2022-08-09T16:58:12-05:00 2021-09-30 ERNST & YOUNG US LLP 201 N FRANKLIN ST STE 2400 TAMPA FL 33602 990 2020-10-01 800764192 Orlando Health Central Inc % LESLIE FLAKE ORLA 4072961000 10000 W COLONIAL DRIVE OCOEE FL 34761 LESLIE FLAKE CFO 3218415078 2022-08-08 true LESLIE FLAKE 999009999 MELANIE MCPEAK P01346034 8132254800 2 2020 2022-09-23 18:48:47Z LESLIE FLAKE 1414 KUHL AVENUE ORLANDO FL 32806 336746884 false X SEE SCHEDULE O X 2011 FL TO IMPROVE THE HEALTH OF OUR COMMUNITY BY PROVIDING SAFE, QUALITY HEALTHCARE IN AN ATMOSPHERE OF CARING. 8 4 1761 936 78395 71193 5282928 398812 273347329 300916337 4942754 6501203 1094643 2337018 284667654 310153370 20000 0 0 0 132408878 143983635 0 0 0 134585055 140718315 267013933 284701950 17653721 25451420 614173893 596461150 326191107 272983980 287982786 323477170 X ORLANDO HEALTH CENTRAL IS A TRUSTED LEADER INSPIRING HOPE THROUGH THE ADVANCEMENT OF HEALTH. OUR MISSION IS TO IMPROVE THE HEALTH OF OUR COMMUNITY BY PROVIDING SAFE, QUALITY HEALTHCARE SERVICES IN AN ATMOSPHERE OF CARING. false false 245906558 281407371 ORLANDO HEALTH CENTRAL, INC. PROVIDES HIGH QUALITY INPATIENT, OUTPATIENT AND EMERGENCY HEALTHCARE TO THE RESIDENTS OF ORANGE COUNTY THROUGH TWO HOSPITALS, ORLANDO HEALTH - HEALTH CENTRAL HOSPITAL AND ORLANDO HEALTH HORIZON WEST HOSPITAL, AND VARIOUS OUTPATIENT FACILITIES. WE HAVE SERVED WEST ORANGE COUNTY'S SURGICAL AND GENERAL HEALTHCARE NEEDS SINCE 1952 THROUGH ORLANDO HEALTH - HEALTH CENTRAL HOSPITAL. ORLANDO HEALTH - HEALTH CENTRAL HOSPITAL DELIVERS COMPREHENSIVE HEALTHCARE SERVICES IN ITS 440,000-SQUARE-FOOT, INTEGRATED MEDICAL MALL, WHICH INCLUDES A 216-BED JCAHO ACCREDITED ACUTE CARE HOSPITAL AND PHYSICIAN OFFICES, AS WELL AS A 60-BED EMERGENCY CENTER. ORLANDO HEALTH HORIZON WEST HOSPITAL OPENED JANUARY 30, 2021 AS A FULL-SERVICE COMMUNITY HOSPITAL WITH 60 LICENSED ACUTE CARE BEDS, A 23-BED EMERGENCY DEPARTMENT, MEDICAL OFFICES AND AN OUTPATIENT REHABILITATION SUITE. DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2021, ORLANDO HEALTH CENTRAL'S HOSPITAL FACILITIES PROVIDED 62,955 DAYS OF INPATIENT CARE, 62,523 OUTPATIENT VISITS, AND 61,478 EMERGENCY DEPARTMENT VISITS. IN ACCORDANCE WITH ITS MISSION, ORLANDO HEALTH CENTRAL PROVIDED EXTENSIVE CARE TO PATIENTS WHO MEET ITS CHARITY CARE GUIDELINES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. ORLANDO HEALTH CENTRAL ALSO OFFERS COMMUNITY EDUCATION, SCHOOL INITIATIVES AND SUPPORT GROUPS. AS A NOT-FOR-PROFIT HEALTHCARE PROVIDER, THE CULTURE OF CARING AT ORLANDO HEALTH CENTRAL FACILITIES TOUCHES THE LIVES OF MANY THROUGHOUT CENTRAL FLORIDA. ORLANDO HEALTH CENTRAL'S PHYSICIANS, EMPLOYEES AND VOLUNTEERS KNOW THAT HEALTHCARE EXTENDS BEYOND THE WALLS OF THE HOSPITAL. OUR DEDICATED MEDICAL PROFESSIONALS AND VOLUNTEERS CONTRIBUTE TO THE COMMUNITY OUTSIDE THE ORGANIZATION, EDUCATING THEIR NEIGHBORS AND PROVIDING MEDICAL CARE TO OTHERS IN THE REGION. ORLANDO HEALTH CENTRAL DEMONSTRATES A COMMITMENT TO PROMOTING HEALTH, WELL-BEING, AND A CARING SPIRIT THROUGHOUT THE COMMUNITY BY ORGANIZING AND PROVIDING SERVICES RANGING FROM WELLNESS EVENTS AND SCREENINGS, TO FLU SHOTS AND HIGH SCHOOL PHYSICALS. THESE ACTIVITIES BRING LITTLE OR NO PAYMENT TO OUR HOSPITALS, BUT ARE SUSTAINED BECAUSE THEY ARE VALUABLE TO OUR REGION AND SUPPORT OUR MISSION. COMMUNITY PROGRAMS AND SERVICES: COMMUNITY OUTREACH SUPPORT / EDUCATION GROUPS COMMUNITY WELLNESS COMMUNITY HEALTH FAIRS PASTORAL OUTREACH & SPIRITUAL CARE VALUE TO THE COMMUNITY FISCAL YEAR 2021: BY OFFERING THE BEST QUALITY OF CARE, RESPONDING TO COMMUNITY NEEDS AND CONCENTRATING RESOURCES IN AREAS THAT TRULY MAKE A DIFFERENCE, ORLANDO HEALTH CENTRAL MAINTAINS A RICH TRADITION OF PROVIDING A 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 CENTRAL IS DEDICATED TO IMPROVING THE HEALTH AND WELL-BEING OF THE PEOPLE WE SERVE. ORLANDO HEALTH CENTRAL IS 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 2021, ORLANDO HEALTH CENTRAL PROVIDED $21,562,973 IN CHARITY CARE, $124,162 IN COMMUNITY BENEFIT PROGRAMS AND $18,609,820 IN MEDICAID SHORTFALLS. MAKING LONG-TERM LIFESTYLE CHANGES: ENHANCING THE HEALTH AND QUALITY OF LIFE OF CENTRAL FLORIDIANS IS THE FOCUS OF THE ORLANDO HEALTH CENTER FOR HEALTH IMPROVEMENT LOCATED AT THE ORLANDO HEALTH MEDICAL PAVILION - HORIZON WEST. THE CENTER FOR HEALTH IMPROVEMENT USES EVIDENCE-BASED BEST PRACTICES TO IDENTIFY AN INDIVIDUAL'S DISEASE RISKS AND PROVIDE PERSONALIZED HEALTH SUPPORT FOR LONG-TERM LIFESTYLE CHANGES. PROGRAM PARTICIPATION IS OFFERED AT NO COST TO THOSE WHO DEMONSTRATE AN APPROPRIATE LEVEL OF READINESS FOR CHANGE AND MOTIVATION FOR SUCCESS. A PHYSICIAN-LED TEAM PROVIDES HEALTH-IMPROVEMENT CONSULTATIONS, EDUCATION, WORKSHOPS AND HEALTH COACHING FOR A VARIETY OF AREAS. PARTICIPATION RANGES FROM TWO VISITS UP TO A 12-WEEK PROGRAM ENROLLMENT. FIGHTING CHRONIC DISEASE: ORLANDO HEALTH CENTRAL SUPPORTED ORANGE BLOSSOM FAMILY HEALTH THROUGH THE ORLANDO HEALTH COMMUNITY GRANT PROGRAM BY AWARDING FUNDING TO THEIR DIABETES CLINIC. THIS PROGRAM ADDRESSES BARRIERS THAT DELAY PATIENTS FROM MAINTAINING THEIR MEDICAL APPOINTMENTS. IN FY2021, THIS PROGRAM