2021-08-13T11:22:59-05:00 2020-09-30 ERNST & YOUNG US LLP 201 N FRANKLIN ST STE 2400 TAMPA FL 33602 990 2019-10-01 591726273 Orlando Health Inc % BERNADETTE SPONG ORLA 3218415078 1414 KUHL AVENUE MP8 ORLANDO FL 32806 BERNADETTE SPONG CFO 3218415078 2021-08-12 true MELANIE MCPEAK P01346034 8132254800 2019 2022-09-23 18:48:47Z BERNADETTE SPONG 1414 KUHL AVENUE ORLANDO FL 32806 4157548923 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. 10 8 17589 3240 5322071 0 12069943 74576796 2688292235 2797097655 52387517 90185784 4024012 3658075 2756773707 2965518310 5849882 2350386 0 0 1061139518 1083055445 0 0 6165648 1180816605 1255572274 2247806005 2340978105 508967702 624540205 4483329867 5410558611 1975323168 2526245828 2508006699 2884312783 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 1935447885 2350386 2797097655 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 FOR GENERATIONS TO COME. 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, VASCULAR, STROKE, NEUROSCIENCE, ONCOLOGY, SURGERY 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, ARNOLD PALMER HOSPITAL HAS BEEN A PLACE OF HOPE AND HEALING. DEDICATED EXCLUSIVELY TO THE HEALTHCARE NEEDS OF CHILDREN, ARNOLD PALMER HOSPITAL OFFERS EXPERTISE IN A WIDE RANGE OF PEDIATRIC SPECIALTIES, INCLUDING CARDIOLOGY AND CARDIAC SURGERY, CRANIOMAXILLOFACIAL SURGERY, ENDOCRINOLOGY AND DIABETES, AND GASTROENTEROLOGY. 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 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 2020, OVER 16,000 CHILDREN AND FAMILIES WERE SERVED THROUGH THE CENTER'S SIX SPECIALIZED PROGRAMS. ORLANDO HEALTH WINNIE PALMER HOSPITAL FOR WOMEN & BABIES - WINNIE PALMER HOSPITAL IS DESIGNED TO MEET THE UNIQUE HEALTH NEEDS OF WOMEN AND BABIES IN A CARING, FAMILY-CENTERED ENVIRONMENT. THROUGH STATE-OF-THE-ART TECHNOLOGY AND A COMMITTED TEAM, 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 PROVIDES A WIDE RANGE OF OBSTETRIC AND GYNECOLOGIC SERVICES. ORLANDO HEALTH CANCER INSTITUTE - THE ESTABLISHMENT OF THE 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 - DR. P. PHILLIPS HOSPITAL IS A COMPREHENSIVE COMMUNITY HOSPITAL OFFERING A WIDE RANGE OF SPECIALIZED PROGRAMS AND SERVICES FOR OUR PATIENTS IN SOUTHWEST ORANGE COUNTY. AS A FULL-SERVICE MEDICAL AND SURGICAL FACILITY, DR. P. PHILLIPS HOSPITAL 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, HEALTH CENTRAL HOSPITAL 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 OFFERS A PRIMARY STROKE CENTER. ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL - SERVING SEMINOLE COUNTY, SOUTH SEMINOLE HOSPITAL IS A FULL-SERVICE COMMUNITY HOSPITAL OFFERING ADVANCED MEDICAL PROCEDURES AS WELL AS A FOCUS ON PREVENTION, WELLNESS AND COMMUNITY OUTREACH SERVICES. SERVICES OFFERED INCLUDE ENDOSCOPY, WOMEN'S HEALTH, BEHAVIORAL HEALTH, WOUND CARE AND HYPERBARIC MEDICINE, AND THERAPIES (PHYSICAL, OCCUPATIONAL AND SPEECH). THE FACILITY IS ALSO HOME TO ONE OF ORLANDO HEALTH'S THREE AIR CARE TEAM HELICOPTER BASES. ORLANDO HEALTH SOUTH LAKE HOSPITAL - SERVING THE WHOLE SOUTHERN REGION OF LAKE COUNTY, SOUTH LAKE HOSPITAL 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. THE FACILITY IS HOME TO ONE OF ORLANDO HEALTH'S THREE AIR CARE TEAM HELICOPTER BASES. 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 & 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 IS PROUD TO OFFER THE REGION'S ONLY LEVEL ONE TRAUMA CENTER; THE AREA'S FIRST HEART PROGRAM; SPECIALTY HOSPITALS DEDICATED TO CHILDREN, WOMEN AND BABIES; A MAJOR CANCER CENTER; AND LONG-STANDING COMMUNITY HOSPITALS. OUR TECHNOLOGY AND ADVANCED MEDICAL TREATMENTS AND PROCEDURES, ALONG WITH OUR EXPERT STAFF, HAVE DISTINGUISHED ORLANDO HEALTH AS A HEALTHCARE LEADER, PROVIDING ACCESS TO NEARLY TWO MILLION CENTRAL FLORIDA RESIDENTS. THE HEALTH SYSTEM IS ONE OF CENTRAL FLORIDA'S LARGEST EMPLOYERS WITH OVER 22,000 EMPLOYEES AND OVER 4,000 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 SIX ACUTE CARE HOSPITALS, INCLUDING THREE SPECIALTY HOSPITALS AND NUMEROUS OUTPATIENT CENTERS. DURING THE FISCAL YEAR ENDING ON SEPTEMBER 30, 2020, WE HAD 455,628 DAYS OF INPATIENT CARE, 527,027 OUTPATIENT VISITS, 13,691 BIRTHS AND 257,571 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 PROGRAMS AND SERVICES. SOME OF OUR COMMUNITY PROGRAMS INCLUDE: COMMUNITY OUTREACH, SPEAKERS BUREAU, SUPPORT AND EDUCATION, COMMUNITY WELLNESS SCREENINGS, COMMUNITY HEALTH FAIRS, PASTORAL OUTREACH AND SPIRITUAL