Form990


Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
Do not enter social security numbers on this form as it may be made public.
Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2024
Open to Public Inspection
A For the 2024 calendar year, or tax year beginning 07-01-2024 , and ending 06-30-2025
BCheck if applicable:
CName of organization
SHANDS JACKSONVILLE MEDICAL CENTER INC
 
 
Doing business as
UF HEALTH JACKSONVILLE
 
Number and street (or P.O. box if mail is not delivered to street address)
655 West 8th Street
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Jacksonville, FL32209
D Employer identification number

59-2142859
E Telephone number

G Gross receipts $ 1,335,299,958
F Name and address of principal officer:
STEPHEN MOTEW MD
655 West 8th Street
Jacksonville,FL32209
I
Tax-exempt status: (   ) (insert no.) or
J
Website:
UFHEALTHJAX.ORG
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. See instructions.
H(c)
Group exemption number  
K Form of organization:  
L Year of formation: 1981
M State of legal domicile: FL
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: PROMOTE HEALTH THROUGH OUTSTANDING AND HIGH-QUALITY PATIENT CARE, INNOVATIVE AND RIGOROUS EDUCATION, AND HIGH-IMPACT RESEARCH.
2 Check this box
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 12
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 7
5 Total number of individuals employed in calendar year 2024 (Part V, line 2a) ...... 5 6,801
6 Total number of volunteers (estimate if necessary) ............. 6 301
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 57,708
b Net unrelated business taxable income from Form 990-T, Part I, line 11 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 25,438,470 25,394,965
9 Program service revenue (Part VIII, line 2g) ......... 1,091,207,649 1,282,269,478
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 6,704,523 11,147,787
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 14,707,689 15,947,904
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 1,138,058,331 1,334,760,134
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 86,362,571 111,031,818
14 Benefits paid to or for members (Part IX, column (A), line 4).....   0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 462,943,855 502,675,972
16a Professional fundraising fees (Part IX, column (A), line 11e) .....   0
b Total fundraising expenses (Part IX, column (D), line 25) 0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 550,326,185 627,713,958
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 1,099,632,611 1,241,421,748
19 Revenue less expenses. Subtract line 18 from line 12....... 38,425,720 93,338,386
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 1,118,439,800 1,264,677,313
21 Total liabilities (Part X, line 26)............. 853,653,063 906,516,986
22 Net assets or fund balances. Subtract line 21 from line 20..... 264,786,737 358,160,327
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
Signature of officer Date
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name

Firm's EIN
Firm's address



Phone no.
May the IRS discuss this return with the preparer shown above? See Instructions. ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2024)
Form 990 (2024)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: As a part of UF Health, the organization's mission is to promote health through outstanding and high-quality patient care, innovative and rigorous education in the health professions and biomedical sciences, and high-impact research across the spectrum of basic, translational and clinical investigation.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 995,577,061 including grants of $ 111,031,818 ) (Revenue $ 1,292,999,120 )
UF Health Jacksonville, part of UF Health, provides a broad range of services supporting patient care, education, and community health across northeast Florida and southeast Georgia. Its primary facility, UF Health Jacksonville, is an academic medical center and the Jacksonville campus of the University of Florida Academic Health Center, offering advanced specialty care and serving as a major training site for medical students, residents, and other health professionals. Additional programs include UF Health North, a community-based campus with a full-service hospital, emergency care, outpatient surgery, and diagnostic services; a network of primary and specialty care practices staffed by UF faculty physicians; and key regional services such as TraumaOne, the area's only Level I trauma center, a Level III neonatal intensive care unit, and the UF Health Proton Therapy Institute for advanced cancer treatment. Together, these programs provide an integrated continuum of care while advancing UF Health's mission to promote health through outstanding and high-quality patient care.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expenses995,577,061
Form 990 (2024)
Form 990 (2024)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment
List of Attached Documents:
// Content
.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? See instructions. Click to see attachment
List of Attached Documents:
// Content
...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment
List of Attached Documents:
// Content
.........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Rev. Proc. 98-19? If "Yes," complete Schedule C, Part IIIClick to see attachment
List of Attached Documents:
// Content
..
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part I.........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment
List of Attached Documents:
// Content
....
7
Yes
 
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D, Part IIIClick to see attachment
List of Attached Documents:
// Content
..............
8
Yes
 
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IV..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part V......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X, as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D, Part VI. Click to see attachment
List of Attached Documents:
// Content
...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VII.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment
List of Attached Documents:
// Content
............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
List of Attached Documents:
// Content
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
List of Attached Documents:
// Content
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XII......................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
List of Attached Documents:
// Content
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I. See instructions. ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....Click to see attachment
List of Attached Documents:
// Content
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
List of Attached Documents:
// Content
20b
Yes
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
List of Attached Documents:
// Content
21
Yes
 
Form 990 (2024)
Form 990 (2024)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
List of Attached Documents:
// Content
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............Click to see attachment
List of Attached Documents:
// Content
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
No
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I ....
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................
25b
 
No
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part II...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part III.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see the Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....Click to see attachment
List of Attached Documents:
// Content
28b
Yes
 
c
A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If "Yes," complete Schedule L, Part IV.....................
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
List of Attached Documents:
// Content
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...
35b
 
No
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2.............
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VI
37
 
No
38
Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable ..
1a
132
b
Enter the number of Forms W-2G included on line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
Form 990 (2024)
Form 990 (2024)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
6,801
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country:
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see the instructions and file Form 4720, Schedule N.
15
Yes
 
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
17
Section 501(c)(21) organizations. Did the trust, or any disqualified or other person engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? ..
If "Yes," complete Form 6069.
17
 
 
Form 990 (2024)
Form 990 (2024)
Page 6
Part VI
Governance, Management, and Disclosure. For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
12
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
7
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
Yes
 
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
No
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe on Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe on Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
 
No
b
Other officers or key employees of the organization ................
15b
 
No
If "Yes" to line 15a or 15b, describe the process on Schedule O. See instructions.
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filed
FL
18
Section 6104 requires an organization to make its Form 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
KENT BAILEYPO BOX 100336   GAINESVILLE,FL326100336 (352) 265-7962
Form 990 (2024)
Form 990 (2024)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See the instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (box 5 of Form W-2, box 6 of Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

See the instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) Amy Hass......................................................................
SECRETARY & DIR (THRU APRIL 2025) / UF Deputy Athletic Dir
 2.0
.................
48.0 		X   X       0 370,285 47,485
(2) David Nelson MD......................................................................
DIRECTOR (THRU APRIL 2025) / UF SVP HEALTH AFFAIRS
 2.0
.................
48.0 		X   X       0 1,606,258 59,845
(3) Marsha Powers......................................................................
CHAIR, DIRECTOR
 0.5
.................
3.5 		X   X       0 0 0
(4) Stephen Motew MD......................................................................
VICE CHAIR & DIR / UF Health Pres & System CEO
 2.0
.................
48.0 		X   X       0 1,585,335 22,787
(5) Alan Levine......................................................................
Director (beg Nov 2024)
 0.5
.................
3.5 		X           0 0 0
(6) David Mann......................................................................
Director
 0.5
.................
3.5 		X           0 0 0
(7) E Hunter Beebe......................................................................
Director (beg Nov 2024)
 0.5
.................
3.5 		X           0 0 0
(8) Gregory R Lewis......................................................................
Director (beg Nov 2024)
 0.5
.................
3.5 		X           0 0 0
(9) Jennifer Hunt MD......................................................................
DIRECTOR (beg Nov 2024) / INTERIM DEAN, UF COLLEGE OF MEDICINE
 0.5
.................
49.5 		X           0 1,020,210 49,914
(10) Kelly Gray-Eurom MD......................................................................
Director (THRU APRIL 2025) / Chief Quality Officer
 2.0
.................
48.0 		X           0 401,568 42,695
(11) LaRae C Brown MD......................................................................
Director (THRU APRIL 2025) / UF Health OBGYN
 2.0
.................
48.0 		X           0 366,315 40,787
(12) Linda R Edwards MD......................................................................
DIRECTOR (THRU APRIL 2025) / UF ASSOC PROFESSOR & DEAN
 0.5
.................
49.5 		X           0 756,716 71,666
(13) Robert J Stilley......................................................................
Director (beg Nov 2024)
 0.5
.................
3.5 		X           0 0 0
(14) Ryan Fuller......................................................................
DIRECTOR (beg April 2025) / UF ASSOCIATE VP & GENERAL COUNSEL
 0.5
.................
49.5 		X           0 335,500 59,784
(15) Taylor Jantz......................................................................
DIRECTOR / UF SVP/CFO (THRU APRIL 2025)
 0.5
.................
49.5 		X           0 473,720 131,914
(16) Timothy Morey MD......................................................................
DIRECTOR (beg Nov 2024) / UF HEALTH CHIEF MEDICAL OFFICER
 0.5
.................
49.5 		X           0 806,257 57,128
(17) Todd D Neville......................................................................
Director (beg Nov 2024)
 0.5
.................
3.5 		X           0 0 0
Form 990 (2024)
Form 990 (2024)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) W Kent Fuchs PHD........................................................................
DIRECTOR (beg Nov 2024) / INTERIM PRESIDENT OF THE UNIVERSITY OF FLORIDA
 0.5
.......................49.0 		X           0 788,720 141,132
(19) Dean Cocchi MBA........................................................................
Treasurer / CFO
 47.5
.......................2.5 		    X       592,162 0 44,091
(20) Geoffrey Gardner........................................................................
UF HEALTH EVP AND CFO
 0.5
.......................49.5 		    X       0 179,547 1,096
(21) John Clontz Esq........................................................................
Asst. Secretary / Associate General Counsel
 49.5
.......................0.5 		    X       179,120 0 20,201
(22) Jon DeBardeleben ESQ........................................................................
Secretary / VP Senior Counsel
 47.5
.......................2.5 		    X       317,229 0 46,885
(23) Patricia Rausch........................................................................
Assistant Treasurer / Controller
 49.5
.......................0.5 		    X       243,378 0 27,160
(24) Patrick Green MBA FACHE........................................................................
SVP and Northeast Florida Regional President
 47.5
.......................2.5 		    X       1,447,872 0 24,867
(25) Robert Templin ESQ........................................................................
Asst. Secretary / SR Associate General Counsel
 49.5
.......................0.5 		    X       188,681 0 36,525
(26) Chirag Patel DO........................................................................
SVP CHIEF MEDICAL OFFICER
 40.0
.......................10.0 		      X     373,766 13,808 16,820
(27) David Skarupa MD........................................................................
ASSOCIATE CHIEF MEDICAL OFFICER
 48.0
.......................2.0 		      X     0 592,687 46,672
(28) Edward Daech........................................................................
UF Health EVP and CHRO
 10.0
.......................40.0 		      X     0 534,309 41,953
(29) Gloria Lipori........................................................................
UF Health SVP & Chief Information Officer
 10.0
.......................40.0 		      X     0 759,614 49,010
(30) Gregory Miller MBA........................................................................
EVP COO
 40.0
.......................10.0 		      X     688,909 0 48,584
(31) Jessica Melton........................................................................
UF Health EVP and Chief Transformation Officer
 10.0
.......................40.0 		      X     0 180,429 2,647
(32) Kerin Da Cruz........................................................................
SVP CHIEF NURSING OFFICER (THRU MAY 2025) / EVP COO (BEG MAY 2025)
 50.0
.......................0 		      X     545,052 0 13,645
(33) Robert A Hervey........................................................................
VP Real Estate and Facilities
 50.0
.......................0 		      X     404,881 0 47,428
(34) Robert Michalski........................................................................
UF Health VP Compliance & Privacy
 10.0
.......................40.0 		      X     0 457,549 41,903
(35) Shakira Henderson........................................................................
UF Health Chief Nurse Executive
 10.0
.......................40.0 		      X     0 731,099 63,308
(36) Wayne A Marshall........................................................................
VP UFH North
 50.0
.......................0 		      X     392,478 0 31,189
(37) Jennifer Nitschmann........................................................................
VP of Nursing
 50.0
.......................0 		        X   358,631 0 157
(38) Lesli A Ward........................................................................
VP Human Resources
 48.0
.......................2.0 		        X   0 454,978 44,121
(39) Robert Phillips........................................................................
Chief Technology Officer
 50.0
.......................0 		        X   284,419 0 29,629
(40) Steven L Wylie........................................................................
VP Assoc. Business Development
 50.0
.......................0 		        X   278,654 0 39,792
(41) Thanh Hogan........................................................................
VP Clinical Operations
 50.0
.......................0 		        X   357,281 0 46,678
(42) Ann-Marie Knight........................................................................
VP Community Engagement
 50.0
.......................0 		          X 271,517 0 30,935
(43) Randall C Jenkins........................................................................
Former Secretary / UF SVP GENERAL COUNSEL
 0.0
.......................50.0 		          X 0 581,082 57,010
1b Sub-Total..............
c Total from continuation sheets to Part VII, Section A..
d Total (add lines 1b and 1c)......... 6,924,030 12,995,986 1,577,443
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization 734
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
BATSON COOK DANIS JV

