SHANDS JACKSONVILLE MEDICAL CENTER INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: SHANDS JACKSONVILLE MEDICAL CENTER INC (EIN 59-2142859)
Tax period: 2011-07-01 to 2012-06-30
Filed: 2013-05-13
IRS object ID: 201341339349301979
Schema version: 2011v1.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule C
Schedule D
Schedule H
Schedule J
Schedule K
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-05-13T11:00:09-05:00	Timestamp
Tax Period End Date	2012-06-30	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2011-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	592142859	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	SHANDS JACKSONVILLE MEDICAL CENTER INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	SHAN	NameControl
Phone	3522657962	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 100336	AddressLine1
City	GAINESVILLE	City
State	FL	State
ZIP Code	32610	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	MICHAEL GLEASON	Name
Title	VP & TREASURER	Title
Date Signed	2013-05-10	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RUSSELL ARMISTEAD	BusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	PO BOX 100336	AddressLine1
City	GAINESVILLE	City
State	FL	State
ZIP Code	32610	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	514172647	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	UFANDSHANDSJAX.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1981	YearFormation
State Legal Domicile	FL	StateLegalDomicile
Activity Or Mission Description	THE MISSION AT SHANDS JACKSONVILLE MEDICAL CENTER, INC. IS TO HEAL, TO COMFORT AND TO EDUCATE. WE DEDICATE OUR WORK TO IMPROVING LIFE THROUGH INNOVATIONS IN HEALTHCARE. OUR COMMITTMENT IS TO PROVIDE CONSTANT ATTENTION TO THE NEEDS OF OUR PATIENTS, COMMUNITY AND EACH OTHER.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	15	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	6	NbrIndependentVotingMembers
Total Nbr Employees	4506	TotalNbrEmployees
Total Nbr Volunteers	1543	TotalNbrVolunteers
Total Gross UBI	12993347	TotalGrossUBI
Net Unrelated Business Txbl Income	-297185	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	4117869	ContributionsGrantsPriorYear
Contributions Grants Current Year	4023895	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	501959566	ProgramServiceRevenuePriorYear
Program Service Revenue CY	483830758	ProgramServiceRevenueCY
Investment Income Prior Year	817853	InvestmentIncomePriorYear
Investment Income Current Year	2134695	InvestmentIncomeCurrentYear
Other Revenue Prior Year	16629543	OtherRevenuePriorYear
Other Revenue Current Year	23481886	OtherRevenueCurrentYear
Total Revenue Prior Year	523524831	TotalRevenuePriorYear
Total Revenue Current Year	513471234	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	247407706	SalariesEtcPriorYear
Salaries Etc Current Year	253683791	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	2135448	TotalFundrsngExpCurrentYear
Other Expense Prior Year	281180952	OtherExpensePriorYear
Other Expenses Current Year	286047598	OtherExpensesCurrentYear
Total Expenses Prior Year	528588658	TotalExpensesPriorYear
Total Expenses Current Year	539731389	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-5063827	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-26260155	RevenuesLessExpensesCY
Total Assets BOY	435608200	TotalAssetsBOY
Total Assets EOY	443089686	TotalAssetsEOY
Total Liabilities BOY	239143260	TotalLiabilitiesBOY
Total Liabilities EOY	270805512	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	196464940	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	172284174	NetAssetsOrFundBalancesEOY
Mission Description	THE MISSION AT SHANDS JACKSONVILLE MEDICAL CENTER, INC. IS TO HEAL, TO COMFORT AND TO EDUCATE. WE DEDICATE OUR WORK TO IMPROVING LIFE THROUGH INNOVATIONS IN HEALTHCARE. OUR COMMITTMENT IS TO PROVIDE CONSTANT ATTENTION TO THE NEEDS OF OUR PATIENTS, COMMUNITY AND EACH OTHER.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	355740069	Expense
Revenue	486357568	Revenue
