FLAGLER HOSPITAL INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: FLAGLER HOSPITAL INC (EIN 59-0675143)
Tax period: 2015-10-01 to 2016-09-30
Filed: 2017-08-03
IRS object ID: 201712159349301561
Schema version: 2015v3.0
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
Form 990
Schedule A
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-08-03T19:07:02-05:00	ReturnTs
Tax Period End	2016-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	560747981	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	DIXON HUGHES GOODMAN LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	500 RIDGEFIELD COURT	AddressLine1Txt
City	ASHEVILLE	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28806	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	590675143	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	FLAGLER HOSPITAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	FLAG	BusinessNameControlTxt
Phone	9048254400	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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ROGER CARTER	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	9048254400	PhoneNum
Signature	2017-08-03	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Amy Bibby	PreparerPersonNm
PTIN	P00445891	PTIN
Phone	8282542254	PhoneNum

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JOSEPH S GORDY	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	$253,002,070	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.FLAGLERHOSPITAL.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1906	FormationYr
Legal Domicile State	FL	LegalDomicileStateCd
Activity Or Mission	PROVIDE EXCELLENT HEALTHCARE SERVICES AND BE RECOGNIZED AS A LEADING PROVIDER IN NORTHEAST FLORIDA.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	15	VotingMembersIndependentCnt
Total Employee	2341	TotalEmployeeCnt
Total Volunteers	196	TotalVolunteersCnt
Total Gross UBI	$126,047	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$28,884	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$0	PYContributionsGrantsAmt
CY Contributions Grants	$0	CYContributionsGrantsAmt
PY Program Service Revenue	$262,194,423	PYProgramServiceRevenueAmt
CY Program Service Revenue	$240,403,548	CYProgramServiceRevenueAmt
PY Investment Income	$5,602,646	PYInvestmentIncomeAmt
CY Investment Income	$7,346,968	CYInvestmentIncomeAmt
PY Other Revenue	$4,486,288	PYOtherRevenueAmt
CY Other Revenue	$5,013,884	CYOtherRevenueAmt
PY Total Revenue	$272,283,357	PYTotalRevenueAmt
CY Total Revenue	$252,764,400	CYTotalRevenueAmt
PY Grants And Similar Paid	$524,053	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$437,558	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$103,310,378	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$106,612,262	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$156,058,704	PYOtherExpensesAmt
CY Other Expenses	$142,267,968	CYOtherExpensesAmt
PY Total Expenses	$259,893,135	PYTotalExpensesAmt
CY Total Expenses	$249,317,788	CYTotalExpensesAmt
PY Revenues Less Expenses	$12,390,222	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$3,446,612	CYRevenuesLessExpensesAmt
Total Assets BOY	$308,441,318	TotalAssetsBOYAmt
Total Assets EOY	$306,354,650	TotalAssetsEOYAmt
Total Liabilities BOY	$143,365,365	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$134,918,256	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$165,075,953	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$171,436,394	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	FLAGLER HOSPITAL STRIVES TO OFFER THE BEST PATIENT EXPERIENCE WITH THE BEST POSSIBLE STAFF.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$223,198,236	ExpenseAmt
Grant	$437,558	GrantAmt
Revenue	$240,403,548	RevenueAmt
Desc	RICH HISTORY MIXED WITH INNOVATIVE TECHNOLOGY IS AN INTEGRAL PART OF FLAGLER HOSPITAL IN HISTORIC ST. AUGUSTINE, FLORIDA.SINCE IT'S FOUNDING IN 1889, OUR PRIVATE, NOT-FOR-PROFIT FACILITY HAS GROWN INTO A 335-BED, ACUTE CARE CENTER THAT IS CONSISTENTLY RECOGNIZED NATIONALLY FOR OVERALL CLINICAL EXCELLENCE. THE HOSPITAL HAS CONSISTENTLY RANKED AMONG THE TOP 5% IN THE NATION FOR CLINICAL EXCELLENCE AND PATIENT SAFETY FOR NEARLY A DECADE AND WAS NORTHEAST FLORIDA'S FIRST HOSPITAL TO RECEIVE THE ANCC MAGNET HOSPITAL AWARD. MOST RECENTLY, THE HOSPITAL EARNED FIVE STARS FOR HEART ATTACK TREATMENT, THE GOLD SEAL OF APPROVAL FROM THE JOINT COMMISSION FOR PRIMARY STROKE CARE CENTERS, CENTER OF EXCELLENCE DESIGNATION FOR ITS BARIATRIC SURGERY CENTER, AND NATIONAL ACCREDITATION FOR TOTAL KNEE AND TOTAL HIP REPLACEMENT SURGERY.HOSPITAL SERVICES PROVIDED TO INPATIENT AND OUTPATIENT INCLUDING CHARITY CARE TO INDIGENT AND OTHER PATIENTS. PLEASE SEE SCHEDULE H FOR DETAILS ON COMMUNITY BENEFITS.	Desc
Total Program Service Expenses	$223,198,236	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	0	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	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
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
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	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	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	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
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 With Officer Ent	0	BusinessRlnWithOfficerEntInd
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	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	415	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	2341	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	15	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	Yes (1)	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	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ROGER CARTER CFO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	9048254400	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

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Matt Baker
CHAIRMAN	1.00	Yes (X)	Yes (X)	$0	$0	$0
William Abare
DIRECTOR	1.00	Yes (X)		$0	$0	$0
Todd Batenhorst MD
DIRECTOR	1.00	Yes (X)		$0	$0	$0
Jeff Kamm
DIRECTOR	1.00	Yes (X)		$0	$0	$0
William Kopf
DIRECTOR	1.00	Yes (X)		$0	$0	$0
Ray Matuza
DIRECTOR	1.00	Yes (X)		$0	$0	$0
Todd Neville
DIRECTOR	1.00	Yes (X)		$0	$0	$0
Brad Runk
DIRECTOR	1.00	Yes (X)		$0	$0	$0
James Grimes MD
DIRECTOR-Joined June 2016	1.00	Yes (X)		$0	$0	$0
Stuart Soroka MD
DIRECTOR	1.00	Yes (X)		$0	$0	$0
Susan Ponder-Stansel
DIRECTOR	1.00	Yes (X)		$0	$0	$0
Karen Taylor
DIRECTOR	1.00	Yes (X)		$0	$0	$0
Len Weeks
DIRECTOR	1.00	Yes (X)		$0	$0	$0	1.00
Len Tucker
DIRECTOR	1.00	Yes (X)		$0	$0	$0	1.00
Susan Yarian MD
DIRECTOR	1.00	Yes (X)		$0	$0	$0
ALI Tutar
DIRECTOR-Left June 2016	1.00	Yes (X)		$0	$0	$0
Joseph S Gordy
CEO	40.00		Yes (X)	$575,387	$0	$20,955
ROGER CARTER
CFO	40.00		Yes (X)	$236,366	$0	$36,959
Jason P Barrett
CAO & Executive VP	40.00			$270,029	$0	$37,155		Yes (X)
Christopher Schmidt
COO	40.00			$275,159	$0	$20,955		Yes (X)
William D Rieger
CIO	40.00			$222,555	$0	$37,231		Yes (X)
Donald R Crist
VP-Professional Svcs	40.00			$249,123	$0	$37,935		Yes (X)
Mary K Mantese
CNO	40.00			$204,106	$0	$30,702		Yes (X)
Jeffrey A Hurley
CLO	40.00			$229,682	$0	$36,310		Yes (X)
Michael C DiBella
CMO	40.00			$371,438	$0	$33,687			Yes (X)
Miguel A Machado
VP OF MEDICAL AFFAIRS	40.00			$295,654	$0	$40,395	20.00		Yes (X)
Michael C Sanders
Chief-Medical Informatics	40.00			$296,622	$0	$20,955			Yes (X)
Gregory A Gibson
PHYSICIAN	40.00			$210,178	$0	$36,156			Yes (X)
Brian D Raymaker
PHYSICIAN	40.00			$169,644	$0	$20,942			Yes (X)
Barbara Drummond-Huth
CNO	40.00			$144,130	$0	$0				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,750,073	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$410,337	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	14	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
ALLSCRIPTS HEALTHCARE LLC
24630 Network PlacE	CHICAGO	IL	606731246	HEALTHCARE	$2,994,406
Berkeley Research Group
2200 Powell Street Suite 1200	Emeryville	CA	94608	PROFESSIONAL FEES	$1,451,619
TEKNION DATA SOLUTIONS
1431 Greenway Dr Ste 440	IRVING	TX	75038	DATA SOLUTIONS	$984,077
IMETHODS LLC
10748 DEERWOOD PARK BLVD S STE 150	JACKSONVILLE	FL	32256	CONSTRUCTION	$846,360
Pulmonary AssociateS
300 Health Park Blvd Ste 4000	ST AUGUSTINE	FL	32080	MEDICAL SERVICES	$295,807

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	5	CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Service	623000	$238,884,104	$238,884,104
EHR MEANGINFUL USE	623000	$1,519,444	$1,519,444

Field	Value	IRS element (for citing)
Total Program Service Revenue	$240,403,548	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,102,654	TotalRevenueColumnAmt
Exclusion	$5,102,654	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,758,583	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$237,670	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,520,913	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,520,913	TotalRevenueColumnAmt
Exclusion	$1,520,913	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$2,156,780	SecuritiesAmt
Other	$87,534	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$2,156,780	SecuritiesAmt
Other	$87,534	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,244,314	TotalRevenueColumnAmt
Exclusion	$2,244,314	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
MISCELLANEOUS	900099	$2,165,134	$126,047	$2,039,087
Food & Nutrition Sales	722210	$1,166,151		$1,166,151
Patient Record Transcription	900099	$161,686		$161,686

Field	Value	IRS element (for citing)
Other Revenue Total	$3,492,971	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$252,764,400	TotalRevenueColumnAmt
Related Or Exempt Func Income	$240,403,548	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$126,047	UnrelatedBusinessRevenueAmt
Exclusion	$12,234,805	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$437,558	TotalAmt
Program Services	$437,558	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,262,407	TotalAmt
Management And General	$2,262,407	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$82,417,979	TotalAmt
Program Services	$77,135,603	ProgramServicesAmt
Management And General	$5,282,376	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,228,671	TotalAmt
Program Services	$2,941,006	ProgramServicesAmt
Management And General	$287,665	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$12,440,343	TotalAmt
Program Services	$11,331,944	ProgramServicesAmt
Management And General	$1,108,399	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$6,262,862	TotalAmt
Program Services	$5,704,859	ProgramServicesAmt
Management And General	$558,003	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$513,805	TotalAmt
Management And General	$513,805	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$402,196	TotalAmt
Management And General	$402,196	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$129,972	TotalAmt
Management And General	$129,972	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$355,536	TotalAmt
Management And General	$355,536	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$34,755,456	TotalAmt
Program Services	$25,300,711	ProgramServicesAmt
Management And General	$9,454,745	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$536,715	TotalAmt
Management And General	$536,715	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,196,549	TotalAmt
Program Services	$3,543,258	ProgramServicesAmt
Management And General	$653,291	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$3,280,679	TotalAmt
Management And General	$3,280,679	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,792,345	TotalAmt
Program Services	$3,168,935	ProgramServicesAmt
Management And General	$623,410	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$364,662	TotalAmt
Program Services	$153,410	ProgramServicesAmt
Management And General	$211,252	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,384,349	TotalAmt
Program Services	$3,384,349	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$19,364,934	TotalAmt
Program Services	$19,364,934	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,376,724	TotalAmt
Program Services	$4,376,724	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies	$48,732,930	$48,707,665	$25,265
Bad Debt	$13,913,415	$13,913,415
Indigent tax	$3,038,046	$3,038,046
Other expenses	$705,430	$275,318	$430,112

