2022-08-10T10:47:17-05:00 2021-09-30 ERNST & YOUNG US LLP 201 N FRANKLIN ST STE 2400 TAMPA FL 33602 990 2020-10-01 591726273 Orlando Health Inc % LESLIE FLAKE ORLA 3218415078 1414 KUHL AVENUE MP8 ORLANDO FL 32806 LESLIE FLAKE CFO 3218415078 2022-08-08 true LESLIE FLAKE 999009999 MELANIE MCPEAK P01346034 8132254800 2022-08-01 2 2020 2022-09-23 18:48:47Z LESLIE FLAKE 1414 KUHL AVENUE MP8 ORLANDO FL 32806 3832709749 false X WWW.ORLANDOHEALTH.COM X 1977 FL OUR MISSION AS A COMMUNITY-OWNED ORGANIZATION IS TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND COMMUNITIES WE SERVE. 5 4 15356 4920 2508761 0 74576796 11565115 2797097655 3276841461 90185784 92102943 3658075 4022529 2965518310 3384532048 2350386 2937272 0 0 1083055445 1166269263 0 0 6902019 1255572274 1559556395 2340978105 2728762930 624540205 655769118 5410558611 6015160971 2526245828 2707127885 2884312783 3308033086 X 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. false false 2324757350 2937272 3276841461 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 THROUGHOUT CENTRAL FLORIDA. 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 COMPREHENSIVE CONTINUUM OF CARE FOR TRAUMA, CARDIOVASCULAR, STROKE, NEUROSCIENCE, ONCOLOGY, SURGERY, DIGESTIVE HEALTH, AND ORTHOPEDIC PATIENTS. IN ADDITION TO THE AREA'S ONLY LEVEL ONE TRAUMA CENTER, ORMC IS HOME TO CENTRAL FLORIDA'S ONLY AIR AMBULANCE SERVICE AND IS ONE OF THE STATE'S SIX 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 2021, OVER 16,000 CHILDREN AND FAMILIES WERE SERVED THROUGH THE CENTER'S SIX SPECIALIZED PROGRAMS. ORLANDO HEALTH WINNIE PALMER HOSPITAL FOR WOMEN & 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 HOSPITAL'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 ARE ALSO 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 WHOLE 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, AN OUTPATIENT SURGICAL CENTER, 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 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 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 MORE THAN 2.5 MILLION CENTRAL FLORIDA RESIDENTS. THE HEALTH SYSTEM IS ONE OF CENTRAL FLORIDA'S LARGEST EMPLOYERS WITH OVER 25,000 EMPLOYEES AND OVER 3,000 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 TEN ACUTE CARE HOSPITALS, INCLUDING THREE SPECIALTY HOSPITALS AND NUMEROUS OUTPATIENT CENTERS. DURING THE FISCAL YEAR ENDING ON SEPTEMBER 30, 2021, WE HAD 499,161 DAYS OF INPATIENT CARE, 733,440 OUTPATIENT VISITS, 13,463 BIRTHS AND 261,111 EMERGENCY VISITS. IN ACCORDANCE WITH OUR MISSION, ORLANDO HEALTH PROVIDED EXTENSIVE CARE TO PATIENTS WITHOUT CHARGE OR AT AN AMOUNT LESS THAN OUR ESTABLISHED RATES. WE OFFER COMMUNITY EDUCATION, SCHOOL INITIATIVES AND SUPPORT GROUPS. AS A TEACHING HOSPITAL, ORLANDO HEALTH OFFERS RESIDENCY PROGRAMS DESIGNED TO TRAIN FUTURE HEALTHCARE PROFESSIONALS. 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 PRO 2324757350 true true false true false false false false false true true false false true true true false true false true true false false false false false true true true false true true false false false false false false false false false true false false false false true true true true false false true 1077 0 true 15356 true true true true CJ false false false false false false false false true false X 5 4 true false false false false false false true true false false true true true true true true true true true true X LESLIE FLAKE 3218415078 1414 KUHL AVENUE ORLANDO FL 32806 X DAVID W STRONG PRESIDENT & CEO 60.0 5.0 X X 4847920 0 531990 JAMAL A HAKIM MD CHIEF OPERATING OFFICER 60.0 5.0 X 2364077 0 250997 BERNADETTE SPONG CHIEF FINANCIAL OFFICER 55.0 10.0 X 2124013 0 221436 SUNIL S DESAI MD SVP, OH & PRES, OHMG 10.0 55.0 X 1752286 0 199049 ERICK R HAWKINS SVP, STRATEGIC MANAGEMENT 55.0 5.0 X 1555925 0 161084 MARK A JONES SVP, OH & PRESIDENT, ORMC 55.0 3.0 X 1149992 0 158815 AURELIO DURAN MD FORMER BOARD MEMBER 0.0 55.0 X 0 1204634 31106 GREGORY P OHE SVP, AMBU SVCS, ORLANDO HEALTH 55.0 0.0 X 1060207 0 120217 JOHN W BOZARD SVP, OH & Pres, APMCF & OHF 25.0 30.0 X 525663 525663 53048 MILDRED DENISE BEAM Chief Legal Strategist 55.0 2.0 X 879439 0 126249 THIBAUT VAN MARCKE DE LUMMEN SVP, OH & PRES, DPH 55.0 0.0 X 671653 0 117500 KELLY NIERSTEDT SVP, OH & PRES, WPH 55.0 0.0 X 673254 0 99903 DAVID F HUDDLESON VP, CHIEF COMPLIANCE & ETHICS 55.0 0.0 X 598688 0 88167 MARY FARRELL MD Former Board Member 55.0 0.0 X 601580 0 12938 CHARLES HEARD MD BOARD MEMBER (UNTIL 03/22/21) 2.0 0.0 X 43333 0 0 AMY SAUNDERS BOARD MEMBER (UNTIL 03/22/21) 2.0 0.0 X 0 0 0 SANFORD C SHUGART PHD BOARD MBR, CHRMAN(UNTIL 03/21) 2.0 0.0 X X 0 0 0 BRIAN BESANCENEY Board Member, Chairman 2.0 0.0 X X 0 0 0 M KATHRYN GARRETT MD BOARD MEMBER 2.0 0.0 X 0 0 0 MIKE PACKNETT Board Member, Vice Chairman 2.0 0.0 X X 0 0 0 JOHN CAPPLEMAN MD BOARD MBR, TREAS.