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        <CurrentYearMinus2>1000000</CurrentYearMinus2>
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        <CurrentYearMinus2>775335</CurrentYearMinus2>
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        <CurrentYearMinus2>250000</CurrentYearMinus2>
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        <Total>1000000</Total>
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    <IRS990ScheduleD documentId="IRS990ScheduleD" softwareId="09000047" softwareVersion="2009v1.7">
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      <TotalOfBookValueLandBuildings>743995481</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>OTHER LIABILITIES</Description>
        <Amount>303233739</Amount>
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      <TotalOfAmounts>303233739</TotalOfAmounts>
      <TotalRevenue>1040404217</TotalRevenue>
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        <NumberOfEmployees>0</NumberOfEmployees>
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      <AcctsActvsOutUSTable>
        <Region>CENTRAL AMERICA AND THE CARIBBEAN</Region>
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        <NumberOfEmployees>0</NumberOfEmployees>
        <TypeOfActivitiesConducted>Shands donated medical supplies and equipment to Haiti after the devastation from the earthquake.</TypeOfActivitiesConducted>
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      <TotalNumberOfOffices>0</TotalNumberOfOffices>
      <TotalNumberOfEmployees>0</TotalNumberOfEmployees>
      <TotalAmountSpent>90451</TotalAmountSpent>
      <NoRecipientOver5K>X</NoRecipientOver5K>
      <Form990ScheduleFPartIV>
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        <Explanation>The supplies were taken to the area by a Physician and Medical Professional staff of a related organization to distribute to those most in need.</Explanation>
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          <State>FL</State>
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          <State>FL</State>
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        <Address>
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          <City>Gainesville</City>
          <State>FL</State>
          <ZIPCode>32608</ZIPCode>
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          <City>Gainesville</City>
          <State>FL</State>
          <ZIPCode>32607</ZIPCode>
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          <City>Gainesville</City>
          <State>FL</State>
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        <Address>
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          <City>Gainesville</City>
          <State>FL</State>
          <ZIPCode>32605</ZIPCode>
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        <Other>Mammography Center</Other>
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          <State>FL</State>
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          <State>FL</State>
          <ZIPCode>32601</ZIPCode>
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          <State>FL</State>
          <ZIPCode>32091</ZIPCode>
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        <Other>Physicians Offices</Other>
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          <State>FL</State>
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          <State>FL</State>
          <ZIPCode>32064</ZIPCode>
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        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
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          <City>Starke</City>
          <State>FL</State>
          <ZIPCode>32091</ZIPCode>
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        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <CriticalAccessHospital>X</CriticalAccessHospital>
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        <Name>
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        <Address>
          <AddressLine1>4101 NW 89th Boulevard</AddressLine1>
          <City>Gainesville</City>
          <State>FL</State>
          <ZIPCode>32606</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <Other>Specialty Hospital-Behavioral Health</Other>
      </Form990ScheduleHPartV>
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        <Name>
          <BusinessNameLine1>Shands Rehab Hospital</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>8900 NW 39th Avenue</AddressLine1>
          <City>Gainesville</City>
          <State>FL</State>
          <ZIPCode>32606</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <Other>Specialty Hospital-Rehab Therapy</Other>
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      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>Shands AGH</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>801 SW 2nd Avenue</AddressLine1>
          <City>Gainesville</City>
          <State>FL</State>
          <ZIPCode>32601</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>Shands UF</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1600 SW Archer Rd</AddressLine1>
          <City>Gainesville</City>
          <State>FL</State>
          <ZIPCode>32610</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <ChildrensHospital>X</ChildrensHospital>
        <TeachingHospital>X</TeachingHospital>
        <Er24Hours>X</Er24Hours>
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      <Form990ScheduleHPartVI>
        <BadDebtFootnote>The provision for bad debts is based on management's assessment of historical and expected net collections, considering business and economic conditions, trends in federal and state governmental health care coverage, and other collection indicators. Throughout the year, management assesses the adequacy of the allowance for uncollectible accounts based upon these trends. The results of this review are then used to make any modifications to the provision for bad debts to establish an appropriate allowance for uncollectible accounts. Patient accounts receivable are written off after collection efforts have been followed under Shands' policies.</BadDebtFootnote>