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$424,225	TotalAmt
Program Services	$420,501	ProgramServicesAmt
Management And General	$3,724	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$249,317,788	TotalAmt
Program Services	$223,198,236	ProgramServicesAmt
Management And General	$26,119,552	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$8,227,974	BOYAmt
EOY	$351,939	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$34,302,562	BOYAmt
EOY	$30,990,318	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$1,756,827	BOYAmt
EOY	$1,979,450	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$5,940,660	BOYAmt
EOY	$6,386,550	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,938,903	BOYAmt
EOY	$3,881,271	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$366,979,194	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$224,301,524	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$143,267,506	BOYAmt
EOY	$142,677,670	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$84,696,155	BOYAmt
EOY	$87,602,665	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$12,018,148	BOYAmt
EOY	$12,973,095	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$553,118	BOYAmt
EOY	$1,410,063	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$9,309,271	BOYAmt
EOY	$10,019,271	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$6,430,194	BOYAmt
EOY	$8,082,358	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$308,441,318	BOYAmt
EOY	$306,354,650	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$37,170,868	BOYAmt
EOY	$35,458,466	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$3,981,603	BOYAmt
EOY	$3,850,341	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$96,655,000	BOYAmt
EOY	$90,390,000	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$5,145,510	BOYAmt
EOY	$5,218,068	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$412,384	BOYAmt
EOY	$1,381	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$143,365,365	BOYAmt
EOY	$134,918,256	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$165,075,953	BOYAmt
EOY	$171,436,394	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$165,075,953	BOYAmt
EOY	$171,436,394	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$308,441,318	BOYAmt
EOY	$306,354,650	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$3,446,612	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$2,388,992	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$524,836	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	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$316,360	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$316,360	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1:	FormAndLineReferenceDesc
Explanation	DURING THE TAX YEAR, THE ORGANIZATION ENGAGED A PROFESSIONAL LOBBYIST TO MONITOR LEGISLATION DIRECTLY AFFECTING NOT-FOR-PROFIT HOSPITALS/RURAL COMMUNITY PROVIDERS.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,581,146	BeginningYearBalanceAmt
Contributions	$225,328	ContributionsAmt
Investment Earnings Or Losses	$203,153	InvestmentEarningsOrLossesAmt
End Year Balance	$4,009,627	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,895,387	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$314,241	InvestmentEarningsOrLossesAmt
End Year Balance	$3,581,146	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,609,062	BeginningYearBalanceAmt
Investment Earnings Or Losses	$286,325	InvestmentEarningsOrLossesAmt
End Year Balance	$3,895,387	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,007,584	BeginningYearBalanceAmt
Investment Earnings Or Losses	$499,217	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,897,739	OtherExpendituresAmt
End Year Balance	$3,609,062	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,428,122	BeginningYearBalanceAmt
Contributions	$2,341,026	ContributionsAmt
Investment Earnings Or Losses	$556,393	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$317,957	GrantsOrScholarshipsAmt
End Year Balance	$6,007,584	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,135,679	OtherCostOrOtherBasisAmt
Book Value	$7,135,679	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$167,286,221	OtherCostOrOtherBasisAmt
Depreciation	$106,300,975	DepreciationAmt
Book Value	$60,985,246	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$402,364	OtherCostOrOtherBasisAmt
Depreciation	$255,680	DepreciationAmt
Book Value	$146,684	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$185,295,517	OtherCostOrOtherBasisAmt
Depreciation	$117,744,869	DepreciationAmt
Book Value	$67,550,648	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,859,413	OtherCostOrOtherBasisAmt
Book Value	$6,859,413	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$142,677,670	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	ESTIMATED THIRD PARTY PAYOR SETTLEMENTS	Desc
Amt	$1,381	Amt

Field	Value	IRS element (for citing)
Total Liability	$1,381	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$242,002,484	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$2,388,992	NetUnrealizedGainsInvstAmt
Other Revenue	-$13,150,909	OtherRevenueAmt
Revenue Not Reported	-$10,761,917	RevenueNotReportedAmt
Revenue Subtotal	$252,764,401	RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$252,764,401	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$235,642,043	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$237,670	OtherExpensesIncludedAmt
Expenses Not Reported	$237,670	ExpensesNotReportedAmt
Expenses Subtotal	$235,404,373	ExpensesSubtotalAmt
Other Expenses Not Included	$13,913,415	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$13,913,415	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$249,317,788	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part V, Line 4:	THE ORGANIZATION'S ENDOWMENT CONSISTS OF THREE 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.
Part X, Line 2:	THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE, AND IS ALSO EXEMPT FROM STATE INCOME TAXES. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE HOSPITAL'S MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE HOSPITAL AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE HOSPITAL HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE HOSPITAL HAS ANALYZED THE TAX POSITIONS AND HAS CONCLUDED THAT AS OF SEPTEMBER 30, 2016 OR 2015, THERE ARE NO UNCERTAIN POSITIONS TAKEN, OR EXPECTED TO BE TAKEN, THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANANCIAL STATEMENTS. THE HOSPITAL IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE HOSPITAL BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2013.
Part XI, Line 2d - Other Adjustments:	CHANGE IN FAIR VALUE OF DERIVATIVE FINANCIAL INSTRUMENT -72,558. RENTAL EXPENSES NET WITH REVENUES 237,670. BAD DEBT NET WITH REVENUE -13,913,415. NET ASSETS RELEASED FROM RESTRICTION 597,394.
Part XII, Line 2d - Other Adjustments:	RENTAL EXPENSES NET WITH REVENUE 237,670.
Part XII, Line 4b - Other Adjustments:	BAD DEBT NET WITH REVENUE 13,913,415.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	0	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,427,649	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$602,523	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,825,126	NetCommunityBenefitExpnsAmt
Total Expense	0.03320	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,406,322	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,942,555	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,463,767	NetCommunityBenefitExpnsAmt
Total Expense	0.05290	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$31,833,971	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,545,078	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,288,893	NetCommunityBenefitExpnsAmt
Total Expense	0.08610	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,985,042	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,985,042	NetCommunityBenefitExpnsAmt
Total Expense	0.00840	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$727,373	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$727,373	NetCommunityBenefitExpnsAmt
Total Expense	0.00310	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,583,882	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,583,882	NetCommunityBenefitExpnsAmt
Total Expense	0.03220	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$209,272	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$209,272	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$580,979	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$580,979	NetCommunityBenefitExpnsAmt
Total Expense	0.00250	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,086,548	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$11,086,548	NetCommunityBenefitExpnsAmt
Total Expense	0.04710	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$42,920,519	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,545,078	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$31,375,441	NetCommunityBenefitExpnsAmt
Total Expense	0.13320	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	450	PersonsServedCnt
Total Community Benefit Expns	$8,365	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,365	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$10,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	450	PersonsServedCnt
Total Community Benefit Expns	$18,365	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$18,365	NetCommunityBenefitExpnsAmt

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$13,913,415	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,450,960	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$88,211,515	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$73,233,881	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$14,977,634	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	0	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	1 OUTPATIENT SURGERY CENTER OF ST AUGUSTINE LLC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	ORTHOPEDIC OP SURGERY	PrimaryActivitiesTxt
Org Profit Or Ownership	0.10680	OrgProfitOrOwnershipPct
Physicians Profit Or Ownership	0.89320	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	FLAGLER HOSPITAL	BusinessNameLine1Txt

