SHANDS JACKSONVILLE MEDICAL CENTER INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: SHANDS JACKSONVILLE MEDICAL CENTER INC (EIN 59-2142859)
Tax period: 2020-07-01 to 2021-06-30
Filed: 2022-05-16
IRS object ID: 202221369349309892
Schema version: 2020v4.0
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 K
Schedule O
Schedule R
Affiliated Group Schedule

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-05-16T14:04:33-05:00	ReturnTs
Tax Period End	2021-06-30	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	225 West Wacker Drive Suite 2600	AddressLine1Txt
City	Chicago	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	606061224	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-07-01	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	Dean C Cocchi	PersonNm
Person Title	Chief Financial Officer	PersonTitleTxt
Signature	2022-05-16	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	Dean C	PersonFirstNm
Person Last	Cocchi	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MALLORY FAIRLESS	PreparerPersonNm
PTIN	P01321579	PTIN
Phone	3128997000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	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	Russell Armistead CEO beginning Aug 2021	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	$894,154,627	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	5	VotingMembersIndependentCnt
Total Employee	5951	TotalEmployeeCnt
Total Volunteers	238	TotalVolunteersCnt
Total Gross UBI	$82,593	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$23,696,942	PYContributionsGrantsAmt
CY Contributions Grants	$76,124,567	CYContributionsGrantsAmt
PY Program Service Revenue	$841,754,379	PYProgramServiceRevenueAmt
CY Program Service Revenue	$807,692,433	CYProgramServiceRevenueAmt
PY Investment Income	$575,393	PYInvestmentIncomeAmt
CY Investment Income	$1,670,863	CYInvestmentIncomeAmt
PY Other Revenue	$5,976,695	PYOtherRevenueAmt
CY Other Revenue	$8,878,612	CYOtherRevenueAmt
PY Total Revenue	$872,003,409	PYTotalRevenueAmt
CY Total Revenue	$894,366,475	CYTotalRevenueAmt
PY Grants And Similar Paid	$37,702,291	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$40,241,052	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$341,366,271	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$374,115,448	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$488,122,779	PYOtherExpensesAmt
CY Other Expenses	$409,958,167	CYOtherExpensesAmt
PY Total Expenses	$867,191,341	PYTotalExpensesAmt
CY Total Expenses	$824,314,667	CYTotalExpensesAmt
PY Revenues Less Expenses	$4,812,068	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$70,051,808	CYRevenuesLessExpensesAmt
Total Assets BOY	$664,920,656	TotalAssetsBOYAmt
Total Assets EOY	$750,537,278	TotalAssetsEOYAmt
Total Liabilities BOY	$457,236,321	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$475,423,266	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$207,684,335	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$275,114,012	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	$641,274,666	ExpenseAmt
Grant	$40,241,052	GrantAmt
