SHANDS JACKSONVILLE MEDICAL CENTER INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: SHANDS JACKSONVILLE MEDICAL CENTER INC (EIN 59-2142859)
Tax period: 2019-07-01 to 2020-06-30
Filed: 2021-05-17
IRS object ID: 202141379349307349
Schema version: 2019v5.0
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 L
Schedule O
Schedule R
Affiliated Group Schedule

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-05-17T15:34:57-05:00	ReturnTs
Tax Period End	2020-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-07-01	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 MBA CPA	PersonNm
Person Title	Chief Financial Officer	PersonTitleTxt
Signature	2021-05-17	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	BRITTNEY KOCAJ	PreparerPersonNm
PTIN	P01320603	PTIN
Phone	9542028600	PhoneNum

Field	Value	IRS element (for citing)
Tax	2019	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	LEON L HALEY JR MD	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	$872,435,231	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. 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	6	VotingMembersGoverningBodyCnt
Voting Members Independent	4	VotingMembersIndependentCnt
Total Employee	5706	TotalEmployeeCnt
Total Volunteers	343	TotalVolunteersCnt
Total Gross UBI	$96,998	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$5,045,618	PYContributionsGrantsAmt
CY Contributions Grants	$23,696,942	CYContributionsGrantsAmt
PY Program Service Revenue	$803,951,563	PYProgramServiceRevenueAmt
CY Program Service Revenue	$841,754,379	CYProgramServiceRevenueAmt
PY Investment Income	$1,379,187	PYInvestmentIncomeAmt
CY Investment Income	$575,393	CYInvestmentIncomeAmt
PY Other Revenue	$6,204,873	PYOtherRevenueAmt
CY Other Revenue	$5,976,695	CYOtherRevenueAmt
PY Total Revenue	$816,581,241	PYTotalRevenueAmt
CY Total Revenue	$872,003,409	CYTotalRevenueAmt
PY Grants And Similar Paid	$32,733,296	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$37,702,291	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$337,140,001	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$341,366,271	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$448,668,793	PYOtherExpensesAmt
CY Other Expenses	$488,122,779	CYOtherExpensesAmt
PY Total Expenses	$818,542,090	PYTotalExpensesAmt
CY Total Expenses	$867,191,341	CYTotalExpensesAmt
PY Revenues Less Expenses	-$1,960,849	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$4,812,068	CYRevenuesLessExpensesAmt
Total Assets BOY	$621,638,477	TotalAssetsBOYAmt
Total Assets EOY	$664,920,656	TotalAssetsEOYAmt
Total Liabilities BOY	$420,103,755	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$457,236,321	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$201,534,722	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$207,684,335	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	$686,799,439	ExpenseAmt
Grant	$37,702,291	GrantAmt
Revenue	$844,127,549	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	$686,799,439	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	Yes (true)	ConservationEasementsInd
Collections Of Art	Yes (true)	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	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	99	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	5706	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	6	GoverningBodyVotingMembersCnt