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)
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	FLAGLER HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
CHNA Conducted	14	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	SEE PART V	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	14	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V	StrategyWebsiteURLTxt
Strategy Attached	0	StrategyAttachedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Collection Activities	0	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Medicare Rates	Yes (X)	MedicareRatesInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FLAGLER HOSPITAL	Part V, Section B, Line 5: FLAGLER HOSPITAL AND THE ST. JOHNS COUNTY HEALTH LEADERSHIP COUNCIL DECIDED ON TWO DIFFERENT APPROACHES TO GATHER INFORMATION FROM A CROSS-SECTION OF THE COMMUNITY. THE FIRST APPROACH WAS TO CONDUCT COMMUNITY FOCUS GROUPS, AND THE SECOND APPROACH WAS TO DEPLOY A COUNTY-WIDE ASSESSMENT.
FLAGLER HOSPITAL	Part V, Section B, Line 6a: ANASTASIA MOSQUITO CONTROL DISTRICTAZALEA HEALTHBETTY GRIFFIN HOUSEBOYS & GIRLS CLUBS OF NORTHEAST FLORIDACLINTON HEALTH MATTERS INITIATIVENORTHEAST FLORIDA REGIONAL DIRECTORDELORES BARR WEAVER POLICY CENTEREPIC BEHAVIORAL HEALTHCAREEPISCOPAL CHILDREN'S SERVICESFIRST COAST TECHNICAL COLLEGEFLORIDA DEPT. OF HEALTH IN ST. JOHNS COUNTYGOOD SAMARITAN HEALTH CENTERSHAVEN HOSPICEHEALTHY SCHOOLSHOME AGAIN ST. JOHNSLEARN TO READ ST. JOHNSLINCOLNVILLE FARMERS MARKETMOUNT ZION AME CHURCHNEW MT. MORIAH CHRISTIAN MINISTRYNORTHEAST FLORIDA COMMUNITY HOSPICECOMMUNITY RELATIONS REPRESENTATIVEPACT PREVENTION COALITIONST. AUGUSTINE METRO TREATMENT CENTERST. JOHNS COUNTY BOARD OF COMMISSIONERSST. JOHNS COUNTY MEDICAL EXAMINERCHIEF MEDICAL EXAMINERST. JOHNS COUNTY ADMINISTRATIONST. JOHNS COUNTY COUNCIL ON AGINGST. JOHNS COUNTY EDUCATION FOUNDATIONST. JOHNS COUNTY EMERGENCY MANAGEMENTST. JOHNS COUNTY FIRE RESCUEST. JOHNS COUNTY HEALTH AND HUMAN SERVICES ADVISORY COUNCILST. JOHNS COUNTY HEALTH AND HUMAN SERVICESST. JOHNS COUNTY SOCIAL SERVICESFLORIDA DEPARTMENT OF HEALTHST. JOHNS COUNTY MEDICAL SOCIETYEXECUTIVE DIRECTORST. JOHNS COUNTY SCHOOL DISTRICT/HEAD STARTST. JOHNS COUNTY SHERIFF'S OFFICESTEWART-MARCHMAN ACT BEHAVIORAL HEALTHCARETOBACCO FREE ST. JOHNSVELO FEST COMMUNITY INITIATIVEYMCA OF FLORIDA'S FIRST COAST
PART V, SECTION B, LINE 11	FLAGLER HOSPITAL'S IMPLEMENTATION OF STRATEGIC OBJECTIVESREDUCE PERCENTAGE OF LOW BIRTH WEIGHT INFANTS:THE PERCENTAGE OF LOW BIRTHWEIGHT INFANTS IN ST. JOHNS COUNTY CONTINUES TO BE A DISPARITY AMONG COMMUNITY POPULATIONS. FOR THIS REASON, REDUCING THE PERCENTAGE OF LOW BIRTHWEIGHT INFANTS IN ST. JOHNS COUNTY WAS SELECTED AS A STRATEGIC OBJECTIVE CRITICAL ACTIONS INCLUDE THE FORMATION OF A FETAL INFANT MORTALITY REVIEW TEAM AND COORDINATED EFFORTS AMONG COMMUNITY PARTNERS TOWARDS INCREASING THE PERCENTAGE OF WOMEN RECEIVING FIRST TRIMESTER PRENATAL CARE. FLAGLER HOSPITAL'S DIRECTOR OF MATERNITY SERVICES, NEONATAL INTENSIVE CARE MANAGER AND MATERNITY COORDINATOR CONTINUE TO SERVE ON THE ST. JOHNS INFANT MORTALITY TASK FORCE. THE TASK FORCE MEETS QUARTERLY TO ANALYZE MORTALITY RATES FOR NORTHEAST FLORIDA AND DETERMINE LEADING CAUSES FOR LOW BIRTH WEIGHT TO ACHIEVE BETTER OUTCOMES FOR ST. JOHNS COUNTY. THIS TASK FORCE IS PART OF THE NE FLORIDA HEALTHY START COALITION, INC. THE TASK FORCE IS CURRENTLY WORKING TO PROMOTE HEALTHY PREGNANCY AND PREGNANCY BODY MASS INDEX LEVELS, REDUCE TOBACCO USAGE AMONG PREGNANT WOMEN AND HELP INCREASE AWARENESS OF THE IMPORTANCE OF INCREASING THE INTERVAL TIME BETWEEN PREGNANCIES FOR HEALTHY OUTCOMES. FLAGLER HOSPITAL OFFERS FREE PRE-NATAL YOGA CLASSES TO HELP MOMS STAY IN OPTIMUM HEALTH FOR DELIVERY (OPEN TO ALL ST. JOHNS COUNTY MOMS, EVEN IF THEY DON'T PLAN TO DELIVER AT FLAGLER HOSPITAL). REDUCE CHRONIC DISEASE MORBIDITY AND MORTALITY:CHRONIC DISEASE WAS RESPONSIBLE FOR OVER 50% OF ALL DEATHS IN ST. JOHNS COUNTY IN 2012. CANCER IS THE LEADING CAUSE OF DEATH IN ST. JOHNS COUNTY, WITH BREAST, COLON AND LUNG CANCER IDENTIFIED AS BEING THE MOST COMMON TYPES AMONG RESIDENTS. AMONG SURVEY RESPONDENTS, 8.4% REPORTED CANCER AS THE MOST CONCERNING HEALTH PROBLEM, RANKING SECOND AMONG ALL RESPONDENTS. TO RAISE AWARENESS ABOUT THE BENEFITS OF PREVENTION AND EARLY DETECTION OF CANCER, FLAGLER HOSPITAL PARTICIPATED IN OVER 30 HEALTH FAIRS, PROVIDING ST. JOHNS COUNTY RESIDENTS WITH UP-TO-DATE SCREENING GUIDELINES AND THE BENEFITS OF A HEALTHY LIFESTYLE. FURTHER, A THREE YEAR FLAGLER CANCER INSTITUTE COMMUNITY NEEDS ASSESSMENT WAS COMPLETED, WHICH IDENTIFIED THE FOLLOWING AREAS OF NEED WITHIN THE COMMUNITY: MAMMOGRAPHY SCREENING RATES, AGE-ADJUSTED CANCER DEATH RATE FOR BLACK ST. JOHNS COUNTY RESIDENTS, AND TIME BETWEEN LUNG CANCER DIAGNOSIS TO TREATMENT.CANCER PREVENTION PROGRAMS INCLUDED PRESENTATIONS FOR LOCAL CHURCHES AND CIVIC GROUPS, LUNG CANCER AWARENESS EVENTS, COLORECTAL CANCER PREVENTION AND AWARENESS EVENTS AND A SKIN CANCER PREVENTION PROGRAM. IN ADDITION, FLAGLER HOSPITAL PARTNERED WITH OTHER COMMUNITY ORGANIZATIONS SUCH AS GOOD SAMARITAN WILDFLOWER CLINIC, AMERICAN CANCER SOCIETY, LUNG CANCER ALLIANCE, PINK UP THE PACE AND UNITY OUTREACH TO PROMOTE CANCER AWARENESS AND EARLY DETECTION THROUGHOUT THE COMMUNITY.BREAST CANCER: FROM 2011 TO 2013, THE BREAST CANCER AGE-ADJUSTED DEATH RATE WAS 18.3/100,000. THIS RATE IS LOWER THAN STATE AND REGIONAL AVERAGES, AND IDENTICAL TO THE PEER COUNTY STATE AVERAGE. IN ORDER TO REDUCE THE TIME FRAME BETWEEN BREAST CANCER DIAGNOSIS AND TREATMENT, A BREAST CANCER PATIENT NAVIGATOR (BCPN) WAS ADDED TO THE FLAGLER HOSPITAL CANCER INSTITUTE CARE TEAM AND HELPS PATIENTS MOVE THROUGH THE PROCESS OF BREAST CANCER ALL THE WAY THROUGH DIAGNOSIS, SURGERY, TREATMENT AND RECOVERY. THE BREAST CANCER PATIENT NAVIGATOR HELPS PATIENTS FROM THE TIME THERE IS A SUSPICION OF BREAST CANCER UNTIL TREATMENT IS CONCLUDED. OUR PATIENT NAVIGATOR NURSE IS A CERTIFIED BREAST CARE NURSE CBCN AND IS DEDICATED TO THE FOLLOWING: PROVIDING PATIENTS WITH KNOWLEDGEABLE AND COMPASSIONATE SUPPORT; FACILITATING COMMUNICATION BETWEEN THE PATIENT AND PHYSICIANS IN ORDER TO DECREASE FRAGMENTATION OF CARE; AND PROVIDING PATIENTS AND FAMILY MEMBERS WITH INFORMATION ON COMMUNITY-BASED RESOURCES.IN THIS FISCAL YEAR, THE BCPN GUIDED OVER 120 UNIQUE PATIENTS THROUGH THEIR CANCER TREATMENT. THE BREAST CANCER PATIENT NAVIGATOR PARTICIPATES IN MANY COMMUNITY EVENTS, EDUCATING WOMEN ON THE BENEFITS OF EARLY DETECTION AND THE IMPORTANCE OF PERFORMING SELF-EXAMINATIONS. FLAGLER HOSPITAL CONTINUES TO SUPPORT LOCAL NON-PROFIT ORGANIZATIONS THAT FOCUS ON THE PREVENTION AND EARLY DETECTION OF BREAST CANCER IN ST. JOHNS COUNTY. FLAGLER HOSPITAL, IN PARTNERSHIP WITH THE WILDFLOWER CLINIC, HELD A FREE MAMMOGRAM DAY THAT WAS OPEN TO ALL UNINSURED ST. JOHNS COUNTY WOMEN BETWEEN THE AGES OF 40-64. AT THIS EVENT60 WOMEN RECEIVED MAMMOGRAMS, HEALTH SCREENINGS, AND INFORMATION ON AVAILABLE COMMUNITY RESOURCES. COLON CANCER: THE ANNUAL COLORECTAL CANCER AWARENESS DAY WAS HELD ON MARCH 11, 2015. THE EVENT WAS COORDINATED WITH BORLAND-GROOVER CLINIC AND GI ASSOCIATES TO PROVIDE INFORMATION ON COLORECTAL CANCER PREVENTION AND SCREENING STRATEGIES. THIS EVENT TOOK PLACE IN THE CANCER EDUCATION AND SUPPORT CENTER AND OVER 90 PEOPLE VISITED THE EVENT AND ANSWERED THE OPTIONAL SURVEY. THE INFORMATION PROVIDED WAS BASED ON THE NATIONAL COMPREHENSIVE CANCER NETWORK (NCCN) COLORECTAL SCREENING GUIDELINES.LUNG CANCER: REALIZING THAT CIGARETTE SMOKING IS THE NUMBER ONE RISK FACTOR FOR LUNG CANCER, FLAGLER HOSPITAL CONTINUES TO MAINTAIN A SMOKE FREE FACILITY, INCLUDING PARKING LOTS AND LEASED PROPERTIES. FLAGLER HOSPITAL ALSO IMPLEMENTED A TOBACCO SCREENING PROTOCOL THROUGHOUT THE HOSPITAL. UPON ADMISSION, EACH PATIENT IS ASKED IF THEY SMOKE OR USE TOBACCO IN ANY OTHER FORM. THIS INFORMATION IS USED TO TRIGGER A CONSULT FROM THE CARDIOPULMONARY DEPARTMENT, FROM A MEMBER OF THE "QUIT TEAM". QUIT TEAM MEMBERS VERIFY THE PATIENTS WHO USE TOBACCO AND PROVIDE COUNSELING ON TOBACCO CESSATION. IF THE PATIENT IS INTERESTED IN QUITTING, THEY ARE GIVEN INFORMATION ON FREE TOBACCO CESSATION PROGRAMS OFFERED THROUGH FLAGLER HOSPITAL. THE QUIT TEAM ALSO EDUCATED FLAGLER STAFF AND MEDICAL PERSONNEL ON THE IMPORTANCE OF THE MESSAGE THAT CESSATION OPPORTUNITIES ARE BOTH VALUABLE AND EFFICACIOUS. DURING THIS FISCAL YEAR, 90 ST. JOHNS COUNTY RESIDENTS PARTICIPATED IN FLAGLER HOSPITAL'S FREE QUIT SMOKING NOW CLASSES, WHICH ARE OFFERED THROUGH THE WELLNESS CENTER. OF THOSE, 37 PARTICIPANTS SUCCESSFULLY QUIT SMOKING AS A RESULT OF THE CLASS. FLAGLER HOSPITAL SCREENED OVER 15000 PATIENTS FOR TOBACCO USE AND PROVIDED 2150 WITH CESSATION MATERIALS. ALSO, OVER 100 HEALTH PROFESSIONALS FROM AROUND THE COMMUNITY PARTICIPATED IN 8 FREE HEALTHCARE PROVIDER TRAININGS. IN ADDITION TO THE QUIT SMOKING NOW SMOKING CESSATION PROGRAM, FLAGLER HOSPITAL HOSTED TWO LUNG CANCER AWARENESS EVENTS. SHINE A LIGHT ON LUNG CANCER WAS HELD IN THE CANCER EDUCATION AND SUPPORT CENTER ON NOVEMBER 18, 2015. THIS IS A NATIONAL EVENT HELD AT DIFFERENT LOCATIONS ACROSS THE NATION. THE GOAL IS TO BRING ATTENTION, COMPASSION, HOPE AND SUPPORT TO ALL INDIVIDUALS IMPACTED BY LUNG CANCER. LASTLY, THE GREAT AMERICAN SMOKE OUT OCCURRED ON NOVEMBER 20, 2015. THE EVENT WAS HOSTED BY FLAGLER HOSPITAL IN COLLABORATION WITH TOBACCO FREE FLORIDA AND ENCOURAGES SMOKERS TO MAKE A PLAN TO QUIT SMOKING OR PLEDGE TO HELP SOMEONE QUIT SMOKING.THE DIRECTOR OF COMMUNITY HEALTH IMPROVMENT SERVES AS THE CHAIRMAN OF THE TOBACCO FREE ST. JOHNS PARTNERSHIP, WHICH IS A COMMUNITY-WIDE LOCALLY ORGANIZED GROUP COLLECTIVELY WORKING TOWARDS ELIMINATING INITIATION AND USE OF TOBACCO AMONG ST. JOHNS COUNTY RESIDENTS, SUPPORTING POLICY CHANGE AND EDUCATING DECISION MAKERS ABOUT THE IMPACT OF TOBACCO ON THE LIVES OF ST. JOHNS COUNTY RESIDENTS AND VISITORS.
