SHANDS JACKSONVILLE MEDICAL CENTER INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
SHANDS JACKSONVILLE MEDICAL CENTER INC (EIN 59-2142859)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-11
IRS object ID
201211329349301291
Schema version
2010v3.2
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-05-11T11:13:58-07:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1SHANDS TEACHING HOSPITALS & CLINICS INCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 100336AddressLine1
CityGAINESVILLECity
StateFLState
ZIP Code326100336ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN592142859EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Shands Jacksonville Medical Center IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSHANNameControl
Phone3522657962Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 100336AddressLine1
CityGainesvilleCity
StateFLState
ZIP Code32610ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMichael GleasonName
TitleVice PresidentTitle
Date Signed2012-05-11DateSigned
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts525330557GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitehttp://jax.shands.ufl.eduWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1981YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionThe 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 Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees4426TotalNbrEmployees
Total Nbr Volunteers1011TotalNbrVolunteers
Total Gross UBI779790TotalGrossUBI
Net Unrelated Business Txbl Income-353695NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year3538874ContributionsGrantsPriorYear
Contributions Grants Current Year4117869ContributionsGrantsCurrentYear
Program Service Revenue Prior Year500801707ProgramServiceRevenuePriorYear
Program Service Revenue CY501959566ProgramServiceRevenueCY
Investment Income Prior Year5585869InvestmentIncomePriorYear
Investment Income Current Year817853InvestmentIncomeCurrentYear
Other Revenue Prior Year12426284OtherRevenuePriorYear
Other Revenue Current Year16629543OtherRevenueCurrentYear
Total Revenue Prior Year522352734TotalRevenuePriorYear
Total Revenue Current Year523524831TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year230718178SalariesEtcPriorYear
Salaries Etc Current Year247407706SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year277429TotalFundrsngExpCurrentYear
Other Expense Prior Year275238584OtherExpensePriorYear
Other Expenses Current Year281180952OtherExpensesCurrentYear
Total Expenses Prior Year505956762TotalExpensesPriorYear
Total Expenses Current Year528588658TotalExpensesCurrentYear
Revenues Less Expenses Prior Year16395972RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-5063827RevenuesLessExpensesCY
Total Assets BOY453092447TotalAssetsBOY
Total Assets EOY435608200TotalAssetsEOY
Total Liabilities BOY252827250TotalLiabilitiesBOY
Total Liabilities EOY239143260TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY200265197NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY196464940NetAssetsOrFundBalancesEOY
Mission DescriptionThe 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 ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense379599460Expense
Revenue502777419Revenue
DescriptionShands Jacksonville Medical Center, Inc. provides quality healthcare regardless of race, creed, sex, national origin, handicap, age or ability to pay. Although reimbursement for services rendered is critical to the operation and stability of the Medical Center, it is recognized that not all individuals possess the ability to purchase these essential medical services.Our mission is to serve the community with respect by providing healthcare services and health education. The following services and activities are provided where the need and an individual's inability to pay coexist: free care and/or subsidized care, care provided to persons covered by governmental programs at or below cost and health activities and programs to support the community. Shands Jacksonville is a 696 bed not-for-profit academic medical center affiliated with the University of FLorida. There are more than 330 nationally recognized faculty physicians working with over 350 hospital-based and private practice community doctors. The University of Florida has over 300 full-time residents at Shands Jacksonville. Twenty-five percent of the education of College of Medicine students takes place here. Shands Jacksonville has a Level 1 Trauma Center and is home to the regional perinatal ICU, the highest level of neonatal intensive care. Our physicians specialize in high-risk pregnancy and complex pediatric illnesses. The Florida Poison Information Center is also located on campus,covering 42 counties and a resource for over six million residents, 151 healthcare institutions and 121 EMS (Emergency Medical Service) agencies. Over 12,000 people were exposed to the poison prevention and safety messages, including children K through 12th grades. Shands Jacksonville together with University of Florida has developed several Centers of Excellence: The Cardiovascular Center, The Neuroscience Institute, The Bone and Joint Institute and the UF Cancer Center. These centers bring together interdiscplinary teams using all the resources of the academic medical center. Shands Jacksonville is a leader in providing both unique and essential clinical programs and services, as well as in promoting good health with preventative care, screenings and health education programs that reach residents where they live and work. The hospital hosted or participated in over 150 Health Fairs and other special events and performed blood pressure, HIV, cholesterol, stroke assessment, pregnancy, blood sugar and glaucoma screenings. In addition, total number of employee volunteer hours donated to the community exceeded 35,000.Shands Jacksonville also has an active community affairs department committed to improving the quality of life through leadership, networking, collaberation and education.The community affairs department serves a defined area of Jacksonville's urban core that represent 40 percent of the African-American population in Jacksonville.Description