Description	SHANDS JACKSONVILLE MEDICAL CENTER, INC. PROVIDES QUALITY HEALTH CARE 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 MEDICAL SERVICES.NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE THESE ESSENTIAL OUR MISSION IS TO SERVE THE COMMUNITY WITH RESPECT BY PROVIDING HEALTH CARE SERVICES AND HEALTH EDUCATION . THE FOLLOWING SERVICES AND ACTIVITIES ARE PROVIDED WHERE THE NEED AND A INDIVIDUALS 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 696 BED NOT-FOR-PROFIT ACADEMIC MEDICAL CENTER AFFILIATED WITH THE UNIVERSITY OF FLORIDA. THERE ARE MORE THAN 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 HEALTH CARE INSTITUTIONS AND 121 EMS (EMERGENCY MEDICAL SERVICES) AGENCIES. OVER 12,000 PEOPLE WERE EXPOSED TO THE POISON PREVENTION AND SAFETY AND SAFETY MESSAGES, INCLUDING CHILDREN K THROUGH 12TH GRADES. SHANDS JACKSONVILLE TOGETHER WITH THE 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 PREFORMED 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 REPRESENTS 40 PER CENT OF THE AFRICAN-AMERICAN POPULATION IN JACKSONVILLE.	Description
Total Program Service Expense	355740069	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	false	ScheduleBRequired
Political Activities	true	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	true	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	283	NumberFormsTransmittedWith1096
Number W2 G Included	10	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	4506	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	15	NbrVotingGoverningBodyMembers
Number Independent Voting Members	6	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	true	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	false	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	FL	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	PATRICIA RAUSCH CONTROLLER	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	9042448675	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	655 WEST 8TH STREET	AddressLine1
City	JACKSONVILLE	City
State	FL	State
ZIP Code	32209	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (31 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
DAVID GUZICK
Chairman	2.00	X	X	0	875947	0
JAMES BURKHART
President	30.00	X	X	0	641900	32083
ANA ALVAREZ
Director	2.00	X		0	164611	0
CHRISTOPHER WILLIAMS
Director	2.00	X		0	373129	0
DANIEL WILSON
Director	2.00	X		0	0	0
JSAMPLE MAGEE
Director	2.00	X		0	0	0
L JEROME SPATES
Director	2.00	X		0	0	0
LAWRENCE DUBOW
Director	2.00	X		0	0	0
LINDA EDWARDS
Director	2.00	X		0	195361	0
LYNN PAPPAS
Director	2.00	X		0	0	0
NAT GLOVER
Director	2.00	X		0	0	0
RAMON BAUTISTA
Director	2.00	X		0	189056	0
RICHARD DANFORD
Dirrector	2.00	X		0	0	0
ROBERT NUSS
Director	2.00	X		0	435540	0
SAMIR ARRAY
Director	2.00	X		0	252589	0
SIDNEY GEFEN
Director	2.00	X		0	0	0
THEODORE BASS
Director	2.00	X		0	518394	0
WA MCGRIFF
Director	2.00	X		0	0	0
CHARLES CANIFF
Secretary	30.00		X	0	259072	25617
JAMES ROBERTS
Secretary	2.00		X	0	815591	34882
MICHAEL GLEASON
Treasurer	30.00		X	0	352783	27367
BARBARA VERNOSKI
Director Ancillary Services	40.00			161807	0	19091	X
GREG MILLER
SVP Hospital Operations	40.00			393169	0	44369	X
KELLY MILES
Director of Nursing	40.00			0	216100	21932	X
LESLI WARD
VP Human Resources	40.00			0	232744	25532	X
JAY SCHAUBEN
Director Poison Center	40.00			179995	0	30179		X
MARILYN MAIN
Director Perioperative Services	40.00			146914	0	25658		X
MATTHEW CALKINS
Director Information Services	40.00			145238	0	28120		X
PENELOPE THOMPSON
VP Government Affairs	40.00			171837	0	22637		X
RONALD CHARLTON
Director HLA Lab	40.00			157102	0	25509		X
BETH MCCAGUE
Director	2.00			0	0	0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1356062	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	5522817	TotalReportableCompFrmRltdOrgs
Total Other Compensation	362976	TotalOtherCompensation
Number Individuals GT100 K	111	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
PROPOCO
220 GERMANTOEN PIKE SUITE 250	PLYMOUTH MEETING	PA	19462	FACILITY MANAGEMENT	6696003
COGENT HMG
5410 MARYLAND WAY SUITE 300	BRENTWOOD	TN	37027	PHYSICIAN MANAGEMENT	4182076
DIALYSIS CLINIC INC
1633 CHURCH ST	NASHVILLE	TN	37203	DIALYSIS SERVICES	2738664
CROTHALL LAUNDRY SERVICES
12626 HANCOCK RD	CLERMONT	FL	34711	LAUNDRY SERVICES	2391401
MORRISON MANAGEMENT SPECIALISTS
5801 PEACHTREE DUNWOODY ROAD	ATLANTA	GA	30342	DIETARY MANAGEMENT	2318543