CARE. MANY OF THESE ACTIVITIES BRING LITTLE OR NO PAYMENT TO OUR SYSTEM BUT ARE CONTINUED BECAUSE THEY SUPPORT OUR MISSION AND PROVIDE VALUE TO THE COMMUNITY. COMMUNITY CLINICAL SUPPORT SERVICES ORLANDO HEALTH PROVIDES ACCESS TO PRIMARY CARE SERVICES THROUGHOUT OUR MARKET AREA. IN ADDITION, WE HAVE A LONG HISTORY OF SUPPORTING THE MISSIONS OF OTHER COMMUNITY ORGANIZATIONS WHO PROVIDE PRIMARY CARE ACCESS. ORGANIZATIONS SUCH AS PRIMARY CARE ACCESS NETWORK; TRUE HEALTH; COMMUNITY HEALTH CENTERS, INC.; ORANGE BLOSSOM FAMILY HEALTH; ORANGE COUNTY HEALTH SERVICES; GRACE MEDICAL HOME AND SHEPERD'S HOPE. RELATIONSHIPS WITH COMMUNITY ORGANIZATIONS LIKE THE ONES NAMED ARE IMPORTANT TO US AND REMAIN AT THE CENTER OF THE ORLANDO HEALTH COMMUNITY BENEFIT INITIATIVE. LEVEL ONE TRAUMA CENTER ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER IS PROUD TO B 1935447885 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 944 0 true 17589 true true true true CJ false false false false false false false false true false X 10 8 true false false false false false false true true false false true true true true true true true true true true X BERNADETTE SPONG 3218415078 1414 KUHL AVENUE ORLANDO FL 32806 X DAVID W STRONG PRESIDENT & CEO 60.0 5.0 X X 3449892 0 428315 JAMAL A HAKIM MD CHIEF OPERATING OFFICER 60.0 5.0 X 1872472 0 215546 BERNADETTE SPONG CHIEF FINANCIAL OFFICER 55.0 10.0 X 1533506 0 185205 ERICK R HAWKINS SVP, STRATEGIC MANAGEMENT 55.0 5.0 X 1225773 0 143076 AURELIO DURAN MD FORMER BOARD MEMBER 0.0 55.0 X 0 1280351 34174 MARK E SAND MD Former Board Member 0.0 55.0 X 0 1234302 30144 MARK A JONES SVP, OH & PRESIDENT, ORMC 55.0 3.0 X 1030621 0 129844 SUNIL S DESAI MD SVP, OH & PRES, OHMG 10.0 55.0 X 988514 0 161701 MILDRED DENISE BEAM Chief Legal Strategist 55.0 2.0 X 927372 0 101104 JOHN W BOZARD SVP, OH & Pres, APMCF & OHF 25.0 30.0 X 429826 429826 52836 GREGORY P OHE SVP, AMBU SVCS, ORLANDO HEALTH 55.0 0.0 X 785458 0 98607 KELLY NIERSTEDT SVP, OH & PRES, WPH 55.0 0.0 X 640820 0 84514 THIBAUT VAN MARCKE DE LUMMEN SVP, OH & PRES, DPH 55.0 0.0 X 577051 0 103317 MARY FARRELL MD Former Board Member 55.0 0.0 X 605309 0 3500 DAVID F HUDDLESON VP, CHIEF COMPLIANCE & ETHICS 55.0 0.0 X 465474 0 77538 CHARLES HEARD MD BOARD MEMBER, CHIEF OF STAFF 2.0 0.0 X 95000 0 0 AMY SAUNDERS BOARD MEMBER 2.0 0.0 X 0 0 0 SANFORD C SHUGART PHD BOARD MEMBER, CHAIRMAN 2.0 0.0 X X 0 0 0 BRIAN BESANCENEY BOARD MEMBER, VICE CHAIR/SEC. 2.0 0.0 X X 0 0 0 M KATHRYN GARRETT MD BOARD MEMBER 2.0 2.0 X 0 0 0 MIKE PACKNETT 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0 0 143786246 137097936 6672915 15395 24692801 24629445 63356 0 MEDICAL SUPPLIES 479280384 479280384 0 0 PATIENT MED ASSIST TRUST 68783412 68783412 0 0 ELIGIBILITY FEES 33137090 33137090 0 0 DISCHARGE SUPPORT 7588941 7588941 0 0 30752585 25482278 5106599 163708 2340978105 1935447885 399364572 6165648 0 11632380 119766067 426453902 390890622 0 0 304642759 311267036 0 0 0 0 0 0 55141269 108147374 34871692 220283559 3500697349 1973238353 1363722323 1527458996 1863578284 1941059399 0 0 0 0 26592926 304175008 396694332 487510550 4483329867 5410558611 443140806 528621606 0 0 1524986 146463122 1227289338 1338493391 0 0 0 0 27477529 62260912 0 0 275890509 450406797 1975323168 2526245828 X 2393515626 2759429417 114491073 124883366 2508006699 2884312783 4483329867 5410558611 X 624540205 33718077 0 0 0 -281952198 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false 0 false 0 false 0 false 0 true 92400 false 0 true 478365 570765 false false Schedule C, Part II-B, Line 1b PAID STAFF OR MANAGEMENT ASSESSING CURRENT STATE AND FEDERAL LEGISLATION WITH CONSULTANTS WHO ADVISE HOW THE LEGISLATION WOULD AFFECT THE ORGANIZATION TOTALING $247,979. AMOUNTS REPORTED FROM VARIOUS HOSPITAL AND HEALTHCARE MEMBERSHIPS OF DUES USED FOR LOBBYING ACTIVITIES TOTALING $230,387. 