SHANDS JACKSONVILLE MEDICAL CENTER INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: SHANDS JACKSONVILLE MEDICAL CENTER INC (EIN 59-2142859)
Tax period: 2023-07-01 to 2024-06-30
Filed: 2025-05-15
IRS object ID: 202531359349306353
Schema version: 2023v6.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R
Affiliated Group Schedule

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-05-15T10:31:20+00:00	ReturnTs
Tax Period End	2024-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	350921680	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CROWE LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	401 East Las Olas Blvd Suite 1100	AddressLine1Txt
City	Fort Lauderdale	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	333014230	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	592142859	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SHANDS JACKSONVILLE MEDICAL CENTER INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	SHAN	BusinessNameControlTxt
Phone	9042440411	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	655 West 8th Street	AddressLine1Txt
City	Jacksonville	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	32209	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Russell Armistead	PersonNm
Person Title	CEO	PersonTitleTxt
Signature	2025-05-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	BRITTNEY KOCAJ	PreparerPersonNm
PTIN	P01320603	PTIN
Phone	9542028600	PhoneNum
Preparation	2025-05-15	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	UF HEALTH JACKSONVILLE	BusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Patrick Green CEO	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	655 West 8th Street	AddressLine1Txt
City	Jacksonville	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	32209	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,138,542,803	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	UFHEALTHJAX.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1981	FormationYr
Legal Domicile State	FL	LegalDomicileStateCd
Activity Or Mission	The mission at Shands Jacksonville Medical Center, Inc. ("SJMC") is to heal, comfort, educate and discover. We dedicate our work to improving the lives of our patients, and the community, through innovations in healthcare.	ActivityOrMissionDesc
Voting Members Governing Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	3	VotingMembersIndependentCnt
Total Employee	6572	TotalEmployeeCnt
Total Volunteers	277	TotalVolunteersCnt
Total Gross UBI	$56,959	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$34,039,919	PYContributionsGrantsAmt
CY Contributions Grants	$25,438,470	CYContributionsGrantsAmt
PY Program Service Revenue	$862,848,650	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,091,207,649	CYProgramServiceRevenueAmt
PY Investment Income	$6,362,997	PYInvestmentIncomeAmt
CY Investment Income	$6,704,523	CYInvestmentIncomeAmt
PY Other Revenue	$12,862,625	PYOtherRevenueAmt
CY Other Revenue	$14,707,689	CYOtherRevenueAmt
PY Total Revenue	$916,114,191	PYTotalRevenueAmt
CY Total Revenue	$1,138,058,331	CYTotalRevenueAmt
PY Grants And Similar Paid	$44,275,070	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$86,362,571	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$439,716,848	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$462,943,855	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$486,746,129	PYOtherExpensesAmt
CY Other Expenses	$550,326,185	CYOtherExpensesAmt
PY Total Expenses	$970,738,047	PYTotalExpensesAmt
CY Total Expenses	$1,099,632,611	CYTotalExpensesAmt
PY Revenues Less Expenses	-$54,623,856	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$38,425,720	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,029,728,546	TotalAssetsBOYAmt
Total Assets EOY	$1,118,439,800	TotalAssetsEOYAmt
Total Liabilities BOY	$803,329,111	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$853,653,063	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$226,399,435	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$264,786,737	NetAssetsOrFundBalancesEOYAmt
Mission	The mission at Shands Jacksonville Medical Center, Inc. is to heal, to comfort, to educate and to discover. We dedicate our work to improving life through innovations in healthcare. Our commitment is to provide constant attention to the needs of our patients, community and each other.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$879,149,851	ExpenseAmt
Grant	$86,362,571	GrantAmt
Revenue	$1,103,025,419	RevenueAmt
Desc	SHANDS JACKSONVILLE MEDICAL CENTER, INC. PROVIDES QUALITY HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF THE MEDICAL CENTER, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE THESE ESSENTIAL MEDICAL SERVICES. OUR MISSION IS TO SERVE THE COMMUNITY WITH RESPECT BY PROVIDING HEALTHCARE SERVICES AND HEALTH EDUCATION. THE FOLLOWING SERVICES AND ACTIVITIES ARE PROVIDED WHERE THE NEED AND AN INDIVIDUAL'S INABILITY TO PAY COEXIST: FREE CARE AND/OR SUBSIDIZED CARE, CARE PROVIDED TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT OR BELOW COST AND HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY. (CONTINUED IN SCHEDULE O)	Desc
Total Program Service Expenses	$879,149,851	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	Yes (true)	ConservationEasementsInd
Collections Of Art	Yes (true)	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	115	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	6572	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	9	GoverningBodyVotingMembersCnt
Independent Voting Member	3	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	FL	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Patricia Rausch	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	9042440411	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	655 WEST 8TH STREET	AddressLine1Txt
City	JACKSONVILLE	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	32209	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
David R Nelson MD
CHAIRMAN (THRU APRIL 2024) / DIRECTOR / SVP HEALTH AFFAIRS, UF	2.0	48.0	Yes (X)	Yes (X)	$0	$1,233,849	$57,666
Gregory Miller MBA
Director & Acting CEO (7/1/2023-7/10/2023) / EVP COO	40.0	10.0	Yes (X)	Yes (X)	$651,825	$0	$32,317
Patrick Green MBA FACHE
DIRECTOR / CEO (BEG 7/10/2023)	47.5	2.5	Yes (X)	Yes (X)	$940,662	$0	$8,766
Stephen J Motew MD MHA FACS
UF Health President and System CEO (Beg. April 2024)	2.0	50.0	Yes (X)	Yes (X)	$0	$0	$0
David Mann
Director	0.5	0.5	Yes (X)		$0	$0	$0
David Vukich MD
DIRECTOR (THRU JAN 2024) / CMO/UF DEAN FOR HOSP AFFAIRS (THRU JAN 2024)	2.0	48.0	Yes (X)		$0	$520,628	$61,596
Kelly Gray-Eurom MD
Director / Chief Quality Officer	2.0	48.0	Yes (X)		$0	$402,568	$39,884
Kendall Spencer
Director	0.5	0.5	Yes (X)		$0	$0	$0
LaRae C Brown MD
Director / UF Health OBGYN	2.0	48.0	Yes (X)		$0	$383,079	$39,352
Linda R Edwards MD
DIRECTOR / UF ASSOC PROFESSOR & DEAN	0.5	49.5	Yes (X)		$0	$629,888	$66,453
Marsha Powers
Director	0.5	0.5	Yes (X)		$0	$0	$0
Salam O Salman MD DDS FACS
Director (thru Jan 2024) / President, Faculty Council (thru Feb 2024)	0.5	50.0	Yes (X)		$0	$433,125	$38,027
Dean Cocchi MBA
Treasurer / CFO	47.5	2.5		Yes (X)	$561,346	$0	$38,528
John Clontz Esq
Asst. Secretary / Associate General Counsel	49.5	0.5		Yes (X)	$174,523	$0	$18,219
Jon DeBardeleben ESQ
Secretary / VP Senior Counsel	47.5	2.5		Yes (X)	$284,502	$0	$29,973
Patricia Rausch
Assistant Treasurer / Controller	49.5	0.5		Yes (X)	$230,634	$0	$21,682
Robert Templin ESQ
Asst. Secretary / SR Associate General Counsel	49.5	0.5		Yes (X)	$184,561	$0	$23,705
Ann-Marie Knight
VP Comm Engmnt / Chief Diversity Officer	50.0	0			$251,940	$0	$30,859	Yes (X)
Jennifer Nitschmann
Interim VP Chief Nursing Officer (beg Dec 2023)	48.0	0			$269,804	$0	$16	Yes (X)
Lesli A Ward
VP Human Resources	48.0	2.0			$0	$408,546	$38,379	Yes (X)
Linda Lawson
VP Chief Nursing Officer (April 2023 thru Dec 2023)	48.0	0			$293,216	$0	$26,728	Yes (X)
Patrice Jones
VP Chief Nursing Officer (THRU APRIL 2023)	48.0	0			$189,509	$0	$11,294	Yes (X)
Robert A Hervey
VP Real Estate and Facilities	40.0	0			$281,056	$0	$35,664	Yes (X)
Thanh Hogan
VP Clinical Operations	48.0	0			$344,628	$0	$30,947	Yes (X)
Wayne A Marshall
VP UFH North	48.0	0			$365,748	$0	$32,077	Yes (X)
Julie Simpson
VP Assoc Communication & Mktng	40.0	0			$226,338	$0	$12,286		Yes (X)
Jun Santos
Registered Nurse	40.0	0			$223,443	$0	$31,871		Yes (X)
Michele L Worley
Coord Perioperative Serv Line	40.0	0			$249,062	$0	$29,327		Yes (X)
Robert Phillips
Chief Technology Officer	40.0	0			$269,402	$0	$26,305		Yes (X)
Steven L Wylie
VP Assoc. Business Development	40.0	0			$267,284	$0	$29,680		Yes (X)
Randall C Jenkins
Former Secretary / SVP of General Council of Univ of FL	0.0	50.0			$0	$561,881	$51,956			Yes (X)
Russell E Armistead Jr MBA
CEO (THRU 6/30/2023)	0.0	0.0			$446,624	$0	$20,619			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,706,107	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,573,564	TotReportableCompRltdOrgAmt
Total Other Compensation	$884,176	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	586	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
BATSON COOK DANIS JV
8860 Phillips Highway	Jacksonville	FL	32256	General Contractor	$65,701,974
UF PR HOUSESTAFF
653-1 West 8th Street	JACKSONVILLE	FL	32209	MEDICAL STAFFING SERVICES	$30,474,098
MORRISONS MANAGEMENT SPECIALISTS
PO BOX 102289	ATLANTA	GA	303682289	General Contractor	$16,536,994
GENESISCARE USA OF FLORIDA LLC
DBA Gulf Coast Urology	Punta Gorda	FL	33950	Medical Staffing Services	$15,023,944	713 E Marion Ave
SODEXO INC & AFFILIATES
PO BOX 360170	PITTSBURGH	PA	152516170	FOOD SERVICES	$12,964,865

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	122	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$4,063	FederatedCampaignsAmt
Related Organizations	$413,441	RelatedOrganizationsAmt
Government Grants	$16,932,141	GovernmentGrantsAmt
All Other Contributions	$8,088,825	AllOtherContributionsAmt
Total Contributions	$25,438,470	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE	622110	$1,089,770,841	$1,089,770,841
Ancillary and Contract Services	622110	$1,436,808	$1,436,808