Activity2 Activity2

FieldValueIRS element (for citing)
DescriptionShands Jacksonville Medical Center is dedicating our work to improving education on health issues for the well being of the community.Description

Activity3 Activity3

FieldValueIRS element (for citing)
DescriptionShands Jacksonville Medical Center, Inc is improving life through innovations in healthcare.Description
FieldValueIRS element (for citing)
Total Program Service Expense379599460TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementstrueConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096283NumberFormsTransmittedWith1096
Number W2 G Included17NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees4426NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocstrueChangesToOrganizingDocs
Material Diversion Or MisusetrueMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonPatricia Rausch ControllerNamePerson
Telephone Number9042448675TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1655 West 8th StreetAddressLine1
CityJacksonvilleCity
StateFLState
ZIP Code32209ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (32 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployeeKey EmployeeKeyEmployeeFormerFormer
W A McGriff
Director1.00X000
Timothy Goldfarb
Chairman1.00X0107245841089X
Theodore Bass MD
Director1.00X05043010
Sidney Gefen
Director1.00X000
Samir Y Array
Director1.00X02434420
Ronald Charlton
Director HLA Lab40.00160435026043X
Robert C Nuss
Director0.00X04032660
Richard D Danford Jr
Director1.00X000
Ramon D Bautista MD
Director1.00X01768820
Penelope Thompson
VP Public Affairs40.00174120023074X
Nat Glover
Director1.00X000
Michelle Worley
Nurse, RN40.00169263024278X
Michael Gleason
Treasurer34.00023138424003X
Lynn Pappas
Director1.00X000
Linda Edwards
Director1.00X01823140
Leslie Ward
VP Human Resources40.00019988523366X
Lawrence Dubow
Director1.00X000
L Jerome Spates
Director1.00X000
Kelly Miles
Director of Nursing40.00022445624048X
Jodi J Mansfield
CFO0.00078165226851X
Jay L Schauben
Dir Posion Center40.00182091030682X
James R Burkhart
President34.00X063446031955X
J Sample Magee MD
Director1.00X000
Harold O'Steen
Director1.00X000
Greg Miller
VP Hospital Operations40.00233976032921X
David Vukich MD
Director1.00X03711660
David Musgrave
Dir Act & Finance40.00155473026007X
David Guzick
Chairman1.00X09061360X
Christopher Williams MD
Director1.00X03769590
Charles E Caniff
Secretary34.00025744125449X
Beth McCague
Director1.00X000
Barbara Vernoski
Director Ancilliary Services40.00160514018909X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1235872TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs6566202TotalReportableCompFrmRltdOrgs
Total Other Compensation378675TotalOtherCompensation
Number Individuals GT100 K124NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
PROPOCO
220 Germantoen Pike Suite 250Plymouth MeetingPA19462FACILITY MANAGEMENT6696003
Morrison Management Specialists
5801 Peachtree Dunwoody RoadAtlantaGA30342Dietary Management2318543
Dialysis Clinic Inc
1633 Church StNashvilleTN37203Dialysis Services2738664
Crothall Laundry Services
12626 Hancock RdClermontFL34711Laundry Services2391401
COGENT HMG
5410 Maryland Way Suite 300BrentwoodTN37027Physician Management4182076
FieldValueIRS element (for citing)
Number Of Contractors GT100 K31NumberOfContractorsGT100K
Government Grants3973985GovernmentGrants
All Other Contributions143884AllOtherContributions
Total Contributions4117869TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPatient Service RevenueDescription
Business Code622000BusinessCode
Total Revenue Column501959566TotalRevenueColumn
Related Or Exempt Function Income501959566RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue501959566TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2131422TotalRevenueColumn
Related Or Exempt Function Income2131422RelatedOrExemptFunctionIncome