Revenue	$812,932,044	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	$641,274,666	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	false	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	Yes (true)	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	78	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	5951	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	Yes (true)	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	5	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	false	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
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 (27 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
David R Nelson
Chairman / SVP for Health Affairs at Univ of FL	2.0	48.0	Yes (X)	Yes (X)	$0	$1,095,464	$30,325
Leon L Haley Jr MD
CEO / Dean of Univ of FL College of Medicine	20.0	30.0	Yes (X)	Yes (X)	$0	$1,042,641	$34,000
Audrey Moran Esq
Director	2.0	2.0	Yes (X)		$0	$0	$0
Chandana Lall MD
Director / Professor of Radiology at Univ of FL	2.0	48.0	Yes (X)		$0	$706,235	$24,389
David Mann
Director	0.5	0.5	Yes (X)		$0	$0	$0
Kelly Gray-Eurom MD
Director / Chief Quality Officer	2.0	48.0	Yes (X)		$0	$420,554	$36,777
Kendall Spencer
Director	0.5	0.5	Yes (X)		$0	$0	$0
Marsha Powers
Director	0.5	0.5	Yes (X)		$0	$0	$0
Michelle M Boynton
Director	0.5	0.5	Yes (X)		$0	$0	$0
Dean Cocchi
Treasurer / CFO	47.5	2.5		Yes (X)	$461,004	$0	$34,042
Jon DeBardeleben
Asst. Secretary / VP Senior Counsel	47.5	2.5		Yes (X)	$281,874	$0	$24,556
Patricia Rausch
Assistant Treasurer / Controller	49.5	0.5		Yes (X)	$217,577	$0	$20,381
Randall C Jenkins
Secretary / SVP of General Council of Univ of FL	5.0	45.0		Yes (X)	$0	$497,302	$47,819
Robert Templin
Asst. Secretary	49.5	0.5		Yes (X)	$184,323	$0	$28,126
Ann-Marie Knight
VP Comm Engage (Chief Diversity Officer)	50.0	0			$229,120	$0	$19,598	Yes (X)
David Vukich MD
CMO / Dean for Hospital Affairs of Univ of FL	2.0	48.0			$0	$515,702	$59,337	Yes (X)
Gregory Miller
EVP COO	40.0	8.0			$645,339	$0	$28,295	Yes (X)
Lesli A Ward
VP Chief HRO	48.0	2.0			$0	$323,746	$34,721	Yes (X)
Patrice Jones
VP Chief Nursing Officer	48.0	0			$376,223	$0	$17,799	Yes (X)
Rita James
VP of Ambulatory Services	2.0	48.0			$0	$211,745	$31,314	Yes (X)
Thanh Hogan
VP Clinical Operations	48.0	0			$356,057	$0	$20,215	Yes (X)
Wayne A Marshall
VP UFH North	48.0	0			$355,988	$0	$34,006	Yes (X)
Cynthia Gerdick
VP Assoc Nursing	48.0	0			$210,361	$0	$11,810		Yes (X)
Jun Santos
Registered Nurse	40.0	0			$221,674	$0	$30,212		Yes (X)
Robert Hervey
Dir of Support Services	48.0	0			$253,976	$0	$32,373		Yes (X)
Robert Phillips
Dir Div Information Technology	48.0	0			$223,185	$0	$22,564		Yes (X)
Steven L Wylie
Dir Business Development	48.0	0			$228,758	$0	$25,440		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,245,459	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,813,389	TotReportableCompRltdOrgAmt
Total Other Compensation	$648,099	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	383	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	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
UF PR HOUSESTAFF
653-1 West 8th Street	JACKSONVILLE	FL	32209	MEDICAL STAFFING SERVICES	$24,160,963
SODEXO INC & AFFILIATES
PO BOX 360170	PITTSBURGH	PA	152516170	FOOD SERVICES	$12,204,035
CROTHALL HEALTHCARE FKA PROFESSIONAL SERVICES
13028 COLLECTION CENTER DRIVE	CHICAGO	IL	60693	HOUSEKEEPING AND OTHER MANAGEMENT SERVICES	$6,820,310
MORRISONS MANAGEMENT SPECIALISTS
PO BOX 102289	ATLANTA	GA	303682289	FOOD SERVICES	$6,657,808
SOUND PHYSICIANS OF FLORIDA II
PO BOX 742936	LOS ANGELES	CA	90074	MEDICAL STAFFING SERVICES	$5,975,744

