ORLANDO HEALTH INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: ORLANDO HEALTH INC (EIN 59-1726273)
Tax period: 2023-10-01 to 2024-09-30
Filed: 2025-08-14
IRS object ID: 202522269349301892
Schema version: 2023v6.0
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-08-14T12:20:23+00:00	ReturnTs
Tax Period End	2024-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	55 IVAN ALLEN JR BOULEVARD	AddressLine1Txt
City	ATLANTA	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	30308	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	591726273	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	BERNADETTE SPONG	PersonNm
Person Title	INTERIM CFO	PersonTitleTxt
Phone	3218415078	PhoneNum
Signature	2025-08-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Aerrial M Orr	PreparerPersonNm
PTIN	P01598400	PTIN
Phone	4048748300	PhoneNum
Preparation	2025-08-14	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$5,262,919,221	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.ORLANDOHEALTH.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1977	FormationYr
Legal Domicile State	FL	LegalDomicileStateCd
Activity Or Mission	OUR MISSION AS A COMMUNITY-OWNED ORGANIZATION IS TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND COMMUNITIES WE SERVE.	ActivityOrMissionDesc
Voting Members Governing Body	8	VotingMembersGoverningBodyCnt
Voting Members Independent	6	VotingMembersIndependentCnt
Total Employee	20821	TotalEmployeeCnt
Total Volunteers	6447	TotalVolunteersCnt
Total Gross UBI	$3,060,659	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$21,440,951	PYContributionsGrantsAmt
CY Contributions Grants	$13,608,347	CYContributionsGrantsAmt
PY Program Service Revenue	$4,142,062,966	PYProgramServiceRevenueAmt
CY Program Service Revenue	$4,689,127,789	CYProgramServiceRevenueAmt
PY Investment Income	$53,240,626	PYInvestmentIncomeAmt
CY Investment Income	$121,272,979	CYInvestmentIncomeAmt
PY Other Revenue	$7,327,744	PYOtherRevenueAmt
CY Other Revenue	$3,225,256	CYOtherRevenueAmt
PY Total Revenue	$4,224,072,287	PYTotalRevenueAmt
CY Total Revenue	$4,827,234,371	CYTotalRevenueAmt
PY Grants And Similar Paid	$5,208,325	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$4,435,573	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$1,357,303,734	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$1,506,277,665	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$9,416,789	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,925,644,885	PYOtherExpensesAmt
CY Other Expenses	$2,259,665,212	CYOtherExpensesAmt
PY Total Expenses	$3,288,156,944	PYTotalExpensesAmt
CY Total Expenses	$3,770,378,450	CYTotalExpensesAmt
PY Revenues Less Expenses	$935,915,343	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$1,056,855,921	CYRevenuesLessExpensesAmt
Total Assets BOY	$7,366,400,318	TotalAssetsBOYAmt
Total Assets EOY	$9,481,363,993	TotalAssetsEOYAmt
Total Liabilities BOY	$3,771,060,133	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$4,973,271,853	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$3,595,340,185	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$4,508,092,140	NetAssetsOrFundBalancesEOYAmt
Mission	ORLANDO HEALTH IS A TRUSTED LEADER INSPIRING HOPE THROUGH THE ADVANCEMENT OF HEALTH. OUR MISSION AS A COMMUNITY-OWNED ORGANIZATION IS TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND COMMUNITIES WE SERVE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$3,087,223,625	ExpenseAmt
Grant	$4,435,573	GrantAmt
Revenue	$4,689,228,701	RevenueAmt
Desc	SEE SCHEDULE O	Desc
Total Program Service Expenses	$3,087,223,625	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	Yes (true)	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	1326	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	20821	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	EI	ForeignCountryCd
Foreign Country	RO	ForeignCountryCd
Foreign Country	UK	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	8	GoverningBodyVotingMembersCnt
Independent Voting Member	6	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	3218415078	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Brian Besanceney
Board member, Chairman	2.0	0	Yes (X)	Yes (X)	$4,391	$0	$0
David W Strong
President & CEO	60.0	0.0	Yes (X)	Yes (X)	$8,173,867	$0	$405,638
Mike Packnett
Board member, Vice Chairman	2.0	0	Yes (X)	Yes (X)	$17,050	$0	$0
Dale Jenkins
Board member	2.0	0	Yes (X)		$14,865	$0	$0
David Brown
Board member	2.0	0	Yes (X)		$14,467	$0	$0
Jim Hyler
Board member	2.0	0	Yes (X)		$18,561	$0	$0
M Kathryn Garrett MD
Board member	2.0	0	Yes (X)		$15,041	$0	$0
Teri Fontenot
Board member	2.0	0	Yes (X)		$14,122	$0	$0
Bernadette Spong
Interim Chief Financial Officer (As of July 2024)	50.0	10.0		Yes (X)	$797,040	$0	$13,667
Leslie Flake
Chief Financial Officer (Until July 2024)	50.0	10.0		Yes (X)	$2,099,622	$0	$174,203
Jamal A Hakim MD
Chief Physician Officer	50.0	10.0			$3,006,604	$0	$49,817	Yes (X)
Kelly Nierstedt
SVP, OH & President, ORMC	55.0	0			$1,106,301	$0	$127,656	Yes (X)
Stephen W Burriss
Chief Operating Officer	55.0	0			$1,730,810	$0	$26,945	Yes (X)
Thibaut Van Marcke De Lummen
SVP, OH SE Region & Pres, DPH	55.0	0			$927,940	$0	$145,658	Yes (X)
Erick R Hawkins
Chief Admin Officer, OH	55.0	4.0			$2,044,768	$0	$151,234		Yes (X)
George A Ralls
SVP, OH & Chief Med Officer	55.0	0			$1,418,289	$0	$143,687		Yes (X)
Gregory P Ohe
SVP, Ambu Svcs, Orlando Health	55.0	2.0			$1,349,434	$0	$43,472		Yes (X)
Karen L Frenier
SVP, HR & Chief Nurse Exec	55.0	0			$1,534,292	$0	$42,724		Yes (X)
Ryan William Zika
General Counsel	55.0	2.0			$1,380,881	$0	$141,124		Yes (X)
Aurelio Duran MD
Cardiac Electrophysiologist	0.0	55.0			$0	$1,916,165	$45,871			Yes (X)
Mark A Jones
Foundation SVP/Dir Capital Cam	55.0	3.0			$734,428	$0	$113,292			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$26,402,773	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,916,165	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,624,988	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1822	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
ORIGIN INC DBA SHIFTWISE
2501 SW 1ST AVE STE 200	PORTLAND	OR	97201	MANAGEMENT SERVICES	$38,307,009
EPIC SYSTEMS CORPORATION
1979 MILKY WAY	VERONA	WI	53593	SOFTWARE SERVICES	$26,523,344
MICROSOFT CORPORATION
ONE MICROSOFT WAY	REDMOND	WA	980526399	SOFTWARE SERVICES	$18,933,442
AVI FOODSYSTEMS INC
2590 ELM RD NE	WARREN	OH	44483	MANAGEMENT SERVICES	$18,610,315
EFFICIENCY MEDIA INC
3616 WINNETKA RD	GLENVIEW	IL	60026	CONSULTING SERVICES	$16,019,252

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	482	CntrctRcvdGreaterThan100KCnt
Related Organizations	$11,721,210	RelatedOrganizationsAmt
Government Grants	$1,802,875	GovernmentGrantsAmt
All Other Contributions	$84,262	AllOtherContributionsAmt
Total Contributions	$13,608,347	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	622110	$3,935,879,398	$3,935,039,391	$840,007
RETAIL PHARMACY	446110	$351,360,212	$351,360,212
STATE OF FL SPECIAL MEDICAID PMTS	622110	$150,792,838	$150,792,838
LIP TIER 3 STATE REVENUE	622110	$111,665,008	$111,665,008
Medicaid Voluntary Contribution	622110	$25,996,999	$25,996,999

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$113,433,334	TotalRevenueColumnAmt
Related Or Exempt Func Income	$112,127,845	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,305,489	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$4,689,127,789	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$83,369,095	TotalRevenueColumnAmt
Unrelated Business Revenue	-$623,851	UnrelatedBusinessRevenueAmt
Exclusion	$83,992,946	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$16,464	TotalRevenueColumnAmt
Exclusion	$16,464	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,894,162	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$81,080	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$2,813,082	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,813,082	TotalRevenueColumnAmt
Unrelated Business Revenue	$1,336,299	UnrelatedBusinessRevenueAmt
Exclusion	$1,476,783	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$471,686,195	SecuritiesAmt
Other	$1,804,995	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$431,292,519	SecuritiesAmt
Other	$4,311,251	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$40,393,676	SecuritiesAmt
Other	-$2,506,256	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$37,887,420	TotalRevenueColumnAmt
Unrelated Business Revenue	-$305	UnrelatedBusinessRevenueAmt
Exclusion	$37,887,725	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
PHYSICIANS ANSWERING SVCS	561421	$303,932	$100,912	$203,020
PARKING GARAGE	622110	$108,242			$108,242

Miscellaneous Revenue MiscellaneousRevenueGrp

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

Field	Value	IRS element (for citing)
Other Revenue Total	$412,174	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,827,234,371	TotalRevenueColumnAmt
Related Or Exempt Func Income	$4,687,083,205	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,060,659	UnrelatedBusinessRevenueAmt
Exclusion	$123,482,160	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$4,435,573	TotalAmt
Program Services	$4,435,573	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$18,374,075	TotalAmt
Program Services	$2,350,678	ProgramServicesAmt
Management And General	$16,023,397	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$820,220	TotalAmt
Program Services	$820,220	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$1,126,668,208	TotalAmt
Program Services	$916,334,878	ProgramServicesAmt
Management And General	$205,377,266	ManagementAndGeneralAmt
Fundraising	$4,956,064	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$94,666,946	TotalAmt
Program Services	$76,308,885	ProgramServicesAmt
Management And General	$18,358,061	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$186,062,439	TotalAmt
Program Services	$150,054,443	ProgramServicesAmt
Management And General	$34,707,232	ManagementAndGeneralAmt
Fundraising	$1,300,764	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$79,685,777	TotalAmt
Program Services	$66,498,930	ProgramServicesAmt
Management And General	$12,845,114	ManagementAndGeneralAmt
Fundraising	$341,733	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$28,305,614	TotalAmt
Management And General	$28,305,614	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,518,550	TotalAmt
Management And General	$1,517,699	ManagementAndGeneralAmt
Fundraising	$851	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$911,300	TotalAmt
Program Services	$911,300	ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$2,426,953	TotalAmt
Management And General	$2,426,953	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$288,747,772	TotalAmt
Program Services	$215,915,424	ProgramServicesAmt
Management And General	$72,731,967	ManagementAndGeneralAmt
Fundraising	$100,381	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$49,662,195	TotalAmt
Program Services	$44,979,186	ProgramServicesAmt
Management And General	$4,536,487	ManagementAndGeneralAmt
Fundraising	$146,522	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$94,661,912	TotalAmt
Program Services	$80,159,451	ProgramServicesAmt
Management And General	$13,979,838	ManagementAndGeneralAmt
Fundraising	$522,623	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$140,752,427	TotalAmt
Program Services	$38,980,855	ProgramServicesAmt
Management And General	$101,739,602	ManagementAndGeneralAmt
Fundraising	$31,970	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$96,177,197	TotalAmt
Program Services	$34,257,295	ProgramServicesAmt
Management And General	$61,332,441	ManagementAndGeneralAmt
Fundraising	$587,461	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$6,944,454	TotalAmt
Program Services	$3,804,920	ProgramServicesAmt
Management And General	$2,932,519	ManagementAndGeneralAmt
Fundraising	$207,015	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$3,360,692	TotalAmt
Program Services	$2,655,266	ProgramServicesAmt
Management And General	$412,015	ManagementAndGeneralAmt
Fundraising	$293,411	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$42,607,716	TotalAmt
Program Services	$28,340,013	ProgramServicesAmt
Management And General	$14,267,703	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$185,189,768	TotalAmt
Program Services	$123,176,762	ProgramServicesAmt
Management And General	$62,013,006	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$85,457,679	TotalAmt
Program Services	$72,885,663	ProgramServicesAmt
Management And General	$12,572,016	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies	$951,675,840	$951,675,840
Patient Med Assist Trust Fund	$204,522,037	$204,396,860	$125,177
Eligibility Fees	$33,240,505	$33,240,505
Discharge Support	$11,535,680	$11,535,680

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$31,966,921	TotalAmt
Program Services	$23,504,998	ProgramServicesAmt
Management And General	$7,533,929	ManagementAndGeneralAmt
Fundraising	$927,994	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,770,378,450	TotalAmt
Program Services	$3,087,223,625	ProgramServicesAmt
Management And General	$673,738,036	ManagementAndGeneralAmt
Fundraising	$9,416,789	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$722,770,031	BOYAmt
EOY	$9,209,129	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$155,333,168	BOYAmt
EOY	$1,120,621,473	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$646,749,437	BOYAmt
EOY	$642,027,160	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$88,166,221	BOYAmt
EOY	$100,023,075	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$64,263,710	BOYAmt
EOY	$1,108,891,689	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$5,353,271,366	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$2,675,464,274	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$2,179,832,930	BOYAmt
EOY	$2,677,807,092	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$2,535,044,803	BOYAmt
EOY	$2,686,551,741	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$198,889,581	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$237,314,385	BOYAmt
EOY	$237,895,614	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$736,925,633	BOYAmt
EOY	$699,447,439	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,366,400,318	BOYAmt
EOY	$9,481,363,993	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$763,510,350	BOYAmt
EOY	$805,787,632	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$994,186	BOYAmt
EOY	$1,239,000	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,121,117,638	BOYAmt
EOY	$2,924,686,282	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$191,383,018	BOYAmt
EOY	$200,658,371	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$694,054,941	BOYAmt
EOY	$1,040,900,568	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$3,771,060,133	BOYAmt
EOY	$4,973,271,853	EOYAmt

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

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,430,371,250	BOYAmt
EOY	$4,322,871,732	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$164,968,935	BOYAmt
EOY	$185,220,408	EOYAmt

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

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

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

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

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,595,340,185	BOYAmt
EOY	$4,508,092,140	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$7,366,400,318	BOYAmt
EOY	$9,481,363,993	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$1,056,855,921	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$350,467,965	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$494,571,931	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$92,400	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$818,900	OtherActivitiesAmt
Total Lobbying Expenditures	$911,300	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY AND OTHER ACTIVITIES ASSESSING CURRENT STATE AND FEDERAL LEGISLATION WITH CONSULTANTS WHO ADVISE HOW THE LEGISLATION WOULD AFFECT THE ORGANIZATION TOTALING $478,065. AMOUNTS REPORTED FROM VARIOUS HOSPITAL AND HEALTHCARE MEMBERSHIPS OF DUES USED FOR LOBBYING ACTIVITIES TOTALING $340,835.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$39,487,772	BeginningYearBalanceAmt
Contributions	$2,257,245	ContributionsAmt
Investment Earnings Or Losses	$7,895,711	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,642,507	OtherExpendituresAmt
Administrative Expenses	$28,013	AdministrativeExpensesAmt
End Year Balance	$47,970,208	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$33,526,652	BeginningYearBalanceAmt
Contributions	$4,044,374	ContributionsAmt
Investment Earnings Or Losses	$4,493,268	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,570,961	OtherExpendituresAmt
Administrative Expenses	$5,561	AdministrativeExpensesAmt
End Year Balance	$39,487,772	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

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

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.1316	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.8684	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$211,918,968	OtherCostOrOtherBasisAmt
Book Value	$211,918,968	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,541,321,483	OtherCostOrOtherBasisAmt
Depreciation	$693,692,334	DepreciationAmt
Book Value	$847,629,149	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$35,732,156	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$35,732,156	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,661,983,601	OtherCostOrOtherBasisAmt
Depreciation	$1,933,580,703	DepreciationAmt
Book Value	$728,402,898	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$902,315,158	OtherCostOrOtherBasisAmt
Depreciation	$48,191,237	DepreciationAmt
Book Value	$854,123,921	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$2,677,807,092	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (20 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES
INVESTMENT IN RELATED PARTIES
CASH SURRENDER VALUE LIFE INS
EXEC DEFERRED COMP 457B
CAP ACCUM/DEF COMP BEN
MED MAL RECOVERIES RECEIVABLE
GIFT ANNUITY TRUST
DEPOSITS
PROPERTY MANAGEMENT
WORKERS COMP SURETY
Due From Affiliates	$457,984,527
Investment in Related Parties	$23,401
CASH SURENDER VALUE LIFE INS.	$98,939,558
EXEC DEFERRED COMP 457B	$84,789,034
MED. MAL. RECOVERIES REC.	$33,851,979
CAP ACCUM/DEF COMP BEN.	$19,912,529
DEPOSITS	$2,049,624
GIFT ANNUITY TRUST	$1,663,940
PROPERTY MANAGEMENT	$132,847
WORKERS COMP SURETY	$100,000

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$699,447,439	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (16 entries)

DescDesc	AmtAmt
LT DUE TO AFFILIATES	$355,882,586
PROFESSIONAL & GENERAL LIABILITIES	$274,267,429
OTHER NONCURRENT LIABILITIES	$123,068,530
LT LIAB EXEC DEF COMP 457B	$84,789,034
PUBLIC ASSISTANCE FUND LIABILITY ST	$80,845,012
DEFERRED LEASE LIABILITIES	$67,898,053
LT LIAB CAP/ACCUM DEF COMP	$19,912,519
SWAP LIABILITIES	$14,348,123
DISCOUNT/LT LIAB CLEARING ACCOUNTS	$4,893,178
LT CHARITABLE COMMITMENTS TO UNRELATED PARTIES	$4,475,000
FEDERAL EXCISE TAX	$4,009,308
EPIC SOFTWARE LICENSE LIABILITIES	$3,530,879
TRANSITION CARE MANAGEMENT	$2,196,296
DUE TO STATE	$410,225
ASSET RETIREMENT LIABILITY	$363,737
PROPERTY MANAGEMENT LIABILITIES	$10,659

Field	Value	IRS element (for citing)
Total Liability	$1,040,900,568	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part V, Line 4 Intended uses of endowment funds	ENDOWMENT FUNDS ARE RESTRICTED AS TO PURPOSE, TIME OR BOTH IN ACCORDANCE WITH DONOR SPECIFICATIONS MADE AT TIME OF CONTRIBUTIONS. ORLANDO HEALTH TREATS ENDOWMENT FUND PRINCIPAL AS RESTRICTED AND UTILIZES THE NET EARNINGS ON ENDOWMENT MONIES FOR PROGRAM AND CAPITAL NEEDS OF ORLANDO HEALTH, INC. AND AFFILIATES IN ACCORDANCE WITH DONOR SPECIFICATIONS.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	FASB ASC TOPIC 740, INCOME TAXES, PRESCRIBES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAX POSITIONS RECOGNIZED IN THE FINANCIAL STATEMENTS. ASC TOPIC 740 PROVIDES GUIDANCE AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THERE WERE NO MATERIAL UNCERTAIN TAX POSITIONS AS OF SEPTEMBER 30, 2024 AND 2023.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Europe (Including Iceland and Greenland)	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	Investments	TypeOfActivitiesConductedTxt
Region Total Expenditures	$2,766,667	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$2,766,667	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$2,766,667	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

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

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	300	FreeCareOtherPct

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$248,921,599	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$111,665,008	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$137,256,591	NetCommunityBenefitExpnsAmt
Total Expense	0.0364	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$618,880,755	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$363,040,638	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$255,840,117	NetCommunityBenefitExpnsAmt
Total Expense	0.0679	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,231,135	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,275,281	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,955,854	NetCommunityBenefitExpnsAmt
Total Expense	0.0008	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$873,033,489	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$476,980,927	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$396,052,562	NetCommunityBenefitExpnsAmt
Total Expense	0.1051	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$47,231,422	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,131,665	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$32,099,757	NetCommunityBenefitExpnsAmt
Total Expense	0.0085	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$88,642,315	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$19,831,324	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$68,810,991	NetCommunityBenefitExpnsAmt
Total Expense	0.0183	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

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

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,305,577	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,305,577	NetCommunityBenefitExpnsAmt
Total Expense	0.0009	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,185,189	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,185,189	NetCommunityBenefitExpnsAmt
Total Expense	0.0014	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$144,364,503	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$34,962,989	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$109,401,514	NetCommunityBenefitExpnsAmt
Total Expense	0.0290	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$1,017,397,992	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$511,943,916	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$505,454,076	NetCommunityBenefitExpnsAmt
Total Expense	0.1341	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,924	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$19,924	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,538	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$23,538	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$38,343	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$38,343	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

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

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$51,915	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$51,915	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

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

Health Improvement Advocacy HealthImprovementAdvocacyGrp

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

Workforce Development WorkforceDevelopmentGrp

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

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,618	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$14,618	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$148,338	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$148,338	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$52,652,783	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$342,178,455	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$392,123,737	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$49,945,282	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	7	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (7 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd	OtherOtherDesc	Childrens HospitalChildrensHospitalInd
ORLANO HEALTH ORLANDO REGIONAL MEDICAL CENTER
1	1414 KUHL AVENUE	ORLANDO	FL	32806	HTTPS://WWW.ORLANDOHEALTH.COM/FACILITIES/ORLANDO-REGIONAL-MEDICAL-CENTER	4393	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
ORLANDO HEALTH WINNIE PALMER HOSP FOR WOMEN & BABIES
3	83 W MILLER STREET	ORLANDO	FL	32806	https://www.orlandohealth.com/facilities/winnie-palmer-hospital	4393	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A	NEONATAL UNIT
ORLANDO HEALTH DR P PHILLIPS HOSPITAL
2	9400 TURKEY LAKE ROAD	ORLANDO	FL	32819	HTTPS://WWW.ORLANDOHEALTH.COM/FACILITIES/DR-P-PHILLIPS-HOSPITAL	4393	Yes (X)	Yes (X)		Yes (X)	A
ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL
5	555 W SR 434	LONGWOOD	FL	32279	https://www.orlandohealth.com/services-and-specialties/behavioral-health	4393	Yes (X)	Yes (X)		Yes (X)	A
ORLANDO HEALTH ARNOLD PALMER HOSPITAL FOR CHILDREN
4	92 W MILLER	ORLANDO	FL	32806	HTTPS://WWW.ARNOLDPALMERHOSPITAL.COM/	4393	Yes (X)		Yes (X)	Yes (X)	A		Yes (X)
ORLANDO HEALTH ST CLOUD HOSPITAL
6	2906 17TH ST	ST CLOUD	FL	34769	https://www.orlandohealth.com/FACILITIES/ST-CLOUD-HOSPITAL#/St+Cloud+Hospital/	4484	Yes (X)	Yes (X)		Yes (X)	A
ORLANDO HEALTH ADVANCED REHABILITATION INSTITUTE
7	1300 HEMPEL AVENUE	OCOEE	FL	34761	https://www.orlandohealth.com/services-and-specialties/advanced-rehab-institute	4393	Yes (X)				A	INPATIENT REHABILITATION