PART V, SECTION B, LINE 11 CONTINUED	REDUCE SUBSTANCE ABUSE:JUST AS WAS FOUND IN THE 2011 ST. JOHNS COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT, THE ISSUE OF SUBSTANCE ABUSE WAS LISTED AS THE #1 IMPORTANT HEALTH PROBLEM BY SURVEY RESPONDENTS IN THE 2014 CHNA. THIS INCLUDES BINGE DRINKING, UNDERAGE DRINKING, CIGARETTE AND MARIJUANA AND OTHER DRUG USE. FLAGLER HOSPITAL'S MENTAL HEALTH DIRECTOR WORKS CLOSELY WITH EPIC COMMUNITY SERVICES (EPIC WAS CREATED TO PROVIDE SUBSTANCE ABUSE PREVENTION, INTERVENTION, OUTPATIENT TREATMENT AND AFTERCARE SERVICES), PACT, (PREVENTION, ACTION, CHOICES AND TEAMWORK) PREVENTION SERVICES (WHICH ADVOCATES FOR PREVENTION FOR YOUTH), TOBACCO FREE ST. JOHNS AND OTHER GROUPS SUCH AS LAW ENFORCEMENT ON THIS ISSUE. ST. JOHNS COUNTY CONTINUES TO RANK IN THE TOP 5 COUNTIES IN FLORIDA FOR BINGE DRINKING. THE ST. JOHNS COUNTY BEHAVIORAL HEALTH CONSORTIUM CONTINUES TO WORK TOWARDS FINDING A WAY TO GET THESE IMPORTANT HEALTH SERVICES AVAILABLE FOR REFERRAL IN OUR SERVICE AREA. THANKS TO STATE FUNDING AND A SIZEABLE DONATION FROM FLAGLER HOSPITAL, EPIC BEHAVIORAL HEALTHCARE'S 16-BED DETOX CENTER OPENED LAST FISCAL YEAR.THE CENTER OPENED IN JANUARY 2014 AS THE ONLY DETOXIFICATION CENTER IN ST. JOHNS COUNTY. IT OFFERS MEDICAL DETOX, SUBSTANCE ABUSE RESIDENTIAL TREATMENT, SUBSTANCE ABUSE OUTPATIENT TREATMENT, AND MEDICATION MANAGEMENT FOR PEOPLE DIAGNOSED WITH A CO-OCCURRING MENTAL HEALTH DISORDER.THE EPIC RECOVERY CENTER HAS BECOME THE CORNERSTONE OF THE ADDICTION TREATMENT SYSTEM OF CARE IN ST. JOHNS COUNTY SERVING SOME OF THE MOST VULNERABLE FLORIDIANS UNINSURED, HOMELESS, THOSE INVOLVED IN THE CHILD WELFARE SYSTEM, CRIMINALLY JUSTICE INVOLVED, AND/OR SUFFERING FROM MULTIPLE CHRONIC HEALTH CONDITIONS. INCREASE ACCESS TO DENTAL CARE:ACCESS TO DENTAL CARE HAS LONG BEEN AN ISSUE IN ST. JOHNS COUNTY, AS IT IS ACROSS THE STATE. RESPONDENTS OF THE 2014 ST. JOHNS COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT REPORTED DENTAL/ORAL CARE AS ONE OF THE TOP HEALTH SERVICE THAT IS DIFFICULT TO OBTAIN. A MAJOR THEME OF ALL FOCUS GROUPS WAS A NEED FOR IMPROVED ACCESS TO DENTAL CARE. TO ADDRESS THIS NEED, FLAGLER HOSPITAL, THE WILDFLOWER CLINIC, AND THE ST. JOHNS COUNTY HEALTH LEADERSHIP COUNCIL DURING THE ASSESSMENT YEAR802 DENTAL CASES CAME TO THE FLAGLER HOSPITAL EMERGENCY DEPARTMENT FOR DENTAL CARE, HIGHLIGHTING THE NEED. THE GOOD SAMARITAN WILDFLOWER CLINIC IS THE ONLY CLINIC OFFERING BOTH FREE DENTAL AND FREE HEALTH CARE IN ST. JOHNS COUNTY. FLAGLER CONTINUES TO BE A MAJOR CORPORATE SPONSOR OF THE WILDFLOWER CLINIC AND WORKS CLOSELY WITH THE CLINIC TO SHORTEN THE TIME BETWEEN THE INITIAL CRISES (FLAGLER ER VISIT) AND FOLLOW UP CARE. WITH THE HELP OF GRANTS FROM FLAGLER HOSPITAL, AND OTHER COMMUNITY ORGANIZATIONS, THE WILDFLOWER CLINIC STAFF HAS BEGUN OFFERING REGULAR DENTAL WALK-IN CLINICS EVERY WEEK. WITH CONTINUED COLLABORATION BETWEEN THE WILDFLOWER CLINIC AND FLAGLER HOSPITAL'S EMERGENCY DEPARTMENT ON COORDINATING CARE BETWEEN UNINSURED ST. JOHNS COUNTY RESIDENTS, FLAGLER HOSPITAL EMERGENCY ROOM VISITS FOR DENTAL EMERGENCIES HAVE DROPPED 10% THIS FISCAL YEAR. FURTHERMORE, DENTAL VISITS TO THE WILDFLOWER CLINIC HAVE INCREASED TO OVER 2,200 VISITS. BUILDING ON THIS SUCCESS, PARTNERS CONTINUE TO OPTIMIZE THIS TRANSITION AND FOLLOW-UP PROCESS FROM THE HOSPITAL EMERGENCY ROOM TO THE WILDFLOWER DENTAL CLINIC.INCREASE ACCESS TO MENTAL HEALTH CARE:WITH DEPRESSION AND ANXIETY RANKED AS THE #3 HEALTH PROBLEMS IN ST. JOHNS COUNTY, THE 2014 CHNA REVEALED THAT ACCESS TO MENTAL HEALTH SERVICES CONTINUES TO BE AN ISSUE. IN ADDITION, MENTAL HEALTH COUNSELING WAS REPORTED TO BE THE #2 MOST DIFFICULT TO OBTAIN SERVICE BY SURVEY RESPONDENTS.IN RESPONSE TO AN IDENTIFIED CRITICAL NEED FOR OUTPATIENT MENTAL HEALTH SERVICES IN ST. JOHNS COUNTY, FLAGLER HOSPITAL INTRODUCED AN INTENSIVE OUTPATIENT PROGRAM. THIS PROGRAM WAS SPECIFICALLY DESIGNED TO SUPPORT PATIENTS AFTER BEING RELEASED FROM INPATIENT CARE. THE PROGRAM'S PRIMARY GOAL OF IMPROVING QUALITY OF LIFE AND REDUCE SYMPTOMS TO PREVENT RELAPSE IS ACCOMPLISHED THROUGH GROUP THERAPY, MEDICATION AND SYMPTOM MANAGEMENT AND INDIVIDUAL PSYCHOTHERAPY. ALL NEW PATIENTS PARTICIPATE IN A FORMAL CLINICAL EVALUATION PERFORMED BY A MULTI-DISCIPLINARY TEAM. THIS EVALUATION HELPS THE TEAM DEVELOP A TREATMENT PLAN THAT REFLECTS EACH PATIENT'S INDIVIDUAL STRENGTHS, LIMITATIONS AND GOALS FOR TREATMENT. EVERY PATIENT'S GOALS ARE REVIEWED AND UPDATED WEEKLY IN TEAM MEETINGS AND INDIVIDUAL SESSIONS. MEDICAL STAFF FROM THE INTENSIVE OUTPATIENT PROGRAM ATTENDS COMMUNITY EVENTS TO RAISE AWARENESS ABOUT MENTAL HEALTH AND TO INFORM THE COMMUNITY ON AVAILABLE RESOURCES. A SCHOLARSHIP IS AVAILABLE FOR EACH SESSION, TO ENSURE THAT ACCESS TO MENTAL HEALTH SERVICES IS NEVER DEPENDENT UPON A PATIENT'S ABILITY TO PAY. FLAGLER HOSPITAL IS COMMITTED TO COLLABORATION WITH COMMUNITY PARTNERS TO ADDRESS EACH NEED IDENTIFIED DURING THE 2014 CHNA. TO INCREASE ACCESS TO MENTAL HEALTH CARE, THIS COLLABORATION CENTERS AROUND COORDINATION AND LINKAGE OF MENTAL HEALTH SERVICES BETWEEN FLAGLER HOSPITAL AND COMMUNITY OUTPATIENT PROVIDERS. FLAGLER HOSPITAL CONTINUES TO WORK WITH COMMUNITY PARTNERS TO DEVELOP A COUNTY-WIDE MOBILE CRISIS RESPONSE TEAM (MCRT). THE TEAM'S MISSION WILL BE TO PROVIDE AN ASSESSMENT AT THE FIRST SIGNS OF CHILD BEHAVIORAL RISK TO PREVENT SERIOUS MENTAL ISSUES FROM DEVELOPING. THE TEAM WILL ALSO PROVIDE IMMEDIATE ACCESS TO MENTAL HEALTH SERVICES AND ALLOW THE OPPORTUNITY FOR FAMILIES TO SELECT A SOLUTION THAT WORKS BEST FOR THEM. THE ULTIMATE GOAL OF THE MOBILE CRISIS RESPONSE TEAM PROGRAM WILL BE TO DIVERT CHILDREN FROM COSTLY EMERGENCY SERVICES AND ESTABLISH GREATER COORDINATION OF CARE THAT WILL SERVE THE FAMILY BEYOND THE INITIAL CRISIS. THE MCRT CONSISTS OF THREE STATE LICENSED CLINICIANS, A CERTIFIED CASE MANAGER AND A STATE LICENSED REGISTERED NURSE.LEVERAGE 2-1-1 AS A COMMUNITY RESOURCE TOOL: MANY OF THE ORGANIZATIONS AND PROVIDERS AT THE FOREFRONT OF PROVIDING CARE IN ST. JOHNS COUNTY HAVE THEIR OWN LIST OF COMMUNITY PROVIDERS OR USE PRINTED RESOURCE GUIDES WITH SOON-OUTDATED INFORMATION. NEVER HAS THERE BEEN A VIABLE LIST OF RESOURCES THAT IS EASILY ACCESSIBLE AND UPDATABLE. THE HEALTH LEADERSHIP COUNCIL CONVENED A "RESOURCE TOOL" SUBCOMMITTEE TO IDENTIFY AND EVALUATE PROGRAM OPTIONS. THE MANAGER OF COMMUNITY HEALTH AND SOCIAL RESPONSIBILITY AT FLAGLER HOSPITAL SERVES AS THE CHAIR OF THIS SUBCOMMITTEE, WHICH BEGAN MEETING LAST FISCAL YEAR AS A RESPONSE TO THE CHNA AND CHIP.THE RESOURCE TOOL SUBCOMMITTEE IDENTIFIED UNITED WAY'S 2-1-1 SYSTEM AS THE PRIMARY FOCUS FOR ADDRESSING THE NEED TO INCREASE ACCESS TO AVAILABLE COMMUNITY RESOURCES. THE RESOURCE TOOL SUBCOMMITTEE WILL LEAD THE EFFORT TO ALIGN ALL COMMUNITY RESOURCE PROVIDERS USING THE 2-1-1 SYSTEM IN ORDER TO OFFER RESIDENTS A SINGLE LOCATION FOR AVAILABLE COMMUNITY RESOURCES.FLAGLER HOSPITAL IS A MAJOR CONTRIBUTOR TO NORTHEAST FLORIDA COUNTS (WWW.NEFLORIDACOUNTS.ORG) WHICH SERVES AS A FREE ONLINE HEALTH RESOURCE FOR THE SEVEN COUNTY AREA OF NORTHEAST FLORIDA. THE SITE HELPS PLANNERS, POLICY MAKERS, AND COMMUNITY MEMBERS LEARN ABOUT ISSUES AND IDENTIFY IMPROVEMENTS NECESSARY FOR HEALTHFUL OUTCOMES. THE TOOL IS USED FOR COMMUNITY ASSESSMENT, STRATEGIC PLANNING, COLLABORATION, COMMUNITY CAPACITY DEVELOPMENT, GRANT DEVELOPMENT, AND EDUCATIONAL AND ADVOCACY PURPOSES.
PART V, SECTION B, LINE 11 CONTINUED	INCREASE USE OF AVAILABLE TRANSPORTATION:FROM THE FOCUSES GROUPS CONDUCTED AS PART OF THE 2014 COMMUNITY HEALTH NEEDS ASSESSMENT, A FOCUS OF "A NEED FOR TRANSPORTATION" WAS OBSERVED AS THE PRIMARY THEME FROM FOCUSES GROUPS. FURTHERMORE, SURVEY RESULTS SHOWED A POSITIVE INCREASE IN THE PERCENTAGE OF RESPONDENTS THAT RANKED TRANSPORTATION AS A BARRIER TO CARE, FROM 7.9% IN 2011 TO 9.7% IN 2014.TRANSPORTATION HAS BEEN A FOCUS IN ST. JOHNS COUNTY FOR OVER 15 YEARS. THE 2005 ST. JOHNS COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED IMPROVING ACCESS TO HEALTH SERVICES IN OUTLYING AREAS OF ST. JOHNS COUNTY THROUGH COORDINATION OF PUBLIC TRANSPORTATION AS A HIGH-PRIORITY COMMUNITY NEED. SINCE THAT TIME, A COMMUNITY-WIDE EFFORT TO IMPROVE PUBLIC TRANSPORTATION IN ST. JOHNS COUNTY HAS PICKED UP MOMENTUM. THE ST. JOHNS COUNTY COUNCIL ON AGING, INC. (COA) SERVES AS THE COMMUNITY TRANSPORTATION COORDINATOR FOR ST. JOHNS COUNTY. THE COA PROVIDES DOOR-TO-DOOR NON-EMERGENCY MEDICAL TRANSPORTATION SERVICES TO AMBULATORY AND WHEELCHAIR BOUND CLIENTS WITHIN THE ST. JOHNS COUNTY SERVICE AREA. THE SUNSHINE BUS COMPANY (A DIVISION OF THE COA) IS ST. JOHNS COUNTY'S PUBLIC BUS SERVICE. SINCE ITS INCEPTION IN 2006, THE SUNSHINE BUS COMPANY HAS CONTINUED TO EXPANDED SERVICES TO BETTER SERVE THE COMMUNITY, WITH THE ADDITION OF NEW ROUTES AND AN INCREASED NUMBER OF DAILY TRIPS. THE 2014 ST. JOHNS COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT FEEDBACK SHOWED THE CONTINUED NEED FOR A FOCUS ON TRANSPORTATION. OVER THE NEXT THREE YEARS, FLAGLER HOSPITAL WILL SUPPORT THE STRATEGIC OBJECTIVE OF "INCREASE USE OF AVAILABLE TRANSPORTATION OPTIONS" BY EDUCATING RESIDENTS ON CURRENT TRANSPORTATION OPTIONS. THIS EDUCATION WILL BE OFFERED TO BOTH COMMUNITY MEMBERS, AND HEALTHCARE PROVIDERS, IN EFFORT TO RAISE AWARENESS AND INCREASE UTILIZATION. DURING THIS FISCAL YEAR, FLAGLER HOSPITAL PROVIDED $23,616 IN TRANSPORTATION VOUCHER FOR PATIENTS THAT HAD A FINANCIAL BARRIER TO ACCESSING TRANSPORTATION.
PART V, LINE 16A, FAP, APPLICATION, AND PLAIN LANGUAGE SUMMARY URL	http://www.flaglerhospital.org/Financial-Services/Charity-Care-and-Financial-Assistance-Policy.aspx
PART V, LINE 7, CHNA AND IMPLEMENTATION STRATEGY URL	http://stjohns.floridahealth.gov/programs-and-services/community-health-planning-and-statistics/community-health-assessments/_documents/sjc_2014_health_needs_assessment.pdf

