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        <BusinessName>
          <BusinessNameLine1Txt>Carolyn Roberts</BusinessNameLine1Txt>
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        <BusinessName>
          <BusinessNameLine1Txt>Joan Ruffier</BusinessNameLine1Txt>
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        <TitleTxt>Director</TitleTxt>
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        <BusinessName>
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        <BusinessName>
          <BusinessNameLine1Txt>Joseph Tyndall MD</BusinessNameLine1Txt>
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        <TitleTxt>Director</TitleTxt>
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        <BusinessName>
          <BusinessNameLine1Txt>Kari Lou Cassel</BusinessNameLine1Txt>
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        <TitleTxt>Sr VP &amp; Chief Information Officer</TitleTxt>
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        <BusinessName>
          <BusinessNameLine1Txt>Janet Christie</BusinessNameLine1Txt>
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        <BusinessName>
          <BusinessNameLine1Txt>Randy Harmatz</BusinessNameLine1Txt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>James Kelly</BusinessNameLine1Txt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>James Roberts</BusinessNameLine1Txt>
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        <TitleTxt>Senior VP/Secretary</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>William Robinson</BusinessNameLine1Txt>
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        <TitleTxt>CFO/Treasurer</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Irene Alexaitis</BusinessNameLine1Txt>
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        <TitleTxt>VP Nursing Shands UF</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Harley Keith Alltop</BusinessNameLine1Txt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Charles Behl</BusinessNameLine1Txt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Marvin Dewar</BusinessNameLine1Txt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Raymond Hoskavich</BusinessNameLine1Txt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Mary Kiely</BusinessNameLine1Txt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Michael Lawton</BusinessNameLine1Txt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
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        <BusinessName>
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        <BusinessName>
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        <BusinessName>
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        <BusinessName>
          <BusinessNameLine1Txt>Lesli A Ward</BusinessNameLine1Txt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Michael Gleason</BusinessNameLine1Txt>
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            <BusinessNameLine1Txt>MCKESSON</BusinessNameLine1Txt>
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      <ContractorCompensationGrp>
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        <ContractorName>
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        <Desc>Misc NonPatient Revenue</Desc>
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        <Desc>All Other</Desc>
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          <BusinessNameLine1Txt>DAVID SINOPOLI</BusinessNameLine1Txt>
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        <ActivityTxt>COORDINATES ALL CAMPAIGNS AND EVENTS IN WEST PALM BEACH</ActivityTxt>
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          <CityNm>WEST PALM BEACH</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
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        <TotalExpensePct>0.0</TotalExpensePct>
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      <BadDebtExpenseReportedInd>true</BadDebtExpenseReportedInd>
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      <ReimbursedByMedicareAmt>301462385</ReimbursedByMedicareAmt>
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      <ManagementCoAndJntVenturesGrp>
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        </EntityName>
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      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1Txt>SHANDS STARKE</BusinessNameLine1Txt>
        </EntityName>
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      </ManagementCoAndJntVenturesGrp>
      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1Txt>SHANDS LIVE OAK</BusinessNameLine1Txt>
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      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1Txt>SHANDS LAKE SHORE</BusinessNameLine1Txt>
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      </ManagementCoAndJntVenturesGrp>
      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1Txt>MUNROE REGIONAL HEALTH SYSTEMS INC</BusinessNameLine1Txt>
        </EntityName>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
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        <PhysiciansProfitOrOwnershipPct>0.0</PhysiciansProfitOrOwnershipPct>
      </ManagementCoAndJntVenturesGrp>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>UF HEALTH SHANDS HOSPITAL</BusinessNameLine1Txt>
        </BusinessName>
        <WebsiteAddressTxt>UFHEALTH.ORG</WebsiteAddressTxt>
        <StateLicenseNum>CORPORATION #749322</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <ChildrensHospitalInd>X</ChildrensHospitalInd>
        <TeachingHospitalInd>X</TeachingHospitalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>UF HEALTH SHANDS HOSPITAL</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
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        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
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        <OwnWebsiteURLTxt>UFHEALTH.ORG</OwnWebsiteURLTxt>
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        <StrategyWebsiteURLTxt>UFHEALTH.ORG</StrategyWebsiteURLTxt>
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        <FPGFamilyIncmLmtFreeCarePct>2.0</FPGFamilyIncmLmtFreeCarePct>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
