2025-08-14T12:20:23+00:00 2024-09-30 346565596 ERNST & YOUNG US LLP 55 IVAN ALLEN JR BOULEVARD ATLANTA GA 30308 990 2023-10-01 591726273 Orlando Health Inc ORLA 3218415078 1414 KUHL AVENUE MP8 ORLANDO FL 32806 BERNADETTE SPONG INTERIM CFO 3218415078 2025-08-14 true Aerrial M Orr P01598400 4048748300 2025-08-14 2023 2025-03-06 01:10:19Z BERNADETTE SPONG 1414 KUHL AVENUE MP8 ORLANDO FL 32806 5262919221 false X WWW.ORLANDOHEALTH.COM X 1977 FL OUR MISSION AS A COMMUNITY-OWNED ORGANIZATION IS TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND COMMUNITIES WE SERVE. 8 6 20821 6447 3060659 0 21440951 13608347 4142062966 4689127789 53240626 121272979 7327744 3225256 4224072287 4827234371 5208325 4435573 0 0 1357303734 1506277665 0 0 9416789 1925644885 2259665212 3288156944 3770378450 935915343 1056855921 7366400318 9481363993 3771060133 4973271853 3595340185 4508092140 ORLANDO HEALTH IS A TRUSTED LEADER INSPIRING HOPE THROUGH THE ADVANCEMENT OF HEALTH. 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X 14865 0 0 David Brown Board member 2.0 0 X 14467 0 0 Jim Hyler Board member 2.0 0 X 18561 0 0 M Kathryn Garrett MD Board member 2.0 0 X 15041 0 0 Teri Fontenot Board member 2.0 0 X 14122 0 0 Bernadette Spong Interim Chief Financial Officer (As of July 2024) 50.0 10.0 X 797040 0 13667 Leslie Flake Chief Financial Officer (Until July 2024) 50.0 10.0 X 2099622 0 174203 Jamal A Hakim MD Chief Physician Officer 50.0 10.0 X 3006604 0 49817 Kelly Nierstedt SVP, OH & President, ORMC 55.0 0 X 1106301 0 127656 Stephen W Burriss Chief Operating Officer 55.0 0 X 1730810 0 26945 Thibaut Van Marcke De Lummen SVP, OH SE Region & Pres, DPH 55.0 0 X 927940 0 145658 Erick R Hawkins Chief Admin Officer, OH 55.0 4.0 X 2044768 0 151234 George A Ralls SVP, OH & Chief Med Officer 55.0 0 X 1418289 0 143687 Gregory P Ohe SVP, Ambu Svcs, Orlando Health 55.0 2.0 X 1349434 0 43472 Karen L Frenier SVP, HR & Chief Nurse Exec 55.0 0 X 1534292 0 42724 Ryan William Zika General Counsel 55.0 2.0 X 1380881 0 141124 Aurelio Duran MD Cardiac Electrophysiologist 0.0 55.0 X 0 1916165 45871 Mark A Jones Foundation SVP/Dir Capital Cam 55.0 3.0 X 734428 0 113292 26402773 1916165 1624988 1822 true true false ORIGIN INC DBA SHIFTWISE 2501 SW 1ST AVE STE 200 PORTLAND OR 97201 MANAGEMENT SERVICES 38307009 EPIC SYSTEMS CORPORATION 1979 MILKY WAY VERONA WI 53593 SOFTWARE SERVICES 26523344 MICROSOFT CORPORATION ONE MICROSOFT WAY REDMOND WA 980526399 SOFTWARE SERVICES 18933442 AVI FOODSYSTEMS INC 2590 ELM RD NE WARREN OH 44483 MANAGEMENT SERVICES 18610315 EFFICIENCY MEDIA INC 3616 WINNETKA RD GLENVIEW IL 60026 CONSULTING SERVICES 16019252 482 11721210 1802875 84262 13608347 NET PATIENT SERVICE REVENUE 622110 3935879398 3935039391 840007 RETAIL PHARMACY 446110 351360212 351360212 