2018-05-15T06:01:52-05:00 2017-06-30 350921680 CROWE HORWATH LLP 225 West Wacker Drive Suite 2600 Chicago IL 606061224 990 2016-07-01 592142859 SHANDS JACKSONVILLE MEDICAL CENTER INC SHAN 9042440411 655 West 8th Street Jacksonville FL 32209 Dean C Cocchi MBA CPA Chief Financial Officer 2018-05-15 true Nicole Bencik P00756195 3128997000 2016 2022-09-23 18:48:47Z UF HEALTH JACKSONVILLE LEON L HALEY JR MD 655 West 8th Street Jacksonville FL 32209 776202284 false X 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. 15 7 5227 445 49157 -269246 4980020 3752821 755073780 763885329 7775832 3234817 5730561 4848081 773560193 775721048 33355432 34117514 0 282357666 306551471 0 0 450840140 432442164 766553238 773111149 7006955 2609899 632215876 626608774 437470692 428687470 194745184 197921304 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 604193218 34117514 765657418 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) 604193218 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 246 0 true 5227 true true true false false false false false false false false false X 15 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 CEO 40.0 10.0 X X 710282 0 25308 David Guzick MD Chairman 2.0 48.0 X X 0 1484258 41480 Theodore Bass MD Director 2.0 48.0 X 0 669179 53710 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 (Partial Year) 2.0 2.0 X 0 0 0 Lawrence DuBow Director (Partial Year) 2.0 2.0 X 0 0 0 Linda R Edwards MD Director 2.0 48.0 X 0 306261 37183 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 R Williams MD Director 2.0 48.0 X 0 452287 34949 Daniel R Wilson MD Director 2.0 48.0 X 0 307111 15007 Christopher B Scuderi MD Director 2.0 48.0 X 0 265677 34056 Leon L Haley Jr MD Director 2.0 48.0 X 0 0 0 Andrew J Kerwin Director 2.0 48.0 X 0 480642 34858 Michael S Santarone Director 2.0 2.0 X 0 0 0 Kendall Spencer Director 2.0 2.0 X 0 0 0 Jonathan Dixon III Secretary (Partial Year) 45.0 5.0 X 149717 0 16058 James Roberts Secretary 2.0 48.0 X 0 556414 29978 Dean Cocchi Asst. Treasurer 48.0 2.0 X 268371 0 26492 William Ryan Treasurer 40.0 10.0 X 422421 0 15379 Jon DeBardeleben Assistant Secretary 40.0 10.0 X 152444 0 7192 Sonya Diaz Asst. Secretary 48.0 2.0 X 73791 0 5400 Kelly Gray-Eurom MD Chief Quality Officer 2.0 48.0 X 0 379491 34726 Thanh Hogan VP Assoc Ancillary Services 48.0 0 X 223452 0 15097 Patrice Jones VP Chief Nursing Officer 48.0 0 X 318974 0 17131 Wayne A Marshall VP UFH North 48.0 0 X 225547 0 15179 Gregory Miller SVP COO 48.0 0 X 489313 0 26846 Penelope Thompson VP Government Affairs 48.0 0 X 210749 0 16990 Lesli A Ward VP Chief HRO 48.0 2.0 X 0 278464 32361 Rita James VP of Ambulatory Services 2.0 48.0 X 0 170201 26711 David Vukich MD Chief Medical Officer 2.0 48.0 X 0 471569 51891 Darrell Leonhardt Assoc CIO 48.0 0 X 249971 0 3564 Jay Schauben Dir Poison Center 48.0 0 X 186312 0 20795 Robert Hervey Dir of Support Services 48.0 0 X 203677 0 22160 Michele Worley Coord Cardiothoracic Surgery 48.0 0 X 174565 0 26105 Marylyn Main Dir Perioperative Service 48.0 0 X 186987 0 18375 Susan Hendrickson Dir Div Quality 48.0 0 X 173886 0 25787 4420458 5821554 730768 228 false true true UF PR HOUSESTAFF 653-1 WEST 8TH STREET JACKSONVILLE FL 32209 MEDICAL STAFFING SERVICES 22702088 CROTHALL HEALTHCARE 13028 COLLECTION CENTER DRIVE CHICAGO IL 60693 HOUSEKEEPING AND OTHER MANAGEMENT SERVICES 9620214 SODEXO INC & AFFILIATES PO BOX 536922 ATLANTA GA 303536922 FOOD SERVICES 8017418 DIALYSIS CLINIC INC 1633 CHURCH ST SUITE 500 NASHVILLE TN 37203 DIALYSIS SERVICES 4309950 CROTHALL LAUNDRY SERVICES INC 13028 COLLECTION CENTER DRIVE CHICAGO IL 60693 LAUNDRY SERVICES 3841784 72 X 3243434 509387 3752821 PATIENT SERVICE REVENUE 900099 762464372 762464372 Ancillary and Contract Services 900099 1420957 1420957 0 0 0 0 763885329 2279463 2279463 2270890 2270890 0 2270890 2270890 955354 0 955354 955354 955354 643140 481236 161904 161904 LABORATORY REVENUE 621500 49157 49157 Workers Comp Recovery 900099 539945 539945 PARKING REVENUE 900099 594041 594041 1232144 1232144 0 0 2415287 775721048 765657418 49157 6261652 X 34117514 34117514 3986281 3986281 241960213 194896824 47063389 10711973 8569204 2142769 32053597 31998081 55516 17839407 14148886 3690521 1103380 1103380 397923 397923 78972 78972 117144483 35130924 82013559 0 2141133 2141133 5563808 3520139 2043669 11981631 8260316 3721315 29698785 20474787 