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        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <FAPNotifiedUponAdmissionInd>X</FAPNotifiedUponAdmissionInd>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - SHANDS AT THE UNIVERSITY OF FLORIDA. The community health assessment and planning process used to structure the activities was the Mobilizing for Action through Planning and Partnerships (MAPP) process, which emphasizes community input and involvement in developing and implementing the plan. The assessment included the following components: *The Strengths and Themes Assessment involved 800 community members who provided input about their perceptions, values, and experiences obtaining care. The community input was collected during telephone interviews, focus groups, and home and in-clinic interviews. *The Local Public Health System Performance Assessment was conducted with about 60 community representatives of health and social services agencies. Using a structured tool in a facilitated process, the participants ranked the functioning of the local system of health and health-related services available to Alachua County residents. *In the Forces of Change Assessment, a group of 21 community leaders participated in a facilitated discussion of threats and opportunities that will affect health and the ability to offer health care in the future. *Once the key issues were identified from each assessment by the assigned subcommittees, these issues were presented to community groups for review, discussion, and input on which priorities should be addressed in the final plan. *In addition to community input the process included professional expertise and input. The project leadership committee included representatives of Shands, the Alachua County Health Department, Meridian Behavioral Healthcare, and the WellFlorida Council (the state-designated local health council for the portion of the state that includes Alachua County). Community partners participated in a Steering Committee, two Implementation Committees and several subcommittees. There was extensive involvement of the professional community, which included health care experts and providers, representatives of social service agencies, academics, and advocates.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>0</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>SHANDS HOMECARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3515 NW 98TH STREET</AddressLine1Txt>
            <CityNm>GAINESVILLE</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>32609</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT HOME CARE PROGRAMS</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>SHANDS MED GROUP AT MAGNOLIA PARKE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4740 NW 39TH PLACE STE B</AddressLine1Txt>
            <CityNm>GAINESVILLE</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>32606</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIANS CLINICS</FacilityTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8 Community benefit &amp; methodology for determining medicare costs</FormAndLineReferenceDesc>
        <ExplanationTxt>The amounts reported on Lines 5 and 6 were derived from the FYE 2014 Medicare cost report.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>For those patients who qualify for discounted services, efforts will be made to establish payment arrangements.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2 Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>In addition to knowledge obtained through participation in needs assessments conducted with other health-oriented entities in the community, UF Health Shands Hospital assesses the health care needs of the communities it serves through a variety of mechanisms including engagement with patients and the community at large, relationships with other entities, and the monitoring of health status indicators and other data. For example, the hospital hosts numerous health fairs and health education events each year, and staff are active contributors and participants in the local chapter of the United Way. The hospital has very strong and active relationships with the Alachua County Health Department and the local health planning council (WellFlorida Council), and cooperative initiatives are undertaken in response to needs identified via those relationships. The hospital is also engaged in partnerships and activities pertaining to implementation of the community health improvement plan, including review of health status indicators and formation of new consortia in response to identified needs.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>The hospital has several mechanisms for educating patients about its financial assistance policy: A plain-language summary of the policy is posted in the "Billing &amp; Insurance FAQs" portion of the hospital's website, along with local and toll-free telephone numbers where financial representatives may be reached to discuss questions; signage is posted in the Emergency Departments indicating that financial assistance is available for those uninsured and underinsured patients meeting eligibility requirements, and after EMTALA screening and stabilization requirements are met, financial counselors work with those patients who appear to qualify for Medicaid or under the hospital's financial assistance policy; nearly every hospital inpatient is visited by a representative from Admissions, to ensure we have their correct insurance information and to inform them about the assistance policy; and information on the financial assistance policy is included with the invoices/financial statements that are mailed to patients. In addition, the hospital provides financial counseling and information to individual patients and assists them in applying for local, state, and federal health care programs such as Medicare and Medicaid or enrolling in an insurance plan through the federal health care exchange.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4 Community information</FormAndLineReferenceDesc>
        <ExplanationTxt>UF Health Shands Hospital is a statutory teaching hospital in Alachua County, Florida. Alachua County is located in the largely-rural north central portion of the state. Half the county's population lives in Gainesville, the county's largest city, and two-fifths of the county's population lives in unincorporated areas. The 2015 population of Alachua County is estimated to be 253,176. About 18% of residents are 17 years of age or younger and 13% are 65 or older. The 18-24 year old age group accounts for 21% of the population, and 48% of the county's population is under 30 years old. Alachua County is the second-youngest county in all of Florida (based on median age), due in large part to the presence of the University of Florida and Santa Fe College. The racial breakdown of Alachua County's population is 70% white, 20% black, 6% Asian, and 4% other races. About 9% of Alachua County residents are Hispanic. The county is more racially diverse than the rest of Florida, but its proportion of Hispanic residents is smaller than the rest of state, where nearly one in four residents is Hispanic. One quarter of Alachua County's residents live below the federal poverty level (FPL), and 43% live below 200% of the FPL. Poverty in Alachua County and in every county surrounding Alachua affects a higher proportion of residents than the average for Florida overall. About 24% of the county's population received food stamps in 2014.</ExplanationTxt>