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	7	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
Other	Yes (X)	OtherInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTP://WWW.ORLANDOHEALTH.COM/ABOUT-US/COMMUNITY-INVOLVEMENT/COMMUNITY-BENEFIT	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	ImplementationStrategyAdptYr
Strategy Posted Website	false	StrategyPostedWebsiteInd
Strategy Attached	Yes (true)	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.0	FPGFamilyIncmLmtFreeCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART VI	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART VI	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART VI	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E	THE 2022 CHNA IS A FOUR-COUNTY ASSESSMENT COVERING LAKE, ORANGE, OSCEOLA, AND SEMINOLE COUNTIES. SECONDARY AND PRIMARY DATA WERE COLLECTED AND ANALYZED, GENERATING COMMON THEMES FOR THE REGION, COUNTY, AND ZIP CODES. SECONDARY DATA ABOUT HEALTH INDICATORS, HEALTHCARE UTILIZATION AND INSURANCE COVERAGE WAS GATHERED FROM RESOURCES, INCLUDING THE U.S. CENSUS, FLORIDA COMMUNITY HEALTH ASSESSMENT RESOURCE TOOL SET (CHARTS), THE CENTERS FOR DISEASE CONTROL AND PREVENTION'S BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEMS (BRFSS) DATA, COUNTY HEALTH RANKINGS, THE AMERICAN COMMUNITY SURVEY AND HOSPITAL CLAIMS DATA. PRIMARY DATA SOURCES INCLUDED A COMMUNITY SURVEY (3,699 RESPONSES), ACCESS AUDIT INCLUDING 45 MYSTERY SHOPPER CALLS, IN-DEPTH INTERVIEWS WITH COMMUNITY STAKEHOLDERS (105), FOCUS GROUPS (30 GROUPS WITH 250 TOTAL PARTICIPANTS), EQUITY CHAMPIONS (10) PROVIDING DIVERSITY GROUP OUTREACH AND DIGITAL TREND ANALYSIS USED TO ILLUMINATE CHRONIC HEALTH, BEHAVIORAL HEALTH AND HEALTH INSIGHTS OVER A SELECTED PERIOD OF TIME. BASED ON THE DATA, APPROXIMATELY 50 GRANULAR, COMMUNITY-BASED, DATA-FOUNDED NEEDS WERE GENERATED. USING THE DATA, THE CENTRAL FLORIDA COLLABORATIVE THAT COMMENCED THE 2022 CHNA SELECTED THE PRIORITIES OR NEEDS FOR THE 2022 CHNA. THE COLLABORATIVE UTILIZED MODIFIED DELPHI METHOD, A MIXED MODALITY APPROACH THAT INCLUDED QUANTITATIVE, QUALITATIVE AND TECHNOLOGY-BASED TECHNIQUES, TO SELECT FOUR TOP NEEDS THAT INCLUDE 15 GRANULAR ISSUES BY ORGANIZATION AND COUNTY. THESE PRIORITIES WERE USED FOR EACH HOSPITAL'S IMPLEMENTATION STRATEGY PLAN. THE PRIORITIES FOR EACH COUNTY ARE OUTLINED IN THE COUNTY HEALTH EQUITY SUMMARIES INCLUDED IN THE CHNA. IN ADDITION TO THE PRIORITIES SELECTED BY THE COLLABORATIVE, COUNTY-SPECIFIC SUMMARIES AND HEALTH EQUITY PROFILES WERE PREPARED BY CRESCENDO. THESE SUMMARIES INCLUDE BASIC DEMOGRAPHIC INFORMATION FOR EACH COUNTY, AS WELL AS SOCIAL DETERMINANTS OF HEALTH SECTIONS THAT IDENTIFY HEALTH DISPARITIES EXPERIENCED BY DIFFERENT RACE AND ETHNICITIES FOR EACH COUNTY.
Schedule H, Part V, Section B, Line 3 Facility A, 1	Facility A, 1 - GROUP A. AS PART OF THE SECONDARY DATA COLLECTION, HOSPITAL HOT SPOTTING DATA WAS ALSO INCLUDED IN OUR CHNA. CRESCENDO CONTINUED TO EXPAND THE WORK COMPLETED IN THE 2022 CHNA BY INCLUDING LOCAL HOT SPOTTING AREAS FOR HOSPITALS AND FEDERALLY QUALIFIED HEALTH CENTERS. PATIENT DATA FROM HOSPITALS REPRESENTED IN THE CHNA ENABLED LOCATION ANALYSIS AND MAPPING OF LOCAL "HOT SPOTS" WITH HIGH NUMBERS OF UNINSURED VISITS OVER-UTILIZING THE HEALTHCARE SYSTEM. THE UNINSURED DATA WAS SPLIT INTO ADMITTING FACILITIES AND THEN FURTHER SEPARATED INTO INPATIENT AND EMERGENCY DEPARTMENT DISCHARGES.
Schedule H, Part V, Section B, Line 5 Facility A, 1	Facility A, 1 - GROUP A. FOR OUR 2022 COMMUNITY HEALTH NEEDS ASSESSMENT, WE CONTRACTED CRESCENDO CONSULTING GROUP (CRESCENDO). CRESCENDO CONSULTING GROUP IS AN INNOVATIVE, COMMUNITY RESEARCH AND STRATEGIC PLANNING FIRM PROVIDING SERVICES NATIONALLY. WITH 20 YEARS OF EXPERIENCE CONDUCTING NEEDS ASSESSMENTS, CRESCENDO HAS BECOME A PIONEER IN ITS FIELD - DEVELOPING AND DEPLOYING INNOVATIVE (AND IN SOME CASES COPYWRITTEN) TECHNIQUES TO ENGAGE DIFFICULT-TO-REACH OR HISTORICALLY UNDERREPRESENTED COMMUNITIES, EVALUATE NEEDS BY TRIANGULATING QUANTITATIVE AND QUALITATIVE DATA, BUILD CONSENSUS AROUND RESULTS BY USING A MODIFIED DELPHI TECHNIQUE (I.E., A VALIDATED PRIORITIZATION METHOD), AND OTHERS. THE COMPANY'S MISSION IS TO POSITIVELY CHANGE THE LIVES OF THE PEOPLE, ORGANIZATIONS, AND COMMUNITIES WE SERVE; EVERY ASPECT OF CRESCENDO'S PROJECTS EMBEDS UNMATCHED CLIENT ENGAGEMENT TO SUCCESSFULLY EMBRACE THIS MISSION AND BRING IMPACTFUL, MEASURABLE CHANGE TO INDIVIDUALS, FAMILIES, AND COMMUNITIES. CRESCENDO WORKED TO BUILD ON TOP OF THE PREVIOUS CHNA CONDUCTED IN 2019. DURING THE CHNA PROCESS, INPUT FROM PERSONS WHO REPRESENT BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY WAS TAKEN INTO ACCOUNT. PRIMARY DATA INCLUDED SURVEYS DISTRIBUTED TO BOTH PROVIDERS AND CONSUMERS, IN-DEPTH INTERVIEWS WITH COMMUNITY STAKEHOLDERS AND COMMUNITY FOCUS GROUPS WITHIN THE CENTRAL FLORIDA COMMUNITY. ON BEHALF OF THE HOSPITAL, CRESCENDO WORKED WITH REPRESENTATIVES FROM ALL THE HOSPITALS, HEALTH DEPARTMENTS AND FEDERALLY QUALIFIED HEALTH CENTERS (FQHC) THAT PARTICIPATED IN THE ASSESSMENT TO ENSURE PERSONS WHO PROVIDED INPUT WERE REPRESENTATIVE OF THE COMMUNITY. BROAD POPULATIONS INCLUDING THE ELDERLY, MEDICAL UNDERSERVED, MINORITY GROUPS, AND LOW-INCOME POPULATIONS WERE REPRESENTED. THE CENTRAL FLORIDA COLLABORATIVE TOOK A UNIQUE APPROACH TOWARD RECOGNIZING THE NEED TO REDUCE AND ELIMINATE HEALTH DISPARITIES AND TO INCREASE DIVERSITY AT THE LEADERSHIP AND GOVERNANCE LEVELS OF HEALTHCARE AND OTHER LOCAL ORGANIZATIONS. TO DO THIS, A TEAM OF 10 EQUITY CHAMPIONS WAS DEVELOPED. THESE INDIVIDUALS REPRESENTED MULTIRACIAL AND OTHER MINORITY COMMUNITIES IN CENTRAL FLORIDA. THE EQUITY CHAMPIONS ASSISTED WITH REVIEWING RESEARCH INSTRUMENTS FOR CULTURAL APPROPRIATENESS, PARTICIPATED IN STAKEHOLDER INTERVIEWS, PARTICIPATED IN THE PRIORITIZATION PROCESS AND STRATEGY DEVELOPMENT DISCUSSIONS, AND PROVIDED GUIDANCE REGARDING THE MOST EFFECTIVE WAYS TO ENGAGE UNIQUE COMMUNITY MEMBERS. THE COMMUNITY SURVEY WAS DISTRIBUTED BOTH IN HARD COPY AND DIGITALLY THROUGH SURVEY MONKEY WITH A TOTAL OF 3,699 RESPONSES. A SUMMARY OF RESPONSES FROM THE COMMUNITY SURVEY CAN BE FOUND IN THE PRIMARY QUANTITATIVE COMMUNITY SURVEY SECTION OF THE CHNA. IN-DEPTH, ONE-TO-ONE INTERVIEWS WERE CONDUCTED WITH 105 COMMUNITY STAKEHOLDERS BETWEEN OCTOBER 29, 2021, AND JANUARY 31, 2022. THE SECTORS REPRESENTED ARE DEPARTMENT OF HEALTH, FOOD SECURITY, DEPARTMENT OF CHILDREN AND FAMILIES, HEALTHCARE, FEDERALLY QUALIFIED HEALTH CENTER, HOMELESSNESS, BEHAVIORAL HEALTH, SPECIALTY CARE, EDUCATION, AGING AND BUSINESS. DEMOGRAPHIC INFORMATION ABOUT EACH OF THE STAKEHOLDERS INTERVIEWED CAN BE FOUND IN THE PRIMARY QUALITATIVE RESEARCH SECTION OF THE CHNA. THIRTY FOCUS GROUPS TOOK PLACE WITH A TOTAL OF 250 PARTICIPANTS. MORE DETAILS REGARDING FOCUS GROUP PARTICIPANTS CAN BE FOUND IN THE QUALITATIVE RESEARCH SECTION OF THE CHNA. ACCESS AUDITS WERE INCLUDED IN THE PRIMARY DATA COLLECTION PROCESS. THIS PROCESS INVOLVED MAKING MULTIPLE CALLS TO REPRESENTATIVES OF LOCAL HEALTH SERVICE SITES IN THE FOUR-COUNTY AREA TO PROVIDE INSIGHT TO ACCESS GAPS, IMPROVEMENT STRATEGIES AND SERVICE VARIATIONS. IN TOTAL, 45 CALLS WERE CONDUCTED AND 32 RESULTED IN EITHER AN INTERVIEW OR COMPLETED SETS OF INFORMATION. A COMPLETE LIST OF ORGANIZATIONS INVOLVED CAN BE FOUND IN THE ACCESS AUDIT SECTION OF THE CHNA.
Schedule H, Part V, Section B, Line 6a Facility A, 1	Facility A, 1 - GROUP A. ORLANDO HEALTH: ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER (ORLANDO HEALTH CANCER INSTITUTE), ORLANDO HEALTH ARNOLD PALMER HOSPITAL FOR CHILDREN, ORLANDO HEALTH WINNIE PALMER HOSPITAL FOR WOMEN AND BABIES, ORLANDO HEALTH DR. P. PHILLIPS HOSPITAL, ORLANDO HEALTH - HEALTH CENTRAL HOSPITAL, ORLANDO HEALTH HORIZON WEST HOSPITAL, ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL, ORLANDO HEALTH SOUTH LAKE HOSPITAL AND ORLANDO HEALTH ST. CLOUD HOSPITAL. ADVENTHEALTH: ADVENTHEALTH ALTAMONTE SPRINGS, ADVENTHEALTH APOPKA, ADVENTHEALTH CELEBRATION, ADVENTHEALTH EAST ORLANDO, ADVENTHEALTH KISSIMMEE, ADVENTHEALTH ORLANDO, ADVENTHEALTH WATERMAN, ADVENTHEALTH WINTER GARDEN AND ADVENTHEALTH WINTER PARK. ASPIRE HEALTH PARTNERS: KENNEDY PLAZA, LAKESIDE PLACE APARTMENTS, PRINCETON PLAZA, RESIDENTIAL PLAZA
Schedule H, Part V, Section B, Line 6b Facility A, 1	Facility A, 1 - GROUP A. DEPARTMENT OF HEALTH: FLORIDA DEPARTMENT OF HEALTH IN LAKE COUNTY FLORIDA DEPARTMENT OF HEALTH IN ORANGE COUNTY FLORIDA DEPARTMENT OF HEALTH IN OSCEOLA COUNTY FLORIDA DEPARTMENT OF HEALTH IN SEMINOLE COUNTY FEDERALLY QUALIFIED HEALTH CENTERS: COMMUNITY HEALTH CENTERS, INC ORANGE BLOSSOM FAMILY HEALTH OSCEOLA COMMUNITY HEALTH SERVICES TRUE HEALTH
Schedule H, Part V, Section B, Line 11 Facility A, 1	Facility A, 1 - GROUP A. FOR MORE THAN 100 YEARS, ORLANDO HEALTH HAS PROVIDED FOR THE HEALTH NEEDS OF OUR LOCAL AND REGIONAL COMMUNITIES, GROWING FROM A SINGLE HOSPITAL INTO AN AWARD-WINNING ORGANIZATION NOW SUPPORTING HEALTHCARE CONSUMERS FROM ACROSS THE SOUTHEASTERN UNITED STATES. IT IS OUR MISSION TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND COMMUNITIES WE SERVE. ORLANDO HEALTH CONSTANTLY WORKS TO IMPROVE HEALTH IN THE COMMUNITY AND INCREASE ACCESS TO CARE. FOLLOWING OUR PARTICIPATION IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) ORLANDO HEALTH TOOK INTO CONSIDERATION SEVERAL FACTORS IN SELECTING HEALTH NEEDS TO ADDRESS. FACTORS INCLUDED: INDIVIDUAL ORLANDO HEALTH HOSPITAL DATA; COMMUNITY AND HOSPITAL ASSETS; ABILITY TO IMPACT AN ISSUE; CURRENT COMMUNITY BENEFIT EFFORTS; COMMUNITY PARTNERSHIPS; AND OPPORTUNITIES FOR COLLABORATION. WE ALSO TOOK INTO CONSIDERATION THE COUNTY WHERE EACH HOSPITAL IS LOCATED. ORANGE COUNTY IS THE LOCATION OF ORLANDO HEALTH ARNOLD PALMER HOSPITAL FOR CHILDREN, ORLANDO HEALTH WINNIE PALMER HOSPITAL FOR WOMEN AND BABIES, ORLANDO HEALTH DR. P. PHILLIPS HOSPITAL, ORLANDO HEALTH - HEALTH CENTRAL HOSPITAL, ORLANDO HEALTH HORIZON WEST HOSPITAL AND ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER (ORLANDO HEALTH CANCER INSTITUTE). MEANWHILE ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL IS IN SEMINOLE COUNTY, ORLANDO HEALTH SOUTH LAKE HOSPITAL IS LOCATED IN LAKE COUNTY AND ORLANDO HEALTH ST. CLOUD HOSPITAL IS LOCATED IN OSCEOLA COUNTY. BASED ON OUR PROCESS, WE SELECTED ACCESS TO CARE AS OUR PRIORITY HEALTH NEED FROM THE 2022 CHNA. WITH OUR FOCUS IN FY 2024 ON ACCESS TO CARE, ORLANDO HEALTH DEVELOPED NEW AND ENHANCED EXISTING COMMUNITY BENEFIT PROGRAMS TO IMPROVE ACCESS TO CARE. ORLANDO HEALTH PROVIDED OVER $505 MILLION IN COMMUNITY BENEFIT IN FY 2024. IN SUPPORT OF OUR COMMUNITY BENEFIT EFFORTS, WE RECOGNIZE THE IMPORTANCE OF WORKING WITH COMMUNITY ORGANIZATIONS. IN FY 2024, WE SUPPORTED 20 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 2024, WE SUPPORTED OVER 520 COMMUNITY ORGANIZATIONS. ORLANDO HEALTH HAS PROVIDED MORE THAN 8,500 BOARD MEMBER, COMMITTEE MEMBER AND ADVISORY BOARD MEMBER HOURS. EXAMPLES FROM KEY INITIATIVES ARE INCLUDED TO ILLUSTRATE THE TYPES OF SUCCESSES THESE PROGRAMS YIELD. ORLANDO HEALTH PARTNERED WITH GRACE MEDICAL HOME TO PROVIDE FUNDING FOR ITS HEALING BY OFFERING POSSIBILITIES AND ENCOURAGEMENT PROGRAM (HOPE). THIS PROGRAM FOCUSES ON PROVIDING WHOLE-PATIENT CARE THAT IDENTIFIES A PATIENT'S TOXIC TRAUMA AND OFFERS INDIVIDUALIZED INTERVENTIONS THROUGH A MULTI-DISCIPLINARY APPROACH IN A MEDICAL HOME SETTING. PART OF THIS FUNDING ENABLED GRACE MEDICAL TO HIRE A CLINICAL COUNSELOR, GIVING PATIENTS INCREASED ACCESS TO MENTAL HEALTH COUNSELING AND RESOURCES TO RESOLVE ISSUES ASSOCIATED WITH TOXIC STRESS. FOLLOWING THE SCREENING FOR ADVERSE CHILDHOOD EXPERIENCES (ACES), CLIENTS RECEIVE SERVICES SUCH AS MENTAL HEALTH COUNSELING, MENTORING, PARENTING CLASSES, NUTRITION PROGRAMS AND SPIRITUAL CARE. DURING FY 2024, 83 CHILDREN WERE SCREENED FOR ACES AND 47 WERE REFERRED INTO THE PROGRAM. OF THOSE 47 REFERRALS, 18 HAVE MET WITH A MENTAL HEALTH COUNSELOR AND MORE THAN 900 COUNSELING SESSIONS HAVE BEEN PROVIDED TO NEW AND EXISTING PATIENTS. THIS PROGRAM WILL CONTINUE THROUGH FY 2025. TO ADDRESS ACCESS TO CARE, THE ORLANDO HEALTH COMMUNITY BENEFIT TEAM PARTNERED WITH PATHWAY HOMES OF FLORIDA. THE HOMELESS TO HOME - KEY TO ACCESS TO MENTAL AND PHYSICAL HEALTHCARE PROGRAM FOCUSES ON INCREASING INCOME AND ACCESS OF HEALTHCARE FOR INDIVIDUALS WHO WERE FORMERLY OR CURRENTLY EXPERIENCING HOMELESSNESS. IN THE PROGRAM, CASE MANAGERS SUPPORT CLIENTS IN APPLYING FOR SOCIAL SECURITY INCOME AND MEDICARE OR MEDICAID BENEFITS. ONCE OBTAINED, INDIVIDUALS ARE CONNECTED TO MEDICAL, SOCIAL AND/OR EMPLOYMENT SERVICES. IN FY 2024, 15 INDIVIDUALS RECEIVED SUPPORT APPLYING FOR SOCIAL SECURITY DISABILITY INSURANCE (SSDI). EVEN THOUGH THE PROCESS TO BE APPROVED FOR SSDI IS LENGTHY, FIVE INDIVIDUALS WERE APPROVED FOR SSDI AND THREE ARE IN THE PROCESS OF APPEALING THEIR SSDI DECISION. ALL 15 OF THE INDIVIDUALS WHO APPLIED FOR SSDI WERE CONNECTED TO A MEDICAL HOME AND ARE ACTIVELY SEEKING PRIMARY CARE FROM THEIR MEDICAL HOME. ELEVEN INDIVIDUALS GAINED ACCESS TO INSURANCE AS A RESULT OF THE PROGRAM - SIX RECEIVING MEDICAID AND FIVE RECEIVING MEDICARE. ORLANDO HEALTH WILL CONTINUE TO SUPPORT THE HOMELESS TO HOME - KEY TO ACCESS TO MENTAL AND PHYSICAL HEALTHCARE PROGRAM FOR RESIDENTS OF ORANGE COUNTY. IN FY 2024, ORLANDO HEALTH CONTINUED ITS FUNDING TO THE COALITION FOR THE HOMELESS OF CENTRAL FLORIDA IN SUPPORT OF ITS GOAL TO INCREASE ACCESS TO CARE FOR FAMILIES AND INDIVIDUALS EXPERIENCING HOMELESSNESS. THE PROGRAM PROVIDES HEALTH SCREENINGS FOR NEW SHELTER GUESTS, FACILITATES REFERRALS FOR MEDICAL CARE, EDUCATES SHELTER GUESTS AND STAFF ON HEALTH- AND WELLNESS-RELATED TOPICS, AND TRAINS CASE MANAGERS IN MENTAL HEALTH FIRST AID. IN FY2024, 1,063 SHELTER GUEST RECEIVED A HEALTH AND WELLNESS SCREENING. FOLLOWING THE SCREENING, 140 SHELTER GUESTS WERE CONNECTED TO A LOCAL FEDERALLY QUALIFIED HEALTH CENTER. OF THOSE 140, 109 INDIVIDUALS ATTENDED THEIR APPOINTMENTS TO ESTABLISH A MEDICAL HOME. ORLANDO HEALTH WILL CONTINUE TO PARTNER WITH THE COALITION FOR THE HOMELESS OF CENTRAL FLORIDA TO INCREASE ACCESS TO CARE FOR INDIVIDUALS EXPERIENCING HOMELESSNESS. ORLANDO HEALTH ST. CLOUD HOSPITAL PROVIDED FUNDING TO OSCEOLA COMMUNITY HEALTH SERVICES TO INCREASE ACCESS TO PRIMARY HEALTHCARE MEDICAL, BEHAVIORAL/MENTAL HEALTH AND DENTAL SERVICES FOR THE HOMELESS AND THOSE LIVING IN MOTELS WHO WOULD BE OTHERWISE HOMELESS. OSCEOLA COMMUNITY HEALTH SERVICES OPERATES TWO FULLY EQUIPPED MOBILE UNITS, ONE FOR PRIMARY MEDICAL AND BEHAVIORAL/MENTAL HEALTH SERVICES AND ANOTHER FOR DENTAL SERVICES. DURING FY 2024, 571 HOMELESS PATIENTS RECEIVED CARE THROUGH A TOTAL OF 1,505 WELLNESS VISITS. OF THOSE VISITS, 794 WERE FOR MEDICAL CARE, 518 FOR DENTAL CARE AND 193 FOR MENTAL HEALTHCARE. THE ORLANDO HEALTH COMMUNITY BENEFIT TEAM IDENTIFIED AN OPPORTUNITY TO SUPPORT THE EXPANSION OF THE MIDWIFE BUS PROGRAM IN ORANGE AND LAKE COUNTIES. THE MIDWIFE BUS PROVIDES PRE- AND POST-NATAL SERVICES TO UNINSURED OR UNDERINSURED PREGNANT WOMEN IN ORANGE, OSCEOLA AND LAKE COUNTIES. THE MIDWIFE BUS PARTNERS WITH ORLANDO HEALTH WINNIE PALMER HOSPITAL FOR WOMEN AND BABIES AND ORLANDO HEALTH SOUTH LAKE HOSPITAL TO REFER PATIENTS FOR DELIVERY AND INFANT CARE. RECENT FUNDING PROVIDED TO THE MIDWIFE BUS SUPPORTED THE PURCHASE AND RENOVATION OF AN ADDITIONAL BUS INTO A MOBILE MIDWIFERY CLINIC. HOWEVER, IN FALL OF 2023, THE ORIGINAL BUS AND PRIMARY MIDWIFERY CLINIC BECAME INOPERABLE. THE SECOND BUS, WHICH WAS SUPPORTED BY THIS FUNDING, BECAME THE PRIMARY AND ONLY MIDWIFE BUS CLINIC. IN FY 2024, THE MIDWIFE BUS PROVIDED 155 CLIENT VISITS TO WOMEN IN ORANGE COUNTY. THE MIDWIFE BUS SUPPORTED 41 BIRTHS. OF THOSE 41 BIRTHS, 97 PERCENT WERE BABIES WITH APGAR SCORES FROM 7 TO 10, AND 98 PERCENT OF THE BABIES WERE BORN FULL TERM AND AT A HEALTHY BIRTHWEIGHT OF MORE THAN 5 POUNDS 8 OUNCES. ORLANDO HEALTH WILL CONTINUE TO WORK WITH PROGRAMS LIKE THE MIDWIFE BUS TO MAKE MEANINGFUL IMPROVEMENTS IN MATERNAL HEALTHCARE. IN 2022, ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER (ORMC) IDENTIFIED AN OPPORTUNITY TO ADDRESS THE HIV EPIDEMIC IN CENTRAL FLORIDA. DATA FOUND IN THE 2022 CHNA STATES THAT FROM 2018 - 2020, ORANGE AND OSCEOLA COUNTIES HAD A HIGHER RATE OF HIV CASES (31.1 AND 22.6 PER 100,000) THAN FLORIDA AT 20.0. ORLANDO HEALTH PARTNERED WITH THE FLORIDA DEPARTMENT OF HEALTH IN ORANGE COUNTY TO LAUNCH AN HIV OUTREACH COORDINATOR PROGRAM AT ORLANDO HEALTH ORMC. FUNDING PROVIDED BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES AND SUB-AWARDED TO ORLANDO HEALTH SUPPORTS THIS PROGRAM THROUGH MARCH 2025. THROUGH THIS PROGRAM, THE HIV OUTREACH COORDINATOR TESTS, TREATS AND EDUCATES PERSONS WHO SCREEN POSITIVE OR ARE ALREADY LIVING WITH HIV. THE COORDINATOR CAN ASSIST WITH PATIENTS OBTAINING PROPER MEDICAL CARE AND MAKING APPROPRIATE REFERRALS FOR TREATMENT WHEN NEEDED. IN FY 2024, MORE THAN 1,900 HIV TESTS WERE PERFORMED, 76 PATIENTS RECEIVED POSITIVE HIV RESULTS THROUGH TESTING AND 21 PATIENTS ATTENDED THEIR FIRST HIV APPOINTMENT. IN ADDITION TO THESE CASES, THE HIV OUTREACH COORDINATOR LINKED TO MEDICAL CARE 37 KNOWN HIV PATIENTS WHO WERE NOT SEEKING TREATMENT AT THE TIME.
Schedule H, Part V, Section B, Line 11 Facility A, 2	Facility A, 2 - GROUP A, CONTINUED. CONFRONTING THE OPIOID CRISIS: CONTINUING ITS RESPONSE TO THE OVERWHELMING NUMBER OF CENTRAL FLORIDA RESIDENTS DYING FROM DRUG OVERDOSES, ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER'S OPIOID OUTREACH COORDINATOR ASSESSES PATIENTS WHO PRESENT IN THE EMERGENCY ROOM WITH A POSSIBLE OVERDOSE. IN 2017, ORANGE COUNTY HAD BEEN AMONG FLORIDA'S TOP 10 COUNTIES WITH THE HIGHEST NUMBER OF DEATHS CAUSED BY OPIOIDS SUCH AS FENTANYL ANALOGS, OXYCODONE, ALPRAZOLAM AND METHADONE, AS WELL AS ACCIDENTAL DEATHS CAUSED BY PRESCRIPTION DRUGS. ASSIGNED TO THE EMERGENCY DEPARTMENT AT ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER, THE OPIOID OUTREACH COORDINATOR IS A LICENSED CLINICAL SOCIAL WORKER WHO COLLABORATES 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 PEER RECOVERY 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. TO CONTINUE THE SUPPORT AND EXPANSION OF THIS PROGRAM, THE OPIOID OUTREACH COORDINATOR ADMINISTERS NARCAN IN THE EMERGENCY ROOM AND WORKS WITH THE PHARMACY TO PRESCRIBE METHADONE THAT ENABLES PATIENTS TO PARTICIPATE IN MEDICALLY ASSISTED TREATMENT. THE OPIOID OUTREACH COORDINATOR ALSO WORKS WITH CAREER SOURCE TO IDENTIFY PATIENTS WHO ARE READY TO RE-ENTER THEIR COMMUNITY AND WORKFORCE THROUGH JOB SKILLS TRAINING AND EMPLOYMENT. IN FY 2024, THE OPIOID OUTREACH COORDINATOR ASSESSED 902 PATIENTS. OF THOSE SEEN, 437 RECEIVED A REFERRAL TO FOLLOW-UP CARE OR TREATMENT AND 285 PATIENTS INITIATED THE PROCESS TO BEGIN MEDICATION-ASSISTED TREATMENT. IN FY 2024, THIS PROGRAM EXPANDED TO INCLUDE TWO ADDITIONAL OPIOID NAVIGATORS AND ONE PEER RECOVERY SPECIALIST WITH PLANS TO INCLUDE TWO MORE COMMUNITY LIAISONS IN ORANGE COUNTY. SERVING VULNERABLE PREGNANT WOMEN: MATERNAL AND INFANT HEALTH ARE FOCAL POINTS FOR ORLANDO HEALTH DUE TO THE LONG-TERM EFFECTS OF COMPLICATIONS SUCH AS GESTATIONAL DIABETES OR LOW BIRTH WEIGHTS. SUPPORTING PROGRAMS AND SERVICES THAT IMPROVE THE HEALTH OF MOTHERS AND INFANTS HAS SHOWN A POSITIVE, LASTING HEALTH TRAJECTORY. THIS IS TRUE FOR THE IMMEDIATE LIFESPAN OF AN INDIVIDUAL AND FOR THE FUTURE GENERATION OF FAMILIES RECEIVING SUCH PROGRAMS AND SERVICES. ORLANDO HEALTH WINNIE PALMER HOSPITAL FOR WOMEN AND BABIES RECEIVED A GRANT FROM AMERICAN ESSENTIALS HOSPITAL IN PARTNERSHIP WITH CVS HEALTH FOUNDATION TO ESTABLISH A TELEHEALTH PROGRAM FOR PATIENTS WHO RECENTLY DELIVERED AND WERE DIAGNOSED WITH HYPERTENSION OR DIABETES. THE PURPOSE OF THE TELEHEALTH MINORITY MATERNITY CARE PILOT PROGRAM IS TO LEVERAGE THE TELEHEALTH PLATFORM TO REDUCE HEALTH DISPARITIES, INCREASE ACCESS TO CARE, IMPROVE OBSTETRIC OUTCOMES, AND REDUCE SEVERE MATERNAL MORBIDITY IN BLACK PREGNANT AND POSTPARTUM PERSONS. ELIGIBLE PATIENTS INCLUDE PREGNANT AND POSTPARTUM PERSONS WITH HYPERTENSIVE DISORDERS OF PREGNANCY (INCLUDING CHRONIC HYPERTENSION, GESTATIONAL HYPERTENSION, PREECLAMPSIA, PREECLAMPSIA WITH SEVERE FEATURES, HELLP (HEMOLYSIS, ELEVATED LIVER FUNCTION TESTING AND LOW PLATELETS) AND ECLAMPSIA. THESE PATIENTS RECEIVE TELEHEALTH VISITS FOCUSED ON BLOOD PRESSURE MONITORING, MEDICATION REVIEW, SCREENING FOR STROKE SYMPTOMS; SCREENING FOR MENTAL HEALTH CONDITIONS; AND ASSESSMENT OF SDOH. TELEHEALTH VISITS ARE ALSO USED FOR CONSULTATIONS, REFERRALS FOR GROUP MENTAL HEALTH COUNSELING, REFERRALS TO ORLANDO HEALTH REACH PROGRAM; AND REFERRALS TO ALIGNED COMMUNITY PARTNERS IN ORANGE COUNTY. PROGRAM OBJECTIVES INCLUDE REDUCTIONS IN PREECLAMPSIA WITH SEVERE FEATURES; REDUCTIONS IN MEDICALLY INDICATED DELIVERY AT <35 WEEKS DUE TO MATERNAL OR FETAL CONDITION, ABRUPTION, FETAL OR NEONATAL DEATH; REDUCTIONS IN NICU ADMISSIONS; REDUCTIONS IN INTRAUTERINE GROWTH RESTRICTION; AND REDUCTIONS IN LOW-BIRTH-WEIGHT NEONATES. DURING FY 2024 MORE THAN 671 PATIENTS WERE CONSENTED INTO THE PROGRAM. OF THOSE CONSENTED, 607 WERE SCREENED FOR SOCIAL DRIVERS OF HEALTH AND 594 WERE SCREENED FOR MENTAL HEALTH NEEDS. BASED ON RESPONSES DURING THE SCREENINGS, MORE THAN 660 PATIENTS WERE REFERRED TO COMMUNITY PARTNERS FOR ADDITIONAL SUPPORT. SEVENTY-THREE PERCENT OF THOSE REFERRED ENROLLED IN SERVICES WITH A COMMUNITY PARTNER. IN ADDITION, MORE THAN 235 FAMILIES RECEIVED BIWEEKLY FOOD DELIVERIES IN RESPONSE TO SCREENING POSITIVE FOR FOOD INSECURITY. THE PILOT PROGRAM WILL CONTINUE TO PROVIDE SUPPORT TO VULNERABLE PREGNANT WOMEN IN FY 2025. IN FY2024, ORLANDO HEALTH CONTINUED RESPONDING TO AN IDENTIFIED NEED FOR ENHANCED MENTAL HEALTHCARE THROUGH A MENTAL HEALTH FIRST AID TRAINING PROGRAM. THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IDENTIFIED MENTAL HEALTH AS ONE OF THE TOP COMMUNITY NEEDS IN CENTRAL FLORIDA. IN ALL COUNTIES, SURVEY RESPONDENTS RANKED MENTAL HEALTH PROBLEMS INCLUDING SUICIDE AS THE NUMBER ONE OR NUMBER TWO TOP NEED TO ADDRESS IN THEIR COMMUNITY. ONE WAY ORLANDO HEALTH ADDRESSED THE ISSUE WAS BY IMPLEMENTING A TRAINING PROGRAM THAT HELPS ONLOOKERS LEARN SKILLS TO ASSIST SOMEONE IN A MENTAL HEALTH CRISIS. THIS TRAINING IS FREE OF CHARGE TO COMMUNITY MEMBERS EITHER IN PERSON OR VIRTUALLY. THE CURRICULUM IS PROVIDED THROUGH THE NATIONAL COUNCIL OF MENTAL WELLBEING. IT IS DESIGNED FOR BYSTANDERS WHO MAY HAVE LITTLE TO NO MEDICAL TRAINING BUT MAY BE ABLE TO PROVIDE INITIAL SUPPORT TO SOMEONE IN MENTAL HEALTH CRISIS UNTIL THEY ARE CONNECTED WITH APPROPRIATE PROFESSIONAL HELP. THROUGH COMMUNITY-SPECIFIC SCENARIOS, ACTIVITIES AND VIDEOS, COURSE PARTICIPANTS LEARN COMMON SIGNS AND SYMPTOMS OF MENTAL HEALTH AND SUBSTANCE USE CHALLENGES, HOW TO INTERACT WITH A PERSON IN CRISIS AND HOW TO CONNECT A PERSON TO HELP AND RESOURCES IN THE COMMUNITY. SINCE LAUNCHING IN MAY 2023, WE HAVE ESTABLISHED FOUR MENTAL HEALTH FIRST AID TRAINERS AT ORLANDO HEALTH. WE HAVE TAUGHT 21 CLASSES TO 235 PARTICIPANTS. OF THOSE PARTICIPANTS WHO ATTENDED CLASS, MORE THAN 80% SAY THEY ARE MORE AWARE OF MENTAL HEALTH RESOURCES THAN PRIOR TO TAKING THE COURSE. TO ADDRESS MENTAL HEALTH CHALLENGES WITHIN THE COMMUNITY'S YOUTH POPULATION, ORLANDO HEALTH PARTNERED WITH BREAKTHROUGH ORANGE TO PROVIDE MENTAL HEALTH FIRST AID TO INDIVIDUALS WHO ENGAGE WITH THOSE 17 YEARS OLD AND YOUNGER. SINCE LAUNCHING, 3 CLASSES HAVE BEEN PROVIDED TO 20 INDIVIDUALS. OF THOSE WHO ATTENDED TRAINING, MORE THAN 80% STATED THEY ARE MORE AWARE OF MENTAL HEALTH RESOURCES THAN PREVIOUSLY. TO SUPPORT BETTER ACCESS TO CARE THROUGH COMMUNITY COLLABORATION, ORLANDO HEALTH IN FY2024 BEGAN THE PROCESS OF ONBOARDING FINDHELP, AN ONLINE REFERRAL SYSTEM THAT SEAMLESSLY CONNECTS OUR COMMUNITY WITH ESSENTIAL SOCIAL AND HEALTH SERVICES, INCLUDING FINANCIAL ASSISTANCE, FOOD PANTRIES, MEDICAL CARE AND OTHER FREE OR REDUCED-COST RESOURCES. WITH THE INTEGRATION OF FINDHELP INTO THE HEALTHCARE SYSTEM'S ELECTRONIC HEALTH RECORD, OUR PHYSICIANS AND TEAM MEMBERS NOW HAVE EASY ACCESS TO FINDHELP'S EXTENSIVE NETWORK OF PROGRAMS AND RESOURCES - EMPOWERING THEM TO PROVIDE COMPREHENSIVE SUPPORT FOR EVERY PATIENT AND ENHANCING HEALTHCARE QUALITY, SAFETY AND PATIENT SATISFACTION. THE RESOURCE WILL BE INTRODUCED TO TEAM MEMBERS THROUGH A PHASED ROLLOUT IN FY 2025. DURING THAT TIME, WE WILL BEGIN EVALUATING THE NUMBER OF SEARCHES CONDUCTED AND THE NUMBER OF REFERRALS MADE THROUGH THE PLATFORM. WITH ACCESS TO QUALITY CARE AS ITS PRIORITY, ORLANDO HEALTH DETERMINED THAT THE FOLLOWING ISSUES WOULD NOT BE EXPLICITLY INCLUDED IN ITS IMPLEMENTATION STRATEGY SO THAT IT COULD MAXIMIZE AVAILABLE RESOURCES FOR ADDRESSING ACCESS TO CARE. HOWEVER, ORLANDO HEALTH DOES PROVIDE SUPPORT AND SERVICES FOR SEVERAL OF THE REMAINING HEALTH NEEDS. AT THE TIME OF PRIORITIZATION, WE TOOK INTO ACCOUNT THE LEVEL TO WHICH SOME OF THE NEEDS ALREADY WERE BEING ADDRESSED IN THE SERVICE AREA, ALONG WITH WHETHER THE IDENTIFIED NEED FALLS OUTSIDE THE SCOPE OF OUR EXPERTISE AND RESOURCES. FOR THE NEEDS WE DID NOT SELECT, WE WILL CONTINUE TO PROVIDE SUPPORT AND SERVICES WHERE APPROPRIATE, INCLUDING THROUGH THE ORLANDO HEALTH COMMUNITY GRANT PROGRAM. IN ADDITION, MANY OF THE NEEDS LISTED BELOW WILL BE IMPACTED BY OUR FOCUS ON ACCESS TO CARE. WITH EFFORTS CONCENTRATED ON ACCESS TO CARE, WE ARE ABLE TO SUPPORT OUR COMMUNITY IN MULTIPLE ARENAS INSTEAD OF BEING LIMITED TO ONE CONDITION OR NEED. THIS FLEXIBILITY HELPS US BETTER SERVE THE MOST UNDERSERVED AND VULNERABLE POPULATIONS IN OUR COMMUNITY.
Schedule H, Part V, Section B, Line 11 Facility A, 3	Facility A, 3 - GROUP A, CONTINUED. FOUR - COUNTY SERVICE AREA NEEDS THAT WON'T BE EXPLICITLY ADDRESSED: - AFFORDABLE, QUALITY HOUSING - MENTAL HEALTH CRISIS SERVICES AND COMMUNITY AWARENESS OF AVAILABLE RESOURCES - MENTAL HEALTH OUTPATIENT SERVICES CAPACITY - INFORMATION SHARING AMONG PROVIDERS - CASE MANAGERS, COMMUNITY HEALTH WORKERS AND SIMILARLY LICENSED PROFESSIONALS TO GUIDE HIGH-NEED PATIENTS - RECRUITMENT AND RETENTION OF CULTURALLY DIVERSE AND INFORMED PROVIDERS WHO DEMOGRAPHICALLY REFLECT THE COMMUNITY - MENTAL HEALTH STIGMA REDUCTION - BEHAVIORAL HEALTH OUTPATIENT SERVICES FOR CHILDREN - CO-LOCATED CASE MANAGERS AND BEHAVIORAL HEALTH PROVIDERS AT COMMUNITY BASED PRIMARY CARE SITES - ACCESS TO CARE FOR SENIORS (E.G., TRANSPORTATION) - MENTAL HEALTH INPATIENT BED CAPACITY - HEALTH CARE SERVICES IN LOWER-INCOME AND PRIORITY COMMUNITIES - MENTAL HEALTH AND SUBSTANCE USE DISORDER TRANSITION CARE FOR INMATES BEING RELEASED FROM JAIL - CHILDCARE SERVICES, ESPECIALLY FOR CHILDREN WITH SPECIAL NEEDS AFFORDABLE, QUALITY HOUSING. WE DID NOT SELECT AFFORDABLE, QUALITY HOUSING AS A PRIORITY, BUT WE WILL CONTINUE TO SUPPORT EXISTING PROGRAMS AND SERVICES SURROUNDING THIS NEED. THROUGH OUR SELECTION OF ACCESS TO CARE WE BELIEVE WE CAN POSITIVELY IMPACT THIS AREA OF COMMUNITY NEED BY SUPPORTING PROGRAMS THAT ADDRESS INEQUITIES AFFECTED BY SOCIAL DETERMINANTS OF HEALTH. MENTAL HEALTH CRISIS SERVICES AND COMMUNITY AWARENESS OF AVAILABLE RESOURCES. WE CURRENTLY WORK WITH ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL AND COMMUNITY ORGANIZATIONS TO ADDRESS MENTAL HEALTH. THROUGH OUR SELECTION OF ACCESS TO CARE WE BELIEVE WE CAN POSITIVELY IMPACT RATES OF MENTAL HEALTH AND INCREASE ACCESS TO CRISIS SERVICES. PLEASE REFER TO APPENDIX A FOR INITIATIVES THAT ARE FOCUSED IN THIS AREA. MENTAL HEALTH OUTPATIENT SERVICES CAPACITY. WE CURRENTLY WORK WITH ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL AND COMMUNITY ORGANIZATIONS TO ADDRESS MENTAL HEALTH. THROUGH OUR SELECTION OF ACCESS TO CARE WE BELIEVE WE CAN POSITIVELY IMPACT RATES OF MENTAL HEALTH AND ADDRESS MENTAL HEALTH OUTPATIENT SERVICES CAPACITY. PLEASE REFER TO APPENDIX A FOR INITIATIVES THAT ARE FOCUSED IN THIS AREA. INFORMATION SHARING AMONG PROVIDERS. WE DID NOT SELECT INFORMATION SHARING AMONG PROVIDERS AS A PRIORITY BUT BELIEVE WE CAN POSITIVELY IMPACT THIS AREA OF COMMUNITY NEED THROUGH OUR SELECTION OF ACCESS TO CARE. WE SUPPORT SEVERAL PROGRAMS, SUCH AS THE ASPIRE BEHAVIORAL HEALTH NAVIGATOR, WHICH PROMOTES THE SHARING OF INFORMATION AMONG PROVIDERS IN ORDER TO PROVIDE BETTER, MORE COLLABORATIVE CARE FOR PATIENTS. CASE MANAGERS, COMMUNITY HEALTH WORKERS AND SIMILARLY LICENSED PROFESSIONALS TO GUIDE HIGH-NEED PATIENTS. WE DID NOT SELECT CASE MANAGERS, COMMUNITY HEALTH WORKERS AND SIMILARLY LICENSED PROFESSIONALS TO GUIDE HIGH-NEED PATIENTS AS A PRIORITY, BUT WE WILL CONTINUE TO SUPPORT EXISTING PROGRAMS AND SERVICES SURROUNDING THIS NEED. THROUGH OUR SELECTION OF ACCESS TO CARE WE BELIEVE WE CAN POSITIVELY IMPACT THIS AREA OF COMMUNITY NEED BY SUPPORTING PROGRAMS LIKE IMPOWER'S DISCHARGE/TRANSITIONAL SERVICES FOR TEENS UNDERGOING RESIDENTIAL SUBSTANCE ABUSE TREATMENT THAT PROVIDES CASE MANAGEMENT SERVICES TO PATIENTS. RECRUITMENT AND RETENTION OF CULTURALLY DIVERSE AND INFORMED PROVIDERS WHO DEMOGRAPHICALLY REFLECT THE COMMUNITY. WE DID NOT SELECT RECRUITMENT AND RETENTION OF CULTURALLY DIVERSE AND INFORMED PROVIDERS WHO DEMOGRAPHICALLY REFLECT THE COMMUNITY AS A PRIORITY, BUT WE WILL CONTINUE TO SUPPORT EXISTING PROGRAMS AND SERVICES SURROUNDING THIS NEED. THROUGH OUR SELECTION OF ACCESS TO CARE WE BELIEVE WE CAN POSITIVELY IMPACT THIS AREA OF COMMUNITY NEED BY SUPPORTING PROGRAMS LIKE HEALTH EQUITY TRAIN THE TRAINER PROGRAM, WHICH PROVIDES HEALTH EQUITY EDUCATION TO HEALTHCARE WORKERS. MENTAL HEALTH STIGMA REDUCTION. WE CURRENTLY WORK WITH ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL AND COMMUNITY ORGANIZATIONS TO ADDRESS MENTAL HEALTH. THROUGH OUR SELECTION OF ACCESS TO CARE WE BELIEVE WE CAN POSITIVELY IMPACT RATES OF MENTAL HEALTH AND ADDRESS MENTAL HEALTH STIGMA. PLEASE REFER TO APPENDIX A FOR INITIATIVES THAT ARE FOCUSED IN THIS AREA. BEHAVIORAL HEALTH OUTPATIENT SERVICES FOR CHILDREN. WE DID NOT SELECT BEHAVIORAL HEALTH OUTPATIENT SERVICES FOR CHILDREN AS A PRIORITY, BUT WE WILL CONTINUE TO SUPPORT EXISTING PROGRAMS AND SERVICES SURROUNDING THIS NEED. THROUGH OUR SELECTION OF ACCESS TO CARE WE BELIEVE WE CAN POSITIVELY IMPACT THIS AREA OF COMMUNITY NEED BY SUPPORTING PROGRAMS THAT PROVIDES BEHAVIORAL HEALTH OUTPATIENT SERVICES FOR CHILDREN. PLEASE REFER TO APPENDIX A FOR INITIATIVES THAT ARE FOCUSED IN THIS AREA. CO-LOCATED CASE MANAGERS AND BEHAVIORAL HEALTH PROVIDERS AT COMMUNITY-BASED PRIMARY CARE SITES. WE DID NOT SELECT CO-LOCATED CASE MANAGERS AND BEHAVIORAL HEALTH PROVIDERS AT COMMUNITY-BASED PRIMARY CARE SITES AS A PRIORITY, BUT WE WILL CONTINUE TO SUPPORT EXISTING PROGRAMS AND SERVICES SURROUNDING THIS NEED. PLEASE REFER TO APPENDIX A FOR INITIATIVES THAT ARE FOCUSED IN THIS AREA. ACCESS TO CARE FOR SENIORS (E.G., TRANSPORTATION). WHILE WE DID NOT SELECT ACCESS TO CARE FOR SENIORS AS A PRIORITY, WE CHOSE TO FOCUS ON INCREASING ACCESS TO CARE FOR ALL UNDERSERVED AND HIGH-RISK POPULATIONS. THROUGH OUR SELECTION OF BROAD ACCESS TO CARE WE BELIEVE WE CAN POSITIVELY IMPACT BARRIERS SENIORS FACE WHEN ATTEMPTING TO RECEIVE CARE. MENTAL HEALTH INPATIENT BED CAPACITY. WE CURRENTLY WORK WITH ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL AND COMMUNITY ORGANIZATIONS TO ADDRESS MENTAL HEALTH. THROUGH OUR SELECTION OF ACCESS TO CARE WE BELIEVE WE CAN POSITIVELY IMPACT RATES OF MENTAL HEALTH AND INCREASE ACCESS TO INPATIENT BED CAPACITY. PLEASE REFER TO APPENDIX A FOR INITIATIVES THAT ARE FOCUSED IN THIS AREA. HEALTHCARE SERVICES IN LOWER-INCOME AND PRIORITY COMMUNITIES. WE DID NOT SELECT HEALTHCARE SERVICES IN LOWER-INCOME AND PRIORITY COMMUNITIES AS A PRIORITY, BUT WE WILL CONTINUE TO SUPPORT EXISTING PROGRAMS AND SERVICES SURROUNDING THIS NEED. THROUGH OUR SELECTION OF ACCESS TO CARE WE BELIEVE WE CAN POSITIVELY IMPACT THE UNIQUE BARRIERS INDIVIDUALS FROM LOWER-INCOME AND PRIORITY COMMUNITIES FACE WHEN ATTEMPTING TO RECEIVE HEALTHCARE. PLEASE REFER TO APPENDIX A FOR INITIATIVES THAT ARE FOCUSED IN THIS AREA. MENTAL HEALTH AND SUBSTANCE USE DISORDER TRANSITION CARE FOR INMATES BEING RELEASED FROM JAIL. WE DID NOT SELECT MENTAL HEALTH AND SUBSTANCE USE DISORDER TRANSITION CARE FOR INMATES BEING RELEASED FROM JAIL AS A PRIORITY, BUT WE WILL CONTINUE TO SUPPORT EXISTING PROGRAMS AND SERVICES SURROUNDING THIS NEED. THROUGH OUR SELECTION OF ACCESS TO CARE WE BELIEVE WE CAN POSITIVELY IMPACT THIS AREA OF COMMUNITY NEED BY SUPPORTING PROGRAMS THAT PROVIDE MENTAL HEALTH AND SUBSTANCE USE DISORDER RESOURCES. CHILDCARE SERVICES, ESPECIALLY FOR CHILDREN WITH SPECIAL NEEDS. WE DID NOT SELECT CHILDCARE SERVICES, ESPECIALLY FOR CHILDREN WITH SPECIAL NEEDS AS A PRIORITY, BUT WE WILL CONTINUE TO SUPPORT EXISTING PROGRAMS AND SERVICES SURROUNDING THIS NEED. WE BELIEVE THAT THROUGH OUR SELECTION OF ACCESS TO CARE WE CAN POSITIVELY IMPACT THIS AREA OF COMMUNITY NEED.
Schedule H, Part V, Section B, Line 13 Facility A, 1	Facility A, 1 - GROUP A. ORLANDO HEALTH ALSO USES THE INDEPENDENT ELIGIBILITY ASSESSMENT TO DETERMINE PATIENT PAYMENT CAPABILITY. THE INDEPENDENT ELIGIBILITY ASSESSMENT CONSISTS OF ALGORITHMS THAT INCORPORATE DATA FROM CREDIT BUREAUS, DEMOGRAPHIC DATABASES, AND HOSPITAL SPECIFIC DATA. THE THIRD-PARTY CREDIT REPORT DATA AND OTHER PUBLICLY AVAILABLE DATA SOURCES UTILIZED HEALTHCARE INDUSTRY-RECOGNIZED, PREDICTIVE MODELING THAT IS BASED ON PUBLIC RECORD DATABASES TO CALCULATE SOCIO-ECONOMIC AND FINANCIAL CAPABILITY SCORE. INFORMATION GLEANED FROM THIS INDEPENDENT ELIGIBILITY ASSESSMENT CONSITUTUES ADEQUATE DOCUMENTATION OF FINANCIAL NEED UNDER THE FINANCIAL ASSISTANCE POLICY TO INFER AND CLASSIFY INDIVIDUALS INTO RESPECTIVE ECONOMIC MEANS CATEGORIES IRRESPECTIVE OF WHETHER COMPLETE DOCUMENTATION HAS BEEN VOUNTARILY PROVIDED.