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	31	NumberOfContractorsGT100K
Government Grants	4003604	GovernmentGrants
All Other Contributions	20291	AllOtherContributions
Total Contributions	4023895	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	PATIENT SERVICE REVENUE	Description
Business Code	622000	BusinessCode
Total Revenue Column	483830758	TotalRevenueColumn
Related Or Exempt Function Income	483830758	RelatedOrExemptFunctionIncome

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Field	Value	IRS element (for citing)
Total Program Service Revenue	483830758	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1924861	TotalRevenueColumn
Exclusion	$1,924,861	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	2316976	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	2316976	Real
Personal	0	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	2316976	TotalRevenueColumn
Related Or Exempt Function Income	2316976	RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	911247	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	701413	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	0	Securities
Other	209834	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	209834	TotalRevenueColumn
Related Or Exempt Function Income	209834	RelatedOrExemptFunctionIncome

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	OTHER MISC REVENUE	Description
Business Code	900099	BusinessCode
Total Revenue Column	21164910	TotalRevenueColumn
Unrelated Business Revenue	12993347	UnrelatedBusinessRevenue
Exclusion	$8,171,563	ExclusionAmount

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	21164910	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	513471234	TotalRevenueColumn
Related Or Exempt Function Income	486357568	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	12993347	UnrelatedBusinessRevenue
Exclusion	$10,096,424	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	2386502	Total
Management And General	2386502	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	191605696	Total
Program Services	155087018	ProgramServices
Management And General	36343093	ManagementAndGeneral
Fundraising	175585	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	9820801	Total
Program Services	8169028	ProgramServices
Management And General	1651773	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	35822385	Total
Program Services	29596555	ProgramServices
Management And General	6213181	ManagementAndGeneral
Fundraising	12649	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	14048407	Total
Program Services	11498350	ProgramServices
Management And General	2550057	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	2846227	Total
Management And General	2846227	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	484193	Total
Management And General	484193	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	36747823	Total
Program Services	33296240	ProgramServices
Management And General	3451583	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	0	Total

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	140083557	Total
Program Services	102247622	ProgramServices
Management And General	35888721	ManagementAndGeneral
Fundraising	1947214	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	9654800	Total
Management And General	9654800	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	30145862	Total
Program Services	15397601	ProgramServices
Management And General	14748261	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	603604	Total
Program Services	363387	ProgramServices
Management And General	240217	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	151008	Total
Program Services	84268	ProgramServices
Management And General	66740	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	3409507	Total
Management And General	3409507	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	27436641	Total
Management And General	27436641	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	21684739	Total
Management And General	21684739	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	6896781	Total
Management And General	6896781	ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescription	TotalTotal	Management And GeneralManagementAndGeneral
ACHA ASSESSMENT	5843765	5843765
ROUNDING	1	1
LOSS ON DISPOSAL FIXED ASSETS	59090	59090

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	539731389	Total
Program Services	355740069	ProgramServices
Management And General	181855872	ManagementAndGeneral
Fundraising	2135448	Fundraising

Total Joint Costs TotalJointCosts

Field	Value	IRS element (for citing)
Total	0	Total

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	4849218	BOY
EOY	1046472	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	104545921	BOY
EOY	90410401	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	8486569	BOY
EOY	6983193	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	68423802	BOY
EOY	65431048	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	9428984	BOY
EOY	9016128	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1316008	BOY
EOY	1211905	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	414363642	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	259258677	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	136006360	BOY
EOY	155104965	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	22960254	BOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	1940636	BOY
EOY	1699043	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	77650448	BOY
EOY	112186530	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	435608200	BOY
EOY	443089686	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	93729740	BOY
EOY	100286588	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	67233907	BOY
EOY	66086880	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	78179613	BOY
EOY	104432044	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	239143260	BOY
EOY	270805512	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	195149902	BOY
EOY	170969136	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1315038	BOY
EOY	1315038	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	196464940	BOY
EOY	172284174	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	435608200	BOY
EOY	443089686	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	-26260155	ReconcilationRevenueExpenses
Reconcilation Other Changes	2079389	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Political Expenditures	954758	PoliticalExpenditures
Volunteer Hours	0	VolunteerHours
Amt Of4955 Tax	0	AmtOf4955Tax
Amt Of4955 Tax On Managers	0	AmtOf4955TaxOnManagers

