TY 2024 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(1) CHRIS KAMEINSKI...................................................................... Chairman / Director (thru June 2025)	0.5 ................. 0	X	X	0	0
(2) David Nelson MD...................................................................... DIRECTOR (THRU June 2025) / UF SVP HEALTH AFFAIRS	1.0 ................. 49.0	X	X	1,606,258	59,881
(3) KERRY WATSON...................................................................... Director (thru June 2025) / UF Health St. Johns Interim CEO	48.0 ................. 2.0	X	X	308,500	0
(4) Marsha Powers...................................................................... Chair, Director (Beg June 2025)	0.5 ................. 2.5	X	X	0	0
(5) STEPHEN MOTEW MD...................................................................... Director / UF Health President & System CEO	1.0 ................. 49.0	X	X	1,585,335	22,787
(6) Timothy Morey MD...................................................................... VICE-CHAIRMAN/ UF Health CHIEF MEDICAL OFFICER	0.5 ................. 49.5	X	X	806,257	57,164
(7) Alan Levine...................................................................... Director (Beg June 2025)	0.5 ................. 2.5	X		0	0
(8) David Mann...................................................................... Director (Beg June 2025)	0.5 ................. 2.5	X		0	0
(9) E Hunter Beebe...................................................................... Director (Beg June 2025)	0.5 ................. 2.5	X		0	0
(10) Gregory Lewis...................................................................... Director (Beg June 2025)	0.5 ................. 2.5	X		0	0
(11) Jennifer Hunt MD...................................................................... DIRECTOR (Beg June 2025)/Interim Dean, UF College of Medicine	0.5 ................. 49.5	X		1,020,210	49,950
(12) RAY MATUZA...................................................................... BOARD MEMBER (thru June 2025)	0.5 ................. 1.0	X		0	0
(13) ROBERT J STILLEY...................................................................... DIRECTOR (Beg June 2025)	0.5 ................. 2.5	X		0	0
(14) Ryan Fuller...................................................................... DIRECTOR (Beg June 2025) /UF Associate VP & General Counsel	0.5 ................. 49.5	X		335,500	59,784
(15) Susan PONDER STANSEL...................................................................... Director (Thru June 2025)	0.5 ................. 0	X		0	0
(16) Todd D Neville...................................................................... Director (Beg June 2025)	0.5 ................. 2.5	X		0	0
(17) W Kent Fuchs PhD...................................................................... DIRECTOR (Beg June 2025) / INTERIM PRESIDENT OF THE UNIVERSITY OF FLORIDA	0.5 ................. 49.5	X		788,720	141,032

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) CAROLYN SCOTT JD........................................................................ VP, SENIOR COUNSEL	49.0 .......................1.0	X				233,699	0	23,150
(19) DR TODD BATENHORST........................................................................ VP, INTERIM CHIEF MEDICAL OFFICER (through Aug 2024) / Physician	50.0 .......................0	X				433,742	0	47,559
(20) Geoffrey Gardner........................................................................ UF Health EVP and CFO	0.5 .......................49.5	X				0	179,547	1,096
(21) HUSON GILBERSTADT MD........................................................................ VP, CHIEF MEDICAL OFFICER	49.0 .......................1.0	X				298,198	0	39,584
(22) JON D COOPER........................................................................ CHIEF OPERATING & STRATEGY OFFICER	50.0 .......................0	X				543,197	0	63,387
(23) KEVIN SWEENY........................................................................ VP, CHIEF OF STAFF	49.0 .......................1.0	X				253,058	0	35,051
(24) KIMBERLY DIAZ........................................................................ VP, AMBULATORY ENTERPRISE	50.0 .......................0	X				188,744	0	19,658
(25) MELISSA CECIL........................................................................ ENTERPRISE CHIEF APPLICATIONS OFFICER & CHIEF INFORMATION OFFICER	50.0 .......................0	X				292,355	0	16,225
(26) MICHELLE PAULO........................................................................ VP, NURSING	50.0 .......................0	X				199,973	0	2,559
(27) Patrick Green........................................................................ SVP and Northeast Florida Regional President (beg Feb 2025)	10.0 .......................40.0	X				0	1,447,872	24,867
(28) Robert Thornton........................................................................ TREASURER/STHC CFO	0.5 .......................49.5	X				0	815,755	41,680
(29) SIBEL MIGLINO........................................................................ VP OF HUMAN RESOURCES	50.0 .......................0	X				197,902	0	36,945
(30) Thomas William Young ESQ........................................................................ Secretary/ UF Health Chief Legal Officer	0.5 .......................49.5	X				0	479,098	62,480
(31) DONALD R CRIST........................................................................ VP OF OPERATIONS/ SUPPORT SERVICES & PROCUREMENT	50.0 .......................0		X			266,450	0	21,915
(32) Edward Daech........................................................................ UF Health EVP and CHRO	10.0 .......................40.0		X			0	534,309	41,953
(33) Gloria Lipori........................................................................ UF Health SVP & CIO	10.0 .......................40.0		X			0	759,614	49,010
(34) Jessica Melton........................................................................ UF Health EVP and Chief Transformation Officer	10.0 .......................40.0		X			0	180,429	2,647
(35) MICHAEL HALL........................................................................ ADMINISTRATOR, CLINICAL SERVICES (through April 2024)	50.0 .......................0		X			193,649	0	7,939
(36) Robert Michalski........................................................................ UF Health VP Compliance & Privacy	10.0 .......................40.0		X			0	457,549	41,903
(37) Shakira Henderson........................................................................ UF Health Chief Nurse Executive	10.0 .......................40.0		X			0	731,099	63,308
(38) CARLTON DEVOOGHT........................................................................ Former PRESIDENT/CEO Flagler Hospital	50.0 .......................0.0			X		692,425	0	40,111
(39) Corey Rosenbaum DO........................................................................ Orthopedic Physician	50.0 .......................0			X		1,242,438	0	64,971
(40) Garrett Schwarzman MD........................................................................ Orthopedic Physician	50.0 .......................0			X		1,136,158	0	64,457
(41) Jeffrey Keen MD........................................................................ Orthopedic Physician (thru march 2025)	50.0 .......................0			X		913,918	0	75,591
(42) Scott Putney MD........................................................................ Orthopedic Physician	50.0 .......................0			X		1,177,781	0	75,474
(43) Angie Metcalf........................................................................ Former Chief Adminiatrative Officer	0.0 .......................0				X	385,689	0	8,622
(44) Dawne Bysheim........................................................................ Administrator, Orthopaedics & General Surgery	50.0 .......................0				X	132,116	0	12,051
(45) Dennis Hoban........................................................................ Administrator, Talent Strategy & Management	50.0 .......................0				X	149,470	0	30,450
(46) DONNA WAGNER........................................................................ Former VP CHIEF NURSING OFFICER	0.0 .......................0.0				X	280,377	0	1,066
(47) Erin Wallner........................................................................ Administrator, Marketing Communications	50.0 .......................0				X	144,718	0	26,607
(48) James J Kelly Jr........................................................................ Former INTERIM STHC CEO	0.0 .......................50.0				X	0	551,039	20,274
(49) JASON BARRETT........................................................................ FORMER PRESIDENT/CEO Flagler Hospital	0.0 .......................0.0				X	256,895	0	0
(50) John Franks........................................................................ Former EVP, AMBULATORY ENTERPRISE	0.0 .......................0				X	237,794	0	4,780
(51) Mark Michaels MD........................................................................ VP, Primary & Ambulatory Services	50.0 .......................0				X	405,650	0	52,474
(52) Shannon Pickett........................................................................ Administrator, Med Surg Nursing Services & Care Coordination	49.0 .......................1.0				X	165,657	0	28,993
(53) Tabitha Vaughn........................................................................ Administrator, Surgical Services	50.0 .......................0				X	167,644	0	25,293
(54) VINCENT JOHNSON........................................................................ Former CHIEF OPERATING OFFICER	0.0 .......................0				X	222,308	0	0

(A) Name and business address	(B) Description of services	(C) Compensation
MEDXCEL FACILITIES MANAGEMENT 7702 WOODLAND DRIVE SUITE 200 Indianapolis,IN46278	FACILITIES MANAGEMENT SERVICE	4,782,387
Cogent Healthcare of Jacksonville 1498 Pacific Avenue Suite 400 Tacoma,WA98402	Hospital and Program director Services	3,198,666
Radiology Imaging Associates LLC 1673 Mason Ave Suite 305 Daytona Beach,FL32117	imaging	3,004,112
Andrews Medicine LLC 41 N Jefferson ST 4th FL Pensacola,FL32502	Licensing Service	1,500,000
TODD BRODER 17 Zamora Street Saint Augustine,FL32084	MEDICAL PROFESSIONAL	1,233,338
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 95

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public
Inspection

Name of the organization

Flagler Hospital Inc

Employer identification number

59-0675143

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2024

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf ....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2024 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2023 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2024. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2023. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2024. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2023. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2024

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2024 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2023 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2024 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2023 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2024. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3 % support tests—2023. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2024

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2024

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2024

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2024

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2024 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2024	(iii) Distributable Amount for 2024
1 Distributable amount for 2024 from Section C, line 6
2 Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2024:
a From 2019.......
b From 2020.......
c From 2021.......
d From 2022.......
e From 2023.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2024 distributable amount
i Carryover from 2019 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2024 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2024 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2024, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2024. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2025. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2020.....
b Excess from 2021.....
c Excess from 2022.....
d Excess from 2023.....
e Excess from 2024.....

Schedule A (Form 990) (2024)

Schedule A (Form 990) 2024

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2024

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

Schedule B
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

Name of the organization

Flagler Hospital Inc

Employer identification number

59-0675143

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Right Arrow

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025) Page 2

Name of organization Flagler Hospital Inc

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

Page 3

Name of organization Flagler Hospital Inc		Employer identification number 59-0675143

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

Page 4


Name of organization Flagler Hospital Inc			Employer identification number 59-0675143
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c) (7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

right arrow

Complete if the organization is described below. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

Flagler Hospital Inc

Employer identification number

59-0675143

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

Political campaign activity expenditures. See instructions .................................................................... right arrow

Volunteer hours for political campaign activities. See instructions ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ right arrow

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... right arrow

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... right arrow

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ right arrow

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... right arrow

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990) 2024

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check right arrow

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check right arrow

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2021	(b) 2022	(c) 2023	(d) 2024	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990) 2024

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

27,784

Total. Add lines 1c through 1i ....................................................................................................