9223998 894724 516460 378264 516861 320067 196794 7327919 5051977 2275942 29838726 20571264 9267462 3992189 3735597 256592 ACHA ASSESSMENT 6756973 6756973 MEDICAL SUPPLIES 133787402 133194536 592866 BAD DEBT EXPENSE 78844548 78844548 RECRUITING EXPENSE 1367166 1315143 52023 1005541 628845 376696 0 773111149 604193218 168917931 0 155986639 114252245 41025060 11475591 855584 780849 108517362 112687957 0 0 0 14780402 16273276 1915710 2843234 567090148 329931536 178984758 237158612 0 0 0 130150361 131137010 632215876 626608774 122856690 131691837 271254 105822 222626004 215796074 39004471 37025342 52712273 44068395 437470692 428687470 X 191550223 194726343 3194961 3194961 194745184 197921304 632215876 626608774 2609899 566221 0 X false true X true true true X X 0 0 78972 78972 78972 78972 600207393 603825101 600286365 603904073 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 168030 174035 174419 78972 595456 250000 250000 250000 250000 1000000 1500000 0 0 0 0 X 1 5.56 0 1 0 1 false 0.0 0 true 0 54300 0 0 false 4541933 4541933 304937018 164818269 140118749 1579589 1301265 278324 229811915 163812002 65999913 26219693 26219693 237158612 ROUNDING DEPOSITS AND OTHER 24933295 DUE FROM AFFILIATES 106203715 INVESTMENT SUBSIDIARIES/OTHER 131137010 3RD PARTY SETTLEMENT 11292326 OTHER LIABILITIES 25933890 NOTES PAYABLE TO STHC 427911 Pension Expense per GASB 38 6414268 Capital Lease Patient Refunds Other Expenses 44068395 X 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. true true X true X true X true true false true true 18633625 18633625 0.0268 0 0.0 88699303 26275594 62423709 0.0899 0 0 107332928 26275594 81057334 0.1168 11 7387 282138 0 282138 0.0004 6 2780 45063785 14226236 30837549 0.0444 0 0.0 0 0.0 5 0 32563 0 32563 0.0000 22 10167 45378486 14226236 31152250 0.0449 22 10167 152711414 40501830 112209584 0.1616 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 78844547 0 139728390 133514221 6214169 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 https://ufhealthjax.org/community/community-health-needs-assessment.aspx X true 15 true https://ufhealthjax.org/community/community-health-needs-assessment.aspx false true X 100.0 400.0 X X X true true X X X true X http://ufhealthjax.org/patient-care/financial-assistance.aspx X https://ufhealthjax.org/patient-care/financial-assistance.aspx 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. put from 185 persons representing the broad interests of the community was taken into account via eleven key informant interview sessions, seventeen focus groups, and four town hall meetings. Interviews included: individuals with special knowledge of or expertise in public health; the local public health department; agencies with current data or information about the health needs of the community; and leaders, representatives, and members of medically underserved, low-income, and minority populations, and populations with chronic disease needs. Duval County Department of Health staff conducted and summarized results from the key informant interviews and community meetings. Some of the organizations who represented low-income and minority populations included: Sulzbacher Center, Duval Department of Health, Jacksonville Fire & Rescue Department and Northwest Jacksonville Community Development Corporation. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 0 Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 78844547 Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance The organization used the cost to charge ratio to compute the cost of financial assistance reported in Part I, Line 7. For all other amounts, a direct cost methodology was applied. 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 2017 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 blances 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: https://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 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 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. The 2015 Duval county population estimate was nearly 900k, with unfavorable poverty and unemployment compared to other Florida communities. In 2015, Duval County ranked 43rd out of 67 Florida counties for health outcomes and 28th for health factors. 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 discover. 