        <GeneralExplanation>Shands Community Benefit Report is posted on the Hospital's website: shands.org</GeneralExplanation>
        <NeedsAssessment>Information statements from the 2010 Alachua County Health Needs Assessment. Shands co-sponsored this assessment which is updated every 5 years.Cancer is the leading cause of death in Alachua County, while for the state and nation, heart disease is the leading cause. The cancer age-adjusted death rate is more than 19% higher in Alachua County than in Florida (2006-2008).Five of the 10 leading causes of death in Alachua County 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.Emergency department visits for mental health reasons rose by 25% between 2004 and 2008 (from 46.6 to 58.3 per 1,000 population), and rates were sustantially higher than 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.The federal government has designated the low-income population of Alachua Conty a Health Professional Shortage Area and Medically Underserved Population and suggests there is a shortage of approximately 17 full-time equivalent primary care physicians to adequately care for this population.Between 2006-2008, 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 million.Between 2007 and 2008, inpatient hospitalizations amoung self-pay charity patients increased in Alachua County while they decreased in Florida.</NeedsAssessment>
        <CommunityInformation>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, and cardiovascular. The North Central Florida counties that define the individual Shands Live Oak and Shands Starke service areas would be best defined as rural. Shands Live Oak and Starke are designated Critical Access Hospitals. Over, the 14-county service area can be described by the following statistics: * Population: 950,391 * Average household income: $52,872 * Percentage of families with incomes below the FPG: 12.7% * Percentage of uninsured or Medicaid recipients: 32.9% * Federally designated as a medically underserved area or population</CommunityInformation>
        <OtherInformation>Information from the Shands Healthcare Community Benefit Report: * Shands served uninsured patients from every one of the 67 counties in Florida. * Shands employees, volunteers and Medical faculty, residents and students participated in 82 health fairs that reached more than 8,600 people. * Shands offered close to 300 seminars on topics of disease prevention, diagnosis and treatment to more than 14,000 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 provides space for community groups such as Weight Watchers, Prostate Cancer Outreach and Education program and Alzheimer's. * Shands Women's Advantage Program offers information and seminars on exercise, nutrition, disease management and family and work topics. * Shands has two of Florida's seven state designated Level I Trauma Centers. They are located in and Gainesville and Jacksonville and serve north central and north Florida as well as south Georgia. During the year, the trauma teams hosted more than 100 educational outreach programs to raise awarenes about trauma prevention. * UF&amp;Shands contributed $4.5 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.</OtherInformation>
        <AffiliatedHealthCareSystem>Shands Healthcare, affiliated with the University of Florida Health Science Center, is one of the Southeast's premier health systems. Shands includes two major teaching hospitals, two specialty hospitals, a network of outpatient rehabilitation centers, three rural community hospitals, and two home health agencies. Shands UF includes Shands Children's Hospital and Shands Cancer Hospital. Shands has two state-designated Level I Trauma Centers and emergency air and ground transport programs that serve adult, pediatric and neonatal patients.University of Florida Physicians offer multi-specialy group practices based in Gainesville and Jacksonville, there are approximately 1,000 UF faculty physicians providing care in Shands facilities and more than 80 outpatient practices throughout the region.</AffiliatedHealthCareSystem>
        <ReportsFiledWithStates>GA</ReportsFiledWithStates>
        <ReportsFiledWithStates>FL</ReportsFiledWithStates>
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    </IRS990ScheduleH>
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          <BusinessNameLine1>UNIVERSITY OF FLORIDA</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>226 TIGERT HALL</AddressLine1>
          <City>GAINESVILLE</City>
          <State>FL</State>
          <ZIPCode>32611</ZIPCode>
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        <Explanation>Shands has contracted with Mercer an independent firm engaged in the development of compensation surverys on executive pay levels across different industry and provides competitive data and guidance on determining appropriate and reasonable ranges and salaries.Mercer's methodology consists of: * Analysis by position and based on job content * Reference of multiple national survey sources for not-for-profit healthcare executive compensation. * Existing base salary range midpoints were updated to more closely align with the market 50th percentile value for each role.Mercer followed a similar process to evaluate the competitiveness of Shands' total cash compensation levels and provides recommended incentive compensation ranges to insure total cash compensation is also reasonable.Mercer periodically reviews all other aspects of executive compensation - including all elements of supplemental benefits - to insure that they comport with competitive and reasonable total remuneration levels.</Explanation>
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        <AmountDefeased>46216185</AmountDefeased>
        <IssuanceCostsFromProceeds>519472</IssuanceCostsFromProceeds>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <TotalProceeds>70000000</TotalProceeds>
