2016-05-16T15:17:02-05:00 2015-06-30 990 2014-07-01 592142859 SHANDS JACKSONVILLE MEDICAL CENTER INC SHAN 3522657962 PO BOX 100336 GAINESVILLE FL 326100336 William Ryan Treasurer 2016-05-16 2014 2016-08-17 19:52:53Z UF HEALTH JACKSONVILLE RUSSELL ARMISTEAD PO BOX 100336 GAINESVILLE FL 326100336 606474834 false X HTTP://UFHEALTHJAX.ORG X 1981 FL 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. 16 8 4590 0 1574 -21460 2312739 4513696 516431464 577553598 469865 18716725 19423335 5234103 538637403 606018122 23120335 23054908 0 0 244960591 262466166 0 0 0 266715996 298071850 534796922 583592924 3840481 22425198 466269206 528300746 301452032 358249517 164817174 170051229 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 446419074 582897670 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. 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. SHANDS JACKSONVILLE MEDICAL CENTER IS DEDICATING OUR WORK TO IMPROVING EDUCATION ON HEALTH ISSUES FOR THE WELL BEING OF THE COMMUNITY. SHANDS JACKSONVILLE MEDICAL CENTER, INC IS IMPROVING LIFE THROUGH INNOVATIONS IN HEALTHCARE. 446419074 true false false true false false true false false true true false false true true false 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 false false false true 152 13 true 4590 true true true false false false false false false false false false false false X 16 8 false false false false true true false true true false false true true true true true true true true false FL X PATRICIA RAUSCH CONTROLLER 9042448675 655 WEST 8TH STREET JACKSONVILLE FL 32209 X Russel E Armistead Jr MBA President 39.00 2.00 X X 705490 0 20860 Michael Gleason Treasurer 40.00 2.00 X X 0 538596 30945 Samir Array MD Director 2.00 38.00 X 0 266434 12960 Theodore Bass MD Director 2.00 38.00 X 0 572777 52652 Michelle M Boyton Director 2.00 2.00 X 0 0 0 Toni Crawford Director 2.00 2.00 X 0 0 0 Troy M Davis Director 50.00 2.00 X 0 0 0 Lawrence DuBow Director 2.00 2.00 X 0 0 0 Linda Edwards MD Director 2.00 38.00 X 0 242469 23064 Nat Glover Director 2.00 2.00 X 0 0 0 Beth McCague Director 2.00 2.00 X 0 0 0 W A McGriff Director 2.00 2.00 X 0 0 0 Lynn Pappas Director 2.00 2.00 X 0 0 0 Rahul Patel Esq Director 2.00 2.00 X 0 0 0 Christopher Williams MD Director 2.00 38.00 X 0 438008 33624 Daniel R Wilson MD Director 2.00 38.00 X 0 547044 33116 Michael Gleason Treasurer 39.00 2.00 X 0 538596 30945 Jonathan Dixon III Secretary 39.00 2.00 X 200476 0 23907 David Guzick MD Chairman 2.00 44.00 X 0 1259944 33609 James Roberts Secretary 3.50 44.50 X 0 671433 28323 Patrice Jones Director of Nursing 40.00 0 X 322843 0 14846 Michael Lawton VP Managed Care 25.00 25.00 X 0 378634 26554 Wayne A Marshall VP UHF North 50.00 0 X 190321 0 25849 Greg Miller SVP Chief Operating Officer 40.00 0 X 447458 0 27017 Barbara Veronski Dir Div Ancillary Services 48.00 0 X 182765 0 10926 Lesli A Ward VP Chief HRO 48.00 50.00 X 0 285783 30658 Thanh Hogan Dir Ancilliary Svc 48.00 0 X 182461 0 10702 Allen Okie Dir Med Mgd Care 48.00 0 X 213357 0 10381 Jay Schauben Director Poison Center 40.00 0 X 172970 0 18652 Penelope Thompson VP Government Affairs 48.00 0 X 201763 0 13443 Daniel Wollitz Dir Facilities 48.00 0 X 184651 0 12914 3004556 5739717 525947 158 false true true Sodexo Inc P O Box 536922 Atlanta GA 30353 Food Service 8107302 Crothall Healthcare 13028 Collection Center Drive Chicago IL 60693 Housekeeping and other Management Services 7960838 Jacksonville Electric Authority P O Box 45047 Jacksonville FL 32232 Provide Electrical Services 5535270 Dialysis Clinic Inc 1633 Church St Suite 500 Nashville TN 37203 Dialysis Services 3697052 Crothall Laundry Services 13028 Collection Center Drive Chicago IL 60693 Laundry Services 3398842 80 4375806 137890 4513696 PATIENT SERVICE REVENUE 900099 577553598 577553598 0 0 0 0 577553598 18605182 18605182 2446819 2446819 0 2446819 2446819 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0 67570131 26275594 41294537 0.0707 12 6438 913251 69 913182 0.0016 6 3825 41855926 24681788 17174138 0.0294 0 0 0 0.0 0 0 0 0.0 4 35870 0 35870 0.0001 22 10263 42805047 24681857 18123190 0.0310 22 10263 110375178 50957451 59417727 0.1017 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 79654002 126216181 109100779 17115402 X true true 1 1 SHANDS JACKSONVILLE MEDICAL CENTER INC X X X X SHANDS JACKSONVILLE MEDICAL CENTER INC 1 false false true X X X X X X X X 13 true true true true X ufhealthjax.org X true 13 true ufhealthjax.org