Independent Voting Member	4	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	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 (30 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
David R Nelson
Chairman	2.0	48.0	Yes (X)	Yes (X)	$0	$1,345,265	$35,407
Leon L Haley Jr MD
CEO	20.0	30.0	Yes (X)	Yes (X)	$0	$857,459	$39,472
Ashley B Norse MD
Director (Partial Year)	0.5	49.5	Yes (X)		$0	$308,157	$37,985
Beth McCague
Director (Partial Year)	0.5	0.5	Yes (X)		$0	$0	$0
Christopher B Scuderi DO
Director (Partial Year)	0.5	49.5	Yes (X)		$0	$298,672	$39,229
David Mann
Director	0.5	0.5	Yes (X)		$0	$0	$0
Kendall Spencer
Director	0.5	0.5	Yes (X)		$0	$0	$0
Linda R Edwards MD
Director (Partial Year)	0.5	49.5	Yes (X)		$0	$281,197	$39,541
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
Theodore Bass MD
Director (Partial Year)	0.5	49.5	Yes (X)		$0	$700,529	$60,302
Dean Cocchi
Treasurer/CFO	47.5	2.5		Yes (X)	$361,589	$0	$27,984
Jon DeBardeleben
Asst. Secretary	47.5	2.5		Yes (X)	$220,081	$0	$23,733
Patricia Rausch
Assistant Treasurer / Controller	49.5	0.5		Yes (X)	$167,852	$0	$17,328
Randall C Jenkins
Secretary	5.0	45.0		Yes (X)	$0	$472,747	$48,535
Robert Templin
Asst. Secretary	49.5	0.5		Yes (X)	$163,902	$0	$25,144
David Vukich MD
Chief Medical Officer	2.0	48.0			$0	$506,445	$57,302	Yes (X)
Gregory Miller
EVP COO	40.0	8.0			$484,638	$0	$28,105	Yes (X)
Kelly Gray-Eurom MD
Chief Quality Officer	2.0	48.0			$0	$407,133	$35,712	Yes (X)
Lesli A Ward
VP Chief HRO	48.0	2.0			$0	$279,810	$34,323	Yes (X)
Patrice Jones
VP Chief Nursing Officer	48.0	0			$330,033	$0	$17,874	Yes (X)
Rita James
VP of Ambulatory Services	2.0	48.0			$0	$217,233	$30,294	Yes (X)
Thanh Hogan
VP Clinical Operations	48.0	0			$281,090	$0	$19,943	Yes (X)
Wayne A Marshall
VP UFH North	48.0	0			$270,326	$0	$32,735	Yes (X)
Darrell Leonhardt
Assoc CIO (Partial Year)	48.0	0			$194,698	$0	$18,051		Yes (X)
Michele Worley
Coord Cardiothoracic Surgery	48.0	0			$187,728	$0	$27,692		Yes (X)
Robert Hervey
Dir of Support Services	48.0	0			$209,039	$0	$29,266		Yes (X)
Robert Phillips
Dir Div Information Technology	48.0	0			$180,457	$0	$22,153		Yes (X)
Steven L Wylie
Dir Business Development	48.0	0			$201,936	$0	$24,728		Yes (X)
Sonya Diaz
Asst. Secretary (Former)	0.0	0.0			$105,112	$0	$9,038			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,358,480	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$5,674,648	TotReportableCompRltdOrgAmt
Total Other Compensation	$781,876	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	255	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
UF PR HOUSESTAFF
653-1 West 8th Street	JACKSONVILLE	FL	32209	MEDICAL STAFFING SERVICES	$25,423,733
SODEXO INC & AFFILIATES
PO BOX 360170	PITTSBURGH	PA	152516170	FOOD SERVICES	$10,813,225
MORRISONS MANAGEMENT SPECIALISTS
PO BOX 102289	ATLANTA	GA	303682289	FOOD SERVICES	$10,668,046
CROTHALL HEALTHCARE FKA PROFESSIONAL SERVICES
13028 COLLECTION CENTER DRIVE	CHICAGO	IL	60693	HOUSEKEEPING AND OTHER MANAGEMENT SERVICES	$10,433,240
SOUND PHYSICIANS OF FLORIDA II
PO BOX 742936	LOS ANGELES	CA	90074	MEDICAL STAFFING SERVICES	$5,747,529