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	96	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$2,685	FederatedCampaignsAmt
Related Organizations	$276,986	RelatedOrganizationsAmt
Government Grants	$74,012,552	GovernmentGrantsAmt
All Other Contributions	$1,832,344	AllOtherContributionsAmt
Total Contributions	$76,124,567	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE	622110	$806,856,457	$806,856,457
Ancillary and Contract Services	622110	$835,976	$835,976

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	$807,692,433	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,873,567	TotalRevenueColumnAmt
Exclusion	$1,873,567	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,838,397	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$2,838,397	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,838,397	TotalRevenueColumnAmt
Exclusion	$2,838,397	ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$202,704	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	-$202,704	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$202,704	TotalRevenueColumnAmt
Exclusion	-$202,704	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$632,097	GrossSalesOfInventoryAmt
Cost Of Goods Sold	-$414,552	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$217,545	TotalRevenueColumnAmt
Exclusion	$217,545	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
LABORATORY REVENUE	621500	$82,593	$82,593
Affiliate IT Services	900099	$1,815,900		$1,815,900
PARKING REVENUE	812930	$500,466			$500,466

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,423,711	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,423,711	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$5,822,670	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$894,366,475	TotalRevenueColumnAmt
Related Or Exempt Func Income	$812,932,044	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$82,593	UnrelatedBusinessRevenueAmt
Exclusion	$5,227,271	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	$40,241,052	TotalAmt
Program Services	$40,241,052	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,117,263	TotalAmt
Management And General	$3,117,263	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$297,069,559	TotalAmt
Program Services	$240,388,068	ProgramServicesAmt
Management And General	$56,681,491	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$11,061,580	TotalAmt
Program Services	$10,906,712	ProgramServicesAmt
Management And General	$154,868	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$40,768,554	TotalAmt
Program Services	$40,466,431	ProgramServicesAmt
Management And General	$302,123	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$22,098,492	TotalAmt
Program Services	$17,709,500	ProgramServicesAmt
Management And General	$4,388,992	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$304,901	TotalAmt
Program Services	$12,644	ProgramServicesAmt
Management And General	$292,257	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$212,500	TotalAmt
Management And General	$212,500	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$93,220	TotalAmt
Management And General	$93,220	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$123,509,251	TotalAmt
Program Services	$38,657,646	ProgramServicesAmt
Management And General	$84,851,605	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,710,467	TotalAmt
Program Services	$2,710,467	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,303,613	TotalAmt
Program Services	$3,033,848	ProgramServicesAmt
Management And General	$2,269,765	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$11,340,865	TotalAmt
Program Services	$7,711,788	ProgramServicesAmt
Management And General	$3,629,077	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$42,420,436	TotalAmt
Program Services	$28,845,896	ProgramServicesAmt
Management And General	$13,574,540	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$267,003	TotalAmt
Program Services	$225,599	ProgramServicesAmt
Management And General	$41,404	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$292,689	TotalAmt
Program Services	$212,580	ProgramServicesAmt
Management And General	$80,109	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$7,100,395	TotalAmt
Program Services	$4,828,268	ProgramServicesAmt
Management And General	$2,272,127	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$31,678,767	TotalAmt
Program Services	$21,541,561	ProgramServicesAmt
Management And General	$10,137,206	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,923,043	TotalAmt
Program Services	$3,719,132	ProgramServicesAmt
Management And General	$203,911	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
AHCA ASSESSMENT	$7,296,248	$7,296,248
MEDICAL SUPPLIES	$172,282,482	$171,833,009	$449,473
Postage and Courier	$300,677	$74,752	$225,925
RECRUITING EXPENSE	$254,774	$253,284	$1,490

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$666,836	TotalAmt
Program Services	$606,181	ProgramServicesAmt
Management And General	$60,655	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$824,314,667	TotalAmt
Program Services	$641,274,666	ProgramServicesAmt
Management And General	$183,040,001	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$152,570,111	BOYAmt
EOY	$150,525,812	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$32,257,956	BOYAmt
EOY	$80,677,077	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$10,163,107	BOYAmt
EOY	$9,456,598	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$107,616,839	BOYAmt
EOY	$125,685,896	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	$18,538,838	BOYAmt
EOY	$18,233,027	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,981,977	BOYAmt
EOY	$2,876,872	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$694,438,417	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$460,164,829	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$211,175,195	BOYAmt
EOY	$234,273,588	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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$129,616,633	BOYAmt
EOY	$128,808,408	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$664,920,656	BOYAmt
EOY	$750,537,278	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$142,273,954	BOYAmt
EOY	$170,923,764	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$1,858,438	BOYAmt
EOY	$5,541,115	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$212,388,548	BOYAmt
EOY	$204,540,011	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	$15,939,812	BOYAmt
EOY	$13,588,482	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$84,775,569	BOYAmt
EOY	$80,829,894	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$457,236,321	BOYAmt
EOY	$475,423,266	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	$204,064,983	BOYAmt
EOY	$271,544,660	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,619,352	BOYAmt
EOY	$3,569,352	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$207,684,335	BOYAmt
EOY	$275,114,012	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$664,920,656	BOYAmt
EOY	$750,537,278	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$70,051,808	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$2,622,132	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$0	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	$93,220	FilingOrganizationsTotalAmt
Affiliated Group Total	$93,220	AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$93,220	FilingOrganizationsTotalAmt
Affiliated Group Total	$93,220	AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$641,194,243	FilingOrganizationsTotalAmt
Affiliated Group Total	$644,780,696	AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$641,287,463	FilingOrganizationsTotalAmt
Affiliated Group Total	$644,873,916	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	$70,978	CurrentYearMinus3Amt
Current Year Minus2	$92,319	CurrentYearMinus2Amt
Current Year Minus1	$107,823	CurrentYearMinus1Amt
Current Year	$93,220	CurrentYearAmt
Total	$364,340	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	$4,541,933	OtherCostOrOtherBasisAmt
Book Value	$4,541,933	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$365,160,814	OtherCostOrOtherBasisAmt
Depreciation	$218,126,466	DepreciationAmt
Book Value	$147,034,348	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,579,589	OtherCostOrOtherBasisAmt
Depreciation	$1,392,572	DepreciationAmt
Book Value	$187,017	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$298,907,129	OtherCostOrOtherBasisAmt
Depreciation	$240,645,791	DepreciationAmt
Book Value	$58,261,338	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$24,248,952	OtherCostOrOtherBasisAmt
Book Value	$24,248,952	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$234,273,588	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
DEPOSITS AND OTHER	$16,034,450
DUE FROM AFFILIATES	$112,773,958

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$128,808,408	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
3RD PARTY SETTLEMENT	$52,972,522
OTHER LIABILITIES	$14,122,692
NOTES PAYABLE TO STHC	$425,043
Pension Expense per GASB 75	-$7,880,515
Long Term Medicare Advance	$21,190,152

Field	Value	IRS element (for citing)
Total Liability	$80,829,894	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	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,952,316	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$23,952,316	NetCommunityBenefitExpnsAmt
Total Expense	0.0291	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