false false true X 2.0 4.0 X X X X X true true X X true X X false X false X X X X X true X false true Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - SHANDS JACKSONVILLE MEDICAL CENTER, INC.. "Representatives who participated in this needs assessment include Aubrey Moran and Lynn Sherman of Baptist Health, Mary ALice Phelan and David Pringle of St. Vincent's Healthcare, Robin Bass of Shands Jacksonville Medical Center, Marion Anderson of Brooks Rehabilitation, Michell Leak of Mayo Clinic, Nancy Miles of Clay County Health Department, Tim Lawther of Duval Counaty Health Department, Heather Huffman of Nassau Conty Health Department and Robon Wright of Putnam County Health Department. " Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - SHANDS JACKSONVILLE MEDICAL CENTER, INC.. The other hospitals that participated were , Baptist Health, St. Vincent's HealthCare, Mayo Clinic, and Brooks Rehabilitation. Schedule H, Part V, Section B, Line 24 Facility , 1 Facility , 1 - SHANDS JACKSONVILLE MEDICAL CENTER, INC.. The patients are billed standard gross charges until their financial status can be clarified. 0 Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance A sliding scale was used to determine the amount to charge patients who fell between 200% and 400% of the Federal Poverty Guidelines. 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 sthe adequacy of the allowance for noncollectable accounts based upon these trends. The results of this review are then used to make any modification to the provision for bad debts to establish an appropriate allowance for noncollectable accounts. Patient accounts receivable are written off after collection have been followed under the companies policies. SJMC has policies providing assistance for patients requiring care but who have limited or no means to pay for that care. These policies provide free health related services to persons who qualify under certain income and asset criteria. SJMC maintains records to identify and monitor the level of financial assistance it provides. The value of bad debts reported on Line 2 represents the aggregate amounts remaining in net patient accounts receivable that are deemed to be noncollectable after exercising reasonable collection efforts. 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 2014 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 ot 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 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 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. true University of Florida 226 Tigert Hall Gainesville FL 32611 596002052 23054908 0 1 0 X false true X true false false false false false false false false Russel E Armistead Jr MBA President 600001 0 90000 0 15489 0 12411 0 8449 0 726350 0 0 0 Michael Gleason Treasurer 0 415807 0 112500 0 10289 0 20800 0 10145 0 569541 0 0 Samir Array MD Director 0 194562 0 69022 0 2850 0 10616 0 2344 0 279393 0 0 Theodore Bass MD Director 0 566697 0 0 0 6080 0 33255 0 19398 0 625429 0 0 Linda Edwards MD Director 0 238160 0 0 0 4309 0 17957 0 5107 0 265533 0 0 Christopher Williams MD Director 0 435036 0 0 0 2972 0 14231 0 19393 0 471632 0 0 Daniel R Wilson MD Director 0 536241 0 0 0 10804 0 13694 0 19421 0 580160 0 0 Michael Gleason Treasurer 0 415807 0 112500 0 10289 0 20800 0 10145 0 569541 0 0 Jonathan Dixon III Secretary 182886 0 10800 0 6791 0 9700 0 14207 0 224383 0 0 0 David Guzick MD Chairman 0 878114 0 316750 0 65080 0 19994 0 13615 0 1293553 0 0 James Roberts Secretary 0 397400 0 108000 0 166033 0 18200 0 10123 0 699756 0 0 Patrice Jones Director of Nursing 285002 0 17100 0 20741 0 13650 0 1196 0 337689 0 0 0 Michael Lawton VP Managed Care 0 247307 0 59000 0 72327 0 18200 0 8354 0 405188 0 0 Wayne A Marshall VP UHF North 171321 0 11436 0 7565 0 24442 0 1407 0 216170 0 0 0 Greg Miller SVP Chief Operating Officer 388773 0 23200 0 35485 0 12550 0 14467 0 474475 0 0 0 Barbara Veronski Dir Div Ancillary Services 170413 0 11322 0 1030 0 9541 0 1385 0 193692 0 0 0 Lesli A Ward VP Chief HRO 0 260800 0 15700 0 9283 0 20800 0 9858 0 316440 0 0 Thanh Hogan Dir Ancilliary Svc 170102 0 9486 0 2873 0 9583 0 1119 0 193163 0 0 0 Allen Okie Dir Med Mgd Care 182890 0 0 0 30467 0 5487 0 4895 0 223739 0 0 0 Jay Schauben Director Poison Center 162873 0 1600 0 8497 0 9418 0 9233 0 191622 0 0 0 Penelope Thompson VP Government Affairs 155059 0 18465 0 28240 0 8406 0 5037 0 215206 0 0 0 Daniel Wollitz Dir Facilities 105577 0 0 0 79074 0 5739 0 7175 0 197565 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. 