Field	Value	IRS element (for citing)
Facility	59	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (59 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
Orlando Health Cancer Institute
1400 South Orange Avenue	Orlando	FL	32806	Inpatient and Outpatient Cancer Care
Orlando Health Digestive Health Institute
1305 Kuhl Avenue	Orlando	FL	32806	Digestive Health Services
Orlando Health Emergency Room and Medical Pavilion Osceola
1001 East Osceola Parkway	Kissimmee	FL	34744	Freestanding ER and Medical Pavilion
Orlando Regional Medical Center - Ambulatory Care Center
22 W Underwood Street	Orlando	FL	32806	Outpatient Surgery / Diagnostics
Orlando Health Heart & Vascular Institute
1222 South Orange Avenue	Orlando	FL	32806	Outpatient Diagnostic Center
Orlando Health Cancer Institute
9900 W Colonial Drive	Ocoee	FL	34761	Outpatient Cancer Care
Orlando Health Emergency Room and Medical Pavilion Lake Mary
380 Rinehart Road	Lake Mary	FL	32746	Freestanding ER and Medical Pavilion
Orlando Health Emergency Room and Medical Pavilion Randal Park
10155 Dowden Road	Orlando	FL	32832	Freestanding ER and Medical Pavilion
Orlando Health Cancer Institute
7472 Docs Grove Circle	Orlando	FL	32819	Outpatient Cancer Care
Orlando Health Heart & Vascular Institute
10000 W Colonial Drive Suite 484	Ocoee	FL	34761	Outpatient Diagnostic Center
Orlando Health Heart & Vascular Institute
7236 Stonerock Circle	Orlando	FL	32819	Outpatient Diagnostic Center
Orlando Health Heart & Vascular Institute
2080 Oakley Seaver Dr	Clermont	FL	34711	Outpatient Diagnostic Center
Orlando Health Winnie Palmer Hospital Outpatient Women's Imaging
105 W Miller St	Orlando	FL	32806	Outpatient Imaging Center
Arnold Palmer Hospital for Children Outpatient Rehabilitation
925 S Orange Avenue	Orlando	FL	32806	Outpatient Pediatric Rehabilitation
The Heart Center at Arnold Palmer Hospital for Children
1222 S Orange Avenue	Orlando	FL	32806	Outpatient Diagnostic Center
Orlando Health Cancer Institute
1330 Budinger Ave Ste 100	Saint Cloud	FL	34769	Outpatient Cancer Care
Orlando Health Heart & Vascular Institute
100 North Dean Road Ste 202	Orlando	FL	32825	Outpatient Diagnostic Center
Orlando Health Heart & Vascular Institute
521 W State Road 434 Suite 307	Longwood	FL	32750	Outpatient Diagnostic Center
Orlando Health Rehabilitation Services
521 W State Road 434 Suite 204	Longwood	FL	32750	Outpatient Rehabilitation
Arnold Palmer Hospital Outpatient Centers
50 West Sturtevant Street	Orlando	FL	32806	Outpatient Pediatric Services
Orlando Health Cancer Institute
210 Rinehart Road Ste 1000	Lake Mary	FL	32746	Outpatient Cancer Care
Orlando Health Jewett Orthopedic Institute Outpatient Rehabilitation
60 Columbia St Ste 501	Orlando	FL	32806	Outpatient Rehabilitation
Orlando Health Neuroscience Institute
76 Underwood St Ste 200	Orlando	FL	32806	Outpatient Diagnostic Center
Orlando Health Dr P Phillips Hospital Outpatient Rehabilitation
7350 Sandlake Commons Blvd Suite 1	Orlando	FL	32819	Outpatient Rehabilitation
Orlando Health St Cloud Hospital Rehabilitation Services
1330 Budinger Ave Ste 204	Saint Cloud	FL	34769	Outpatient Rehabilitation Services
Orlando Health Audiology Services
50 Sturtevant Street	Orlando	FL	32806	Outpatient Audiology Services
Orlando Health Dr P Phillips Hospital Outpatient Rehabilitation
7000 Dr Phillips Boulevard	Orlando	FL	32819	Outpatient Services
Orlando Health Imaging Centers
1800 S Orange Ave	Orlando	FL	32806	Outpatient Imaging Center
Orlando Health Imaging Centers
392 Rinehart Rd Suite 1040	Lake Mary	FL	32746	Outpatient Imaging Center
Arnold Palmer Hospital for Children Outpatient Rehabilitation
1555 Howell Branch Road Ste B1	Winter Park	FL	32789	Outpatient Pediatric Rehabilitation
Orlando Health Imaging Centers
7243 Della Dr Suite C	Orlando	FL	32819	Outpatient Imaging Center
Orlando Health Imaging Centers
5151 Winter Garden Vineland Rd Ste	Windermere	FL	34786	Outpatient Imaging Center
Orlando Health St Cloud Hospital Digital Mammography
2900 17th St Ste 4/5	Saint Cloud	FL	34769	Digital Mammogram Services
Orlando Health Imaging Centers
10889 W Colonial Dr	Ocoee	FL	34761	Outpatient Imaging Center
Orlando Health Infusion Center
1414 Kuhl Avenue	Orlando	FL	32806	Outpatient Infusion Center
Orlando Health Imaging Centers
1210 E Osceola Pkwy Suite 103	Kissimmee	FL	34744	Outpatient Imaging Center
Orlando Health Advanced Rehabilitation Institute
100 W Gore St Ste 104	Orlando	FL	32806	Outpatient Rehabilitation
Orlando Health Advanced Rehabilitation Institute
32 W Gore St Fl 2	Orlando	FL	32806	Outpatient Rehabilitation
Orlando Health Wound Healing Center
55 West Gore Street	Orlando	FL	32806	Outpatient Wound Care
Orlando Health Advanced Rehabilitation Institute
1222 S Orange Avenue	Orlando	FL	32806	Outpatient Rehabilitation
Orlando Health Imaging Centers
2000 N Alafaya Trail Suite 800	Orlando	FL	32826	Outpatient Imaging Center
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 Imaging Centers
398 E Altamonte Dr	Altamonte Springs	FL	32701	Outpatient Imaging Center
Orlando Health Imaging Centers
60 Columbia St 1st Floor Suite 102	Orlando	FL	32806	Outpatient Imaging Center
Arnold Palmer Hospital for Children Outpatient Infusion Center
60 W Gore Street	Orlando	FL	32806	Outpatient Infusion Center
Orlando Health Imaging Centers
1111 Fairbanks Ave Suite 140	Winter Park	FL	32789	Outpatient Imaging Center
Arnold Palmer Hospital for Children Outpatient Rehabilitation
1135 E SR 434 Ste 1002	Winter Springs	FL	32708	Outpatient Pediatric Rehabilitation
Orlando Health Heart & Vascular Institute
392 Rinehart Road Suite 2050	Lake Mary	FL	32746	Cardiac Rehab
Orlando Health Cancer Institute Genetics & High Risk Care Center
44 W Sturtevant St	Orlando	FL	32806	Outpatient Cancer Care
Orlando Health Imaging Centers
1285 N Orange Ave	Winter Park	FL	32789	Outpatient Imaging Center
Orlando Health St Cloud Hospital Wound Care & Hyperbaric Center
2912 17th St	Saint Cloud	FL	34769	Outpatient Wound Care
Orlando Health Outpatient Rehabilitation
76 Underwood St Ste 110	Orlando	FL	32806	Outpatient Rehabilitation
Orlando Health Aesthetic and Reconstructive Surgery Institute
125 W Copeland Drive	Orlando	FL	32806	Aesthetic and Reconstructive Services
Orlando Health Cancer Institute
22 W Underwood Street	Orlando	FL	32806	Outpatient Cancer Care
Orlando Health Support Team For Aftercare And Resources Outpatient
1224 Sligh Blvd Ste B	Orlando	FL	32806	Discharge Support
Orlando Health Support Team for Aftercare and Resources Outpatient
9430 Turkey Lake Road Suite 200b	Orlando	FL	32819	Outpatient Services
Orlando Health Imaging Centers
1675 W Broadway Street	Oviedo	FL	32765	Outpatient Imaging Center
Orlando Health Heart & Vascular Institute
60 W Gore St	Orlando	FL	32806	Outpatient Diagnostic Center