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	1 - FLAGLER OUTPATIENT LAB	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	156-316 ST HWY 312 260-264	AddressLine1Txt
City	ST AUGUSTINE	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	32086	ZIPCd

Field	Value	IRS element (for citing)
Facility	OUTPATIENT LABS	FacilityTxt

Supplemental Information Detail SupplementalInformationDetail (17 entries)

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Part I, Line 3c:	FLAGLER HOSPITAL USES THE FEDERAL POVERTY GUIDELINES (FPG) TO DETERMINE WHETHER A PATIENT QUALIFIES FOR CHARITY. FLAGLER HOSPITAL PROVIDES FREE CHARITY CARE FOR ALL PATIENTS WITH INCOME UP TO 200% OF THE FPG. FLAGLER HOSPITAL ALSO PROVIDES SIGNIFICANT DISCOUNTS TO PATIENTS THAT MEET THE FOLLOWING:1) 200% TO 400% OF THE FPG, 2) RETIRED AGE 55-65 WITH NO INSURANCE, 3) UNINSURED WORKERS, AND 4) UNDER INSURED. ADDITIONALLY, THE HOSPITAL INCLUDES PATIENTS WITH MEDICAID AND HOMELESS PATIENTS TO BE ELIGIBLE FOR CHARITY CARE. IN ORDER TO DETERMINE A FINANCIAL NEED, OUR POLICY STATES THAT WE WILL "TAKE INTO ACCOUNT THE PATIENT'S AVAILABLE ASSETS AND ALL OTHER FINANCIAL RESOURCES AVAILABLE TO THE PATIENT". THE HOSPITAL ALSO PROVIDES DISCOUNTS FOR PROMPT PAYMENT WHICH IS REQUIRED TO BE PAID WITHIN 10 BUSINESS DAYS OF THE SERVICES BEING RENDERED. THE HOSPITAL CONTRACTS WITH A THIRD PARTY VENDOR WHO SCREENS ALL SELF PAY PATIENTS ADMITTED TO THE HOSPITAL. THE VENDOR ALSO SCREENS ER AND OUTPATIENT SURGICAL PATIENTS THAT MAY FALL WITHIN SPECIFIC CRITERIA. THIS VENDOR WILL ASSIST THE PATIENT IN APPLYING FOR ANY FEDERAL, STATE, OR COUNTY PROGRAMS THEY MAY BE ELIGIBLE FOR. PATIENTS NOT SEEN BY THE VENDOR ARE SEEN BY DESIGNATED FLAGLER HOSPITAL STAFF MEMBERS THAT WORK WITH PATIENTS TO ASSIST THEM IN APPLYING FOR FINANCIAL ASSISTANCE. THEY DISCUSS THE INCOME DOCUMENTS NEEDED, PREPARE THE APPLICATION, AND FOLLOWS UP WITH THE PATIENT ON WHAT THEY'RE ELIGIBLE FOR. Self pay patients utilizing emergency room services may be verified by using third party proprietary software when accompanied with a signed income attestation from the patient. Additionally, the Hospital will adjust off patient balances to zero as presumptive charity after 120 days has passed, three statements have been sent to the patient, and multiple phone calls with no success if the patient's income is estimated to be 200% or below the FPG utilizing third party proprietary software.
Part I, Line 7:	THE ORGANIZATION USED WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS TO COMPUTE A COST-TO-CHARGES RATIO USED TO CALCULATE FINANCIAL ASSISTANCE AND UNREIMBURSED MEDICAID AT COST FOR THE PURPOSE OF PART I, LINE 7.
Part I, Line 7g:	FLAGLER HOSPITAL PROVIDES ESSENTIAL FUNDING TO A LOCAL FEDERALLY QUALIFIED HEALTH CLINIC (AZALEA HEALTH) THAT PROVIDES PRIMARY CARE SERVICES TO THE UNINSURED AND MEDICAID POPULATION OF ST JOHNS COUNTY. FLAGLER HOSPITAL ALSO SUBSIDIZES MANY SUBSEQUENT PHYSICIAN REFERRAL COSTS ASSOCIATED WITH THE CONTINUATION OF CARE OF THE UNINSURED PATIENTS AND ANCILLARY TESTS PERFORMED. AMOUNTS REPORTED ON LINE 7G ALSO INCLUDE ER SPECIALTY CALL COVERAGE AND PROFESSIONAL FEES FOR INDIGENT CARE.
Part I, Line 7, Column (f):	The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 13,913,415.
PART I, LINE 6A	FLAGLER HOSPITAL PRODUCES A NUMBER OF PUBLICATIONS THAT FEATURE MANY OF THE HEALTH IMPROVEMENT INITIATIVES THAT THE HOSPITAL HAS IMPLEMENTED THROUGHOUT ST. JOHNS COUNTY. FOR EXAMPLE, THE ANNUAL CANCER REPORT DETAILS CANCER EDUCATION AND OUTREACH ACTIVITIES, SCREENING INFORMATION, AVAILABLE SUPPORT GROUPS, CLASSES AND EVENTS. THE HOSPITAL ALSO PRODUCES A QUARTERLY MAGAZINE DEDICATED TO ADDRESSING HEALTH CONCERNS THAT PROVIDES INFORMATION ABOUT MANY OF THE HOSPITAL'S OFFERINGS AND COMMUNITY BENEFIT ACTIVITIES SUCH AS SMOKING CESSATION, FREE PHYSICALS, PRENATAL YOGA CLASSES, DIABETES EDUCATION AND THE FLAGLER HEALTH CARE ACADEMY.
PART I, LINE 7, OTHER BENEFITS DESCRIPTIONS	COMMUNITY BENEFIT OPERATIONSFLAGLER HOSPITAL HAS A FULL TIME DIRECTOR OF COMMUNITY HEALTH IMPROVEMENT TO COORDINATE HOSPITAL-WIDE COMMUNITY BENEFIT FUNCTIONS IN ACCORDANCE WITH NATIONAL STANDARDS AND PUBLIC REPORTING REQUIREMENTS. THE MANAGER OF COMMUNITY HEALTH AND SOCIAL RESPONSIBILITY USES CBISA SOFTWARE TO TRACK AND REPORT COMMUNITY BENEFIT ACTIVITIES AND PROVIDE AN ANNUAL REPORT ON COMMUNITY BENEFIT NUMBERS TO THE DIRECTOR OF ACCOUNTING FOR THE HOSPITAL'S 990 H. COMMUNITY HEALTH IMPROVEMENT SERVICESIN ADDITION TO NEEDS ASSESSED BY THE HEALTH LEADERSHIP COUNCIL, FLAGLER HOSPITAL IS IN A POSITION TO KNOW THE OTHER HEALTH ISSUES WHICH COST THE COMMUNITY AND ITS CITIZENS THE MOST TIME AND MONEY. WHILE DEATH FROM DIABETES IS ON THE DECLINE, INCIDENCE OF DIABETES IS RISING, DUE TO OBESITY CAUSED BY DIET AND LIFESTYLE. DURING THIS FISCAL YEAR, FLAGLER HOSPITAL PARTNERED WITH THE WILDFLOWER CLINIC, A NON-PROFIT DEDICATED TO PROVIDING FREE MEDICAL AND DENTAL CARE TO QUALIFYING ST. JOHNS COUNTY RESIDENTS, TO ESTABLISH WILDFLOWER CHRONIC CARE CLINIC (CCC). THE CHRONIC CARE CLINIC PROVIDES INVALUABLE CARE TO UNINSURED, CHRONICALLY ILL, LOW-INCOME RESIDENTS OF ST. JOHNS COUNTY. THE FLAGLER CCC FOCUSES ON CHRONIC DISEASE MANAGEMENT, WITH AN EMPHASIS ON DIABETES MANAGEMENT. THIS CLINIC IS AVAILABLE TO ANY PATIENT WITH AN UNMANAGED, CHRONIC CONDITION WHO MEETS THE GOOD SAMARITAN HEALTH CENTERS PATIENT QUALIFICATIONS. PATIENTS RECEIVE SERVICES FREE OF CHARGE.THE CHRONIC CARE CLINIC IS STAFFED WITH A NURSE PRACTITIONER, WHO IS AVAILABLE BY PHONE, PAGER, AND EMAIL, 24 HOURS A DAY/7 DAYS A WEEK. ALL CHRONIC CARE CLINIC PATIENTS ARE PROVIDED WITH HER CONTACT INFORMATION AND INSTRUCTED TO CONTACT HER DIRECTLY IF THEY HAVE ANY QUESTIONS OR CONCERNS BETWEEN VISITS, ESPECIALLY IF THEY ARE NOT FEELING WELL. THROUGH TELEMEDICINE OR ADDITIONAL VISITS BETWEEN SCHEDULED APPOINTMENTS, THE NURSE PRACTITIONER CAN ADD OR ADJUST MEDICATIONS, ORDER LAB WORK, AND MANAGE ANY SITUATIONS FOR WHICH A PATIENT MAY HAVE OTHERWISE RESORTED TO THE FLAGLER HOSPITAL EMERGENCY CARE CENTER FOR A NON-EMERGENT VISIT. BY PAIRING 24-HOUR ACCESS TO A NURSE PRACTITIONER WITH ACCESS TO MEDICATIONS THAT WOULD BE OTHERWISE UNAFFORDABLE AND EDUCATION ABOUT THEIR CHRONIC ILLNESSES, THE WILDFLOWER CHRONIC CARE CLINIC HAS EFFECTIVELY KEPT COUNTLESS PATIENTS FROM SEEKING CARE IN THE FLAGLER HOSPITAL EMERGENCY CARE CENTER. DURING THE LAST FISCAL YEAR, FLAGLER HOSPITAL HAS PROVIDED THE WILDFLOWER CLINIC $422,511 IN FREE LABORATORY SERVICES AND $2,921 IN CHRONIC CARE CLINIC SUPPORT. THE HEART CENTER AT FLAGLER HOSPITAL PROVIDES A CRITICAL SERVICE TO RESIDENTS OF ST. JOHNS COUNTY AND THE SURROUNDING AREAS. FLAGLER HOSPITAL'S STATE-OF-THE-ART HEALTHCARE ENCOMPASSES THE ENTIRE CONTINUUM OF CARE FOR HEART PATIENTS, INCLUDING CLOSE COLLABORATION WITH ST. JOHNS COUNTY FIRE RESCUE, INCLUDING TRANSMISSION OF EKGS DIRECTLY FROM AMBULANCE TO HOSPITAL, CARDIAC CATH LABS, WORLD-CLASS PHYSICIANS AND STAFF, QUALITY ASSURANCE PLANS, AND COMMUNITY OUTREACH AND EDUCATION PROGRAMS. ONCE A PATIENT IS DISCHARGED WITH A DIAGNOSIS OF HEART FAILURE, A NURSE PRACTITIONER FOLLOWS UP WITH THE PATIENT TO REVIEW DISCHARGE MEDICATIONS, VITAL SIGNS, THE IMPORTANCE OF WEIGHT MANAGEMENT AND FLUID RESTRICTIONS. ONCE IN THE HOME, THE NURSE PRACTITIONER REVIEWS THE FOODS THAT ARE IN THE PATIENT'S HOMES AND DISCUSSES HOW THAT FOOD SHOULD BE USED IN THE DIET OR NOT USED AT ALL. SHE USES CUPS THAT ARE IN THE PATIENT'S HOUSE TO SHOULD HOW MUCH FLUID SHOULD GO IN AND HOW MANY A DAY SHOULD BE USED. THIS OFFERS THE PATIENT A PRACTICAL APPROACH TO CARING FOR THEMSELVES AT HOME. THIS SERVICE COMES AT NO CHARGE TO THE PATIENT AND HELPS THEM UNDERSTAND WHAT THE DOCTOR EXPECTS FROM THEM. THIS SERVICE GOES BEYOND HOSPITAL EDUCATION AND IS TRUE COMMUNITY/HOME EDUCATION. FLAGLER HOSPITAL MAINTAINS A CANCER RESOURCE LIBRARY, OPEN TO ALL IN THE COMMUNITY, ALONG WITH A WIG AND PROSTHESIS CLOSET. THERE IS A FREE COMPUTER KIOSK FOR THE DISSEMINATION OF HEALTH INFORMATION. IT IS STAFFED BY OUR CANCER EDUCATION AND SUPPORT COORDINATOR AND VOLUNTEERS EACH WEEKDAY FROM 9:00 UNTIL 4:00.HEALTH PROFESSIONS EDUCATIONFLAGLER HOSPITAL DONATED PAID STAFF HOURS IN ONE-ON-ONE PROGRAMS TO PRECEPT NURSING STUDENTS AND ARNP STUDENTS FROM JACKSONVILLE UNIVERSITY, ST. JOHNS RIVER STATE COLLEGE, UNIVERSITY OF CENTRAL FLORIDA, UNIVERSITY OF FLORIDA, DAYTONA STATE COLLEGE. ADDITIONALLY, STUDENTS IN THE FIELDS OF EMT TRAINING, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, MEDICAL ASSISTING, LAB SCIENCES, SOCIAL WORK, HEALTH INFORMATION MANAGEMENT, CARDIOVASCULAR TECHNOLOGY, RADIOLOGY, NUCLEAR MEDICINE AND MENTAL HEALTH WERE TRAINED WITH ONE-ON-ONE CONTACT WITH STAFF AT FLAGLER HOSPITAL.FLAGLER HOSPITAL HAS A FULL TIME STAFF MEMBER DEDICATED TO OFFERING CONTINUING MEDICAL EDUCATION TO ALL PHYSICIANS IN THE ST. JOHNS COUNTY COMMUNITY, REGARDLESS OF THEIR AFFILIATION WITH THE HOSPITAL. THIS HELPS ENSURE THAT OUR LOCAL RESIDENTS HAVE ACCESS TO PHYSICIANS WHO ARE UP TO DATE ON THE LATEST ADVANCEMENTS IN MEDICAL CARE. THE CME COORDINATOR WORKED WITH PHYSICIANS TO PRESENT 55 PROGRAMS OF GRAND ROUNDS, MEDICAL SOCIETY MEETINGS, WEBCASTS, AND ICD-10 TRAININGS DURING THIS FY.RESEARCHFLAGLER HOSPITAL EMPLOYS TWO FULL-TIME EMPLOYEES TO MANAGE A CANCER PATIENT DATABASE, LOG INFORMATION THAT CAN BE USED TO DETECT CANCER EARLIER, IMPROVE TREATMENTS AND ULTIMATELY, INCREASE CANCER SURVIVAL RATE. REGISTRARS DETERMINE A PATIENT'S ELIGIBILITY FOR THE CANCER REGISTRY, RECORD THE PATIENT'S DIAGNOSIS, AND TRACK THEIR TREATMENT PLAN. BY COLLECTING, TRACKING AND EVALUATING THIS DATA, WE ARE ABLE TO ADVANCE OUR KNOWLEDGE ON RISK FACTORS FOR CERTAIN CANCERS. BECAUSE DATA ENTERED IN THE CANCER REGISTRY IS AVAILABLE TO THE PUBLIC, OUTCOMES AND TREATMENT PLANS FOR PATIENTS IN ST. JOHNS COUNTY HAVE AN IMPACT NATION-WIDE. FINANCIAL AND IN-KIND CONTRIBUTIONSFLAGLER HOSPITAL MADE FINANCIAL AND IN-KIND CONTRIBUTIONS TOTALING $680,979 TO MANY AREA NON-PROFIT ORGANIZATIONS THAT FOCUS ON PROVIDING HEALTH PROGRAMS TARGETING COMMUNITY HEALTH NEEDS THAT WERE IDENTIFIED THROUGH THE ST. JOHNS COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT. ONE OF THE BIGGEST DETERMINANTS OF HEALTH THAT COMMUNITY ORGANIZATIONS HAVE INFLUENCE ON IS ACCESS TO HEALTHCARE. DURING THIS LAST FISCAL YEAR, FLAGLER HOSPITAL GAVE A $100,000 GRANT TO THE ST. JOHNS COUNCIL ON AGING TO PROVIDE STAFF TO ASSIST SENIOR CITIZENS IN ST. JOHNS COUNTY IN APPLYING FOR FREE OR REDUCED RATE PRESCRIPTION DRUGS FROM PHARMACEUTICAL COMPANIES. THIS PROGRAM CONTINUES TO SERVE OVER 300 SENIORS. BECAUSE THE GRANT PROVIDED PAID STAFF TO RUN THIS PROGRAM, COUNCIL ON AGING VOLUNTEERS WERE ABLE TO FOCUS OVER 600 VOLUNTEER HOURS ON COUNSELING, CLIENT NOTIFICATION AND DOCTOR'S OFFICE VISITS TO HELP EXPEDITE PAPERWORK. FLAGLER HOSPITAL ALSO DONATED MEETING ROOMS AND IN SOME CASES FOOD/CATERING CHARGES FOR VARIOUS NON-PROFIT, SUPPORT AND SELF-HELP GROUPS IN THE COMMUNITY. THIS TOTALED OVER $19,941 USING A $3/HOUR CHARGE FOR EACH MEETING SPACE, A FIGURE BASED ON THE SQUARE FOOTAGE OF THE HOSPITAL.