27,784

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures. See Instructions .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	ANNUAL LOBBYING EXPENSES REPRESENT HOSPITAL ASSOCIATION DUES ATTRIBUTABLE TO LOBBYING

Schedule C (Form 990) 2024

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
right arrow

Attach to Form 990.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

Flagler Hospital Inc

Employer identification number

59-0675143

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after July 25, 2006, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year right arrow

Number of states where property subject to conservation easement is located right arrow

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) (Rev. 1-2025)

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....	4,084,691	4,064,275	4,064,275	4,064,275	4,064,225
b	Contributions ...	30,000	25,000			50
c	Net investment earnings, gains, and losses	39,658	1,378
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	5,000	1,500
f	Administrative expenses ....		4,462
g	End of year balance ......	4,149,349	4,084,691	4,064,275	4,064,275	4,064,275

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment right arrow

0 %

Permanent endowment right arrow

100 %

Term endowment right arrow

0 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

Yes

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	46,552,197		46,552,197
b	Buildings ....	225,162,676	145,988,934	79,173,742
c	Leasehold improvements	18,316,675	16,199,111	2,117,564
d	Equipment ....	217,627,330	185,157,434	32,469,896
e	Other .....	78,903,074	19,665,333	59,237,741
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				219,551,140

Schedule D (Form 990) (Rev. 1-2025)

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
Federal Income Taxes
Capital Lease Liability	14,898,916
Deferred inflows on Lease	9,083,794
Intercompany Payables
Accrued Bonds
457b plan liability	6,598



Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	23,989,308
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) (Rev. 1-2025)

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ...........	2d	0
e	Add lines 2a through 2d .....................			2e	0
3	Subtract line 2e from line 1..................			3	0
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b	0
c	Add lines 4a and 4b....................			4c	0
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	0

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ...........	2d	0
e	Add lines 2a through 2d....................			2e	0
3	Subtract line 2e from line 1...................			3	0
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ...........	4b	0
c	Add lines 4a and 4b.....................			4c	0
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	0

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

Schedule D, Part V, Line 4 Intended uses of endowment funds

THE ORGANIZATION'S ENDOWMENT CONSISTS OF FOUR INDIVIDUAL FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. THE ENDOWMENTS ARE ALL DONOR-RESTRICTED AND INTERNALLY CONTROLLED. FLAGLER HEALTH CARE FOUNDATION, A RELATED ORGANIZATION, HOLDS THESE ENDOWMENTS FOR BENEFIT OF FLAGLER HOSPITAL, INC. INVESTMENTS CONTAIN AMOUNTS TO BE HELD IN PERPETUITY, THE DIVIDEND AND INTEREST INCOME FROM WHICH IS EXPENDABLE TO SUPPORT HEALTHCARE SERVICES, AND THE REMAINING INVESTMENT INCOME, GAINS, AND LOSSES ARE TO ADJUST THE CORPUS.

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

STHC, Elder Care, Southeastern, Auxiliary, UFHCF, UFHL, UFSP, UFHL Foundation, UFSP Foundation, UFHSJ, SJCC, FHN, FHC, and FHC Foundation are exempt from federal income taxes pursuant to Section 501(a) as organizations described in Section 501(c)(3) of the Internal Revenue Code and from state income taxes pursuant to Chapter 220.13 of the Florida Statutes. The other affiliates are single member LLCs and disregarded entities for federal and state tax purposes except for sales and use tax on non-medical purchases.

Schedule D (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow

Attach to Form 990.
Medium right arrow

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public Inspection

Name of the organization

Flagler Hospital Inc

Employer identification number

59-0675143

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .			7,575,366		7,575,366	2.223 %
b	Medicaid (from Worksheet 3, column a) . . . . .			27,197,999	12,039,103	15,158,896	4.449 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .					0	0 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	0	0	34,773,365	12,039,103	22,734,262	6.672 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).			1,224,856		1,224,856	0.359 %
f	Health professions education (from Worksheet 5) . . .			1,240,949		1,240,949	0.364 %
g	Subsidized health services (from Worksheet 6) . . . .					0	0 %
h	Research (from Worksheet 7) .			128,664		128,664	0.038 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .			248,386		248,386	0.073 %
j	Total. Other Benefits . .	0	0	2,842,855	0	2,842,855	0.834 %
k	Total. Add lines 7d and 7j .	0	0	37,616,220	12,039,103	25,577,117	7.506 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2024

Schedule H (Form 990) 2024

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing			4,652		4,652	0.001 %
2	Economic development					0	0 %
3	Community support			1,634,192	1,634,192	0	0 %
4	Environmental improvements					0	0 %
5	Leadership development and training for community members			4,495		4,495	0.001 %
6	Coalition building					0	0 %
7	Community health improvement advocacy					0	0 %
8	Workforce development					0	0 %
9	Other					0	0 %
10	Total	0	0	1,643,339	1,634,192	9,147	0.003 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

84,386,291

Enter Medicare allowable costs of care relating to payments on line 5.....

98,438,717

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-14,052,426

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1First Coast Health Alliance LLC	HEALTHCARE SERVICES	50 %	0 %	50 %
2Flagler Whitehall Radiation LLC	HEALTHCARE SERVICES	50 %	0 %	50 %
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2024

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	Flagler Hospital Inc 400 Health Park Blvd St Augustine,FL32086 https://stjohns.ufhealth.org/ 10001	X	X	X

Schedule H (Form 990) 2024

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	Flagler Hospital Inc
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 24

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): https://ufhealth.org/about-uf-health/social-mission-and-community

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 24

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): https://ufhealth.org/about-uf-health/social-mission-and-community

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2024

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	Flagler Hospital Inc
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.0%
and FPG family income limit for eligibility for discounted care of 0%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

https://ufhealth.org/billing-insurance-and-costs/financial-assistance

The FAP application form was widely available on a website (list url):

https://ufhealth.org/billing-insurance-and-costs/financial-assistance

A plain language summary of the FAP was widely available on a website (list url):
https://ufhealth.org/billing-insurance-and-costs/financial-assistance

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 6

Part VFacility Information (continued)

Billing and Collections

	Flagler Hospital Inc
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	Flagler Hospital Inc
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2024