Supplemental Information Detail SupplementalInformationDetail (21 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part VI, Line 6 Affiliated Health Care System	ORLANDO HEALTH, INC. IS THE PARENT ORGANIZATION OF AN INTEGRATED HEALTHCARE SYSTEM THAT PROVIDES COMPREHENSIVE SERVICES TO IMPROVE THE HEALTH AND QUALITY OF LIFE FOR THE COMMUNITIES SERVED. AS AN INTEGRATED HEALTHCARE SYSTEM, ORLANDO HEALTH HAS SEVERAL AFFILIATED AND SUPPORT ORGANIZATIONS THAT ENSURE WE MEET THESE COMMUNITIES' NEEDS. AS A NOT-FOR-PROFIT HEALTHCARE SYSTEM OUR MISSION IS TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND COMMUNITIES WE SERVE. OUR COMMUNITY BENEFIT EFFORTS MEET THE NEEDS OF THE COMMUNITIES WE SERVE IN THE FOLLOWING WAYS: * OFFERING DISCOUNTED OR FREE SERVICE TO OUR UNINSURED AND UNDERINSURED PATIENTS WHO ARE UNABLE TO PAY. ORLANDO HEALTH HAS ONE OF THE MOST GENEROUS CHARITY POLICIES IN THE STATE OF FLORIDA. * 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 11 HOSPITALS, 8 FREESTANDING EMERGENCY ROOMS AND VARIOUS OUTPATIENT FACILITIES, WITH OVER 30,000 EMPLOYEES AND OVER 3,300 PHYSICIANS ON MEDICAL STAFF, ORLANDO HEALTH DELIVERS A HIGH LEVEL OF QUALITY INPATIENT, OUTPATIENT AND EMERGENCY HEALTHCARE TO THE COMMUNITIES SERVED. ORLANDO HEALTH IS A DESIGNATED TEACHING HOSPITAL OFFERING GRADUATE MEDICAL EDUCATION SPONSORING 10 RESIDENCY, SEVEN PHARMACY RESIDENCY, AND 30 FELLOWSHIP PROGRAMS. ORLANDO HEALTH FACILITIES ENCOMPASS 3,327 FULLY CERTIFIED BEDS, ADVANCED MEDICAL TREATMENTS AND PROCEDURES, AND EXCEPTIONAL STAFF. AS PREVIOUSLY MENTIONED, ORLANDO HEALTH, INC., IS COMPOSED OF ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER (ORLANDO HEALTH ORMC), ORLANDO HEALTH ARNOLD PALMER HOSPITAL FOR CHILDREN, ORLANDO HEALTH WINNIE PALMER HOSPITAL FOR WOMEN AND BABIES, ORLANDO HEALTH DR. P. PHILLIPS HOSPITAL, ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL, ORLANDO HEALTH ADVANCED REHABILITATION INSTITUTE AND ORLANDO HEALTH ST. CLOUD HOSPITAL. ORLANDO HEALTH CENTRAL, INC. OPERATES ORLANDO HEALTH - HEALTH CENTRAL HOSPITAL AND ORLANDO HEALTH HORIZON WEST HOSPITAL, WHICH PROVIDES HIGH-QUALITY INPATIENT, OUTPATIENT, AND EMERGENCY CARE FOR RESIDENTS OF CENTRAL FLORIDA. SOUTH LAKE HOSPITAL, INC. OPERATES ORLANDO HEALTH SOUTH LAKE HOSPITAL, WHICH PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE FOR RESIDENTS OF CENTRAL FLORIDA. OHI WEST, INC., IS COMPOSED OF ORLANDO HEALTH BAYFRONT HOSPITAL, WHICH PROVIDES HIGH-QUALITY INPATIENT, OUTPATIENT, AND EMERGENCY CARE FOR RESIDENTS OF PINELLAS COUNTY, FLORIDA. ORLANDO HEALTH MEDICAL GROUP, INC. SERVES AS A FUNDAMENTAL COMPONENT OF ORLANDO HEALTH'S HEALTHCARE SYSTEM BY PROVIDING AN INTEGRATED DELIVERY NETWORK OF SPECIALTY PHYSICIAN SERVICES, OCCUPATIONAL HEALTH SERVICES, REHABILITATION HEALTH SERVICES AND BEHAVIORAL HEALTH SERVICES WITH MORE THAN 1,300 PHYSICIANS IN THE CENTRAL FLORIDA AREA. ORLANDO HEALTH CANCER INSTITUTE, NOW A PART OF ORLANDO HEALTH MEDICAL GROUP, INC., HAS MADE SIGNIFICANT CONTRIBUTIONS TO THE CARE OF CANCER PATIENTS IN CENTRAL FLORIDA. ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER, ORLANDO HEALTH CANCER INSTITUTE WITH ORLANDO HEALTH, INC., IS COMMITTED TO DELIVERING HIGH-QUALITY CARE FOR CANCER PATIENTS UTILIZING OUR EXTENSIVE EXPERIENCE AND VITAL RESOURCES, FROM THE INITIAL DIAGNOSIS THROUGH EVERY STAGE OF TREATMENT. ORLANDO PHYSICIAN NETWORK, INC. ALSO SERVES AS A FUNDAMENTAL COMPONENT OF ORLANDO HEALTH'S HEALTH SYSTEM BY PROVIDING AN INTEGRATED DELIVERY SYSTEM OF PRIMARY CARE PHYSICIAN SERVICES WITH OVER 200 PHYSICIANS IN THE CENTRAL FLORIDA AREA. ORLANDO HEALTH FOUNDATION, INC. IS THE PHILANTHROPIC HEART OF ORLANDO HEALTH'S INTEGRATED HEALTHCARE SYSTEM AND HAS BEEN INSTRUMENTAL IN RAISING FUNDS FOR CAPITAL IMPROVEMENTS AND RENOVATIONS TO OUR HOSPITALS, AND IN SUPPORTING PROGRAMS AND THE ACQUISITION OF LIFE-SAVING EQUIPMENT FOR OUR COMMUNITIES. THROUGH ORLANDO HEALTH'S HEALTHCARE SYSTEM, WE PROVIDED APPROXIMATELY $818 MILLION IN SUPPORT OF COMMUNITY HEALTH NEEDS.
Schedule H, Part III Line 2 and 4 - BAD DEBT METHODOLOGY	BAD DEBT EXPENSE REFLECTED IN PART III, LINE 2 REPRESENTS AMOUNTS 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, AND OCCUPATION INFORMATION. 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, 2024 AND 2023 WAS NOT SIGNIFICANT FOR THE SYSTEM. (ORLANDO HEALTH, INC. AUDITED FINANCIAL STATEMENTS, PAGE 16)
Schedule H, Part I, Line 7f BAD DEBT REPORTING	BAD DEBT EXPENSE OF $411,041 WAS INCLUDED ON FORM 990, PART IX, LINE 25 AND REMOVED IN ORDER TO COMPUTE THE PERCENTAGES FOR COLUMN F OF LINE 7. ALL OTHER BAD DEBT WAS REPORTED AS AN OFFSET TO PATIENT REVENUE AND NOT ON PART IX.
Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT	NONE
Schedule H, Part V, Section B, Line 16a	https://www.orlandohealth.com/patients-and-visitors/patient-financial-resources/pay-your-bill/financial-assistance
Schedule H, Part V, Section B, Line 16b	https://www.orlandohealth.com/patients-and-visitors/patient-financial-resources/pay-your-bill/financial-assistance
Schedule H, Part V, Section B, Line 16c	https://www.orlandohealth.com/patients-and-visitors/patient-financial-resources/pay-your-bill/financial-assistance
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). THE REVIEW THAT OHI UNDERTOOK ADDRESSED SECTION 501(R) COMPLIANCE AT EACH OF THE FOLLOWING AFFILIATED HOSPITAL FACILITIES: 1. ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER (OHORMC) 2. ORLANDO HEALTH ARNOLD PALMER HOSPITAL FOR CHILDREN (OHAPH) 3. ORLANDO HEALTH WINNIE PALMER HOSPITAL FOR WOMEN AND BABIES (OHWPH) 4. ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL (OHSSH) 5. ORLANDO HEALTH DR. P. PHILLIPS HOSPITAL (OHDPH) 6. ORLANDO HEALTH - HEALTH CENTRAL HOSPITAL (OH-HCH) 7. ORLANDO HEALTH SOUTH LAKE HOSPITAL (OHSLH) OHI CONTINUES TO EVALUATE AND IMPLEMENT 501(R) COMPLIANCE AMONG ALL AFFILIATED HOSPITAL FACILITIES. ADDITIONAL HOSPITAL FACILITIES THAT FOLLOW OHI'S 501(R) ESTABLISHED COMPLIANCE STANDARDS INCLUDE: 8. ORLANDO HEALTH ST. CLOUD HOSPITAL (OHSCH) 9. ORLANDO HEALTH BAYFRONT HOSPITAL (OHBH) 10. ORLANDO HEALTH HORIZON WEST HOSPITAL (OHHWH) 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 COMMUNITY MEMBERS AT RISK OF NOT RECEIVING ADEQUATE MEDICAL CARE BECAUSE OF BEING UNINSURED OR UNDERINSURED. ACCORDINGLY, OHI DISSEMINATED INFORMATION ON THE AVAILABILITY OF FINANCIAL ASSISTANCE AT OHI HOSPITAL FACILITIES TO COMMUNITY PARTNERS IN EACH OF THE FOLLOWING CATEGORIES: FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS), MEDICAL HOMES AND OTHER NONPROFIT ORGANIZATIONS THAT SERVE LOW INCOME POPULATIONS. THE COMMUNITY PARTNERS IDENTIFIED IN EACH GROUP RESPECTIVELY ARE: GRACE MEDICAL HOME, SHEPHERD'S HOPE, COMMUNITY HEALTH CENTERS, TRUE HEALTH, HEALTH CARE CENTER FOR THE HOMELESS DBA ORANGE BLOSSOM FAMILY HEALTH, COALITION FOR THE HOMELESS, ORANGE COUNTY MEDICAL CLINIC, AND MEMBERS OF THE PRIMARY CARE ACCESS NETWORK (PCAN) IN ORANGE COUNTY. IN ADDITION, OHI DESIGNATED A COMMUNITY LIAISON TO ATTEND REGULAR FUNCTIONS IN THE COMMUNITY, DISPLAY THE FAP AT THESE FUNCTIONS, AND PROVIDE COPIES OF THE FAP TO COMMUNITY MEMBERS. FINALLY, OHI HAS IMPLEMENTED REVIEWS OF ITS WEBSITE LINKS TO ENSURE INFORMATION REQUIRED BY SECTION 501(R) IS AVAILABLE TO THE PUBLIC. OHI HAS ESTABLISHED METHODS FOR MEMBERS OF THE PUBLIC TO PROVIDE INPUT ON OHI'S CHNA REPORT. SUCH INPUT WILL BE MONITORED AND TRACKED QUARTERLY ALONG WITH WEBSITE LINKS PROVIDING INFORMATION TO THE PUBLIC. OHI WILL CONTINUE TO IDENTIFY REPRESENTATIVES OF THE LOW-INCOME, UNDERSERVED AND MINORITY POPULATION(S) IN THE COMMUNITY FROM WHOM INPUT WAS SOLICITED AND DESCRIBE THE RESOURCES POTENTIALLY AVAILABLE TO ADDRESS THE SIGNIFICANT HEALTH NEEDS THROUGHOUT THE 2022 CHNA. DATE RANGES FOR WHICH OHI CONDUCTED SURVEYS AND INTERVIEWS WITHIN THE COMMUNITY TO SEEK INPUT ON IDENTIFYING AND PRIORITIZING COMMUNITY HEALTH NEEDS IS INCLUDED IN THE 2022 CHNA. MOREOVER, OHI INCLUDED AN EVALUATION IN THE 2022 CHNA OF THE IMPACT OF ANY ACTIONS THAT WERE TAKEN, SINCE OHI FINISHED CONDUCTING ITS IMMEDIATELY PRECEDING CHNA, TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN EACH HOSPITAL FACILITY'S PRIOR CHNA. FINALLY, OHI WILL CONTINUE TO LIST ALL PARTNERS THAT IT PLANS TO WORK WITH IN ADDRESSING SIGNIFICANT COMMUNITY HEALTH NEEDS (I.E., LOCAL HEALTH DEPARTMENTS, OTHER HOSPITALS, NON-PROFITS, GOVERNMENT AGENCIES AND ADVOCACY GROUPS) THAT ARE KNOWN AT THE TIME OF IMPLEMENTATION.
Schedule H, Part I, Line 3c Eligibility criteria for free or discounted care	SEE THE DISCLOSURE FOR PART V, SECTION B, LINE 13H
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation	411041
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	THE COST-TO-CHARGE RATIO UTILIZED TO CALCULATE THE AMOUNTS ON LINES 7A-7C WAS DERIVED USING OUR MEDICARE COST REPORTS AND WAS NOT CALCULATED ON THE EXACT PARAMETERS OF WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS. ORLANDO HEALTH BELIEVES THE COST-TO-CHARGE RATIO UTILIZED BEST REPRESENTS THE ACTUAL COST OF CARE IN EACH CIRCUMSTANCE. THE AMOUNTS FOR LINES 7E-7I ARE ACTUAL EXPENSES AND NOT BASED ON A COST-TO-CHARGE RATIO.
Schedule H, Part II Community Building Activities	THE PRIMARY PURPOSE OF ORLANDO HEALTH'S COMMUNITY BUILDING ACTIVITIES IS TO IMPROVE HEALTH IN THE CENTRAL FLORIDA COMMUNITY. WHEN A PARTICULAR PHYSICIAN SPECIALTY IS DEFICIENT IN THE COMMUNITY IN COMPARISON TO THE POPULATION, IT CAN LIMIT ACCESS TO HEALTHCARE SERVICES AND RESULT IN POOR HEALTH OUTCOMES. TO RECTIFY THOSE WORKFORCE SHORTAGES, ORLANDO HEALTH MAY HELP RECRUIT PHYSICIANS WHEN A NEED IS IDENTIFIED TO ESTABLISH, ENHANCE, OR MAINTAIN A MEDICAL SERVICE IN THE AREA. TO DETERMINE NEED, ORLANDO HEALTH USES INDEPENDENT HEALTH PLANNING SERVICE ORGANIZATIONS; COMMUNITY NEEDS ASSESSMENT; AND INDEPENDENTLY MAINTAINED PHYSICIAN DATABASE SOFTWARE. THESE PHYSICIAN RECRUITMENT EFFORTS MEET THE COMMUNITY BENEFIT OBJECTIVE OF IMPROVING ACCESS TO HEALTH SERVICES, WHICH IN TURN IMPROVES PUBLIC HEALTH. ORLANDO HEALTH DID NOT RECRUIT ANY NEW COMMUNITY-BASED PHYSICIANS DURING THE FISCAL YEAR. HOWEVER, WE WILL CONTINUE TO FIND WAYS TO RECRUIT COMMUNITY-BASED PHYSICIANS TO HELP COMBAT PHYSICIAN SHORTAGES IN THE COMING FISCAL YEAR.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE COSTING METHODOLOGY USED TO REPORT THE AMOUNT REPORTED ON LINE 6 AS MEDICARE ALLOWABLE COSTS OF CARE RELATING TO PAYMENTS RECEIVED FROM MEDICARE WAS CALCULATED USING THE MEDICARE COST REPORT. ORLANDO HEALTH DOES NOT CURRENTLY INCLUDE MEDICARE SHORTFALL AS A COMMUNITY BENEFIT. HOWEVER, AS A NOT-FOR-PROFIT ORGANIZATION WE PROVIDE EMERGENCY AND REQUIRED CARE TO ALL PATIENTS REGARDLESS OF THEIR FINANCIAL STATUS. DESPITE THE MEDICARE SHORTFALL, NOT-FOR-PROFIT HOSPITALS MUST AND WILL CONTINUE TO CARE FOR THE MEDICARE POPULATION AND ACCEPT THE MEDICARE REIMBURSEMENT RATE. CARING FOR THE MEDICARE PATIENT POPULATION FULFILLS A COMMUNITY NEED AND RELIEVES A GOVERNMENT BURDEN AS THIS CLASS OF PATIENTS TYPICALLY HAS LOW AND/OR FIXED INCOMES. THE MEDICARE PATIENT POPULATION IS LARGE AND THE LACK OF SUFFICIENT REIMBURSEMENT TO COVER THE COST OF PROVIDING CARE FOR THESE PATIENTS NECESSITATES THAT NOT-FOR-PROFIT HOSPITALS USE OTHER FUNDS TO COVER THE DEFICIT. NOT-FOR-PROFIT HOSPITALS HAVE A RESPONSIBILITY TO WORK TOWARD IMPROVED HEALTH IN THE COMMUNITIES THEY SERVE AND CARING FOR THE MEDICARE PATIENTS, DESPITE THE SHORTFALL OF REIMBURSEMENT, IS A DIRECT COMMUNITY BENEFIT AND PROVIDES VALUE DIRECTLY TO THE COMMUNITIES SERVED.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	COLLECTION PRACTICES ARE CONSISTENT FOR ALL PATIENTS AND COMPLY WITH APPLICABLE PROVISIONS OF STATE LAW. DURING PREADMISSION, AT REGISTRATION OR AT BEDSIDE, ORLANDO HEALTH PROVIDES ALL PATIENTS WITH INFORMATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE. ORLANDO HEALTH PERFORMS A THOROUGH EVALUATION OF THE PATIENT'S FINANCIAL STATUS TO ENSURE THE UTILIZATION OF ALL DISCOUNTS AND CHARITY CARE PROGRAMS AVAILABLE UNDER THEIR DISCOUNT AND CHARITY CARE POLICIES. THIS DETERMINATION PROCESS IS COMPLETED BEFORE ANY PATIENT'S ACCOUNT PROCEEDS TO COLLECTION. ORLANDO HEALTH DOES NOT PURSUE COLLECTION PRACTICES AGAINST PATIENTS KNOWN TO QUALIFY FOR CHARITY CARE OR OTHER FINANCIAL ASSISTANCE.
Schedule H, Part V, Section B, Line 16a FAP website	A - ORLANO HEALTH ORLANDO REGIONAL MEDICAL CENTER: Line 16a URL: SEE PART VI;
Schedule H, Part V, Section B, Line 16b FAP Application website	A - ORLANO HEALTH ORLANDO REGIONAL MEDICAL CENTER: Line 16b URL: SEE PART VI;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	A - ORLANO HEALTH ORLANDO REGIONAL MEDICAL CENTER: Line 16c URL: SEE PART VI;
Schedule H, Part VI, Line 2 Needs assessment	IN 2022, ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER (ORLANDO HEALTH ORMC), ORLANDO HEALTH DR. P. PHILLIPS HOSPITAL, ORLANDO HEALTH - HEALTH CENTRAL HOSPITAL, ORLANDO HEALTH HORIZON WEST HOSPITAL, ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL, ORLANDO HEALTH ARNOLD PALMER HOSPITAL FOR CHILDREN, ORLANDO HEALTH WINNIE PALMER HOSPITAL FOR WOMEN AND BABIES, ORLANDO HEALTH ST. CLOUD HOSPITAL AND ORLANDO HEALTH SOUTH LAKE HOSPITAL CONDUCTED A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT. HOWEVER, PRIOR TO THE ASSESSMENT, ORLANDO HEALTH ANALYZED THE SERVICES NEEDED AS PART OF OUR STRATEGY, AND BUDGETING PLANNING AND DEVELOPED A PROCESS TO ENSURE THE ORGANIZATION IS RESPONSIVE TO COMMUNITY HEALTH NEEDS. THROUGH OUR EDUCATION, RESEARCH, AND PATIENT CARE PROGRAMS, AS WELL AS THE ORLANDO HEALTH COMMUNITY GRANT PROGRAM, ORLANDO HEALTH MEETS THE NEEDS OF THE COMMUNITY. THE SPECIFIC NEEDS TARGETED BY THESE PROGRAMS HAVE BEEN IDENTIFIED THROUGH THE EXPERIENCE OF COMMUNITY HOSPITAL LEADERSHIP, NEIGHBORHOOD OUTREACH AND THROUGH ASSESSMENTS THAT IDENTIFIED HEALTH NEEDS IN THE COMMUNITIES SERVED BY THE HOSPITALS ALONG WITH HOSPITAL DATA. AS A RESULT, ORLANDO HEALTH SUPPORTS A VARIETY OF PROGRAMS FOR AT-RISK POPULATIONS, FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS AND SPECIAL NEEDS GROUPS, AS WELL AS FOR THE BROADER COMMUNITY. ADDITIONAL EXAMPLES OF HOW ORLANDO HEALTH RESPONDS TO COMMUNITY HEALTH NEEDS ARE AS FOLLOWS: 1. GOVERNING BOARDS ARE COMPOSED OF INDIVIDUALS BROADLY REPRESENTATIVE OF THE COMMUNITY, COMMUNITY LEADERS AND THOSE WITH SPECIALIZED MEDICAL TRAINING AND EXPERTISE. 2. PARTNERSHIP WITH LOCAL GROUPS AND ASSOCIATIONS TO ATTEND TO THE HEALTH CARE NEEDS OF THE ORLANDO HEALTH COMMUNITY. 3. SPONSORSHIP AND PARTICIPATION IN COMMUNITY FORUMS, HEALTH FAIRS, COMMUNITY FITNESS AND WELLNESS EVENTS, AND OTHER OUTREACH EVENTS. 4. TRANSITION SERVICES POST-DISCHARGE PATIENT FOR FOLLOW-UPS RELATED TO ON-GOING CARE AND TREATMENT TO PREVENT UNNECESSARY ADMISSIONS AND POTENTIAL RE-ADMISSIONS.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	ORLANDO HEALTH FOLLOWS AN ESTABLISHED PROCESS TO INFORM ALL PATIENTS OF ITS CHARITY CARE AND UNINSURED DISCOUNT POLICIES. DURING PREADMISSION, AT REGISTRATION OR AT BEDSIDE, UNINSURED PATIENTS ARE INFORMED OF THE HOSPITAL'S CHARITY CARE POLICY AND OTHER FINANCIAL ASSISTANCE. FINANCIAL INFORMATION IS SECURED FOR ALL UNINSURED PATIENTS TO SCREEN FOR POSSIBLE ENROLLMENT IN FEDERAL, STATE, AND LOCAL PROGRAMS. ORLANDO HEALTH HAS CONTRACTED DEDICATED ORGANIZATIONS THAT ASSIST THE PATIENT WITH THEIR ENROLLMENT PROCESS ALL THE WAY TO APPROVAL OR DENIAL BY THE RESPECTIVE AGENCIES. FOR UNINSURED PATIENTS THAT ARE DENIED COVERAGE OR DO NOT MEET THE COVERAGE CRITERION FOR A RESPECTIVE AGENCY, ORLANDO HEALTH THEN SCREENS THE PATIENT FOR CHARITY ELIGIBILITY. IT IS ORLANDO HEALTH'S OBJECTIVE TO PROVIDE CHARITY CARE TO OUR PATIENTS WHO DO NOT HAVE THE ABILITY TO PAY.
Schedule H, Part VI, Line 4 Community information	ORLANDO HEALTH CURRENTLY OPERATES 11 HOSPITALS IN FLORIDA, WHICH HAS MILLIONS OF RESIDENTS AND INTERNATIONAL VISITORS ANNUALLY. THE HEALTH SYSTEM IS ONE OF CENTRAL FLORIDA'S LARGEST EMPLOYERS WITH OVER 30,000 EMPLOYEES AND OVER 3,300 ON-STAFF PHYSICIANS. AS A STATUTORY TEACHING HOSPITAL, WE OFFER GRADUATE MEDICAL EDUCATION WHERE WE ARE THE INSTITUTIONAL SPONSOR OF 10 RESIDENCY, SEVEN PHARMACY RESIDENCY, 30 FELLOWSHIP PROGRAMS, AND HOST MORE THAN 370 RESIDENTS AND FELLOWS ANNUALLY. ORLANDO HEALTH FACILITIES ENCOMPASS 3,327 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 AND BABIES, ORLANDO HEALTH DR. P. PHILLIPS HOSPITAL, ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL, ORLANDO HEALTH ST. CLOUD HOSPITAL, ORLANDO HEALTH - HEALTH CENTRAL HOSPITAL, ORLANDO HEALTH HORIZON WEST HOSPITAL, ORLANDO HEALTH SOUTH LAKE HOSPITAL, ORLANDO HEALTH BAYFRONT HOSPITAL AND ORLANDO HEALTH ADVANCED REHABILITATION INSTITUTE. 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. IN FY24, THE ORLANDO HEALTH HOSPITAL SYSTEM RECEIVED 1,087,350 OUTPATIENT VISITS, 163,234 ADMISSIONS (EXCLUDING NEWBORNS), 19,629 BABIES BORN AND 572,576 PATIENTS VISITED OUR EMERGENCY DEPARTMENTS. ORLANDO HEALTH ARNOLD PALMER HOSPITAL 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 421 ADULT TRAUMA PATIENTS AND 172 PEDIATRIC TRAUMA PATIENTS IN FY2024. ORLANDO HEALTH'S PRIMARY SERVICE AREA IS COMPRISED OF LAKE, ORANGE, OSCEOLA, AND SEMINOLE COUNTIES, WHICH INCLUDES RURAL, URBAN AND SUBURBAN COMMUNITIES. THE CURRENT POPULATION OF THE 4 COUNTY SERVICE AREA IS 2,899,290. THE MEDIAN HOUSEHOLD INCOME IN THESE COUNTIES IS $76,147. IN CENTRAL FLORIDA, 11.3 PERCENT OF HOUSEHOLDS ARE BELOW THE FEDERAL POVERTY GUIDELINE. THE PERCENT UNINSURED (AGE 0-64) FOR THE FOUR COUNTY AREA IS 13.6 PERCENT AND THERE ARE 11 FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS PRESENT IN THIS REGION. A COMBINED TOTAL OF 40 HOSPITALS ARE ALSO IN THIS AREA AND SERVE 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, SPONSORSHIPS, SCHOOL INITIATIVES, DONATED MEETING SPACE, SPIRITUAL CARE, AND PUBLIC PROGRAM ENROLLMENT ASSISTANCE AND POST-ACUTE CARE FOR HOMELESS AND UNINSURED.
Schedule H, Part VI, Line 5 Promotion of community health	AS A NOT-FOR-PROFIT HEALTHCARE ORGANIZATION, THE CULTURE OF CARING AT ORLANDO HEALTH TOUCHES THE LIVES OF MANY INDIVIDUALS AND FAMILIES THROUGHOUT CENTRAL FLORIDA. ORLANDO HEALTH DEMONSTRATES A COMMITMENT TO PROMOTE HEALTH, WELL-BEING, AND A CARING SPIRIT BY DIRECTING EMPLOYEE TIME AND TALENT TO SERVE ON COMMUNITY COLLABORATION BOARDS AND VOLUNTEERISM. IN FY 2024 OUR TEAM MEMBERS AND PHYSICIANS PROVIDED OVER 6,400 VOLUNTEER HOURS TO SUPPORT COMMUNITY PARTNERS AND THE NEEDS IN OUR COMMUNITY. ORLANDO HEALTH WORKS WITH NEIGHBORHOOD RESOURCES TO ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS BY SUPPORTING PROGRAMS THAT TARGET COMMUNITY WELLNESS, DISEASE PREVENTION AND ENVIRONMENTAL PROBLEMS. ORLANDO HEALTH FOSTERS PARTNERSHIPS WITH OTHER COMMUNITY AGENCIES IN ITS SERVICE AREA THAT WORK COLLABORATIVELY TO HELP THOSE IN NEED AND TO IMPROVE THE HEALTH AND SAFETY OF THE RESIDENTS OF THE COMMUNITY. BOTH CASH AND IN-KIND DONATIONS ARE MADE ANNUALLY TO THESE VARIOUS LOCAL CHARITABLE ORGANIZATIONS. ORLANDO HEALTH ADDRESSES VARIOUS COMMUNITY CONCERNS, INCLUDING HEALTH IMPROVEMENT, EDUCATION, POVERTY, WORKFORCE DEVELOPMENT AND ACCESS TO HEALTH CARE. THE KEY COMPONENT OF A NOT-FOR-PROFIT ORGANIZATION IS THAT THE ORGANIZATION SERVES A BROAD, INDEFINITE CHARITABLE CLASS. ONE OF THE KEY INDICATORS THAT AN ORGANIZATION DOES SERVE THE BROADER COMMUNITY IS CONTROL OF THE ORGANIZATION BY INDEPENDENT COMMUNITY LEADERS. ORLANDO HEALTH AND ITS HOSPITAL GOVERNING BOARD ARE MADE UP OF MEMBERS WHO DIRECT AND GUIDE MANAGEMENT IN CARRYING OUT THE MISSION OF ORLANDO HEALTH AND ITS AFFILIATES. DIRECTORS ARE SELECTED ON THE BASIS OF THEIR EXPERTISE AND EXPERIENCE. ORLANDO HEALTH'S VOLUNTEER BOARD BALANCES FINANCIAL DECISIONS ON COMMUNITY CONCERNS AND SOCIAL RESPONSIBILITY. ORLANDO HEALTH OPERATES AN OPEN MEDICAL STAFF BY EXTENDING MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN CENTRAL FLORIDA. SURPLUS FUNDS ARE RETAINED BY ORLANDO HEALTH AND USED TO CARRY OUT THE MISSION OF IMPROVING THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND COMMUNITIES WE SERVE.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (95 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
U OF CENTRAL FL FDN INC
12424 RESEARCH PKWY	ORLANDO	FL	328263257	596211832	501(c)(3)	$1,010,000	SPONSORSHIP
GRACE MEDICAL HOME INC
1417 E CONCORD STREET	ORLANDO	FL	32803	261817966	501(c)(3)	$350,000	SPONSORSHIP
HEALTH CARE CTR FOR HOMELESS INC
232 N ORANGE BLOSSOM TRL	ORLANDO	FL	32805	593185020	501(c)(3)	$232,500	SPONSORSHIP
CITY OF ST PETERSBURG FLORIDA
PO BOX 2842	ST PETERSBURG	FL	337312842	596000424	GOVERNMENT	$150,600	SPONSORSHIP
SIMPLE TRUTH FOUNDATION INC
2224 LAKE POINTE CIRCLE	LEESBURG	FL	34747	273684092	501(c)(3)	$117,000	SPONSORSHIP
ARTS FOUNDATION FOR SENIORS INC
211 N MAGNOLIA AVE	ORLANDO	FL	32801	920800650	501(c)(3)	$100,000	SPONSORSHIP
AMERICAN HEART ASSOCIATION
7272 GREENVILLE AVE	DALLAS	TX	75231	135613797	501(c)(3)	$95,000	SPONSORSHIP
SCHOOL BOARD OF ORANGE COUNTY FLORIDA
445 W AMELIA ST	ORLANDO	FL	32801	596000771	GOVERNMENT	$85,044	SPONSORSHIP
SECOND HARVEST FOOD BANK OF CENTRAL FL
411 MERCY DR	ORLANDO	FL	32805	592142315	501(c)(3)	$77,119	SPONSORSHIP
CENTRAL FLORIDA COMMUNITY ARTS INC
PO BOX 722517	ORLANDO	FL	32872	452324172	501(c)(3)	$65,000	SPONSORSHIP
THE BOGGY CREEK GANG INC
30500 BRANTLEY BRANCH ROAD	EUSTIS	FL	32736	593012889	501(c)(3)	$55,000	SPONSORSHIP
COALITION FOR THE HOMELESS OF CENTRAL FLORIDA
18 NORTH TERRY AVE	ORLANDO	FL	32801	592814255	501(c)(3)	$54,300	SPONSORSHIP
FOUNDATION FOR ORANGE CNTY PUBLIC SCHOOLS
445 WEST AMELIA ST	ORLANDO	FL	32801	592788435	501(c)(3)	$52,500	SPONSORSHIP
UNITED WAY OF LAKE & SUMTER COUNTIES INC
32644 BLOSSOM LANE	LEESBURG	FL	34788	591143758	501(c)(3)	$50,000	SPONSORSHIP
IMPOWER INC
111 W MAGNOLIA AVE	LONGWOOD	FL	32750	650439778	501(c)(3)	$50,000	SPONSORSHIP
MAKE A WISH FOUNDATON OF CENTRAL & NORTHERN FLORIDA
1020 N ORLANDO AVE SUITE 100	MAITLAND	FL	32751	593235806	501(c)(3)	$50,000	SPONSORSHIP
ZEBRA COALITION INC
911 N MILLS AVE	ORLANDO	FL	32803	271645847	501(c)(3)	$50,000	SPONSORSHIP
HOPE COMMUNITY CENTER LLC
1016 NORTH PARK AVE	APOPKA	FL	32712	562551312	501(c)(3)	$50,000	SPONSORSHIP
HOMELESS EMERGENCY PROJECT INC
1120 N BETTY LANE	CLEARWATER	FL	33755	592729694	501(c)(3)	$49,776	SPONSORSHIP
CENTRAL FLORIDA YOUNG MEN'S CHRISTIAN ASSOCIATION
433 N MILLS AVE	ORLANDO	FL	32803	590624430	501(c)(3)	$48,252	SPONSORSHIP
ORLANDO SCIENCE CENTER INC
777 EAST PRINCETON STREET	ORLANDO	FL	32803	590896343	501(c)(3)	$27,500	SPONSORSHIP
FIND FEED & RESTORE INC
830 W MONTROSE ST	CLERMONT	FL	34711	863070194	501(c)(3)	$40,000	SPONSORSHIP
HEARTS HANDS AND HOPE INC
198 SPECIALTY POINT	SANFORD	FL	32771	812669649	501(c)(3)	$39,000	SPONSORSHIP
UNITED AGAINST POVERTY INC
1400 27TH ST	VERO BEACH	FL	32960	113697936	501(c)(3)	$35,000	SPONSORSHIP
ARTHRITIS FOUNDATION INC
1355 PEACHTREE ST NE STE 600	ATLANTA	GA	30309	581341679	501(c)(3)	$35,000	SPONSORSHIP
ORLANDO MUSEUM OF ART
2416 N MILLS AVE	ORLANDO	FL	32803	590910352	501(c)(3)	$32,500	SPONSORSHIP
CROHNS AND COLITIS FOUNDATION OF AMERICA INC
733 THIRD AVE STE 510	NEW YORK	NY	10017	136193105	501(c)(3)	$32,500	SPONSORSHIP
JUNIOR ACHIEVEMENT OF CENTRAL FLORIDA INC
2121 CAMDEN ROAD	ORLANDO	FL	32803	590972112	501(c)(3)	$30,000	SPONSORSHIP
HISPANIC HERITAGE SCHOLARSHIP
518 S MAGNOLIA ST STE 100	ORLANDO	FL	32801	010807279	501(c)(3)	$30,000	SPONSORSHIP
LIBBYS LEGACY BREAST CANCER FOUNDATION
112 ANNIE ST	ORLANDO	FL	32806	113812766	501(c)(3)	$30,000	SPONSORSHIP
CAMARADERIE FOUNDATION INC
2488 E MICHIGAN ST	ORLANDO	FL	32806	270593856	501(c)(3)	$30,000	SPONSORSHIP
GULF COAST JEWISH FAMILY AND COMMUNITY SERVICES INC
14041 ICOT BOULEVARD	CLEARWATER	FL	33760	591229354	501(c)(3)	$30,000	SPONSORSHIP
AMERICAN CANCER SOCIETY INC
270 PEACHTREE ST NW	ATLANTA	GA	30303	131788491	501(c)(3)	$28,000	SPONSORSHIP
SHEPHERDS HOPE INC
4851 S APOPKA-VINELAND RD	ORLANDO	FL	32819	593420727	501(c)(3)	$22,000	SPONSORSHIP
FOUNDATION FOR SEMINOLE COUNTY
400 E LAKE MARY BLVD	SANFORD	FL	32773	592775956	501(c)(3)	$25,000	SPONSORSHIP
RONALD MCDONALD HOUSE CHARITIES OF CENTRAL FLORIDA INC
1030 N ORANGE AVE SUITE 105	ORLANDO	FL	32801	593211250	501(c)(3)	$25,000	SPONSORSHIP
THE LEUKEMIA & LYMPHOMA SOCIETY
341 N MAITLAND BLVD	MAITLAND	FL	32751	135644916	501(c)(3)	$25,000	SPONSORSHIP
PRIMARY CARE MEDICAL SERVICES OF POINCIANA INC
1877 FORTUNE RD	KISSIMMEE	FL	34744	753147007	501(c)(3)	$25,000	SPONSORSHIP
HABITAT FOR HUMANITY OF PINELLAS COUNTY INC
13355 49TH ST N STE B	CLEARWATER	FL	33762	592509116	501(c)(3)	$25,000	SPONSORSHIP
AIDS SERVICE ASSOCIATION OF PINELLAS INC
5771 ROOSEVELT BLVD	CLEARWATER	FL	33760	592862537	501(c)(3)	$25,000	SPONSORSHIP
HOPE PARTNERSHIP INC
2420 OLD VINELAND RD	KISSIMMEE	FL	34746	800855060	501(c)(3)	$25,000	SPONSORSHIP
REBUILDNG TOGETHER TAMPA BAY INC
3914 N US 301 HIGHWAY	TAMPA	FL	33619	593664580	501(c)(3)	$25,000	SPONSORSHIP
HEALTHY START COALITION OF PINELLAS INC
4000 GATEWAY CENTRE BLVD	PINELLAS PARK	FL	33782	593109517	501(c)(3)	$25,000	SPONSORSHIP
AMERICAN NATIONAL RED CROSS
3310W MAIN ST	TAMPA	FL	33607	530196605	501(c)(3)	$25,000	SPONSORSHIP
NAVAL POSTGRADUATE SCHOOL FOUNDATION INC
PO BOX 8626	MONTEREY	CA	93943	237098729	501(c)(3)	$25,000	SPONSORSHIP
A GIFT FOR TEACHING
6501 MAGIC WAY	ORLANDO	FL	32809	593515162	501(c)(3)	$21,000	SPONSORSHIP
CANINE COMPANIONS FOR INDEPENDENCE INC
2965 DUTTON AVE	SANTA ROSA	CA	95402	942494324	501(c)(3)	$20,000	SPONSORSHIP
ORANGE COUNTY CHILD SAFETY CENTER INC
910 FAIRVILLA RD	ORLANDO	FL	32808	592898030	501(c)(3)	$20,000	SPONSORSHIP
THE CHRISTIAN SHARING CENTER INC
600 N HWY 17-92 STE 158	LONGWOOD	FL	32750	592744535	501(c)(3)	$20,000	SPONSORSHIP
CENTRAL FLORIDA ZOOLOGICAL SOCIETY
3755 NW HWY 17-92	SANFORD	FL	32771	591357197	501(c)(3)	$20,000	SPONSORSHIP
THE FRIENDS OF LEU GARDENS INC
1920 N FOREST AVE	ORLANDO	FL	32803	592319239	501(c)(3)	$20,000	SPONSORSHIP
PROJECT SCHOLARS INC
PO BOX 121543	CLERMONT	FL	34712	542079731	501(c)(3)	$20,000	SPONSORSHIP
ROBERTO CLEMENTE FOUNDATION CO
36A ROBERTO CLEMENTE STREET	SAN JUAN	PR	00926	660811708	501(c)(3)	$20,000	SPONSORSHIP
LIFE CONCEPTS INC
1509 E COLONIAL DR	ORLANDO	FL	32803	592013160	501(c)(3)	$19,400	SPONSORSHIP
WINTER PARK DAY NURSERY INC
741 S PENNSYLVANIA AVE	WINTER PARK	FL	32789	590638506	501(c)(3)	$17,000	SPONSORSHIP
CENTER FOR INDEPENDENT LIVING IN CENTRAL FLORIDA INC
720 N DENNING DR	WINTER PARK	FL	32789	591828770	501(c)(3)	$15,000	SPONSORSHIP
ORLANDO FAMILY STAGE
1001 E PRINCETON ST	ORLANDO	FL	32803	591056385	501(c)(3)	$15,000	SPONSORSHIP
HOPE HELPS INC
812 EYRIE DR	OVIEDO	FL	32765	208490916	501(c)(3)	$15,000	SPONSORSHIP
CENTRAL FLORIDA FAMILY HEALTH CENTER INC
4930 EAST LAKE MARY RD	SANFORD	FL	327716012	591741286	501(c)(3)	$15,000	SPONSORSHIP
AMIKIDS PINELLAS INC
2220 62ND AVE SOUTH	ST PETERSBURG	FL	33771	237228523	501(c)(3)	$15,000	SPONSORSHIP
COLLEGE PARK MAIN STREET INC
648 DARTMOUTH ST	ORLANDO	FL	32804	237250533	501(c)(3)	$13,000	SPONSORSHIP
PAN AMERICAN MEDICAL ASSOCIATION OF CENTRAL FLORIDA
PO BOX 521943	ORLANDO	FL	32752	201469047	501(c)(3)	$12,500	SPONSORSHIP
BLOOM & GROW GARDEN SOCIETY INC
PO BOX 97	OAKLAND	FL	34760	571184124	501(c)(3)	$12,500	SPONSORSHIP
GARDEN THEATRE INC
160 WEST PLANT ST	WINTER GARDEN	FL	34787	272577059	501(c)(3)	$12,500	SPONSORSHIP
RESCUE OUTREACH MISSION OF SANFORD INC
1701 HISTORIC GOLDSBORO BLVD	SANFORD	FL	32771	592876415	501(c)(3)	$12,000	SPONSORSHIP
STRENGTHEN ORLANDO INC
400 S ORANGE AVE	ORLANDO	FL	328013302	271964941	501(c)(3)	$11,545	SPONSORSHIP
BEARS WHO CARE INC
14102 ALDFORD DR	WINTER GARDEN	FL	34787	271277339	501(c)(3)	$11,500	SPONSORSHIP
CENTRAL FLORIDA BLACK NURSES ASSOCIATION OF ORLANDO INC
PO BOX 585142	ORLANDO	FL	32808	593288443	501(c)(3)	$10,650	SPONSORSHIP
RUNWAY TO HOPE
189 S ORANGE AVE STE 1800	ORLANDO	FL	32801	273272616	501(c)(3)	$10,500	SPONSORSHIP
CHRISTIAN SERVICE CENTER FOR CENTRAL FLORIDA INC
808 W CENTRAL BLVD	ORLANDO	FL	32805	591353031	501(c)(3)	$10,000	SPONSORSHIP
ORLANDO PHILHARMONIC ORCHESTRA INC
425 N BUMBY AVE	ORLANDO	FL	32803	593058884	501(c)(3)	$10,000	SPONSORSHIP
JOHN LAND APOPKA COMMUNITY TRUST INC
PO BOX 1837	APOPKA	FL	32704	900712301	501(c)(3)	$10,000	SPONSORSHIP
THE FOUNDATION FOR OSCELA EDUCATION INC
2310 NEW BEGINNINGS RD	KISSIMMEE	FL	347448480	592960396	501(c)(3)	$10,000	SPONSORSHIP
SERVANTS HEART MINISTRY
6109 ANNO AVE	ORLANDO	FL	32809	010612200	501(c)(3)	$10,000	SPONSORSHIP
FLORIDA ASSSOCIATION OF FREE AND CHARITABLE CLINICS
PO BOX 352658	PALM COAST	FL	32135	463502696	501(c)(3)	$10,000	SPONSORSHIP
FLORIDA MEDICAL CLINIC FOUNDATION OF CARING INC
38135 MARKET SQUARE	ZEPYRHILLS	FL	33542	202384178	501(c)(3)	$10,000	SPONSORSHIP
UNIVERSITY OF SOUTH FLORIDA FOUNDATION INC
4202 E FOWLER AVE	TAMPA	FL	33620	590879015	501(c)(3)	$10,000	SPONSORSHIP
THE MUSTARD SEED OF CENTRAL FLORIDA
12 MUSTARD SEED LN	ORLANDO	FL	32810	592906383	501(c)(3)	$10,000	SPONSORSHIP
IVY TEA ROSE INC
PO BOX 940808	MAITLAND	FL	32794	203468250	501(c)(3)	$10,000	SPONSORSHIP
THE AMYOTROPHIC LATERAL SCLEROSIS ASSOCIATION
1300 WILSON BLVD	ARLINGTON	VA	22209	133271855	501(c)(3)	$9,200	SPONSORSHIP
SENIORS FIRST INC
5395 LB MCLEOD RD	ORLANDO	FL	32811	592759603	501(c)(3)	$9,000	SPONSORSHIP
NATIONAL DIVERSITY COUNCIL
PO BOX 590258	HOUSTON	TX	772590258	711037612	501(c)(3)	$8,400	SPONSORSHIP
JDRF INTERNATIONAL INCORPORATED
1850 LEE RD STE 132	WINTER PARK	FL	32789	231907729	501(c)(3)	$8,000	SPONSORSHIP
SCHOOL DISTRICT OF OSCEOLA COUNTY
1200 VERMONT AVE	ST CLOUD	FL	34769	596000779	GOVERNMENT	$7,500	SPONSORSHIP
PANCREATIC CANCER ACTION NETWORK INC
1500 ROSECRANS AVE STE 200	MANHATTAN BEACH	CA	90266	330841281	501(c)(3)	$7,500	SPONSORSHIP
NATIONAL MULTIPLE SCLEROSIS SOCIETY
733 THIRD AVE 3RD FL	NEW YORK	NY	10017	135661935	501(c)(3)	$7,500	SPONSORSHIP
LAKELAND LEADS PARTNERSHIP INC
ONE LAKE MORTON DR	LAKELAND	FL	33801	833380202	501(c)(3)	$7,500	SPONSORSHIP
COME OUT WITH PRIDE INC
424 E CENTRAL BLVD STE 415	ORLANDO	FL	32801	264696702	501(c)(3)	$7,000	SPONSORSHIP
BIKE WALK CENTRAL FLORIDA INC
100 E PINE ST	ORLANDO	FL	32801	461958502	501(c)(3)	$7,000	SPONSORSHIP
HABITAT FOR HUMANITY OF SEMINOLE COUNTY
PO BOX 181010	CASSELBERRY	FL	32718	593034059	501(c)(3)	$6,500	SPONSORSHIP
GROW HEALTHY KIDS INC
419 S PARK AVE	SANFORD	FL	32771	810912291	501(c)(3)	$6,500	SPONSORSHIP
CITY OF DAVENPORT
1 S ALLAPAHA AVE	DAVENPORT	FL	33837	596018699	GOVERNMENT	$6,250	SPONSORSHIP
INTERNATIONAL MEDICAL OUTREACH INC
PO BOX 781823	ORLANDO	FL	32878	272790647	501(c)(3)	$6,100	SPONSORSHIP
ST PETERSBURG FREE CLINIC INC
863 3RD AVE N	ST PETERSBURG	FL	33701	237208280	501(c)(3)	$6,000	SPONSORSHIP
Orlando Health Medical Group Inc
1414 Kuhl Ave	Orlando	FL	32806	593259553	501(c)(3)	$337,937	PROGRAM SERVICES