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	117	CntrctRcvdGreaterThan100KCnt
Related Organizations	$308,437	RelatedOrganizationsAmt
Government Grants	$23,241,719	GovernmentGrantsAmt
All Other Contributions	$146,786	AllOtherContributionsAmt
Total Contributions	$23,696,942	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE	622110	$841,066,845	$841,066,845
Ancillary and Contract Services	622110	$687,534	$687,534

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	$841,754,379	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$575,602	TotalRevenueColumnAmt
Exclusion	$575,602	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,743,202	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$2,743,202	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,743,202	TotalRevenueColumnAmt
Exclusion	$2,743,202	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

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

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$209	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	-$209	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$209	TotalRevenueColumnAmt
Exclusion	-$209	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$658,794	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$431,613	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$227,181	TotalRevenueColumnAmt
Exclusion	$227,181	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
LABORATORY REVENUE	621500	$96,998	$96,998
Workers Comp Recovery	900099	$296,441		$296,441
PARKING REVENUE	812930	$536,144			$536,144

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,076,729	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,076,729	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$3,006,312	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$872,003,409	TotalRevenueColumnAmt
Related Or Exempt Func Income	$844,127,549	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$96,998	UnrelatedBusinessRevenueAmt
Exclusion	$4,081,920	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	$37,702,291	TotalAmt
Program Services	$37,702,291	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,596,566	TotalAmt
Management And General	$2,596,566	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$77,441	TotalAmt
Management And General	$77,441	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$271,524,491	TotalAmt
Program Services	$215,887,264	ProgramServicesAmt
Management And General	$55,637,227	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$10,541,827	TotalAmt
Program Services	$10,110,255	ProgramServicesAmt
Management And General	$431,572	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$36,647,034	TotalAmt
Program Services	$36,112,207	ProgramServicesAmt
Management And General	$534,827	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$19,978,912	TotalAmt
Program Services	$15,741,702	ProgramServicesAmt
Management And General	$4,237,210	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$372,678	TotalAmt
Management And General	$372,678	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$381,106	TotalAmt
Management And General	$381,106	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$107,823	TotalAmt
Management And General	$107,823	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$117,428,559	TotalAmt
Program Services	$35,105,329	ProgramServicesAmt
Management And General	$82,323,230	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,533,179	TotalAmt
Program Services	$2,533,179	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,414,642	TotalAmt
Program Services	$3,389,971	ProgramServicesAmt
Management And General	$2,024,671	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$11,587,762	TotalAmt
Program Services	$7,879,678	ProgramServicesAmt
Management And General	$3,708,084	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$41,284,955	TotalAmt
Program Services	$28,073,769	ProgramServicesAmt
Management And General	$13,211,186	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$719,901	TotalAmt
Program Services	$487,405	ProgramServicesAmt
Management And General	$232,496	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$316,215	TotalAmt
Program Services	$222,645	ProgramServicesAmt
Management And General	$93,570	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$8,916,877	TotalAmt
Program Services	$6,063,476	ProgramServicesAmt
Management And General	$2,853,401	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$32,560,725	TotalAmt
Program Services	$22,141,293	ProgramServicesAmt
Management And General	$10,419,432	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,766,691	TotalAmt
Program Services	$3,532,949	ProgramServicesAmt
Management And General	$233,742	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
AHCA ASSESSMENT	$7,261,179	$7,261,179
MEDICAL SUPPLIES	$155,348,074	$154,800,565	$547,509
BAD DEBT EXPENSE	$99,061,196	$99,061,196
RECRUITING EXPENSE	$287,281	$285,358	$1,923

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$773,936	TotalAmt
Program Services	$407,728	ProgramServicesAmt
Management And General	$366,208	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$867,191,341	TotalAmt
Program Services	$686,799,439	ProgramServicesAmt
Management And General	$180,391,902	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$122,578,788	BOYAmt
EOY	$152,570,111	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,418,090	BOYAmt
EOY	$32,257,956	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,720,524	BOYAmt
EOY	$10,163,107	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$125,641,256	BOYAmt
EOY	$107,616,839	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	$16,691,069	BOYAmt
EOY	$18,538,838	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,449,719	BOYAmt
EOY	$2,981,977	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$641,482,308	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$430,307,113	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$222,341,012	BOYAmt
EOY	$211,175,195	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	$128,798,019	BOYAmt
EOY	$129,616,633	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$621,638,477	BOYAmt
EOY	$664,920,656	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$154,892,672	BOYAmt
EOY	$142,273,954	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$549,268	BOYAmt
EOY	$1,858,438	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$201,343,234	BOYAmt
EOY	$212,388,548	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	$42,012,941	BOYAmt
EOY	$15,939,812	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$21,305,640	BOYAmt
EOY	$84,775,569	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$420,103,755	BOYAmt
EOY	$457,236,321	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	$197,865,370	BOYAmt
EOY	$204,064,983	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,669,352	BOYAmt
EOY	$3,619,352	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$201,534,722	BOYAmt
EOY	$207,684,335	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$621,638,477	BOYAmt
EOY	$664,920,656	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$4,812,068	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$1,337,545	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	$107,823	FilingOrganizationsTotalAmt
Affiliated Group Total	$107,823	AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$107,823	FilingOrganizationsTotalAmt
Affiliated Group Total	$107,823	AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$686,799,439	FilingOrganizationsTotalAmt
Affiliated Group Total	$689,855,662	AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$686,907,262	FilingOrganizationsTotalAmt
Affiliated Group Total	$689,963,485	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	$78,972	CurrentYearMinus3Amt
Current Year Minus2	$70,978	CurrentYearMinus2Amt
Current Year Minus1	$92,319	CurrentYearMinus1Amt
Current Year	$107,823	CurrentYearAmt
Total	$350,092	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	$341,087,460	OtherCostOrOtherBasisAmt
Depreciation	$204,568,771	DepreciationAmt
Book Value	$136,518,689	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,579,589	OtherCostOrOtherBasisAmt
Depreciation	$1,369,745	DepreciationAmt
Book Value	$209,844	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$284,451,773	OtherCostOrOtherBasisAmt
Depreciation	$224,368,597	DepreciationAmt
Book Value	$60,083,176	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,821,553	OtherCostOrOtherBasisAmt
Book Value	$9,821,553	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$211,175,195	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
DEPOSITS AND OTHER	$19,956,921
DUE FROM AFFILIATES	$109,659,712

