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        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
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      <Form990PartVIISectionA>
        <NamePerson>F KAYSER ENNEKING MD</NamePerson>
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        <NamePerson>EDWARD JIMENEZ</NamePerson>
        <Title>COO</Title>
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        <NamePerson>DAVIS M REMBERT JR</NamePerson>
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        <NamePerson>DAVID S GUZICK MD PHD</NamePerson>
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            <State>FL</State>
            <ZIPCode>32606</ZIPCode>
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        <OtherFacilities>
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            <City>Gainesville</City>
            <State>FL</State>
            <ZIPCode>32606</ZIPCode>
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          <FacilityType>Outpatient Rehabilitation Services</FacilityType>
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          <Name>
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            <City>Gainesville</City>
            <State>FL</State>
            <ZIPCode>32605</ZIPCode>
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          <FacilityType>Mammography Center</FacilityType>
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        <OtherFacilities>
          <Name>
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            <City>Gainesville</City>
            <State>FL</State>
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        <OtherFacilities>
          <Name>
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            <AddressLine1>3515 NW 98th Street</AddressLine1>
            <City>Gainesville</City>
            <State>FL</State>
            <ZIPCode>32609</ZIPCode>
          </Address>
          <FacilityType>Outpatient Home Care Programs</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Shands Rehab</BusinessNameLine1>
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            <City>Gainesville</City>
            <State>FL</State>
            <ZIPCode>32606</ZIPCode>
          </Address>
          <FacilityType>Specialty Hospital-Rehab therapy</FacilityType>
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        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Shands Vista</BusinessNameLine1>
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          <Address>
            <AddressLine1>4101 NW 89th Boulevard</AddressLine1>
            <City>Gainesville</City>
            <State>FL</State>
            <ZIPCode>32606</ZIPCode>
          </Address>
          <FacilityType>Specialty Hospital-Behavioral Health</FacilityType>
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      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - Additional Information</ReturnReference>
        <Explanation>Shands Community Benefit Report is posted on the Hospital's website: shands.org</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - States Where Community Benefit Report Filed</ReturnReference>
        <Explanation>FL GA</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - Affilated Health Care System Roles and Promotion</ReturnReference>
        <Explanation>Shands at the University of Florida serves as a training ground for tomorrow's doctors. 667 UF College of Medicine physician residents and fellows trained in 58 accredited graduate medical education programs in Gainesville.University of Florida Health Science Center colleagues participate in Shands' community outreach efforts to host health seminars and screenings to promote a healthier community. Additionally, several of the Health Science Center Colleges hold a variety of outreach efforts to promote health and wellness. Examples include: * The College of Dentistry has a multi-faceted service mission encompassing patient care and community outreach and education. Through its Statewide Network for Community Oral Health, the college improves access to dental care for Florida's residents, focusing on vulnerable and indigent populations and special needs patients. The college has become one of the largest providers of low-cost dental care in Florida, providing nearly10 percent of all indigent care to Florida's residents through comprehansive state-of-the-art clinical services. UF dental students and faculty also give of themselves in providing free dental treatment to underserved populations during service missions abroad and at home. * The College of Medicine staffs a Mobile Outreach Clinic, a highly flexible means of delivering health care to themedically under-served in low income neighborhoods and rural areas in and around Alachua County. The Mobile Clinic itself is a large bus containing two exam rooms, a laboratory and a waiting area. It is currently staffed by a registered nurse who can screen, refer and provide case management.The Mobile Outreach Clinic is in operation an average of five days per week and works with many community partners, including Alachua County Health Department, CHOICES (a community-based health plan for the working poor and uninsured which provides health education, primary care, screening, and referral services funded by local sales taxes), Alachua County Library District, Palm Medical, and Three Rivers Legal Services (provides quality legal assistance to the poor, abused, diabled and elderly).</Explanation>
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      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - Explanation Of How Organization Furthers Its Exempt Purpose</ReturnReference>