Field	Value	IRS element (for citing)
Total501c3 Org	95	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
David W Strong
President & CEO	$2,215,953	$0	$5,376,227	$0	$581,687	$0	$369,615	$0	$36,023	$0	$8,579,505	$0	$556,755	$0
Aurelio Duran MD
Cardiac Electrophysiologist	$0	$441,669	$0	$908,725	$0	$565,771	$0	$19,392	$0	$26,479	$0	$1,962,036	$0	$0
Mark A Jones
Foundation SVP/Dir Capital Cam	$394,361	$0	$208,571	$0	$131,496	$0	$82,805	$0	$30,487	$0	$847,720	$0	$124,729	$0
Leslie Flake
Chief Financial Officer (Until July 2024)	$847,338	$0	$1,230,142	$0	$22,142	$0	$159,600	$0	$14,603	$0	$2,273,825	$0	$0	$0
Bernadette Spong
Interim Chief Financial Officer (As of July 2024)	$46,600	$0	$604,993	$0	$145,447	$0	$13,667	$0	$0	$0	$810,707	$0	$0	$0
Jamal A Hakim MD
Chief Physician Officer	$983,114	$0	$1,442,488	$0	$581,002	$0	$19,595	$0	$30,222	$0	$3,056,421	$0	$308,597	$0
Kelly Nierstedt
SVP, OH & President, ORMC	$666,374	$0	$341,181	$0	$98,746	$0	$125,793	$0	$1,863	$0	$1,233,957	$0	$93,226	$0
Thibaut Van Marcke De Lummen
SVP, OH SE Region & Pres, DPH	$550,701	$0	$287,652	$0	$89,587	$0	$106,088	$0	$39,570	$0	$1,073,598	$0	$70,346	$0
Stephen W Burriss
Chief Operating Officer	$503,135	$0	$1,145,780	$0	$81,895	$0	$16,500	$0	$10,445	$0	$1,757,755	$0	$0	$0
Karen L Frenier
SVP, HR & Chief Nurse Exec	$560,896	$0	$821,559	$0	$151,837	$0	$19,725	$0	$22,999	$0	$1,577,016	$0	$0	$0
Erick R Hawkins
Chief Admin Officer, OH	$764,703	$0	$1,098,341	$0	$181,724	$0	$136,494	$0	$14,740	$0	$2,196,002	$0	$148,335	$0
Gregory P Ohe
SVP, Ambu Svcs, Orlando Health	$455,503	$0	$673,649	$0	$220,282	$0	$18,291	$0	$25,181	$0	$1,392,906	$0	$102,031	$0
Ryan William Zika
General Counsel	$541,244	$0	$790,805	$0	$48,832	$0	$104,404	$0	$36,720	$0	$1,522,005	$0	$44,288	$0
George A Ralls
SVP, OH & Chief Med Officer	$544,994	$0	$805,450	$0	$67,845	$0	$106,967	$0	$36,720	$0	$1,561,976	$0	$62,301	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a First-class or charter travel	Orlando Health may provide the following benefits to certain executives, officers, and board members when they are necessary to achieve Orlando Health's charitable mission objectives: first-class or charter travel; and/or travel for companions. Provision of any such benefits is predicated on compliance with the organization's policies, is subject to review and approval process, and is treated as taxable income to the individual where required under the Internal Revenue Code.
Schedule J, Part I, Line 1a Tax indemnification and gross-up payments	When applicable, payments made to board members and board officers were grossed-up for tax indemnification purposes.
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	ORLANDO HEALTH, INC. IS A COMMON PAYMASTER AND COMMON PAY AGENT FOR ORLANDO HEALTH MEDICAL GROUP, INC (EIN: 59-3259553), ORLANDO HEALTH FOUNDATION, INC. (EIN: 59-2244943), ORLANDO HEALTH CENTRAL, INC. (EIN:80-0764192), SOUTH LAKE HOSPITAL, INC. (EIN: 59-3322533), OSCEOLASC, LLC (EIN: 20-3728235), OHI WEST, INC. (EIN: 84-5074208), OHI WEST MEDICAL GROUP, LLC (EIN: 85-2733660), OHI WEST MEDICAL GROUP II, LLC (EIN: 92-3479126), OHRI, LLC (EIN: 47-2067699) AND ORLANDO PHYSICIANS NETWORK, INC. (EIN: 59-3110868) AND THEIR EMPLOYEES ARE INCLUDED ON THE ORLANDO HEALTH, INC. 941. THE ORLANDO HEALTH, INC. INDEPENDENT COMPENSATION COMMITTEE APPROVES ALL OFFICER COMPENSATION ARRANGEMENTS, WHICH REPORTS TO THE ORLANDO HEALTH BOARD OF DIRECTORS AND FOLLOWS IRS GUIDELINES.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	457(B) DEFERRED COMPENSATION PLAN: ELIGIBILITY TO PARTICIPATE IN THIS PLAN IS DETERMINED BY JOB CLASSIFICATION. THE PLAN ACCEPTS PRE-TAX EMPLOYEE CONTRIBUTIONS ONLY, AND THE AMOUNT OF THE CONTRIBUTION IS DETERMINED BY THE EMPLOYEE. PARTICIPANTS ARE AUTOMATICALLY VESTED IN THE PLAN, SINCE THERE ARE NO COMPANY CONTRIBUTIONS. THE TEAM MEMBER RETIREMENT PLAN OVERSIGHT COMMITTEE OVERSEES THE PLAN AND DETERMINES THE INVESTMENT OPTIONS WITH THE ASSISTANCE OF A THIRD-PARTY INVESTMENT ADVISORY FIRM. EXECU-FLEX 457(F) AND DIRECTOR/ADMIN 457(F) PLANS: ELIGIBILITY TO PARTICIPATE IN THESE PLANS IS DETERMINED BY JOB CLASSIFICATION. ANNUAL CONTRIBUTIONS TO THE PLAN OR PAYMENTS TO PARTICIPANTS WILL BE BASED ON A PERCENTAGE OF THE PARTICIPANT'S BASE SALARY AS OF NOVEMBER 1ST OF THE PRIOR PLAN YEAR. VESTING OCCURS FOR EACH ANNUAL CONTRIBUTION THREE YEARS AFTER THE CONTRIBUTION OCCURS. ONCE THE PARTICIPANT REACHES AGE 62, THEY ARE FULLY VESTED IN THE PLAN AND BEGIN TO RECEIVE ADDITIONAL WAGES IN LIEU OF CONTRIBUTIONS. THE TEAM MEMBER RETIREMENT PLAN OVERSIGHT COMMITTEE OVERSEES THE PLAN AND DETERMINES THE INVESTMENT OPTIONS WITH THE ASSISTANCE OF A THIRD-PARTY INVESTMENT ADVISORY FIRM. THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL QUALIFIED RETIREMENT PLAN. DEFERRAL DEPOSITS: DAVID W. STRONG $352,751 LESLIE FLAKE $143,100 ERICK R. HAWKINS $122,537 KELLY NIERSTEDT $109,375 THIBAUT VAN MARCKE DE LUMMEN $89,626 GEORGE A. RALLS $88,000 RYAN WILLIAM ZIKA $87,155 MARK A. JONES $59,678 DEFERRAL DISTRIBUTIONS MADE TO THE FOLLOWING: DAVID W. STRONG $556,755 JAMAL A. HAKIM MD $308,597 ERICK R. HAWKINS $148,335 MARK A. JONES $124,729 GREGORY P. OHE $102,031 KELLY NIERSTEDT $93,226 THIBAUT VAN MARCKE DE LUMMEN $70,346 GEORGE A. RALLS $62,301 RYAN WILLIAM ZIKA $44,288

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
ORANGE COUNTY HEALTH FACILITIES AUTHORITY
A	521378595	6845035U5	2008-06-18	$179,360,000	SEE PART IV	false	false	false
ORANGE COUNTY HEALTH FACILITIES AUTHORITY
B	521378595	68450LGA7	2019-07-03	$157,946,198	SEE PART IV	false	false	false
ORANGE COUNTY HEALTH FACILITIES AUTHORITY
C	521378595		2011-09-15	$83,175,000	SEE PART IV	false	false	false
ORANGE COUNTY HEALTH FACILITIES AUTHORITY
D	521378595	68450LER2	2016-04-27	$276,195,917	SEE PART IV	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Refunding EscrowRefundingEscrowAmt	Capital ExpendituresCapitalExpendituresAmt
A	$157,225,000	$179,362,824	$1,573,177	$1,053,969	$176,732,854	2008	Yes (true)	false	Yes (true)	Yes (true)
B	$80,475,000	$157,949,060				2019	false	Yes (true)	Yes (true)	Yes (true)	$157,946,198
C		$83,175,000	$309,605		$82,865,395	2011	Yes (true)	false	Yes (true)	Yes (true)
D	$4,390,000	$276,205,482	$2,250,398		$66,552,440	2016	Yes (true)	Yes (true)	Yes (true)	Yes (true)	$136,747,879	$70,645,200

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	Yes (true)	Yes (true)	false	0.0004	0.0004	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	false	0.0074	0.0074	false	false	Yes (true)
C	false	Yes (true)	Yes (true)	Yes (true)	false	0.0092	0.0092	false	false	Yes (true)
D	false	Yes (true)	Yes (true)	Yes (true)	false	0.0028	0.0028	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part I, Column (c) CUSIP # - Page 2 - ROW B	Both CUSIPS, 68450LGP4 and 68450LGQ2, apply to the Issuer and Bond identified in row B.
Schedule K, Part I, Column (f) DESCRIPTION OF PURPOSE - PAGE 1, ROW D	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
Schedule K, Part I, Column (f) DESCRIPTION OF PURPOSE - PAGE 1, ROW C	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.
Schedule K, Part I, Column (f) DESCRIPTION OF PURPOSE - PAGE 1, ROW B	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 I, Column (f) DESCRIPTION OF PURPOSE - PAGE 1, ROW A	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.
Schedule K, Part I, Column (f) DESCRIPTION OF PURPOSE - PAGE 2, ROW A	Series 2022 Hospital Revenue Bonds - Finance the construction and equipping of a new 180 bed hospital to be known as Orlando Health Lake Mary Hospital.
Schedule K, Part I, Column (f) DESCRIPTION OF PURPOSE - PAGE 2, ROW B	Series 2023A Hospital Revenue Bonds - Finance the construction and equipping of health care facilities in Longwood, Lakeland, Health Central, South Lk and Downtown Orlando.
Schedule K, Part II, Line 3 DIFFERENCE BETWEEN PROCEEDS	THE DIFFERENCE BETWEEN THE TOTAL PROCEEDS REPORTED ON LINE 3 AND THE ISSUE PRICE LISTED IN PART I, COLUMN (E) IS INVESTMENT EARNINGS.
Schedule K, Part IV, Line 2c COLUMN A	Issuer name: ORANGE COUNTY HEALTH FACILITIES AUTHORITY The calculation for computing no rebate due was performed on 06/18/2023
Schedule K, Part IV, Line 2c COLUMN B	Issuer name: ORANGE COUNTY HEALTH FACILITIES AUTHORITY The calculation for computing no rebate due was performed on 07/03/2024
Schedule K, Part IV, Line 2c COLUMN C	Issuer name: ORANGE COUNTY HEALTH FACILITIES AUTHORITY The calculation for computing no rebate due was performed on 09/15/2021
Schedule K, Part IV, Line 2c COLUMN D	Issuer name: ORANGE COUNTY HEALTH FACILITIES AUTHORITY The calculation for computing no rebate due was performed on 04/27/2021