STATE OF FL SPECIAL MEDICAID PMTS 622110 150792838 150792838 LIP TIER 3 STATE REVENUE 622110 111665008 111665008 Medicaid Voluntary Contribution 622110 25996999 25996999 113433334 112127845 1305489 0 4689127789 83369095 -623851 83992946 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Support 11535680 11535680 31966921 23504998 7533929 927994 3770378450 3087223625 673738036 9416789 722770031 9209129 155333168 1120621473 0 0 646749437 642027160 0 0 0 0 0 0 88166221 100023075 64263710 1108891689 5353271366 2675464274 2179832930 2677807092 2535044803 2686551741 0 0 198889581 237314385 237895614 736925633 699447439 7366400318 9481363993 763510350 805787632 0 0 994186 1239000 2121117638 2924686282 0 0 0 0 191383018 200658371 0 0 694054941 1040900568 3771060133 4973271853 X 3430371250 4322871732 164968935 185220408 0 0 0 0 0 0 3595340185 4508092140 7366400318 9481363993 X 1056855921 350467965 -494571931 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 92400 false true 818900 911300 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY 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. 39487772 2257245 7895711 1642507 28013 47970208 33526652 4044374 4493268 2570961 5561 39487772 41410627 1063361 -7373283 1559653 14400 33526652 35592929 418051 8253886 2853403 836 41410627 38676311 100004 2836526 5953480 66432 35592929 0.0 0.1316 0.8684 false false 211918968 211918968 1541321483 693692334 847629149 35732156 0 35732156 2661983601 1933580703 728402898 902315158 48191237 854123921 2677807092 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 457984527 Investment in Related Parties 23401 CASH SURENDER VALUE LIFE INS. 98939558 EXEC DEFERRED COMP 457B 84789034 MED. MAL. RECOVERIES REC. 33851979 CAP ACCUM/DEF COMP BEN. 19912529 DEPOSITS 2049624 GIFT ANNUITY TRUST 1663940 PROPERTY MANAGEMENT 132847 WORKERS COMP SURETY 100000 699447439 LT DUE TO AFFILIATES 355882586 PROFESSIONAL & GENERAL LIABILITIES 274267429 OTHER NONCURRENT LIABILITIES 123068530 LT LIAB EXEC DEF COMP 457B 84789034 PUBLIC ASSISTANCE FUND LIABILITY ST 80845012 DEFERRED LEASE LIABILITIES 67898053 LT LIAB CAP/ACCUM DEF COMP 19912519 SWAP LIABILITIES 14348123 DISCOUNT/LT LIAB CLEARING ACCOUNTS 4893178 LT CHARITABLE COMMITMENTS TO UNRELATED PARTIES 4475000 FEDERAL EXCISE TAX 4009308 EPIC SOFTWARE LICENSE LIABILITIES 3530879 TRANSITION CARE MANAGEMENT 2196296 DUE TO STATE 410225 ASSET RETIREMENT LIABILITY 363737 PROPERTY MANAGEMENT LIABILITIES 10659 1040900568 X 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. Europe (Including Iceland and Greenland) 0 0 Investments 2766667 0 0 0 0 0 0 2766667 0 2766667 true false true false false false Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements EUROPE (INCLUDING ICELAND AND GREENLAND)-Accrual true true X true X 300 