Total Direct Lobbying TotalDirectLobbying

Field	Value	IRS element (for citing)
Filing Organizations Totals	954758	FilingOrganizationsTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	954758	FilingOrganizationsTotals
Affiliated Group Totals	0	AffiliatedGroupTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	354785311	FilingOrganizationsTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	355740069	FilingOrganizationsTotals
Affiliated Group Totals	0	AffiliatedGroupTotals

Lobbying Nontaxable LobbyingNontaxableAmount

Field	Value	IRS element (for citing)
Filing Organizations Totals	1000000	FilingOrganizationsTotals
Affiliated Group Totals	0	AffiliatedGroupTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

Field	Value	IRS element (for citing)
Filing Organizations Totals	250000	FilingOrganizationsTotals
Affiliated Group Totals	0	AffiliatedGroupTotals

Tot Lobby Expend Mns Lobbying Nontx TotLobbyExpendMnsLobbyingNontx

Field	Value	IRS element (for citing)
Filing Organizations Totals	0	FilingOrganizationsTotals
Affiliated Group Totals	0	AffiliatedGroupTotals

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

Field	Value	IRS element (for citing)
Current Year Minus3	1000000	CurrentYearMinus3
Current Year Minus2	1000000	CurrentYearMinus2
Current Year Minus1	1000000	CurrentYearMinus1
Current Year	1000000	CurrentYear
Total	4000000	Total

Field	Value	IRS element (for citing)
Lobbying Ceiling	$6,000,000	LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

Field	Value	IRS element (for citing)
Current Year Minus2	618495	CurrentYearMinus2
Current Year Minus1	649846	CurrentYearMinus1
Current Year	954758	CurrentYear
Total	2223099	Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

Field	Value	IRS element (for citing)
Current Year Minus3	250000	CurrentYearMinus3
Current Year Minus2	250000	CurrentYearMinus2
Current Year Minus1	250000	CurrentYearMinus1
Current Year	250000	CurrentYear
Total	1000000	Total

Field	Value	IRS element (for citing)
Grassroots Ceiling	$1,500,000	GrassrootsCeilingAmount

Grassroots Lobbying Expenditures GrassrootsLobbyingExpenditures

Field	Value	IRS element (for citing)
Current Year	0	CurrentYear
Total	0	Total

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Description of political campaign activities	Identifier
Return Reference	Schedule C, Part I-A, Line 1	ReturnReference
Explanation	OTHER LOBBYING ACTIVITIES	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Protection Of Natural Habitat	X	ProtectionOfNaturalHabitat
Nmbr States In Which Easements Held	1	NmbrStatesInWhichEasementsHeld
Written Policy Monitoring	false	WrittenPolicyMonitoring
Sect170h Requirements Satisfied	false	Sect170hRequirementsSatisfied

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	19550000	BeginningOfYearBalance
End Of Year Balance	19550000	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	18925000	BeginningOfYearBalance
Contributions	625000	Contributions
End Of Year Balance	19550000	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	18250000	BeginningOfYearBalance
Contributions	675000	Contributions
End Of Year Balance	18925000	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	18250000	BeginningOfYearBalance
End Of Year Balance	18250000	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	1.00000	BoardDesignatedEOYBalance

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4541933	OtherCostOrOtherBasis
Book Value	4541933	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	237686110	OtherCostOrOtherBasis
Depreciation	136945007	Depreciation
Book Value	100741103	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Book Value	0	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	160595331	OtherCostOrOtherBasis
Depreciation	119773914	Depreciation
Book Value	40821417	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	11540268	OtherCostOrOtherBasis
Depreciation	2539756	Depreciation
Book Value	9000512	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	155104965	TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescription	Book ValueBookValue
DEPOSITS AND OTHER	2637454
DUE FROM AFFILIATES	70809055
INVESTMENT SUBSIDIARIES/OTHER	23068168
ROUNDING	-4
PENSION ASSET	15671857

Field	Value	IRS element (for citing)
Total Book Value Other Assets	112186530	TotalBookValueOtherAssets
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescription	AmountAmount
3RD PARTY SETTLEMENT	$22,509,582
CAPITAL LEASE	$8,936,721
NOTES PAYABLE TO STHC	$8,836,720
OTHER EXPENSES	$13,508,126
OTHER LIABILITIES	$10,987,165
PATIENT REFUNDS	$816,392
LINE OF CREDIT	$38,837,338