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$129,616,633	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
3RD PARTY SETTLEMENT	$76,313,317
OTHER LIABILITIES	$13,618,808
NOTES PAYABLE TO STHC	$379,890
Pension Expense per GASB 75	-$5,536,446

Field	Value	IRS element (for citing)
Total Liability	$84,775,569	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)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$27,974,870	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$27,974,870	NetCommunityBenefitExpnsAmt
Total Expense	0.0364	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

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

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$81,671,090	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$34,275,594	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$47,395,496	NetCommunityBenefitExpnsAmt
Total Expense	0.0617	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	$109,645,960	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$34,275,594	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$75,370,366	NetCommunityBenefitExpnsAmt
Total Expense	0.0981	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$434,778	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$434,778	NetCommunityBenefitExpnsAmt
Total Expense	0.0006	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Persons Served	3212	PersonsServedCnt
Total Community Benefit Expns	$45,797,715	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,248,874	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,548,841	NetCommunityBenefitExpnsAmt
Total Expense	0.0294	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

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

Research ResearchGrp

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

Cash And In Kind Contributions CashAndInKindContributionsGrp

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

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	8	ActivitiesOrProgramsCnt
Persons Served	3212	PersonsServedCnt
Total Community Benefit Expns	$46,232,493	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,248,874	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,983,619	NetCommunityBenefitExpnsAmt
Total Expense	0.0299	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	8	ActivitiesOrProgramsCnt
Persons Served	3212	PersonsServedCnt
Total Community Benefit Expns	$155,878,453	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$57,524,468	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$98,353,985	NetCommunityBenefitExpnsAmt
Total Expense	0.1280	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	$99,061,196	BadDebtExpenseAmt
Bad Debt Expense Attributable	$614,148	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$155,136,854	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$126,837,248	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$28,299,606	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 (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 6a Community benefit report prepared by related organization	University of Florida Health
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation	99061196
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 report 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	Accounts are typically deemed uncollectible when they are >240 days old. Self pay is also considered uncollectible in its entirety. Accounts are discounted to contractually agreed upon rates at the time of billing. Contractual adjustments are not considered bad debt.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	While a portion of an account balance may be patient responsibility, depending on the level of financial assistance identified per the policy, any unpaid amounts not deemed to be financial assistance would be considered bad debt and would not be reported as community benefit.
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 2020 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

