SOUTH LAKE HOSPITAL INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: SOUTH LAKE HOSPITAL INC (EIN 59-3322533)
Tax period: 2018-10-01 to 2019-09-30
Filed: 2020-08-10
IRS object ID: 202002239349300420
Schema version: 2018v3.3
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-08-10T09:11:14-05:00	ReturnTs
Tax Period End	2019-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	201 N FRANKLIN ST STE 2400	AddressLine1Txt
City	TAMPA	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	33602	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	593322533	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	South Lake Hospital Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% BERNADETTE SPONG	InCareOfNm
Business Name Control	SOUT	BusinessNameControlTxt
Phone	3523944071	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1900 DON WICKHAM DRIVE	AddressLine1Txt
City	CLERMONT	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	347111979	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	BERNADETTE SPONG	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	3218415078	PhoneNum
Signature	2020-08-06	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MELANIE MCPEAK	PreparerPersonNm
PTIN	P01346034	PTIN
Phone	8132254950	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	69.212.35.201	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	59521020202235000000	FederalOriginalSubmissionId
Federal Original Submission Id	2020-08-10	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DAFA43998C5B16E4847FAA9AD61C49E3BD2EB142	AtSubmissionCreationDeviceId
At Submission Filing Device Id	718B8778843D2373E641F2FD787A68514E5E2B94	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-09-23 17:36:50Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JOHN MOORE	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1900 DON WICKHAM DR	AddressLine1Txt
City	CLERMONT	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	347111979	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$321,453,300	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SOUTHLAKEHOSPITAL.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1995	FormationYr
Legal Domicile State	FL	LegalDomicileStateCd
Activity Or Mission	TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND COMMU OF THE INDIVIDUALS AND COMMUNITIES IN SOUTH LAKE COUNTY.	ActivityOrMissionDesc
Voting Members Governing Body	4	VotingMembersGoverningBodyCnt
Voting Members Independent	0	VotingMembersIndependentCnt
Total Employee	1863	TotalEmployeeCnt
Total Volunteers	191	TotalVolunteersCnt
Total Gross UBI	$3,277,501	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$5,662,710	PYContributionsGrantsAmt
CY Contributions Grants	$5,796,334	CYContributionsGrantsAmt
PY Program Service Revenue	$225,918,247	PYProgramServiceRevenueAmt
CY Program Service Revenue	$280,465,106	CYProgramServiceRevenueAmt
PY Investment Income	$4,976,376	PYInvestmentIncomeAmt
CY Investment Income	$1,229,074	CYInvestmentIncomeAmt
PY Other Revenue	$3,549,007	PYOtherRevenueAmt
CY Other Revenue	$2,186,386	CYOtherRevenueAmt
PY Total Revenue	$240,106,340	PYTotalRevenueAmt
CY Total Revenue	$289,676,900	CYTotalRevenueAmt
PY Grants And Similar Paid	$62,373	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$343,267	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$100,204,549	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$112,983,990	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$105,963,551	PYOtherExpensesAmt
CY Other Expenses	$119,707,958	CYOtherExpensesAmt
PY Total Expenses	$206,230,473	PYTotalExpensesAmt
CY Total Expenses	$233,035,215	CYTotalExpensesAmt
PY Revenues Less Expenses	$33,875,867	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$56,641,685	CYRevenuesLessExpensesAmt
Total Assets BOY	$372,279,023	TotalAssetsBOYAmt
Total Assets EOY	$427,077,711	TotalAssetsEOYAmt
Total Liabilities BOY	$111,320,407	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$109,797,625	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$260,958,616	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$317,280,086	NetAssetsOrFundBalancesEOYAmt
Mission	TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND COMMUNITIES IN SOUTH LAKE COUNTY.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$223,407,456	ExpenseAmt
Grant	$343,267	GrantAmt
Revenue	$280,518,390	RevenueAmt
Desc	OPERATION OF NON-FOR-PROFIT HOSPITAL PROVIDING INPATIENT, OUTPATIENT, & EMERGENCY CARE FOR RESIDENTS OF SOUTHERN LAKE COUNTY FLORIDA. THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. TOTAL PATIENT DAYS FOR THE FISCAL YEAR WERE OVER 47,000. COMMUNITY EDUCATION SOUTH LAKE HOSPITAL IS DEDICATED TO FURTHERING THE HEALTH-RELATED EDUCATION OF THE COMMUNITY. CLASSES ARE AVAILABLE TO AREA RESIDENTS. EATING WELL WITH DIABETES EDUCATION ACROSS CENTRAL FLORIDA, DIABETES CONSISTENTLY RANKS AMONG THE TOP FIVE RISKS IN THE REGIONS HEALTHCARE ASSESSMENTS. ORLANDO HEALTH SOUTH LAKE HOSPITAL HAS IDENTIFIED COMMUNITY EDUCATION AS A KEY APPROACH TO ADDRESSING THIS CHRONIC CONDITION IN THE COMMUNITIES IT SERVES. EACH MONTH, THE HOSPITAL HOSTS ITS EATING WELL WITH DIABETES CLASSES FOR PATIENTS, CAREGIVERS AND MEMBERS OF THE COMMUNITY. THE FREE CLASSES TAUGHT BY A SOUTH LAKE HOSPITAL CLINICAL DIETITIAN REVIEW THE DISEASE PROCESS, DIAGNOSTIC CRITERIA, LABS AND MACRONUTRIENTS (PROTEINS, FATS, CARBOHYDRATES). STRATEGIES SUCH AS THE MYPLATE TOOL DEVELOPED BY THE U.S. DEPARTMENT OF AGRICULTURE, HEALTHY FOOD CHOICES AND HEALTHY LIFESTYLE MODIFICATIONS ARE DISCUSSED. DURING THE TWO-AND-A-HALF-HOUR CLASS, PARTICIPANTS ALSO REVIEW FLUID NEEDS, FOOD MODELS/PORTION SIZES AND LEARN HOW TO PROPERLY READ FOOD LABELS. ALL OF THIS INFORMATION CAN HELP ATTENDEES BECOME MORE KNOWLEDGEABLE ABOUT WAYS TO MANAGE THEIR DIABETES CONDITION. ELEMENTARY SCHOOL HEALTH EDUCATION ROAD SHOWS IN PARTNERSHIP WITH THE FLORIDA DEPARTMENT OF HEALTH, ORLANDO HEALTH SOUTH LAKE HOSPITAL PROVIDED STUDENTS AT NINE LAKE COUNTY PUBLIC ELEMENTARY SCHOOLS WITH AN INTERACTIVE, EDUCATIONAL PROGRAM ON DIET AND EXERCISE. TOPICS COVERED DURING THE PRESENTATIONS INCLUDED NUTRITION, FITNESS AND HAND WASHING. STUDENTS LEARNED ABOUT THE DIFFERENT FOOD GROUPS AND HOW TO MAKE A HEALTHY, BALANCED MEAL. USING FAKE FOOD MODELS, THEY PUT TOGETHER A BALANCED MEAL THAT INCORPORATED DIFFERENT FOOD CHOICES. THEY RECEIVED EASY-TO-MAKE RECIPES THEY COULD TAKE HOME TO ENCOURAGE THEIR PARENTS TO PREPARE BALANCED MEALS. RECIPES CONSISTED OF READILY AVAILABLE INGREDIENTS THAT WERE BOTH INEXPENSIVE AND HEALTHY, MAKING THE RESULTING MEALS AFFORDABLE AND ACHIEVABLE. THE STUDENTS ALSO PARTICIPATED IN AN EXERCISE CLASS SET TO MUSIC TO SHOW THEM HOW EASY AND FUN IT IS TO GET ACTIVE AND WORKOUT. THEY ALSO RECEIVED TIPS FOR EXERCISING AT HOME OR AT LOCAL PARKS. FINALLY, THEY LEARNED ABOUT GERM PREVENTION, THE CORRECT WAY TO WASH THEIR HANDS AND THE IMPORTANCE OF PROPER HYGIENE. RESPONDING TO A PANDEMIC CURRENTLY, THE ORGANIZATION IS RESPONDING TO THE COVID-19 THREAT. WITH A LEVEL ONE TRAUMA CENTER AND A SAFETY NET HOSPITAL, ORLANDO HEALTH HAS BEEN A FOCAL POINT FOR CENTRAL FLORIDAS RESPONSE TO THE DISEASE. SINCE JANUARY 2020, THE HEALTHCARE SYSTEM HAS DEVELOPED ALGORITHMS AND DEVISED PROTOCOLS TO PROTECT ITS PATIENTS, VISITORS, TEAM MEMBERS AND THE COMMUNITIES WE SERVE. THESE BEST PRACTICES HAVE BEEN SHARED ACROSS THE REGION TO KEEP RESIDENTS SAFE BY INFORMING THEM THROUGH THE ORLANDOHEALTH.COM WEBSITE ON TOPICS SUCH AS HOW TO AVOID BRINGING THE CORONAVIRUS INTO THEIR HOMES AND HOW TO LIMIT EXPOSURE TO THE VIRUS WHILE GROCERY SHOPPING. ORLANDO HEALTH EXPERTS ALSO ARE ADVISING CENTRAL FLORIDA BUSINESSES ON HOW TO SAFELY AND APPROPRIATELY REOPEN AND RECOVER IN A POST-PANDEMIC WORLD. MEMBERS OF THE INFECTION PREVENTION TEAM HAVE VISITED THE OFFICES OF COMMUNITY PHYSICIANS FOR MASK FITTING OF N95 RESPIRATORS, AND MEDICAL LEADERSHIP HAS CONDUCTED WEBINARS ON WHAT APPROACHES WORK BEST IN CLINICAL OFFICE SETTINGS. GUIDANCE ON A RANGE OF GENERAL TOPICS FROM THE RIGHT WAY TO PUT ON A FACE MASK TO HOW TO CLEAN A SURFACE WITHOUT CROSS-CONTAMINATION WAS MADE AVAILABLE TO THE ENTIRE COMMUNITY ON THE DIGITAL MICROSITE ORLANDOHEALTH.COM/BUSINESS READY. THESE RESOURCES CAN HELP KEEP EMPLOYEES AND CUSTOMERS HEALTHY AS FLORIDAS STAY-AT-HOME MANDATES EXPIRE. WE LOOK FORWARD TO SHARING MORE DETAILS OF THESE EFFORTS IN THE FORM 990 FOR 2020.	Desc
Total Program Service Expenses	$223,407,456	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	179	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1863	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	4	GoverningBodyVotingMembersCnt
Independent Voting Member	0	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	FL	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	BERNADETTE SPONG	PersonNm
Phone	3218415078	PhoneNum

US Address USAddress

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

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MILDRED BEAM
BM, Vice-Chair	2.0	55.0	Yes (X)	Yes (X)	$0	$869,658	$117,329
Susan McLean
BM, Chairman UNTIL 7/1/19	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
Robert Berens Jr
BM, Secretary UNTIL 7/1/19	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
David Batman
Board Member UNTIL 7/1/19	2.0	0.0	Yes (X)		$0	$0	$0
JOHN MOORE
CHM, PRES. AS OF 7/1/19	55.0	0.0	Yes (X)	Yes (X)	$0	$613,209	$92,357
Lushantha Gunasekera MD
Board Member	2.0	55.0	Yes (X)		$0	$1,021,741	$35,513
CARY D'ORTONA
Board Member, Treasurer	2.0	55.0	Yes (X)	Yes (X)	$0	$392,016	$65,440
Bernadette Spong
CFO	0.0	61.0		Yes (X)	$0	$1,408,770	$202,987
Sijo Parekattil MD
Urologist	55.0	0.0			$877,938	$0	$45,058	Yes (X)
Jamin Brahmbhatt MD
Urologist	55.0	0.0			$759,620	$0	$48,026	Yes (X)
Andrew Karen MD
OB/GYN	55.0	0.0			$655,436	$0	$44,928	Yes (X)
Albert Enriquez MD
Urologist, OB/GYN	55.0	0.0			$336,177	$0	$37,905	Yes (X)
Sindhu Jacob MD
Endocrinologist	55.0	0.0			$200,139	$0	$33,638	Yes (X)
LANCE SEWELL
CFO,South Lake Hospital	55.0	0.0			$0	$267,910	$44,440		Yes (X)
PAUL JOHNS
COO, South Lake Hospital	55.0	0.0			$0	$229,161	$39,826		Yes (X)
BONNIE J ONOFRE
CNO, South Lake Hospital	55.0	0.0			$0	$220,640	$17,212		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,829,310	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$5,023,105	TotReportableCompRltdOrgAmt
Total Other Compensation	$824,659	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	71	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
ROBINS MORTON GROUP
400 SHADES CREEK PARKWAY SUITE 200	BIRMINGHAM	AL	35209	CONSTRUCTION SERVICE	$12,115,346
SCHMID CONSTRUCTION INC
1655 E HWY 50 SUITE 300	CLERMONT	FL	34711	CONSTRUCTION SERVICE	$8,789,377
AVI FOOD SYSTEMS INC
2590 ELM RD NE	WARREN	OH	44483	FOOD SERVICES	$2,089,206
ORIGIN INC DBA SHIFTWISE
2501 SW 1ST AVENUE SUITE 200	PORTLAND	OR	97201	STAFF MGMT SVCS	$1,162,686
BIG TEN LLC
2020 OAKLEY SEAVER DR SUITE 3	CLERMONT	FL	34711	HEALTHCARE SERVICES	$996,600