        <Explanation>Located in Gainesville, Shands at the University of Florida is one of the Southeast's premier teaching hospitals and the state's leading medical referral center. Nearly 900 expert UF College of Medicine and community physicians along with 7,297 skilled Shands nursing and support staff provide comprehensive high-quality patient care, for primary care and family medicine to sub specialty tertiary and quaternary services for patients with highly complex medical conditions. Patients come to Shands from all 67 Florida counties and from throughout the region, nation and a dozen countries each year. The medical center has earned its stellar reputaion because of the dedication to patient care, education and research provided by UF and Shands interdisciplinary clinical and support teams.Community Benefit FY 2011 * Chariy care and social responsibility - net unreimbursed financial assistance (at cost) $38.6 milion. * Health professionals education $30.8 million. * Scientific and clinical research in the health sciences $10.6 million. * Donations and in-kind services to support community-based efforts $2.5 million. * Community and regional health services $1.5 million. * Total Community Benefit (at cost) $84 million.Other report information * Shands served uninsured patients from nearly every county in Florida. * Shands employees, volunteers and Medical faculty, residents and students participated in 24 health fairs that reached more than 7,000 people. * Shands offered close to 300 seminars on topics of disease prevention, diagnosis and treatment to more than 18,000 people. * UF&amp;Shands Eastside Community Practice serves children and adults with physical check-ups, immunizations, health screenings, healthcare advice and education, social services and links to other community resources. * Shands Women's Advantage Program offers information and seminars on exercise, nutrition, disease management and family and work topics. * Shands has one of Florida's seven state designated Level I Trauma Centers. During the year, the trauma teams hosted more than 18 educational outreach programs to raise awarenes about trauma prevention. * UF&amp;Shands contributed $2.5 million to support community events in support of the Alzheimer's Asociation, American Cancer Society, American Heart Association, Boy Scouts, Eldercare, Girl Scouts, Junior Achievement, March of Dimes, NAACP, Ronald McDonald House, Stop! Children's Cancer, Susan G. Komen Row for the Cure, United Way and other national and local sponsorships. * Shands at UF includes Shands Hospital for Children, Shands Pediatric Emergency Room, Shands Cancer Hospital and Shands Critical Care Center. Shands at UF also operates the health system's two specialty hospitals, Shands Rehab Hospital and Shands Vista behavioral health, both located in Gainesville.Shands at UF is also affiliated with more than 40 UF Physicians outpatient practices, located in the Gainesville area, which offer primary and specialty care to patients from north centeral Florida and throughout the state.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - Community Information</ReturnReference>
        <Explanation>Shands at the University of Florida in urban Gainesville, Florida serves residents of Alachua County and other North Central Florida counties. In addition, Shands UF is a statewide and regional safety-net resource for patients in need of tertiary and quarternary levels of care. Notable services include pediatrics, neonatology, cancer, neuromedicine, cardiovascular and transplantation. Over, the 14-county service area can be described by the following statistics: * Population: 950,559 * Average household income: $49,952 * Percentage of families with incomes below the FPG: 12.5% * Percentage of uninsured or Medicaid recipients: 34.2% * Federally designated as a medically underserved area or population</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - Needs Assessment</ReturnReference>
        <Explanation>In March 2010, WellFlorida Council released the Alachua County Health Needs Assessment. This assessment wa sponsored by Shands and other community healthcare providers. Components included demographics and socioeconomic factors, access to care, health outcomes, health care infrastructure, public policy, avoidable hospitalizations, health professional shortages, medically underserved population, healthresources, community culture, and healthy choices. * Five of the 10 leading causes of death in Alachua Conty are higher than the state rate. Four of these five (cancer, stroke, diabetes and hypertension) have links to obesity and are highly susceptible to prevention. * When compared to death rates of black residents across Florida, the rates among black residents in Alachua County are higher for eight of the 10 leading causes of death in Florida. *It is difficult to get a firm estimate on the number of uninsured in Alachua County. However, the US Census Bureau and the Florida Health Insurance Study, tell us that between 29,000 to 62,000 residents may not have health insurance. * Between 2006 and 2008, there have been on average more than 29,000 annual potentially avoidable visits to hospital emergency rooms by Alachua County residents. * In addition, there have been, on average, more than 2,500 avoidable inpatient hospitalizations annually with associated charges of more than $67,000,000.Community Perspectives * Acces to affordable health care was identified as a barrier to seeking routine medical/dental/behavioral health care. * Residents identified access barriers as the priority concern in meeting health care needs. Mentioned were: lack of transportation; lack of satellite clinics in rural/outlying areas of the county; lack of compassion and understanding from health care providers; and restrictive insurance policies. * Barriers in prevention and health care activities were inadequate health insurance; cost; comorbidity health conditions; environmental factors (safety, lack of infrastructure); lack of awareness; unfavorable attitude of health care providers; social norms (stigma/fear); lack of transortation; difficulty finding physicians accepting new patients (particularly Medicaid); availability of time; and responsibility for dependent others. * Administrative barriers identified as reasons for delaying or avoiding care included scheduling; restrictive eligibility criteria; paperwork and lack of availability of a health care professional after office hours. Lack of after-hours care and not knowing where else to go were also identified as the topmost reasons for seeking care through emergency departments.Where are we going? * All residents will have an appropriate medical home with comprehensive access to specialty/dental/behavioral/substance abuse services and pharmaceuticals. * The health care system in Alachua County will be easy to navigate: residents will know where to go and when and how to utilize the services. * The built environment and social infrastructure support healthy behavior and healthy choices. * There are no racial, ethnic or income disparities in health outcomes in Alachua Conty. * The County has sufficient providers, support staff and facilities to maintain a medical home for all Alachua County residents. * Electronic health records are adopted by all physicians and health care facilities, and health information is readily shared among treating providers.What are we doing? * Opening the $388 million Shands Cancer Hospital at UF increasing the total number of inpatient beds in the community. * Opening the new Critical Care Center. This increased total number of emergency and trauma beds in the community and allows for enhanced disaster response. * Began implementation of a fully integrated $110 million electronic medical record system. * Partnered with Solantic to open an Urgent Care in east Gainesville.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Number of Hospital Faciltiy - 0</Identifier>
