2025-05-15T11:02:24+00:00 2024-06-30 350921680 CROWE LLP 401 East Las Olas Blvd Suite 1100 Fort Lauderdale FL 333014230 990 2023-07-01 591943502 SHANDS TEACHING HOSPITAL AND CLINICS INC SHAN 3522657962 PO BOX 100336 GAINESVILLE FL 326100336 ROBERT THORNTON Chief Financial Officer 2025-05-15 true Brittney Kocaj P01320603 9542028600 2025-05-15 2023 2025-03-06 01:10:19Z UF Health Shands Stephen J Motew MD PO BOX 100336 GAINESVILLE FL 326100336 2654855340 false X UFHEALTH.ORG X 1979 FL Promote health through outstanding and high-quality patient care, innovative and rigorous education, and high-impact research. 16 6 14176 1483 6369319 880488 26933924 17866242 2251904251 2610491696 4645340 13929744 37129450 12271801 2320612965 2654559483 243469197 337832831 0 850646616 925257920 0 4667658 1168410507 1237865743 2262526320 2500956494 58086645 153602989 3002393582 3251724635 1411271847 1450958936 1591121735 1800765699 At UF Health, our mission is to promote health through outstanding and high-quality patient care, innovative and rigorous education in the health professions and biomedical sciences, and high-impact research across the spectrum of basic, translational and clinical investigation. false false 2167318916 337832831 2616688402 SHANDS TEACHING HOSPITAL AND CLINICS, INC. ("STHC") IS A FLORIDA NOT-FOR-PROFIT CORPORATION AND OPERATES A MULTI-HOSPITAL SYSTEM. INCLUDED IS A TERTIARY CARE TEACHING INSTITUTION OF 1054 BEDS, AN INPATIENT PSYCHIATRIC AND SUBSTANCE ABUSE FACILITY OF 81 BEDS AND A HOSPITAL BASED HOME CARE AGENCY. SHANDS' COMMUNITY BENEFIT IS A PLANNED, MANAGED, ORGANIZED, AND MEASURED APPROACH TO A HEALTH CARE ORGANIZATION'S PARTICIPATION IN MEETING IDENTIFIED COMMUNITY HEALTH NEEDS. IT IS A COLLABORATION TO MEET THE NEEDS OF ITS RESIDENTS - PARTICULARLY THE POOR AND OTHER UNDERSERVED GROUPS - BY IMPROVING HEALTH STATUS AND QUALITY OF LIFE. COMMUNITY BENEFIT PROJECTS AND SERVICES ARE IDENTIFIED AS A RESULT OF A COMMUNITY HEALTH NEEDS ASSESSMENT, STRATEGIC AND/OR CLINICAL PRIORITIES AND PARTNERSHIP AREAS OF ATTENTION. COMMUNITY BENEFIT CATEGORIES INCLUDE FINANCIAL ASSISTANCE, COMMUNITY HEALTH SERVICES, HEALTH PROFESSIONS EDUCATION, RESEARCH AND DONATIONS. UF HEALTH SHANDS HOSPITAL HAS A LONG HISTORY OF PROVIDING COMMUNITY BENEFITS. UF HEALTH SHANDS HOSPITAL HAS POLICIES PROVIDING FINANCIAL ASSISTANCE FOR PATIENTS REQUIRING CARE BUT HAVE LIMITED OR NO MEANS TO PAY FOR THAT CARE. THESE POLICIES PROVIDE FREE OR DISCOUNTED HEALTH AND HEALTH-RELATED SERVICES TO PERSONS WHO QUALIFY UNDER CERTAIN INCOME AND ASSET CRITERIA. COMMUNITY HEALTH SERVICES INCLUDES COMMUNITY HEALTH EDUCATION, COUNSELING AND SUPPORT SERVICES AND HEALTH CARE SCREENINGS. HEALTH PROFESSIONS EDUCATION INCLUDES EDUCATION PROVIDED IN CLINICAL SETTINGS SUCH AS INTERNSHIPS AND PROGRAMS FOR PHYSICIANS, NURSES AND ALLIED HEALTH PROFESSIONALS. IT ALSO INCLUDES SCHOLARSHIPS FOR HEALTH PROFESSIONAL EDUCATION RELATED TO PROVIDING COMMUNITY HEALTH IMPROVEMENT SERVICES AND SPECIALTY IN-SERVICE PROGRAMS TO PROFESSIONALS IN THE COMMUNITY. RESEARCH INCLUDES STUDIES ON HEALTH CARE DELIVERY, UNREIMBURSED STUDIES ON THERAPEUTIC PROTOCOLS, EVALUATION OF INNOVATIVE TREATMENTS, AND RESEARCH PAPERS PREPARED FOR PROFESSIONAL JOURNALS. DONATIONS INCLUDE FUNDS AND IN-KIND SERVICES BENEFITING THE COMMUNITY-AT-LARGE. 2167318916 true true false true false false false false true true true false false true true false true false false false false false false true false true true true true true true false false false false false false false false true false true false false false true true true true false false true 344 0 true 14176 true true true false false false false true true false false false false true false X 16 6 false false false false true true true true true false false true true true true true true true true true true FL X ROBERT THORNTON 3522657923 PO BOX 100336 GAINESVILLE FL 326100336 David Nelson MD Chairman/President/UF SVP Health Affairs 2.0 49.0 X X 0 1233849 57666 James J Kelly Jr INTERIM STHC CEO (THRU MARCH 2024) 45.0 6.0 X X 1297368 0 43894 STEPHEN MOTEW MD President/CEO UF Health (BEG APRIL 2024) 1.0 46.5 X X 0 0 0 Anita Zucker PHD Director 0.5 1.5 X 0 0 0 Colleen Koch MD Director/UF College of 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0 0 0 Kevin Coleman ESQ Assistant Secretary/Senior Associate General Counsel 30.0 20.0 X 195360 0 32511 Lawrence McDowell ESQ Assistant Secretary/Senior Associate General Counsel 30.0 20.0 X 273402 0 42885 Randall Jenkins ESQ Secretary/SVP and General Counsel 30.0 20.0 X 0 561881 51956 Robert Thornton CHIEF FINANCIAL OFFICER 44.5 6.0 X 617796 0 48963 Thomas William Young ESQ Secretary/CLO 0.5 50.5 X 0 453991 56731 Traci d'Auguste SVP/COO 50.0 0 X 838171 0 39556 Anna Michelle Brandt VP and Chief of Staff (Thru Oct 2023) 49.5 0.5 X 365817 0 34780 Bradley Pollitt VP Facilities Development 49.5 0.5 X 406322 0 44989 Cindy Charyulu-Dra VP Revenue Cycle 50.0 0 X 441992 0 39737 Edward Daech Sr VP Human Resources 50.0 0 X 579512 0 37051 Gloria Lipori SVP/CIO 50.0 0 X 710384 0 47925 Irene Alexaitis VP and Chief Nursing officer 50.0 0 X 465007 0 42899 Jeffrey West VP Managed Care 50.0 0 X 383964 0 35486 Joseph Mandernach Chief Development Officer 25.0 25.0 X 0 360870 32097 Nicole M Iovine MD PhD Interim Chief Quality officer 50.0 0 X 0 291587 17460 Robert Michalski VP Compliance & Privacy 50.0 0 X 389466 0 40835 Robert Nappo AVP Surgical Services 50.0 0 X 239693 0 37479 Thomas Johns Assoc VP Operations 50.0 0 X 292895 0 44433 Billy McCarty MD Medical Director GatorCare 0.0 50.0 X 410045 0 41655 Heather Long CEO UF HEALTH CFH 0.0 50.0 X 660792 0 35893 JUSTIN SENIOR CEO Safety Net Hosp Alliance of FL 0.0 0 X 667735 0 43293 Lesli Ward VP and Chief HRO, UF Health Jacksonville 0.0 50.0 X 408546 0 45702 Marvin Dewar MD JD UFP CEO/Sr Assoc Dean UF COM 0.0 50.0 X 668006 28661 65182 10312273 9061764 1429285 2179 false true false Florida Clinical Practice Association PO Box 100354 Gainesville FL 326100205 Professional Medical Services 115273549 EPIC Systems PO Box 88314 Milwaukee WI 532880314 Electronic Medical Software 8257487 Morrisons Management Specialists PO Box 102289 Atlanta GA 303682289 Food and nutrition services 8251308 Evergreen Linen Solutions PO Box 51220 Durham NC 27717 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Liabilities 5738433 SERP Accrued expense 1893570 Due to related Parties 1422577 Lease Liability 73189176 85413595 X Schedule D, Part V, Line 4 Intended uses of endowment funds The Board Designated funds are designated primarily for capital improvements and debt service. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote STHC, Elder Care, Southeastern, Auxiliary, UFHCF, UFHL, UFSP, UFHL Foundation, UFSP Foundation, UFHSJ, SJCC, FHN, FHC, and FHC Foundation are exempt from federal income taxes pursuant to Section 501(a) as organizations described in Section 501(c)(3) of the Internal Revenue Code and from state income taxes pursuant to Chapter 220.13 of the Florida Statutes. The other affiliates are single member LLCs and disregarded entities for federal and state tax purposes except for sales and use tax on non-medical purchases. Dance Marathon at FSU 1352383 1352383 0 31020 70256 Dance Marathon at UF 1331518 1331518 0 46099 126009 3 86058 84425 1633 2500 3546 2000 14427 2769959 2768326 1633 2500 77119 3546 2000 210692 295857 -294224 true true X true X false true true true false false 58361225 0 58361225 0.0233 424354677 373866276 50488401 0.0202 0 0 0 0.0 0 0 482715902 373866276 108849626 0.0435 4884153 0 4884153 0.0020 37535754 0 37535754 0.0150 0 0 0 0.0 12957039 0 12957039 0.0052 98598370 0 98598370 0.0394 0 0 153975316 0 153975316 0.0616 0 0 636691218 373866276 262824942 0.1051 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 0 0 340281882 361720551 -21438669 X true true 3 1 UF HEALTH SHANDS HOSPITAL 1600 SW ARCHER RD GAINESVILLE FL 32610 UFHEALTH.ORG 4286 X X X X X A 2 UF HEALTH REHAB HOSPITAL 2708 SW ARCHER RD GAINESVILLE FL 32608 https://rehabhospital.ufhealth.org/ 4529 X Comprehensive Medical Rehabilitation A 3 SELECT SPECIALTY HOSPITAL GAINESVILLE 1600 SW ARCHER RD 5TH FLOOR GAINESVILLE FL 32610 https://www.selectspecialtyhospitals.com/locations-and-tours/fl/gainesville/gainesville/ 4489 X Long Term Care A A 3 false false true X X X X X X X X X 21 true true false true X SEE STATEMENT ON SCHEDULE H PART VI X true 21 true SEE STATEMENT ON SCHEDULE H PART VI false true X 200.0 X X X X true true X X X true X SEE STATEMENT ON SCHEDULE H PART VI X SEE STATEMENT ON SCHEDULE H PART VI X SEE STATEMENT ON SCHEDULE H PART VI X X X X X X true X false X X X X true X false false 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. Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - UF HEALTH SHANDS HOSPITAL. THE PRIMARY DATA ELEMENT IN OUR COMMUNITY HEALTH NEEDS ASSESSMENT WAS DIRECT INPUT FROM THE COMMUNITIES SERVED BY UF HEALTH SHANDS. PRIMARY DATA USED IN THIS ASSESSMENT CONSISTED OF KEY INFORMANT INTERVIEWS. FINDINGS FROM THESE INTERVIEWS EXPANDED UPON INFORMATION GATHERED FROM OUR SECONDARY DATA ANALYSIS (DATA SUPPORTING HEALTH OUTCOMES, BEHAVIORS AND SOCIAL DETERMINANTS OF HEALTH) TO INFORM THE COMMUNITY HEALTH NEEDS ASSESSMENT. TWENTY KEY INFORMANT INTERVIEWS WERE CONDUCTED TO GAIN A DEEPER UNDERSTANDING OF HEALTH ISSUES IMPACTING THE RESIDENTS OF THE COMMUNITY SERVED BY UF HEALTH SHANDS. COMMUNITY MEMBERS INVITED TO PARTICIPATE WERE RECOGNIZED AS HAVING EXPERTISE IN PUBLIC HEALTH, SPECIAL KNOWLEDGE OF COMMUNITY HEALTH NEEDS, REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL, AND/OR BEING ABLE TO SPEAK TO THE NEEDS OF MEDICALLY UNDERSERVED OR AT-RISK POPULATIONS. PRIMARY AND SECONDARY DATA REVEALED COMMUNITY HEALTH DISPARITIES BASED ON RACE/ETHNICITY, PARTICULARLY AMONG THE BLACK AND HISPANIC COMMUNITIES. KEY INFORMANT PARTICIPANTS MENTIONED THAT THE BLACK/AFRICAN AMERICAN AND RURAL COMMUNITIES ARE MORE LIKELY TO BE NEGATIVELY IMPACTED BY POVERTY, WHICH CONTRIBUTES TO POOR HEALTH OUTCOMES. KEY INFORMANTS DID NOT SPECIFICALLY CALL OUT A PARTICULAR RACE OR ETHNIC GROUP IN THE COMMUNITY AS STRUGGLING MORE WITH SOCIAL DETERMINANTS OF HEALTH BUT STATED THAT MINORITIES SEEM TO BE MORE NEGATIVELY IMPACTED BY ISSUES LIKE POVERTY WHICH CONTRIBUTES TO POOR HEALTH OUTCOMES. ADDITIONALLY, OLDER ADULTS WERE THE AGE GROUP THAT KEY INFORMANTS BROUGHT UP THE MOST AS HAVING MORE BARRIERS TO ACCESSING HEALTH CARE AND SERVICES COMPARED TO YOUNGER POPULATIONS. THEY ALSO MENTIONED LOW-INCOME FAMILIES STRUGGLING TO ACCESS SERVICES. A TOTAL OF FOURTEEN ORGANIZATIONS PARTICIPATED IN THE PROCESS, INCLUDING THE FLORIDA DEPARTMENT OF HEALTH IN ALACHUA COUNTY, THE UNITED WAY OF NORTH CENTRAL FLORIDA, HEALTHY START COALITION OF NORTH CENTRAL FLORIDA, RURAL WOMEN'S HEALTH PROJECT, MERIDIAN BEHAVIORAL HEALTH, AND VARIOUS OTHERS INCLUDING SOCIAL SERVICE ORGANIZATIONS, LOCAL BUSINESSES AND HEALTH CARE ORGANIZATIONS. DUE TO THE ONGOING COVID-19 PANDEMIC, EACH DISCUSSION WAS CONDUCTED VIRTUALLY BY PHONE AND/OR WEBINAR. THESE DISCUSSIONS TOOK PLACE BETWEEN NOVEMBER 2021 AND DECEMBER 2021. A QUESTIONNAIRE WAS DEVELOPED TO GUIDE EACH INTERVIEW AND FOCUS GROUP DISCUSSION. DISCUSSION TOPICS INCLUDED (1) THE GREATEST PERCEIVED HEALTH NEEDS IN THE COMMUNITY, (2) BARRIERS OF CONCERN AND (3) THE IMPACT OF HEALTH ISSUES ON VULNERABLE POPULATIONS. INTERVIEWEES WERE ALSO ASKED ABOUT THEIR KNOWLEDGE OF HEALTH TOPICS WHERE THERE WERE DATA GAPS IN THE SECONDARY DATA. THE COMMUNITY INPUT DERIVED FROM THE KEY INFORMANT INTERVIEWS SUPPLEMENTED BY SECONDARY DATA IS INTENDED TO HELP VALIDATE, ASSESS, AND PRIORITIZE THE DATA COLLECTED FOR THE COMMUNITY NEEDS ASSESSMENT. COMMON THEMES AND AREAS OF FOCUS WERE DEVELOPED AS A RESULT OF THESE CONVERSATIONS WITH COMMUNITY MEMBERS AND ORGANIZATIONS AND ANALYSIS OF DATA COLLECTED. Schedule H, Part V, Section B, Line 6a Facility A, 1 Facility A, 1 - UF HEALTH REHAB HOSPITAL. Partnered with STHC to conduct the CHNA. Schedule H, Part V, Section B, Line 6a Facility A, 2 Facility A, 2 - SELECT SPECIALTY HOSPITAL GAINESVILLE. Partnered with STHC to conduct the CHNA. Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - UF HEALTH SHANDS HOSPITAL. BASED ON THE PRIMARY DATA GATHERED FROM KEY INFORMANT INTERVIEWS AND SECONDARY DATA IDENTIFYING COMMUNITY HEALTH OUTCOMES, BEHAVIORS, AND SOCIAL DETERMINANTS OF HEALTH, UF HEALTH SHANDS IDENTIFIED NINE KEY HEALTH NEEDS INCLUDING: -ADOLESCENT HEALTH -CANCER -CHRONIC CONDITIONS -MATERNAL, FETAL & INFANT HEALTH -MENTAL HEALTH & MENTAL DISORDERS -OLDER ADULTS -ORAL HEALTH -TOBACCO USE -WOMEN'S HEALTH UF HEALTH SHANDS' LEADERS ELECTED TO DEVELOP IMPLEMENTATION PLANS THAT FOCUS ON THREE OF THESE AREAS - ADOLESCENT HEALTH, CANCER, AND CHRONIC CONDITIONS - AS THESE WERE CONSIDERED BY UF HEALTH SHANDS TO BE THE MOST PRESSING HEALTH NEEDS IN THE COMMUNITY AND THOSE NEEDS THAT UF HEALTH SHANDS HAD THE GREATEST ABILITY TO IMPACT. THE RATIONALE FOR SELECTING THESE PRIORITY AREAS AND ACTIVITIES PLANNED TO IMPACT THEM INCLUDE: 1. ADOLESCENT HEALTH ADOLESCENT HEALTH WAS IDENTIFIED AS A TOP HEALTH CONCERN PRIMARILY DUE TO SECONDARY DATA WARNING INDICATORS THAT SHOW A HIGH NEED TO ADDRESS TEEN OBESITY AND TEENS WITHOUT SUFFICIENT PHYSICAL ACTIVITY. PHYSICAL ACTIVITY HAS BEEN SHOWN TO IMPROVE HEALTH, PREVENT UNHEALTHY WEIGHT GAIN, AND REDUCE RISKS OF MANY CHRONIC CONDITIONS. UF HEALTH SHANDS AND THE UF COLLEGE OF MEDICINE ACKNOWLEDGE THAT PHYSICAL INACTIVITY IS A MAJOR PUBLIC HEALTH CHALLENGE AND CAN CAUSE A RANGE OF HEALTH PROBLEMS FOR ALL AGES. TO ADDRESS THIS ISSUE, UF HEALTH OFFERS A PEDIATRIC METABOLIC & OBESITY PROGRAM, WHICH OFFERS TREATMENT FOR CHILDHOOD OBESITY AND SEEKS TO PREVENT SERIOUS COMORBIDITIES THROUGH SPECIALIZED ASSESSMENT OF UNDERLYING PREDISPOSING FACTORS AND TAILORED THERAPY WITH A FOCUS ON HEALTHIER LIFESTYLES. PATIENTS AND FAMILIES ARE GUIDED THROUGH THE PROCESS OF DEVELOPING A HEALTHIER LIFESTYLE AND WEIGHT LOSS BY A TEAM OF EXPERTS, INCLUDING PEDIATRIC ENDOCRINOLOGISTS, REGISTERED DIETICIANS, AND LICENSED CLINICAL MENTAL HEALTH PROVIDERS. THE PROGRAM EFFORT IS NOT SOLELY BASED ON BMI MANAGEMENT, BUT FOCUSES ON A COMORBID-CENTRIC APPROACH THAT DETERMINES THE THERAPEUTIC DECISION PLAN FOR INDIVIDUAL PATIENTS SETTING SPECIFIC GOALS BASED ON DESIRED OUTCOMES. RESOURCES AND GUIDANCE ARE PROVIDED TO FAMILIES TO ASSIST THEM WITH SUPPORTING THEIR CHILDREN IN LIVING A MORE ACTIVE LIFESTYLE. In January 2023, in-person booth activities resumed at the Fun & Fit Wellness Center after being halted due to the COVID-19 pandemic. The Fun & Fit Wellness Center is a resource booth in the lobby of the Children's Medical Services Building of UF Health Shands, providing healthy eating, physical activity, and sleep resources to patients waiting in the lobby or referred by their respective physicians. The Center continues to provide free public access to nutrition and lifestyle guidance via its website (https://endo.pediatrics.med.ufl.edu/resources/metabolic-obesity/fun-fit-wellness-center/). At this website, the public can access healthy recipes, ideas for unsweetened drinks, sample meal plans, equipment-free workout guides, and age-based sleep guides, among other resources. UF Health presents regular virtual sessions addressing adolescent obesity, many of which are recorded and remain available to the public on YouTube. Topics of such presentations during the fiscal year ended June 30, 2023 included: -Mental Health Screening in Pediatric Obesity -Next Step Metabolic Testing in the Pediatric Clinic -Initial Screening Labs for Obesity: Management and Treatment Approaches -Medical Nutrition Therapy in Pediatric Obesity -Navigating Pediatric Obesity Medications 2. CANCER CANCER WAS IDENTIFIED AS A TOP HEALTH NEED ACROSS THE UF HEALTH SHANDS' SEVEN-COUNTY REGION. CANCER IS STILL THE LEADING CAUSE OF DEATH WORLDWIDE, HOWEVER, MORTALITY CAN BE REDUCED WHEN CASES ARE DETECTED AND TREATED EARLY. THE UF HEALTH CANCER CENTER IN GAINESVILLE IS DEDICATED TO SERVING THE RESIDENTS OF FLORIDA WITH STATE-OF-THE-ART CANCER TREATMENT, PREVENTION, CONTROL, AND EDUCATION. IT HAS BEEN RECOGNIZED AS A CANCER CENTER OF EXCELLENCE FOR NORTH CENTRAL FLORIDA. THE ADULT CANCER SURVIVORSHIP PROGRAM GOAL IS TO IMPROVE THE HEALTH AND QUALITY OF LIFE FOR PATIENTS, USING A PERSONALIZED APPROACH THROUGH CLINICAL CARE, EDUCATION, COUNSELING, SURVEILLANCE, AND COORDINATION OF CARE. THIS PROGRAM ALIGNS WITH THE HEALTHY PEOPLE 2030 GOAL OF INCREASING QUALITY OF LIFE FOR CANCER SURVIVORS. KEY OBJECTIVES OF THIS PROGRAM ARE TO CONTINUE WORKING WITH COMMUNITY PARTNERS TO REDUCE BARRIERS TO