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	65	CntrctRcvdGreaterThan100KCnt
Fundraising	$0	FundraisingAmt
Government Grants	$5,708,437	GovernmentGrantsAmt
All Other Contributions	$87,897	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$5,796,334	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
PROGRAM SERVICE REVENUE	623000	$279,588,799	$278,791,817	$796,982	$0
CAFETERIA SALES	623000	$582,909	$582,909
ACO REVENUE	623000	$198,292	$198,292
ST OF FL DSH REVENUE	623000	$27,425	$27,425
EHR REVENUE	623000	$5,802	$5,802

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$61,879	TotalRevenueColumnAmt
Related Or Exempt Func Income	$61,879	RelatedOrExemptFuncIncomeAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$280,465,106	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,474,395	TotalRevenueColumnAmt
Exclusion	$2,474,395	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,862,453	TotalRevenueColumnAmt
Exclusion	-$1,862,453	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,588,634	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,874,147	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$285,513	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$285,513	TotalRevenueColumnAmt
Unrelated Business Revenue	$61,904	UnrelatedBusinessRevenueAmt
Exclusion	-$347,417	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$30,513,917	SecuritiesAmt
Other	$5,468	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$29,902,253	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$611,664	SecuritiesAmt
Other	$5,468	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$617,132	TotalRevenueColumnAmt
Exclusion	$617,132	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NATIONAL TRAINING CENTER	623000	$2,418,615	$0	$2,418,615	$0
LIP QUALITY ADD	621990	$24,444	$24,444
COMMUNITY EDUCATION	621990	$14,441	$14,441

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$14,399	TotalRevenueColumnAmt
Related Or Exempt Func Income	$14,399	RelatedOrExemptFuncIncomeAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,471,899	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$289,676,900	TotalRevenueColumnAmt
Related Or Exempt Func Income	$279,721,408	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,277,501	UnrelatedBusinessRevenueAmt
Exclusion	$881,657	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$255,541	TotalAmt
Program Services	$255,541	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$87,726	TotalAmt
Program Services	$87,726	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$88,252,690	TotalAmt
Program Services	$83,887,055	ProgramServicesAmt
Management And General	$4,365,635	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,992,404	TotalAmt
Program Services	$2,844,377	ProgramServicesAmt
Management And General	$148,027	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$15,726,284	TotalAmt
Program Services	$14,944,068	ProgramServicesAmt
Management And General	$782,216	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$6,012,612	TotalAmt
Program Services	$5,837,401	ProgramServicesAmt
Management And General	$175,211	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$670,602	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$670,602	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$339,878	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$339,878	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$17,191	TotalAmt
Program Services	$17,191	ProgramServicesAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Fundraising	$0	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$3,148	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$3,148	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$19,558,596	TotalAmt
Program Services	$19,196,288	ProgramServicesAmt
Management And General	$362,308	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$508,502	TotalAmt
Program Services	$167,439	ProgramServicesAmt
Management And General	$341,063	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$18,237,581	TotalAmt
Program Services	$17,376,862	ProgramServicesAmt
Management And General	$860,719	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$655,974	TotalAmt
Program Services	$585,903	ProgramServicesAmt
Management And General	$70,071	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$16,448,596	TotalAmt
Program Services	$16,311,364	ProgramServicesAmt
Management And General	$137,232	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$185,768	TotalAmt
Program Services	$174,511	ProgramServicesAmt
Management And General	$11,257	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$59,664	TotalAmt
Program Services	$36,209	ProgramServicesAmt
Management And General	$23,455	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,657,255	TotalAmt
Program Services	$4,657,255	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$15,580,851	TotalAmt
Program Services	$15,580,851	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,378,727	TotalAmt
Program Services	$1,281,540	ProgramServicesAmt
Management And General	$97,187	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$31,760,323	$31,760,323	$0	$0
ASSESSMENT FEES	$2,181,692	$2,181,392	$300	$0
COLLECTION FEES	$4,872,985	$4,872,985	$0	$0
RECRUITING EXPENSES	$995,663	$0	$995,663	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,594,962	TotalAmt
Program Services	$1,351,175	ProgramServicesAmt
Management And General	$243,787	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$233,035,215	TotalAmt
Program Services	$223,407,456	ProgramServicesAmt
Management And General	$9,627,759	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$57,727,900	BOYAmt
EOY	$100,222,189	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

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

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$26,136,797	BOYAmt
EOY	$32,568,087	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$1,464,192	BOYAmt
EOY	$888,016	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,574,791	BOYAmt
EOY	$3,995,519	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,748,476	BOYAmt
EOY	$1,082,834	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$341,324,086	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$136,484,902	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$185,122,171	BOYAmt
EOY	$204,839,184	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$75,382,496	BOYAmt
EOY	$67,897,445	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,570,655	BOYAmt
EOY	$7,570,655	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$13,551,545	BOYAmt
EOY	$8,013,782	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$372,279,023	BOYAmt
EOY	$427,077,711	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$25,461,531	BOYAmt
EOY	$30,000,997	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$471,937	BOYAmt
EOY	$478,419	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$76,585,824	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$1,243,816	BOYAmt
EOY	$956,091	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$7,557,299	BOYAmt
EOY	$78,362,118	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$111,320,407	BOYAmt
EOY	$109,797,625	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$259,328,041	BOYAmt
EOY	$315,683,456	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,630,575	BOYAmt
EOY	$1,596,630	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$260,958,616	BOYAmt
EOY	$317,280,086	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$372,279,023	BOYAmt
EOY	$427,077,711	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$56,641,685	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$121,132	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	-$178,972	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$20,111	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Media Advertisements	$0	MediaAdvertisementsAmt
Mailings Members	false	MailingsMembersInd
Mailings Members	$0	MailingsMembersAmt
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Publications Or Broadcast	$0	PublicationsOrBroadcastAmt
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Grants Other Organizations	$0	GrantsOtherOrganizationsAmt
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$10,841	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Rallies Demonstrations	$0	RalliesDemonstrationsAmt
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$6,350	OtherActivitiesAmt
Total Lobbying Expenditures	$17,191	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Form 990, Schedule C, Part IV	FormAndLineReferenceDesc
Explanation	THE HOSPITAL PAYS MEMBERSHIP DUES TO A STATE HEALTHCARE ORGANIZATION. A PORTION OF THOSE DUES ARE ALLOCATED TO LOBBYING ACTIVITIES IN WHICH THE STATE HEALTHCARE ORGANIZATION PARTICIPATES. ADDITIONALLY, THE DIRECTOR OF GOVERNMENT RELATIONS SPENDS APPROXIMATELY 10% OF THEIR TIME LOBBYING FOR THE ORGANIZATION.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,630,575	BeginningYearBalanceAmt
Contributions	$100,183	ContributionsAmt
Investment Earnings Or Losses	$22,805	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$148,930	GrantsOrScholarshipsAmt
Other Expenditures	$8,003	OtherExpendituresAmt
End Year Balance	$1,596,630	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,518,792	BeginningYearBalanceAmt
Contributions	$216,980	ContributionsAmt
Investment Earnings Or Losses	$51,312	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$151,761	GrantsOrScholarshipsAmt
Other Expenditures	$4,748	OtherExpendituresAmt
End Year Balance	$1,630,575	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,528,721	BeginningYearBalanceAmt
Contributions	$339,988	ContributionsAmt
Grants Or Scholarships	$343,322	GrantsOrScholarshipsAmt
Other Expenditures	$6,595	OtherExpendituresAmt
End Year Balance	$1,518,792	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,611,128	BeginningYearBalanceAmt
Contributions	$271,064	ContributionsAmt
Grants Or Scholarships	$250,215	GrantsOrScholarshipsAmt
Other Expenditures	$103,256	OtherExpendituresAmt
End Year Balance	$1,528,721	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,531,728	BeginningYearBalanceAmt
Contributions	$387,542	ContributionsAmt
Grants Or Scholarships	$56,714	GrantsOrScholarshipsAmt
Other Expenditures	$251,428	OtherExpendituresAmt
End Year Balance	$1,611,128	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.00000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	1.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (true)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$171,190,938	OtherCostOrOtherBasisAmt
Book Value	$17,190,938	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$198,714,639	OtherCostOrOtherBasisAmt
Depreciation	$63,195,969	DepreciationAmt
Book Value	$135,518,670	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,090,745	OtherCostOrOtherBasisAmt
Depreciation	$2,983,352	DepreciationAmt
Book Value	$8,107,393	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$105,434,570	OtherCostOrOtherBasisAmt
Depreciation	$70,305,581	DepreciationAmt
Book Value	$35,128,989	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,893,194	OtherCostOrOtherBasisAmt
Book Value	$8,893,194	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$204,839,184	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
RAC RESERVE	$2,677,310
THIRD PARTY SETTLEMENTS	$1,480,334
DUE TO ORLANDO HEALTH (DEFEASANCE)	$70,176,402
OTHER LIABILITIES	$4,028,072

Field	Value	IRS element (for citing)
Total Liability	$78,362,118	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE D, PART V, LINE 4

CAPTAIN HOMER N. ALLEN FUND FOR NURSING SCHOLARSHIPS PROVIDES SUPPORT FOR SCHOLARSHIPS FOR RESIDENTS OF SOUTH LAKE COUNTY AND/OR EMPLOYEES OF SOUTH LAKE HOSPITAL WHO WISH TO FURTHER THEIR EDUCATION IN THE FIELD OF NURSING. OTHER RESTRICTED FUNDS ARE AVAILABLE FOR THE ACQUISITION OF FIXED ASSETS AND OTHER OPERATING USE. ORLANDO HEALTH FOUNDATION, INC. (AN AFFILIATE OF ORLANDO HEALTH, INC., A RELATED ORGANIZATION) HOLDS AND ADMINISTERS CERTAIN DONOR RESTRICTED FUNDS ON BEHALF OF SOUTH LAKE HOSPITAL. THE AMOUNT HELD WAS $713,534 AS OF SEPTEMBER 30, 2019.

SCHEDULE D, PART X, LINE 2

FASB ASC TOPIC 740, INCOME TAXES, PRESCRIBES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAX POSITIONS RECOGNIZED IN THE FINANCIAL STATEMENTS. ASC TOPIC 740 PROVIDES GUIDANCE AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THERE WERE NO MATERIAL UNCERTAIN TAX POSITIONS AS OF SEPTEMBER 30, 2019 AND 2018.