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,091,207,649	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,668,420	TotalRevenueColumnAmt
Exclusion	$6,668,420	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,597,863	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$2,597,863	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,597,863	TotalRevenueColumnAmt
Exclusion	$2,597,863	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$36,103	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

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

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$36,103	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$36,103	TotalRevenueColumnAmt
Exclusion	$36,103	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$719,569	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$484,472	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$235,097	TotalRevenueColumnAmt
Exclusion	$235,097	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
LABORATORY REVENUE	621500	$56,959	$56,959
AFFILIATE IT SERVICES	900099	$136,336		$136,336
PARKING REVENUE	812930	$596,320		$596,320

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,085,114	TotalRevenueColumnAmt
Related Or Exempt Func Income	$11,085,114	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$11,874,729	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,138,058,331	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,103,025,419	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$56,959	UnrelatedBusinessRevenueAmt
Exclusion	$9,537,483	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$86,362,571	TotalAmt
Program Services	$86,362,571	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$5,831,972	TotalAmt
Management And General	$5,831,972	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$45,492	TotalAmt
Program Services	$45,492	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$372,815,921	TotalAmt
Program Services	$299,679,445	ProgramServicesAmt
Management And General	$73,136,476	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$16,215,372	TotalAmt
Program Services	$16,137,449	ProgramServicesAmt
Management And General	$77,923	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$40,770,798	TotalAmt
Program Services	$40,695,276	ProgramServicesAmt
Management And General	$75,522	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$27,264,300	TotalAmt
Program Services	$21,629,961	ProgramServicesAmt
Management And General	$5,634,339	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$569,463	TotalAmt
Management And General	$569,463	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$259,500	TotalAmt
Management And General	$259,500	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$76,107	TotalAmt
Management And General	$76,107	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$183,263,597	TotalAmt
Program Services	$89,623,342	ProgramServicesAmt
Management And General	$93,640,255	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$3,467,457	TotalAmt
Program Services	$3,378,602	ProgramServicesAmt
Management And General	$88,855	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$14,917,211	TotalAmt
Program Services	$8,688,402	ProgramServicesAmt
Management And General	$6,228,809	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$8,335,924	TotalAmt
Program Services	$5,668,428	ProgramServicesAmt
Management And General	$2,667,496	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$24,716,669	TotalAmt
Program Services	$16,807,335	ProgramServicesAmt
Management And General	$7,909,334	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$697,371	TotalAmt
Program Services	$461,058	ProgramServicesAmt
Management And General	$236,313	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$624,821	TotalAmt
Program Services	$380,047	ProgramServicesAmt
Management And General	$244,774	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$20,646,296	TotalAmt
Program Services	$14,039,481	ProgramServicesAmt
Management And General	$6,606,815	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$49,251,426	TotalAmt
Program Services	$33,490,970	ProgramServicesAmt
Management And General	$15,760,456	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,800,900	TotalAmt
Program Services	$4,579,748	ProgramServicesAmt
Management And General	$221,152	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies	$214,599,154	$214,077,398	$521,756
AHCA Assessment	$7,999,104	$7,999,104
DPP assessment	$11,943,758	$11,943,758
Dues & Subscriptions	$1,205,422	$819,687	$385,735

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,952,005	TotalAmt
Program Services	$2,642,297	ProgramServicesAmt
Management And General	$309,708	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,099,632,611	TotalAmt
Program Services	$879,149,851	ProgramServicesAmt
Management And General	$220,482,760	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$232,866,555	BOYAmt
EOY	$205,415,392	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$2,977,363	BOYAmt
EOY	$3,091,957	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$21,262,863	BOYAmt
EOY	$59,547,702	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$133,826,641	BOYAmt
EOY	$112,967,430	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$19,700,512	BOYAmt
EOY	$21,363,262	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$5,171,924	BOYAmt
EOY	$5,515,839	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,115,148,982	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$574,008,667	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$448,744,053	BOYAmt
EOY	$541,140,315	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$2,881,778	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$165,178,635	BOYAmt
EOY	$166,516,125	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,029,728,546	BOYAmt
EOY	$1,118,439,800	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$206,388,061	BOYAmt
EOY	$151,543,511	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
EOY	$15,780,330	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$2,989,379	BOYAmt
EOY	$913,265	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$435,492,627	BOYAmt
EOY	$433,392,599	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$14,068,955	BOYAmt
EOY	$12,905,753	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$144,390,089	BOYAmt
EOY	$239,117,605	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$803,329,111	BOYAmt
EOY	$853,653,063	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$222,830,083	BOYAmt
EOY	$261,217,385	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,569,352	BOYAmt
EOY	$3,569,352	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$226,399,435	BOYAmt
EOY	$264,786,737	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,029,728,546	BOYAmt
EOY	$1,118,439,800	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$38,425,720	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$87,510	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$125,928	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Organization Belongs Afflt Grp	Yes (X)	OrganizationBelongsAffltGrpInd

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

Field	Value	IRS element (for citing)
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$76,107	FilingOrganizationsTotalAmt
Affiliated Group Total	$765,863	AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$76,107	FilingOrganizationsTotalAmt
Affiliated Group Total	$765,863	AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$879,149,851	FilingOrganizationsTotalAmt
Affiliated Group Total	$3,783,235,022	AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$879,225,958	FilingOrganizationsTotalAmt
Affiliated Group Total	$3,784,000,885	AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,000,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,000,000	AffiliatedGroupTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$250,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$250,000	AffiliatedGroupTotalAmt

Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$1,000,000	CurrentYearMinus3Amt
Current Year Minus2	$1,000,000	CurrentYearMinus2Amt
Current Year Minus1	$1,000,000	CurrentYearMinus1Amt
Current Year	$1,000,000	CurrentYearAmt
Total	$4,000,000	TotalAmt

Field	Value	IRS element (for citing)
Lobbying Ceiling	$6,000,000	LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$93,220	CurrentYearMinus3Amt
Current Year Minus2	$708,495	CurrentYearMinus2Amt
Current Year Minus1	$740,410	CurrentYearMinus1Amt
Current Year	$765,863	CurrentYearAmt
Total	$2,307,988	TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$250,000	CurrentYearMinus3Amt
Current Year Minus2	$250,000	CurrentYearMinus2Amt
Current Year Minus1	$250,000	CurrentYearMinus1Amt
Current Year	$250,000	CurrentYearAmt
Total	$1,000,000	TotalAmt

Field	Value	IRS element (for citing)
Grassroots Ceiling	$1,500,000	GrassrootsCeilingAmt

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$0	CurrentYearMinus3Amt
Current Year Minus2	$0	CurrentYearMinus2Amt
Current Year Minus1	$0	CurrentYearMinus1Amt
Current Year	$0	CurrentYearAmt
Total	$0	TotalAmt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Protection Natural Habitat	Yes (X)	ProtectionNaturalHabitatInd
Total Easements	1	TotalEasementsCnt
Total Acreage	5.56	TotalAcreageCnt
Historic Structure Easements	0	HistoricStructureEasementsCnt
Historic Strctr Easements Aftr	1	HistoricStrctrEasementsAftrCnt
Modified Easements	0	ModifiedEasementsCnt
States Easements Held	1	StatesEasementsHeldCnt
Written Policy Monitoring	false	WrittenPolicyMonitoringInd
Staff Hours Spent Enforcement	0.0	StaffHoursSpentEnforcementCnt
Expenses Incurred Enforcement	$0	ExpensesIncurredEnforcementAmt
Section170h Rqr Stsfd	Yes (true)	Section170hRqrStsfdInd

Art Public Exhibition Amounts ArtPublicExhibitionAmountsGrp

Field	Value	IRS element (for citing)
Revenues Included	$0	RevenuesIncludedAmt
Assets Included	$54,300	AssetsIncludedAmt

Held Works Art HeldWorksArtGrp

Field	Value	IRS element (for citing)
Revenues Included	$0	RevenuesIncludedAmt
Assets Included	$0	AssetsIncludedAmt

Field	Value	IRS element (for citing)
Solicited Assets Sale	false	SolicitedAssetsSaleInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,642,217	OtherCostOrOtherBasisAmt
Book Value	$4,642,217	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$528,915,874	OtherCostOrOtherBasisAmt
Depreciation	$291,094,229	DepreciationAmt
Book Value	$237,821,645	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,579,589	OtherCostOrOtherBasisAmt
Depreciation	$1,461,052	DepreciationAmt
Book Value	$118,537	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$333,877,461	OtherCostOrOtherBasisAmt
Depreciation	$275,547,642	DepreciationAmt
Book Value	$58,329,819	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$246,133,841	OtherCostOrOtherBasisAmt
Depreciation	$5,905,744	DepreciationAmt
Book Value	$240,228,097	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$541,140,315	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
DEPOSITS AND OTHER	$23,113,412
DUE FROM AFFILIATES	$131,119,529
LEASE RECEIVABLE	$8,421,711
ARTWORK	$54,300
RETIREMENT ASSETS	$3,807,173

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$166,516,125	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
3RD PARTY SETTLEMENT	$52,232,711
Pension Expense per GASB 75	$4,315,073
Lease Payable	$96,405,963
Due to affiliates	$86,163,858

Field	Value	IRS element (for citing)
Total Liability	$239,117,605	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part II, Line 9 Conservation easements financial reporting	The easement is not recorded as part of the organization's financial statements.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	The Company and its subsidiaries 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 of the Florida Statutes.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent200 D	Yes (X)	Percent200DInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$56,986,518	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$40,000,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,986,518	NetCommunityBenefitExpnsAmt
Total Expense	0.0154	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$162,047,175	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$146,285,590	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,761,585	NetCommunityBenefitExpnsAmt
Total Expense	0.0143	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$219,033,693	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$186,285,590	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$32,748,103	NetCommunityBenefitExpnsAmt
Total Expense	0.0298	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,391,693	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,301,302	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,090,391	NetCommunityBenefitExpnsAmt
Total Expense	0.0028	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$53,188,140	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$26,510,151	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$26,677,989	NetCommunityBenefitExpnsAmt
Total Expense	0.0243	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$57,579,833	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$27,811,453	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$29,768,380	NetCommunityBenefitExpnsAmt
Total Expense	0.0271	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$276,613,526	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$214,097,043	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$62,516,483	NetCommunityBenefitExpnsAmt
Total Expense	0.0569	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$709,367	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$680,057	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$29,310	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$145,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$36,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$109,000	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,015	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,015	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$857,382	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$719,072	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$138,310	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$0	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$141,047,225	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$111,940,110	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$29,107,115	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SHANDS JACKSONVILLE MEDICAL CENTER INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	655 W 8TH STREET	AddressLine1Txt
City	JACKSONVILLE	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	32209	ZIPCd