8860 Phillips Highway
Jacksonville,FL32256 		General Contractor 37,668,879
UF PR HOUSESTAFF

653-1 West 8th Street
JACKSONVILLE,FL32209 		MEDICAL STAFFING SERVICES 31,339,134
MORRISONS MANAGEMENT SPECIALISTS

PO BOX 102289
ATLANTA,GA303682289 		General Contractor 17,799,006
SODEXO INC & AFFILIATES

PO BOX 360170
PITTSBURGH,PA152516170 		FOOD SERVICES 14,618,178
CROTHALL HEALTHCARE INC

1500 Liberty Ridge Drive
Suite 210
Wayne,PA19087 		Laundry Services 13,590,173
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 129
Form 990 (2024)
Form 990 (2024)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, Grants, and OtherAmt Similar Amounts 1a Federated campaigns..1a 673
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d 1,016,188
e Government grants (contributions)1e 20,696,059
f All other contributions, gifts, grants, and similar amounts not included above1f 3,682,045
g Noncash contributions included in lines 1a - 1f:$ 1g  
h Total. Add lines 1a-1f....... 25,394,965
Program Service RevenueAmt Business Code
2a PATIENT SERVICE REVENUE 622110 1,280,632,254 1,280,632,254    
b Ancillary and Contract Services 622110 1,637,224 1,637,224    
c
d
e
f All other program service revenue. 0 0 0 0
g Total. Add lines 2a–2f ..... 1,282,269,478
OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ...... 11,192,590     11,192,590
4 Income from investment of tax-exempt bond proceeds        
5 Royalties...........        
(i) Real (ii) Personal
6a Gross rents 6a 4,873,779  
b Less: rental expenses 6b    
c Rental income or (loss) 6c 4,873,779 0
d Net rental income or (loss)....... 4,873,779     4,873,779
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 7a    
b Less: cost or other basis and sales expenses 7b   44,803
c Gain or (loss) 7c 0 -44,803
d Net gain or (loss)......... -44,803     -44,803
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
8a  
b Less: direct expenses ... 8b  
c Net income or (loss) from fundraising events..      
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a  
b Less: direct expenses ... 9b  
c Net income or (loss) from gaming activities..        
10a Gross sales of inventory, less
returns and allowances ..
10a 781,796
b Less: cost of goods sold .. 10b 495,021
c Net income or (loss) from sales of inventory.. 286,775     286,775
OtherRevenueMiscAmt
Business Code
11a PARKING REVENUE 812930 584,676 584,676    
b AFFILIATE IT SERVICES 900099 72,382 72,382    
c LABORATORY REVENUE 621500 57,708   57,708  
d All other revenue .... 10,072,584 10,072,584 0 0
e Total. Add lines 11a–11d ...... 10,787,350
12 Total revenue. See instructions..... 1,334,760,134 1,292,999,120 57,708 16,308,341
Form 990 (2024)
Form 990 (2024)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising
expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 .... 111,031,818 111,031,818
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ...........    
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............    
4 Benefits paid to or for members .......    
5 Compensation of current officers, directors, trustees, and key employees ........... 5,729,551   5,729,551  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ......... 61,720 61,720    
7 Other salaries and wages........ 399,192,575 320,881,707 78,310,868  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 18,611,581 18,522,143 89,438  
9 Other employee benefits ....... 49,766,883 49,674,697 92,186  
10 Payroll taxes ........... 29,313,662 23,255,809 6,057,853  
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 685,576 450,750 234,826  
c Accounting ........... 228,795   228,795  
d Lobbying ........... 78,486   78,486  
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ......        
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 202,538,943 97,180,736 105,358,207 0
12 Advertising and promotion .... 4,009,648 3,906,899 102,749  
13 Office expenses ....... 21,347,355 12,433,584 8,913,771  
14 Information technology ...... 8,796,761 5,981,797 2,814,964  
15 Royalties ..        
16 Occupancy ........... 26,819,604 18,237,331 8,582,273  
17 Travel ............ 735,733 486,421 249,312  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 425,744 258,958 166,786  
20 Interest ........... 20,303,539 13,806,406 6,497,133  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 65,817,683 44,756,024 21,061,659  
23 Insurance ... 4,703,801 4,487,122 216,679  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a Medical Supplies 248,795,462 248,190,564 604,898  
b AHCA Assessment 7,885,988 7,885,988    
c DPP assessment 12,546,723 12,546,723    
d Dues & Subscriptions 1,139,278 774,709 364,569  
e All other expenses 854,839 765,155 89,684 0
25 Total functional expenses. Add lines 1 through 24e 1,241,421,748 995,577,061 245,844,687 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).        
Form 990 (2024)
Form 990 (2024)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 205,415,392 1 300,317,115
2 Savings and temporary cash investments ......... 3,091,957 2 3,234,323
3 Pledges and grants receivable, net ...... 59,547,702 3 31,819,902
4 Accounts receivable, net ............. 112,967,430 4 146,008,630
5 Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
0 6 0
7 Notes and loans receivable, net ...........   7  
8 Inventories for sale or use ............ 21,363,262 8 24,965,551
9 Prepaid expenses and deferred charges ...... 5,515,839 9 17,893,753
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 1,166,417,474
b Less: accumulated depreciation 10b 633,673,280 541,140,315 10c 532,744,194
11 Investments—publicly traded securities .   11  
12 Investments—other securities. See Part IV, line 11 ..... 0 12  
13 Investments—program-related. See Part IV, line 11 .. 2,881,778 13 4,594,822
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ........... 166,516,125 15 203,099,023
16 Total assets. Add lines 1 through 15 (must equal line 33)... 1,118,439,800 16 1,264,677,313
Liabilities 17 Accounts payable and accrued expenses ..... 151,543,511 17 162,912,139
18 Grants payable ... 15,780,330 18 10,525,057
19 Deferred revenue ......... 913,265 19 1,002,435
20 Tax-exempt bond liabilities ......... 433,392,599 20 431,292,571
21 Escrow or custodial account liability. Complete Part IV of Schedule D   21  
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
0 22 0
23 Secured mortgages and notes payable to unrelated third parties .. 12,905,753 23 13,020,957
24 Unsecured notes and loans payable to unrelated third parties ..   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D 239,117,605 25 287,763,827
26 Total liabilities. Add lines 17 through 25.. 853,653,063 26 906,516,986
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... 261,217,385 27 354,590,975
28 Net assets with donor restrictions ........... 3,569,352 28 3,569,352
Organizations that do not follow FASB ASC 958, check here right arrow and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds .....   29  
30 Paid-in or capital surplus, or land, building or equipment fund ...   30  
31 Retained earnings, endowment, accumulated income, or other funds   31  
32 Total net assets or fund balances ........... 264,786,737 32 358,160,327
33 Total liabilities and net assets/fund balances ........ 1,118,439,800 33 1,264,677,313
Form 990 (2024)
Form 990 (2024)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
1,334,760,134
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
1,241,421,748
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
93,338,386
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
264,786,737
5
Net unrealized gains (losses) on investments ...............
5
22,713
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
12,491
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
358,160,327
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain on
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Uniform Guidance, 2 C.F.R. Part 200, Subpart F?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2024)
Form 990 (2024)
Additional Data


Software ID: 24020961
Software Version: 2024v5.1
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2024
Open to Public
Inspection
Name of the organization
SHANDS JACKSONVILLE MEDICAL CENTER INC
 
Employer identification number

59-2142859
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)
1
2
3
4
5
6
7
8
9
10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................  
g
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 10 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
Total
 
   
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990) 2024

Schedule A (Form 990) 2024
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2020 (b) 2021 (c) 2022 (d) 2023 (e) 2024 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf ....            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..  
6 Public support. Subtract line 5 from line 4.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2020 (b) 2021 (c) 2022 (d) 2023 (e) 2024 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..            
11 Total support. Add lines 7 through 10  
12
12
 
13
First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
33 1/3% support test—2024. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization .......................right arrow
b
33 1/3% support test—2023. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow
17a
10%-facts-and-circumstances test—2024. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow
b
10%-facts-and-circumstances test—2023. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990) 2024

Schedule A (Form 990) 2024
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2020 (b) 2021 (c) 2022 (d) 2023 (e) 2024 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose            
3 Gross receipts from activities that are not an unrelated trade or business under section 513 .....            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge            
6 Total. Add lines 1 through 5            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support. (Subtract line 7c from line 6.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2020 (b) 2021 (c) 2022 (d) 2023 (e) 2024 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
33 1/3% support tests-2024. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow
b
33 1/3 % support tests—2023. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow
20
Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow
Schedule A (Form 990) 2024

Schedule A (Form 990) 2024
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.
3a
 
 
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.
4a
 
 
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).
8
 
 
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
 
b
Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
 
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
10a
 
 
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
Schedule A (Form 990) 2024

Schedule A (Form 990) 2024
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described on 11a above?
11b
 
 
c
A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.
11c
 
 
Section B. Type I Supporting Organizations
Yes
No
1
Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer lines 2a and 2b below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer lines 3a and 3b below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990) 2024

Schedule A (Form 990) 2024
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    
Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors
(explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by 0.035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    
Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7
Schedule A (Form 990) 2024

Schedule A (Form 990) 2024
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes 1  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity 		2  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations 3  
4 Amounts paid to acquire exempt-use assets 4  
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) 5  
6 Other distributions (describe in Part VI). See instructions 6  
7Total annual distributions. Add lines 1 through 6. 7  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions 		8  
9 Distributable amount for 2024 from Section C, line 6 9  
10 Line 8 amount divided by Line 9 amount 10  
Section E - Distribution Allocations (see instructions) (i)
Excess Distributions 		(ii)
Underdistributions
Pre-2024 		(iii)
Distributable
Amount for 2024
1 Distributable amount for 2024 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI).
See instructions.		  
3 Excess distributions carryover, if any, to 2024:
a From 2019.......  
b From 2020.......  
c From 2021.......  
d From 2022.......  
e From 2023.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2024 distributable amount  
i Carryover from 2019 not applied (see
instructions) 		 
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.  
4Distributions for 2024 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2024 distributable amount  
c Remainder. Subtract lines 4a and 4b from line 4.  
5 Remaining underdistributions for years prior to
2024, if any. Subtract lines 3g and 4a from line 2.
If the amount is greater than zero, explain in Part VI.
See instructions. 		 
6 Remaining underdistributions for 2024. Subtract
lines 3h and 4b from line 1. If the amount is greater
than zero, explain in Part VI. See instructions. 		 
7 Excess distributions carryover to 2025. Add lines
3j and 4c. 		 
8 Breakdown of line 7:
a Excess from 2020.....  
b Excess from 2021.....  
c Excess from 2022.....  
d Excess from 2023.....  
e Excess from 2024.....  
Schedule A (Form 990) (2024)

Schedule A (Form 990) 2024
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Schedule A (Form 990) 2024


Additional Data


Software ID: 24020961
Software Version: 2024v5.1
Schedule B
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

right arrow Attach to Form 990, 990-EZ, or 990-PF.
right arrow Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
Name of the organization
SHANDS JACKSONVILLE MEDICAL CENTER INC
 
Employer identification number

59-2142859
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ
501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization


Form 990-PF
501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation
Check if your organization is covered by the General Rule or a Special Rule.  
Note:  Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.
Special Rules
For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 331/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.
For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.
For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Right Arrow $  
Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990) (Rev. 1-2025)
Schedule B (Form 990) (Rev. 1-2025) Page 2
Name of organization
SHANDS JACKSONVILLE MEDICAL CENTER INC
  		Employer identification number
59-2142859
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
 
 
 
 
  ,    

$ RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990) (Rev. 1-2025)
Schedule B (Form 990) (Rev. 1-2025)
Page 3
Name of organization
SHANDS JACKSONVILLE MEDICAL CENTER INC
  		Employer identification number

59-2142859
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
Schedule B (Form 990) (Rev. 1-2025)
Schedule B (Form 990) (Rev. 1-2025)
Page 4
Name of organization
SHANDS JACKSONVILLE MEDICAL CENTER INC
  		Employer identification number

59-2142859
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c) (7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $  
Use duplicate copies of Part III if additional space is needed.
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990) (Rev. 1-2025)
Additional Data


Software ID: 24020961
Software Version: 2024v5.1
SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

right arrow Complete if the organization is described below. right arrow Attach to Form 990 or Form 990-EZ.
right arrowGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2024
Open to Public
Inspection
If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
SHANDS JACKSONVILLE MEDICAL CENTER INC
 
Employer identification number

59-2142859
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

2
Political campaign activity expenditures. See instructions ....................................................................right arrow
$  
3
Volunteer hours for political campaign activities. See instructions ..................................................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 ................................right arrow
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 .......................right arrow
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................
4a
Was a correction made? ......................................................................................................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... right arrow
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................right arrow

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b...........right arrow

$  
4
Did the filing organization file Form 1120-POL for this year? ...................................................................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6
For Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990) 2024

Schedule C (Form 990) 2024
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check right arrowexpenses, and share of excess lobbying expenditures).Click to see attachment
List of Attached Documents:
// Content

B Check right arrow
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(b) Affiliated group totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ...................... 0 0
b Total lobbying expenditures to influence a legislative body (direct lobbying) ........................ 78,486 911,147
c Total lobbying expenditures (add lines 1a and 1b) ............................................................ 78,486 911,147
d Other exempt purpose expenditures ............................................................................... 995,577,061 3,341,123,157
e Total exempt purpose expenditures (add lines 1c and 1d) .................................................. 995,655,547 3,342,034,304
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		 1,000,000 1,000,000
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) ................................................. 250,000 250,000
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................ 0 0
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................ 0 0
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ...................................................................................................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in) 		(a) 2021 (b) 2022 (c) 2023 (d) 2024 (e) Total
2a Lobbying nontaxable amount 1,000,000 1,000,000 1,000,000 1,000,000 4,000,000
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		6,000,000
c Total lobbying expenditures 708,495 740,410 765,863 911,147 3,125,915
d Grassroots nontaxable amount 250,000 250,000 250,000 250,000 1,000,000
e Grassroots ceiling amount
(150% of line 2d, column (e))		 1,500,000
f Grassroots lobbying expenditures 0 0 0 0 0
Schedule C (Form 990) 2024


Schedule C (Form 990) 2024
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? ...........................................................................................................
 
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........
 
 
c
Media advertisements? ...................................................................................................
 
 
 
d
Mailings to members, legislators, or the public? .............................................................................
 
 
 
e
Publications, or published or broadcast statements? ...........................................................
 
 
 
f
Grants to other organizations for lobbying purposes? ..........................................................
 
 
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? .......................
 
 
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
 
 
 
i
Other activities? ...................................................................................................................
 
 
 
j
Total. Add lines 1c through 1i ....................................................................................................
 
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
 
b
If "Yes," enter the amount of any tax incurred under section 4912 ...........................................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ...............................................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members ......................................................................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).
a
Current year .............................................................................................................................
2a
 
b
Carryover from last year ............................................................................................................
2b
 
c
Total ...........................................................................................................................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................
4
 
5
Taxable amount of lobbying and political expenditures. See Instructions .........................................
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
Schedule C (Form 990) 2024


Additional Data


Software ID: 24020961
Software Version: 2024v5.1

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
right arrow Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
right arrow Attach to Form 990.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public Inspection
Name of the organization
SHANDS JACKSONVILLE MEDICAL CENTER INC
 
Employer identification number

59-2142859
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ...................... 2a 1
b Total acreage restricted by conservation easements .................... 2b 5.56
c Number of conservation easements on a certified historic structure included in (a) ..... 2c 0
d Number of conservation easements included in (c) acquired after July 25, 2006, and not on a historic structure listed in the National Register ... 2d 1
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year right arrow0
4
Number of states where property subject to conservation easement is located right arrow1
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow0.0
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow $ 0
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included on Form 990, Part VIII, line 1 .........................right arrow $ 0
(ii)
Assets included in Form 990, Part X ...............................right arrow $ 54,300
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................right arrow $ 0
b
Assets included in Form 990, Part X ...............................right arrow $ 0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) (Rev. 1-2025)

Schedule D (Form 990) (Rev. 1-2025)
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount
c Beginning balance ............................. 1c  
d Additions during the year ............................ 1d  
e Distributions during the year .......................... 1e  
f Ending balance ................................ 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....
Part V
Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.
(a) Current year (b) Prior year (c) Two years back (d) Three years back (e) Four years back
1a Beginning of year balance ....          
b Contributions ...          
c Net investment earnings, gains, and losses          
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ... 		         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment right arrow  
b
Permanent endowment right arrow  
c
Term endowment right arrow  
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) Unrelated organizations .................
3a(i)
 
 
(ii) Related organizations .................
3a(ii)
 
 
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis
(investment) 		(b) Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .....   4,642,217 4,642,217
b Buildings ....   718,283,701 324,405,637 393,878,064
c Leasehold improvements   1,579,589 1,483,879 95,710
d Equipment ....   388,249,586 298,402,261 89,847,325
e Other .....   53,662,381 9,381,503 44,280,878
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..right arrow 532,744,194
Schedule D (Form 990) (Rev. 1-2025)

Schedule D (Form 990) (Rev. 1-2025)
Page 3
Part VII
Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1) Financial derivatives.........    
(2) Closely-held equity interests........    
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)right arrow  
Part VIII
Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)right arrow  
Part IX
Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1)DEPOSITS AND OTHER 23,896,849
(2)DUE FROM AFFILIATES 133,137,599
(3)LEASE RECEIVABLE 42,055,427
(4)ARTWORK 54,300
(5)RETIREMENT ASSETS 3,954,848
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........right arrow 203,099,023
Part X
Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes  
Federal Income Taxes  
3RD PARTY SETTLEMENT 93,181,570
Pension Expense per GASB 75 5,276,792
Lease Payable 86,783,631
Due to affiliates 102,521,834




Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)right arrow 287,763,827
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
Schedule D (Form 990) (Rev. 1-2025)

Schedule D (Form 990) (Rev. 1-2025)
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ........... 2d 0
e Add lines 2a through 2d ..................... 2e 0
3 Subtract line 2e from line 1.................. 3 0
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b 0
c Add lines 4a and 4b.................... 4c 0
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5 0
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities ......... 2a  
b Prior year adjustments ............ 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ........... 2d 0
e Add lines 2a through 2d.................... 2e 0
3 Subtract line 2e from line 1................... 3 0
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ........... 4b 0
c Add lines 4a and 4b..................... 4c 0
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5 0
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
Schedule D, Part II, Line 9 Conservation easements financial reporting The easement is not recorded as part of the organization's financial statements.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote The Company and its subsidiaries are exempt from federal income taxes pursuant to Section 501(a) as organizations described in Section 501(c)(3) of the Internal Revenue Code and from state income taxes pursuant to Chapter 220 of the Florida Statutes.
Schedule D (Form 990) (Rev. 1-2025)


Additional Data


Software ID: 24020961
Software Version: 2024v5.1




SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
Medium right arrow Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow Attach to Form 990.
Medium right arrow Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2024
Open to Public Inspection
Name of the organization
SHANDS JACKSONVILLE MEDICAL CENTER INC
 
Employer identification number

59-2142859
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

 

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

 

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
 
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
 
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
 
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . . 		    71,630,374 56,000,000 15,630,374 1.259 %
b Medicaid (from Worksheet 3, column a) . . . . .     164,976,347 132,491,512 32,484,835 2.617 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .     0 0 0 0 %
d Total Financial Assistance and Means-Tested Government Programs . . . . . 0 0 236,606,721 188,491,512 48,115,209 3.876 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     3,177,943 12,838 3,165,105 0.255 %
f Health professions education (from Worksheet 5) . . .     56,162,330 21,837,344 34,324,986 2.765 %
g Subsidized health services (from Worksheet 6) . . . .     0 0 0 0 %
h Research (from Worksheet 7) .     0 0 0 0 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     0 0 0 0 %
j Total. Other Benefits . . 0 0 59,340,273 21,850,182 37,490,091 3.020 %
k Total. Add lines 7d and 7j . 0 0 295,946,994 210,341,694 85,605,300 6.896 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing         0 0 %
2 Economic development         0 0 %
3 Community support     168,304 89,339 78,965 0.006 %
4 Environmental improvements         0 0 %
5 Leadership development and
training for community members		         0 0 %
6 Coalition building         0 0 %
7 Community health improvement advocacy     430,673 685 429,988 0.035 %
8 Workforce development     15,204 15,204 0 0 %
9 Other         0 0 %
10 Total 0 0 614,181 105,228 508,953 0.041 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
0
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
0
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
165,146,639
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
125,415,177
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
39,731,462
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		Licensed Hospital General Medical and Surgical Children's Hospital Teaching Hospital Critical Access Hospital Research Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 SHANDS JACKSONVILLE MEDICAL CENTER INC
655 W 8TH STREET
JACKSONVILLE,FL32209
UFHEALTHJAX.ORG
4063 		X X   X     X     A
2 UF HEALTH REHABILITATION HOSPITAL - NORTH
15255 Max Leggett Parkway Suite 410
0
Jacksonville,FL32218
https://ufhealthjax.org/locations/uf-health-rehabilitation-north
4559 		X               Comprehensive Medical Rehabilitation B
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
A
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 24
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 24
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE STATEMENT ON SCHEDULE H, PART VI
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
A
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 100.0%
and FPG family income limit for eligibility for discounted care of 200.0%
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a Described the information the hospital facility may require an individual to provide as part of his or her application
b Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application
c Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process
d Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications
e Other (describe in Section C)
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
ufhealthjax.org/patients-and-visitors/insurance-billing-finance/financial-assistance
b
ufhealthjax.org/patients-and-visitors/insurance-billing-finance/financial-assistance
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 6
Part VFacility Information (continued)

Billing and Collections
A
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
A
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
B
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1 Yes  
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2 Yes  
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3   No
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20  
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5    
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a    
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b    
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7    
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8    
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20  
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10    
a If "Yes" (list url):  
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
B
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 100.0%
and FPG family income limit for eligibility for discounted care of 200.0%
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a Described the information the hospital facility may require an individual to provide as part of his or her application
b Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application
c Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process
d Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications
e Other (describe in Section C)
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
https://rehabhospitals.ufhealth.org/patients-and-caregivers/admissions/financial-assistance/
b
https://rehabhospitals.ufhealth.org/patients-and-caregivers/admissions/financial-assistance/
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 6
Part VFacility Information (continued)