REACHED 153 CLIENTS. EIGHTY-FIVE PERCENT OF THOSE PARTICIPATING REDUCED THEIR HBA1C LEVELS, 79 PERCENT REDUCED THEIR BLOOD SUGAR LEVELS AND 63 PERCENT IMPROVED THEIR OVERALL UNDERSTANDING OF THE DISEASE. ADDRESSING MENTAL/BEHAVIORAL HEALTH: ORLANDO HEALTH CENTRAL PARTNERED WITH COMMUNITY HEALTH CENTERS BY FUNDING A GRANT THROUGH THE ORLANDO HEALTH COMMUNITY GRANT PROGRAM TO ADDRESS MENTAL/BEHAVIORAL HEALTH. THIS PROGRAM INCREASES ACCESS FOR MENTAL HEALTH SERVICES FOR MANY UNDERSERVED CHILDREN, ADOLESCENTS AND ADULT RESIDENTS LIVING IN OR NEAR THE PINE HILLS COMMUNITY IN ORANGE COUNTY. A LICENSED CLINICAL SOCIAL WORKER ASSESSED AND TREATED MORE THAN 390 PATIENTS, INCLUDING 92 NEW PATIENTS. MANY PATIENTS ARE PROVIDED ADDITIONAL SUPPORT THROUGH EITHER COUNSELING, MEDICATION OR A COMBINATION OF THE TWO THAT HELPS MANAGE THEIR DIAGNOSIS. THIS PROGRAM CONTINUES TO FIND WAYS TO REACH INDIVIDUALS STRUGGLING WITH MENTAL/BEHAVIORAL HEALTH RESOURCES IN THE COMMUNITY. RESPONDING TO A PANDEMIC - COVID-19 FROM THE ONSET OF THE COVID-19 PUBLIC HEALTH EMERGENCY, ORLANDO HEALTH HAS REFLECTED ITS CORE MISSION TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND COMMUNITIES WE SERVE. WITH A LEVEL ONE TRAUMA CENTER AND A SAFETY NET HOSPITAL, ORLANDO HEALTH QUICKLY BECAME A FOCAL POINT AND COMMUNITY RESOURCE FOR CENTRAL FLORIDA'S RESPONSE TO THE PANDEMIC. SINCE JANUARY 2020, THE HEALTHCARE SYSTEM HAS DEVELOPED ALGORITHMS, DEVISED PROTOCOLS AND DELIVERED LIFESAVING CARE THAT PROTECTED ITS PATIENTS, VISITORS, TEAM MEMBERS AND COMMUNITIES. LIKE MANY HEALTHCARE SYSTEMS ACROSS THE UNITED STATES, ORLANDO HEALTH CONTINUES TO EXPERIENCE AND RESPOND TO OPERATIONAL AND FINANCIAL CHALLENGES RELATED TO THE CURRENT OUTBREAK OF COVID-19. SINCE MARCH 2020, ORLANDO HEALTH HAS BEEN TRACKING DAILY THE NUMBER OF COVID-19 INPATIENTS. THE HIGHEST NUMBER OF COVID-19 INPATIENTS WAS DURING THE DELTA VARIANT SURGE IN AUGUST AND SEPTEMBER 2021, PEAKING AT 760 INPATIENTS ON AUGUST 20, 2021, REPRESENTING NEARLY A THIRD OF TOTAL INPATIENTS. THE CORONAVIRUS AID, RELIEF AND ECONOMIC SECURITIES (CARES) ACT PROVIDER RELIEF FUND WAS SIGNED INTO LAW TO PROVIDE TEMPORARY AND LIMITED RELIEF TO INDIVIDUALS AND BUSINESSES IMPACTED BY THE COVID-19 OUTBREAK, INCLUDING THE APPROPRIATION OF FUNDS FOR HEALTHCARE PROVIDERS FOR REIMBURSEMENT OF EXPENSES AND LOST REVENUE ATTRIBUTABLE TO COVID-19. THROUGH SEPTEMBER 30, 2021, ORLANDO HEALTH HAD RECEIVED DISTRIBUTIONS OF APPROXIMATELY $83 MILLION UNDER THE CARES ACT PROVIDER RELIEF FUND. THE HEALTHCARE SYSTEM HAS TAKEN NUMEROUS STEPS IN RESPONSE TO THE COVID-19 PANDEMIC THAT REFLECT ITS ORGANIZATIONAL CULTURE. WHAT FOLLOWS ARE BUT A FEW OF THE MANY WAYS ORLANDO HEALTH INNOVATED AND ADAPTED AS IT FACED COVID-19. CARING FOR PATIENTS: TO CARE FOR PATIENTS IN ITS HOSPITALS AND OUTPATIENT CENTERS, ORLANDO HEALTH DEVISED A MULTIPRONGED APPROACH THAT INCLUDES INSTITUTING SAFETY MEASURES TO LIMIT THE SPREAD OF THE VIRUS WITHIN ITS FACILITIES. EMERGENCY MEDICINE PHYSICIANS AND DISASTER-RESPONSE EXPERTS ENGAGED TO PREPARE FOR PATIENT SURGES TO KEEP UP WITH SUPPLY AND WORKFORCE DEMANDS. THE HEALTHCARE SYSTEM ALSO ESTABLISHED TESTING CENTERS FOR PATIENTS AT SELECT LOCATIONS. AS VACCINES BECAME AVAILABLE, ORLANDO HEALTH STOOD UP SEVERAL VACCINATION SITES FOR COMMUNITY MEMBERS AND TEAM MEMBERS. BY SEPTEMBER 30, 2021, THE ORGANIZATION HAD ADMINISTERED APPROXIMATELY 132,000 VACCINATIONS. KEEPING PATIENTS AND TEAM MEMBERS SAFE: ORLANDO HEALTH'S SUPPLY CHAIN TEAM CONTINUES TO WORK DILIGENTLY TO SECURE NEEDED SUPPLIES FROM TRUSTED AND VETTED SOURCES, AND ENSURE ALL HOSPITALS IN THE ORGANIZATION ARE TRACKING SUPPLIES AT EACH SITE AND ROUTING EQUIPMENT AND SUPPLIES WHERE THEY ARE MOST NEEDED. ON A DAILY BASIS, SUPPLY CHAIN MANAGEMENT REVIEWS CRITICAL SUPPLIES SUCH AS PERSONAL PROTECTIVE EQUIPMENT (PPE), DIAGNOSTIC TESTING PRODUCTS AND EQUIPMENT TO MANAGE ANTICIPATED VOLUMES. THE HEALTHCARE SYSTEM MAINTAINS OVER 150 DAYS ON HAND OF KEY PPE, INCLUDING MASKS, GOWNS AND GLOVES. MANAGEMENT BELIEVES IT HAS A SUFFICIENT SUPPLY OF PPE TO MEET ITS CURRENT NEEDS BUT EXPECTS CONTINUED HIGH DEMAND. MAINTAINING AN ENGAGED WORKFORCE: AS THE PANDEMIC CONTINUED, ORLANDO HEALTH FACED CONTINUING PRESSURES ON ITS NURSE STAFFING, WHICH ACCOUNTS FOR MORE THAN 20% OF THE TEAM MEMBER POPULATION. SIMILAR TO OTHER HEALTHCARE SYSTEMS ACROSS THE NATION, ORLANDO HEALTH HAD A VOLUNTARY RN TURNOVER RATE THAT WAS THE HIGHEST IN DECADES. IN RESP 19473967 19508966 ORLANDO HEALTH CENTRAL, INC. PROVIDES LONG-TERM NURSING CARE TO OUR COMMUNITY THROUGH HEALTH CENTRAL PARK, A 118-BED FACILITY AND THE ORLANDO HEALTH CENTER FOR REHABILITATION, A 110-BED FACILITY. HEALTH CENTRAL PARK CONSISTS OF 3 NEIGHBORHOODS (NURSING WINGS) PRIMARILY PROVIDING CARE TO LONG-TERM-CARE RESIDENTS. THE ORLANDO HEALTH CENTER FOR REHABILITATION, LOCATED ON THE CAMPUS OF ORLANDO HEALTH - HEALTH CENTRAL HOSPITAL WAS COMPLETED DURING FY19. THE FACILITY CONSISTS OF 60 PRIVATE REHAB ROOMS, 40 DEMENTIA BEDS OF WHICH 36 ARE PRIVATE ROOMS AND 2 ARE SEMI-PRIVATE ROOMS AND 10 PRIVATE HOSPICE ROOMS BEING LEASED TO CORNERSTONE HOSPICE, AN INDEPENDENT PROVIDER. THE DEMENTIA UNIT, WHICH IS A GATED COMMUNITY, SPECIALIZES IN PROVIDING PROGRAMS AND SERVICES FOR ALZHEIMER'S/DEMENTIA RESIDENTS. BOTH FACILITIES PROVIDE RESIDENT-CENTERED CARE. THE FACILITIES ARE RESTRAINT FREE AND PROVIDE EXCELLENT OUTCOMES IN WOUND CARE AND WEIGHT MANAGEMENT. WE ALSO PROVIDE IV THERAPY, HYPERTENSION MANAGEMENT, MEDICATION MANAGEMENT, DIABETIC MANAGEMENT, DEMENTIA CARE, RESTORATIVE NURSING CARE AND PALLIATIVE CARE. HEALTH CENTRAL PARK AND THE ORLANDO HEALTH CENTER FOR REHABILITATION PROVIDE FULL THERAPY SERVICES 7 DAYS A WEEK. OUR THERAPY PATIENTS HAVE EXCELLENT OUTCOMES AND AFTER DISCHARGE USUALLY CONTINUE THEIR THERAPY AS OUTPATIENTS. ON ANY GIVEN DAY THERE ARE APPROXIMATELY 50 PATIENTS IN THERAPY. OUR REHABILITATION PROGRAM SPECIALIZES IN ORTHOPEDIC AND NON-ORTHOPEDIC/MEDICALLY COMPLEX GERIATRIC PATIENTS. OUR AVERAGE LENGTH OF STAY IS 16 DAYS; AND WE HAVE ABOUT 32 ORTHOPEDIC PATIENTS AND 118 NON-ORTHOPEDIC/MEDICALLY COMPLEX PATIENTS PER MONTH. THE TWO FACILITIES WORKFORCE IS MADE UP OF ABOUT 265 EMPLOYEES AND 20 CONTRACTED THERAPISTS, WITH THE NURSING DEPARTMENT BEING THE LARGEST OF ABOUT 170; 105 OF WHICH ARE C.N.A'S. WE ARE GRATEFUL TO HAVE A FULL-TIME NURSE PRACTITIONER WHO ACTS AS THE PHYSICIAN EXTENDER AND TENDS TO URGENT AND OTHER MEDICAL NEEDS ON A TIMELY BASIS. WE ALSO HAVE A FULL-TIME DIETITIAN AND A NUTRITIONAL SPECIALIST TO ADDRESS THE CLINICAL DIETARY NEEDS OF OUR RESIDENTS. OUR SOCIAL WORKERS ASSIST WITH THE PSYCHO-SOCIAL NEEDS OF THE RESIDENTS ALONG WITH OUR FULL RECREATION DEPARTMENTS. HEALTH CENTRAL PARK IS A FOUR STAR RATED FACILITY WITH CMS. THE ORLANDO HEALTH CENTER FOR REHABILITATION IS A FIVE STAR RATED FACILITY WITH CMS. NORMALLY VOLUNTEERS SUPPLEMENT OUR STAFF TO HELP ENHANCE QUALITY OF LIFE PROVIDING AN AVERAGE OF ABOUT 600 HOURS A MONTH. UNFORTUNATELY, DUE TO THE COVID CRISIS, VOLUNTEERS WERE NOT ALLOWED TO ASSIST THE TWO FACILITIES DURING MOST OF FY2021. 265380525 true false false true false false false false false false true false false false true true false true false false false false false false false false true true false false true true false false false false false false false false false true false false false false true true true true false false true 0 0 true 1761 true false false false false false false false false false false false false X 8 4 true false false false true true true true true false false true true true true true true false false false X LESLIE FLAKE 3218415078 1414 Kuhl Avenue Orlando FL 32806 X JAMAL A HAKIM MD BOARD MEMBER 1.0 64.0 X 0 2364077 250997 BERNADETTE SPONG BOARD MEMBER, VICE-CHAIR 2.0 63.0 X X 0 2124013 221436 ERICK R HAWKINS BOARD MEMBER 5.0 55.0 X 0 1555925 161084 GREGORY P OHE FMR PRESIDENT, OHC Until 6/16 0.0 55.0 X 0 1060207 120217 MARK A MARSH PRESIDENT & SVP, OH until 5/21 55.0 1.0 X 638817 0 112117 ANTONIO R VELARDI AVP, OH & CQO, HC 55.0 0.0 X 369751 0 41949 BRIAN A WETZEL AVP, OH & COO, HORIZON WEST 55.0 0.0 X 234175 0 52931 CHRISTINA M MCGUIRK CHIEF NURSING OFFICER (CNO) 55.0 0.0 X 243554 0 21205 AMY C DEYOUNG AVP, OH & COO, HC 55.0 0.0 X 223090 0 36760 RANDY M HASSARD MGR, PHARMACY SERVICES 55.0 0.0 X 207470 0 31551 SAMUEL DAVIS JR BOARD MEMBER 2.0 0.0 X 0 0 0 RANDY JUNE BOARD Member 2.0 0.0 X X 0 0 0 JOHN REES BOARD MEMBER 2.0 0.0 X 0 0 0 BECKY CHERNEY BOARD MEMBER until 3/21 2.0 0.0 X 0 0 0 Joshua High Board mbr/Treasurer until 9/21 2.0 1.0 X X 0 0 0 ANN BLAKESLEE BOARD MEMBER, CHAIRMAN 2.0 0.0 X X 0 0 0 KATHY ABER BOARD MEMBER, SECRETARY 2.0 0.0 X X 0 0 0 1916857 7104222 1050247 55 true true false MAYO COLLABORATIVE SERVICES INC 3050 SUPERIOR DR NW ROCHESTER MN 55901 LABORATORY SERVICES 220096 MID-FLORIDA SURGICAL ASSOCIATES 1804 OAKLEY SEAVER DR STE A CLERMONT FL 34711 SURGICAL SERVICES 143564 CENTER FOR ADULT PSYCHIATRY LLC 7512 DR PHILLIPS BLVD STE 50 ORLANDO FL 32819 PSYCHIATRY SERVICES 182475 PHYSICIANS CHOICE MANAGEMENT LLC 596 OCOEE COMMERCE PKWY OCOEE FL 34761 HEALTHCARE SERVICES 145006 HEALOGICS 5220 BELFORT RD STE 130 JACKSONVILLE FL 32256 WOUND CARE SERVICES 161350 6 0 398812 0 398812 NET PATIENT SERVICE REVENUE 622110 287754160 287752958 1202 0 ST OF FLA SPECIAL MEDICAID 622110 9789582 9789582 0 0 RELATED PARTY RENT 622110 2650771 2650771 0 0 FITNESS OTHER PROGRAMS 622110 80004 80004 0 0 All other program service revenue 622110 641820 637236 4584 0 300916337 890948 890948 0 0 1604323 260102 1344221 0 1344221 72609 1271612 31943667 0 26333128 284 5610539 -284 5610255 5610255 0 0 0 0 0 0 0 0 0 CAFETERIA REVENUE 622110 992797 0 0 992797 992797 310153370 300910551 78395 8765612 0 0 0 0 0 0 0 0 484181 0 484181 0 0 0 0 0 112556974 111875925 681049 0 0 0 0 0 23781473 6663589 17117884 0 7161007 7075046 85961 0 0 0 0 0 0 0 0 0 81049 0 81049 0 5583 5583 0 0 0 0 36802 0 36802 0 27143910 27047184 96726 0 43527 43527 0 0 7940930 7840869 100061 0 356486 204199 152287 0 0 0 0 0 10020902 9799539 221363 0 470539 470539 0 0 0 0 0 0 29397 27553 1844 0 8979719 8966643 13076 0 0 0 0 0 22969895 22802232 167663 0 2340050 2340050 0 0 MEDICAL SUPPLIES 36783714 36783714 0 0 PUBLIC ASSISTANCE ASSESSM 9344984 9344984 0 0 PURCHASED SERVICES 2211551 2130072 81479 0 RECRUITING EXPENSES 459071 459071 0 0 11500206 11500206 284701950 265380525 19321425 0 5306482 5314613 119856910 28369413 19547108 0 34062840 53860462 0 0 0 0 0 0 2592455 3520348 1271531 584848 492589371 122581268 363387539 370008103 68073757 134616050 0 0 0 0 0 28593 75271 158720 614173893 596461150 77103449 20678555 0 0 1102652 1173179 104370816 104220098 0 0 0 0 143511265 143412415 0 0 102925 3499733 326191107 272983980 X 287982786 323475760 0 1410 287982786 323477170 614173893 596461150 X 25451420 10041551 0 0 0 1413 X false true X true false X false false false 0 false 0 false 0 false 0 false 0 false 0 true 5583 5583 false SCHEDULE C, PART II-B, LINE 1I Other Activities AMOUNTS REPORTED FROM VARIOUS HOSPITAL AND HEALTHCARE MEMBERSHIPS OF DUES USED FOR LOBBYING ACTIVITIES TOTALING $5,583. 0 27258173 27258173 0 245648842 42330543 203318299 0 203120963 76931026 126189937 0 16561393 3319699 13241694 370008103 0 LEASE DEPOSITS 62869 DUE TO AFFILIATES 3288954 OTHER LONG TERM LIABILITY 147910 3499733 X LIABILITY FOR UNCERTAIN TAX POSITION (ASC 740) 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. true true X true X 225. false true true true false true true 21562973 21562973 0.07570 39115348 20505528 18609820 0.06530 60678321 20505528 40172793 0.14100 68199 68199 0.00020 24876 24876 0.00010 31088 31088 0.00010 124163 124163 0.00040 60802484 20505528 40296956 0.14140 4137 4137 107 107 73151 73151 77395 77395 true 35385641 38704959 44682827 -5977868 X true true 2 1 ORLANDO HEALTH- HEALTH CNTRL HOSPITAL 10000 W COLONIAL DR OCOEE FL 34761 SEE SUPPLEMENTAL INFORMATION 4119 X X X A 2 Orlando Health- HORIZON WEST HOSPITAL 17000 Porter Rd Winter Garden FL 34787 See supplemental Information 4119 X X X a HEALTH CENTRAL HOSPITAL 2 false false true X X X X X X X X X X 19 true true true true X SEE PART V, SEC C X true 21 false true false true X 225. 0. 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 HOSPITAL'S WEBSITE Orlando Health- Orlando Health Central https://www.orlandohealth.com/FACILITIES/HEALTH-CENTRAL-HOSPITAL ORLANDO HEALTH - HORIZON WEST HOSPITAL: https://www.orlandohealth.com/facilities/horizon-west-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 THAT GENERATED 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 THAT 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. STAKEHOLDER 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 SURVEYS 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 AS OPEN-ENDED QUESTIONS BY SSI CONSULTANTS IN FQHC WAITING ROOMS WITH A TOTAL OF 135 COMPLETED. AN INTERCEPT SURVEY IS A RESEARCH METHOD 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 ORLANDO HEALTH - HEALTH CENTRAL HOSPITAL IS A SUBSIDIARY OF ORLANDO HEALTH AND 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 - HEALTH CENTRAL HOSPITAL 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 - HEALTH CENTRAL HOSPITAL TOOK INTO CONSIDERATION SEVERAL FACTORS IN SELECTING HEALTH NEEDS TO ADDRESS. FACTORS INCLUDED: INDIVIDUAL ORLANDO HEALTH - HEALTH CENTRAL HOSPITAL AND ORLANDO HEALTH 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 WE ARE LOCATED, WHICH IS ORANGE COUNTY. BASED ON OUR PROCESS, WE SELECTED ACCESS TO CARE AS OUR PRIORITY HEALTH NEED FROM THE 2019 CHNA. IN FISCAL YEAR 2021 WITH OUR FOCUS ON ACCESS TO CARE, ORLANDO HEALTH - HEALTH CENTRAL HOSPITAL DEVELOPED NEW AND ENHANCED EXISTING COMMUNITY BENEFIT PROGRAMS TO IMPROVE ACCESS TO CARE. ORLANDO HEALTH - HEALTH CENTRAL HOSPITAL PROVIDED OVER $40 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, 12 GRANT PROPOSALS WERE SUPPORTED THROUGH THE ORLANDO HEALTH COMMUNITY GRANT PROGRAM. MANY OF THESE GRANTS SERVED RESIDENTS FROM ORANGE COUNTY. DURING THE FISCAL YEAR, 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, ORLANDO HEALTH SUPPORTED 334 COMMUNITY ORGANIZATIONS AND 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 UNABLE TO LEAVE THEIR HOMES. EXAMPLES FROM KEY INITIATIVES ARE INCLUDED TO ILLUSTRATE THE TYPES OF SUCCESSES THESE PROGRAMS YIELD. FIGHTING CHRONIC DISEASE: ORLANDO HEALTH - HEALTH CENTRAL HOSPITAL SUPPORTED ORANGE BLOSSOM FAMILY HEALTH THROUGH THE ORLANDO HEALTH COMMUNITY GRANT PROGRAM BY AWARDING FUNDING TO THEIR DIABETES CLINIC. THIS PROGRAM ADDRESSES BARRIERS THAT DELAY PATIENTS FROM MAINTAINING THEIR MEDICAL APPOINTMENTS BY PROVIDING LYNX BUS PASSES OR TRANSPORTATION OPPORTUNITIES. IN FISCAL YEAR 2021, THIS PROGRAM REACHED 153 CLIENTS. EIGHTY-FIVE PERCENT OF THOSE PARTICIPATING REDUCED THEIR HBA1C LEVELS, SEVENTY-NINE PERCENT REDUCED THEIR BLOOD SUGAR LEVELS AND SIXTY-THREE PERCENT IMPROVED THEIR OVERALL UNDERSTANDING OF THE DISEASE. ADDRESSING MENTAL/BEHAVIORAL HEALTH: ORLANDO HEALTH - HEALTH CENTRAL HOSPITAL PARTNERED WITH COMMUNITY HEALTH CENTERS BY FUNDING A GRANT THROUGH THE ORLANDO HEALTH COMMUNITY GRANT PROGRAM TO ADDRESS MENTAL/BEHAVIORAL HEALTH. THIS PROGRAM INCREASES ACCESS FOR MENTAL HEALTH SERVICES FOR MANY UNDERSERVED CHILDREN, ADOLESCENTS AND ADULT RESIDENTS LIVING IN OR NEAR THE PINE HILLS COMMUNITY IN ORANGE COUNTY. A LICENSED CLINICAL SOCIAL WORKER ASSESSED AND TREATED MORE THAN 390 PATIENTS, INCLUDING 92 NEW PATIENTS. MANY PATIENTS ARE PROVIDED ADDITIONAL SUPPORT THROUGH EITHER COUNSELING, MEDICATION OR A COMBINATION OF THE TWO THAT HELPS MANAGE THEIR DIAGNOSIS. THIS PROGRAM CONTINUES TO FIND WAYS TO REACH INDIVIDUALS STRUGGLING WITH MENTAL/BEHAVIORAL HEALTH RESOURCES IN THE COMMUNITY. RESPONDING TO A PANDEMIC: THE ORGANIZATION SUCCESSFULLY RESPONDED TO THE COVID-19 PANDEMIC. WITH A LEVEL ONE TRAUMA CENTER AND AS A SAFETY NET HOSPITAL, ORLANDO HEALTH HAS BEEN A FOCAL POINT FOR CENTRAL FLORIDA'S SUCCESSFUL RESPONSE TO THE DISEASE. SINCE JANUARY 2020, THE HEALTHCARE SYSTEM HAS DEVELOPED ALGORITHMS AND DEVISED PROTOCOLS TO PROTECT ITS PATIENTS, VISITORS, TEAM MEMBERS AND THE COMMUNITIES WE SERVE. THESE BEST PRACTICES HAVE BEEN SHARED ACROSS THE REGION TO KEEP RESIDENTS SAFE BY INFORMING THEM THROUGH THE ORLANDOHEALTH.COM WEBSITE ON TOPICS SUCH AS HOW TO AVOID BRINGING THE CORONAVIRUS INTO THEIR HOMES AND HOW TO LIMIT EXPOSURE TO THE VIRUS WHILE IN PUBLIC SPACES. ORLANDO HEALTH EXPERTS ALSO HAVE ADVISED CENTRAL FLORIDA BUSINESSES AND SCHOOLS AS THEY RETURNED TO IN-PERSON ACTIVITIES. FROM DECEMBER 2020 WHEN THE COVID-19 VACCINES FIRST BECAME AVAILABLE THROUGH FY 2021, ORLANDO HEALTH ADMINISTERED 107,800 VACCINATIONS TO TEAM MEMBERS AND COMMUNITY MEMBERS. AS ORLANDO HEALTH - HORIZON WEST HOSPITAL HAS NOT COMPLETED A CURRENT CHNA, THERE IS NO CURRENT IMPLEMENTATION PLAN AVAILABLE. WE PLAN ON COMPLETING A FULL CHNA IN 2022. WITH ACCESS TO QUALITY CARE AS OUR PRIORITY, ORLANDO HEALTH - HEALTH CENTRAL HOSPITAL DETERMINED THAT THE FOLLOWING ISSUES WOULD NOT BE EXPLICITLY INCLUDED IN OUR IMPLEMENTATION STRATEGY SO THAT IT COULD MAXIMIZE AVAILABLE RESOURCES FOR ADDRESSING ACCESS TO CARE. HOWEVER, ORLANDO HEALTH - HEALTH CENTRAL HOSPITAL 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 OF 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 WILL HELP US TO BETTER SERVE THE MOST UNDERSERVED AND VULNERABLE POPULATIONS IN OUR COMMUNITY. ORANGE COUNTY HOSPITALS: (NEEDS THAT WON'T BE EXPLICITLY ADDRESSED) - ASSET INVENTORY - BEHAVIOR RISK FACTORS - BUILT ENVIRONMENT - BIRTH CHARACTERISTICS (MATERNAL AND CHILD HEALTH) - CHRONIC CONDITIONS - COMMUNICABLE DISEASES - DISPARITIES - ECONOMIC CONDITIONS - INJURY - LEADING CAUSES OF DEATH - MENTAL HEALTH CONCERNS - PREVENTATIVE CARE - QUALITY OF LIFE - SCHOOL AND STUDENT CHARACTERISTICS - SUBSTANCE ABUSE ASSET INVENTORY - WHILE ASSET INVENTORY WAS NOT SELECTED AS A PRIORITY, WE INCLUDED AN ASSET RESOURCE LISTING IN OUR 2019 CHNA AS A TOOL TO ASSIST WITH LOCATING SPECIFIED SERVICES FOR SOMEONE IN NEED. BEHAVIORAL RISK FACTORS - WE DID NOT SELECT BEHAVIORAL RISK FACTORS AS A PRIORITY BECAUSE WE DO NOT HAVE THE RESOURCES TO EFFECTIVELY MEET THIS NEED. HOWEVER, WE RECOGNIZE THAT BEHAVIORAL RISK FACTORS CAN INHIBIT ONE'S ACCESS TO CARE, AND WE MAY HAVE OPPORTUNITIES TO COLLABORATE WITH COMMUNITY ORGANIZATIONS TO ADDRESS THIS NEED. BUILT ENVIRONMENT - WE DID NOT SELECT BUILT ENVIRONMENT AS A PRIORITY BECAUSE WE DO NOT HAVE THE RESOURCES TO EFFECTIVELY MEET THIS NEED. HOWEVER, WE RECOGNIZE THAT BUILT ENVIRONMENT CAN INHIBIT ONE'S ACCESS TO CARE, AND WE MAY HAVE OPPORTUNITIES TO COLLABORATE WITH COMMUNITY ORGANIZATIONS TO ADDRESS THIS NEED. BIRTH CHARACTERISTICS:(MATERNAL AND CHILD HEALTH) - WE WILL CONTINUE TO PROVIDE EXISTING PROGRAMS AND SERVICES SURROUNDING MATERNAL AND CHILD HEALTH. THROUGH OUR SELECTION OF ACCESS TO CARE, WE BELIEVE WE CAN POSITIVELY AFFECT THIS AREA OF COMMUNITY NEED. CHRONIC CONDITIONS - WE DID NOT SELECT CHRONIC CONDITIONS AS A PRIORITY, BUT WE MAY HAVE PROGRAMS THAT WILL POSITIVELY IMPACT THIS IDENTIFIED NEED THROUGH THE SELECTED PRIORITY OF ACCESS TO CARE. WE RECOGNIZE THAT CHRONIC CONDITIONS CAN INHIBIT ONE'S ACCESS TO CARE, AND THERE MAY BE OPPORTUNITIES TO COLLABORATE WITH COMMUNITY PARTNERS TO ADDRESS THIS NEED. COMMUNICABLE DISEASES - WE DID NOT SELECT COMMUNICABLE DISEASES AS A PRIORITY, BUT WE MAY HAVE PROGRAMS THAT WILL POSITIVELY IMPACT THIS IDENTIFIED NEED THROUGH THE SELECTED PRIORITY OF ACCESS TO CARE. WE RECOGNIZE THAT COMMUNICABLE DISEASES CAN INHIBIT ONE'S ACCESS TO CARE, AND THERE MAY BE OPPORTUNITIES TO COLLABORATE WITH COMMUNITY PARTNERS TO ADDRESS THIS NEED. DISPARITIES - WE DID NOT SELECT DISPARITIES AS A PRIORITY BECAUSE WE DO NOT HAVE THE RESOURCES TO EFFECTIVELY MEET THIS NEED. HOWEVER, WE RECOGNIZE THAT DISPARITIES CAN INHIBIT ONE'S ACCESS TO CARE, AND WE MAY HAVE OPPORTUNITIES TO COLLABORATE WITH COMMUNITY ORGANIZATIONS TO ADDRESS THIS NEED. ECONOMIC CONDITIONS - WE DID NOT SELECT ECONOMIC CONDITIONS AS A PRIORITY BECAUSE WE DO NOT HAVE THE RESOURCES TO EFFECTIVELY MEET THIS NEED. HOWEVER, WE RECOGNIZE THAT ECONOMIC CONDITIONS CAN INHIBIT ONE'S ACCESS TO CARE, AND WE MAY HAVE OPPORTUNITIES TO COLLABORATE WITH COMMUNITY ORGANIZATIONS TO ADDRESS THIS NEED. INJURY: WHILE INJURY PREVENTION WAS NOT SPECIFICALLY SELECTED AS A PRIORITY, WE WILL CONTINUE TO PROVIDE INJURY PREVENTION AND COMMUNITY OUTREA 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 5 ORLANDO HEALTH- HEALTH CENTRAL PARK 411 NORTH DILLARD STREET WINTER GARDEN FL 34787 SKILLED NURSING FACILITY ORLANDO HEALTH CENTER FOR REHABILITATION 1300 HEMPAL AVE OCOEE FL 34761 SKILLED NURSING FACILITY OH- HEALTH CENTRAL HOSP SURGERY CENTER 1435 DIVISION AVENUE OCOEE FL 34761 OUTPATIENT AMBULATORY SURGERY OH - HEALTH CENTRAL HOSPITAL REHAB 2706 REW CIRCLE OCOEE FL 34761 OUTPATIENT AMBULATORY SURGERY HEALTH CENTRAL WOUND CARE 10000 W COLONIAL DRIVE OCOEE FL 34761 OUTPATIENT WOUND CARE 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 CENTRAL'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 CENTRAL MAY HELP RECRUIT PHYSICIANS WHEN A NEED IS IDENTIFIED TO ESTABLISH, ENHANCE OR MAINTAIN A MEDICAL SERVICE IN THE AREA. TO DETERMINE NEED, THE HOSPITAL 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 CENTRAL 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 THE 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 - HEALTH CENTRAL HOSPITAL USES PREDICTIVE ANALYTICS TO DETERMINE IF THE FINANCIAL ASSISTANCE FOR ACCOUNTS ARE ADJUSTED TO, OR WRITTEN OFF TO, BAD DEBT. ORLANDO HEALTH - HEALTH CENTRAL HOSPITAL 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 - HEALTH CENTRAL HOSPITAL 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 - HEALTH CENTRAL HOSPITAL PROVIDES ALL PATIENTS WITH INFORMATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE. ORLANDO HEALTH - HEALTH CENTRAL HOSPITAL 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 - HEALTH CENTRAL HOSPITAL DOES NOT PURSUE COLLECTION PRACTICES AGAINST PATIENTS KNOWN TO QUALIFY FOR CHARITY CARE OR OTHER FINANCIAL ASSISTANCE. PART VI, QUESTION 2 IN 2019, ORLANDO HEALTH - HEALTH CENTRAL HOSPITAL, ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER (ORLANDO HEALTH ORMC), ORLANDO HEALTH DR. P. PHILLIPS 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 - HEALTH CENTRAL HOSPITAL 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 AND PATIENT CARE PROGRAMS, AND THE ORLANDO HEALTH COMMUNITY GRANT PROGRAM, ORLANDO HEALTH - HEALTH CENTRAL HOSPITAL MEETS THE NEEDS OF THE COMMUNITY. THE SPECIFIC NEEDS TARGETED BY THESE PROGRAMS HAVE BEEN IDENTIFIED BY THE EXPERIENCE OF COMMUNITY HOSPITAL LEADERSHIP, NEIGHBORHOOD OUTREACH AND THROUGH ASSESSMENTS THAT IDENTIFIED HEALTH NEEDS IN THE COMMUNITIES SERVED BY THE HOSPITAL ALONG WITH HOSPITAL DATA. AS A RESULT, ORLANDO HEALTH - HEALTH CENTRAL HOSPITAL 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 - HEALTH CENTRAL HOSPITAL 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 HEALTHCARE NEEDS OF THE ORLANDO HEALTH - HEALTH CENTRAL HOSPITAL 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 ONGOING CARE AND TREATMENT OF PATIENTS TO PREVENT UNNECESSARY ADMISSIONS AND POTENTIAL RE-ADMISSIONS. PART VI, QUESTION 3 ORLANDO HEALTH CENTRAL 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 CENTRAL 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 CENTRAL THEN SCREENS THE PATIENT FOR CHARITY ELIGIBILITY. IT IS ORLANDO HEALTH CENTRAL'S OBJECTIVE TO PROVIDE CHARITY CARE TO OUR PATIENTS WHO DO NOT HAVE THE ABILITY TO PAY. PART VI, QUESTION 4 COMMUNITY INFORMATION ORLANDO HEALTH CENTRAL PROVIDES HIGH-QUALITY INPATIENT, OUTPATIENT AND EMERGENCY HEALTHCARE TO THE PEOPLE OF WEST ORANGE COUNTY THROUGH ITS HOSPITALS AND VARIOUS OUTPATIENT FACILITIES. TOGETHER, ORLANDO HEALTH - HEALTH CENTRAL HOSPITAL AND ORLANDO HEALTH HORIZON WEST HOSPITAL HAVE MORE THAN 1,500 EMPLOYEES ON STAFF. ORLANDO HEALTH CENTRAL FACILITIES ENCOMPASS 504 FULLY CERTIFIED BEDS, ADVANCED MEDICAL TREATMENTS AND PROCEDURES AND HIGHLY QUALIFIED STAFF. ORLANDO HEALTH CENTRAL FACILITIES RECEIVED 61,478 EMERGENCY DEPARTMENT VISITS, 62,523 OUTPATIENT VISITS AND 15,617 ADMISSIONS (INCLUDING NEWBORNS). ORLANDO HEALTH CENTRAL'S PRIMARY SERVICE AREA IS ORANGE COUNTY. THE MEDIAN HOUSEHOLD INCOME IN THIS COUNTY IS $71,033 WITH 12.6 PERCENT OF HOUSEHOLDS BELOW THE FEDERAL POVERTY GUIDELINE. THE PERCENT UNINSURED (AGE 0-64) FOR ORANGE COUNTY AREA IS 15.7 PERCENT AND THERE ARE SEVEN FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS PRESENT IN THIS REGION. COMMUNITY OUTREACH ACTIVITIES INCORPORATED SOCIAL DISTANCING PROTOCOLS SUCH AS ONLINE SPEAKER'S BUREAUS; SUPPORT/EDUCATION GROUPS; WELLNESS CLASSES; CLINICAL SCREENINGS THROUGH TELEHEALTH AND ASSESSMENTS; MEDICAL EDUCATION; WOMEN, CHILDREN AND SENIOR HEALTH INITIATIVES; PUBLIC PROGRAM ENROLLMENT ASSISTANCE AND POST-ACUTE CARE FOR HOMELESS AND UNINSURED; SPONSORSHIPS; SCHOOL INITIATIVES; AND SPIRITUAL CARE. PART VI, QUESTION 5 PROMOTION OF COMMUNITY HEALTH ORLANDO HEALTH CENTRAL'S MISSION IS TO IMPROVE THE HEALTH OF THE WEST ORANGE COUNTY COMMUNITY BY PROVIDING SAFE, QUALITY HEALTHCARE IN A PATIENT-CENTERED ATMOSPHERE OF CARING AND COMPASSION USING STATE-OF-THE-ART DIAGNOSTICS AND TECHNOLOGY, AND A TEAM OF DEDICATED PHYSICIANS AND STAFF. ORLANDO HEALTH CENTRAL 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 THROUGH ORLANDO HEALTH HELPED TO PROVIDE OVER 1,628 VOLUNTEER HOURS. THESE HOURS WERE SPENT OUTSIDE OUR HEALTHCARE SYSTEM TO SUPPORT COMMUNITY PARTNERS AND THE NEEDS THEY ADDRESS IN OUR COMMUNITY. ORLANDO HEALTH CENTRAL 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 CENTRAL 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. ORLANDO HEALTH CENTRAL ADDRESSES VARIOUS COMMUNITY CONCERNS, INCLUDING HEALTH IMPROVEMENT, EDUCATION, POVERTY, WORKFORCE DEVELOPMENT AND ACCESS TO HEALTHCARE. THE KEY COMPONENT OF A NON-PROFIT ORGANIZATION IS THAT THE ORGANIZATION SERVES A BROAD, INDEFINITE CHARITABLE CLASS. ONE OF THE KEY INDICATORS THAT AN ORGANIZATION SERVES THE BROADER COMMUNITY IS CONTROL OF THE ORGANIZATION BY INDEPENDENT COMMUNITY LEADERS. ORLANDO HEALTH CENTRAL AND ITS HOSPITAL GOVERNING BOARD ARE MADE UP OF MEMBERS WHO DIRECT AND GUIDE MANAGEMENT IN CARRYING OUT THE MISSION OF ORLANDO HEALTH CENTRAL AND ITS AFFILIATES. DIRECTORS ARE SELECTED ON THE BASIS OF THEIR EXPERTISE AND EXPERIENCE. ORLANDO HEALTH CENTRAL'S VOLUNTEER BOARD BALANCE FINANCIAL DECISIONS ON COMMUNITY CONCERNS AND SOCIAL RESPONSIBILITY. ORLANDO HEALTH CENTRAL OPERATES AN OPEN MEDICAL STAFF BY EXTENDING MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN CENTRAL FLORIDA. SURPLUS FUNDS ARE RETAINED BY ORLANDO HEALTH CENTRAL AND USED TO CARRY OUT THE MISSION OF IMPROVING THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND COMMUNITIES WE SERVE. PART VI, QUESTION 6 AFFILIATED HEALTH CARE SYSTEM ORLANDO HEALTH CENTRAL IS PART OF AN INTEGRATED HEALTHCARE SYSTEM THAT PROVIDES COMPREHENSIVE SERVICES TO IMPROVE THE HEALTH AND QUALITY OF LIFE FOR OUR COMMUNITY SERVED. THE PARENT OF THE CORPORATION, ORLANDO HEALTH, INC. (OHI), IS A TAX-EXEMPT ORGANIZATION ORGANIZED UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS A PART OF ORLANDO HEALTH'S INTEGRATED HEALTH SYSTEM, ORLANDO HEALTH CENTRAL HAS SEVERAL AFFILIATED ORGANIZATIONS TO 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 3,000 PHYSICIANS ON STAFF, ORLANDO HEALTH PROVIDES 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. 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 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. 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 COMPRISED 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 POST TREATMENT CARE AND SUPPORT. 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 HEALTH 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, QUESTION 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 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 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. X true true false true false false false false false false false JAMAL A HAKIM MD BOARD MEMBER 0 960918 0 1199297 0 203862 0 228333 0 22664 0 2615074 0 199933 BERNADETTE SPONG BOARD MEMBER, VICE-CHAIR 0 815666 0 1017381 0 290966 0 198096 0 23340 0 2345449 0 104991 ERICK R HAWKINS BOARD MEMBER 0 638825 0 821990 0 95110 0 150074 0 11010 0 1717009 0 84692 GREGORY P OHE FMR PRESIDENT, OHC Until 6/16 0 459096 0 549116 0 51995 0 97054 0 23163 0 1180424 0 42383 MARK A MARSH PRESIDENT & SVP, OH until 5/21 404158 0 165647 0 69012 0 85964 0 26153 0 750934 0 67692 0 ANTONIO R VELARDI AVP, OH & CQO, HC 276702 0 69692 0 23357 0 12120 0 29829 0 411700 0 0 0 BRIAN A WETZEL AVP, OH & COO, HORIZON WEST 178189 0 43271 0 12715 0 24663 0 28268 0 287106 0 12332 0 CHRISTINA M MCGUIRK CHIEF NURSING OFFICER (CNO) 189036 0 43797 0 10721 0 12207 0 8998 0 264759 0 0 0 AMY C DEYOUNG AVP, OH & COO, HC 175190 0 35921 0 11979 0 17866 0 18894 0 259850 0 11738 0 RANDY M HASSARD MGR, PHARMACY SERVICES 188332 17980 1158 9684 21867 239021 0 SCHEDULE J, PART I, LINE 1A DURING FY2021, OFFICERS, BOARD MEMBERS AND KEY EMPLOYEES OF ORLANDO HEALTH CENTRAL, INC. WERE PERMITTED TO FLY FIRST-CLASS OR WERE PERMITTED TO USE A CHARTERED FLIGHT SERVICE AT THE REQUEST OF ORLANDO HEALTH. THE TRAVEL WAS ENTIRELY BUSINESS RELATED FOR OFFICERS, BOARD MEMBERS, AND KEY EMPLOYEES. SCHEDULE J, PART I, LINE 3 RELATED ORGANIZATION 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 PARTICIPATE IN, OR RECEIVE PAYMENT FROM, A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL QUALIFIED RETIREMENT PLAN. DEFERRAL DEPOSITS: JAMAL A. HAKIM MD $214,875 BERNADETTE SPONG $180,114 ERICK R. HAWKINS $133,701 GREGORY P. OHE $90,941 MARK A. MARSH $71,934 BRIAN A. WETZEL $12,474 AMY C. DEYOUNG $11,586 DEFERRAL DISTRIBUTIONS MADE TO THE FOLLOWING: JAMAL A. HAKIM MD $199,933 BERNADETTE SPONG $104,991 ERICK R. HAWKINS $84,692 GREGORY P. OHE $42,383 MARK A. MARSH $67,692 BRIAN A. WETZEL $12,332 AMY C. DEYOUNG $11,738 A ORANGE COUNTY HEALTH FACILITIES AUTHORITY 521378595 68450LFS9 2019-02-06 104619500 SEE PART VI false false false A 0 0 104623264 0 0 0 0 0 0 104619500 0 3764 2021 false false true true A false true true true false 0 false false false true A false true false false false false 0 false 0 false true A true SCHEDULE K SERIES 2019A HOSPITAL REVENUE BONDS - FINANCE THE CONSTRUCTION AND EQUIPPING OF A NEW HOSPITAL TO BE KNOWN AS HORIZON WEST. FORM 990, SCHEDULE K, PART II, LINE 3 THE DIFFERENCE BETWEEN TOTAL PROCEEDS OF ISSUE AND THE ISSUE PRICE IS DUE TO INVESTMENT EARNINGS. LAKE APOPKA NATURAL GAS DISTRICT OHC DIR. S. DAVIS CEO 584726 GAS SERVICES false SCHEDULE L, PART IV, LINE 1 SAMUEL DAVIS, JR., BOARD MEMBER OF ORLANDO HEALTH CENTRAL, INC., IS ALSO THE CEO OF LAKE APOPKA NATURAL GAS DISTRICT. LAKE APOPKA NATURAL GAS DISTRICT IS CONTRACTED TO PROVIDE GAS UTILITY SERVICES TO THE HOSPITAL. THE HOSPITAL ENGAGES THE LAKE APOPKA NATURAL GAS DISTRICT AT ARMS-LENGTH TRANSACTIONS AT FAIR MARKET VALUE. FORM 990, BOX J ORGANIZATION'S WEBSITE HTTPS://WWW.ORLANDOHEALTH.COM/FACILITIES/HEALTH-CENTRAL-HOSPITAL FORM 990, PART VI, LINE 1A EXECUTIVE COMMITTEE THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE CHAIRPERSON OF THE BOARD OF DIRECTORS, THE VICE CHAIRPERSON OF THE BOARD OF DIRECTORS, THE PRESIDENT, THE SECRETARY, THE TREASURER, AND THE IMMEDIATE PAST CHAIRPERSON OF THE BOARD OF DIRECTORS. 