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
Schedule H, Part V, Section B, Line 3E	The significant health needs are a prioritized description of the significant health needs identified in the CHNA.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - Flagler Hospital, Inc.. BETWEEN MARCH AND APRIL OF 2024, PRIMARY DATA WAS COLLECTED FROM APPROXIMATELY 200 INDIVIDUALS VIA THE FOLLOWING METHODS: (1) INTERVIEWS CONDUCTED WITH KEY STAKEHOLDERS. SIXTEEN KEY STAKEHOLDER INTERVIEWS WERE CONDUCTED DURING THIS ASSESSMENT. DURING THESE 60-MINUTE INTERVIEWS, KEY STAKEHOLDERS SHARED THEIR GREATEST CONCERNS AROUND HEALTH NEEDS, HEALTH EQUITY, AND SOCIAL DETERMINANTS OF HEALTH FOR THOSE THEY SERVE. (2) GROUP LISTENING SESSIONS. FIFTEEN GROUP LISTENING SESSIONS WERE CONDUCTED, WITH A COLLECTIVE 109 INDIVIDUALS PARTICIPATING IN THESE SESSIONS. THESE 60-MINUTE FACILITATED DISCUSSIONS WERE CONDUCTED WITH LOCAL SERVICE PROVIDERS TO GATHER INFORMATION ABOUT PARTICIPANTS' EXPERIENCES AND OBSERVATIONS WORKING WITH VULNERABLE POPULATIONS. (3) INTERCEPT SURVEYS. SEVENTY-TWO INTERCEPT SURVEYS WERE CONDUCTED TO GATHER INPUT THROUGH STRUCTURED CONVERSATIONS WITH COMMUNITY MEMBERS EXPERIENCING HEALTH NEEDS, EACH LASTING 15-20 MINUTES. INDIVIDUALS PROVIDING INPUT FOR THIS ASSESSMENT REPRESENT THE FOLLOWING POPULATIONS, AS EITHER A MEMBER OF THE POPULATION OR AS PART OF AN ORGANIZATION SERVING THE POPULATION: -LOW-INCOME -UNHOUSED -VETERANS -LGBTQ+ -COMMUNITY MEMBERS WITH CHRONIC DISEASE -INDIVIDUALS EXPERIENCING FOOD INSECURITY, INCLUDING THOSE WHO WOULD IDENTIFY THEMSELVES AS FOOD INSECURE IF NOT FOR THE COMMUNITY RESOURCES AVAILABLE TO THEM -COMMUNITY MEMBERS WHO ARE OTHERWISE UNDER-RESOURCED THE SERVICE PROVIDERS AND COMMUNITY-BASED ORGANIZATIONS SELECTED TO PROVIDE INPUT FOR THIS ASSESSMENT WERE CHOSEN BASED ON THEIR WORK WITH VULNERABLE POPULATIONS. THE ORGANIZATIONS WHO PROVIDED INPUT FOR THIS ASSESSMENT ARE: ABILITY HOUSING AGAPE HEALTH AND WELLNESS CENTER, INC. ASCENSION ST. VINCENT'S ST. JOHNS BAPTIST MEDICAL CENTER - BEACHES BAPTIST MEDICAL CENTER - CLAY BAPTIST MEDICAL CENTER - JACKSONVILLE BAPTIST MEDICAL CENTER - NASSAU BAPTIST MEDICAL CENTER - SOUTH BARNABAS CENTER BLUE ZONES BROOKS REHABILITATION CENTER FOR INDEPENDENT LIVING JAX CHALLENGE ENTERPRISE / FOOD FOR CLAY CHANGING HOMELESSNESS, INC. (CHI) CITY OF JACKSONVILLE CLAY COUNTY (BOARD OF COUNTY COMMISSIONERS) DANIEL MEMORIAL BAPTIST CHURCH DUVAL COUNTY PUBLIC SCHOOLS FAMILY PROMISE FAMILY SUPPORT SERVICES (FSS) FERNANDINA BEACH PRIDE FIRST COAST NEWS FIRST COAST YMCA FLAGLER HEALTH FLORIDA DEPARTMENT OF HEALTH - BAKER FLORIDA DEPARTMENT OF HEALTH - NASSAU FLORIDA DEPARTMENT OF HEALTH IN DUVAL COUNTY HOMELESS VETERAN REINTEGRATION PROGRAM (HVRP) HUBBARD HOUSE IMPACT CHURCH & REVITALIZE ARLINGTON JACKSONVILLE AREA SEXUAL MINORITY YOUTH NETWORK (JASMYN) JACKSONVILLE HOUSING AUTHORITY (JHA) JACKSONVILLE SPEECH & HEARING CENTER JACKSONVILLE TRANSPORTATION AUTHORITY JAX CARE CONNECT JEWISH FAMILY AND COMMUNITY SERVICES LIFT JAX LOCAL INITIATIVE SUPPORT CORPORATION (LISC) MAYO CLINIC IN FLORIDA MICAH'S PLACE MY ELDER SOURCE NASSAU COUNTY COUNCIL ON AGING NEF HEALTHY START NORTHEAST FLORIDA WOMEN VETERANS PLAYERS CENTER FOR CHILD HEALTH PRESBYTERIAN SOCIAL MINISTRIES, INC. (PSM) ST. JOHNS COUNCIL ON AGING STARTING POINT BEHAVIORAL HEALTH SULZBACHER THE WAY CLINIC THE WOMEN'S CENTER OF JACKSONVILLE UF HEALTH JAX UF HEALTH JAX - URBAN HEALTH ALLIANCE VISION IS PRICELESS VOLUNTEERS IN MEDICINE VOLUNTEERS OF AMERICA OF FLORIDA WALMART HEALTH WECARE JAX
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - Flagler Hospital, Inc.. THE 2024 COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED WITH THE OTHER HOSPITALS COMPRISING THE JACKSONVILLE NONPROFIT HOSPITAL PARTNERSHIP, A NETWORK OF FIVE NONPROFIT HEALTH SYSTEMS SERVING NORTHEAST FLORIDA. COLLECTIVELY, THESE FIVE NONPROFIT HEALTH SYSTEMS OPERATE THE FOLLOWING SIXTEEN HOSPITALS ACROSS FIVE CONTIGUOUS COUNTIES IN THE NORTHEASTERN FLORIDA REGION: HEALTH SYSTEM: ASCENSION ST. VINCENT'S HOSPITALS: -ASCENSION ST. VINCENT'S CLAY COUNTY -ASCENSION ST. VINCENT'S RIVERSIDE -ASCENSION ST. VINCENT'S SOUTHSIDE -ASCENSION ST. VINCENT'S ST. JOHNS HEALTH SYSTEM: BAPTIST HEALTH HOSPITALS: -BAPTIST MEDICAL CENTER BEACHES -BAPTIST MEDICAL CENTER CLAY -BAPTIST MEDICAL CENTER JACKSONVILLE -BAPTIST MEDICAL CENTER NASSAU -BAPTIST MEDICAL CENTER SOUTH -WOLFSON CHILDREN'S HOSPITAL HEALTH SYSTEM: BROOKS REHABILITATION HOSPITALS: -BROOKS REHABILITATION UNIVERSITY -BROOKS REHABILITATION BARTRAM HEALTH SYSTEM / HOSPITAL: MAYO CLINIC IN FLORIDA HEALTH SYSTEM: -UF HEALTH HOSPITALS: -UF HEALTH ST. JOHNS -UF HEALTH JACKSONVILLE -UF HEALTH NORTH
Schedule H, Part V, Section B, Line 7 Facility , 1	Facility , 1 - Flagler Hospital, Inc.. Flagler Hospital utilized a variety of approaches to inform the community on the results of the 2024 St. Johns County Community Health Needs Assessment. Flagler Hospital invested in printing 100 hard copies of the publication. These copies were provided to all St. Johns County community stakeholders. Additionally, the CHNA was posted on the hospital website and continues to be used as a cornerstone and strategic plan for all community partnerships and investments in community health improvement.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - Flagler Hospital, Inc.. UFSJ has identified the following four areas on which to focus: Strategic Priority 1: Access to Care UFSJ enhances health care access for underserved and high-need populations by leveraging Care Connect as a centralized navigation resource. Care Connect assists individuals with access to medical care, insurance enrollment, social needs screening, follow-up outreach, and referrals to clinical and community-based services. UFSJ also reduces transportation barriers by partnering with local transportation providers and community agencies and by using Care Connect-supported Mobile Outreach Clinics to bring services directly into underserved areas. These efforts connect more residents to primary care, improve continuity of care, reduce missed appointments, and decrease avoidable emergency department utilization. In October of 2024, UFSJ announced the opening of two new urgent care centers in St. Augustine. These new locations expanded access to fact and comprehensive care for patients and families in MuraBella. Both locations offer on-site diagnostics, allowing for patients to be seen, cared for, and on their way as quickly as possible while receiving care from doctors with world-class expertise. Strategic Priority 2: Housing Stability and Homelessness Prevention UFSJ works to improve housing stability, prevent homelessness, reduce high-cost health care utilization, and strengthen coordination between health care and housing systems for community members with complex needs. UFSJ implements housing instability screening in clinical and community workflows, with Care Connect serving as the housing navigation and referral hub. Care Connect connects individuals experiencing, or at risk of experiencing, homelessness to rental assistance, utility assistance, eviction prevention resources, and other housing supports. The hospital, in alignment with Care Connect, conducts mobile outreach to engage unhoused community members. UFSJ's community benefit investments are aligned with housing stabilization initiatives. UFSJ is the Lead Agency for the St. Johns County Continuum of Care. In that role, the hospital coordinates referrals, participates in cross-sector case conferencing, and collaborates with Continuum of Care providers to align medical, housing, and supportive services. Strategic Priority 3: Mental Health UFSJ works to reduce barriers to behavioral health care, improve early intervention, and strengthen behavioral health outcomes across age groups. The hospital uses BRAVE as a centralized referral, tracking, and coordination platform to reduce the time between referral and receipt of care. Care Connect also supports navigation, follow-up, and family engagement. UFSJ has expanded access to behavioral health services for youth and adults by working with schools, community organizations, and behavioral health providers. The hospital also expands tele-behavioral health services in school-based and rural settings. On March 26, 2025 UFSJ hosted its fifth annual BRAVE summit welcoming more than 2,500 high school students. The summit focused on breaking down stigmas and working with the students to normal the conversation around mental health. Attendance at the summit has continuously grown since it's inception with 2,000 students attending in 2024, and 1,000 in 2023. The BRAVE program began in 2019 when only 35% of the students in St John's county schools who were referred to mental health providers were seen by a professional. As of the 2025 summit, this has increased to 90% and BRAVE has expanded to 10 school districts across the state. Strategic Priority 4: Food Environment and Food Security UFSJ is implementing food insecurity screening in clinical and community settings. Care Connect manages closed-loop referrals to food assistance and nutrition support programs. UFSJ has partnered with food banks, pantries, schools, and community organizations to expand access to nutritious foods through mobile distribution, food hubs, and community-based outreach. The hospital also supports nutrition education, healthy cooking resources, and enrollment assistance for SNAP, WIC, and other nutrition assistance programs. Through these efforts, UFSJ reduces food insecurity, improves nutrition-related health outcomes, and supports preventive care for vulnerable populations. In the year ending June 30, 2025 UFSJ hosted a free drive-thru food distribution event. Fifty pounds of fresh dairy, meats, grains, fruits, vegetables, baby formula, and hygiene products were provided. This event was held in conjunction with the market style food distributions held by Care Connect every Tuesday. The following health needs were identified during the CHNA process. While UFSJ acknowledges these needs as concerning and persistent issues for many individuals in the UF Health St. Johns service area, the organization is focusing its 2026-2028 implementation efforts on the four prioritized health needs because they ranked highest through the CHNA prioritization process and align with the hospital's ability to make a meaningful impact. Many of the topics listed below overlap with the four prioritized health needs and are positively impacted through existing collaborative strategies and activities. Built Environment Community Safety

Schedule H (Form 990) 2024

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?17
Name and address		Type of Facility (describe)
1	FLAGLER OUTPATIENT LAB 156-316 ST HWY 312 260-264 ST AUGUSTINE,FL32086	OUTPATIENT LAB SATELLITE DRAW STATION
2	UF Health St Johns Surgical Center (formerly Flagler Surgery Center) 180 Southpark Blvd St Augustine,FL32086	Outpatient surgery center
3	UF Health Imaging (formerly Flagler Imaging Center) 101 Health Park Blvd St Augustine,FL32086	Imaging Services
4	UF Health Imaging MuraBella 70 Turin Terrace Suite 120 St Augustine,FL32092	Medical imaging
5	UF Health Imaging Nocatee 351 Town Plaza Avenue Suite 101 Ponte Vedra,FL32081	Medical imaging
6	UF Health Medical Lab Riverside Center 200 FL-312 St Augustine,FL32086	Medical Lab
7	UF Health Orthopedics Flagler Hospital 120 Health Park Blvd Suite 1 St Augustine,FL32086	ORTHOPEDICS
8	UF Health Primary Care Cypress Point 50 Cypress Point Parkway Suite C1-C 2 Palm Coast,FL32164	Primary care
9	UF Health Primary Care Treaty Oaks 270 Plaza Blvd Suite B6 St Augustine,FL32086	Primary care
10	UF Health Primary Care Whetstone Place 100 Whetstone Place Suite 105 St Augustine,FL32086	Primary care
11	UF Health Urgent Care Flagler Hospital 110 Health Park Blvd St Augustine,FL32086	Urgent Care
12	UF Health Family Medicine and Pediatrics Nocatee 203 Fort Wade Road Suite 200 Ponte Vedra,FL32081	Physicians clinic
13	UF Health Primary Care Palencia 120 Palencia Village Drive Suite 10 Suite 107 St Augustine,FL32095	Primary Care
14	UF Health Durbin Park 100 Flagler Health Way St Johns,FL32259	Physicians clinic
15	UF Health Primary Care West Augustine 938 W King St Suite 101 St Augustine,FL32084	Primary Care
16	UF Health Orthopaedics Palm Coast 145 City Pl Suite 201 Palm Coast,FL32164	Orthopaedics
17	UF Health Primary Care Julington 2570 Race Track Road Suite A Fruit Cove,FL32259	Primary Care