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

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$66,618,192	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$30,275,594	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$36,342,598	NetCommunityBenefitExpnsAmt
Total Expense	0.0441	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	$90,570,508	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$30,275,594	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$60,294,914	NetCommunityBenefitExpnsAmt
Total Expense	0.0731	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$376,990	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$376,990	NetCommunityBenefitExpnsAmt
Total Expense	0.0005	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$49,492,162	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,582,239	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$24,909,923	NetCommunityBenefitExpnsAmt
Total Expense	0.0302	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

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

Research ResearchGrp

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

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
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	$49,869,152	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,582,239	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$25,286,913	NetCommunityBenefitExpnsAmt
Total Expense	0.0307	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$140,439,660	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$54,857,833	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$85,581,827	NetCommunityBenefitExpnsAmt
Total Expense	0.1038	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)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	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)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
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	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	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	$143,005,704	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$129,206,512	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$13,799,192	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	18	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	https://ufhealthjax.org/community/community-health-needs-assessment.aspx	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://ufhealthjax.org/community/community-health-needs-assessment.aspx	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	HTTP://UFHEALTHJAX.ORG/PATIENT-CARE/FINANCIAL-ASSISTANCE.ASPX	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTP://UFHEALTHJAX.ORG/PATIENT-CARE/FINANCIAL-ASSISTANCE.ASPX	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTP://UFHEALTHJAX.ORG/PATIENT-CARE/FINANCIAL-ASSISTANCE.ASPX	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	Once the significant health needs were identified, this list was prioritized for implementation planning and strategizing. To prioritize the significant needs, 68 community members engaged in three rounds of voting and discussion on May 17, 2018. In the first round, prioritization participants had three votes; in the second round, two; and in the third and final round, one. Prioritization participants were asked to consider how each significant need fared against four criteria: 1. Importance of the problem to the community 2. Opportunity to impact multiple problems 3. Opportunity to intervene at a prevention level 4. Ability to address disparities As a part of the prioritization session, participants were presented findings from the primary and secondary data for each significant health need identified. After each round of voting, participants discussed results and eliminated health topics with no votes or the lowest number of votes.
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 informant interviews conducted by phone by HCI, (2) focus group discussions facilitated by HCI and the Partnership, and (3) a community survey distributed through online and on paper submissions. Twenty-nine key informant interviews were conducted by phone from March 13, 2018, through April 23, 2018. Participants were selected for their knowledge about community health needs, barriers, strengths and opportunities, including the needs of vulnerable and underserved populations as required by IRS regulations. People with public health expertise; the ability to speak on the needs of low-income, underserved, or minority populations; and the ability to speak on the broad interests of the community were asked to participate in key informant interviews. Of the 29 key informant interviews conducted, 21 interviews were with community experts who either served or represented underserved communities. Twenty-two focus groups with a total of 212 participants were facilitated by HCI or by the Partnership from March 28 through April 25, 2018. Participants were selected for their knowledge about community health needs and barriers. The focus groups were split almost evenly into two categories: (1) focus groups of hospital staff associated with UF Health Jacksonville and UF Health North, and (2) focus groups of community members with wide backgrounds, including persons with disabilities, veterans, persons of limited income, communities of color, faith communities, and more. Of the 22 focus groups conducted, 10 of the focus groups included community members of underserved communities or community advocates for underserved communities. The community survey was primarily distributed online through SurveyMonkey from March 26 through April 16, 2018. The survey was also made available on paper, though paper distribution was limited. The survey elicited responses from 697 community members in Duval County. The survey was a convenience sample survey, and thus the results are not representative of the community population as a whole. Another limitation is that the survey was only made available in English. Survey respondents were asked about their views on the community's health needs, barriers and most impacted populations. Secondary data used for this assessment were collected and analyzed from HCI's community indicator database. The database, maintained by researchers and analysts at HCI, includes over 150 community indicators from 29 state and national data sources, such as the Florida Department of Health, Florida Behavioral Risk Factor Surveillance System and American Community Survey. HCI carefully evaluates sources based on the following three criteria: (1) the source has a validated methodology for data collection and analysis, (2) the source has scheduled, regular publication of findings, and (3) the source has data values for small geographic areas, such as counties and postal codes that are available for all county-level locations in Florida or the United States, as appropriate per the source's geographic area of coverage.
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 Baptist Health, Brooks Rehabilitation, Clay County Health Department, Duval County Health Department, Mayo Clinic, Nassau County Health Department, Putnam County Health Department, St. Vincent's HealthCare, and Wolfson Children's Hospital, which came together and formed the Jacksonville Metropolitan Community Benefit 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 Clay County Health Department, Duval County Health Department, Nassau County Health Department and Putnam County Health Department.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - Shands Jacksonville Medical Center, Inc.. BEHAVIORAL HEALTH Mental Health First Aid - Mental Health First Aid, or MHFA, is an evidenced-based training to give non-mental health professionals practical training on how to identify, communicate with and connect people suffering with mental health issues to local resources. The training teaches the skills needed to reach out and provide initial help and support to someone who may be developing a mental health or substance use problem or experiencing a crisis. CANCER 1. Tobacco Cessation Program - This program provides education about health promoting behaviors, assists with food insecurity and provides job training resources. The program is offered through the Total Care Clinic, which provides comprehensive care to underserved and uninsured Jacksonville community members. 2. Employee Smoking Cessation Program - This program's purpose is to help employees, spouses and dependents over 18 stop smoking by providing resources, free cessation counseling and prescription medication consultations. While focused on employees, this education benefits the community at large, as households in the community enhance their understanding of smoking related risks and understand better how to stop smoking. 3. Big Step - This program is a four-week smoking cessation program open to the public. Some topics include yoga, relaxation and meditation as aids to smoking cessation. 4. Smoke-Free UF Health - UF Health Jacksonville will maintain all of its facilities as smoke-free. POVERTY Humana Health-Smart - This program provides education about health promoting behaviors, assists with food insecurity, and provides job training resources. VULNERABLE POPULATIONS 1. Humana Health-Smart - Program provides education about health promoting behaviors, assists with food insecurity and provides job training resources to low-income, minority seniors. 2. HIV Telemedicine Project - Program provides access to specialty care for persons living with HIV. 3. Epilepsy Wellness Center Support Group - A monthly support group for seizure/epilepsy patients, caregivers and the community. 4. Comprehensive Multiple Sclerosis Program - Program provides educational sessions, financial assistance, medical coverage coordination and support groups for caregivers, patients and the community. OBESITY & PHYSICAL ACTIVITY Diabetes Rapid Access Program - This program provides diabetes self-management education thus enabling community members with skills to self-manage their 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. MATERNAL, FETAL & INFANT 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 Jacksonville 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. 3. Nurse Family Partnership - Evidence-based program that provides nurse-led, prenatal case management, infant health and development home visitation until child turns two. 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. NEEDS UF HEALTH JACKSONVILLE WILL NOT ADDRESS No entity can address all of the health needs present in its community. UF Health Jacksonville 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 ACCESS health priority that was identified in the 2018 Community Health Needs Assessment. UF Health Jacksonville 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. UF Health Jacksonville 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.

