2017-05-15T13:03:58-05:00 2016-06-30 350921680 CROWE HORWATH LLP 225 West Wacker Drive Suite 2600 Chicago IL 606061224 990 2015-07-01 592142859 SHANDS JACKSONVILLE MEDICAL CENTER INC SHAN 9042440411 655 West 8th Street Jacksonville FL 32209 William Ryan Treasurer 2017-02-09 true Nicole Bencik P00756195 3128997000 2015 2021-01-29 14:40:06Z X UF HEALTH JACKSONVILLE Russell Armistead Jr MBA 655 West 8th Street Jacksonville FL 32209 774107587 false X HTTP://UFHEALTHJAX.ORG X 1981 FL 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. 14 7 4852 477 42493 -271176 4513696 4980020 577553598 755073780 18716725 7775832 5234103 5730561 606018122 773560193 23054908 33355432 0 262466166 282357666 0 0 298071850 450840140 583592924 766553238 22425198 7006955 528300746 632215876 358249517 437470692 170051229 194745184 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. false false 599561578 33355432 758316867 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) 599561578 true false false true false false true true false false true false false true true true false true false false false false false false false false true true true false true true false false false false false false false false false false false false false false true true true false false false true 196 0 true 4852 true true true false false false false false false false false false X 14 7 false false false false true true true true true false false true true true true true true true true false FL X Patricia Rausch 9042440411 655 WEST 8TH STREET JACKSONVILLE FL 32209 Russel E Armistead Jr MBA President 39.0 10.0 X X 699662 0 23091 David Guzick MD Chairman 2.0 42.0 X X 0 1417881 32772 Theodore Bass MD Director 2.0 38.0 X 0 642938 48777 Michelle M Boyton Director 2.0 2.0 X 0 0 0 Toni Crawford Director 2.0 2.0 X 0 0 0 Troy M Davis Director 2.0 2.0 X 0 0 0 Lawrence DuBow Director 2.0 2.0 X 0 0 0 Linda Edwards MD Director 2.0 38.0 X 0 247929 33094 Nat Glover Director 2.0 2.0 X 0 0 0 Beth McCague Director 2.0 2.0 X 0 0 0 Rahul Patel Esq Director 2.0 2.0 X 0 0 0 Christopher Williams MD Director 2.0 38.0 X 0 444740 32181 Daniel R Wilson MD Director 2.0 38.0 X 0 556750 32378 Christopher B Scuderi MD Director 2.0 40.0 X 0 301828 28182 L Kendall Webb Director 2.0 38.0 X 0 266379 27218 Michael Gleason Treasurer (PARTIAL YEAR) 20.0 25.0 X 0 366976 28337 Jonathan Dixon III Secretary 40.0 5.0 X 210186 0 27036 James Roberts Secretary 3.5 46.5 X 0 681761 29212 William Ryan SVP/CFO 40.0 10.0 X 144000 0 0 Jon DeBardeleben Assistant Secretary 40.0 10.0 X 0 0 0 Kelly Gray-Eurom MD Chief Quality Officer 2.0 40.0 X 0 352823 34126 Patrice Jones Dir of Nursing 40.0 0 X 318375 0 15142 Wayne A Marshall VP UFH North 50.0 0 X 207419 0 13834 Gregory Miller SVP COO 40.0 0 X 510414 0 25889 Barbara Vernoski Dir Div Ancillary Services 48.0 0 X 203779 0 13159 Lesli A Ward VP Chief HRO 48.0 2.0 X 0 277388 31607 Dean Cocchi VP Assoc Finance 48.0 0 X 235201 0 15589 Rita James VP of Ambulatory Services 2.0 40.0 X 0 150669 25719 David Vukich MD Chief Medical Officer 2.0 40.0 X 0 456014 48466 Thanh Hogan Dir Ancillary Services 48.0 0 X 219882 0 14301 Jay Schauben Dir Poison Center 40.0 0 X 171977 0 19966 Penelope Thompson VP Government Affairs 48.0 0 X 219632 0 14464 Patricia Rausch Controller 48.0 0 X 191072 0 16441 Robert Hervey Dir of Support Services 48.0 0 X 182338 0 22219 Timothy Goldfarb Former Officer/Director 0.0 48.0 X 0 553808 26438 3513939 6717884 679634 180 true true true SODEXO INC & AFFILIATES PO BOX 536922 ATLANTA GA 303536922 FOOD SERVICE 8918483 CROTHALL HEALTHCARE 13028 COLLECTION CENTER DRIVE CHICAGO IL 60693 HOUSEKEEPING AND OTHER MANAGEMENT SERVICES 7960838 DIALYSIS CLINIC INC 1633 CHURCH ST SUITE 500 NASHVILLE TN 37203 DIALYSIS SERVICES 6335903 CROTHALL LAUNDRY SERVICES INC 13028 COLLECTION CENTER DRIVE CHICAGO IL 60693 LAUNDRY SERVICES 3398842 CAPSTRAT INC 1201 EDWARDS MILL ROAD SUITE 400 RALEIGH NC 27607 STRATEGIC COMMUNICATIONS 3146147 77 4691148 288872 4980020 PATIENT SERVICE REVENUE 900099 755073780 