ORLANDO HEALTH INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: ORLANDO HEALTH INC (EIN 59-1726273)
Tax period: 2021-10-01 to 2022-09-30
Filed: 2023-08-11
IRS object ID: 202322239349302107
Schema version: 2021v4.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-08-11T19:31:09+00:00	ReturnTs
Tax Period End	2022-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	201 N FRANKLIN ST	AddressLine1Txt
City	TAMPA	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	33602	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	591726273	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Orlando Health Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	ORLA	BusinessNameControlTxt
Phone	3218415078	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1414 KUHL AVENUE MP8	AddressLine1Txt
City	ORLANDO	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	32806	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	LESLIE FLAKE	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2023-08-11	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	LESLIE	PersonFirstNm
Person Last	FLAKE	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Melanie McPeak	PreparerPersonNm
PTIN	P01346034	PTIN
Phone	8132254800	PhoneNum
Preparation	2023-08-10	PreparationDt

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LESLIE FLAKE	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1414 KUHL AVENUE MP8	AddressLine1Txt
City	ORLANDO	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	32806	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$3,767,700,931	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.ORLANDOHEALTH.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1977	FormationYr
Legal Domicile State	FL	LegalDomicileStateCd
Activity Or Mission	OUR MISSION AS A COMMUNITY-OWNED ORGANIZATION IS TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND COMMUNITIES WE SERVE.	ActivityOrMissionDesc
Voting Members Governing Body	8	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	18699	TotalEmployeeCnt
Total Volunteers	5640	TotalVolunteersCnt
Total Gross UBI	$4,293,590	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$11,565,115	PYContributionsGrantsAmt
CY Contributions Grants	$22,259,771	CYContributionsGrantsAmt
PY Program Service Revenue	$3,276,841,461	PYProgramServiceRevenueAmt
CY Program Service Revenue	$3,657,195,052	CYProgramServiceRevenueAmt
PY Investment Income	$92,102,943	PYInvestmentIncomeAmt
CY Investment Income	$81,211,601	CYInvestmentIncomeAmt
PY Other Revenue	$4,022,529	PYOtherRevenueAmt
CY Other Revenue	$5,508,425	CYOtherRevenueAmt
PY Total Revenue	$3,384,532,048	PYTotalRevenueAmt
CY Total Revenue	$3,766,174,849	CYTotalRevenueAmt
PY Grants And Similar Paid	$2,937,272	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$2,081,021	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$1,166,269,263	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$1,305,228,584	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$7,566,814	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,559,556,395	PYOtherExpensesAmt
CY Other Expenses	$1,671,712,120	CYOtherExpensesAmt
PY Total Expenses	$2,728,762,930	PYTotalExpensesAmt
CY Total Expenses	$2,979,021,725	CYTotalExpensesAmt
PY Revenues Less Expenses	$655,769,118	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$787,153,124	CYRevenuesLessExpensesAmt
Total Assets BOY	$6,015,160,971	TotalAssetsBOYAmt
Total Assets EOY	$6,407,016,860	TotalAssetsEOYAmt
Total Liabilities BOY	$2,707,127,885	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$3,164,270,157	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$3,308,033,086	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$3,242,746,703	NetAssetsOrFundBalancesEOYAmt
Mission	ORLANDO HEALTH IS A TRUSTED LEADER INSPIRING HOPE THROUGH THE ADVANCEMENT OF HEALTH. OUR MISSION AS A COMMUNITY-OWNED ORGANIZATION IS TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND COMMUNITIES WE SERVE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$2,453,858,739	ExpenseAmt
Grant	$2,081,021	GrantAmt
Revenue	$3,657,195,052	RevenueAmt
Desc	SEE SCHEDULE O	Desc
Total Program Service Expenses	$2,453,858,739	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	Yes (true)	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	Yes (true)	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	1332	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	18699	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	8	GoverningBodyVotingMembersCnt
Independent Voting Member	7	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LESLIE FLAKE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3218415078	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1414 KUHL AVENUE	AddressLine1Txt
City	ORLANDO	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	32806	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Brian Besanceney
Board member, Chairman	2.0	0	Yes (X)	Yes (X)	$0	$0	$0
David W Strong
President & CEO	60.0	5.0	Yes (X)	Yes (X)	$5,208,296	$0	$532,519
Mike Packnett
Board member, Vice Chairman	2.0	0	Yes (X)	Yes (X)	$6,600	$0	$0
Dale Jenkins
Board member	2.0	0	Yes (X)		$0	$0	$0
David Brown
Board member	2.0	0	Yes (X)		$0	$0	$0
Jim Hyler
Board member	2.0	0	Yes (X)		$2,800	$0	$0
M Kathryn Garrett MD
Board member	2.0	0	Yes (X)		$4,000	$0	$0
Teri Fontenot
Board member	2.0	0	Yes (X)		$2,400	$0	$0
Bernadette Spong
Chief Financial Officer Until 6/2022	55.0	9.0		Yes (X)	$2,210,466	$0	$41,812
Leslie Flake
CFO as of 6/2022	55.0	0		Yes (X)	$0	$0	$0
Jamal A Hakim MD
Chief Operating Officer	60.0	9.0			$2,465,284	$0	$261,242	Yes (X)
Kelly Nierstedt
SVP, OH & President, ORMC as of 6/2022	55.0	0			$873,490	$0	$106,374	Yes (X)
Mark A Jones
Foundation SVP/Dir Capital Cam	55.0	3.0			$1,262,523	$0	$157,185	Yes (X)
Thibaut Van Marcke De Lummen
SVP, OH & Pres, DPH	55.0	0			$825,150	$0	$135,585	Yes (X)
Andrew Snyder
SVP, Marketing & Communication	55.0	0			$1,003,908	$0	$105,278		Yes (X)
Erick R Hawkins
Chief Admin Officer, OH	55.0	7.0			$1,687,235	$0	$161,237		Yes (X)
Gregory P Ohe
SVP, Ambu Svcs, Orlando Health	55.0	2.0			$1,075,952	$0	$116,545		Yes (X)
John W Bozard
SVP, OH & Pres, OH Foundation	25.0	30.0			$498,602	$498,602	$54,368		Yes (X)
Sunil S Desai MD
SVP, OH & Pres, OHMG	10.0	55.0			$1,860,093	$0	$209,066		Yes (X)
Aurelio Duran
Former Board Member	0.0	55.0			$0	$1,573,889	$33,259			Yes (X)
David F Huddleson
VP, Chief Compliance & Ethics Officer	55.0	0			$602,975	$0	$91,155			Yes (X)
Mary F Farrell
Former Board Member	55.0	0.0			$590,175	$0	$10,751			Yes (X)
Mildred Denise Beam
SVP, OH & Chief Legal Strat	55.0	2.0			$823,182	$0	$121,461			Yes (X)
Sanford S Shugart PHD
Former Board member, Chairman until 03/22/21	0.0	0			$39,815	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$21,042,946	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,072,491	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,137,837	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1297	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
ORIGIN INC
2501 SW 1ST AVE STE 200	PORTLAND	OR	97201	STAFFING SERVICES	$104,701,767
EPIC SYSTEMS CORPORATION
1979 MILKY WAY	VERONA	WI	53593	SOFTWARE SERVICES	$35,327,896
MEDIX STAFFING SOLUTIONS INC
222 S RIVERSIDE PLAZA STE 2120	CHICAGO	IL	60606	TEMPORARY STAFFING	$22,343,315
MICROSOFT CORPORATION
ONE MICROSOFT WAY	REDMOND	WA	980526399	SOFTWARE SERVICES	$15,783,030
DELIVERHEALTH SOLUTIONS LLC
2450 RIMROCK RD STE 201	MADISON	WI	53713	COMPUTER SERVICES	$14,526,559

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	426	CntrctRcvdGreaterThan100KCnt
Related Organizations	$9,266,004	RelatedOrganizationsAmt
Government Grants	$8,156,231	GovernmentGrantsAmt
All Other Contributions	$4,837,536	AllOtherContributionsAmt
Total Contributions	$22,259,771	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	622110	$3,171,484,120	$3,170,950,804	$533,316
RETAIL PHARMACY	446110	$166,547,076	$166,547,076
STATE OF FL SPECIAL MEDICAID PMTS	622110	$112,564,155	$112,564,155
LIP TIER 3 STATE REVENUE	622110	$100,783,136	$100,783,136
Medicaid Voluntary Contribution	622110	$21,335,779	$21,335,779

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$84,480,786	TotalRevenueColumnAmt
Related Or Exempt Func Income	$83,128,762	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,352,024	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$3,657,195,052	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$19,955,582	TotalRevenueColumnAmt
Unrelated Business Revenue	$782	UnrelatedBusinessRevenueAmt
Exclusion	$19,954,800	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4	TotalRevenueColumnAmt
Exclusion	$4	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$4,844,747	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$4,844,747	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,844,747	TotalRevenueColumnAmt
Unrelated Business Revenue	$1,810,456	UnrelatedBusinessRevenueAmt
Exclusion	$3,034,291	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$62,598,600	SecuritiesAmt
Other	$183,497	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$851,287	SecuritiesAmt
Other	$674,795	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$61,747,313	SecuritiesAmt
Other	-$491,298	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$61,256,015	TotalRevenueColumnAmt
Exclusion	$61,256,015	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
PHYSICIANS ANSWERING SVCS	561421	$597,012	$597,012
PARKING GARAGE	622110	$66,666		$66,666

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$663,678	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,766,174,849	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,655,309,712	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$4,293,590	UnrelatedBusinessRevenueAmt
Exclusion	$84,311,776	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$2,081,021	TotalAmt
Program Services	$2,081,021	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$13,231,979	TotalAmt
Program Services	$2,960,125	ProgramServicesAmt
Management And General	$10,271,854	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$1,241,870	TotalAmt
Program Services	$600,908	ProgramServicesAmt
Management And General	$640,962	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$994,648,108	TotalAmt
Program Services	$826,137,055	ProgramServicesAmt
Management And General	$163,905,875	ManagementAndGeneralAmt
Fundraising	$4,605,178	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$74,445,115	TotalAmt
Program Services	$61,498,337	ProgramServicesAmt
Management And General	$12,929,865	ManagementAndGeneralAmt
Fundraising	$16,913	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$156,276,995	TotalAmt
Program Services	$128,352,715	ProgramServicesAmt
Management And General	$26,980,418	ManagementAndGeneralAmt
Fundraising	$943,862	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$65,384,517	TotalAmt
Program Services	$55,048,315	ProgramServicesAmt
Management And General	$10,060,219	ManagementAndGeneralAmt
Fundraising	$275,983	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$25,020,486	TotalAmt
Management And General	$25,020,486	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,095,601	TotalAmt
Management And General	$1,095,601	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$730,235	TotalAmt
Program Services	$730,235	ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$875,770	TotalAmt
Management And General	$875,770	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$195,393,774	TotalAmt
Program Services	$150,180,984	ProgramServicesAmt
Management And General	$45,199,891	ManagementAndGeneralAmt
Fundraising	$12,899	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$26,349,047	TotalAmt
Program Services	$19,428,601	ProgramServicesAmt
Management And General	$6,826,697	ManagementAndGeneralAmt
Fundraising	$93,749	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$75,767,636	TotalAmt
Program Services	$65,770,621	ProgramServicesAmt
Management And General	$9,719,800	ManagementAndGeneralAmt
Fundraising	$277,215	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$107,647,055	TotalAmt
Program Services	$39,192,248	ProgramServicesAmt
Management And General	$68,445,074	ManagementAndGeneralAmt
Fundraising	$9,733	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$99,931,955	TotalAmt
Program Services	$38,653,950	ProgramServicesAmt
Management And General	$60,774,872	ManagementAndGeneralAmt
Fundraising	$503,133	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$3,886,760	TotalAmt
Program Services	$2,176,611	ProgramServicesAmt
Management And General	$1,560,996	ManagementAndGeneralAmt
Fundraising	$149,153	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,728,234	TotalAmt
Program Services	$1,549,172	ProgramServicesAmt
Management And General	$136,080	ManagementAndGeneralAmt
Fundraising	$42,982	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$42,875,222	TotalAmt
Program Services	$29,198,696	ProgramServicesAmt
Management And General	$13,676,526	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$163,821,544	TotalAmt
Program Services	$111,565,031	ProgramServicesAmt
Management And General	$52,256,513	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$38,383,007	TotalAmt
Program Services	$38,378,348	ProgramServicesAmt
Management And General	$4,659	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
MEDICAL SUPPLIES	$664,881,976	$664,881,976
PATIENT MED ASSIST TRUST	$140,360,305	$140,360,305
ELIGIBILITY FEES	$40,347,870	$40,347,870
DISCHARGE SUPPORT	$18,187,968	$18,187,968

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$24,427,675	TotalAmt
Program Services	$16,577,647	ProgramServicesAmt
Management And General	$7,214,014	ManagementAndGeneralAmt
Fundraising	$636,014	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,979,021,725	TotalAmt
Program Services	$2,453,858,739	ProgramServicesAmt
Management And General	$517,596,172	ManagementAndGeneralAmt
Fundraising	$7,566,814	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$552,890,560	BOYAmt
EOY	$735,300,428	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$36,081,011	BOYAmt
EOY	$36,293,727	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$533,710,988	BOYAmt
EOY	$529,729,203	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$109,829,956	BOYAmt
EOY	$96,164,171	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$46,130,478	BOYAmt
EOY	$169,638,983	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$4,095,325,306	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$2,279,600,940	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,629,200,903	BOYAmt
EOY	$1,815,724,366	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$2,256,231,653	BOYAmt
EOY	$2,185,889,093	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$279,174,432	BOYAmt
EOY	$259,643,951	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$571,910,990	BOYAmt
EOY	$578,632,938	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,015,160,971	BOYAmt
EOY	$6,407,016,860	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$638,221,741	BOYAmt
EOY	$661,780,965	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$4,750,000	BOYAmt
EOY	$1,000,000	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,498,836,723	BOYAmt
EOY	$1,819,980,837	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$80,300,585	BOYAmt
EOY	$142,819,878	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$485,018,836	BOYAmt
EOY	$538,688,477	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,707,127,885	BOYAmt
EOY	$3,164,270,157	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,163,761,439	BOYAmt
EOY	$3,093,252,726	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$144,271,647	BOYAmt
EOY	$149,493,977	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,308,033,086	BOYAmt
EOY	$3,242,746,703	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$6,015,160,971	BOYAmt
EOY	$6,407,016,860	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$787,153,124	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$423,605,151	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$428,834,356	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$92,400	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$637,835	OtherActivitiesAmt
Total Lobbying Expenditures	$730,235	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY AND OTHER ACTIVITIES ASSESSING CURRENT STATE AND FEDERAL LEGISLATION WITH CONSULTANTS WHO ADVISE HOW THE LEGISLATION WOULD AFFECT THE ORGANIZATION TOTALING $340,091. AMOUNTS REPORTED FROM VARIOUS HOSPITAL AND HEALTHCARE MEMBERSHIPS OF DUES USED FOR LOBBYING ACTIVITIES TOTALING $297,744.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$41,410,627	BeginningYearBalanceAmt
Contributions	$1,063,361	ContributionsAmt
Investment Earnings Or Losses	-$7,373,283	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,559,653	OtherExpendituresAmt
Administrative Expenses	$14,400	AdministrativeExpensesAmt
End Year Balance	$33,526,652	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$35,592,929	BeginningYearBalanceAmt
Contributions	$418,051	ContributionsAmt
Investment Earnings Or Losses	$8,253,886	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,853,403	OtherExpendituresAmt
Administrative Expenses	$836	AdministrativeExpensesAmt
End Year Balance	$41,410,627	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$38,676,311	BeginningYearBalanceAmt
Contributions	$100,004	ContributionsAmt
Investment Earnings Or Losses	$2,836,526	InvestmentEarningsOrLossesAmt
Other Expenditures	$5,953,480	OtherExpendituresAmt
Administrative Expenses	$66,432	AdministrativeExpensesAmt
End Year Balance	$35,592,929	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$36,836,779	BeginningYearBalanceAmt
Contributions	$750,218	ContributionsAmt
Investment Earnings Or Losses	$1,142,094	InvestmentEarningsOrLossesAmt
Administrative Expenses	$52,780	AdministrativeExpensesAmt
End Year Balance	$38,676,311	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$31,231,110	BeginningYearBalanceAmt
Contributions	$4,383,122	ContributionsAmt
Investment Earnings Or Losses	$1,222,547	InvestmentEarningsOrLossesAmt
End Year Balance	$36,836,779	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.0481	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.9519	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$151,292,391	OtherCostOrOtherBasisAmt
Book Value	$151,292,391	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,224,326,314	OtherCostOrOtherBasisAmt
Depreciation	$577,363,315	DepreciationAmt
Book Value	$646,962,999	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$26,792,699	OtherCostOrOtherBasisAmt
Book Value	$26,792,699	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,310,008,120	OtherCostOrOtherBasisAmt
Depreciation	$1,664,264,298	DepreciationAmt
Book Value	$645,743,822	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$382,905,782	OtherCostOrOtherBasisAmt
Depreciation	$37,973,327	DepreciationAmt
Book Value	$344,932,455	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,815,724,366	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (10 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES	$417,379,419
CASH SURRENDER VALUE LIFE INS	$78,086,522
EXEC DEFERRED COMP 457B	$48,949,665
CAP ACCUM/DEF COMP BEN	$16,664,672
GIFT ANNUITY TRUST	$2,352,491
DEPOSITS	$2,046,749
MED MAL RECOVERIES RECEIVABLE	$1,784,493
INVESTMENT IN RELATED PARTIES	$11,128,296
PROPERTY MANAGEMENT	$140,631
WORKERS COMP SURETY	$100,000

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$578,632,938	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (16 entries)

DescDesc	AmtAmt
PROFESSIONAL & GENERAL LIABILITIES	$174,306,317
LT DUE TO AFFILIATES	$148,720,660
DEFERRED LEASE LIABILITIES	$73,599,518
LT LIAB EXEC DEF COMP 457B	$48,949,665
PUBLIC ASSISTANCE FUND LIABILITY ST	$43,045,751
LT LIAB CAP/ACCUM DEF COMP	$16,664,672
SWAP LIABILITIES	$14,500,645
EPIC SOFTWARE LICENSE LIABILITIES	$9,243,104
FEDERAL EXCISE TAX	$3,150,000
DISCOUNT/LT LIAB CLEARING ACCOUNTS	$2,623,441
LT CHARITABLE COMMITMENTS TO UNRELATED PARTIES	$1,975,000
ASSET RETIREMENT LIABILITY	$1,117,036
DUE TO STATE	$771,605
PROPERTY MANAGEMENT LIABILITIES	$21,063
POST RETIREMENT BENEFITS
MEDICARE SETTLEMENTS & RESERVES

Field	Value	IRS element (for citing)
Total Liability	$538,688,477	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part V, Line 4 Intended uses of endowment funds	ENDOWMENT FUNDS ARE RESTRICTED AS TO PURPOSE, TIME OR BOTH IN ACCORDANCE WITH DONOR SPECIFICATIONS MADE AT TIME OF CONTRIBUTIONS. ORLANDO HEALTH TREATS ENDOWMENT FUND PRINCIPAL AS RESTRICTED AND UTILIZES THE NET EARNINGS ON ENDOWMENT MONIES FOR PROGRAM AND CAPITAL NEEDS OF ORLANDO HEALTH, INC. AND AFFILIATES IN ACCORDANCE WITH DONOR SPECIFICATIONS.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	FASB ASC TOPIC 740, INCOME TAXES, PRESCRIBES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAX POSITIONS RECOGNIZED IN THE FINANCIAL STATEMENTS. ASC TOPIC 740 PROVIDES GUIDANCE AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THERE WERE NO MATERIAL UNCERTAIN TAX POSITIONS AS OF SEPTEMBER 30, 2022 AND 2021.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Europe (Including Iceland and Greenland)	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	Investments	TypeOfActivitiesConductedTxt
Region Total Expenditures	$189,291,815	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$189,291,815	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$189,291,815	TotalSpentAmt
Transfer To Foreign Corp	false	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	false	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements	FormAndLineReferenceDesc
Explanation	EUROPE (INCLUDING ICELAND AND GREENLAND)-Accrual	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	225	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	false	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$186,708,248	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$100,783,136	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$85,925,112	NetCommunityBenefitExpnsAmt
Total Expense	0.0288	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$488,444,152	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$354,476,099	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$133,968,053	NetCommunityBenefitExpnsAmt
Total Expense	0.0450	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,229,223	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$28,883	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,200,340	NetCommunityBenefitExpnsAmt
Total Expense	0.0007	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$677,381,623	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$455,288,118	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$222,093,505	NetCommunityBenefitExpnsAmt
Total Expense	0.0746	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$38,328,481	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$38,328,481	NetCommunityBenefitExpnsAmt
Total Expense	0.0129	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$48,715,778	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$26,458,014	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,257,764	NetCommunityBenefitExpnsAmt
Total Expense	0.0075	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,093,651	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,093,651	NetCommunityBenefitExpnsAmt
Total Expense	0.0007	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,263,391	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,263,391	NetCommunityBenefitExpnsAmt
Total Expense	0.0008	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$91,401,301	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$26,458,014	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$64,943,287	NetCommunityBenefitExpnsAmt
Total Expense	0.0218	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$768,782,924	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$481,746,132	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$287,036,792	NetCommunityBenefitExpnsAmt
Total Expense	0.0964	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,740	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$19,740	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$45,874	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$45,874	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,847	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$14,847	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,935	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$13,935	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,854	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,854	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$230,166	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$230,166	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$335,416	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$335,416	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$108,590,782	BadDebtExpenseAmt
Reimbursed By Medicare	$330,895,915	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$338,246,761	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$7,350,846	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	6	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (6 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd	OtherOtherDesc	Childrens HospitalChildrensHospitalInd
ORLANDO REGIONAL MEDICAL CENTER
1	1414 KUHL AVENUE	ORLANDO	FL	32806	HTTPS://WWW.ORLANDOHEALTH.COM/FACILITIES/ORLANDO-REGIONAL-MEDICAL-CENTER	4393	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
DR P PHILLIPS HOSPITAL
2	9400 TURKEY LAKE ROAD	ORLANDO	FL	32819	HTTPS://WWW.ORLANDOHEALTH.COM/FACILITIES/DR-P-PHILLIPS-HOSPITAL	4393	Yes (X)	Yes (X)		Yes (X)	A
WINNIE PALMER HOSP FOR WOMEN & BABIES
3	83 W MILLER STREET	ORLANDO	FL	32806	HTTPS://WWW.WINNIEPALMERHOSPITAL.COM/	4393	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A	NEONATAL UNIT
ARNOLD PALMER HOSPITAL FOR CHILDREN
4	92 W MILLER	ORLANDO	FL	32806	HTTPS://WWW.ARNOLDPALMERHOSPITAL.COM/	4393	Yes (X)		Yes (X)	Yes (X)	A		Yes (X)
SOUTH SEMINOLE HOSPITAL
5	555 W SR 434	LONGWOOD	FL	32279	HTTPS://WWW.ORLANDOHEALTH.COM/FACILITIES/SOUTH-SEMINOLE-HOSPITAL	4393	Yes (X)	Yes (X)		Yes (X)	A
ORLANDO HEALTH ST CLOUD HOSPITAL
6	2906 17TH ST	ST CLOUD	FL	34769	HTTPS://WWW.ORLANDOHEALTH.COM/FACILITIES/ST-CLOUD-HOSPITAL	4484	Yes (X)	Yes (X)		Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
Other	Yes (X)	OtherInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTP://WWW.ORLANDOHEALTH.COM/ABOUT-US/COMMUNITY-INVOLVEMENT/COMMUNITY-BENEFIT	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	false	StrategyPostedWebsiteInd
Strategy Attached	Yes (true)	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	225.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	0.0	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART VI	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART VI	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART VI	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E	THE 2022 CHNA IS A FOUR-COUNTY ASSESSMENT COVERING LAKE, ORANGE, OSCEOLA, AND SEMINOLE COUNTIES. SECONDARY AND PRIMARY DATA WERE COLLECTED AND ANALYZED, GENERATING COMMON THEMES FOR THE REGION, COUNTY, AND ZIP CODES. SECONDARY DATA ABOUT HEALTH INDICATORS, HEALTHCARE UTILIZATION AND INSURANCE COVERAGE WAS GATHERED FROM RESOURCES, INCLUDING THE U.S. CENSUS, FLORIDA COMMUNITY HEALTH ASSESSMENT RESOURCE TOOL SET (CHARTS), THE CENTERS FOR DISEASE CONTROL AND PREVENTION'S BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEMS (BRFSS) DATA, COUNTY HEALTH RANKINGS, THE AMERICAN COMMUNITY SURVEY AND HOSPITAL CLAIMS DATA. PRIMARY DATA SOURCES INCLUDED A COMMUNITY SURVEY (3,699 RESPONSES), ACCESS AUDIT INCLUDING 45 MYSTERY SHOPPER CALLS, IN-DEPTH INTERVIEWS WITH COMMUNITY STAKEHOLDERS (105), FOCUS GROUPS (30 GROUPS WITH 250 TOTAL PARTICIPANTS), EQUITY CHAMPIONS (10) PROVIDING DIVERSITY GROUP OUTREACH AND DIGITAL TREND ANALYSIS USED TO ILLUMINATE CHRONIC HEALTH, BEHAVIORAL HEALTH AND HEALTH INSIGHTS OVER A SELECTED PERIOD OF TIME. BASED ON THE DATA, APPROXIMATELY 50 GRANULAR, COMMUNITY-BASED, DATA-FOUNDED NEEDS WERE GENERATED. USING THE DATA, THE CENTRAL FLORIDA COLLABORATIVE THAT COMMENCED THE 2022 CHNA SELECTED THE PRIORITIES OR NEEDS FOR THE 2022 CHNA. THE COLLABORATIVE UTILIZED MODIFIED DELPHI METHOD, A MIXED MODALITY APPROACH THAT INCLUDED QUANTITATIVE, QUALITATIVE AND TECHNOLOGY-BASED TECHNIQUES, TO SELECT FOUR TOP NEEDS THAT INCLUDE 15 GRANULAR ISSUES BY ORGANIZATION AND COUNTY. THESE PRIORITIES WERE USED FOR EACH HOSPITAL'S IMPLEMENTATION STRATEGY PLAN. THE PRIORITIES FOR EACH COUNTY ARE OUTLINED IN THE COUNTY HEALTH EQUITY SUMMARIES INCLUDED IN THE CHNA. IN ADDITION TO THE PRIORITIES SELECTED BY THE COLLABORATIVE, COUNTY-SPECIFIC SUMMARIES AND HEALTH EQUITY PROFILES WERE PREPARED BY CRESCENDO. THESE SUMMARIES INCLUDE BASIC DEMOGRAPHIC INFORMATION FOR EACH COUNTY, AS WELL AS SOCIAL DETERMINANTS OF HEALTH SECTIONS THAT IDENTIFY HEALTH DISPARITIES EXPERIENCED BY DIFFERENT RACE AND ETHNICITIES FOR EACH COUNTY.
