Form 990 for tax year 2023

Revenue

Part VIII, the statement of revenue.

• 1a · Federated campaigns

  $4,063

• 1d · Related organizations

  $413,441

• 1e · Government grants (contributions)

  $16,932,141

• 1f · All other contributions, gifts and grants

  $8,088,825

• 2a · Program service revenue: PATIENT SERVICE REVENUE

  total $1,089,770,841 · related or exempt $1,089,770,841

• 2b · Program service revenue: Ancillary and Contract Services

  total $1,436,808 · related or exempt $1,436,808

• 2f · All other program service revenue

  total $0 · related or exempt $0 · unrelated business $0 · excluded $0

• 3 · Investment income

  total $6,668,420 · excluded $6,668,420

• 6a · Gross rents

  real property $2,597,863

• 6c · Rental income or loss

  real property $2,597,863 · personal property $0

• 6d · Net rental income or loss

  total $2,597,863 · excluded $2,597,863

• 7a · Gross sales of assets other than inventory

  other assets $36,103

• 7b · Less cost or other basis and sales expenses

  other assets $0

• 7c · Gain or loss

  securities $0 · other assets $36,103

• 7d · Net gain or loss

  total $36,103 · excluded $36,103

• 10a · Gross sales of inventory

  $719,569

• 10b · Cost of goods sold

  $484,472

• 10c · Net income from sales of inventory

  total $235,097 · excluded $235,097

• 11a · Other revenue: LABORATORY REVENUE

  total $56,959 · unrelated business $56,959

• 11b · Other revenue: AFFILIATE IT SERVICES

  total $136,336 · related or exempt $136,336

• 11c · Other revenue: PARKING REVENUE

  total $596,320 · related or exempt $596,320

• 11d · All other revenue

  total $11,085,114 · related or exempt $11,085,114 · unrelated business $0 · excluded $0

• 11e · Other revenue, total

  $11,874,729

Functional expenses

Part IX, the statement of functional expenses.

• 1 · Grants to domestic organizations and governments

  total $86,362,571 · program services $86,362,571

• 5 · Compensation of officers, directors and key employees

  total $5,831,972 · management and general $5,831,972

• 6 · Compensation of disqualified persons

  total $45,492 · program services $45,492

• 7 · Other salaries and wages

  total $372,815,921 · program services $299,679,445 · management and general $73,136,476

• 8 · Pension plan contributions

  total $16,215,372 · program services $16,137,449 · management and general $77,923

• 9 · Other employee benefits

  total $40,770,798 · program services $40,695,276 · management and general $75,522

• 10 · Payroll taxes

  total $27,264,300 · program services $21,629,961 · management and general $5,634,339

• 11b · Fees: legal

  total $569,463 · management and general $569,463

• 11c · Fees: accounting

  total $259,500 · management and general $259,500

• 11d · Fees: lobbying

  total $76,107 · management and general $76,107

• 11g · Fees: other

  total $183,263,597 · program services $89,623,342 · management and general $93,640,255 · fundraising $0

• 12 · Advertising and promotion

  total $3,467,457 · program services $3,378,602 · management and general $88,855

• 13 · Office expenses

  total $14,917,211 · program services $8,688,402 · management and general $6,228,809

• 14 · Information technology

  total $8,335,924 · program services $5,668,428 · management and general $2,667,496

• 16 · Occupancy

  total $24,716,669 · program services $16,807,335 · management and general $7,909,334

• 17 · Travel

  total $697,371 · program services $461,058 · management and general $236,313

• 19 · Conferences, conventions and meetings

  total $624,821 · program services $380,047 · management and general $244,774

• 20 · Interest

  total $20,646,296 · program services $14,039,481 · management and general $6,606,815

• 22 · Depreciation, depletion and amortization

  total $49,251,426 · program services $33,490,970 · management and general $15,760,456

• 23 · Insurance

  total $4,800,900 · program services $4,579,748 · management and general $221,152

• 24a · Other expenses: Medical Supplies

  total $214,599,154 · program services $214,077,398 · management and general $521,756