false true true true false true true 248921599 111665008 137256591 0.0364 618880755 363040638 255840117 0.0679 5231135 2275281 2955854 0.0008 0 0 873033489 476980927 396052562 0.1051 47231422 15131665 32099757 0.0085 88642315 19831324 68810991 0.0183 0 0.0 3305577 3305577 0.0009 5185189 5185189 0.0014 0 0 144364503 34962989 109401514 0.0290 0 0 1017397992 511943916 505454076 0.1341 19924 19924 0.0000 23538 23538 0.0000 38343 38343 0.0000 0 0.0 51915 51915 0.0000 0 0.0 0 0.0 0 0.0 14618 14618 0.0000 0 0 148338 0 148338 0.0000 true 52652783 0 342178455 392123737 -49945282 X true true 7 1 ORLANO HEALTH ORLANDO REGIONAL MEDICAL CENTER 1414 KUHL AVENUE ORLANDO FL 32806 HTTPS://WWW.ORLANDOHEALTH.COM/FACILITIES/ORLANDO-REGIONAL-MEDICAL-CENTER 4393 X X X X A 3 ORLANDO HEALTH WINNIE PALMER HOSP FOR WOMEN & BABIES 83 W MILLER STREET ORLANDO FL 32806 https://www.orlandohealth.com/facilities/winnie-palmer-hospital 4393 X X X X NEONATAL UNIT A 2 ORLANDO HEALTH DR P PHILLIPS HOSPITAL 9400 TURKEY LAKE ROAD ORLANDO FL 32819 HTTPS://WWW.ORLANDOHEALTH.COM/FACILITIES/DR-P-PHILLIPS-HOSPITAL 4393 X X X A 5 ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL 555 W SR 434 LONGWOOD FL 32279 https://www.orlandohealth.com/services-and-specialties/behavioral-health 4393 X X X A 4 ORLANDO HEALTH ARNOLD PALMER HOSPITAL FOR CHILDREN 92 W MILLER ORLANDO FL 32806 HTTPS://WWW.ARNOLDPALMERHOSPITAL.COM/ 4393 X X X X A 6 ORLANDO HEALTH ST CLOUD HOSPITAL 2906 17TH ST ST CLOUD FL 34769 https://www.orlandohealth.com/FACILITIES/ST-CLOUD-HOSPITAL#/St+Cloud+Hospital/ 4484 X X X A 7 ORLANDO HEALTH ADVANCED REHABILITATION INSTITUTE 1300 HEMPEL AVENUE OCOEE FL 34761 https://www.orlandohealth.com/services-and-specialties/advanced-rehab-institute 4393 X INPATIENT REHABILITATION A A 7 false false true X X X X X X X X X X 21 true true true true X HTTP://WWW.ORLANDOHEALTH.COM/ABOUT-US/COMMUNITY-INVOLVEMENT/COMMUNITY-BENEFIT X true 21 false true false true X 300.0 X X X X X X true true X X X true X SEE PART VI X SEE PART VI X SEE PART VI X X X X X X true X false X X X X true X false false 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. 59 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 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. true U OF CENTRAL FL FDN INC 12424 RESEARCH PKWY ORLANDO FL 328263257 596211832 501(c)(3) 1010000 SPONSORSHIP GRACE MEDICAL HOME INC 1417 E CONCORD STREET ORLANDO FL 32803 261817966 501(c)(3) 350000 SPONSORSHIP HEALTH CARE CTR FOR HOMELESS INC 232 N ORANGE BLOSSOM TRL ORLANDO FL 32805 593185020 501(c)(3) 232500 SPONSORSHIP CITY OF ST PETERSBURG FLORIDA PO BOX 2842 ST PETERSBURG FL 337312842 596000424 GOVERNMENT 150600 SPONSORSHIP SIMPLE TRUTH FOUNDATION INC 2224 LAKE POINTE CIRCLE LEESBURG FL 34747 273684092 501(c)(3) 117000 