Field	Value	IRS element (for citing)
Website Address	UFHEALTHJAX.ORG	WebsiteAddressTxt
State License	4063	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	SHANDS JACKSONVILLE MEDICAL CENTER INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE STATEMENT ON SCHEDULE H, PART VI	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE STATEMENT ON SCHEDULE H, PART VI	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	100.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	200.0	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://ufhealthjax.org/patients-and-visitors/insurance-billing-finance/financial-assistance	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://ufhealthjax.org/patients-and-visitors/insurance-billing-finance/financial-assistance	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://ufhealthjax.org/patients-and-visitors/insurance-billing-finance/financial-assistance	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E	The significant health needs are a prioritized description of the significant health needs of the community and identified through the CHNA. ONCE THE SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED, THIS LIST WAS PRIORITIZED FOR IMPLEMENTATION PLANNING AND STRATEGIZING. THE DATA SUPPORTING EACH OF THE NINE KEY AREAS IDENTIFIED FROM PRIMARY AND SECONDARY ANALYSIS WERE PRESENTED AND DISCUSSED DURING A PRIORITIZATION WORKSHOP HOSTED BY THE JACKSONVILLE NONPROFIT HOSPITAL PARTNERSHIP (THE PARTNERSHIP) ON MAY 11, 2021. FORTY-NINE COMMUNITY LEADERS RANKED THE NINE THEMES IN PRIORITY ORDER OF SIGNIFICANCE. THE TOP THEMES THAT EMERGED WERE MENTAL HEALTH, ACCESS, POVERTY AND CHRONIC DISEASE. AS A KEY COMPONENT OF THE COMMUNITY ASSESSMENT, THE PRIORITIZATION PROCESS PROVIDES THE PARTNERSHIP WITH INFORMATION ABOUT WHAT LEADERS BELIEVE SHOULD BE THE FOCUS TO IMPROVE POPULATION HEALTH AND COMMUNITY WELLNESS.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - SHANDS JACKSONVILLE MEDICAL CENTER, INC.. THE PRIMARY DATA USED IN THIS ASSESSMENT CONSIST OF (1) KEY STAKEHOLDER INTERVIEWS CONDUCTED VIRTUALLY, (2) FOCUS GROUP DISCUSSIONS FACILITATED BY THE PARTNERSHIP, AND (3) A COMMUNITY SURVEY DISTRIBUTED THROUGH ONLINE AND ON PAPER SUBMISSIONS. STAKEHOLDERS FROM DUVAL COUNTY WERE SELECTED BASED ON THEIR KNOWLEDGE OF THE HEALTH NEEDS OF PARTICULAR COMMUNITIES. SEVEN INTERVIEWS WERE CONDUCTED WITH DUVAL COUNTY ORGANIZATIONS THAT WORK WITH POPULATIONS MOST AT RISK FOR HEALTH DISPARITIES TO GAIN INSIGHTS INTO THEIR SPECIFIC NEEDS. IN ADDITION, EIGHT INTERVIEWS WERE CONDUCTED WITH REGIONAL AGENCIES THAT OFFER SERVICES IN DUVAL COUNTY. THE FULL LIST OF AGENCIES REPRESENTED WAS: STARTING POINT BEHAVIORAL HEALTH, SPBH, NAMI, HOMELESS COALITION, JASMYN, LUTHERAN SERVICES, ABILITY HOUSING, FIRE WATCH, CLAY COUNTY BEHAVIORAL HEALTH, WE CARE, MERCY SERVICES, ST. JOHNS HOUSING PARTNERSHIP, THE WAY CLINIC, FEEDING NORTHEAST FLORIDA, ACLU REGIONAL ORGANIZER, BAKER PREVENTION COALITION, PIE IN THE SKY, NORTHEAST FLORIDA HEALTHY START, WILDFLOWER CLINIC, BARNABAS CENTER, COUNCIL OF AGING, CIL JACKSONVILLE, SAFE KIDS NEFL, STEWART MARCHMAN, YMCA, FDOH-NASSAU, HEALTHY START COALITION OF NE FL, FDOH-DUVAL, FDOH-CLAY, FDOH-ST. JOHNS, SULZBACHER CENTER FOR THE HOMELESS, JEWISH FAMILY AND COMMUNITY SOCIAL SERVICES, AND VOLUNTEERS IN MEDICINE. A TOTAL OF 13 FOCUS GROUPS WERE CONDUCTED WITH 114 PARTICIPANTS BETWEEN MARCH AND APRIL OF 2021 IN DUVAL COUNTY. ALL FOCUS GROUPS WERE CONDUCTED USING A VIRTUAL MEETING PLATFORM. THE FOCUS GROUP PARTICIPANTS INCLUDED REPRESENTATIVES FROM ORGANIZATIONS THAT SERVE MINORITY, LOW-INCOME, VETERANS, AND MEDICALLY UNDERSERVED POPULATIONS MOST AT RISK FOR HEALTH DISPARITIES AND THOSE EXPERIENCING CHALLENGES IN ACCESSING HEALTHCARE. OTHER FOCUS GROUPS WERE CONDUCTED THAT REPRESENTED THE REGIONAL POPULATION WHICH INCLUDED ONE WITH THE LGBTQ+ POPULATION, AND ONE GROUP WITH PEOPLE OF DIFFERING ABILITIES. THROUGH BOTH THE STAKEHOLDER INTERVIEWS AND THE FOCUS GROUPS, SJMC SELECTED PARTICIPANTS BASED ON THEIR KNOWLEDGE OF THE HEALTH NEEDS OF THE MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. THESE PARTICIPANTS INCLUDE REPRESENTATIVES FROM ORGANIZATIONS SERVING -COMMUNITY MEMBERS EXPERIENCING HOMELESSNESS -VETERANS -SENIORS -INDIVIDUALS EXPERIENCING FOOD INSECURITY -LGBTQ+ INDIVIDUALS A COMMUNITY SURVEY WAS DISSEMINATED BETWEEN MARCH AND APRIL OF 2021 THROUGHOUT THE FIVE-COUNTY AREA OF NORTHEAST FLORIDA. THE SURVEY WAS DISTRIBUTED IN ENGLISH AND IN SPANISH AND PAPER SURVEYS WERE ALSO AVAILABLE. AN ELECTRONIC SURVEY LINK AND QR CODE WERE SHARED WITH MEMBERS OF THE COMMUNITY IN A NUMBER OF WAYS INCLUDING A PRESS RELEASE, A FEATURED SEGMENT ON LOCAL PUBLIC RADIO, VARIOUS SOCIAL MEDIA OUTLETS, TRADITIONAL BROADCASTS, AND OTHER ONLINE MEDIA OUTLETS. FIVE THOUSAND POSTCARDS WITH THE SURVEY LINK AND QR CODE WERE DISTRIBUTED THROUGHOUT THE FIVE-COUNTY AREA IN HOSPITAL WAITING ROOMS, VACCINE SITES AND CLINICS, AND VIA DOOR-TO-DOOR CANVASSERS. SURVEY RESPONDENTS WERE ASKED ABOUT THEIR VIEWS ON THE COMMUNITY'S HEALTH NEEDS, BARRIERS AND MOST IMPACTED POPULATIONS. STANDARDS FOR COLLECTING, REVIEWING, PRESENTING, AND ANALYZING SECONDARY DATA ARE BASED ON INDUSTRY TRENDS THAT ASSESS HEALTH STATUS AND RISK FACTORS FOR POPULATION HEALTH AND COMMUNITY WELLNESS. QUANTITATIVE DATA FOR EACH COUNTY IS OBTAINED FROM THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), COUNTY HEALTH RANKINGS AND ROADMAPS (CHR&R), FLORIDA CHARTS, FLORIDA DEPARTMENT OF HEALTH. LOCAL COMMUNITY HEALTH ASSESSMENTS (CHA), HOSPITAL UTILIZATION REPORTS, U.S. CENSUS, AND THE YOUTH RISK BEHAVIOR SURVEILLANCE SYSTEM (YRBSS). POPULATION HEALTH MEASURES THE PHYSICAL, MENTAL, ENVIRONMENTAL, AND SOCIAL WELL-BEING OF A POPULATION. COLLECTING, ASSEMBLING, AND ANALYZING AVAILABLE DATA THAT INCLUDES STATISTICS ON HEALTH STATUS, EPIDEMIOLOGIC STUDIES OF HEALTH PROBLEMS, HEALTHCARE UTILIZATION, SERVICE AVAILABILITY, AND SELF- REPORTED ANALYTICS HELPS TO IDENTIFY UNMET NEEDS AND EMERGING NEEDS.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - SHANDS JACKSONVILLE MEDICAL CENTER, INC.. THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED WITH ASCENSION HEALTH, BAPTIST HEALTH, BROOKS REHABILITATION, AND MAYO CLINIC FLORIDA WHICH CAME TOGETHER AND FORMED THE JACKSONVILLE NONPROFIT HOSPITAL PARTNERSHIP.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - SHANDS JACKSONVILLE MEDICAL CENTER, INC.. THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED WITH THE HEALTH PLANNING COUNCIL OF NORTHEAST FLORIDA.