ACCESSING CARE. ADDITIONALLY, UF HEALTH SHANDS HOSTS WEBINARS AND SEMINARS AND PARTICIPATES IN COMMUNITY EVENTS RELATED TO CANCER SCREENING AND DETECTION. RECENT TOPICS ADDRESSED THROUGH THESE OUTLETS INCLUDE CANCER RISKS FACTORS, PANCREATIC CANCER, BREAST CANCER, KIDNEY CANCER, WOMEN'S CANCER SCREENING GUIDELINES, AND PEDIATRIC BRAIN TUMORS. In June 2023, the UF Health Cancer Center became Florida's newest cancer center designated by the National Cancer Institute. Only Cancer Centers that meet the highest standards for research and development in creating innovative approaches to cancer diagnosis and treatment achieve this level of distinction. During the fiscal year ended June 30, 2023, UF Health hosted numerous community classes and events focused on cancer to provide education to the community and support to patients and caregivers, including: -Celebrating Hope: A Kidney Cancer Educational Symposium -Unraveling the Mysteries of Cancer: Explore the latest in preventing and treating cancer -The latest advances in preventing and treating head and neck cancer -Power Over Prostate Cancer: A Gathering for Black Men and the Family Members Who Love Them 3. CHRONIC CONDITIONS OLDER ADULTS WITH CHRONIC CONDITIONS WERE IDENTIFIED WITHIN THE COMMUNITY MEMBERS' FEEDBACK AND DATA COLLECTION. IN THE UNITED STATES THERE IS AN UNPRECEDENTED INCREASE IN THE NUMBER OF ADULTS AGED 65 OR OLDER WITH CHRONIC CONDITIONS. AGING INCREASES THE RISK OF CHRONIC DISEASES SUCH AS DEMENTIA, HEART DISEASE, TYPE 2 DIABETES, ARTHRITIS AND CANCER. THE UNIVERSITY OF FLORIDA INSTITUTE ON AGING PROMOTES THE HEALTH, INDEPENDENCE AND QUALITY OF LIFE FOR OLDER ADULTS. THE INSTITUTE'S GOALS ARE TO BE AT THE FOREFRONT OF RESEARCH, EDUCATION AND CAREER DEVELOPMENT IN THE AREA OF AGING, AND MAKE SIGNIFICANT CONTRIBUTIONS TO THE PRESERVATION OF INDEPENDENCE AND PREVENTION AND REHABILITATION OF DISABILITIES AFFECTING SENIOR CITIZENS. DURING THE FISCAL YEAR ENDED JUNE 30, 2023, UF HEALTH PUBLISHED FINDINGS RELATED TO CHRONIC CONDITIONS, INCLUDING: -Use of technology in management of chronic pain -Link between asthma and cancer risk -Method to predict leukemia drug complications -Impact of processed foods on cognitive decline -Connection between restricted movement during COVID-19 pandemic and sleep issues in older adults -Acceleration of insight into patient conditions through use of AI IN ADDITION, THE UF MOBILE OUTREACH CLINIC CREATES ENVIRONMENTS THAT PROVIDE IMMERSIVE EDUCATIONAL EXPERIENCES THAT FOCUS ON THE SOCIAL DETERMINANTS OF HEALTH AND THEIR IMPACT ON PATIENTS' HEALTH AND WELL-BEING. THEY HAVE CREATED A SIX-WEEK IN-HOME CHRONIC DISEASE SELF- MANAGEMENT PROGRAM THAT INTRODUCES BASIC LIFE STRATEGIES AND TOOLS AND TRAINED GROUP LEADERS TO FACILITATE EDUCATIONAL TRAINING AIMED TO IMPROVE KNOWLEDGE ON NUTRITION, MEAL PLANNING, EXERCISE, FINANCES AND EFFECTIVE COMMUNICATION WITH A HEALTHCARE PROVIDER. HEALTH NEEDS NOT ADDRESSED THE FOLLOWING ADDITIONAL SIGNIFICANT HEALTH NEEDS EMERGED FROM REVIEW OF THE PRIMARY AND SECONDARY DATA. WHILE NOT DIRECTLY TARGETED, THESE TOPICS OVERLAP WITH THE PRIORITIZED HEALTH NEEDS AND WILL BE POSITIVELY IMPACTED THROUGH EXISTING COLLABORATIVE STRATEGIES AND ACTIVITIES. -MATERNAL, FETAL & INFANT HEALTH -MENTAL HEALTH AND MENTAL DISORDERS -OLDER ADULTS -ORAL HEALTH -TOBACCO USE -WOMEN'S HEALTH 19 CareSpot Gainesville 43rd Street 3925 NW 43rd Street Gainesville FL 32606 Urgent Care CareSpot Gainesville Archer Road 3581 SW Archer Road Suite 40 Gainesville FL 32608 Urgent Care CareSpot Gainesville Midtown 720 SW 2nd Avenue Suite 160A Gainesville FL 32601 Urgent Care CareSpot Ocala 2415 SW College Road Ocala FL 34471 Urgent Care UF Health ORTHOcare 3450 Hull Road v FL 32607 PHYSICIANS CLINICS UF Health Walk-In Care World Equestrian Center 2051 NW 80th Ct Suite 200 Ocala FL 34482 Physicians clinics UF Health Urgent Care Center Eastside 457 SE 20th St Gainesville FL 32641 urgent care UF Health Pediatrics After Hours 1699 SW 16th Avenue Building A Gainesville FL 32608 urgent care UF Health Emergency Center Kanapaha 7405 SW Archer Rd Gainesville IL 32608 Emergency Room UF Health Shands Emergency Center Springhill 8475 NW 39th Avenue Gainesville FL 32606 Emergency Room UF Health Pharmacy Springhill 4197 NW 86th Terrace First Floor Gainesville FL 32606 Pharmacy UF Health Pharmacy Medical Plaza 1549 Gale Lemerand Drive Gainesville FL 32610 Pharmacy UF Health Radiology The Oaks 6201 West Newberry Road Gainesville FL 32605 Medical imaging UF Health Womens and Diagnostic Imaging Springhill 4037 NW 86 Terrace Gainesville FL 32605 Medical imaging UF Health Oral and Maxillofacial Radiology 1395 Center Drive Room D1-85 Gainesville FL 32610 Medical imaging UF Health Dorothy Mangurian Neuroimaging Suite 3011 SW Williston Road Gainesville FL 32608 medical imaging Shands Recovery LLC dba UF Health Florida Recovery Center 4001 SW 13th St Gainesville FL 32608 Treatment programs for drug and alcohol addiction UF Health SHANDS HOMECARE 3515 NW 98TH STREET GAINESVILLE FL 32609 OUTPATIENT HOME CARE PROGRAMS UF Health SHANDS MEDICAL GROUP AT MAGNOLIA PARKE 4740 NW 39TH PLACE STE B GAINESVILLE FL 32606 PHYSICIANS CLINICS Schedule H, Part V, Section B, Line 16a The FAP was widely available on a website THE FINANCIAL ASSISTANCE POLICY FOR EACH HOSPITAL CAN BE FOUND AT THE FOLLOWING WEBSITES: UF HEALTH SHANDS HOSPITAL: https://ufhealth.org/billing-insurance-and-costs/financial-assistance UF HEALTH REHAB HOSPITAL: https://rehabhospital.ufhealth.org/patients-and-caregivers/admissions/financial-assistance/ SELECT SPECIALTY HOSPITAL GAINESVILLE: https://www.selectspecialtyhospitals.com/locations-and-tours/fl/gainesville/gainesville/ Schedule H, Part V, Section B, Line 16b The FAP application form was widely available on a website THE FINANCIAL ASSISTANCE APPLICATION FOR EACH HOSPITAL CAN BE FOUND AT THE FOLLOWING WEBSITES: UF HEALTH SHANDS HOSPITAL: https://ufhealth.org/billing-insurance-and-costs/financial-assistance UF HEALTH REHAB HOSPITAL: https://rehabhospital.ufhealth.org/patients-and-caregivers/admissions/financial-assistance/ SELECT SPECIALTY HOSPITAL GAINESVILLE: https://www.selectspecialtyhospitals.com/locations-and-tours/fl/gainesville/gainesville/ Schedule H, Part V, Section B, Line 16c Plain language summary of FAP widely available on website A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY FOR EACH HOSPITAL CAN BE FOUND AT THE FOLLOWING WEBSITES: UF HEALTH SHANDS HOSPITAL: https://ufhealth.org/billing-insurance-and-costs/financial-assistance UF HEALTH REHAB HOSPITAL: https://rehabhospital.ufhealth.org/patients-and-caregivers/admissions/financial-assistance/ SELECT SPECIALTY HOSPITAL GAINESVILLE: https://www.selectspecialtyhospitals.com/locations-and-tours/fl/gainesville/gainesville/ Schedule H, Part V, Section B, Line 7 CHNA MADE AVAILABLE ON HOSPITAL FACILITY'S WEBSITE THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR EACH HOSPITAL IS AVAILABLE TO THE PUBLIC AT THE FOLLOWING WEBSITES: UF HEALTH SHANDS HOSPITAL: https://ufhealth.org/social-mission-community UF HEALTH REHAB HOSPITAL: https://rehabhospital.ufhealth.org/patients-and-caregivers/admissions/community-health-needs-assessment/ SELECT SPECIALTY HOSPITAL GAINESVILLE: https://www.selectspecialtyhospitals.com/locations-and-tours/fl/gainesville/gainesville/ Schedule H, Part V, Section B, Line 10 IMPLEMENTATION STRATEGY POSTED TO WEBSITE THE IMPLEMENTATION STRATEGY FOR EACH HOSPITAL IS AVAILABLE AT THE FOLLOWING WEBSITES: UF HEALTH SHANDS HOSPITAL: https://ufhealth.org/social-mission-community UF HEALTH REHAB HOSPITAL: https://rehabhospital.ufhealth.org/patients-and-caregivers/admissions/community-health-needs-assessment/ SELECT SPECIALTY HOSPITAL GAINESVILLE: https://www.selectspecialtyhospitals.com/locations-and-tours/fl/gainesville/gainesville/ Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THE COSTS IN THE TABLE WERE COMPUTED USING THE ORGANIZATION'S COST-TO-CHARGE RATIO. THIS RATIO WAS DETERMINED USING IRS SCHEDULE H, WORKSHEET 2. THE AMOUNTS REPORTED AT LINE 7 ARE COMPUTED ON THE BASIS OF THE IRS SCHEDULE H WORKSHEETS FOR EACH RESPECTIVE LINE ITEM. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount FOR FINANCIAL STATEMENT PURPOSES, THE ORGANIZATION DIRECTLY REDUCES THE AMOUNT OF PATIENT SERVICE REVENUE REPORTED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS BY THE AMOUT OF BAD DEBT EXPENSE. THEREFORE, BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE AND BAD DEBT EXPENSE IS NOT SEPARATELY REPORTED AS AN EXPENSE. Schedule H, Part III, Line 3 Bad Debt Expense Methodology THE ORGANIZATION REPORTS $0 BAD DEBT EXPENSE BECAUSE BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE. THEREFORE, THE AMOUNT OF BAD DEBTS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY IS ALSO $0. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE PROVISION FOR BAD DEBTS IS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN FEDERAL AND STATE GOVERNMENTAL HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON THESE TRENDS AND OTHER FACTORS. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATION TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. PATIENT ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED UNDER SHANDS' POLICIES. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE AMOUNTS REPORTED ON LINES 5 AND 6 WERE DERIVED FROM THE FYE 6/30/2024 MEDICARE COST REPORT. STHC accepts all Medicare patients with the knowledge that there may be shortfalls and operates to promote the Health of the community. STHC believes that any Medicare shortfall should be treated as a Community Benefit because Medicare does not typically fully compensate STHC for the cost of providing hospital care to Medicare beneficiaries. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance FINANCIAL ASSISTANCE APPLICANTS HAVE 240 DAYS FROM THE ISSUANCE OF THE FIRST POST-DISCHARGE BILLING STATEMENT TO APPLY FOR CHARITY CARE. DURING THE FIRST 120 DAYS OF THIS APPLICATION WINDOW, "EXTRAORDINARY COLLECTION ACTIONS" (ECAS) MAY NOT BE INITIATED. ECAS INCLUDE THE REPORTING OF ADVERSE INFORMATION TO A CREDIT AGENCY AND ATTORNEY ENGAGEMENT IN A COLLECTION ACTION WHICH MAY OR MAY NOT LEAD TO A LAWSUIT. NO ECAS WILL BE INITIATED WITHOUT A MINIMUM OF 30 DAYS WRITTEN NOTICE. SUCH NOTICE SHALL INCLUDE A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY INCLUDING THE TELEPHONE NUMBER(S) TO CALL ABOUT APPLYING FOR ASSISTANCE AND THE WEBSITE WHERE THE POLICY AND ASSOCIATED DOCUMENTS CAN BE FOUND. UF HEALTH WILL MAKE A REASONABLE EFFORT TO DETERMINE CHARITY ASSISTANCE ELIGIBILITY BEFORE ENGAGING IN ANY ECA. UPON SUCCESSFUL DETERMINATION OF ELIGIBILITY FOR FINANCIAL ASSISTANCE, ACCOUNTS FOR CURRENT EPISODES OF CARE WILL BE WRITTEN OFF TO ZERO PATIENT RESPONSIBILITY. CURRENT EPISODES OF CARE WILL INCLUDE ALL ACCOUNTS AT THE TIME OF APPROVAL AND THE PRIOR TWO MONTHS. UF HEALTH SHANDS MAY ANALYZE ACCOUNTS FURTHER BACK THAN TWO MONTHS FOR 100% CHARITY CARE RELATED TO THE FINANCIAL ASSISTANCE APPLICATION. ALL ECAS WILL BE STOPPED AND/OR REVERSED WHERE APPROPRIATE AND FULL REFUNDS OF ANY PATIENT PAYMENTS WILL BE PROCESSED FROM ALL ACCOUNTS COVERED WITHIN THE SCOPE OF THE CHARITY ASSISTANCE APPROVAL. CHARITY CARE WILL BE APPROVED FOR A PERIOD OF SIX MONTHS FORWARD BASED ON THE INITIAL EVALUATION. Schedule H, Part V, Section B, Line 16a FAP website A - UF HEALTH SHANDS HOSPITAL: Line 16a URL: SEE STATEMENT ON SCHEDULE H PART VI; Schedule H, Part V, Section B, Line 16b FAP Application website A - UF HEALTH SHANDS HOSPITAL: Line 16b URL: SEE STATEMENT ON SCHEDULE H PART VI; Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - UF HEALTH SHANDS HOSPITAL: Line 16c URL: SEE STATEMENT ON SCHEDULE H PART VI; Schedule H, Part VI, Line 2 Needs assessment PRIMARY AND SECONDARY DATA COLLECTED DURING THE COMMUNITY HEALTH NEEDS ASSESSMENT CYCLE EVERY THREE YEARS IS SUPPLEMENTED WITH ONGOING PROFESSIONAL RELATIONSHIPS AND COMMUNITY COLLABORATIVES SUCH AS THE ALACHUA SAFETY NET COUNCIL, ALACHUA HEALTHY COMMUNITIES AND ALACHUA HEALTH CARE ADVISORY COMMITTEE WHICH MEET MONTHLY, QUARTERLY AND BI-MONTHLY, RESPECTIVELY, TO DISCUSS AND ACTIVELY WORK TOWARDS COMMUNITY HEALTH IMPROVEMENT EFFORTS IDENTIFIED IN THE COMMUNITY HEALTH IMPLEMENTATION PLAN. EMERGING AND ONGOING COMMUNITY HEALTH CHALLENGES AND PROVIDER STATUS UPDATES ARE PROVIDED AT COMMUNITY MEETINGS AND WITH OTHER COMMUNITY ORGANIZATION RELATIONSHIPS - SUCH AS THE UNITED WAY. THE HOSPITAL ALSO PARTICIPATES IN A NUMBER OF HEALTH FAIRS THAT INCLUDE AUDIENCES AT SPECIFIC LOCAL EMPLOYERS AS WELL AS GENERAL PUBLIC EVENTS THAT HELP IDENTIFY COMMUNITY ISSUES AND CONCERNS. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance THE HOSPITAL HAS SEVERAL MECHANISMS FOR EDUCATING PATIENTS ABOUT ITS FINANCIAL ASSISTANCE POLICY: A PLAIN-LANGUAGE SUMMARY OF THE POLICY IS POSTED IN THE "BILLING & INSURANCE FAQS" PORTION OF THE HOSPITAL'S WEBSITE, ALONG WITH LOCAL AND TOLL-FREE TELEPHONE NUMBERS WHERE FINANCIAL REPRESENTATIVES MAY BE REACHED TO DISCUSS QUESTIONS; SIGNAGE IS POSTED IN THE EMERGENCY DEPARTMENTS, ADMISSIONS DEPARTMENTS, AND OTHER ANCILLARY DEPARTMENTS INDICATING THAT FINANCIAL ASSISTANCE IS AVAILABLE FOR THOSE UNINSURED AND UNDERINSURED PATIENTS MEETING ELIGIBILITY REQUIREMENTS, AND AFTER EMTALA SCREENING AND STABILIZATION REQUIREMENTS ARE MET, FINANCIAL COUNSELORS WORK WITH THOSE PATIENTS WHO MOST LIKELY QUALIFY FOR MEDICAID OR UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY; NEARLY EVERY HOSPITAL INPATIENT IS VISITED BY A REPRESENTATIVE FROM ADMISSIONS, TO ENSURE WE HAVE THEIR CORRECT INSURANCE INFORMATION AND TO INFORM THEM ABOUT THE ASSISTANCE POLICY; AND INFORMATION ON THE FINANCIAL ASSISTANCE POLICY IS INCLUDED WITH THE INVOICES/FINANCIAL STATEMENTS THAT ARE MAILED TO PATIENTS. IN ADDITION, THE HOSPITAL PROVIDES FINANCIAL COUNSELING AND INFORMATION TO INDIVIDUAL PATIENTS AND ASSISTS THEM IN APPLYING FOR LOCAL, STATE, AND FEDERAL HEALTH CARE PROGRAMS SUCH AS MEDICARE AND MEDICAID OR ENROLLING IN AN INSURANCE PLAN THROUGH THE FEDERAL HEALTH CARE EXCHANGE. SHANDS PROVIDES A SELF-PAY DISCOUNT FOR UNDER-INSURED PATIENTS WHO DO NOT OTHERWISE QUALIFY UNDER THE FINANCIAL ASSISTANCE PROGRAMS. Schedule H, Part VI, Line 4 Community information UF HEALTH SHANDS' PRIMARY SERVICE AREA INCLUDES SEVEN COUNTIES (ALACHUA, BRADFORD, COLUMBIA, LEVY, MARION, PUTNAM, AND SUWANNEE) AND HAD AN ESTIMATED POPULATION OF 908,877 IN 2020 WHICH REPRESENTS 4% OF FLORIDA'S TOTAL POPULATION. GEOGRAPHICALLY, THERE ARE 6,089 TOTAL SQUARE MILES IN THE SERVICE AREA, OR 11% OF THE TOTAL LANDMASS OF FLORIDA, ACCORDING TO THE U.S. CENSUS BUREAU AMERICAN COMMUNITY SURVEY 2015-2019 5-YEAR ESTIMATES. THE GEOGRAPHY ENCOMPASSES A MIX OF URBAN AND RURAL AREAS. POPULATION DENSITY FOR THIS ENTIRE AREA, ESTIMATED AT 139.2 PERSONS PER SQUARE MILE, IS GREATER THAN THE NATIONAL AVERAGE POPULATION DENSITY OF 90.2 PERSONS PER SQUARE MILE, BUT LESS THAN THE STATE DENSITY OF 371.6 PERSONS PER SQUARE MILE. THE POPULATION IN VARIOUS COUNTIES WITHIN UF HEALTH SHANDS' PRIMARY SERVICE AREA WAS PROJECTED TO GROW BETWEEN 0.65% AND 12.41% FROM 2010-2021. MARION COUNTY WAS PROJECTED TO HAVE THE LARGEST GROWTH, AT 12.41%, FOLLOWED BY ALACHUA COUNTY, AT 10.32%. BRADFORD AND PUTNAM COUNTIES WERE PROJECTED TO SEE THE SLOWEST GROWTH, BOTH UNDER 1%. THE TOTAL POPULATION MIX BY GENDER IS SIMILAR TO FLORIDA AND THE UNITED STATES OVERALL (49% MALE AND 51% FEMALE). WITH A 55% MALE POPULATION, BRADFORD COUNTY STANDS OUT DUE TO THE PRESENCE OF SEVERAL STATE CORRECTIONAL FACILITIES IN THE COUNTY. THE TOTAL POPULATION BY AGE GROUP FOR THE REGION VARIES SIGNIFICANTLY ACROSS COUNTIES. THE TWO LARGEST COUNTIES IN THE SERVICE AREA, ALACHUA AND MARION, HAVE INCREASED VARIATIONS IN AGE DEMOGRAPHICS. THE ALACHUA COUNTY POPULATION, WHICH INCLUDES THE UNIVERSITY OF FLORIDA, TRENDS TO A YOUNGER DEMOGRAPHIC (19% OF POPULATION AGES 18-24) WHEN COMPARED TO THE STATE OF FLORIDA (8% AGES 18-34). MARION COUNTY, WHICH INCLUDES THE CITY OF OCALA AND SEVERAL LARGE RETIREMENT COMMUNITIES, HAS A SIGNIFICANTLY HIGHER PROPORTION OF 65+ RESIDENTS (30.1% AGES 65 OR OLDER) THAN THE OVERALL DEFINED PRIMARY SERVICE AREA (23% AGES 65+), FLORIDA (20.9% AGES 65+) OR THE UNITED STATES (16.5% AGES 65+). RACE AND ETHNICITY CONTRIBUTE TO THE OPPORTUNITIES INDIVIDUALS AND COMMUNITIES HAVE TO BE HEALTHY. THE MAJORITY OF THE PRIMARY SERVICE AREA IDENTIFIES AS WHITE, WITH 75% OF THE RESIDENTS CLASSIFIED AS WHITE. LEVY COUNTY HAS THE LARGEST WHITE POPULATION AT 84.5% (NON-HISPANIC), WITH 9.2% CLASSIFIED AS HISPANIC OR LATINO, 9% AS BLACK OR AFRICAN