755073780 0 0 0 0 755073780 7750767 7750767 2315626 2315626 0 2315626 2315626 25065 0 25065 25065 25065 676749 547394 129355 129355 WORKERS COMP RECOVERY 900099 1230397 1230397 LABORATORY REVENUE 621500 42493 42493 MISCELLANEOUS REVENUE 900099 2012690 2012690 0 0 0 0 3285580 773560193 758316867 42493 10220813 X 33355432 33355432 2795602 2795602 224168808 179342577 44826231 8772559 7044806 1727753 30155224 29902452 252772 16465473 13010676 3454797 743058 743058 344866 344866 174419 174419 107829337 28177844 79651493 0 1617886 1617886 6588801 4467400 2121401 12190623 8328634 3861989 29553444 20190913 9362531 785864 498112 287752 340821 183313 157508 9153826 6253894 2899932 31271328 21364571 9906757 4082118 3833710 248408 ACHA ASSESSMENT 6088539 6088539 MEDICAL SUPPLIES 127957207 127318997 638210 OTHER DIRECT 9046796 5584560 3462236 BAD DEBT EXPENSE 102997262 102997262 73945 0 73945 0 766553238 599561578 166991660 0 101766057 155986639 28066597 41025060 4210141 855584 89983611 108517362 0 0 13820265 14780402 1765719 1915710 481864984 302880226 173264601 178984758 0 0 807124 0 114616631 130150361 528300746 632215876 119448222 122856690 557058 271254 197583867 222626004 39004471 40660370 52712273 358249517 437470692 X 166886578 191550223 3164651 3194961 170051229 194745184 528300746 632215876 X 7006955 17687000 X false true X true true true X X 0 174419 174419 174419 174419 599561578 602997833 599735997 603172252 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 841624 168030 174035 174419 1358108 250000 250000 250000 250000 1000000 1500000 0 0 0 X 1 5.56 0 1 0 1 false 0 true 0 54300 false 4541933 4541933 237924122 153169711 84754411 1579589 1055158 524431 213912375 148655357 65257018 23906965 23906965 178984758 ROUNDING DEPOSITS AND OTHER 25326190 DUE FROM AFFILIATES 104824171 INVESTMENT SUBSIDIARIES/OTHER 130150361 3RD PARTY SETTLEMENT 10853371 OTHER LIABILITIES 32302628 NOTES PAYABLE TO STHC 450954 Pension Expense per GASP 38 9105320 Capital Lease Patient Refunds Other Expenses 52712273 X 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. true true X true X true X true true false true true 8578141 0 8578141 0.0129 0 0 0 0.0 69053570 26275594 42777976 0.0645 0 0 77631711 26275594 51356117 0.0774 12 5070 532312 0 532312 0.0008 6 3359 43627132 27679048 15948084 0.0240 0 0 0 0.0 0 0 0 0.0 6 38966 0 38966 0.0001 24 8429 44198410 27679048 16519362 0.0249 24 8429 121830121 53954642 67875479 0.1023 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 102997262 0 131391319 126402224 4989095 X true true 1 1 SHANDS JACKSONVILLE MEDICAL CENTER INC 655 W 8TH STREET JACKSONVILLE FL 32209 UFHEALTHJAX.ORG 4063 X X X X SHANDS JACKSONVILLE MEDICAL CENTER INC 1 false false true X X X X X X X X X 15 true true true true X ufhealthjax.org X true 15 true http://ufhealthjax.org/community/documents/chna-implementation-strategy.pdf false false true X 100.0 400.0 X X true true X X X X X true X http://ufhealthjax.org/patient-care/financial-assistance.aspx X http://ufhealthjax.org/patient-care/documents/appendix-b-financial-assistance-application.pdf X http://ufhealthjax.org/patient-care/financial-assistance.aspx X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - UF Health Jacksonville. Input from persons representing the broad interests of the community, including individuals with special knowledge of or expertise in public health, was received from 185 individuals through eleven key informant interviews, seventeen focus groups, and four town hall meetings. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - UF Health Jacksonville. The Community Health Needs Assessment was conducted with Baptist Health, Clay County Health Department, Duval County Health Department, Nassau County Health Department, Putnam County Health Department and The Health Planning Council of Northeast Florida. Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - UF Health Jacksonville. The Community Health Needs Assessment was conducted with Baptist Health, Clay County Health Department, Duval County Health Department, Nassau County Health Department, Putnam County Health Department and The Health Planning Council of Northeast Florida. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - UF Health Jacksonville. Communicable Diseases - 1. UF Health will continue providing inpatient tuberculosis services (medical treatment, transportation, security, discharge, and maintenance of medical records), under contract with The Florida Agency for Health Care Administration. 2. UF Health will continue participating in the Ryan White Part A Program, which identifies and tracks people living with HIV/AIDS. The program provides education, screening, counseling, and spiritual support for those living with the disease. Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - UF Health Jacksonville. Diabetes - 1. UF Health will continue to provide diabetes services in its Wellness Clinics (Soutel, and Durkeeville). These programs encourage diabetic patients to engage in proactive routine care and provide education regarding self-management, nutrition, and behavioral modification based on established curricula. 2. UF Health will provide six health fairs annually, during which individuals will be screened for diabetes. 3. UF Health will continue providing diabetes education as a component of its employee wellness programs. While focused on employees, this education benefits the community at large as households in the community enhance their understanding of how to prevent and manage diabetes. Schedule H, Part V, Section B, Line 11 Facility , 3 Facility , 3 - UF Health Jacksonville. Health Disparities - 1. UF Health will provide patients with high cholesterol education regarding disease, nutrition, and physical activity at UF Health Wellness Clinics at no cost. 2. UF Health will provide patients with high blood pressure education regarding disease, nutrition, and physical activity at UF Health's Wellness Clinics at no cost. 3. As part of its strategy to integrate mental health services into primary care settings and maintain Patient Centered Medical Home status, UF Health will screen all initial patients for depression and anxiety, using a survey tool. Results will be evaluated and patients may be referred to a mental health primary care provider. 4. UF Health will continue providing several programs focused on improving access to prenatal and newborn care, reducing infant mortality, and enhancing maternal child health outcomes. These include the Little Miracles Program (which encourages early entry into prenatal care by providing assistance in obtaining Medicaid and setting prenatal appointments), Centering Pregnancy (a national model for group prenatal care offered at the Care Center for Women), the Healthy Start Program (designed to decrease infant mortality in Jacksonville's Health Zone 1/urban core, and provides Nurse Case Management and Care Coordination for high risk patients), and The Nurse Family Partnership (an evidence-based home visiting program for vulnerable first time parents). 5. UF Health will provide six health fairs annually, during which individuals will be screened for high cholesterol, high blood pressure, and other health risks. 6. The UF Health Obesity Disparities Research Center (MACOD-R) will provide a seminar series (addressing obesity and related issues); a mentoring program for faculty, students, and community members interested in obesity disparities research; and will write research grants to advance knowledge relating to obesity risks. 7. UF Health will continue operating the UF Health Jacksonville Care Van, a mini-health unit on wheels that travels throughout Jacksonville providing screenings and health information. 