Flagler Hospital Inc
Nonprofit profile at a glance
- EIN
- 590675143
- IRS 990 coverage
- 2009–2024
- Forms available
- Form 990 2024, Form 990-T 2023
- Location
- St Augustine, FL, USA
- Phone
- 9048254400
- Rating
- 69
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
- Sector
- Hospital, General
Reported finances
- Revenue
- $303,703,095
- Expenses
- $340,736,731
- Assets
- $258,959,719
- Liabilities
- $287,912,225
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
54 people listed
Executive titles in this filing
- KERRY WATSON (Director (thru June 2025) / UF Health St. Johns Interim CEO)
- STEPHEN MOTEW MD (Director / UF Health President & System CEO)
- W Kent Fuchs PhD (DIRECTOR (Beg June 2025) / INTERIM PRESIDENT OF THE UNIVERSITY OF FLORIDA)
- Patrick Green (SVP and Northeast Florida Regional President (beg Feb 2025))
- CARLTON DEVOOGHT (Former PRESIDENT/CEO Flagler Hospital)
- James J Kelly Jr (Former INTERIM STHC CEO)
Highest reported compensation
- David Nelson MD (DIRECTOR (THRU June 2025) / UF SVP HEALTH AFFAIRS): $1,666,139 total reported compensation
- STEPHEN MOTEW MD (Director / UF Health President & System CEO): $1,608,122 total reported compensation
- Patrick Green (SVP and Northeast Florida Regional President (beg Feb 2025)): $1,472,739 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
As a part of UF Health, the organization's mission is to promote health through outstanding and high-quality patient care, innovative and rigorous education in the health professions and biomedical sciences, and high-impact research across the spectrum of basic, translational and clinical investigation.
What it reported doing in 2024
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.
Operating model
- Revenue model
- Other-operating. 95% of the money available for current operations came from other operating revenue.
- Distribution model
- Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
The verdict
SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and a relatively small share of voting board members are independent.
Rating breakdown
- Financial Efficiency: 75
- Transparency & Controls: 68
- Accountability: 66
- Sustainability: 16
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 87.5%; rating input score 88
- Program expense ratio: 78%; rating input score 78
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 93.3%; rating input score 93; 21st percentile among comparable filings
- Pay-setting controls: 0 of 6 controls in place; rating input score 0
- Compensation committee: Missing
- Independent consultant: Missing
- Other Form 990s reviewed: Missing
- Written employment contract: Missing
- Compensation survey or study: Missing
- Board or committee approval: Missing
- Foreign activity oversight: Limited
- Grant itemization coverage: 74.2%; rating input score 74; 15th percentile among comparable filings
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Yes; rating input score 100
Accountability
- Independent voting board: 58.3%; rating input score 58; 16th percentile among comparable filings
- Governance controls: 7 of 9 controls in place; rating input score 78
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Fail
- Other executive compensation review process: Fail
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: -12.2%; rating input score 7; 7th percentile among comparable filings
- Total-asset coverage ratio: 0.76; rating input score 30; 30th percentile among comparable filings
- Liabilities to assets ratio: 1.11; rating input score 5; 5th percentile among comparable filings
- Officer compensation ratio: 3.6%; rating input score 30; 30th percentile among comparable filings
Growth
- Program expense growth: 1.1% per year; rating input score 100; 11th percentile among comparable filings
- Revenue growth: 2.5% per year; rating input score 100; 18th percentile among comparable filings
- Asset growth: 2.7% per year; rating input score 100; 19th percentile among comparable filings
Details
- Where the money goes: 87.5% of revenue deployed · 78% of spending went to programs
- Governance: 7 of 12 board members independent · 7 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $265.7M in reported program spending
- Leadership: top reported pay $1.7M · 54 people listed · 0 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $13.7M reported
- Consistency: 33 of 34 current checks pass · 1 finding to review
- Schedules: 10 filed schedules · includes major donors, grants, executive pay, and related organizations
- Filing history: 16 filing years from 2009 to 2024
- Contacts: How to reach this organization
- Money network: 31 filed money-flow records
- Related organizations: 44 filed related-organization links
- Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
- People: Everyone the filings name, and which of them the filings identify by more than a name.
- Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
Grant-readiness screening is separate from the live rating, not a measure of program quality. Review the source records before making a grant decision.
- High — Transparency & Controls: Pay-setting controls scored 0/100.
- Review — Accountability: Independent voting board scored 58/100.
- High — Sustainability: Operating margin scored 7/100.
- Review — Accountability: Governance controls: 2 of 9 not reported.
- Moderate — Sustainability: Total-asset coverage ratio scored 30/100.
- High — Sustainability: Liabilities to assets ratio scored 5/100.
- Moderate — Sustainability: Officer compensation ratio scored 30/100.
- Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.
- High — Grant Readiness: Federal audit findings: this organization reported findings in its latest federal Single Audit.