Schedule H, Part V, Section B, Line 3 Facility A, 1	Facility A, 1 - GROUP A. AS PART OF THE SECONDARY DATA COLLECTION, HOSPITAL HOT SPOTTING DATA WAS ALSO INCLUDED IN OUR CHNA. CRESCENDO CONTINUED TO EXPAND THE WORK COMPLETED IN THE 2022 CHNA BY INCLUDING LOCAL HOT SPOTTING AREAS FOR HOSPITALS AND FEDERALLY QUALIFIED HEALTH CENTERS. PATIENT DATA FROM HOSPITALS REPRESENTED IN THE CHNA ENABLED LOCATION ANALYSIS AND MAPPING OF LOCAL "HOT SPOTS" WITH HIGH NUMBERS OF UNINSURED VISITS OVER-UTILIZING THE HEALTHCARE SYSTEM. THE UNINSURED DATA WAS SPLIT INTO ADMITTING FACILITIES AND THEN FURTHER SEPARATED INTO INPATIENT AND EMERGENCY DEPARTMENT DISCHARGES.
Schedule H, Part V, Section B, Line 5 Facility A, 1	Facility A, 1 - GROUP A. FOR OUR 2022 COMMUNITY HEALTH NEEDS ASSESSMENT, WE CONTRACTED CRESCENDO CONSULTING GROUP (CRESCENDO). CRESCENDO CONSULTING GROUP IS AN INNOVATIVE, COMMUNITY RESEARCH AND STRATEGIC PLANNING FIRM PROVIDING SERVICES NATIONALLY. WITH 20 YEARS OF EXPERIENCE CONDUCTING NEEDS ASSESSMENTS, CRESCENDO HAS BECOME A PIONEER IN ITS FIELD - DEVELOPING AND DEPLOYING INNOVATIVE (AND IN SOME CASES COPYWRITTEN) TECHNIQUES TO ENGAGE DIFFICULT-TO-REACH OR HISTORICALLY UNDERREPRESENTED COMMUNITIES, EVALUATE NEEDS BY TRIANGULATING QUANTITATIVE AND QUALITATIVE DATA, BUILD CONSENSUS AROUND RESULTS BY USING A MODIFIED DELPHI TECHNIQUE (I.E., A VALIDATED PRIORITIZATION METHOD), AND OTHERS. THE COMPANY'S MISSION IS TO POSITIVELY CHANGE THE LIVES OF THE PEOPLE, ORGANIZATIONS, AND COMMUNITIES WE SERVE; EVERY ASPECT OF CRESCENDO'S PROJECTS EMBEDS UNMATCHED CLIENT ENGAGEMENT TO SUCCESSFULLY EMBRACE THIS MISSION AND BRING IMPACTFUL, MEASURABLE CHANGE TO INDIVIDUALS, FAMILIES, AND COMMUNITIES. CRESCENDO WORKED TO BUILD ON TOP OF THE PREVIOUS CHNA CONDUCTED IN 2019. DURING THE CHNA PROCESS, INPUT FROM PERSONS WHO REPRESENT BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY WAS TAKEN INTO ACCOUNT. PRIMARY DATA INCLUDED SURVEYS DISTRIBUTED TO BOTH PROVIDERS AND CONSUMERS, IN-DEPTH INTERVIEWS WITH COMMUNITY STAKEHOLDERS AND COMMUNITY FOCUS GROUPS WITHIN THE CENTRAL FLORIDA COMMUNITY. ON BEHALF OF THE HOSPITAL, CRESCENDO WORKED WITH REPRESENTATIVES FROM ALL THE HOSPITALS, HEALTH DEPARTMENTS AND FEDERALLY QUALIFIED HEALTH CENTERS (FQHC) THAT PARTICIPATED IN THE ASSESSMENT TO ENSURE PERSONS WHO PROVIDED INPUT WERE REPRESENTATIVE OF THE COMMUNITY. BROAD POPULATIONS INCLUDING THE ELDERLY, MEDICAL UNDERSERVED, MINORITY GROUPS, AND LOW-INCOME POPULATIONS WERE REPRESENTED. THE CENTRAL FLORIDA COLLABORATIVE TOOK A UNIQUE APPROACH TOWARD RECOGNIZING THE NEED TO REDUCE AND ELIMINATE HEALTH DISPARITIES AND TO INCREASE DIVERSITY AT THE LEADERSHIP AND GOVERNANCE LEVELS OF HEALTHCARE AND OTHER LOCAL ORGANIZATIONS. TO DO THIS, A TEAM OF 10 EQUITY CHAMPIONS WAS DEVELOPED. THESE INDIVIDUALS REPRESENTED MULTIRACIAL AND OTHER MINORITY COMMUNITIES IN CENTRAL FLORIDA. THE EQUITY CHAMPIONS ASSISTED WITH REVIEWING RESEARCH INSTRUMENTS FOR CULTURAL APPROPRIATENESS, PARTICIPATED IN STAKEHOLDER INTERVIEWS, PARTICIPATED IN THE PRIORITIZATION PROCESS AND STRATEGY DEVELOPMENT DISCUSSIONS, AND PROVIDED GUIDANCE REGARDING THE MOST EFFECTIVE WAYS TO ENGAGE UNIQUE COMMUNITY MEMBERS. THE COMMUNITY SURVEY WAS DISTRIBUTED BOTH IN HARD COPY AND DIGITALLY THROUGH SURVEY MONKEY WITH A TOTAL OF 3,699 RESPONSES. A SUMMARY OF RESPONSES FROM THE COMMUNITY SURVEY CAN BE FOUND IN THE PRIMARY QUANTITATIVE COMMUNITY SURVEY SECTION OF THE CHNA. IN-DEPTH, ONE-TO-ONE INTERVIEWS WERE CONDUCTED WITH 105 COMMUNITY STAKEHOLDERS BETWEEN OCTOBER 29, 2021, AND JANUARY 31, 2022. THE SECTORS REPRESENTED ARE DEPARTMENT OF HEALTH, FOOD SECURITY, DEPARTMENT OF CHILDREN AND FAMILIES, HEALTHCARE, FEDERALLY QUALIFIED HEALTH CENTER, HOMELESSNESS, BEHAVIORAL HEALTH, SPECIALTY CARE, EDUCATION, AGING AND BUSINESS. DEMOGRAPHIC INFORMATION ABOUT EACH OF THE STAKEHOLDERS INTERVIEWED CAN BE FOUND IN THE PRIMARY QUALITATIVE RESEARCH SECTION OF THE CHNA. THIRTY FOCUS GROUPS TOOK PLACE WITH A TOTAL OF 250 PARTICIPANTS. MORE DETAILS REGARDING FOCUS GROUP PARTICIPANTS CAN BE FOUND IN THE QUALITATIVE RESEARCH SECTION OF THE CHNA. ACCESS AUDITS WERE INCLUDED IN THE PRIMARY DATA COLLECTION PROCESS. THIS PROCESS INVOLVED MAKING MULTIPLE CALLS TO REPRESENTATIVES OF LOCAL HEALTH SERVICE SITES IN THE FOUR-COUNTY AREA TO PROVIDE INSIGHT TO ACCESS GAPS, IMPROVEMENT STRATEGIES AND SERVICE VARIATIONS. IN TOTAL, 45 CALLS WERE CONDUCTED AND 32 RESULTED IN EITHER AN INTERVIEW OR COMPLETED SETS OF INFORMATION. A COMPLETE LIST OF ORGANIZATIONS INVOLVED CAN BE FOUND IN THE ACCESS AUDIT SECTION OF THE CHNA.
Schedule H, Part V, Section B, Line 6a Facility A, 1	Facility A, 1 - GROUP A. ORLANDO HEALTH: ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER (ORLANDO HEALTH CANCER INSTITUTE), ORLANDO HEALTH ARNOLD PALMER HOSPITAL FOR CHILDREN, ORLANDO HEALTH WINNIE PALMER HOSPITAL FOR WOMEN AND BABIES, ORLANDO HEALTH DR. P. PHILLIPS HOSPITAL, ORLANDO HEALTH - HEALTH CENTRAL HOSPITAL, ORLANDO HEALTH HORIZON WEST HOSPITAL, ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL, ORLANDO HEALTH SOUTH LAKE HOSPITAL AND ORLANDO HEALTH ST. CLOUD HOSPITAL. ADVENTHEALTH: ADVENTHEALTH ALTAMONTE, ADVENTHEALTH APOPKA, ADVENTHEALTH CELEBRATION, ADVENTHEALTH EAST ORLANDO, ADVENTHEALTH FOR CHILDREN, ADVENTHEALTH KISSIMMEE, ADVENTHEALTH ORLANDO, ADVENTHEALTH WATERMAN, ADVENTHEALTH WINTER PARK ASPIRE HEALTH PARTNERS: KENNEDY PLAZA, LAKESIDE PLACE APARTMENTS, PRINCETON PLAZA, RESIDENTIAL PLAZA
Schedule H, Part V, Section B, Line 6b Facility A, 1	Facility A, 1 - GROUP A. DEPARTMENT OF HEALTH: FLORIDA DEPARTMENT OF HEALTH IN LAKE COUNTY FLORIDA DEPARTMENT OF HEALTH IN ORANGE COUNTY FLORIDA DEPARTMENT OF HEALTH IN OSCEOLA COUNTY FLORIDA DEPARTMENT OF HEALTH IN SEMINOLE COUNTY FEDERALLY QUALIFIED HEALTH CENTERS: COMMUNITY HEALTH CENTERS, INC ORANGE BLOSSOM FAMILY HEALTH OSCEOLA COMMUNITY HEALTH SERVICES TRUE HEALTH
Schedule H, Part V, Section B, Line 11 Facility A, 1	Facility A, 1 - GROUP A. FOR MORE THAN 100 YEARS, ORLANDO HEALTH HAS PROVIDED FOR THE HEALTH NEEDS OF OUR LOCAL AND REGIONAL COMMUNITIES, GROWING FROM A SINGLE HOSPITAL INTO AN AWARD-WINNING ORGANIZATION NOW SUPPORTING HEALTHCARE CONSUMERS FROM ACROSS THE SOUTHEASTERN UNITED STATES. IT IS OUR MISSION TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND COMMUNITIES WE SERVE. ORLANDO HEALTH TO CONSTANTLY WORKS TO IMPROVE HEALTH IN THE COMMUNITY AND INCREASE ACCESS TO CARE. FOLLOWING OUR PARTICIPATION IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) ORLANDO HEALTH TOOK INTO CONSIDERATION SEVERAL FACTORS IN SELECTING HEALTH NEEDS TO ADDRESS. FACTORS INCLUDED: INDIVIDUAL ORLANDO HEALTH HOSPITAL DATA; COMMUNITY AND HOSPITAL ASSETS; ABILITY TO IMPACT AN ISSUE; CURRENT COMMUNITY BENEFIT EFFORTS; COMMUNITY PARTNERSHIPS; AND OPPORTUNITIES FOR COLLABORATION. WE ALSO TOOK INTO CONSIDERATION THE COUNTY WHERE EACH HOSPITAL IS LOCATED. ORANGE COUNTY IS THE LOCATION OF ORLANDO HEALTH ARNOLD PALMER HOSPITAL FOR CHILDREN, ORLANDO HEALTH WINNIE PALMER HOSPITAL FOR WOMEN AND BABIES, ORLANDO HEALTH DR. P. PHILLIPS HOSPITAL, ORLANDO HEALTH - HEALTH CENTRAL HOSPITAL, ORLANDO HEALTH HORIZON WEST HOSPITAL AND ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER (ORLANDO HEALTH CANCER INSTITUTE). MEANWHILE ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL IS IN SEMINOLE COUNTY, ORLANDO HEALTH SOUTH LAKE HOSPITAL IS LOCATED IN LAKE COUNTY AND ORLANDO HEALTH ST. CLOUD HOSPITAL IS LOCATED IN OSCEOLA COUNTY. BASED ON OUR PROCESS, WE SELECTED ACCESS TO CARE AS OUR PRIORITY HEALTH NEED FROM THE 2022 CHNA. WITH OUR FOCUS IN FISCAL YEAR 2022 ON ACCESS TO CARE, ORLANDO HEALTH DEVELOPED NEW AND ENHANCED EXISTING COMMUNITY BENEFIT PROGRAMS TO IMPROVE ACCESS TO CARE. ORLANDO HEALTH PROVIDED OVER $287 MILLION IN COMMUNITY BENEFIT IN FISCAL YEAR 2022. IN SUPPORT OF OUR COMMUNITY BENEFIT EFFORTS, WE RECOGNIZE THE IMPORTANCE OF WORKING WITH COMMUNITY ORGANIZATIONS. IN FISCAL YEAR 2022, WE SUPPORTED 22 GRANT PROPOSALS THROUGH THE ORLANDO HEALTH COMMUNITY GRANT PROGRAM, AND WE CONTINUED TO ACTIVELY COLLABORATE WITH LOCAL ORGANIZATIONS AND GROUPS TO MAKE A DIFFERENCE IN THE HEALTH AND QUALITY OF LIFE IN CENTRAL FLORIDA. IN 2022, WE SUPPORTED OVER 380 COMMUNITY ORGANIZATIONS. ORLANDO HEALTH HAS PROVIDED 8,832 BOARD MEMBER, COMMITTEE MEMBER AND ADVISORY BOARD MEMBER HOURS. THE CONTINUED EFFECTS OF COVID-19 HAVE FOREVER SHIFTED EFFORTS FOR SOME OF OUR COMMUNITY PARTNERS FROM IN-PERSON SERVICES TO PROVIDE THESE THROUGH MOBILE OPERATIONS OR ONLINE PLATFORMS. THESE OPPORTUNITIES WERE ABLE TO INCREASE ACCESS AND RESOURCES BY CONTINUING TO MEET RESIDENTS IN THEIR HOMES AND COMMUNITIES. EXAMPLES FROM KEY INITIATIVES ARE INCLUDED TO ILLUSTRATE THE TYPES OF SUCCESSES THESE PROGRAMS YIELD. 1. IN FISCAL YEAR 2022, THE ORLANDO HEALTH COMMUNITY BENEFIT TEAM PARTNERED WITH THE SHARING CENTER IN SEMINOLE COUNTY TO ESTABLISH PROJECT RISE. PROJECT RISE IS AN ADULT WORKFORCE DEVELOPMENT PROGRAM GEARED TOWARD THE UNEMPLOYED OR UNDEREMPLOYED TO GAIN ECONOMIC SELF-SUFFICIENCY AND EMPLOYMENT. THROUGH THIS PROGRAM, PARTICIPANTS COMPLETE SIX WEEKS OF CLASSROOM INSTRUCTION DEDICATED TO EMOTIONAL INTELLIGENCE, CRITICAL SOFT SKILLS AND GUIDANCE THROUGH JOB ACQUISITION AND WORKPLACE SKILLS. THE GOAL OF THIS PROGRAM IS FOR EACH PARTICIPANT TO OBTAIN GAINFUL EMPLOYMENT AND STABLE HOUSING. SINCE PROGRAM LAUNCH, 18 PEOPLE HAVE BEEN ENROLLED AND 14 PARTICIPANTS HAVE COMPLETED THEIR SIX-WEEK COURSE. OF THESE 14 PARTICIPANTS, TWO HAVE OBTAINED A PERMANENT JOB WHILE THE REMAINING PARTICIPANTS ARE CURRENTLY WORKING WITH A CASE MANAGER TO CONTINUE WORKFORCE TRAINING. EACH PARTICIPANT WILL BE MONITORED FOR UP TO THREE YEARS, AND THE PROGRAM WILL CONTINUE TO SERVE OUR MOST VULNERABLE POPULATIONS IN CENTRAL FLORIDA. 2. IN 2022, ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER (OHORMC) IDENTIFIED AN OPPORTUNITY TO ADDRESS THE HIV EPIDEMIC IN CENTRAL FLORIDA. DATA FOUND IN THE 2022 CHNA STATES THAT FROM 2018 - 2020, ORANGE AND OSCEOLA COUNTIES HAD A HIGHER RATE OF HIV CASES (31.1 AND 22.6 PER 100,000) THAN FLORIDA AT 20.0. ORLANDO HEALTH PARTNERED WITH THE FLORIDA DEPARTMENT OF HEALTH IN ORANGE COUNTY TO LAUNCH AN HIV OUTREACH COORDINATOR PROGRAM AT OHORMC. FUNDING PROVIDED BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES AND SUB-AWARDED TO ORLANDO HEALTH SUPPORTS THIS PROGRAM THROUGH MARCH 2025. SINCE THE LAUNCH OF THIS PROGRAM, THE HIV OUTREACH COORDINATOR HAS ASSESSED AND SUPPORTED OVER 200 PATIENTS AT OHORMC. THROUGH THIS PROGRAM, THE HIV OUTREACH COORDINATOR TESTS, TREATS AND EDUCATES PERSONS WHO SCREEN POSITIVE OR ARE ALREADY LIVING WITH HIV. THE COORDINATOR CAN ASSIST WITH PATIENTS OBTAINING PROPER MEDICAL CARE AND MAKING APPROPRIATE REFERRALS FOR TREATMENT WHEN NEEDED. THIS PROGRAM LAUNCHED IN LATE 2022 AND HAS RESULTED IN 200 HIV TESTS BEING PERFORMED, EIGHT HIV POSITIVE PATIENTS IDENTIFIED THROUGH TESTING AND ALL PATIENTS ATTENDING THEIR FIRST HIV APPOINTMENT. IN ADDITION TO CONNECTING PATIENTS TO CARE, THE HIV OUTREACH COORDINATOR LINKED TO MEDICAL CARE 20 KNOWN HIV PATIENTS WHO WERE NOT CURRENTLY SEEKING TREATMENT AT THE TIME. 3. IN 2022, ORLANDO HEALTH WAS ONE OF THREE RECIPIENTS OF FLORIDA BLUE FOUNDATION GRANTS TO ESTABLISH A HEALTH EQUITY TRAIN THE TRAINER PROGRAM. IN COLLABORATION WITH MOFFITT CANCER CENTER AND UNITED WAY OF BROWARD COUNTY, THE HEALTH EQUITY TRAIN THE TRAINER PROGRAM LAUNCHED IN MAY 2022. THE GOAL OF THIS PROGRAM IS TO LEVERAGE HEALTHCARE PROVIDERS' UNDERSTANDING OF HEALTH EQUITY AND TO SUPPORT THE IMPLEMENTATION OF HEALTH EQUITY-ORIENTED ACTIONS IN THE WORKPLACE TO MINIMIZE HEALTH DISPARITIES IN THE COMMUNITIES THEY SERVE. IN THIS PROGRAM, PARTICIPANTS LEARN SOCIAL DETERMINANTS OF HEALTH AND THEIR IMPACT ON HEALTH DISPARITIES, STRATEGIES TO INCREASE PATIENT SATISFACTION, IMPROVE TREATMENT ADHERENCE, INCREASE COMMUNICATION, AND DECREASE PATIENT MISTRUST THROUGH HEALTH EQUITY; AND LEARN IMPROVEMENTS TO ENHANCE PATIENT CARE, PROVIDER-PATIENT INTERACTION, INTERNAL PRACTICES, AND PROCESS IMPROVEMENTS FOR HEALTH EQUITY AND OUTCOMES. DURING THIS INAUGURAL YEAR, 108 PARTICIPANTS ENROLLED INTO FOUR DIFFERENT COHORTS AND A PILOT COHORT. OF THE 108 PARTICIPANTS ENROLLED, 87 ATTENDED AND 74 GRADUATED. THE PARTICIPANTS WERE FROM 27 DIFFERENT ORGANIZATIONS THROUGHOUT FLORIDA. NINE NEW COHORTS ARE SCHEDULED FOR 2023. 4. IN FISCAL YEAR 2022, ORLANDO HEALTH RECEIVED A GRANT FROM THE BOSTON SCIENTIFIC CORPORATION TO ESTABLISH THE CLOSE THE GAP - PROJECT HEALTHY HEART PROGRAM IN CENTRAL FLORIDA. THROUGH TARGETED ACTIVITIES IN THE COMMUNITY PROJECT HEALTHY HEART PROMOTES SERVICES FOR THE PREVENTION OF HEART FAILURE, CORONARY ARTERY DISEASE, AND ATRIAL FIBRILLATION AMONG UNDERSERVED ETHNIC POPULATIONS IN ORANGE, OSCEOLA AND SEMINOLE COUNTIES. THROUGH A PARTNERSHIP WITH THE CENTRAL FLORIDA BLACK NURSES ASSOCIATION OF ORLANDO, INC., 18 CARDIOVASCULAR EVENTS WERE PROVIDED TO THE COMMUNITY FROM JANUARY 1 - JUNE 30, 2022. PARTICIPANTS WERE INVITED TO TWO WEBINARS ON HYPERTENSION AND CARDIOVASCULAR HEALTH. DURING THE 18 OUTREACH EVENTS, 2,486 RESIDENTS OF ORANGE AND SEMINOLE COUNTIES ATTENDED. OF THE 2,486 RESIDENTS WHO ATTENDED, 73 PERCENT WERE BLACK/AFRICAN AMERICAN, AND 77 PERCENT WERE FEMALE. IN ADDITION TO THE OUTREACH EVENTS, ORLANDO HEALTH PARTNERED WITH JONES HIGH SCHOOL FOR THEIR BE A PLAYER CARDIAC SCREENING EVENT. AT THIS EVENT, 269 STUDENTS RECEIVED FREE CARDIAC SCREENINGS. OUT OF THE 269 STUDENTS, NINE WERE IDENTIFIED AS NEEDING FOLLOW-UP CARE, AND TWO WERE IDENTIFIED AS HIGHER-RISK STUDENTS. ORLANDO HEALTH WILL CONTINUE TO FIND OPPORTUNITIES LIKE THIS GRANT PROGRAM TO ADDRESS CHRONIC DISEASES WITHIN OUR UNDERSERVED ETHNIC COMMUNITIES. CONFRONTING THE OPIOID CRISIS: CONTINUING TO RESPOND TO THE OVERWHELMING NUMBER OF CENTRAL FLORIDA RESIDENTS DYING FROM DRUG OVERDOSES, ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER'S OPIOID OUTREACH COORDINATOR ASSESSES PATIENTS WHO PRESENT IN THE EMERGENCY ROOM WITH A POSSIBLE OVERDOSE. IN 2017, ORANGE COUNTY HAD BEEN AMONG FLORIDA'S TOP 10 COUNTIES WITH THE HIGHEST NUMBER OF DEATHS CAUSED BY OPIOIDS SUCH AS FENTANYL ANALOGS, OXYCODONE, ALPRAZOLAM AND METHADONE, AS WELL AS ACCIDENTAL DEATHS CAUSED BY PRESCRIPTION DRUGS. ASSIGNED TO THE EMERGENCY DEPARTMENT AT ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER, THE OPIOID OUTREACH COORDINATOR IS A LICENSED CLINICAL SOCIAL WORKER WHO WORKS WITH THE CARE MANAGEMENT TEAM. WHEN A PATIENT PRESENTS WITH A SUSPECTED SUBSTANCE USE OVERDOSE OR A CONDITION RELATED TO SUBSTANCE USE, THE COORDINATOR IS CALLED IN TO PERFORM AN ASSESSMENT. AFTER THE ASSESSMENT IS COMPLETED, THE PATIENT AND THE COORDINATOR DISCUSS OPTIONS FOR TREATMENT AND REFERRALS TO TREATMENT FACILITIES. FOR PATIENTS DIAGNOSED WITH A SUBSTANCE USE DISORDER, THE COORDINATOR
Schedule H, Part V, Section B, Line 11 Facility A, 2	Facility A, 2 - GROUP A, CONTINUED. WORKS WITH SPECIALISTS FROM A BEHAVIORAL HEALTH PARTNER THAT CAN OFFER EXTENDED INPATIENT CARE. THE NAVIGATOR ALSO CAN PROVIDE ADDITIONAL RESOURCES AND FOLLOW-UP SUPPORT FOR PATIENTS AND THEIR FAMILIES TO ENSURE SUCCESS. DURING COVID-19, AS RATES OF OVERDOSES INCREASED, THE OPIOID OUTREACH COORDINATOR IN PARTNERSHIP WITH OUR CARE MANAGEMENT TEAM IN THE ED HAS CONTINUED TO SERVE MEMBERS OF OUR COMMUNITY BATTLING SUBSTANCE USE DISORDER. TO CONTINUE THE SUPPORT AND EXPANSION OF THIS PROGRAM, THE OPIOID OUTREACH COORDINATOR ADMINISTERS NARCAN IN THE EMERGENCY ROOM AND, WORKS WITH THE PHARMACY TO PRESCRIBE METHADONE THAT ENABLES PATIENTS TO PARTICIPATE IN MEDICALLY ASSISTED TREATMENT. FUTURE OPPORTUNITIES INCLUDE WORKING WITH CAREER SOURCE TO IDENTIFY PATIENTS WHO ARE READY TO RE-ENTER THEIR COMMUNITY AND WORKFORCE THROUGH JOB SKILLS TRAINING AND EMPLOYMENT. IN FISCAL YEAR 2022, THE OPIOID OUTREACH COORDINATOR ASSESSED OVER 800 PATIENTS, DISTRIBUTED OVER 300 NARCAN KITS. OF THOSE SEEN, 63 PERCENT RECEIVED REFERRALS TO TREATMENT AND 128 PATIENTS INITIATED THE PROCESS TO BEGIN MEDICATION FOR OPIOID USE DISORDER WITHIN THE HOSPITAL. DATA ANALYSIS SUGGESTS THESE EFFORTS HAVE REDUCED REOCCURRING EMERGENCY ROOM VISITS BY MORE THAN 50 PERCENT AND FEWER THAN 40 PERCENT OF PATIENTS RETURNED WITH A SUBSTANCE USE DIAGNOSIS WITHIN 30 DAYS OF THEIR INITIAL VISIT. SERVING VULNERABLE PREGNANT WOMEN: MATERNAL AND INFANT HEALTH ARE A SIGNIFICANT FOCUS FOR ORLANDO HEALTH DUE TO THE LONG-TERM EFFECTS ON INDIVIDUALS WHO ARE VULNERABLE TO COMPLICATIONS SUCH AS GESTATIONAL DIABETES OR LOW BIRTH RATES. SUPPORTING PROGRAMS AND SERVICES THAT IMPROVE THE HEALTH OF MOTHERS AND INFANTS HAS SHOWN TO HAVE A POSITIVE, LASTING HEALTH TRAJECTORY. THIS IS TRUE FOR THE IMMEDIATE LIFESPAN OF AN INDIVIDUAL AND FOR THE FUTURE GENERATION OF FAMILIES RECEIVING SUCH PROGRAMS AND SERVICES. ORLANDO HEALTH WINNIE PALMER HOSPITAL FOR WOMEN AND BABIES RECEIVED A GRANT FROM AMERICAN ESSENTIALS HOSPITAL IN PARTNERSHIP WITH CVS HEALTH FOUNDATION TO ESTABLISH A TELEHEALTH PROGRAM FOR PATIENTS WHO RECENTLY DELIVERED AND WERE DIAGNOSED WITH HYPERTENSION OR DIABETES. THE PURPOSE OF THE TELEHEALTH MINORITY MATERNITY CARE PILOT PROGRAM IS TO LEVERAGE THE TELEHEALTH PLATFORM TO REDUCE HEALTH DISPARITIES, INCREASE ACCESS TO CARE, IMPROVE OBSTETRIC OUTCOMES, AND REDUCE SEVERE MATERNAL MORBIDITY IN BLACK PREGNANT AND POSTPARTUM PERSONS. ELIGIBLE PATIENTS INCLUDE PREGNANT AND POSTPARTUM PERSONS WITH HYPERTENSIVE DISORDERS OF PREGNANCY (INCLUDING CHRONIC HYPERTENSION, GESTATIONAL HYPERTENSION, PREECLAMPSIA, PREECLAMPSIA WITH SEVERE FEATURES, HELLP (HEMOLYSIS, ELEVATED LIVER FUNCTION TESTING AND LOW PLATELETS) AND ECLAMPSIA. THESE PATIENTS RECEIVE TELEHEALTH VISITS FOCUSED ON BLOOD PRESSURE MONITORING, MEDICATION REVIEW, SCREENING FOR STROKE SYMPTOMS; SCREENING FOR MENTAL HEALTH CONDITIONS; AND ASSESSMENT OF SDOH. TELEHEALTH VISITS ARE ALSO USED FOR CONSULTATIONS, REFERRALS FOR GROUP MENTAL HEALTH COUNSELING, REFERRALS TO ORLANDO HEALTH REACH PROGRAM; AND REFERRALS TO ALIGNED COMMUNITY PARTNERS IN ORANGE COUNTY. PROGRAM OBJECTIVES INCLUDE REDUCTIONS IN PREECLAMPSIA WITH SEVERE FEATURES; REDUCTIONS IN MEDICALLY INDICATED DELIVERY AT <35 WEEKS DUE TO MATERNAL OR FETAL CONDITION, ABRUPTION, FETAL OR NEONATAL DEATH; REDUCTIONS IN NICU ADMISSIONS; REDUCTIONS IN INTRAUTERINE GROWTH RESTRICTION; AND REDUCTIONS IN LOW-BIRTH-WEIGHT NEONATES. THIS PILOT PROGRAM WAS LAUNCHED IN FY2023 AND WE WILL CONTINUE TO MONITOR THE SUCCESS OF THIS PROGRAM. IN 2022, THE ORLANDO HEALTH COMMUNITY BENEFIT TEAM IDENTIFIED AN OPPORTUNITY TO EXPAND THE MIDWIFE BUS INTO ORANGE COUNTY FROM ITS ORIGINAL BASE IN OSCEOLA COUNTY. ACCORDING TO DATA FROM THE 2022 CHNA, ORANGE COUNTY HAS THE HIGHEST RATE OF MATERNAL MORBIDITY AND INFANT MORTALITY IN CENTRAL FLORIDA. PARTNERING WITH THE CITY OF ORLANDO, THE GRAND AVENUE NEIGHBORHOOD CENTER WAS IDENTIFIED AS A LOCATION THE MIDWIFE BUS WOULD PARK ONCE A WEEK TO PROVIDE PRE-NATAL AND POST-NATAL SERVICES TO UNINSURED OR UNDERINSURED VULNERABLE PREGNANT WOMEN IN ORANGE COUNTY WITH A FOCUS ON OUTREACH TO VULNERABLE ETHNIC RESIDENTS. THE MIDWIFE BUS PARTNERS WITH ORLANDO HEALTH WINNIE PALMER HOSPITAL FOR WOMEN AND BABIES TO REFER PATIENTS FOR DELIVERY AND INFANT CARE. THIS PROGRAM AIMS TO SUPPORT AT LEAST 400 PREGNANT WOMEN LIVING IN ORANGE COUNTY IN NEED OF MATERNAL SERVICES. WITH ORLANDO HEALTH'S SUPPORT, THE MIDWIFE BUS NOW PROVIDES SUPPORT IN BOTH ORANGE AND OSCEOLA COUNTIES WITH PLANS TO EXPAND SERVICES TO LAKE COUNTY. ORLANDO HEALTH WILL CONTINUE TO WORK WITH PROGRAMS LIKE THE MIDWIFE BUS TO ADDRESS HEALTH DISPARITIES AND WORK TOWARDS MAKING MEANINGFUL CHANGE IN MATERNAL HEALTHCARE. WITH ACCESS TO QUALITY CARE AS ITS PRIORITY, ORLANDO HEALTH DETERMINED THAT THE FOLLOWING ISSUES WOULD NOT BE EXPLICITLY INCLUDED IN ITS IMPLEMENTATION STRATEGY SO THAT IT COULD MAXIMIZE AVAILABLE RESOURCES FOR ADDRESSING ACCESS TO CARE. HOWEVER, ORLANDO HEALTH DOES PROVIDE SUPPORT AND SERVICES FOR SEVERAL OF THE REMAINING HEALTH NEEDS. AT THE TIME OF PRIORITIZATION, WE TOOK INTO ACCOUNT THE LEVEL TO WHICH SOME OF THE NEEDS WERE ALREADY BEING ADDRESSED IN THE SERVICE AREA, ALONG WITH WHETHER THE IDENTIFIED NEED FALLS OUTSIDE THE SCOPE OF OUR EXPERTISE AND RESOURCES. FOR THE NEEDS WE DID NOT SELECT, WE WILL CONTINUE TO PROVIDE SUPPORT AND SERVICES WHERE APPROPRIATE, INCLUDING THROUGH THE ORLANDO HEALTH COMMUNITY GRANT PROGRAM. IN ADDITION, MANY OF THE NEEDS LISTED BELOW WILL BE IMPACTED BY OUR FOCUS ON ACCESS TO CARE. WITH EFFORTS CONCENTRATED ON ACCESS TO CARE, WE ARE ABLE TO SUPPORT OUR COMMUNITY IN MULTIPLE ARENAS INSTEAD OF BEING LIMITED TO ONE CONDITION OR NEED. THIS FLEXIBILITY HELPS US BETTER SERVE THE MOST UNDERSERVED AND VULNERABLE POPULATIONS IN OUR COMMUNITY. FOUR - COUNTY SERVICE AREA NEEDS THAT WON'T BE EXPLICITLY ADDRESSED: - AFFORDABLE, QUALITY HOUSING - MENTAL HEALTH CRISIS SERVICES AND COMMUNITY AWARENESS OF AVAILABLE RESOURCES - MENTAL HEALTH OUTPATIENT SERVICES CAPACITY - INFORMATION SHARING AMONG PROVIDERS - CASE MANAGERS, COMMUNITY HEALTH WORKERS AND SIMILARLY LICENSED PROFESSIONALS TO GUIDE HIGH-NEED PATIENTS - RECRUITMENT AND RETENTION OF CULTURALLY DIVERSE AND INFORMED PROVIDERS WHO DEMOGRAPHICALLY REFLECT THE COMMUNITY - MENTAL HEALTH STIGMA REDUCTION - BEHAVIORAL HEALTH OUTPATIENT SERVICES FOR CHILDREN - CO-LOCATED CASE MANAGERS AND BEHAVIORAL HEALTH PROVIDERS AT COMMUNITY BASED PRIMARY CARE SITES - ACCESS TO CARE FOR SENIORS (E.G., TRANSPORTATION) - MENTAL HEALTH INPATIENT BED CAPACITY - HEALTH CARE SERVICES IN LOWER-INCOME AND PRIORITY COMMUNITIES - MENTAL HEALTH AND SUBSTANCE USE DISORDER TRANSITION CARE FOR INMATES BEING RELEASED FROM JAIL - CHILDCARE SERVICES, ESPECIALLY FOR CHILDREN WITH SPECIAL NEEDS AFFORDABLE, QUALITY HOUSING. WE DID NOT SELECT AFFORDABLE, QUALITY HOUSING AS A PRIORITY, BUT WE WILL CONTINUE TO SUPPORT EXISTING PROGRAMS AND SERVICES SURROUNDING THIS NEED. THROUGH OUR SELECTION OF ACCESS TO CARE WE BELIEVE WE CAN POSITIVELY IMPACT THIS AREA OF COMMUNITY NEED BY SUPPORTING PROGRAMS THAT ADDRESS INEQUITIES AFFECTED BY SOCIAL DETERMINANTS OF HEALTH. MENTAL HEALTH CRISIS SERVICES AND COMMUNITY AWARENESS OF AVAILABLE RESOURCES. WE CURRENTLY WORK WITH ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL AND COMMUNITY ORGANIZATIONS TO ADDRESS MENTAL HEALTH. THROUGH OUR SELECTION OF ACCESS TO CARE WE BELIEVE WE CAN POSITIVELY IMPACT RATES OF MENTAL HEALTH AND INCREASE ACCESS TO CRISIS SERVICES. PLEASE REFER TO APPENDIX A FOR INITIATIVES THAT ARE FOCUSED IN THIS AREA. MENTAL HEALTH OUTPATIENT SERVICES CAPACITY. WE CURRENTLY WORK WITH ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL AND COMMUNITY ORGANIZATIONS TO ADDRESS MENTAL HEALTH. THROUGH OUR SELECTION OF ACCESS TO CARE WE BELIEVE WE CAN POSITIVELY IMPACT RATES OF MENTAL HEALTH AND ADDRESS MENTAL HEALTH OUTPATIENT SERVICES CAPACITY. PLEASE REFER TO APPENDIX A FOR INITIATIVES THAT ARE FOCUSED IN THIS AREA. INFORMATION SHARING AMONG PROVIDERS. WE DID NOT SELECT INFORMATION SHARING AMONG PROVIDERS AS A PRIORITY BUT BELIEVE WE CAN POSITIVELY IMPACT THIS AREA OF COMMUNITY NEED THROUGH OUR SELECTION OF ACCESS TO CARE. WE SUPPORT SEVERAL PROGRAMS, SUCH AS THE ASPIRE BEHAVIORAL HEALTH NAVIGATOR, WHICH PROMOTES THE SHARING OF INFORMATION AMONG PROVIDERS IN ORDER TO PROVIDE BETTER, MORE COLLABORATIVE CARE FOR PATIENTS. CASE MANAGERS, COMMUNITY HEALTH WORKERS AND SIMILARLY LICENSED PROFESSIONALS TO GUIDE HIGH-NEED PATIENTS. WE DID NOT SELECT CASE MANAGERS, COMMUNITY HEALTH WORKERS AND SIMILARLY LICENSED PROFESSIONALS TO GUIDE HIGH-NEED PATIENTS AS A PRIORITY, BUT WE WILL CONTINUE TO SUPPORT EXISTING PROGRAMS AND SERVICES SURROUNDING THIS NEED. THROUGH OUR SELECTION OF ACCESS TO CARE WE BELIEVE WE CAN POSITIVELY IMPACT THIS AREA OF
Schedule H, Part V, Section B, Line 11 Facility A, 3	Facility A, 3 - GROUP A, CONTINUED. COMMUNITY NEED BY SUPPORTING PROGRAMS LIKE IMPOWER'S DISCHARGE/TRANSITIONAL SERVICES FOR TEENS UNDERGOING RESIDENTIAL SUBSTANCE ABUSE TREATMENT THAT PROVIDES CASE MANAGEMENT SERVICES TO PATIENTS. RECRUITMENT AND RETENTION OF CULTURALLY DIVERSE AND INFORMED PROVIDERS WHO DEMOGRAPHICALLY REFLECT THE COMMUNITY. WE DID NOT SELECT RECRUITMENT AND RETENTION OF CULTURALLY DIVERSE AND INFORMED PROVIDERS WHO DEMOGRAPHICALLY REFLECT THE COMMUNITY AS A PRIORITY, BUT WE WILL CONTINUE TO SUPPORT EXISTING PROGRAMS AND SERVICES SURROUNDING THIS NEED. THROUGH OUR SELECTION OF ACCESS TO CARE WE BELIEVE WE CAN POSITIVELY IMPACT THIS AREA OF COMMUNITY NEED BY SUPPORTING PROGRAMS LIKE HEALTH EQUITY TRAIN THE TRAINER PROGRAM, WHICH PROVIDES HEALTH EQUITY EDUCATION TO HEALTHCARE WORKERS. MENTAL HEALTH STIGMA REDUCTION. WE CURRENTLY WORK WITH ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL AND COMMUNITY ORGANIZATIONS TO ADDRESS MENTAL HEALTH. THROUGH OUR SELECTION OF ACCESS TO CARE WE BELIEVE WE CAN POSITIVELY IMPACT RATES OF MENTAL HEALTH AND ADDRESS MENTAL HEALTH STIGMA. PLEASE REFER TO APPENDIX A FOR INITIATIVES THAT ARE FOCUSED IN THIS AREA. BEHAVIORAL HEALTH OUTPATIENT SERVICES FOR CHILDREN. WE DID NOT SELECT BEHAVIORAL HEALTH OUTPATIENT SERVICES FOR CHILDREN AS A PRIORITY, BUT WE WILL CONTINUE TO SUPPORT EXISTING PROGRAMS AND SERVICES SURROUNDING THIS NEED. THROUGH OUR SELECTION OF ACCESS TO CARE WE BELIEVE WE CAN POSITIVELY IMPACT THIS AREA OF COMMUNITY NEED BY SUPPORTING PROGRAMS THAT PROVIDES BEHAVIORAL HEALTH OUTPATIENT SERVICES FOR CHILDREN. PLEASE REFER TO APPENDIX A FOR INITIATIVES THAT ARE FOCUSED IN THIS AREA. CO-LOCATED CASE MANAGERS AND BEHAVIORAL HEALTH PROVIDERS AT COMMUNITY-BASED PRIMARY CARE SITES. WE DID NOT SELECT CO-LOCATED CASE MANAGERS AND BEHAVIORAL HEALTH PROVIDERS AT COMMUNITY-BASED PRIMARY CARE SITES AS A PRIORITY, BUT WE WILL CONTINUE TO SUPPORT EXISTING PROGRAMS AND SERVICES SURROUNDING THIS NEED. PLEASE REFER TO APPENDIX A FOR INITIATIVES THAT ARE FOCUSED IN THIS AREA. ACCESS TO CARE FOR SENIORS (E.G., TRANSPORTATION). WHILE WE DID NOT SELECT ACCESS TO CARE FOR SENIORS AS A PRIORITY, WE CHOSE TO FOCUS ON INCREASING ACCESS TO CARE FOR ALL UNDERSERVED AND HIGH-RISK POPULATIONS. THROUGH OUR SELECTION OF BROAD ACCESS TO CARE WE BELIEVE WE CAN POSITIVELY IMPACT BARRIERS SENIORS FACE WHEN ATTEMPTING TO RECEIVE CARE. MENTAL HEALTH INPATIENT BED CAPACITY. WE CURRENTLY WORK WITH ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL AND COMMUNITY ORGANIZATIONS TO ADDRESS MENTAL HEALTH. THROUGH OUR SELECTION OF ACCESS TO CARE WE BELIEVE WE CAN POSITIVELY IMPACT RATES OF MENTAL HEALTH AND INCREASE ACCESS TO INPATIENT BED CAPACITY. PLEASE REFER TO APPENDIX A FOR INITIATIVES THAT ARE FOCUSED IN THIS AREA. HEALTHCARE SERVICES IN LOWER-INCOME AND PRIORITY COMMUNITIES. WE DID NOT SELECT HEALTHCARE SERVICES IN LOWER-INCOME AND PRIORITY COMMUNITIES AS A PRIORITY, BUT WE WILL CONTINUE TO SUPPORT EXISTING PROGRAMS AND SERVICES SURROUNDING THIS NEED. THROUGH OUR SELECTION OF ACCESS TO CARE WE BELIEVE WE CAN POSITIVELY IMPACT THE UNIQUE BARRIERS INDIVIDUALS FROM LOWER-INCOME AND PRIORITY COMMUNITIES FACE WHEN ATTEMPTING TO RECEIVE HEALTHCARE. PLEASE REFER TO APPENDIX A FOR INITIATIVES THAT ARE FOCUSED IN THIS AREA. MENTAL HEALTH AND SUBSTANCE USE DISORDER TRANSITION CARE FOR INMATES BEING RELEASED FROM JAIL. WE DID NOT SELECT MENTAL HEALTH AND SUBSTANCE USE DISORDER TRANSITION CARE FOR INMATES BEING RELEASED FROM JAIL AS A PRIORITY, BUT WE WILL CONTINUE TO SUPPORT EXISTING PROGRAMS AND SERVICES SURROUNDING THIS NEED. THROUGH OUR SELECTION OF ACCESS TO CARE WE BELIEVE WE CAN POSITIVELY IMPACT THIS AREA OF COMMUNITY NEED BY SUPPORTING PROGRAMS THAT PROVIDE MENTAL HEALTH AND SUBSTANCE USE DISORDER RESOURCES. CHILDCARE SERVICES, ESPECIALLY FOR CHILDREN WITH SPECIAL NEEDS. WE DID NOT SELECT CHILDCARE SERVICES, ESPECIALLY FOR CHILDREN WITH SPECIAL NEEDS AS A PRIORITY, BUT WE WILL CONTINUE TO SUPPORT EXISTING PROGRAMS AND SERVICES SURROUNDING THIS NEED. WE BELIEVE THAT THROUGH OUR SELECTION OF ACCESS TO CARE WE CAN POSITIVELY IMPACT THIS AREA OF COMMUNITY NEED.

Field	Value	IRS element (for citing)
Facility	46	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (46 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Business Name Line2BusinessName/BusinessNameLine2Txt
Orlando Health Cancer Institute
1400 South Orange Avenue	Orlando	FL	32806	Inpatient and Outpatient Cancer Care
Orlando Health Emergency Room and Medical Pavilion Osceola
1001 East Osceola Parkway	Kissimmee	FL	34744	Freestanding ER and Medical Pavilion
Orlando Regional Medical Center - Ambulatory Care Center
22 W Underwood Street	Orlando	FL	32806	Outpatient Surgery and Diagnostics
Orlando Health Heart & Vascular Institute
1222 South Orange Avenue	Orlando	FL	32806	Outpatient Diagnostic Center
Orlando Health Emergency Room and Medical Pavilion Lake Mary
380 Rinehart Road	Lake Mary	FL	32746	Freestanding ER and Medical Pavilion
Orlando Health Cancer Institute
9900 W Colonial Drive	Ocoee	FL	34761	Outpatient Cancer Care
Orlando Health Emergency Room and Medical Pavilion Randal Park
10155 Dowden Road	Orlando	FL	32832	Freestanding ER and Medical Pavilion
Orlando Health Cancer Institute
210 Rinehart Road Ste 1000	Lake Mary	FL	32746	Outpatient Cancer Care
Orlando Health Heart & Vascular Institute
10000 W Colonial Drive Suite 484	Ocoee	FL	34761	Outpatient Diagnostic Center
Orlando Health Heart & Vascular Institute
2080 Oakley Seaver Dr	Clermont	FL	34711	Outpatient Diagnostic Center
Orlando Health Heart & Vascular Institute
7236 Stonerock Circle	Orlando	FL	32819	Outpatient Diagnostic Center
Orlando Health Cancer Institute
7472 Docs Grove Circle	Orlando	FL	32819	Outpatient Cancer Care
Arnold Palmer Hospital for Children Outpatient Rehabilitation
925 S Orange Avenue	Orlando	FL	32806	Outpatient Pediatric Rehabilitation
Orlando Health Heart & Vascular Institute
100 North Dean Road Ste 202	Orlando	FL	32825	Outpatient Diagnostic Center
The Heart Center at Arnold Palmer Hospital for Children
1222 S Orange Avenue	Orlando	FL	32806	Outpatient Diagnostic Center
Orlando Health Heart & Vascular Institute
521 W State Road 434 Suite 307	Longwood	FL	32750	Outpatient Diagnostic Center
Orlando Health Women's Imaging Center
22 W Underwood Street	Orlando	FL	32806	Outpatient Imaging Center
Orlando Health Rehabilitation Services
521 W State Road 434 Suite 204	Longwood	FL	32750	Outpatient Rehabilitation
Arnold Palmer Hospital Outpatient Centers
50 West Sturtevant Street	Orlando	FL	32806	Outpatient Pediatric Services
Orlando Health Cancer Institute
1001 East Osceola Parkway	Orlando	FL	32819	Outpatient Cancer Care
Orlando Health Cancer Institute
105 West Miller Street	Orlando	FL	32806	Outpatient Cancer Care
Orlando Health Dr P Phillips Hospital Outpatient Rehabilitation
7000 Dr Phillips Boulevard	Orlando	FL	32819	Outpatient Services
Orlando Health Dr P Phillips Hospital Outpatient Rehabilitation
7350 Sandlake Commons Blvd Suite 1	Orlando	FL	32819	Outpatient Rehabilitation
Orlando Health Audiology Services
50 Sturtevant Street	Orlando	FL	32806	Outpatient Audiology Services
Orlando Health Orlando Regional Medical Center Institute for Advanced Rehab
1222 S Orange Avenue	Orlando	FL	32806	Outpatient Rehabilitation	ilitation - Outpatient
Orlando Health Imaging Centers
7243 Della Dr Suite C	Orlando	FL	32819	Outpatient Imaging Center
Arnold Palmer Hospital for Children Outpatient Rehabilitation
1555 Howell Branch Road Ste B1	Winter Park	FL	32789	Outpatient Pediatric Rehabilitation
Orlando Health Imaging Centers
1800 S Orange Ave	Orlando	FL	32806	Outpatient Imaging Center
Orlando Health Imaging Centers
392 Rinehart Rd Suite 1300	Lake Mary	FL	32746	Outpatient Imaging Center
Orlando Health Wound Healing Center
55 West Gore Street	Orlando	FL	32806	Outpatient Wound Care
Orlando Health Imaging Centers
5151 Winter Garden Vineland Rd Ste	Winderm	FL	34786	Outpatient Imaging Center
Orlando Health St Cloud Hospital Rehabilitation Services
1330 Budinger Ave Ste 204	Saint Cloud	FL	34769	Outpatient Rehabilitation Services
Orlando Health Imaging Centers
10889 W Colonial Dr	Ocoee	FL	34761	Outpatient Imaging Center
Orlando Health Orlando Regional Medical Center Institute for Advanced Rehab
100 W Gore St Ste 104	Orlando	FL	32806	Outpatient Rehabilitation	ilitation - Outpatient
Orlando Health Imaging Centers
398 E Altamonte Dr	Altamonte Springs	FL	32701	Outpatient Imaging Center
Orlando Health Wound Healing Center
7339 Stonerock Circle	Orlando	FL	32819	Outpatient Wound Care
Orlando Health St Cloud Hospital Digital Mammography
2900 17th St Ste 4/5	Saint Cloud	FL	34769	Digital Mammogram Services
Orlando Health Infusion Center
1414 Kuhl Avenue	Orlando	FL	32806	Outpatient Infusion Center
Arnold Palmer Hospital for Children Outpatient Infusion Center
60 W Gore Street	Orlando	FL	32806	Outpatient Infusion Center
South Seminole Wound Care Center
515 W State Road 434 Suite 101	Longwood	FL	32750	Outpatient Wound Care
Orlando Health Imaging Centers
1111 Fairbanks Ave	Winter Park	FL	32789	Outpatient Imaging Center
Orlando Health Heart & Vascular Institute
392 Rinehart Road Suite 2050	Lake Mary	FL	32746	Cardiac Rehab
Orlando Health Cancer Institute Genetics & High Risk Care Center
44 W Sturtevant St	Orlando	FL	32806	Outpatient Cancer Care
Orlando Health St Cloud Hospital Wound Care & Hyperbaric Center
2912 17th St	Saint Cloud	FL	34769	Outpatient Wound Care
Orlando Health Cancer Institute
22 W Underwood Street	Orlando	FL	32806	Outpatient Cancer Care
Orlando Health Heart & Vascular Institute
60 W Gore St	Orlando	FL	32806	Outpatient Diagnostic Center

Supplemental Information Detail SupplementalInformationDetail (19 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part VI, Line 6 Affiliated Health Care System	ORLANDO HEALTH, INC. IS THE PARENT ORGANIZATION OF AN INTEGRATED HEALTHCARE SYSTEM THAT PROVIDES COMPREHENSIVE SERVICES TO IMPROVE THE HEALTH AND QUALITY OF LIFE FOR THE COMMUNITIES SERVED. AS AN INTEGRATED HEALTHCARE SYSTEM, ORLANDO HEALTH HAS SEVERAL AFFILIATED AND SUPPORT ORGANIZATIONS THAT ENSURE WE MEET THESE COMMUNITIES' NEEDS. AS A NOT-FOR-PROFIT HEALTHCARE SYSTEM OUR MISSION IS TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND COMMUNITIES WE SERVE. OUR COMMUNITY BENEFIT EFFORTS MEET THE NEEDS OF THE COMMUNITIES WE SERVE IN THE FOLLOWING WAYS: * OFFERING DISCOUNTED OR FREE SERVICE TO OUR UNINSURED AND UNDERINSURED PATIENTS WHO ARE UNABLE TO PAY. * SUPPLEMENTING THE UNREIMBURSED COSTS OF THE GOVERNMENTAL MEDICAID ASSISTANCE PROGRAM. * SUBSIDIZING COSTS NOT REIMBURSED BY GOVERNMENTAL MEDICARE FUNDING FOR CARE PROVIDED TO SENIOR PATIENTS. * BENEFITING OUR COMMUNITY'S OVERALL HEALTH BY PROVIDING CLINICS AND PRIMARY CARE SERVICES, HEALTH FAIRS AND SCREENINGS, SUPPORT GROUPS AND MEDICAL RESEARCH. * INVESTING IN CAPITAL IMPROVEMENTS TO OUR FACILITIES AND TECHNOLOGY IN ORDER TO PROVIDE THE BEST POSSIBLE CARE FOR OUR PATIENTS. THROUGH THE INTEGRATED HEALTHCARE SYSTEM OF 10 HOSPITALS, SIX FREESTANDING EMERGENCY ROOMS AND VARIOUS OUTPATIENT FACILITIES, WITH OVER 25,000 EMPLOYEES AND NEARLY 3,300 PHYSICIANS ON MEDICAL STAFF, ORLANDO HEALTH DELIVERS A HIGH LEVEL OF QUALITY INPATIENT, OUTPATIENT AND EMERGENCY HEALTHCARE TO THE COMMUNITIES SERVED. ORLANDO HEALTH IS A DESIGNATED TEACHING HOSPITAL OFFERING GRADUATE MEDICAL EDUCATION SPONSORING 10 RESIDENCY, SEVEN PHARMACY RESIDENCY, AND 32 FELLOWSHIP PROGRAMS. ORLANDO HEALTH FACILITIES ENCOMPASS 3,140 FULLY CERTIFIED BEDS, ADVANCED MEDICAL TREATMENTS AND PROCEDURES, AND EXCEPTIONAL STAFF. AS PREVIOUSLY MENTIONED, ORLANDO HEALTH, INC., IS COMPOSED OF ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER (ORLANDO HEALTH ORMC), ORLANDO HEALTH ARNOLD PALMER HOSPITAL FOR CHILDREN, ORLANDO HEALTH WINNIE PALMER HOSPITAL FOR WOMEN AND BABIES, ORLANDO HEALTH DR. P. PHILLIPS HOSPITAL, ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL AND ORLANDO HEALTH ST. CLOUD HOSPITAL. ORLANDO HEALTH CENTRAL, INC. OPERATES ORLANDO HEALTH - HEALTH CENTRAL HOSPITAL AND ORLANDO HEALTH HORIZON WEST HOSPITAL, WHICH PROVIDES HIGH-QUALITY INPATIENT, OUTPATIENT AND EMERGENCY CARE FOR RESIDENTS OF CENTRAL FLORIDA. SOUTH LAKE HOSPITAL, INC. OPERATES ORLANDO HEALTH SOUTH LAKE HOSPITAL, WHICH PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE FOR RESIDENTS OF CENTRAL FLORIDA. OHI WEST, INC., IS COMPOSED OF BAYFRONT Health St. Petersburg, WHICH PROVIDES HIGH-QUALITY INPATIENT, OUTPATIENT AND EMERGENCY CARE FOR RESIDENTS OF PINELLAS COUNTY, FLORIDA. ORLANDO HEALTH MEDICAL GROUP, INC. SERVES AS A FUNDAMENTAL COMPONENT OF ORLANDO HEALTH'S HEALTHCARE SYSTEM BY PROVIDING AN INTEGRATED DELIVERY NETWORK OF SPECIALTY PHYSICIAN SERVICES, OCCUPATIONAL HEALTH SERVICES, REHABILITATION HEALTH SERVICES AND BEHAVIORAL HEALTH SERVICES WITH MORE THAN 900 PHYSICIANS IN THE CENTRAL FLORIDA AREA. ORLANDO HEALTH CANCER INSTITUTE, NOW A PART OF ORLANDO HEALTH MEDICAL GROUP, INC., HAS MADE SIGNIFICANT CONTRIBUTIONS TO THE CARE OF CANCER PATIENTS IN CENTRAL FLORIDA. ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER, ORLANDO HEALTH CANCER INSTITUTE WITH ORLANDO HEALTH, INC., IS COMMITTED TO DELIVERING HIGH-QUALITY CARE FOR CANCER PATIENTS UTILIZING OUR EXTENSIVE EXPERIENCE AND VITAL RESOURCES, FROM THE INITIAL DIAGNOSIS THROUGH EVERY STAGE OF TREATMENT. ORLANDO PHYSICIAN NETWORK, INC. ALSO SERVES AS A FUNDAMENTAL COMPONENT OF ORLANDO HEALTH'S HEALTH SYSTEM BY PROVIDING AN INTEGRATED DELIVERY SYSTEM OF PRIMARY CARE PHYSICIAN SERVICES WITH OVER 100 PHYSICIANS IN THE CENTRAL FLORIDA AREA. ORLANDO HEALTH FOUNDATION, INC. IS THE PHILANTHROPIC HEART OF ORLANDO HEALTH'S INTEGRATED HEALTHCARE SYSTEM AND HAS BEEN INSTRUMENTAL IN RAISING FUNDS FOR CAPITAL IMPROVEMENTS AND RENOVATIONS TO OUR HOSPITALS, AND IN SUPPORTING PROGRAMS AND THE ACQUISITION OF LIFE-SAVING EQUIPMENT FOR OUR COMMUNITIES. THROUGH ORLANDO HEALTH'S HEALTHCARE SYSTEM, WE PROVIDED APPROXIMATELY $586 MILLION IN SUPPORT OF COMMUNITY HEALTH NEEDS.
SECTION 501(R) RISK ASSESSMENT	ORLANDO HEALTH, INC. (OHI) CONDUCTED AN EXTENSIVE REVIEW OF ITS POLICIES AND PROCEDURES TO ENSURE COMPLIANCE WITH THE REQUIREMENTS OF IRC SECTION 501(R). OHI OPERATES SIX HOSPITAL FACILITIES FOR WHICH IT MUST SATISFY THE REQUIREMENTS OF SECTION 501(R). THE REVIEW THAT OHI UNDERTOOK ADDRESSED SECTION 501(R) COMPLIANCE AT EACH OF THE FOLLOWING HOSPITAL FACILITIES: 1. ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER (OHORMC) 2. ORLANDO HEALTH ARNOLD PALMER HOSPITAL FOR CHILDREN (OHAPH) 3. ORLANDO HEALTH WINNIE PALMER HOSPITAL FOR WOMEN AND BABIES (OHWPH) 4. ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL (OHSSH) 5. ORLANDO HEALTH DR. P. PHILLIPS HOSPITAL (OHDPH) 6. ORLANDO HEALTH ST. CLOUD HOSPITAL (OHSCH) OHI MAKES PHYSICAL COPIES OF ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND FINANCIAL ASSISTANCE POLICY (FAP) AVAILABLE TO THE PUBLIC AT EACH OF THE OHI'S HOSPITALS AS REQUIRED BY SECTION 501(R). OHI PROVIDES PATIENT-FACING EMPLOYEES WITH ANNUAL TRAINING TO ENSURE THAT THEY COULD IDENTIFY THE PHYSICAL LOCATIONS WITHIN THE HOSPITAL FACILITIES WHERE PATIENTS COULD OBTAIN PHYSICAL COPIES OF THESE DOCUMENTS. OHI DETERMINED AS PART OF ITS SECTION 501(R) REVIEW TO ENHANCE PUBLIC AWARENESS OF ITS FAP AND THE FINANCIAL ASSISTANCE AVAILABLE TO DISADVANTAGED MEMBERS OF ITS COMMUNITY. ACCORDINGLY, OHI DISSEMINATED INFORMATION ON THE AVAILABILITY OF FINANCIAL ASSISTANCE AT OHI HOSPITAL FACILITIES TO COMMUNITY PARTNERS IN EACH OF THE FOLLOWING CATEGORIES: FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS), MEDICAL HOMES AND OTHER NONPROFIT ORGANIZATIONS THAT SERVE LOW INCOME POPULATIONS. THE COMMUNITY PARTNERS IDENTIFIED IN EACH GROUP RESPECTIVELY ARE: GRACE MEDICAL HOME, SHEPHERD'S HOPE, COMMUNITY HEALTH CENTERS, TRUE HEALTH, HEALTH CARE CENTER FOR THE HOMELESS DBA ORANGE BLOSSOM FAMILY HEALTH, COALITION FOR THE HOMELESS, ORANGE COUNTY MEDICAL CLINIC, AND MEMBERS OF THE PRIMARY CARE ACCESS NETWORK (PCAN) IN ORANGE COUNTY. IN ADDITION, OHI DESIGNATED A COMMUNITY LIAISON TO ATTEND REGULAR FUNCTIONS IN THE COMMUNITY, DISPLAY THE FAP AT THESE FUNCTIONS, AND PROVIDE COPIES OF THE FAP TO COMMUNITY MEMBERS. FINALLY, OHI HAS IMPLEMENTED REVIEWS OF ITS WEBSITE LINKS TO ENSURE INFORMATION REQUIRED BY SECTION 501(R) IS AVAILABLE TO THE PUBLIC. OHI HAS ESTABLISHED A METHODS FOR MEMBERS OF THE PUBLIC TO PROVIDE INPUT ON OHI'S CHNA REPORT AND IMPLEMENTATION STRATEGY. SUCH INPUT WILL BE MONITORED AND TRACKED QUARTERLY ALONG WITH WEBSITE LINKS PROVIDING INFORMATION TO THE PUBLIC. OHI WILL CONTINUE TO IDENTIFY REPRESENTATIVES OF THE LOW-INCOME, UNDERSERVED AND MINORITY POPULATION(S) IN THE COMMUNITY FROM WHOM INPUT WAS SOLICITED AND DESCRIBE THE RESOURCES POTENTIALLY AVAILABLE TO ADDRESS THE SIGNIFICANT HEALTH NEEDS THROUGHOUT THE 2022 CHNA. DATE RANGES FOR WHICH OHI CONDUCTED SURVEYS AND INTERVIEWS WITHIN THE COMMUNITY TO SEEK INPUT ON IDENTIFYING AND PRIORITIZING COMMUNITY HEALTH NEEDS WILL ALSO BE INCLUDED IN THE 2022 CHNA. MOREOVER, OHI WILL INCLUDE AN EVALUATION IN THE 2022 CHNA OF THE IMPACT OF ANY ACTIONS THAT WERE TAKEN, SINCE OHI FINISHED CONDUCTING ITS IMMEDIATELY PRECEDING CHNA, TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN EACH HOSPITAL FACILITY'S PRIOR CHNA. FINALLY, OHI WILL CONTINUE TO LIST ALL PARTNERS THAT IT PLANS TO WORK WITH IN ADDRESSING SIGNIFICANT COMMUNITY HEALTH NEEDS (I.E., LOCAL HEALTH DEPARTMENTS, OTHER HOSPITALS, NON-PROFITS, GOVERNMENT AGENCIES AND ADVOCACY GROUPS) THAT ARE KNOWN AT THE TIME OF IMPLEMENTATION.
Schedule H, Part III Line 2 and 4	BAD DEBT EXPENSE REFLECTED IN PART III, LINE 2 REPRESENTS COST OF CHARGES WRITTEN OFF AS UNCOLLECTIBLE. BOTH DISCOUNTS AND PAYMENTS TO ACCOUNTS WILL REDUCE THE BAD DEBT EXPENSE, SHOULD THE ACCOUNT BE REPORTED AS BAD DEBT. THAT IS TO SAY, DISCOUNTS APPLIED TO ACCOUNTS ARE NOT REVERSED PRIOR TO DECLARING, ADJUSTING AND/OR WRITING OFF ACCOUNTS AS BAD DEBT. ALL ACCOUNTS WHICH ARE ADJUSTED TO, OR WRITTEN OFF TO, BAD DEBT ARE REVIEWED TO DETERMINE THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE. IF SUFFICIENT DOCUMENTATION WAS NOT PROVIDED BY THE ACCOUNT HOLDER, ORLANDO HEALTH USES PREDICTIVE ANALYTICS TO DETERMINE IF THE FINANCIAL ASSISTANCE FOR ACCOUNTS ARE ADJUSTED TO, OR WRITTEN OFF TO, BAD DEBT. ORLANDO HEALTH USES DATA DERIVED FROM THIRD PARTIES WHICH INCLUDE, BUT ARE NOT LIMITED TO DEMOGRAPHIC VERIFICATION, INCOME VERIFICATION, HOUSEHOLD SIZE VERIFICATION, PAYMENT HISTORY INFORMATION, PROPERTY OWNERSHIP INFORMATION, OCCUPATION INFORMATION, VEHICLE OWNERSHIP HISTORY AND VALUES AND HOME OWNERSHIP HISTORY AND VALUES. ONCE THIS DATA LOGIC IS APPLIED, IT BECOMES APPARENT IF THE ACCOUNT QUALIFIES FOR FINANCIAL ASSISTANCE. IF THE ACCOUNT DOES QUALIFY, PREVIOUS UNINSURED DISCOUNTS, BAD DEBT ADJUSTMENTS AND/OR WRITE OFFS ARE REVERSED AND THE NEW BALANCE REFLECTED IS RECLASSIFIED AS FINANCIAL ASSISTANCE OR CHARITY, WHICH IS REDUCED TO COST. CONSISTENT WITH THE SYSTEM'S MISSION, CARE IS PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THEREFORE, THE SYSTEM HAS DETERMINED THAT IT HAS PROVIDED IMPLICIT PRICE CONCESSIONS TO UNINSURED PATIENTS AND PATIENTS WITH OTHER UNINSURED BALANCES SUCH AS COPAYS AND DEDUCTIBLES. THE DIFFERENCE BETWEEN AMOUNTS BILLED TO PATIENTS AND THE AMOUNTS EXPECTED TO BE COLLECTED BASED ON THE SYSTEM'S COLLECTION HISTORY WITH THOSE PATIENTS IS RECORDED AS IMPLICIT PRICE CONCESSIONS, OR AS A DIRECT REDUCTION TO NET PATIENT REVENUE. SUBSEQUENT ADJUSTMENTS THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S OR PAYOR'S ABILITY TO PAY ARE RECOGNIZED AS BAD DEBT EXPENSE. BAD DEBT EXPENSE IS RECORDED AS A COMPONENT OF OTHER OPERATING EXPENSES IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS. BAD DEBT EXPENSE FOR THE YEARS ENDED SEPTEMBER 30, 2021 AND 2020 WAS NOT SIGNIFICANT FOR THE SYSTEM. (ORLANDO HEALTH, INC. AUDITED FINANCIAL STATEMENTS, PAGE 17).
Schedule H, Part I, Line 7 EXPLANATION OF COSTING METHODOLOGY USED FOR CALCULATING LINE 7 TABLE	THE AMOUNTS OF COSTS REPORTED ON LINE 7 PART I OF SCHEDULE H WERE DETERMINED BY UTILIZATION OF A COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2 AS CONTAINED IN THE SCHEDULE H INSTRUCTIONS.
Schedule H, Part I, Line 7f BAD DEBT REPORTING	BAD DEBT WAS REPORTED AS AN OFFSET TO PATIENT REVENUE AND NOT ON PART IX. THEREFORE, FORM 990, PART IX, LINE 25 DID NOT INCLUDE BAD DEBT EXPENSE.
Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT	NONE
Schedule H, Part II COMMUNITY BUILDING ACTIVITIES	THE PRIMARY PURPOSE OF ORLANDO HEALTH'S COMMUNITY BUILDING ACTIVITIES IS TO IMPROVE HEALTH IN THE CENTRAL FLORIDA COMMUNITY. WHEN A PARTICULAR PHYSICIAN SPECIALTY IS DEFICIENT IN THE COMMUNITY IN COMPARISON TO THE POPULATION, IT CAN LIMIT ACCESS TO HEALTHCARE SERVICES AND RESULT IN POOR HEALTH OUTCOMES. TO RECTIFY THOSE WORKFORCE SHORTAGES, ORLANDO HEALTH MAY HELP RECRUIT PHYSICIANS WHEN A NEED IS IDENTIFIED TO ESTABLISH, ENHANCE, OR MAINTAIN A MEDICAL SERVICE IN THE AREA. TO DETERMINE NEED, ORLANDO HEALTH USES INDEPENDENT HEALTH PLANNING SERVICE ORGANIZATIONS; COMMUNITY NEEDS ASSESSMENT; AND INDEPENDENTLY MAINTAINED PHYSICIAN DATABASE SOFTWARE. THESE PHYSICIAN RECRUITMENT EFFORTS MEET THE COMMUNITY BENEFIT OBJECTIVE OF IMPROVING ACCESS TO HEALTH SERVICES, WHICH IN TURN IMPROVES PUBLIC HEALTH. WE WILL CONTINUE TO FIND WAYS TO RECRUIT COMMUNITY-BASED PHYSICIANS TO HELP COMBAT PHYSICIAN SHORTAGES IN THE COMING FISCAL YEAR.
Schedule H, Part V, Section B, Line 16a	https://www.orlandohealth.com/patients-and-visitors/patient-financial-resources/pay-your-bill/cant-afford-your-bill/financial-assistance
Schedule H, Part V, Section B, Line 16b	https://www.orlandohealth.com/patients-and-visitors/patient-financial-resources/pay-your-bill/cant-afford-your-bill/financial-assistance
Schedule H, Part V, Section B, Line 16c	https://www.orlandohealth.com/patients-and-visitors/patient-financial-resources/pay-your-bill/cant-afford-your-bill/financial-assistance
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE COSTING METHODOLOGY USED TO REPORT THE AMOUNT REPORTED ON LINE 6 AS MEDICARE ALLOWABLE COSTS OF CARE RELATING TO PAYMENTS RECEIVED FROM MEDICARE WAS CALCULATED USING THE MEDICARE COST REPORT. ORLANDO HEALTH DOES NOT CURRENTLY INCLUDE MEDICARE SHORTFALL AS A COMMUNITY BENEFIT.HOWEVER, AS A NOT-FOR-PROFIT ORGANIZATION WE PROVIDE EMERGENCY AND REQUIRED CARE TO ALL PATIENTS REGARDLESS OF THEIR FINANCIAL STATUS. DESPITE THE MEDICARE SHORTFALL, NOT-FOR-PROFIT HOSPITALS MUST AND WILL CONTINUE TO CARE FOR THE MEDICARE POPULATION AND ACCEPT THE MEDICARE REIMBURSEMENT RATE. CARING FOR THE MEDICARE PATIENT POPULATION FULFILLS A COMMUNITY NEED AND RELIEVES A GOVERNMENT BURDEN AS THIS CLASS OF PATIENTS TYPICALLY HAS LOW AND/OR FIXED INCOMES. THE MEDICARE PATIENT POPULATION IS LARGE AND THE LACK OF SUFFICIENT REIMBURSEMENT TO COVER THE COST OF PROVIDING CARE FOR THESE PATIENTS NECESSITATES THAT NOT-FOR-PROFIT HOSPITALS USE OTHER FUNDS TO COVER THE DEFICIT. NOT-FOR-PROFIT HOSPITALS HAVE A RESPONSIBILITY TO WORK TOWARD IMPROVED HEALTH IN THE COMMUNITIES THEY SERVE AND CARING FOR THE MEDICARE PATIENTS, DESPITE THE SHORTFALL OF REIMBURSEMENT, IS A DIRECT COMMUNITY BENEFIT AND PROVIDES VALUE DIRECTLY TO THE COMMUNITIES SERVED.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	COLLECTION PRACTICES ARE CONSISTENT FOR ALL PATIENTS AND COMPLY WITH APPLICABLE PROVISIONS OF STATE LAW. DURING PREADMISSION, AT REGISTRATION OR AT BEDSIDE, ORLANDO HEALTH PROVIDES ALL PATIENTS WITH INFORMATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE. ORLANDO HEALTH PERFORMS A THOROUGH EVALUATION OF THE PATIENT'S FINANCIAL STATUS TO ENSURE THE UTILIZATION OF ALL DISCOUNTS AND CHARITY CARE PROGRAMS AVAILABLE UNDER THEIR DISCOUNT AND CHARITY CARE POLICIES. THIS DETERMINATION PROCESS IS COMPLETED BEFORE ANY PATIENT'S ACCOUNT PROCEEDS TO COLLECTION. ORLANDO HEALTH DOES NOT PURSUE COLLECTION PRACTICES AGAINST PATIENTS KNOWN TO QUALIFY FOR CHARITY CARE OR OTHER FINANCIAL ASSISTANCE.
Schedule H, Part V, Section B, Line 16a FAP website	A - ORLANDO REGIONAL MEDICAL CENTER: Line 16a URL: SEE PART VI;
Schedule H, Part V, Section B, Line 16b FAP Application website	A - ORLANDO REGIONAL MEDICAL CENTER: Line 16b URL: SEE PART VI;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	A - ORLANDO REGIONAL MEDICAL CENTER: Line 16c URL: SEE PART VI;
Schedule H, Part VI, Line 2 Needs assessment	IN 2022, ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER (ORLANDO HEALTH ORMC), ORLANDO HEALTH DR. P. PHILLIPS HOSPITAL, ORLANDO HEALTH - HEALTH CENTRAL HOSPITAL, ORLANDO HEALTH HORIZON WEST HOSPITAL, ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL, ORLANDO HEALTH ARNOLD PALMER HOSPITAL FOR CHILDREN, ORLANDO HEALTH WINNIE PALMER HOSPITAL FOR WOMEN AND BABIES, ORLANDO HEALTH ST. CLOUD HOSPITAL AND ORLANDO HEALTH SOUTH LAKE HOSPITAL CONDUCTED A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT. HOWEVER, PRIOR TO THE ASSESSMENT, ORLANDO HEALTH ANALYZED THE SERVICES NEEDED AS PART OF OUR STRATEGY, AND BUDGETING PLANNING AND DEVELOPED A PROCESS TO ENSURE THE ORGANIZATION IS RESPONSIVE TO COMMUNITY HEALTH NEEDS. THROUGH OUR EDUCATION, RESEARCH, AND PATIENT CARE PROGRAMS, AS WELL AS THE ORLANDO HEALTH COMMUNITY GRANT PROGRAM, ORLANDO HEALTH MEETS THE NEEDS OF THE COMMUNITY. THE SPECIFIC NEEDS TARGETED BY THESE PROGRAMS HAVE BEEN IDENTIFIED THROUGH THE EXPERIENCE OF COMMUNITY HOSPITAL LEADERSHIP, NEIGHBORHOOD OUTREACH AND THROUGH ASSESSMENTS THAT IDENTIFIED HEALTH NEEDS IN THE COMMUNITIES SERVED BY THE HOSPITALS ALONG WITH HOSPITAL DATA. AS A RESULT, ORLANDO HEALTH SUPPORTS A VARIETY OF PROGRAMS FOR AT-RISK POPULATIONS, FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS AND SPECIAL NEEDS GROUPS, AS WELL AS FOR THE BROADER COMMUNITY. ADDITIONAL EXAMPLES OF HOW ORLANDO HEALTH RESPONDS TO COMMUNITY HEALTH NEEDS ARE AS FOLLOWS: 1. GOVERNING BOARDS ARE COMPOSED OF INDIVIDUALS BROADLY REPRESENTATIVE OF THE COMMUNITY, COMMUNITY LEADERS AND THOSE WITH SPECIALIZED MEDICAL TRAINING AND EXPERTISE; 2. PARTNERSHIP WITH LOCAL GROUPS AND ASSOCIATIONS TO ATTEND TO THE HEALTH CARE NEEDS OF THE ORLANDO HEALTH COMMUNITY; 3. SPONSORSHIP AND PARTICIPATION IN COMMUNITY FORUMS, HEALTH FAIRS, COMMUNITY FITNESS AND WELLNESS EVENTS, AND OTHER OUTREACH EVENTS; AND 4. TRANSITION SERVICES POST-DISCHARGE PATIENT FOR FOLLOW-UPS RELATED TO ON-GOING CARE AND TREATMENT TO PREVENT UNNECESSARY ADMISSIONS AND POTENTIAL RE-ADMISSIONS.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	ORLANDO HEALTH FOLLOWS AN ESTABLISHED PROCESS TO INFORM ALL PATIENTS OF ITS CHARITY CARE AND UNINSURED DISCOUNT POLICIES. DURING PREADMISSION, AT REGISTRATION OR AT BEDSIDE, UNINSURED PATIENTS ARE INFORMED OF THE HOSPITAL'S CHARITY CARE POLICY AND OTHER FINANCIAL ASSISTANCE. FINANCIAL INFORMATION IS SECURED FOR ALL UNINSURED PATIENTS TO SCREEN FOR POSSIBLE ENROLLMENT IN FEDERAL, STATE, AND LOCAL PROGRAMS. ORLANDO HEALTH HAS CONTRACTED DEDICATED ORGANIZATIONS THAT ASSIST THE PATIENT WITH THEIR ENROLLMENT PROCESS ALL THE WAY TO APPROVAL OR DENIAL BY THE RESPECTIVE AGENCIES. FOR UNINSURED PATIENTS THAT ARE DENIED COVERAGE OR DO NOT MEET THE COVERAGE CRITERION FOR A RESPECTIVE AGENCY, ORLANDO HEALTH THEN SCREENS THE PATIENT FOR CHARITY ELIGIBILITY. IT IS ORLANDO HEALTH'S OBJECTIVE TO PROVIDE CHARITY CARE TO OUR PATIENTS WHO DO NOT HAVE THE ABILITY TO PAY.