        <YearOfSubstCompletion>2010</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>false</BondCounselRoutinelyEngaged>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>false</BondCounselRoutinelyEngaged>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>true</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>true</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>true</Form8038TFiled>
        <VariableRateIssue>true</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>true</ExceptionToRebate>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleK documentId="IRS990ScheduleK.1" softwareId="09000047" softwareVersion="2009v1.7">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>ALACHUA CO HEALTH FACILITIES AUTHORITY</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>592442398</IssuerEIN>
        <CUSIPNumber>010685HT5</CUSIPNumber>
        <DateIssued>2008-11-19</DateIssued>
        <IssuePrice>44340000</IssuePrice>
        <DescriptionOfPurpose>Refund prior issue</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>ALACHUA CO HEALTH FACILITIES AUTORITY</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>592442398</IssuerEIN>
        <DateIssued>2008-11-05</DateIssued>
        <IssuePrice>75000000</IssuePrice>
        <DescriptionOfPurpose>Refinance prior bond issue</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>ALACHUA CO HEALTH FACILITIES AUTHORITY</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>592442398</IssuerEIN>
        <CUSIPNumber>010685HN8</CUSIPNumber>
        <DateIssued>2008-06-30</DateIssued>
        <IssuePrice>125000000</IssuePrice>
        <DescriptionOfPurpose>Refund prior bond issue</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>ALACHUA CO HEALTH FACILITIES AUTHORITY</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>592442398</IssuerEIN>
        <CUSIPNumber>010685HE8</CUSIPNumber>
        <DateIssued>2007-03-30</DateIssued>
        <IssuePrice>220210000</IssuePrice>
        <DescriptionOfPurpose>Construct &amp; equip facility and refund earlier bonds</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>ALACHUA CO HEALTH FACILITIES AUTH</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>592442398</IssuerEIN>
        <CUSIPNumber>010685HC2</CUSIPNumber>
        <DateIssued>2003-12-18</DateIssued>
        <IssuePrice>20000000</IssuePrice>
        <DescriptionOfPurpose>Construction of Buildings &amp; Purchase of Equipment</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <TotalProceeds>44340000</TotalProceeds>
        <AmountInReserveFund>4434069</AmountInReserveFund>
        <IssuanceCostsFromProceeds>532424</IssuanceCostsFromProceeds>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <TotalProceeds>75000000</TotalProceeds>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <TotalProceeds>125000000</TotalProceeds>
        <IssuanceCostsFromProceeds>463410</IssuanceCostsFromProceeds>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <TotalProceeds>220210000</TotalProceeds>
        <AmountInReserveFund>12173037</AmountInReserveFund>
        <AmountUnspent>9311519</AmountUnspent>
        <IssuanceCostsFromProceeds>1528763</IssuanceCostsFromProceeds>
        <CapitalExpenditures>175000000</CapitalExpenditures>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <TotalProceeds>20000000</TotalProceeds>
        <IssuanceCostsFromProceeds>125207</IssuanceCostsFromProceeds>
        <CapitalExpenditures>20000000</CapitalExpenditures>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>false</BondCounselRoutinelyEngaged>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>false</BondCounselRoutinelyEngaged>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>false</BondCounselRoutinelyEngaged>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>false</BondCounselRoutinelyEngaged>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>false</BondCounselRoutinelyEngaged>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>true</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>true</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>Bayerische Landesbank</BusinessNameLine1>
        </NameOfGICProvider>
        <TermOfGIC>5.0000</TermOfGIC>
        <RegulatorySafeHarborSatisfied>true</RegulatorySafeHarborSatisfied>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>true</Form8038TFiled>
        <VariableRateIssue>true</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>true</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>Compass Bank</BusinessNameLine1>
        </NameOfHedgeProvider>
        <TermOfHedge>20.0000</TermOfHedge>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>true</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>true</Form8038TFiled>
        <VariableRateIssue>true</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>true</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>Merill Lynch</BusinessNameLine1>
        </NameOfHedgeProvider>
        <TermOfHedge>29.0000</TermOfHedge>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>true</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>true</Form8038TFiled>
        <VariableRateIssue>true</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>true</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>Merill Lynch</BusinessNameLine1>
        </NameOfHedgeProvider>
        <TermOfHedge>31.0000</TermOfHedge>
        <GrossProceedsInvestedInGIC>true</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>Bayerische Landesbank</BusinessNameLine1>
        </NameOfGICProvider>
        <TermOfGIC>5.0000</TermOfGIC>
        <RegulatorySafeHarborSatisfied>true</RegulatorySafeHarborSatisfied>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>true</Form8038TFiled>
        <VariableRateIssue>true</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>true</ExceptionToRebate>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="09000047" softwareVersion="2009v1.7">
      <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="09000047" softwareVersion="2009v1.7">
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Shands-Solantic Joint Venture LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>8711 Perimeter Park Blvd Ste 6</AddressLine1>
          <City>Jacksonville</City>
          <State>FL</State>
          <ZIPCode>322166389</ZIPCode>
        </AddressUS>
        <EIN>264732338</EIN>