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        <ExplanationTxt>Located in Gainesville, UF Health Shands is affiliated with the University of Florida. It is part of UF Health, the Southeast's most comprehensive academic health center, with campuses in Gainesville and Jacksonville. UF Health Shands includes a teaching hospital, UF Health Shands Hospital, which also includes UF Health Shands Cancer Hospital and UF Health Shands Children's Hospital; two specialty hospitals, UF Health Shands Rehab Hospital and UF Health Shands Psychiatric Hospital; a network of outpatient rehabilitation centers; and a home health agency. UF Health Shands is affiliated with more than 45 UF Health Physicians primary care and specialty practices located throughout north central Florida. UF Health Shands Hospital is also home to a state-designated Level I trauma center, a Level III neonatal intensive care unit, a regional burn center, a comprehensive stroke center, an accredited chest pain center, a state-designated Cancer Center of Excellence and an emergency air and ground transport program. Nearly 900 UF College of Medicine faculty and community physicians are on the UF Health Shands medical staff, along with more than 8,900 skilled nursing and support staff, providing care in more than 100 specialty and subspecialty medical areas, from primary care to highly specialized care, including cancer, heart and vascular, neuromedicine, pediatrics and transplantation services. Each year, patients come to UF Health Shands from nearly all 67 Florida counties, throughout the nation and more than a dozen countries. Community Benefit FY15 - Shands Teaching Hospital and Clinics Inc. * Charity care and social responsibility (net unreimbursed financial assistance at cost) - $56.6M * Health professionals education - $28.9M * Scientific and clinical research in the health sciences - $16.4M * Donations and in-kind services to support community-based efforts - $1.9M * Community and regional health services - $7.4M * Total Community Benefit (provided at cost) - $111.2M * UF Health Shands served uninsured patients from nearly every county in Florida. * UF Health Shands employees and volunteers, supported by UF College of Medicine faculty, residents and students, participated in 20 health fairs that reached more than 4,700 people. * UF Health Shands offered 689 health seminars and community outreach events, reaching more than 25,400 people on topics ranging from disease prevention to diagnosis and treatment for a variety of health care issues. * The UF Health Women's Advantage program offered health-focused events on all aspects of women's health. Topics for FY15 included: exercise and weight loss; heart care, vision and mental health; and an array of cancer issues; along with a number of health screenings and a variety of health information offered at an annual health fair. * The UF Health Healthy Advantage program offered health-focused events on a range of health issues targeting middle-aged and older adults. Topics for FY15 included: orthopaedic issues, neurological disease and several types of cancer. * UF Health Shands contributed nearly $2 million to support a variety of local, regional and national community initiatives, including the American Cancer Society, the American Heart Association, Stop! Children's Cancer, the Muscular Dystrophy Association, Haven Hospice, Tyler's Hope, Ronald McDonald House Charities, LifeSouth Community Blood Centers, the Child Advocacy Center, the March of Dimes and United Way, among others.</ExplanationTxt>
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        <Desc>Gas Cards</Desc>
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        <MethodOfDeterminingRevenuesTxt>Cost</MethodOfDeterminingRevenuesTxt>
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      <OtherNonCashContriTableGrp>
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        <Desc>Miscellaneous Toys</Desc>
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        <Desc>Food Items</Desc>
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        <MethodOfDeterminingRevenuesTxt>Cost</MethodOfDeterminingRevenuesTxt>
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      <OtherNonCashContriTableGrp>
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        <NoncashContributionsRptF990Amt>20550</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Market value</MethodOfDeterminingRevenuesTxt>
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      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Ads - print, radio, various items</Desc>
        <NoncashContributionsRptF990Amt>147115</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Cost</MethodOfDeterminingRevenuesTxt>
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    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="14000329" softwareVersionNum="2014v1.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>Individuals serving on the Shands Teaching Hospital and Clinics, Inc. Board of Directors are members.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>The Corporate By-Laws state that the President of the University of Florida has the right to appoint up to 20 members of the Board of Directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>A complete copy of the Form 990 was sent to all members of the governing body before filing the form. A presentation regarding the Form 990 was also made to the Audit and Compliance Committee of the Board of Directors prior to filing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>The Legal Department receives and reviews the information disclosed by employees regarding conflict of interest issues and in cooperation with the Corporate Compliance Department determines whether disclosures made by the employees would involve conflict of interest issues and how to resolve them.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>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's methodology consists of the following standard steps: *Analysis by position based on job content *Reference of multiple national survey sources similarly situated for not-for-profit healthcare executive compensation *Existing base salary range midpoints were updated to more closely align with the market 50th percentile value for each role. Mercer followed a similar process to evaluate the competitiveness of UF Health Shands Hospital total cash compensation (base salary, annual incentive bonus, and benefits) levels, and provides recommended incentive compensation ranges to insure total cash compensation is also reasonable. Mercer periodically reviews all other aspects of executive compensation-including all elements of supplemental benefits-to insure that they compare with competitive and reasonable total remuneration levels.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>On a regular basis, all management positions are reviewed by Mercer to ensure salary scales are in line with comparable positions in similar institutions.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>The year end financial statements are on the ufhealth.org/uf-health-shands-hospital website and the Federal Form 990 is available upon request.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 8</FormAndLineReferenceDesc>
        <ExplanationTxt>During 2015, UF Health Shands Hospital adopted several GASB Statements. With this adoption, the result was a restatement of prior periods.</ExplanationTxt>
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      </IdRelatedOrgTxblPartnershipGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>true</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>true</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>true</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>true</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>