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        <City>GAINESVILLE</City>
        <State>FL</State>
        <ZIPCode>32610</ZIPCode>
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    <Officer>
      <Name>MICHAEL GLEASON</Name>
      <Title>VP &amp; TREASURER</Title>
      <DateSigned>2013-05-10</DateSigned>
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      <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>
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      <OtherLiabilities>
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      <OtherLiabilities>
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      <OtherLiabilities>
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      <OtherLiabilities>
        <Description>LINE OF CREDIT</Description>
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      <WrittenDebtCollectionPolicy>false</WrittenDebtCollectionPolicy>
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        <Name>
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        </Name>
        <Address>
          <AddressLine1>655 W 8TH STREET</AddressLine1>
          <City>JACKSONVILLE</City>
          <State>FL</State>
          <ZIPCode>32209</ZIPCode>
        </Address>
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        <TeachingHospital>X</TeachingHospital>
        <Er24Hours>X</Er24Hours>
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        <HospitalFacilityName>
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        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <CHNAConducted>false</CHNAConducted>
        <EligibilityCriteriaExplained>false</EligibilityCriteriaExplained>
        <UsesFPGFree>false</UsesFPGFree>
        <UsesFPGDiscounted>false</UsesFPGDiscounted>
        <ExplainsBasis>false</ExplainsBasis>
        <ExplainsApplicationMethod>false</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>false</IncludesPublicityMeasures>
        <ActionsOnNonpayment>false</ActionsOnNonpayment>
        <CollectionActivities>false</CollectionActivities>
        <OtherActionsTaken>X</OtherActionsTaken>
        <NondiscrimEmergencyCarePolicy>true</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>false</GrossCharges>
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      <Form990ScheduleHPartVI>
        <Identifier>Costing Methodology used to calculate financial assistance</Identifier>
        <ReturnReference>Schedule H, Part I, Line 7</ReturnReference>
        <Explanation>THE COSTING METHOD IS A COST TO CHARGE RATIO.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
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        <ReturnReference>Schedule H, Part I, Line 7, column(f)</ReturnReference>
        <Explanation>0</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Bad debt expense - financial statement footnote</Identifier>
        <ReturnReference>Schedule H, Part III, Line 4</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Community benefit &amp; methodology for determining medicare costs</Identifier>
        <ReturnReference>Schedule H, Part III, Line 8</ReturnReference>
        <Explanation>THE AMOUNTS REPORTED ON LINES 5 AND 6 WERE DERIVED FROM THE FYE 2012 MEDICARE COST REPORT.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Used federal poverty guidelines (FPG) to determine eligibility</Identifier>
        <ReturnReference>Schedule H, Part V Section B, Line 9</ReturnReference>
        <Explanation>(1) SHANDS JACKSONVILLE MED CENTER - THE HOSPITAL USED DUVAL COUNTY, FLORIDA GUIDELINES FOR FREE CARE.;</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
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        <ReturnReference>Schedule H, Part V Section B, Line 10</ReturnReference>
        <Explanation>(1) SHANDS JACKSONVILLE MED CENTER - DISCOUNTED CARE WAS PROVIDED USING A SLIDING SCALE BETWEEN 200% AND 400% OF FPG.;</Explanation>
      </Form990ScheduleHPartVI>
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        <Identifier>Other actions taken before collection actions</Identifier>
        <ReturnReference>Schedule H, Part V Section B, Line 17e</ReturnReference>
        <Explanation>(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.;</Explanation>
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        <Identifier>Means used to determine amounts billed</Identifier>
        <ReturnReference>Schedule H, Part V Section B, Line 19d</ReturnReference>
        <Explanation>(1) SHANDS JACKSONVILLE MED CENTER - THE PATIENTS ARE BILLED STANDARD GROSS CHARGES UNTIL THEIR FINANCIAL STATUS CAN BE CLARIFIED.;</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Needs assessment.</Identifier>
        <ReturnReference>Schedule H, Part VI, Line 2</ReturnReference>
        <Explanation>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").</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Patient education of eligibility for assistance.</Identifier>
        <ReturnReference>Schedule H, Part VI, Line 3</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Community information.</Identifier>
        <ReturnReference>Schedule H, Part VI, Line 4</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Promotion of community health</Identifier>
        <ReturnReference>Schedule H, Part VI, Line 5</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
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        <AnyLeaseArrangements>false</AnyLeaseArrangements>
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        <AnyResearchAgreements>true</AnyResearchAgreements>
        <PrcntgePrvtBusinessUseByOthers>0.0000</PrcntgePrvtBusinessUseByOthers>
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        <TotalPrivateBusinessUse>0.0000</TotalPrivateBusinessUse>