Schedule H (Form 990) 2024

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	THE ORGANIZATION USED THE COST TO CHARGE RATIO TO COMPUTE THE COST OF FINANCIAL ASSISTANCE AND MEDICAID REPORTED ON PART I, LINE 7. A DIRECT COST METHODOLOGY WAS USED FOR ALL OTHER AMOUNTS.
Schedule H, Part II Community Building Activities	UFSJ's community building activities promote the health and well-being of the communities it serves by addressing housing stability, strengthening coordinated systems of care, and investing in future leadership. Through housing-related support, UFSJ provided hotel assistance for individuals and families at risk of or experiencing homelessness, as well as support for sober living and rental assistance. Safe, stable housing is foundational to health. By helping individuals secure shelter during times of crisis, we reduce exposure to unsafe environments, prevent worsening physical and behavioral health conditions, and decrease reliance on emergency services. As the designated Lead Agency for the St. Johns County Continuum of Care (CoC) since 2017, UFSJ coordinates local planning efforts to implement long-term solutions to homelessness. The CoC brings community agencies together to provide quality services including shelter, transitional housing, prevention and rapid re-housing programs, and outreach activities supported through grants such as ESG, Challenge, and TANF. By strengthening system infrastructure, improving coordination, and aligning resources, the CoC improves access to housing and supportive services, promotes self-sufficiency, and enhances overall community health. In addition, UFSJ administers and oversees Youth Leadership St. Johns (YLSJ). The mission of YLSJ is to develop informed, committed, and qualified young people capable of providing dynamic leadership in their schools, careers, and communities. Students commit to a high standard of participation, including retreats and program sessions. In FY25, 23 students participated. By investing in youth leadership development, we strengthen civic engagement, build community resilience, and support long-term improvements in health and well-being. Together, these efforts address both immediate needs and long-term systemic change, reinforcing UFSJ's commitment to advancing the health of the communities it serves.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	The organization has determined that amounts not expected to be collected from patients represent implicit price concessions rather than bad debts. Accordingly, patient service revenue is recorded at the estimated transaction price, reflecting these concessions at the time of service, and is reported net of such amounts. As a result, no separate bad debt expense is recognized in the audited financial statements.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	The organization does not record bad debt expense, as amounts not expected to be collected from patients-including those eligible for financial assistance-are treated as implicit price concessions. These amounts are reflected as a reduction of patient service revenue. Accordingly, there is no bad debt attributable to patients eligible for financial assistance.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	THE PROVISION FOR BAD DEBTS IS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN FEDERAL AND STATE GOVERNMENTAL HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON THESE TRENDS. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATION TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. PATIENT ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED UNDER Shands'S POLICIES.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE AMOUNTS REPORTED ON LINES 5 AND 6 WERE DERIVED FROM THE FYE 6/30/2025 MEDICARE COST REPORT. UFSJ accepts all Medicare patients with the knowledge that there may be shortfalls and operates to promote the Health of the community. UFSJ believes that any Medicare shortfall should be treated as a Community Benefit because Medicare does not typically fully compensate UFSJ for the cost of providing hospital care to Medicare beneficiaries.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	FLAGLER HOSPITAL BUSINESS OFFICE STAFF REVIEW UNPAID PATIENT ACCOUNTS ON A REGULAR BASIS TO IDENTIFY THOSE ACCOUNTS THAT MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. ATTEMPTS TO CLASSIFY THESE PARTICULAR INDIVIDUALS START AT THE TIME THAT THEY ARE STILL IN-HOUSE. PATIENTS ARE ALSO CONTACTED AFTER DISCHARGE THROUGH PHONE CALLS OR MAIL. COMPLIANT INDIVIDUALS WHO MEET THE HOSPITAL'S FINANCIAL ASSISTANCE GUIDELINES ARE GRANTED THE APPROPRIATE DISCOUNT BASED ON WHERE THEY FALL IN RELATION TO THE FEDERAL POVERTY GUIDELINES. UF Health Flagler Hospital will not refer accounts for collection where the patient has initially applied for financial assistance or other UF Health Flagler Hospital sponsored program and UF Health Flagler Hospital has not yet notified the patient of its determination (provided the patient has complied with the timeline and information requests delineated during the application process).
Schedule H, Part V, Section B, Line 16a FAP website	- Flagler Hospital, Inc.: Line 16a URL: https://ufhealth.org/billing-insurance-and-costs/financial-assistance;
Schedule H, Part V, Section B, Line 16b FAP Application website	- Flagler Hospital, Inc.: Line 16b URL: https://ufhealth.org/billing-insurance-and-costs/financial-assistance;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- Flagler Hospital, Inc.: Line 16c URL: https://ufhealth.org/billing-insurance-and-costs/financial-assistance;
Schedule H, Part VI, Line 2 Needs assessment	In addition to conducting the formal Community Health Needs Assessment (CHNA) every three years, Flagler Hospital (UF Health St. Johns) utilizes a comprehensive and ongoing approach to assess the health care needs of the communities it serves. This includes continuous data collection, community engagement, and collaboration with local partners to identify emerging needs, service gaps, and opportunities for intervention. Flagler Hospital actively monitors internal clinical utilization data, including emergency department visits, inpatient admissions, readmissions, and diagnoses associated with chronic disease, behavioral health, and social determinants of health. This data is analyzed to identify trends, high-risk populations, and unmet needs within the service area. The hospital also maintains strong partnerships with community-based organizations, local government agencies, school districts, public health departments, and social service providers. Through these partnerships, the hospital participates in community coalitions, advisory groups, and planning committees, including the St. Johns County Continuum of Care, behavioral health collaboratives, and school-based wellness initiatives. These forums provide ongoing feedback regarding community conditions, barriers to care, and priority populations. Through this continuous, multi-source assessment process, Flagler Hospital ensures it remains responsive to the evolving health care needs of the community and can implement targeted strategies to improve health outcomes, expand access to care, and address social determinants of health.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	THE HOSPITAL HAS SEVERAL MECHANISMS FOR EDUCATING PATIENTS ABOUT ITS FINANCIAL ASSISTANCE POLICY: A PLAIN-LANGUAGE SUMMARY OF THE POLICY IS POSTED UNDER "STEP 1: COMPLETE A FINANCIAL ASSISTANCE APPLICATION" PORTION OF FINANCIAL ASSISTANCE PAGE ON THE HOSPITAL'S WEBSITE, ALONG WITH LOCAL AND TOLL-FREE TELEPHONE NUMBERS WHERE FINANCIAL REPRESENTATIVES MAY BE REACHED TO DISCUSS QUESTIONS; SIGNAGE IS POSTED IN THE EMERGENCY DEPARTMENTS, ADMISSIONS DEPARTMENTS, AND OTHER ANCILLARY DEPARTMENTS INDICATING THAT FINANCIAL ASSISTANCE IS AVAILABLE FOR THOSE UNINSURED AND UNDERINSURED PATIENTS MEETING ELIGIBILITY REQUIREMENTS, AND AFTER EMTALA SCREENING AND STABILIZATION REQUIREMENTS ARE MET, FINANCIAL COUNSELORS WORK WITH THOSE PATIENTS WHO MOST LIKELY QUALIFY FOR MEDICAID OR UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY; NEARLY EVERY HOSPITAL INPATIENT IS VISITED BY A REPRESENTATIVE FROM ADMISSIONS, TO ENSURE WE HAVE THEIR CORRECT INSURANCE INFORMATION AND TO INFORM THEM ABOUT THE ASSISTANCE POLICY; AND INFORMATION ON THE FINANCIAL ASSISTANCE POLICY IS INCLUDED WITH THE INVOICES/FINANCIAL STATEMENTS THAT ARE MAILED TO PATIENTS. IN ADDITION, THE HOSPITAL PROVIDES FINANCIAL COUNSELING AND INFORMATION TO INDIVIDUAL PATIENTS AND ASSISTS THEM IN APPLYING FOR LOCAL, STATE, AND FEDERAL HEALTH CARE PROGRAMS SUCH AS MEDICARE AND MEDICAID OR ENROLLING IN AN INSURANCE PLAN THROUGH THE FEDERAL HEALTH CARE EXCHANGE. UHSJ PROVIDES A SELF-PAY DISCOUNT FOR UNDER-INSURED PATIENTS WHO DO NOT OTHERWISE QUALIFY UNDER THE FINANCIAL ASSISTANCE PROGRAMS.
Schedule H, Part VI, Line 4 Community information	UF Health St. Johns is located in St. Augustine, Florida, and serves residents across 10 zip codes, 41 census tracts, and more than 600 square miles of St. Johns County. St. Johns County is situated in Northeast Florida and is part of the greater Jacksonville metropolitan area. The county is one of the fastest-growing communities in the state, with a population of approximately 300,000 residents. The community is 50.9% female and 49.1% male, with 21.6% of residents under the age of 18. From a race and ethnicity perspective, 83.4% of the population identifies as White and 92.0% as non-Hispanic. While the county is often characterized by higher median household incomes compared to other parts of Florida, there are pockets of economic disparity and underserved populations, particularly among older adults, low-income families, and individuals experiencing housing instability. Rapid population growth has increased demand for accessible, high-quality healthcare services across the region. As the primary hospital system serving St. Johns County, UF Health St. Johns is committed to addressing the evolving health needs of this diverse and expanding community.
Schedule H, Part VI, Line 5 Promotion of community health	A MAJORITY OF UF HEALTH ST. JOHNS' GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. UF HEALTH ST. JOHNS EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY. UF HEALTH ST. JOHNS REINVESTS SURPLUS FUNDS TO INVEST IN PATIENT CARE NEEDS INTO CAPITAL IMPROVEMENTS, EXPANSION OF CLINICAL CAPACITY, ADVANCED DIAGNOSTIC AND TREATMENT TECHNOLOGIES, MEDICAL EDUCATION AND RESIDENCY PROGRAMS, RESEARCH INITIATIVES, AND COMMUNITY HEALTH PROGRAMS.
Schedule H, Part VI, Line 6 Affiliated health care system	Flagler Hospital, as part of UF Health, plays a vital role in advancing the health of the communities it serves through a coordinated, system-wide approach. Within this affiliation, UF Health provides overarching strategic direction, academic leadership, and access to advanced clinical resources, while Flagler Hospital focuses on delivering high-quality, patient-centered care at the community level. UF Health, as an academic health system, supports its affiliated hospitals by promoting best practices in clinical care, expanding access to specialty services, and advancing research and education that improve patient outcomes. Through this structure, Flagler Hospital benefits from system-wide initiatives, evidence-based protocols, and opportunities for clinical collaboration that enhance the quality and scope of care available locally. At the same time, Flagler Hospital maintains a strong focus on addressing the unique health needs of its immediate community. The organization leads local outreach efforts, preventive health programs, and partnerships with community organizations to improve access to care, reduce health disparities, and promote overall wellness. By aligning these local efforts with UF Health's broader mission and resources, the medical center is able to deliver comprehensive, coordinated care that meets both community-specific and regional health needs. Together, Flagler Hospital and UF Health create a synergistic model in which system-level expertise and local engagement work hand in hand to promote healthier communities.