SPONSORSHIP ARTS FOUNDATION FOR SENIORS INC 211 N MAGNOLIA AVE ORLANDO FL 32801 920800650 501(c)(3) 100000 SPONSORSHIP AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVE DALLAS TX 75231 135613797 501(c)(3) 95000 SPONSORSHIP SCHOOL BOARD OF ORANGE COUNTY FLORIDA 445 W AMELIA ST ORLANDO FL 32801 596000771 GOVERNMENT 85044 SPONSORSHIP SECOND HARVEST FOOD BANK OF CENTRAL FL 411 MERCY DR ORLANDO FL 32805 592142315 501(c)(3) 77119 SPONSORSHIP CENTRAL FLORIDA COMMUNITY ARTS INC PO BOX 722517 ORLANDO FL 32872 452324172 501(c)(3) 65000 SPONSORSHIP THE BOGGY CREEK GANG INC 30500 BRANTLEY BRANCH ROAD EUSTIS FL 32736 593012889 501(c)(3) 55000 SPONSORSHIP COALITION FOR THE HOMELESS OF CENTRAL FLORIDA 18 NORTH TERRY AVE ORLANDO FL 32801 592814255 501(c)(3) 54300 SPONSORSHIP FOUNDATION FOR ORANGE CNTY PUBLIC SCHOOLS 445 WEST AMELIA ST ORLANDO FL 32801 592788435 501(c)(3) 52500 SPONSORSHIP UNITED WAY OF LAKE & SUMTER COUNTIES INC 32644 BLOSSOM LANE LEESBURG FL 34788 591143758 501(c)(3) 50000 SPONSORSHIP IMPOWER INC 111 W MAGNOLIA AVE LONGWOOD FL 32750 650439778 501(c)(3) 50000 SPONSORSHIP MAKE A WISH FOUNDATON OF CENTRAL & NORTHERN FLORIDA 1020 N ORLANDO AVE SUITE 100 MAITLAND FL 32751 593235806 501(c)(3) 50000 SPONSORSHIP ZEBRA COALITION INC 911 N MILLS AVE ORLANDO FL 32803 271645847 501(c)(3) 50000 SPONSORSHIP HOPE COMMUNITY CENTER LLC 1016 NORTH PARK AVE APOPKA FL 32712 562551312 501(c)(3) 50000 SPONSORSHIP HOMELESS EMERGENCY PROJECT INC 1120 N BETTY LANE CLEARWATER FL 33755 592729694 501(c)(3) 49776 SPONSORSHIP CENTRAL FLORIDA YOUNG MEN'S CHRISTIAN ASSOCIATION 433 N MILLS AVE ORLANDO FL 32803 590624430 501(c)(3) 48252 SPONSORSHIP ORLANDO SCIENCE CENTER INC 777 EAST PRINCETON STREET ORLANDO FL 32803 590896343 501(c)(3) 27500 SPONSORSHIP FIND FEED & RESTORE INC 830 W MONTROSE ST CLERMONT FL 34711 863070194 501(c)(3) 40000 SPONSORSHIP HEARTS HANDS AND HOPE INC 198 SPECIALTY POINT SANFORD FL 32771 812669649 501(c)(3) 39000 SPONSORSHIP UNITED AGAINST POVERTY INC 1400 27TH ST VERO BEACH FL 32960 113697936 501(c)(3) 35000 SPONSORSHIP ARTHRITIS FOUNDATION INC 1355 PEACHTREE ST NE STE 600 ATLANTA GA 30309 581341679 501(c)(3) 35000 SPONSORSHIP ORLANDO MUSEUM OF ART 2416 N MILLS AVE ORLANDO FL 32803 590910352 501(c)(3) 32500 SPONSORSHIP CROHNS AND COLITIS FOUNDATION OF AMERICA INC 733 THIRD AVE STE 510 NEW YORK NY 10017 136193105 501(c)(3) 32500 SPONSORSHIP JUNIOR ACHIEVEMENT OF CENTRAL FLORIDA INC 2121 CAMDEN ROAD ORLANDO FL 32803 590972112 501(c)(3) 30000 SPONSORSHIP HISPANIC HERITAGE SCHOLARSHIP 518 S MAGNOLIA ST STE 100 ORLANDO FL 32801 010807279 501(c)(3) 30000 SPONSORSHIP LIBBYS LEGACY BREAST CANCER FOUNDATION 112 ANNIE ST ORLANDO FL 32806 113812766 501(c)(3) 30000 SPONSORSHIP CAMARADERIE FOUNDATION INC 2488 E MICHIGAN ST ORLANDO FL 32806 270593856 