38676311 100004 2836526 5953480 66432 35592929 36836779 750218 1142094 52780 38676311 31231110 4383122 1222547 36836779 26942285 1393819 2937429 42423 31231110 23569881 2338450 1073988 0 0 40034 26942285 0.00000 0.02720 0.97280 false false 138575530 138575530 1153431622 496026455 657405167 23173020 23173020 2053245990 1446947789 606298201 132271187 30264109 102007078 1527458996 DUE FROM AFFILIATES 348051509 CASH SURRENDER VALUE LIFE INS 64801508 INVESTMENT IN RELATED PARTIES 11282296 MED MAL RECOVERIES RECEIVABLE 3208773 DEPOSITS 1959228 CAP ACCUM/DEF COMP BEN 15641924 EXEC DEFERRED COMP 457B 38579894 GIFT ANNUITY TRUST 2528026 CONTRIB RECEIVED - FDN 547730 PROPERTY MANAGEMENT 809662 WORKERS COMP SURETY 100000 487510550 0 PROFESSIONAL & GENERAL LIABILITY 148715058 SWAP LIABILITIES 50213829 LT LIAB CAP/ACCUM DEF COMP 15641924 LT LIAB EXEC DEF COMP 457B 38579894 ASSET RETIREMENT LIABILITY 1824664 LT DUE TO AFFILIATES 36353108 PHYSICIAN LOAN RESERVE 67676 FEDERAL EXCISE TAX 956221 LT CHARITABLE COMMITMENTS TO UNRELATED PARTIES 3575000 EPIC-ELLIE SOFTWARE LICENSE LIABILITIES 17267829 PROPERTY MANAGEMENT LIABILITIES 702774 DEFERRED EMPLOYER PAYROLL TAXES 37531984 DEFERRED LEASE LIABILITY 92363860 OTHER LIABILITIES 6612976 450406797 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, 2020 AND 2019. 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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, THE SUMMARIES PREPARED BY 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 WERE 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 NOT ONLY ADDRESSES A COMMUNITY'S OR INDIVIDUAL'S RISK FACTORS, BUT ALSO 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 VIA 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 & 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 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 IS CONSTANTLY EMPLOYING EFFORTS 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 A NUMBER OF FACTORS IN SELECTING HEALTH NEEDS TO ADDRESS. FACTORS INCLUDED: INDIVIDUAL 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 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 2020 ON ACCESS TO CARE, ORLANDO HEALTH DEVELOPED NEW AND ENHANCED COMMUNITY BENEFIT PROGRAMS IMPROVING ACCESS TO CARE. ORLANDO HEALTH PROVIDED OVER $328 MILLION IN COMMUNITY BENEFIT IN FISCAL YEAR 2020. IN SUPPORT OF OUR COMMUNITY BENEFIT EFFORTS, WE RECOGNIZE THE IMPORTANCE OF WORKING WITH COMMUNITY ORGANIZATIONS. IN FISCAL YEAR 2020, WE SUPPORTED 23 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 2020, WE SUPPORTED 279 COMMUNITY ORGANIZATIONS. ORLANDO HEALTH HAS PROVIDED 8,664 BOARD MEMBER, COMMITTEE MEMBER AND ADVISORY BOARD MEMBER HOURS. THE OCCURRENCE OF COVID-19 RESULTED IN SOME PROGRAMMATIC DELAYS IN EARLY 2020 AS MANY OF OUR COMMUNITY PARTNERS SCALED BACK OR WERE CLOSED DUE TO THE PANDEMIC HEALTH MANDATES. DESPITE THESE CHALLENGES, MOST OF OUR GRANT RECIPIENTS SHIFTED TO ONLINE PLATFORMS WHEN ABLE OR REQUESTED EXTENSIONS FOR PROGRAMMATIC AND REPORTING DEADLINES. EXAMPLES FROM KEY INITIATIVES ARE INCLUDED TO ILLUSTRATE THE TYPES OF SUCCESSES THESE PROGRAMS YIELD. 1. THROUGH THE ORLANDO HEALTH COMMUNITY GRANT PROGRAM, ORLANDO HEALTH TEAMS CONTINUED TO WORK WITH SECOND HARVEST FOOD BANK OF CENTRAL FLORIDA TO IDENTIFY PATIENTS WHO WERE FOOD INSECURE AND ELIGIBLE FOR A HEALTHY FOOD BOX EACH WEEK. THE PATIENTS IDENTIFIED THROUGH THIS PROGRAM ARE HIGH HOSPITAL UTILIZERS WITH CHRONIC ILLNESSES SUCH AS HEART DISEASE. THE PATIENT IS ASKED A SERIES OF QUESTIONS AND IF DETERMINED TO BE FOOD INSECURE, THEY RECEIVE A VOUCHER FOR A BOX OF HEALTHY FOODS FROM A DESIGNATED SECOND HARVEST PANTRY. THE FOOD IS LOW SODIUM, WHOLE GRAIN AND INCLUDES FRESH VEGETABLES AND MEATS ALONG WITH A RECIPE BOOK ON HOW TO COOK MEALS FROM THE FOODS IN THE BOX. THE PATIENT CAN PICK UP FOOD ONCE A WEEK AT A PARTICIPATING PANTRY. THESE PATIENTS GENERALLY ARE RESIDENTS WHO ARE UNDERSERVED, UNDERINSURED AND LOWER INCOME. DURING 2020, THE HEALTHY FOOD BOX PROGRAM DISTRIBUTED 328 HEALTHY FOOD BOXES TO 34 UNIQUE PATIENTS. 2. ADDITIONALLY, ORLANDO HEALTH PARTNERED WITH SECOND HARVEST FOOD BANK THROUGH THE ORLANDO HEALTH COMMUNITY GRANT PROGRAM BY SUPPORTING A TRANSPORTATION GRANT. THIS PROGRAM WAS DESIGNED TO DELIVER HEALTHY FOOD BOXES TO PARTICIPANTS WITH HIGH TRANSPORTATION BARRIERS BY HIRING VOLUNTEER DRIVERS TO IMPROVE ACCESS TO HEALTHY FOOD. THE PROGRAM WAS TEMPORARILY DELAYED DUE TO COVID-19. ORLANDO HEALTH AND SECOND HARVEST FOOD BANK STRATEGICALLY REPURPOSED THE MONEY FOR THEIR BRING HOPE HOME PROGRAM IN PARTNERSHIP WITH THE HOWARD PHILLIPS CENTER, WHICH DELIVERED HEALTHY FOOD BOXES TO 90 FAMILIES IN NEED. TO DATE 60 FAMILIES HAVE RECEIVED FRESH FOOD FROM THIS PROGRAM. 