Schedule H (Form 990) 2024

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule I
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization
Flagler Hospital Inc

Employer identification number
59-0675143

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1) EPIC Behavioral Healthcare 17 St Johns Medical Park Dr St Augustine,FL32086	59-1502582	501(c)(3)	150,500	N/A	N/A	OPERATIONAL SUPPORT AND PROGRAM ASSISTANCE
(2) BERNHARDT LABORATORIES PO Box 935431 Atlanta,GA31198	59-2099699		16,665	N/A	N/A	OPERATIONAL SUPPORT AND PROGRAM ASSISTANCE
(3) ST JOHNS COUNCIL ON AGING 180 Marine St St Augustine,FL32084	59-1525829	501(c)(3)	54,810	N/a	N/A	OPERATIONAL SUPPORT AND PROGRAM ASSISTANCE
(4) GOOD SAMARITAN HEALTH CENTERS INC 268 Herbert St St Augustine,FL32084	52-2125419	501(c)(3)	25,596	N/A	N/A	OPERATIONAL SUPPORT AND PROGRAM ASSISTANCE

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) Rev. 1-2025

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation
Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds	THE HOSPITAL HAS A COMMUNITY BENEFITS GROUP THAT WORKS WITH ST. JOHNS COUNTY TO DETERMINE GRANT RECIPIENTS AND MONITOR THE USE OF FUNDS.

Schedule I (Form 990) Rev. 1-2025

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

Schedule J
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

Flagler Hospital Inc

Employer identification number

59-0675143

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) (Rev. 1-2025)

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1David Nelson MD DIRECTOR (THRU June 2025) / UF SVP HEALTH AFFAIRS	(i) (ii)	0 ------------- 1,229,335	0 ------------- 370,800	0 ------------- 6,123	0 ------------- 34,466	0 ------------- 25,415	0 ------------- 1,666,139	0 ------------- 0
2Timothy Morey MD VICE-CHAIRMAN/ UF Health CHIEF MEDICAL OFFICER	(i) (ii)	0 ------------- 681,134	0 ------------- 120,311	0 ------------- 4,812	0 ------------- 31,949	0 ------------- 25,215	0 ------------- 863,421	0 ------------- 0
3STEPHEN MOTEW MD Director / UF Health President & System CEO	(i) (ii)	0 ------------- 1,238,596	0 ------------- 233,750	0 ------------- 112,989	0 ------------- 10,800	0 ------------- 11,987	0 ------------- 1,608,122	0 ------------- 0
4KERRY WATSON Director (thru June 2025) / UF Health St. Johns Interim CEO	(i) (ii)	0 ------------- 308,500	0 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 308,500	0 ------------- 0
5James J Kelly Jr Former INTERIM STHC CEO	(i) (ii)	0 ------------- 230,702	0 ------------- 203,810	0 ------------- 116,527	0 ------------- 15,645	0 ------------- 4,629	0 ------------- 571,313	0 ------------- 0
6Jennifer Hunt MD DIRECTOR (Beg June 2025)/Interim Dean, UF College of Medicine	(i) (ii)	0 ------------- 854,132	0 ------------- 162,406	0 ------------- 3,672	0 ------------- 20,006	0 ------------- 29,944	0 ------------- 1,070,160	0 ------------- 0
7Ryan Fuller DIRECTOR (Beg June 2025) /UF Associate VP & General Counsel	(i) (ii)	0 ------------- 332,128	0 ------------- 0	0 ------------- 3,372	0 ------------- 33,956	0 ------------- 25,828	0 ------------- 395,284	0 ------------- 0
8W Kent Fuchs PhD DIRECTOR (Beg June 2025) / INTERIM PRESIDENT OF THE UNIVERSITY OF FLORIDA	(i) (ii)	0 ------------- 694,615	0 ------------- 0	0 ------------- 94,105	0 ------------- 119,094	0 ------------- 21,938	0 ------------- 929,752	0 ------------- 0
9JASON BARRETT FORMER PRESIDENT/CEO Flagler Hospital	(i) (ii)	0 ------------- 0	0 ------------- 0	256,895 ------------- 0	0 ------------- 0	0 ------------- 0	256,895 ------------- 0	0 ------------- 0
10VINCENT JOHNSON Former CHIEF OPERATING OFFICER	(i) (ii)	0 ------------- 0	0 ------------- 0	222,308 ------------- 0	0 ------------- 0	0 ------------- 0	222,308 ------------- 0	0 ------------- 0
11DONNA WAGNER Former VP CHIEF NURSING OFFICER	(i) (ii)	81,674 ------------- 0	25,000 ------------- 0	173,703 ------------- 0	0 ------------- 0	1,066 ------------- 0	281,443 ------------- 0	0 ------------- 0
12Angie Metcalf Former Chief Adminiatrative Officer	(i) (ii)	0 ------------- 0	0 ------------- 0	385,689 ------------- 0	0 ------------- 0	8,622 ------------- 0	394,311 ------------- 0	0 ------------- 0
13Robert Thornton TREASURER/STHC CFO	(i) (ii)	0 ------------- 568,257	0 ------------- 133,200	0 ------------- 114,298	0 ------------- 14,250	0 ------------- 27,430	0 ------------- 857,435	0 ------------- 0
14Thomas William Young ESQ Secretary/ UF Health Chief Legal Officer	(i) (ii)	0 ------------- 397,465	0 ------------- 78,300	0 ------------- 3,333	0 ------------- 34,918	0 ------------- 27,562	0 ------------- 541,578	0 ------------- 0
15DR TODD BATENHORST VP, INTERIM CHIEF MEDICAL OFFICER (through Aug 2024) / Physician	(i) (ii)	433,742 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	47,559 ------------- 0	481,301 ------------- 0	0 ------------- 0
16MELISSA CECIL ENTERPRISE CHIEF APPLICATIONS OFFICER & CHIEF INFORMATION OFFICER	(i) (ii)	257,588 ------------- 0	25,000 ------------- 0	9,767 ------------- 0	0 ------------- 0	16,225 ------------- 0	308,580 ------------- 0	0 ------------- 0
17JON D COOPER CHIEF OPERATING & STRATEGY OFFICER	(i) (ii)	433,752 ------------- 0	100,000 ------------- 0	9,445 ------------- 0	0 ------------- 0	63,387 ------------- 0	606,584 ------------- 0	0 ------------- 0
18KIMBERLY DIAZ VP, AMBULATORY ENTERPRISE	(i) (ii)	188,632 ------------- 0	0 ------------- 0	112 ------------- 0	0 ------------- 0	19,658 ------------- 0	208,402 ------------- 0	0 ------------- 0
19HUSON GILBERSTADT MD VP, CHIEF MEDICAL OFFICER	(i) (ii)	294,798 ------------- 0	0 ------------- 0	3,400 ------------- 0	0 ------------- 0	39,584 ------------- 0	337,782 ------------- 0	0 ------------- 0
20SIBEL MIGLINO VP OF HUMAN RESOURCES	(i) (ii)	195,148 ------------- 0	0 ------------- 0	2,754 ------------- 0	0 ------------- 0	36,945 ------------- 0	234,847 ------------- 0	0 ------------- 0
21MICHELLE PAULO VP, NURSING	(i) (ii)	193,850 ------------- 0	0 ------------- 0	6,123 ------------- 0	0 ------------- 0	2,559 ------------- 0	202,532 ------------- 0	0 ------------- 0
22CAROLYN SCOTT JD VP, SENIOR COUNSEL	(i) (ii)	208,464 ------------- 0	25,000 ------------- 0	235 ------------- 0	0 ------------- 0	23,150 ------------- 0	256,849 ------------- 0	0 ------------- 0
23KEVIN SWEENY VP, CHIEF OF STAFF	(i) (ii)	225,055 ------------- 0	25,000 ------------- 0	3,003 ------------- 0	0 ------------- 0	35,051 ------------- 0	288,109 ------------- 0	0 ------------- 0
24Geoffrey Gardner UF Health EVP and CFO	(i) (ii)	0 ------------- 54,547	0 ------------- 0	0 ------------- 125,000	0 ------------- 0	0 ------------- 1,096	0 ------------- 180,643	0 ------------- 0
25Patrick Green SVP and Northeast Florida Regional President (beg Feb 2025)	(i) (ii)	0 ------------- 1,076,940	0 ------------- 346,500	0 ------------- 24,432	0 ------------- 0	0 ------------- 24,867	0 ------------- 1,472,739	0 ------------- 0
26Shannon Pickett Administrator, Med Surg Nursing Services & Care Coordination	(i) (ii)	160,718 ------------- 0	0 ------------- 0	4,939 ------------- 0	0 ------------- 0	28,993 ------------- 0	194,650 ------------- 0	0 ------------- 0
27John Franks Former EVP, AMBULATORY ENTERPRISE	(i) (ii)	-2,391 ------------- 0	0 ------------- 0	240,185 ------------- 0	0 ------------- 0	4,780 ------------- 0	242,574 ------------- 0	0 ------------- 0
28Mark Michaels MD VP, Primary & Ambulatory Services	(i) (ii)	385,262 ------------- 0	20,000 ------------- 0	388 ------------- 0	0 ------------- 0	52,474 ------------- 0	458,124 ------------- 0	0 ------------- 0
29Tabitha Vaughn Administrator, Surgical Services	(i) (ii)	162,453 ------------- 0	0 ------------- 0	5,191 ------------- 0	0 ------------- 0	25,293 ------------- 0	192,937 ------------- 0	0 ------------- 0
30Erin Wallner Administrator, Marketing Communications	(i) (ii)	140,374 ------------- 0	0 ------------- 0	4,344 ------------- 0	0 ------------- 0	26,607 ------------- 0	171,325 ------------- 0	0 ------------- 0
31Dawne Bysheim Administrator, Orthopaedics & General Surgery	(i) (ii)	131,892 ------------- 0	0 ------------- 0	224 ------------- 0	0 ------------- 0	12,051 ------------- 0	144,167 ------------- 0	0 ------------- 0
32Dennis Hoban Administrator, Talent Strategy & Management	(i) (ii)	148,998 ------------- 0	0 ------------- 0	472 ------------- 0	0 ------------- 0	30,450 ------------- 0	179,920 ------------- 0	0 ------------- 0
33DONALD R CRIST VP OF OPERATIONS/ SUPPORT SERVICES & PROCUREMENT	(i) (ii)	252,961 ------------- 0	0 ------------- 0	13,489 ------------- 0	0 ------------- 0	21,915 ------------- 0	288,365 ------------- 0	0 ------------- 0
34MICHAEL HALL ADMINISTRATOR, CLINICAL SERVICES (through April 2024)	(i) (ii)	65,143 ------------- 0	0 ------------- 0	128,506 ------------- 0	0 ------------- 0	7,939 ------------- 0	201,588 ------------- 0	0 ------------- 0
35Edward Daech UF Health EVP and CHRO	(i) (ii)	0 ------------- 434,314	0 ------------- 97,880	0 ------------- 2,115	0 ------------- 20,700	0 ------------- 21,253	0 ------------- 576,262	0 ------------- 0
36Gloria Lipori UF Health SVP & CIO	(i) (ii)	0 ------------- 519,775	0 ------------- 123,080	0 ------------- 116,759	0 ------------- 27,600	0 ------------- 21,410	0 ------------- 808,624	0 ------------- 0
37Robert Michalski UF Health VP Compliance & Privacy	(i) (ii)	0 ------------- 329,855	0 ------------- 61,920	0 ------------- 65,774	0 ------------- 20,700	0 ------------- 21,203	0 ------------- 499,452	0 ------------- 0
38Shakira Henderson UF Health Chief Nurse Executive	(i) (ii)	0 ------------- 518,057	0 ------------- 213,042	0 ------------- 0	0 ------------- 41,950	0 ------------- 21,358	0 ------------- 794,407	0 ------------- 0
39Jessica Melton UF Health EVP and Chief Transformation Officer	(i) (ii)	0 ------------- 106,785	0 ------------- 0	0 ------------- 73,644	0 ------------- 0	0 ------------- 2,647	0 ------------- 183,076	0 ------------- 0
40CARLTON DEVOOGHT Former PRESIDENT/CEO Flagler Hospital	(i) (ii)	234,714 ------------- 0	25,000 ------------- 0	432,711 ------------- 0	0 ------------- 0	40,111 ------------- 0	732,536 ------------- 0	0 ------------- 0
41Scott Putney MD Orthopedic Physician	(i) (ii)	775,783 ------------- 0	238,254 ------------- 0	163,744 ------------- 0	0 ------------- 0	75,474 ------------- 0	1,253,255 ------------- 0	0 ------------- 0
42Corey Rosenbaum DO Orthopedic Physician	(i) (ii)	781,034 ------------- 0	186,160 ------------- 0	275,244 ------------- 0	0 ------------- 0	64,971 ------------- 0	1,307,409 ------------- 0	0 ------------- 0
43Jeffrey Keen MD Orthopedic Physician (thru march 2025)	(i) (ii)	777,128 ------------- 0	99,877 ------------- 0	36,913 ------------- 0	0 ------------- 0	75,591 ------------- 0	989,509 ------------- 0	0 ------------- 0
44Garrett Schwarzman MD Orthopedic Physician	(i) (ii)	677,102 ------------- 0	319,257 ------------- 0	139,799 ------------- 0	0 ------------- 0	64,457 ------------- 0	1,200,615 ------------- 0	0 ------------- 0