501(c)(3) 30000 SPONSORSHIP GULF COAST JEWISH FAMILY AND COMMUNITY SERVICES INC 14041 ICOT BOULEVARD CLEARWATER FL 33760 591229354 501(c)(3) 30000 SPONSORSHIP AMERICAN CANCER SOCIETY INC 270 PEACHTREE ST NW ATLANTA GA 30303 131788491 501(c)(3) 28000 SPONSORSHIP SHEPHERDS HOPE INC 4851 S APOPKA-VINELAND RD ORLANDO FL 32819 593420727 501(c)(3) 22000 SPONSORSHIP FOUNDATION FOR SEMINOLE COUNTY 400 E LAKE MARY BLVD SANFORD FL 32773 592775956 501(c)(3) 25000 SPONSORSHIP RONALD MCDONALD HOUSE CHARITIES OF CENTRAL FLORIDA INC 1030 N ORANGE AVE SUITE 105 ORLANDO FL 32801 593211250 501(c)(3) 25000 SPONSORSHIP THE LEUKEMIA & LYMPHOMA SOCIETY 341 N MAITLAND BLVD MAITLAND FL 32751 135644916 501(c)(3) 25000 SPONSORSHIP PRIMARY CARE MEDICAL SERVICES OF POINCIANA INC 1877 FORTUNE RD KISSIMMEE FL 34744 753147007 501(c)(3) 25000 SPONSORSHIP HABITAT FOR HUMANITY OF PINELLAS COUNTY INC 13355 49TH ST N STE B CLEARWATER FL 33762 592509116 501(c)(3) 25000 SPONSORSHIP AIDS SERVICE ASSOCIATION OF PINELLAS INC 5771 ROOSEVELT BLVD CLEARWATER FL 33760 592862537 501(c)(3) 25000 SPONSORSHIP HOPE PARTNERSHIP INC 2420 OLD VINELAND RD KISSIMMEE FL 34746 800855060 501(c)(3) 25000 SPONSORSHIP REBUILDNG TOGETHER TAMPA BAY INC 3914 N US 301 HIGHWAY TAMPA FL 33619 593664580 501(c)(3) 25000 SPONSORSHIP HEALTHY START COALITION OF PINELLAS INC 4000 GATEWAY CENTRE BLVD PINELLAS PARK FL 33782 593109517 501(c)(3) 25000 SPONSORSHIP AMERICAN NATIONAL RED CROSS 3310W MAIN ST TAMPA FL 33607 530196605 501(c)(3) 25000 SPONSORSHIP NAVAL POSTGRADUATE SCHOOL FOUNDATION INC PO BOX 8626 MONTEREY CA 93943 237098729 501(c)(3) 25000 SPONSORSHIP A GIFT FOR TEACHING 6501 MAGIC WAY ORLANDO FL 32809 593515162 501(c)(3) 21000 SPONSORSHIP CANINE COMPANIONS FOR INDEPENDENCE INC 2965 DUTTON AVE SANTA ROSA CA 95402 942494324 501(c)(3) 20000 SPONSORSHIP ORANGE COUNTY CHILD SAFETY CENTER INC 910 FAIRVILLA RD ORLANDO FL 32808 592898030 501(c)(3) 20000 SPONSORSHIP THE CHRISTIAN SHARING CENTER INC 600 N HWY 17-92 STE 158 LONGWOOD FL 32750 592744535 501(c)(3) 20000 SPONSORSHIP CENTRAL FLORIDA ZOOLOGICAL SOCIETY 3755 NW HWY 17-92 SANFORD FL 32771 591357197 501(c)(3) 20000 SPONSORSHIP THE FRIENDS OF LEU GARDENS INC 1920 N FOREST AVE ORLANDO FL 32803 592319239 501(c)(3) 20000 SPONSORSHIP PROJECT SCHOLARS INC PO BOX 121543 CLERMONT FL 34712 542079731 501(c)(3) 20000 SPONSORSHIP ROBERTO CLEMENTE FOUNDATION CO 36A ROBERTO CLEMENTE STREET SAN JUAN PR 00926 660811708 501(c)(3) 20000 SPONSORSHIP LIFE CONCEPTS INC 1509 E COLONIAL DR ORLANDO FL 32803 592013160 501(c)(3) 19400 SPONSORSHIP WINTER PARK DAY NURSERY INC 741 S PENNSYLVANIA AVE WINTER PARK FL 32789 590638506 501(c)(3) 17000 SPONSORSHIP CENTER FOR INDEPENDENT LIVING IN CENTRAL FLORIDA INC 720 N DENNING DR WINTER PARK FL 32789 591828770 501(c)(3) 15000 