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        <AnyResearchAgreements>true</AnyResearchAgreements>
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        <AnyResearchAgreements>true</AnyResearchAgreements>
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        <PercentageOfPrvtBusinessReUBI>0.0000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.0000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>true</AnyResearchAgreements>
        <PrcntgePrvtBusinessUseByOthers>0.0000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.0000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.0000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>true</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <TermOfHedge>0.0</TermOfHedge>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <TermOfGIC>0.0</TermOfGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>true</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <TermOfHedge>0.0</TermOfHedge>
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        <TermOfGIC>0.0</TermOfGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
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        <VariableRateIssue>true</VariableRateIssue>
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        <TermOfGIC>0.0</TermOfGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>true</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <TermOfHedge>0.0</TermOfHedge>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <TermOfGIC>0.0</TermOfGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleK documentId="IRS990ScheduleK2" softwareId="11000230" softwareVersion="v2011.1.0">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>JACKSONVILLE ECONOMIC DEV</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>596000344</IssuerEIN>
        <CUSIPNumber>46936XBA6</CUSIPNumber>
        <DateIssued>2008-06-27</DateIssued>
        <IssuePrice>59374694</IssuePrice>
        <DescriptionOfPurpose>REFUND PRIOR DEBT</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>JACKSONVILLE ECONOMIC DEV</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>596000344</IssuerEIN>
        <CUSIPNumber>46936XBA6</CUSIPNumber>
        <DateIssued>2008-06-27</DateIssued>
        <IssuePrice>30306</IssuePrice>
        <DescriptionOfPurpose>CREDIT ENHANCEMENT</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <AmountRetired>58950000</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>58950000</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>424694</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>0</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
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        <AmountRetired>0</AmountRetired>
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        <TotalProceeds>0</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>213</IssuanceCostsFromProceeds>
        <CreditEnhancement>30093</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>0</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <CurrentRefunding>false</CurrentRefunding>
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        <FinalAllocationMade>true</FinalAllocationMade>
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      </Form990ScheduleKPartII>
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        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>true</AnyResearchAgreements>
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    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="11000230" softwareVersion="v2011.1.0">
      <GeneralExplanation>
        <Identifier>Classes of members or stockholders</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 6</ReturnReference>
        <Explanation>THE SOLE MEMBER OF THE CORPORATION SHALL BE SHANDS JACKSONVILLE HEALTHCARE, INC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Members or stockholders electing members of governing body</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 7a</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Decisions requiring approval by members or stockholders</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 7b</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Interested persons who cannot be reached at organization's address</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 9</ReturnReference>
        <Explanation>CHARLES CANIFF 1560 MISTY LAKE DRIVE ORANGE PARK, FL 32003 JAMES BURKHART 1 TAMPA GENERAL CIRCLE TAMPA, FL 33606</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Review of form 990 by governing body</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 11b</ReturnReference>
        <Explanation>THE TAX RETURN IS MADE AVAILABLE TO THE PRESIDENT, SECRETARY AND TREASURER OF THE CORPORATION TO REVIEW BEFORE THE RETURN IS FILED.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Conflict of interest policy</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 12c</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Process used to establish compensation of top management official</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 15a</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Process used to establish compensation of other officers/key employees</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 15b</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Governing documents, conflict of interest policy and financial statements available to the public</Identifier>
        <ReturnReference>Form 990, Part VI, Section C, Line 19</ReturnReference>
        <Explanation>REQUESTS ARE HANDLED ON AN INDIVIDUAL BASIS. THE INFORMATION IS GIVEN TO THE PARTIES UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Other changes in net assets or fund balances</Identifier>