3. THE ORLANDO HEALTH COMMUNITY GRANT PROGRAM ALSO PARTNERED WITH IDEAS FOR US TO PROVIDE AGRICULTURAL RESOURCES AND EDUCATION TO THE JONES HIGH SCHOOL AGRICULTURAL PROGRAM. THE PROGRAM EDUCATES HIGH SCHOOL STUDENTS IN URBAN AGRICULTURE WHILE ALSO RENOVATING THE EXISTING FOOD FOREST AT THE SCHOOL. DUE TO COVID-19, THE EDUCATION FOR THIS PROGRAM SHIFTED FROM IN- PERSON LEARNING TO ONLINE LEARNING, UTILIZING POWERPOINT LESSONS AND RECORDED VIDEOS. DESPITE A CHALLENGING YEAR DUE TO THE PANDEMIC, THE PROGRAM STILL DELIVERED 10 VIDEO EDUCATION LESSONS IN THE AGRICULTURAL CURRICULUM AT JONES HIGH SCHOOL. THERE WERE A COMBINED 24 HORTICULTURE VIRTUAL LESSONS. AS A RESULT, 230 STUDENTS PARTICIPATED IN THESE CLASSES DURING THE SCHOOL YEAR 2020-2021. FUTURE GROWTH OF THE PROGRAM, ONCE SCHOOL IS BACK TO IN-PERSON LEARNING, WILL INCLUDE ESTABLISHING AN AFTER-SCHOOL PROGRAM FEATURING A POP-UP FARMERS MARKET ON CAMPUS AND OPERATED BY STUDENTS. 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. THE IN-PERSON PORTION OF THIS PROGRAM HAS BEEN PLACED ON HOLD DUE TO COVID-19. WHEN IT IS SAFE TO DO SO, STUDENTS AND TEACHERS WILL TEND TO THE GARDEN, WILL HARVEST RIPE VEGETABLES TO USE IN SCHOOL COOKING CLASSES, AND 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: IN RESPONSE TO THE OVERWHELMING NUMBER OF CENTRAL FLORIDA RESIDENTS DYING FROM DRUG OVERDOSES, ORLANDO HEALTH CONTINUES TO SUPPORT THE OPIOID OUTREACH COORDINATOR ESTABLISHED IN THE FALL OF 2018. 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. COVID-19 ONLY INCREASED THE RATE AS DATA FROM THE FLORIDA DEPARTMENT OF HEALTH SUGGESTS THAT ALL DRUG OVERDOSE DEATHS ARE PROVISIONALLY ON THE RISE FROM 43 PERCENT IN 2019 WITH A PROJECTED TREND ANALYSIS OF MORE THAN 60 PERCENT IN 2020. ASSIGNED TO THE ED 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. THE PROGRAM HAS GROWN WITH SUPPORT OF TWO NEW GRANTS FROM CVS HEALTH AND FLORIDA BLUE. PRELIMINARY DATA SUGGESTS THAT THE OPIOID OUTREACH COORDINATORS EFFORTS HAVE REDUCED INPATIENT ADMISSIONS BY 2,853 VISITS. 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 & 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 ANY OBSTETRIC CARE. IN FISCAL YEAR 2020, ORLANDO HEALTH FUNDING THROUGH THE EXTERNAL AFFAIRS DEPARTMENT LAUNCHED THE HEALTH BEFORE BIRTH PROGRAM WITH SECOND HARVEST FOOD BANK. THE PROGRAM PROVIDES PREGNANT WOMEN FROM THE CLINIC WHO ARE FOOD INSECURE WITH 44 WEEKS OF FOOD, NUTRITION EDUCATION AND CASE MANAGEMENT SERVICES FROM A REGISTERED DIETITIAN. GENERAL PRENATAL NUTRITION IS COVERED AND EDUCATION IS TAILORED TO MEET THE PATIENTS PERSONAL NUTRITION NEEDS. THE GOALS OF THIS PROGRAM ARE TO REDUCE GESTATIONAL DIABETES AND REDUCE MATERNAL STRESS. THIS PILOT PROGRAM PROVIDES FOLLOW-UP EFFORTS ONE YEAR AFTER DISCHARGE FOR BABIES A 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 43 ORLANDO HEALTH UF HEALTH CANCER CENTER 1400 SOUTH ORANGE AVEENUE ORLANDO FL 32806 INPATIENT AND OUTPATIENT CANCER CENTER ORLANDO REG MED CTR-AMBULATORY CARE CTR 22 W UNDERWOOD AVENUE ORLANDO FL 32806 OUTPATIENT SURGERY/DIAGNOSTICS ORLANDO HEALTH HEART INSTITUTE 1222 South Orange Avenue ORLANDO FL 32806 OUTPATIENT DIAGNOSTIC CENTER ORLANDO HEALTH ER & MED PAV - OSCEOLA 1001 EAST OSCEOLA PARKWAY KISSIMMEE FL 34744 FREESTANDING ER & MED PAVILION ORLANDO HEALTH HEART INSTITUTE 7236 Stonerock Circle ORLANDO FL 32819 OUTPATIENT DIAGNOSTIC CENTER ORLANDO HEALTH UF HEALTH CANCER CENTER 7472 DOCS GROVE CIRCLE ORLANDO FL 32819 OUTPATIENT CANCER CARE ORLANDO HEALTH UF HEALTH CANCER CENTER 210 RINEHART ROAD LAKE MARY FL 32746 OUTPATIENT CANCER CARE ORLANDO HEALTH HEART INSTITUTE 10000 W COLONIAL DRIVE SUITE 484 OCOEE FL 34761 OUTPATIENT DIAGNOSTIC CENTER ORLANDO HEALTH HEART INSTITUTE 100 NORTH DEAN ROAD SUITE 202 ORLANDO FL 32825 OUTPATIENT DIAGNOSTIC CENTER ORLANDO HEALTH HEART INSTITUTE 521 W STATE ROAD 434 SUITE 308 LONGWOOD FL 32750 OUTPATIENT DIAGNOSTIC CENTER ARNOLD PALMER HSPTL FOR CHILDREN 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 WOUND HEALING CENTER 55 WEST GORE STREET ORLANDO FL 32806 OUTPATIENT WOUND CARE ORLANDO HEALTH REHABILITATION INSTITUTE 1222 S ORANGE AVE ORLANDO FL 32806 OUTPATIENT REHABILITATION 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 UF HEALTH CANCER CENTER 105 WEST MILLER STREET ORLANDO FL 32806 ORLANDO CANCER CARE ORLANDO HEALTH REHABILITATION SERVICES 521 W STATE ROAD 434 SUITE 204 LONGWOOD FL 32750 OUTPATIENT REHABILITATION ORLANDO HEALTH WOUND HEALING CENTER 7339 STONEROCK CIRCLE ORLANDO FL 32819 OUTPATIENT WOUND CARE SOUTH SEMINOLE WOUND CARE CENTER 515 W STATE ROAD 434 SUITE 101 LONGWOOD FL 32750 OUTPATIENT WOUND CARE ORLANDO HEALTH REHABILITATION INSTITUTE 100 W GORE ST STE 104 ORLANDO FL 32806 OUTPATIENT