SPONSORSHIP ORLANDO FAMILY STAGE 1001 E PRINCETON ST ORLANDO FL 32803 591056385 501(c)(3) 15000 SPONSORSHIP HOPE HELPS INC 812 EYRIE DR OVIEDO FL 32765 208490916 501(c)(3) 15000 SPONSORSHIP CENTRAL FLORIDA FAMILY HEALTH CENTER INC 4930 EAST LAKE MARY RD SANFORD FL 327716012 591741286 501(c)(3) 15000 SPONSORSHIP AMIKIDS PINELLAS INC 2220 62ND AVE SOUTH ST PETERSBURG FL 33771 237228523 501(c)(3) 15000 SPONSORSHIP COLLEGE PARK MAIN STREET INC 648 DARTMOUTH ST ORLANDO FL 32804 237250533 501(c)(3) 13000 SPONSORSHIP PAN AMERICAN MEDICAL ASSOCIATION OF CENTRAL FLORIDA PO BOX 521943 ORLANDO FL 32752 201469047 501(c)(3) 12500 SPONSORSHIP BLOOM & GROW GARDEN SOCIETY INC PO BOX 97 OAKLAND FL 34760 571184124 501(c)(3) 12500 SPONSORSHIP GARDEN THEATRE INC 160 WEST PLANT ST WINTER GARDEN FL 34787 272577059 501(c)(3) 12500 SPONSORSHIP RESCUE OUTREACH MISSION OF SANFORD INC 1701 HISTORIC GOLDSBORO BLVD SANFORD FL 32771 592876415 501(c)(3) 12000 SPONSORSHIP STRENGTHEN ORLANDO INC 400 S ORANGE AVE ORLANDO FL 328013302 271964941 501(c)(3) 11545 SPONSORSHIP BEARS WHO CARE INC 14102 ALDFORD DR WINTER GARDEN FL 34787 271277339 501(c)(3) 11500 SPONSORSHIP CENTRAL FLORIDA BLACK NURSES ASSOCIATION OF ORLANDO INC PO BOX 585142 ORLANDO FL 32808 593288443 501(c)(3) 10650 SPONSORSHIP RUNWAY TO HOPE 189 S ORANGE AVE STE 1800 ORLANDO FL 32801 273272616 501(c)(3) 10500 SPONSORSHIP CHRISTIAN SERVICE CENTER FOR CENTRAL FLORIDA INC 808 W CENTRAL BLVD ORLANDO FL 32805 591353031 501(c)(3) 10000 SPONSORSHIP ORLANDO PHILHARMONIC ORCHESTRA INC 425 N BUMBY AVE ORLANDO FL 32803 593058884 501(c)(3) 10000 SPONSORSHIP JOHN LAND APOPKA COMMUNITY TRUST INC PO BOX 1837 APOPKA FL 32704 900712301 501(c)(3) 10000 SPONSORSHIP THE FOUNDATION FOR OSCELA EDUCATION INC 2310 NEW BEGINNINGS RD KISSIMMEE FL 347448480 592960396 501(c)(3) 10000 SPONSORSHIP SERVANTS HEART MINISTRY 6109 ANNO AVE ORLANDO FL 32809 010612200 501(c)(3) 10000 SPONSORSHIP FLORIDA ASSSOCIATION OF FREE AND CHARITABLE CLINICS PO BOX 352658 PALM COAST FL 32135 463502696 501(c)(3) 10000 SPONSORSHIP FLORIDA MEDICAL CLINIC FOUNDATION OF CARING INC 38135 MARKET SQUARE ZEPYRHILLS FL 33542 202384178 501(c)(3) 10000 SPONSORSHIP UNIVERSITY OF SOUTH FLORIDA FOUNDATION INC 4202 E FOWLER AVE TAMPA FL 33620 590879015 501(c)(3) 10000 SPONSORSHIP THE MUSTARD SEED OF CENTRAL FLORIDA 12 MUSTARD SEED LN ORLANDO FL 32810 592906383 501(c)(3) 10000 SPONSORSHIP IVY TEA ROSE INC PO BOX 940808 MAITLAND FL 32794 203468250 501(c)(3) 10000 SPONSORSHIP THE AMYOTROPHIC LATERAL SCLEROSIS ASSOCIATION 1300 WILSON BLVD ARLINGTON VA 22209 133271855 501(c)(3) 9200 SPONSORSHIP SENIORS FIRST INC 5395 LB MCLEOD RD ORLANDO FL 32811 592759603 501(c)(3) 9000 SPONSORSHIP NATIONAL DIVERSITY COUNCIL PO BOX 590258 HOUSTON TX 772590258 711037612 501(c)(3) 8400 