Board advised concerning the state of affairs of the Organization. In addition, the Executive Committee shall have the following responsibilities: (a) Provide nominee recommendations to the Board for officer, board member, and committee member roles and provide nominee recommendations to the Board for prospective Board Members of the Flagler Foundation; (b) Consider time sensitive real estate transactions relating to the Organization; (c) Consider matters relating to important contracts, including contracts with physicians and other personnel; (d) Establish the goals and objectives for the President in concert with the President and, on an annual basis, evaluate the performance of the President and recommend compensation changes; (e) Negotiate and make recommendations to the Board in regard to issues involving the President's contract; and (f) Upon direction of the Board, search for and recommend a successor to fill any vacancy in the office of the President. The Executive Committee shall provide a copy of the minutes of any meetings no later than the next Board meeting. Form 990, Part VI, Line 6 Classes of members or stockholders THE ORGANIZATION'S MEMBERS ARE: (1) SHANDS TEACHING HOSPITAL AND CLINICS, INC. AND (2) THE UNIVERSITY OF FLORIDA. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body Pursuant to the Organization's bylaws, the Organization's members shall have the authority to appoint all members of the Organization's governing body as follows: (1) SHANDS TEACHING HOSPITAL AND CLINICS, INC. ("STHC") HAS THE POWER TO NOMINATE FOUR MEMBERS TO THE ORGANIZATION'S GOVERNING BODY. (2) THE PRESIDENT OF THE UNIVERSITY OF FLORIDA HAS THE POWER TO APPOINT THREE MEMBERS TO THE ORGANIZATION'S GOVERNING BODY, AS WELL AS THE POWER TO APPROVE THE NOMINATIONS OF THE FOUR MEMBERS NOMINATED BY STHC. Additionally, the PRESIDENT OF THE UNIVERSITY OF FLORIDA HAS THE POWER TO remove any member from the Organization's Board of Directors. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders The Organization shall be managed by or under the direction of Shands Teaching Hospital and Clinics, Inc. ("STHC"). Pursuant to the Organization's Bylaws, STHC shall have the following powers and responsibilities: (1) STHC shall have full custody, care, and control of all of the assets of the Organization, with full authority and right, in the name of the Organization, to manage and invest such assets and/or to borrow funds and pledge corporate assets as deemed appropriate; (2) STHC shall be responsible for the proper orientation and maintenance of the Organization, employment of personnel, use of material, and maintenance and repair of the physical property; (3) STHC shall be responsible for seeing that the objectives specified in the Articles of Incorporation are attained; and (4) Title to all property of the Organization shall be vested in the Organization, and the signatures of the Chair of the Board and the Secretary, when authorized by STHC, shall constitute proper authority for the purchase or sale of real property. STHC may also call a special meeting of the Organization's Board of Directors, designate the location of the meetings of the Organization's Board of Directors, and attend the annual meeting of the Organization's Board of Directors. Further, any changes to the Organization's Bylaws are subject to the approval of STHC, as are the Organization's strategic plans, operating and capital budgets, material workforce reductions, and policies for physician compensation, alignment strategies, and development and recruitment. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 WAS 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, Line 12c Conflict of interest policy THE ORGANIZATION REQUIRES ALL OFFICERS AND TRUSTEES TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY. ANY CONFLICTS THAT DEVELOP AFTER SUBMISSION MUST BE DISCLOSED IN WRITING TO BOARD OF TRUSTEES. EXISTING CONFLICTS OF INTEREST MAY REQUIRE ABSTAINING FROM DISCUSSING OR VOTING UPON MATTERS RELATED TO OR AFFECTED BY THE CONFLICT, OR RECUSING ONESELF FROM PARTICIPATING IN RELATED MATTERS. Form 990, Part VI, Line 15a Process to establish compensation of top management official THE COMPENSATION PACKAGE FOR THE CEO POSITION IS SET AND APPROVED BY THE COMPENSATION COMMITTEE. INDEPENDENT SALARY SURVEYS ARE OBTAINED FROM INDUSTRY EXPERTS TO DETERMINE COMPENSATION AND BENEFITS. THOSE INDEPENDENT SALARY SURVEYS ARE ALSO USED TO DEVELOP COMPENSATION PACKAGES FOR THE SENIOR MANAGEMENT TEAM. THE COMPENSATION COMMITTEE EVALUATES THE DATA, THEN DEBATES AND DOCUMENTS ITS RECOMMENDATION OF REASONABLE COMPENSATION. EXECUTIVE-LEVEL COMPENSATION WAS REVIEWED IN DECEMBER 2023, WITH THESE COMPENSATION REVIEWS NOW HANDLED BY SHANDS TEACHING HOSPITAL AND CLINICS, INC. Form 990, Part VI, Line 15b Process to establish compensation of other employees THE COMPENSATION PACKAGE FOR other officer POSITION IS SET AND APPROVED BY THE COMPENSATION COMMITTEE. INDEPENDENT SALARY SURVEYS ARE OBTAINED FROM INDUSTRY EXPERTS TO DETERMINE COMPENSATION AND BENEFITS. THOSE INDEPENDENT SALARY SURVEYS ARE ALSO USED TO DEVELOP COMPENSATION PACKAGES FOR THE SENIOR MANAGEMENT TEAM. THE COMPENSATION COMMITTEE EVALUATES THE DATA, THEN DEBATES AND DOCUMENTS ITS RECOMMENDATION OF REASONABLE COMPENSATION. EXECUTIVE-LEVEL COMPENSATION WAS REVIEWED IN DECEMBER 2023, WITH THESE COMPENSATION REVIEWS NOW HANDLED BY SHANDS TEACHING HOSPITAL AND CLINICS, INC. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue NON OPERATING REV OTHER - Total Revenue: 139907, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 139907; Form 990, Part IX, Line 11g Other Fees Purchased Services - Total Expense: 44772668, Program Service Expense: 32273764, Management and General Expenses: 12498904, Fundraising Expenses: ; Professional Fees - Total Expense: 19995865, Program Service Expense: 18280611, Management and General Expenses: 1715254, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Net Asset Transfer - -376225; OUTPATIENT SURGERY CENTER OF ST AUGUSTINE LLC 1 ORTHOPAEDIC PL ST AUGUSTINE FL 32086 202047704 OUTPATIENT SURGERY FL 0 386135 FLAGLER HEALTH Enterprise FLAGLER HEALTH NETWORK LLC 400 HEALTH PARK BLVD ST AUGUSTINE FL 32086 821579477 INVESTMENT HOLDING FL -148142 -1188254 FLAGLER HOSPITAL INC FLAGLER HEALTH ENTERPRISES LLC 400 HEALTH PARK BLVD ST AUGUSTINE FL 32086 821588529 INVESTMENT HOLDING FL 0 386135 FLAGLER HOSPITAL INC University of Florida 226 Tigert Hall Gainesville FL 32611 596002052 Education FL NA false Shands Jacksonville HealthcareInc 655 West 8th Street Jacksonville FL 32209 592441966 SUPPORT SJMC FL 501(c)(3) Type II UF false Shands Jacksonville Medical Center Inc 655 West 8th Street Jacksonville FL 32209 592142859 MEDICAL SERVICES FL 501(c)(3) 3 SJHC false SHANDS JACKSONVILLE PROPERTIES INC 655 West 8th Street Jacksonville FL 32209 591158241 SUPPORT SJMC FL 501(c)(3) Type II SJHC false SHANDS JACKSONVILLE COMMUNITY SERVICES INC 655 West 8th Street Jacksonville FL 32209 510173761 SUPPORT SJMC FL 501(c)(3) Type II SJHC false SHANDS JACKSONVILLE FOUNDATION INC 655 West 8th Street Jacksonville FL 32209 592622323 SUPPORT SJMC FL 501(c)(3) Type II SJHC false SHANDS JACKSONVILLE AFFILIATES INC 655 West 8th Street Jacksonville FL 32209 591913819 SUPPORT SJMC FL 501(c)(3) Type I SJMC false UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS INC 653 WEST 8TH STREET Jacksonville FL 32209 591867557 SUPPORT UF COLLEGE OF MEDICINE - 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