Field	Value	IRS element (for citing)
Total Of Amounts	104432044	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Conservation easements financial reporting	Schedule D, Part II, Line 9
Intended uses of endowment funds	Schedule D, Part V, Line 4	THE BOARD DESIGNATED FUNDS ARE FOR CLINICAL SUPPORT, EDUCATION, RESEARCH, OTHER HEALTH PROGRAMS AND STRATEGIC CAPITAL EXPENDITURES.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	false	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	false	ExpensesExceededBudget
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	64061305	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3166467	DirectOffsettingRevenue
Net Community Benefit Expense	60894838	NetCommunityBenefitExpense
Percent Of Total Expense	0.11280	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	64061305	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3166467	DirectOffsettingRevenue
Net Community Benefit Expense	60894838	NetCommunityBenefitExpense
Percent Of Total Expense	0.11280	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	16	NumberOfActivitiesOrPrograms
Persons Served	10525	PersonsServed
Total Community Benefit Expense	1247285	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7975	DirectOffsettingRevenue
Net Community Benefit Expense	1239310	NetCommunityBenefitExpense
Percent Of Total Expense	0.00230	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	44912195	TotalCommunityBenefitExpense
Direct Offsetting Revenue	19944619	DirectOffsettingRevenue
Net Community Benefit Expense	24967576	NetCommunityBenefitExpense
Percent Of Total Expense	0.04630	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	87853	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	87853	NetCommunityBenefitExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	16	NumberOfActivitiesOrPrograms
Persons Served	10525	PersonsServed
Total Community Benefit Expense	46247333	TotalCommunityBenefitExpense
Direct Offsetting Revenue	19952594	DirectOffsettingRevenue
Net Community Benefit Expense	26294739	NetCommunityBenefitExpense
Percent Of Total Expense	0.04880	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	16	NumberOfActivitiesOrPrograms
Persons Served	10525	PersonsServed
Total Community Benefit Expense	110308638	TotalCommunityBenefitExpense
Direct Offsetting Revenue	23119061	DirectOffsettingRevenue
Net Community Benefit Expense	87189577	NetCommunityBenefitExpense
Percent Of Total Expense	0.16160	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$68,372,225	BadDebtExpenseAmount
Amount Attributable To	46493113	AmountAttributableTo
Amount Reimbursed By Medicare	114080944	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	128477848	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-14396904	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost Accounting System	X	CostAccountingSystem