Field	Value	IRS element (for citing)
Facility	9	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
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

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 6a Community benefit report prepared by related organization	Shands Teaching Hospitals and Clinics
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 in part I, line 7. A direct cost methodology was used for all other amounts.
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. 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 2021 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.
Schedule H, Part V, Section B, Line 16a FAP website	- SHANDS JACKSONVILLE MEDICAL CENTER, INC.: Line 16a URL: HTTP://UFHEALTHJAX.ORG/PATIENT-CARE/FINANCIAL-ASSISTANCE.ASPX;
Schedule H, Part V, Section B, Line 16b FAP Application website	- SHANDS JACKSONVILLE MEDICAL CENTER, INC.: Line 16b URL: HTTP://UFHEALTHJAX.ORG/PATIENT-CARE/FINANCIAL-ASSISTANCE.ASPX;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- SHANDS JACKSONVILLE MEDICAL CENTER, INC.: Line 16c URL: HTTP://UFHEALTHJAX.ORG/PATIENT-CARE/FINANCIAL-ASSISTANCE.ASPX;
Schedule H, Part VI, Line 2 Needs assessment	Community benefit is a planned, managed, organized , and measured approach to a health care organization's participation in meeting identified community health needs. It implies collaboration with a "community" to "benefit" its residents, particularly the poor and undeserved groups, by improving health status and quality of life. Community Benefits projects and services are identified by health care organizations in response to findings of a community heath assessment, strategic and/or clinical priorities, and partner areas of attention. Community benefit categories include financial assistance, community health services, health professions education, research and donations. SJMC has a long history of providing community benefits and has quantified those benefits using national guidelines developed by the Catholic Health Association in collaboration with the Voluntary Hospital Association. IN RESPONSE TO THE COVID-19 PANDEMIC, UF HEALTH JACKSONVILE ACTIVATED ITS COMMAND CENTER TO MANAGE OPERATIONS AND COMMUNICATIONS. THE HOSPITAL RESPONDED QUICKLY TO COMMUNITY HEALTH NEEDS RELATED TO COVID-19, ADMITTING ITS FIRST PATIENT WITH COVID-19 IN MARCH 2020. ELECTIVE PROCEDURES WERE HALTED IN THE EARLY MONTHS OF THE PANDEMIC IN ORDER TO PROTECT PATIENTS AND PROVIDERS. CERTAIN PROCEDURES, SUCH AS NON-EMERGENCY APPOINTMENTS WERE MOVED TO A TELEMEDICINE PLATFORM TO FURTHER SAFEGUARD AGAINST THE SPREAD OF COVID-19. THE HOSPITAL PRIORITIZED THE COLLECTION AND DISTRIBUTION OF MASKS AND OTHER PERSONAL PROTECTIVE EQUIPMENT TO FRONTLINE WORKERS, TO ENSURE THAT FRONTLINE HEALTH CARE PERSONNEL WOULD HAVE THE EQUIPMENT NEEDED TO STAY SAFE AND TO PROVIDE THE BEST POSSIBLE CARE TO PATIENTS.
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	This hospital serves Duval County, Florida and other nearby locations. According to the U.S. Census Bureau's 2016 population estimates, the hospital's service area had a population of 926,255. Residents of 32202, 32206, 32208, 32209, 32211, 32212, 32227, 32234 and 32254 have the highest socioeconomic need of all ZIP codes within the service area, based on indicators of income, poverty, unemployment, occupation, educational attainment, and linguistic barriers.