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	UNIVERISTY OF FLORIDA JACKSONVILLE PHYSICIANS INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	653 WEST 8TH STREET	AddressLine1Txt
City	JACKSONVILLE	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	32209	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	591867557	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$37,283,677	CashGrantAmt
Non Cash Assistance	$0	NonCashAssistanceAmt
Valuation Method Used	N/A	ValuationMethodUsedDesc
Non Cash Assistance	N/A	NonCashAssistanceDesc
Purpose Of Grant	GENERAL SUPPORT	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	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	Unrestricted funds included in the grant paid to University of Florida Jacksonville Physicians, Inc. can be used for any purpose necessary to improve the lives of patients and the healthcare needs of the community. Donor-restricted funds included in the grant paid to University of Florida Jacksonville Physicians, Inc. must be used for purposes related to the donor's restrictions. These funds are not transferred to University of Florida Jacksonville Physicians, Inc.until evidence has been presented that amounts have been spent by the University for such purposes.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (true)	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 (25 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	$0	$850,733	$0	$0	$0	$6,726	$0	$14,700	$0	$24,771	$0	$896,931	$0	$0
David R Nelson
Chairman	$0	$1,002,261	$0	$305,000	$0	$38,004	$0	$15,269	$0	$20,138	$0	$1,380,672	$0	$0
Theodore Bass MD
Director (Partial Year)	$0	$671,363	$0	$15,716	$0	$13,450	$0	$35,778	$0	$24,524	$0	$760,831	$0	$0
Linda R Edwards MD
Director (Partial Year)	$0	$260,367	$0	$15,000	$0	$5,829	$0	$22,702	$0	$16,839	$0	$320,738	$0	$0
Christopher B Scuderi DO
Director (Partial Year)	$0	$228,451	$0	$67,501	$0	$2,720	$0	$12,993	$0	$26,236	$0	$337,902	$0	$0
Ashley B Norse MD
Director (Partial Year)	$0	$287,332	$0	$18,000	$0	$2,825	$0	$15,283	$0	$22,703	$0	$346,143	$0	$0
Sonya Diaz
Asst. Secretary (Former)	$72,968	$0	$3,042	$0	$29,102	$0	$4,474	$0	$4,565	$0	$114,150	$0	$0	$0
Dean Cocchi
Treasurer/CFO	$346,275	$0	$0	$0	$15,314	$0	$16,800	$0	$11,184	$0	$389,573	$0	$0	$0
Patricia Rausch
Assistant Treasurer / Controller	$166,970	$0	$0	$0	$882	$0	$10,239	$0	$7,089	$0	$185,181	$0	$0	$0
Jon DeBardeleben
Asst. Secretary	$210,294	$0	$0	$0	$9,787	$0	$12,706	$0	$11,027	$0	$243,814	$0	$0	$0
Robert Templin
Asst. Secretary	$162,608	$0	$0	$0	$1,294	$0	$8,859	$0	$16,285	$0	$189,046	$0	$0	$0
Randall C Jenkins
Secretary	$0	$439,077	$0	$30,000	$0	$3,670	$0	$27,587	$0	$20,947	$0	$521,282	$0	$0
Kelly Gray-Eurom MD
Chief Quality Officer	$0	$381,661	$0	$4,000	$0	$21,472	$0	$14,859	$0	$20,853	$0	$442,846	$0	$0
Thanh Hogan
VP Clinical Operations	$246,002	$0	$0	$0	$35,087	$0	$13,877	$0	$6,067	$0	$301,033	$0	$0	$0
Patrice Jones
VP Chief Nursing Officer	$309,038	$0	$0	$0	$20,995	$0	$16,800	$0	$1,074	$0	$347,907	$0	$0	$0
Wayne A Marshall
VP UFH North	$255,901	$0	$0	$0	$14,425	$0	$16,103	$0	$16,632	$0	$303,061	$0	$0	$0
Gregory Miller
EVP COO	$446,227	$0	$0	$0	$38,411	$0	$16,800	$0	$11,305	$0	$512,742	$0	$0	$0
Lesli A Ward
VP Chief HRO	$0	$267,901	$0	$0	$0	$11,909	$0	$22,400	$0	$11,923	$0	$314,133	$0	$0
Rita James
VP of Ambulatory Services	$0	$199,387	$0	$10,000	$0	$7,846	$0	$6,116	$0	$24,179	$0	$247,527	$0	$0
David Vukich MD
Chief Medical Officer	$0	$476,606	$0	$12,500	$0	$17,339	$0	$35,684	$0	$21,617	$0	$563,746	$0	$0
Robert Hervey
Dir of Support Services	$201,284	$0	$0	$0	$7,755	$0	$12,698	$0	$16,569	$0	$238,306	$0	$0	$0
Darrell Leonhardt
Assoc CIO (Partial Year)	$159,418	$0	$5,194	$0	$30,086	$0	$9,951	$0	$8,100	$0	$212,749	$0	$0	$0
Michele Worley
Coord Cardiothoracic Surgery	$182,473	$0	$4,136	$0	$1,119	$0	$11,490	$0	$16,202	$0	$215,420	$0	$0	$0
Steven L Wylie
Dir Business Development	$200,981	$0	$0	$0	$955	$0	$11,751	$0	$12,977	$0	$226,664	$0	$0	$0
Robert Phillips
Dir Div Information Technology	$174,290	$0	$0	$0	$6,167	$0	$10,926	$0	$11,227	$0	$202,610	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 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 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 4a Severance or change-of-control payment	Sonya Diaz received a severance payment of $20,415 in calendar year 2019.