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - SHANDS JACKSONVILLE MEDICAL CENTER, INC.. CHRONIC DISEASE FOOD PHARMACY PROGRAM - THIS PROGRAM PROVIDES ACCESS TO FRESH FOOD AND VEGETABLES FOR FOOD INSECURE MEMBERS OF THE COMMUNITY WHO HAVE CHRONIC LEVELS OF DIABETES, HYPERTENSION AND/OR OBESITY. THE PROGRAM IS DESIGNED TO INCREASE ACCESS TO FOOD IN THE MOST FOOD INSECURE NEIGHBORHOODS AS WELL AS PROVIDE NUTRITIONAL EDUCATION TO CONTRIBUTE TO PROVIDE SKILLS TO ASSIST SELF-MANAGEMENT TECHNIQUES TO REDUCE DISEASE. THE PROGRAM IS OPEN TO COMMUNITY MEMBERS WHO VISIT THE TOTAL CARE CLINIC OR WELLNESS CENTERS. THE TOTAL CARE CLINIC AND WELLNESS CENTERS PROVIDE CARE TO UNDERSERVED AND UNINSURED COMMUNITY MEMBERS WHO QUALIFY FOR CITY CONTRACT COVERAGE. In conjunction with its partners, the Food Pharmacy distributed curated, nutritious food to 435 patients in 2023. Food Pharmacy patients are surveyed every 6 months to measure progress. According to recent surveys, 81% of diabetic patients have achieved their goal to stabilize or lower their A1C and 74% of hypertensive patients have achieved their goal to stabilize or lower their blood pressure to at or below 140/90. MATERNAL AND CHILD HEALTH 1. LITTLE MIRACLES - COMMUNITY PROGRAM THAT PROVIDES PREGNANCY TESTS, PRENATAL AND INFANT CARE ACCESS ASSISTANCE AND MATERNITY AND CHILDBIRTH EDUCATION. NURSES SCHEDULE FIRST PRENATAL AND NEWBORN CARE APPOINTMENT WITHIN THE UF HEALTH NETWORK. 2. HEALTHY START - COMMUNITY BASED, NURSE LED, PRENATAL CASE MANAGEMENT FOR HIGH-RISK WOMEN. INTER-CONCEPTION CASE MANAGEMENT FOR THREE TO SIX MONTHS POST-DELIVERY. PROGRAM PROVIDES CHILDBIRTH CLASSES, BREASTFEEDING CLASSES, PARENTING CLASSES AND ASSISTANCE WITH MEDICAID ENROLLMENT. In May 2023, the "Hey, Mama" mobile pantry began making appearances around Jacksonville to improve community access to baby supplies, self-care products, health and nutrition education, and other similar items. Throughout the fiscal year ended June 30, 2024, Healthy Start participants collectively received more than 7,000 visits, with services spanning from the time of conception to after birth. 3. NURSE FAMILY PARTNERSHIP - EVIDENCE-BASED PROGRAM THAT PROVIDES NURSE-LED, PRENATAL CASE MANAGEMENT, INFANT HEALTH AND DEVELOPMENT HOME VISITATION UNTIL CHILD TURNS TWO. As of June 30, 2024, 225 families in Baker and Duval Counties were actively receiving services through this program, with 4,484 home visits conducted throughout the year. 4. TRAUMA PREVENTION PROGRAM - COMMUNITY PROGRAM THAT EDUCATES CHILDREN AND PARENTS IN THE JACKSONVILLE COMMUNITY ON IMPORTANT SAFETY TOPICS IN AN EFFORT TO REDUCE THE NUMBER AND SEVERITY OF INJURIES. Each year, this program educates 15,000-20,000 people about injury prevention through lectures, mock simulations, health fairs, hands-on activities, and distribution of educational materials. These events include: Bike Rodeos - designed to build and reinforce safe riding techniques on a staged course which simulates common roadway hazards, with practical guidance and solutions for navigating these obstacles safely Hands-Only CPR - this program, established by the American Heart Association, focuses on training community members to recognize an unresponsive heart attack victim and effectively administer CPR until medical professionals arrive Lend A Hand - visitations to local schools to educate students on how to recognize signs of bullying and safely lend a hand to any friend or classmate in need Walk Safe Day - visitations to local elementary schools to educate students on safe walking habits, including as related to Halloween. Each child is provided with a Halloween bag and safety tips to remind both children and adults of safety hazards when walking, particularly at dusk or in the dark Water Watchers - adult and child education program that teaches poolside safety, the value of learning to swim early, and life-saving techniques in the event of an emergency MENTAL HEALTH 1. EDUCATE FAMILIES (PARTICULARLY THOSE WITH CHILDREN HIGH RISK FOR SUICIDE ATTEMPT) ON LETHAL MEANS SAFETY IN THE HOME 2. TRAIN MENTAL HEALTH PROVIDERS ON LETHAL MEANS COUNSELING In August 2022, the hospital announced its lock bag program, with the mission of reducing intentional and accidental youth overdose deaths. Lock bag program patients will receive lock bags to secure potentially lethal medications and lethal means safety counseling. HOUSING, POVERTY AND TRANSPORTATION BLUE ZONES INITIATIVE - BLUE ZONES USES OVER 20 YEARS OF RESEARCH AND SCIENTIFICALLY PROVEN LESSONS OF LONGEVITY, HEALTH, AND HAPPINESS FROM THE LONGEST-LIVED CULTURES IN THE WORLD TO TRANSFORM COMMUNITY ENVIRONMENTS SO HEALTHY CHOICES ARE THE EASIEST TO MAKE. THERE IS A PROVEN HISTORY OF IMPROVING WELL-BEING FOR ENTIRE POPULATIONS. TO BOOST THE WELL-BEING OF ENTIRE COMMUNITIES, BLUE ZONES TAKE A SYSTEMS APPROACH DEVELOPING A PLAN TO MAKE LASTING CHANGES IN ALL THE PLACES AND SPACES PEOPLE LIVE, WORK, LEARN, AND PLAY. THESE CHANGES TO OUR SURROUNDINGS AND SYSTEMS COLLECTIVELY NUDGE PEOPLE TO MOVE NATURALLY, EAT WISELY, DEVELOP THE RIGHT OUTLOOK, AND CONNECT WITH EACH OTHER. THE GOAL IS TO BUILD A CULTURE OF WELL-BEING NOT ONLY MEANS HEALTHIER AND HAPPIER PEOPLE; IT ALSO MEANS A BETTER AND MORE PRODUCTIVE WORKFORCE AND A MORE VIBRANT ECONOMY. THE PRIMARY FOCUS AREAS ARE: SUSTAINABLE COMMUNITY VITALITY * IMPROVED WELL-BEING * CIVIC PRIDE AND ECONOMIC DEVELOPMENT * MORE PRODUCTIVE, LESS COSTLY POPULATIONS Every week, Blue Zones Jacksonville connects with local farmers, business owners, and restaurants to share fresh local options with community members, including a recipe of the week announced each Wednesday. Working with residents and businesses throughout Jacksonville to make choices that will help extend life expectancies, the first Blue Zones restaurant approval was awarded to a local eatery in November 2023. In March 2024, Blue Zones Jacksonville teamed up with Normandy Village Elementary School to teach students about healthier options surrounding food and fitness. NEEDS UF HEALTH JACKSONVILLE WILL NOT ADDRESS NO ENTITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. THE HOSPITAL IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THIS IMPLEMENTATION STRATEGY DOES NOT INCLUDE SPECIFIC PLANS TO ADDRESS THE FOLLOWING HEALTH PRIORITIES THAT WERE IDENTIFIED IN THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT. ACCESS THE HOSPITAL PROVIDES ACCESS TO A WIDE ARRAY OF HEALTH CARE SERVICES FOR UNINSURED, MEDICAID, AND OTHER PATIENTS AND WILL CONTINUE TO PROVIDE SUCH ACCESS AS RESOURCES PERMIT. THE HOSPITAL IS RECOGNIZED AS THE REGION'S SAFETY-NET PROVIDER FOR MEDICAID AND UNINSURED INDIVIDUALS, AND OPERATES THE COMMUNITY CLINICS DEPARTMENT (WHICH PROVIDES A VARIETY OF SERVICES AND PROGRAMS INCLUDING FREE/LOW-COST PRIMARY CARE, MEDICATIONS, SELF-MANAGEMENT SUPPORT AND CARE MANAGEMENT), THE COMMUNITY OBSTETRICS INITIATIVES (WHICH STRIVE TO IMPROVE BIRTH OUTCOMES), THE TELEMEDICINE CLINIC, AND OTHERS PROGRAMS AND SERVICES. WHILE MANY OF THE PROGRAMS AND INITIATIVES DESCRIBED ABOVE IMPROVE THE ACCESS FOR VULNERABLE POPULATIONS, THIS IMPLEMENTATION STRATEGY DOES NOT INCLUDE SPECIFIC ACCESS-RELATED INITIATIVES BECAUSE THE AVAILABILITY OF FUTURE RESOURCES TO SUPPORT THEM IS HIGHLY UNCERTAIN. CANCER PREVENTIVE SCREENINGS SERVE AS ONE OF THE MOST EFFECTIVE WAYS TO MITIGATE THE MOST PREVALENT AND PREVENTABLE CANCERS, SUCH AS BREAST AND PROSTATE CANCER. THE HOSPITAL PROVIDES ACCESS TO AND CLOSELY MONITORS PREVENTION SCREENINGS THROUGH THE TOTAL CARE CLINIC, WHICH IS DEDICATED TO THE MOST VULNERABLE MEMBERS OF THE COMMUNITY, AND IN COLLABORATION WITH UF JACKSONVILLE PHYSICIANS. PREVENTION OUTREACH TACTICS WILL CONTINUE TO EDUCATE AND ENCOURAGE SCREENING ACROSS THE COMMUNITY. THIS IMPLEMENTATION STRATEGY DOES NOT INCLUDE SPECIFIC CANCER-RELATED INITIATIVES DUE TO THE UNCERTAINTY OF FUTURE RESOURCES TO SUPPORT ACTIVITIES.