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real2227041Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real456271Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real1770770Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column1770770TotalRevenueColumn
Exclusion$1,770,770ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other35886Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other1349455Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-1313569Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-1313569TotalRevenueColumn
Related Or Exempt Function Income-1313569RelatedOrExemptFunctionIncome

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOther Misc RevenueDescription
Business Code900099BusinessCode
Total Revenue Column14858773TotalRevenueColumn
Unrelated Business Revenue779790UnrelatedBusinessRevenue
Exclusion$14,078,983ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue14858773TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column523524831TotalRevenueColumn
Related Or Exempt Function Income502777419RelatedOrExemptFunctionIncome
Unrelated Business Revenue779790UnrelatedBusinessRevenue
Exclusion$15,849,753ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3146700Total
Management And General3146700ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total192221039Total
Program Services157056045ProgramServices
Management And General34990524ManagementAndGeneral
Fundraising174470Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total9009785Total
Program Services7361531ProgramServices
Management And General1639768ManagementAndGeneral
Fundraising8486Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total28843313Total
Program Services23608472ProgramServices
Management And General5164123ManagementAndGeneral
Fundraising70718Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total14186869Total
Program Services11507949ProgramServices
Management And General2665654ManagementAndGeneral
Fundraising13266Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1276713Total
Management And General1276713ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total408740Total
Management And General408740ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total105375258Total
Program Services71601319ProgramServices
Management And General33772861ManagementAndGeneral
Fundraising1078Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total97406634Total
Program Services84472227ProgramServices
Management And General12926209ManagementAndGeneral
Fundraising8198Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total7305400Total
Management And General7305400ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total28803853Total
Program Services17190547ProgramServices
Management And General11612093ManagementAndGeneral
Fundraising1213Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total477790Total
Program Services269305ProgramServices
Management And General208485ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total134574Total
Program Services84050ProgramServices
Management And General50524ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total3333856Total
Program Services909259ProgramServices
Management And General2424597ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total20308197Total
Program Services5538756ProgramServices
Management And General14769441ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total10987469Total
Management And General10987469ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneral
Rounding-3-3
ACHA ASSESSMENT53624715362471

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total0Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total528588658Total
Program Services379599460ProgramServices
Management And General148711769ManagementAndGeneral
Fundraising277429Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY16118050BOY
EOY4849218EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY108786812BOY
EOY104545921EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY6562479BOY
EOY8486569EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY67475675BOY
EOY68423802EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY8606238BOY
EOY9428984EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1190828BOY
EOY1316008EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis432906529LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec296900169LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY146970559BOY
EOY136006360EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY18875000BOY
EOY22960255EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY146BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY2182228BOY
EOY1940636EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY76324432BOY
EOY77650447EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY453092447BOY
EOY435608200EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY99837360BOY
EOY93729740EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY69741279BOY
EOY67233907EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY83248611BOY
EOY78179613EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY252827250BOY
EOY239143260EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY198950159BOY
EOY195149902EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1315038BOY
EOY1315038EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY200265197BOY
EOY196464940EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY453092447BOY
EOY435608200EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-5063827ReconcilationRevenueExpenses
Reconcilation Other Changes1263570ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed4955 TaxfalseForm4720Filed4955Tax
Correction MadefalseCorrectionMade
Org Belongs To Affiliated GroupXOrgBelongsToAffiliatedGroup