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.
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
UNIVERISTY OF FLORIDA JACKSONVILLE PHYSICIANS INC
653 WEST 8TH STREET	JACKSONVILLE	FL	32209	591867557	501(C)(3)	$39,387,953	$0	N/A	N/A	GENERAL SUPPORT
WOLFSON CHILDREN'S HOSPITAL
800 PRUDENTIAL DRIVE	JACKSONVILLE	FL	32207	591452787	501(C)(3)	$705,443	$0	N/A	N/A	GENERAL SUPPORT
Shands Jacksonville Foundation
655 WEST 8TH STREET	Jacksonville	FL	32209	592622323	501(C)(3)	$85,000	$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)
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 (22 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
Leon L Haley Jr MD
CEO / Dean of Univ of FL College of Medicine	$0	$925,329	$0	$112,500	$0	$4,812	$0	$14,949	$0	$19,051	$0	$1,076,641	$0	$0
David R Nelson
Chairman / SVP for Health Affairs at Univ of FL	$0	$1,064,652	$0	$26,000	$0	$4,812	$0	$9,406	$0	$20,919	$0	$1,125,789	$0	$0
Kelly Gray-Eurom MD
Director / Chief Quality Officer	$0	$399,527	$0	$17,355	$0	$3,672	$0	$15,924	$0	$20,853	$0	$457,331	$0	$0
Chandana Lall MD
Director / Professor of Radiology at Univ of FL	$0	$594,898	$0	$100,000	$0	$11,337	$0	$15,083	$0	$9,306	$0	$730,624	$0	$0
Dean Cocchi
Treasurer / CFO	$384,455	$0	$56,250	$0	$20,299	$0	$16,868	$0	$17,174	$0	$495,046	$0	$0	$0
Jon DeBardeleben
Asst. Secretary / VP Senior Counsel	$222,646	$0	$20,340	$0	$38,888	$0	$13,316	$0	$11,240	$0	$306,430	$0	$0	$0
Randall C Jenkins
Secretary / SVP of General Council of Univ of FL	$0	$493,632	$0	$0	$0	$3,670	$0	$26,032	$0	$21,787	$0	$545,121	$0	$0
Patricia Rausch
Assistant Treasurer / Controller	$178,660	$0	$10,774	$0	$28,143	$0	$13,223	$0	$7,158	$0	$237,958	$0	$0	$0
Robert Templin
Asst. Secretary	$182,932	$0	$0	$0	$1,391	$0	$11,205	$0	$16,921	$0	$212,449	$0	$0	$0
Thanh Hogan
VP Clinical Operations	$260,320	$0	$30,600	$0	$65,137	$0	$14,129	$0	$6,086	$0	$376,272	$0	$0	$0
Rita James
VP of Ambulatory Services	$0	$201,745	$0	$10,000	$0	$0	$0	$6,242	$0	$25,072	$0	$243,059	$0	$0
Patrice Jones
VP Chief Nursing Officer	$327,170	$0	$38,160	$0	$10,893	$0	$16,904	$0	$895	$0	$394,022	$0	$0	$0
Ann-Marie Knight
VP Comm Engage (Chief Diversity Officer)	$200,063	$0	$17,550	$0	$11,507	$0	$5,495	$0	$14,103	$0	$248,718	$0	$0	$0
Wayne A Marshall
VP UFH North	$271,005	$0	$31,800	$0	$53,183	$0	$16,948	$0	$17,058	$0	$389,994	$0	$0	$0
Gregory Miller
EVP COO	$472,997	$0	$70,350	$0	$101,992	$0	$16,793	$0	$11,502	$0	$673,634	$0	$0	$0
David Vukich MD
CMO / Dean for Hospital Affairs of Univ of FL	$0	$498,942	$0	$5,000	$0	$11,760	$0	$37,914	$0	$21,423	$0	$575,039	$0	$0
Lesli A Ward
VP Chief HRO	$0	$286,461	$0	$25,470	$0	$11,815	$0	$22,800	$0	$11,921	$0	$358,467	$0	$0
Cynthia Gerdick
VP Assoc Nursing	$188,524	$0	$11,149	$0	$10,688	$0	$10,798	$0	$1,012	$0	$222,171	$0	$0	$0
Robert Hervey
Dir of Support Services	$214,946	$0	$12,922	$0	$26,108	$0	$15,374	$0	$16,999	$0	$286,349	$0	$0	$0
Robert Phillips
Dir Div Information Technology	$194,834	$0	$11,649	$0	$16,702	$0	$11,099	$0	$11,465	$0	$245,749	$0	$0	$0
Jun Santos
Registered Nurse	$191,536	$0	$14,730	$0	$15,408	$0	$13,483	$0	$16,729	$0	$251,886	$0	$0	$0
Steven L Wylie
Dir Business Development	$214,905	$0	$12,859	$0	$994	$0	$12,170	$0	$13,270	$0	$254,198	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation

Leon L. Haley, Jr, MD, CEO of SJMC, is paid by the University of Florida, a related organization. In accordance with the organization's bylaws, the compensation committee of Shands Jacksonville Medical Center has the power and authority to review and approve CEO compensation annually. The following methods are utilized in reviewing compensation of the top management official: -Approval by the compensation committee -Independent compensation consultant -Form 990 of other organizations -Compensation study

Schedule J, Part I, Line 7 Non-fixed payments

In order to recruit and retain key talent, SJMC offers short and long term incentive plans for certain employees listed in Part VII, section A, line 1A. For calendar year 2020, the incentive plans were targeted in the areas of financial performance, clinical quality, and employee and patient satisfaction.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 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	34061QAJ6	2013-11-21	$63,606,897	2013A Refund 2005 & 2008 Bonds and Capital Financing	false	false	false
Florida Development Finance Corporation
B	593270584	34061QAK3	2013-11-21	$59,405,000	2013B Refund Series 2005 & 2008 Bonds	false	false	false
City of Jacksonville Florida
C	596000344	000000000	2015-06-29	$20,000,000	2015 Capital Financing	false	false	false
Florida Development Finance Corporation
D	593270584	34061QAL1	2015-12-10	$87,267,800	2015 Capital Financing of North Campus	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 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	$7,540,000	$0	$63,612,989	$6,430,092	$0	$0	$1,097,897	$0	$0	$34,000,000	$22,085,000	$0	2013	Yes (true)	false	Yes (true)	Yes (true)
B	$23,120,000	$0	$59,405,000	$0	$0	$0	$680,000	$0	$0	$0	$58,725,000	$0	2013	Yes (true)	false	Yes (true)	Yes (true)
C	$11,154,990	$0	$20,000,000	$0	$0	$0	$50,000	$0	$0	$19,950,000	$0	$0	2015	false	false	Yes (true)	Yes (true)
D	$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)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	false	false	false	false	false
B	false	Yes (true)	false	false	false	false	false
C	false	false	false	false	false	false	false
D	false	false	false	false	false	false	false

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 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	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd
(no name)
A	Yes (true)	false	false	false	false	false	false	false	false
(no name)
B	Yes (true)	false	false	false	Yes (true)	false	false	false	false
Compass Bank
C	false	Yes (true)	false	Yes (true)	Yes (true)	Yes (true)	false	false	false	10.0	false	false
Bank of America Merrill Lynch
D	false	Yes (true)	false	Yes (true)	false	Yes (true)	false	false	false	5.0	false	false

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail (4 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 II, Line 3 2013A Bond	Total proceeds of the 2013 bond issue reported on Schedule K Part II Line 3 exceed the issue price reported on Schedule K Part I Col (e) due to earnings on the reserve fund.
Schedule K, Part IV, Line 2c COLUMN C	Issuer name: City of Jacksonville Florida The calculation for computing no rebate due was performed on 06/29/2020
Schedule K, Part IV, Line 2c COLUMN D	Issuer name: Florida Development Finance Corporation The calculation for computing no rebate due was performed on 12/10/2020