Field	Value	IRS element (for citing)
Written Debt Collection Policy	false	WrittenDebtCollectionPolicy
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	SHANDS JACKSONVILLE MED CENTER	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	655 W 8TH STREET	AddressLine1
City	JACKSONVILLE	City
State	FL	State
ZIP Code	32209	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Teaching Hospital	X	TeachingHospital
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	SHANDS JACKSONVILLE MED CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	false	CHNAConducted
Eligibility Criteria Explained	false	EligibilityCriteriaExplained
Uses FPG Free	false	UsesFPGFree
Uses FPG Discounted	false	UsesFPGDiscounted
Explains Basis	false	ExplainsBasis
Explains Application Method	false	ExplainsApplicationMethod
Includes Publicity Measures	false	IncludesPublicityMeasures
Actions On Nonpayment	false	ActionsOnNonpayment
Collection Activities	false	CollectionActivities
Other Actions Taken	X	OtherActionsTaken
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Costing Methodology used to calculate financial assistance	Schedule H, Part I, Line 7	THE COSTING METHOD IS A COST TO CHARGE RATIO.
Bad Debt Expense excluded from financial assistance calculation	Schedule H, Part I, Line 7, column(f)	0
Bad debt expense - financial statement footnote	Schedule H, Part III, Line 4	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. THE AMOUNT ESTIMATED ON LINE 3 AS BEING ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY WAS BASED UP ON AN ANALYSIS OF CURRENT YEAR MEDICARE BAD DEBTS. THE AMOUNT REPORTED ON LINE 3 WAS DERIVED BY MULTIPLYING THE AMOUNT ON LINE 2 BY THE RATIO OF MEDICARE CHARITY BAD DEBTS TO TOTAL MEDICARE BAD DEBTS.
Community benefit & methodology for determining medicare costs	Schedule H, Part III, Line 8	THE AMOUNTS REPORTED ON LINES 5 AND 6 WERE DERIVED FROM THE FYE 2012 MEDICARE COST REPORT.
Used federal poverty guidelines (FPG) to determine eligibility	Schedule H, Part V Section B, Line 9	(1) SHANDS JACKSONVILLE MED CENTER - THE HOSPITAL USED DUVAL COUNTY, FLORIDA GUIDELINES FOR FREE CARE.;
Used FPG to determine eligibility for providing discounted care criteria	Schedule H, Part V Section B, Line 10	(1) SHANDS JACKSONVILLE MED CENTER - DISCOUNTED CARE WAS PROVIDED USING A SLIDING SCALE BETWEEN 200% AND 400% OF FPG.;
Other actions taken before collection actions	Schedule H, Part V Section B, Line 17e	(1) SHANDS JACKSONVILLE MED CENTER - THE PATIENT GETS A FINAL NOTICE STATEMENT INDICATING THE ACCOUNT MAY BE SUBJECT TO COLLECTION ACTIVITY 30 DAYS PRIOR TO BEING TRANSFERRED TO A COLLECTION AGENCY.;
Means used to determine amounts billed	Schedule H, Part V Section B, Line 19d	(1) SHANDS JACKSONVILLE MED CENTER - THE PATIENTS ARE BILLED STANDARD GROSS CHARGES UNTIL THEIR FINANCIAL STATUS CAN BE CLARIFIED.;
Needs assessment.	Schedule H, Part VI, Line 2	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 ("VHA").
Patient education of eligibility for assistance.	Schedule H, Part VI, Line 3	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.
Community information.	Schedule H, Part VI, Line 4	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.
Promotion of community health	Schedule H, Part VI, Line 5	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 J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	true	SeverancePayment
Supplemental Nonqual Retire Plan	false	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (21 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ANA ALVAREZ
0	157388	0	5000	0	2223	0	0	0	0	0	164611	0	0
BARBARA VERNOSKI
161431	0	0	0	376	0	8475	0	10616	0	180898	0	0	0
CHARLES CANIFF
0	251053	0	0	0	8019	0	6616	0	19001	0	284689	0	0
CHRISTOPHER WILLIAMS
0	364598	0	5000	0	3531	0	0	0	0	0	373129	0	0
DAVID GUZICK
0	725211	0	143026	0	7711	0	0	0	0	0	875947	0	0
GREG MILLER
348111	0	0	0	45057	0	20577	0	23792	0	437538	0	0	0
JAMES BURKHART
0	596344	0	0	0	45556	0	7350	0	24733	0	673982	0	0
JAMES ROBERTS
0	365000	0	67600	0	382991	0	7439	0	27443	0	850473	0	0
JAY SCHAUBEN
170845	0	0	0	9151	0	9692	0	20487	0	210175	0	0	0
KELLY MILES
0	165157	0	0	0	50943	0	6503	0	15429	0	238032	0	0
LESLI WARD
0	229944	0	0	0	2800	0	7124	0	18408	0	258276	0	0
LINDA EDWARDS
0	186421	0	5000	0	3940	0	0	0	0	0	195361	0	0
MARILYN MAIN
151878	0	0	0	-4964	0	7973	0	17685	0	172572	0	0	0
MATTHEW CALKINS
135224	0	0	0	10014	0	7919	0	20202	0	173358	0	0	0
MICHAEL GLEASON
0	336500	0	0	0	16283	0	6789	0	20578	0	380150	0	0
PENELOPE THOMPSON
151374	0	0	0	20463	0	8882	0	13754	0	194474	0	0	0
RAMON BAUTISTA
0	182417	0	5000	0	1639	0	0	0	0	0	189056	0	0
ROBERT NUSS
0	399254	0	25000	0	11286	0	0	0	0	0	435540	0	0
RONALD CHARLTON
158970	0	0	0	-1868	0	8346	0	17163	0	182611	0	0	0
SAMIR ARRAY
0	214553	0	26487	0	11549	0	0	0	0	0	252589	0	0
THEODORE BASS
0	502834	0	10000	0	5560	0	0	0	0	0	518394	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Arrangement used to establish the top management official's compensation	Schedule J, Part I, Line 3	AN INDEPENDENT FIRM IS ENGAGED IN THE DEVELOPMENT OF THE COMPENSATION ACROSS DIFFERENT INDUSTRY, PROVIDES COMPETITIVE DATA AND GUIDANCE ON DETERMINING APPROPRIATE AND REASONABLE RANGES AND SALARIES.
Severance or change-of-control payment	Schedule J, Part I, Line 4a	DURING THE FISCAL YEAR ENDING 6/30/2012, CHARLES CANIFF RECEIVED SEVERANCE PAY OF $35,783.99.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
JACKSONVILLE ECONOMIC DEVE
596000344	46936FAJ7	2005-04-22	47260000	REFUND PRIOR DEBT	false	false	false
JACKSONVILLE ECONOMIC DEV
596000344	46936XAB5	2004-01-30	45475090	CAPITAL IMPROVEMENTS	false	false	false
JACKSONVILLE ECONOMIC DEV
596000344	46936XAB5	2004-01-30	40966518	REFUND PRIOR DEBT	false	false	false
JACKSONVILLE ECONOMIC DEV
596000344	46936XAB5	2004-01-30	2250395	CREDIT ENHANCEMENT	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Capital ExpendituresCapitalExpenditures	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
46925000	46925000	335000	0	0	true	false	true	true
0	0	654206	0	44820884	false	false	true	true
40377134	40377134	589384	0	0	true	false	true	true
0	0	32410	2217985	0	false	false	true	true