Billing and Collections
B
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21   No
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
B
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
Schedule H, Part V, Section B, Line 3E The significant health needs are a prioritized description of the significant health needs of the community and identified through the CHNA. The information gathered through key stakeholder interviews, group listening sessions, and intercept surveys was collected and organized into twelve general categories. This organized data set was evaluated quantitatively through calculations such as the percentage of individuals providing input who identified a given issue as a health need in the community and the frequency of that issue being ranked by those providing input as one of the community's top three needs. Publicly-available data sets, including US Census Bureau statistics, were incorporated to supplement this analysis. This data was presented to health system representatives and community members for discussion during a prioritization workshop hosted by the Jacksonville Nonprofit Hospital Partnership (the Partnership) on June 18, 2024, resulting in four health needs categories emerging as the community's most pressing needs: Access to care, mental health, food environment, and housing.
Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - SHANDS JACKSONVILLE MEDICAL CENTER, INC.. Between March and April of 2024, primary data was collected from approximately 200 individuals via the following methods: (1) Interviews conducted with key stakeholders. Sixteen key stakeholder interviews were conducted during this assessment. During these 60-minute interviews, key stakeholders shared their greatest concerns around health needs, health equity, and social determinants of health for those they serve. (2) Group listening sessions. Fifteen group listening sessions were conducted, with a collective 109 individuals participating in these sessions. These 60-minute facilitated discussions were conducted with local service providers to gather information about participants' experiences and observations working with vulnerable populations. (3) Intercept surveys. Seventy-two intercept surveys were conducted to gather input through structured conversations with community members experiencing health needs, each lasting 15-20 minutes. Individuals providing input for this assessment represent the following populations, as either a member of the population or as part of an organization serving the population: -Low-income -Unhoused -Veterans -LGBTQ+ -Community members with chronic disease -Individuals experiencing food insecurity, including those who would identify themselves as food insecure if not for the community resources available to them -Community members who are otherwise under-resourced The service providers and community-based organizations selected to provide input for this assessment were chosen based on their work with vulnerable populations. The organizations who provided input for this assessment are: Ability Housing Agape Health and Wellness Center, Inc. Ascension St. Vincent's St. Johns Baptist Medical Center - Beaches Baptist Medical Center - Clay Baptist Medical Center - Jacksonville Baptist Medical Center - Nassau Baptist Medical Center - South Barnabas Center Blue Zones Brooks Rehabilitation Center for Independent Living Jax Challenge Enterprise / Food for Clay Changing Homelessness, Inc. (CHI) City of Jacksonville Clay County (Board of County Commissioners) Daniel Memorial Baptist Church Duval County Public Schools Family Promise Family Support Services (FSS) Fernandina Beach Pride First Coast News First Coast YMCA Flagler Health Florida Department of Health - Baker Florida Department of Health - Nassau Florida Department of Health in Duval County Homeless Veteran Reintegration Program (HVRP) Hubbard House Impact Church & Revitalize Arlington Jacksonville Area Sexual Minority Youth Network (JASMYN) Jacksonville Housing Authority (JHA) Jacksonville Speech & Hearing Center Jacksonville Transportation Authority Jax Care Connect Jewish Family and Community Services Lift Jax Local Initiative Support Corporation (LISC) Mayo Clinic in Florida Micah's Place My Elder Source Nassau County Council on Aging NEF Healthy Start Northeast Florida Women Veterans Players Center for Child Health Presbyterian Social Ministries, Inc. (PSM) St. Johns Council on Aging Starting Point Behavioral Health Sulzbacher The Way Clinic The Women's Center of Jacksonville UF Health Jax UF Health Jax - Urban Health Alliance Vision is Priceless Volunteers in Medicine Volunteers of America of Florida Walmart Health WeCare Jax
Schedule H, Part V, Section B, Line 6a Facility A, 1 Facility A, 1 - SHANDS JACKSONVILLE MEDICAL CENTER, INC.. The 2024 Community Health Needs Assessment was conducted with the other hospitals comprising the Jacksonville Nonprofit Hospital Partnership, a network of five nonprofit health systems serving Northeast Florida. Collectively, these five nonprofit health systems operate the following sixteen hospitals across five contiguous counties in the northeastern Florida region: Health System: Ascension St. Vincent's Hospitals: -Ascension St. Vincent's Clay County -Ascension St. Vincent's Riverside -Ascension St. Vincent's Southside -Ascension St. Vincent's St. Johns Health System: Baptist Health Hospitals: -Baptist Medical Center Beaches -Baptist Medical Center Clay -Baptist Medical Center Jacksonville -Baptist Medical Center Nassau -Baptist Medical Center South -Wolfson Children's Hospital Health System: Brooks Rehabilitation Hospitals: -Brooks Rehabilitation University -Brooks Rehabilitation Bartram Health System / Hospital: Mayo Clinic in Florida Health System: UF Health Hospitals: -UF Health St. Johns -UF Health Jacksonville -UF Health North UF Health Jacksonville and UF Health North operate under a single hospital license issued by the Florida Agency for Health Care Administration (license #4063) and are collectively referred to throughout this Form 990 as "Shands Jacksonville Medical Center, Inc. "SJMC".
Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - SHANDS JACKSONVILLE MEDICAL CENTER, INC.. The significant health needs identified in the 2024 CHNA were: 1. Access to care 2. Mental health 3. Food environment 4. Housing Access to care: SJMC operates the only Level I Trauma Center in northeast Florida. In November 2024, SJMC broke ground to expand its trauma center, with the first phase of this expansion increasing the number of emergency and trauma rooms from 78 to 125. Plans for future phases of this expansion include renovations of the older components of the facility, along with new diagnostic equipment, a new radiology section, and dedicated behavioral health space. SJMC expanded access to care for stroke patients in two ways during the year. First, a new telehealth service went live in January 2025 to allow for quicker identification and treatment of individuals who may be experiencing a stroke. This new service is available 24 hours a day, 7 days a week. Then, in May 2025, SJMC unveiled its first Mobile Stroke Treatment Unit ("MSTU"), a technology that allows stroke patients to be assessed by medical professionals sooner than would be possible in cases where the patient needs to be transported to a hospital first. Together with standard emergency response services, the MSTU is dispatched to the location of 911 callers reporting a stroke. Upon reaching the patient, the MSTU performs a CT scan on the patient that is reviewed by a stroke neurologist while the patient is en route to one of Jacksonville's stroke centers, and treatment can begin immediately upon confirming that the patient suffered a stroke. Deployment of the MSTU is estimated to reduce time to treatment by an average of 32 minutes. Mental health: Between the year ended June 30, 2025, and the two preceding fiscal years, SJMC has focused on addressing education and resources surrounding access to lethal means and safety within the home. Through these efforts, SJMC provided counseling services to 2,015 individuals and families, each of whom received a lock bag for medication, and trained 83 additional healthcare providers in this specialty. Food environment: SJMC operates the Food Pharmacy Program, which provides access to fresh fruits, vegetables, whole grains, and lean proteins for food-insecure community members with chronic conditions such as diabetes, hypertension, and obesity. Thus far, more than 400 individuals have benefited from the Food Pharmacy Program. SJMC has also partnered with Blue Zones Project to address access to healthy foods in the community. Working collaboratively with community grocery stores and restaurants to establish a tailored approach to help each of these establishments implement and maintain evidence-based practices, Blue Zones Project has developed criteria that grocery stores and restaurants must meet in order to become "Blue Zones Approved," of which all are centered around ensuring that healthy choices are easily accessible. To date, seven restaurants and eight grocery stores in the Jacksonville area are Blue Zones Approved. Needs SJMC Will Not Address No entity can address all of the health needs present in its community. SJMC is committed to serving the community by adhering to its mission, using its skills and capabilities, and remaining strong so that it can continue to provide a wide range of community benefits. SJMC does not have specific plans to address the following health priority that was identified in the 2024 Community Health Needs Assessment. Housing: SJMC will not address housing due to limited resources available and the fact that other community organizations are currently addressing the community's housing needs, including United Way of Northeast Florida, LiftJax, LISC, Blue Zones Project Jacksonville, and The Sulzbacher Center.
Schedule H, Part V, Section B, Line 2 In February 2024, Shands Jacksonville Medical Center ("SJMC") entered into an agreement with Hospital Holdings Corporation to form Duval Rehabilitation LLC for the purpose of jointly operating a new rehabilitation hospital in Jacksonville, Florida. This facility was first licensed as a hospital on July 1, 2024, and began serving patients in September 2024.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?41
Name and address Type of Facility (describe)
1 UF Health North
15255 Max Leggett Pkwy
Jacksonville,FL32218 		Hospital Campus and Outpatient Clinic
2 UF Health Family Medicine - Brentwood
3465 Village Center Drive
Jacksonville,FL32206 		Family medicine
3 UF Health Family Medicine and Pediatrics - Elizabeth G Means Center
1155 E 21st St
Jacksonville,FL32206 		Pediatrics, Family Medicine, and Women's Specialists
4 Bower Lyman Center for Medically Complex Children - Satellite Location
655 West 8th Street 1st Floor ACC B
ldg
Jacksonville,FL32209 		Transition for medically complex children
5 UF Health Hematology & Oncology - Baymeadows
7751 Baymeadows Rd Suite 205
Jacksonville,FL32256 		Hematology/Oncology Center
6 UF Health Hematology & Oncology - LaVilla
425 N Lee St Suite 204
Jacksonville,FL32202 		Hematology/Oncology Center
7 UF Health Hematology & Oncology - Orange Park
2141 Loch Rane Blvd Suites 116 117
118
Orange Park,FL32073 		Hematology/Oncology Center
8 UF Health Hematology & Oncology - Fernandina
1699 S 14th St Suite 2
Fernandina Beach,FL32034 		Hematology/Oncology Center
9 UF Health Rehabilitation - Blanding
6016 118th Street Suite 1
Jacksonville,FL32244 		Physical Therapy
10 UF Health Rehabilitation - Emerson
4549 Emerson Street Suite 300
Jacksonville,FL32207 		Outpatient Rehab
11 UF Health Rehabilitation - Pavilion
555 West 8th Street 1st Floor Pavil
ion
Jacksonville,FL32209 		Outpatient Rehab
12 UF Health Rehabilitation - Wildlight
251 Breezeway Street Suite 100
Yulee,FL32097 		Outpatient Rehab
13 UF Health Imaging Center - Emerson
4549 Emerson Street Unit 100
Jacksonville,FL32207 		Imaging Center
14 UF Health Breast Imaging Center - Emerson
4549 Emerson Street Unit 200
Jacksonville,FL32207 		Breast Imaging Center
15 UF Health Hematology & Oncology - North
15255 Max Leggett Pkwy Suite 6000
Jacksonville,FL32216 		Hematology/Oncology Center
16 UF Health Neurosurgery - North
15255 Max Leggett Pkwy Suite 6500
Jacksonville,FL32217 		Neurosurgery center
17 UF Health Radiology - North
15255 Max Leggett Pkwy 1st Floor
Jacksonville,FL32217 		Imaging Center
18 UF Health Interventional Radiology - North
15255 Max Leggett Pkwy 2nd Floor
Jacksonville,FL32217 		Interventional Radiology
19 UF Health Sleep Center - North
15255 Max Leggett Pkwy Suite 5600
Jacksonville,FL32218 		Diagnostic sleep center
20 Medicine MultiSpecialty ACC
655 West 8th Street 1st Floor ACC B
ldg
Jacksonville,FL32209 		Internal medicine, endocrinology, rheumatology, and infectious disease
21 UF Health Orthopaedic Surgery - Jacksonville
655 West 8th Street 2nd Floor ACC B
ldg
Jacksonville,FL32209 		Orthopaedic Surgery
22 UF Health Women's Specialists - Jacksonville
655 West 8th Street 3rd Floor ACC B
ldg
Jacksonville,FL32209 		Women's Health
23 UF Health - Jacksonville Cardiovascular Center
655 West 8th Street 5th Floor ACC B
ldg
Jacksonville,FL32209 		Cardiovascular
24 UF Health Radiology - Downtown Clinical Center
655 West 8th Street 1st 2nd Floors
Jacksonville,FL32209 		Imaging Center
25 UF Health Interventional Radiology - Jacksonville
655 West 8th Street 2nd Floor Clini
cal Center
Jacksonville,FL32209 		Interventional Radiology
26 UF Health Surgery - Jacksonville
653 West 8th Street 2nd Floor Facul
ty Clinic
Jacksonville,FL32209 		Surgery Center
27 UF Health Pain Management Center - Jacksonville
555 West 8th Street 2nd Floor Pavil
ion
Jacksonville,FL32209 		Pain Management Center
28 UF Health Infusion Center - Jacksonville
555 West 8th Street 4th Floor Pavil
ion
Jacksonville,FL32209 		Hematology, Oncology, Infusion Therapy
29 Cardiac Rehabilitation Tower II
580 West 8th Street 1st Floor Tower
2
Jacksonville,FL32209 		Cardiac rehabilitation
30 Eye Surgery
580 West 8th Street 2nd Floor Tower
2
Jacksonville,FL32209 		Eye Surgery center
31 Multispecialiy Clinic Tower I
580 West 8th Street 5th Floor Tower
I Suite 513
Jacksonville,FL32209 		Multispecialty clinic
32 UF Health Neurology - Jacksonville
580 West 8th Street 9th Floor Tower
1
Jacksonville,FL32209 		Neurology center
33 UF Health Neurosurgery - Jacksonville
580 West 8th Street 8th Floor Tower
1
Jacksonville,FL32209 		Neurosurgery center
34 UF Health Radiology - Jacksonville
580 West 8th Street 4th Floor Tower
II
Jacksonville,FL32209 		Imaging Center
35 UF Health Sleep Lab
580 West 8th Street 4th Floor Tower
I
Jacksonville,FL32209 		Sleep Lab
36 UF Health Total Care Clinic - Jacksonville
1833 Boulevard St 5th Floor POB
Jacksonville,FL32206 		Family Medicine and various specialties
37 UF Health CB McIntosh Center - Jacksonville
555 West 11th Street
Jacksonville,FL32206 		Pediatrics and Sickle Cell
38 UF Health Radiology - Annex
500 West 10th Street
Jacksonville,FL32206 		Imaging Center
39 UF Health Emergency & Urgent Care Center - Baymeadows
11251 Lamb Tail Lane
Jacksonville,FL32256 		Urgent and Emergency Services
40 UF Health Emergency & Urgent Care Center - New Kings
11277 New Kings Road
Jacksonville,FL32219 		Urgent and Emergency Services
41 UF Health Emergency & Urgent Care Center - Lane Avenue
888 Lane Avenue South
Jacksonville,FL32205 		Urgent and Emergency Services
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
Schedule H, Part V, Section B, Line 7 CHNA POSTED TO HOSPITAL FACILITY'S WEBSITE (LIST URL) ufhealthjax.org/community/community-health-needs-assessment
Schedule H, Part V, Section B, Line 10 IMPLEMENTATION STRATEGY POSTED TO WEBSITE (LIST URL) ufhealthjax.org/community/community-health-needs-assessment
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance The organization used the cost to charge ratio to compute the cost of financial assistance and Medicaid reported on Part I, Line 7. A direct cost methodology was used for all other amounts.
Schedule H, Part II Community Building Activities Shands Jacksonville Medical Center, Inc. provides support to activities that promote the health and well-being of community members through community support, community health improvement advocacy, and workforce development. These activities include: -Program addressing food insecurity -Funding for community organizations -Youth education to advance careers in healthcare
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount The organization has determined that amounts not expected to be collected from patients represent implicit price concessions rather than bad debts. Accordingly, patient service revenue is recorded at the estimated transaction price, reflecting these concessions at the time of service, and is reported net of such amounts. As a result, no separate bad debt expense is recognized in the audited financial statements.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology The organization does not record bad debt expense, as amounts not expected to be collected from patients - including those eligible for financial assistance - are treated as implicit price concessions. These amounts are reflected as a reduction of patient service revenue. Accordingly, there is no bad debt attributable to patients eligible for financial assistance.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote 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 these reviews are then used to make any modification 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 the Company's policies.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs The organization utilizes the Medicare cost report to report the total revenue received from Medicare and the Medicare allowable costs. SJMC accepts all Medicare patients with the knowledge that there may be shortfalls and operates to promote the health of the community. SJMC believes that any Medicare shortfall should be treated as a community benefit because Medicare does not typically fully compensate SJMC for the cost of providing hospital care to Medicare beneficiaries.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance Patients may qualify for different levels of financial assistance. If they qualify for 100% financial assistance there are no collection efforts. For less than 100% financial assistance, collection efforts are consistent with those used for all self-pay account balances, which includes sending invoices for 120 days and then turning account balances over to a collection agency. UF Health Jacksonville will not refer accounts for collection where the patient has initially applied for financial assistance and the patient has not yet been notified of the decision, provided the patient has complied with the information requests delineated during the application process.
Schedule H, Part V, Section B, Line 16a FAP website A - SHANDS JACKSONVILLE MEDICAL CENTER, INC.: Line 16a URL: ufhealthjax.org/patients-and-visitors/insurance-billing-finance/financial-assistance; B - UF HEALTH REHABILITATION HOSPITAL - NORTH: Line 16a URL: https://rehabhospitals.ufhealth.org/patients-and-caregivers/admissions/financial-assistance/;
Schedule H, Part V, Section B, Line 16b FAP Application website A - SHANDS JACKSONVILLE MEDICAL CENTER, INC.: Line 16b URL: ufhealthjax.org/patients-and-visitors/insurance-billing-finance/financial-assistance; B - UF HEALTH REHABILITATION HOSPITAL - NORTH: Line 16b URL: https://rehabhospitals.ufhealth.org/patients-and-caregivers/admissions/financial-assistance/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - SHANDS JACKSONVILLE MEDICAL CENTER, INC.: Line 16c URL: ufhealthjax.org/patients-and-visitors/insurance-billing-finance/financial-assistance; B - UF HEALTH REHABILITATION HOSPITAL - NORTH: Line 16c URL: https://rehabhospitals.ufhealth.org/patients-and-caregivers/admissions/financial-assistance/;
Schedule H, Part VI, Line 2 Needs assessment SJMC's community benefit activities are a planned, managed, organized, and measured approach to meeting identified community health needs. Through collaboration with the community and other partners, SJMC is committed to improving the health and well-being of the communities it serves through ongoing efforts to monitor health needs and respond accordingly. SJMC's Patient and Family Partnership Council for Quality and Safety represents the community by engaging with UF Health Jacksonville leaders to provide insight into care experiences, identify opportunities for improving services, brainstorm potential patient-centered solutions, and integrate the voice of patients and families into the daily work of professional caregivers. Stakeholder engagement is a key component of SJMC's efforts to promote health equity. SJMC collaborates with a variety of partners, including The University of Florida's Urban Health Alliance (UHA), to identify and implement programs that address social determinants of health using community-initiated strategies to address problems unique to Jacksonville. This collaboration hosts events that are designed to engage community members, with nearly 5000 surveys completed through more than 100 outreach events since 2020.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance The eligibility for Financial Assistance under federal, state or local government programs is determined under the organization's Financial Assistance Program. Ideally, eligibility is obtained upon admission or before discharge. The organization provides notice of the Financial Assistance Program via the patient's billing statements. Information about the organization's Financial Assistance Program is also available on the organization's website. Education is also provided through distribution of the plain language summary, hospital staff, signage throughout the hospital and referrals from community organizations.
Schedule H, Part VI, Line 4 Community information SJMC serves the northeast Florida counties of Duval and Nassau, which collectively encompass 73 zip codes. Located in northeastern Florida, this predominantly urban area includes Jacksonville, which is the largest city by landmass in the continental United States. SJMC consists of two hospital locations, UF Health Jacksonville and UF Health North, that are approximately 10 miles away from each other and operate under a single hospital license. The majority of UF Health Jacksonville patients come from Duval County, while UF Health North patients are more representative of both Duval and Nassau Counties. Of the approximately 1.13 million people who reside within the 1,551 square miles of Duval and Nassau Counties, 48.7% are male and 51.3% are female. Approximately 57.4% of this population is white, with the Black/African American population accounting for 27.2%, Asian 4.4%, multiple races 7.5%, and all others at 3. 5%. 10.5% of the population is of Hispanic or Latino ethnicity. The median age of Nassau County residents is 46.3, which is nearly a decade older than Duval County's 36.6 median age. This difference could be attributable to the fact that nearly 23% of Nassau County is age 65 or older, as compared to the 14.7% of Duval County in this age group. 17.42% of Nassau County residents live with a disability, while 12.98% of Duval County residents live with a disability. The median household income in Nassau County ($84,085) is significantly higher than that of Duval County ($65,579), which is consistent with the differences between these two counties in terms of their respective poverty rates (9.21% in Nassau County and 14.34% in Duval County) and their respective percentage of households receiving SNAP benefits (8.2% in Nassau County and 14.95% in Duval County.) In addition to UF Health Jacksonville and UF Health North, there are nine other acute care facilities licensed as hospitals in Duval and Nassau Counties. Five federally designated medically underserved areas and one federally designated medically underserved population are present in the community.
Schedule H, Part VI, Line 5 Promotion of community health A majority of SJMC's governing body is comprised of persons who reside in the organization's primary service area who are neither employees nor independent contractors of the organization, nor family members thereof. SJMC extends medical staff privileges to all qualified physicians in its community. SJMC reinvests surplus funds to invest in patient care needs into capital improvements, expansion of clinical capacity, advanced diagnostic and treatment technologies, medical education and residency programs, research initiatives, and community health programs. Recent reinvestments include trauma center expansion, advanced stroke treatment capabilities, behavioral health infrastructure, and technology upgrades that enhance patient care delivery. These reinvestments ensure that resources are used to strengthen services and improve health outcomes within the communities served.
Schedule H, Part VI, Line 6 Affiliated health care system SHANDS JACKSONVILLE MEDICAL CENTER and UF HEALTH REHABILITATION HOSPITAL - NORTH (collectively, "the UF Health Jacksonville hospital facilities"), as part of UF Health, play a vital role in advancing the health of the communities it serves through a coordinated, system-wide approach. Within this affiliation, UF Health provides overarching strategic direction, academic leadership, and access to advanced clinical resources, while the UF Health Jacksonville hospital facilities focus on delivering high-quality, patient-centered care at the community level. UF Health, as an academic health system, supports its affiliated hospitals by promoting best practices in clinical care, expanding access to specialty services, and advancing research and education that improve patient outcomes. Through this structure, the UF Health Jacksonville hospital facilities benefit from system-wide initiatives, evidence-based protocols, and opportunities for clinical collaboration that enhance the quality and scope of care available locally. At the same time, the UF Health Jacksonville hospital facilities maintain a strong focus on addressing the unique health needs of its immediate community. The organization leads local outreach efforts, preventive health programs, and partnerships with community organizations to improve access to care, reduce health disparities, and promote overall wellness. By aligning these local efforts with UF Health's broader mission and resources, the medical center is able to deliver comprehensive, coordinated care that meets both community-specific and regional health needs. Together, the UF Health Jacksonville hospital facilities and UF Health create a synergistic model in which system-level expertise and local engagement work hand in hand to promote healthier communities.
Schedule H (Form 990) 2024
Additional Data