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
ORANGE COUNTY HEALTH FACILITIES AUTHORITY
A	521378595	68450LGP4	2022-01-15	$351,412,255	SEE PART IV	false	false	false
ORANGE COUNTY HEALTH FACILITIES AUTHORITY
B	521378595	68450LHL2	2023-02-02	$333,743,161	SEE PART IV	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$355,167,013	$348,345,022	$6,821,991	2025	false	false	Yes (true)	Yes (true)
B	$343,543,147	$332,646,794	$10,896,353	2025	false	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4a	ORLANDO HEALTH IS ONE OF FLORIDA'S MOST COMPREHENSIVE PRIVATE, NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS. SINCE 1918, ORLANDO HEALTH HAS BEEN PART OF THE GREATER ORLANDO COMMUNITY, GROWING FROM A SINGLE HOSPITAL INTO AN AWARD-WINNING, NOT-FOR-PROFIT HEALTHCARE ORGANIZATION AND COMMUNITY-BASED NETWORK OF PHYSICIAN PRACTICES, HOSPITALS AND OUTPATIENT CARE CENTERS STRETCHING FROM THE GULF TO THE ATLANTIC COASTS. AS A LEADING HEALTHCARE RESOURCE THAT DELIVERS WORLD-CLASS MEDICAL CARE WHILE TRAINING OUR FUTURE HEALTHCARE PROVIDERS, ORLANDO HEALTH CONTINUES TO FOSTER GROWTH AND DEVELOPMENT ACROSS THE REGION. IN FY2024, OHI ANNOUNCED PLANS TO PARTNER WITH BAPTIST HEALTH AND EXPAND THE COMMUNITIES IT SERVES INTO CENTRAL ALABAMA. OUR SYSTEM IN FLORIDA 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 IN CENTRAL FLORIDA AND HOME TO THE AREA'S ONLY LEVEL ONE TRAUMA CENTER. FOR OVER 100 YEARS, ORLANDO HEALTH 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, ORLANDO HEALTH ORMC DELIVERS A COMPREHENSIVE CONTINUUM OF CARE FOR TRAUMA, CARDIOVASCULAR, STROKE, NEUROSCIENCE, ONCOLOGY, SURGERY, DIGESTIVE HEALTH, AND ORTHOPEDIC PATIENTS. IN ADDITION, ORLANDO HEALTH ORMC PROVIDES CENTRAL FLORIDA'S ONLY AIR AMBULANCE SERVICE AND IS ONE OF THE STATE'S MAJOR TEACHING HOSPITALS. THE 60 INPATIENT BEDS AT ORLANDO HEALTH CANCER INSTITUTE'S DOWNTOWN ORLANDO LOCATION AS WELL AS THE 75 PRIVATE INPATIENT ROOMS IN THE STATE'S FIRST ORTHOPEDIC SPECIALTY HOSPITAL AT ORLANDO HEALTH JEWETT ORTHOPEDIC INSTITUTE'S DOWNTOWN ORLANDO LOCATION ARE UNDER THE ORLANDO HEALTH ORMC UMBRELLA. ORLANDO HEALTH ARNOLD PALMER HOSPITAL FOR CHILDREN - FOR MORE THAN 25 YEARS, ORLANDO HEALTH ARNOLD PALMER HOSPITAL HAS BEEN A PLACE OF HOPE AND HEALING. DEDICATED EXCLUSIVELY TO THE HEALTHCARE NEEDS OF CHILDREN, ORLANDO HEALTH ARNOLD PALMER HOSPITAL OFFERS EXPERTISE IN A WIDE RANGE OF PEDIATRIC SPECIALTIES, INCLUDING CARDIOLOGY AND CARDIAC SURGERY, CRANIOMAXILLOFACIAL SURGERY, ENDOCRINOLOGY AND DIABETES, NEUROLOGY, AND GASTROENTEROLOGY. ORLANDO HEALTH ARNOLD PALMER HOSPITAL ALSO HOUSES CENTRAL FLORIDA'S ONLY PEDIATRIC LEVEL ONE TRAUMA CENTER AND EMERGENCY DEPARTMENT. THE HOWARD PHILLIPS CENTER FOR CHILDREN AND FAMILIES IS ALSO UNDER THE ORLANDO HEALTH ARNOLD PALMER HOSPITAL UMBRELLA. THROUGH THE HOWARD PHILLIPS CENTER, A CONTINUUM OF UNIQUE, SPECIALIZED SERVICES IS PROVIDED TO 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 2024, OVER 15,000 CHILDREN AND FAMILIES WERE SERVED THROUGH THE CENTER'S SIX SPECIALIZED PROGRAMS. ORLANDO HEALTH WINNIE PALMER HOSPITAL FOR WOMEN AND BABIES - DESIGNED TO MEET THE UNIQUE HEALTH NEEDS OF WOMEN AND BABIES, ORLANDO HEALTH WINNIE PALMER HOSPITAL PROVIDES A CARING, FAMILY-CENTERED ENVIRONMENT. THROUGH STATE-OF-THE-ART TECHNOLOGY AND A COMMITTED TEAM, ORLANDO HEALTH WINNIE PALMER'S LEVEL III NEONATAL INTENSIVE CARE UNIT (NICU) HAS ONE OF THE HIGHEST SURVIVAL RATES IN THE COUNTRY FOR LOW-BIRTHWEIGHT BABIES. A LEADER IN OBSTETRICS AND NEONATAL INTENSIVE CARE AS WELL AS COMPREHENSIVE HEALTHCARE FOR WOMEN THROUGHOUT ALL STAGES OF LIFE, THE HOSPITAL OFFERS A WIDE RANGE OF OBSTETRIC AND GYNECOLOGIC SERVICES. ORLANDO HEALTH DR. P. PHILLIPS HOSPITAL - A COMPREHENSIVE COMMUNITY HOSPITAL, ORLANDO HEALTH DR. P. PHILLIPS OFFERS A WIDE RANGE OF SPECIALIZED PROGRAMS AND SERVICES FOR OUR PATIENTS IN SOUTHWEST ORANGE COUNTY. THE FULL-SERVICE MEDICAL AND SURGICAL FACILITY OFFERS DIAGNOSTIC IMAGING, REHABILITATION AND SURGICAL SERVICES, INCLUDING VASCULAR, NEUROSURGERY, ONCOLOGY, ORTHOPEDICS AND THE MINIMALLY INVASIVE ROBOTIC SURGERY SYSTEMS. THE HOSPITAL ALSO INCLUDES CARDIOVASCULAR CARE AS A FULLY ACCREDITED CHEST PAIN CENTER AND HEART FAILURE PROGRAM, AND A DESIGNATED STROKE PROGRAM. HOME HEALTHCARE, WOUND CARE THERAPIES AND MULTIPLE SCLEROSIS COMPREHENSIVE CARE ALSO ARE PROVIDED. ORLANDO HEALTH - HEALTH CENTRAL HOSPITAL - SERVING OUR PATIENTS IN WEST ORANGE COUNTY, ORLANDO HEALTH - HEALTH CENTRAL IS A FULL-SERVICE ACUTE CARE COMMUNITY HOSPITAL PROVIDING ACCESS TO A WIDE RANGE OF SPECIALTY CARE. THE HOSPITAL PROVIDES SERVICES IN CARDIAC CARE, NEUROLOGY, NEUROSURGERY, ORTHOPEDIC AND SPINE CARE, ENDOCRINOLOGY, ONCOLOGY, WOUND CARE, MAMMOGRAPHY AND GENERAL SURGERY. THE HOSPITAL ALSO IS A PRIMARY STROKE CENTER. (FOR MORE INFORMATION ON THIS HOSPITAL AND ITS PROGRAM SERVICES, PLEASE SEE THE FORM 990 FOR ORLANDO HEALTH CENTRAL, INC.) ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL - SERVING SEMINOLE COUNTY, ORLANDO HEALTH SOUTH SEMINOLE IS A FULL-SERVICE COMMUNITY HOSPITAL OFFERING ADVANCED MEDICAL PROCEDURES AS WELL AS A FOCUS ON PREVENTION, WELLNESS AND COMMUNITY-OUTREACH SERVICES. AMONG ITS SERVICES ARE ENDOSCOPY, WOMEN'S HEALTH, BEHAVIORAL HEALTH, WOUND CARE AND HYPERBARIC MEDICINE. A VARIETY OF THERAPIES, INCLUDING PHYSICAL, OCCUPATIONAL AND SPEECH ARE AVAILABLE. IN JANUARY 2025, THE ACUTE CARE HOSPITAL BEDS RELOCATED TO ORLANDO HEALTH LAKE MARY HOSPITAL. WITH THAT MOVE TO A NEW AND LARGER FACILITY, A LABOR AND DELIVERY DEPARTMENT WAS ADDED. ORLANDO HEALTH SOUTH LAKE HOSPITAL - SERVING THE SOUTHERN REGION OF LAKE COUNTY, ORLANDO HEALTH SOUTH LAKE IS A FULLY ACCREDITED CHEST PAIN CENTER AND A BREAST IMAGING CENTER OF EXCELLENCE. THE OPENING OF A NEW FIVE-STORY PATIENT TOWER ADDED MORE THAN 50 BEDS AND BROUGHT MORE ADVANCED CARE AND ADDITIONAL WOMEN'S HEALTH SERVICES TO THE LAKE COUNTY COMMUNITY, INCLUDING SPECIALTY PRACTICES LIKE THE CENTER FOR MATERNAL-FETAL MEDICINE, CENTER FOR UROGYNECOLOGY, CENTER FOR MINIMALLY INVASIVE GYNECOLOGIC SURGERY AND AN ORLANDO HEALTH CANCER INSTITUTE BREAST CARE CENTER. THESE COMPLEMENT EXISTING SERVICES FOR CARDIAC, ORTHOPEDICS, REHABILITATION, OUTPATIENT SURGERY, WOUND CARE, ROBOTIC SURGERY, DIAGNOSTIC IMAGING, HOME HEALTHCARE AND THE NATIONAL TRAINING CENTER, A SPORTS AND WELLNESS FACILITY. (FOR MORE INFORMATION ON THIS HOSPITAL AND ITS PROGRAM SERVICES, PLEASE SEE THE FORM 990 FOR SOUTH LAKE HOSPITAL, INC.) ORLANDO HEALTH ST. CLOUD HOSPITAL - LOCATED IN OSCEOLA COUNTY, FLORIDA, ORLANDO HEALTH ST. CLOUD IS A FULL-SERVICE, ACUTE CARE HOSPITAL THAT DELIVERS COMPREHENSIVE EMERGENCY, INPATIENT AND OUTPATIENT SERVICES, INCLUDING FOR OUTPATIENT REHABILITATION, WOUND HEALING AND HYPERBARIC TREATMENTS. AMONG THE MEDICAL AND SURGICAL SERVICES OFFERED ARE CARDIOLOGY, CRITICAL CARE, DIGESTIVE HEALTH, ENDOCRINOLOGY, INFECTIOUS DISEASE, NEUROLOGY, ORTHOPEDICS, RADIOLOGY, REHABILITATION, AND MINIMALLY INVASIVE AND ROBOTIC SURGICAL PROCEDURES. IN ADDITION TO A BROAD RANGE OF SERVICES, ORLANDO HEALTH ST. CLOUD PROVIDES MODERN FACILITIES, ADVANCED TECHNOLOGY AND A SKILLED TEAM OF CARE PROVIDERS. ORLANDO HEALTH HORIZON WEST HOSPITAL - A 60-BED ACUTE CARE HOSPITAL LOCATED WEST OF ORLANDO, ORLANDO HEALTH HORIZON WEST IS ONE OF THE HEALTHCARE SYSTEM'S NEWEST FACILITIES. IT OPENED IN JANUARY 2021 AS A FULL-SERVICE COMMUNITY HOSPITAL WITH A 23-BED EMERGENCY DEPARTMENT, MEDICAL OFFICES AND AN OUTPATIENT REHABILITATION SUITE. IN SEPTEMBER 2024, HORIZON WEST WAS NAMED A CERTIFIED PRIMARY STROKE CENTER BY THE JOINT COMMISSION. (FOR MORE INFORMATION ON THIS HOSPITAL AND ITS PROGRAM SERVICES, PLEASE SEE THE FORM 990 FOR ORLANDO HEALTH CENTRAL, INC.) ORLANDO HEALTH BAYFRONT HOSPITAL - SINCE OCTOBER 1, 2020, THE 480-BED ORLANDO HEALTH BAYFRONT HOSPITAL IN ST. PETERSBURG AND ITS ASSOCIATED HEALTHCARE OPERATIONS HAVE BEEN PART OF ORLANDO HEALTH. LOCATED IN PINELLAS COUNTY, FLORIDA, ORLANDO HEALTH BAYFRONT PROVIDES A FULL RANGE OF DIVERSE SERVICES AND IS HOME TO THE ONLY STATE-ACCREDITED LEVEL II ADULT TRAUMA CENTER IN THE COUNTY. IT IS A TEACHING HOSPITAL THAT OFFERS COMPREHENSIVE SERVICES IN TRAUMA AND EMERGENCY CARE; ORTHOPEDICS, OBSTETRICS AND GYNECOLOGY; CARDIAC MEDICINE AND SURGERY (SPECIALIZING IN VALVE SURGERY); NEUROSCIENCES (WITH ITS OWN ACCREDITED EPILEPSY CENTER); SPORTS MEDICINE; SURGERY AND REHABILITATION. MORE THAN 600 PHYSICIANS ARE ON THE MEDICAL STAFF WITH SPECIALTIES RANGING FROM OPEN-HEART SURGERY TO FERTILITY TREATMENT. (FOR MORE INFORMATION ON THIS HOSPITAL AND ITS PROGRAM SERVICES, PLEASE SEE THE FORM 990 FOR OHI WEST, INC.)
Form 990, Part III, Line 4a CONTINUED	ORLANDO HEALTH ADVANCED REHABILITATION INSTITUTE - CERTIFIED BY THE COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES (CARF) IN COMPREHENSIVE INTEGRATED INPATIENT REHABILITATION PROGRAMS FOR CHILDREN, ADOLESCENTS AND ADULTS, ORLANDO HEALTH ADVANCED REHABILITATION INSTITUTE'S 54-BED SPECIALTY HOSPITAL IN WEST ORANGE COUNTY OFFERS A SEAMLESS TRANSITION OF CARE. AVAILABLE PROGRAMS AND SERVICES ARE TAILORED TO PATIENTS REQUIRING MEDICAL AND INTENSIVE REHABILITATIVE CARE FOLLOWING STROKE, TRAUMATIC BRAIN INJURY, SPINAL CORD INJURY, MULTIPLE ORTHOPEDIC INJURIES, AMPUTATION AND VARIOUS OTHER COMPLEX NEUROLOGICAL CONDITIONS. ORLANDO HEALTH IS HONORED TO OFFER THE REGION'S ONLY LEVEL ONE TRAUMA CENTER; PINELLAS COUNTY'S ONLY STATE-ACCREDITED LEVEL II ADULT TRAUMA CENTER; THE AREA'S FIRST HEART PROGRAM; LONG-STANDING COMMUNITY HOSPITALS; SPECIALTY HOSPITALS DEDICATED TO CHILDREN, WOMEN AND BABIES, AND ADVANCED REHABILITATION; AND SPECIALTY INSTITUTES IN AESTHETIC AND RECONSTRUCTIVE SURGERY, CANCER, COLON AND RECTAL, DIGESTIVE HEALTH, HEART AND VASCULAR, NEUROSCIENCE, ORTHOPEDICS AND WEIGHT LOSS. OUR TECHNOLOGY AND ADVANCED MEDICAL TREATMENTS AND PROCEDURES, ALONG WITH OUR EXPERT STAFF, HAVE DISTINGUISHED ORLANDO HEALTH AS A HEALTHCARE LEADER, PROVIDING ACCESS TO MORE THAN 2.9 MILLION CENTRAL FLORIDA RESIDENTS . IN FY2024, APPROXIMATELY ONE IN FOUR CENTRAL FLORIDA RESIDENTS WAS CARED FOR BY ORLANDO HEALTH. THE HEALTH SYSTEM IS ONE OF CENTRAL FLORIDA'S LARGEST EMPLOYERS WITH APPROXIMATELY 36,000 EMPLOYEES AND NEARLY 5,000 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 AND DELIVERING THOSE THROUGH THE MOST COMPASSIONATE CARE. IN FY24, ORLANDO HEALTH DELIVERED CARE THROUGH ITS 11 HOSPITALS, INCLUDING THREE SPECIALTY HOSPITALS, AS WELL AS 8 FREE-STANDING ERS AND NUMEROUS OUTPATIENT CENTERS. IN ITS FISCAL YEAR ENDED SEPTEMBER 30, 2024, THE ORLANDO HEALTH HOSPITAL SYSTEM SERVED APPROXIMATELY 242,000 INPATIENTS, OVER 1 MILLION OUTPATIENTS, AND MORE THAN 572,000 ER VISITS . IN ACCORDANCE WITH OUR MISSION, ORLANDO HEALTH PROVIDED APPROXIMATELY $818 MILLION IN TOTAL VALUE TO THE COMMUNITIES IT SERVED IN FISCAL YEAR ENDED SEPTEMBER 30, 2024, IN THE FORM OF CHARITY CARE, COMMUNITY BENEFIT PROGRAMS AND SERVICES, COMMUNITY-BUILDING ACTIVITIES AND MORE. WE OFFER COMMUNITY EDUCATION, SCHOOL INITIATIVES AND SUPPORT GROUPS. AS A STATUTORY TEACHING HOSPITAL, ORLANDO HEALTH PROVIDES A GROWING LIST OF RESIDENCY AND FELLOWSHIP PROGRAMS THAT ANNUALLY TRAIN MORE THAN 350 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 THAT PROVIDE PRIMARY CARE ACCESS. THESE INCLUDE PRIMARY CARE ACCESS NETWORK; TRUE HEALTH; COMMUNITY HEALTH CENTERS, INC.; ORANGE BLOSSOM FAMILY HEALTH; ORANGE COUNTY HEALTH SERVICES; OSCEOLA COMMUNITY HEALTH SERVICES; GRACE MEDICAL HOME AND SHEPHERD'S HOPE. RELATIONSHIPS WITH COMMUNITY ORGANIZATIONS LIKE THE ONES NAMED ARE IMPORTANT TO US AND REMAIN AT THE CENTER OF THE ORLANDO HEALTH COMMUNITY BENEFIT INITIATIVE. LEVEL ONE TRAUMA CENTER ORLANDO HEALTH ORMC IS HOME TO CENTRAL FLORIDA'S ONLY LEVEL ONE TRAUMA CENTER. NOT ALL HOSPITALS ARE TRAUMA CENTERS, AND NOT EVERY EMERGENCY DEPARTMENT CAN HANDLE EVERY EMERGENCY. A TRAUMA CENTER IS NOT AN EMERGENCY DEPARTMENT. A TRAUMA CENTER IS A STATE-ACCREDITED HOSPITAL FACILITY CAPABLE OF HIGHLY SPECIALIZED TREATMENT FOR THE MOST CRITICAL INJURIES. IN CENTRAL FLORIDA, THIS CARE CAN ONLY BE RECEIVED AT ORLANDO HEALTH ORMC. OUR LEVEL ONE TRAUMA CENTER FEATURES A MULTIDISCIPLINARY TEAM OF BOARD-CERTIFIED DOCTORS, NURSES, AND TECHNICIANS READY TO IMMEDIATELY TREAT THE MOST SEVERELY INJURED PATIENTS 24 HOURS A DAY, 7 DAYS A WEEK. COMPREHENSIVE TRAUMA CARE SERVICES INCLUDE DEDICATED, STATE-OF-THE-ART TRAUMA RESUSCITATION ROOMS, OPERATING ROOMS, RADIOLOGY, AND A 256-SLICE CT SCANNER. FOR TRAUMA CARE, THE ORLANDO HEALTH LEVEL ONE TRAUMA CENTER AND AIR CARE TEAM SERVE AS INTEGRAL RESOURCES FOR DISASTER READINESS AND RESPONSE PLANNING IN GREATER ORLANDO. IN FY 2024, ORLANDO HEALTH ORMC SAW 6,751 TRAUMA CASES AND THE AIR CARE TEAM TRANSPORTED 421 PATIENTS. BERT MARTIN'S CHAMPIONS FOR CHILDREN EMERGENCY DEPARTMENT AND TRAUMA CENTER AT ORLANDO HEALTH ARNOLD PALMER HOSPITAL PROVIDES LEVEL ONE TRAUMA CARE TO PEDIATRIC PATIENTS. IN FY 2024, ORLANDO HEALTH ARNOLD PALMER SAW 1,275 PEDIATRIC TRAUMA CASES. WOMEN'S AND CHILDREN'S HEALTH SERVICES ORLANDO HEALTH WINNIE PALMER HOSPITAL FOR WOMEN AND BABIES IS A STATE-DESIGNATED REGIONAL PERINATAL INTENSIVE CARE CENTER, WHICH REQUIRES THE PROVISION OF THE HIGHEST ACUITY NEONATAL SERVICES, PEDIATRIC SUBSPECIALIST SUPPORT AND HIGH-RISK OBSTETRICS. THE UNIQUE INTEGRATION OF THESE PROGRAMS AT ORLANDO HEALTH WINNIE PALMER DISTINGUISHES THE ORGANIZATION WITHIN ITS COMMUNITY. ADDITIONALLY, ORLANDO HEALTH WINNIE PALMER RECEIVED THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL FOR ADVANCED CERTIFICATION IN PERINATAL CARE (ACPC). IN 2023, IT WAS AMONG ONLY 17 FACILITIES ACROSS THE COUNTRY - AND THE FIRST IN FLORIDA - TO EARN THIS RECOGNITION. THE HOWARD PHILLIPS CENTER FOR CHILDREN AND FAMILIES IS A CENTER OF EXCELLENCE, HELPING CHILDREN, HEALING FAMILIES AND STRENGTHENING COMMUNITIES. THE CENTER PROVIDES HEALTHCARE TO TEENS FROM LOW-INCOME FAMILIES; SUPPORT AND EDUCATION FOR NEW PARENTS SO THEY MAY BUILD BETTER LIVES FOR THEMSELVES AND THEIR CHILDREN; MUCH NEEDED THERAPEUTIC SUPPORT FOR BABIES AND TODDLERS WITH DEVELOPMENTAL DISABILITIES AND DELAYS; AND A SAFE PLACE FOR CHILDREN TO RECOVER AND HEAL FROM THE TRAUMA OF ABUSE AND NEGLECT. IN FY 2024, THE HOWARD PHILLIPS CENTER FOR CHILDREN AND FAMILIES SERVED MORE THAN 15,000 CHILDREN AND THEIR FAMILIES. RESEARCH RESEARCH IS A KEY COMPONENT IN MAKING ORLANDO HEALTH A STATE-OF-THE-ART HEALTHCARE SYSTEM IN CENTRAL FLORIDA. THE HUMAN RESEARCH PROTECTIONS PROGRAM HAS TWO INSTITUTIONAL REVIEW BOARDS OVERSEEING ALL RESEARCH UNDER OH. IN FY2024, OH INVESTED MORE THAN $3.3 MILLION IN RESEARCH INFRASTRUCTURE, WITH ADDITIONAL FUNDS CONSISTENTLY SECURED FOR ONGOING RESEARCH ACTIVITIES, ENSURING LEADING-EDGE TREATMENTS REMAIN AVAILABLE TO PATIENTS. WITH MORE THAN 1,000 ACTIVE STUDIES ACROSS ADULT AND PEDIATRIC POPULATIONS, ORLANDO HEALTH'S RESEARCH ENTERPRISE SPANS A BROAD SPECTRUM OF CLINICAL SPECIALTIES, INCLUDING ONCOLOGY, CARDIOLOGY, DIGESTIVE HEALTH, ENDOCRINOLOGY, INFECTIOUS DISEASE, NEUROLOGY, NEUROSURGERY, PULMONARY MEDICINE, BARIATRICS, OBSTETRICS AND GYNECOLOGY, MATERNAL-FETAL MEDICINE, NEONATAL INTENSIVE CARE, ORTHOPEDICS, UROLOGY, EMERGENCY MEDICINE AND TRAUMATIC BRAIN INJURY. MANY OF THESE TRIALS OFFER ACCESS TO INNOVATIVE THERAPIES THAT ARE OTHERWISE UNAVAILABLE IN THE REGION. RESEARCH IS ALSO A FOUNDATIONAL ELEMENT OF ORLANDO HEALTH'S GRADUATE MEDICAL EDUCATION (GME) PROGRAMS. RESEARCH TRAINING AND SCHOLARLY ACTIVITY ARE REQUIRED COMPONENTS FOR ACGME ACCREDITATION, AND ORLANDO HEALTH SUPPORTS THE RESEARCH EFFORTS OF MORE THAN 330 RESIDENTS AND FELLOWS ACROSS 26 ACGME-ACCREDITED PROGRAMS, AS WELL AS OVER 70 FACULTY INVESTIGATORS. ALL RESIDENCY AND FELLOWSHIP PROGRAMS MUST DEMONSTRATE EVIDENCE OF SCHOLARLY ACTIVITIES, CONSISTENT WITH THE SPONSORING INSTITUTION'S MISSIONS AND AIMS. THIS SCHOLARLY ACTIVITY MAY INCLUDE RESEARCH IN BASIC SCIENCE, EDUCATION, TRANSLATIONAL, SCIENCE, PATIENT CARE, POPULATION HEALTH, QUALITY IMPROVEMENT AND PATIENT SAFETY INITIATIVES. THIS INTEGRATED APPROACH ENSURES THAT FUTURE PHYSICIANS ARE EQUIPPED TO BOTH INTERPRET AND GENERATE CLINICAL EVIDENCE, REINFORCING ORLANDO HEALTH'S COMMITMENT TO ADVANCING CARE AND MEDICAL KNOWLEDGE. HEALTH EDUCATION AS A STATUTORY TEACHING HOSPITAL WITH 43 TRAINING PROGRAMS - 11 RESIDENCY AND 32 FELLOWSHIP PROGRAMS - ORLANDO HEALTH CONSIDERS MEDICAL EDUCATION PART OF ITS CORE MISSION. WE SERVE AS A VALUABLE TRAINING SITE FOR MEDICAL STUDENTS FROM FLORIDA STATE UNIVERSITY, THE UNIVERSITY OF FLORIDA AND THE UNIVERSITY OF SOUTH FLORIDA, AS WELL AS FROM SCHOOLS THROUGHOUT THE UNITED STATES.
Form 990, Part III, Line 4a CONTINUED	VALUE TO THE COMMUNITY BY OFFERING THE BEST QUALITY OF CARE, RESPONDING TO COMMUNITY NEEDS AND CONCENTRATING RESOURCES IN AREAS THAT TRULY MAKE A DIFFERENCE, ORLANDO HEALTH MAINTAINS A LONGSTANDING TRADITION OF PROVIDING BENEFIT TO THE COMMUNITY. OUR COMMUNITY BENEFIT EFFORT IS A MEASURED APPROACH TO MEETING IDENTIFIED COMMUNITY HEALTH NEEDS, PARTICULARLY IN VULNERABLE, UNINSURED COMMUNITIES WITH FEW RESOURCES . AS A NOT-FOR-PROFIT, COMMUNITY-BASED ORGANIZATION, ORLANDO HEALTH IS DEDICATED TO IMPROVING THE HEALTH AND WELL-BEING OF THE PEOPLE WE SERVE. WE ARE COMMITTED TO CHARITY CARE, WHICH IS THE PROVISION OF MEDICAL ATTENTION AND SERVICES TO THE REGION'S MOST VULNERABLE AND UNINSURED, REGARDLESS OF A PATIENT'S ABILITY TO PAY, A PATIENT'S INSUFFICIENT HEALTH INSURANCE COVERAGE, OR THE EXISTENCE OF ANY GOVERNMENT-SPONSORED PROGRAMS COVERING THE FULL COST OF SERVICES. IN FY 2024, ORLANDO HEALTH PROVIDED $137,256,591 IN CHARITY CARE, AS WELL AS $109,401,514 IN COMMUNITY BENEFIT PROGRAMS AND SERVICES, AND $258,795,971 IN MEDICAID SHORTFALLS AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS. MANAGING MEDICATIONS TO PREVENT READMISSION THE 340B DRUG PRICING PROGRAM ENABLES ORLANDO HEALTH TO REDUCE THE PRICE OF PHARMACEUTICALS, PROVIDE FREE CARE, AND IMPLEMENT MEDICATION MANAGEMENT AND COMMUNITY HEALTH PROGRAMS FOR CENTRAL FLORIDA'S UNDERSERVED POPULATIONS. THE EDUCATION PROCESS STARTS DURING A PATIENT'S DISCHARGE FROM THE HOSPITAL WHEN MEDICATIONS ARE REVIEWED AND A FOLLOW-UP APPOINTMENT MADE. PATIENTS ARE ENCOURAGED TO BRING ALL THEIR PRESCRIPTIONS TO THEIR FIRST CLINIC VISIT. THE PHARMACIST SCOURS THE THERAPIES TO ASSESS POTENTIAL DRUG INTERACTIONS AND DOSAGE ISSUES, THEN EDUCATES THE PATIENT AS TO WHAT THEY ARE TAKING, WHAT IT DOES AND POTENTIAL SIDE EFFECTS. MORE THAN SIMPLY DISPENSING AND ORGANIZING PRESCRIPTIONS, THIS PROGRAM HAS DEVELOPED INTO A ONE-STOP SHOP FOR PATIENT SUPPORT AND CARE COORDINATION. THE CLINIC HELPS PATIENTS ORGANIZE MEALS ON WHEELS DELIVERIES, FIND HOUSING, AND DECIPHER FOOD LABELS AND SERVING SIZES. THEY HOLD SEMINARS, PROVIDE A PULSE OXIMETER, SCALE AND BLOOD PRESSURE CUFF FOR REMOTE PATIENT MONITORING, AND DISCUSS HOW INGREDIENTS LIKE SODIUM IMPACT SOME MEDICINES. SERVING VULNERABLE PREGNANT WOMEN MATERNAL AND INFANT HEALTH ARE FOCAL POINTS FOR ORLANDO HEALTH DUE TO THE LONG-TERM EFFECTS OF COMPLICATIONS SUCH AS GESTATIONAL DIABETES OR LOW BIRTHWEIGHTS. SUPPORTING PROGRAMS AND SERVICES THAT IMPROVE THE HEALTH OF MOTHERS AND INFANTS HAS SHOWN A POSITIVE, LASTING HEALTH TRAJECTORY. THIS IS TRUE FOR THE IMMEDIATE LIFESPAN OF AN INDIVIDUAL AND FOR THE FUTURE GENERATION OF FAMILIES RECEIVING SUCH PROGRAMS AND SERVICES. ORLANDO HEALTH WINNIE PALMER HOSPITAL FOR WOMEN AND BABIES RECEIVED A GRANT FROM AMERICAN ESSENTIALS HOSPITAL IN PARTNERSHIP WITH CVS HEALTH FOUNDATION TO ESTABLISH A TELEHEALTH PROGRAM FOR PATIENTS WHO RECENTLY DELIVERED AND WERE DIAGNOSED WITH HYPERTENSION OR DIABETES. THE PURPOSE OF THE TELEHEALTH MINORITY MATERNITY CARE PILOT PROGRAM IS TO LEVERAGE THE TELEHEALTH PLATFORM TO INCREASE ACCESS TO CARE, IMPROVE OBSTETRIC OUTCOMES AND REDUCE SEVERE MATERNAL MORBIDITY IN PREGNANT AND POSTPARTUM WOMEN. ELIGIBLE PATIENTS INCLUDE PREGNANT AND POSTPARTUM WOMEN WITH HYPERTENSIVE DISORDERS OF PREGNANCY (INCLUDING CHRONIC HYPERTENSION, GESTATIONAL HYPERTENSION, PREECLAMPSIA, PREECLAMPSIA WITH SEVERE FEATURES, HELLP (HEMOLYSIS, ELEVATED LIVER FUNCTION TESTING AND LOW PLATELETS) AND ECLAMPSIA. THESE PATIENTS RECEIVE TELEHEALTH VISITS FOCUSED ON BLOOD PRESSURE MONITORING, MEDICATION REVIEW, SCREENING FOR STROKE SYMPTOMS, SCREENING FOR MENTAL HEALTH CONDITIONS AND MORE. TELEHEALTH VISITS ARE ALSO USED FOR CONSULTATIONS, REFERRALS FOR GROUP MENTAL HEALTH COUNSELING, REFERRALS TO ORLANDO HEALTH REACH PROGRAM AND REFERRALS TO ALIGNED COMMUNITY PARTNERS IN ORANGE COUNTY. PROGRAM OBJECTIVES INCLUDE REDUCTIONS IN PREECLAMPSIA WITH SEVERE FEATURES; REDUCTIONS IN MEDICALLY INDICATED DELIVERY AT <35 WEEKS DUE TO MATERNAL OR FETAL CONDITION, ABRUPTION, FETAL OR NEONATAL DEATH; REDUCTIONS IN NICU ADMISSIONS; REDUCTIONS IN INTRAUTERINE GROWTH RESTRICTION; AND REDUCTIONS IN LOW-BIRTHWEIGHT NEONATES. DURING FY 2024, MORE THAN 670 PATIENTS WERE CONSENTED INTO THE PROGRAM. OF THOSE, 607 WERE SCREENED FOR NON-MEDICAL FACTORS THAT INFLUENCED THEIR HEALTH AND 594 WERE SCREENED FOR MENTAL HEALTH NEEDS. BASED ON RESPONSES DURING THE SCREENINGS, MORE THAN 660 PATIENTS WERE REFERRED TO COMMUNITY PARTNERS FOR ADDITIONAL SUPPORT. SEVENTY-THREE PERCENT OF THOSE REFERRED ENROLLED IN SERVICES WITH A COMMUNITY PARTNER. IN ADDITION, MORE THAN 235 FAMILIES RECEIVED BIWEEKLY FOOD DELIVERIES IN RESPONSE TO SCREENING POSITIVE FOR FOOD INSECURITY. THE PROGRAM WILL CONTINUE TO PROVIDE SUPPORT TO VULNERABLE PREGNANT WOMEN IN THE NEXT FISCAL YEAR. OF THOSE CONSENTED, 1,071 WERE SCREENED FOR SOCIAL DRIVERS OF HEALTH, AND 1,201 WERE SCREENED FOR MENTAL HEALTH NEEDS. BASED ON RESPONSES DURING THE SCREENINGS, MORE THAN 345 PATIENTS WERE REFERRED TO COMMUNITY PARTNERS FOR ADDITIONAL SUPPORT. SIXTY PERCENT OF THOSE REFERRED ENROLLED IN SERVICES WITH A COMMUNITY PARTNER. IN ADDITION, MORE THAN 350 FAMILIES RECEIVED BIWEEKLY FOOD DELIVERIES IN RESPONSE TO SCREENING POSITIVE FOR FOOD INSECURITY. THE PILOT PROGRAM WILL CONTINUE TO PROVIDE SUPPORT TO VULNERABLE PREGNANT WOMEN IN FY 2024. ADDITIONALLY, THE ORLANDO HEALTH COMMUNITY BENEFIT TEAM IDENTIFIED AN OPPORTUNITY TO SUPPORT THE EXPANSION OF THE MIDWIFE BUS PROGRAM IN ORANGE AND LAKE COUNTIES. THE MIDWIFE BUS PROVIDES PRE- AND POST-NATAL SERVICES TO UNINSURED OR UNDERINSURED PREGNANT WOMEN IN ORANGE AND LAKE COUNTIES. THE MIDWIFE BUS PARTNERS WITH ORLANDO HEALTH WINNIE PALMER HOSPITAL FOR WOMEN AND BABIES AND ORLANDO HEALTH SOUTH LAKE HOSPITAL TO REFER PATIENTS FOR DELIVERY AND INFANT CARE. RECENT FUNDING PROVIDED TO THE MIDWIFE BUS SUPPORTED THE PURCHASE AND RENOVATION OF AN ADDITIONAL BUS INTO A MOBILE MIDWIFERY CLINIC. HOWEVER, IN FALL OF 2023, THE ORIGINAL BUS AND PRIMARY MIDWIFERY CLINIC BECAME INOPERABLE. THE SECOND BUS, WHICH WAS SUPPORTED BY THIS FUNDING, BECAME THE PRIMARY AND ONLY MIDWIFE BUS CLINIC. IN FY2024, THE MIDWIFE BUS PROVIDED 155 CLIENT VISITS TO WOMEN IN ORANGE COUNTY. THE MIDWIFE BUS SUPPORTED 41 BIRTHS. OF THOSE 41 BIRTHS, 97 PERCENT WERE BABIES WITH APGAR SCORES FROM 7 TO 10, AND 98 PERCENT OF THE BABIES WERE BORN FULL TERM AND AT A HEALTHY BIRTHWEIGHT OF MORE THAN 5 POUNDS 8 OUNCES. ORLANDO HEALTH WILL CONTINUE TO WORK WITH PROGRAMS LIKE THE MIDWIFE BUS TO MAKE MEANINGFUL IMPROVEMENTS IN MATERNAL HEALTHCARE. CONFRONTING THE OPIOID CRISIS CONTINUING TO RESPOND TO THE OVERWHELMING NUMBER OF CENTRAL FLORIDA RESIDENTS DYING FROM DRUG OVERDOSES, ORLANDO HEALTH ORMC'S OPIOID OUTREACH COORDINATOR ASSESSES PATIENTS WHO PRESENT IN THE EMERGENCY ROOM WITH A POSSIBLE OVERDOSE. IN 2017, ORANGE COUNTY WAS AMONG FLORIDA'S TOP 10 COUNTIES WITH THE HIGHEST NUMBER OF DEATHS CAUSED BY OPIOIDS SUCH AS FENTANYL ANALOGS, OXYCODONE, ALPRAZOLAM AND METHADONE, AS WELL AS ACCIDENTAL DEATHS CAUSED BY PRESCRIPTION DRUGS. ASSIGNED TO THE EMERGENCY DEPARTMENT AT ORLANDO HEALTH ORMC, 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. TO CONTINUE THE SUPPORT AND EXPANSION OF THIS PROGRAM, THE OPIOID OUTREACH COORDINATOR ADMINISTERS NARCAN IN THE EMERGENCY ROOM AND WORKS WITH THE PHARMACY TO PRESCRIBE METHADONE THAT ENABLES PATIENTS TO PARTICIPATE IN MEDICALLY ASSISTED TREATMENT. THE OPIOID OUTREACH COORDINATOR ALSO WORKS WITH CAREER SOURCE TO IDENTIFY PATIENTS WHO ARE READY TO RE-ENTER THEIR COMMUNITY AND WORKFORCE THROUGH JOB SKILLS TRAINING AND EMPLOYMENT. IN FY2024, THE OPIOID OUTREACH COORDINATOR ASSESSED 902 PATIENTS. OF THOSE SEEN, 437 RECEIVED A REFERRAL TO FOLLOW-UP CARE OR TREATMENT, AND 285 PATIENTS INITIATED THE PROCESS TO BEGIN MEDICATION-ASSISTED TREATMENT.
