ORLANDO HEALTH INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: ORLANDO HEALTH INC (EIN 59-1726273)
Tax period: 2018-10-01 to 2019-09-30
Filed: 2020-08-07
IRS object ID: 202032209349301023
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 F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-08-07T12:09:02-05:00	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	591726273	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
In Care Of	% BERNADETTE SPONG	InCareOfNm
Business Name Control	ORLA	BusinessNameControlTxt
Phone	3218415078	PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	BERNADETTE SPONG	PersonNm
Person Title	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	8132254800	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	76.196.200.239	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	59521020202205000002	FederalOriginalSubmissionId
Federal Original Submission Id	2020-08-07	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DAFA43998C5B16E4847FAA9AD61C49E3BD2EB142	AtSubmissionCreationDeviceId
At Submission Filing Device Id	DAFA43998C5B16E4847FAA9AD61C49E3BD2EB142	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-09-22 18:59:49Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	BERNADETTE SPONG	PrincipalOfficerNm

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$3,340,896,910	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.ORLANDOHEALTH.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1977	FormationYr
Legal Domicile State	FL	LegalDomicileStateCd
Activity Or Mission	OUR MISSION AS A COMMUNITY-OWNED ORGANIZATION IS TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND COMMUNITIES WE SERVE.	ActivityOrMissionDesc
Voting Members Governing Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	16533	TotalEmployeeCnt
Total Volunteers	1294	TotalVolunteersCnt
Total Gross UBI	$8,781,597	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$18,841,992	PYContributionsGrantsAmt
CY Contributions Grants	$12,069,943	CYContributionsGrantsAmt
PY Program Service Revenue	$2,465,093,865	PYProgramServiceRevenueAmt
CY Program Service Revenue	$2,688,292,235	CYProgramServiceRevenueAmt
PY Investment Income	$64,911,252	PYInvestmentIncomeAmt
CY Investment Income	$52,387,517	CYInvestmentIncomeAmt
PY Other Revenue	$2,991,466	PYOtherRevenueAmt
CY Other Revenue	$4,024,012	CYOtherRevenueAmt
PY Total Revenue	$2,551,838,575	PYTotalRevenueAmt
CY Total Revenue	$2,756,773,707	CYTotalRevenueAmt
PY Grants And Similar Paid	$2,314,729	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$5,849,882	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$978,231,810	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$1,061,139,518	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$1,467	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$6,724,826	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,039,221,130	PYOtherExpensesAmt
CY Other Expenses	$1,180,816,605	CYOtherExpensesAmt
PY Total Expenses	$2,019,769,136	PYTotalExpensesAmt
CY Total Expenses	$2,247,806,005	CYTotalExpensesAmt
PY Revenues Less Expenses	$532,069,439	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$508,967,702	CYRevenuesLessExpensesAmt
Total Assets BOY	$4,025,930,238	TotalAssetsBOYAmt
Total Assets EOY	$4,483,329,867	TotalAssetsEOYAmt
Total Liabilities BOY	$1,756,903,527	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,975,323,168	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$2,269,026,711	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$2,508,006,699	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	ORLANDO HEALTH IS A TRUSTED LEADER INSPIRING HOPE THROUGH THE ADVANCEMENT OF HEALTH. OUR MISSION AS A COMMUNITY-OWNED ORGANIZATION IS TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND COMMUNITIES WE SERVE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$1,813,176,379	ExpenseAmt
Grant	$5,849,882	GrantAmt
Revenue	$2,688,292,235	RevenueAmt