Software ID: 24020961
Software Version: 2024v5.1

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule I
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public
Inspection
Name of the organization
SHANDS JACKSONVILLE MEDICAL CENTER INC
 
Employer identification number
59-2142859
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC section
(if applicable)		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
noncash assistance		 (h) Purpose of grant
or assistance
(1) UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS INC
653 WEST 8TH STREET
JACKSONVILLE,FL32209 		59-1867557 501(C)(3) 109,894,852 0 N/A N/A GENERAL SUPPORT
(2) WOLFSON CHILDREN'S HOSPITAL
800 PRUDENTIAL DRIVE
JACKSONVILLE,FL32207 		59-1452787 501(C)(3) 685,828 0 N/A N/A GENERAL SUPPORT
(3) SHANDS JACKSONVILLE FOUNDATION INC
655 WEST 8TH STREET
JACKSONVILLE,FL32209 		59-2622323 501(C)(3) 451,138 0 N/A N/A GENERAL SUPPORT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
3
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) Rev. 1-2025

Schedule I (Form 990) Rev. 1-2025
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients		 (c) Amount of
cash grant		 (d) Amount of
noncash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of noncash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds Funds included in the grant paid to University of Florida Jacksonville Physicians, Inc. are monitored to ensure funds are spent in accordance with the existing written agreement. The amount is based on negotiations between in-house counsel, VP of Finance and/or CFOs, President, Dean and/or CEO of each organization. If spending patterns change during the fiscal year, amounts can be reviewed and amended. Funds paid to WOLFSON CHILDREN'S HOSPITAL are agreed upon in the written agreement. SJMC monitors the funding and ensures that proper allocation of funds are paid subsequent to each fiscal year based on financial performance. Funds paid to Shands Jacksonville Foundation, a related organization, are monitored throughout the year to ensure the funds are spent in accordance with the written agreement.
Schedule I (Form 990) Rev. 1-2025