        <ReturnReference>Part V, Line 21 - Charge Patients Amount Equal Gross Charge for Services</ReturnReference>
        <Explanation>The patients are billed standard gross charges until their financial status can be clarified.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Number of Hospital Faciltiy - 0</Identifier>
        <ReturnReference>Part V, Line 19d - Other Billing Determination of Individuals Without Insurance</ReturnReference>
        <Explanation>The patients are billed standard gross charges until their financial status can be clarified.</Explanation>
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      <Form990ScheduleHPartVI>
        <Identifier>Number of Hospital Faciltiy - 0</Identifier>
        <ReturnReference>Part V, Line 17e - Other Actions Took Before Any Collection Actions</ReturnReference>
        <Explanation>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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    </IRS990ScheduleH>
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          <City>GAINESVILLE</City>
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          <ZIPCode>32606</ZIPCode>
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          <City>Gainesville</City>
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        <PurposeOfGrant>General support</PurposeOfGrant>
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          <AddressLine1>4200 NW 90th Blvd</AddressLine1>
          <City>Gainesville</City>
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          <ZIPCode>32602</ZIPCode>
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          <State>FL</State>
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        <PurposeOfGrant>General support</PurposeOfGrant>
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          <City>GAINESVILLE</City>
          <State>FL</State>
          <ZIPCode>32609</ZIPCode>
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        <TypeOfGrant>Nursing Work Grants</TypeOfGrant>
        <NumberOfRecipients>5</NumberOfRecipients>
        <AmountOfCashGrant>19500</AmountOfCashGrant>
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      <Form990ScheduleIPartIII>
        <TypeOfGrant>Inventory Donation</TypeOfGrant>
        <AmountOfCashGrant>7475</AmountOfCashGrant>
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      <Form990ScheduleIPartIII>
        <TypeOfGrant>Debt Forgiveness</TypeOfGrant>
        <NumberOfRecipients>28</NumberOfRecipients>
        <AmountOfCashGrant>63240</AmountOfCashGrant>
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        <TypeOfGrant>Community Benefit Rpt</TypeOfGrant>
        <AmountOfCashGrant>3459</AmountOfCashGrant>
      </Form990ScheduleIPartIII>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>CMN Food Closet</TypeOfGrant>
        <NumberOfRecipients>19</NumberOfRecipients>
        <AmountOfCashGrant>3654</AmountOfCashGrant>
      </Form990ScheduleIPartIII>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>ASN to BSN Nursing Grants</TypeOfGrant>
        <NumberOfRecipients>3</NumberOfRecipients>
        <AmountOfCashGrant>5085</AmountOfCashGrant>
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        <NamePerson>MATTHEW M FAJACK</NamePerson>
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        <NamePerson>JODI J MANSFIELD</NamePerson>
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        <NamePerson>J BERNARD MACHEN DDS MS PHD</NamePerson>
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        <NamePerson>FRANK POMMET</NamePerson>
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        <OtherCompensationFilingOrg>69770</OtherCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>5693</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>80115</TotalCompensationFilingOrg>
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      <Form990ScheduleJPartII>
        <NamePerson>F KAYSER ENNEKING MD</NamePerson>
        <CompBasedOnRelatedOrgs>454122</CompBasedOnRelatedOrgs>
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        <NontaxableBenefitsFilingOrg>10023</NontaxableBenefitsFilingOrg>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DAVID S GUZICK MD PHD</NamePerson>
        <CompBasedOnRelatedOrgs>710835</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>185294</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>10007</OtherCompensationRelatedOrgs>
        <TotalCompensationRelatedOrgs>906136</TotalCompensationRelatedOrgs>
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        <NamePerson>CHARLES B KOVAL</NamePerson>
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        <NontaxableBenefitsFilingOrg>17876</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>244484</TotalCompensationFilingOrg>
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        <NamePerson>ANTHONY P CARVALHO</NamePerson>
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        <NamePerson>ALAN KNUDSEN</NamePerson>
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        <OtherCompensationFilingOrg>2436</OtherCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>16950</NontaxableBenefitsFilingOrg>
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    </IRS990ScheduleJ>
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      <Form990ScheduleKPartI>
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          <BusinessNameLine1>ALACHUA CO HEALTH FACILIT</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>592442398</IssuerEIN>