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
false	false	false	true	true
false	false	false	true	true
false	false	false	true	true
false	false	false	true	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested
false	true	false	false	false
false	true	false	false	false
false	true	false	false	false
false	true	false	false	false

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
JACKSONVILLE ECONOMIC DEV
596000344	46936XBA6	2008-06-27	59374694	REFUND PRIOR DEBT	false	false	false
JACKSONVILLE ECONOMIC DEV
596000344	46936XBA6	2008-06-27	30306	CREDIT ENHANCEMENT	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Amount RetiredAmountRetired	Amount Bond DefeasedAmountBondDefeased	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Capitalized InterestCapitalizedInterest	Refunding EscrowRefundingEscrow	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Working Capital ExpendituresWorkingCapitalExpenditures	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Amount UnspentAmountUnspent	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
58950000	0	58950000	0	0	0	424694	0	0	0	0	0	true	false	true	true
0	0	0	0	0	0	213	30093	0	0	0	0	false	false	true	true

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
false	false	false	true	0.0000	0.0000	0.0000	true
false	false	false	true	0.0000	0.0000	0.0000	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Term Of HedgeTermOfHedge	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Term Of GICTermOfGIC	Gross Proceeds InvestedGrossProceedsInvested
false	true	false	0.0	false	0.0	false
false	true	false	0.0	false	0.0	false

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Classes of members or stockholders	Form 990, Part VI, Section A, Line 6	THE SOLE MEMBER OF THE CORPORATION SHALL BE SHANDS JACKSONVILLE HEALTHCARE, INC.
Members or stockholders electing members of governing body	Form 990, Part VI, Section A, Line 7a	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.
Decisions requiring approval by members or stockholders	Form 990, Part VI, Section A, Line 7b	THE FOLLOWING ACTIONS SHALL REQUIRE APPROVAL BY THE MEMBER: A) ADOPTION OF ANNUAL OPERATING BUDGET B) THE MERGER OR DISSOLUTION , OR 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. 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. 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: I) SUCH OTHER MATTERS WHERE MEMBER OR SHAREHOLDER ACTION IS REQUIRED BY LAW.
Interested persons who cannot be reached at organization's address	Form 990, Part VI, Section B, Line 9	CHARLES CANIFF 1560 MISTY LAKE DRIVE ORANGE PARK, FL 32003 JAMES BURKHART 1 TAMPA GENERAL CIRCLE TAMPA, FL 33606
Review of form 990 by governing body	Form 990, Part VI, Section B, Line 11b	THE TAX RETURN IS MADE AVAILABLE TO THE PRESIDENT, SECRETARY AND TREASURER OF THE CORPORATION TO REVIEW BEFORE THE RETURN IS FILED.
Conflict of interest policy	Form 990, Part VI, Section B, Line 12c	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 EMPLOYEES WOULD INVOLVE CONFLICT OF INTERST ISSUES AND HOW TO RESOLVE THEM.
Process used to establish compensation of top management official	Form 990, Part VI, Section B, Line 15a	MERCER, AN INDEPENDENT FIRM ENGAGED IN THE DEVELOPMENT OF COMPENSATION SURVEYS ON EXECUTIVE PAY LEVELS ACROSS DIFFERENT INDUSTRY, PROVIDES COMPETITIVE DATA AND GUIDANCE ON DETERMINING APPROPRIATE AND REASONABLE RANGES AND SALARIES ON AN ANNUAL BASIS. MERCER FOLLOWS A SIMILAR PROCESS TO EVALUATE THE COMPETITIVENESS OF SHANDS TOTAL CASH COMPENSATION ( BASE SALARY PLUS INCENTIVE BONUS )LEVELS, AND PROVIDES RECOMMENDED INCENTIVE COMPENSATION RANGES TO INSURE TOTAL CASH COMPENSATION IS ALSO REASONABLE. MERCER ALSO PERIODICALLY 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.
Process used to establish compensation of other officers/key employees	Form 990, Part VI, Section B, Line 15b	AN INDEPENDENT FIRM IS ENGAGED IN THE DEVELOPMENT OF COMPENSATION ACROSS DIFFERENT INDUSTRY, PROVIDES COMPETITIVE DATA AND GUIDANCE ON DETERMINING APPROPRIATE AND REASONABLE RANGES AND SALARIES.
Governing documents, conflict of interest policy and financial statements available to the public	Form 990, Part VI, Section C, Line 19	REQUESTS ARE HANDLED ON AN INDIVIDUAL BASIS. THE INFORMATION IS GIVEN TO THE PARTIES UPON REQUEST.
Other changes in net assets or fund balances	Form 990, Part XI, Line 5	GAIN ON INCOME OTHER THAN INVESTMENTS - 564000; VARIOUS DONATIONS - 1516000; ROUNDING - -611;