Schedule H, Part VI, Line 4 Community information	ORLANDO HEALTH CURRENTLY OPERATES 10 HOSPITALS IN FLORIDA, WHICH HAS MILLIONS OF RESIDENTS AND INTERNATIONAL VISITORS ANNUALLY. THE HEALTH SYSTEM IS ONE OF CENTRAL FLORIDA'S LARGEST EMPLOYERS WITH OVER 25,000 EMPLOYEES AND NEARLY 3,300 ON-STAFF PHYSICIANS. AS A STATUTORY TEACHING HOSPITAL, WE OFFER GRADUATE MEDICAL EDUCATION WHERE WE ARE THE INSTITUTIONAL SPONSOR OF 10 RESIDENCY, SEVEN PHARMACY RESIDENCY, 32 FELLOWSHIP PROGRAMS, AND HOST MORE THAN 350 RESIDENTS AND FELLOWS ANNUALLY. ORLANDO HEALTH FACILITIES ENCOMPASS 3,140 FULLY CERTIFIED BEDS, ADVANCED MEDICAL TREATMENTS AND PROCEDURES AND HIGHLY QUALIFIED STAFF. ORLANDO HEALTH IS COMPRISED OF ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER (ORLANDO HEALTH ORMC), ORLANDO HEALTH ARNOLD PALMER HOSPITAL FOR CHILDREN, ORLANDO HEALTH WINNIE PALMER HOSPITAL FOR WOMEN AND BABIES, ORLANDO HEALTH DR. P. PHILLIPS HOSPITAL, ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL, ORLANDO HEALTH ST. CLOUD HOSPITAL, ORLANDO HEALTH - HEALTH CENTRAL HOSPITAL, ORLANDO HEALTH HORIZON WEST HOSPITAL, ORLANDO HEALTH SOUTH LAKE HOSPITAL AND BAYFRONT HEALTH ST. PETERSBURG. ORLANDO HEALTH ORMC IS HOME TO THE REGION'S ONLY LEVEL ONE TRAUMA CENTER. THIS STATE-VERIFIED CENTER IS CAPABLE OF DELIVERING THE HIGHEST LEVEL OF EXPERTISE AND CARE IN THE SHORTEST TIME POSSIBLE. ORLANDO HEALTH ORMC'S LEVEL ONE TRAUMA CENTER PROVIDES SPECIALIZED CARE FOR CRITICALLY INJURED OR CRITICALLY ILL PEOPLE WITHIN A 90-MILE RADIUS, AND OVER 523,368 PATIENTS VISITED OUR EMERGENCY DEPARTMENTS IN 2022. ORLANDO HEALTH ARNOLD PALMER IS THE FIRST FACILITY IN CENTRAL FLORIDA TO PROVIDE EMERGENCY CARE EXCLUSIVELY FOR PEDIATRICS, INCLUDING LEVEL ONE TRAUMA. IN ADDITION TO TRAUMA CARE, THE LEVEL ONE TRAUMA CENTER AND AIR CARE TEAM SERVE AS AN INTEGRAL RESOURCE FOR DISASTER READINESS AND RESPONSE PLANNING IN GREATER ORLANDO. AIR CARE TRANSPORTED 836 ADULT TRAUMA PATIENTS AND 156 PEDIATRIC TRAUMA PATIENTS IN 2022. ORLANDO HEALTH'S PRIMARY SERVICE AREA IS COMPRISED OF LAKE, ORANGE, OSCEOLA, AND SEMINOLE COUNTIES. THE MEDIAN HOUSEHOLD INCOME IN THESE COUNTIES IS $73,739. IN CENTRAL FLORIDA, 12.9 PERCENT OF HOUSEHOLDS ARE BELOW THE FEDERAL POVERTY GUIDELINE. THE PERCENT UNINSURED (AGE 0-64) FOR THE FOUR COUNTY AREA IS 16.7 PERCENT AND THERE ARE 11 FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS PRESENT IN THIS REGION. COMMUNITY OUTREACH ACTIVITIES INCLUDED THE SHIFT TO SOCIAL DISTANCING PROTOCOLS SUCH AS ONLINE SPEAKER'S BUREAU, ONLINE SUPPORT/EDUCATION GROUPS, ONLINE WELLNESS CLASSES, CLINICAL SCREENINGS THROUGH TELEHEALTH AND ASSESSMENTS, MEDICAL EDUCATION, RESEARCH, WOMEN, CHILDREN AND SENIOR HEALTH INITIATIVES, PUBLIC PROGRAM ENROLLMENT ASSISTANCE AND POST-ACUTE CARE FOR HOMELESS AND UNINSURED, SPONSORSHIPS, SCHOOL INITIATIVES, DONATED MEETING SPACE AND SPIRITUAL CARE.
Schedule H, Part VI, Line 5 Promotion of community health	AS A NOT-FOR-PROFIT HEALTHCARE ORGANIZATION, THE CULTURE OF CARING AT ORLANDO HEALTH TOUCHES THE LIVES OF MANY INDIVIDUALS AND FAMILIES THROUGHOUT CENTRAL FLORIDA. ORLANDO HEALTH DEMONSTRATES A COMMITMENT TO PROMOTE HEALTH, WELL-BEING, AND A CARING SPIRIT BY DIRECTING EMPLOYEE TIME AND TALENT TO SERVE ON COMMUNITY COLLABORATION BOARDS AND VOLUNTEERISM. IN FISCAL YEAR 2022 OUR TEAM MEMBERS AND PHYSICIANS PROVIDED OVER 3,100 VOLUNTEER HOURS. THESE HOURS WERE SPENT OUTSIDE OUR HEALTHCARE SYSTEM TO SUPPORT COMMUNITY PARTNERS AND THE NEEDS IN OUR COMMUNITY. ORLANDO HEALTH WORKS WITH NEIGHBORHOOD RESOURCES TO ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS BY SUPPORTING PROGRAMS THAT TARGET COMMUNITY WELLNESS, DISEASE PREVENTION AND ENVIRONMENTAL PROBLEMS. ORLANDO HEALTH FOSTERS PARTNERSHIPS WITH OTHER COMMUNITY AGENCIES IN ITS SERVICE AREA THAT WORK COLLABORATIVELY TO HELP THOSE IN NEED AND TO IMPROVE THE HEALTH AND SAFETY OF THE RESIDENTS OF THE COMMUNITY. BOTH CASH AND IN-KIND DONATIONS ARE MADE ANNUALLY TO THESE VARIOUS LOCAL CHARITABLE ORGANIZATIONS. ORLANDO HEALTH ADDRESSES VARIOUS COMMUNITY CONCERNS, INCLUDING HEALTH IMPROVEMENT, EDUCATION, POVERTY, WORKFORCE DEVELOPMENT AND ACCESS TO HEALTH CARE. THE KEY COMPONENT OF A NOT-FOR-PROFIT ORGANIZATION IS THAT THE ORGANIZATION SERVES A BROAD, INDEFINITE CHARITABLE CLASS. ONE OF THE KEY INDICATORS THAT AN ORGANIZATION DOES SERVE THE BROADER COMMUNITY IS CONTROL OF THE ORGANIZATION BY INDEPENDENT COMMUNITY LEADERS. ORLANDO HEALTH AND ITS HOSPITAL GOVERNING BOARD ARE MADE UP OF MEMBERS WHO DIRECT AND GUIDE MANAGEMENT IN CARRYING OUT THE MISSION OF ORLANDO HEALTH AND ITS AFFILIATES. DIRECTORS ARE SELECTED ON THE BASIS OF THEIR EXPERTISE AND EXPERIENCE. ORLANDO HEALTH'S VOLUNTEER BOARD BALANCES FINANCIAL DECISIONS ON COMMUNITY CONCERNS AND SOCIAL RESPONSIBILITY. ORLANDO HEALTH OPERATES AN OPEN MEDICAL STAFF BY EXTENDING MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN CENTRAL FLORIDA. SURPLUS FUNDS ARE RETAINED BY ORLANDO HEALTH AND USED TO CARRY OUT THE MISSION OF IMPROVING THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND COMMUNITIES WE SERVE.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (43 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
City of Davenport
1 S Allpaha Ave	Davenport	FL	33837	596018699	Gov't	$6,250	Sponsorship
Homeless Emergency Project Inc
1120 N Betty Lane	Clearwater	FL	33755	592729694	501(c)(3)	$7,161	Sponsorship
University of Central Florida Foundation Inc
12201 Research Pkwy Ste 300	Orlando	FL	32826	596211832	501(c)(3)	$60,000	Sponsorship
Central Florida Hope Center Inc
12629 US HWY 27 Steves Road	Clermont	FL	34711	843325902	501(c)(3)	$10,000	Sponsorship
Habitat for Humanity of Pinellas County Inc
13355 49th St N Ste B	Clearwater	FL	33762	592509116	501(c)(3)	$50,000	Sponsorship
Neighborly Care Network Inc
13945 Evergreen Ave 4th Flr	Clearwater	FL	33762	591218100	501(c)(3)	$10,000	Sponsorship
Gulf Coast Jewish Family and Community Services Inc
14041 Icot Blvd	Clearwater	FL	33760	591229354	501(c)(3)	$10,000	Sponsorship
Community Health Centers of Pinellas Foundation Inc
14100 58th St N	Clearwater	FL	33760	842812917	501(c)(3)	$10,000	Sponsorship
Orlando Health Medical Group Inc
1414 Kuhl Ave	Orlando	FL	32806	593259553	501(c)(3)	$107,451	Program Services
Grace Medical Home Inc
1417 E Concord St	Orlando	FL	32803	261817966	501(c)(3)	$150,000	Sponsorship
Libbys Legacy Breast Cancer Foundation
1718 S Orange Ave	Orlando	FL	32806	113812766	501(c)(3)	$25,000	Sponsorship
OTEM Collective Inc
2001 Glenridge Way	Winter Park	FL	32792	844685544	501(c)(3)	$6,000	Sponsorship
LIFT Orlando Inc
2043 Jacobs Pl	Orlando	FL	32805	463607865	501(c)(3)	$25,000	Sponsorship
United Against Poverty Inc
2050 40th Ave Ste 9	Vero Beach	FL	32960	113697936	501(c)(3)	$10,000	Sponsorship
Junior Achievement of Central Florida Inc
2121 Camden Rd	Orlando	FL	32803	593599158	501(c)(3)	$25,000	Sponsorship
Health Care Center for the Homeless Inc
232 N Orange Blossom Trail	Orlando	FL	32805	593185020	501(c)(3)	$125,000	Sponsorship
American Heart Association Inc
237 E Marks St	Orlando	FL	32803	135613797	501(c)(3)	$120,000	Sponsorship
Orlando Museum of Art
2416 N Mills Ave	Orlando	FL	32803	590910352	501(c)(3)	$20,000	Sponsorship
City Year Inc
287 Columbus Ave	Boston	MA	02116	222882549	501(c)(3)	$10,000	Sponsorship
Metropolitan Charities Inc
3251 3rd Ave N	St Petersburg	FL	33713	593153947	501(c)(3)	$50,000	Sponsorship
Foundation for Seminole County Public Schools Inc
400 E Lake Mary Blvd	Sanford	FL	32773	592775956	501(c)(3)	$50,000	Sponsorship
Florida Department of Health
400 W Airport Blvd	Sanford	FL	32773	593502843	Gov't	$50,000	Sponsorship
Second Harvest Food Bank of Central Florida Inc
411 Mercy Drive	Orlando	FL	32805	592142315	501(c)(3)	$25,268	Sponsorship
Central Florida Young Men's Christian Association
433 N Mills Ave	Orlando	FL	32803	590624430	501(c)(3)	$20,000	Sponsorship
Orange County Public Schools
445 W Amelia St	Orlando	FL	32804	596000771	Gov't	$87,102	Sponsorship
United Cerebral Palsy of Central Florida Inc
4780 Data Ct	Orlando	FL	32817	590799925	501(c)(3)	$43,070	Sponsorship
The Children's Home Society of Florida
482 S Keller Rd 3rd Flr	Orlando	FL	32810	590192430	501(c)(3)	$18,719	Sponsorship
United Way Suncoast Inc
5201 W Kennedy Blvd Ste 600	Tampa	FL	33609	593725701	501(c)(3)	$10,000	Sponsorship
Seniors First Inc
5395 LB McLeod Road	Orlando	FL	32811	592759603	501(c)(3)	$10,000	Sponsorship
Center for Independent Living in Central Florida Inc
720 N Denning Dr	Winter Park	FL	32789	591828770	501(c)(3)	$15,000	Sponsorship
City of Minneola
800 N US Hwy 27	Minneola	FL	34715	596165132	Gov't	$25,000	Sponsorship
Lake-Sumter State College Foundation Inc
9501 US Hwy 441	Leesburg	FL	34788	591990323	501(c)(3)	$50,000	Sponsorship
City of St Petersburg Florida
PO Box 2842	St Petersburg	FL	33731	596000424	Gov't	$150,000	Sponsorship
National Black Nurses Association Inc
PO Box 585142	Orlando	FL	32858	593288443	501(c)(3)	$15,000	Sponsorship
St Petersburg Free Clinic Inc
863 3rd Ave N	St Petersburg	FL	33701	237208280	501(c)(3)	$10,000	Sponsorship
The Leukemia & Lymphoma Society Inc
3 International Dr Ste 200	Rye Brook	NY	10573	135644916	501(c)(3)	$20,000	Sponsorship
Heart of Florida United Way
1940 Cannery Way	Orlando	FL	32804	590808854	501(c)(3)	$20,000	Sponsorship
Faith and Action for Strength Together
PO Box 10421	St Petersburg	FL	33733	202058779	501(c)(3)	$20,000	Sponsorship
OnePulse Foundation Inc
125 N Lucerne Cir E	Orlando	FL	32801	813142847	501(c)(3)	$25,000	Sponsorship
The Boggy Creek Gang Inc
30500 Brantley Branch Rd	Eustis	FL	32736	593012889	501(c)(3)	$25,000	Sponsorship
STAR-TEC Enterprises Inc
501 1st Ave N Ste 901	St Petersburg	FL	33701	272800023	501(c)(3)	$25,000	Sponsorship
Boise State University
1910 University Dr	Boise	ID	83725	820290701	Gov't	$30,000	Sponsorship
Foundation for Seminole State College of Florida Inc
1055 AAA Dr	Heathrow	FL	32746	237033822	501(c)(3)	$500,000	Sponsorship

Field	Value	IRS element (for citing)
Total501c3 Org	43	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	ORLANDO HEALTH, INC. MAKES GRANTS SOLELY TO GOVERNMENT ENTITIES AND ORGANIZATIONS EXEMPT FROM TAX UNDER THE INTERNAL REVENUE CODE SECTION 501(C)(3) THAT FURTHER THE MISSION OF ORLANDO HEALTH TO SUPPORT HEALTHCARE IN CENTRAL FLORIDA. ORLANDO HEALTH COMMUNITY RELATIONS DEPARTMENT DETERMINES SUPPORT FOR LOCAL NON PROFIT SPONSORSHIPS. THE GRANTS ARE MONITORED TO ENSURE THE ORGANIZATION'S MISSION IS ALIGNED WITH ORLANDO HEALTH'S, MEETING A SOCIAL AND COMMUNITY NEED IN THE AREAS OF HEALTH, SOCIAL SERVICES, ARTS AND EDUCATION.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	Yes (X)	FirstClassOrCharterTravelInd
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
David W Strong
President & CEO	$1,367,137	$0	$3,300,085	$0	$541,074	$0	$503,151	$0	$29,368	$0	$5,740,815	$0	$536,715	$0
Aurelio Duran
Former Board Member	$0	$397,660	$0	$902,641	$0	$273,588	$0	$12,876	$0	$20,383	$0	$1,607,148	$0	$0
Sanford S Shugart PHD
Former Board member, Chairman until 03/22/21	$39,815	$0	$0	$0	$0	$0	$0	$0	$0	$0	$39,815	$0	$0	$0
Mary F Farrell
Former Board Member	$469,527	$0	$81,380	$0	$39,268	$0	$10,751	$0	$0	$0	$600,926	$0	$21,372	$0
Bernadette Spong
Chief Financial Officer Until 6/2022	$762,765	$0	$1,048,578	$0	$399,123	$0	$16,148	$0	$25,664	$0	$2,252,278	$0	$212,631	$0
David F Huddleson
VP, Chief Compliance & Ethics Officer	$302,031	$0	$221,057	$0	$79,887	$0	$65,524	$0	$25,631	$0	$694,130	$0	$73,791	$0
Jamal A Hakim MD
Chief Operating Officer	$890,045	$0	$1,213,475	$0	$361,764	$0	$235,611	$0	$25,631	$0	$2,726,526	$0	$355,443	$0
Mark A Jones
Foundation SVP/Dir Capital Cam	$630,042	$0	$513,940	$0	$118,541	$0	$137,660	$0	$19,525	$0	$1,419,708	$0	$113,169	$0
Kelly Nierstedt
SVP, OH & President, ORMC as of 6/2022	$541,377	$0	$255,317	$0	$76,796	$0	$102,829	$0	$3,545	$0	$979,864	$0	$30,286	$0
Thibaut Van Marcke De Lummen
SVP, OH & Pres, DPH	$513,151	$0	$237,389	$0	$74,610	$0	$100,663	$0	$34,922	$0	$960,735	$0	$73,490	$0
Mildred Denise Beam
SVP, OH & Chief Legal Strat	$453,440	$0	$323,178	$0	$46,564	$0	$104,621	$0	$16,840	$0	$944,643	$0	$45,435	$0
John W Bozard
SVP, OH & Pres, OH Foundation	$255,476	$255,476	$182,267	$182,267	$60,859	$60,859	$16,493	$16,493	$10,691	$10,691	$525,786	$525,786	$0	$0
Sunil S Desai MD
SVP, OH & Pres, OHMG	$684,501	$0	$944,845	$0	$230,747	$0	$173,144	$0	$35,922	$0	$2,069,159	$0	$163,320	$0
Erick R Hawkins
Chief Admin Officer, OH	$629,185	$0	$843,383	$0	$214,667	$0	$149,080	$0	$12,157	$0	$1,848,472	$0	$202,995	$0
Gregory P Ohe
SVP, Ambu Svcs, Orlando Health	$406,136	$0	$557,493	$0	$112,323	$0	$97,046	$0	$19,499	$0	$1,192,497	$0	$102,671	$0
Andrew Snyder
SVP, Marketing & Communication	$392,636	$0	$535,809	$0	$75,463	$0	$95,495	$0	$9,783	$0	$1,109,186	$0	$72,414	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a First-class or charter travel	DURING FY2022, OFFICERS, BOARD MEMBERS AND KEY EMPLOYEES OF ORLANDO HEALTH, INC. WERE PERMITTED TO FLY FIRST-CLASS OR WERE PERMITTED TO USE A CHARTERED FLIGHT SERVICE WHEN OTHER FLIGHT ARRANGEMENTS WERE NOT AVAILABLE. THE TRAVEL WAS ENTIRELY BUSINESS RELATED FOR OFFICERS, BOARD MEMBERS AND KEY EMPLOYEES.
Schedule J, Part I, Line 1a Tax indemnification and gross-up payments	When applicable, payments made to board members and board officers were grossed-up for tax indemnification purposes.
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	ORLANDO HEALTH, INC. IS A COMMON PAYMASTER AND COMMON PAY AGENT FOR ORLANDO HEALTH MEDICAL GROUP, INC. (EIN: 59 3259553), ORLANDO HEALTH FOUNDATION, INC. (EIN: 59-2244943), ORLANDO HEALTH CENTRAL, INC. (EIN: 80-0764192), SOUTH LAKE HOSPITAL, INC. (EIN: 59 3322533), OSCEOLASC, LLC (EIN: 20-3728235), OHI WEST, INC. (EIN: 84-5074208), OHI WEST MEDICAL GROUP, LLC (EIN: 85-2733660), AND ORLANDO PHYSICIANS NETWORK, INC. (EIN: 59-3110868) AND THEIR EMPLOYEES ARE INCLUDED ON THE ORLANDO HEALTH, INC. 941. THE ORLANDO HEALTH, INC. INDEPENDENT COMPENSATION COMMITTEE APPROVES ALL OFFICER COMPENSATION ARRANGEMENTS, WHICH REPORTS TO THE ORLANDO HEALTH BOARD OF DIRECTORS AND FOLLOWS IRS GUIDELINES.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL QUALIFIED RETIREMENT PLAN. DEFERRAL DEPOSITS: David W. Strong $490,480 Jamal A. Hakim, MD $222,895 Sunil S. Desai, MD $163,236 Erick R Hawkins $132,725 Mark A. Jones $122,758 Mildred Denise Beam $93,732 Gregory P. Ohe $91,031 Kelly Nierstedt $90,463 Thibaut Van Marcke De Lummen $88,189 Andrew Snyder $86,232 David F. Huddleson $53,258 John W Bozard $21,222 DEFERRAL DISTRIBUTIONS MADE TO THE FOLLOWING: David W. Strong $536,715 Jamal A. Hakim, MD $355,443 Bernadette Spong $212,631 Erick R Hawkins $202,995 Sunil S. Desai, MD $163,320 Mark A. Jones $113,169 Gregory P. Ohe $102,671 David F. Huddleson $73,791 Thibaut Van Marcke De Lummen $73,490 Andrew Snyder $72,414 Mildred Denise Beam $45,435 Kelly Nierstedt $30,286 Mary Farrell $21,372

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
ORANGE COUNTY HEALTH FACILITIES AUTHORITY
A	521378595	6845035U5	2008-06-18	$179,360,000	REFUND SERIES 1999A, 1999B & 1999C	false	false	false
ORANGE COUNTY HEALTH FACILITIES AUTHORITY
B	521378595	68450LGA7	2019-07-03	$157,946,198	REFUND SERIES 2009	false	false	false
ORANGE COUNTY HEALTH FACILITIES AUTHORITY
C	521378595		2011-09-15	$83,175,000	REFUND SERIES 2007A-1 & A-2 BONDS	false	false	false
ORANGE COUNTY HEALTH FACILITIES AUTHORITY
D	521378595	68450LCD5	2012-05-23	$190,757,522	ORMC REDEVELOPMENT PROJECT	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Refunding EscrowRefundingEscrowAmt	Other Spent ProceedsOtherSpentProceedsAmt	Capital ExpendituresCapitalExpendituresAmt
A	$145,250,000	$179,362,824	$1,573,177	$1,053,969	$176,732,854	2008	Yes (true)	false	Yes (true)	Yes (true)
B	$43,660,000	$157,947,314				2019	false	Yes (true)	Yes (true)	Yes (true)	$157,946,198
C		$83,175,000	$309,605			2011	Yes (true)	false	Yes (true)	Yes (true)		$82,865,395
D	$184,875,000	$190,971,375	$1,981,410			2015	false	false	Yes (true)	Yes (true)		$33,276,112	$155,500,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	Yes (true)	Yes (true)	false	0.0004	0.0004	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	false	0.007	0.007	false	false	Yes (true)
C	false	Yes (true)	Yes (true)	Yes (true)	false	0.0103	0.0103	false	false	Yes (true)
D	false	Yes (true)	Yes (true)	Yes (true)	false	0.0085	0.0085	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
GOLDMAN SACHS
A	false	false	false	Yes (true)	Yes (true)	Yes (true)	13.1	false	false	false	false	false	Yes (true)
(no name)
B	false	Yes (true)	false	false	false	false				false		false	Yes (true)
MORGAN STANLEY
C	false	false	false	Yes (true)	Yes (true)	Yes (true)	28.0	false	false	false		false	Yes (true)
(no name)
D	false	false	false	Yes (true)	false	false				false		false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part I, Column (f)	HOSPITAL REVENUE BONDS, SERIES 2008D, E, F, AND G TOGETHER WITH THE DEBT SERVICE RESERVE FUNDS FROM THE 1999ABC BONDS, THE PROCEEDS WERE USED TO REFUND THE 1999ABC BONDS (ISSUE DATE 9/22/99), PAY COSTS OF ISSUANCE, AND PAY THE TERMINATION VALUE OF INTEREST RATE SWAP AGREEMENTS THAT HEDGED THE VARIABLE RATE EXPOSURE OF THE 1999ABC BONDS. SERIES 2019B HOSPITAL REVENUE REFUNDING BONDS FORWARD DELIVERY - ADVANCE REFUND 2009 BONDS AND PAY THE COSTS OF ISSUANCE OF THE 2019B BONDS. SERIES 2011 HOSPITAL REVENUE BONDS - PROCEEDS USED TO REFUND THE SERIES 2007A-1 AND A-2 BONDS. SERIES 2012A & 2012B REVENUE BONDS - ESTABLISH A PROJECT FUND FOR THE ORLANDO REGIONAL MEDICAL CENTER REDESIGN AND DEVELOPMENT PROJECT AND PAY OFF A CONSTRUCTION LOAN RELATED TO MEDICAL OFFICE AND OUTPATIENT SERVICES BUILDING. SERIES 2016A REVENUE REFUNDING BONDS - CURRENT REFUND 2006B BONDS, ADVANCE REFUND PORTION OF 2008A & B BONDS AND ADVANCE REFUND 2008C BONDS AND PAY THE COSTS OF ISSUANCE OF THE 2016A BONDS. SERIES 2016B REVENUE BONDS - REFINANCE ON A TAX-EXEMPT BASIS THE TAX-EXEMPT PORTION OF HEALTH CENTRAL 2012 PURCHASE MONEY PROMISSORY NOTE AND PAY THE COSTS OF ISSUANCE OF THE 2016B BONDS. SERIES 2022 HOSPITAL REVENUE BONDS - FINANCE THE CONSTRUCTION AND EQUIPPING OF A NEW 180 BED HOSPITAL TO BE KNOWN AS ORLANDO HEALTH LAKE MARY HOSPITAL.