REHABILITATION 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 DRIVE SUITE B1 WINTER PARK FL 32819 OUTPATIENT PEDIATRIC ORLANDO HEALTH HEART INSTITUTE 2080 Oakley Seaver Dr Clermont FL 34711 OUTPATIENT DIATNOSTIC CENTER ORLANDO HEALTH INFUSION CENTER 1414 KUHL AVENUE ORLANDO FL 32806 OUTPATIENT INFUSION CENTER SOUTH SEMINOLE HSPTL WOMEN'S IMAGING CTR 521 W STATE ROAD 434 SUITE 101 LONGWOOD FL 32750 OUTPATIENT DIAGNOSTIC CENTER ARNOLD PALMER HSPTL OUTPATIENT INFUSION 60 W GORE STREET ORLANDO FL 32806 OUTPATIENT INFUSION CENTER ORLANDO HEALTH UF HEALTH CANCER CENTER 1361 CITRUS TOWER BOULEVARD STE 10 CLERMONT FL 34711 OUTPATIENT CANCER CARE ORLANDO HEALTH HEART INSTITUTE 60 W Gore St Orlando FL 32806 OUTPATIENT DIAGNOSTIC CENTER OH EMERGENCY ROOM AND MEDICAL PAVILION 380 RINEHART ROAD LAKE MARY FL 32746 FREESTANDING ER AND MEDICAL ORLANDO HEALTH UF HEALTH CANCER CENTER 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 OH HEART INSTITUTE CARDIAC REHAB 392 RINEHART ROAD SUITE 2050 LAKE MARY FL 32746 CARDIAC REHABILITATION ORLANDO HEALTH UF HEALTH CANCER CENTER 50 STURTEVANT STREET ORLANDO FL 32806 OUTPATIENT CANCER CARE ARNOLD PALMER HOSPITAL OUTPATIENT CENTER 50 WEST STURTEVANT STREET ORLANDO FL 32806 OUTPATIENT PEDIATRIC SERVICES Orlando Health Imaging Centers 398 E Altamonte Dr Altamonte Springs FL 32701 Outpatient Imaging Center 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 5151 Winter Garden Vineland Rd Ste Windermere FL 34786 Outpatient Imaging Center Orlando Health Imaging Centers 1111 Fairbanks Ave Winter Park FL 32789 Outpatient Imaging Center Orlando Health Imaging Centers 1800 S Orange Ave Orlando FL 32806 Outpatient Imaging Center Orlando Health Imaging Centers 10889 W Colonial Dr Ocoee FL 34761 Outpatient Imaging Center PART I, LINE 6B YES, WHEN COMPLETE WILL POST ON THE OH WEBSITE. 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 ASSISTED IN RECRUITING TWO NEW COMMUNITY-BASED PHYSICIANS TO COMBAT THE PHYSICIAN SHORTAGES IN OUR COMMUNITY DURING THE 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 SYSTEMS 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 SYSTEMS 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 OR PAYORS 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 YEAR ENDED SEPTEMBER 30, 2020 WAS NOT SIGNIFICANT FOR THE SYSTEM. (ORLANDO HEALTH, INC. AUDITED FINANCIAL STATEMENTS, PAGE 19) 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 BY 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 SIX HOSPITALS IN CENTRAL FLORIDA WHICH HAS THOUSANDS OF RESIDENTS AND INTERNATIONAL VISITORS ANNUALLY. ORLANDO HEALTH HAS OVER 16,000 EMPLOYEES AND OVER 2,000 PHYSICIANS ON STAFF. AS A STATUTORY TEACHING HOSPITAL, WE OFFER GRADUATE MEDICAL EDUCATION WHERE WE ARE THE INSTITUTIONAL SPONSOR OF SEVEN RESIDENCY AND 22 FELLOWSHIP PROGRAMS. ORLANDO HEALTH FACILITIES ENCOMPASS 1,979 FULLY CERTIFIED BEDS, ADVANCED MEDICAL TREATMENTS AND PROCEDURES AND HIGHLY QUALIFIED STAFF. ORLANDO HEALTH 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. 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 257,000 PATIENTS VISITED OUR EMERGENCY DEPARTMENTS IN 2020. 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 352 ADULT TRAUMA PATIENTS AND 99 PEDIATRIC TRAUMA PATIENTS IN 2020. ORLANDO HEALTH'S PRIMARY SERVICE AREA IS COMPRISED OF ORANGE, OSCEOLA, SEMINOLE, AND LAKE COUNTIES. THE MEDIAN HOUSEHOLD INCOME IN THESE COUNTIES IS $63,432 WHEREAS THE AVERAGE HOUSEHOLD INCOME IS $85,420. IN CENTRAL FLORIDA, 11.9 PERCENT OF HOUSEHOLDS ARE BELOW THE FEDERAL POVERTY GUIDELINE. THE PERCENT UNINSURED (AGE 0-64) FOR THE FOUR COUNTY AREA IS 14.5 PERCENT AND THERE ARE 11 FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS PRESENT IN THE COMMUNITY. 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 (CONTINUED THROUGH JULY 2020) AND SPIRITUAL CARE. PART VI, LINE 5 AS A NOT-FOR-PROFIT HEALTHCARE PROVIDER, 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 2020, OUR TEAM MEMBERS AND PHYSICIANS PROVIDED OVER 1,100 VOLUNTEER HOURS. THESE HOURS WERE SPENT OUTSIDE OUR HEALTHCARE SYSTEM TO SUPPORT COMMUNITY PARTNERS AND THE NEEDS IN OUR COMMUNITY. ORLANDO HEALTH WORKS WITH NEIGHBORHOOD RESOURCES TO ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS BY SUPPORTING PROGRAMS THAT TARGET COMMUNITY WELLNESS, DISEASE PREVENTION AND ENVIRONMENTAL PROBLEMS. ORLANDO HEALTH FOSTERS PARTNERSHIPS WITH OTHER COMMUNITY AGENCIES IN ITS SERVICE AREA THAT WORK COLLABORATIVELY TO HELP THOSE IN NEED AND TO IMPROVE THE HEALTH AND SAFETY OF THE RESIDENTS OF THE COMMUNITY. BOTH CASH AND IN-KIND DONATIONS ARE MADE ANNUALLY TO THESE VARIOUS LOCAL CHARITABLE ORGANIZATIONS. ORLANDO HEALTH ADDRESSES VARIOUS COMMUNITY CONCERNS, INCLUDING HEALTH IMPROVEMENT, EDUCATION, POVERTY, WORKFORCE DEVELOPMENT AND ACCESS TO HEALTH CARE. THE KEY COMPONENT OF A NOT-FOR-PROFIT ORGANIZATION IS THAT THE ORGANIZATION SERVES A BROAD, INDEFINITE CHARITABLE CLASS. ONE OF THE KEY INDICATORS THAT AN ORGANIZATION DOES SERVE THE BROADER COMMUNITY IS CONTROL OF THE ORGANIZATION BY INDEPENDENT COMMUNITY LEADERS. ORLANDO HEALTH AND ITS HOSPITAL GOVERNING BOARD ARE MADE UP OF MEMBERS OF THE COMMUNITY 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 AND ARE NOT COMPENSATED FOR THEIR SERVICES. 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. THROUGH THE INTEGRATED HEALTHCARE SYSTEM OF EIGHT HOSPITALS, FIVE FREESTANDING EMERGENCY ROOMS, AND VARIOUS OUTPATIENT FACILITIES, WITH OVER 22,000 EMPLOYEES AND OVER 4,000 PHYSICIANS ON MEDICAL STAFF, ORLANDO HEALTH DELIVERS A HIGH LEVEL OF QUALITY INPATIENT, OUTPATIENT AND EMERGENCY HEALTHCARE TO THE PEOPLE OF CENTRAL FLORIDA. ORLANDO HEALTH IS A DESIGNATED TEACHING HOSPITAL OFFERING GRADUATE MEDICAL EDUCATION SPONSORING SEVEN RESIDENCY AND 22 FELLOWSHIP PROGRAMS. ORLANDO HEALTH FACILITIES ENCOMPASS 2,365 FULLY CERTIFIED BEDS, ADVANCED MEDICAL TREATMENTS AND PROCEDURES, AND EXCEPTIONAL STAFF. AS PREVIOUSLY MENTIONED, ORLANDO HEALTH, INC., 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 AND ORLANDO HEALTH ST. CLOUD HOSPITAL. ORLANDO HEALTH CENTRAL, INC. OPERATES ORLANDO HEALTH - HEALTH CENTRAL 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. ORLANDO HEALTH MEDICAL GROUP, INC. SERVES AS A FUNDAMENTAL COMPONENT OF ORLANDO HEALTH'S HEALTH SYSTEM BY PROVIDING AN INTEGRATED DELIVERY SYSTEM 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 WITH ORLANDO HEALTH, INC., ORLANDO HEALTH CANCER INSTITUTE 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, SUPPORTING PROGRAMS AND THE ACQUISITION OF LIFE-SAVING EQUIPMENT FOR OUR COMMUNITIES. THROUGH ORLANDO HEALTH'S HEALTHCARE SYSTEM, WE PROVIDED APPROXIMATELY $647 MILLION IN SUPPORT OF COMMUNITY HEALTH NEEDS. PART VI, LINE 7 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 - HEALTH CENTRAL HOSPITAL (HCH) 6. ORLANDO HEALTH DR. P. PHILLIPS HOSPITAL (DPH) 7. ORLANDO HEALTH SOUTH LAKE HOSPITAL (SLH) 8. ORLANDO HEALTH ST. CLOUD HOSPITAL (SCH) 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 IS IN THE PROCESS OF ESTABLISHING 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) 525000 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) 137128 Sponsorship Health Care Center for the Homeless Inc 232 N Orange Blossom Trl Orlando FL 32805 593185020 501(c)(3) 131905 Sponsorship American Heart Association Inc 237 E Marks St Orlando FL 32803 135613797 501(c)(3) 116666 Sponsorship Orange County Public Schools 445 W Amelia St Orlando FL 32804 596000771 Gov't 103163 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) 96010 Program Services Florida Department of Health 400 W Airport Blvd Sanford FL 32773 593502843 Gov't 81388 Sponsorship Second Harvest Food Bank of Central Florida Inc 411 Mercy Drive Orlando FL 32805 592142315 501(c)(3) 50206 Sponsorship Midwives Organized to Help Est Self Rel 5700 E Irlo Bsn Mem Hwy St Cloud FL 34771 813430717 501(c)(3) 50000 Sponsorship LGBT Plus Center Orlando Inc 946 N Mills Ave Orlando FL 32803 591884445 501(c)(3) 50000 Sponsorship Commonsense Childbirth Inc 213 S Dillard St Winter Garden FL 34787 593479821 501(c)(3) 49920 Sponsorship Hebni Nutrition Consultants Inc 2009 W Central Blvd Orlando FL 32805 593258397 501(c)(3) 25000 Sponsorship LIFT Orlando Inc 2043 Jacobs Pl Orlando FL 32805 463607865 501(c)(3) 25000 Sponsorship Make-A-Wish Central and Northern Fl Inc 1020 N Orlando Ave Maitland FL 32751 593235806 501(c)(3) 25000 Sponsorship The Boggy Creek Gang Inc 30500 Brantley Branch Rd Eustis FL 32736 593012889 501(c)(3) 25000 Sponsorship Libbys Legacy Breast Cancer Foundation 1718 S Orange Ave Orlando FL 32806 113812766 501(c)(3) 25000 Sponsorship Heart of Florida United Way Inc 1940 Cannery Way Orlando FL 32804 590808854 501(c)(3) 25000 Sponsorship School District of Osceola County FL 817 Bill Beck Blvd Kissimmee FL 34744 596000779 Gov't 25000 Sponsorship United Cerebral Palsy of Central Florida 4780 Data