Total Direct Lobbying TotalDirectLobbying

FieldValueIRS element (for citing)
Affiliated Group Totals649846AffiliatedGroupTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

FieldValueIRS element (for citing)
Affiliated Group Totals649846AffiliatedGroupTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

FieldValueIRS element (for citing)
Affiliated Group Totals372814599AffiliatedGroupTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Affiliated Group Totals373464445AffiliatedGroupTotals

Lobbying Nontaxable LobbyingNontaxableAmount

FieldValueIRS element (for citing)
Affiliated Group Totals1000000AffiliatedGroupTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

FieldValueIRS element (for citing)
Affiliated Group Totals250000AffiliatedGroupTotals
FieldValueIRS element (for citing)
Form4720 FiledfalseForm4720Filed

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus31000000CurrentYearMinus3
Current Year Minus21000000CurrentYearMinus2
Current Year Minus11000000CurrentYearMinus1
Current Year1000000CurrentYear
Total4000000Total
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

FieldValueIRS element (for citing)
Current Year Minus1618495CurrentYearMinus1
Current Year649846CurrentYear
Total1268341Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus3250000CurrentYearMinus3
Current Year Minus2250000CurrentYearMinus2
Current Year Minus1250000CurrentYearMinus1
Current Year250000CurrentYear
Total1000000Total
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmount

Grassroots Lobbying Expenditures GrassrootsLobbyingExpenditures

FieldValueIRS element (for citing)
Current Year Minus1618495CurrentYearMinus1
Current Year649846CurrentYear
Total1268341Total