(UNTIL 01/21) 2.0 0.0 X X 0 0 0 CAROLYN KARRAKER BOARD MEMBER (UNTIL 01/18/21) 2.0 0.0 X 0 0 0 JIM HYLER BOARD MEMBER 2.0 0.0 X 0 0 0 18848030 1730297 2172499 842 true true false CHARLES PERRY PARTNERS INC 200 E PALM VALLEY DR STE 1040 OVIEDO FL 32765 CONSTRUCTION SVCS 14667367 BARTON MALOW COMPANY 26500 AMERICAN DR SOUTHFIELD MI 48034 CONSTRUCTION SVCS 11499515 ROBINS MORTON GROUP 400 SHADES CREEK PARKWAY STE 200 BIRMINGHAM AL 35209 CONSTRUCTION SVCS 38229896 FINROCK INDUSTRIES 2400 APOPKA BLVD APOPKA FL 32703 CONSTRUCTION SVCS 13589505 FINROCK CONSTRUCTION INC 2400 APOPKA BLVD APOPKA FL 32703 CONSTRUCTION SVCS 11707322 253 5648779 1690616 4225720 11565115 NET PATIENT SERVICE REVENUE 622110 2903226153 2901633891 1592262 STATE OF FL SPECIAL MEDICAID PMTS 622110 126463690 126463690 RETAIL PHARMACY 446110 96573104 96573104 LIP TIER 3 STATE REVENUE 622110 51595497 51595497 STATE OF FL TEACHING/IGT SAFETY NET PMTS 622110 18244359 18244359 80738658 80429984 308674 3276841461 12591920 12591920 -10236482 -10236482 0 3514196 71895 3442301 0 3442301 68180 3374121 537775995 77316 443527330 4578476 94248665 -4501160 89747505 89747505 0 0 0 0 0 0 0 0 0 PHYSICIANS ANSWERING SVCS 561421 506045 506045 INFANT PICTURE CONTRACT 622110 33600 33600 PARKING GARAGE 622110 40583 40583 580228 3384532048 3274940525 2508761 95517647 2937272 2937272 0 0 0 12758077 2932685 9825392 1213695 591106 622589 898048693 760895552 132977330 4175811 67382166 56750620 10615079 16467 124750269 104461766 19552786 735717 62116363 51572520 10294895 248948 0 11661520 11661520 1217339 1217339 795348 795348 0 1577287 1577287 193218234 123350245 69857993 9996 35346169 24416842 10845596 83731 70511437 62354877 7614890 541670 83593151 46339256 37039129 214766 0 110240914 61292107 48477553 471254 3387002 1732187 1563298 91517 0 1035122 935407 97399 2316 45008930 41428636 3580294 0 159440152 146757278 12670449 12425 40979637 40971173 8464 MEDICAL SUPPLIES 618905367 618905367 PATIENT MED ASSIST TRUST 120290273 120290273 ELIGIBILITY FEES 33497068 33497068 DISCHARGE SUPPORT 8984438 8984438 19867007 12565327 7004279 297401 2728762930 2324757350 397103561 6902019 119766067 552890560 390890622 36081011 0 0 311267036 533710988 0 0 0 0 0 0 108147374 109829956 220283559 46130478 3756901497 2127700594 1527458996 1629200903 1941059399 2256231653 0 0 0 0 304175008 279174432 487510550 571910990 5410558611 6015160971 528621606 638221741 0 0 146463122 4750000 1338493391 1498836723 0 0 0 0 62260912 80300585 0 0 450406797 485018836 2526245828 2707127885 X 2759429417 3163761439 124883366 144271647 2884312783 3308033086 5410558611 6015160971 X 655769118 230211365 -462260180 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 92400 false true 795348 887748 false false Schedule C, Part II-B, Line 1g and 1i 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 $377,836. AMOUNTS REPORTED FROM VARIOUS HOSPITAL AND HEALTHCARE MEMBERSHIPS OF DUES USED FOR LOBBYING ACTIVITIES TOTALING $417,512. 35592929 418051 8253886 2853403 836 41410627 38676311 100004 2836526 5953480 66432 35592929 36836779 750218 1142094 52780 38676311 31231110 4383122 1222547 36836779 26942285 1393819 2937429 42423 31231110 0.00000 0.03650 0.96350 false false 147627807 147627807 1192560541 538519650 654040891 25916763 25916763 2218911168 155295492 663615676 171885218 33885452 137999766 1629200903 DUE FROM AFFILIATES 404344336 CASH SURRENDER VALUE LIFE INS 75954236 INVESTMENT IN RELATED PARTIES 11082296 MED MAL RECOVERIES RECEIVABLE 2982455 DEPOSITS 2076874 CAP ACCUM/DEF COMP BEN 18915992 EXEC DEFERRED COMP 457B 53460808 GIFT ANNUITY TRUST 2836547 PROPERTY MANAGEMENT 157446 WORKERS COMP SURETY 100000 571910990 0 PROFESSIONAL & GENERAL LIABILITIES 163463275 SWAP LIABILITIES 38101548 LT LIAB CAP/ACCUM DEF COMP 18915992 LT LIAB EXEC DEF COMP 457B 53460808 ASSET RETIREMENT LIABILITY 1349071 LT DUE TO AFFILIATES 44166631 DEFERRED LEASE LIABILITIES 88040403 FEDERAL EXCISE TAX 2842000 LT CHARITABLE COMMITMENTS TO UNRELATED PARTIES 2475000 EPIC-ELLIE SOFTWARE LICENSE LIABILITIES 13415961 PROPERTY MANAGEMENT LIABILITIES 74623 PUBLIC ASSISTANCE FUND LIABILITY ST 55542111 DUE TO STATE 433960 DISCOUNT/LT LIAB CLEARING ACCOUNTS 2473226 POST RETIREMENT BENEFITS 264176 MEDICARE SETTLEMENTS & RESERVES 51 485018836 X SCHEDULE D, PART V, LINE 4 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 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, 2021 AND 2020. 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X X X X true true X X X true X SEE PART V, SEC C X SEE PART V, SEC C X SEE PART V, SEC C X X X X X X true X false X X X X true X false false PART V, SECTION A MAIN WEBSITE: HTTP://WWW.ORLANDOHEALTH.COM ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER: HTTPS://WWW.ORLANDOHEALTH.COM/FACILITIES/ORLANDO-REGIONAL-MEDICAL-CENTER ORLANDO HEALTH WINNIE PALMER HOSPITAL FOR WOMEN & BABIES: HTTPS://WWW.WINNIEPALMERHOSPITAL.COM/ ORLANDO HEALTH ARNOLD PALMER HOSPITAL FOR CHILDREN: HTTPS://WWW.ARNOLDPALMERHOSPITAL.COM/ ORLANDO HEALTH DR. P. PHILLIPS HOSPITAL: HTTPS://WWW.ORLANDOHEALTH.COM/FACILITIES/DR-P-PHILLIPS-HOSPITAL ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL: HTTPS://WWW.ORLANDOHEALTH.COM/FACILITIES/SOUTH-SEMINOLE-HOSPITAL ORLANDO HEALTH ST. CLOUD HOSPITAL: HTTPS://WWW.ORLANDOHEALTH.COM/FACILITIES/ST-CLOUD-HOSPITAL PART V, SECTION B, Line 3e THE 2019 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, ZIP CODE AND NEIGHBORHOOD CENSUS TRACTS. 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 (2,708 RESPONSES), KEY INFORMANT SURVEY (172 RESPONSES), IN-DEPTH INTERVIEWS WITH COMMUNITY STAKEHOLDERS (34), INTERCEPT SURVEY (135 RESPONSES) AND FOCUS GROUPS (15 GROUPS WITH 235 TOTAL PARTICIPANTS). BASED ON THE DATA, DOZENS OF THEMES WERE GENERATED. USING THE DATA, THE CENTRAL FLORIDA COMMUNITY COLLABORATIVE THAT COMMENCED THE 2019 CHNA SELECTED THE PRIORITIES OR THEMES FOR THE 2019 CHNA. THE COLLABORATIVE UTILIZED AN ELECTRONIC EXERCISE USING OPTIONFINDER, AN AUDIENCE RESPONSE POLLING SYSTEM, TO SELECT 10 PRIORITY AREAS 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 ASSESSMENT SUMMARIES INCLUDED IN THE CHNA. IN ADDITION TO THE PRIORITIES SELECTED BY THE COLLABORATIVE, SUMMARIES WERE PREPARED BY STRATEGY SOLUTIONS, INC (SSI). SSI ALSO INCLUDE BASIC DEMOGRAPHIC INFORMATION FOR EACH COUNTY, AS WELL AS HIGH-LEVEL OVERVIEWS OF THE FOUR ASSESSMENT COMPONENTS OF THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP (MAPP) MODEL: COMMUNITY HEALTH STATUS, COMMUNITY THEMES AND STRENGTHS, LOCAL PUBLIC HEALTH SYSTEMS AND FORCES OF CHANGE. PART V, SECTION B, Line 3j AS PART OF THE SECONDARY DATA COLLECTION, HOSPITAL HOT SPOTTING DATA WAS ALSO INCLUDED IN OUR CHNA. SSI CONTINUED TO EXPAND THE WORK COMPLETED IN THE 2019 CHNA BY ZOOMING IN ON CENSUS TRACTS IN LOCAL HOT SPOTTING AREAS. PATIENT DATA FROM HOSPITALS REPRESENTED IN THE CHNA ALLOWED 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 ALONG THESE IDENTIFIED CENSUS TRACTS. PART V, SECTION B, Line 5 FOR OUR 2019 COMMUNITY HEALTH NEEDS ASSESSMENT, WE CONTRACTED STRATEGY SOLUTIONS, INC (SSI). SSI IS A CERTIFIED WBE (WOMAN BUSINESS ENTERPRISE) WITH A MISSION TO CREATE HEALTHY COMMUNITIES. SSI HAS BEEN CONDUCTING CHNAS SINCE 1993 WITH THEIR CLIENTS BEING RECOGNIZED FOR BEST PRACTICES. RECOGNIZING EACH COMMUNITY IS UNIQUE, SSI'S APPROACH TO BETTER UNDERSTANDING A COMMUNITY'S NEED IS ALIGNED WITH THE SOCIAL-ECOLOGICAL MODEL. THE MODEL IS A COMPREHENSIVE APPROACH TO HEALTH AND URBAN PLANNING THAT ADDRESSES A COMMUNITY'S OR INDIVIDUAL'S RISK FACTORS AS WELL AS, THE NORMS, BELIEFS, AND SOCIAL AND ECONOMIC SYSTEMS THAT CREATE THE CONDITIONS FOR POOR COMMUNITY HEALTH OUTCOMES. SSI WORKED TO BUILD ON TOP OF THE PREVIOUS CHNA CONDUCTED IN 2016. 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, SSI 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 COMMUNITY SURVEY WAS DISTRIBUTED BOTH IN HARD COPY AND DIGITALLY THROUGH SURVEY MONKEY WITH A TOTAL OF 2,708 RESPONSES. A SUMMARY OF RESPONSES FROM THE COMMUNITY SURVEY CAN BE FOUND IN APPENDIX A OF THE CHNA. IN-DEPTH INTERVIEWS WERE CONDUCTED WITH 34 COMMUNITY STAKEHOLDERS DURING THE BEGINNING OF 2019. 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. INFORMATION ABOUT EACH STAKEHOLDER IS OUTLINED IN APPENDIX B OF THE CHNA. THE KEY INFORMANT SURVEY WAS DISTRIBUTED ELECTRONICALLY AND INCLUDED RESPONSES FROM 172 PARTICIPANTS. A SUMMARY OF RESPONSES FROM THE KEY INFORMANT SURVEY CAN BE FOUND IN APPENDIX D OF THE CHNA. FIFTEEN FOCUS GROUPS TOOK PLACE WITH A TOTAL OF 235 PARTICIPANTS. MORE DETAILS REGARDING FOCUS GROUP PARTICIPANTS CAN BE FOUND IN APPENDIX C OF THE CHNA. INTERCEPT SURVEYS WERE CONDUCTED AS IN-PERSON INTERVIEWS WITH OPEN-ENDED QUESTIONS BY SSI CONSULTANTS IN FQHC WAITING ROOMS WITH A TOTAL OF 135 COMPLETED. AN INTERCEPT SURVEY IS A RESEARCH TOOL USED TO GATHER ONSITE FEEDBACK FROM AN IDENTIFIED POPULATION IN A LOCATION WHERE THERE IS A CAPTIVE AUDIENCE. A LIST OF INTERCEPT SURVEY DATES, LOCATIONS AND NUMBER OF RESIDENTS WHO COMPLETED THE SURVEY CAN BE FOUND IN APPENDIX E OF THE CHNA. PART V, SECTION B, LINE 6a 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 & BABIES, ORLANDO HEALTH DR. P. PHILLIPS HOSPITAL, ORLANDO HEALTH - HEALTH CENTRAL HOSPITAL, ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL AND ORLANDO HEALTH SOUTH LAKE 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 PART V, SECTION B, LINE 6b 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 PART V, SECTION B, LINE 7A HTTP://WWW.ORLANDOHEALTH.COM/ABOUT-US/COMMUNITY-INVOLVEMENT/COMMUNITY-BENE FIT PART V, SECTION B, LINE 11 FOR OVER 100 YEARS, ORLANDO HEALTH HAS BEEN SERVING THE CENTRAL FLORIDA REGION. DEDICATED TO IMPROVING THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND COMMUNITIES WE SERVE, ORLANDO HEALTH CONSTANTLY WORKS TO IMPROVE HEALTH IN THE COMMUNITY AND INCREASE ACCESS TO CARE. FOLLOWING OUR PARTICIPATION IN THE 2019 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 & BABIES, ORLANDO HEALTH DR. P. PHILLIPS HOSPITAL, ORLANDO HEALTH - HEALTH CENTRAL HOSPITAL AND ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER (ORLANDO HEALTH CANCER INSTITUTE). MEANWHILE ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL IS IN SEMINOLE COUNTY AND ORLANDO HEALTH SOUTH LAKE HOSPITAL IS LOCATED IN LAKE COUNTY. BASED ON OUR PROCESS, WE SELECTED ACCESS TO CARE AS OUR PRIORITY HEALTH NEED FROM THE 2019 CHNA. WITH OUR FOCUS IN FISCAL YEAR 2021 ON ACCESS TO CARE, ORLANDO HEALTH DEVELOPED NEW AND ENHANCED EXISTING COMMUNITY BENEFIT PROGRAMS TO IMPROVE ACCESS TO CARE. ORLANDO HEALTH PROVIDED OVER $270 MILLION IN COMMUNITY BENEFIT IN FISCAL YEAR 2021. IN SUPPORT OF OUR COMMUNITY BENEFIT EFFORTS, WE RECOGNIZE THE IMPORTANCE OF WORKING WITH COMMUNITY ORGANIZATIONS. IN FISCAL YEAR 2021, WE SUPPORTED 12 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 2021, WE SUPPORTED 334 COMMUNITY ORGANIZATIONS. ORLANDO HEALTH HAS PROVIDED 6,456 BOARD MEMBER, COMMITTEE MEMBER AND ADVISORY BOARD MEMBER HOURS. THE CONTINUED EFFECTS OF COVID-19 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 WHEN MANY RESIDENTS WERE NOT ABLE TO LEAVE THEIR HOMES. EXAMPLES FROM KEY INITIATIVES ARE INCLUDED TO ILLUSTRATE THE TYPES OF SUCCESSES THESE PROGRAMS YIELD. 1. THE ORLANDO HEALTH COMMUNITY GRANT PROGRAM PARTNERED WITH THE FLORIDA DEPARTMENT OF HEALTH IN SEMINOLE COUNTY TO FUND THEIR COMMUNITY INTEGRATED MOBILE HEALTH SERVICES PROGRAM. THIS PROGRAM PROVIDES COMMUNITY-BASED HEALTH SCREENINGS, TESTING, EDUCATION AND REFERRALS TO POPULATIONS WITH LIMITED ACCESS IN ORANGE COUNTY. IN FISCAL YEAR 2021, THIS PROGRAM PROVIDED RESOURCES AND SCREENINGS TO MORE THAN 1,500 RESIDENTS OF SEMINOLE COUNTY THROUGH 115 COMMUNITY OUTREACH EVENTS. MORE THAN 600 BOXES OF FOOD WERE DISTRIBUTED, AND MORE THAN 1,300 INDIVIDUALS RECEIVED REFERRALS TO EITHER ADDITIONAL RESOURCES OR FOLLOW-UP CARE. 2. IN FISCAL YEAR 2021, THE ORLANDO HEALTH COMMUNITY BENEFIT TEAM PARTNERED WITH SECOND HARVEST FOOD BANK AND THEIR SCHOOL PANTRY PROGRAM TO ESTABLISH A SCHOOL MARKET EMERGENCY FOOD PANTRY AT TWO SCHOOLS IN ORANGE COUNTY, ORANGE CENTER ELEMENTARY AND THE ACADEMIC SCHOOL FOR EXCELLENCE (ACE) SCHOOL. THIS FOOD PANTRY PROVIDES NON-PERISHABLE EMERGENCY FOOD RESOURCES TO UNDERSERVED FAMILIES AND STUDENTS OF BOTH SCHOOLS. THROUGH THIS PROGRAM, ORLANDO HEALTH WILL CONTINUE TO TACKLE THE LACK OF ACCESS TO HEALTHY, NUTRITIOUS FOODS FOR RESIDENTS WHO LIVE IN IDENTIFIED FOOD DESERTS ACROSS OUR REGION. THESE PROGRAMS WILL BE OPERATIONAL STARTING IN 2022 AND WILL CONTINUE THROUGH THE 2022-2023 ACADEMIC SCHOOL YEAR. 3. IN 2021, ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER IDENTIFIED AN OPPORTUNITY TO ADDRESS A LACK OF EMPLOYMENT OPTIONS FOR INDIVIDUALS WITH UNIQUE ABILITIES AND ESTABLISHED THE WE BUILD (WORKFORCE EXPERIENCE BY BRIDGING UNIQUE ABILITY INDIVIDUALS WITH LEARNING AND DEVELOPMENT) CAREER PATH PROGRAM. THROUGH THIS PROGRAM, INTERNS HAVE AN OPPORTUNITY TO PARTICIPATE IN A SIX-WEEK PAID INTERNSHIP WHERE THEY DEVELOP HARD AND SOFT SKILLS WHILE ASSISTING IN AREAS OF THE HOSPITAL THAT INCLUDE: ADMINISTRATION, ENVIRONMENTAL SERVICES, FOOD AND NUTRITION, GUEST SERVICES AND MORE. THIS PROGRAM CREATES OPPORTUNITIES FOR INTERNS TO OBTAIN PERMANENT EMPLOYMENT WITHIN ORLANDO HEALTH'S HEALTHCARE SYSTEM. IN FISCAL YEAR 2021, EIGHT INTERNS WORKED DIRECTLY WITH NINE ORLANDO HEALTH TEAM MEMBERS WHO PROVIDED GUIDANCE AND SUPPORT THAT AIDED IN THEIR WORK EXPERIENCE IN VARIOUS DEPARTMENTS. THREE PARTICIPANTS SECURED A POSITION AT ORLANDO HEALTH THROUGH THIS PROGRAM. 4. 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. IN FISCAL YEAR 2021, PLANT DAY RELAUNCHED WITH AN EXPANDED GARDEN SPACE THAT NOW INCLUDES 18 RAISED GARDEN BEDS. FOURTEEN ORLANDO HEALTH TEAM MEMBERS VOLUNTEERED TO WORK ALONGSIDE STUDENTS AND SCHOOL STAFF TO PLANT VEGETABLES AND HERBS. THROUGHOUT THE SCHOOL YEAR, STUDENTS AND TEACHERS TEND THE GARDEN AND, HARVEST RIPE VEGETABLES TO USE IN SCHOOL COOKING CLASSES, TAKE HOME TO THEIR FAMILIES OR SELL TO COMMUNITY MEMBERS. CURRENTLY, DIETITIANS FROM ORLANDO HEALTH ARNOLD PALMER VIRTUALLY VISIT THE SCHOOL TO TEACH STUDENTS ABOUT NUTRITION AND TO HELP IMPROVE LIFESTYLE CHOICES. 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 ALLOWS 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 2021, THE OPIOID OUTREACH COORDINATOR ASSESSED MORE THAN 400 PATIENTS, DISTRIBUTED MORE THAN 100 NARCAN KITS AND HAS REFERRED 17 PATIENTS TO THE PHARMACY TO PARTICIPATE IN THE MAT PROGRAM. DATA ANALYSIS SUGGESTS THAT THESE EFFORTS HAVE REDUCED REOCCURRING EMERGENCY ROOM VISITS BY MORE THAN FIFTY PERCENT AND LESS THAN FORTY 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'S HIGH-RISK OBSTETRICS AND GYNECOLOGY RESIDENT PRACTICE OFFERS SUPPORTIVE CARE FOR VULNERABLE PREGNANT WOMEN, BEFORE AND AFTER THEY DELIVER. LOCATED AT ORLANDO HEALTH WINNIE PALMER HOSPITAL FOR WOMEN & BABIES, THE PRACTICE IS A WELL-KNOWN RESOURCE FOR CENTRAL FLORIDA WOMEN WHO OTHERWISE MAY NOT HAVE OBSTETRIC CARE. IN FISCAL YEAR 2021, 15 PATIENTS WERE ENROLLED IN THE PROGRAM. EACH PATIENT IS SCREENED FOR FOOD INSECURITY AND RELATED HEALTH INDICATORS THAT MAKE THEM ELIGIBLE FOR THE PROGRAM. SECOND HARVEST FOOD BANK ESTABLISHES A DELIVERY SCHEDULE, SO EACH PATIENT RECEI PART V, SECTION B, LINE 16a HTTPS://WWW.ORLANDOHEALTH.COM/PATIENTS-AND-VISITORS/PATIENT-FINANCIAL-RESO URCES/FINANCIAL-ASSISTANCE-PROGRAM PART V, SECTION B, LINE 16b HTTPS://WWW.ORLANDOHEALTH.COM/PATIENTS-AND-VISITORS/PATIENT-FINANCIAL-RESO URCES/FINANCIAL-ASSISTANCE-PROGRAM PART V, SECTION B, LINE 16c HTTPS://WWW.ORLANDOHEALTH.COM/PATIENTS-AND-VISITORS/PATIENT-FINANCIAL-RESO URCES/FINANCIAL-ASSISTANCE-PROGRAM 45 Orlando Health Cancer Institute 1400 South Orange Avenue Orlando FL 32806 Inpatient and Outpatient Cancer Center ORMC - Ambulatory Care CTR 22 W Underwood Avenue Orlando FL 32806 Outpatient Surgery/Diagnostics Orlando Health ER & Med Pav - Osceola 1001 East Osceola Parkway Kissimmee FL 34744 Freestanding ER & Med Pavilion Orlando Health Heart & Vascular Inst 1222 South Orange Avenue Orlando FL 32806 Outpatient Diagnostic Center Orlando Health Cancer Institute 9900 W Colonial Drive Ocoee FL 34761 Outpatient Cancer Care Orlando Health ER & Med PAV - LAKE MARY 380 Rinehart Road Lake Mary FL 32746 Freestanding ER and Medical Pavilion Orlando Health Heart & Vascular Inst 10000 W Colonial Drive Suite 484 Ocoee FL 34761 Outpatient Diagnostic Center Orlando Health Heart & Vascular Inst 2080 Oakley Seaver Dr Clermont FL 34711 Outpatient Diagnostic Center Orlando Health Heart & Vascular Inst 7236 Stonerock Circle Orlando FL 32819 Outpatient Diagnostic Center Orlando Health Cancer Institute 210 Rinehart Road Lake Mary FL 32746 Outpatient Cancer Care Orlando Health Cancer Institute 7472 Docs Grove Circle Orlando FL 32819 Outpatient Cancer Care Orlando Health Heart & Vascular Inst 100 North Dean Road Suite 202 Orlando FL 32825 Outpatient Diagnostic Center OH ORMC INST FOR ADV REHAB 1222 S Orange Avenue Orlando FL 32806 Outpatient Rehabilitation Arnold Palmer Hsptl Outpatient Rehab 925 S Orange Avenue Orlando FL 32806 Outpatient Pediatric Rehab The Heart Ctr at Arnold Palmer Hsptl 1222 S Orange Avenue Orlando FL 32806 Outpatient Diagnostic Center Orlando Health Heart & Vascular Inst 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 Audiology Services 50 Sturtevant Street Orlando FL 32806 Outpatient Audiology Services Orlando Health Rehabilitation Services 521 W State Road 434 Suite 204 Longwood FL 32750 Outpatient Rehabilitation OH ORMC INST for ADV REHAB 100 W Gore St Ste 104 Orlando FL 32806 Outpatient Rehabilitation Orlando Health ER & MED PAV -RANDAL PARK 10155 Dowden Road Orlando FL 32832 Freestanding ER & Med Pavilion Orlando Health Cancer Institute 105 West Miller Street Orlando FL 32806 Outpatient Cancer Care Orlando Health Imaging Centers 7243 Della Dr Suite C Orlando FL 32819 Outpatient Imaging Center Orlando Health Imaging Centers 392 Rinehart Rd Suite 1300 Lake Mary FL 32746 Outpatient Imaging Center Orlando Health Imaging Centers 1800 S Orange Ave Orlando FL 32806 Outpatient Imaging Center OH OUTPATIENT REHAB - Dr Phillips Hsptl 7000 Dr Phillips Boulevard Orlando FL 32819 Outpatient Services OH OUTPATIENT REHAB - Dr Phillips Hsptl 7350 Sandlake Commons Blvd Suite 1 Orlando FL 32819 Outpatient Rehabilitation Arnold Palmer Hsptl OUTPATIENT REHAB 1555 Howell Branch Road Ste B1 Winter Park FL 32789 Outpatient Pediatric Rehab 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 Windermere FL 34786 Outpatient Imaging Center Orlando Health Imaging Centers 398 E Altamonte Dr Altamonte Springs FL 32701 Outpatient Imaging Center Orlando Health Imaging Centers 10889 W Colonial Dr Ocoee FL 34761 Outpatient Imaging Center Orlando Health Infusion Center 1414 Kuhl Avenue Orlando FL 32806 Outpatient Infusion Center OH St Cloud Hsptl Rehab Svcs 1330 Budinger Ave Ste 204 Saint Cloud FL 34769 Outpatient Rehab Services South Seminole Wound Care Center 515 W State Road 434 Suite 101 Longwood FL 32750 Outpatient Wound Care Arnold Palmer Hsptl Outptnt Infusion CTR 60 W Gore Street Orlando FL 32806 Outpatient Infusion Center Orlando Health Wound Healing Center 7339 Stonerock Circle Orlando FL 32819 Outpatient Wound Care OH St Cloud Hsptl Digital Mammography 2900 17th St Ste 4/5 Saint Cloud FL 34769 Digital Mammogram Services OH St Cloud Hsptl Wound Care 2912 17th St Saint Cloud FL 34769 Outpatient Wound Care Orlando Health Heart & Vascular Inst 392 Rinehart Road Suite 2050 Lake Mary FL 32746 Cardiac Rehab Orlando Health Imaging Centers 1111 Fairbanks Ave Winter Park FL 32789 Outpatient Imaging Center Orlando Health Cancer Institute 22 W Underwood Street Orlando FL 32806 Outpatient Cancer Care Orlando Health Pre-Admission Center 7448 Docs Grove Circle Suite 108 Orlando FL 32819 Hospital Pre-Admission Testing Orlando Health Heart & Vascular Inst 60 W Gore St Orlando FL 32806 Outpatient Diagnostic Center Arnold Palmer Hospital Outpatient Center 50 West Sturtevant Street Orlando FL 32806 Outpatient Pediatric Services PART I, LINE 7 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. PART I, LINE 7, COLUMN F 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. PART II 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. ORLANDO HEALTH DID NOT RECRUIT ANY NEW COMMUNITY-BASED PHYSICIANS DURING THE FISCAL YEAR. HOWEVER, WE WILL CONTINUE TO FIND WAYS TO RECRUIT COMMUNITY-BASED PHYSICIANS TO HELP COMBAT PHYSICIAN SHORTAGES IN THE COMING FISCAL YEAR. PART III, LINE 2 AND LINE 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) PART III, LINE 8 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. PART III, LINE 9B 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. PART VI, LINE 2 IN 2019, ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER (ORLANDO HEALTH ORMC), ORLANDO HEALTH DR. P. PHILLIPS HOSPITAL, ORLANDO HEALTH - HEALTH CENTRAL HOSPITAL, ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL, ORLANDO HEALTH ARNOLD PALMER HOSPITAL FOR CHILDREN, ORLANDO HEALTH WINNIE PALMER HOSPITAL FOR WOMEN & BABIES AND ORLANDO HEALTH SOUTH LAKE HOSPITAL CONDUCTED A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT. HOWEVER, PRIOR TO THE ASSESSMENT, ORLANDO HEALTH ASSESSED THE SERVICES NEEDED AS PART OF OUR STRATEGY, PLANNING AND BUDGETING PROCESS AND DEVELOPED A PROCESS TO ENSURE THE ORGANIZATION IS RESPONSIVE TO COMMUNITY HEALTH NEEDS. THROUGH OUR EDUCATION, RESEARCH, PATIENT CARE PROGRAMS, AND 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 AREA 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 FOLLOW-UP RELATED TO THE ON-GOING CARE AND TREATMENT OF PATIENTS TO PREVENT UNNECESSARY ADMISSIONS AND POTENTIAL RE-ADMISSIONS. PART VI, LINE 3 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. PART VI, LINE 4 ORLANDO HEALTH CURRENTLY OPERATES TEN 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 23,000 EMPLOYEES AND OVER 3,000 ON-STAFF PHYSICIANS. AS A STATUTORY TEACHING HOSPITAL, WE OFFER GRADUATE MEDICAL EDUCATION WHERE WE ARE THE INSTITUTIONAL SPONSOR OF TEN RESIDENCY AND 24 FELLOWSHIP PROGRAMS. ORLANDO HEALTH FACILITIES ENCOMPASS 3,133 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 & 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 HOSPITAL. 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 474,118 PATIENTS VISITED OUR EMERGENCY DEPARTMENTS IN 2021. 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 781 ADULT TRAUMA PATIENTS AND 140 PEDIATRIC TRAUMA PATIENTS IN 2021. ORLANDO HEALTH'S PRIMARY SERVICE AREA IS COMPRISED OF LAKE, ORANGE, OSCEOLA, AND SEMINOLE COUNTIES. THE MEDIAN HOUSEHOLD INCOME IN THESE COUNTIES IS $67,639. IN CENTRAL FLORIDA, 12.2 PERCENT OF HOUSEHOLDS ARE BELOW THE FEDERAL POVERTY GUIDELINE. THE PERCENT UNINSURED (AGE 0-64) FOR THE FOUR-COUNTY AREA IS 14.4 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. PART VI, LINE 5 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 2021, OUR TEAM MEMBERS AND PHYSICIANS PROVIDED OVER 1,600 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. PART VI, LINE 6 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 OUR COMMUNITY SERVED. AS AN INTEGRATED HEALTHCARE SYSTEM, ORLANDO HEALTH HAS SEVERAL AFFILIATED AND SUPPORT ORGANIZATIONS THAT ENSURE WE MEET THE COMMUNITY'S 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 TEN HOSPITALS, SIX FREESTANDING EMERGENCY ROOMS AND VARIOUS OUTPATIENT FACILITIES, WITH OVER 23,000 EMPLOYEES AND OVER 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 TEN RESIDENCY, SIX PHARMACY RESIDENCY, AND 24 FELLOWSHIP PROGRAMS. ORLANDO HEALTH FACILITIES ENCOMPASS 3,133 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 & 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 OVER 500 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 $780 MILLION IN SUPPORT OF COMMUNITY HEALTH NEEDS. PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT NONE 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 EIGHT 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 (ORMC) 2. ORLANDO HEALTH ARNOLD PALMER HOSPITAL FOR CHILDREN (APH) 3. ORLANDO HEALTH WINNIE PALMER HOSPITAL FOR WOMEN & BABIES (WPH) 4. ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL (SSH) 5. ORLANDO HEALTH DR. P. PHILLIPS HOSPITAL (DPH) 6. ORLANDO HEALTH ST. CLOUD HOSPITAL (SCH) 7. ORLANDO HEALTH - HEALTH CENTRAL HOSPITAL (HCH) 8. ORLANDO HEALTH SOUTH LAKE HOSPITAL (SLH) 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 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 2019 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 2019 CHNA. MOREOVER, OHI WILL INCLUDE AN EVALUATION IN THE 2019 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. true Valencia College Foundation Inc 1768 Park Center Dr Orlando FL 32835 237442785 501(c)(3) 500000 Sponsorship Fdn for Seminole State College of Fl Inc 1055 AAA Drive Heathrow FL 32746 237033822 501(c)(3) 500000 Sponsorship Grace Medical Home Inc 51 Pennsylvania St Orlando FL 32806 261817966 501(c)(3) 450000 Sponsorship Health Care Center for the Homeless Inc 232 N Orange Blossom Trl Orlando FL 32805 593185020 501(c)(3) 115000 Sponsorship American Heart Association Inc 237 E Marks St Orlando FL 32803 135613797 501(c)(3) 33333 Sponsorship Orange County Public Schools 445 W Amelia St Orlando FL 32804 596000771 Gov't 78018 Sponsorship Florida State University Foundation Inc 1115 W Call St Tallahassee FL 32306 596152180 501(c)(3) 100000 Sponsorship Orlando Health Medical Group Inc 1414 Kuhl Ave Orlando FL 32806 593259553 501(c)(3) 143861 Program Services Florida Department of Health 400 W Airport Blvd Sanford FL 32773 593502843 Gov't 75000 Sponsorship Midwives Organized to Help Est Self Rel 5700 E Irlo Bsn Mem Hwy St Cloud FL 34771 813430717 501(c)(3) 132000 Sponsorship Hebni Nutrition Consultants Inc 2009 W Central Blvd Orlando FL 32805 593258397 501(c)(3) 34580 Sponsorship LIFT Orlando Inc 2043 Jacobs Pl Orlando FL 32805 463607865 501(c)(3) 25000 Sponsorship Libbys Legacy Breast Cancer Foundation 1718 S Orange Ave Orlando FL 32806 113812766 501(c)(3) 40000 Sponsorship School District of Osceola County FL 817 Bill Beck Blvd Kissimmee FL 34744 596000779 Gov't 25000 Sponsorship The Local Health Cncl of E Central Fl Inc 5931 Brick Ct Winter Park FL 32792 592227752 501(c)(3) 23100 Sponsorship Community Health Centers Inc 110 S Woodland St Winter Garden FL 34787 591480970 501(C)(3) 50000 SPONSORSHIP Covenant House Florida Inc 5931 E Colonial Dr Orlando FL 32807 592323607 501(C)(3) 35000 Sponsorship Fdn for Seminole County Public Schools 400 E Lake Mary Blvd Sanford FL 32773 592775956 501(c)(3) 14861 Reimb for Med Equip Freedom Ride Inc 1905 Lee Rd Orlando FL 32810 593498545 501(C)(3) 100000 Sponsorship Garden Theatre Inc 160 W Plant St Winter Garden FL 34787 272577059 501(C)(3) 10500 Sponsorship Habitat for Humanity of Greater Orlando 4116 Silver Star Rd Orlando FL 32808 592789167 501(C)(3) 8500 Sponsorship Harbor House of Central Florida Inc PO Box 680748 Orlando FL 32868 591712936 501(C)(3) 9000 Sponsorship Junior Achievement of Central Florida Inc 2121 Camden Rd Orlado FL 32803 593599158 501(C)(3) 25000 Sponsorship Lake Mary HS Athletic Boosters Club 655 Lgwd Lake Mary Rd Lake Mary FL 32746 463148319 501(C)(3) 15784 Reimb for Med Equip Osceola County Council on Aging Inc 700 Generation Pt Kissimmee FL 34744 591595398 501(C)(3) 75000 Sponsorship Second Harvest Food Bank of Central FL Inc 411 Mercy Dr Orlando FL 32805 592142315 501(C)(3) 13735 Sponsorship The Christian Sharing Center Inc 600 N Hwy 17-92 Longwood FL 32750 592744535 501(C)(3) 200000 Sponsorship The Master's Academy of Central Fl Inc 1500 Lukas Lane Oviedo FL 32765 592663620 501(C)(3) 20000 Sponsorship University of Central Florida Fdn Inc 12201 Research Pkwy Orlando FL 32826 596211832 501(C)(3) 60000 Sponsorship Zebra Coalition Inc 911 N Mills Ave Orlando FL 32803 271645847 501(C)(3) 25000 Sponsorship 30 0 SCHEDULE I, PART I, LINE 2 PROCEDURE FOR MONITORING USE OF GRANT FUNDS 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. X true true X X X X X X false true false false false false false false false DAVID W STRONG PRESIDENT & CEO 1370117 0 3212851 0 264952 0 498859 0 33131 0 5379910 0 261022 0 JAMAL A HAKIM MD CHIEF OPERATING OFFICER 960918 0 1199297 0 203862 0 228333 0 22664 0 2615074 0 199933 0 BERNADETTE SPONG CHIEF FINANCIAL OFFICER 815666 0 1017381 0 290966 0 198096 0 23340 0 2345449 0 104991 0 SUNIL S DESAI MD SVP, OH & PRES, OHMG 676716 0 929792 0 145778 0 167634 0 31415 0 1951335 0 28432 0 ERICK R HAWKINS SVP, STRATEGIC MANAGEMENT 638825 0 821990 0 95110 0 150074 0 11010 0 1717009 0 84692 0 MARK A JONES SVP, OH & PRESIDENT, ORMC 547460 0 524321 0 78211 0 140169 0 18646 0 1308807 0 73760 0 AURELIO DURAN MD FORMER BOARD MEMBER 0 397044 0 751361 0 56229 0 12117 0 18989 0 1235740 0 0 GREGORY P OHE SVP, AMBU SVCS, ORLANDO HEALTH 459096 0 549116 0 51995 0 97054 0 23163 0 1180424 0 42383 0 JOHN W BOZARD SVP, OH & Pres, APMCF & OHF 294242 294242 171584 171584 59837 59837 16451 16451 10073 10073 552187 552187 0 0 MILDRED DENISE BEAM Chief Legal Strategist 501447 0 304082 0 73910 0 111205 0 15044 0 1005688 0 72781 0 THIBAUT VAN MARCKE DE LUMMEN SVP, OH & PRES, DPH 429735 0 186401 0 55517 0 86085 0 31415 0 789153 0 54492 0 KELLY NIERSTEDT SVP, OH & PRES, WPH 461719 0 210071 0 1464 0 96465 0 3438 0 773157 0 0 0 DAVID F HUDDLESON VP, CHIEF COMPLIANCE & ETHICS 346421 0 205371 0 46896 0 64827 0 23340 0 686855 0 40816 0 MARY FARRELL MD Former Board Member 462232 0 68970 0 70378 0 12938 0 0 0 614518 0 0 0 SCHEDULE J, PART I, LINE 1A DURING FY2021, 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 3 RELATED ORGANIZATIONS 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 THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL QUALIFIED RETIREMENT PLAN. DEFERRAL DEPOSITS: DAVID W. STRONG $487,818 JAMAL A. HAKIM MD $214,875 BERNADETTE SPONG $180,114 SUNIL S. DESAI MD $164,759 ERICK R. HAWKINS $133,701 MARK A. JONES $123,925 GREGORY P. OHE $90,941 JOHN W. BOZARD $21,154 MILDRED D. BEAM $92,999 THIBAUT VAN MARCKE DU LUMMEN $73,344 KELLY NIERSTEDT $84,022 DAVID F. HUDDLESON $52,560 DEFERRAL DISTRIBUTIONS MADE TO THE FOLLOWING: DAVID W. STRONG $261,022 JAMAL A. HAKIM MD $199,933 BERNADETTE SPONG $104,991 SUNIL S. DESAI MD $28,432 ERICK HAWKINS $84,692 MARK A. JONES $73,760 GREGORY P. OHE $42,383 MILDRED D. BEAM $72,781 THIBAUT VAN MARCKE DE LUMMEN $54,492 DAVID F. HUDDLESON $40,816 A ORLANDO COUNTY HEALTH FACILITIES AUTHORITY 521378595 6845035U5 2008-06-18 179360000 REFUND SERIES 1999A, 1999B & 1999C false false false B Orlando County Health Facilities Authority 521378595 68450LGA7 2019-07-03 157946198 REFUND SERIES 2009 false false false C Orlando County Health Facilities Authority 521378595 2011-09-15 83175000 REFUND SERIES 2007A-1 & A-2 BONDS false false false D ORANGE COUNTY HEALTH FACILITIES AUTHORITY 521378595 68450LCD5 2012-05-23 190757522 ORMC REDEVELOPMENT PROJECT false false false A 140485000 0 179362824 0 0 0 1573177 1053969 0 0 0 176732854 2008 true false true true B 29770000 0 157947314 0 0 157946198 0 0 0 0 0 0 2019 false true true true C 0 0 83175000 0 0 0 309605 0 0 0 82865395 0 2011 true false true true D 0 0 190971375 0 0 0 1981410 0 213853 155500000 33276112 0 2015 false false true true A false true true true false 0.00040 0.00040 false false false true B false true true true false 0.00700 0.00700 false false false true C false true true true false 0.01030 0.01030 false false false true D false true true true false 0.00850 0.00850 false false false true A false false false true true true GOLDMAN SACHS 13.1 false false false 0 false true B false true false false false false 0 false 0 false true C false false false true true true MORGAN STANLEY 28. false false false 0 false true D false false false true false false 0 false 0 false true A true B true C true D true 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. 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 5/23/2015 SERIES 2016 RFD 2006B, RFD 2008A-C, REFI HC 4/27/2021 A ORANGE COUNTY HEALTH FACILITIES AUTHORITY 521378595 68450LER2 2016-04-27 276195917 RFD 2006B, RFD 2008A-C, REFI HC false false false A 1680000 0 276199539 0 0 136747879 2250398 0 0 70645200 66552440 0 2016 true true true true A false true true true false 0.00120 0.00120 false false false true A false true false false false false 0 false 0 false true A true MARY FARRELL SEE PART V 1377711 CONTRACTED FPA, LLC false SCHEDULE L, PART IV, LINE 1, COLUMN B 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. 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 2 BUSINESS RELATIONSHIPS BERNADETTE SPONG, JAMAL HAKIM MD, JOHN CAPPLEMAN 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 FORM 990 REVIEW PROCESS 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 MENTORING AND ENFORCEMENT 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 15A OFFICERS AND POSITIONS FOR WHICH COMPENSATION PROCESS WAS USED 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 19 AVAILABILITY OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS 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 XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES AFFILIATED EQUITY TRANSFERS $(475,345,000) CONTRIBUTIONS - BOOK/TAX DIFFERENCES $ 9,628,836 OTHER CHANGES AND EXTRAORDINARY ITEMS $ 3,455,984 ============= TOTAL $(462,260,180) OSCEOLASC LLC 2906 17TH STREET ST CLOUD FL 34769 203728235 HEALTHCARE FL 85354615 174462704 OHI OHRI LLC 1414 KUHL AVENUE ORLANDO FL 32806 472067699 IMAGING SVCS FL 22441066 30309952 OHI ORLANDO HEALTH FOUNDATION INC 3160 SOUTHGATE COMMERCE BLVD ORLANDO FL 32806 592244943 SUPPORT OH FL 501(c)(3) 7 OHI true ORLANDO HEALTH CENTRAL INC 10000 W COLONIAL DRIVE OCOEE FL 34761 800764192 HEALTHCARE FL 501(c)(3) 3 OHI true ORLANDO PHYSICIANS NETWORK INC 1414 KUHL AVENUE ORLANDO FL 32806 593110868 SUPPORT OH FL 501(c)(3) 12a OHI true WEST ORANGE HEALTHCARE INC 10000 W COLONIAL DRIVE OCOEE FL 34761 593269402 PHY SUPRT SRV FL 501(c)(3) 12a OHC true HEALTH CENTRAL FOUNDATION INC 10000 W COLONIAL DRIVE OCOEE FL 32806 592091206 SUPPORT OHC FL 501(c)(3) 7 OHF true GREATER ORLANDO CHILDREN'S MIRACLE NTWK 3160 SOUTHGATE COMMERCE BLVD ORLANDO FL 32806 593452974 SUPPORT OHF FL 501(c)(3) 7 OHF true ORLANDO HEALTH MEDICAL GROUP INC 1414 KUHL AVENUE ORLANDO FL 32806 593259553 PHY SUPPT SRV FL 501(c)(3) 12A OHI true SOUTH LAKE HOSPITAL INC 1900 DON WIKCHAM DRIVE CLERMONT FL 34711 593322533 HEALTHCARE FL 501(C)(3) 3 OHI true OHI WEST INC 1414 KUHL AVENUE ORLANDO FL 32806 845074208 HEALTHCARE FL 501(C)(3) 3 OHI true LIFT ORLANDO IMPACT 2043 JACOBS PL ORLDO FL 32805 814062133 REAL ESTATE FL OHI EXCLUDED -1177 2750081 false 0 false 0.51169 HEALTHNET SERVICES INC & SUBS 1414 KUHL AVENUE ORLANDO FL 32806 592246203 MEDICAL SVCS FL OHI C CORP 0 0 1.00000 true ORLANDO CANCER CENTER INC 1414 KUHL AVENUE ORLANDO FL 32806 593005020 MEDICAL SVCS FL OHMG C CORP 7580292 67558102 1.00000 true ORANGE INDEMNITY LTD PO BOX 1159 CJ KY1-1102 980516252 CAPTIVE INS CJ OHI C CORP 0 0 0.00000 true false true true false false false false false false true true true true true true false true true false HEALTHNET SERVICES INC l 62161 FMV HEALTHNET SERVICES INC O 272529 FMV HEALTHNET SERVICES INC Q 2070715 FMV OHI WEST INC J 3632502 FMV OHI WEST INC O 105788456 FMV OHI WEST INC Q 79240734 FMV OHI WEST INC R 182042000 FMV ORLANDO CANCER CENTER INC Q 266814 FMV ORLANDO HEALTH CENTRAL INC J 51098 FMV ORLANDO HEALTH CENTRAL INC K 235705 FMV ORLANDO HEALTH CENTRAL INC L 5093531 FMV ORLANDO HEALTH CENTRAL INC O 91269459 FMV ORLANDO HEALTH CENTRAL INC Q 73298963 FMV ORLANDO HEALTH FOUNDATION INC C 5648779 FMV ORLANDO HEALTH FOUNDATION INC N 1725077 FMV ORLANDO HEALTH FOUNDATION INC O 5176943 FMV ORLANDO HEALTH FOUNDATION INC Q 2523405 FMV ORLANDO HEALTH MEDICAL GROUP INC B 143861 FMV ORLANDO HEALTH MEDICAL GROUP INC J 20746004 FMV ORLANDO HEALTH MEDICAL GROUP INC L 9711803 FMV ORLANDO HEALTH MEDICAL GROUP INC M 6046352 FMV ORLANDO HEALTH MEDICAL GROUP INC O 524308467 FMV ORLANDO HEALTH MEDICAL GROUP INC Q 64523034 FMV ORLANDO HEALTH MEDICAL GROUP INC R 262500000 FMV ORLANDO PHYSICIANS NETWORK INC J 8481574 FMV ORLANDO PHYSICIANS NETWORK INC L 3628440 FMV ORLANDO PHYSICIANS NETWORK INC O 66246994 FMV ORLANDO PHYSICIANS NETWORK INC Q 22796148 FMV ORLANDO PHYSICIANS NETWORK INC R 38200000 FMV PHYSICIAN ASSOCIATES LLC Q 51257 FMV RINEHART SURGERY CENTER LLC J 264980 FMV SOUTH LAKE HOSPITAL INC J 4768302 FMV SOUTH LAKE HOSPITAL INC L 5806964 FMV SOUTH LAKE HOSPITAL INC O 83754206 FMV SOUTH LAKE HOSPITAL INC Q 45834329 FMV SCHEDULE R, PART V, LINE 2 THE AMOUNTS REPORTED ON SCHEDULE R, PART V, LINE 2, TRANSACTION TYPE O REPRESENT SALARIES AND EMPLOYMENT COSTS OF EMPLOYEES THAT PROVIDE SERVICES TO MULTIPLE ORGANIZATIONS AFFILIATED WITH ORLANDO HEALTH, INC.