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. true University of Florida Jacksonville Physicians Inc 653 West 8th Street Jacksonville FL 32209 591867557 501(C)(3) 34117514 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 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. X false true X X X X false false false false false false false false false Russel E Armistead Jr MBA CEO 591190 0 90000 0 29092 0 15900 0 9408 0 735590 0 0 0 David Guzick MD Chairman 0 943737 0 475125 0 65396 0 21519 0 19961 0 1525738 0 0 Theodore Bass MD Director 0 641527 0 18242 0 9410 0 31746 0 21963 0 722888 0 0 Linda R Edwards MD Director 0 275408 0 25000 0 5853 0 21800 0 15383 0 343445 0 0 Christopher R Williams MD Director 0 429563 0 19530 0 3194 0 13634 0 21315 0 487236 0 0 Daniel R Wilson MD Director 0 300597 0 0 0 6514 0 1141 0 13866 0 322118 0 0 Christopher B Scuderi MD Director 0 176052 0 87697 0 1928 0 10018 0 24038 0 299733 0 0 Andrew J Kerwin Director 0 388018 0 10986 0 81638 0 14424 0 20434 0 515500 0 0 Jonathan Dixon III Secretary (Partial Year) 105205 0 0 0 44511 0 6825 0 9232 0 165774 0 0 0 James Roberts Secretary 0 422465 0 116000 0 17948 0 18550 0 11428 0 586391 0 0 Dean Cocchi Asst. Treasurer 245622 0 15300 0 7449 0 16164 0 10328 0 294863 0 0 0 William Ryan Treasurer 347933 0 66000 0 8487 0 10773 0 4605 0 437799 0 0 0 Jon DeBardeleben Assistant Secretary 135237 0 15000 0 2207 0 0 0 7192 0 159636 0 0 0 Kelly Gray-Eurom MD Chief Quality Officer 0 363503 0 8500 0 7488 0 14445 0 20281 0 414217 0 0 Thanh Hogan VP Assoc Ancillary Services 209883 0 12899 0 670 0 13428 0 1669 0 238549 0 0 0 Patrice Jones VP Chief Nursing Officer 285232 0 17100 0 16642 0 15900 0 1231 0 336106 0 0 0 Wayne A Marshall VP UFH North 196939 0 12001 0 16607 0 13525 0 1653 0 240725 0 0 0 Gregory Miller SVP COO 391816 0 60000 0 37497 0 15900 0 10946 0 516159 0 0 0 Penelope Thompson VP Government Affairs 166285 0 10200 0 34264 0 11347 0 5643 0 227739 0 0 0 Lesli A Ward VP Chief HRO 0 252787 0 15700 0 9977 0 21200 0 11161 0 310826 0 0 Rita James VP of Ambulatory Services 0 158634 0 5000 0 6568 0 4885 0 21827 0 196913 0 0 David Vukich MD Chief Medical Officer 0 454459 0 0 0 17110 0 31457 0 20434 0 523460 0 0 Darrell Leonhardt Assoc CIO 248947 0 0 0 1024 0 0 0 3564 0 253535 0 0 0 Jay Schauben Dir Poison Center 159422 0 10000 0 16890 0 10422 0 10373 0 207108 0 0 0 Robert Hervey Dir of Support Services 166456 0 29343 0 7877 0 6188 0 15971 0 225836 0 0 0 Michele Worley Coord Cardiothoracic Surgery 169809 0 3678 0 1078 0 10665 0 15440 0 200670 0 0 0 Marylyn Main Dir Perioperative Service 175181 0 10404 0 1402 0 11044 0 7331 0 205363 0 0 0 Susan Hendrickson Dir Div Quality 162629 0 9988 0 1269 0 9819 0 15968 0 199673 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 1750000 0 63612989 6430092 0 0 1097897 0 0 34000000 22085000 0 2013 true false true true B 9015000 0 59405000 0 0 0 680000 0 0 0 58725000 0 2013 true false true true C 3410738 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 79689564 0 6220044 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 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 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 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 VIII, Line 11d Other Miscellaneous Revenue MISC REVENUE - Total Revenue: 1232144, Related or Exempt Function Revenue: 1232144, 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: 39062164, Program Service Expense: 6847688, Management and General Expenses: 32214476, Fundraising Expenses: ; Purchased Services - Total Expense: 78082319, Program Service Expense: 28283236, Management and General Expenses: 49799083, Fundraising Expenses: ; SHANDS JACKSONVILLE HEALTHCARE INC 655 WEST 8TH ST JACKSONVILLE FL 32209 292441966 SUPPORT SHANDS JACKSONVILLE MEDICAL CENTER, INC. 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FL 501(c)(3) Type II SJHC false University of Florida (UF) 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 University of Florida Jacksonville Physicians Inc 653 West 8th Street Jacksonville FL 32209 591867557 Supports the University of Florida College of Medicine - Jacksonville FL 501(c)(3) Type I UF false First Coast Advantage East LLC 655 W 8th Street Jacksonville FL 32209 461265676 HEALTHCARE FL SJMC Related 1124396 118269 false 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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