Part III, Line 2:	Patient account balances are recognized as bad debt expense when being transferred to a collection agency.
Part III, Line 3:	ASSUMED A THIRD OF THE BAD DEBT ACCOUNTS COULD QUALIFY FOR FINANCIAL ASSISTANCE. APPROXIMATELY 50% OF THOSE ACCOUNTS HAVE BEEN ADJUSTED BY 50% THROUGH AN ADMIN/SELF PAY ADJUSTMENT. COST ESTIMATED USING THE COST TO CHARGE RATIO WITHIN WORKBOOK. THE ASSUMED BAD DEBT ACCOUNTS THAT COULD QUALIFY FOR FINANCIAL ASSISTANCE WAS UPDATED TO A THIRD FROM A HALF DUE TO THE IMPLEMENTATION OF A PRESUMPTIVE CHARITY POLICY.
PART II, COMMUNITY BUILDING ACTIVITIES DESCRIPTION	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 ITS PARTICIPATION IN THE HEALTH PLANNING COUNCIL OF NORTHEAST FLORIDA, FLAGLER HOSPITAL COMMITTED TO SUPPORT THE NORTHEAST FLORIDA COUNTS WEBSITE AS A SITE SPONSOR, PLEDGING $10,000 YEARLY. THIS WEBSITE PROVIDES KEY HEALTH INFORMATION TO THE COMMUNITY AND ADDRESSES THE ISSUE OF ACCESSIBILITY TO DATA AND SERVES AS A ROADMAP FOR COLLABORATIVE COMMUNITY IMPROVEMENT BY HIGHLIGHTING WHERE WE HAVE BEEN, OUR CURRENT STATUS AND DIRECTING WHERE WE NEED TO GO. IT IS A FREE ONLINE HEALTH RESOURCE FOR A SEVEN COUNTY AREA, WHICH INCLUDES OUR OWN SERVICE AREA OF ST. JOHNS COUNTY (WWW.NEFLORIDACOUNTS.ORG).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. IT IS OPEN TO STUDENTS THROUGHOUT THE SCHOOL SYSTEM. IT FOCUSES 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. NOW IN ITS EIGHTH YEAR, THE ACADEMY HAD 47 THIRD YEAR STUDENTS ROTATING THROUGH VARIOUS DEPARTMENTS AT THE HOSPITAL FOR TRAINING, FOR A COMBINED TOTAL OF 5922 HOURS. STUDENTS SHADOWED IN THE LAB, RADIOLOGY, PHARMACY, OPERATING ROOM, PHYSICAL AND OCCUPATIONAL THERAPY, IN ADDITION TO MULTIPLE NURSING UNITS. COMMUNITY SUPPORTTO ENHANCE COMMUNITY SUPPORTS NETWORKS, MANY OF FLAGLER HOSPITAL'S STAFF, DURING PAID TIME, ARE ACTIVE IN COMMUNITY ORGANIZATION BOARDS AND EVENT PLANNING COMMITTEES SUCH AS: SCHOOL HEALTH ADVISORY COMMITTEE AND THE TRANSPORTATION DISADVANTAGED COORDINATING BOARD. COALITION BUILDINGTHROUGH PARTICIPATION IN THE HEALTH PLANNING COUNCIL OF NORTHEAST FLORIDA, FLAGLER HOSPITAL COMMITTED TO SUPPORT THE NORTHEAST FLORIDA COUNTS WEBSITE AS A SITE SPONSOR, PLEDGING $10,000 YEARLY. THIS WEBSITE PROVIDES KEY HEALTH INFORMATION TO THE COMMUNITY AND ADDRESSES THE ISSUE OF ACCESSIBILITY TO DATA AND SERVES AS A ROADMAP FOR COLLABORATIVE COMMUNITY IMPROVEMENT BY HIGHLIGHTING WHERE WE HAVE BEEN, OUR CURRENT STATUS AND DIRECTING WHERE WE NEED TO GO. IT IS A FREE ONLINE HEALTH RESOURCE FOR A SEVEN COUNTY AREA, WHICH INCLUDES OUR OWN SERVICE AREA OF ST. JOHNS COUNTY (WWW.NEFLORIDACOUNTS.ORG).
Part III, Line 4:	THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS WAS APPROXIMATELY $13,913,000 AND $30,165,000 FOR THE YEARS ENDED SEPTEMBER 30, 2016 AND 2015, RESPECTIVELY. THE DECREASE IN FISCAL YEAR 2016 WAS THE RESULT OF THE NEW SELF-PAY DISCOUNT POLICY.THE SYSTEM'S ALLOWANCE FOR ESTIMATED UNCOLLECTIBLE ACCOUNTS AS A PERCENT OF SELF-PAY ACCOUNTS RECEIVABLE WAS 90.3% AND 97.2% FOR THE YEARS ENDED SEPTEMBER 30, 2016 AND 2015, RESPECTIVELY. IN ADDITION, THE SYSTEMS' SELF-PAY BAD DEBT WRITE-OFFS WERE APPROXIMATELY $24,591,000 AND $30,924,000 FOR THE YEARS ENDED SEPTEMBER 30, 2016 AND 2015, RESPECTIVELY. THE DECREASE IN SELF-PAY BAD DEBT WRITE-OFFS DURING FISCAL YEAR 2016 WAS PRIMARILY THE RESULT OF THE NEW SELF-PAY DISCOUNT POLICY. THE SYSTEM DOES NOT MAINTAIN AN ALLOWANCE FOR DOUBLEFUL ACCOUNTS FROM THIRD-PARTY PAYORS, NOR DID IT HAVE WRITE-OFFS FROM THIRD-PARTY PAYORS.TO ESTIMATE THE AMOUNT OF BAD DEBT THAT RELATES TO PATIENTS THAT WOULD HAVE BEEN ELIGIBLE FOR CHARITY CARE, FLAGLER HOSPITAL SORTS BAD DEBTS BETWEEN PATIENTS THAT HAVE INSURANCE AND PURELY SELF PAY PATIENTS. BAD DEBTS RELATED TO PATIENTS WITH INSURANCE WERE CONSIDERED TO BE INELIGIBLE FOR CHARITY CARE EVEN THOUGH MANY HAVE HIGH DEDUCIBLE AND CO-INSURANCE PLANS AND COULD POSSIBLY QUALIFY. REMAINING BAD DEBTS REPRESENT ENTIRELY SELF PAY ACCOUNTS. THESE ACCOUNTS ARE REDUCED BY MORE THAN 50% USING A SELF PAY ADJUSTMENT CODE AND THE REMAINING AMOUNT IS WRITTEN OFF TO BAD DEBT; THEREFORE, ONLY A PORTION OF THE ACCOUNT IS INCLUDED IN THE BAD DEBT AMOUNT. WE HAVE ASSUMED THAT APPROXIMATELY 50% OF THE SELF PAY BAD DEBTS WOULD HAVE BEEN CHARITY IF THE PATIENT WOULD HAVE BEEN IN COMPLIANCE IN COMPLETING THE CHARITY APPLICATION PROCESS. THIS ESTIMATE IS CONSIDERED TO BE CONSERVATIVE AND IS BASED ON THE EXPERIENCE OF OUR COLLECTIONS STAFF.
Part III, Line 8:	THE HOSPITAL'S PAYER MIX IS APPROXIMATELY MEDICARE 60%, MEDICAID 12%, MANAGED CARE 17%, SELF PAY 7%, AND 4% OTHER. THAT MEANS THAT OVER 79% OF THE HOSPITAL'S BUSINESS GENERATES MORE EXPENSES THAN REVENUES. MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE AND THE MAJORITY OF SELF PAY RESULTS IN CHARITY. SINCE PROVIDING CARE FOR THE ELDERLY, SERVING MEDICARE AND MEDICAID PATIENTS, AND SERVING ALL PATIENTS REGARDLESS OF ABILITY TO PAY IS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD, AS WELL AS OUR MISSION IN OUR COMMUNITY, WE SERVE THESE PATIENTS WITHOUT REGARD TO THE PAYMENT SHORTFALL.
Part III, Line 9b:	1. 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. MANY PATIENTS DUE TO FAILURE TO PRODUCE THE APPROPRIATE DOCUMENTATION RECEIVE A REDUCED NON-COMPLIANT HOSPITAL ADJUSTMENT. THESE PARTICULAR INDIVIDUALS MAY HAVE RECEIVED A HIGHER WRITE-OFF IF THEY WERE IN FACT COMPLIANT. 2. REGARDLESS OF THE PATIENTS FINANCIAL CLASS OR STATUS, IF A BILL REMAINS UNPAID FOR MORE THAN 120 DAYS FROM THE DATE IT WAS FIRST MAILED TO THE PATIENT, AND REASONABLE COLLECTION ATTEMPTS HAVE FAILED, THE PATIENT IS SCREENED FOR PRESUMTIVE CHARITY AT 200% OR BELOW THE FEDERAL POVERTY GUIDELINE; IF PRESUMTIVE CHARITY LEVEL IS NOT MET THE DEBT IS SENT TO A PRIMARY BAD DEBT COLLECTION AGENCY FOR FURTHER COLLECTION EFFORTS.
Part VI, Line 2:	ST. JOHNS COUNTY IS FORTUNATE TO HAVE STRONG AND PROACTIVE LEADERSHIP WITHIN ITS PUBLIC HEALTH SYSTEM, AND A HISTORY OF SUCCESSFUL COLLABORATION. CHAMPIONED BY FLAGLER HOSPITAL AND THE FLORIDA DEPARTMENT OF HEALTH IN ST. JOHNS COUNTY, THE ST. JOHNS COUNTY HEALTH LEADERSHIP COUNCIL WAS ESTABLISHED IN 2010 FOR THE SPECIFIC PURPOSE OF BRINGING TOGETHER KEY LEADERS FROM THE LOCAL COMMUNITY TO ASSESS AND ADDRESS THE HEALTH NEEDS OF OUR RESIDENTS. IN MAY 2014, THE ST. JOHNS COUNTY HEALTH LEADERSHIP COUNCIL ACHIEVED NATIONAL ROLE MODEL STATUS, WHEN IT WAS SELECTED BY THE UNIVERSITY OF KENTUCKY (UK) COLLEGE OF PUBLIC HEALTH TO BE INCLUDED IN A NATION-WIDE STUDY OF HIGHLY SUCCESSFUL PUBLIC HEALTH COLLABORATIVE. THE PURPOSE OF THE UK STUDY WAS TO IDENTIFY, COMPARE AND CONTRAST EXCEPTIONAL MODELS OF COLLABORATION INVOLVING COMMUNITY HOSPITALS, PUBLIC HEALTH DEPARTMENTS AND OTHER STAKEHOLDERS, WHO SHARE A COMMITMENT TO IMPROVING COMMUNITY HEALTH, AND TO DETERMINE THE KEY LESSONS LEARNED FROM THEIR EXPERIENCES. THE T. JOHNS COUNTY HEALTH LEADERSHIP COUNCIL WAS ONE OF ONLY TWELVE COLLABORATIVE SELECTED BY THE UK STUDY TEAM FROM OVER 150 NATIONAL APPLICATIONS. FLAGLER HOSPITAL'S CEO, VP OF PATIENT ENGAGEMENT AND MANAGER OF COMMUNITY HEALTH AND SOCIAL RESPONSIBILITY, ALONG WITH REPRESENTATIVES FROM 41 OTHER AGENCIES PARTICIPATED IN THIS HIGHLY COLLABORATIVE EFFORT WITH FLAGLER HOSPITAL IN THE FOREFRONT OF EVERY PHASE FROM DEVELOPING SURVEY QUESTIONS, CREATING SURVEY TOOLS, IDENTIFYING FOCUS GROUPS, ANALYZING DATA, ESTABLISHING ACTION PLANS AND REVIEWING RESULTS. THE YEAR-LONG PROCESS FOR THIS ASSESSMENT BEGAN IN JULY 2013 AND UTILIZED A COMMUNITY-WIDE STRATEGIC PLANNING PROCESS CALLED "MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS OR "MAPP", WHICH WAS DEVELOPED BY THE NATIONAL ASSOCIATION OF CITY AND COUNTY HEALTH OFFICIALS AND THE CENTERS FOR DISEASE CONTROL AND PREVENTION. THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS PLANNED BY THE HEALTH LEADERSHIP COUNCIL AS A COLLECTION OF DATA GATHERED TO IDENTIFY AND ANALYZE HEALTH STATUS, HEALTH FACTORS AND HEALTH OUTCOMES WITHIN THE COMMUNITY.USING MAPP GUIDELINES, FOCUS GROUPS WERE FORMED TO DETERMINE HOW RESIDENTS FELT ABOUT THE QUALITY OF LIFE IN ST. JOHNS COUNTY. THESE FOCUS GROUPS WERE FACILITATED BY LEADERS OF THE HEALTH LEADERSHIP COUNCIL WITH THE INTENT OF COVERING A VARIETY OF GEOGRAPHIC AND DEMOGRAPHIC SECTORS OF THE COUNTY. SECOND, A SURVEY WAS DISPERSED COUNTY-WIDE AND MADE AVAILABLE ONLINE. THIS DATA AND DATA FROM THE NATIONAL AND STATE COUNTY HEALTH RANKINGS AND HEALTHY PEOPLE 2020, SERVED AS A BASIS FOR THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). NOTE: THE COMPLETE "COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLAN" IS PUBLISHED AND AVAILABLE ON THE FLAGLER HOSPITAL WEBSITE: WWW.FLAGLERHOSPITAL.ORG. FLAGLER HOSPITAL'S BOARD OF DIRECTORS APPROVED THE COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLAN AT THEIR MEETING ON MARCH 24, 2016.TO IMPLEMENT THE FINDINGS AND GOALS DETERMINED THROUGH THE CHNA, THE MAPP PROCESS USES A THREE YEAR CYCLE WITH EACH IDENTIFIED NEED HAVING AN "OWNER" TO TRACK PROGRESS. WHILE VARIOUS MEMBERS OF THE HEALTH LEADERSHIP COUNCIL TOOK "OWNERSHIP" OF VARIOUS ASPECTS OF THE HEALTH NEEDS ASSESSMENT'S IMPLEMENTATION, FLAGLER HOSPITAL PARTICIPATES IN EACH PART OF IMPLEMENTATION. THE SHARED VISION AND COMMON VALUES OF MEMBERS PROVIDE A FRAMEWORK FOR PURSUING THE LONG RANGE GOALS, SO FLAGLER HOSPITAL IS PROUD TO PARTNER WITH MANY MEMBERS OF THE HEALTH LEADERSHIP COUNCIL, IN ORDER TO BROADEN COMMUNITY PARTICIPATION. FLAGLER HOSPITAL ACKNOWLEDGES AND AGREES WITH THE SPECIFIED GOALS OF THE CHNA. A COMMUNITY BALANCED SCORECARD WAS CREATED TO TRACK AND EVALUATE EACH OF THE STRATEGIC OBJECTIVES AND ACTS AS THE COMMUNITY HEALTH IMPROVEMENT PLAN. THE CRITERIA AND RATIONALE FOR EACH OF THE OBJECTIVES AND GOALS IS CONTAINED ON PAGE 116 OF THE PUBLISHED "2014 COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLAN".
Part VI, Line 3:	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' DESKSWHEN 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 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. FOR DETAILS, PLEASE SEE THE REPONSE TO PART I, LINE 3C ABOVE.
Part VI, Line 4:	FLAGLER HOSPITAL IS THE ONLY HOSPITAL LOCATED IN ST. JOHNS COUNTY, FLORIDA AND SERVES AS THE PRIMARY HEALTH CARE PROVIDER FOR LOCAL RESIDENTS. ACCORDING TO 2015 U.S. CENSUS DATA, THERE ARE 226,640 RESIDENTS IN FLAGLER HOSPITAL'S DEFINED COMMUNITY OF ST. JOHNS COUNTY.
Part VI, Line 6:	THE ORGANIZATION IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM.
FORM 990, SCHEDULE H, PART VI, COMMUNITY HEALTH PROMOTION	PLEASE SEE PART V LINE 11 DESCRIPTION FOR PROMOTION OF COMMUNITY HEALTH