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 fiscal 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	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	$19,345,000	$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	$9,137,990	$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	false	Yes (true)	Yes (true)	false	false	false	10.0	false	false
Bank of America Merrill Lynch
D	false	Yes (true)	false	false	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 (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part VI Part III Line 9, Part IV Line 7, and Part V	While the organization does not currently have an approved written policy, it does maintain procedures that include annual arbitrage reporting and routine reviews and determinations of private business use.
Schedule K, Part 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 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	$1,345,000	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 L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Robin Bass	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	Family member of Theodore Bass	RelationshipDescriptionTxt
Transaction	$77,441	TransactionAmt
Transaction	Employed by SJMC	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 1a Delegate broad authority to a committee	The Executive Committee shall consist of the same individuals serving from time to time on the Shands Jacksonville HealthCare, Inc. Executive Committee. 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	The tax return is made available 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 as they arise. Any individual who has a conflict of interest is prohibited from participating in the Deliberative Body's deliberations and decision in the transaction.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	LEON L. HALEY, JR, MD IS PAID BY THE UNIVERSITY OF FLORIDA, A RELATED ORGANIZATION, DURING THE TAX YEAR ALTHOUGH HIS COMPENSATION WAS DETERMINED AND APPROVED IN ACCORDANCE WITH THE FILING ORGANIZATION'S PROCESS AS OUTLINED BELOW. 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 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 2020. THE COMPENSATION COMMITTEE DOCUMENTS THE DECISIONS AND DETERMINATIONS IN COMMITTEE MINUTES.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	The organization's compensation committee engages Mercer, an independent firm engaged in the development of compensation surveys on executive pay levels across different industries, to provide competitive data and guidance on determining appropriate and reasonable ranges and salaries. Mercer annually reviews all aspects of executive compensation-including all elements of supplemental benefits- to ensure that they are reasonable total remuneration levels. The compensation committee uses the Mercer comparability data to review and approve compensation for many of the organization's officers and key employees. The review is done annually and was last conducted 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	MISC REVENUE - Total Revenue: 2076729, Related or Exempt Function Revenue: 2076729, 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: 42400722, Program Service Expense: 9625046, Management and General Expenses: 32775676, Fundraising Expenses: ; Purchased Services - Total Expense: 75027837, Program Service Expense: 25480283, Management and General Expenses: 49547554, 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, 2020, THE HOSPITAL SERVED 25,452 INPATIENT ADMISSIONS, EXCLUDING OBSERVATION CASES, AND 534,961 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	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Business Name Line2DisregardedEntityName/BusinessNameLine2Txt
Elder Care of Alachua County Inc
PO Box 100336	Gainesville	FL	326100336	593051104	Services for the Elderly	FL	501(c)(3)	7	STHC	false
Shands Auxiliary Inc
PO Box 100336	Gainesville	FL	326100336	593551267	Hospital Support	FL	501(c)(3)	Type I	SEHF	false
Shands Lake Shore Inc
PO Box 100336	Gainesville	FL	326100336	592699965	Health Care	FL	501(c)(3)	3	STHC	false
Southeastern Healthcare Foundation
PO Box 100336	Gainesville	FL	326100336	592357609	Hospital Support	FL	501(c)(3)	Type II	STHC	false
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 SHANDS JACKSONVILLE MEDICAL CENTER, INC.	FL	501(c)(3)	Type II	UF	false
University of Florida Foundation Inc
PO Box 14425	Gainesville	FL	326042425	590974739	Support the University of Florida	FL	501(c)(3)	7	UF	false
