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      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
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      <TotalNetAssetsFundBalances>
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      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>3305623</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>1644981</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>false</FederalGrantAuditPerformed>
    </IRS990>
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      <OtherLiabilities>
        <Description>Rounding</Description>
        <Amount>1</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>1</TotalOfAmounts>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XI, Line 8</Identifier>
        <ReturnReference>Part XI, Line 8: Other Changes in Net Assets or Fund Balances</ReturnReference>
        <Explanation>Change in pension liabilities $13803611 Equity Transfer $ -12158630</Explanation>
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      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
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      <InitialContractException>false</InitialContractException>
      <RebuttablePresumptionProcedure>false</RebuttablePresumptionProcedure>
      <Form990ScheduleJPartII>
        <NamePerson>RICKEY LANDON</NamePerson>
        <BaseCompensationFilingOrg>183986</BaseCompensationFilingOrg>
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        <NontaxableBenefitsFilingOrg>14601</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>276859</TotalCompensationFilingOrg>
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      <Form990ScheduleJPartII>
        <NamePerson>Charles B Koval</NamePerson>
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      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>The filing organization makes its governing documents, conflict of interest policy and financial statements available to the public when requested.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 15b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</ReturnReference>
        <Explanation>Shands Human Resources Department engages an independent firm (Mercer) in the development of surveys on executive compensation. The firm provides competitive data and guidance on determining appropriate and reasonable salary ranges and salaries.Mercer has a methodology consisting of the following steps:1. Analysis of position and based on job content.2. Reference of multiple national survey sources for not-for-profit healthcare executive compensation.3. Existing base salary range midpoints are updated and more closely align with the market 50th percentile value for each role. The midpoint for each job falls within +/- 10% of the 50th percentile. In addition to a base salary range midpoint, Mercer recommends range minimum and maximums to establish a full and reasonable range within which all executive positions are remunerated.Based on this methodology, Mercer evaluates the competitiveness of Shands total cash compensation (base salary plus annual incentive bonus) levels, and provides recommendations for incentive compensation ranges to insure total cash compensation is also reasonable.Mercer periodically reviews all other aspects of executive compensation - including all elements of supplemental benefits - to insure that they comport with competitive and reasonable total remuneration levels.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 12c</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>The Internal Audit department receives, reviews, and compiles, the information disclosed by employees regarding conflict of interest issues. Then in cooperation with general counsel and senior management, Internal Audit determines whether disclosures made by the employees would involve conflict of interest issues and how to resolve them.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>The only Board member that will review the document before filing, will be the signing officer.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part III, Line 3</Identifier>
        <ReturnReference>Form 990, Part III, Line 3: Ceased Conducting or Significant Changes To Services</ReturnReference>
        <Explanation>Shands Lake Shore, Inc sold 60% ownership in the corporation to Health Management Associates, Inc.(HMA) as of July 1, 2010. HMA took on the duties of daily operation on that date. The only revenue generated during the fiscal year were late charges and account corrections. A few contractual arrangements remain for expense.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>University of Florida</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>226 Tigert Hall</AddressLine1>
          <City>Gainesville</City>
          <State>FL</State>
          <ZIPCode>32611</ZIPCode>
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        <EIN>596002052</EIN>
        <PrimaryActivities>Education</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>115</ExemptCodeSection>
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        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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          <City>Gainesville</City>
          <State>FL</State>
          <ZIPCode>32610</ZIPCode>
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        <EIN>593051104</EIN>
        <PrimaryActivities>It supports Shands Teaching Hospital and Clinics</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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          <City>Gainesville</City>
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        <EIN>592357609</EIN>
        <PrimaryActivities>It supports Shands Teaching Hospital, Shands Lake Shore</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
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        <PublicCharityStatus>11</PublicCharityStatus>
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        <ControlledOrg>false</ControlledOrg>
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      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
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