Additional Data


Software ID: 24020961
Software Version: 2024v5.1


Schedule J
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic Attach to Form 990.
medium right arrow graphic Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public Inspection
Name of the organization
SHANDS JACKSONVILLE MEDICAL CENTER INC
 
Employer identification number

59-2142859
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? .............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
 
No
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) (Rev. 1-2025)

Schedule J (Form 990) (Rev. 1-2025)
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation in column (B) reported as deferred on prior Form 990
(i) Base
compensation 		(ii) Bonus & incentive
compensation 		(iii) Other reportable compensation
1Stephen Motew MD
VICE CHAIR & DIR / UF Health Pres & System CEO 		(i)

(ii)		 0
-------------
1,238,596 		0
-------------
233,750 		0
-------------
112,989 		0
-------------
10,800 		0
-------------
11,987 		0
-------------
1,608,122 		0
-------------
0
2David Nelson MD
DIRECTOR (THRU APRIL 2025) / UF SVP HEALTH AFFAIRS 		(i)

(ii)		 0
-------------
1,229,335 		0
-------------
370,800 		0
-------------
6,123 		0
-------------
34,466 		0
-------------
25,379 		0
-------------
1,666,103 		0
-------------
0
3Amy Hass
SECRETARY & DIR (THRU APRIL 2025) / UF Deputy Athletic Dir 		(i)

(ii)		 0
-------------
364,539 		0
-------------
5,746 		0
-------------
0 		0
-------------
26,076 		0
-------------
21,409 		0
-------------
417,770 		0
-------------
0
4LaRae C Brown MD
Director (THRU APRIL 2025) / UF Health OBGYN 		(i)

(ii)		 0
-------------
363,506 		0
-------------
0 		0
-------------
2,809 		0
-------------
16,179 		0
-------------
24,608 		0
-------------
407,102 		0
-------------
0
5Linda R Edwards MD
DIRECTOR (THRU APRIL 2025) / UF ASSOC PROFESSOR & DEAN 		(i)

(ii)		 0
-------------
680,016 		0
-------------
67,100 		0
-------------
9,600 		0
-------------
52,224 		0
-------------
19,442 		0
-------------
828,382 		0
-------------
0
6Kelly Gray-Eurom MD
Director (THRU APRIL 2025) / Chief Quality Officer 		(i)

(ii)		 0
-------------
395,756 		0
-------------
1,000 		0
-------------
4,812 		0
-------------
18,046 		0
-------------
24,649 		0
-------------
444,263 		0
-------------
0
7Ryan Fuller
DIRECTOR (beg April 2025) / UF ASSOCIATE VP & GENERAL COUNSEL 		(i)

(ii)		 0
-------------
332,128 		0
-------------
0 		0
-------------
3,372 		0
-------------
33,956 		0
-------------
25,828 		0
-------------
395,284 		0
-------------
0
8Jennifer Hunt MD
DIRECTOR (beg Nov 2024) / INTERIM DEAN, UF COLLEGE OF MEDICINE 		(i)

(ii)		 0
-------------
854,132 		0
-------------
162,406 		0
-------------
3,672 		0
-------------
20,006 		0
-------------
29,908 		0
-------------
1,070,124 		0
-------------
0
9Taylor Jantz
DIRECTOR / UF SVP/CFO (THRU APRIL 2025) 		(i)

(ii)		 0
-------------
444,122 		0
-------------
25,000 		0
-------------
4,598 		0
-------------
120,087 		0
-------------
11,827 		0
-------------
605,634 		0
-------------
0
10Timothy Morey MD
DIRECTOR (beg Nov 2024) / UF HEALTH CHIEF MEDICAL OFFICER 		(i)

(ii)		 0
-------------
681,134 		0
-------------
120,311 		0
-------------
4,812 		0
-------------
31,949 		0
-------------
25,179 		0
-------------
863,385 		0
-------------
0
11W Kent Fuchs PHD
DIRECTOR (beg Nov 2024) / INTERIM PRESIDENT OF THE UNIVERSITY OF FLORIDA 		(i)

(ii)		 0
-------------
694,615 		0
-------------
0 		0
-------------
94,105 		0
-------------
119,194 		0
-------------
21,938 		0
-------------
929,852 		0
-------------
0
12Randall C Jenkins
Former Secretary / UF SVP GENERAL COUNSEL 		(i)

(ii)		 0
-------------
533,088 		0
-------------
43,750 		0
-------------
4,244 		0
-------------
33,811 		0
-------------
23,199 		0
-------------
638,092 		0
-------------
0
13John Clontz Esq
Asst. Secretary / Associate General Counsel 		(i)

(ii)		 177,154
-------------
0 		0
-------------
0 		1,966
-------------
0 		10,713
-------------
0 		9,488
-------------
0 		199,321
-------------
0 		0
-------------
0
14Dean Cocchi MBA
Treasurer / CFO 		(i)

(ii)		 487,582
-------------
0 		102,288
-------------
0 		2,292
-------------
0 		20,700
-------------
0 		23,391
-------------
0 		636,253
-------------
0 		0
-------------
0
15Jon DeBardeleben ESQ
Secretary / VP Senior Counsel 		(i)

(ii)		 256,728
-------------
0 		59,625
-------------
0 		876
-------------
0 		19,588
-------------
0 		27,297
-------------
0 		364,114
-------------
0 		0
-------------
0
16Patrick Green MBA FACHE
SVP and Northeast Florida Regional President 		(i)

(ii)		 1,076,940
-------------
0 		346,500
-------------
0 		24,432
-------------
0 		0
-------------
0 		24,867
-------------
0 		1,472,739
-------------
0 		0
-------------
0
17Patricia Rausch
Assistant Treasurer / Controller 		(i)

(ii)		 221,480
-------------
0 		20,328
-------------
0 		1,570
-------------
0 		14,772
-------------
0 		12,388
-------------
0 		270,538
-------------
0 		0
-------------
0
18Robert Templin ESQ
Asst. Secretary / SR Associate General Counsel 		(i)

(ii)		 185,651
-------------
0 		0
-------------
0 		3,030
-------------
0 		11,937
-------------
0 		24,588
-------------
0 		225,206
-------------
0 		0
-------------
0
19Geoffrey Gardner
UF HEALTH EVP AND CFO 		(i)

(ii)		 0
-------------
54,547 		0
-------------
0 		0
-------------
125,000 		0
-------------
0 		0
-------------
1,096 		0
-------------
180,643 		0
-------------
0
20Robert A Hervey
VP Real Estate and Facilities 		(i)

(ii)		 323,429
-------------
0 		79,000
-------------
0 		2,452
-------------
0 		20,431
-------------
0 		26,997
-------------
0 		452,309
-------------
0 		0
-------------
0
21Wayne A Marshall
VP UFH North 		(i)

(ii)		 318,636
-------------
0 		71,550
-------------
0 		2,292
-------------
0 		20,700
-------------
0 		10,489
-------------
0 		423,667
-------------
0 		0
-------------
0
22Gregory Miller MBA
EVP COO 		(i)

(ii)		 539,831
-------------
0 		120,031
-------------
0 		29,047
-------------
0 		20,700
-------------
0 		27,884
-------------
0 		737,493
-------------
0 		0
-------------
0
23Kerin Da Cruz
SVP CHIEF NURSING OFFICER (THRU MAY 2025) / EVP COO (BEG MAY 2025) 		(i)

(ii)		 427,582
-------------
0 		115,707
-------------
0 		1,763
-------------
0 		0
-------------
0 		13,645
-------------
0 		558,697
-------------
0 		0
-------------
0
24Chirag Patel DO
SVP CHIEF MEDICAL OFFICER 		(i)

(ii)		 297,808
-------------
13,808 		74,372
-------------
0 		1,586
-------------
0 		0
-------------
1,372 		15,448
-------------
0 		389,214
-------------
15,180 		0
-------------
0
25David Skarupa MD
ASSOCIATE CHIEF MEDICAL OFFICER 		(i)

(ii)		 0
-------------
586,200 		0
-------------
2,815 		0
-------------
3,672 		0
-------------
21,343 		0
-------------
25,329 		0
-------------
639,359 		0
-------------
0
26Edward Daech
UF Health EVP and CHRO 		(i)

(ii)		 0
-------------
434,314 		0
-------------
97,880 		0
-------------
2,115 		0
-------------
20,700 		0
-------------
21,253 		0
-------------
576,262 		0
-------------
0
27Gloria Lipori
UF Health SVP & Chief Information Officer 		(i)

(ii)		 0
-------------
519,775 		0
-------------
123,080 		0
-------------
116,759 		0
-------------
27,600 		0
-------------
21,410 		0
-------------
808,624 		0
-------------
0
28Robert Michalski
UF Health VP Compliance & Privacy 		(i)

(ii)		 0
-------------
329,855 		0
-------------
61,920 		0
-------------
65,774 		0
-------------
20,700 		0
-------------
21,203 		0
-------------
499,452 		0
-------------
0
29Jessica Melton
UF Health EVP and Chief Transformation Officer 		(i)

(ii)		 0
-------------
106,785 		0
-------------
0 		0
-------------
73,644 		0
-------------
0 		0
-------------
2,647 		0
-------------
183,076 		0
-------------
0
30Shakira Henderson
UF Health Chief Nurse Executive 		(i)

(ii)		 0
-------------
518,057 		0
-------------
213,042 		0
-------------
0 		0
-------------
41,950 		0
-------------
21,358 		0
-------------
794,407 		0
-------------
0
31Ann-Marie Knight
VP Community Engagement 		(i)

(ii)		 232,603
-------------
0 		37,746
-------------
0 		1,168
-------------
0 		16,341
-------------
0 		14,594
-------------
0 		302,452
-------------
0 		0
-------------
0
32Thanh Hogan
VP Clinical Operations 		(i)

(ii)		 300,033
-------------
0 		55,620
-------------
0 		1,628
-------------
0 		18,333
-------------
0 		28,345
-------------
0 		403,959
-------------
0 		0
-------------
0
33Jennifer Nitschmann
VP of Nursing 		(i)

(ii)		 324,056
-------------
0 		33,736
-------------
0 		839
-------------
0 		0
-------------
0 		157
-------------
0 		358,788
-------------
0 		0
-------------
0
34Robert Phillips
Chief Technology Officer 		(i)

(ii)		 260,107
-------------
0 		23,638
-------------
0 		674
-------------
0 		14,147
-------------
0 		15,482
-------------
0 		314,048
-------------
0 		0
-------------
0
35Lesli A Ward
VP Human Resources 		(i)

(ii)		 0
-------------
367,022 		0
-------------
83,025 		0
-------------
4,931 		0
-------------
27,600 		0
-------------
16,521 		0
-------------
499,099 		0
-------------
0
36Steven L Wylie
VP Assoc. Business Development 		(i)

(ii)		 243,206
-------------
0 		34,184
-------------
0 		1,264
-------------
0 		16,178
-------------
0 		23,614
-------------
0 		318,446
-------------
0 		0
-------------
0
Schedule J (Form 990) (Rev. 1-2025)

Schedule J (Form 990) (Rev. 1-2025)
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation The organization's top management official is Stephen Motew, President and System CEO. His compensation is established by UF Health Corporation, a related organization, utilizing the following methods: -Approval by the compensation committee -Independent compensation consultant -Form 990 of other organizations -Compensation study
Schedule J, Part I, Line 7 Non-fixed payments In order to recruit and retain key talent, SJMC offers incentive plans for certain employees listed in Part VII, section A, line 1A. For calendar year 2024, the incentive plan targeted areas of financial performance, clinical quality, and employee satisfaction.
Schedule J (Form 990) (Rev. 1-2025)

Additional Data


Software ID: 24020961
Software Version: 2024v5.1

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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public
Inspection
Name of the organization
SHANDS JACKSONVILLE MEDICAL CENTER INC
 