        <PrimaryActivities>Urgent Care Center</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <EOYAssets>516022</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>Shands Teaching Hospital and Clinics In</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>The University of Florida Foundation In</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 14425</AddressLine1>
          <City>Gainesville</City>
          <State>FL</State>
          <ZIPCode>326042425</ZIPCode>
        </AddressUS>
        <EIN>590974739</EIN>
        <PrimaryActivities>Fundraising</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501 (c) 3</ExemptCodeSection>
        <PublicCharityStatus>11</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>University of Florida Athletic Associati</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 14485</AddressLine1>
          <City>Gainesville</City>
          <State>FL</State>
          <ZIPCode>32604</ZIPCode>
        </AddressUS>
        <EIN>596002050</EIN>
        <PrimaryActivities>Collegiate Athletic Association</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501 (c) 3</ExemptCodeSection>
        <PublicCharityStatus>5</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Shands Auxiliaries Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO Box 100362</AddressLine1>
          <City>Gainesville</City>
          <State>FL</State>
          <ZIPCode>326010362</ZIPCode>
        </AddressUS>
        <EIN>593551267</EIN>
        <PrimaryActivities>Hospital Support</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Southeastern Healthcare Foundation Inc</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Shands Jacksonville Community Services</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO Box 100336</AddressLine1>
          <City>Gainesville</City>
          <State>FL</State>
          <ZIPCode>326100366</ZIPCode>
        </AddressUS>
        <EIN>510173761</EIN>
        <PrimaryActivities>Support SJMC</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Shands Jacksonville Healthcare Inc</BusinessNameLine1>
        </DirectControllingEntityName>
      </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>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Shands Jacksonville Foundation Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO Box 100336</AddressLine1>
          <City>Gainesville</City>
          <State>FL</State>
          <ZIPCode>326100336</ZIPCode>
        </AddressUS>
        <EIN>592622323</EIN>
        <PrimaryActivities>Support SJMC</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Shands Jacksonville Healthcare Inc</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Shands Jacksonville Healthcare Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO Box 100336</AddressLine1>
          <City>Gainesville</City>
          <State>FL</State>
          <ZIPCode>326100336</ZIPCode>
        </AddressUS>
        <EIN>592441966</EIN>
        <PrimaryActivities>Investments</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Shands Jacksonville Medical Center Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO Box 100336</AddressLine1>
          <City>Gainesville</City>
          <State>FL</State>
          <ZIPCode>326100336</ZIPCode>
        </AddressUS>
        <EIN>592142859</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Shands Jacksonville Healthcare Inc</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Shands Jacksonville Affiliates Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO Box 100336</AddressLine1>
          <City>Gainesville</City>
          <State>FL</State>
          <ZIPCode>326100336</ZIPCode>
        </AddressUS>
        <EIN>591913819</EIN>
        <PrimaryActivities>Supports SJMC</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Shands Jacksonville Medical Center Inc</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Shands Jacksonville Properties Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO Box 100336</AddressLine1>
          <City>Gainesville</City>
          <State>FL</State>
          <ZIPCode>326100336</ZIPCode>
        </AddressUS>
        <EIN>591158241</EIN>
        <PrimaryActivities>Support SJMC</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Shands Jacksonville Medical Center Inc</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Southeastern Healthcare Foundation Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO Box 100362</AddressLine1>
          <City>Gainesville</City>
          <State>FL</State>
          <ZIPCode>326100362</ZIPCode>
        </AddressUS>
        <EIN>592357609</EIN>
        <PrimaryActivities>Hospital Support</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Shands Lake Shore Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO Box 100362</AddressLine1>
          <City>Gainesville</City>
          <State>FL</State>
          <ZIPCode>326100362</ZIPCode>
        </AddressUS>
        <EIN>592699965</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Eldercare of Alachua County Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO Box 100362</AddressLine1>
          <City>Gainesville</City>
          <State>FL</State>
          <ZIPCode>326100362</ZIPCode>
        </AddressUS>
        <EIN>593051104</EIN>
        <PrimaryActivities>Senior Services</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>true</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>true</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>true</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>true</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Shands Jacksonville Medical Center Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>k</TransactionType>
        <AmountInvolved>325290</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Southeastern Healthcare Foundation Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>r</TransactionType>
        <AmountInvolved>386562</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Shands Lake Shore Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>r</TransactionType>
        <AmountInvolved>20999548</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>