Florida Clinical Practice Association Inc
PO Box 100205	Gainesville	FL	326100205	591680273	Enhance medical education and research at the University of Florida	FL	501(c)(3)	Type I	UF	false
University of Florida Investment Corporation (UFICO)
800 SW 2nd Ave	Gainesville	FL	32601	201226494	Investment Management	FL	501(c)(3)	Type I	UF	false
University of Florida Development Corporation
747 SW 2nd Avenue IMB 49	Gainesville	FL	32601	352427022	Support the University of Florida and Promote Economic Development	FL	501(c)(3)	Type I	UF	false
GatorCare Health Management Corporation
3300 SW Williston Road	Gainesville	FL	32610	461185106	Self-Insured Health Ins Plan	FL	501(c)(3)	Type I	UF	false
SHANDS TEACHING HOSPITAL AND CLINICS INC
PO Box 100336	Gainesville	FL	326100336	591943502	Health Care	FL	501(c)(3)	3	UF	false
Central Florida Health Inc dba UF Health Central Florida
600 E Dixie Ave	Leesburg	FL	34748	331197054	SUPPORT STHC, UFHL, AND UFHV	FL	501(c)(3)	Type II	STHC	false
Leesburg Regional Medical Center Inc dba UF Health Leesburg Hospital
600 EAST DIXIE AVENUE	LEESBURG	FL	34748	590878982	MEDICAL SERVICES	FL	501(c)(3)	3	UFHCF	false
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	501(c)(3)	3	UFHCF	false	tal
Leesburg Regional Medical Center Foundation Inc dba UF Health Leesburg Hosp
600 EAST DIXIE AVENUE	LEESBURG	FL	34748	591800743	SUPPORT UFHL	FL	501(c)(3)	Type II	UFHL	false	ital Foundation
The Villages Regional Hospital Auxiliary Foundation Inc dba UF Health The V
1451 EL CAMINO REAL	THE VILLAGES	FL	32159	550818419	SUPPORT UFHV	FL	501(c)(3)	Type II	UFHV	false	illages Hospital Auxiliary Foundation
SHANDS JACKSONVILLE PROPERTIES INC
655 West 8th Street	Jacksonville	FL	32209	591158241	SUPPORT SHANDS JACKSONVILLE MEDICAL CENTER, INC.	FL	501(c)(3)	Type II	SJHC	false
SHANDS JACKSONVILLE AFFILIATES INC
655 West 8th Street	Jacksonville	FL	32209	591913819	SUPPORT SHANDS JACKSONVILLE MEDICAL CENTER, INC.	FL	501(c)(3)	Type I	SJMC	Yes (true)
SHANDS JACKSONVILLE COMMUNITY SERVICES INC
655 West 8th Street	Jacksonville	FL	32209	510173761	SUPPORT SHANDS JACKSONVILLE MEDICAL CENTER, INC.	FL	501(c)(3)	Type II	SJHC	false
SHANDS JACKSONVILLE FOUNDATION INC
655 West 8th Street	Jacksonville	FL	32209	592622323	SUPPORT SHANDS JACKSONVILLE MEDICAL CENTER, INC.	FL	501(c)(3)	Type II	SJHC	false
FACULTY CLINIC INC
PO BOX 44008	Jacksonville	FL	32231	592856153	SUPPORT UF JAX PHYSICIANS	FL	501(c)(3)	Type I	UF	false
UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS INC
653 WEST 8TH STREET	Jacksonville	FL	32209	591867557	SUPPORT UF COLLEGE OF MEDICINE - JACKSONVILLE	FL	501(c)(3)	Type I	UF	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	First Coast Advantage East LLC	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)
EIN	461265676	EIN
Primary Activities	HEALTHCARE	PrimaryActivitiesTxt
Legal Domicile State	FL	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Predominant Income Type	Related	PredominantIncomeTypeTxt
Share Of Total Income	$8,927	ShareOfTotalIncomeAmt
Share Of EOY Assets	$0	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
General Or Managing Partner	false	GeneralOrManagingPartnerInd
Ownership	0.55	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
SOUTHERN HOSPITAL SYSTEMS INC
PO BOX 100336	GAINESVILLE	FL	32610	591930524	SUPPORT FOR SHANDS JACKSONVILLE MEDICAL CENTER, INC.	FL	Shands Jacksonville Affiliates Inc	C Corporation	Yes (true)
First Coast Advantage LLC
655 West 8th Street	Jacksonville	FL	32209	300754448	Medicaid Service Provider Network	FL	First Advantage Coast East LLC	C Corporation	Yes (true)	$0	$0	0.55

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	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (true)	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	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	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	$107,823	$107,823	$686,799,439	$686,907,262	$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	$933,778	$933,778	$165,067	$41,267	$0	$0	$0
Shands Jacksonville Community Services
655 West 8th Street	Jacksonville	FL	32209	510173761		$0	$0	$0	$56,065	$56,065	$11,213	$2,803	$0	$0	$0
Shands Jacksonville Affiliates Inc
655 West 8th Street	Jacksonville	FL	32209	591913819		$0	$0	$0	$595,676	$595,676	$114,351	$28,588	$0	$0	$0
Shands Jacksonville Properties
655 West 8th Street	Jacksonville	FL	32209	591158241		$0	$0	$0	$1,470,704	$1,470,704	$222,070	$55,518	$0	$0	$0