Employer identification number
59-2142859
Part Ⅰ
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer		 (i) Pool
financing
Yes No Yes No Yes No
A Florida Development Finance Corporation
  		59-3270584 34061QAL1 12-10-2015 87,267,800 2015 Capital Financing of North Campus   X   X   X
B Florida Development Finance Corporation
  		59-3270584 34061QBG1 01-25-2022 269,584,010 2022A bond: Refund Series 2013B, 2015 & 2019 Bonds and Capital Financing   X   X   X
Part Ⅱ
Proceeds
A B C D
1 Amount of bonds retired .................. 0 0    
2 Amount of bonds legally defeased .............. 0 0    
3 Total proceeds of issue .................. 87,267,800 269,584,010    
4 Gross proceeds in reserve funds ............. 0 0    
5 Capitalized interest from proceeds ............. 0 0    
6 Proceeds in refunding escrows ............... 0 0    
7 Issuance costs from proceeds ............... 1,358,192 2,589,341    
8 Credit enhancement from proceeds ............. 0 1,225,730    
9 Working capital expenditures from proceeds ............. 0 0    
10 Capital expenditures from proceeds ............. 85,909,608 186,172,960    
11 Other spent proceeds ............. 0 79,595,979    
12 Other unspent proceeds ............. 0 0    
13 Year of substantial completion ............. 2018 2022
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2020, a current refunding issue)? ........ 		  X X          
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2020, an advance refunding issue)? ........ 		  X   X        
16 Has the final allocation of proceeds been made? .......... X   X          
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X          
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) (Rev. 1-2025)

Schedule K (Form 990) (Rev. 1-2025)
Page 2
Part Ⅲ
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X   X        
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............   X   X        
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............   X   X        
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?   X   X        
c Are there any research agreements that may result in private business use of bond-financed property? .............   X   X        
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?   X   X        
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government .... 0 % 0 %    
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... 0 % 0 %    
6 Total of lines 4 and 5 ............. 0 % 0 %    
7 Does the bond issue meet the private security or payment test? ...   X   X        
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X   X        
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. .. 0 % 0 %    
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............   X   X        
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........ 		  X   X        
Part Ⅳ
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X        
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......   X X          
b Exception to rebate? ........   X   X        
c No rebate due? ......... X     X        
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? .....   X   X        
Schedule K (Form 990) (Rev. 1-2025)

Schedule K (Form 990) (Rev. 1-2025)
Page 3
Part Ⅳ
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue? X     X        
b Name of provider .......... Merrill Lynch
  		 
  		 
  		 
 
c Term of hedge ......... 1200 % 0 %    
d Was the hedge superintegrated? ......   X   X        
e Was the hedge terminated? ........   X   X        
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X        
b Name of provider ..........  
  		 
  		 
  		 
 
c Term of GIC ......... 0 % 0 %    
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........   X   X        
6 Were any gross proceeds invested beyond an available temporary period?   X   X        
7 Has the organization established written procedures to monitor the requirements of section 148? ...   X   X        
Part Ⅴ
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?   X   X        
Part Ⅵ
Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).
Return Reference Explanation
Schedule K, Part VI Part III Line 9, Part IV Line 7, and Part V While the organization does not currently have an approved written policy, it does maintain procedures that include annual arbitrage reporting and routine reviews and determinations of private business use.
Schedule K, Part IV, Line 2c COLUMN A Issuer name: Florida Development Finance Corporation The calculation for computing no rebate due was performed on 12/10/2020
Schedule K (Form 990) (Rev. 1-2025)

Additional Data


Software ID: 24020961
Software Version: 2024v5.1

Schedule L
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
Attach to Form 990 or Form 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public Inspection
Name of the organization
SHANDS JACKSONVILLE MEDICAL CENTER INC
 
Employer identification number

59-2142859
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No
2
Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... $
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ $
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e) Original principal amount (f) Balance due (g) In default? (h) Approved by board or committee? (i) Written agreement?
To From Yes No Yes No Yes No
Total ............... $  
Part III
Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990) (Rev. 1-2025)
Schedule L (Form 990) (Rev. 1-2025)
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) ZACHARY MARSHALL
  		Family member of key employee 51,935 EMPLOYEE COMPENSATION   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L (Form 990) (Rev. 1-2025)


Additional Data


Software ID: 24020961
Software Version: 2024v5.1




SCHEDULE O
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
 Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public
Inspection
Name of the organization
SHANDS JACKSONVILLE MEDICAL CENTER INC
 
Employer identification number

59-2142859
Return Reference Explanation
Form 990, Part VI, Line 15 PROCESS TO ESTABLISH EXECUTIVE COMPENSATION Compensation of the organization's officers is reviewed and approved by UF Health Corporation, a related organization; therefore, Form 990 Part VI Lines 15a and 15b have been answered "no" in accordance with the Form 990 instructions. Pursuant to the organization's bylaws, the UF Health Corporation Board of Directors has established a compensation committee comprised of individuals serving on the Board of Directors. The compensation committee is responsible for reviewing and approving executive compensation, after consultation with the CEO of UF Health Corporation. Officer compensation is subject to the University Governance Standards and any Board of Directors Conflicts of Interest policies. The compensation committee of UF Health Corporation engages Mercer, an independent consultant with expertise in the development of compensation surveys on executive pay levels across different industries, to provide competitive data and guidance on determining appropriate and reasonable ranges and salaries. Mercer annually reviews all aspects of executive compensation for senior UF Health officers and key employees - including all elements of supplemental benefits - to ensure that total remuneration is reasonable. The compensation committee of UF Health Corporation utilizes the information provided by Mercer when reviewing and approving executive compensation. This process is undertaken annually and was last conducted during fiscal year 2025. The compensation committee documents deliberations and determinations in committee meeting minutes.
Form 990, Part VI, Line 1a Delegate broad authority to a committee The Executive Committee shall consist of the following members: 1. The CEO of the University of Florida Health Corporation ("UF Health Corp"); 2. The Chairperson of the organization's Board of Directors; and 3. Any other Directors as determined by the Chairperson after consultation with the Board of Directors. Subject to the limitations contained in the organization's Restated Articles of Incorporation and University Governance Standards, the Executive Committee shall have such powers and authority as the Board of Directors may delegate to it, including but not limited to the power to act on behalf of the Board. The Executive Committee may consider matters that are within the scope of other committees at the discretion of the Chairperson, the CEO of UF Health Corp, or the Board of Directors. Minutes of all Executive Committee meetings shall be recorded and forwarded to the Board of Directors.
Form 990, Part VI, Line 2 Family/business relationships amongst interested persons Jon Debardeleben; Greg Miller; PATRICK GREEN; Dean Cocchi; Geoff Gardner; Kerin Da Cruz - Business relationship
Form 990, Part VI, Line 4 Significant changes to organizational documents During the fiscal year ended June 30, 2025, the organization amended its Bylaws to update the governance structure. Changes included provisions confirming the authority of the University of Florida (acting through its Board of Trustees or through the University Board Chair and University President) and UF Health Corporation over certain organizational actions, revising board composition and appointment procedures, and updating the structure and authority of the Executive Committee.
Form 990, Part VI, Line 6 Classes of members or stockholders By way of authority granted by The University of Florida, the organization's member is UF Health Corporation. Pursuant to the organization's Bylaws, the Board of Directors of the organization shall consist of the same individuals as those who serve on the Board of Directors of UF Health Corporation. These individuals are appointed to the Board of Directors by The University of Florida Board of Trustees.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body Members of the organization's governing body are ultimately appointed by The University of Florida (acting through its Board of Trustees or through the University Board Chair and University President.) Pursuant to the organization's governing documents, the Board of Directors of the organization shall consist of the same individuals as those who serve on the Board of Directors of UF Health Corporation. These individuals are appointed to the Board of Directors by The University of Florida.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders Pursuant to the organization's governing documents, certain powers are reserved to the University of Florida acting through its Board of Trustees, the University Board Chair and University President, or the UF Health Corporation Board. These powers include approval of amendments to the Articles of Incorporation and Bylaws, appointment and removal of directors, approval of certain governance rights, and approval of material changes to the organization's mission or stated purpose. The organization's Bylaws also dictate that the organization's CEO shall be appointed by the organization's Board after consultation with the UF Health system CEO, and that the organization's CEO will report to the UF Health system CEO.
Form 990, Part VI, Line 11b Review of form 990 by governing body A COMPLETE COPY OF THE FORM 990 WAS SENT TO ALL MEMBERS OF THE GOVERNING BODY BEFORE FILING THE FORM.
Form 990, Part VI, Line 12c Conflict of interest policy The Corporate Compliance Department's Conflicts of Interest policy covers any director, officer, member of a board committee or key staff member who has a direct or indirect financial interest as defined by the policy. The individuals covered under the policy are required to disclose a conflict of interest or a potential conflict of interest when it arises. The Deliberative Body, as defined by the policy, reviews and monitors conflicts of interests annually and as they arise. Any individual who has a conflict of interest is prohibited from participating in the Deliberative Body's deliberations and decision in the transaction.
Form 990, Part VI, Line 19 Required documents available to the public The conflicts of interest policy, governing documents and financial statements are available upon request.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue ALL OTHER REVENUE - Total Revenue: 10072584, Related or Exempt Function Revenue: 10072584, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees Professional Fees - Total Expense: 71662260, Program Service Expense: 33627489, Management and General Expenses: 38034771, Fundraising Expenses: ; Purchased Services - Total Expense: XXX-XX-XXXX, Program Service Expense: 63553247, Management and General Expenses: 67323436, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances Change in lease modification - 12491; Total - 12491;
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) (Rev. 1-2025)


Additional Data


Software ID: 24020961
Software Version: 2024v5.1
SCHEDULE R
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
Open to Public Inspection
Name of the organization
SHANDS JACKSONVILLE MEDICAL CENTER INC
 
Employer identification number

59-2142859
Part I
Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity










Part II
Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1)University of Florida
226 Tigert Hall

Gainesville,FL32611
59-6002052 		Education FL     NA
 
 
No
(2)University of Florida Health Corporation
PO Box 100336

Gainesville,FL32610
59-2699965 		Support UF and related clinical entities FL 501(c)(3) 3 UF
 
 
No
(3)Shands Teaching Hospital and Clinics Inc
PO Box 100336

Gainesville,FL32610
59-1943502 		Medical services FL 501(c)(3) 3 UF Health Corp
 
 
No
(4)Elder Care of Alachua County Inc
PO Box 100336

Gainesville,FL32610
59-3051104 		Services for the elderly FL 501(c)(3) 7 STHC
 
 
No
(5)Southeastern Healthcare Foundation
PO Box 100336

Gainesville,FL32610
59-2357609 		Hospital support FL 501(c)(3) Type II STHC
 
 
No
(6)Shands Auxiliary Inc
PO Box 100336

Gainesville,FL32610
59-3551267 		Hospital support FL 501(c)(3) Type I SEHF
 
 
No
(7)Shands Jacksonville Healthcare Inc
655 West 8th Street

Jacksonville,FL32209
59-2441966 		Support SJMC FL 501(c)(3) Type II UF Health Corp
 
 
No
(8)Shands Jacksonville Affiliates Inc
655 West 8th Street

Jacksonville,FL32209
59-1913819 		Support SJMC FL 501(c)(3) Type I SJMC
 
Yes
 
(9)Shands Jacksonville Properties Inc
655 West 8th Street

Jacksonville,FL32209
59-1158241 		Support SJMC FL 501(c)(3) Type II SJHC
 
 
No
(10)Shands Jacksonville Community Services Inc
655 West 8th Street

Jacksonville,FL32209
51-0173761 		Support SJMC FL 501(c)(3) Type II SJHC
 
 
No
(11)Shands Jacksonville Foundation Inc
655 West 8th Street

Jacksonville,FL32209
59-2622323 		Support SJMC FL 501(c)(3) Type II SJHC
 
 
No
(12)Central Florida Health Inc DBA UF Health Central Florida
600 East Dixie Avenue

Leesburg,FL34748
33-1197054 		Support STHC, UFHL, and UFSP FL 501(c)(3) Type II STHC
 
 
No
(13)Leesburg Regional Medical Center Inc DBA UF Health Leesburg Hospital
600 East Dixie Avenue

Leesburg,FL34748
59-0878982 		Medical services FL 501(c)(3) 3 UFHCF
 
 
No
(14)The Villages Tri-County Medical Center Inc DBA UF Health Spanish Plaines Ho
spital1451 El Camino Real