Schedule J (Form 990) (Rev. 1-2025)

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	The organization's top management official is Stephen Motew, President and System CEO. His compensation is established by UF Health Corporation, a related organization, utilizing the following methods: -Approval by the compensation committee -Independent compensation consultant -Form 990 of other organizations -Compensation study
Schedule J, Part I, Line 4a Severance or change-of-control payment	THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING CALENDAR YEAR 2024: Jason Barrett: $256,895 Vincent Johnson: $222,308 Angelica Metcalf: $390,000 DONNA WAGNER: $99,048 JOHN FRANKS: $240,185 Michael Hall: $80,856 Angie Metcalf: $385,689 Carlton Devooght - $214,600
Schedule J, Part I, Line 7 Non-fixed payments	BONUSES ARE BASED ON PERFORMANCE METRICS SET AT THE BEGINNING OF THE PERFORMANCE YEAR. THE BOARD HAS APPROVAL RIGHTS FOR THE FINAL AMOUNT PAID AT THE END OF THE PERFORMANCE YEAR.

Schedule J (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization
Flagler Hospital Inc

Employer identification number
59-0675143

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	ST JOHNS COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY	59-2146640		09-28-2017	71,400,000	CURRENT REFUNDING OF SERIES 2010A & SERIES 2010B BONDS, FINANCING OF FACILITIES IMPROVEMENT PROJECT.		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	23,445,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	71,400,000
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	471,961
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	17,506,726
11 Other spent proceeds .............	53,421,313
12 Other unspent proceeds .............
13 Year of substantial completion .............	2019
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........	X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........		X
16 Has the final allocation of proceeds been made? ..........	X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) (Rev. 1-2025)

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?		X
c Are there any research agreements that may result in private business use of bond-financed property? .............		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........	0 %
6 Total of lines 4 and 5 .............	0 %
7 Does the bond issue meet the private security or payment test? ...		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..	0 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X
b Exception to rebate? ........		X
c No rebate due? .........	X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....	X

Schedule K (Form 990) (Rev. 1-2025)

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X
b Name of provider ..........
c Term of hedge .........	0 %
d Was the hedge superintegrated? ......		X
e Was the hedge terminated? ........		X
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X
b Name of provider ..........
c Term of GIC .........	0 %
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........		X
6 Were any gross proceeds invested beyond an available temporary period?		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...		X

Part Ⅴ

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation
Schedule K, Part IV, Line 2c COLUMN A	Issuer name: ST JOHNS COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY The calculation for computing no rebate due was performed on 09/28/2022

Schedule K (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE O
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization

Flagler Hospital Inc

Employer identification number

59-0675143

Return Reference	Explanation
Form 990, Part VI, Line 15 PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL & OFFICERS	COMPENSATION OF THE ORGANIZATION'S OFFICERS IS REVIEWED AND APPROVED BY UF HEALTH CORPORATION, A RELATED ORGANIZATION; THEREFORE, FORM 990 PART VI LINES 15A AND 15B HAVE BEEN ANSWERED "NO" IN ACCORDANCE WITH THE FORM 990 INSTRUCTIONS. PURSUANT TO THE ORGANIZATION'S BYLAWS, THE UF HEALTH CORPORATION BOARD OF DIRECTORS HAS ESTABLISHED A COMPENSATION COMMITTEE COMPRISED OF INDIVIDUALS SERVING ON THE BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE IS RESPONSIBLE FOR REVIEWING AND APPROVING EXECUTIVE COMPENSATION, AFTER CONSULTATION WITH THE CEO OF UF HEALTH CORPORATION. OFFICER COMPENSATION IS SUBJECT TO THE UNIVERSITY GOVERNANCE STANDARDS AND ANY BOARD OF DIRECTORS CONFLICTS OF INTEREST POLICIES. THE COMPENSATION COMMITTEE OF UF HEALTH CORPORATION ENGAGES MERCER, AN INDEPENDENT CONSULTANT WITH EXPERTISE IN THE DEVELOPMENT OF COMPENSATION SURVEYS ON EXECUTIVE PAY LEVELS ACROSS DIFFERENT INDUSTRIES, TO PROVIDE COMPETITIVE DATA AND GUIDANCE ON DETERMINING APPROPRIATE AND REASONABLE RANGES AND SALARIES. MERCER ANNUALLY REVIEWS ALL ASPECTS OF EXECUTIVE COMPENSATION FOR SENIOR UF HEALTH OFFICERS AND KEY EMPLOYEES - INCLUDING ALL ELEMENTS OF SUPPLEMENTAL BENEFITS - TO ENSURE THAT TOTAL REMUNERATION IS REASONABLE. THE COMPENSATION COMMITTEE OF UF HEALTH CORPORATION UTILIZES THE INFORMATION PROVIDED BY MERCER WHEN REVIEWING AND APPROVING EXECUTIVE COMPENSATION. THIS PROCESS IS UNDERTAKEN ANNUALLY AND WAS LAST CONDUCTED DURING FISCAL YEAR 2025. THE COMPENSATION COMMITTEE DOCUMENTS DELIBERATIONS AND DETERMINATIONS IN COMMITTEE MEETING MINUTES.
Form 990, Part VI, Line 1a Delegate broad authority to a committee	The Executive Committee shall consist of the following members: 1. The CEO of the University of Florida Health Corporation ("UF Health Corp"); 2. The Chairperson of the organization's Board of Directors; and 3. Any other Directors as determined by the Chairperson after consultation with the Board of Directors. Subject to the limitations contained in the organization's Restated Articles of Incorporation and University Governance Standards, the Executive Committee shall have such powers and authority as the Board of Directors may delegate to it, including but not limited to the power to act on behalf of the Board. The Executive Committee may consider matters that are within the scope of other committees at the discretion of the Chairperson, the CEO of UF Health Corp, or the Board of Directors. Minutes of all Executive Committee meetings shall be recorded and forwarded to the Board of Directors.
Form 990, Part VI, Line 4 Significant changes to organizational documents	During the fiscal year ended June 30, 2025, the organization amended its Bylaws to update the governance structure. Changes included alignment of the organization's governing body to consist of the same individuals as those who serve on the Board of Directors of the organization's sole member, provisions confirming the authority of the University of Florida (acting through its Board of Trustees or through the University Board Chair and University President) over certain organizational actions, revising board composition and appointment procedures, and updating the structure and authority of the Executive Committee.
Form 990, Part VI, Line 6 Classes of members or stockholders	Pursuant to the organization's governing documents, the organization's sole member is Shands Teaching Hospital and Clinics Inc. The Board of Directors of the organization shall consist of the same individuals as those who serve on the Board of Directors of the organization's sole member, and the Board of Directors of the organization's sole member shall consist of the same individuals as those who serve on the Board of Directors of UF Health Corporation. These individuals are appointed to the Board of Directors by The University of Florida Board of Trustees.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	Members of the organization's governing body are ultimately appointed by The University of Florida (acting through its Board of Trustees or through the University Board Chair and University President.) Pursuant to the organization's governing documents, the Board of Directors of the organization shall consist of the same individuals as those who serve on the Board of Directors of the organization's sole member (Shands Teaching Hospital and Clinics Inc), and the Board of Directors of the organization's sole member shall consist of the same individuals as those who serve on the Board of Directors of UF Health Corporation. These individuals are appointed to the Board of Directors by The University of Florida.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	PURSUANT TO THE ORGANIZATION'S GOVERNING DOCUMENTS, CERTAIN POWERS ARE RESERVED TO THE UNIVERSITY OF FLORIDA ACTING THROUGH ITS BOARD OF TRUSTEES OR THROUGH THE UNIVERSITY BOARD CHAIR AND UNIVERSITY PRESIDENT. THESE POWERS INCLUDE APPROVAL OF AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS AND APPROVAL OF ANY AMENDMENTS TO THE ORGANIZATION'S FISCAL YEAR. CERTAIN OFFICERS OF THE ORGANIZATION ARE APPOINTED BY UF HEALTH AND THE UNIVERSITY OF FLORIDA. AS SUCH, THE MARKET CHIEF EXECUTIVE OFFICER REPORTS TO THE UF HEALTH CORPORATION BOARD.
Form 990, Part VI, Line 11b Review of form 990 by governing body	A COMPLETE COPY OF THE FORM 990 WAS SENT TO ALL MEMBERS OF THE GOVERNING BODY BEFORE FILING THE FORM.
Form 990, Part VI, Line 12c Conflict of interest policy	THE ORGANIZATION REQUIRES ALL OFFICERS AND TRUSTEES TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY. ANY CONFLICTS THAT DEVELOP AFTER SUBMISSION MUST BE DISCLOSED IN WRITING TO BOARD OF TRUSTEES. EXISTING CONFLICTS OF INTEREST MAY REQUIRE ABSTAINING FROM DISCUSSING OR VOTING UPON MATTERS RELATED TO OR AFFECTED BY THE CONFLICT, OR RECUSING ONESELF FROM PARTICIPATING IN RELATED MATTERS.
Form 990, Part VI, Line 19 Required documents available to the public	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
Form 990, Part IX, Line 11g Other Fees	Purchased Services - Total Expense: 23090340, Program Service Expense: 16644355, Management and General Expenses: 6445985, Fundraising Expenses: ; Professional Fees - Total Expense: 53698790, Program Service Expense: 47724500, Management and General Expenses: 5974290, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Net Asset Transfer - -23350000; Other changes in net assets - -172619; Total - -23522619;

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE R
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

Flagler Hospital Inc

Employer identification number

59-0675143

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) OUTPATIENT SURGERY CENTER OF ST AUGUSTINE LLC 1 ORTHOPAEDIC PL ST AUGUSTINE,FL32086 20-2047704	OUTPATIENT SURGERY	FL	0	386,135	FLAGLER HEALTH Enterprise
(2) FLAGLER HEALTH NETWORK LLC 400 HEALTH PARK BLVD ST AUGUSTINE,FL32086 82-1579477	INVESTMENT HOLDING	FL	0	-118,254	FLAGLER HOSPITAL INC
(3) FLAGLER HEALTH ENTERPRISES LLC 400 HEALTH PARK BLVD ST AUGUSTINE,FL32086 82-1588529	INVESTMENT HOLDING	FL	0	386,135	FLAGLER HOSPITAL INC

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)University of Florida 226 Tigert Hall Gainesville,FL32611 59-6002052	Education	FL			NA		No
(2)University of Florida Health Corporation PO Box 100336 Gainesville,FL32610 59-2699965	Support UF and related clinical entities	FL	501(c)(3)	3	UF		No
(3)Shands Teaching Hospital and Clinics Inc PO Box 100336 Gainesville,FL32610 59-1943502	Medical services	FL	501(c)(3)	3	UF Health Corp		No
(4)Elder Care of Alachua County Inc PO Box 100336 Gainesville,FL32610 59-3051104	Services for the elderly	FL	501(c)(3)	7	STHC		No
(5)Southeastern Healthcare Foundation PO Box 100336 Gainesville,FL32610 59-2357609	Hospital support	FL	501(c)(3)	Type II	STHC		No
(6)Shands Auxiliary Inc PO Box 100336 Gainesville,FL32610 59-3551267	Hospital support	FL	501(c)(3)	Type I	SEHF		No
(7)Shands Jacksonville Medical Center Inc 655 West 8th Street Jacksonville,FL32209 59-2142859	Medical services	FL	501(c)(3)	3	UF Health Corp		No
(8)Shands Jacksonville Healthcare Inc 655 West 8th Street Jacksonville,FL32209 59-2441966	Support SJMC	FL	501(c)(3)	Type II	UF Health Corp		No
(9)Shands Jacksonville Affiliates Inc 655 West 8th Street Jacksonville,FL32209 59-1913819	Support SJMC	FL	501(c)(3)	Type I	SJMC		No
(10)Shands Jacksonville Properties Inc 655 West 8th Street Jacksonville,FL32209 59-1158241	Support SJMC	FL	501(c)(3)	Type II	SJHC		No
(11)Shands Jacksonville Community Services Inc 655 West 8th Street Jacksonville,FL32209 51-0173761	Support SJMC	FL	501(c)(3)	Type II	SJHC		No
(12)Shands Jacksonville Foundation Inc 655 West 8th Street Jacksonville,FL32209 59-2622323	Support SJMC	FL	501(c)(3)	Type II	SJHC		No
(13)Central Florida Health Inc DBA UF Health Central Florida 600 East Dixie Avenue Leesburg,FL34748 33-1197054	Support STHC, UFHL, and UFSP	FL	501(c)(3)	Type II	STHC		No
(14)Leesburg Regional Medical Center Inc DBA UF Health Leesburg Hospital 600 East Dixie Avenue Leesburg,FL34748 59-0878982	Medical services	FL	501(c)(3)	3	UFHCF		No
(15)Leesburg Regional Medical Center Foundation Inc DBA UF Health Leesburg Hosp ital Foundation600 East Dixie Avenue Leesburg,FL34748 59-1800743	Support UFHL	FL	501(c)(3)	Type I	UFHL		No
(16)The Villages Tri-County Medical Center Inc DBA UF Health Spanish Plaines Ho spital1451 El Camino Real The Villages,FL32159 59-3527036	Medical services	FL	501(c)(3)	3	UFHCF		No
(17)The Villages Regional Hospital Auxiliary Foundation Inc DBA UF Health Spani sh Plaines Hospital Auxiliary Foundation1501 N US Highway 441 Suite 182 The Villages,FL32159 55-0818419	Support UFSP	FL	501(c)(3)	Type I	UFSP		No
(18)Flagler Home Care LLC 301 Health Park Blvd STE 327 St Augustine,FL32086 82-1562462	Home Care services	FL	501(c)(3)	10	Flagler Hospital	Yes
(19)Flagler Health Care Foundation Inc 400 Health Park Blvd St Augustine,FL32086 59-2440537	Hospital support	FL	501(c)(3)	Type I	Flagler Hospital	Yes
(20)Florida Clinical Practice Association Inc PO Box 100205 Gainesville,FL326100205 59-1680273	Enhance medical education and research at The University of Florida	FL	501(c)(3)	Type I	UF Health Corp		No
(21)University of Florida Jacksonville Physicians Inc 653 West 8th Street Jacksonville,FL32209 59-1867557	Support UF College of Medicine - Jacksonville	FL	501(c)(3)	Type I	UF Health Corp		No
(22)Faculty Clinic Inc PO Box 44008 Jacksonville,FL32231 59-2856153	Support UF Jax Physicians	FL	501(c)(3)	Type I	UF		No
(23)University of Florida Foundation Inc PO Box 14425 Gainesville,FL326042425 59-0974739	Support The University of Florida	FL	501(c)(3)	7	UF		No
(24)University of Florida Investment Corporation (UFICO) 4510 NW 6th Place 2nd Floor Gainesville,FL32607 20-1226494	Investment management	FL	501(c)(3)	Type I	UF		No
(25)University of Florida Development Corporation 747 SW 2nd Avenue IMB 49 Gainesville,FL32601 35-2427022	Support The University of Florida and promote economic development	FL	501(c)(3)	Type I	UF		No
(26)Gatorcare Health Management Corporation 1329 SW 16th Street Gainesville,FL32610 46-1185106	Self-Insured Health Ins Plan	FL	501(c)(3)	Type I	UF		No
(27)University of Florida Medical Guild of Gainesville Inc PO Box 100215 Gainesville,FL32610 51-0153878	Support UF	FL	501(c)(3)	10	UF		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) (Rev. 1-2025)