8. UF Health will continue providing its Trauma Prevention Program, which focuses on educating children and their parents on important safety topics in an effort to reduce the number and severity of injuries in children. The program provides presentations at local schools, works with juvenile offenders, promotes use of car seats, and other services - all designed to reduce violence and injury. Schedule H, Part V, Section B, Line 11 Facility , 4 Facility , 4 - UF Health Jacksonville. Smoking - 1. UF Health pharmacists will continue providing a Smoking Cessation Program at its C.B. McIntosh Clinic. This program addresses risk factors related to stroke, which includes smoking. 2. UF Health will continue providing smoking cessation as a component of its employee wellness programs. 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. UF Health will maintain all facilities as smoke-free. Schedule H, Part V, Section B, Line 11 Facility , 5 Facility , 5 - UF Health Jacksonville. Need which will not be addressed: Access - 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, selfmanagement support, and care management), the Community Obstetrics Initiatives (which strive to improve birth outcomes), the Telemedicine Clinic, and others programs and services. This implementation strategy does not include specific access-related initiatives because the availability of future resources to support them is highly uncertain. Schedule H, Part V, Section B, Line 11 Facility , 6 Facility , 6 - UF Health Jacksonville. Need which will not be addressed: Maternal & Child Health - UF Health Jacksonville provides a number of programs designed to enhance maternal and child health and address infant mortality. These initiatives are described as a component of the hospital's strategies to address health disparities. Schedule H, Part V, Section B, Line 11 Facility , 7 Facility , 7 - UF Health Jacksonville. Needs which will not be addressed: Mental Health - UF Health Jacksonville does not anticipate implementing additional initiatives to address identified mental health needs. The hospital does not have sufficient resources to effectuate a significant change in this area, and believes resources devoted to its implementation strategy should focus on other significant community health needs. Schedule H, Part V, Section B, Line 11 Facility , 8 Facility , 8 - UF Health Jacksonville. Need which will not be addressed: Obesity/Nutrition/Lifestyle - UF Health Jacksonville provides programs designed to understand and address obesity-related community health risks. These initiatives are described above as a component of the hospital's strategies to address health disparities. Schedule H, Part V, Section B, Line 11 Facility , 9 Facility , 9 - UF Health Jacksonville. Need which will not be addressed: Poverty - UF Health Jacksonville does not anticipate implementing additional initiatives to address identified poverty. This need is being addressed by other entities in Duval County. The hospital does not have sufficient resources to effectuate a significant change in this area, and believes resources devoted to its implementation strategy should focus on other significant community health needs. Schedule H, Part V, Section B, Line 11 Facility , 10 Facility , 10 - UF Health Jacksonville. Need which will not be addressed: Transportation - UF Health Jacksonville does not anticipate implementing additional initiatives to address identified transportation. This need is being addressed by other entities in Duval County. The hospital does not have expertise in this area nor sufficient resources to effectuate a significant change. Accordingly, the hospital believes resources devoted to its implementation strategy should focus on other significant community health needs. Schedule H, Part V, Section B, Line 22 Facility , 1 Facility , 1 - UF Health Jacksonville. During this period the maximum amounts charged to patients under our Financial Assistance Program was based on the patient's qualifying Financial Assistance Category, or a percentage of the patient's reported income if the account balance exceeded a certain amount in comparison to the patient's income reported. 0 Schedule H, Part I, Line 6a Community benefit report prepared by related organization UF Health Jacksonville is included in a community benefit reprot with Shands Teaching Hospital & Clinics, Inc. Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 102997262 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 and community benefits reported in Part I, Line 7. 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, except for Medicare which is >360 days old, and self pay which is 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 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 2016 Medicare Cost Report. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance Patients are responsible for completing the required application forms and Financial Counselors are available to provide assistance with the application process. Discounts are offered to patients with household incomes from 0-400% of annual Federal Poverty Guidelines. 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/documents/appendix-b-financial-assistance-application.pdf; 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 SJMC is 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 proving community benefits and has quantified those benefits using national guidelines developed by the Catholic Health Association in collaboration with the Voluntary Hospital Association. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance The eligibility for assistance under federal, state or local government programs is determined under the organization;s financial assistance policy. This eligibility tries to be obtained upon admission or before discharge. If this eligibility can not be obtained during their hospital stay, the patients are billed standard gross charges until their financial status can be determined. Schedule H, Part VI, Line 4 Community information The Jacksonville Metropolitan Community Benefit Partnership was formed by five health care systems ( 9 non profit hospitals) and four public health departments. This partnership came together and conducted the first ever multi-hospital system and public health sector collaborative community needs assessment February and March of 2012. This Partnerships vision is to improve population health in the region by eliminating the gaps that prevent access to quality, integrated heath care and to improve access to resources that support a healthy life style. The Community Health Survey included Clay, Duval, Nassau and northern St. John's county. This Community Health needs assessment is to enable practitioners, managers and policy makers to identify those individuals in greatest need and to ensure that health care resources are used to maximize health improvement. Schedule H, Part VI, Line 5 Promotion of community health In additions 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. is affiliated with Shands Jacksonville Foundation, Inc., which contributes by fundraising to support the hospital's mission to serve the community. true University of Florida 226 Tigert Hall Gainesville FL 32611 596002052 501(c)(1) 33355432 0 N/A N/A General Support 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. Unrestricted funds included in the grant paid to Shands Jacksonville Medical Center 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 Shands Jacksonville Medical Center must be used for purposes related to the donor's restrictions. These funds are not transferred to the Medical Center until evidence has been presented that amounts have been spent by the Medical Center for such purposes. X false true X X X X false false false false false false false false false Timothy Goldfarb Former Officer/Director 0 262882 0 154500 0 136426 0 21050 0 5388 0 580246 0 0 Russel E Armistead Jr MBA President 591868 0 82500 0 25294 0 13913 0 9178 0 722752 0 0 0 David Guzick MD Chairman 0 900357 0 511500 0 6024 0 20670 0 12102 0 1450652 0 0 Theodore Bass MD Director 0 627877 0 5652 0 9410 0 30396 0 18382 0 691716 0 0 Linda Edwards MD Director 0 242346 0 0 0 5583 0 18825 0 14268 0 281023 0 0 Christopher Williams MD Director 0 441824 0 0 0 2916 0 13803 0 18378 0 476920 0 0 Daniel