SPONSORSHIP JDRF INTERNATIONAL INCORPORATED 1850 LEE RD STE 132 WINTER PARK FL 32789 231907729 501(c)(3) 8000 SPONSORSHIP SCHOOL DISTRICT OF OSCEOLA COUNTY 1200 VERMONT AVE ST CLOUD FL 34769 596000779 GOVERNMENT 7500 SPONSORSHIP PANCREATIC CANCER ACTION NETWORK INC 1500 ROSECRANS AVE STE 200 MANHATTAN BEACH CA 90266 330841281 501(c)(3) 7500 SPONSORSHIP NATIONAL MULTIPLE SCLEROSIS SOCIETY 733 THIRD AVE 3RD FL NEW YORK NY 10017 135661935 501(c)(3) 7500 SPONSORSHIP LAKELAND LEADS PARTNERSHIP INC ONE LAKE MORTON DR LAKELAND FL 33801 833380202 501(c)(3) 7500 SPONSORSHIP COME OUT WITH PRIDE INC 424 E CENTRAL BLVD STE 415 ORLANDO FL 32801 264696702 501(c)(3) 7000 SPONSORSHIP BIKE WALK CENTRAL FLORIDA INC 100 E PINE ST ORLANDO FL 32801 461958502 501(c)(3) 7000 SPONSORSHIP HABITAT FOR HUMANITY OF SEMINOLE COUNTY PO BOX 181010 CASSELBERRY FL 32718 593034059 501(c)(3) 6500 SPONSORSHIP GROW HEALTHY KIDS INC 419 S PARK AVE SANFORD FL 32771 810912291 501(c)(3) 6500 SPONSORSHIP CITY OF DAVENPORT 1 S ALLAPAHA AVE DAVENPORT FL 33837 596018699 GOVERNMENT 6250 SPONSORSHIP INTERNATIONAL MEDICAL OUTREACH INC PO BOX 781823 ORLANDO FL 32878 272790647 501(c)(3) 6100 SPONSORSHIP ST PETERSBURG FREE CLINIC INC 863 3RD AVE N ST PETERSBURG FL 33701 237208280 501(c)(3) 6000 SPONSORSHIP Orlando Health Medical Group Inc 1414 Kuhl Ave Orlando FL 32806 593259553 501(c)(3) 337937 PROGRAM SERVICES 95 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds ORLANDO HEALTH, INC. MAKES GRANTS SOLELY TO GOVERNMENT ENTITIES AND ORGANIZATIONS EXEMPT FROM TAX UNDER THE INTERNAL REVENUE CODE SECTION 501(C)(3) THAT FURTHER THE MISSION OF ORLANDO HEALTH TO SUPPORT HEALTHCARE IN CENTRAL FLORIDA. ORLANDO HEALTH COMMUNITY RELATIONS DEPARTMENT DETERMINES SUPPORT FOR LOCAL NON PROFIT SPONSORSHIPS. THE GRANTS ARE MONITORED TO ENSURE THE ORGANIZATION'S MISSION IS ALIGNED WITH ORLANDO HEALTH'S, MEETING A SOCIAL AND COMMUNITY NEED IN THE AREAS OF HEALTH, SOCIAL SERVICES, ARTS AND EDUCATION. X X X true true X X X X X X false true false false false false false false false David W Strong President & CEO 2215953 0 5376227 0 581687 0 369615 0 36023 0 8579505 0 556755 0 Aurelio Duran MD Cardiac Electrophysiologist 0 441669 0 908725 0 565771 0 19392 0 26479 0 1962036 0 0 Mark A Jones Foundation SVP/Dir Capital Cam 394361 0 208571 0 131496 0 82805 0 30487 0 847720 0 124729 0 Leslie Flake Chief Financial Officer (Until July 2024) 847338 0 1230142 0 22142 0 159600 0 14603 0 2273825 0 0 0 Bernadette Spong Interim Chief Financial Officer (As of July 2024) 46600 0 604993 0 145447 0 13667 0 0 0 810707 0 0 0 Jamal A Hakim MD Chief Physician Officer 983114 0 1442488 0 581002 0 19595 0 30222 0 3056421 0 308597 0 Kelly Nierstedt SVP, OH & President, ORMC 666374 0 341181 0 98746 0 125793 0 1863 0 1233957 0 