Field	Value	IRS element (for citing)
Facility	30	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (30 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt
UF Health North
15255 Max Leggett Pkwy	Jacksonville	FL	32218	Hospital Campus and Outpatient Clinic
Faculty Clinic
653-2 W 8th Street	Jacksonville	FL	32209	Outpatient Clinic
UF Health Proton Therapy Institute
2015 N Jefferson Street	Jacksonville	FL	32206	Outpatient Clinic
Emerson Clinic
4555 Emerson Expressway	Jacksonville	FL	32207	Outpatient Clinic
UF Health Oncology
15255 Max Leggett Pkwy	Jacksonville	FL	32218	Oncology Center
UF Health Oncology Baymeadows
7751 Baymeadows Rd Suite 205	Jacksonville	FL	32256	Oncology Center
UF Health Oncology LaVilla
425 N Lee St suite 201	Jacksonville	FL	32202	Oncology Center
UF Health Oncology Fernandina
1699 S 14th St Unit 2	Fernandina Beach	FL	32034	Oncology Center
UF Health Oncology Orange Park
2141 Loch Rane Blvd Suite 16	Orange Park	FL	32073	Oncology Center
UF Health Emergency & Urgent Care Center - Lane Avenue
888 Lane Ave S	JACKSONVILLE	FL	32205	Urgent Care
UF Health Emergency & Urgent Care Center - Baymeadows
11251 Lamb Tail Lane	JACKSONVILLE	FL	32256	Urgent Care
UF Health Emergency & Urgent Care Center - New Kings
11277 New Kings Road	Jacksonville	FL	32219	Urgent Care
UF Health Urgent Care - Wildlight
76011 William Burgess Blvd	Yulee	FL	32097	Urgent Care
UF Health Family Medicine - Brentwood
3465 Village Center Drive	Jacksonville	FL	32206	Family medicine
UF Health Family Medicine and Pediatrics - Elizabeth G Means Center
1155 E 21st St	Jacksonville	FL	32206	Family medicine
UF Health Family Medicine - Commonwealth
761 Edgewood Ave North	Jacksonville	FL	32254	Family medicine
UF Health Family Medicine - Lem Turner
1255 Lila Ave	Jacksonville	FL	32208	Family medicine
UF Health Family Medicine and Pediatrics - New Berlin
3122 New Berlin Road	Jacksonville	FL	32226	Family medicine
UF Health Family Medicine and Pediatrics - Baymeadows
8274 Bayberry Road	Jacksonville	FL	32256	Family medicine
UF Health Family Medicine - San Jose
2777 University Blvd West	Jacksonville	FL	32217	Family medicine
UF Health Family Medicine - Kernan Square
12620 Beach Blvd	Jacksonville	FL	32246	Family medicine
UF Health Family Medicine and Pediatrics - Blanding
6015 118th St Suite 13	Jacksonville	FL	32244	Family medicine
UF Health Family Medicine - Murray Hill
5205 Normandy Blvd Suite 13	Jacksonville	FL	32205	Family medicine
UF Health Family Medicine - Crystal Springs
11043 Crystal Springs Road Suite 14	Jacksonville	FL	32221	Family medicine
UF Health Breast Imaging Center - Jacksonville
580 West 8th Street Tower II 4th Fl	Jacksonville	FL	32209	Imaging Center	oor
UF Health Breast Imaging Center - Emerson
4549 Emerson Street Building 2 Suit	Jacksonville	FL	32207	Imaging Center	e 200
UF Health Imaging Center Annex - Jacksonville
500 West 10th Street	Jacksonville	FL	32206	Imaging Center
UF Health Imaging Center - Baymeadows
8060 Philips Highway Suite 201	Jacksonville	FL	32256	Imaging Center
UF Health Imaging Center Pavilion - Jacksonville
1900 Boulevard	Jacksonville	FL	32206	Imaging Center
UF Health Radiology - JTB Kernan
5191 First Coast Tech Parkway Secon	Jacksonville	FL	32224	Radiology	d Floor