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
EPIC COMMUNITY SERVICES
1400 Old Dixie Hwy Ste C	ST AUGUSTINE	FL	32084	591502582	501(C)(3)	$300,000	OPERATIONAL SUPPORT AND PROGRAM ASSISTANCE
PROJECT SOS INC
4417 Beach Blvd STE 103 Jacksonvill	JACKSONVILLE	FL	322074728	593179894	501(C)(3)	$10,000	OPERATIONAL SUPPORT AND PROGRAM ASSISTANCE	FL 32207-4728
ROTARY INTERNATIONAL ST AUGUSTINE SUNRISE ROTARY CLUB
PO BOX 295	ST AUGUSTINE	FL	320850295	592871724	501(C)(3)	$5,000	OPERATIONAL SUPPORT AND PROGRAM ASSISTANCE
ST FRANCIS HOUSE
70 WaShington St	ST AUGUSTINE	FL	32084	592475614	501(C)(3)	$6,500	OPERATIONAL SUPPORT AND PROGRAM ASSISTANCE
ST JOHNS COUNCIL ON AGING
180 Marine Street	ST AUGUSTINE	FL	32084	591525829	501(C)(3)	$50,000	OPERATIONAL SUPPORT AND PROGRAM ASSISTANCE
INVESTING IN KIDS (INK)
40 ORNAGE STREET	ST AUGUSTINE	FL	32084	841455282	501(C)(3)	$5,000	OPERATIONAL SUPPORT AND PROGRAM ASSISTANCE
WOMANS EXCHANGE OF ST AUGUSTINE
143 ST GEORGE STREET	ST AUGUSTINE	FL	32084	590638510	501(C)(3)	$10,000	OPERATIONAL SUPPORT AND PROGRAM ASSISTANCE