AMERICAN (NON-HISPANIC), AND LESS THAN 1% ASIAN (NON-HISPANIC). ALACHUA COUNTY HAS 6.3% OF ITS RESIDENTS (17,286 INDIVIDUALS) REPORTED AS ASIAN. WITHIN THE PRIMARY SERVICE AREA, ALACHUA COUNTY HAS THE LARGEST PROPORTION OF ASIANS. THE PROPORTION OF INDIVIDUALS IDENTIFYING AS BLACK/AFRICAN AMERICAN IN EACH COUNTY RANGES FROM 9% IN LEVY COUNTY TO 20.3% IN ALACHUA COUNTY. THE PROPORTION OF THE POPULATION IDENTIFYING AS "ANOTHER RACE" ALSO RANGES FROM 0.8% IN BRADFORD COUNTY TO 4.4% IN PUTNAM COUNTY. COMPARED TO FLORIDA OR THE UNITED STATES, THE PRIMARY SERVICE AREA HAS A LOWER POPULATION OF HISPANIC RESIDENTS. THE SERVICE AREA REFLECTS A 12.0% HISPANIC OR LATINO POPULATION VERSUS 27.7% FOR FLORIDA AND 17.3% FOR THE UNITED STATES. UNDERSTANDING COUNTRIES OF ORIGIN AND LANGUAGES SPOKEN AT HOME CAN HELP INFORM THE CULTURAL AND LINGUISTIC CONTEXT FOR THE HEALTH AND PUBLIC HEALTH SYSTEM. LANGUAGE IS AN IMPORTANT FACTOR TO CONSIDER FOR OUTREACH EFFORTS IN ORDER TO ENSURE THAT COMMUNITY MEMBERS ARE AWARE OF AVAILABLE PROGRAMS AND SERVICES. THE MOST COMMON LANGUAGE SPOKEN AT HOME AMONG ALL COUNTIES IN THE PRIMARY SERVICE AREAS IS ENGLISH (83.1%-90.5%). SPANISH IS THE SECOND MOST COMMON. MARION COUNTY HAS THE HIGHEST PROPORTION OF THE POPULATION AGE 5 AND OLDER SPEAKING SPANISH, AT 11.4%, AND BRADFORD COUNTY HAS THE SMALLEST PROPORTION, AT 3.8%. THE PERCENTAGE OF RESIDENTS WHO SPEAK SPANISH AT HOME IS LOWER COMPARED WITH THE STATE OF FLORIDA (14.4%) AND THE U.S. (13.5%). INCOME HAS BEEN SHOWN TO BE STRONGLY ASSOCIATED WITH MORBIDITY AND MORTALITY, INFLUENCING HEALTH THROUGH VARIOUS CLINICAL, BEHAVIORAL, SOCIAL AND ENVIRONMENTAL FACTORS. THOSE WITH GREATER WEALTH ARE MORE LIKELY TO HAVE HIGHER LIFE EXPECTANCY AND REDUCED RISK OF A RANGE OF HEALTH CONDITIONS INCLUDING HEART DISEASE, DIABETES, OBESITY AND STROKE. POOR HEALTH CAN ALSO CONTRIBUTE TO REDUCED INCOME BY LIMITING ONE'S ABILITY TO WORK. UF HEALTH SHANDS CONSIDERED HOUSEHOLD INCOME VALUES FOR ALL SEVEN COUNTIES OVERALL AND BY RACE/ETHNICITY COMPARED WITH STATE AND NATIONAL BENCHMARKS. LEVY COUNTY HAS THE LOWEST MEDIAN INCOME, AT $42,132. THE HIGHEST MEDIAN INCOME WAS ALACHUA COUNTY ($54,429), FOLLOWED BY BRADFORD COUNTY ($50,704), AND COLUMBIA COUNTY ($50,448). ALL SEVEN COUNTIES' MEDIAN INCOME IS LOWER THAN THE STATE'S VALUE OF $61,374. HOWEVER, THERE ARE DISPARITIES BY RACE/ETHNICITY. AMERICAN INDIAN AND NATIVE HAWAIIAN HAVE THE LOWEST INCOME IN PUTNAM AND SUWANNEE, AT $14,999. THIS IS LESS THAN FLORIDA'S MEDIAN INCOME OF $61,374 AND THE LOWEST COMPARED WITH OTHER RACIAL GROUPS ACROSS OTHER COUNTIES. FEDERAL POVERTY THRESHOLDS ARE SET EVERY YEAR BY THE CENSUS BUREAU AND VARY BY SIZE OF FAMILY AND AGES OF FAMILY MEMBERS. PEOPLE LIVING IN POVERTY ARE LESS LIKELY TO HAVE ACCESS TO HEALTH CARE, HEALTHY FOOD, STABLE HOUSING AND OPPORTUNITIES FOR PHYSICAL ACTIVITY. THESE DISPARITIES MEAN PEOPLE LIVING IN POVERTY ARE MORE LIKELY TO EXPERIENCE POORER HEALTH OUTCOMES AND PREMATURE DEATH FROM PREVENTABLE DISEASES. UF HEALTH SHANDS EVALUATED POVERTY LEVELS THROUGHOUT THE PRIMARY SERVICE AREA AND DETERMINED THAT FOUR COUNTIES (ALACHUA, COLUMBIA, MARION, AND SUWANNEE) ARE NEAR FLORIDA'S PERCENTAGE OF FAMILIES LIVING IN POVERTY, AT 10%. BRADFORD COUNTY (16%), LEVY COUNTY (17%) AND PUTNAM COUNTY (18%) ARE HIGHER THAN FLORIDA'S MEDIAN VALUE. Schedule H, Part VI, Line 5 Promotion of community health THE MAJORITY OF STHC'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE UF HEALTH SYSTEM'S PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF STHC, NOR FAMILY MEMBERS THEREOF. STHC EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY AND USES SURPLUS FUNDS TO INVEST IN PATIENT CARE NEEDS. UF HEALTH SHANDS IS A PRIVATE, NOT-FOR-PROFIT HOSPITAL SYSTEM AFFILIATED WITH THE UNIVERSITY OF FLORIDA. IT IS PART OF UNIVERSITY OF FLORIDA HEALTH, THE SOUTHEAST'S MOST COMPREHENSIVE ACADEMIC HEALTH CENTER, WITH CAMPUSES IN GAINESVILLE, JACKSONVILLE, LEESBURG, AND THE VILLAGES. UF HEALTH SHANDS IS BASED IN GAINESVILLE. IT FEATURES A TEACHING HOSPITAL, UF HEALTH SHANDS HOSPITAL, WHICH ALSO INCLUDES UF HEALTH SHANDS CANCER HOSPITAL, UF HEALTH SHANDS CHILDREN'S HOSPITAL, UF HEALTH HEART & VASCULAR HOSPITAL, UF HEALTH NEUROMEDICINE HOSPITAL, AND UF HEALTH SHANDS PSYCHIATRIC HOSPITAL; A NETWORK OF OUTPATIENT REHABILITATION CENTERS; AND A HOME HEALTH AGENCY. UF HEALTH SHANDS IS AFFILIATED WITH MORE THAN 50 UF HEALTH PHYSICIANS' PRIMARY CARE AND SPECIALTY MEDICAL PRACTICES LOCATED THROUGHOUT FLORIDA. UF HEALTH SHANDS HOSPITAL IS ALSO HOME TO A STATE-DESIGNATED LEVEL I TRAUMA CENTER, A LEVEL III NEONATAL INTENSIVE CARE UNIT, A REGIONAL BURN CENTER AND AN EMERGENCY AIR AND GROUND TRANSPORT PROGRAM. UF HEALTH SHANDS HAS AFFILIATION RELATIONSHIPS WITH COMMUNITY HOSPITALS LOCATED THROUGHOUT FLORIDA. IT HAS BUILT RELATIONSHIPS WITH AFFILIATES THROUGHOUT THE STATE IN SERVICES SUCH AS CANCER, HEART SURGERY, NEUROSURGERY, PEDIATRICS, PEDIATRIC CARDIOLOGY, PEDIATRIC NEPHROLOGY, VASCULAR SURGERY AND ADDICTION MEDICINE. UF HEALTH SHANDS ALSO IS AFFILIATED WITH URGENT CARE CENTERS IN GAINESVILLE AND OCALA AND COLLABORATES WITH OTHER HOSPITALS AND HEALTH CARE PROVIDERS TO EXPAND CLINICAL PROGRAMS AND RESEARCH AND EDUCATION EFFORTS. MORE THAN 1,200 UF COLLEGE OF MEDICINE FACULTY AND COMMUNITY PHYSICIANS ON THE UF HEALTH SHANDS MEDICAL STAFF PROVIDE CARE IN MORE THAN 100 SPECIALTY AND SUBSPECIALTY MEDICAL AREAS, FROM PRIMARY CARE TO HIGHLY SPECIALIZED AND COMPLEX CARE, INCLUDING CANCER, HEART AND VASCULAR, NEUROMEDICINE, PEDIATRICS AND TRANSPLANTATION SERVICES. EACH YEAR, PATIENTS COME TO UF HEALTH SHANDS FROM ALL 67 FLORIDA COUNTIES, THROUGHOUT THE NATION AND MORE THAN A DOZEN COUNTRIES. FOOTNOTE 3 TO THE ACCOMPANYING AUDITED FINANCIAL STATEMENTS SUMMARIZES THE FY24 COMMUNITY BENEFIT PROVIDED BY UF HEALTH, THROUGH COLLABORATIONS WITH UF'S HEALTH SCIENCE COLLEGES, RESEARCH CENTERS AND INSTITUTES, UF HEALTH SHANDS HOSPITAL AND OTHER HEALTH CARE ENTITIES.THE MAJORITY OF STHC'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE UF HEALTH SYSTEM'S PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF STHC, NOR FAMILY MEMBERS THEREOF. STHC EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY AND USES SURPLUS FUNDS TO INVEST IN PATIENT CARE NEEDS. Schedule H, Part VI, Line 6 Affiliated health care system UF HEALTH PROACTIVELY REACHES OUT BEYOND THE WALLS OF OUR HOSPITALS AND CLINICAL PRACTICES TO SHARE VALUABLE HEALTH INFORMATION WITH AREA RESIDENTS. WE OFFER HEALTH EDUCATION PROGRAMS AND EVENTS AND ALSO PARTNER IN COMMUNITY EFFORTS. WE SUPPORT CIVIC, SOCIAL AND CULTURAL PROGRAMS TO RAISE AWARENESS OF HEALTH ISSUES AND PROMOTE WELLNESS. WE BRING UF HEALTH PHYSICIANS, DENTISTS, NURSES AND OTHER PROVIDERS AND EXPERTS INTO THE COMMUNITY TO SPEAK ABOUT SPECIFIC HEALTH AND WELLNESS TOPICS AT SEMINARS, AND TO OFFER DISEASE PREVENTION INFORMATION AND SCREENINGS AT COMMUNITY HEALTH FAIRS AND OTHER OUTREACH EVENTS. OUR COMMITMENT AS A RESPONSIBLE, ACCOUNTABLE STEWARD OF OUR RESOURCES IS THE CORNERSTONE OF UF HEALTH'S NOT-FOR-PROFIT MISSION. UF HEALTH SHANDS SERVES AS A TRAINING GROUND FOR TOMORROW'S DOCTORS THROUGH UF COLLEGE OF MEDICINE. IN ADDITION, UNDERGRADUATE UF COLLEGE OF NURSING STUDENTS GAIN MEANINGFUL CLINICAL EXPERIENCES AT UF HEALTH SHANDS HOSPITAL AS PART OF THEIR EDUCATION PROGRAM. UF HEALTH SHANDS ALSO SERVES AS A CLINICAL TRAINING SITE FOR RN, ARNP, PA, PT, OT, RADIOLOGY TECH, RESPIRATORY TECH, LAB TECH, PHARMACY TECH, PARAMEDIC AND EMT STUDENTS FROM COMMUNITY COLLEGES THROUGHOUT THE STATE OF FLORIDA AND SURROUNDING STATES. EFFECTIVE JANUARY 1, 2020, STHC ACQUIRED CENTRAL FLORIDA HEALTH, INC. ("CFH"), A COMMUNITY HEALTH CARE PROVIDER IN CENTRAL FLORIDA, PURSUANT TO WHICH STHC BECAME THE SOLE CORPORATE MEMBER OF CFH. CFH MANAGES AND OPERATES TWO ACUTE CARE HOSPITALS IN CENTRAL FLORIDA - LEESBURG REGIONAL MEDICAL CENTER, INC. AND THE VILLAGES TRI-COUNTY MEDICAL CENTER, INC. - AS WELL AS VARIOUS OTHER RELATED HEALTHCARE ORGANIZATIONS. LEESBURG REGIONAL MEDICAL CENTER, INC. IS A 330-BED ACUTE CARE HOSPITAL LOCATED IN LEESBURG, FLORIDA. THE VILLAGES TRI-COUNTY MEDICAL CENTER, INC. IS A 307-BED ACUTE CARE HOSPITAL LOCATED IN THE VILLAGES IN CENTRAL FLORIDA. CFH, THE TWO ACUTE CARE HOSPITALS, AND THEIR OTHER RELATED ORGANIZATIONS BEGAN OPERATING UNDER THE "UF HEALTH" BRAND EFFECTIVE JANUARY 1, 2020. UNIVERSITY OF FLORIDA ACADEMIC HEALTH CENTER FACULTY AND STAFF PARTICIPATE IN UF HEALTH SHANDS' COMMUNITY OUTREACH EFFORTS TO OFFER HEALTH SEMINARS AND SCREENINGS TO CONTRIBUTE TO A HEALTHIER COMMUNITY. IN ADDITION, SEVERAL COLLEGES HOST A VARIETY OF OUTREACH EFFORTS TO PROMOTE HEALTH AND WELLNESS. EXAMPLES INCLUDE: - THE UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE PROVIDES CARE THROUGH THE MOBILE OUTREACH CLINIC, A MEANS OF DELIVERING HEALTH CARE TO THE MEDICALLY UNDERSERVED IN LOW-INCOME NEIGHBORHOODS AND RURAL AREAS IN ALACHUA COUNTY. VOLUNTEERS INCLUDED RESIDENTS, PHYSICIAN ASSISTANTS AND MEDICAL STUDENTS. - THE UNIVERSITY OF FLORIDA COLLEGE OF NURSING FACULTY AND STUDENTS VOLUNTEERED THROUGHOUT THE YEAR TO SUPPORT VARIOUS COMMUNITY HEALTH INITIATIVES, INCLUDING HEALTH EDUCATION, HEALTH SCREENINGS, SUPPORT GROUPS AND PARTICIPATION IN THE ALACHUA COUNTY SCHOOL-BASED CONTROL FLU PROGRAM. - THE UNIVERSITY OF FLORIDA COLLEGE OF PUBLIC HEALTH AND HEALTH PROFESSIONS FACULTY AND STAFF VOLUNTEER THEIR TIME TO STUDENT-RUN EQUAL ACCESS CLINICS PROVIDING COUNSELING, OCCUPATIONAL THERAPY AND PHYSICAL THERAPY SERVICES TO INDIVIDUALS WHO ARE UNINSURED OR UNDERINSURED. IN ADDITION, COLLEGE FACULTY AND STUDENTS ARE MENTORING MIDDLE SCHOOL STUDENTS THROUGH A COLLABORATION WITH HOWARD BISHOP MIDDLE SCHOOL, A COMMUNITY PARTNERSHIP SCHOOL. - WITH CAMPUSES IN GAINESVILLE, JACKSONVILLE AND ORLANDO, FACULTY AND STUDENTS IN THE UF COLLEGE OF PHARMACY ARE IMPROVING THE HEALTH OF FLORIDIANS THROUGHOUT THE STATE THROUGH COMMUNITY HEALTH AND SERVICE ACTIVITIES. AT THE EQUAL ACCESS CLINIC IN GAINESVILLE, UF COLLEGE OF PHARMACY STUDENT VOLUNTEERS ASSIST WITH MEDICATION RECONCILIATIONS, POINT OF CARE TESTING, SMOKING CESSATION COUNSELING, DIABETES EDUCATION AS WELL AS ASSISTING MEDICAL STUDENTS IN DEVELOPING MEDICATION TREATMENT PLANS FOR PATIENTS. PHARMACY STUDENTS VOLUNTEERING AT GRACE PHARMACY IN GAINESVILLE CONDUCT NEW PATIENT INTERVIEWS, DISPENSE MEDICATIONS AND COUNSEL PATIENTS ON THEIR MEDICATIONS. THE NONPROFIT WAS ESTABLISHED BY GRACE HEALTHCARE SERVICES CORPORATION TO SUPPLY MEDICATIONS AT NO CHARGE TO QUALIFYING PATIENTS WHO OTHERWISE COULD NOT AFFORD THEM. UF PHARMACY STUDENTS VOLUNTEER AT THE MUSLIM AMERICAN SOCIAL SERVICES CLINIC IN JACKSONVILLE, WHICH PROVIDES FREE HEALTH CARE TO UNINSURED, LOW-INCOME ADULTS OF ALL FAITHS IN DUVAL COUNTY. THE VOLUNTEERS PROVIDE MEDICATION RECONCILIATIONS FOR NEW AND RETURNING PATIENTS, THEY COLLABORATE WITH OTHER MEMBERS OF THE HEALTH CARE TEAM TO OPTIMIZE PATIENT MEDICATION THERAPY, THEY UPDATE PATIENT MEDICAL RECORDS AND TAKE INVENTORY OF THE DRUGS AVAILABLE. AT THE APOPKA MIGRANT FARMWORKER CLINIC, UF COLLEGE OF PHARMACY STUDENTS WORK WITH THE UNIVERSITY OF CENTRAL FLORIDA COLLEGE OF MEDICINE'S GLOBAL HEALTH ORGANIZATION MEDPACT, TO RUN A VOLUNTEER HEALTH CLINIC SERVING FARMWORKERS AND OTHER UNDERSERVED POPULATIONS. STUDENT VOLUNTEERS PROVIDE GLUCOSE SCREENINGS, BLOOD PRESSURE SCREENINGS AND COUNSEL PATIENTS. - THE UNIVERSITY OF FLORIDA COLLEGE OF DENTISTRY FACULTY, STAFF AND STUDENTS VOLUNTEER THEIR TIME IN COMMUNITIES THROUGHOUT FLORIDA AND DURING INTERNATIONAL EDUCATIONAL SERVICE TRIPS. STUDENTS, FACULTY AND STAFF WORKED TOGETHER IN SUPPORT OF COMMUNITY EVENTS, HEALTH FAIRS AND OTHER EVENTS, INCLUDING PROVIDING ORAL HEALTH EDUCATION TO CHILDREN, SPECIAL NEEDS INDIVIDUALS AND OTHERS. true University of Florida PO BOX 100243 Gainesville FL 32610 596002052 state of Florida 189143708 0 n/a n/a support for medical program Mid-Florida Area Agency on Aging 100 SW 75th ST STE 301 Gainesville FL 32607 591777567 501(c)(3) 300000 0 n/a n/a Transition Services - Take Charge Program Florida Health Professions Association PO BOX 100185 Gainesville FL 32610 593563965 501(c)(3) 400000 0 n/a n/a Academic support of College of Public health & health professions Florida Clinical Practice Association 226 Tigert Hall Gainesville FL 32611 591680273 501(c)(3) 87294410 0 n/a n/a Clinical practice support American Cancer Society 250 Williams Street NW Atlanta GA 30303 131788491 501(c)(3) 16500 0 n/a n/a program support RONALD MCDONALD HOUSE 1600 SW 14TH STREET GAINESVILLE FL 32608 591887896 501(c)(3) 22000 0 n/a n/a program support UNITED WAY OF NORTH CENTRAL FLORIDA 6031 NW First Place Gainesville FL 32607 590808855 501(c)(3) 12500 0 n/a n/a program support AMERICAN HEART ASSOCIATION 3801 NW 40TH TER STE B GAINESVILLE FL 32606 135613797 501(c)(3) 17500 0 n/a n/a program support MLK COMMISSION OF FL PO BOX 2092 GAINESVILLE FL 32602 591932327 501(c)(3) 10000 0 n/a n/a program support Florida State University Foundation 325 W COLLEGE AVENUE TALLAHASSEE FL 32301 596152180 501(C)(3) 1170036 0 n/a n/a program support DANCE ALIVE 325 NW 2ND STREET GAINESVILLE FL 32601 237348157 501(C)(3) 30000 0 n/a n/a program support JUNIOR ACHIEVEMENT 3201 SW 42ND ST 3 GAINESVILLE FL 32608 591098499 501(C)(3) 30000 0 n/a n/a program support CTSI CLINICAL RESEARCH CENTER 2004 Mowry Rd Gainesville FL 32610 596002052 state of florida 15000 0 n/a n/a program support TYLER'S HOPE FOR A DYSTONIA CURE 13301 NW US HIGHWAY 441 ALACHUA FL 32615 203733312 501(C)(3) 10000 0 n/a n/a program support Haven Foundation Inc 4200 NW 90th Blvd Gainesville FL 32606 850863879 501(c(3) 10000 0 n/a n/a program support HIPPODROME STATE THEATRE 25 SE 2ND PLACE GAINESVILLE FL 32601 591590987 501(C)(3) 7500 0 n/a n/a program support ELDER CARE OF ALACHUA COUNTY INC PO BOX 100336 GAINESVILLE FL 32610 593051104 501(c)(3) 6000 0 n/a n/a program support Florida Essential Healthcare Partnerships Foundation 401 W 15TH STREET SUITE 840 Austin TX 78701 853682775 501(C)(4) 47936000 0 N/A N/A PROGRAM SUPPORT 17 1 Maren Nursing Scholarship 1 10439 0 N/A N/A Burn Garments 21 0 21586 FMV burn compression garments Bereavement 18 12599 0 N/A N/A Patient and Family assistance 28 0 25385 FMV Gift cards Patient and Family assistance 10 0 2072587 FMV medical equipment Patient and Family assistance 156 0 320446 FMV patient supplies Patient and Family assistance 899 0 400721 FMV travel/loding Pediatric recreation & diverstion 103 0 203983 FMV patient supplies - pediatric Special needs car seats 6 0 9155 FMV special needs car seats Certifications 17 12566 0 N/A N/A Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. THE ORGANIZATION HAS GRANT AGREEMENTS IN PLACE WITH GRANTEE ORGANIZATIONS. ADDITIONALLY, THE DEAN OF THE UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE PROVIDES A REPORT TO THE ORGANIZATION'S BOARD OF DIRECTORS DETAILING HOW THE FUNDS WERE SPENT. X X X false false false false false false false true false James J Kelly Jr INTERIM STHC CEO (THRU MARCH 2024) 847811 0 295100 0 154457 0 26400 0 17494 0 1341262 0 0 0 David Nelson MD Chairman/President/UF SVP Health Affairs 0 1229037 0 0 0 4812 0 32769 0 24897 0 1291515 0 0 Colleen Koch MD Director/UF College of Medicine Dean (THRU JAN 2024) 0 862292 0 173400 0 6123 0 17439 0 24055 0 1083309 0 0 Li-Ming Su MD Director/UF Dept of Urology Chairman 0 727580 0 75850 0 4812 0 29093 0 25659 0 862994 0 0 Gilbert Upchurch MD Director/UF Dept of Surgery Chair 0 871628 0 142501 0 6123 0 17444 0 25681 0 1063377 0 0 Jonathan Licht MD Director /UF Health Cancer Center Director 0 799698 0 180946 0 9600 0 17663 0 21097 0 1029004 0 0 Dana Zimmel DVM DACVIM Director/UF College of Veterinary Medicine Dean 0 405991 0 0 0 0 0 28862 0 22586 0 457439 0 0 Timothy Morey MD DIRECTOR/CHIEF MEDICAL OFFICER 0 669609 0 111972 0 4812 0 32662 0 24399 0 843454 0 0 Jennifer Hunt MD DIRECTOR/Interim Dean, UF College of Medicine 0 641154 0 54900 0 3672 0 16264 0 28901 0 744891 0 0 Taylor Jantz DIRECTOR (UF Presidential designee) / UF INTERIM SVP/CFO (BEG JULY 2023) 0 109834 0 60000 0 69180 0 14974 0 5109 0 259097 0 0 KEVIN LINTNER DIRECTOR (beg Nov 2023) 0 82248 0 57000 0 0 0 11230 0 5109 0 155587 0 0 Kevin Coleman ESQ Assistant Secretary/Senior Associate General Counsel 188217 0 0 0 7143 0 15956 0 16555 0 227871 0 0 0 Traci d'Auguste SVP/COO 622152 0 139900 0 76119 0 19800 0 19756 0 877727 0 0 0 Randall Jenkins ESQ Secretary/SVP and General Counsel 0 516665 0 41125 0 4091 0 28940 0 23016 0 613837 0 0 Lawrence McDowell ESQ Assistant Secretary/Senior Associate General Counsel 246370 0 25688 0 1344 0 22455 0 20430 0 316287 0 0 0 