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 7 CHNA POSTED TO HOSPITAL FACILITY'S WEBSITE (LIST URL)	https://ufhealthjax.org/community/community-health-needs-assessment
Schedule H, Part V, Section B, Line 10 IMPLEMENTATION STRATEGY POSTED TO WEBSITE (LIST URL)	https://ufhealthjax.org/community/community-health-needs-assessment
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 reported on Part I, Line 7. A direct cost methodology was used for all other amounts.
Schedule H, Part II Community Building Activities	Shands Jacksonville Medical Center, Inc. provides support to activities that promote the health and well-being of community members through community support, community health improvement advocacy, and workforce development. These activities include: -COVID-19 Health Literacy Initiatives -Funding for community organizations -Youth education to advance careers in healthcare
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	FOR FINANCIAL STATEMENT PURPOSES, THE ORGANIZATION DIRECTLY REDUCES THE AMOUNT OF PATIENT SERVICE REVENUE REPORTED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS BY THE AMOUNT OF BAD DEBT EXPENSE. THEREFORE, BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE AND BAD DEBT EXPENSE IS NOT SEPARATELY REPORTED AS AN EXPENSE.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	The organization reports $0 bad debt expense because bad debts are included in net patient revenue. Therefore, the amount of bad debts attributable to patients eligible under the organization's financial assistance policy is also $0.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	The provision for bad debts is based on management's assessment of historical and expected net collections, considering business and economic conditions, trends in federal and state governmental health care coverage, and other collection indicators. Throughout the year, management assesses the adequacy of the allowance for uncollectible accounts based upon these trends. The results of these reviews 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 the Company'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 2024 Medicare Cost Report.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	Patients may qualify for different levels of financial assistance. If they qualify for 100% financial assistance there are no collection efforts. For less than 100% financial assistance, collection efforts are consistent with those used for all self-pay account balances, which includes sending invoices for 120 days and then turning account balances over to a collection agency. UF Health Jacksonville will not refer accounts for collection where the patient has initially applied for financial assistance and the patient has not yet been notified of the decision, provided the patient has complied with the information requests delineated during the application process.
Schedule H, Part V, Section B, Line 16a FAP website	- SHANDS JACKSONVILLE MEDICAL CENTER, INC.: Line 16a URL: https://ufhealthjax.org/patients-and-visitors/insurance-billing-finance/financial-assistance;
Schedule H, Part V, Section B, Line 16b FAP Application website	- SHANDS JACKSONVILLE MEDICAL CENTER, INC.: Line 16b URL: https://ufhealthjax.org/patients-and-visitors/insurance-billing-finance/financial-assistance;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- SHANDS JACKSONVILLE MEDICAL CENTER, INC.: Line 16c URL: https://ufhealthjax.org/patients-and-visitors/insurance-billing-finance/financial-assistance;
Schedule H, Part VI, Line 2 Needs assessment	SJMC's community benefit activities are a planned, managed, organized, and measured approach to meeting identified community health needs. Through collaboration with the community and other partners, SJMC is committed to improving the health and well-being of the communities it serves through ongoing efforts to monitor health needs and respond accordingly. SJMC's Patient and Family Partnership Council for Quality and Safety represents the community by engaging with UF Health Jacksonville leaders to provide insight into care experiences, identify opportunities for improving services, brainstorm potential patient-centered solutions, and integrate the voice of patients and families into the daily work of professional caregivers. Stakeholder engagement is a key component of SJMC's efforts to promote health equity. SJMC collaborates with a variety of partners, including The University of Florida's Urban Health Alliance (UHA), to identify and implement programs that address social determinants of health using community-initiated strategies to address problems unique to Jacksonville. This collaboration hosts events that are designed to engage community members, with nearly 5000 surveys completed through more than 100 outreach events since 2020.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	The eligibility for Financial Assistance under federal, state or local government programs is determined under the organization's Financial Assistance Program. Ideally, eligibility is obtained upon admission or before discharge. The organization provides notice of the Financial Assistance Program via the patient's billing statements. Information about the organization's Financial Assistance Program is also available on the organization's website. Education is also provided through distribution of the plain language summary, hospital staff, signage throughout the hospital and referrals from community organizations.
Schedule H, Part VI, Line 4 Community information	UF Health Jacksonville serves the City of Jacksonville and Duval County. Duval County encompasses 918 square miles in northeastern Florida and is defined by 53 zip codes with a population of 957,755. The Caucasian population makes up 52.0% of the population, with Black/African American population accounting for 28.9%, Hispanic/Latinx 10.5%, Asian 5%, and all others at less than 5%. The median household income for Duval County is $55,807 and 13.5% of the population lives under the federal poverty guidelines. The unemployment rate is 5.8%.
Schedule H, Part VI, Line 5 Promotion of community health	We have a community-based Board, operate emergency rooms, have open medical staff and use excess funds to invest in patient care needs. In addition to satisfying regulatory requirements of the federal and state agencies and local funders, the community needs assessment represents an unprecedented effort and key opportunity to bring together hospital data, population health, health- related quality of life indicators and community member input to provide a more detailed and complete profile of community health needs. The long term goal to achieve regional collaboration that will serve as an opportunity for optimal leverage of resources, setting (and managing) regional health priorities, and developing regional collective impact strategies among all health-related stakeholders. SJMC IS PART OF UNIVERSITY OF FLORIDA HEALTH, THE SOUTHEAST'S MOST COMPREHENSIVE ACADEMIC HEALTH CENTER, WITH CAMPUSES IN GAINESVILLE, JACKSONVILLE, LEESBURG, AND THE VILLAGES ST. AUGUSTINE. SJMC IS BASED IN JACKSONVILLE. IT FEATURES an academic health center WITH 623 HOSPITAL BEDS near Downtown Jacksonville and a 168-bed hospital and outpatient medical campus in North Jacksonville. SJMC works to serve the community in tandem with University of Florida Jacksonville Physicians, Inc. ("UFJPI"), a not-for-profit organization consisting of more than 60 primary and specialty care centers that offer first-rate care from nearly 400 UF faculty physicians. Located on the UF Health Jacksonville downtown campus, the UF Health Proton Therapy Institute is one of few facilities in the U.S. equipped to treat cancer with protons. Proton therapy greatly reduces the damage to surrounding tissue, which is a significant improvement from traditional radiation therapy. The campus also is home to the state's first and region's only Level I adult and pediatric trauma program, TraumaOne. UF Health physicians collectively offer more than 100 advanced specialty and subspecialty services, FROM PRIMARY CARE TO HIGHLY SPECIALIZED AND COMPLEX CARE, INCLUDING CANCER, HEART AND VASCULAR, NEUROMEDICINE, PEDIATRICS, OBSTETRICS AND GYNECOLOGY, AND TRAUMA/CRITICAL CARE.
Schedule H, Part VI, Line 6 Affiliated health care system	Shands Jacksonville Medical Center, Inc. ("SJMC") is affiliated with the following organizations: Shands Jacksonville Foundation, Inc., Shands Jacksonville Healthcare, Inc., Shands Jacksonville Community Services, Inc., Shands Jacksonville Affiliates Inc., and Shands Jacksonville Properties Inc. In strategic partnership with these affiliates, Shands Jacksonville Medical Center, Inc. works to heal, comfort, educate and to discover through quality health care, elimination of health disparities, medical education, innovation and research. The organization understands its responsibility to the health of its community and the affiliates provide critical support in delivering constant attention to the needs of patients and the community.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc	Purpose Of GrantPurposeOfGrantTxt
UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS INC
653 WEST 8TH STREET	JACKSONVILLE	FL	32209	591867557	501(c)(3)	$85,679,021	$0	N/A	N/A	GENERAL SUPPORT
WOLFSON CHILDREN'S HOSPITAL
800 PRUDENTIAL DRIVE	JACKSONVILLE	FL	32207	591452787	501(C)(3)	$643,831	$0	N/A	N/A	GENERAL SUPPORT
SHANDS JACKSONVILLE FOUNDATION INC
655 WEST 8TH STREET	JACKSONVILLE	FL	32209	592622323	501(C)(3)	$39,719	$0	N/A	N/A	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	3	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	Funds included in the grant paid to University of Florida Jacksonville Physicians, Inc. are monitored to ensure funds are spent in accordance with the existing written agreement. The amount is based on negotiations between in-house counsel, VP of Finance and/or CFOs, President, Dean and/or CEO of each organization. If spending patterns change during the fiscal year, amounts can be reviewed and amended. Funds paid to WOLFSON CHILDREN'S HOSPITAL are agreed upon in the written agreement. SJMC monitors the funding and ensures that proper allocation of funds are paid subsequent to each fiscal year based on financial performance. Funds paid to Shands Jacksonville Foundation, a related organization, are monitored throughout the year to ensure the funds are spent in accordance with the written agreement.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	false	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (28 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Russell E Armistead Jr MBA
CEO (THRU 6/30/2023)	$417,427	$0	$0	$0	$29,197	$0	$19,800	$0	$819	$0	$467,243	$0	$0	$0
Patrick Green MBA FACHE
DIRECTOR / CEO (BEG 7/10/2023)	$503,855	$0	$330,469	$0	$106,338	$0	$0	$0	$8,766	$0	$949,428	$0	$0	$0
Gregory Miller MBA
Director & Acting CEO (7/1/2023-7/10/2023) / EVP COO	$537,300	$0	$86,250	$0	$28,275	$0	$19,800	$0	$12,517	$0	$684,142	$0	$0	$0
David R Nelson MD
CHAIRMAN (THRU APRIL 2024) / DIRECTOR / SVP HEALTH AFFAIRS, UF	$0	$1,229,037	$0	$0	$0	$4,812	$0	$32,769	$0	$24,897	$0	$1,291,515	$0	$0
LaRae C Brown MD
Director / UF Health OBGYN	$0	$369,664	$0	$10,633	$0	$2,782	$0	$15,524	$0	$23,828	$0	$422,431	$0	$0
Linda R Edwards MD
DIRECTOR / UF ASSOC PROFESSOR & DEAN	$0	$620,288	$0	$0	$0	$9,600	$0	$47,611	$0	$18,842	$0	$696,341	$0	$0
Kelly Gray-Eurom MD
Director / Chief Quality Officer	$0	$395,756	$0	$2,000	$0	$4,812	$0	$16,015	$0	$23,869	$0	$442,452	$0	$0
Salam O Salman MD DDS FACS
Director (thru Jan 2024) / President, Faculty Council (thru Feb 2024)	$0	$421,135	$0	$9,059	$0	$2,931	$0	$15,358	$0	$22,669	$0	$471,152	$0	$0
David Vukich MD
DIRECTOR (THRU JAN 2024) / CMO/UF DEAN FOR HOSP AFFAIRS (THRU JAN 2024)	$0	$510,851	$0	$0	$0	$9,777	$0	$43,274	$0	$18,322	$0	$582,224	$0	$0
Randall C Jenkins
Former Secretary / SVP of General Council of Univ of FL	$0	$516,665	$0	$41,125	$0	$4,091	$0	$28,940	$0	$23,016	$0	$613,837	$0	$0
John Clontz Esq
Asst. Secretary / Associate General Counsel	$172,624	$0	$0	$0	$1,899	$0	$10,441	$0	$7,778	$0	$192,742	$0	$0	$0
Dean Cocchi MBA
Treasurer / CFO	$485,570	$0	$73,500	$0	$2,276	$0	$19,800	$0	$18,728	$0	$599,874	$0	$0	$0
Jon DeBardeleben ESQ
Secretary / VP Senior Counsel	$250,497	$0	$31,800	$0	$2,205	$0	$17,790	$0	$12,183	$0	$314,475	$0	$0	$0
Patricia Rausch
Assistant Treasurer / Controller	$215,949	$0	$13,157	$0	$1,528	$0	$13,998	$0	$7,684	$0	$252,316	$0	$0	$0
Robert Templin ESQ
Asst. Secretary / SR Associate General Counsel	$182,206	$0	$0	$0	$2,355	$0	$11,634	$0	$12,071	$0	$208,266	$0	$0	$0
Robert A Hervey
VP Real Estate and Facilities	$249,632	$0	$29,880	$0	$1,544	$0	$17,188	$0	$18,476	$0	$316,720	$0	$0	$0
Thanh Hogan
VP Clinical Operations	$305,965	$0	$37,080	$0	$1,583	$0	$16,944	$0	$14,003	$0	$375,575	$0	$0	$0
Patrice Jones
VP Chief Nursing Officer (THRU APRIL 2023)	$122,999	$0	$0	$0	$66,510	$0	$7,597	$0	$3,697	$0	$200,803	$0	$0	$0
Ann-Marie Knight
VP Comm Engmnt / Chief Diversity Officer	$230,020	$0	$20,970	$0	$950	$0	$15,222	$0	$15,637	$0	$282,799	$0	$0	$0
Linda Lawson
VP Chief Nursing Officer (April 2023 thru Dec 2023)	$245,333	$0	$20,837	$0	$27,046	$0	$12,900	$0	$13,828	$0	$319,944	$0	$0	$0
Wayne A Marshall
VP UFH North	$315,717	$0	$47,700	$0	$2,331	$0	$19,800	$0	$12,277	$0	$397,825	$0	$0	$0
Jennifer Nitschmann
Interim VP Chief Nursing Officer (beg Dec 2023)	$269,700	$0	$0	$0	$104	$0	$0	$0	$16	$0	$269,820	$0	$0	$0
Lesli A Ward
VP Human Resources	$0	$361,677	$0	$44,280	$0	$2,589	$0	$26,400	$0	$11,979	$0	$446,925	$0	$0
Robert Phillips
Chief Technology Officer	$253,440	$0	$15,300	$0	$662	$0	$13,877	$0	$12,428	$0	$295,707	$0	$0	$0
Jun Santos
Registered Nurse	$220,883	$0	$2,000	$0	$560	$0	$13,620	$0	$18,251	$0	$255,314	$0	$0	$0
Julie Simpson
VP Assoc Communication & Mktng	$209,873	$0	$15,300	$0	$1,165	$0	$4,741	$0	$7,545	$0	$238,624	$0	$0	$0
Michele L Worley
Coord Perioperative Serv Line	$240,732	$0	$7,378	$0	$952	$0	$15,145	$0	$14,182	$0	$278,389	$0	$0	$0
Steven L Wylie
VP Assoc. Business Development	$243,780	$0	$22,126	$0	$1,378	$0	$15,312	$0	$14,368	$0	$296,964	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a Housing allowance or residence for personal use	Patrick Green (CEO beginning 7/10/2023) received a relocation package during calendar year 2023 that included temporary housing. This amount was treated as taxable compensation to him and is included in Column (B)(iii) of Form 990 Schedule J Part II.
Schedule J, Part I, Line 7 Non-fixed payments	In order to recruit and retain key talent, SJMC offers incentive plans for certain employees listed in Part VII, section A, line 1A. For calendar year 2023, the incentive plan targeted areas of financial performance, clinical quality, and employee satisfaction.
Schedule J, Part I, Line 2 REQUIRED SUBSTANTIATION	THE DOLLAR VALUE OF THE RELOCATION PACKAGE PROVIDED TO PATRICK GREEN DURING CALENDAR YEAR 2023 WAS WRITTEN DIRECTLY INTO HIS EMPLOYMENT CONTRACT.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
Florida Development Finance Corporation
A	593270584	34061QAL1	2015-12-10	$87,267,800	2015 Capital Financing of North Campus	false	false	false
Florida Development Finance Corporation
B	593270584	34061QBG1	2022-01-25	$269,584,010	2022A bond: Refund Series 2013B, 2015 & 2019 Bonds and Capital Financing	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$0	$0	$87,267,800	$0	$0	$0	$1,358,192	$0	$0	$85,909,608	$0	$0	2018	false	false	Yes (true)	Yes (true)
B	$0	$0	$269,584,010	$0	$0	$0	$2,589,341	$1,225,730	$0	$186,172,960	$79,595,979	$0	2022	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	0.0	0.0	0.0	false	false	false
B	false	false	false	false	0.0	0.0	0.0	false	false	false