Schedule K, Part IV, Line 2c	LAST DATE REBATE COMPUTATION WAS PERFORMED FOR ARBITRAGE SERIES 2008E REFUND SERIES 1999A, 1999B & 1999C 12/31/2017 SERIES 2011 REFUND SERIES 2007A-1 & A-2 BONDS 9/15/2021 SERIES 2012 ORMC REDEVELOPMENT PROJECT 4/12/2022 SERIES 2016 RFD 2006B, RFD 2008A-C, REFI HC 4/27/2021
Schedule K, Part I, Column (c) Page 2 - Row B	Both CUSIPS, 68450LGP4 and 68450LGQ2, apply to the Issuer and Bond identified in row B.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
ORANGE COUNTY HEALTH FACILITIES AUTHORITY
A	521378595	68450LER2	2016-04-27	$276,195,917	RFD 2006B, RFD 2008A-C, REFI HC	false	false	false
ORANGE COUNTY HEALTH FACILITIES AUTHORITY
B	521378595	68450LGP4	2022-01-15	$351,412,255	SEE PART VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$2,555,000	$276,199,540	$136,747,879	$2,250,398	$70,645,200	$66,552,440	2016	Yes (true)	Yes (true)	Yes (true)	Yes (true)
B		$353,426,103		$2,646,857	$50,820,784		2024	false	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	Yes (true)	Yes (true)	false	0.0012	0.0012	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	false		0.0	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	false	false	Yes (true)	false	false	false	false	Yes (true)
B	false	Yes (true)	false	false	false	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MARY FARRELL MD	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	SEE PART V	RelationshipDescriptionTxt
Transaction	$1,460,174	TransactionAmt
Transaction	CONTRACTED FPA, LLC	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule L, Part IV, Column (b)	FormAndLineReferenceDesc
Explanation	MARY FARRELL, MD, FORMER BOARD MEMBER OF ORLANDO HEALTH, INC., IS ALSO EMPLOYED AND AN OFFICER OF FLORIDA PEDIATRIC ASSOCIATES, LLC, WHICH IS CONTRACTED TO PERFORM PEDIATRIC CRITICAL CARE SERVICES FOR THE HOSPITAL. THE HOSPITAL ENGAGES FLORIDA PEDIATRIC ASSOCIATES, LLC AT ARMS-LENGTH TRANSACTIONS AT FAIR MARKET VALUE.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4a	ORLANDO HEALTH IS ONE OF FLORIDA'S MOST COMPREHENSIVE PRIVATE, NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS. SINCE 1918, ORLANDO HEALTH HAS BEEN PART OF THE GREATER ORLANDO COMMUNITY, GROWING FROM A SINGLE HOSPITAL INTO AN AWARD-WINNING, NOT-FOR-PROFIT HEALTHCARE ORGANIZATION AND COMMUNITY-BASED NETWORK OF PHYSICIAN PRACTICES, HOSPITALS AND OUTPATIENT CARE CENTERS STRETCHING FROM THE GULF TO THE ATLANTIC COASTS. AS A LEADING HEALTHCARE RESOURCE, PROVIDING WORLD-CLASS MEDICAL CARE AS WELL AS TRAINING OUR FUTURE HEALTHCARE PROVIDERS, ORLANDO HEALTH CONTINUES TO FOSTER GROWTH AND DEVELOPMENT THROUGHOUT THE REGION. OUR SYSTEM INCLUDES: ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER (ORLANDO HEALTH ORMC) - ONE OF THE LARGEST TERTIARY FACILITIES IN THE REGION, ORMC IS ORLANDO HEALTH'S FLAGSHIP FACILITY AND HOME TO THE AREA'S ONLY LEVEL ONE TRAUMA CENTER. FOR OVER 100 YEARS, ORMC HAS PROVIDED THE MOST ADVANCED OPTIONS AVAILABLE FOR SURGICAL, MEDICAL, REHABILITATIVE AND EMERGENCY CARE. TODAY, THROUGH STATE-OF-THE-ART TECHNOLOGY AND LEADING MEDICAL SPECIALISTS, ORMC PROVIDES A COMPREHENSIVE CONTINUUM OF CARE FOR TRAUMA, CARDIOVASCULAR, STROKE, NEUROSCIENCE, ONCOLOGY, SURGERY, DIGESTIVE HEALTH, AND ORTHOPEDIC PATIENTS. IN ADDITION, ORMC IS HOME TO CENTRAL FLORIDA'S ONLY AIR AMBULANCE SERVICE AND IS ONE OF THE STATE'S MAJOR TEACHING HOSPITALS. ORLANDO HEALTH ARNOLD PALMER HOSPITAL FOR CHILDREN - FOR MORE THAN 25 YEARS, ORLANDO HEALTH ARNOLD PALMER HOSPITAL HAS BEEN A PLACE OF HOPE AND HEALING. DEDICATED EXCLUSIVELY TO THE HEALTHCARE NEEDS OF CHILDREN, ORLANDO HEALTH ARNOLD PALMER HOSPITAL OFFERS EXPERTISE IN A WIDE RANGE OF PEDIATRIC SPECIALTIES, INCLUDING CARDIOLOGY AND CARDIAC SURGERY, CRANIOMAXILLOFACIAL SURGERY, ENDOCRINOLOGY AND DIABETES, AND GASTROENTEROLOGY. ORLANDO HEALTH ARNOLD PALMER HOSPITAL ALSO HOUSES CENTRAL FLORIDA'S ONLY PEDIATRIC LEVEL ONE TRAUMA CENTER AND EMERGENCY DEPARTMENT. THE HOWARD PHILLIPS CENTER FOR CHILDREN & FAMILIES IS ALSO UNDER THE ORLANDO HEALTH ARNOLD PALMER HOSPITAL UMBRELLA. THROUGH THE HOWARD PHILLIPS CENTER, A CONTINUUM OF UNIQUE, SPECIALIZED SERVICES IS PROVIDED TO AT-RISK CHILDREN AND FAMILIES IN CENTRAL FLORIDA FACING DIFFICULT MEDICAL AND EMOTIONAL CHALLENGES SUCH AS ABUSE, NEGLECT, DEVELOPMENTAL DELAYS AND LACK OF ACCESS TO PROPER HEALTHCARE. IN 2022, OVER 15,000 CHILDREN AND FAMILIES WERE SERVED THROUGH THE CENTER'S SIX SPECIALIZED PROGRAMS. ORLANDO HEALTH WINNIE PALMER HOSPITAL FOR WOMEN AND BABIES - DESIGNED TO MEET THE UNIQUE HEALTH NEEDS OF WOMEN AND BABIES, ORLANDO HEALTH WINNIE PALMER HOSPITAL PROVIDES A CARING, FAMILY-CENTERED ENVIRONMENT. THROUGH STATE-OF-THE-ART TECHNOLOGY AND A COMMITTED TEAM, ORLANDO HEALTH WINNIE PALMER'S LEVEL III NEONATAL INTENSIVE CARE UNIT (NICU) HAS ONE OF THE HIGHEST SURVIVAL RATES IN THE COUNTRY FOR LOW-BIRTH WEIGHT BABIES. A LEADER IN OBSTETRICS AND NEONATAL INTENSIVE CARE AS WELL AS COMPREHENSIVE HEALTHCARE FOR WOMEN THROUGHOUT ALL STAGES OF LIFE, THE HOSPITAL OFFERS A WIDE RANGE OF OBSTETRIC AND GYNECOLOGIC SERVICES. ORLANDO HEALTH CANCER INSTITUTE - THE ESTABLISHMENT OF THE ORLANDO HEALTH CANCER INSTITUTE BRINGS THE MOST EXPERIENCED CANCER DOCTORS TOGETHER WITH TOP CANCER RESEARCHERS TO PROVIDE UNIQUE TREATMENTS TAILORED TO EACH PATIENT'S NEEDS. HOME TO THE MARJORIE AND LEONARD WILLIAMS CENTER FOR PROTON THERAPY, THE CENTER IS FLORIDA'S FIRST - AND ONLY THE NATION'S 23RD - PROTON THERAPY CENTER. WITH 60 PRIVATE INPATIENT BEDS, SPECIFIC SERVICES INCLUDE GENETIC COUNSELING, INTEGRATIVE MEDICINE, NUTRITION SERVICES, COUNSELING AND REHABILITATION. ORLANDO HEALTH DR. P. PHILLIPS HOSPITAL - A COMPREHENSIVE COMMUNITY HOSPITAL, ORLANDO HEALTH DR. P. PHILLIPS OFFERS A WIDE RANGE OF SPECIALIZED PROGRAMS AND SERVICES FOR OUR PATIENTS IN SOUTHWEST ORANGE COUNTY. THE FULL-SERVICE MEDICAL AND SURGICAL FACILITY OFFERS DIAGNOSTIC IMAGING, REHABILITATION AND SURGICAL SERVICES, INCLUDING VASCULAR, NEUROSURGERY, ONCOLOGY, ORTHOPEDICS AND THE DAVINCI ROBOTIC SURGICAL SYSTEM. THE HOSPITAL ALSO INCLUDES CARDIOVASCULAR CARE AS A FULLY ACCREDITED CHEST PAIN CENTER AND A DESIGNATED PRIMARY STROKE CENTER. HOME HEALTHCARE, WOUND CARE THERAPIES AND MULTIPLE SCLEROSIS COMPREHENSIVE CARE ALSO ARE PROVIDED. ORLANDO HEALTH - HEALTH CENTRAL HOSPITAL - SERVING OUR PATIENTS IN WEST ORANGE COUNTY, ORLANDO HEALTH - HEALTH CENTRAL IS A FULL-SERVICE ACUTE CARE COMMUNITY HOSPITAL PROVIDING ACCESS TO A WIDE RANGE OF SPECIALTY CARE. THE HOSPITAL PROVIDES SERVICES IN CARDIAC CARE, NEUROLOGY, NEUROSURGERY, ORTHOPEDIC AND SPINE CARE, ENDOCRINOLOGY, ONCOLOGY, WOUND CARE, MAMMOGRAPHY AND GENERAL SURGERY. THE HOSPITAL ALSO IS A PRIMARY STROKE CENTER. ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL - SERVING SEMINOLE COUNTY, ORLANDO HEALTH SOUTH SEMINOLE IS A FULL-SERVICE COMMUNITY HOSPITAL OFFERING ADVANCED MEDICAL PROCEDURES AS WELL AS A FOCUS ON PREVENTION, WELLNESS AND COMMUNITY OUTREACH SERVICES. AMONG ITS SERVICES ARE ENDOSCOPY, WOMEN'S HEALTH, BEHAVIORAL HEALTH, WOUND CARE AND HYPERBARIC MEDICINE. A VARIETY OF THERAPIES, INCLUDING PHYSICAL, OCCUPATIONAL AND SPEECH ARE AVAILABLE. ORLANDO HEALTH SOUTH LAKE HOSPITAL - SERVING THE SOUTHERN REGION OF LAKE COUNTY, ORLANDO HEALTH SOUTH LAKE IS A FULLY ACCREDITED CHEST PAIN CENTER AND A BREAST IMAGING CENTER OF EXCELLENCE. SERVICES OFFERED INCLUDE CARDIAC, WOMEN'S HEALTH, ORTHOPEDICS, REHABILITATION, OUTPATIENT SURGERY, WOUND CARE, ROBOTIC SURGERY, DIAGNOSTIC IMAGING, HOME HEALTHCARE AND THE NATIONAL TRAINING CENTER, A SPORTS AND WELLNESS FACILITY. ORLANDO HEALTH ST. CLOUD HOSPITAL - LOCATED IN OSCEOLA COUNTY, FLORIDA, ORLANDO HEALTH ST. CLOUD HOSPITAL IS A FULL-SERVICE, ACUTE CARE HOSPITAL THAT DELIVERS COMPREHENSIVE EMERGENCY, INPATIENT AND OUTPATIENT SERVICES, INCLUDING OUTPATIENT REHABILITATION SERVICES AND A WOUND HEALING AND HYPERBARIC CENTER. AMONG THE MEDICAL AND SURGICAL SERVICES OFFERED ARE CARDIOLOGY, CRITICAL CARE, DIGESTIVE HEALTH, ENDOCRINOLOGY, INFECTIOUS DISEASE, NEUROLOGY, ORTHOPEDICS, RADIOLOGY, REHABILITATION, AND MINIMALLY INVASIVE AND ROBOTIC SURGICAL PROCEDURES. IN ADDITION TO A BROAD RANGE OF SERVICES, ORLANDO HEALTH ST. CLOUD PROVIDES MODERN FACILITIES, ADVANCED TECHNOLOGY AND A SKILLED TEAM OF CARE PROVIDERS. ORLANDO HEALTH HORIZON WEST HOSPITAL - A 60-BED ACUTE CARE HOSPITAL LOCATED WEST OF ORLANDO, ORLANDO HEALTH HORIZON WEST IS THE HEALTHCARE SYSTEM'S NEWEST FACILITY. IT OPENED IN JANUARY 2021 AS A FULL-SERVICE COMMUNITY HOSPITAL WITH A 23-BED EMERGENCY DEPARTMENT, MEDICAL OFFICES AND AN OUTPATIENT REHABILITATION SUITE. BAYFRONT HEALTH ST. PETERSBURG -- EFFECTIVE OCTOBER 1, 2020, ORLANDO HEALTH FINALIZED THE PURCHASE OF THE 480-BED BAYFRONT HEALTH ST. PETERSBURG FACILITY AND ITS ASSOCIATED HEALTHCARE OPERATIONS IN ST. PETERSBURG FROM AN AFFILIATE OF COMMUNITY HEALTH SYSTEMS, INC. LOCATED IN PINELLAS COUNTY, FLORIDA, BAYFRONT HEALTH ST. PETERSBURG PROVIDES A DIVERSE AND COMPREHENSIVE SCOPE OF SERVICES. IT IS A TEACHING HOSPITAL THAT OFFERS COMPREHENSIVE SERVICES IN TRAUMA AND EMERGENCY CARE; ORTHOPEDICS, OBSTETRICS AND GYNECOLOGY; CARDIAC MEDICINE AND SURGERY (SPECIALIZING IN VALVE SURGERY); NEUROSCIENCES (WITH ITS OWN EPILEPSY CENTER); SPORTS MEDICINE; SURGERY AND REHABILITATION. MORE THAN 550 PHYSICIANS ARE ON THE MEDICAL STAFF WITH SPECIALTIES RANGING FROM OPEN-HEART SURGERY TO FERTILITY TREATMENT. ORLANDO HEALTH IS HONORED TO OFFER THE REGION'S ONLY LEVEL ONE TRAUMA CENTER; THE AREA'S FIRST HEART PROGRAM; SPECIALTY HOSPITALS DEDICATED TO CHILDREN, WOMEN AND BABIES; A MAJOR CANCER CENTER; AND LONG-STANDING COMMUNITY HOSPITALS. OUR TECHNOLOGY AND ADVANCED MEDICAL TREATMENTS AND PROCEDURES, ALONG WITH OUR EXPERT STAFF, HAVE DISTINGUISHED ORLANDO HEALTH AS A HEALTHCARE LEADER, PROVIDING ACCESS TO NEARLY 2.7 MILLION CENTRAL FLORIDA RESIDENTS. THE HEALTH SYSTEM IS ONE OF CENTRAL FLORIDA'S LARGEST EMPLOYERS WITH OVER 25,000 EMPLOYEES AND NEARLY 3,300 ON-STAFF PHYSICIANS SUPPORTING OUR PHILOSOPHY OF PROVIDING A CONTINUUM OF CARE THAT REVOLVES AROUND PATIENTS' NEEDS. WE HAVE ALWAYS BEEN, AND ALWAYS WILL BE, FOCUSED ON ACHIEVING THE VERY BEST OUTCOMES FOR OUR PATIENTS. ORLANDO HEALTH DELIVERS CARE THROUGH OUR 10 ACUTE CARE HOSPITALS, INCLUDING THREE SPECIALTY HOSPITALS AND NUMEROUS OUTPATIENT CENTERS. IN ITS FISCAL YEAR ENDED SEPTEMBER 30, 2022, ORLANDO HEALTH HAD 520,427 DAYS OF INPATIENT CARE, 737,367 OUTPATIENT VISITS, 14,009 BIRTHS AND 313,192 EMERGENCY VISITS. IN ACCORDANCE WITH OUR MISSION, ORLANDO HEALTH PROVIDED APPROXIMATELY $586.7 MILLION IN TOTAL VALUE TO THE COMMUNITIES IT SERVED IN FISCAL YEAR ENDED SEPTEMBER 30, 2022, IN THE FORM OF CHARITY CARE, COMMUNITY BENEFIT PROGRAMS AND SERVICES, COMMUNITY-BUILDING ACTIVITIES AND MORE. WE OFFER COMMUNITY EDUCATION, SCHOOL INITIATIVES AND SUPPORT GROUPS. AS A TEACHING HOSPITAL, ORLANDO HEALTH OFFERS A GROWING LIST OF RESIDENCY AND FELLOWSHIP PROGRAMS DESIGNED TO TRAIN FUTURE HEALTHCARE PROFESSIONALS.