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	225.	FreeCareOtherPct

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,650,290	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,650,290	NetCommunityBenefitExpnsAmt
Total Expense	0.04130	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,412,665	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,147,635	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,265,030	NetCommunityBenefitExpnsAmt
Total Expense	0.04820	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$165,043	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$102,109	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$62,934	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$31,227,998	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,249,744	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,978,254	NetCommunityBenefitExpnsAmt
Total Expense	0.08980	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,127,783	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,127,783	NetCommunityBenefitExpnsAmt
Total Expense	0.00480	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$262,146	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$86,455	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$175,691	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$255,541	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$255,541	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,645,470	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$86,455	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,559,015	NetCommunityBenefitExpnsAmt
Total Expense	0.00670	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$32,873,468	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,336,199	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,537,269	NetCommunityBenefitExpnsAmt
Total Expense	0.09650	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$907,329	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$907,329	NetCommunityBenefitExpnsAmt
Total Expense	0.00390	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$907,329	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$907,329	NetCommunityBenefitExpnsAmt
Total Expense	0.00390	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$44,996,148	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$39,700,914	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$40,251,796	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$550,882	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SOUTH LAKE HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1900 DON WICKHAM DRIVE	AddressLine1Txt
City	CLERMONT	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	34711	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.SOUTHLAKEHOSPITAL.COM	WebsiteAddressTxt
State License	4180	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	SURG CTR, REHAB, MRI HH, SNF, ONC	OtherDesc
Facility Reporting Group	A	FacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	SOUTH LAKE HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
Other	Yes (X)	OtherInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SEC C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	false	StrategyPostedWebsiteInd
Strategy Attached	Yes (true)	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	225.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	0.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SEC C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SEC C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SEC C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part V, Section A	HTTPS://WWW.SOUTHLAKEHOSPITAL.COM/
PART V, SECTION B, LINE 3E	THE 2019 CHNA IS A FOUR-COUNTY ASSESSMENT COVERING LAKE, ORANGE, OSCEOLA AND SEMINOLE COUNTIES. SECONDARY AND PRIMARY DATA WERE COLLECTED AND ANALYZED THAT GENERATED COMMON THEMES FOR THE REGION, COUNTY, ZIP CODE AND NEIGHBORHOOD CENSUS TRACTS. SECONDARY DATA ABOUT HEALTH INDICATORS, HEALTHCARE UTILIZATION AND INSURANCE COVERAGE WAS GATHERED FROM RESOURCES INCLUDING THE U.S. CENSUS, FLORIDA COMMUNITY HEALTH ASSESSMENT RESOURCE TOOL SET (CHARTS), THE CENTERS FOR DISEASE CONTROL AND PREVENTION'S BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEMS (BRFSS) DATA, COUNTY HEALTH RANKINGS, THE AMERICAN COMMUNITY SURVEY AND HOSPITAL CLAIMS DATA. PRIMARY DATA SOURCES INCLUDED A COMMUNITY SURVEY (2,708 RESPONSES), KEY INFORMANT SURVEY (172 RESPONSES), IN-DEPTH INTERVIEWS WITH COMMUNITY STAKEHOLDERS (34), INTERCEPT SURVEY (135 RESPONSES) AND FOCUS GROUPS (15 GROUPS WITH 235 TOTAL PARTICIPANTS). BASED ON THE DATA, DOZENS OF THEMES WERE GENERATED. USING THE DATA, THE CENTRAL FLORIDA COMMUNITY COLLABORATIVE THAT COMMENCED THE 2019 CHNA SELECTED THE PRIORITIES OR THEMES FOR THE 2019 CHNA. THE COLLABORATIVE UTILIZED AN ELECTRONIC EXERCISE USING OPTIONFINDER, AN AUDIENCE RESPONSE POLLING SYSTEM, TO SELECT 10 PRIORITY AREAS BY ORGANIZATION AND COUNTY. THESE PRIORITIES WERE USED FOR EACH HOSPITAL'S IMPLEMENTATION STRATEGY PLAN. THE PRIORITIES FOR EACH COUNTY ARE OUTLINED IN THE COUNTY ASSESSMENT SUMMARIES INCLUDED IN THE CHNA. IN ADDITION TO THE PRIORITIES SELECTED BY THE COLLABORATIVE, THE SUMMARIES PREPARED BY SSI ALSO INCLUDE BASIC DEMOGRAPHIC INFORMATION FOR EACH COUNTY, AS WELL AS HIGH-LEVEL OVERVIEWS OF THE FOUR ASSESSMENT COMPONENTS OF THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP (MAPP) MODEL: COMMUNITY HEALTH STATUS, COMMUNITY THEMES AND STRENGTHS, LOCAL PUBLIC HEALTH SYSTEMS AND FORCES OF CHANGE.
PART V, SECTION B, LINE 3J	AS PART OF THE SECONDARY DATA COLLECTION, HOSPITAL HOT SPOTTING DATA WAS ALSO INCLUDED IN OUR CHNA. SSI CONTINUED TO EXPAND THE WORK COMPLETED IN THE 2019 CHNA BY ZOOMING IN ON CENSUS TRACTS IN LOCAL HOT SPOTTING AREAS. PATIENT DATA FROM HOSPITALS REPRESENTED IN THE CHNA ALLOWED LOCATION ANALYSIS AND MAPPING OF LOCAL "HOT SPOTS" WITH HIGH NUMBERS OF UNINSURED VISITS OVER-UTILIZING THE HEALTHCARE SYSTEM. THE UNINSURED DATA WERE SPLIT INTO ADMITTING FACILITIES AND THEN FURTHER SEPARATED INTO INPATIENT AND EMERGENCY DEPARTMENT DISCHARGES ALONG THESE IDENTIFIED CENSUS TRACTS.
PART V, SECTION B, LINE 5	FOR OUR 2019 COMMUNITY HEALTH NEEDS ASSESSMENT, WE CONTRACTED STRATEGY SOLUTIONS, INC (SSI). SSI IS A CERTIFIED WBE (WOMAN BUSINESS ENTERPRISE) WITH A MISSION TO CREATE HEALTHY COMMUNITIES. SSI HAS BEEN CONDUCTING CHNAS SINCE 1993 WITH THEIR CLIENTS BEING RECOGNIZED FOR BEST PRACTICES. RECOGNIZING EACH COMMUNITY IS UNIQUE, SSI'S APPROACH TO BETTER UNDERSTANDING A COMMUNITY'S NEED IS ALIGNED WITH THE SOCIAL-ECOLOGICAL MODEL. THE MODEL IS A COMPREHENSIVE APPROACH TO HEALTH AND URBAN PLANNING THAT NOT ONLY ADDRESSES A COMMUNITY'S OR INDIVIDUAL'S RISK FACTORS, BUT ALSO THE NORMS, BELIEFS, AND SOCIAL AND ECONOMIC SYSTEMS THAT CREATE THE CONDITIONS FOR POOR COMMUNITY HEALTH OUTCOMES. SSI WORKED TO BUILD ON TOP OF THE PREVIOUS CHNA CONDUCTED IN 2016. DURING THE CHNA PROCESS, INPUT FROM PERSONS WHO REPRESENT BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY WAS TAKEN INTO ACCOUNT. PRIMARY DATA INCLUDED SURVEYS DISTRIBUTED TO BOTH PROVIDERS AND CONSUMERS, IN-DEPTH INTERVIEWS WITH COMMUNITY STAKEHOLDERS, AND COMMUNITY FOCUS GROUPS WITHIN THE CENTRAL FLORIDA COMMUNITY. ON BEHALF OF THE HOSPITAL, SSI WORKED WITH REPRESENTATIVES FROM ALL THE HOSPITALS, HEALTH DEPARTMENTS AND FEDERALLY QUALIFIED HEALTH CENTERS (FQHC) THAT PARTICIPATED IN THE ASSESSMENT TO ENSURE PERSONS THAT PROVIDED INPUT WERE REPRESENTATIVE OF THE COMMUNITY. BROAD POPULATIONS INCLUDING THE ELDERLY, MEDICAL UNDERSERVED, MINORITY GROUPS, AND LOW-INCOME POPULATIONS WERE REPRESENTED. THE COMMUNITY SURVEY WAS DISTRIBUTED BOTH IN HARD COPY AND VIA SURVEY MONKEY WITH A TOTAL OF 2,708 RESPONSES. A SUMMARY OF RESPONSES FROM THE COMMUNITY SURVEY CAN BE FOUND IN APPENDIX A OF THE CHNA. STAKEHOLDER IN-DEPTH INTERVIEWS WERE CONDUCTED WITH 34 COMMUNITY STAKEHOLDERS DURING THE BEGINNING OF 2019. THE SECTORS REPRESENTED ARE DEPARTMENT OF HEALTH, FOOD SECURITY, DEPARTMENT OF CHILDREN & FAMILIES, HEALTHCARE, FEDERALLY QUALIFIED HEALTH CENTER, HOMELESSNESS, BEHAVIORAL HEALTH, SPECIALTY CARE, EDUCATION, AGING, AND BUSINESS. INFORMATION ABOUT EACH STAKEHOLDER IS OUTLINED IN APPENDIX B OF THE CHNA. THE KEY INFORMANT SURVEY WAS DISTRIBUTED ELECTRONICALLY AND INCLUDED RESPONSES FROM 172 PARTICIPANTS. A SUMMARY OF RESPONSES FROM THE KEY INFORMANT SURVEYS CAN BE FOUND IN APPENDIX D OF THE CHNA. FIFTEEN FOCUS GROUPS TOOK PLACE WITH A TOTAL OF 235 PARTICIPANTS. MORE DETAILS REGARDING FOCUS GROUP PARTICIPANTS CAN BE FOUND IN APPENDIX C OF THE CHNA. INTERCEPT SURVEYS WERE CONDUCTED AS IN-PERSON INTERVIEWS AS OPEN-ENDED QUESTIONS BY SSI CONSULTANTS IN FQHC WAITING ROOMS WITH A TOTAL OF 135 COMPLETED. AN INTERCEPT SURVEY IS A RESEARCH METHOD TOOL USED TO GATHER ONSITE FEEDBACK FROM AN IDENTIFIED POPULATION IN A LOCATION WHERE THERE IS A CAPTIVE AUDIENCE. A LIST OF INTERCEPT SURVEY DATES, LOCATIONS AND NUMBER OF RESIDENTS WHO COMPLETED THE SURVEY CAN BE FOUND IN APPENDIX E OF THE CHNA.
PART V, SECTION B, LINE 6A	ORLANDO HEALTH: ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER (ORLANDO HEALTH UF HEALTH CANCER CENTER), ORLANDO HEALTH ARNOLD PALMER HOSPITAL FOR CHILDREN, ORLANDO HEALTH WINNIE PALMER HOSPITAL FOR WOMEN & BABIES, ORLANDO HEALTH DR. P. PHILLIPS HOSPITAL, ORLANDO HEALTH - HEALTH CENTRAL HOSPITAL, ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL AND ORLANDO HEALTH SOUTH LAKE HOSPITAL. ADVENTHEALTH: ADVENTHEALTH ALTAMONTE, ADVENTHEALTH APOPKA, ADVENTHEALTH CELEBRATION, ADVENTHEALTH EAST ORLANDO, ADVENTHEALTH FOR CHILDREN, ADVENTHEALTH KISSIMMEE, ADVENTHEALTH ORLANDO, ADVENTHEALTH WATERMAN, ADVENTHEALTH WINTER PARK ASPIRE HEALTH PARTNERS: KENNEDY PLAZA, LAKESIDE PLACE APARTMENTS, PRINCETON PLAZA, RESIDENTIAL PLAZA
Part V, Section B, Line 6b	DEPARTMENT OF HEALTH: FLORIDA DEPARTMENT OF HEALTH IN LAKE COUNTY FLORIDA DEPARTMENT OF HEALTH IN ORANGE COUNTY FLORIDA DEPARTMENT OF HEALTH IN OSCEOLA COUNTY FLORIDA DEPARTMENT OF HEALTH IN SEMINOLE COUNTY FEDERALLY QUALIFIED HEALTH CENTERS: COMMUNITY HEALTH CENTERS, INC ORANGE BLOSSOM FAMILY HEALTH OSCEOLA COMMUNITY HEALTH SERVICES TRUE HEALTH
PART V, SECTION B, LINE 7A	HTTP://WWW.SOUTHLAKEHOSPITAL.COM/ABOUT-US/COMMUNITY-OUTREACH
PART V, SECTION B, LINE 11	SOUTH LAKE HOSPITAL HAS BEEN SERVING THE HEALTHCARE NEEDS OF LAKE COUNTY RESIDENTS FOR OVER 70 YEARS. DEDICATED TO IMPROVING THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND COMMUNITIES WE SERVE; SOUTH LAKE HOSPITAL IS CONSTANTLY EMPLOYING EFFORTS TO IMPROVE HEALTH IN THE COMMUNITY AND INCREASE ACCESS TO CARE. FOLLOWING OUR PARTICIPATION IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) SOUTH LAKE HOSPITAL TOOK INTO CONSIDERATION A NUMBER OF FACTORS IN SELECTING HEALTH NEEDS TO ADDRESS. FACTORS INCLUDED BUT WERE NOT LIMITED TO: INDIVIDUAL SOUTH LAKE HOSPITAL DATA; COMMUNITY AND HOSPITAL ASSETS; ABILITY TO IMPACT AN ISSUE; CURRENT COMMUNITY BENEFIT EFFORTS; COMMUNITY PARTNERSHIPS; AND OPPORTUNITIES FOR COLLABORATION. BASED ON OUR PROCESS WE SELECTED ACCESS TO CARE AS OUR PRIORITY HEALTH NEED FROM THE 2019 CHNA. IN FISCAL YEAR 2019 WITH OUR FOCUS ON ACCESS TO CARE, ORLANDO HEALTH SOUTH LAKE HOSPITAL DEVELOPED NEW AND ENHANCED ESTABLISHED COMMUNITY BENEFIT PROGRAMS THAT ADDRESS ACCESS TO CARE. SOUTH LAKE HOSPITAL PROVIDED OVER $22 MILLION IN COMMUNITY BENEFIT IN FISCAL YEAR 2019. IN SUPPORT OF OUR COMMUNITY BENEFIT EFFORTS, WE RECOGNIZE THE IMPORTANCE OF WORKING WITH COMMUNITY ORGANIZATIONS. IN 2019, WE SUPPORTED 52 COMMUNITY ORGANIZATIONS. EXAMPLES FROM KEY INITIATIVES ARE INCLUDED TO ILLUSTRATE THE TYPES OF SUCCESSES THESE PROGRAMS YIELD. EATING WELL WITH DIABETES EDUCATION: ACROSS CENTRAL FLORIDA, DIABETES CONSISTENTLY RANKS AMONG THE TOP FIVE RISKS IN THE REGIONS HEALTHCARE ASSESSMENTS. ORLANDO HEALTH SOUTH LAKE HOSPITAL HAS IDENTIFIED COMMUNITY EDUCATION AS A KEY APPROACH TO ADDRESSING THIS CHRONIC CONDITION IN THE COMMUNITIES IT SERVES. EACH MONTH, THE HOSPITAL HOSTS ITS EATING WELL WITH DIABETES CLASSES FOR PATIENTS, CAREGIVERS AND MEMBERS OF THE COMMUNITY. THE FREE CLASSES TAUGHT BY A SOUTH LAKE HOSPITAL CLINICAL DIETITIAN REVIEW THE DISEASE PROCESS, DIAGNOSTIC CRITERIA, LABS AND MACRONUTRIENTS (PROTEINS, FATS, CARBOHYDRATES). STRATEGIES SUCH AS THE MYPLATE TOOL DEVELOPED BY THE U.S. DEPARTMENT OF AGRICULTURE, HEALTHY FOOD CHOICES AND HEALTHY LIFESTYLE MODIFICATIONS ARE DISCUSSED. DURING THE TWO-AND-A-HALF-HOUR CLASS, PARTICIPANTS ALSO REVIEW FLUID NEEDS, FOOD MODELS/PORTION SIZES AND LEARN HOW TO PROPERLY READ FOOD LABELS. ALL OF THIS INFORMATION CAN HELP ATTENDEES BECOME MORE KNOWLEDGEABLE ABOUT WAYS TO MANAGE THEIR DIABETES CONDITION. ELEMENTARY SCHOOL HEALTH EDUCATION ROAD SHOWS: IN PARTNERSHIP WITH THE FLORIDA DEPARTMENT OF HEALTH, ORLANDO HEALTH SOUTH LAKE HOSPITAL PROVIDED STUDENTS AT NINE LAKE COUNTY PUBLIC ELEMENTARY SCHOOLS WITH AN INTERACTIVE, EDUCATIONAL PROGRAM ON DIET AND EXERCISE. TOPICS COVERED DURING THE PRESENTATIONS INCLUDED NUTRITION, FITNESS AND HAND WASHING. STUDENTS LEARNED ABOUT THE DIFFERENT FOOD GROUPS AND HOW TO MAKE A HEALTHY, BALANCED MEAL. USING FAKE FOOD MODELS, THEY PUT TOGETHER A BALANCED MEAL THAT INCORPORATED DIFFERENT FOOD CHOICES. THEY RECEIVED EASY-TO-MAKE RECIPES THEY COULD TAKE HOME TO ENCOURAGE THEIR PARENTS TO PREPARE BALANCED MEALS. RECIPES CONSISTED OF READILY AVAILABLE INGREDIENTS THAT WERE BOTH INEXPENSIVE AND HEALTHY, MAKING THE RESULTING MEALS AFFORDABLE AND ACHIEVABLE. THE STUDENTS ALSO PARTICIPATED IN AN EXERCISE CLASS SET TO MUSIC TO SHOW THEM HOW EASY AND FUN IT IS TO GET ACTIVE AND WORKOUT. THEY ALSO RECEIVED TIPS FOR EXERCISING AT HOME OR AT LOCAL PARKS. FINALLY, THEY LEARNED ABOUT GERM PREVENTION, THE CORRECT WAY TO WASH THEIR HANDS AND THE IMPORTANCE OF PROPER HYGIENE. RESPONDING TO A PANDEMIC: CURRENTLY, THE ORGANIZATION IS RESPONDING TO THE COVID-19 THREAT. WITH A LEVEL ONE TRAUMA CENTER AND A SAFETY NET HOSPITAL, ORLANDO HEALTH HAS BEEN A FOCAL POINT FOR CENTRAL FLORIDAS RESPONSE TO THE DISEASE. SINCE JANUARY 2020, THE HEALTHCARE SYSTEM HAS DEVELOPED ALGORITHMS AND DEVISED PROTOCOLS TO PROTECT ITS PATIENTS, VISITORS, TEAM MEMBERS AND THE COMMUNITIES WE SERVE. THESE BEST PRACTICES HAVE BEEN SHARED ACROSS THE REGION TO KEEP RESIDENTS SAFE BY INFORMING THEM THROUGH THE ORLANDOHEALTH.COM WEBSITE ON TOPICS SUCH AS HOW TO AVOID BRINGING THE CORONAVIRUS INTO THEIR HOMES AND HOW TO LIMIT EXPOSURE TO THE VIRUS WHILE GROCERY SHOPPING. ORLANDO HEALTH EXPERTS ALSO ARE ADVISING CENTRAL FLORIDA BUSINESSES ON HOW TO SAFELY AND APPROPRIATELY REOPEN AND RECOVER IN A POST-PANDEMIC WORLD. MEMBERS OF THE INFECTION PREVENTION TEAM HAVE VISITED THE OFFICES OF COMMUNITY PHYSICIANS FOR MASK FITTING OF N95 RESPIRATORS, AND MEDICAL LEADERSHIP HAS CONDUCTED WEBINARS ON WHAT APPROACHES WORK BEST IN CLINICAL OFFICE SETTINGS. GUIDANCE ON A RANGE OF GENERAL TOPICS FROM THE RIGHT WAY TO PUT ON A FACE MASK TO HOW TO CLEAN A SURFACE WITHOUT CROSS-CONTAMINATION WAS MADE AVAILABLE TO THE ENTIRE COMMUNITY ON THE DIGITAL MICROSITE ORLANDOHEALTH.COM/BUSINESS READY. THESE RESOURCES CAN HELP KEEP EMPLOYEES AND CUSTOMERS HEALTHY AS FLORIDA'S STAY-AT-HOME MANDATES EXPIRE. WE LOOK FORWARD TO SHARING MORE DETAILS OF THESE EFFORTS IN THE FORM 990 FOR 2020. WITH ACCESS TO CARE AS OUR PRIORITY, SOUTH LAKE HOSPITAL DETERMINED THAT THE FOLLOWING ISSUES WOULD NOT BE EXPLICITLY INCLUDED IN OUR IMPLEMENTATION STRATEGY IN AN EFFORT TO MAXIMIZE RESOURCES AVAILABLE FOR ADDRESSING ACCESS TO CARE. HOWEVER, SOUTH LAKE HOSPITAL DOES PROVIDE SUPPORT AND SERVICES FOR SEVERAL OF THE REMAINING HEALTH NEEDS. AT THE TIME OF PRIORITIZATION, WE TOOK INTO ACCOUNT THE LEVEL TO WHICH SOME OF THE NEEDS WERE ALREADY BEING ADDRESSED IN THE SERVICE AREA, ALONG WITH WHETHER THE IDENTIFIED NEED FALLS OUT OF THE SCOPE OF OUR EXPERTISE AND RESOURCES. FOR THE NEEDS WE DID NOT SELECT WE WILL CONTINUE TO PROVIDE SUPPORT AND SERVICES WHERE APPROPRIATE INCLUDING THROUGH COMMUNITY SPONSORSHIPS AND SUPPORT. IN ADDITION, MANY OF THE NEEDS LISTED BELOW WILL BE IMPACTED BY OUR FOCUS ON ACCESS TO CARE. WITH OUR EFFORTS BEING CONCENTRATED ON ACCESS TO CARE, WE ARE ABLE TO SUPPORT OUR COMMUNITY IN MULTIPLE ARENAS INSTEAD OF BEING LIMITED TO ONE CONDITION OR NEED. THIS FLEXIBILITY WILL HELP US TO BETTER SERVE THE MOST UNDERSERVED AND VULNERABLE POPULATIONS IN OUR COMMUNITY. NEEDS THAT WON'T BE EXPLICITLY ADDRESSED: -ACCESS TO AFFORDABLE FOOD -CANCER -CARDIOVASCULAR DISEASE -CHILDHOOD OBESITY -DIABETES (ADULT/CHILDREN) -EMPLOYMENT/LIVABLE WAGES -FAMILY STABILITY -HOUSING/HOMELESSNESS -INFANT MORTALITY -INSURANCE -MEDICATION -LACK OF BILINGUAL PROVIDERS -WOMENS ANNUAL SCREENING -LACK OF MENTAL HEALTH PROVIDERS -SUBSTANCE USE -TOBACCO USE -TRANSPORTATION ACCESS TO AFFORDABLE FOOD: WE DID NOT SELECT ACCESS TO AFFORDABLE FOOD AS A PRIORITY, BUT WE MAY HAVE PROGRAMS THAT WILL POSITIVELY IMPACT THIS IDENTIFIED NEED THROUGH THE SELECTED PRIORITY OF ACCESS TO CARE. WE RECOGNIZE THAT CHRONIC CONDITIONS CAN INHIBIT ONES ACCESS TO CARE AND THERE MAY BE OPPORTUNITIES TO COLLABORATE WITH COMMUNITY PARTNERS TO ADDRESS THIS NEED. PLEASE REFER TO APPENDIX A FOR ANY INITIATIVES THAT ARE FOCUSED IN THIS AREA. CANCER: WE DID NOT SELECT CANCER AS A PRIORITY BECAUSE WE DO NOT HAVE THE RESOURCES TO EFFECTIVELY MEET THIS NEED. HOWEVER, WE RECOGNIZE THAT DISPARITIES CAN INHIBIT ONES ACCESS TO CARE AND WE MAY HAVE OPPORTUNITIES TO COLLABORATE WITH COMMUNITY ORGANIZATIONS TO ADDRESS THIS NEED. CARDIOVASCULAR DISEASE: WE DID NOT SELECT CARDIOVASCULAR DISEASE AS A PRIORITY, BUT WE MAY HAVE PROGRAMS THAT WILL POSITIVELY IMPACT THIS IDENTIFIED NEED THROUGH THE SELECTED PRIORITY OF ACCESS TO CARE. WE RECOGNIZE THAT CHRONIC CONDITIONS CAN INHIBIT ONES ACCESS TO CARE AND THERE MAY BE OPPORTUNITIES TO COLLABORATE WITH COMMUNITY PARTNERS TO ADDRESS THIS NEED. PLEASE REFER TO APPENDIX A FOR ANY INITIATIVES THAT ARE FOCUSED IN THIS AREA. CHILDHOOD OBESITY: WE DID NOT SELECT CHILDHOOD OBESITY AS A PRIORITY, BUT WE MAY HAVE PROGRAMS THAT WILL POSITIVELY IMPACT THIS IDENTIFIED NEED THROUGH THE SELECTED PRIORITY OF ACCESS TO CARE. WE RECOGNIZE THAT CHRONIC CONDITIONS CAN INHIBIT ONES ACCESS TO CARE AND THERE MAY BE OPPORTUNITIES TO COLLABORATE WITH COMMUNITY PARTNERS TO ADDRESS THIS NEED. PLEASE REFER TO APPENDIX A FOR ANY INITIATIVES THAT ARE FOCUSED IN THIS AREA. DIABETES (CHILDREN/ADULTS): WE DID NOT SELECT DIABETES (CHILDREN/ADULTS) AS A PRIORITY, BUT WE MAY HAVE PROGRAMS THAT WILL POSITIVELY IMPACT THIS IDENTIFIED NEED THROUGH THE SELECTED PRIORITY OF ACCESS TO CARE. WE RECOGNIZE THAT CHRONIC CONDITIONS CAN INHIBIT ONES ACCESS TO CARE AND THERE MAY BE OPPORTUNITIES TO COLLABORATE WITH COMMUNITY PARTNERS TO ADDRESS THIS NEED. PLEASE REFER TO APPENDIX A FOR ANY INITIATIVES THAT ARE FOCUSED IN THIS AREA. EMPLOYMENT/LIVABLE WAGES: WE DID NOT SELECT EMPLOYMENT/LIVABLE WAGES AS A PRIORITY BECAUSE WE DO NOT HAVE THE RESOURCES TO EFFECTIVELY MEET THIS NEED. HOWEVER, WE RECOGNIZE THAT DISPARITIES CAN INHIBIT ONES ACCESS TO CARE AND WE MAY HAVE OPPORTUNITIES TO COLLABORATE WITH COMMUNITY ORGANIZATIONS TO ADDRESS THIS NEED. FAMILY STABILITY: WE DID NOT SELECT FAMILY STABILITY AS A PRIORITY BECAUSE WE DO NOT HAVE THE RESOURCES TO EFFECTIVELY MEET THIS NEED. HOWEVER, WE RECOGNIZE THAT DISPARITIES C
PART V, SECTION B, LINE 16A	HTTPS://WWW.ORLANDOHEALTH.COM/PATIENTS-AND-VISITORS/PATIENT-FINANCIAL-RESO URCES/FINANCIAL-ASSISTANCE-PROGRAM PART V, SECTION B, LINE 16B HTTPS://WWW.ORLANDOHEALTH.COM/PATIENTS-AND-VISITORS/PATIENT-FINANCIAL-RESO URCES/FINANCIAL-ASSISTANCE-PROGRAM PART V, SECTION B, LINE 16C HTTPS://WWW.ORLANDOHEALTH.COM/PATIENTS-AND-VISITORS/PATIENT-FINANCIAL-RESO URCES/FINANCIAL-ASSISTANCE-PROGRAM

Field	Value	IRS element (for citing)
Facility	12	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
OH SLH JOE H AND LORETTA SCOTT MED pav
16966 CAGAN RIDGE BOULEVARD	CLERMONT	FL	34714	FREESTANDING ER AND MEDICAL PAVILION
SOUTH LAKE ENDOSCOPY CENTER
2040 OAKLEY SEAVER DRIVE STE 100	CLERMONT	FL	34711	OUTPATIENT DIAGNOSTIC CENTER
OH SLH ER RM & MED PAV AT BLU CEDAR
22316 US HIGHWAY 27	LEESBURG	FL	34748	FREESTANDING ER AND MEDICAL PAVILION
SOUTH LAKE HOSPITAL SURGERY CENTER
1800 OAKLEY SEAVER DRIVE	CLERMONT	FL	34711	OUTPATIENT AMBULATORY SURGERY
SOUTH LAKE WOUND CARE CENTER
2040 OAKLEY SEAVER DRIVE STE 200	CLERMONT	FL	34711	OUTPATIENT WOUND CARE
SOUTH LAKE HOSPITAL OUTPATIENT REHAB
1935 DON WICKHAM DRIVE	CLERMONT	FL	34711	OUTPATIENT REHABILITATION
SOUTH LAKE HOSPITAL SATELITE OUTPATIENT
2020 OAKLEY SEAVER DRIVE	CLERMONT	FL	34711	OUTPATIENT REHABILITATION
SKYTOP VIEW REHABILITATION CENTER
2145 NORTH DON WICKHAM DRIVE	CLERMONT	FL	34711	REHABILITATION AND SKILLED NURSING FACILITY
SLH OUTPATIENT REHAB AT BLUE CEDAR
22326 US HIGHWAY 27 SUITE A	LEESBURG	FL	34748	OUTPATIENT REHABILITATION
SOUTH LAKE HOSPITAL CARDIAC REHAB
2080 OAKLEY SEAVER DRIVE STE 140	CLERMONT	FL	34711	OUTPATIENT REHABILITATION
SOUTH LAKE HOME HEALTH
1920 DON WICKHAM DRIVE	CLERMONT	FL	34711	SKILLED NURSING FACILITY
SOUTH LAKE HOSPITAL OUTPATIENT CENTER
1503 SUNRISE PLAZA DRIVE	CLERMONT	FL	34714	OUTPATIENT DIAGNOSTIC CENTER