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
Merrill Lynch
A	false	false	false	Yes (true)	false	Yes (true)	12.0	false	false	false	false	false
(no name)
B	false	Yes (true)	false	false	false	false				false	false	false

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	false
B	false

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part VI Part III Line 9, Part IV Line 7, and Part V	While the organization does not currently have an approved written policy, it does maintain procedures that include annual arbitrage reporting and routine reviews and determinations of private business use.
Schedule K, Part IV, Line 2c COLUMN A	Issuer name: Florida Development Finance Corporation The calculation for computing no rebate due was performed on 12/10/2020

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ZACHARY MARSHALL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	Family member of key employee	RelationshipDescriptionTxt
Transaction	$45,492	TransactionAmt
Transaction	EMPLOYEE COMPENSATION	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4a Program Service Accomplishments	(CONTINUED FROM PART III) UF HEALTH JACKSONVILLE IS A 791 BED NOT-FOR-PROFIT ACADEMIC MEDICAL CENTER AFFILIATED WITH THE UNIVERSITY OF FLORIDA. THERE ARE MORE THAN 370 NATIONALLY RECOGNIZED FACULTY PHYSICIANS WORKING WITH OVER 300 UNIVERSITY OF FLORIDA FULL-TIME RESIDENTS AT UF HEALTH JACKSONVILLE. FOR FISCAL YEAR ENDED JUNE 30, 2024, THE HOSPITAL SERVED OVER 37,000 INPATIENT ADMISSIONS AND MORE THAN 141,000 ER VISITS. UF HEALTH JACKSONVILLE HAS A LEVEL 1 TRAUMA CENTER, WHICH HAD OVER 4,000 TRAUMA CENTER VISITS DURING THE YEAR AND REMAINS THE ONLY LEVEL 1 TRAUMA CENTER IN THE NORTHEAST FLORIDA - SOUTHEAST GEORGIA REGION TO CARE FOR ADULTS AND CHILDREN. THE FLORIDA POISON INFORMATION CENTER IS ALSO LOCATED ON CAMPUS, COVERING 45 COUNTIES AND APPROXIMATELY 100 - 150 CALLS EACH DAY. UF HEALTH JACKSONVILLE TOGETHER WITH OUR UNIVERSITY OF FLORIDA COLLEAGUES AND AFFILIATES HAS DEVELOPED SEVERAL CENTERS OF EXCELLENCE. THESE CENTERS BRING TOGETHER INTERDISCIPLINARY TEAMS USING ALL THE RESOURCES OF THE ACADEMIC MEDICAL CENTER. UF HEALTH JACKSONVILLE IS A LEADER IN PROVIDING BOTH UNIQUE AND ESSENTIAL CLINICAL PROGRAMS AND SERVICES, AS WELL AS IN PROMOTING GOOD HEALTH WITH PREVENTATIVE CARE, SCREENINGS AND HEALTH EDUCATION PROGRAMS THAT REACH RESIDENTS WHERE THEY LIVE AND WORK. THE HOSPITAL HOSTS HEALTH FAIRS, SUPPORT GROUPS AND OTHER SPECIAL EVENTS AND PERFORMED BLOOD PRESSURE, HIV, CHOLESTEROL, STROKE ASSESSMENT, PREGNANCY, BLOOD SUGAR AND GLAUCOMA SCREENINGS. UF HEALTH JACKSONVILLE ALSO HAS AN ACTIVE COMMUNITY ENGAGEMENT DEPARTMENT COMMITTED TO IMPROVING COMMUNITY HEALTH, EDUCATING THE NEXT GENERATION OF HEALTHCARE PROFESSIONALS, ADVOCATING FOR HEALTH AND OTHER HEALTH NEEDS AND CONTRIBUTING TO QUALITY OF LIFE PRIORITIES OF OUR COMMUNITY INCLUDING JACKSONVILLE'S URBAN CORE. Other noteworthy accomplishments of UF Health Jacksonville during the fiscal year ended June 30, 2024, include the following: -The completion of a new patient tower that opened on the UF Health Jacksonville-North campus in early July 2024, increasing the total bed count of UF Health Jacksonville to 791. This facility includes two floors dedicated to acute physical therapy and another floor to ancillary services intended to contribute to a comprehensive approach to patient care. -In December 2023, UF Health Jacksonville announced plans to establish a Precision Autism Center of Excellence, which will serve as a regional and national resource for individuals with autism and related neurodevelopmental disorders. This center will provide enhanced care for individuals with autism and related disorders, including intellectual disabilities, epilepsy, cerebral palsy, and congenital hydrocephalus, and is expected to expand the clinical capacity for diagnostic evaluation, management, and treatment, and significantly reduce the often-lengthy wait times at specialty clinics. -UF Health Jacksonville earned multiple national awards during the year in recognition of the exceptional care provided to patients. The National Accreditation Program for Breast Centers (NAPBC), a program administered by the American College of Surgeons, granted accredited status to the UF Health Breast Center - Jacksonville in August 2023. Accreditation by the NAPBC is granted only to those programs that are committed to providing the best possible care to patients with breast cancer. Also included in these awards was the 2024 American Heart Association's Get With The Guidelines - Stroke Gold Plus quality achievement award, acknowledging the hospital's commitment to providing high-quality stroke care. UF Health Jacksonville also received the American Heart Association's Target: Stroke Honor Roll Elite award for meeting specific criteria that reduce the time between an eligible patient's arrival at the hospital and treatment with thrombolytic therapy, as well as the American Heart Association's Target: Type 2 Honor Roll award, which aims to ensure patients with Type 2 diabetes receive the most up-to-date, evidence-based care when hospitalized due to stroke.
Form 990, Part VI, Line 1a Delegate broad authority to a committee	The Executive Committee shall consist of the same individuals serving on the Executive Committee of Shands Jacksonville Healthcare, Inc., the sole member of SJMC. These Executive Committee members consist of the following individuals: 1. THE CHAIR OF THE BOARD. 2. THE VICE PRESIDENT FOR HEALTH AFFAIRS OF THE UNIVERSITY OF FLORIDA. 3. DEAN OF THE COLLEGE OF MEDICINE OF THE JACKSONVILLE REGIONAL CAMPUS, UNIVERSITY OF FLORIDA. 4. THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION. 5. FOUR DIRECTORS WHO ARE NOT EMPLOYEES OF THE CORPORATION OR OF THE UNIVERSITY OF FLORIDA OR ANY OF ITS COLLEGES, ALL OF WHOM SHALL BE APPOINTED BY THE CHAIR OF THE BOARD. 6. ONE CATEGORY TWO DIRECTOR (OR TWO CATEGORY TWO DIRECTORS IF THE SAME PERSON SERVES AS THE CHAIR OF THE CORPORATION AND VICE PRESIDENT FOR HEALTH AFFAIRS OF THE UNIVERSITY). THE EXECUTIVE COMMITTEE SHALL HAVE THE AUTHORITY AND RESPONSIBILITY TO (I) MAKE REFERRALS OF SUBSTANTIVE ISSUES TO THE APPROPRIATE BOARD COMMITTEES AND TO COORDINATE THE PRESENTATION OF COMMITTEE FINDINGS AND RECOMMENDATIONS TO THE BOARD OF DIRECTORS, (II) MAKE RECOMMENDATIONS TO THE BOARD OF DIRECTORS ON MATTERS OF POLICY THAT ARE NOT BEING CONSIDERED BY OTHER COMMITTEES, (III) ADVISE THE BOARD OF DIRECTORS CONCERNING AFFAIRS OF THE CORPORATION, AND (IV) TRANSACT ALL BUSINESS OF THE BOARD OF DIRECTORS DURING THE PERIODS BETWEEN MEETINGS OF THE BOARD OF DIRECTORS, EXCEPT THAT IT MAY NOT: 1.ELECT OR REMOVE OFFICERS OR REMOVE DIRECTORS; 2.CREATE OR ABOLISH ANY COMMITTEES; 3.AMEND THE ARTICLES OF INCORPORATION OF THE CORPORATION OR OF THE BYLAWS; 4.MODIFY IN ANY RESPECT OR CAUSE TO BE VIOLATED POLICIES ADOPTED BY THE BOARD OF DIRECTORS; 5.TAKE ANY ACTION THAT IS REQUIRED BY LAW, OR ARTICLE IV, SECTION 3 OF THE BYLAWS, TO BE TAKEN BY THE MEMBER. The Executive Committee shall keep minutes of its meetings and shall inform the Board of Directors, at the next regularly scheduled Board meeting, of all of its actions.
Form 990, Part VI, Line 2 Family/business relationships amongst interested persons	Jon Debardeleben; Greg Miller; PATRICK GREEN; Dean Cocchi - Business relationship
Form 990, Part VI, Line 6 Classes of members or stockholders	The sole member of the Corporation shall be Shands Jacksonville Healthcare, Inc.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	The sole member of the Corporation shall be Shands Jacksonville Healthcare, Inc. The directors shall be the same individuals from time to time as the Board of Directors of Shands Jacksonville Healthcare, Inc., subject to the right of the mayor of the city of Jacksonville to nominate a director.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	The following actions require approval by the Member: a) The adoption of annual operating and capital budgets; b) The merger or dissolution, or the sale, lease, exchange or other disposition of all or substantially all of the assets; c) The acquisition of an interest in real or personal property, outside of approved budgetary authority, at a price or involving an annual economic obligation in excess of Five Hundred Thousand Dollars ($500,000.00); d) The conveyance or disposition of an interest in real or personal property involving fair market value, net book value, or an annual economic benefit exceeding Five Hundred Thousand Dollars ($500,000.00); e) The establishment of a long range or strategic plan; f) The incurrence of long-term indebtedness; g) The election or removal with or without cause of the Chief Executive Officer; h) The amendment of bylaws or articles of incorporation; or i) Such other matters where member or shareholder action is required by law.
Form 990, Part VI, Line 11b Review of form 990 by governing body	A complete copy of the Form 990 is provided to the Board of Directors, Chief Executive Officer, Secretary and Treasurer of the corporation before the return is filed.
Form 990, Part VI, Line 12c Conflict of interest policy	The Corporate Compliance Department's Conflicts of Interest policy covers any director, officer, member of a board committee or key staff member who has a direct or indirect financial interest as defined by the policy. The individuals covered under the policy are required to disclose a conflict of interest or a potential conflict of interest when it arises. The Deliberative Body, as defined by the policy, reviews and monitors conflicts of interests annually and as they arise. Any individual who has a conflict of interest is prohibited from participating in the Deliberative Body's deliberations and decision in the transaction.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	The organization's compensation committee engages Mercer, an independent firm engaged 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 - including all elements of supplemental benefits - to ensure that they are reasonable total remuneration levels. The compensation committee uses the Mercer comparability data to review and approve compensation for the top management official. The review is done annually and was last conducted during the fiscal year ended June 30, 2024. The compensation committee documents the decisions and determinations in committee minutes.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	The organization's compensation committee engages Mercer, an independent firm engaged 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 - including all elements of supplemental benefits - to ensure that they are reasonable total remuneration levels. The compensation committee uses the Mercer comparability data to review and approve compensation for many of the organization's officers and key employees. The review is done annually and was last conducted during the fiscal year ended June 30, 2024. The compensation committee documents the decisions and determinations in committee minutes.
Form 990, Part VI, Line 19 Required documents available to the public	The conflicts of interest policy, governing documents and financial statements are available upon request.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	All other revenue - Total Revenue: 11085114, Related or Exempt Function Revenue: 11085114, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees	Professional Fees - Total Expense: 63801599, Program Service Expense: 31613025, Management and General Expenses: 32188574, Fundraising Expenses: ; Purchased Services - Total Expense: XXX-XX-XXXX, Program Service Expense: 58010317, Management and General Expenses: 61451681, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Change in lease modification - -125928;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (27 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line2DisregardedEntityName/BusinessNameLine2Txt	Address Line2USAddress/AddressLine2Txt
University of Florida
226 Tigert Hall	Gainesville	FL	32611	596002052	Education	FL	NA	false
Shands Jacksonville HealthcareInc
655 West 8th Street	Jacksonville	FL	32209	592441966	SUPPORT SJMC	FL	UF	false	501(c)(3)	Type II
SHANDS JACKSONVILLE PROPERTIES INC
655 West 8th Street	Jacksonville	FL	32209	591158241	SUPPORT SJMC	FL	SJHC	false	501(c)(3)	Type II
SHANDS JACKSONVILLE COMMUNITY SERVICES INC
655 West 8th Street	Jacksonville	FL	32209	510173761	SUPPORT SJMC	FL	SJHC	false	501(c)(3)	Type II
SHANDS JACKSONVILLE FOUNDATION INC
655 West 8th Street	Jacksonville	FL	32209	592622323	SUPPORT SJMC	FL	SJHC	false	501(c)(3)	Type II
SHANDS JACKSONVILLE AFFILIATES INC
655 West 8th Street	Jacksonville	FL	32209	591913819	SUPPORT SJMC	FL	SJMC	Yes (true)	501(c)(3)	Type I
UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS INC
653 WEST 8TH STREET	Jacksonville	FL	32209	591867557	SUPPORT UF COLLEGE OF MEDICINE - JACKSONVILLE	FL	UF	false	501(c)(3)	Type I
SHANDS TEACHING HOSPITAL AND CLINICS INC
PO Box 100336	Gainesville	FL	32610	591943502	MEDICAL SERVICES	FL	UF	false	501(c)(3)	3
Elder Care of Alachua County Inc
PO Box 100336	Gainesville	FL	32610	593051104	Services for the Elderly	FL	STHC	false	501(c)(3)	7
Shands Lake Shore Inc
PO Box 100336	Gainesville	FL	32610	592699965	Health Care	FL	STHC	false	501(c)(3)	3
Southeastern Healthcare Foundation
PO Box 100336	Gainesville	FL	32610	592357609	Hospital Support	FL	STHC	false	501(c)(3)	Type II
Shands Auxiliary Inc
PO Box 100336	Gainesville	FL	32610	593551267	Hospital Support	FL	SEHF	false	501(c)(3)	Type I
Central Florida Health Inc dba UF Health Central Florida
600 EAST DIXIE AVENUE	Leesburg	FL	34748	331197054	SUPPORT STHC, UFHL, AND UFHV	FL	STHC	false	501(c)(3)	Type II
Leesburg Regional Medical Center Inc dba UF Health Leesburg Hospital
600 EAST DIXIE AVENUE	LEESBURG	FL	34748	590878982	MEDICAL SERVICES	FL	UFHCF	false	501(c)(3)	3
The Villages Tri-County Medical Center Inc dba UF Health The Villages Hospi
1451 EL CAMINO REAL	THE VILLAGES	FL	32159	593527036	MEDICAL SERVICES	FL	UFHCF	false	501(c)(3)	3	tal
Leesburg Regional Medical Center Foundation Inc dba UF Health Leesburg Hosp
600 EAST DIXIE AVENUE	LEESBURG	FL	34748	591800743	SUPPORT UFHL	FL	UFHL	false	501(c)(3)	Type I	ital Foundation
The Villages Regional Hospital Auxiliary Foundation Inc dba UF Health The V
1501 N US Highway 441 Suite 182	THE VILLAGES	FL	32159	550818419	SUPPORT UFHV	FL	UFHV	false	501(c)(3)	Type I	illages Hospital Auxiliary Foundation
FACULTY CLINIC INC
PO BOX 44008	Jacksonville	FL	32231	592856153	SUPPORT UF JAX PHYSICIANS	FL	UF	false	501(c)(3)	Type I
University of Florida Foundation Inc
PO Box 14425	Gainesville	FL	326042425	590974739	Support the University of Florida	FL	UF	false	501(c)(3)	7
University of Florida Investment Corporation (UFICO)
4510 NW 6th Place 2nd Floor	Gainesville	FL	32607	201226494	Investment Management	FL	UF	false	501(c)(3)	Type I
University of Florida Development Corporation
747 SW 2nd Avenue IMB 49	Gainesville	FL	32601	352427022	Support the University of Florida and Promote Economic Development	FL	UF	false	501(c)(3)	Type I
Florida Clinical Practice Association Inc
PO Box 100205	Gainesville	FL	326100205	591680273	Enhance medical education and research at the University of Florida	FL	UF	false	501(c)(3)	Type I
GatorCare Health Management Corporation
1329 SW 16th Street	Gainesville	FL	32610	461185106	Self-Insured Health Ins Plan	FL	UF	false	501(c)(3)	Type I
UNIVERSITY OF FLORIDA MEDICAL GUILD OF GAINESVILLE INC
PO BOX 100215	GAINESVILLE	FL	32610	510153878	SUPPORT UF	FL	UF	false	501(c)(3)	10
FLAGLER HOSPITAL INC
400 HEALTH PARK BLVD	ST AUGUSTINE	FL	32086	590675143	MEDICAL SERVICES	FL	STHC	false	501(c)(3)	3
FLAGLER HOME CARE LLC
301 HEALTH PARK BLVD	ST AUGUSTINE	FL	32086	821562462	HOME CARE SERVICES	FL	FLAGLER HOSPITAL	false	501(c)(3)	10		STE 327
FLAGLER HEALTH CARE FOUNDATION INC
400 HEALTH PARK BLVD	ST AUGUSTINE	FL	32086	592440537	HOSPITAL SUPPORT	FL	FLAGLER HOSPITAL	false	501(c)(3)	Type I