Form 990, Part III, Line 4a Continued	WE ARE ORLANDO'S HEALTHCARE AS THE PHYSICIANS, TEAM MEMBERS AND VOLUNTEERS OF ORLANDO HEALTH UNDERSTAND THAT HEALTHCARE EXTENDS BEYOND THE WALLS OF OUR FACILITIES, THEY OFTEN CONTRIBUTE TO THE COMMUNITY BY EDUCATING OTHERS AND PROVIDING PROGRAMS AND SERVICES. SOME OF OUR COMMUNITY PROGRAMS INCLUDE: COMMUNITY OUTREACH, SPEAKERS BUREAU, SUPPORT AND EDUCATION, COMMUNITY WELLNESS SCREENINGS, COMMUNITY HEALTH FAIRS, PASTORAL OUTREACH AND SPIRITUAL CARE. MANY OF THESE ACTIVITIES BRING LITTLE OR NO PAYMENT TO OUR SYSTEM BUT ARE CONTINUED BECAUSE THEY SUPPORT OUR MISSION AND PROVIDE VALUE TO THE COMMUNITY. COMMUNITY CLINICAL SUPPORT SERVICES ORLANDO HEALTH PROVIDES ACCESS TO PRIMARY CARE SERVICES THROUGHOUT OUR MARKET AREA. IN ADDITION, WE HAVE A LONG HISTORY OF SUPPORTING THE MISSIONS OF OTHER COMMUNITY ORGANIZATIONS THAT PROVIDE PRIMARY CARE ACCESS. ORGANIZATIONS SUCH AS PRIMARY CARE ACCESS NETWORK; TRUE HEALTH; COMMUNITY HEALTH CENTERS, INC.; ORANGE BLOSSOM FAMILY HEALTH; ORANGE COUNTY HEALTH SERVICES; GRACE MEDICAL HOME AND SHEPHERD'S HOPE. RELATIONSHIPS WITH COMMUNITY ORGANIZATIONS LIKE THE ONES NAMED ARE IMPORTANT TO US AND REMAIN AT THE CENTER OF THE ORLANDO HEALTH COMMUNITY BENEFIT INITIATIVE. LEVEL ONE TRAUMA CENTER ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER (ORMC) IS HOME TO CENTRAL FLORIDA'S ONLY LEVEL ONE TRAUMA CENTER. NOT ALL HOSPITALS ARE TRAUMA CENTERS, AND NOT EVERY EMERGENCY DEPARTMENT CAN HANDLE EVERY EMERGENCY. A TRAUMA CENTER IS NOT AN EMERGENCY DEPARTMENT. A TRAUMA CENTER IS A STATE-ACCREDITED HOSPITAL FACILITY CAPABLE OF HIGHLY SPECIALIZED TREATMENT FOR THE MOST CRITICAL INJURIES. IN CENTRAL FLORIDA, THIS CARE CAN ONLY BE RECEIVED AT ORLANDO HEALTH ORMC. OUR LEVEL ONE TRAUMA CENTER FEATURES A MULTIDISCIPLINARY TEAM OF BOARD-CERTIFIED DOCTORS, NURSES, AND TECHNICIANS READY TO IMMEDIATELY TREAT THE MOST SEVERELY INJURED PATIENTS 24 HOURS A DAY, 7 DAYS A WEEK. COMPREHENSIVE TRAUMA CARE SERVICES INCLUDE DEDICATED, STATE-OF-THE-ART TRAUMA RESUSCITATION ROOMS, OPERATING ROOMS, RADIOLOGY, AND A 256-SLICE CT SCANNER. FOR TRAUMA CARE, THE ORLANDO HEALTH LEVEL ONE TRAUMA CENTER AND AIR CARE TEAM SERVE AS INTEGRAL RESOURCES FOR DISASTER READINESS AND RESPONSE PLANNING IN GREATER ORLANDO. IN FY 2022, ORMC SAW 6,359 TRAUMA CASES AND THE AIR CARE TEAM TRANSPORTED 2,312 PATIENTS. BERT MARTIN'S CHAMPIONS FOR CHILDREN EMERGENCY DEPARTMENT AND TRAUMA CENTER AT ORLANDO HEALTH ARNOLD PALMER HOSPITAL PROVIDES LEVEL ONE TRAUMA CARE TO PEDIATRIC PATIENTS. IN FY 2022, ORLANDO HEALTH ARNOLD PALMER SAW 1,121 PEDIATRIC TRAUMA CASES. WOMEN'S AND CHILDREN'S HEALTH SERVICES ORLANDO HEALTH WINNIE PALMER HOSPITAL FOR WOMEN AND BABIES IS A STATE-DESIGNATED REGIONAL PERINATAL INTENSIVE CARE CENTER, WHICH REQUIRES THE PROVISION OF THE HIGHEST ACUITY NEONATAL SERVICES, PEDIATRIC SUBSPECIALIST SUPPORT AND HIGH-RISK OBSTETRICS. THE UNIQUE INTEGRATION OF THESE PROGRAMS AT ORLANDO HEALTH WINNIE PALMER DISTINGUISHES THE ORGANIZATION WITHIN ITS COMMUNITY. IN ADDITION, ORLANDO HEALTH WINNIE PALMER RECEIVED PERINATAL CARE RECERTIFICATION FROM THE JOINT COMMISSION IN 2021. IT IS AMONG APPROXIMATELY 60 HOSPITALS IN THE COUNTRY, AND THE ONLY ONE IN CENTRAL FLORIDA, TO EARN THIS RECOGNITION. THE HOWARD PHILLIPS CENTER FOR CHILDREN & FAMILIES IS A CENTER OF EXCELLENCE, HELPING CHILDREN, HEALING FAMILIES AND STRENGTHENING COMMUNITIES. THE CENTER PROVIDES HEALTHCARE TO TEENS FROM LOW-INCOME FAMILIES; SUPPORT AND EDUCATION FOR NEW PARENTS SO THEY MAY BUILD BETTER LIVES FOR THEMSELVES AND THEIR CHILDREN; MUCH NEEDED THERAPEUTIC SUPPORT FOR BABIES AND TODDLERS WITH DEVELOPMENTAL DISABILITIES AND DELAYS; AND A SAFE PLACE FOR CHILDREN TO RECOVER AND HEAL FROM THE TRAUMA OF ABUSE AND NEGLECT. IN FY 2022, THE HOWARD PHILLIPS CENTER FOR CHILDREN AND FAMILIES SERVED 15,696 CHILDREN AND THEIR FAMILIES. RESEARCH RESEARCH IS A KEY COMPONENT IN MAKING ORLANDO HEALTH A STATE-OF-THE-ART HEALTHCARE FACILITY IN CENTRAL FLORIDA. MORE THAN $2 MILLION IN RESEARCH WAS COMPLETED IN 2022. ADDITIONAL FUNDS ARE CONTINUALLY SECURED FOR ONGOING RESEARCH ACTIVITIES OF THE ORGANIZATION, CONTINUING TO MAKE LEADING-EDGE TREATMENTS AVAILABLE TO PATIENTS. PRESENTLY PATIENTS WITH A VARIETY OF CANCER TYPES AND DIGESTIVE HEALTH ISSUES ARE BEING FOLLOWED IN CLINICAL TRIALS, MORE THAN HALF OF THEM ARE NEWLY ENROLLED OR IN ACTIVE TREATMENT. CLINICAL RESEARCH IS INTEGRATED INTO THE ENTIRE CURRICULUM OF THE MEDICAL EDUCATION, RESIDENCY AND FELLOWSHIP PROGRAMS, ENABLING THEM TO LEARN ABOUT RESEARCH ON A REGULAR BASIS AND HOW TO INCORPORATE THAT RESEARCH INTO THE PRACTICE OF MEDICINE. HEALTH EDUCATION AS A DESIGNATED TEACHING HOSPITAL AND THE INSTITUTIONAL SPONSOR OF 29 ACCREDITED TRAINING PROGRAMS - 10 RESIDENCY AND 19 FELLOWSHIP PROGRAMS - ORLANDO HEALTH CONSIDERS MEDICAL EDUCATION PART OF ITS CORE MISSION. WE SERVE AS A VALUABLE TRAINING SITE FOR MEDICAL STUDENTS FROM FLORIDA STATE UNIVERSITY, THE UNIVERSITY OF FLORIDA AND THE UNIVERSITY OF SOUTH FLORIDA, AS WELL AS FROM SCHOOLS THROUGHOUT THE UNITED STATES. VALUE TO THE COMMUNITY BY OFFERING THE BEST QUALITY OF CARE, RESPONDING TO COMMUNITY NEEDS AND CONCENTRATING RESOURCES IN AREAS THAT TRULY MAKE A DIFFERENCE, ORLANDO HEALTH MAINTAINS A LONGSTANDING TRADITION OF PROVIDING BENEFIT TO THE COMMUNITY. OUR COMMUNITY BENEFIT EFFORT IS A MEASURED APPROACH TO MEETING IDENTIFIED COMMUNITY HEALTH NEEDS, PARTICULARLY IN THE VULNERABLE, UNINSURED AND UNDERSERVED COMMUNITIES. AS A NOT-FOR-PROFIT, COMMUNITY-BASED ORGANIZATION, ORLANDO HEALTH IS DEDICATED TO IMPROVING THE HEALTH AND WELL-BEING OF THE PEOPLE WE SERVE. WE ARE COMMITTED TO CHARITY CARE, WHICH IS THE PROVISION OF MEDICAL ATTENTION AND SERVICES TO THE REGION'S MOST VULNERABLE AND UNINSURED, REGARDLESS OF A PATIENT'S ABILITY TO PAY, A PATIENT'S INSUFFICIENT HEALTH INSURANCE COVERAGE, OR THE EXISTENCE OF ANY GOVERNMENT-SPONSORED PROGRAMS COVERING THE FULL COST OF SERVICES. IN FISCAL YEAR 2022, ORLANDO HEALTH PROVIDED $85,925,112IN CHARITY CARE, AS WELL AS $64,943,287 IN COMMUNITY BENEFIT PROGRAMS AND SERVICES AND $136,168,393 IN MEDICAID SHORTFALLS AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS. MANAGING MEDICATIONS TO PREVENT READMISSION THE 340B DRUG PRICING PROGRAM ENABLES ORLANDO HEALTH TO REDUCE THE PRICE OF PHARMACEUTICALS, PROVIDE FREE CARE, AND IMPLEMENT MEDICATION MANAGEMENT AND COMMUNITY HEALTH PROGRAMS FOR CENTRAL FLORIDA'S UNDERSERVED POPULATIONS. THE EDUCATION PROCESS STARTS DURING A PATIENT'S DISCHARGE FROM THE HOSPITAL WHEN MEDICATIONS ARE REVIEWED AND A FOLLOW-UP APPOINTMENT MADE. PATIENTS ARE ENCOURAGED TO BRING ALL THEIR PRESCRIPTIONS TO THEIR FIRST CLINIC VISIT. THE PHARMACIST SCOURS THE THERAPIES TO ASSESS POTENTIAL DRUG INTERACTIONS AND DOSAGE ISSUES, THEN EDUCATES THE PATIENT AS TO WHAT THEY ARE TAKING, WHAT IT DOES AND POTENTIAL SIDE EFFECTS. MORE THAN SIMPLY DISPENSING AND ORGANIZING PRESCRIPTIONS, THIS PROGRAM HAS DEVELOPED INTO A ONE-STOP SHOP FOR PATIENT SUPPORT AND CARE COORDINATION. THE CLINIC HELPS PATIENTS ORGANIZE MEALS ON WHEELS DELIVERIES, FIND HOUSING, AND DECIPHER FOOD LABELS AND SERVING SIZES. THEY HOLD SEMINARS, PROVIDE A PULSE OXIMETER, SCALE AND BLOOD PRESSURE CUFF FOR REMOTE PATIENT MONITORING, AND DISCUSS HOW INGREDIENTS LIKE SODIUM IMPACT SOME MEDICINES. SERVING VULNERABLE PREGNANT WOMEN IN 2022, THE ORLANDO HEALTH COMMUNITY BENEFIT TEAM IDENTIFIED AN OPPORTUNITY TO EXPAND THE MIDWIFE BUS INTO ORANGE COUNTY FROM ITS ORIGINAL BASE IN OSCEOLA COUNTY. ACCORDING TO DATA FROM THE 2022 CHNA, ORANGE COUNTY HAS THE HIGHEST RATE OF MATERNAL MORBIDITY AND INFANT MORTALITY IN CENTRAL FLORIDA. PARTNERING WITH THE CITY OF ORLANDO, THE GRAND AVENUE NEIGHBORHOOD CENTER WAS IDENTIFIED AS A LOCATION THE MIDWIFE BUS WOULD PARK ONCE A WEEK TO PROVIDE PRE-NATAL AND POST-NATAL SERVICES TO UNINSURED OR UNDERINSURED VULNERABLE PREGNANT WOMEN IN ORANGE COUNTY WITH A FOCUS ON OUTREACH TO VULNERABLE ETHNIC RESIDENTS. THE MIDWIFE BUS PARTNERS WITH ORLANDO HEALTH WINNIE PALMER HOSPITAL FOR WOMEN AND BABIES TO REFER PATIENTS FOR DELIVERY AND INFANT CARE. THIS PROGRAM AIMS TO SUPPORT AT LEAST 400 PREGNANT WOMEN LIVING IN ORANGE COUNTY IN NEED OF MATERNAL SERVICES. WITH ORLANDO HEALTH'S SUPPORT, THE MIDWIFE BUS NOW PROVIDES SUPPORT IN BOTH ORANGE AND OSCEOLA COUNTIES WITH PLANS TO EXPAND SERVICES TO LAKE COUNTY. ORLANDO HEALTH WILL CONTINUE TO WORK WITH PROGRAMS LIKE THE MIDWIFE BUS TO ADDRESS HEALTH DISPARITIES AND WORK TOWARD MAKING MEANINGFUL CHANGE IN MATERNAL HEALTHCARE.
Form 990, Part III, Line 4a Continued	CONFRONTING THE OPIOID CRISIS CONTINUING TO RESPOND TO THE OVERWHELMING NUMBER OF CENTRAL FLORIDA RESIDENTS DYING FROM DRUG OVERDOSES, ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER'S OPIOID OUTREACH COORDINATOR ASSESSES PATIENTS WHO PRESENT IN THE EMERGENCY ROOM WITH A POSSIBLE OVERDOSE. IN 2017, ORANGE COUNTY HAD BEEN AMONG FLORIDA'S TOP 10 COUNTIES WITH THE HIGHEST NUMBER OF DEATHS CAUSED BY OPIOIDS SUCH AS FENTANYL ANALOGS, OXYCODONE, ALPRAZOLAM AND METHADONE, AS WELL AS ACCIDENTAL DEATHS CAUSED BY PRESCRIPTION DRUGS. ASSIGNED TO THE EMERGENCY DEPARTMENT AT ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER, THE OPIOID OUTREACH COORDINATOR IS A LICENSED CLINICAL SOCIAL WORKER WHO WORKS WITH THE CARE MANAGEMENT TEAM. WHEN A PATIENT PRESENTS WITH A SUSPECTED SUBSTANCE USE OVERDOSE OR A CONDITION RELATED TO SUBSTANCE USE, THE COORDINATOR IS CALLED IN TO PERFORM AN ASSESSMENT. AFTER THE ASSESSMENT IS COMPLETED, THE PATIENT AND THE COORDINATOR DISCUSS OPTIONS FOR TREATMENT AND REFERRALS TO TREATMENT FACILITIES. FOR PATIENTS DIAGNOSED WITH A SUBSTANCE USE DISORDER, THE COORDINATOR WORKS WITH SPECIALISTS FROM A BEHAVIORAL HEALTH PARTNER THAT CAN OFFER EXTENDED INPATIENT CARE. THE NAVIGATOR ALSO CAN PROVIDE ADDITIONAL RESOURCES AND FOLLOW-UP SUPPORT FOR PATIENTS AND THEIR FAMILIES TO ENSURE SUCCESS. DURING COVID-19, AS RATES OF OVERDOSES INCREASED, THE OPIOID OUTREACH COORDINATOR IN PARTNERSHIP WITH OUR CARE MANAGEMENT TEAM IN THE ED HAS CONTINUED TO SERVE MEMBERS OF OUR COMMUNITY BATTLING SUBSTANCE USE DISORDER. TO CONTINUE THE SUPPORT AND EXPANSION OF THIS PROGRAM, THE OPIOID OUTREACH COORDINATOR ADMINISTERS NARCAN IN THE EMERGENCY ROOM AND WORKS WITH THE PHARMACY TO PRESCRIBE METHADONE THAT ENABLES PATIENTS TO PARTICIPATE IN MEDICALLY ASSISTED TREATMENT. FUTURE OPPORTUNITIES INCLUDE WORKING WITH CAREER SOURCE TO IDENTIFY PATIENTS WHO ARE READY TO RE-ENTER THEIR COMMUNITY AND WORKFORCE THROUGH JOB SKILLS TRAINING AND EMPLOYMENT. IN FISCAL YEAR 2022, THE OPIOID OUTREACH COORDINATOR ASSESSED MORE THAN 800 PATIENTS AND DISTRIBUTED MORE THAN 300 NARCAN KITS. OF THOSE SEEN, 63 PERCENT RECEIVED REFERRALS TO TREATMENT, AND 128 PATIENTS INITIATED THE PROCESS TO BEGIN MEDICATION FOR OPIOID USE DISORDER WITHIN THE HOSPITAL. DATA ANALYSIS SUGGESTS THESE EFFORTS HAVE REDUCED REOCCURRING EMERGENCY ROOM VISITS BY MORE THAN 50 PERCENT. FEWER THAN 40 PERCENT OF THESE PATIENTS RETURNED WITH A SUBSTANCE USE DIAGNOSIS WITHIN 30 DAYS OF THEIR INITIAL VISIT. COMMUNITY PARTNERSHIPS THE TRUE VALUE OF COMMUNITY BENEFIT IS DERIVED NOT FROM PROGRAMS AND SERVICES THAT AN ORGANIZATION PROVIDES, BUT FROM THE RELATIONSHIPS IT CULTIVATES. ORLANDO HEALTH HAS BEEN FORTUNATE TO PROVIDE BENEFITS BEYOND TRADITIONAL HEALTHCARE PROGRAMS THROUGH PARTNERSHIP OPPORTUNITIES WITH OVER 334 ORGANIZATIONS. WITH OUR FOCUS IN FISCAL YEAR 2022 ON ACCESS TO CARE, ORLANDO HEALTH DEVELOPED NEW AND ENHANCED EXISTING COMMUNITY BENEFIT PROGRAMS TO IMPROVE ACCESS TO CARE. ORLANDO HEALTH PROVIDED OVER $287 MILLION IN COMMUNITY BENEFIT IN FISCAL YEAR 2022. IN SUPPORT OF OUR COMMUNITY BENEFIT EFFORTS, WE RECOGNIZE THE IMPORTANCE OF WORKING WITH COMMUNITY ORGANIZATIONS. IN FISCAL YEAR 2022, WE SUPPORTED 22 GRANT PROPOSALS THROUGH THE ORLANDO HEALTH COMMUNITY GRANT PROGRAM, AND WE CONTINUED TO ACTIVELY COLLABORATE WITH LOCAL ORGANIZATIONS AND GROUPS TO MAKE A DIFFERENCE IN THE HEALTH AND QUALITY OF LIFE IN CENTRAL FLORIDA. IN 2022, WE SUPPORTED 380 COMMUNITY ORGANIZATIONS. ORLANDO HEALTH HAS PROVIDED 8.832 BOARD MEMBER, COMMITTEE MEMBER AND ADVISORY BOARD MEMBER HOURS. 1. IN FISCAL YEAR 2022, THE ORLANDO HEALTH COMMUNITY BENEFIT TEAM PARTNERED WITH THE SHARING CENTER IN SEMINOLE COUNTY TO ESTABLISH PROJECT RISE. PROJECT RISE IS AN ADULT WORKFORCE DEVELOPMENT PROGRAM GEARED TOWARD THE UNEMPLOYED OR UNDEREMPLOYED TO GAIN ECONOMIC SELF-SUFFICIENCY AND EMPLOYMENT. THROUGH THIS PROGRAM, PARTICIPANTS COMPLETE SIX WEEKS OF CLASSROOM INSTRUCTION DEDICATED TO EMOTIONAL INTELLIGENCE, CRITICAL SOFT SKILLS AND GUIDANCE THROUGH JOB ACQUISITION AND WORKPLACE SKILLS. THE GOAL OF THIS PROGRAM IS FOR EACH PARTICIPANT TO OBTAIN GAINFUL EMPLOYMENT AND STABLE HOUSING. SINCE PROGRAM LAUNCH, 18 PEOPLE HAVE BEEN ENROLLED AND 14 PARTICIPANTS HAVE COMPLETED THEIR SIX-WEEK COURSE. OF THESE 14 PARTICIPANTS, TWO HAVE OBTAINED A PERMANENT JOB WHILE THE REMAINING PARTICIPANTS ARE CURRENTLY WORKING WITH A CASE MANAGER TO CONTINUE WORKFORCE TRAINING. EACH PARTICIPANT WILL BE MONITORED FOR UP TO THREE YEARS, AND THE PROGRAM WILL CONTINUE TO SERVE OUR MOST VULNERABLE POPULATIONS IN CENTRAL FLORIDA. 2. IN 2022, ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER (OHORMC) IDENTIFIED AN OPPORTUNITY TO ADDRESS THE HIV EPIDEMIC IN CENTRAL FLORIDA. DATA FOUND IN THE 2022 CHNA STATES THAT FROM 2018 - 2020, ORANGE AND OSCEOLA COUNTIES HAD A HIGHER RATE OF HIV CASES (31.1 AND 22.6 PER 100,000) THAN FLORIDA AT 20.0. ORLANDO HEALTH PARTNERED WITH THE FLORIDA DEPARTMENT OF HEALTH IN ORANGE COUNTY TO LAUNCH AN HIV OUTREACH COORDINATOR PROGRAM AT OHORMC. FUNDING PROVIDED BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES AND SUB-AWARDED TO ORLANDO HEALTH SUPPORTS THIS PROGRAM THROUGH MARCH 2025. SINCE THE LAUNCH OF THIS PROGRAM, THE HIV OUTREACH COORDINATOR HAS ASSESSED AND SUPPORTED MORE THAN 200 PATIENTS AT OHORMC. THROUGH THIS PROGRAM, THE HIV OUTREACH COORDINATOR TESTS, TREATS AND EDUCATES PERSONS WHO SCREEN POSITIVE OR ARE ALREADY LIVING WITH HIV. THE COORDINATOR CAN ASSIST WITH PATIENTS OBTAINING PROPER MEDICAL CARE AND MAKING APPROPRIATE REFERRALS FOR TREATMENT WHEN NEEDED. THIS PROGRAM LAUNCHED IN LATE 2022 AND HAS RESULTED IN 200 HIV TESTS BEING PERFORMED, EIGHT HIV POSITIVE PATIENTS IDENTIFIED THROUGH TESTING AND ALL PATIENTS ATTENDING THEIR FIRST HIV APPOINTMENT. IN ADDITION TO CONNECTING PATIENTS TO CARE, THE HIV OUTREACH COORDINATOR LINKED TO MEDICAL CARE 20 KNOWN HIV PATIENTS WHO WERE NOT SEEKING TREATMENT AT THE TIME. 3. IN 2022, ORLANDO HEALTH WAS ONE OF THREE RECIPIENTS OF FLORIDA BLUE FOUNDATION GRANTS TO ESTABLISH A HEALTH EQUITY TRAIN THE TRAINER PROGRAM. IN COLLABORATION WITH MOFFITT CANCER CENTER AND UNITED WAY OF BROWARD COUNTY, THE HEALTH EQUITY TRAIN THE TRAINER PROGRAM LAUNCHED IN MAY 2022. THE GOAL OF THIS PROGRAM IS TO LEVERAGE HEALTHCARE PROVIDERS' UNDERSTANDING OF HEALTH EQUITY AND TO SUPPORT THE IMPLEMENTATION OF HEALTH EQUITY-ORIENTED ACTIONS IN THE WORKPLACE TO MINIMIZE HEALTH DISPARITIES IN THE COMMUNITIES THEY SERVE. IN THIS PROGRAM, PARTICIPANTS LEARN SOCIAL DETERMINANTS OF HEALTH AND THEIR IMPACT ON HEALTH DISPARITIES; STRATEGIES TO INCREASE PATIENT SATISFACTION, IMPROVE TREATMENT ADHERENCE, INCREASE COMMUNICATION, AND DECREASE PATIENT MISTRUST THROUGH HEALTH EQUITY; AND LEARN IMPROVEMENTS TO ENHANCE PATIENT CARE, PROVIDER-PATIENT INTERACTION, INTERNAL PRACTICES, AND PROCESS IMPROVEMENTS FOR HEALTH EQUITY AND OUTCOMES. DURING THIS INAUGURAL YEAR, 108 PARTICIPANTS ENROLLED INTO FOUR DIFFERENT COHORTS AND A PILOT COHORT. OF THE 108 PARTICIPANTS ENROLLED, 87 ATTENDED AND 74 GRADUATED. THE PARTICIPANTS WERE FROM 27 DIFFERENT ORGANIZATIONS THROUGHOUT FLORIDA. NINE NEW COHORTS ARE SCHEDULED FOR 2023. 4. IN FISCAL YEAR 2022, ORLANDO HEALTH RECEIVED A GRANT FROM THE BOSTON SCIENTIFIC CORPORATION TO ESTABLISH THE CLOSE THE GAP - PROJECT HEALTHY HEART PROGRAM IN CENTRAL FLORIDA. THROUGH TARGETED ACTIVITIES IN THE COMMUNITY, PROJECT HEALTHY HEART PROMOTES SERVICES FOR THE PREVENTION OF HEART FAILURE, CORONARY ARTERY DISEASE, AND ATRIAL FIBRILLATION AMONG UNDERSERVED ETHNIC POPULATIONS IN ORANGE, OSCEOLA AND SEMINOLE COUNTIES. THROUGH A PARTNERSHIP WITH THE CENTRAL FLORIDA BLACK NURSES ASSOCIATION OF ORLANDO, INC., 18 CARDIOVASCULAR EVENTS WERE PROVIDED TO THE COMMUNITY FROM JANUARY 1 - JUNE 30, 2022. PARTICIPANTS WERE INVITED TO TWO WEBINARS - ON HYPERTENSION AND CARDIOVASCULAR HEALTH. DURING THE 18 OUTREACH EVENTS, 2,486 RESIDENTS OF ORANGE AND SEMINOLE COUNTIES ATTENDED. OF THE 2,486 RESIDENTS WHO ATTENDED, 73 PERCENT WERE BLACK/AFRICAN AMERICAN, AND 77 PERCENT WERE FEMALE. IN ADDITION TO THE OUTREACH EVENTS, ORLANDO HEALTH PARTNERED WITH JONES HIGH SCHOOL FOR THEIR BE A PLAYER CARDIAC SCREENING EVENT. AT THIS EVENT, 269 STUDENTS RECEIVED FREE CARDIAC SCREENINGS. OUT OF THE 269 STUDENTS, NINE WERE IDENTIFIED AS NEEDING FOLLOW-UP CARE, AND TWO WERE IDENTIFIED AS HIGHER-RISK STUDENTS. ORLANDO HEALTH WILL CONTINUE TO FIND OPPORTUNITIES LIKE THIS GRANT PROGRAM TO ADDRESS CHRONIC DISEASES WITHIN OUR UNDERSERVED ETHNIC COMMUNITIES.
Form 990, Part III, Line 4a Continued	WHILE ONE IN SEVEN PEOPLE IN CENTRAL FLORIDA FACE FOOD INSECURITY, THAT FIGURE IS EVEN MORE DRAMATIC FOR CHILDREN, ONE IN FIVE OF WHOM DON'T KNOW WHEN OR FROM WHERE THEIR NEXT MEAL WILL COME. IN OUR SIX-COUNTY MARKET, NEARLY HALF A MILLION PEOPLE FACE FOOD INSECURITY. AN ANALYSIS OF COUNTY DATA ON HEALTH INDICATORS AND FOOD INSECURITY SHOWS THAT COMMUNITIES WITH THE HIGHEST RATES OF FOOD INSECURITY FACE A HIGHER PREVALENCE FOR DISEASES AND OTHER MEASURES TIED TO POOR HEALTH. TO HELP ADDRESS THIS SITUATION, ORLANDO HEALTH HAS EMBRACED SEVERAL FOOD AND NUTRITION PROGRAMS, INCLUDING THE FOLLOWING: 1. THE SMART BUS INITIATIVE, WHICH SUCCESSFULLY LAUNCHED THROUGH THE ORLANDO HEALTH COMMUNITY GRANT PROGRAM, IS A FOOD ACCESS PROGRAM IN OSCEOLA COUNTY THAT DELIVERS MOBILE FOOD RELIEF TO HOMELESS STUDENTS. THE SMART BUS PROVIDES FOOD, NUTRITION EDUCATION AND GENERAL ACADEMIC SUPPORT TO MEET THE NEEDS OF OSCEOLA COUNTY'S MORE THAN 2,500 HOMELESS STUDENTS, SOME OF WHOM RESIDE IN HOTELS AND MOTELS ALONG THE U.S. HIGHWAY 192 CORRIDOR. THE BUS IS EQUIPPED WITH WIFI AND LAPTOPS, AND IS STAFFED BY EDUCATORS WITHIN THE SCHOOL DISTRICT OF OSCEOLA COUNTY. THE BUS GOES TO THE HEART OF THE COMMUNITY NEED BY STOPPING AT COMMUNITY RESOURCE CENTERS WHERE CHILDREN ATTEND AFTER-SCHOOL PROGRAMS. ADDITIONALLY, THE SMART SHUTTLE BUS, A SMALLER VEHICLE, MAKES STOPS AT MOTELS WHERE HOMELESS FAMILIES ARE LIVING TO ASSIST A LARGER NUMBER OF PEOPLE IN NEED. IN 2021, THE PROGRAM EXPANDED BY INCREASING THE NUMBER OF STOPS ALONG ITS ROUTE IN OSCEOLA COUNTY, PROVIDING MORE FOOD, EDUCATION AND ACADEMIC SUPPORT. MORE THAN 1,000 STUDENTS WERE SERVED AT A VARIETY OF LOCATIONS IN THE AREA SINCE THIS EXPANSION. 2. THROUGH THE ORLANDO HEALTH COMMUNITY GRANT PROGRAM, ORLANDO HEALTH TEAMS WORK WITH SECOND HARVEST FOOD BANK OF CENTRAL FLORIDA TO IDENTIFY PATIENTS WHO ARE FOOD INSECURE AND ELIGIBLE FOR A HEALTHY FOOD BOX EACH WEEK. THE PATIENTS IDENTIFIED THROUGH THIS PROGRAM ARE HIGH HOSPITAL UTILIZERS WITH CHRONIC ILLNESSES SUCH AS HEART DISEASE. THE PATIENT IS ASKED A SERIES OF QUESTIONS AND IF DETERMINED TO BE FOOD INSECURE, THEY RECEIVE A VOUCHER FOR A BOX OF HEALTHY FOODS FROM A DESIGNATED SECOND HARVEST PANTRY. THE FOOD IS LOW SODIUM, WHOLE GRAIN AND INCLUDES FRESH VEGETABLES AND MEATS ALONG WITH A RECIPE BOOK ON HOW TO COOK MEALS FROM THE FOODS IN THE BOX. THE PATIENT CAN PICK UP FOOD ONCE A WEEK AT ONE OF THE PARTICIPATING PANTRIES. THESE PATIENTS GENERALLY ARE RESIDENTS WHO ARE UNDERSERVED, UNDERINSURED AND LOWER INCOME. 3. ORLANDO HEALTH ARNOLD PALMER HOSPITAL FOR CHILDREN CONTINUES TO SPONSOR A TEACHING GARDEN AND NUTRITION PROGRAM AT ORANGE CENTER ELEMENTARY IN THE UNDERSERVED COMMUNITY OF PARRAMORE. THROUGHOUT THE YEAR, STUDENTS AND TEACHERS TEND TO THE GARDEN, PULLING RIPE VEGETABLES TO USE IN SCHOOL COOKING CLASSES, TAKE HOME TO THEIR FAMILIES OR SELL TO COMMUNITY MEMBERS. TO HELP IMPROVE LIFESTYLE CHOICES, DIETITIANS FROM ORLANDO HEALTH ARNOLD PALMER VISIT THE SCHOOL TO TEACH STUDENTS ABOUT NUTRITION. QUALITY TO DELIVER THE BEST POSSIBLE CARE TO THE COMMUNITIES IT SERVES, ORLANDO HEALTH IS COMMITTED TO CONSISTENTLY DELIVERING THE HIGHEST QUALITY WHEN TREATING BOTH TRADITIONAL AND EXCEPTIONAL CASES, SUCH AS COVID-19. IN THIS WAY, THE ORGANIZATION DEMONSTRATES NOT ONLY ITS CORE VALUES BUT HOW IT ELEVATES THE LIVES OF OUR PATIENTS BY: DEDICATING LEADERSHIP RESOURCES TO THE QUALITY MISSION EACH ORLANDO HEALTH HOSPITAL QUALITY TEAM IS LED BY AN ONSITE CHIEF QUALITY OFFICER (CQO). THIS EXPERIENCED PHYSICIAN OR ADVANCED CLINICAL LEADER OVERSEES REVIEWS OF EVERY MORTALITY, COMPLICATION AND SERIOUS SAFETY EVENT AT THEIR RESPECTIVE CAMPUS. THE CQOS ALSO ARE RESPONSIBLE FOR IDENTIFYING AND IMPLEMENTING TACTICS FOR NUMEROUS PATIENT CARE IMPROVEMENT STRATEGIES. AN AGGRESSIVE REVIEW OF EVERY DOCUMENTED COMPLICATION OF CARE HAS LED TO A SIGNIFICANT REDUCTION IN COMPLICATIONS AND A SUSTAINED HIGH RATE OF IMPROVEMENT WHEN COMPARED TO HIGH-PERFORMING PEER ORGANIZATIONS. DECREASING INPATIENT MORTALITY RATES INPATIENT MORTALITY RATE IS A CRITICAL MEASURE OF QUALITY OF CARE IN ACUTE CARE SETTINGS. ORLANDO HEALTH HOSPITALS CONTINUE TO SHOW VERY STRONG PERFORMANCE IN MORTALITY MEASURES WHEN COMPARED TO PEER ORGANIZATIONS. A SYSTEMWIDE PROGRAM TO REDUCE MORTALITY AND MORBIDITY ASSOCIATED WITH DELAYED RECOGNITION OF CLINICAL DECLINE WAS IMPLEMENTED IN THE INPATIENT SETTING. THE PROGRAM WAS INSTRUMENTAL IN REDUCING MORTALITY RATES AND AVOIDING NEGATIVE OUTCOMES FOR PATIENTS. RECOGNIZING AND TREATING SEPSIS EARLY RECOGNITION AND AGGRESSIVE MANAGEMENT OF SEPSIS ARE ESSENTIAL IN SAVING LIVES FROM THIS DEVASTATING DISEASE PROCESS. THROUGH A WELL-COORDINATED CENTRALIZED TASK FORCE, SEPSIS CARE ACROSS ALL SITES IS STANDARDIZED AND ALIGNED WITH NATIONAL QUALITY GOALS. REDUCING HEALTHCARE ASSOCIATED INFECTIONS (HAIS) A SYSTEMWIDE CAMPAIGN TO REDUCE HAIS IN THREE KEY CATEGORIES SIGNIFICANTLY REDUCED THESE HARM EVENTS ACROSS ORLANDO HEALTH HOSPITALS. TO HELP REACH THIS GOAL, THE ORGANIZATION DEVELOPED BEST PRACTICE PREVENTION BUNDLES FOR EACH INFECTION TYPE, INCREASED AWARENESS OF INFECTIONS BY SHARING ACROSS THE SYSTEM EACH TIME A NEW INFECTION WAS IDENTIFIED, COMMUNICATED OPPORTUNITIES FOR IMPROVEMENT IDENTIFIED DURING THE INTENSIVE REVIEWS AND BROADLY IMPLEMENTED SOLUTIONS TO COMMON PROBLEMS. IN ADDITION, A SYSTEMWIDE HAND HYGIENE PROGRAM WAS IMPLEMENTED IN ORLANDO HEALTH ACUTE CARE SETTINGS. THIS COMPREHENSIVE STRATEGY TO REDUCE HAIS IS BASED ON THE JOINT COMMISSION TARGETED SOLUTIONS TOOL. AS A RESULT OF THESE EXTENSIVE EFFORTS, ORLANDO HEALTH ORMC, ORLANDO HEALTH SOUTH SEMINOLE AND ORLANDO HEALTH DR. P. PHILLIPS PERFORMED STATISTICALLY BETTER THAN NATIONAL BENCHMARKS IN PREVENTING CENTRAL LINE-ASSOCIATED BLOODSTREAM INFECTIONS (CLABSI), CATHETER-ASSOCIATED URINARY TRACT INFECTIONS (CAUTI) AND CLOSTRIDIOIDES DIFFICILE (C. DIFF) INTESTINAL INFECTIONS. THOSE THREE ORLANDO HEALTH HOSPITALS ALSO OUTPERFORMED EVERY MAJOR HOSPITAL IN FLORIDA AND ALL 20 HOSPITALS ON THE U.S. NEWS & WORLD REPORT HONOR ROLL IN CLABSI AND CAUTI. THEY ALSO OUTPERFORMED EVERY U.S. NEWS & WORLD REPORT HONOR ROLL HOSPITAL IN PREVENTING C. DIFF. ACHIEVING RECOGNITION FOR QUALITY FROM TOP-TIER EXTERNAL ORGANIZATIONS ORLANDO HEALTH HOSPITALS WERE AGAIN RECOGNIZED AS REGIONAL BEST HOSPITALS AND NATIONALLY HIGH-PERFORMING HOSPITALS FOR 2022-2023 BY U.S. NEWS & WORLD REPORT. ORLANDO HEALTH ORMC, ORLANDO HEALTH SOUTH SEMINOLE AND ORLANDO HEALTH DR. P. PHILLIPS EARNED BEST HOSPITAL DESIGNATIONS FOR CENTRAL FLORIDA. ORLANDO HEALTH RATED HIGH PERFORMING IN 12 CATEGORIES: AORTIC VALVE SURGERY, HEART ATTACK, HEART BYPASS SURGERY, HEART FAILURE, CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD), COLON CANCER SURGERY, DIABETES, HIP REPLACEMENT, KIDNEY FAILURE, KNEE REPLACEMENT, LUNG CANCER SURGERY AND STROKE. FOR THE 13TH CONSECUTIVE YEAR, U.S. NEWS & WORLD REPORT RECOGNIZED ORLANDO HEALTH ARNOLD PALMER (TOGETHER WITH ORLANDO HEALTH WINNIE PALMER) AS A BEST CHILDREN'S HOSPITAL AND AMONG THE TOP 50 PEDIATRIC FACILITIES IN THE NATION. IT REMAINS THE MOST-RECOGNIZED HOSPITAL IN ORLANDO, WITH DESIGNATIONS IN FIVE PEDIATRIC SPECIALTIES FOR 2022-2023: PEDIATRIC DIABETES AND ENDOCRINOLOGY, PEDIATRIC NEUROLOGY AND NEUROSURGERY, PEDIATRIC ORTHOPEDICS, PEDIATRIC UROLOGY, AND NEONATOLOGY. THE PATIENT-SAFETY ADVOCATES AT THE LEAPFROG GROUP HONORED THREE ORLANDO HEALTH HOSPITALS WITH TOP HOSPITAL AWARDS. ORLANDO HEALTH ORMC AND ORLANDO HEALTH WINNIE PALMER WERE RECOGNIZED AMONG THE NATION'S 58 HOSPITALS SELECTED IN THE TOP TEACHING HOSPITAL DIVISION, WHILE ORLANDO HEALTH ARNOLD PALMER WAS ONE OF A DOZEN TOP CHILDREN'S HOSPITALS SELECTED. WIDELY CONSIDERED AMONG THE MOST PRESTIGIOUS AWARDS AN AMERICAN HOSPITAL CAN EARN, TOP HOSPITAL DESIGNATIONS ARE AWARDED TO FEWER THAN 5 PERCENT OF ALL ELIGIBLE FACILITIES. SEVERAL ORLANDO HEALTH HOSPITALS WERE SELECTED AS 2022 BEST HOSPITALS FOR BILLING ETHICS BY PERSONAL FINANCE PUBLICATION MONEY AND THE LEAPFROG GROUP QUALITY AND SAFETY ADVOCATES. THE ONLY HOSPITALS SELECTED IN THE GREATER CENTRAL FLORIDA AREA, ORLANDO HEALTH ORMC, ORLANDO HEALTH DR. P. PHILLIPS, ORLANDO HEALTH SOUTH SEMINOLE, ORLANDO HEALTH ARNOLD PALMER AND ORLANDO HEALTH WINNIE PALMER WERE RECOGNIZED FOR THEIR FAIR BILLING PRACTICES, INCLUDING PROVIDING PATIENTS WITH TIMELY AND ACCURATE BILLING STATEMENTS, PROVIDING CLEAR INSTRUCTIONS FOR CONTACTING A BILLING REPRESENTATIVE AND NOT TAKING LEGAL ACTION FOR LATE OR INSUFFICIENT MEDICAL BILL PAYMENTS.
Form 990, Part III, Line 4a Continued	THE AMERICAN HEART ASSOCIATION (AHA) RECOGNIZED FIVE ORLANDO HEALTH HOSPITALS FOR CONSISTENTLY FOLLOWING THE MOST UP-TO-DATE, RESEARCH-BASED GUIDELINES FOR THE TREATMENT OF STROKE. ORLANDO HEALTH DR. P. PHILLIPS AND ORLANDO HEALTH SOUTH SEMINOLE RECEIVED THE AHA'S GET WITH THE GUIDELINES STROKE GOLD AWARD FOR PROVIDING QUALITY STROKE CARE. BAYFRONT HEALTH ST. PETERSBURG, ORLANDO HEALTH ORMC AND ORLANDO HEALTH SOUTH LAKE RECEIVED GET WITH THE GUIDELINES STROKE GOLD PLUS AWARDS FOR MEETING ADDITIONAL QUALITY MEASURES IN STROKE CARE. BAYFRONT HEALTH ST. PETERSBURG AND ORLANDO HEALTH ORMC ALSO RECEIVED THE ASSOCIATION'S TARGET: STROKE ELITE HONOR ROLL AWARD FOR ACHIEVING DOOR-TO-NEEDLE TIMES WITHIN 60 MINUTES IN APPLICABLE STROKE PATIENTS. AS OF JANUARY 1, 2023, ORLANDO HEALTH HAD 25 ACTIVE BEACON AWARDS FOR EXCELLENCE IN BEDSIDE CARE - MORE THAN ANY OTHER HEALTHCARE SYSTEM IN FLORIDA. THE DISTINCTION IS AWARDED BY THE AMERICAN ASSOCIATION OF CRITICAL-CARE NURSES TO UNITS THAT EMPLOY EVIDENCE-BASED PRACTICES TO IMPROVE PATIENT AND FAMILY OUTCOMES. AT THAT TIME, ORLANDO HEALTH ORMC ALSO WAS RECOGNIZED WITH MORE BEACON AWARDS THAN ANY OTHER HOSPITAL IN THE STATE. ORLANDO HEALTH ORMC ACHIEVED MAGNET RECOGNITION AS A REFLECTION OF ITS NURSING PROFESSIONALISM, TEAMWORK AND SUPERIORITY IN PATIENT CARE. ORLANDO HEALTH ARNOLD PALMER AND ORLANDO HEALTH WINNIE PALMER ALSO ACHIEVED MAGNET RE-DESIGNATION. THE AMERICAN NURSES CREDENTIALING CENTER'S MAGNET RECOGNITION PROGRAM IS THE GOLD STANDARD FOR NURSING'S CONTRIBUTION TO QUALITY PATIENT CARE, SAFETY, RESEARCH AND SERVICE EXCELLENCE. THIS HONOR IS AWARDED TO ORGANIZATIONS THAT DISTINGUISH THEMSELVES BY MEETING RIGOROUS STANDARDS FOR NURSING EXCELLENCE, THE GOLD STANDARD FOR NURSING'S CONTRIBUTION TO QUALITY PATIENT CARE, SAFETY, RESEARCH AND SERVICE EXCELLENCE. THE QUALITY OF ITS CULTURE EARNED ORLANDO HEALTH A SPOT ON THE FORBES 2022 LIST OF AMERICA'S BEST LARGE EMPLOYERS. THE SYSTEM RANKED AS THE NUMBER 1 HEALTHCARE EMPLOYER IN FLORIDA AND AMONG THE TOP 20 IN THE NATION. ORLANDO HEALTH WAS NAMED ONE OF THE 150 TOP PLACES TO WORK IN HEALTHCARE FOR 2022 BY BECKER'S HEALTHCARE. THE NATIONAL LIST, PUBLISHED IN BECKER'S HOSPITAL REVIEW, FEATURES ORGANIZATIONS THAT PROMOTE DIVERSITY WITHIN THE WORKFORCE, EMPLOYEE ENGAGEMENT AND PROFESSIONAL GROWTH. ORLANDO HEALTH WAS SELECTED AS AN ORLANDO SENTINEL TOP WORKPLACE FOR 2022, RECOGNIZING COMPANIES IN CENTRAL FLORIDA THAT DEMONSTRATE A POSITIVE WORK ENVIRONMENT AND HEALTHY WORKPLACE CULTURE. HONOREES ARE SELECTED BASED ENTIRELY ON EMPLOYEE FEEDBACK GATHERED THROUGH AN ANONYMOUS WORKPLACE SURVEY.
Form 990, Part VI, Line 1a	THE CHIEF OF STAFF IS A NON-VOTING MEMBER OF THE BOARD OF DIRECTORS. IN ADDITION, THE BOD DELEGATES SOME AUTHORITY TO AN EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE CHAIRMAN OF THE BOARD OF DIRECTORS, THE VICE CHAIRMAN OF THE BOARD OF DIRECTORS, THE PRESIDENT/CEO, THE SECRETARY, THE TREASURER, AND THE CHAIRMAN OF THE QUALITY COMMITTEE. THE EXECUTIVE COMMITTEE SHALL HAVE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE BOARD OF DIRECTORS IN THE MANAGEMENT OF THE CORPORATION DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD, SUBJECT TO LIMITATIONS SET FORTH IN THESE BYLAWS AND ANY LIMITATIONS OTHERWISE IMPOSED BY THE BOARD OF DIRECTORS AND WITH THE FURTHER UNDERSTANDING THAT ALL MATTERS OF MAJOR IMPORTANCE TO THE CORPORATION WILL BE REFERRED TO THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE SHALL PERFORM THE FOLLOWING GOVERNANCE AND EXECUTIVE COMPENSATION DUTIES: 1. THE EXECUTIVE COMMITTEE SHALL CONSIDER AND RECOMMEND CANDIDATES FOR VACANCIES ON THE BOARD OF DIRECTORS FOR FULL OR PARTIAL TERMS. RECOMMENDATIONS FOR ELECTION AS DIRECTORS SHALL BE CONSIDERED BY THE BOARD OF DIRECTORS, BUT THE BOARD OF DIRECTORS SHALL NOT BE BOUND BY ANY SUCH RECOMMENDATION. 2. THE CORPORATE BYLAWS SHALL BE REVIEWED BY THE EXECUTIVE COMMITTEE FROM TIME TO TIME AND REVISED AS NECESSARY BY APPROPRIATE ACTION OF THE BOARD OF DIRECTORS AND DATED TO INDICATE THE TIME OF REVIEW. 3. THE EXECUTIVE COMMITTEE SHALL REVIEW EXECUTIVE COMPENSATION MATTERS AND POLICIES WITH THE PRESIDENT/CEO ANNUALLY. THE EXECUTIVE COMMITTEE SHALL PERFORM SUCH OTHER DUTIES AS MAY BE ASSIGNED BY THE BOARD AND INCLUDED IN ITS CHARTER.
Form 990, Part VI, Line 15 LINE 15A & B	THE EXECUTIVE COMPENSATION PROCESS AT ORLANDO HEALTH IS ADMINISTERED BY A COMMITTEE OF INDEPENDENT BOARD MEMBERS. THEY FOLLOW A BOARD APPROVED CHARTER AND OVERALL EXECUTIVE COMPENSATION PHILOSOPHY. THIS PROCESS APPLIES TO THE CEO, ALL OFFICERS AND WAS IMPLEMENTED PRIOR TO OCTOBER 1, 2006. THE CHARTER EMPOWERS THE COMPENSATION COMMITTEE TO ADMINISTER THE EXECUTIVE COMPENSATION PROGRAM AND PROCESS ON BEHALF OF THE FULL BOARD OF TRUSTEES. OVERALL, THE PHILOSOPHY IS INTENDED TO REWARD A BROAD SPECTRUM OF HIGH ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE EXPECTATIONS, PROMOTE RETENTION OF KEY MANAGEMENT TALENT AND ENSURE THAT COMPENSATION AND BENEFITS DO NOT EXCEED MARKET NORMS. ORLANDO HEALTH'S EXECUTIVE COMPENSATION PHILOSOPHY DEFINES THE MARKET FOR ADMINISTERING COMPENSATION AS A COMPARABLE SET OF NOT-FOR-PROFIT HEALTH CARE DELIVERY SYSTEMS. TO FULFILL THEIR RESPONSIBILITY TO LOOK AT RELEVANT MARKET DATA, AND BECAUSE OF THE SCALE AND COMPLEXITY OF THE ORGANIZATION, THE COMMITTEE REVIEWS INFORMATION FROM MULTIPLE SOURCES OF MARKET DATA. THEY USE THIS INFORMATION TO SUPPORT THEIR DECISIONS REGARDING ON-GOING ADMINISTRATION OF THE PROGRAM. ORLANDO HEALTH PROVIDES COMPENSATION TO ITS SENIOR EXECUTIVES IN THE FORM OF BASE SALARY, AN ANNUAL INCENTIVE PROGRAM, AND EXECUTIVE BENEFITS. THE COMPENSATION COMMITTEE IS COMPRISED OF 5 INDEPENDENT MEMBERS OF THE BOARD. THE COMMITTEE IS EMPOWERED TO ENGAGE OUTSIDE COUNSEL AND CONSULTING SUPPORT, WHICH THEY DO. THE COMPENSATION COMMITTEE'S INDEPENDENT COMPENSATION CONSULTANT AND COUNSEL OPINE TO THE COMPENSATION COMMITTEE THAT THE LEVEL OF THE COMPENSATION PAID AND THE PROCESS BY WHICH COMPENSATION IS ESTABLISHED MEET APPLICABLE IRS REASONABLENESS AND "SAFE HARBOR" STANDARDS.
Form 990, Part VI, Line 2	BERNADETTE SPONG, JAMAL HAKIM MD, LESLIE FLAKE AND MARK JONES HAD A BUSINESS RELATIONSHIP AS BOARD MEMBERS OF FOR-PROFIT COMPANIES WHOLLY OWNED BY ORLANDO HEALTH, INC.
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE CFO AND THE FINANCE DEPARTMENT REVIEWED THE FORM 990 AND ANY REQUIRED CHANGES THAT WERE MADE TO THE FORM 990. THE FINAL FORM 990 WAS THEN PROVIDED TO ALL MEMBERS OF THE BOARD TO REVIEW. ANY QUESTIONS ABOUT THE CONTENT WERE ANSWERED AND ANY CHANGES REQUIRED OF THE REVIEW WERE MADE.
Form 990, Part VI, Line 12c Conflict of interest policy	THE ORGANIZATION HAS A DEDICATED COMPLIANCE DEPARTMENT WITH AN ANONYMOUS HOTLINE FOR REPORTING. THE COMPLIANCE DEPARTMENT PERFORMS INTERNAL AUDITS AND MONITORS ALL ANNUAL CONFLICT OF INTEREST QUESTIONNAIRES FOR ALL RELATED ORGANIZATIONS. BOARD MEMBERS ROUTINELY ANNOUNCE CONFLICTS AT BOARD MEETINGS AND LEAVE THE ROOM FOR THE DISCUSSION AND THE VOTE.
Form 990, Part VI, Line 19 Required documents available to the public	THESE DOCUMENTS ARE MADE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST IN ACCORDANCE WITH FEDERAL TAX LAW PUBLIC INSPECTION REQUIREMENTS.
Form 990, Part VIII, Line 2f Other Program Service Revenue	OTHER - Total Revenue: 84480786, Related or Exempt Function Revenue: 83128762, Unrelated Business Revenue: 1352024, Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	AFFILIATED EQUITY TRANSFERS - -XXX-XX-XXXX; CONTRIBUTIONS - BOOK/TAX DIFFERENCES - 3945284; OTHER CHANGES AND EXTRAORDINARY ITEMS - -5523640;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
OSCEOLASC LLC
2906 17TH STREET	ST CLOUD	FL	34769	203728235	HEALTHCARE	FL	$98,400,530	$156,782,724	OHI
OHRI LLC
1414 KUHL AVENUE	ORLANDO	FL	32806	472067699	IMAGING SVCS	FL	$24,658,314	$23,176,920	OHI
HEALTHCARE CAPTIVE LLC
101 SOUTH TRYON STREET SUITE 2700	CHARLOTTE	NC	28280	881312254	CAPTIVE INS	NC	$0	$250,000	OHI

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
ORLANDO HEALTH FOUNDATION INC
3160 SOUTHGATE COMMERCE BLVD	ORLANDO	FL	32806	592244943	SUPPORT OH	FL	501(c)(3)	7	OHI	Yes (true)
ORLANDO HEALTH CENTRAL INC
10000 W COLONIAL DRIVE	OCOEE	FL	34761	800764192	HEALTHCARE	FL	501(c)(3)	3	OHI	Yes (true)
ORLANDO PHYSICIANS NETWORK INC
1414 KUHL AVENUE	ORLANDO	FL	32806	593110868	SUPPORT OH	FL	501(c)(3)	Type I	OHI	Yes (true)
GREATER ORLANDO CHILDREN'S MIRACLE NETWO
3160 SOUTHGATE COMMERCE BLVD	ORLANDO	FL	32806	593452974	SUPPORT OHF	FL	501(c)(3)	7	OHF	Yes (true)
ORLANDO HEALTH MEDICAL GROUP INC
1414 KUHL AVENUE	ORLANDO	FL	32806	593259553	PHYSICIAN SUPPORT SERVICES	FL	501(c)(3)	Type I	OHI	Yes (true)
SOUTH LAKE HOSPITAL
1900 DON WICKHAM DRIVE	CLERMONT	FL	34711	593322533	HEALTHCARE	FL	501(c)(3)	3	OHI	Yes (true)
OHI WEST INC
1414 KUHL AVENUE	ORLANDO	FL	32806	845074208	HEALTHCARE	FL	501(c)(3)	3	OHI	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
LIFT ORLANDO IMPACT
2043 JACOBS PL	ORLANDO	FL	32855	814062133	REAL ESTATE	FL	OHI	Excluded	-$65,846	$2,692,949	false	false	0.4888
ORLANDO HEALTH VENTURES I LLC
1414 KUHL AVENUE MP2	Orlando	FL	32806	845099351	INVESTMENTS	FL	OHI	Excluded	-$86,365	$11,232,175	false	false	0.9412
Orlando Health Ventures II LLC
1414 KUHL AVENUE MP2	Orlando	FL	32806	882697867	INVESTMENTS	FL	OHI	Excluded	$0	$528,583	false	false	0.9789

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
HEALTHNET SERVICES INC & SUBS
1414 KUHL AVENUE	ORLANDO	FL	32806	592246203	MEDICAL SVCS	FL	OHI	C Corporation	$144,342,088	1	Yes (true)
ORLANDO CANCER CENTER INC
1414 KUHL AVENUE	ORLANDO	FL	32806	593005020	MEDICAL SVCS	FL	OHMG	C Corporation	$65,796,316	1	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (34 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Healthnet Services Inc
J	$77,253	FMV
Healthnet Services Inc
O	$451,027	FMV
Healthnet Services Inc
Q	$3,254,780	FMV
Lakeview Surgery Center LLC
J	$201,361	FMV
OHI West Inc
J	$3,599,311	FMV
OHI West Inc
O	$129,149,864	FMV
OHI West Inc
Q	$153,238,477	FMV
Orange Ave Surgery Center LLC
J	$85,023	FMV
Orlando Cancer Center Inc
Q	$288,084	FMV
Orlando Health Central Inc
L	$551,453	FMV
Orlando Health Central Inc
O	$50,428,723	FMV
Orlando Health Central Inc
Q	$65,482,696	FMV
Orlando Health Foundation Inc
C	$9,266,004	FMV
Orlando Health Foundation Inc
Q	$1,259,017	FMV
Orlando Health Medical Group Inc
J	$23,065,280	FMV
Orlando Health Medical Group Inc
O	$595,163,923	FMV
Orlando Health Medical Group Inc
Q	$82,961,314	FMV
Orlando Physicians Network Inc
J	$9,027,678	FMV
Orlando Physicians Network Inc
O	$77,931,953	FMV
Orlando Physicians Network Inc
Q	$25,898,116	FMV
Rinehart Surgery Center LLC
J	$607,939	FMV
South Lake Hospital Inc
J	$5,053,555	FMV
South Lake Hospital Inc
L	$684,719	FMV
South Lake Hospital Inc
O	$42,562,454	FMV
South Lake Hospital Inc
Q	$63,779,074	FMV
Healthnet Inc
R	$94,233,000	FMV
OHPP
R	$3,523,000	FMV
Orlando Health Central Inc
K	$364,761	FMV
Orlando Health Foundation Inc
N	$1,724,878	FMV
Orlando Health Foundation Inc
O	$5,841,936	FMV
Orlando Health Medical Group Inc
B	$107,451	FMV
Orlando Health Medical Group Inc
M	$1,543,137	FMV
Orlando Health Medical Group Inc
R	$296,500,000	FMV
Orlando Physicians Network Inc
R	$33,000,000	FMV