Ct Orlando FL 32817 590799925 501(c)(3) 23500 Sponsorship Central Florida Young Mens Christian Assocn 433 N Mills Ave Orlando FL 32803 590624430 501(c)(3) 22500 Sponsorship Down Syndrome Foundation of Florida PO Box 533462 Orlando FL 32853 272436041 501(c)(3) 20000 Sponsorship The Local Health Cncl of E Central Fl Inc 5931 Brick Ct Winter Park FL 32792 592227752 501(c)(3) 20000 Sponsorship Orlando Health Foundation Inc 3160 Southgate Comm Blvd Orlando FL 32806 592244943 501(c)(3) 18500 Sponsorship Seniors First Inc 5395 LB McLeod Rd Orlando FL 32811 592759603 501(c)(3) 15000 Sponsorship Seminole Cty Coalition for School Readiness Inc 280 Hunt Park Cove Longwood FL 32750 593664594 501(c)(3) 13000 Sponsorship A Gift for Teaching Inc 6501 Magic Way Bldg 400C Orlando FL 32809 593515162 501(c)(3) 10000 Sponsorship Hope Community Center Inc 1016 North Park Ave Apopka FL 32712 562551312 501(c)(3) 8000 Sponsorship Adult Literacy League Inc 345 W Michigan St Suite 100 Orlando FL 32806 237076600 501(c)(3) 7500 Sponsorship School District of Lake County FL 201 W Burleigh Blvd Tavares FL 32778 596000694 Gov't 6000 Sponsorship 31 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 1332535 0 1842655 0 274702 0 402220 0 26095 0 3878207 0 270723 0 JAMAL A HAKIM MD CHIEF OPERATING OFFICER 854986 0 830484 0 187002 0 192297 0 23249 0 2088018 0 181923 0 BERNADETTE SPONG CHIEF FINANCIAL OFFICER 720139 0 700118 0 113249 0 162106 0 23099 0 1718711 0 106656 0 ERICK R HAWKINS SVP, STRATEGIC MANAGEMENT 576100 0 560094 0 89579 0 120936 0 22140 0 1368849 0 79030 0 AURELIO DURAN MD FORMER BOARD MEMBER 0 390111 0 797524 0 92716 0 5808 0 28366 0 1314525 0 0 MARK E SAND MD Former Board Member 0 547627 0 619383 0 67292 0 11900 0 18244 0 1264446 0 0 MARK A JONES SVP, OH & PRESIDENT, ORMC 508442 0 458165 0 64014 0 110096 0 19748 0 1160465 0 59253 0 SUNIL S DESAI MD SVP, OH & PRES, OHMG 660650 0 321484 0 6380 0 132513 0 29188 0 1150215 0 0 0 MILDRED DENISE BEAM Chief Legal Strategist 453165 0 220241 0 253966 0 84766 0 16338 0 1028476 0 252012 0 JOHN W BOZARD SVP, OH & Pres, APMCF & OHF 252700 252700 123075 123075 54051 54051 16557 16557 9861 9861 456244 456244 0 0 GREGORY P OHE SVP, AMBU SVCS, ORLANDO HEALTH 377730 0 371787 0 35941 0 74968 0 23639 0 884065 0 26898 0 KELLY NIERSTEDT SVP, OH & PRES, WPH 430979 0 207588 0 2253 0 81326 0 3188 0 725334 0 0 0 THIBAUT VAN MARCKE DE LUMMEN SVP, OH & PRES, DPH 371471 0 172563 0 33017 0 75682 0 27635 0 680368 0 31791 0 MARY FARRELL MD Former Board Member 459801 0 73508 0 72000 0 3500 0 0 0 608809 0 36565 0 DAVID F HUDDLESON VP, CHIEF COMPLIANCE & ETHICS 282497 0 139150 0 43827 0 54289 0 23249 0 543012 0 36950 0 SCHEDULE J, PART I, LINE 1A DURING FY2020, 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 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 ORGANIZATIONS ORLANDO HEALTH, INC. IS A COMMON PAYMASTER AND COMMON PAY AGENT FOR ORLANDO CANCER CENTER, INC. (EIN: 59-3005020), 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), ST. CLOUD PHYSICIAN MANAGEMENT, LLC (EIN: 20-4223288), 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, WHICH INCLUDED THE FOLLOWING DEPOSITS DURING CALENDAR YEAR 2019 THAT WERE PREVIOUSLY DEFERRED. DEFERRAL DEPOSITS: DAVID W. STRONG $390,320 JAMAL A. HAKIM MD $180,397 BERNADETTE SPONG $150,206 ERICK R. HAWKINS $109,036 MARK A. JONES $98,196 SUNIL S. DESAI MD $120,614 MILDRED D. BEAM $81,266 JOHN W. BOZARD $21,213 GREGORY P. OHE $67,743 KELLY NIERSTEDT $74,524 THIBAUT VAN MARCKE DU LUMMEN $63,782 DAVID F. HUDDLESON $42,561 DEFERRAL DISTRIBUTIONS MADE TO THE FOLLOWING: DAVID W. STRONG $270,723 JAMAL A. HAKIM MD $181,923 BERNADETTE SPONG $106,656 ERICK HAWKINS $79,030 MARK A. JONES $59,253 MILDRED D. BEAM $252,012 GREGORY P. OHE $26,898 THIBAUT VAN MARCKE DE LUMMEN $31,791 MARY FARRELL MD $36,565 DAVID F. HUDDLESON $36,950 A Orange County Health Facilities Authority 521378595 6845035U5 2008-06-18 179360000 REFUND SERIES 1999A, 1999B & 1999C false false false B Orange County Health Facilities Authority 521378595 68450LGA7 2019-07-03 157946198 REFUND SERIES 2009 false false false C ORANGE 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 68450LCDS 2012-05-23 190757522 ORMC REDEVELOPMENT PROJECT false false false A 136315000 0 179362824 0 0 0 1573177 1053969 0 0 176732854 0 2008 true false true true B 16205000 0 157947311 0 0 0 0 0 0 0 157947311 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 0 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 0.00000 0.00700 false false false true C false true true true false 0.01030 0.00000 0.01030 false false false true D false true true true false 0.00850 0.00000 0.00850 false false false true A false false false true true true MORGAN STANLEYGOLDM 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 2011 HOSPITAL REVENUE BONDS - PROCEEDS USED TO REFUND THE SERIES 2007A-1 AND A-2 BONDS. SERIES 2012A & 2012B REVENUE BONDS - ESTABLISH A PROJECT FUND FOR THE ORLANDO REGIONAL MEDICAL CENTER REDESIGN AND DEVELOPMENT PROJECT AND PAY OFF A CONSTRUCTION LOAN RELATED TO MEDICAL OFFICE AND OUTPATIENT SERVICES BUILDING. SERIES 2016A REVENUE REFUNDING BONDS - CURRENT REFUND 2006B BONDS, ADVANCE REFUND PORTION OF 2008A & B BONDS AND ADVANCE REFUND 2008C BONDS AND PAY THE COSTS OF ISSUANCE OF THE 2016A BONDS. SERIES 2016B REVENUE BONDS - REFINANCE ON A TAX-EXEMPT BASIS THE TAX-EXEMPT PORTION OF HEALTH CENTRAL 2012 PURCHASE MONEY PROMISSORY NOTE AND PAY THE COSTS OF ISSUANCE OF THE 2016B BONDS. Series 2019B Hospital Revenue Refunding Bonds Forward Delivery - Advance Refund 2009 Bonds and pay the costs of issuance of the 2019B 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 2/5/2013 SERIES 2012 ORMC REDEVELOPMENT PROJECT 5/23/2015 A Orange County Health Facilities Authority 521378595 68450LER2 2016-04-27 276195917 Rfd 2006B, Rfd 2008A-C, Refi HC false false false A 830000 0 276199046 0 0 136747879 2250398 0 0 70645200 66552440 0 2016 true true true true A false true true true false 0.00120 0.00000 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 1126752 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 $(292,006,000) CONTRIBUTIONS - BOOK/TAX DIFFERENCES $ 2,116,523 OTHER CHANGES AND EXTRAORDINARY ITEMS $ 1,171,104 ADJUSTMENT FOR ACQUISITION TIMING -BOOK/TAX $ 6,766,175 ============= TOTAL $(281,952,198) OSCEOLASC LLC 2906 17TH STREET ST CLOUD FL 34769 203728235 HEALTHCARE FL 18735335 202881232 OHI OHRI LLC 1414 KUHL AVENUE ORLANDO FL 32806 472067699 IMAGING SVCS FL 4379697 11236615 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 INVESTMENT FUND LLC 2043 JACOBS PLACE ORLANDO FL 32805 814062133 REAL ESTATE FL OHI EXCLUDED 25266 2779115 false 0 false 0.51375 HEALTHNET SERVICES INC & SUBS 1414 KUHL AVENUE ORLANDO FL 32806 592246203 MEDICAL SVCS FL OHI C CORP 62794789 60524516 1.00000 true ORANGE INDEMNITY LTD PO BOX 1159 KY CJ 980516252 CAPTIVE INS CJ OHI C CORP 18292 1882240 1.00000 true COMMUNITY HEALTH OF FLORIDA INC 1414 KUHL AVENUE ORLANDO FL 32806 463171911 INSURANCE LIC FL OHI C CORP 0 0 0.50100 true ORLANDO CANCER CENTER INC 1414 KUHL AVENUE ORLANDO FL 32806 593005020 MEDICAL SVCS FL OHI C CORP 719343 76996147 1.00000 true false true true false false false false false false true true true true true true false true true false HEALTHNET SERVICES INC l 58431 FMV HEALTHNET SERVICES INC O 351005 FMV HEALTHNET SERVICES INC Q 4857373 FMV HEALTHNET SERVICES INC R 51239000 FMV OHRI LLC J 347037 FMV OHRI LLC Q 108817 FMV ORANGE INDEMNITY LTD M 59719 FMV ORLANDO CANCER CENTER INC Q 97058 FMV ORLANDO HEALTH CENTRAL INC K 97066 FMV ORLANDO HEALTH CENTRAL INC L 221579 FMV ORLANDO HEALTH CENTRAL INC O 29309247 FMV ORLANDO HEALTH CENTRAL INC Q 16836839 FMV ORLANDO HEALTH FOUNDATION INC C 6262231 FMV ORLANDO HEALTH FOUNDATION INC N 1474727 FMV ORLANDO HEALTH FOUNDATION INC O 4690921 FMV ORLANDO HEALTH FOUNDATION INC Q 1662861 FMV ORLANDO HEALTH MEDICAL GROUP INC B 96010 FMV ORLANDO HEALTH MEDICAL GROUP INC J 14057928 FMV ORLANDO HEALTH MEDICAL GROUP INC L 3642701 FMV ORLANDO HEALTH MEDICAL GROUP INC O 418599852 FMV ORLANDO HEALTH MEDICAL GROUP INC Q 62862458 FMV ORLANDO HEALTH MEDICAL GROUP INC R 207500000 FMV ORLANDO HEALTH PHYSICIAN PARTNERS INC R 100000 FMV ORLANDO PHYSICIANS NETWORK INC J 1302728 FMV ORLANDO PHYSICIANS NETWORK INC O 9044314 FMV ORLANDO PHYSICIANS NETWORK INC Q 2957564 FMV ORLANDO PHYSICIANS NETWORK INC R 6850000 FMV PHYSICIAN ASSOCIATES LLC J 5366169 FMV PHYSICIAN ASSOCIATES LLC L 485368 FMV PHYSICIAN ASSOCIATES LLC O 996871 FMV PHYSICIAN ASSOCIATES LLC Q 28534097 FMV PHYSICIAN ASSOCIATES LLC R 8019000 FMV SOUTH LAKE HOSPITAL INC L 1508600 FMV SOUTH LAKE HOSPITAL INC O 68407752 FMV SOUTH LAKE HOSPITAL INC Q 11831044 FMV SCHEDULE R, PART III, LINE 1 LIFT ORLANDO IMPACT INVESTMENT FUND, LLC EIN: 81-4062133 ADDRESS: 2043 JACOBS PLACE, ORLANDO, FL 32805 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.