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C	SOUTH LAKE HOSPITAL, INC., USES FEDERAL POVERTY GUIDELINES (FPG) AS A FACTOR FOR DETERMINING ELIGIBILITY FOR PROVIDING FREE CARE TO PATIENTS. IN AN EFFORT TO INCREASE FINANCIAL ASSISTANCE AVAILABILITY TO OUR PATIENTS, AS OF FY18, SOUTH LAKE HOSPITAL ADOPTED AN IMPROVED FINANCIAL ASSISTANCE POLICY IN WHICH THE FPG WAS INCREASED TO 225% FROM 200%. A PATIENT'S FAMILY OR HOUSEHOLD INCOME MUST BE LESS THAN OR EQUAL TO 225% OF FPG FOR THE PATIENT TO QUALIFY FOR FREE CARE. THIS ALLOWS SOUTH LAKE HOSPITAL TO OFFER FREE CARE TO MORE PATIENTS WHO QUALIFY. AS A RESULT, SOUTH LAKE HOSPITALS UPDATED FINANCIAL ASSISTANCE POLICY NO LONGER INCLUDES A PROVISION FOR DISCOUNTED MEDICAL CARE. PART I, LINE 7 THE AMOUNTS OF COSTS REPORTED ON LINE 7 PART I OF SCHEDULE H WERE DETERMINED BY UTILIZATION OF A COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2 AS CONTAINED IN THE SCHEDULE H INSTRUCTIONS.
PART I, LINE 7, COLUMN F	BAD DEBT WAS REPORTED AS AN OFFSET TO PATIENT REVENUE AND NOT ON PART IX. THEREFORE, FORM 990, PART IX, LINE 25 DID NOT INCLUDE BAD DEBT EXPENSE. PART II THE PRIMARY PURPOSE OF SOUTH LAKE HOSPITAL'S COMMUNITY BUILDING ACTIVITIES IS TO IMPROVE HEALTH IN THE SOUTHERN LAKE COUNTY COMMUNITY. SOUTH LAKE HOSPITAL MAY RECRUIT OR ASSIST IN THE RECRUITMENT OF PHYSICIANS WHEN A NEED IS IDENTIFIED TO BRING A MEDICAL SERVICE OR PROVIDER TO THE AREA, TO MAINTAIN THE DELIVERY OF HEALTHCARE AS PHYSICIAN ATTRITION OCCURS DUE TO RETIREMENT, DISABILITY, RELOCATION OR OTHER PERTINENT REASONS. A COMMUNITY NEED MUST BE DETERMINED BEFORE SOUTH LAKE HOSPITAL WILL ENGAGE IN THE RECRUITMENT OF A PHYSICIAN OR ASSIST IN THE RECRUITMENT OF A PHYSICIAN. RATIONALES THAT SOUTH LAKE HOSPITAL USES TO DETERMINE COMMUNITY NEED INCLUDE INDEPENDENT HEALTH PLANNING SERVICE ORGANIZATIONS, COMMUNITY NEEDS ASSESSMENT AND INDEPENDENTLY MAINTAINED PHYSICIAN DATABASE SOFTWARE THAT ASSISTS IN IDENTIFYING COMMUNITY NEED. IT IS IMPORTANT TO ADDRESS THE PHYSICIAN WORKFORCE SHORTAGE ISSUES IN ORDER TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE CENTRAL FLORIDA COMMUNITY. IF A PARTICULAR PHYSICIAN SPECIALTY IS DEFICIENT IN THE COMMUNITY IN COMPARISON TO THE POPULATION THIS CAN OFTEN LEAD TO INEFFICIENT OR NO ACCESS OR LONG WAIT PERIODS TO ACCESS HEALTHCARE SERVICES WHICH OFTEN LEAD TO POOR HEALTH OUTCOMES. OUR PHYSICIAN RECRUITMENT EFFORTS MEET THE COMMUNITY BENEFIT OBJECTIVE OF IMPROVING ACCESS TO HEALTH SERVICES WHICH ENHANCES PUBLIC HEALTH. THESE ACTIVITIES PRIMARILY BENEFIT THE LOCAL COMMUNITY AND WERE NOT PROVIDED FOR MARKETING PURPOSES, NOR TO INCREASE REFERRALS OF PATIENTS TO SOUTH LAKE HOSPITAL, IN FULFILLMENT OF REGULATORY REQUIREMENTS OR CURRENT STANDARD OF CARE, NOR TO BENEFIT PERSONS AFFILIATED WITH SOUTH LAKE HOSPITAL. RATHER, THE PRIMARY PURPOSE OF THE WORKFORCE DEVELOPMENT ACTIVITIES IS TO BENEFIT THE COMMUNITY BASED ON INDEPENDENT COMMUNITY NEED ANALYSES. SOUTH LAKE HOSPITAL HAS ASSISTED IN THE RECRUITMENT OF FOUR NEW COMMUNITY BASED PHYSICIANS TO SUPPORT THE PHYSICIAN SHORTAGES IN OUR COMMUNITY DURING THE YEAR.
PART III, LINE 2	BAD DEBT EXPENSE REFLECTED IN PART III, LINE 2 REPRESENTS COST OF CHARGES WRITTEN OFF AS UNCOLLECTIBLE. BOTH DISCOUNTS AND PAYMENTS TO ACCOUNTS WILL REDUCE THE BAD DEBT EXPENSE, SHOULD THE ACCOUNT BE REPORTED AS BAD DEBT. THAT IS TO SAY, DISCOUNTS APPLIED TO ACCOUNTS ARE NOT REVERSED PRIOR TO DECLARING, ADJUSTING AND/OR WRITING OFF ACCOUNTS AS BAD DEBT. ALL ACCOUNTS WHICH ARE ADJUSTED TO, OR WRITTEN OFF TO, BAD DEBT ARE REVIEWED TO DETERMINE THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE. IF SUFFICIENT DOCUMENTATION WAS NOT PROVIDED BY THE ACCOUNT HOLDER, SOUTH LAKE HOSPITAL USES PREDICTIVE ANALYTICS TO DETERMINE IF THE FINANCIAL ASSISTANCE FOR ACCOUNTS ARE ADJUSTED TO, OR WRITTEN OFF TO, BAD DEBT. SOUTH LAKE HOSPITAL USES DATA DERIVED FROM THIRD PARTIES WHICH INCLUDE, BUT ARE NOT LIMITED TO DEMOGRAPHIC VERIFICATION, INCOME VERIFICATION, HOUSEHOLD SIZE VERIFICATION, PAYMENT HISTORY INFORMATION, PROPERTY OWNERSHIP INFORMATION, OCCUPATION INFORMATION, VEHICLE OWNERSHIP HISTORY AND VALUES AND HOME OWNERSHIP HISTORY AND VALUES. ONCE THIS DATA LOGIC IS APPLIED, IT BECOMES APPARENT IF THE ACCOUNT QUALIFIES FOR FINANCIAL ASSISTANCE. IF THE ACCOUNT DOES QUALIFY, PREVIOUS UNINSURED DISCOUNTS, BAD DEBT ADJUSTMENTS AND/OR WRITE OFFS ARE REVERSED AND THE NEW BALANCE REFLECTED IS RECLASSIFIED AS FINANCIAL ASSISTANCE OR CHARITY, WHICH IS REDUCED TO COST.
PART III, LINE 3 AND LINE 4	IN MAY 2014, THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ISSUED ACCOUNTING STANDARDS UPDATE (ASU) 2014-09, REVENUE FROM CONTRACTS WITH CUSTOMERS (ASU 2014-09). THE FASB CODIFIED ASU 2014-09 IN THE FASB ACCOUNTING STANDARDS CODIFICATION (ASC) AS TOPIC 606 (ASC 606). THE STANDARD IS A SINGLE, COMPREHENSIVE REVENUE RECOGNITION MODEL THAT REQUIRES REVENUE TO BE RECOGNIZED IN A MANNER DEPICTING THE TRANSFER OF GOODS OR SERVICES TO A CUSTOMER AT AN AMOUNT THAT REFLECTS THE CONSIDERATION EXPECTED TO BE RECEIVED IN EXCHANGE FOR THOSE GOODS OR SERVICES. ON OCTOBER 1, 2018, THE SYSTEM ADOPTED THE NEW REVENUE RECOGNITION STANDARD USING A MODIFIED RETROSPECTIVE METHOD OR APPLICATION TO ALL CONTRACTS EXISTING ON OCTOBER 1, 2018. THE ADOPTION OF ASC 606 RESULTED IN CHANGES TO THE PRESENTATION FOR REVENUE RELATED TO UNINSURED OR UNDERINSURED PATIENTS. PRIOR TO THE ADOPTION OF ASC 606, A SIGNIFICANT PORTION OF THE SYSTEMS PROVISION FOR BAD DEBTS RELATED TO SELF-PAY PATIENTS, AS WELL AS CO-PAY AND DEDUCTIBLES OWED BY PATIENTS WITH INSURANCE. UNDER ASC 606, THE ESTIMATED UNCOLLECTABLE AMOUNTS DUE FROM THESE PATIENTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO NET PATIENT SERVICE REVENUE, RATHER THAN AS A PROVISION FOR BAD DEBTS. FOR THE YEAR ENDED SEPTEMBER 30, 2019, THE SYSTEM RECORDED APPROXIMATELY $429.1 MILLION OF IMPLICIT PRICE CONCESSIONS AS A DIRECT REDUCTION OF NET PATIENT SERVICE REVENUE THAT WOULD HAVE BEEN RECORDED AS A PROVISION FOR BAD DEBTS PRIOR TO ADOPTION OF ASC 606. OTHER THAN THESE CHANGES IN PRESENTATION, THE ADOPTION OF ASC 606 DID NOT HAVE A MATERIAL IMPACT ON THE CONSOLIDATED BALANCE SHEET OR STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS AS OF AND FOR THE YEAR ENDED SEPTEMBER 30, 2019. EXPANDED DISCLOSURES REQUIRED BY ASC 606 ARE INCLUDED WITHIN NOTE 3. (ORLANDO HEALTH, INC. AUDITED FINANCIAL STATEMENTS, PAGE 8-9) CONSISTENT WITH THE SYSTEMS MISSION, CARE IS PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THEREFORE, THE SYSTEM HAS DETERMINED THAT IT HAS PROVIDED IMPLICIT PRICE CONCESSIONS TO UNINSURED PATIENTS AND PATIENTS WITH OTHER UNINSURED BALANCES SUCH AS COPAYS AND DEDUCTIBLES. THE DIFFERENCE BETWEEN AMOUNTS BILLED TO PATIENTS AND THE AMOUNTS EXPECTED TO BE COLLECTED BASED ON THE SYSTEMS COLLECTION HISTORY WITH THOSE PATIENTS IS RECORDED AS IMPLICIT PRICE CONCESSIONS, OR AS A DIRECT REDUCTION TO NET PATIENT REVENUE. SUBSEQUENT ADJUSTMENTS THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT OR PAYORS ABILITY TO PAY ARE RECOGNIZED AS BAD DEBT EXPENSE. BAD DEBT EXPENSE IS RECORDED AS A COMPONENT OF OTHER OPERATING EXPENSES IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS. BAD DEBT EXPENSE FOR THE YEAR ENDED SEPTEMBER 30, 2019 WAS NOT SIGNIFICANT FOR THE SYSTEM. (ORLANDO HEALTH, INC. AUDITED FINANCIAL STATEMENTS, PAGE 20) PRIOR TO THE ADOPTION OF ASC 606, NET PATIENT SERVICE REVENUE WAS REPORTED AT ESTIMATED NET REALIZABLE AMOUNTS DUE FROM PATIENTS AND THIRD-PARTY PAYORS FOR MEDICAL SERVICES RENDERED AND INCLUDED ADJUSTMENTS RESULTING FROM REVIEWS AND AUDITS OF PRIOR YEAR MEDICARE AND MEDICAID COST REPORTS, AS DESCRIBED ABOVE. SUCH ADJUSTMENTS WERE CONSIDERED IN THE RECOGNITION AND ESTIMATION OF REVENUE IN THE CURRENT AND FUTURE PERIODS AS THE ADJUSTMENTS BECAME KNOWN OR AS COST REPORT YEARS WERE NO LONGER SUBJECT TO SUCH REVIEWS AND AUDITS. ADDITIONALLY, THE SYSTEM RECORDED AN ALLOWANCE FOR DOUBTFUL ACCOUNTS THAT WAS BASED ON EXPECTED NET COLLECTIONS, AFTER CONTRACTUAL ADJUSTMENTS, PRIMARILY FROM PATIENTS. THE PROVISION FOR BAD DEBTS FOR THE YEAR ENDED SEPTEMBER 30, 2018 WAS APPROXIMATELY $421.6 MILLION. ALLOWANCES FOR DOUBTFUL ACCOUNTS INCREASED APPROXIMATELY $88.4 MILLION DURING THE YEAR ENDED SEPTEMBER 30, 2018 AND TOTALED $248.8 MILLION AT SEPTEMBER 30, 2018. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS INCLUDES APPROXIMATELY $78.1 MILLION IN AMOUNTS DUE FROM THIRD-PARTY PAYORS, INCLUDING THE PATIENT RESPONSIBILITY PORTION INCLUDED IN THESE ACCOUNTS AT SEPTEMBER 30, 2018. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY HOSPITAL PATIENTS AS A PERCENT OF RELATED SELF-PAY ACCOUNTS RECEIVABLE WAS 96% AT SEPTEMBER 30, 2018. (ORLANDO HEALTH, INC. AUDITED FINANCIAL STATEMENTS, PAGE 21)
PART III, LINE 8	THE COSTING METHODOLOGY USED TO REPORT THE AMOUNT REPORTED ON LINE 6 AS MEDICARE ALLOWABLE COSTS OF CARE RELATING TO PAYMENTS RECEIVED FROM MEDICARE WAS CALCULATED USING THE MEDICARE COST REPORT. SOUTH LAKE HOSPITAL DOES NOT CURRENTLY INCLUDE MEDICARE SHORTFALL AS A COMMUNITY BENEFIT. HOWEVER, AS A NOT-FOR-PROFIT ORGANIZATION WE PROVIDE EMERGENCY AND REQUIRED CARE TO ALL PATIENTS REGARDLESS OF THEIR FINANCIAL STATUS. DESPITE THE MEDICARE SHORTFALL, NOT-FOR-PROFIT HOSPITALS MUST AND WILL CONTINUE TO CARE FOR THE MEDICARE POPULATION AND ACCEPT THE MEDICARE REIMBURSEMENT RATE. CARING FOR THE MEDICARE PATIENT POPULATION FULFILLS A COMMUNITY NEED AND RELIEVES A GOVERNMENT BURDEN AS THIS CLASS OF PATIENTS TYPICALLY HAS LOW AND/OR FIXED INCOMES. THE MEDICARE PATIENT POPULATION IS LARGE AND THE LACK OF SUFFICIENT REIMBURSEMENT TO COVER THE COST OF PROVIDING CARE FOR THESE PATIENTS NECESSITATES THAT NOT-FOR-PROFIT HOSPITALS USE OTHER FUNDS TO COVER THE DEFICIT. NOT-FOR-PROFIT HOSPITALS HAVE A RESPONSIBILITY TO WORK TOWARD IMPROVED HEALTH IN THE COMMUNITIES THEY SERVE AND CARING FOR THE MEDICARE PATIENTS, DESPITE THE SHORTFALL OF REIMBURSEMENT, IS A DIRECT COMMUNITY BENEFIT AND PROVIDES VALUE DIRECTLY TO THE COMMUNITIES SERVED.
PART III, LINE 9B	COLLECTION PRACTICES ARE CONSISTENT FOR ALL PATIENTS AND COMPLY WITH APPLICABLE PROVISIONS OF STATE LAW. DURING PREADMISSION, AT REGISTRATION OR AT BEDSIDE, SOUTH LAKE HOSPITAL PROVIDES ALL PATIENTS WITH INFORMATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE. SOUTH LAKE HOSPITAL PERFORMS A THOROUGH EVALUATION OF THE PATIENT'S FINANCIAL STATUS TO ENSURE THE UTILIZATION OF ALL AVAILABLE DISCOUNTS AND CHARITY CARE PROGRAMS AVAILABLE UNDER THEIR DISCOUNT AND CHARITY CARE POLICIES. THIS DETERMINATION PROCESS IS COMPLETED BEFORE ANY PATIENT'S ACCOUNT IS REMITTED TO COLLECTION. IT IS OUR POLICY NOT TO PURSUE COLLECTION PRACTICES AGAINST PATIENTS KNOWN TO QUALIFY FOR CHARITY CARE OR OTHER FINANCIAL ASSISTANCE.
PART VI, LINE 2	IN 2019, SOUTH LAKE HOSPITAL CONDUCTED A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT. HOWEVER, PRIOR TO THE ASSESSMENT, SOUTH LAKE HOSPITAL ASSESSED THE SERVICES NEEDED AS PART OF OUR STRATEGY, PLANNING AND BUDGETING PROCESS AND DEVELOPED A PROCESS TO ENSURE THE ORGANIZATION IS RESPONSIVE TO COMMUNITY HEALTH NEEDS. THROUGH OUR EDUCATION, PATIENT CARE PROGRAMS, AND THE ORLANDO HEALTH SOUTH LAKE HOSPITAL COMMUNITY RELATIONS OUTREACH PROGRAM, SOUTH LAKE HOSPITAL MEETS THE NEEDS OF THE COMMUNITY. THE SPECIFIC NEEDS TARGETED BY THESE PROGRAMS HAVE BEEN IDENTIFIED BY THE EXPERIENCE OF COMMUNITY HOSPITAL LEADERSHIP, NEIGHBORHOOD OUTREACH AND THROUGH NEEDS ASSESSMENTS THAT IDENTIFIED HEALTH NEEDS IN THE COMMUNITIES SERVED BY THE HOSPITALS ALONG WITH HOSPITAL DATA. AS A RESULT, SOUTH LAKE HOSPITAL SUPPORTS A VARIETY OF PROGRAMS FOR AT-RISK POPULATIONS, FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS AND SPECIAL NEEDS GROUPS, AS WELL AS FOR THE BROADER COMMUNITY. ADDITIONAL EXAMPLES OF HOW SOUTH LAKE HOSPITAL RESPONDS TO COMMUNITY HEALTH NEEDS ARE AS FOLLOWS: 1. GOVERNING BOARDS ARE COMPOSED OF INDIVIDUALS BROADLY REPRESENTATIVE OF THE COMMUNITY, COMMUNITY LEADERS AND THOSE WITH SPECIALIZED MEDICAL TRAINING AND EXPERTISE; 2. PARTNERSHIP WITH LOCAL AREA GROUPS AND ASSOCIATIONS TO ATTEND TO THE HEALTH CARE NEEDS OF THE SOUTH LAKE HOSPITAL COMMUNITY; 3. SPONSORSHIP AND PARTICIPATION IN COMMUNITY FORUMS, HEALTH FAIRS, COMMUNITY FITNESS AND WELLNESS EVENTS AND OTHER OUTREACH EVENTS; AND 4. TRANSITION SERVICES POST-DISCHARGE PATIENT FOLLOW-UP RELATED TO THE ON-GOING CARE AND TREATMENT OF PATIENTS TO PREVENT UNNECESSARY ADMISSIONS AND POTENTIAL RE-ADMISSIONS.
PART VI, LINE 3	SOUTH LAKE HOSPITAL 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. SOUTH LAKE HOSPITAL 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, SOUTH LAKE HOSPITAL THEN SCREENS THE PATIENT FOR CHARITY ELIGIBILITY. IT IS SOUTH LAKE HOSPITAL'S OBJECTIVE TO PROVIDE CHARITY CARE TO OUR PATIENTS WHO DO NOT HAVE THE ABILITY TO PAY.
PART VI, LINE 4	SOUTH LAKE HOSPITAL CURRENTLY OPERATES IN THE CENTRAL FLORIDA REGION, WHICH HAS OVER TWO MILLION RESIDENTS AND THOUSANDS OF INTERNATIONAL VISITORS ANNUALLY. SOUTH LAKE'S PRIMARY SERVICE AREA IS COMPRISED OF ORANGE AND LAKE COUNTIES. AS OF 2019, THE AVERAGE HOUSEHOLD INCOME IN LAKE COUNTY IS $70,731. APPROXIMATELY 27.55% OF THE SERVICE AREA IS OVER 64 WHILE APPROXIMATELY 22.4% IS AGED 20 OR YOUNGER. COMMUNITY OUTREACH ACTIVITIES INCLUDE SPEAKER'S BUREAU, SUPPORT/EDUCATION GROUPS, WELLNESS ACTIVITIES, HEALTH FAIRS, CLINICAL SCREENINGS AND ASSESSMENTS, MEDICAL EDUCATION, RESEARCH, WOMEN, CHILDREN AND SENIOR HEALTH INITIATIVES, PUBLIC PROGRAM ENROLLMENT ASSISTANCE AND POST-ACUTE CARE FOR HOMELESS AND UNINSURED, SPONSORSHIPS, SCHOOL INITIATIVES, DONATED MEETING SPACE AND SPIRITUAL CARE.
PART VI, LINE 5	SOUTH LAKE HOSPITAL FURTHERS ITS EXEMPT PURPOSE BY REINVESTING SURPLUS FUNDS IN THE HOSPITAL, EXTENDING ADMITTING PRIVILEGES TO QUALIFYING PHYSICIANS IN THE COMMUNITY AND SURROUNDING AREAS, SUPPORTING A SLIDING SCALE CLINIC FOR RESIDENTS OF LAKE COUNTY WHO MEET CERTAIN INDIGENT GUIDELINES, OPERATING THE NATIONAL TRAINING CENTER FOR THE OVERALL HEALTH OF THE COMMUNITY AND ENCOURAGING OVERALL COMMUNITY INVOLVEMENT IN THE GOVERNING BODY OF THE ORGANIZATION. GOVERNING BOARDS ARE COMPOSED OF INDIVIDUALS BROADLY REPRESENTATIVE OF THE COMMUNITY, COMMUNITY LEADERS AND THOSE WITH SPECIALIZED MEDICAL TRAINING AND EXPERTISE.
PART VI, LINE 6	SOUTH LAKE HOSPITAL IS PART OF AN INTEGRATED HEALTH SYSTEM THROUGH WHICH WE ARE ABLE TO PROVIDE COMPREHENSIVE SERVICES TO IMPROVE THE HEALTH AND QUALITY OF LIFE FOR OUR COMMUNITY SERVED. THE PARENT OF THE CORPORATION, ORLANDO HEALTH, INC. (OHI), IS A TAX-EXEMPT ORGANIZATION ORGANIZED UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS A PART OF ORLANDO HEALTHS INTEGRATED HEALTH SYSTEM, SOUTH LAKE HOSPITAL HAS SEVERAL AFFILIATED ORGANIZATIONS TO ENSURE WE MEET THE COMMUNITY'S NEEDS. THROUGH THE INTEGRATED HEALTH SYSTEM OF SEVEN HOSPITALS AND VARIOUS OUTPATIENT FACILITIES, WITH MORE THAN 22,000 EMPLOYEES AND OVER 3,000 PHYSICIANS ON STAFF, ORLANDO HEALTH PROVIDES A HIGH LEVEL OF QUALITY INPATIENT, OUTPATIENT, AND EMERGENCY HEALTHCARE TO THE PEOPLE OF CENTRAL FLORIDA. ORLANDO HEALTH IS A DESIGNATED TEACHING HOSPITAL OFFERING GRADUATE MEDICAL EDUCATION SPONSORING SEVEN RESIDENCY AND 21 FELLOWSHIP PROGRAMS. ORLANDO HEALTH FACILITIES ENCOMPASS 2,196 FULLY CERTIFIED BEDS, ADVANCED MEDICAL TREATMENTS AND PROCEDURES AND HIGHLY QUALIFIED STAFF. AS PREVIOUSLY MENTIONED, ORLANDO HEALTH, INC., IS COMPRISED OF ORLANDO HEALTH, ORLANDO HEALTH MEDICAL GROUP, ORLANDO HEALTH ARNOLD PALMER HOSPITAL FOR CHILDREN, ORLANDO HEALTH WINNIE PALMER HOSPITAL FOR WOMEN & BABIES, ORLANDO HEALTH DR. P. PHILLIPS HOSPITAL, AND ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL. ORLANDO HEALTH CENTRAL, INC. OPERATES ORLANDO HEALTH HEALTH CENTRAL HOSPITAL, WHICH PROVIDES HIGH QUALITY INPATIENT, OUTPATIENT, AND EMERGENCY CARE FOR RESIDENTS OF WEST ORANGE COUNTY THROUGH ITS HOSPITAL AND VARIOUS OUTPATIENT FACILITIES. ORLANDO HEALTH MEDICAL GROUP, INC. SERVES AS AN INTEGRAL COMPONENT OF ORLANDO HEALTH'S HEALTH SYSTEM BY PROVIDING AN INTEGRATED DELIVERY SYSTEM OF SPECIALTY PHYSICIAN SERVICES, OCCUPATIONAL HEALTH SERVICES, REHABILITATION HEALTH SERVICES AND BEHAVIORAL HEALTH SERVICES. ORLANDO HEALTH UF HEALTH CANCER CENTER, NOW A PART OF ORLANDO HEALTH MEDICAL GROUP, INC., HAS MADE SIGNIFICANT CONTRIBUTIONS TO THE CARE OF OUR CANCER PATIENTS. ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER WITH ORLANDO HEALTH, INC., OUR COMMITMENT TO THE TREATMENT OF OUR CANCER FOR OUR COMMUNITY IS BACKED BY EXPERTISE AND RESOURCES TO DELIVER HIGH-QUALITY PATIENT CARE FROM DIAGNOSIS THROUGH TREATMENT AND CONTINUING THROUGH THE END OF LIFE. ORLANDO PHYSICIAN NETWORK, INC. ALSO SERVES AS AN INTEGRAL COMPONENT OF ORLANDO HEALTH'S HEALTH SYSTEM BY PROVIDING AN INTEGRATED DELIVERY SYSTEM OF PRIMARY CARE PHYSICIAN SERVICES. ORLANDO HEALTH FOUNDATION, INC. IS THE PHILANTHROPIC HEART OF ORLANDO HEALTH'S INTEGRATED HEALTH SYSTEM AND HAS BEEN INSTRUMENTAL IN RAISING FUNDS FOR CAPITAL IMPROVEMENTS AND RENOVATIONS TO OUR HOSPITALS, SUPPORTING PROGRAMS AND THE ACQUISITION OF LIFE-SAVING EQUIPMENT FOR OUR AFFILIATES. THROUGH ORLANDO HEALTH'S AFFILIATED HEALTH CARE SYSTEM, WE PROVIDED APPROXIMATELY $760 MILLION IN SUPPORT OF COMMUNITY HEALTH NEEDS.
PART VI, LINE 7	STATE FILING OF COMMUNITY BENEFIT REPORT NONE
SECTION 501(R) RISK ASSESSMENT	Orlando Health, Inc. (OHI) conducted an extensive review of its policies and procedures to ensure compliance with the requirements of IRC Section 501(R). Minor omissions were identified in FY 2018 as part of this review, and OHI believes the omissions are minor and either inadvertent or due to reasonable cause, as described in Rev. Proc. 2015-21. OHI has decided, in the interest of transparency, to provide this disclosure as part of its Form 990 filing pursuant to Section 7 of Rev. Proc. 2015-21. OHI operates seven hospital facilities for which it must satisfy the requirements of Section 501(R). The review that OHI undertook addressed Section 501(R) compliance at each of the following hospital facilities: 1) Orlando Health Orlando Regional Medical Center (ORMC) 2) Orlando Health Arnold Palmer Hospital for Children (APH) 3) Orlando Health Winnie Palmer Hospital for Women & Babies (WPH) 4) Orlando Health South Seminole Hospital (SSH) 5) Orlando Health - Health Central Hospital (HCH) 6) Orlando Health Dr. P. Phillips Hospital (DPH) 7) Orlando Health South Lake Hospital (SLH) OHI makes physical copies of its Community Health Needs Assessment (CHNA) and Financial Assistance Policy (FAP) available to the public at each of the OHIs hospitals as required by Section 501(R). OHIs review indicated that OHI should provide certain patient-facing employees with additional training to ensure that they could identify the physical locations within the hospital facilities where patients could obtain physical copies of these documents. All OHI's patient-facing non-clinical staff collecting payments from patients will receive this additional training during FY19. An online learning module will also be developed and will be assigned annually to appropriate OHI personnel as well as new hires in applicable areas. In addition, OHI personnel that greet patients and visitors will continue to be educated on where copies of the two most recently conducted CHNAs are located and how to share this information with patients and visitors. OHI determined as part of its Section 501(R) review to enhance public awareness of its FAP and the financial assistance available to disadvantaged members of its community. Accordingly, OHI disseminated information on the availability of financial assistance at OHI hospital facilities to community partners in each of the following categories: Federally Qualified Health Centers (FQHCs), medical homes and other nonprofit organizations that serve low income populations. The community partners identified in each group respectively are: Grace Medical Home, Shepherds Hope, Community Health Centers, True Health, Health Care Center for the Homeless dba Orange Blossom Family Health, Coalition for the Homeless, Orange County Medical Clinic, and Members of the Primary Care Access Network (PCAN) in Orange County. In addition, OHI designated a community liaison to attend regular functions in the community, display the FAP at these functions, and provide copies of the FAP to community members. Finally, OHI has implemented reviews of its website links to ensure information required by Section 501(R) is available to the public. OHI is in the process of establishing methods for members of the public to provide input on OHIs CHNA report and implementation strategy. Such input will be monitored and tracked quarterly along with website links providing information to the public. OHI will continue to identify representatives of the low-income, underserved and minority population(s) in the community from whom input was solicited and describe the resources potentially available to address the significant health needs throughout the 2019 CHNA. Date ranges for which OHI conducted surveys and interviews within the community to seek input on identifying and prioritizing community health needs will also be included in the 2019 CHNA. Moreover, OHI will include an evaluation in the 2019 CHNA of the impact of any actions that were taken, since OHI finished conducting its immediately preceding CHNA, to address the significant health needs identified in each hospital facilitys 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. IN JULY 2019, OHI DISCOVERED THAT LINKS TO TRANSLATIONS OF ITS FAP INTO SPANISH, PORTUGUESE, AND HAITIAN-CREOLE HAD INADVERTENTLY BEEN REMOVED FROM ITS FINANCIAL ASSISTANCE PROGRAM WEB PAGE. UPON DISCOVERY, OHI ACTED DILIGENTLY TO RESTORE THESE LINKS PRIOR TO THE END OF JULY 2019. OHI changed its procedures in July 2019 to provide a plain language summary of its FAP at intake or discharge to all patients. IN JULY 2018, OHI UPDATED THE 501(R) PHYSICIAN LISTING ON ITS WEBSITE (AS REFERENCED IN AND LINKED TO FROM OHI'S FAP) TO INCLUDE ALL NON-EMPLOYED PROVIDERS.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
SCHOOL DISTRICT OF LAKE COUNTY
201 WEST BURLEIGH BOULEVARD	TAVARES	FL	32778	596000694	GOVT	$6,000	$0	SPONSORSHIP INDIGENT CARE
LIFESTREAM BEHAVIORAL CENTER INC
PO BOX 491000	LEESBURG	FL	34749	591561501	501(c)(3)	$249,541	$0