        <DateIssued>2007-03-30</DateIssued>
        <IssuePrice>45210000</IssuePrice>
        <DescriptionOfPurpose>Refund a portion of 1996A Bond</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
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          <BusinessNameLine1>ALACHUA CO HEALTH FACILITIES AUTHORITY</BusinessNameLine1>
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        <IssuerEIN>592442398</IssuerEIN>
        <CUSIPNumber>010685JH9</CUSIPNumber>
        <DateIssued>2010-06-29</DateIssued>
        <IssuePrice>44685000</IssuePrice>
        <DescriptionOfPurpose>Refund 1992R Bonds, issued 01/21/1992</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
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        <IssuerEIN>592442398</IssuerEIN>
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        <IssuePrice>70000000</IssuePrice>
        <DescriptionOfPurpose>Costs of acquisition and construction of capital improvement</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
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        <TotalProceeds>45210000</TotalProceeds>
        <AmountInReserveFund>3712854</AmountInReserveFund>
        <RefundingEscrow>41164723</RefundingEscrow>
        <IssuanceCostsFromProceeds>332423</IssuanceCostsFromProceeds>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>false</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
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        <CapitalExpenditures>70000000</CapitalExpenditures>
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        <AdvanceRefunding>false</AdvanceRefunding>
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        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
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        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
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        <AnyResearchAgreements>false</AnyResearchAgreements>
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        <AnyResearchAgreements>false</AnyResearchAgreements>
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        <Form8038TFiled>true</Form8038TFiled>
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        <GrossProceedsInvested>false</GrossProceedsInvested>
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        <GrossProceedsInvested>false</GrossProceedsInvested>
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        <IssuerName>
          <BusinessNameLine1>ALACHUA CO HEALTH FACILITIES AUTHORITY</BusinessNameLine1>
        </IssuerName>
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        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
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      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
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        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
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        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
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        <DescriptionOfPurpose>Construct &amp; equip facility and refund earlier bonds</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
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        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
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        <FinalAllocationMade>true</FinalAllocationMade>
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        <AnyResearchAgreements>false</AnyResearchAgreements>
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      </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>The year end financial statements are on the shands.org website and the Federal Form 990 is available upon request.</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>An annual questionaire is sent to all Officers and Board Members</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>Form 990 is currently not provided to the governing body before it is filed. It is reviewed by management before filing.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 6</Identifier>
        <ReturnReference>Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder</ReturnReference>
        <Explanation>Individuals serving on the Shands Board of Directors are members</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR" softwareId="10000105" softwareVersion="2010v3.2">
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          <BusinessNameLine1>Shands Starke Community Health LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO Box 100336</AddressLine1>
          <City>Gainesville</City>
          <State>FL</State>
          <ZIPCode>326100366</ZIPCode>
        </AddressUS>
        <EIN>272867522</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <TotalIncome>71123</TotalIncome>
        <EOYAssets>6173221</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>Shands Teaching Hospital and Clinics In</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Shands Live Oak Community Health LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO Box 100336</AddressLine1>
          <City>Gainesville</City>
          <State>FL</State>
          <ZIPCode>326100366</ZIPCode>
        </AddressUS>
        <EIN>272867205</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <TotalIncome>68444</TotalIncome>
        <EOYAssets>2282553</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>Shands Teaching Hospital and Clinics In</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
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          <BusinessNameLine1>Shands Lake Shore Community Health LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO Box 100336</AddressLine1>
          <City>Gainesville</City>
          <State>FL</State>
          <ZIPCode>326100366</ZIPCode>
        </AddressUS>
        <EIN>272866181</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <TotalIncome>1405161</TotalIncome>
        <EOYAssets>4366868</EOYAssets>
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          <BusinessNameLine1>Shands Teaching Hospital and Clinics In</BusinessNameLine1>
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          <BusinessNameLine1>Shands Jacksonville Affiliates Inc</BusinessNameLine1>
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</Return>