Field	Value	IRS element (for citing)
Total501c3 Org	7	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 2:	FormAndLineReferenceDesc
Explanation	THE FLAGLER HEALTH CARE FOUNDATION, A SUPPORTING ORGANIZATION OF THE HOSPITAL, REPORTS ITS FINANCIAL ACTIVITIES TO THE CFO OF FLAGLER HOSPITAL.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	0	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	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	Yes (1)	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 (14 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
Joseph S Gordy
CEO	$477,166	$0	$83,945	$0	$14,276	$0	$20,955	$0	$0	$0	$596,342	$0	$0	$0
ROGER CARTER
CFO	$221,751	$0	$0	$0	$14,615	$0	$19,115	$0	$17,844	$0	$273,325	$0	$0	$0
Jason P Barrett
CAO & Executive VP	$270,842	$0	$0	$0	-$813	$0	$20,955	$0	$16,200	$0	$307,184	$0	$0	$0
Christopher Schmidt
COO	$264,192	$0	$0	$0	$10,967	$0	$20,955	$0	$0	$0	$296,114	$0	$0	$0
William D Rieger
CIO	$213,764	$0	$0	$0	$8,791	$0	$17,791	$0	$19,440	$0	$259,786	$0	$0	$0
Donald R Crist
VP-Professional Svcs	$216,033	$0	$0	$0	$33,090	$0	$20,091	$0	$17,844	$0	$287,058	$0	$0	$0
Mary K Mantese
CNO	$182,351	$0	$0	$0	$21,755	$0	$15,822	$0	$14,880	$0	$234,808	$0	$0	$0
Jeffrey A Hurley
CLO	$227,489	$0	$0	$0	$2,193	$0	$18,466	$0	$17,844	$0	$265,992	$0	$0	$0
Michael C DiBella
CMO	$364,802	$0	$0	$0	$6,636	$0	$20,955	$0	$12,732	$0	$405,125	$0	$0	$0
Miguel A Machado
VP OF MEDICAL AFFAIRS	$294,070	$0	$0	$0	$1,584	$0	$20,955	$0	$19,440	$0	$336,049	$0	$0	$0
Michael C Sanders
Chief-Medical Informatics	$273,936	$0	$0	$0	$22,686	$0	$20,955	$0	$0	$0	$317,577	$0	$0	$0
Gregory A Gibson
PHYSICIAN	$196,809	$0	$0	$0	$13,369	$0	$16,716	$0	$19,440	$0	$246,334	$0	$0	$0
Brian D Raymaker
PHYSICIAN	$169,424	$0	$0	$0	$220	$0	$12,686	$0	$8,256	$0	$190,586	$0	$0	$0
Barbara Drummond-Huth
CNO	$0	$0	$0	$0	$144,130	$0	$0	$0	$0	$0	$144,130	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 1a	THE ORGANIZATION PROVIDES GROSS UP PAYMENTS FOR THE VALUE OF DISABILITY INSURANCE POLICY PREMIUMS TO CERTAIN OFFICERS, REPORTED ON THE OFFICERS' FORM W-2.
Part I, Lines 4a-b	THE ORGANIZATION CONTRIBUTED $35,000 TO A 457(F) PLAN FOR JOSEPH S. GORDY. Barbara Drummond-Huth RECEIVED SERVERANCE PAYMENTS FROM THE ORGANIZATION IN THE AMOUNT OF $144,130.
Part I, Line 6	THE ORGANIZATION PAYS A CEO BONUS ON FINANCIAL, OPERATING MARGIN, PATIENT SATISFACTION, AND QUALITY MEASURES.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
ST JOHNS COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY
A	592146640	2010-12-09	$30,000,000	REFUNDING 1996 SERIES BONDS	0	0	0
ST JOHNS COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY
B	592146640	2010-12-09	$28,275,000	REFUNDING 2009 SERIES BONDS	0	0	0
ST JOHNS COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY
C	592146640	2011-01-21	$12,500,000	REFUNDING 1996 SERIES BONDS	0	0	0
sT JOHNS COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY
D	592146640	2012-04-04	$30,000,000	RENOVATION PROJECTS, IMPLEMENTATION OF NEW EMR	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	RetiredRetiredAmt	Capital ExpendituresCapitalExpendituresAmt
A	$30,000,000	$30,000,000	2003	Yes (1)	Yes (1)	Yes (1)
B	$28,275,000	$28,275,000	2009	Yes (1)	Yes (1)	Yes (1)	$3,485,000
C	$12,500,000	$12,500,000	2003	Yes (1)	Yes (1)	Yes (1)	$11,900,000
D	$30,000,000		2012	0	Yes (1)	Yes (1)	$9,000,000	$30,000,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0.00000	0.00000	0.00000	0	0	0
B	0	0	0	0	0.00000	0.00000	0.00000	0	0	0
C	0	0	0	0	0.00000	0.00000	0.00000	0	0	0
D	0	0	0	0	0.00000	0.00000	0.00000	0	0	0

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Exception To RebateExceptionToRebateInd	Variable Rate IssueVariableRateIssueInd
A	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)
C	Yes (1)	0
D	Yes (1)	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	0
B	0
C	0
D	0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART II, LINE 11: OTHER SPENT PROCEEDS:	AMOUNTS PRESENTED ON LINE 11 REPRESENT AMOUNTS FROM BOND PROCEEDS USED TO REFUND THE PRIOR ISSUES AS INDICATED IN THE DESCRIPTION OF EACH INDIVIDUAL ISSUE.
PART III	THE BONDS LISTED ON PART 1 LINES "A AND "C" WERE USED TO REFUND ISSUES DATED PRIOR TO 1/1/2003, THEREFORE PART III IS NOT APPLICABLE.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section A, line 6	COASTAL COMMUNITY HEALTH, INC. IS THE SOLE MEMBER OF THE ORGANIZATION.
Form 990, Part VI, Section A, line 7a	THE SOLE MEMBER HAS THE AUTHORITY TO APPOINT THE BOARD MEMBERS.
Form 990, Part VI, Section A, line 7b	THE SOLE MEMBER HAS THE AUTHORITY TO: 1. ADOPT OR REVISE A STRATEGIC PLAN 2. AMEND THE CORPORATION'S ARTICLES OF INCORPORATION OR BYLAWS 3. CONDUCT MERGERS, ACQUISITIONS AND SALES OF ALL OR SUBSTANTIAL PART OF CORPORATION'S ASSETS 4. LIQUIDATION AND DISSOLUTION 5. ELECTION AND REMOVAL OF THE CORPORATION'S OFFICERS AND DIRECTORS INCLUDING THE CHIEF EXECUTIVE OFFICER AND THE CHAIRMAN OF THE CORPORATION'S BOARD OF DIRECTORS 6. APPROVAL OF CAPITAL AND OPERATING BUDGETS 7. ANY ACTIONS AFFECTING THE CORPORATION'S TAX EXEMPT STATUS 8. FUNDAMENTAL CHANGES IN MISSION OR DIRECTION 9. ENTRY INTO A MATERIAL AGREEMENT THAT INVOLVE ANNUAL PAYMENTS THAT EXCEED 2% OF THE CORPORATION'S TOTAL ANNUAL BUDGETED OPERATING EXPENSES, A SIGNIFICANT JOINT VENTURE, PROVIDES MANAGEMENT FOR THE CORPORATION, OR INSURANCE WITH A PROJECTED ANNUAL VALUE OF 5% OR MORE OF THE CORPORATION'S ANNUAL NET PATIENT REVENUE 10. INCURRENCE, REFINANCING, PREPAYMENT OR DEFEASANCE OF DEBT IN THE EXCESS OF THE GREATER OF $10,000,000 OR 10% OF THE CORPORATION'S OUTSTANDING DEBT 11. SECURING A MORTGAGE, DEED OF TRUST, OR OTHER ENCUMBRANCE IN EXCESS OF THE GREATER OF $10,000,000 OR 10% OF THE CAPITAL BUDGET 12. INCURRENCE OF ANY UNBUDGETED CAPITAL EXPENSE IN EXCESS OF THE GREATER OF $5,000,000 OR 5% OF THE CORPORATION'S ANNUAL CAPITAL BUDGET 13. A CAPITAL EXPENDITURE OVERRUN IN EXCESS OF THE GREATER OF $5,000,000 OR 5% OF THE BUDGETED CAPITAL EXPENSE 14. INCURRENCE OF ANY UNBUDGETED OPERATING EXPENSE IN EXCESS OF 1% OF THE CORPORATION'S TOTAL ANNUAL OPERATING EXPENSES 15. SELECTION OF THE CORPORATIONS INDEPENDENT AUDITOR 16. ADOPTION OR REVISION OF CHARITABLE CARE POLICIES 17. DONATION OF MATERIAL FUNDS TO A PERSON OR ENTITY NOT AFFILIATED WITH THE SOLE MEMBER OR ANY OF ITS SUBSIDIARIES PROVIDED THAT THE SOLE MEMBER SHALL NOT BE REQUIRED TO REVIEW OR AUTHORIZE CONTRIBUTIONS TO A LOCAL CHARITY THAT DID NOT EXCEED $250,000 IN ANY YEAR. 18. FORMATION OF A NEW MATERIAL ENTITY AS A SUBSIDIARY 19. ACTIONS TAKEN TO CURE ANY BREACH OF OR FAILURE TO COMPLY WITH COVENANTS IN BOND AND OTHER DEBT AGREEMENTS
Form 990, Part VI, Section B, line 11	THE FORM 990 WAS PREPARED BY AN INDEPENDENT ACCOUNTANT AND WAS EXTENSIVELY REVIEWED BY THE FINANCE STAFF. AFTER THIS REVIEW, THE FORM 990 WAS POSTED TO THE ORGANIZATION'S WEBSITE PORTAL. EACH BOARD MEMBER AND CERTAIN SENIOR EXECUTIVES ACCESSED THE WEBSITE FOR THEIR PERSONAL REVIEW OF THE FORM 990.
Form 990, Part VI, Section B, line 12c	THE ORGANIZATION TAKES AN ANNUAL QUERY WITH A COPY OF THE CONFLICT OF INTEREST POLICY TO EACH BOARD MEMBER AND THE EXECUTIVE STAFF TO CONFIRM NO CONFLICTS EXIST.
Form 990, Part VI, Section B, line 15	THE COMPENSATION PACKAGE FOR THE CEO POSITION IS SET AND APPROVED BY THE COMPENSATION COMMITTEE, WHICH CONSISTS OF THE CURRENT AND PAST CHAIRPERSONS OF THE HOSPITAL, FLAGLER HEALTH CARE SYSTEM, AND FLAGLER HEALTH SERVICES BOARDS. 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.
Form 990, Part VI, Section C, line 18	PHOTOCOPIES OF THE ORGANIZATION'S FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICES. IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG.
Form 990, Part VI, Section C, line 19	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
Form 990, Part IX, line 11g	Other fees: Program service expenses 25,300,711. Management and general expenses 9,454,745. Fundraising expenses 0. Total expenses 34,755,456.
Form 990, Part XI, line 9:	CHANGE IN FAIR VALUE OF DERIVATIVE FINANCIAL INSTRUMENT -72,558. NET ASSETS RELEASED FROM RESTRICTION 597,394.
FORM 990, PART XII, LINE 2C:	THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

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	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
FLAGLER HEALTH CARE FOUNDATION
400 HEALTH PARK BLVD	ST AUGUSTINE	FL	32086	592440537	SUPPORTING ORGANIZATION	FL	501(C)(3)	11 (TYPE I)	FLAGLER HOSPITAL	Yes (1)
COASTAL COMMUNITY HEALTH INC
841 PRUDENTIAL DR STE 1604	JACKSONVILLE	FL	32207	471322041	SUPPORTING ORGANIZATION	FL	501(C)(3)	11 (TYPE I)		0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	OUTPATIENT SURGERY CENTER OF ST AUGUSTINE LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1 ORTHOPAEDIC PL STE 200	AddressLine1Txt
City	ST AUGUSTINE	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	32086	ZIPCd

Field	Value	IRS element (for citing)
EIN	202047704	EIN
Primary Activities	OUTPATIENT SURGERY	PrimaryActivitiesTxt
Legal Domicile State	FL	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
Predominant Income Type	RELATED	PredominantIncomeTypeTxt
Share Of Total Income	$174,356	ShareOfTotalIncomeAmt
Share Of EOY Assets	$173,234	ShareOfEOYAssetsAmt
Disproportionate Allocations	0	DisproportionateAllocationsInd
General Or Managing Partner	Yes (1)	GeneralOrManagingPartnerInd
Ownership	0.10680	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 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 HEALTH SERVICES INC
400 HEALTH PARK BLVD	ST AUGUSTINE	FL	32086	592484352	REAL ESTATE LEASING	FL	N/A	C	Yes (1)
HEALTH PARK OWNERS ASSOCIATION
400 HEALTH PARK BLVD	ST AUGUSTINE	FL	32086	592869538	BUILDING ASSOCIATION	FL	N/A	C	Yes (1)
ANDERSON GIBBS CONDOMINIUM ASSOC
400 HEALTH PARK BLVD	ST AUGUSTINE	FL	32086	593223458	BUILDING ASSOCIATION	FL	N/A	C	Yes (1)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	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	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	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

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Flagler Health Care Foundation Inc
A	$31,030	FMV
Flagler Health Services Inc
J	$408,831	FMV
Flagler Health Care Foundation Inc
M	$645,253	FMV
Flagler Health Care Foundation Inc
Q	$282,280	FMV
Flagler Health Services Inc
Q	$1,056,865	FMV