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
HOMER ALLEN SCHOLARSHIPS	19	$86,455
MAMMOGRAMS	5	$1,271

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	NURSING SCHOLARSHIP POLICY IS TO PROVIDE TUITION REIMBURSEMENT FOR ANY APPLICANT WHO MEETS CERTAIN CRITERIA REGARDING EMPLOYMENT, GRADES AND QUALIFICATIONS AS WELL AS SUPERVISORY RECOMMENDATIONS. PROOF OF GRADE AND PAYMENT MUST BE PRESENTED AT THE TIME OF REIMBURSEMENT. THE SUSAN G. KOMEN PROGRAM PROVIDES FREE OR LOW COST MAMMOGRAMS TO INDIGENT PATIENTS. SOUTH LAKE COUNTY WOMEN WHO CANNOT AFFORD A MAMMOGRAM OR OTHER DIAGNOSTIC BREAST EXAMINATIONS MAY BE ELIGIBLE TO RECEIVE THEM FOR FREE OR AT A REDUCED COST AT SOUTH LAKE HOSPITAL AS A RESULT OF A GRANT FROM SUSAN G. KOMEN CENTRAL FLORIDA. THE SCREENING MAMMOGRAMS AND OTHER DIAGNOSTIC SERVICES ARE PROVIDED BY THE CENTER FOR WOMEN'S HEALTH AT SOUTH LAKE HOSPITAL. PATIENTS WILL NEED TO SHOW PROOF THEY RESIDE IN SOUTH LAKE COUNTY, HAVE FINANCIAL NEED (INCOME AT OR BELOW 225% POVERTY LEVEL) AND A SCRIPT/ORDER FROM A PHYSICIAN FOR THE TEST. ADDITIONALLY ANY PRIOR MAMMOGRAM FILMS ARE REQUIRED (UNLESS THIS IS THE PATIENT'S FIRST MAMMOGRAM).	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MILDRED BEAM
BM, Vice-Chair	$0	$453,308	$0	$192,776	$0	$223,574	$0	$101,698	$0	$15,631	$0	$986,987	$0	$221,545
LANCE SEWELL
CFO,South Lake Hospital	$0	$220,894	$0	$33,024	$0	$13,992	$0	$19,503	$0	$24,937	$0	$312,350	$0	$13,774
JOHN MOORE
CHM, PRES. AS OF 7/1/19	$0	$327,605	$0	$236,403	$0	$49,201	$0	$76,895	$0	$15,462	$0	$705,566	$0	$47,153
Sijo Parekattil MD
Urologist	$517,860	$0	$359,628	$0	$450	$0	$18,500	$0	$26,558	$0	$922,996	$0	$0	$0
Jamin Brahmbhatt MD
Urologist	$514,892	$0	$244,156	$0	$572	$0	$18,500	$0	$29,526	$0	$807,646	$0	$0	$0
Andrew Karen MD
OB/GYN	$452,308	$0	$202,678	$0	$450	$0	$16,741	$0	$28,187	$0	$700,364	$0	$0	$0
Albert Enriquez MD
Urologist, OB/GYN	$334,297	$0	$0	$0	$1,880	$0	$14,895	$0	$23,010	$0	$374,082	$0	$0	$0
Sindhu Jacob MD
Endocrinologist	$199,860	$0	$0	$0	$279	$0	$10,250	$0	$23,388	$0	$233,777	$0	$0	$0
PAUL JOHNS
COO, South Lake Hospital	$0	$189,044	$0	$28,218	$0	$11,899	$0	$16,689	$0	$23,137	$0	$268,987	$0	$11,134
BONNIE J ONOFRE
CNO, South Lake Hospital	$0	$180,295	$0	$26,057	$0	$14,288	$0	$9,127	$0	$8,085	$0	$237,852	$0	$557
Lushantha Gunasekera MD
Board Member	$0	$395,781	$0	$589,124	$0	$36,836	$0	$11,688	$0	$23,825	$0	$1,057,254	$0	$0
CARY D'ORTONA
Board Member, Treasurer	$0	$293,791	$0	$74,652	$0	$23,573	$0	$41,615	$0	$23,825	$0	$457,456	$0	$18,279
Bernadette Spong
CFO	$0	$694,976	$0	$662,670	$0	$51,124	$0	$181,770	$0	$21,217	$0	$1,611,757	$0	$44,657

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE J, PART I, LINE 3

RELATED ORGANIZATION THE ORLANDO HEALTH, INC. INDEPENDENT COMPENSATION COMMITTEE APPROVES ALL OFFICER COMPENSATION ARRANGEMENTS, WHICH REPORTS TO THE ORLANDO HEALTH BOARD OF DIRECTORS AND FOLLOWS IRS GUIDELINES.

SCHEDULE J, PART I, LINE 4B

THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL QUALIFIED RETIREMENT PLAN, WHICH INCLUDED THE FOLLOWING DEPOSITS DURING CALENDAR YEAR 2018 THAT WERE PREVIOUSLY DEFERRED. DEFERRAL DEPOSITS: MILDRED BEAM $98,260 CARY D'ORTONA $29,927 LANCE SEWELL $16,065 JOHN MOORE $65,207 PAUL MARK JOHNS $13,727 BERNADETTE SPONG $170,082 DEFERRAL DISTRIBUTIONS MADE TO THE FOLLOWING: MILDRED BEAM $221,545 CARY D'ORTONA $18,279 LANCE SEWELL $13,774 JOHN MOORE $47,153 PAUL MARK JOHNS $11,134 BONNIE ONOFRE $557 BERNADETTE SPONG $44,657

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	ROBERT BERENS JR	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	BOARD MEMBER	RelationshipDescriptionTxt
Transaction	$391,835	TransactionAmt
Transaction	BANK OFFICER; CASH	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART IV, LINE 1	FormAndLineReferenceDesc
Explanation	Robert E. Berens, Jr., former Secretary of the Governing Board, is a Vice President at Seacoast National Bank and owns less than 1% of the banks stock. The bank held a CD that was valued at approximately $391,835 for the filing entity; however, this investment was liquidated prior to 9/30/19.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, LINE 4	EFFECTIVE JULY 1, 2019, THE ARTICLES OF INCORPORATION AND BYLAWS WERE UPDATED TO REFLECT ORLANDO HEALTH, INC. AS THE SOLE MEMBER OF SOUTH LAKE HOSPITAL, INC.
FORM 990, PART VI, LINE 6	DESCRIPTION OF CLASSES OF MEMEBERS OR STOCKHOLDERS EFFECTIVE JULY 1, 2019, THE SOLE VOTING MEMBER OF SOUTH LAKE HOSPITAL, INC. IS ORLANDO HEALTH, INC., FEIN:59-1726273.
FORM 990, PART VI, LINE 7A	DESCRIPTION OF CLASS OF PERSONS AND THE NATURE OF THEIR RIGHTS ORLANDO HEALTH, INC., THE TAX EXEMPT PARENT ORGANIZATION, ELECTS AND APPROVES ALL BOARD MEMBERS.
FORM 990, PART VI, LINE 7B	As of July 1, 2019, Orlando Health, Inc., sole member of South Lake Hospital, Inc. ("Corporation") shall have the following reserved powers, in addition to other powers set forth in the Bylaws, to: amend the Bylaws of the Corporation; elect, appoint or remove any member of any committee or any director, or officer; amend the Articles of Incorporation of Corporation; adopt a plan of merger or consolidation, authorize the sale, lease, exchange or mortgage of the property and assets of the Corporation; authorize dissolution or liquidation of the Corporation; adopt a plan for distribution of the assets of the Corporation; and/or to amend or repeal any resolution of the Board of Directors. Neither the Board of Directors nor any committee of the Board shall have the authority to exercise any power reserved to Member or otherwise extended to Member under these Bylaws. The CEO of Member shall have full authority to take any action or execute any power or responsibility of on behalf of Member under these Bylaws.
FORM 990, PART VI, LINE 11B	PROCESS USED BY MANAGEMENT AND/OR GOVERNING BODY TO REVIEW 990 THE CFO AND THE FINANCE DEPARTMENT REVIEWED THE FORM 990 AND ANY REQUIRED CHANGES WERE MADE TO THE FORM 990. THE FINAL FORM 990 WAS THEN PROVIDED TO ALL MEMBERS OF THE BOARD TO REVIEW. ANY QUESTIONS ABOUT THE CONTENT WERE ANSWERED AND ANY CHANGES REQUIRED OF THE REVIEW WERE MADE.
FORM 990, PART VI, LINE 12C	CONFLICT OF INTEREST POLICY MONITORING AND ENFORCEMENT THE PARENT ORGANIZATION, ORLANDO HEALTH, INC., HAS A DEDICATED COMPLIANCE DEPARTMENT WITH AN ANONYMOUS HOTLINE FOR REPORTING. THE COMPLIANCE DEPARTMENT PERFORMS INTERNAL AUDITS AND MONITORS ALL ANNUAL CONFLICT OF INTEREST QUESTIONNAIRES FOR ALL RELATED ORGANIZATIONS. BOARD MEMBERS ROUTINELY ANNOUNCE CONFLICTS AT BOARD MEETINGS AND LEAVE THE ROOM FOR THE DISCUSSION AND THE VOTE.
FORM 990, PART VI, LINE 15A AND 15B	OFFICES AND POSITIONS FOR WHICH COMPENSATION PROCESS WAS USED. ALL COMPENSATION IS PAID BY PARENT, ORLANDO HEALTH, INC., WHICH HAS AN INDEPENDENT COMPENSATION COMMITTEE THAT REPORTS TO THE ORLANDO HEALTH BOARD OF DIRECTORS AND UTILIZES THE GUIDELINES CONSISTENT WITH THE IRS GUIDELINES ON INDEPENDENT ANALYSIS AND DOCUMENTATION OF COMPENSATION. THE PROCESS, WHICH IS USED FOR THE PRESIDENT, ALL OFFICERS, EXECUTIVE DIRECTORS AND DIRECTORS, AND WAS IMPLEMENTED PRIOR TO 10/01/2006, WAS UNDERTAKEN FOR THE CURRENT YEAR.
FORM 990, PART VI, LINE 19	AVAILABILITY OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS TO THE PUBLIC THESE DOCUMENTS ARE MADE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST IN ACCORDANCE WITH FEDERAL TAX LAW PUBLIC INSPECTION REQUIREMENTS
Form 990, Part XI, Line 9	OTHER CHANGES IN NET ASSETS $(20,111)

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
ORLANDO HEALTH INC
1414 KUHL AVENUE	ORLANDO	FL	32806	591726273	HEALTHCARE	FL	501(c)(3)	3	NA	false
ORLANDO HEALTH FOUNDATION INC
3160 SOUTHGATE COMMERCE BLVD	ORLANDO	FL	32806	592244943	SUPPORT OH	FL	501(c)(3)	7	OHI	false
ORLANDO HEALTH CENTRAL INC
10000 W COLONIAL DRIVE	OCOEE	FL	34761	800764192	HEALTHCARE	FL	501(c)(3)	3	OHI	false
ORLANDO CANCER CENTER INC
1400 S ORANGE AVENUE	ORLANDO	FL	32806	593005020	CANCER CENTER	FL	501(c)(3)	12A	OHI	false
ORLANDO PHYSICIANS NETWORK INC
1414 KUHL AVENUE	ORLANDO	FL	32806	593110868	SUPPORT OH	FL	501(c)(3)	12A	OHI	false
WEST ORANGE HEALTHCARE INC
10000 W COLONIAL DRIVE	OCOEE	FL	34761	593269402	SUPPORT OHC	FL	501(c)(3)	12A	OHC	false
HEALTH CENTRAL FOUNDATION INC
10000 W COLONIAL DRIVE	OCOEE	FL	32806	592091206	SUPPORT OHC	FL	501(c)(3)	7	OHF	false
GREATER ORLANDO CHILDREN'S MIRACLE NETWO
3160 SOUTHGATE COMMERCE BLVD	ORLANDO	FL	32806	593452974	SUPPORT OHF	FL	501(c)(3)	7	OHF	false
ORLANDO HEALTH MEDICAL GROUP INC
1414 KUHL AVENUE	ORLANDO	FL	32806	593259553	PHY SUPRT SRV	FL	501(c)(3)	12A	OHI	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
HEALTHNET SERVICES INC & SUBS
1414 KUHL AVENUE	ORLANDO	FL	32806	592246203	MEDICAL SVCS	FL	OHI	C CORP	$0	$0	0.00000	false
ORANGE INDEMNITY LTD
				980516252	CAPTIVE INS		OHI	C CORP	$0	$0	0.00000	false	PO BOX 1159	KY	CJ	CJ
COMMUNITY HEALTH OF FLORIDA INC
1414 KUHL AVENUE	ORLANDO	FL	32806	463171911	INSURANCE LIC	FL	OHI	C CORP	$0	$0	0.00000	false

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