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	Florida Development Finance Corporation	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	593270584	BondIssuerEIN
CUSIP	000000000	CUSIPNum
Bond Issued	2019-09-20	BondIssuedDt
Issue Price	$20,000,000	IssuePriceAmt
Purpose	2019 Capital Financing	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$3,362,000	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$20,000,000	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$279,205	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$19,720,795	CapitalExpendituresAmt
Other Spent Proceeds	$0	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Substantial Completion	2019	SubstantialCompletionYr
Refunding Tax Exempt Bonds	false	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	false	RefundingTaxableBondsInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	false	MgmtContractBondFincdPropInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0.0	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.0	PrivateBusConcerningUBIPct
Total Private Business Use	0.0	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	false	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	Yes (true)	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	false	NoRebateDueInd
Variable Rate Issue	Yes (true)	VariableRateIssueInd
Hedge Identified In Bks And Rec	Yes (true)	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	Banco Bilbao Viscaya Argentaria SA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Term Of Hedge	10.0	TermOfHedgePct
Superintegrated Hedge	false	SuperintegratedHedgeInd
Hedge Terminated	false	HedgeTerminatedInd
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	false	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	false	ProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 15a COMPENSATION OF TOP MANAGEMENT OFFICIAL	The filing organization does not compensate the top management official of the organization; therefore, Line 15a has been answered "no" in accordance with the Form 990 instructions. Leon L. Haley, Jr, MD is paid by the University of Florida, a RELATED ORGANIZATION, WHICH DETERMINED THE APPROPRIATE COMPENSATION DURING THE TAX YEAR. SJMC'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. SJMC'S COMPENSATION COMMITTEE USES THE MERCER COMPARABILITY DATA TO REVIEW AND APPROVE COMPENSATION FOR MANY OF THE ORGANIZATION'S OFFICERS INCLUDING THE TOP MANAGEMENT OFFICIAL. The compensation committee, according to the bylaws, has the power and authority of the independent board to review and approve CEO compensation annually. THE REVIEW IS DONE ANNUALLY AND WAS LAST CONDUCTED IN Fiscal Year 2021. THE RELATED ORGANIZATION'S COMPENSATION COMMITTEE DOCUMENTS THE DECISIONS AND DETERMINATIONS IN COMMITTEE MINUTES.
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; Leon L Haley, JR, MD; 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 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 in fiscal year 2020. 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	OTHER REVENUE - Total Revenue: 3423711, Related or Exempt Function Revenue: 3423711, 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: 46100483, Program Service Expense: 11386464, Management and General Expenses: 34714019, Fundraising Expenses: ; Purchased Services - Total Expense: 77408768, Program Service Expense: 27271182, Management and General Expenses: 50137586, Fundraising Expenses: ;
Continued from Part III	(CONTINUED FROM PART III) UF HEALTH JACKSONVILLE IS A 695 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, 2021, THE HOSPITAL SERVED 25,475 INPATIENT ADMISSIONS, EXCLUDING OBSERVATION CASES, AND 578,112 OUTPATIENT VISITS. UF HEALTH JACKSONVILLE HAS A LEVEL 1 TRAUMA CENTER. THE FLORIDA POISON INFORMATION CENTER IS ALSO LOCATED ON CAMPUS, COVERING 42 COUNTIES AND APPROXIMATELY 160 - 200 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. IN MARCH 2020 THE HOSPITAL BEGAN EFFORTS TO CARE FOR COVID-19 PATIENTS AND PROVIDE UPDATES TO THE COMMUNITY TO COMBAT THE GLOBAL PANDEMIC.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (23 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
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 1829	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

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 100336	AddressLine1Txt
City	GAINESVILLE	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	32610	ZIPCd

Field	Value	IRS element (for citing)
EIN	591930524	EIN
Primary Activities	SUPPORT FOR SHANDS JACKSONVILLE MEDICAL CENTER, INC.	PrimaryActivitiesTxt
Legal Domicile State	FL	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Shands Jacksonville Affiliates Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C Corporation	EntityTypeTxt
Controlled Organization	Yes (true)	ControlledOrganizationInd

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 (6 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	$93,220	$93,220	$641,194,243	$641,287,463	$1,000,000	$250,000	$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 Foundation
655 West 8th Street	Jacksonville	FL	32209	592622323		$0	$0	$0	$382,307	$382,307	$76,461	$19,115	$0	$0	$0
Shands Jacksonville Community Services
655 West 8th Street	Jacksonville	FL	32209	510173761		$0	$0	$0	$1,196,596	$1,196,596	$194,660	$48,665	$0	$0	$0
Shands Jacksonville Affiliates Inc
655 West 8th Street	Jacksonville	FL	32209	591913819		$0	$0	$0	$555,931	$555,931	$108,390	$27,097	$0	$0	$0
Shands Jacksonville Properties
655 West 8th Street	Jacksonville	FL	32209	591158241		$0	$0	$0	$1,451,619	$1,451,619	$220,162	$55,040	$0	$0	$0