R Wilson MD Director 0 546003 0 6000 0 4748 0 13965 0 18412 0 589128 0 0 Christopher B Scuderi MD Director 0 167521 0 132435 0 1873 0 9597 0 18585 0 330010 0 0 L Kendall Webb Director 0 250713 0 10000 0 5666 0 19445 0 7773 0 293597 0 0 Michael Gleason Treasurer (PARTIAL YEAR) 0 292646 0 0 0 74330 0 21200 0 7137 0 395313 0 0 Jonathan Dixon III Secretary 188965 0 10725 0 10496 0 10147 0 16888 0 237222 0 0 0 James Roberts Secretary 0 404708 0 111100 0 165953 0 18550 0 10662 0 710973 0 0 Kelly Gray-Eurom MD Chief Quality Officer 0 338650 0 11000 0 3173 0 15759 0 18367 0 386948 0 0 Patrice Jones Dir of Nursing 283502 0 15675 0 19199 0 13913 0 1229 0 333517 0 0 0 Wayne A Marshall VP UFH North 182545 0 10098 0 14777 0 10902 0 2932 0 221253 0 0 0 Gregory Miller SVP COO 389301 0 55000 0 66114 0 13913 0 11977 0 536304 0 0 0 Barbara Vernoski Dir Div Ancillary Services 191762 0 10586 0 1431 0 10653 0 2506 0 216938 0 0 0 Lesli A Ward VP Chief HRO 0 252685 0 14355 0 10347 0 21200 0 10407 0 308994 0 0 Dean Cocchi VP Assoc Finance 218325 0 9817 0 7059 0 4576 0 11013 0 250791 0 0 0 Rita James VP of Ambulatory Services 0 146930 0 2500 0 1239 0 4533 0 21185 0 176388 0 0 David Vukich MD Chief Medical Officer 0 442755 0 3850 0 9409 0 30084 0 18382 0 504480 0 0 Thanh Hogan Dir Ancillary Services 186706 0 10327 0 22850 0 11563 0 2738 0 234183 0 0 0 Jay Schauben Dir Poison Center 153910 0 0 0 18067 0 9463 0 10503 0 191943 0 0 0 Penelope Thompson VP Government Affairs 165971 0 9350 0 44311 0 8552 0 5911 0 234096 0 0 0 Patricia Rausch Controller 149921 0 8415 0 32736 0 9437 0 7005 0 207513 0 0 0 Robert Hervey Dir of Support Services 162847 0 9155 0 10336 0 5565 0 16654 0 204557 0 0 0 Schedule J, Part I, Line 1a Health or social club dues or initiation fees The CEO had dues paid to a social club which was approved by the Board of Directors. The use of the social club was for business purposes; therefore, the dues were not included in the taxable income of the CEO. All expenses were reviewed and approved before being paid. Schedule J, Part I, Line 1b Written policy regarding payment or reimbursement of expenses The provision for payment of the above expenses are approved by the Board of Directors. A Florida Development Finance Corporation 593270584 34061QAJ6 2013-11-21 63606897 2013A Refund 2005 & 2008 Bonds false false false B Florida Development Finance Corporation 593270584 34061QAK3 2013-11-21 59405000 2013B Refund Series 2005 & 2008 Bonds false false false C City of Jacksonville Florida 596000344 2015-06-29 20000000 2015 Capital Financing false false false D Florida Development Finance Corporation 593270584 34061QAL1 2015-12-10 87267800 2015 Capital Financing of North Campus false false false A 0 0 63612989 6430092 0 0 1097897 0 0 34000000 22085000 0 2013 true false true true B 5890000 0 59405000 0 0 0 680000 0 0 0 58725000 0 2013 true false true true C 1608585 0 20000000 0 0 0 50000 0 0 19950000 0 0 2015 false false false true D 0 0 87267800 0 0 0 1358192 0 0 20302917 0 65606691 false false false true A false true false false 0.0 0.0 0.0 false false false B false true false false 0.0 0.0 0.0 false false false C false false false false 0.0 0.0 0.0 false false false D false false false false 0.0 0.0 0.0 false false false A false true false false false false false false false B false true false false true false false false false C false true false false true true Compass Bank 10.0 false false false false false D false true false false false true Bank of America Merill Lynch 5.0 false false false false false A false B false C false D false Schedule K, Part II, Line 3 Debt Issue A Gross proceeds increased by amount earned on reserve fund. Form 990, Part III, Line 4a PROGRAM SERVICE ACCOMPLISHMENT (CONTINUED FROM PART III) SHANDS JACKSONVILLE IS A 695 BED NOT-FOR-PROFIT ACADEMIC MEDICAL CENTER AFFILIATED WITH THE UNIVERSITY OF FLORIDA. THERE ARE MORE THAN 330 NATIONALLY RECOGNIZED FACULTY PHYSICIANS WORKING WITH OVER 350 HOSPITAL-BASED AND PRIVATE PRACTICE COMMUNITY