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
SOUTHERN HOSPITAL SYSTEMS INC
PO BOX 100336	GAINESVILLE	FL	32610	591930524	SUPPORT FOR SHANDS JACKSONVILLE MEDICAL CENTER, INC.	FL	NA	C Corporation	false
FLAGLER HEALTH SERVICES INC
400 HEALTH PARK BLVD	ST AUGUSTINE	FL	32086	592484352	REAL ESTATE LEASING	FL	NA	C Corporation	false
HEALTH PARK OWNERS ASSOCIATION
400 HEALTH PARK BLVD	ST AUGUSTINE	FL	32086	592869538	PROPERTY MANAGEMENT	FL	NA	C Corporation	false
ANDERSON GIBBS CONDOMINIUM ASSOCIATION
400 HEALTH PARK BLVD	ST AUGUSTINE	FL	32086	593223458	PROPERTY MANAGEMENT	FL	NA	C Corporation	false
FLAGLER PROFESSIONAL HEALTH CARE SERVICES
400 HEALTH PARK BLVD	ST AUGUSTINE	FL	32086	364860252	HEALTHCARE	FL	NA	C Corporation	false

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Affiliated Group Schedule AffiliatedGroupSchedule

Affiliated Schedule AffiliatedScheduleGrp (19 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Electing OrganizationElectingOrganizationInd	Total Grassroots LobbyTotalGrassrootsLobbyAmt	Total Direct LobbyTotalDirectLobbyAmt	Total Lobby ExpenditureTotalLobbyExpenditureAmt	Other Exempt Purpose ExpendOtherExemptPurposeExpendAmt	Total Exempt Purpose ExpendTotalExemptPurposeExpendAmt	Lobby NontxLobbyNontxAmt	Grassroots NontxGrassrootsNontxAmt	Total Lobby Grssroot Mns NontxTotalLobbyGrssrootMnsNontxAmt	Tot Lbby Expend Mns Lobby NontxTotLbbyExpendMnsLobbyNontxAmt	Share Excess Lobby ExpendShareExcessLobbyExpendAmt
SHANDS JACKSONVILLE MEDICAL CENTER INC
655 West 8th Street	Jacksonville	FL	32209	592142859	Yes (X)	$0	$76,107	$76,107	$879,149,851	$879,225,958	$1,000,000	$250,000	$0	$0	$0
CENTRAL FLORIDA HEALTH INC
600 E DIXIE AVE	LEESBURG	FL	34748	331197054		$0	$0	$0	$603,113	$603,113	$115,467	$28,867	$0	$0	$0
ELDER CARE OF ALACHUA COUNTY INC
PO BOX 100336	GAINESVILLE	FL	32610	593051104		$0	$0	$0	$4,480,250	$4,480,250	$374,013	$93,503	$0	$0	$0
FLAGLER HEALTH CARE FOUNDATION INC
400 HEALTH PARK BLVD	ST AUGUSTINE	FL	32086	592440537		$0	$0	$0	$555,092	$555,092	$108,264	$27,066	$0	$0	$0
FLAGLER HOME CARE LLC
301 HEALTH PARK BLVD STE 327	ST AUGUSTINE	FL	32086	821562462		$0	$0	$0	$1,416,403	$1,416,403	$216,640	$54,160	$0	$0	$0
FLAGLER HOSPITAL INC
400 HEALTH PARK BLVD	ST AUGUSTINE	FL	32086	590675143		$0	$0	$0	$207,785,817	$207,785,817	$1,000,000	$250,000	$0	$0	$0
LEESBURG REGIONAL MEDICAL CENTER FOUNDATION INC
600 E DIXIE AVE	LEESBURG	FL	34748	591800743		$0	$0	$0	$343,481	$343,481	$68,696	$17,174	$0	$0	$0
LEESBURG REGIONAL MEDICAL CENTER INC
600 E DIXIE AVE	LEESBURG	FL	34748	590878982		$0	$0	$0	$271,137,900	$271,137,900	$1,000,000	$250,000	$0	$0	$0
Shands at lake shore inc
PO BOX 100336	GAINESVILLE	FL	32610	592699965		$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
SHANDS AUXILIARY INC
PO BOX 100336	GAINESVILLE	FL	32610	593551267		$0	$0	$0	$49,968	$49,968	$9,994	$2,498	$0	$0	$0
Shands Jacksonville Affiliates Inc
655 West 8th Street	Jacksonville	FL	32209	591913819		$0	$0	$0	$538,855	$538,855	$105,828	$26,457	$0	$0	$0
Shands Jacksonville Community Services
655 West 8th Street	Jacksonville	FL	32209	510173761		$0	$0	$0	$1,438,023	$1,438,023	$218,802	$54,701	$0	$0	$0
SHANDS JACKSONVILLE FOUNDATION INC
655 West 8th Street	Jacksonville	FL	32209	592622323		$0	$0	$0	$761,829	$761,829	$139,274	$34,819	$0	$0	$0
Shands Jacksonville Healthcare Inc
655 West 8th Street	Jacksonville	FL	32209	592441966		$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
Shands Jacksonville Properties
655 West 8th Street	Jacksonville	FL	32209	591158241		$0	$0	$0	$1,371,174	$1,371,174	$212,117	$53,029	$0	$0	$0
SHANDS TEACHING HOSPITAL AND CLINICS INC
PO BOX 100336	GAINESVILLE	FL	32610	591943502	Yes (X)	$0	$689,756	$689,756	$2,167,318,916	$2,168,008,672	$1,000,000	$250,000	$0	$0	$0
SOUTHEASTERN HEALTHCARE FOUNDATION INC
PO BOX 100336	GAINESVILLE	FL	32610	592357609		$0	$0	$0	$6,788,928	$6,788,928	$489,446	$122,362	$0	$0	$0
THE VILLAGES REGIONAL HOSPITAL AUXILIARY INC
1501 N US HIGHWAY 441	THE VILLAGES	FL	32159	550818419		$0	$0	$0	$259,938	$259,938	$51,988	$12,997	$0	$0	$0
THE VILLAGES TRI-COUNTY MEDICAL CENTER INC
1451 EL CAMINO REAL	THE VILLAGES	FL	32159	593527036		$0	$0	$0	$239,235,484	$239,235,484	$1,000,000	$250,000	$0	$0	$0