The Villages,FL32159
59-3527036 		Medical services FL 501(c)(3) 3 UFHCF
 
 
No
(15)Leesburg Regional Medical Center Foundation Inc DBA UF Health Leesburg Hosp
ital Foundation600 East Dixie Avenue

Leesburg,FL34748
59-1800743 		Support UFHL FL 501(c)(3) Type I UFHL
 
 
No
(16)The Villages Regional Hospital Auxiliary Foundation Inc DBA UF Health Spani
sh Plaines Hospital Auxiliary Foundation1501 N US Highway 441 Suite 182

The Villages,FL32159
55-0818419 		Support UFSP FL 501(c)(3) Type I UFSP
 
 
No
(17)Flagler Hospital Inc
400 Health Park Blvd

St Augustine,FL32086
59-0675143 		Medical services FL 501(c)(3) 3 STHC
 
 
No
(18)Flagler Home Care LLC
301 Health Park Blvd STE 327

St Augustine,FL32086
82-1562462 		Home Care services FL 501(c)(3) 10 Flagler Hospital
 
 
No
(19)Flagler Health Care Foundation Inc
400 Health Park Blvd

St Augustine,FL32086
59-2440537 		Hospital support FL 501(c)(3) Type I Flagler Hospital
 
 
No
(20)Florida Clinical Practice Association Inc
PO Box 100205

Gainesville,FL326100205
59-1680273 		Enhance medical education and research at The University of Florida FL 501(c)(3) Type I UF Health Corp
 
 
No
(21)University of Florida Jacksonville Physicians Inc
653 West 8th Street

Jacksonville,FL32209
59-1867557 		Support UF College of Medicine - Jacksonville FL 501(c)(3) Type I UF Health Corp
 
 
No
(22)Faculty Clinic Inc
PO Box 44008

Jacksonville,FL32231
59-2856153 		Support UF Jax Physicians FL 501(c)(3) Type I UF
 
 
No
(23)University of Florida Foundation Inc
PO Box 14425

Gainesville,FL326042425
59-0974739 		Support The University of Florida FL 501(c)(3) 7 UF
 
 
No
(24)University of Florida Investment Corporation (UFICO)
4510 NW 6th Place 2nd Floor

Gainesville,FL32607
20-1226494 		Investment management FL 501(c)(3) Type I UF
 
 
No
(25)University of Florida Development Corporation
747 SW 2nd Avenue IMB 49

Gainesville,FL32601
35-2427022 		Support The University of Florida and promote economic development FL 501(c)(3) Type I UF
 
 
No
(26)Gatorcare Health Management Corporation
1329 SW 16th Street

Gainesville,FL32610
46-1185106 		Self-Insured Health Ins Plan FL 501(c)(3) Type I UF
 
 
No
(27)University of Florida Medical Guild of Gainesville Inc
PO Box 100215

Gainesville,FL32610
51-0153878 		Support UF FL 501(c)(3) 10 UF
 
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) (Rev. 1-2025)
Schedule R (Form 990) (Rev. 1-2025)
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) SOUTHERN HOSPITAL SYSTEMS INC

PO BOX 100336
GAINESVILLE,FL32610
59-1930524 		SUPPORT FOR SHANDS JACKSONVILLE MEDICAL CENTER, INC. FL NA
  		C Corporation         No
(2) FLAGLER HEALTH SERVICES INC

400 HEALTH PARK BLVD
ST AUGUSTINE,FL32086
59-2484352 		REAL ESTATE LEASING FL NA
  		C Corporation         No
(3) HEALTH PARK OWNERS ASSOCIATION

400 HEALTH PARK BLVD
ST AUGUSTINE,FL32086
59-2869538 		PROPERTY MANAGEMENT FL NA
  		C Corporation         No
(4) ANDERSON GIBBS CONDOMINIUM ASSOCIATION

400 HEALTH PARK BLVD
ST AUGUSTINE,FL32086
59-3223458 		PROPERTY MANAGEMENT FL NA
  		C Corporation         No
(5) FLAGLER PROFESSIONAL HEALTH CARE SERVICES

400 HEALTH PARK BLVD
ST AUGUSTINE,FL32086
36-4860252 		HEALTHCARE FL NA
  		C Corporation         No
(6) Shands HealthCare 457(b) Top Hat Plan

PO BOX 100336
GAINESVILLE,FL326100336
81-6362932 		Trust - 457(b) Top Hat Plan FL NA
  		Trust         No
(7) Flagler Hospital Executive Savings Plan

400 HEALTH PARK BLVD
ST AUGUSTINE,FL32086
59-0675143 		Trust - executive savings plan FL NA
  		Trust         No
Schedule R (Form 990) (Rev. 1-2025)
Schedule R (Form 990) (Rev. 1-2025)
Page 3
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
Yes
 
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
 
No
r Other transfer of cash or property to related organization(s) ............................
1r
Yes
 
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved





Schedule R (Form 990) (Rev. 1-2025)
Schedule R (Form 990) (Rev. 1-2025)
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) (Rev. 1-2025)
Schedule R (Form 990) (Rev. 1-2025)
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. See instructions.
Return Reference Explanation
Schedule R (Form 990) (Rev. 1-2025)

Additional Data


Software ID: 24020961
Software Version: 2024v5.1






TY 2024 AffiliatedGroupSchedule
Name:
SHANDS JACKSONVILLE MEDICAL CENTER INC
EIN:
59-2142859
Software ID:
24020961
Software Version:
2024v5.1
Affiliated Group Business Name:
SHANDS JACKSONVILLE MEDICAL CENTER INC
Address. Either US or Foreign Type:
655 West 8th Street
Jacksonville, FL32209    
EIN:
59-2142859
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
78,486
Total Lobbying Expenditures:
78,486
Other Exempt Purpose Expenditures:
995,577,061
Total Exempt Purpose Expenditures:
995,655,547
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
CENTRAL FLORIDA HEALTH INC
Address. Either US or Foreign Type:
600 E DIXIE AVE
LEESBURG, FL34748    
EIN:
33-1197054
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
4,563,158
Total Exempt Purpose Expenditures:
4,563,158
Lobbying Nontaxable Amount:
378,158
Grassroots Nontaxable Amount:
94,539
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
ELDER CARE OF ALACHUA COUNTY INC
Address. Either US or Foreign Type:
PO BOX 100336
GAINESVILLE, FL32610    
EIN:
59-3051104
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
5,419,811
Total Exempt Purpose Expenditures:
5,419,811
Lobbying Nontaxable Amount:
420,991
Grassroots Nontaxable Amount:
105,248
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
FLAGLER HEALTH CARE FOUNDATION INC
Address. Either US or Foreign Type:
400 HEALTH PARK BLVD
ST AUGUSTINE, FL32086    
EIN:
59-2440537
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
4,348,721
Total Exempt Purpose Expenditures:
4,348,721
Lobbying Nontaxable Amount:
367,436
Grassroots Nontaxable Amount:
91,859
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
FLAGLER HOME CARE LLC
Address. Either US or Foreign Type:
301 HEALTH PARK BLVD SUITE 327
ST AUGUSTINE, FL32086    
EIN:
82-1562462
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
1,934,040
Total Exempt Purpose Expenditures:
1,934,040
Lobbying Nontaxable Amount:
246,702
Grassroots Nontaxable Amount:
61,676
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
FLAGLER HOSPITAL INC
Address. Either US or Foreign Type:
400 HEALTH PARK BLVD
ST AUGUSTINE, FL32086    
EIN:
59-0675143
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
27,784
Total Lobbying Expenditures:
27,784
Other Exempt Purpose Expenditures:
265,692,330
Total Exempt Purpose Expenditures:
265,720,114
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
LEESBURG REGIONAL MEDICAL CENTER FOUNDATION INC
Address. Either US or Foreign Type:
600 E DIXIE AVE
LEESBURG, FL34748    
EIN:
59-1800743
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
1,487,422
Total Exempt Purpose Expenditures:
1,487,422
Lobbying Nontaxable Amount:
223,742
Grassroots Nontaxable Amount:
55,936
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
LEESBURG REGIONAL MEDICAL CENTER INC
Address. Either US or Foreign Type:
600 E DIXIE AVE
LEESBURG, FL34748    
EIN:
59-0878982
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
29,946
Total Lobbying Expenditures:
29,946
Other Exempt Purpose Expenditures:
307,134,798
Total Exempt Purpose Expenditures:
307,164,744
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
SHANDS AUXILIARY INC
Address. Either US or Foreign Type:
PO BOX 100336
GAINESVILLE, FL32610    
EIN:
59-3551267
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
60,676
Total Exempt Purpose Expenditures:
60,676
Lobbying Nontaxable Amount:
12,135
Grassroots Nontaxable Amount:
3,034
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
Shands Jacksonville Affiliates Inc
Address. Either US or Foreign Type:
655 West 8th Street
Jacksonville, FL32209    
EIN:
59-1913819
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
548,044
Total Exempt Purpose Expenditures:
548,044
Lobbying Nontaxable Amount:
107,207
Grassroots Nontaxable Amount:
26,802
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
Shands Jacksonville Community Services
Address. Either US or Foreign Type:
655 West 8th Street
Jacksonville, FL32209    
EIN:
51-0173761
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
1,620,923
Total Exempt Purpose Expenditures:
1,620,923
Lobbying Nontaxable Amount:
231,046
Grassroots Nontaxable Amount:
57,762
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
Shands Jacksonville Foundation
Address. Either US or Foreign Type:
655 West 8th Street
Jacksonville, FL32209    
EIN:
59-2622323
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
2,115,154
Total Exempt Purpose Expenditures:
2,115,154
Lobbying Nontaxable Amount:
255,758
Grassroots Nontaxable Amount:
63,939
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
Shands Jacksonville Healthcare Inc
Address. Either US or Foreign Type:
655 West 8th Street
Jacksonville, FL32209    
EIN:
59-2441966
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
0
Total Exempt Purpose Expenditures:
0
Lobbying Nontaxable Amount:
0
Grassroots Nontaxable Amount:
0
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
Shands Jacksonville Properties
Address. Either US or Foreign Type:
655 West 8th Street
Jacksonville, FL32209    
EIN:
59-1158241
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
1,393,038
Total Exempt Purpose Expenditures:
1,393,038
Lobbying Nontaxable Amount:
214,304
Grassroots Nontaxable Amount:
53,576
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
SHANDS TEACHING HOSPITAL AND CLINICS INC
Address. Either US or Foreign Type:
PO BOX 100336
GAINESVILLE, FL32610    
EIN:
59-1943502
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
826,379
Total Lobbying Expenditures:
826,379
Other Exempt Purpose Expenditures:
2,452,644,113
Total Exempt Purpose Expenditures:
2,453,470,492
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
SOUTHEASTERN HEALTHCARE FOUNDATION INC
Address. Either US or Foreign Type:
PO BOX 100336
GAINESVILLE, FL32610    
EIN:
59-2357609
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
5,827,304
Total Exempt Purpose Expenditures:
5,827,304
Lobbying Nontaxable Amount:
441,365
Grassroots Nontaxable Amount:
110,341
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
THE VILLAGES REGIONAL HOSPITAL AUXILIARY INC
Address. Either US or Foreign Type:
1501 N US HIGHWAY 441
THE VILLAGES, FL32159    
EIN:
55-0818419
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
652,004
Total Exempt Purpose Expenditures:
652,004
Lobbying Nontaxable Amount:
122,801
Grassroots Nontaxable Amount:
30,700
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
THE VILLAGES TRI-COUNTY MEDICAL CENTER INC
Address. Either US or Foreign Type:
1451 EL CAMINO REAL
THE VILLAGES, FL32159    
EIN:
59-3527036
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
27,038
Total Lobbying Expenditures:
27,038
Other Exempt Purpose Expenditures:
285,624,606
Total Exempt Purpose Expenditures:
285,651,644
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
University of Florida Health Corporation
Address. Either US or Foreign Type:
PO BOX 100336
GAINESVILLE, FL32610    
EIN:
59-2699965
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
57,015
Total Exempt Purpose Expenditures:
57,015
Lobbying Nontaxable Amount:
11,403
Grassroots Nontaxable Amount:
2,851
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0