93226 0 Thibaut Van Marcke De Lummen SVP, OH SE Region & Pres, DPH 550701 0 287652 0 89587 0 106088 0 39570 0 1073598 0 70346 0 Stephen W Burriss Chief Operating Officer 503135 0 1145780 0 81895 0 16500 0 10445 0 1757755 0 0 0 Karen L Frenier SVP, HR & Chief Nurse Exec 560896 0 821559 0 151837 0 19725 0 22999 0 1577016 0 0 0 Erick R Hawkins Chief Admin Officer, OH 764703 0 1098341 0 181724 0 136494 0 14740 0 2196002 0 148335 0 Gregory P Ohe SVP, Ambu Svcs, Orlando Health 455503 0 673649 0 220282 0 18291 0 25181 0 1392906 0 102031 0 Ryan William Zika General Counsel 541244 0 790805 0 48832 0 104404 0 36720 0 1522005 0 44288 0 George A Ralls SVP, OH & Chief Med Officer 544994 0 805450 0 67845 0 106967 0 36720 0 1561976 0 62301 0 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 A ORANGE COUNTY HEALTH FACILITIES AUTHORITY 521378595 6845035U5 2008-06-18 179360000 SEE PART IV false false false B ORANGE COUNTY HEALTH FACILITIES AUTHORITY 521378595 68450LGA7 2019-07-03 157946198 SEE PART IV false false false C ORANGE COUNTY HEALTH FACILITIES AUTHORITY 521378595 2011-09-15 83175000 SEE PART IV false false false D ORANGE COUNTY HEALTH FACILITIES AUTHORITY 521378595 68450LER2 2016-04-27 276195917 SEE PART IV false false false A 157225000 179362824 1573177 1053969 176732854 2008 true false true true B 80475000 157949060 157946198 2019 false true true true C 83175000 309605 82865395 2011 true false true true D 4390000 276205482 136747879 2250398 70645200 66552440 2016 true true true true A false true true true false 0.0004 0.0004 false false true B false true true true false 0.0074 0.0074 false false true C false true true true false 0.0092 0.0092 false false true D false true true true false 0.0028 0.0028 false false true A false false false true true true GOLDMAN SACHS 13.1 false false false false false true B false false false true false false false false true C false false false true true true MORGAN STANLEY 28.0 false false false false true D false false false true false false false false true A true B true C true D true 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 A ORANGE COUNTY HEALTH FACILITIES AUTHORITY 521378595 68450LGP4 2022-01-15 351412255 SEE PART IV false false false B ORANGE COUNTY HEALTH FACILITIES AUTHORITY 521378595 68450LHL2 2023-02-02 333743161 SEE PART IV false false false A 355167013 348345022 6821991 2025 false false true true B 343543147 332646794 10896353 2025 false false true true A false true true true false 0.0 false false true B false true true true false 0.0 false false true A false true false false false false false false true B false true false false false false false false true A true B true 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. 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