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 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation An independent compensation organization is used to make recommendations and then it is presented to the Board of Directors for approval. Schedule J, Part I, Line 4a Severance or change-of-control payment Dan Wollitz received $55,270.44 in severance pay. A Jacksonville Economic Development Commission 596000344 34061QAJ6 2013-11-21 63606897 2013A Refund 2005 & 2008 Bonds false false false B Jacksonville Economic Development Commission 596000344 34061QAK3 2013-11-21 59405000 2013B Refund Series 2005 & 2008 Bonds false false false C Jacksonville Economic Development Commission 596000344 2015-06-29 20000000 2015A Capital Financing false false false A 0 0 63606897 0 0 22085000 1097897 0 0 34000000 0 0 false false true true B 0 0 59405000 0 0 58725000 680000 0 0 0 0 0 true false true C 20000000 50000 false false false A true true false false 0.0 false false B true true false false 0.0 false false C true true false false 0.0 false false A true true false false false B true true false false C true true Compass Bank 10.0 false false false A false B false C false Form 990, Part III, Line 4d Description of other program services (Expenses $ including grants of $) 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 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 monitors the Conflicts of Interest policy and brings any conflicts to the attention of the Board. Form 990, Part VI, Line 15a Process to establish compensation of top management official Mercer, an independent firm engaged in the development of compensation surveys on executive pay levels across different industries, provides competitive data and guidance on determining appropriate and reasonable ranges and salaries. Mercer follows a similar process to evaluate the competitivenes of Shands total cash compensation ( base salary plus annual incentive bonus) levels and provides recommended incentive compensation ranges to insure total cash compensation is also reasonable. Mercer annually reviews all other aspects of executive compensation-including all elements of supplemental benefits- to insure that they comport with competitive and reasonable total remuneration levels. Form 990, Part VI, Line 15b Process to establish compensation of other employees The same process is used as top management. Please refer to Schedule O explanation Form 990, Part IV, Line 15a. Form 990, Part VI, Line 19 Required documents available to the public Requests are handled on an individual basis. The information is given to parties upon request. Form 990, Part IX, Line 11g Other Fees Professional Fees - Total Expense: 45058179, Program Service Expense: 41667295, Management and General Expenses: 3390884, Fundraising Expenses: ; Purchased Services - Total Expense: 49232074, Program Service Expense: 19791905, Management and General Expenses: 29440169, Fundraising Expenses: ; Schedule J, Part II Line 16 This line should be populated by Key Employee Barbara Veronski, however due to system constraints it does not appear. SHANDS JACKSONVILLE HEALTHCARE INC 655 WEST 8TH ST JACKSONVILLE FL 32209 292441966 INVESTMENTS FOR SHANDS JACKSONVILLE MEDICAL CENTER, INC. FL 501(c)(3 Type I UNIVERSITY OF FLORIDA false SHANDS JACKSONVILLE PROPERTIES INC 655 WEST 8TH ST JACKSONVILLE FL 32209 591158241 SUPPORT SHANDS JACKSONVILLE MEDICAL CENTER, INC. 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FL 501(c)(3 Type I SHANDS JACKSONVILLE HEALTHCARE INC false UNIVERSITY OF FLORIDA 226 TIGERT HALL GAINESVILLE FL 32611 596002052 EDUCATION FL 501(c)(1 NA false UNIVERSITY OF JACKSONVILLE PHYSICIAN 655 WEST 8TH ST JACKSONVILLE FL 32209 591867557 HOSPITAL SUPPORT FL 501(c)(3 Type I UNIVERSITY OF FLORIDA false GATORCARE HEALTH MANAGEMENT CORPORATION 1329 SW 16TH ST GAINESVILLE FL 32610 461185108 SELF INSURED HEALTH INSURANCE PLAN FL 501(c)(3 Type I UNIVERSITY OF FLORIDA false SOUTHERN HOSPITAL SYSTEMS INC PO BOX 100336 GAINESVILLE FL 32610 591930524 SUPPORT FOR SHANDS JACKSONVILLE MEDICAL CENTER, INC. FL SJMC C Corporation 1 FIRST COAST ADVANTAGE LLC 655 WEST 8TH STREET JACKSONVILLE FL 322096511 MEDICAID PROVIDER SERVICE NETWORK FL SJMC C Corporation 55 55 0.55 false true false true true false false false false true true true true true true true true false false