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart II-B, Line 1iIdentifier
Return ReferencePart II-B, Line 1i - Other Activities DescriptionReturnReference
ExplanationOther Lobbying ActivitiesExplanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Protection Of Natural HabitatXProtectionOfNaturalHabitat
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance18875000BeginningOfYearBalance
Contributions625000Contributions
End Of Year Balance19500000EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance18250000BeginningOfYearBalance
Contributions675000Contributions
End Of Year Balance18875000EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance18250000BeginningOfYearBalance
End Of Year Balance18250000EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance1.00000BoardDesignatedEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis4541933OtherCostOrOtherBasis
Book Value4541933BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis226829505OtherCostOrOtherBasis
Depreciation131894436Depreciation
Book Value94935069BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis201535091OtherCostOrOtherBasis
Depreciation165005733Depreciation
Book Value36529358BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings136006360TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
Rounding-2
Investment Subsidiaries/ Other11527545
Due From Affiliates63275033
Deposits and Other2847871
FieldValueIRS element (for citing)
Total Book Value Other Assets77650447TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescriptionAmountAmount
Rounding$2
Patient Refunds$1,162,519
Other Liabilities$4,934,415
Other Expenses$6,630,183
NOtes Payable to STHC$41,635,433
Capital Lease$827,992
3rd Party Settlement$22,989,069
FieldValueIRS element (for citing)
Total Of Amounts78179613TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XI, Line 8Part XI, Line 8: Other Changes in Net Assets or Fund BalancesFAS 158 Pension $41473000 OPEB FAS 158 $2087000 Other Reimbursement $0 Change in Contributions by UF $ -29000 Other Reimbursement $ -457305
Part V, Line 4Part V, Line 4: Intended uses of the endowment fund.The Board designated funds are for clinical support,education,research, other health programs and strategic capital expenditures.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage400.000000000FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically IndigentfalseFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense50461151TotalCommunityBenefitExpense
Direct Offsetting Revenue23775594DirectOffsettingRevenue
Net Community Benefit Expense26685557NetCommunityBenefitExpense
Percent Of Total Expense0.05050PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense50461151TotalCommunityBenefitExpense
Direct Offsetting Revenue23775594DirectOffsettingRevenue
Net Community Benefit Expense26685557NetCommunityBenefitExpense
Percent Of Total Expense0.05050PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense2023742TotalCommunityBenefitExpense
Net Community Benefit Expense2023742NetCommunityBenefitExpense
Percent Of Total Expense0.00380PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense40121222TotalCommunityBenefitExpense
Direct Offsetting Revenue19367850DirectOffsettingRevenue
Net Community Benefit Expense20753372NetCommunityBenefitExpense
Percent Of Total Expense0.03930PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense42144964TotalCommunityBenefitExpense
Direct Offsetting Revenue19367850DirectOffsettingRevenue
Net Community Benefit Expense22777114NetCommunityBenefitExpense
Percent Of Total Expense0.04310PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense92606115TotalCommunityBenefitExpense
Direct Offsetting Revenue43143444DirectOffsettingRevenue
Net Community Benefit Expense49462671NetCommunityBenefitExpense
Percent Of Total Expense0.09360PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$18,859,005BadDebtExpenseAmount
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number0FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1Shands Jacksonville Med CenterBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1655 W 8th StreetAddressLine1
CityJacksonvilleCity
StateFLState
ZIP Code32209ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Shands Jacksonville Med CenterBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part VI Form990ScheduleHPartVI (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Number of Hospital Faciltiy - 0Part V, Line 21 - Charge Patients Amount Equal Gross Charge for ServicesThe patients are billed standard gross charges until their financial status can be clarified.
Number of Hospital Faciltiy - 0Part V, Line 19d - Other Billing Determination of Individuals Without InsuranceThe patients are billed standard gross charges until their financial status can be clarified.
Number of Hospital Faciltiy - 0Part V, Line 17e - Other Actions Took Before Any Collection ActionsThe 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.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (22 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsBase Compensation Filing OrgBaseCompensationFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgBonus Filing OrgBonusFilingOrg
Timothy Goldfarb
7103413621179747313421113547
Theodore Bass MD
49286720005043019434
Samir Y Array
1984303385524344211157
Ronald Charlton
1567133722854817495186478
Robert C Nuss
39134020004032669926
Ramon D Bautista MD
177283176882-401
Penelope Thompson
1428002045291771389719719410868
Michelle Worley
171344-2081564318635193541
Michael Gleason
1896501943061881781525538722304
Linda Edwards
1784341823143880
Leslie Ward
180900138986089172772232515087
Kelly Miles
201550154136221178272485047493
Jodi J Mansfield
49130026851808503290352
Jay L Schauben
164274104149780209022127737403
James R Burkhart
40395051238735024605666415179272
Greg Miller
19285026448122622065926689714678
David Vukich MD
36058920003711668577
David Musgrave
149402-35818350176571814809652
David Guzick
71083518529490613610007
Christopher Williams MD
3732173769593742
Charles E Caniff
227150230506904185452828907241
Barbara Vernoski
1503105238399105101794239681

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
Jacksonville Economic Dev
59600034446936XBA62008-06-2730306Credit Enhancementfalsefalsefalse
Jacksonville Economic Dev
59600034446936XBA62008-06-2759374694Refund Prior Debtfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Issuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindAmount RetiredAmountRetiredTotal ProceedsTotalProceeds
21330093falsefalsetruetrue
424694truefalsetruetrue5895000058950000

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsefalsefalsetruetrue
falsefalsefalsefalsetruetrue

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvested
falsetruefalsefalsefalse
falsetruefalsefalsefalse