Form 990, Part III, Line 4a CONTINUED	RESPONDING TO THE MENTAL HEALTH CRISIS IN FY2024, ORLANDO HEALTH CONTINUED RESPONDING TO AN IDENTIFIED NEED FOR ENHANCED MENTAL HEALTHCARE THROUGH A MENTAL HEALTH FIRST AID TRAINING PROGRAM. THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IDENTIFIED MENTAL HEALTH AS ONE OF THE TOP COMMUNITY NEEDS IN CENTRAL FLORIDA. IN ALL COUNTIES, SURVEY RESPONDENTS RANKED MENTAL HEALTH PROBLEMS, INCLUDING SUICIDE, AMONG THE TOP TWO NEEDS TO ADDRESS IN THEIR COMMUNITY. ONE WAY ORLANDO HEALTH ADDRESSED THE ISSUE WAS BY IMPLEMENTING A TRAINING PROGRAM THAT HELPS ONLOOKERS LEARN SKILLS TO ASSIST SOMEONE IN A MENTAL HEALTH CRISIS. THIS TRAINING IS FREE OF CHARGE TO COMMUNITY MEMBERS EITHER IN PERSON OR VIRTUALLY. THE CURRICULUM IS PROVIDED THROUGH THE NATIONAL COUNCIL OF MENTAL WELLBEING. IT IS DESIGNED FOR BYSTANDERS WHO MAY HAVE LITTLE TO NO MEDICAL TRAINING BUT MAY BE ABLE TO PROVIDE INITIAL SUPPORT TO SOMEONE IN MENTAL HEALTH CRISIS UNTIL THEY ARE CONNECTED WITH APPROPRIATE PROFESSIONAL HELP. THROUGH COMMUNITY-SPECIFIC SCENARIOS, ACTIVITIES AND VIDEOS, COURSE PARTICIPANTS LEARN COMMON SIGNS AND SYMPTOMS OF MENTAL HEALTH AND SUBSTANCE USE CHALLENGES, HOW TO INTERACT WITH A PERSON IN CRISIS AND HOW TO CONNECT A PERSON TO HELP AND RESOURCES IN THE COMMUNITY. SINCE LAUNCHING IN MAY 2023, WE HAVE ESTABLISHED FOUR MENTAL HEALTH FIRST AID TRAINERS AT ORLANDO HEALTH. WE HAVE TAUGHT 21 CLASSES TO 235 PARTICIPANTS. OF THOSE PARTICIPANTS WHO ATTENDED CLASS, MORE THAN 80% SAY THEY ARE MORE AWARE OF MENTAL HEALTH RESOURCES THAN PRIOR TO TAKING THE COURSE. TO ADDRESS MENTAL HEALTH CHALLENGES WITHIN THE COMMUNITY'S YOUTH POPULATION, ORLANDO HEALTH PARTNERED WITH BREAKTHROUGH ORANGE TO PROVIDE MENTAL HEALTH FIRST AID TO INDIVIDUALS WHO ENGAGE WITH THOSE 17 YEARS OLD AND YOUNGER. SINCE LAUNCHING, 3 CLASSES HAVE BEEN PROVIDED TO 20 INDIVIDUALS. OF THOSE WHO ATTENDED TRAINING, MORE THAN 80% STATED THEY ARE MORE AWARE OF MENTAL HEALTH RESOURCES THAN PREVIOUSLY. CONNECTING THE COMMUNITY TO ESSENTIAL RESOURCES TO SUPPORT BETTER ACCESS TO CARE THROUGH COMMUNITY COLLABORATION, ORLANDO HEALTH IN FY2024 BEGAN THE PROCESS OF ONBOARDING FINDHELP, AN ONLINE REFERRAL SYSTEM THAT SEAMLESSLY CONNECTS OUR COMMUNITY WITH ESSENTIAL SOCIAL AND HEALTH SERVICES, INCLUDING FINANCIAL ASSISTANCE, FOOD PANTRIES, MEDICAL CARE AND OTHER FREE OR REDUCED-COST RESOURCES. WITH THE INTEGRATION OF FINDHELP INTO THE HEALTHCARE SYSTEM'S ELECTRONIC HEALTH RECORD, OUR PHYSICIANS AND TEAM MEMBERS NOW HAVE EASY ACCESS TO FINDHELP'S EXTENSIVE NETWORK OF PROGRAMS AND RESOURCES - EMPOWERING THEM TO PROVIDE COMPREHENSIVE SUPPORT FOR EVERY PATIENT AND ENHANCING HEALTHCARE QUALITY, SAFETY AND PATIENT SATISFACTION. THE RESOURCE WILL BE INTRODUCED TO TEAM MEMBERS THROUGH A PHASED ROLLOUT IN FY2025. DURING THAT TIME, WE WILL BEGIN EVALUATING THE NUMBER OF SEARCHES CONDUCTED AND THE NUMBER OF REFERRALS MADE THROUGH THE PLATFORM. 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. UTILIZING EVIDENCE-BASED BEST PRACTICES, THE TEAM IDENTIFIES AN INDIVIDUAL'S DISEASE RISKS AND PROVIDES 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. COMMUNITY PARTNERSHIPS THE TRUE VALUE OF COMMUNITY BENEFIT IS DERIVED NOT ONLY FROM PROGRAMS AND SERVICES THAT AN ORGANIZATION PROVIDES, BUT FROM THE RELATIONSHIPS IT CULTIVATES. ORLANDO HEALTH HAS BEEN FORTUNATE TO PROVIDE BENEFITS BEYOND TRADITIONAL HEALTHCARE PROGRAMS THROUGH PARTNERSHIP OPPORTUNITIES WITH 380 COMMUNITY ORGANIZATIONS AND BY PROVIDING 8,852 BOARD MEMBER, COMMITTEE MEMBER AND ADVISORY BOARD MEMBER HOURS. IN FY 2024, ORLANDO HEALTH DEVELOPED NEW AND ENHANCED EXISTING COMMUNITY BENEFIT PROGRAMS TO IMPROVE ACCESS TO CARE. ORLANDO HEALTH PROVIDED OVER $505 MILLION IN COMMUNITY BENEFIT IN FY 2024. IN SUPPORT OF OUR COMMUNITY BENEFIT EFFORTS, WE RECOGNIZE THE IMPORTANCE OF WORKING WITH COMMUNITY ORGANIZATIONS. THE ORLANDO HEALTH COMMUNITY GRANT PROGRAM, SUPPORTED 20 GRANT PROPOSALS IN FY 2024, AND THE HEALTHCARE SYSTEM CONTINUED TO ACTIVELY COLLABORATE WITH ADDITIONAL LOCAL ORGANIZATIONS AND GROUPS TO MAKE A DIFFERENCE IN THE HEALTH AND QUALITY OF LIFE IN CENTRAL FLORIDA. 1. ORLANDO HEALTH PARTNERED WITH GRACE MEDICAL HOME TO PROVIDE FUNDING FOR ITS HEALING BY OFFERING POSSIBILITIES AND ENCOURAGEMENT PROGRAM (HOPE). THIS PROGRAM FOCUSES ON PROVIDING WHOLE-PATIENT CARE THAT IDENTIFIES A PATIENT'S TOXIC TRAUMA AND OFFERS INDIVIDUALIZED INTERVENTIONS THROUGH A MULTI-DISCIPLINARY APPROACH IN A MEDICAL HOME SETTING. PART OF THIS FUNDING ENABLED GRACE MEDICAL TO HIRE A CLINICAL COUNSELOR, GIVING PATIENTS INCREASED ACCESS TO MENTAL HEALTH COUNSELING AND RESOURCES TO RESOLVE ISSUES ASSOCIATED WITH TOXIC STRESS. FOLLOWING THE SCREENING FOR ADVERSE CHILDHOOD EXPERIENCES (ACES), CLIENTS RECEIVE SERVICES SUCH AS MENTAL HEALTH COUNSELING, MENTORING, PARENTING CLASSES, NUTRITION PROGRAMS AND SPIRITUAL CARE. DURING FY2024, 83 CHILDREN WERE SCREENED FOR ACES AND 47 WERE REFERRED INTO THE PROGRAM. OF THOSE 47 REFERRALS, 18 HAVE MET WITH A MENTAL HEALTH COUNSELOR AND MORE THAN 900 COUNSELING SESSIONS HAVE BEEN PROVIDED TO NEW AND EXISTING PATIENTS. THIS PROGRAM WILL CONTINUE THROUGH FY2025. ADDITIONALLY, ORLANDO HEALTH PARTNERED WITH GRACE MEDICAL HOME TO HELP FUND ITS ACCESS TO AFFORDABLE MENTAL HEALTH COUNSELING PROGRAM. THIS PROGRAM PROVIDES ACCESS TO AFFORDABLE HEALTHCARE AND MENTAL HEALTH SERVICES FOR LOW-INCOME, UNINSURED RESIDENTS OF ORANGE COUNTY AND INCLUDES COUNSELING, MEDICATION MANAGEMENT, AND CASE MANAGEMENT. IN FY 2024, THIS PROGRAM PROVIDED ACCESS TO 223 INDIVIDUALS. OF THESE INDIVIDUALS, 12 REFERRALS WERE MADE TO THEIR PSYCHIATRIC APRN WITH A TOTAL OF 35 APPOINTMENTS COMPLETED. THIS PROGRAM ALSO RESULTED IN 74 REFERRALS MADE TO A MENTAL HEALTH COUNSELOR AND 265 APPOINTMENTS MADE TO A MENTAL HEALTH COUNSELOR. 2. TO ADDRESS ACCESS TO CARE, THE ORLANDO HEALTH COMMUNITY BENEFIT TEAM PARTNERED WITH PATHWAY HOMES OF FLORIDA. THE HOMELESS TO HOME - KEY TO ACCESS TO MENTAL AND PHYSICAL HEALTHCARE PROGRAM FOCUSES ON INCREASING INCOME AND ACCESS OF HEALTHCARE FOR INDIVIDUALS WHO WERE FORMERLY OR CURRENTLY EXPERIENCING HOMELESSNESS. IN THE PROGRAM, CASE MANAGERS SUPPORT CLIENTS APPLYING FOR SOCIAL SECURITY INCOME AND MEDICARE OR MEDICAID BENEFITS. ONCE OBTAINED, INDIVIDUALS ARE CONNECTED TO MEDICAL, SOCIAL, AND/OR EMPLOYMENT SERVICES. IN FY2024, 15 INDIVIDUALS RECEIVED SUPPORT APPLYING FOR SOCIAL SECURITY DISABILITY INSURANCE (SSDI). EVEN THOUGH THE PROCESS TO BE APPROVED FOR SSDI IS LENGTHY, FIVE INDIVIDUALS WERE APPROVED FOR SSDI AND THREE ARE IN THE PROCESS OF APPEALING THEIR SSDI DECISION. ALL 15 OF THE INDIVIDUALS WHO APPLIED FOR SSDI WERE CONNECTED TO A MEDICAL HOME AND ARE ACTIVELY SEEKING PRIMARY CARE FROM THEIR MEDICAL HOME. ELEVEN INDIVIDUALS GAINED ACCESS TO INSURANCE AS A RESULT OF THE PROGRAM - SIX RECEIVING MEDICAID AND FIVE RECEIVING MEDICARE. ORLANDO HEALTH WILL CONTINUE TO SUPPORT THE HOMELESS TO HOME - KEY TO ACCESS TO MENTAL AND PHYSICAL HEALTHCARE PROGRAM FOR RESIDENTS OF ORANGE COUNTY. 3. IN FY2024, ORLANDO HEALTH CONTINUED ITS FUNDING TO THE COALITION FOR THE HOMELESS OF CENTRAL FLORIDA TO INCREASE ACCESS TO CARE FOR FAMILIES AND INDIVIDUALS EXPERIENCING HOMELESSNESS. THE PROGRAM PROVIDES HEALTH SCREENINGS FOR NEW SHELTER GUESTS, FACILITATES REFERRALS FOR MEDICAL CARE, EDUCATES SHELTER GUESTS AND STAFF ON HEALTH- AND WELLNESS-RELATED TOPICS, AND TRAINS CASE MANAGERS IN MENTAL HEALTH FIRST AID. IN FY2024, 1,063 SHELTER GUEST RECEIVED A HEALTH AND WELLNESS SCREENING. FOLLOWING THE SCREENING, 140 SHELTER GUESTS WERE CONNECTED TO A LOCAL FEDERALLY QUALIFIED HEALTH CENTER. OF THOSE 140, 109 INDIVIDUALS ATTENDED THEIR APPOINTMENTS TO ESTABLISH A MEDICAL HOME. ORLANDO HEALTH WILL CONTINUE TO PARTNER WITH THE COALITION FOR THE HOMELESS OF CENTRAL FLORIDA TO INCREASE ACCESS TO CARE FOR INDIVIDUALS EXPERIENCING HOMELESSNESS. 4. IN FY2024, ORLANDO HEALTH ST. CLOUD HOSPITAL PROVIDED FUNDING TO OSCEOLA COMMUNITY HEALTH SERVICES TO INCREASE ACCESS TO PRIMARY HEALTHCARE MEDICAL, BEHAVIORAL/MENTAL HEALTH AND DENTAL SERVICES FOR THE HOMELESS AND THOSE LIVING IN MOTELS WHO WOULD BE OTHERWISE HOMELESS. OSCEOLA COMMUNITY HEALTH SERVICES OPERATES TWO FULLY EQUIPPED MOBILE UNITS, ONE FOR PRIMARY MEDICAL AND BEHAVIORAL/MENTAL HEALTH SERVICES AND ANOTHER FOR DENTAL SERVICES. DURING FY2024, 571 HOMELESS PATIENTS RECEIVED CARE THROUGH A TOTAL OF 1,505 WELLNESS VISITS. OF THOSE VISITS, 794 WERE FOR MEDICAL CARE, 518 FOR DENTAL CARE AND 193 FOR MENTAL HEALTHCARE.
Form 990, Part III, Line 4a CONTINUED	5. IN 2022, ORLANDO HEALTH ORMC IDENTIFIED AN OPPORTUNITY TO ADDRESS THE HIV EPIDEMIC IN CENTRAL FLORIDA. DATA FOUND IN THE 2022 CHNA STATES THAT FROM 2018 - 2020, ORANGE AND OSCEOLA COUNTIES HAD A HIGHER RATE OF HIV CASES (31.1 AND 22.6 PER 100,000) THAN FLORIDA AT 20.0. ORLANDO HEALTH PARTNERED WITH THE FLORIDA DEPARTMENT OF HEALTH IN ORANGE COUNTY TO LAUNCH AN HIV OUTREACH COORDINATOR PROGRAM AT ORLANDO HEALTH ORMC. FUNDING PROVIDED BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES AND SUB-AWARDED TO ORLANDO HEALTH SUPPORTS THIS PROGRAM THROUGH MARCH 2025. THROUGH THIS PROGRAM, THE HIV OUTREACH COORDINATOR TESTS, TREATS AND EDUCATES PERSONS WHO SCREEN POSITIVE OR ARE ALREADY LIVING WITH HIV. THE COORDINATOR CAN ASSIST WITH PATIENTS OBTAINING PROPER MEDICAL CARE AND MAKING APPROPRIATE REFERRALS FOR TREATMENT WHEN NEEDED. IN FY2024, MORE THAN 1,900 HIV TESTS WERE PERFORMED, 76 PATIENTS RECEIVED POSITIVE HIV RESULTS THROUGH TESTING AND 21 PATIENTS ATTENDED THEIR FIRST HIV APPOINTMENT. IN ADDITION TO THESE CASES, THE HIV OUTREACH COORDINATOR LINKED TO MEDICAL CARE 37 KNOWN HIV PATIENTS WHO WERE NOT SEEKING TREATMENT AT THE TIME. WHILE ONE IN SEVEN PEOPLE IN CENTRAL FLORIDA FACE FOOD INSECURITY, THAT FIGURE IS EVEN MORE DRAMATIC FOR CHILDREN, ONE IN FIVE OF WHOM DON'T KNOW WHEN OR FROM WHERE THEIR NEXT MEAL WILL COME. IN OUR SIX-COUNTY MARKET, NEARLY HALF A MILLION PEOPLE FACE FOOD INSECURITY. AN ANALYSIS OF COUNTY DATA ON HEALTH INDICATORS AND FOOD INSECURITY SHOWS THAT COMMUNITIES WITH THE HIGHEST RATES OF FOOD INSECURITY FACE A HIGHER PREVALENCE FOR DISEASES AND OTHER MEASURES TIED TO POOR HEALTH. TO HELP ADDRESS THIS SITUATION, ORLANDO HEALTH HAS EMBRACED FOOD AND NUTRITION PROGRAMS SUCH AS THESE: 1. THROUGH THE COLLABORATIVE HUNGER PREVENTION PROJECT, ORLANDO HEALTH ASSISTS IN CONNECTING FOOD INSECURE HOUSEHOLDS WITH THE NUTRITIOUS FOOD THEY NEED. A PORTION OF THE FUNDING ENSURES MORE THAN 1,600 LOCAL STUDENTS AND THEIR FAMILIES HAVE ACCESS TO NUTRITIOUS FOOD DURING THE ACADEMIC YEAR. THE SECOND PORTION OF THE PROJECT PROVIDES HEALTHY FOOD RESOURCES AND LINKAGES TO OTHER COMMUNITY RESOURCES FOR ORANGE BLOSSOM FAMILY HEALTH PATIENTS WHO HAVE BEEN DIAGNOSED WITH DIABETES AND ARE EXPERIENCING FOOD INSECURITY. ORANGE BLOSSOM FAMILY HEALTH IDENTIFIES PATIENTS EXPERIENCING DIABETES, A CHRONIC DIET-RELATED ILLNESS, AND SCREENING THEM FOR FOOD INSECURITY. PATIENTS WHO MEET INCLUSION CRITERIA RECEIVE HEALTHY FOOD BOXES FROM SECOND HARVEST FOOD BANK OF CENTRAL FLORIDA DELIVERED ON A BI-WEEKLY BASIS FOR UP TO 6 MONTHS VIA THE BRING HOPE HOME PROGRAM MODEL. EMERGENCY FOOD BOXES CONTAINING SHELF-STABLE ITEMS ARE AVAILABLE IN THE DIABETES CLINIC FOR IMMEDIATE PATIENT NEEDS. THE PROGRAM LAUNCHED IN FY 2024. FROM MAY TO SEPTEMBER 2024, 351 ORANGE BLOSSOM FAMILY HEALTH PATIENTS WITH DIABETES WERE SCREENED FOR FOOD INSECURITY. AS A RESULT, 227 HOUSEHOLDS WERE REFERRED TO A COMMUNITY HEALTH WORKER (CHW) TO PROVIDE WRAPAROUND SUPPORT. ONE HUNDRED AND NINE OF THE HOUSEHOLDS REFERRED TO THE COMMUNITY HEALTH WORKER WERE THEN ENROLLED IN THE BRING HOPE HOME FOOD DELIVERY PROGRAM. THOSE 109 HOUSEHOLDS REPRESENTED 367 INDIVIDUALS WHO RECEIVED FOOD SUPPORT. A TOTAL OF 617 FOOD BOXES FILLED WITH 8,250 POUNDS OF FOOD WERE DELIVERED TO PATIENTS EXPERIENCING FOOD INSECURITY. WE LOOK FORWARD TO SHARING ADDITIONAL OUTCOMES IN OUR NEXT UPDATE. 2. ORLANDO HEALTH ARNOLD PALMER HOSPITAL FOR CHILDREN CONTINUES TO SPONSOR A TEACHING GARDEN AND NUTRITION PROGRAM AT ORANGE CENTER ELEMENTARY IN THE STRUGGLING COMMUNITY OF PARRAMORE. THROUGHOUT THE YEAR, STUDENTS AND TEACHERS TEND TO THE GARDEN, PULLING RIPE VEGETABLES TO USE IN SCHOOL COOKING CLASSES, TAKE HOME TO THEIR FAMILIES OR SELL TO COMMUNITY MEMBERS. TO HELP IMPROVE LIFESTYLE CHOICES, DIETITIANS FROM ORLANDO HEALTH ARNOLD PALMER VISIT THE SCHOOL TO TEACH STUDENTS ABOUT NUTRITION. QUALITY IN KEEPING WITH ITS MISSION TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND COMMUNITIES IT SERVES, ORLANDO HEALTH IS COMMITTED TO CONSISTENTLY DELIVERING THE HIGHEST QUALITY CARE FOR ADULT AND PEDIATRIC PATIENTS AT ALL LEVELS OF MEDICAL COMPLEXITY. IN THIS WAY, THE ORGANIZATION DEMONSTRATES NOT ONLY ITS CORE VALUES BUT HOW IT ELEVATES THE LIVES OF ITS PATIENTS. EXAMPLES OF ORLANDO HEALTH'S CONTINUOUS IMPROVEMENT EFFORTS INCLUDE: DEDICATED LEADERSHIP RESOURCES FOCUSED ON QUALITY OUTCOMES EACH ORLANDO HEALTH HOSPITAL QUALITY TEAM IS LED BY AN ONSITE CHIEF QUALITY OFFICER (CQO) OR CHIEF MEDICAL OFFICER (CMO). THESE EXPERIENCED PHYSICIANS AND ADVANCED PRACTITIONERS OVERSEE REVIEWS OF EVERY MORTALITY, COMPLICATION, AND SERIOUS SAFETY EVENT AT THEIR RESPECTIVE CAMPUS. THESE CLINICAL EXECUTIVES ALSO ARE RESPONSIBLE FOR ACTIVELY IDENTIFYING CARE GAPS AND IMPLEMENTING SOLUTIONS TO ENSURE OUTCOMES ARE OPTIMIZED. AS AN EXAMPLE, AGGRESSIVE AND WELL-COORDINATED CORRECTIVE ACTIONS IMPLEMENTED AT EVERY SITE IN RESPONSE TO HEALTHCARE ASSOCIATED INFECTIONS (HAI) HAS RESULTED IN WORLD-CLASS PERFORMANCE IN REDUCING THIS AVOIDABLE COMPLICATION OF CARE. ADDITIONALLY, SYSTEM-LEVEL RESOURCES HELP ENSURE A STANDARDIZED AND SYSTEMATIC ASSESSMENT OF QUALITY PERFORMANCE ACROSS ALL ORLANDO HEALTH CARE TEAMS. THE DEVELOPMENT OF SHARED AND FOCUSED IMPROVEMENT PLANS IN PARTNERSHIP WITH THE ONSITE QUALITY LEADERS DELIVERS BETTER CARE FOR OUR PATIENTS AND THEIR FAMILIES. CLOSING GAPS OF CARE INVESTMENTS IN STRATEGIES THAT CLOSE THE GAPS OF CARE FOR OUR PATIENTS HAVE RESULTED IN PROGRAMS SUCH AS HOUSE CALLS, REMOTE PATIENT MONITORING SERVICES, ASSISTANCE WITH TRANSPORTATION NEEDS, EVER-EXPANDING TELEHEALTH SERVICES AND CONDITION-SPECIFIC INITIATIVES FOR PATIENTS AT A HIGHER RISK FOR POOR HEALTH OUTCOMES. THESE NEWER PROGRAMS ARE THE LATEST EXAMPLES OF HOW ORLANDO HEALTH REACHES BEYOND THE "BASICS" OF QUALITY CLINICAL CARE TO FIND CREATIVE SOLUTIONS THAT ADDRESS HEALTHCARE GAPS WITHIN OUR COMMUNITIES. COMMITMENT TO REDUCING AVOIDABLE MORTALITY MORTALITY RATE IS A CRITICAL MEASURE OF QUALITY OF CARE IN ACUTE CARE SETTINGS. ORLANDO HEALTH HOSPITALS CONTINUE TO SHOW EXCEPTIONAL PERFORMANCE IN ALL-CAUSE INPATIENT MORTALITY AND CONTINUALLY IMPROVING PERFORMANCE IN DISEASE-SPECIFIC, 30- DAY MORTALITY MEASURES WHEN COMPARED TO PEER ORGANIZATIONS. SYSTEMWIDE EFFORTS TO REDUCE MORTALITY ARE COORDINATED BY A CORPORATE QUALITY TEAM THAT WORKS CLOSELY WITH EACH SITE'S QUALITY LEADERSHIP. ALL MORTALITIES ARE REVIEWED FOR OPPORTUNITIES FOR IMPROVEMENT, RESULTING IN SIGNIFICANT CLINICAL AND OPERATIONAL ENHANCEMENTS. ONE EXAMPLE IS THE IMPLEMENTATION OF IMPROVED EARLY WARNING SYSTEMS THAT ALERT CLINICIANS ABOUT DETERIORATION OF A PATIENT'S CONDITIONS BEFORE ADDITIONAL CONSEQUENCES ENSUE. THIS EFFORT ENABLES EARLIER INTERVENTION AND HAS DIRECTLY IMPACTED MORTALITY MEASURES AT ALL SITES. FOCUS ON REDUCING HEALTHCARE ASSOCIATED INFECTIONS (HAI) A MULTI-YEAR, SYSTEMWIDE CAMPAIGN TO REDUCE HAIS HAS SIGNIFICANTLY REDUCED THESE HARM EVENTS ACROSS ORLANDO HEALTH HOSPITALS. TO DATE, ORLANDO HEALTH HOSPITALS ARE AMONG THE TOP PERFORMERS IN THE COUNTRY IN AVOIDING HAIS, REDUCING MORBIDITY FOR PATIENTS AND UNNECESSARY COSTS OF CARE. TO REACH THIS GOAL, THE ORGANIZATION DEVELOPED BEST-PRACTICE PREVENTION BUNDLES FOR EACH INFECTION TYPE, CLOSELY MONITORED PROCESS AND OUTCOME MEASURES, INCREASED AWARENESS OF HAI OCCURRENCES ACROSS ALL LEVELS OF LEADERSHIP, AND COMMUNICATED OPPORTUNITIES FOR IMPROVEMENT IN A SYSTEMATIC WAY. THIS ENABLED ALL SITES TO PROACTIVELY IMPLEMENT SOLUTIONS TO COMMON PROBLEMS OCCURRING BEYOND THEIR DIRECT SCOPE OF RESPONSIBILITY. ENGAGEMENT OF THE MEDICAL STAFF ACROSS THE ORGANIZATION TO SUPPORT QUALITY IMPROVEMENT AS THE VISIBLE CLINICAL LEADERS IN ANY HEALTHCARE SETTING, PHYSICIANS ON THE FRONTLINE AND IN LEADERSHIP POSITIONS ARE CRITICAL TO DELIVERING THE BEST CARE POSSIBLE. ORLANDO HEALTH HAS ACTIVELY ENGAGED ITS MEDICAL STAFF IN NUMEROUS EFFORTS TO IMPROVE OUTCOMES, ENVISION MORE EFFECTIVE AND EFFICIENT CLINICAL PROCESSES, AND DEVELOP SOLUTIONS FOR COMPLEX PROBLEMS. RECENT RESTRUCTURING OF THE PHYSICIAN PEER REVIEW PROCESS NOW MORE HEAVILY RELIES ON MEDICAL STAFF MEMBERS APPOINTED TO SITE-SPECIFIC AND SYSTEM-LEVEL COMMITTEES TO REVIEW AND ADDRESS QUALITY CONCERNS INVOLVING OTHER MEDICAL STAFF MEMBERS. ADDITIONALLY, PHYSICIAN LEADERS ARE PRINCIPAL MEMBERS OF CLINICAL AND OPERATIONAL WORKGROUPS TO ADDRESS PROBLEMS SUCH AS REDUCING AVOIDABLE READMISSIONS, REVIEWING MORTALITIES, IMPLEMENTING NEW MEDICAL DEVICES, AND OPTIMIZING INFORMATION TECHNOLOGIES TO IMPROVE CARE. THIS LEVEL OF ENGAGEMENT IS A DIRECT RESULT OF THE CLOSE AND MUTUALLY SUPPORTIVE RELATIONSHIP BETWEEN THE ORLANDO HEALTH MEDICAL STAFF AND ADMINISTRATIVE LEADERSHIP.
Form 990, Part III, Line 4a CONTINUED	ACHIEVING RECOGNITION FOR QUALITY FROM TOP-TIER EXTERNAL ORGANIZATIONS ACROSS A SPECTRUM OF SERVICES AND FACILITIES, ORLANDO HEALTH HAS BEEN RECOGNIZED BOTH LOCALLY AND NATIONALLY WITH A VARIETY OF AWARDS. THE FOLLOWING ARE EXAMPLES OF RECENT AWARDS AND DESIGNATIONS: ORLANDO HEALTH HOSPITALS RECEIVED TOP-50 NATIONAL RANKINGS IN CARDIOLOGY, HEART AND VASCULAR SURGERY, AND DIABETES AND ENDOCRINOLOGY FOR 2024-2025 FROM U.S. NEWS & WORLD REPORT. IN ADDITION TO THESE TWO PROGRAMS, ORLANDO HEALTH ORMC, ORLANDO HEALTH SOUTH SEMINOLE AND ORLANDO HEALTH DR. P. PHILLIPS RANKED NATIONALLY IN FOUR SPECIALTIES: GASTROENTEROLOGY AND GI SURGERY, GERIATRICS, PULMONOLOGY AND LUNG SURGERY, AND UROLOGY. ORLANDO HEALTH ORMC, ORLANDO HEALTH SOUTH SEMINOLE AND ORLANDO HEALTH DR. P. PHILLIPS ALSO EARNED DESIGNATIONS AS REGIONAL BEST HOSPITALS AND NATIONALLY HIGH-PERFORMING HOSPITALS FOR 2024-2025 FROM U.S. NEWS & WORLD REPORT. ORLANDO HEALTH RATED HIGH PERFORMING IN 11 CATEGORIES: AORTIC VALVE SURGERY; CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD); COLON CANCER SURGERY; GYNECOLOGIC CANCER SURGERY; HEART ATTACK; HEART BYPASS SURGERY; HEART FAILURE; KIDNEY FAILURE; KNEE REPLACEMENT; LEUKEMIA, LYMPHOMA AND MYELOMA; AND LUNG CANCER SURGERY. FOR THE 15TH CONSECUTIVE YEAR, U.S. NEWS & WORLD REPORT RECOGNIZED ORLANDO HEALTH ARNOLD PALMER (TOGETHER WITH ORLANDO HEALTH WINNIE PALMER) AS A BEST CHILDREN'S HOSPITAL AND AMONG THE TOP 50 PEDIATRIC FACILITIES IN THE NATION. IT REMAINS THE MOST RECOGNIZED CHILDREN'S HOSPITAL IN ORLANDO, WITH TOP 50 DESIGNATIONS IN FIVE PEDIATRIC SPECIALTIES FOR 2024-2025: PEDIATRIC AND ADOLESCENT BEHAVIORAL HEALTH, PEDIATRIC DIABETES AND ENDOCRINOLOGY, PEDIATRIC NEUROLOGY AND NEUROSURGERY, NEONATOLOGY, AND PEDIATRIC PULMONOLOGY AND LUNG SURGERY. ONLY 88 CHILDREN'S HOSPITALS IN THE NATION WERE RANKED IN AT LEAST ONE OF THE 11 PEDIATRIC SPECIALTIES U.S. NEWS & WORLD REPORT EVALUATES. THE PATIENT-SAFETY ADVOCATES AT THE LEAPFROG GROUP HONORED FIVE ORLANDO HEALTH HOSPITALS WITH TOP HOSPITAL AWARDS FOR 2024. ORLANDO HEALTH - HEALTH CENTRAL HOSPITAL, ORLANDO HEALTH ORMC, ORLANDO HEALTH SOUTH LAKE HOSPITAL AND ORLANDO HEALTH WINNIE PALMER HOSPITAL FOR WOMEN AND BABIES WERE NAMED AMONG 75 TOP TEACHING HOSPITALS, AND ORLANDO HEALTH ARNOLD PALMER HOSPITAL FOR CHILDREN WAS ONE OF ONLY EIGHT HOSPITALS IN THE NATION NAMED A TOP CHILDREN'S HOSPITAL. WIDELY CONSIDERED AMONG THE MOST PRESTIGIOUS AWARDS AN AMERICAN HOSPITAL CAN EARN, TOP HOSPITAL DESIGNATIONS ARE AWARDED TO FEWER THAN 5 PERCENT OF ALL ELIGIBLE FACILITIES. THE AMERICAN HEART ASSOCIATION (AHA) RECOGNIZED SIX ORLANDO HEALTH HOSPITALS FOR CONSISTENTLY FOLLOWING THE MOST UP-TO-DATE, RESEARCH-BASED GUIDELINES FOR THE TREATMENT OF STROKE. IN 2024, ORLANDO HEALTH BAYFRONT HOSPITAL, ORLANDO HEALTH DR. P. PHILLIPS, ORLANDO HEALTH - HEALTH CENTRAL, ORLANDO HEALTH ORMC, ORLANDO HEALTH SOUTH LAKE AND ORLANDO HEALTH SOUTH SEMINOLE RECEIVED AHA'S GET WITH THE GUIDELINES STROKE GOLD PLUS ACHIEVEMENT AWARDS WITH ORLANDO HEALTH BAYFRONT EARNING 10-YEAR RECOGNITION. THESE HOSPITALS ARE RECOGNIZED FOR 85% OR HIGHER ADHERENCE ON ALL ACHIEVEMENT MEASURES APPLICABLE AND 75% OR HIGHER ADHERENCE WITH ADDITIONAL SELECT QUALITY MEASURES IN STROKE FOR TWO OR MORE CONSECUTIVE CALENDAR YEARS. ADDITIONALLY, THESE HOSPITALS EARNED TARGET: TYPE 2 DIABETES HONOR ROLL RECOGNITION FOR PROVIDING THE MOST UP-TO-DATE, EVIDENCE-BASED CARE FOR PATIENTS WITH TYPE 2 DIABETES WHO ARE HOSPITALIZED WITH HEART FAILURE, HEART ATTACK OR STROKE. AS OF OCTOBER 31, 2024, ORLANDO HEALTH HAD 28 ACTIVE BEACON AWARDS FOR EXCELLENCE IN BEDSIDE CARE - MORE THAN ANY OTHER HEALTHCARE SYSTEM IN FLORIDA. THE DISTINCTION IS AWARDED BY THE AMERICAN ASSOCIATION OF CRITICAL-CARE NURSES TO UNITS THAT EMPLOY EVIDENCE-BASED PRACTICES TO IMPROVE PATIENT AND FAMILY OUTCOMES. AT THAT TIME, ORLANDO HEALTH ORMC ALSO WAS RECOGNIZED WITH MORE BEACON AWARDS THAN ANY OTHER HOSPITAL IN THE STATE. ORLANDO HEALTH ORMC ACHIEVED MAGNET RECOGNITION AS A REFLECTION OF ITS NURSING PROFESSIONALISM, TEAMWORK AND SUPERIORITY IN PATIENT CARE. ORLANDO HEALTH ARNOLD PALMER AND ORLANDO HEALTH WINNIE PALMER ALSO ACHIEVED MAGNET RE-DESIGNATION. THE AMERICAN NURSES CREDENTIALING CENTER'S MAGNET RECOGNITION PROGRAM IS THE GOLD STANDARD FOR NURSING'S CONTRIBUTION TO QUALITY PATIENT CARE, SAFETY, RESEARCH AND SERVICE EXCELLENCE. THIS HONOR IS AWARDED TO ORGANIZATIONS THAT DISTINGUISH THEMSELVES BY MEETING RIGOROUS STANDARDS FOR NURSING EXCELLENCE. ORLANDO HEALTH WAS HONORED BY THE AMERICAN MEDICAL ASSOCIATION (AMA) AS A JOY IN MEDICINE RECOGNIZED ORGANIZATION AT THE SILVER LEVEL FOR DEMONSTRATING A COMMITMENT TO PRESERVING THE WELL-BEING OF PHYSICIANS THROUGH PROVEN EFFORTS TO COMBAT WORK-RELATED STRESS AND BURNOUT. THE PRESTIGIOUS AMA DESIGNATION, WHICH IS VALID FOR TWO YEARS, WAS GRANTED TO ONLY 72 ORGANIZATIONS IN 2023. FOR THE FIFTH CONSECUTIVE YEAR, ORLANDO HEALTH HAS BEEN NAMED AMONG THE 150 TOP PLACES TO WORK IN HEALTHCARE FOR 2024 BY BECKER'S HEALTHCARE. THE NATIONAL LIST, PUBLISHED IN BECKER'S HOSPITAL REVIEW, FEATURES ORGANIZATIONS COMMITTED TO PROMOTING WORK-LIFE BALANCE AND BOOSTING TEAM MEMBER ENGAGEMENT. THE LIST MADE SPECIAL NOTE OF ORLANDO HEALTH'S ADOPTION AND FERTILITY ASSISTANCE, PARENTAL LEAVE, TUTORING, CONTINUING EDUCATION BENEFITS, WELLNESS PERKS AND WELLNESS OPPORTUNITIES FOR PHYSICAL AND MENTAL HEALTH. BECKER'S ALSO HIGHLIGHTED ORLANDO HEALTH'S COMMITMENT TO SHARING FINANCIAL ACHIEVEMENTS WITH TEAM MEMBERS WHO PARTICIPATE IN AN ANNUAL INCENTIVE BONUS PROGRAM DEPENDENT ON THE ACHIEVEMENT OF KEY ORGANIZATIONAL GOALS. ORLANDO HEALTH WAS SELECTED AS AN ORLANDO SENTINEL TOP WORKPLACE FOR 2024, RECOGNIZING COMPANIES IN CENTRAL FLORIDA THAT DEMONSTRATE A POSITIVE WORK ENVIRONMENT AND HEALTHY WORKPLACE CULTURE. HONOREES ARE SELECTED BASED ENTIRELY ON EMPLOYEE FEEDBACK GATHERED THROUGH AN ANONYMOUS WORKPLACE SURVEY.
Form 990, Part VI, Line 1a	THE CHIEF OF STAFF IS A NON-VOTING MEMBER OF THE BOARD OF DIRECTORS. IN ADDITION, THE BOD DELEGATES SOME AUTHORITY TO AN EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE CHAIRMAN OF THE BOARD OF DIRECTORS, THE VICE CHAIRMAN OF THE BOARD OF DIRECTORS, THE PRESIDENT/CEO, THE SECRETARY, THE TREASURER, AND THE CHAIRMAN OF THE QUALITY COMMITTEE. THE EXECUTIVE COMMITTEE SHALL HAVE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE BOARD OF DIRECTORS IN THE MANAGEMENT OF THE CORPORATION DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD, SUBJECT TO LIMITATIONS SET FORTH IN THESE BYLAWS AND ANY LIMITATIONS OTHERWISE IMPOSED BY THE BOARD OF DIRECTORS AND WITH THE FURTHER UNDERSTANDING THAT ALL MATTERS OF MAJOR IMPORTANCE TO THE CORPORATION WILL BE REFERRED TO THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE SHALL PERFORM THE FOLLOWING GOVERNANCE AND EXECUTIVE COMPENSATION DUTIES: 1.THE EXECUTIVE COMMITTEE SHALL CONSIDER AND RECOMMEND CANDIDATES FOR VACANCIES ON THE BOARD OF DIRECTORS FOR FULL OR PARTIAL TERMS. RECOMMENDATIONS FOR ELECTION AS DIRECTORS SHALL BE CONSIDERED BY THE BOARD OF DIRECTORS, BUT THE BOARD OF DIRECTORS SHALL NOT BE BOUND BY ANY SUCH RECOMMENDATION. 2.THE CORPORATE BYLAWS SHALL BE REVIEWED BY THE EXECUTIVE COMMITTEE FROM TIME TO TIME AND REVISED AS NECESSARY BY APPROPRIATE ACTION OF THE BOARD OF DIRECTORS AND DATED TO INDICATE THE TIME OF REVIEW. 3.THE EXECUTIVE COMMITTEE SHALL REVIEW EXECUTIVE COMPENSATION MATTERS AND POLICIES WITH THE PRESIDENT/CEO ANNUALLY. THE EXECUTIVE COMMITTEE SHALL PERFORM SUCH OTHER DUTIES AS MAY BE ASSIGNED BY THE BOARD AND INCLUDED IN ITS CHARTER.
Form 990, Part VI, Line 15 LINE 15A & B - PROCESS TO DETERMINE COMPENSATION	THE EXECUTIVE COMPENSATION PROCESS AT ORLANDO HEALTH IS ADMINISTERED BY A COMMITTEE OF INDEPENDENT BOARD MEMBERS. THEY FOLLOW A BOARD APPROVED CHARTER AND OVERALL EXECUTIVE COMPENSATION PHILOSOPHY. THIS PROCESS APPLIES TO THE CEO, ALL OFFICERS AND WAS IMPLEMENTED PRIOR TO OCTOBER 1, 2006. THE CHARTER EMPOWERS THE COMPENSATION COMMITTEE TO ADMINISTER THE EXECUTIVE COMPENSATION PROGRAM AND PROCESS ON BEHALF OF THE FULL BOARD OF TRUSTEES. OVERALL, THE PHILOSOPHY IS INTENDED TO REWARD A BROAD SPECTRUM OF HIGH ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE EXPECTATIONS, PROMOTE RETENTION OF KEY MANAGEMENT TALENT AND ENSURE THAT COMPENSATION AND BENEFITS DO NOT EXCEED MARKET NORMS. ORLANDO HEALTH'S EXECUTIVE COMPENSATION PHILOSOPHY DEFINES THE MARKET FOR ADMINISTERING COMPENSATION AS A COMPARABLE SET OF NOT-FOR-PROFIT HEALTH CARE DELIVERY SYSTEMS. TO FULFILL THEIR RESPONSIBILITY TO LOOK AT RELEVANT MARKET DATA, AND BECAUSE OF THE SCALE AND COMPLEXITY OF THE ORGANIZATION, THE COMMITTEE REVIEWS INFORMATION FROM MULTIPLE SOURCES OF MARKET DATA. THEY USE THIS INFORMATION TO SUPPORT THEIR DECISIONS REGARDING ON-GOING ADMINISTRATION OF THE PROGRAM. ORLANDO HEALTH PROVIDES COMPENSATION TO ITS SENIOR EXECUTIVES IN THE FORM OF BASE SALARY, AN ANNUAL INCENTIVE PROGRAM, AND EXECUTIVE BENEFITS. THE COMPENSATION COMMITTEE IS COMPRISED OF 5 INDEPENDENT MEMBERS OF THE BOARD. THE COMMITTEE IS EMPOWERED TO ENGAGE OUTSIDE COUNSEL AND CONSULTING SUPPORT, WHICH THEY DO. THE COMPENSATION COMMITTEE'S INDEPENDENT COMPENSATION CONSULTANT AND COUNSEL OPINE TO THE COMPENSATION COMMITTEE THAT THE LEVEL OF THE COMPENSATION PAID AND THE PROCESS BY WHICH COMPENSATION IS ESTABLISHED MEET APPLICABLE IRS REASONABLENESS AND "SAFE HARBOR" STANDARDS.
Form 990, Part VI, Line 2 Family/business relationships amongst interested persons	JAMAL HAKIM MD, LESLIE FLAKE, AND THIBAUT VAN MARCKE DE LUMMEN - Business relationship
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE CFO AND THE FINANCE DEPARTMENT REVIEWED THE FORM 990 AND ANY REQUIRED CHANGES THAT WERE MADE TO THE FORM 990. THE FINAL FORM 990 WAS THEN PROVIDED TO ALL MEMBERS OF THE BOARD TO REVIEW. ANY QUESTIONS ABOUT THE CONTENT WERE ANSWERED AND ANY CHANGES REQUIRED OF THE REVIEW WERE MADE.
Form 990, Part VI, Line 12c Conflict of interest policy	THE ORGANIZATION HAS A DEDICATED COMPLIANCE DEPARTMENT WITH AN ANONYMOUS HOTLINE FOR REPORTING. THE COMPLIANCE DEPARTMENT PERFORMS INTERNAL AUDITS AND MONITORS ALL ANNUAL CONFLICT OF INTEREST QUESTIONNAIRES FOR ALL RELATED ORGANIZATIONS. BOARD MEMBERS ROUTINELY ANNOUNCE CONFLICTS AT BOARD MEETINGS AND LEAVE THE ROOM FOR THE DISCUSSION AND THE VOTE.
Form 990, Part VI, Line 19 Required documents available to the public	THESE DOCUMENTS ARE MADE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST IN ACCORDANCE WITH FEDERAL TAX LAW PUBLIC INSPECTION REQUIREMENTS.
Form 990, Part VIII, Line 2f Other Program Service Revenue	other patient revenue - Total Revenue: XXX-XX-XXXX, Related or Exempt Function Revenue: XXX-XX-XXXX, Unrelated Business Revenue: 1305489, Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	AFFILIATED EQUITY TRANSFERS - -XXX-XX-XXXX; CONTRIBUTIONS - BOOK/TAX DIFFERENCES - 25664706; OTHER CHANGES AND EXTRAORDINARY ITEMS - -1186000; NET ASSETS RELEASED FROM RESTRICTIONS - -16939000; NET REALIZED/ UNREALIZED GAINS IN RESTRICTED FUNDS - 5758375; OTHER BOOK/TAX ADJUSTMENTS - 434988;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
OSCEOLASC LLC
2906 17TH STREET	ST CLOUD	FL	34769	203728235	HEALTHCARE	FL	$136,568,025	$139,620,218	OHI
OHRI LLC
1414 KUHL AVENUE	ORLANDO	FL	32806	472067699	IMAGING SVCS	FL	$34,795,780	$29,877,611	OHI
HEALTHCARE CAPTIVE LLC
101 SOUTH TRYON STREET SUITE 2700	CHARLOTTE	NC	28280	881312254	CAPTIVE INS	NC	$449,624	$120,818,530	OHI