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
SHANDS JACKSONVILLE HEALTHCARE INC
655 WEST 8TH ST	JACKSONVILLE	FL	32209	592441966	INVESTMENTS FOR SHANDS JACKSONVILLE MEDICAL CENTER, INC.	FL	501(C)(3)	11 - Type II	UNIVERSITY OF FLORIDA	false
SHANDS JACKSONVILLE PROPERTIES INC
655 WEST 8TH ST	JACKSONVILLE	FL	32209	591158241	SUPPORT SHANDS JACKSONVILLE MEDICAL CENTER, INC.	FL	501(C)(3)	11 - Type II	SHANDS JACKSONVILLE HEALTHCARE INC	false
SHANDS JACKSONVILLE AFFILIATES INC
655 WEST 8TH ST	JACKSONVILLE	FL	32209	591911381	SUPPORT SHANDS JACKSONVILLE MEDICAL CENTER, INC.	FL	501(C)(3)	11 - Type II	SHANDS JACKSONVILLE MEDICAL CENTER INC	false
SHANDS JACKSONVILLE COMMUNITY SERVICE
655 WEST 8TH ST	JACKSONVILLE	FL	32209	590173761	SUPPORT SHANDS JACKSONVILLE MEDICAL CENTER, INC.	FL	501(C)(3)	11 - Type II	SHANDS JACKSONVILLE HEALTHCARE INC	false
SHANDS JACKSONVILLE FOUNDATION INC
655 WEST 8TH ST	JACKSONVILLE	FL	32209	592622323	SUPPORT SHANDS JACKSONVILLE MEDICAL CENTER, INC.	FL	501(C)(3)	11 - Type II	SHANDS JACKSONVILLE HEALTHCARE INC	false
UNIVERSITY OF FLORIDA
226 TIGERT HALL	GAINESVILLE	FL	32611	596002052	EDUCATION	FL	501(C)(1)	N/A	NA	false
SHANDS TEACHING HOSPITAL AND CLINICS
PO BOX 100336	GAINESVILLE	FL	32610	591943502	HOSPITAL	FL	501(C)(3)	3	UNIVERSITY OF FLORIDA	false
UNIVERSITY OF JACKSONVILLE PHYSICIAN
655 WEST 8TH ST	JACKSONVILLE	FL	32209	591867557	SUPPORTS SHANDS JACKSONVILLE MEDICAL CENTER, INC.	FL	501(C)(3)	Type II	UNIVERSITY OF FLORIDA	false

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	SOUTHERN HOSPITAL SYSTEMS INC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	655 WEST 8TH STREET	AddressLine1
City	JACKSONVILLE	City
State	FL	State
ZIP Code	32209	ZIPCode

Field	Value	IRS element (for citing)
EIN	591930524	EIN
Primary Activity	SUPPORT FOR SHANDS JACKSONVILLE MEDICAL CENTER, INC.	PrimaryActivity
Legal Domicile State	FL	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	SHANDS JACKSONVILLE AFFILIATES INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Type Of Entity	C CORPORATION	TypeOfEntity
Share Of Total Income	0	ShareOfTotalIncome
Share Of EOY Assets	0	ShareOfEOYAssets
Percentage Ownership	1	PercentageOwnership

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	true	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	true	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	true	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	true	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg