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      <OtherLiabilities>
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      <OtherLiabilities>
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        <Amount>6630183</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>NOtes Payable to STHC</Description>
        <Amount>41635433</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Capital Lease</Description>
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      <OtherLiabilities>
        <Description>3rd Party Settlement</Description>
        <Amount>22989069</Amount>
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      <TotalOfAmounts>78179613</TotalOfAmounts>
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      <Form990ScheduleDPartXIV>
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    </IRS990ScheduleD>
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      <FreeDiscCareMedicallyIndigent>false</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
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      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
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      <TotalCommunityBenefits>
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      <ProvisionForCharityCare>true</ProvisionForCharityCare>
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        <FacilityNumber>0</FacilityNumber>
        <Name>
          <BusinessNameLine1>Shands Jacksonville Med Center</BusinessNameLine1>
        </Name>
        <Address>
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          <City>Jacksonville</City>
          <State>FL</State>
          <ZIPCode>32209</ZIPCode>
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        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <TeachingHospital>X</TeachingHospital>
        <Er24Hours>X</Er24Hours>
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        <HospitalFacilityName>
          <BusinessNameLine1>Shands Jacksonville Med Center</BusinessNameLine1>
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      <Form990ScheduleHPartVI>
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        <Identifier>Number of Hospital Faciltiy - 0</Identifier>
        <ReturnReference>Part V, Line 19d - Other Billing Determination of Individuals Without Insurance</ReturnReference>
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      <Form990ScheduleHPartVI>
        <Identifier>Number of Hospital Faciltiy - 0</Identifier>
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      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
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        <DeferredCompRelatedOrgs>7350</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>24605</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>666415</TotalCompensationRelatedOrgs>
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        <IssuanceCostsFromProceeds>335000</IssuanceCostsFromProceeds>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
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        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>true</BondCounselRoutinelyEngaged>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
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        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>true</BondCounselRoutinelyEngaged>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>true</BondCounselRoutinelyEngaged>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
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        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>true</BondCounselRoutinelyEngaged>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
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        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>true</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
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        <VariableRateIssue>true</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
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      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>true</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
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        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>true</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="10000105" softwareVersion="2010v3.2">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>Requests are handled on an individual basis. The information is given to the parties upon request.</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>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>Form 990, Part VI, Line 12c</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>Internal Audit Department monitors the Conflict of Interest policy and brings any conflicts to the attention of the Board</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 return is made available to the President, Secretary and Treasurer of the Corporation to review before the return is filed.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 5</Identifier>
        <ReturnReference>Form 990, Part VI, Line 5: Description of Material Diversion of Assets</ReturnReference>
        <Explanation>During 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 4</Identifier>
        <ReturnReference>Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents</ReturnReference>
        <Explanation>a) 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.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR" softwareId="10000105" softwareVersion="2010v3.2">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>University of Jacksonville Physicians I</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>655 W 8th Street</AddressLine1>
          <City>Jacksonville</City>
          <State>FL</State>
          <ZIPCode>32209</ZIPCode>
        </AddressUS>
        <EIN>591867557</EIN>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501 (c) 3</ExemptCodeSection>
        <PublicCharityStatus>5</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>University of Florida</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Shands Teaching Hospital and Clinics In</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 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>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>115</ExemptCodeSection>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Shands Jacksonville Foundation Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>655 W 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</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Shands Jacksonville Community Services</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>655 W 8th Street</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>
        <ExemptCodeSection>501 (c) 3</ExemptCodeSection>
        <PublicCharityStatus>11</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>false</ControlledOrg>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
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          <AddressLine1>655 W 8th St</AddressLine1>
          <City>Jacksonville</City>
          <State>FL</State>
          <ZIPCode>32209</ZIPCode>
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        <EIN>591911381</EIN>
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        <ExemptCodeSection>501 (c) 3</ExemptCodeSection>
        <PublicCharityStatus>11</PublicCharityStatus>
        <DirectControllingEntityName>
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          <City>Jacksonville</City>
          <State>FL</State>
          <ZIPCode>32209</ZIPCode>
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        <EIN>591158241</EIN>
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        <ExemptCodeSection>501 (c) 3</ExemptCodeSection>
        <PublicCharityStatus>11</PublicCharityStatus>
        <DirectControllingEntityName>
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        </DirectControllingEntityName>
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          <City>Jacksonville</City>
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        <EIN>292441966</EIN>
        <PrimaryActivities>Investments for Shands Jacksonsonville Medical Center, Inc.</PrimaryActivities>
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        <LegalDomicileState>FL</LegalDomicileState>
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      <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>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>