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
Jacksonville Economic Dev
59600034446936XAB52004-01-302250395Credit Enhancementfalsefalsefalse
Jacksonville Economic Dev
59600034446936XAB52004-01-3040966518Refund Prior Debtfalsefalsefalse
Jacksonville Economic Dev
59600034446936XAB52004-01-3045475090Capital Improvementsfalsefalsefalse
Jacksonville Economic Development Commission
59600034446936FAJ72005-04-2247260000Refund Prior Debtfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Issuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindAmount RetiredAmountRetiredTotal ProceedsTotalProceedsCapital ExpendituresCapitalExpenditures
324102217985falsefalsetruetrue
589384truefalsetruetrue4037713440377134
654206falsefalsetruetrue44820884
335000truefalsetruetrue4692500046925000

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsefalsefalsetruetrue
falsefalsefalsefalsetruetrue
falsefalsefalsefalsetruetrue
falsefalsefalsefalsetruetrue

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvested
falsetruefalsefalsefalse
falsetruefalsefalsefalse
falsetruefalsefalsefalse
falsetruefalsefalsefalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableRequests are handled on an individual basis. The information is given to the parties upon request.
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesAn 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.
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsInternal Audit Department monitors the Conflict of Interest policy and brings any conflicts to the attention of the Board
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: Form 990 Review ProcessThe return is made available to the President, Secretary and Treasurer of the Corporation to review before the return is filed.
Form 990, Part VI, Line 5Form 990, Part VI, Line 5: Description of Material Diversion of AssetsDuring 2011, a former employee plead guilty to grand theft related to accounts payable check processing. The theft took place over several years and an examination of accounts conducted by an independent forensic accountant for insurance purposes resulted in the identificaation of a diversion of cash totaling $1,165,849. A substantial investigation identified opportunitites for internal control enhancements, which were swiftly implemented.
Form 990, Part VI, Line 4Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documentsa) The Annual Corporate Meeting will be in December. Previously, it was held in October. b)The action of electing to remove the Chief Executive Officer, with or without cause, will require the approval of the Sole Member.c) A majority of directors shall continue a quorum. Previously, an attendence of at least 4 directors constituted a quorum.d)The following standing committees have been created, Finance, Audit, Executive Compensation, and Quality.e) These changes were effective December 6, 2011.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgPrimary ActivitiesPrimaryActivitiesDirect Controlling Entity NADirectControllingEntityNA
University of Jacksonville Physicians I
655 W 8th StreetJacksonvilleFL32209591867557FL501 (c) 35University of Floridafalse
Shands Teaching Hospital and Clinics In
PO Box 100336GainesvilleFL32610591943502FL501(c)33University of FloridafalseHospital
University of Florida
226 Tigert HallGainesvilleFL32611596002052FL115falseEducationN/A
Shands Jacksonville Foundation Inc
655 W 8th StJacksonvilleFL32209592622323FL501 (c) 311falseSupport Shands Jacksonville Medical Center, Inc.N/A
Shands Jacksonville Community Services
655 W 8th StreetJacksonvilleFL32209590173761FL501 (c) 311falseSupport Shands Jacksonville Medical Center, Inc.N/A
Shands Jacksonville Affiliates Inc
655 W 8th StJacksonvilleFL32209591911381FL501 (c) 311Shands Jacksonville Medical Center InctrueSupport Shands Jacksonville Medical Center, Inc.
Shands Jacksonville Properties Inc
655 West 8th StJacksonvilleFL32209591158241FL501 (c) 311Shands Jacksonville Healthcare InctrueSupport Shands Jacksonville Medical Center, Inc.
Shands Jacksonville Healthcare Inc
655 West 8th StJacksonvilleFL32209292441966FL501 (c) 311UFtrueInvestments for Shands Jacksonsonville Medical Center, Inc.

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Southern Hospital Systems IncBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1655 West 8th StAddressLine1
CityJacksonvilleCity
StateFLState
ZIP Code32209ZIPCode
FieldValueIRS element (for citing)
EIN591930524EIN
Primary ActivitySupport for Shands Jacksonville Medical Center, Inc.PrimaryActivity
Legal Domicile StateFLLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SJMCBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC CorpTypeOfEntity
Percentage Ownership1.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.