        <ReturnReference>Form 990, Part XI, Line 5</ReturnReference>
        <Explanation>GAIN ON INCOME OTHER THAN INVESTMENTS - 564000; VARIOUS DONATIONS - 1516000; ROUNDING - -611;</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR" softwareId="11000230" softwareVersion="v2011.1.0">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SHANDS JACKSONVILLE HEALTHCARE INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>655 WEST 8TH ST</AddressLine1>
          <City>JACKSONVILLE</City>
          <State>FL</State>
          <ZIPCode>32209</ZIPCode>
        </AddressUS>
        <EIN>592441966</EIN>
        <PrimaryActivities>INVESTMENTS FOR SHANDS JACKSONVILLE MEDICAL CENTER, INC.</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type II</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>UNIVERSITY OF FLORIDA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
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          <BusinessNameLine1>SHANDS JACKSONVILLE PROPERTIES INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>655 WEST 8TH ST</AddressLine1>
          <City>JACKSONVILLE</City>
          <State>FL</State>
          <ZIPCode>32209</ZIPCode>
        </AddressUS>
        <EIN>591158241</EIN>
        <PrimaryActivities>SUPPORT SHANDS JACKSONVILLE MEDICAL CENTER, INC.</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
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          <BusinessNameLine1>SHANDS JACKSONVILLE HEALTHCARE INC</BusinessNameLine1>
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        <ControlledOrg>false</ControlledOrg>
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          <BusinessNameLine1>SHANDS JACKSONVILLE AFFILIATES INC</BusinessNameLine1>
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          <AddressLine1>655 WEST 8TH ST</AddressLine1>
          <City>JACKSONVILLE</City>
          <State>FL</State>
          <ZIPCode>32209</ZIPCode>
        </AddressUS>
        <EIN>591911381</EIN>
        <PrimaryActivities>SUPPORT SHANDS JACKSONVILLE MEDICAL CENTER, INC.</PrimaryActivities>
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        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
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          <BusinessNameLine1>SHANDS JACKSONVILLE COMMUNITY SERVICE</BusinessNameLine1>
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          <AddressLine1>655 WEST 8TH ST</AddressLine1>
          <City>JACKSONVILLE</City>
          <State>FL</State>
          <ZIPCode>32209</ZIPCode>
        </AddressUS>
        <EIN>590173761</EIN>
        <PrimaryActivities>SUPPORT SHANDS JACKSONVILLE MEDICAL CENTER, INC.</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
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        <PublicCharityStatus>11 - Type II</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SHANDS JACKSONVILLE HEALTHCARE INC</BusinessNameLine1>
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        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SHANDS JACKSONVILLE FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>655 WEST 8TH ST</AddressLine1>
          <City>JACKSONVILLE</City>
          <State>FL</State>
          <ZIPCode>32209</ZIPCode>
        </AddressUS>
        <EIN>592622323</EIN>
        <PrimaryActivities>SUPPORT SHANDS JACKSONVILLE MEDICAL CENTER, INC.</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type II</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SHANDS JACKSONVILLE HEALTHCARE INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>UNIVERSITY OF FLORIDA</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>226 TIGERT HALL</AddressLine1>
          <City>GAINESVILLE</City>
          <State>FL</State>
          <ZIPCode>32611</ZIPCode>
        </AddressUS>
        <EIN>596002052</EIN>
        <PrimaryActivities>EDUCATION</PrimaryActivities>
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        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SHANDS TEACHING HOSPITAL AND CLINICS</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 100336</AddressLine1>
          <City>GAINESVILLE</City>
          <State>FL</State>
          <ZIPCode>32610</ZIPCode>
        </AddressUS>
        <EIN>591943502</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>UNIVERSITY OF FLORIDA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>UNIVERSITY OF JACKSONVILLE PHYSICIAN</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>655 WEST 8TH ST</AddressLine1>
          <City>JACKSONVILLE</City>
          <State>FL</State>
          <ZIPCode>32209</ZIPCode>
        </AddressUS>
        <EIN>591867557</EIN>
        <PrimaryActivities>SUPPORTS SHANDS JACKSONVILLE MEDICAL CENTER, INC.</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>Type II</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>UNIVERSITY OF FLORIDA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SOUTHERN HOSPITAL SYSTEMS INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>655 WEST 8TH STREET</AddressLine1>
          <City>JACKSONVILLE</City>
          <State>FL</State>
          <ZIPCode>32209</ZIPCode>
        </AddressUS>
        <EIN>591930524</EIN>
        <PrimaryActivity>SUPPORT FOR SHANDS JACKSONVILLE MEDICAL CENTER, INC.</PrimaryActivity>
        <LegalDomicileState>FL</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SHANDS JACKSONVILLE AFFILIATES INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>true</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>true</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>true</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>true</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>true</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>true</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>