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 THE 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 ALSO SERVE AS THE COMPENSATION COMMITTEE. AT LEAST ONE ORLANDO HEALTH, INC. DIRECTOR SHALL SERVE ON THE EXECUTIVE COMMITTEE. FORM 990, PART VI, LINE 2 FAMILY OR BUSINESS RELATIONSHIPS BERNADETTE SPONG, JAMAL HAKIM MD, AND ERICK HAWKINS HAD A BUSINESS RELATIONSHIP AS BOARD MEMBERS OF FOR-PROFIT COMPANIES WHOLLY OWNED BY ORLANDO HEALTH, INC. FORM 990, PART VI, LINE 6 DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS THE SOLE VOTING MEMBER OF ORLANDO HEALTH CENTRAL, INC. IS ORLANDO HEALTH INC., FEIN: 59-1726273. FORM 990, PART VI, LINE 7A DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS ORLANDO HEALTH, INC., THE TAX-EXEMPT PARENT ORGANIZATION, ELECTS AND APPROVES ALL BOARD MEMBERS FORM 990, PART VI, LINE 7B DECISIONS SUBJECT TO APPROVAL ORLANDO HEALTH CENTRAL, INC. BOARD ELECTS MEMBERS WHO ARE THEN APPROVED BY THE PARENT ORGANIZATION ORLANDO HEALTH, INC. (OHI) BOARD. THE OHI BOARD ALSO APPROVES THE FOLLOWING ACTIONS OF THE ORLANDO HEALTH CENTRAL BOARD: - CHANGES OR AMENDMENTS TO HEALTH CENTRAL'S ARTICLES OF INCORPORATION OR BYLAWS. - THE BUDGET OF HEALTH CENTRAL FOR THE HOSPITAL AND OTHER HEALTH CARE FACILITIES AND SERVICES OPERATED BY HEALTH CENTRAL. - POLICIES OR PROPOSALS ESTABLISHING THE STRATEGIC DIRECTION OF HEALTH CENTRAL. - THE STRATEGIC PLAN OF HEALTH CENTRAL. - THE CONSISTENCY OF THE QUALITY ASSESSMENT, RISK MANAGEMENT, IMPROVEMENT AND UTILIZATION PROGRAMS FOR THE HOSPITAL AND FACILITIES, AND SERVICES OPERATED BY HEALTH CENTRAL, WITH SYSTEM-WIDE QUALITY AND SERVICE INITIATIVES. - MATERIAL CHANGES IN SERVICES OFFERED BY HEALTH CENTRAL. - PLANS OF THE DIRECTORS TO COORDINATE THE POLICIES AND ACTIVITIES OF THE HOSPITAL AND HEALTH CENTRAL. - PLANS OF THE DIRECTORS TO PROVIDE OVERSIGHT FOR REGULATORY COMPLIANCE (JOINT COMMISSION, AHCA, CMS, ETC.) FOR THE HOSPITAL AND OTHER HEALTH CARE FACILITIES AND SERVICES OPERATED BY HEALTH CENTRAL. - PLANS OF THE DIRECTORS TO ENSURE QUALITY OF CARE; ENSURE THAT EVERY PATIENT IS UNDER THE CARE OF A MEMBER OF THE HOSPITAL'S MEDICAL STAFF. - OPERATIONAL OBJECTIVES FOR THE HOSPITAL AND OTHER HEALTH CARE FACILITIES AND SERVICES OPERATED BY HEALTH CENTRAL. - ANY PLANS OF THE DIRECTORS FOR SERVING AS COMMUNITY LIAISON. - ANY PLANS OF THE DIRECTORS FOR INTERACTING WITH AND ACCESS TO LEADERSHIP OF OHI. - ANY PLANS OF THE DIRECTORS FOR ESTABLISHING EFFECTIVE COMMUNICATION LINES AMONG THE BOARD, ADMINISTRATION AND MEDICAL STAFF. - EVALUATION OF THE PRESIDENT'S PERFORMANCE. - THE APPOINTMENT, REMOVAL, AND DETERMINATION OF THE COMPENSATION OF THE PRESIDENT. - ALL OPERATING AND CAPITAL EXPENDITURES, INCLUDING, BUT NOT LIMITED TO, CAPITAL LEASES, IN EXCESS OF $5.0 MILLION FOR THE HOSPITAL AND FACILITIES AND SERVICES OPERATED BY HEALTH CENTRAL. - ANY PLANS TO DIRECT THE PLACEMENT OF FUNDS AND CAPITAL, LOANS, AND TRANSFERS OF FUNDS OR OTHER ASSETS FOR THE HOSPITAL AND FACILITIES AND SERVICES OPERATED BY HEALTH CENTRAL, IF THE AMOUNT OF SUCH FUNDS, CAPITAL LOANS, AND OTHER ASSETS EXCEED FIVE MILLION DOLLARS ($5,000,000). - ANY PROPOSED DONATIONS, CONTRIBUTIONS, AND GIFTS TO CHARITIES AND COMMUNITY ORGANIZATIONS BY HEALTH CENTRAL OVER $100,000 IN THE AGGREGATE PER FISCAL YEAR. - ANY PROPOSED INVESTMENT POLICY OR AMENDMENT TO SUCH INVESTMENT POLICY FOR HEALTH CENTRAL'S FUNDS. FORM 990, PART VI, LINE 11B PROCESS USED BY MANAGEMENT AND/OR GOVERNING BODY TO REVIEW 990 THE CFO AND THE FINANCE DEPARTMENT REVIEWED THE FORM 990 AND ANY REQUIRED CHANGES 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 MONITORING AND ENFORCEMENT THE PARENT ORGANIZATION, ORLANDO HEALTH, INC., 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 OFFICERS OF ORLANDO HEALTH CENTRAL, INC. ARE EMPLOYEES OF AND RECEIVE COMPENSATION FROM PARENT, ORLANDO HEALTH, INC., WHICH HAS AN INDEPENDENT COMPENSATION COMMITTEE THAT REPORTS TO THE ORLANDO HEALTH BOARD OF DIRECTORS AND UTILIZES THE GUIDELINES CONSISTENT WITH THE IRS GUIDELINES ON INDEPENDENT ANALYSIS AND DOCUMENTATION OF COMPENSATION. THE PROCESS IS USED FOR ALL OFFICERS, EXECUTIVE DIRECTORS AND DIRECTORS AND WAS IMPLEMENTED AT ORLANDO HEALTH CENTRAL UPON ITS CREATION. ALL OFFICER AND KEY EMPLOYEE COMPENSATION FOR THE HEALTH SYSTEM IS GOVERNED BY ORLANDO HEALTH, AS DESCRIBED ABOVE, RATHER THAN BY INDIVIDUAL ORGANIZATIONS. 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. 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