Robert Thornton CHIEF FINANCIAL OFFICER 488561 0 79000 0 50235 0 23100 0 25863 0 666759 0 0 0 Thomas William Young ESQ Secretary/CLO 0 355290 0 95800 0 2901 0 29109 0 27622 0 510722 0 0 Anna Michelle Brandt VP and Chief of Staff (Thru Oct 2023) 233138 0 55800 0 76879 0 21986 0 12794 0 400597 0 0 0 Cindy Charyulu-Dra VP Revenue Cycle 349078 0 69000 0 23914 0 23100 0 16637 0 481729 0 0 0 Thomas Johns Assoc VP Operations 267214 0 24588 0 1093 0 24032 0 20401 0 337328 0 0 0 Gloria Lipori SVP/CIO 489530 0 121700 0 99154 0 26400 0 21525 0 758309 0 0 0 Joseph Mandernach Chief Development Officer 0 332043 0 26200 0 2627 0 29004 0 3093 0 392967 0 0 Robert Nappo AVP Surgical Services 206834 0 20896 0 11963 0 19593 0 17886 0 277172 0 0 0 Bradley Pollitt VP Facilities Development 264710 0 67200 0 74412 0 25020 0 19969 0 451311 0 0 0 Irene Alexaitis VP and Chief Nursing officer 364730 0 72800 0 27477 0 26400 0 16499 0 507906 0 0 0 Jeffrey West VP Managed Care 319148 0 63000 0 1816 0 19800 0 15686 0 419450 0 0 0 Robert Michalski VP Compliance & Privacy 320256 0 64900 0 4310 0 19800 0 21035 0 430301 0 0 0 Nicole M Iovine MD PhD Interim Chief Quality officer 0 276234 0 11099 0 4254 0 15446 0 2014 0 309047 0 0 Edward Daech Sr VP Human Resources 395033 0 131300 0 53179 0 15782 0 21269 0 616563 0 0 0 Marvin Dewar MD JD UFP CEO/Sr Assoc Dean UF COM 514292 28661 0 0 153714 0 26400 1593 37189 0 731595 30254 0 0 JUSTIN SENIOR CEO Safety Net Hosp Alliance of FL 489317 0 94500 0 83918 0 19800 0 23493 0 711028 0 0 0 Lesli Ward VP and Chief HRO, UF Health Jacksonville 361677 0 44280 0 2589 0 26400 0 19302 0 454248 0 0 0 Heather Long CEO UF HEALTH CFH 552415 0 106900 0 1477 0 19800 0 16093 0 696685 0 0 0 Billy McCarty MD Medical Director GatorCare 333918 0 68291 0 7836 0 19800 0 21855 0 451700 0 0 0 Schedule J, Part I, Line 7 Non-fixed payments The bonus of the CEO is determined by the Executive Committee of the Board of Directors. Bonuses of other officers and key employees are paid at varying percentages of salaries. The specific percentage that each individual receives is based on level within management, goal achievement, and performance, and is determined at the discretion of each individual's leader. A ALACHUA CO HEALTH FACILITIES AUTHORITY 592442398 010685HD0 2007-03-30 220210000 2007AB- CONSTRUCT AND EQUIP FACILITY; PARTIAL REFUND OF 1996A BOND false false false B ALACHUA CO HEALTH FACILITIES AUTHORITY 592442398 010685HN8 2008-06-30 75000000 2008A- REFUND 2007C ISSUED NOV 2007 false false false C ALACHUA CO HEALTH FACILITIES AUTHORITY 592442398 000000000 2008-11-05 75000000 2008C- REFINANCE 1996B BONDS ISSUED OCT 1996 false false false D ALACHUA CO HEALTH FACILITIES AUTHORITY 592442398 000000000 2016-05-06 46600000 2016A- ADVANCE REFUND THE 2008D BONDS ISSUED NOV. 2008 false false false A 179815000 0 220210000 18084662 18995512 0 1630840 0 0 140334263 41164723 0 2009 true false true true B 25010000 0 75000000 0 0 0 0 0 0 0 75000000 0 2008 true false true true C 58125000 0 75000000 0 0 0 0 0 0 0 75000000 0 2008 true false true true D 21715000 0 46600000 0 0 0 217866 0 0 0 46382134 0 2017 false true true true A false false false false 0.0 0.0 0.0 false false true B false false false false 0.0 0.0 0.0 false false true C false false false false 0.0 0.0 0.0 false false true D false false false false 0.0 0.0 0.0 false false true A false false false true false true MERRILL LYNCH 30.7 true false false false true B false false false true true true Merrill Lynch 29.4 true false false false true C false false false true true true Compass Bank 19.9 true false false false true D false false false true false false false false true A true B true C true D true Schedule K, Part IV, Line 2c COLUMN A Issuer name: ALACHUA CO HEALTH FACILITIES AUTHORITY The calculation for computing no rebate due was performed on 03/29/2022 Schedule K, Part IV, Line 2c COLUMN B Issuer name: ALACHUA CO HEALTH FACILITIES AUTHORITY The calculation for computing no rebate due was performed on 11/05/2023 Schedule K, Part IV, Line 2c COLUMN C Issuer name: ALACHUA CO HEALTH FACILITIES AUTHORITY The calculation for computing no rebate due was performed on 11/05/2018 Schedule K, Part IV, Line 2c COLUMN D Issuer name: ALACHUA CO HEALTH FACILITIES AUTHORITY The calculation for computing no rebate due was performed on 05/06/2021 Schedule K, Part IV, Line 2c COLUMN A Issuer name: ALACHUA CO HEALTH FACILITIES AUTHORITY The calculation for computing no rebate due was performed on 10/21/2019 Schedule K, Part IV, Line 2c COLUMN B Issuer name: ALACHUA CO HEALTH FACILITIES AUTHORITY The calculation for computing no rebate due was performed on 10/22/2022 A ALACHUA CO HEALTH FACILITIES AUTHORITY 592442398 010685KF1 2014-10-22 322350732 2014A AND 2014B- CONSTRUCT AND EQUIP FACILITY false false false B ALACHUA CO HEALTH FACILITIES AUTHORITY 592442398 010685KJ3 2019-10-22 367004237 2019A&B- REFUND 2007A, 2007B, 2010A, 2012A, AND 2012B TAX-EXEMPT BONDS; CONSTRUCT AND EQUIP FACILITY false false false A 0 0 322350732 0 0 0 2667083 0 0 319683649 0 0 2017 false false true true B 19670000 0 367004237 0 0 0 2727573 0 0 175000000 189276664 0 2019 true false true true A false false false false 0.0 0.0 0.0 false false true B false false false false 0.0 0.0 0.0 false false true A false false false true false false false false true B false false false true true false false false true A true B true John Alexaitis Family member of key employee Irene Alexaitis 106754 EMPLOYEE COMPENSATION false James Kelly III Family member of officer James Kelly Jr. 45695 EMPLOYEE COMPENSATION false Vann Spray Family member of officer Traci d'Auguste 54741 EMPLOYEE COMPENSATION false Alyson Alexaitis Family member of key employee Irene Alexaitis 50393 EMPLOYEE COMPENSATION false Darnell Alexaitis Family member of key employee Irene Alexaitis 37545 EMPLOYEE COMPENSATION false X 7000 Cost X 7 94055 Cost X 2 13110 Cost X Children's toys 2 17473 Cost X Costumes 1 6800 Cost 0 false true false Schedule M, Part I Explanations of reporting method for number of contributions Food inventory - Number of Contributions Other - Children's toys Number of contributions Drugs and medical supplies - NUMBER OF CONTRIBUTIONS Other - Costumes - Number of contributions Clothing and household goods - Number of contributions Form 990, Part VI, Line 1a Delegate broad authority to a committee Pursuant to Article VI, Section 2 of the organization's Bylaws, the Executive Committee shall include the following individuals: -Chairperson of the Board -Senior Vice President for Health Affairs of the University of Florida -Dean of the College of Medicine of the University of Florida -CEO of the organization -Up to six additional board members -The President of the University of Florida, if different from the Chairperson of the Board, may elect to be a member of the Executive Committee. The Executive Committee shall have the authority to transact all business of the Board of Directors, except that it may not: -Elect or remove officers or members of the Board -Create or abolish any committees -Appoint or remove any committee members -Amend the Articles of Incorporation or the Bylaws of the organization -Modify or cause violation of any policies adopted by the Board of Directors -Approve the sale of assets of the organization having a value in excess of $5,000,000, unless specifically authorized by the Board of Directors -Incur indebtedness on behalf of the organization in a principal amount in excess of $5,000,000, unless specifically authorized by the Board of Directors -Take any action that is required by law to be taken by the full Board of Directors. Form 990, Part VI, Line 6 Classes of members or stockholders Pursuant to the organization's Bylaws, the President of the University of Florida has the right to appoint up to 20 members of the Board of Directors. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body The Corporate Bylaws state that the President of the University of Florida has the right to appoint up to 20 members of the Board of Directors as required pursuant to Sec. 1004.41(4)(b)2, Fla. Stat. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders Amendment to the Articles of Incorporation and creation of a new subsidiary requires approval by the UF Board of Trustees. Form 990, Part VI, Line 11b Review of form 990 by governing body THE ORGANIZATION USES AN EXTERNAL TAX ADVISOR TO PREPARE AND REVIEW THE FORM 990. PRIOR TO FILING, THE FORM 990 IS REVIEWED BY MANAGEMENT AND A DRAFT OF THE COMPLETE FORM 990 IS SENT TO ALL MEMBERS OF THE GOVERNING BODY FOR REVIEW AND COMMENT. Form 990, Part VI, Line 12c Conflict of interest policy Annually and as potential Conflicts of Interest arise, the compliance department receives and reviews the information disclosed by Key Staff (Board members, Officers, and Key Employees) regarding conflict of interest issues and, in cooperation with the Legal Department, determines whether disclosures made by the employees would involve conflict of interest issues and how to resolve them, pursuant to Core Policy 01.098. Form 990, Part VI, Line 15a Process to establish compensation of top management official The organization's process for establishing the compensation of the CEO is as follows. THE TOTAL COMPENSATION PACKAGE OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL WAS ESTABLISHED, APPROVED AND REVIEWED internally and presented to THE ORGANIZATION'S INDEPENDENT COMPENSATION COMMITTEE OF THE BOARD OF directors. THIS PROCESS WAS LAST UNDERTAKEN IN June 2024 AND WAS DOCUMENTED IN THE MINUTES OF THE EXECUTIVE COMPENSATION COMMITTEE MEETING. Form 990, Part VI, Line 15b Process to establish compensation of other employees THE TOTAL COMPENSATION PACKAGE OF THE ORGANIZATION'S officers and key employees WAS ESTABLISHED, APPROVED AND REVIEWED internally and presented to THE ORGANIZATION'S INDEPENDENT COMPENSATION COMMITTEE OF THE BOARD OF directors. THIS PROCESS WAS LAST UNDERTAKEN IN June 2024 AND WAS DOCUMENTED IN THE MINUTES OF THE EXECUTIVE COMPENSATION COMMITTEE MEETING. Form 990, Part VI, Line 19 Required documents available to the public The year end financial statements are available on the ufhealth.org website. The organization's conflict of interest policy and governing documents are not made available to the public. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Other - Total Revenue: 839906, Related or Exempt Function Revenue: 839906, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees Professional Medical Services - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: , Fundraising Expenses: ; Other Purchased Services - Total Expense: 42301906, Program Service Expense: 26668748, Management and General Expenses: 13326678, Fundraising Expenses: 2306480; Air and Ground Transportation - Total Expense: 10144973, Program Service Expense: 9679641, Management and General Expenses: 453155, Fundraising Expenses: 12177; Management - Total Expense: 290203, Program Service Expense: , Management and General Expenses: 290203, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances ASSETS RELEASED FROM RESTRICTIONS - 4862382; SHANDS LAKE SHORE COMMUNITY HEALTH LLC PO BOX 100336 GAINESVILLE FL 32610 272866181 Health Services FL 0 0 SHANDS TEACHING HOSPITAL AND CLINICS INC SHANDS LIVE OAK COMMUNITY HEALTH LLC PO BOX 100336 GAINESVILLE FL 32610 272867205 Health Services FL 0 0 SHANDS TEACHING HOSPITAL AND CLINICS INC SHANDS STARKE COMMUNITY HEALTH LLC PO BOX 100336 GAINESVILLE FL 32610 272867522 Health Services FL 0 0 SHANDS TEACHING HOSPITAL AND CLINICS INC SHANDS RECOVERY LLC PO BOX 100303 GAINESVILLE FL 326100303 471324600 treatment programs for drug and alcohol addiction FL 12125894 6028173 SHANDS TEACHING HOSPITAL AND CLINICS INC UF Health Shands Ocala LLC PO Box 100336 Gainesville FL 32610 Health Services FL 0 0 Shands Teaching Hospital and Clinics Inc University of Florida 226 Tigert Hall Gainesville FL 32611 596002052 Education FL NA false Shands Jacksonville HealthcareInc 655 West 8th Street Jacksonville FL 32209 592441966 SUPPORT SJMC FL 501(c)(3) Type II UF false Shands Jacksonville Medical Center Inc 655 West 8th Street Jacksonville FL 32209 592142859 MEDICAL SERVICES FL 501(c)(3) 3 SJHC false SHANDS JACKSONVILLE PROPERTIES INC 655 West 8th Street Jacksonville FL 32209 591158241 SUPPORT SJMC FL 501(c)(3) Type II SJHC false SHANDS JACKSONVILLE COMMUNITY SERVICES INC 655 West 8th Street Jacksonville FL 32209 510173761 SUPPORT SJMC FL 501(c)(3) Type II SJHC false SHANDS JACKSONVILLE FOUNDATION INC 655 West 8th Street Jacksonville FL 32209 592622323 SUPPORT SJMC FL 501(c)(3) Type II SJHC false SHANDS JACKSONVILLE AFFILIATES INC 655 West 8th Street Jacksonville FL 32209 591913819 SUPPORT SJMC FL 501(c)(3) Type I SJMC false UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS INC 653 WEST 8TH STREET Jacksonville FL 32209 591867557 SUPPORT UF COLLEGE OF MEDICINE - JACKSONVILLE FL 501(c)(3) Type I UF false Elder Care of Alachua County Inc PO Box 100336 Gainesville FL 32610 593051104 Services for the Elderly FL 501(c)(3) 7 STHC true Shands Lake Shore Inc PO Box 100336 Gainesville FL 32610 592699965 Health Care FL 501(c)(3) 3 STHC true Southeastern Healthcare Foundation PO Box 100336 Gainesville FL 32610 592357609 Hospital Support FL 501(c)(3) Type II STHC true Shands Auxiliary Inc PO Box 100336 Gainesville FL 32610 593551267 Hospital Support FL 501(c)(3) Type I SEHF true Central Florida Health Inc dba UF Health Central Florida 600 EAST DIXIE AVENUE Leesburg FL 34748 331197054 SUPPORT STHC, UFHL, AND UFSP FL 501(c)(3) Type II STHC true Leesburg Regional Medical Center Inc dba UF Health Leesburg Hospital 600 EAST DIXIE AVENUE LEESBURG FL 34748 590878982 MEDICAL SERVICES FL 501(c)(3) 3 UFHCF true The Villages Tri-County Medical Center Inc dba UF Health The Villages Hospi tal 1451 EL CAMINO REAL THE VILLAGES FL 32159 593527036 MEDICAL SERVICES FL 501(c)(3) 3 UFHCF true Leesburg Regional Medical Center Foundation Inc dba UF Health Leesburg Hosp ital Foundation 600 EAST DIXIE AVENUE LEESBURG FL 34748 591800743 SUPPORT UFHL FL 501(c)(3) Type I UFHL true The Villages Regional Hospital Auxiliary Foundation Inc dba UF Health The V illages Hospital Auxiliary Foundation 1501 N US Highway 441 Suite 182 THE VILLAGES FL 32159 550818419 SUPPORT UFSP FL 501(c)(3) Type I UFSP true FACULTY CLINIC INC PO BOX 44008 Jacksonville FL 32231 592856153 SUPPORT UF JAX PHYSICIANS FL 501(c)(3) Type I UF false University of Florida Foundation Inc PO Box 14425 Gainesville FL 326042425 590974739 Support the University of Florida FL 501(c)(3) 7 UF false University of Florida Investment Corporation (UFICO) 4510 NW 6th Place 2nd Floor Gainesville FL 32607 201226494 Investment Management FL 501(c)(3) Type I UF false 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 501(c)(3) Type I UF false Florida Clinical Practice Association Inc PO Box 100205 Gainesville FL 326100205 591680273 Enhance medical education and research at the University of Florida FL 501(c)(3) Type I UF false GatorCare Health Management Corporation 1329 SW 16th Street Gainesville FL 32610 461185106 Self-Insured Health Ins Plan FL 501(c)(3) Type I UF false University of Florida Medical Guild of Gainesville Inc PO Box 100215 Gainesville FL 32610 510153878 Support UF FL 501(c)(3) 10 UF false FLAGLER HOSPITAL INC 400 HEALTH PARK BLVD ST AUGUSTINE FL 32086 590675143 MEDICAL SERVICES FL 501(c)(3) 3 STHC true FLAGLER HOME CARE LLC 301 HEALTH PARK BLVD STE 327 ST AUGUSTINE FL 32086 821562462 HOME CARE SERVICES FL 501(c)(3) 10 FLAGLER HOSPITAL true FLAGLER HEALTH CARE FOUNDATION INC 400 HEALTH PARK BLVD ST AUGUSTINE FL 32086 592440537 HOSPITAL SUPPORT FL 501(c)(3) Type I FLAGLER HOSPITAL true UF Health South Central LLC PO Box 100336 Gainesville FL 32610 814845198 Health Services Joint Venture FL STHC Related 379022 4710007 false true 0.5 Florida Global Fixed Income Fund LLC (co UFICO) 800 SW 2nd Ave Gainesville FL 32601 020277004 Investments FL UFICO Excluded -19151628 221417252 false false 0.8046 Care Delivery Alliance LLC 600 EAST DIXIE AVENUE LEESBURG FL 34748 473889954 physician-hospital organization FL NA N/A false false Central Florida Cardiovascular Co-Management Company LLC 600 East Dixie Avenue Leesburg FL 34748 270781065 HEALTHCARE FL NA N/A false false CF MANAGEMENT ADMINISTRATIVE COMPANY LLC 30 TURIN TERRACE ST AUGUSTINE FL 32092 843559295 HEALTHCARE FL NA N/A false false SOUTHERN HOSPITAL SYSTEMS INC PO BOX 100336 JACKSONVILLE FL 32209 591930524 SUPPORT FOR SHANDS JACKSONVILLE MEDICAL CENTER, INC. 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