• 24b · Other expenses: AHCA Assessment

  total $7,999,104 · program services $7,999,104

• 24c · Other expenses: DPP assessment

  total $11,943,758 · program services $11,943,758

• 24d · Other expenses: Dues & Subscriptions

  total $1,205,422 · program services $819,687 · management and general $385,735

• 24e · All other expenses

  total $2,952,005 · program services $2,642,297 · management and general $309,708 · fundraising $0

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $232,866,555 · end of year $205,415,392

• 2 · Savings and temporary cash investments

  beginning of year $2,977,363 · end of year $3,091,957

• 3 · Pledges and grants receivable

  beginning of year $21,262,863 · end of year $59,547,702

• 4 · Accounts receivable

  beginning of year $133,826,641 · end of year $112,967,430

• 5 · Loans and receivables from officers and key people

  beginning of year $0 · end of year $0

• 6 · Loans and receivables from disqualified persons

  beginning of year $0 · end of year $0

• 8 · Inventories for sale or use

  beginning of year $19,700,512 · end of year $21,363,262

• 9 · Prepaid expenses and deferred charges

  beginning of year $5,171,924 · end of year $5,515,839

• 10a · Land, buildings and equipment: cost or other basis

  $1,115,148,982

• 10b · Land, buildings and equipment: accumulated depreciation

  $574,008,667

• 10c · Land, buildings and equipment, net

  beginning of year $448,744,053 · end of year $541,140,315

• 12 · Investments: other securities

  beginning of year $0

• 13 · Investments: program-related

  beginning of year $0 · end of year $2,881,778

• 15 · Other assets

  beginning of year $165,178,635 · end of year $166,516,125

• 17 · Accounts payable and accrued expenses

  beginning of year $206,388,061 · end of year $151,543,511

• 18 · Grants payable

  end of year $15,780,330

• 19 · Deferred revenue

  beginning of year $2,989,379 · end of year $913,265

• 20 · Tax-exempt bond liabilities

  beginning of year $435,492,627 · end of year $433,392,599

• 22 · Loans and payables to officers and key people

  beginning of year $0 · end of year $0

• 23 · Secured mortgages and notes payable

  beginning of year $14,068,955 · end of year $12,905,753

• 25 · Other liabilities

  beginning of year $144,390,089 · end of year $239,117,605

• 27 · Net assets without donor restrictions

  beginning of year $222,830,083 · end of year $261,217,385

• 28 · Net assets with donor restrictions

  beginning of year $3,569,352 · end of year $3,569,352

The filer's explanations (Part III)

Schedule J, Part I, Line 1a Housing allowance or residence for personal use

Patrick Green (CEO beginning 7/10/2023) received a relocation package during calendar year 2023 that included temporary housing. This amount was treated as taxable compensation to him and is included in Column (B)(iii) of Form 990 Schedule J Part II.

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 2023, the incentive plan targeted areas of financial performance, clinical quality, and employee satisfaction.

Schedule J, Part I, Line 2 REQUIRED SUBSTANTIATION

THE DOLLAR VALUE OF THE RELOCATION PACKAGE PROVIDED TO PATRICK GREEN DURING CALENDAR YEAR 2023 WAS WRITTEN DIRECTLY INTO HIS EMPLOYMENT CONTRACT.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

• SOUTHERN HOSPITAL SYSTEMS INC

  C Corporation · SUPPORT FOR SHANDS JACKSONVILLE MEDICAL CENTER, INC. · FL

  Directly controlled by NA

• FLAGLER HEALTH SERVICES INC

  C Corporation · REAL ESTATE LEASING · FL

  Directly controlled by NA

• HEALTH PARK OWNERS ASSOCIATION

  C Corporation · PROPERTY MANAGEMENT · FL

  Directly controlled by NA

• ANDERSON GIBBS CONDOMINIUM ASSOCIATION

  C Corporation · PROPERTY MANAGEMENT · FL

  Directly controlled by NA

• FLAGLER PROFESSIONAL HEALTH CARE SERVICES

  C Corporation · HEALTHCARE · FL

  Directly controlled by NA