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) CF MANAGEMENT ADMINISTRATIVE COMPANY LLC 30 TURIN TERRACE St Augustine,FL32092 84-3559295	Healthcare	FL	Flagler	Related	0	0		No	0	Yes		60 %
(2) UF HEALTH SOUTH CENTRAL LLC PO BOX 100336 GAINESVILLE,FL32610 81-4845198	Health Services Joint Venture	FL	NA	N/A				No			No
(3) FLORIDA GLOBAL FIXED INCOME FUND LLC 800 SW 2ND AVE GAINESVILLE,FL32601 02-0277004	Investments	FL	NA	N/A				No			No
(4) CARE DELIVERY ALLIANCE LLC 600 EAST DIXIE AVENUE LEESBURG,FL34748 47-3889954	PHYSICIAN-HOSPITAL ORGANIZATION	FL	NA	N/A				No			No
(5) CENTRAL FLORIDA CARDIOVASCULAR CO-MANAGEMENT COMPANY LLC 600 EAST DIXIE AVENUE LEESBURG,FL34748 27-0781065	HEALTHCARE	FL	NA	N/A				No			No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) FLAGLER HEALTH SERVICES INC 400 HEALTH PARK BLVD ST AUGUSTINE,FL32086 59-2484352	REAL ESTATE LEASING	FL	FLAGLER HOSPITAL INC	C Corporation	1,550,855	0	100 %	Yes
(2) HEALTH PARK OWNERS ASSOCIATION 400 HEALTH PARK BLVD ST AUGUSTINE,FL32086 59-2869538	Property Management	FL	FLAGLER HOSPITAL INC	C Corporation	0	570,878	100 %	Yes
(3) ANDERSON GIBBS CONDOMINIUM ASSOCIATION 400 HEALTH PARK BLVD St Augustine,FL32086 59-3223458	Property Management	FL	FLAGLER HOSPITAL INC	C Corporation	0	0	100 %	Yes
(4) FLAGLER PROFESSIONAL HEALTH CARE SERVICES INC 400 HEALTH PARK BLVD ST AUGUSTINE,FL32086 36-4860252	Healthcare	FL	FLAGLER HOSPITAL INC	C Corporation	31,321,508	14,769,044	100 %	Yes
(5) SHANDS HEALTHCARE 457(B) TOP HAT PLAN PO BOX 100336 GAINESVILLE,FL326100336 81-6362932	TRUST - 457(B) TOP HAT PLAN	FL	NA	Trust					No
(6) FLAGLER HOSPITAL EXECUTIVE SAVINGS PLAN 400 HEALTH PARK BLVD ST AUGUSTINE,FL32086 59-0675143	TRUST - EXECUTIVE SAVINGS PLAN	FL	Flagler Hospital	Trust	531,236	531,236	100 %		No

Schedule R (Form 990) (Rev. 1-2025)

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

Yes

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

Yes

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) FLAGLER HEALTH CARE FOUNDATION INC	A	46,928	FMV
(2) FLAGLER PROFESSIONAL HEALTH SERVICES INC	A	1,091,473	FMV
(3) FLAGLER HEALTH CARE FOUNDATION INC	C	3,617,265	FMV
(4) FLAGLER HEALTH SERVICES INC	K	587,753	FMV
(5) FLAGLER HEALTH CARE FOUNDATION INC	M	284,974	FMV
(6) FLAGLER HOME CARE LLC	Q	621,484	FMV
(7) FLAGLER HEALTH CARE FOUNDATION INC	P	168,367	FMV
(8) FLAGLER PROFESSIONAL HEALTH SERVICES INC	P	22,486,157	FMV

Schedule R (Form 990) (Rev. 1-2025)

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) (Rev. 1-2025)

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

1	Briefly describe the organization’s mission or most significant activities: UF Health St. Johns is a total health care enterprise aimed at advancing the physical, social and economic health of Northeast Florida communities.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	12
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	7
5	Total number of individuals employed in calendar year 2024 (Part V, line 2a) ......	5	2,521
6	Total number of volunteers (estimate if necessary) .............	6	164
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	9,743,422	13,382,986
9	Program service revenue (Part VIII, line 2g) .........	226,714,666	286,104,988
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	-672,918	1,091,532
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	3,261,061	3,123,589
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	239,046,231	303,703,095
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	454,458	333,696
14	Benefits paid to or for members (Part IX, column (A), line 4).....		0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	108,785,854	137,070,009
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....		0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	161,294,399	203,333,026
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	270,534,711	340,736,731
19	Revenue less expenses. Subtract line 18 from line 12.......	-31,488,480	-37,033,636
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	346,616,970	258,959,719
21	Total liabilities (Part X, line 26).............	315,017,693	287,912,225
22	Net assets or fund balances. Subtract line 21 from line 20.....	31,599,277	-28,952,506

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 265,692,330 including grants of $ 333,696 ) (Revenue $ 286,104,988 )
	UF Health St. Johns is a total health care enterprise aimed at advancing the physical, social and economic health of Northeast Florida communities. From serving as the lead agency for St. Johns County's Continuum of Care with an aim to end homelessness, to bringing a new concept in health villages throughout the region, UF Health St. Johns is your caring partner throughout the journey of life. UF Health St. Johns has a 130-year legacy of caring for the community. The 335-bed hospital has been named among America's 50 Best hospitals out of nearly 4,500 nationwide.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses265,692,330

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	10,812,005	12,587,091	1,564,728

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	3,617,265
e	Government grants (contributions)		1e	4,350,504

f	All other contributions, gifts, grants, and similar amounts not included above		1f	5,415,217

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		13,382,986

		Business Code
2a	NET PATIENT SERVICE REVENUE	622110	284,584,368	284,584,368
b	ANCILLARY SERVICES	622110	1,520,620	1,520,620
c
d
e
f	All other program service revenue.		0	0	0	0
g	Total. Add lines 2a–2f .....		286,104,988

3 Investment income (including dividends, interest, and othersimilar amounts) ......			1,198,908			1,198,908
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a	2,493,202
b	Less: rental expenses	6b
c	Rental income or (loss)	6c	2,493,202	0
d	Net rental income or (loss).......			2,493,202			2,493,202
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a
b	Less: cost or other basis and sales expenses	7b	5,722	101,654
c	Gain or (loss)	7c	-5,722	-101,654
d	Net gain or (loss).........			-107,376			-107,376
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a	126,339
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..			126,339			126,339

Business Code
11a	Other revenue		900099	504,048			504,048
b
c
d	All other revenue ....			0	0	0	0
e	Total. Add lines 11a–11d ......			504,048
12	Total revenue. See instructions.....			303,703,095	286,104,988	0	4,215,121

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	333,696	333,696
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	3,414,939		3,414,939
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	2,738,654		2,738,654
7	Other salaries and wages........	103,754,425	90,047,736	13,706,689
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	3,441,906	2,987,206	454,700
9	Other employee benefits .......	14,844,631	12,883,551	1,961,080
10	Payroll taxes ...........	8,875,454	7,702,944	1,172,510
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	2,189,126	2,189,126
c	Accounting ...........	181,765		181,765
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	76,789,130	64,368,855	12,420,275	0
12	Advertising and promotion ....	981,468	981,468
13	Office expenses .......	6,496,856	6,496,856
14	Information technology ......	9,810,610		9,810,610
15	Royalties ..
16	Occupancy ...........	4,699,948	2,349,974	2,349,974
17	Travel ............	249,358	124,679	124,679
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........	8,257,798	6,030,480	2,227,318
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	22,000,009		22,000,009
23	Insurance ...	2,253,539		2,253,539
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	Medical Supplies	59,505,845	59,505,845
b	Assessment fees	8,202,527	8,202,527
c	Other Expenses	977,054	749,394	227,660
d	Dues & Memberships	600,622	600,622
e	All other expenses	137,371	137,371	0	0
25	Total functional expenses. Add lines 1 through 24e	340,736,731	265,692,330	75,044,401	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			2,291,671	1	6,548,051
2	Savings and temporary cash investments .........			11,002,142	2	936,613
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			56,108,909	4	54,979,535
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				0	6	0
7	Notes and loans receivable, net ...........			503,734	7	538,878
8	Inventories for sale or use ............			7,688,222	8	8,317,120
9	Prepaid expenses and deferred charges ......			6,071,758	9	4,545,292
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	586,561,952
b	Less: accumulated depreciation	10b	367,010,812	216,718,240	10c	219,551,140
11	Investments—publicly traded securities .			3,205,700	11	3,305,478
12	Investments—other securities. See Part IV, line 11 .....			5,827,204	12	5,827,204
13	Investments—program-related. See Part IV, line 11 ..			1,625,600	13	1,598,689
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			35,573,790	15	-47,188,281
16	Total assets. Add lines 1 through 15 (must equal line 33)...			346,616,970	16	258,959,719

17	Accounts payable and accrued expenses .....	40,131,492	17	41,213,897
18	Grants payable ...		18
19	Deferred revenue .........	16,966,685	19	3,257,121
20	Tax-exempt bond liabilities .........	50,485,000	20	50,698,572
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
		0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	167,301,323	23	168,753,327
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	40,133,193	25	23,989,308
26	Total liabilities. Add lines 17 through 25..	315,017,693	26	287,912,225

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	31,599,277	27	-28,952,506
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	31,599,277	32	-28,952,506
33	Total liabilities and net assets/fund balances ........	346,616,970	33	258,959,719