DOCTORS. THE UNIVERSITY OF FLORIDA HAS OVER 300 FULL-TIME RESIDENTS AT SHANDS JACKSONVILLE. TWENTY-FIVE PERCENT OF THE EDUCATION OF COLLEGE OF MEDICINE STUDENTS TAKES PLACE HERE. SHANDS JACKSONVILLE HAS A LEVEL 1 TRAUMA CENTER AND IS HOME TO THE REGIONAL PERINATAL ICU, THE HIGHEST LEVEL OF NEONATAL INTENSIVE CARE. OUR PHYSICIANS SPECIALIZE IN HIGH-RISK PREGNANCY AND COMPLEX PEDIATRIC ILLNESSES. THE FLORIDA POISON INFORMATION CENTER IS ALSO LOCATED ON CAMPUS, COVERING 42 COUNTIES AND A RESOURCE FOR OVER SIX MILLION RESIDENTS, 151 HEALTHCARE INSTITUTIONS AND 121 EMS (EMERGENCY MEDICAL SERVICE) AGENCIES. OVER 12,000 PEOPLE WERE EXPOSED TO THE POISON PREVENTION AND SAFETY MESSAGES, INCLUDING CHILDREN K THROUGH 12TH GRADES. SHANDS JACKSONVILLE TOGETHER WITH UNIVERSITY OF FLORIDA HAS DEVELOPED SEVERAL CENTERS OF EXCELLENCE: THE CARDIOVASCULAR CENTER, THE NEUROSCIENCE INSTITUTE, THE BONE AND JOINT INSTITUTE AND THE UF CANCER CENTER. THESE CENTERS BRING TOGETHER INTERDISCIPLINARY TEAMS USING ALL THE RESOURCES OF THE ACADEMIC MEDICAL CENTER. SHANDS 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 HOSTED OR PARTICIPATED IN OVER 150 HEALTH FAIRS AND OTHER SPECIAL EVENTS AND PERFORMED BLOOD PRESSURE, HIV, CHOLESTEROL, STROKE ASSESSMENT, PREGNANCY, BLOOD SUGAR AND GLAUCOMA SCREENINGS. IN ADDITION, TOTAL NUMBER OF EMPLOYEE VOLUNTEER HOURS DONATED TO THE COMMUNITY EXCEEDED 35,000. SHANDS JACKSONVILLE ALSO HAS AN ACTIVE COMMUNITY AFFAIRS DEPARTMENT COMMITTED TO IMPROVING THE QUALITY OF LIFE THROUGH LEADERSHIP, NETWORKING, COLLABORATION AND EDUCATION.THE COMMUNITY AFFAIRS DEPARTMENT SERVES A DEFINED AREA OF JACKSONVILLE'S URBAN CORE THAT REPRESENT 40 PERCENT OF THE AFRICAN-AMERICAN POPULATION IN JACKSONVILLE. 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 these 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 these 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 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 to review 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 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 review is done annually and was last conducted in 2016. 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 2016. 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 IX, Line 11g Other Fees Professional Fees - Total Expense: 37301462, Program Service Expense: 6121323, Management and General Expenses: 31180139, Fundraising Expenses: ; Purchased Services - Total Expense: 70527875, Program Service Expense: 22056521, Management and General Expenses: 48471354, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Cancellation of Related Party Debt - 17687000; SHANDS JACKSONVILLE HEALTHCARE INC 655 WEST 8TH ST JACKSONVILLE FL 32209 292441966 SUPPORT SHANDS JACKSONVILLE MEDICAL CENTER, INC. FL 501(c)(3 Type II UF false SHANDS JACKSONVILLE PROPERTIES INC 655 WEST 8TH ST 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 ST JACKSONVILLE FL 32209 591913819 SUPPORT SHANDS JACKSONVILLE MEDICAL CENTER, INC. FL 501(c)(3 Type I SJHC false SHANDS JACKSONVILLE COMMUNITY SERVICE 655 WEST 8TH ST 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 ST JACKSONVILLE FL 32209 592622323 SUPPORT SHANDS JACKSONVILLE MEDICAL CENTER, INC. FL 501(c)(3 Type II SJHC false University of Florida 226 Tigert Hall Gainesville FL 32611 596002052 Education FL NA false Faculty Clinic Inc PO Box 44008 Jacksonville FL 32231 592856153 Support UF Jax Physicians FL 501(c)(3 Type I UF false GatorCare Health Management Corporation 1329 SW 16th St No 2204 Gainesville FL 32610 461185106 INSURANCE FL 501(c)(3 Type I UF false Shands Teaching Hospital & Clinics Inc PO Box 100336 Gainesville FL 32610 591943502 HOSPITAL FL 501(c)(3 3 UF false First Coast Advantage East LLC 580 West 8th Street Jacksonville FL 32209 461265676 HEALTHCARE FL SJMC Related -10196543 11091701 false 0 false 0.55 SOUTHERN HOSPITAL SYSTEMS INC PO BOX 100336 GAINESVILLE FL 32610 591930524 SUPPORT FOR SHANDS JACKSONVILLE MEDICAL CENTER, INC. 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