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

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

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
ORLANDO HEALTH VENTURES I LLC
1414 KUHL AVENUE MP2	Orlando	FL	32806	845099351	INVESTMENTS	FL	OHI	Excluded	-$1,978,376	$9,942,043	false	false	0.9412
Orlando Health Ventures II LLC
1414 KUHL AVENUE MP2	Orlando	FL	32806	882697867	INVESTMENTS	FL	OHI	Excluded	$119,138	$74,366,343	false	false	0.9804

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	HEALTHNET SERVICES INC & SUBS	BusinessNameLine1Txt

US Address USAddress

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

Field	Value	IRS element (for citing)
EIN	592246203	EIN
Primary Activities	MEDICAL SVCS	PrimaryActivitiesTxt
Legal Domicile State	FL	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Entity Type	C Corporation	EntityTypeTxt
Share Of Total Income	$45,771,962	ShareOfTotalIncomeAmt
Share Of EOY Assets	$375,439,730	ShareOfEOYAssetsAmt
Ownership	1	OwnershipPct
Controlled Organization	Yes (true)	ControlledOrganizationInd

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

Transactions Related Org TransactionsRelatedOrgGrp (40 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
SHC Owner LLC
A	$1,156,817	FMV
Orlando Health Medical Group Inc
B	$337,937	FMV
Orlando Health Foundation Inc
C	$11,721,210	FMV
Orlando Health Ventures II LLC
B	$25,000,000	FMV
SHC Owner LLC
D	$9,017,117	FMV
Jewett Orthopedic Institute Surgery Center LLC
J	$3,124,109	FMV
Lakeview Surgery Center LLC
J	$418,410	FMV
OHI West Inc
J	$3,681,140	FMV
Orlando Extremity Surgery Center LLC
J	$82,562	FMV
Orlando Health Medical Group Inc
J	$46,343,975	FMV
Orlando Physicians Network Inc
J	$9,741,991	FMV
Rinehart Surgery Center LLC
J	$635,038	FMV
South Lake Hospital Inc
J	$5,050,162	FMV
Summerport Surgery Center LLC
J	$635,431	FMV
Orlando Health Central Inc
K	$2,628,696	FMV
South Lake Hospital Inc
K	$129,151	FMV
Orlando Health Central Inc
L	$499,585	FMV
South Lake Hospital Inc
L	$453,124	FMV
Orlando Health Medical Group Inc
M	$1,408,794	FMV
Orlando Health Foundation Inc
N	$2,818,227	FMV
OHI West Inc
O	$166,451,781	FMV
Orlando Health Central Inc
O	$122,792,933	FMV
Orlando Health Foundation Inc
O	$6,598,561	FMV
Orlando Health Medical Group Inc
O	$883,017,603	FMV
Orlando Physicians Network Inc
O	$99,372,323	FMV
South Lake Hospital Inc
O	$111,086,160	FMV
Jewett Orthopedic Institute Surgery Center LLC
P	$5,525,278	FMV
Healthnet Services Inc
Q	$3,039,871	FMV
OHI West Inc
Q	$181,408,281	FMV
Orlando Health Central Inc
Q	$123,344,261	FMV
Orlando Health Foundation Inc
Q	$5,936,619	FMV
Orlando Health Medical Group Inc
Q	$117,275,765	FMV
Orlando Health Physician Partners Inc
Q	$1,848,250	FMV
Orlando Physicians Network Inc
Q	$34,533,108	FMV
South Lake Hospital Inc
Q	$156,718,131	FMV
OHI West Inc
R	$1,750,000	FMV
Orlando Health Medical Group Inc
R	$465,207,990	FMV
Orlando Health Physician Partners Inc
R	$5,700,000	FMV
Orlando Physicians Network Inc
R	$47,900,000	FMV
Healthnet Services Inc
S	$12,252,780	FMV