Desc	ORLANDO HEALTH IS ONE OF FLORIDAS MOST COMPREHENSIVE PRIVATE, NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS. SINCE 1918, ORLANDO HEALTH HAS BEEN PART OF THE GREATER ORLANDO COMMUNITY, GROWING FROM A SINGLE HOSPITAL INTO AN AWARD-WINNING NOT-FOR-PROFIT HEALTHCARE ORGANIZATION AND COMMUNITY-BASED NETWORK OF PHYSICIAN PRACTICES, HOSPITALS AND OUTPATIENT CARE CENTERS THROUGHOUT CENTRAL FLORIDA. AS A LEADING HEALTHCARE RESOURCE, PROVIDING WORLD-CLASS MEDICAL CARE AS WELL AS TRAINING OUR FUTURE HEALTHCARE PROVIDERS, ORLANDO HEALTH CONTINUES TO FOSTER GROWTH AND DEVELOPMENT THROUGHOUT THE REGION FOR GENERATIONS TO COME. OUR SYSTEM INCLUDES: ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER (ORMC) - ONE OF THE LARGEST TERTIARY FACILITIES IN THE REGION, ORMC IS ORLANDO HEALTHS FLAGSHIP FACILITY AND HOME TO THE AREAS ONLY LEVEL ONE TRAUMA CENTER. FOR NEARLY 100 YEARS, ORMC HAS PROVIDED THE MOST ADVANCED OPTIONS AVAILABLE FOR SURGICAL, MEDICAL, REHABILITATIVE AND EMERGENCY CARE. TODAY, THROUGH ORMCS STATE-OF-THE-ART TECHNOLOGY AND LEADING MEDICAL SPECIALISTS, ORMC PROVIDES COMPREHENSIVE CONTINUUM OF CARE FOR TRAUMA, VASCULAR, STROKE, NEUROSCIENCE, ONCOLOGY, SURGERY AND ORTHOPEDIC PATIENTS. IN ADDITION TO THE AREAS ONLY LEVEL ONE TRAUMA CENTER, ORMC IS HOME TO THE AREAS ONLY AIR AMBULANCE SERVICE AND ONE OF THE STATES SIX MAJOR TEACHING HOSPITALS. ORLANDO HEALTH ARNOLD PALMER HOSPITAL FOR CHILDREN FOR MORE THAN 25 YEARS, ARNOLD PALMER HOSPITAL HAS BEEN A PLACE OF HOPE AND HEALING. DEDICATED EXCLUSIVELY TO THE HEALTHCARE NEEDS OF CHILDREN, ARNOLD PALMER HOSPITAL OFFERS EXPERTISE IN A WIDE RANGE OF PEDIATRIC SPECIALTIES INCLUDING CARDIOLOGY AND CARDIAC SURGERY, CRANIOMAXILLOFACIAL SURGERY, ENDOCRINOLOGY AND DIABETES, AND GASTROENTEROLOGY. ARNOLD PALMER HOSPITAL ALSO HOUSES CENTRAL FLORIDAS ONLY PEDIATRIC LEVEL ONE TRAUMA CENTER AND EMERGENCY DEPARTMENT. THE HOWARD PHILLIPS CENTER FOR CHILDREN & FAMILIES IS ALSO UNDER THE ARNOLD PALMER HOSPITAL UMBRELLA. THROUGH THE HOWARD PHILLIPS CENTER FOR CHILDREN & FAMILIES, A CONTINUUM OF UNIQUE, SPECIALIZED SERVICES ARE PROVIDED TO AT-RISK CHILDREN AND FAMILIES IN CENTRAL FLORIDA FACING DIFFICULT MEDICAL AND EMOTIONAL CHALLENGES SUCH AS ABUSE, NEGLECT, DEVELOPMENTAL DELAYS AND LACK OF ACCESS TO PROPER HEALTHCARE. IN 2019, OVER 17,000 CHILDREN AND FAMILIES WERE SERVED THROUGH THE CENTERS SIX SPECIALIZED PROGRAMS. ORLANDO HEALTH WINNIE PALMER HOSPITAL FOR WOMEN & BABIES - WINNIE PALMER HOSPITAL IS DESIGNED TO MEET THE UNIQUE HEALTH NEEDS OF WOMEN AND BABIES IN A CARING, FAMILY-CENTERED ENVIRONMENT. THROUGH STATE-OF-THE-ART TECHNOLOGY AND A COMMITTED TEAM, WINNIE PALMER HOSPITALS LEVEL III NEONATAL INTENSIVE CARE UNIT (NICU) HAS ONE OF THE HIGHEST SURVIVAL RATES IN THE COUNTRY FOR LOW-BIRTH WEIGHT BABIES. A LEADER IN OBSTETRICS AND NEONATAL INTENSIVE CARE AS WELL AS COMPREHENSIVE HEALTHCARE FOR WOMEN THROUGHOUT ALL STAGES OF LIFE, THE HOSPITAL PROVIDES A WIDE RANGE OF OBSTETRIC AND GYNECOLOGIC SERVICES. IN FY 2019, ORLANDO HEALTH WINNIE PALMER HOSPITAL FOR WOMEN & BABIES LAUNCHED ITS SUCCESSFUL IN-UTERO SURGERY PROGRAM TO REPAIR SPINA BIFIDA, A SPINAL DEFECT DEVELOPED BY THE FETUS DURING THE EARLY STAGES OF PREGNANCY. IT IS THE FIRST AND ONLY HOSPITAL IN THE STATE OF FLORIDA TO OFFER THIS UNIQUE AND LIFE-CHANGING PROCEDURE. ORLANDO HEALTH WINNIE PALMER HAS AN AVERAGE OF 14,000 BIRTHS A YEAR AND THIS PROGRAM MEETS AN IMPORTANT NEED IN CENTRAL FLORIDA AND ACROSS THE STATE. WHILE FETAL SURGERY IS NOT A CURE FOR SPINA BIFIDA, STUDIES SHOW THAT IT CAN SIGNIFICANTLY REDUCE THE NEED FOR A SPINAL SHUNT AT BIRTH AND CAN IMPROVE THE CHILDS MOBILITY AND LEG FUNCTION. THE FETAL SURGERY PROGRAM AT ORLANDO HEALTH BEGAN WITH THE RECRUITMENT OF SAMER ELBABAA, MD, A PEDIATRIC NEUROSURGEON WHO HAS PERFORMED MORE THAN 75 OF THESE PROCEDURES IN HIS CAREER. DURING THE PROGRAMS FIRST YEAR, DR. ELBABAA PERFORMED NEARLY A DOZEN CASES ON MOTHERS AND THEIR UNBORN BABIES. ORLANDO HEALTH UF HEALTH CANCER CENTER - ORLANDO HEALTH HAS JOINED FORCES WITH UNIVERSITY OF FLORIDA HEALTH TO PROVIDE THE MOST EFFECTIVE CANCER CARE FOR OUR COMMUNITIES. THE ESTABLISHMENT OF THE CANCER CENTER BRINGS THE MOST EXPERIENCED CANCER DOCTORS TOGETHER WITH TOP CANCER RESEARCHERS TO PROVIDE UNIQUE TREATMENTS TAILORED TO EACH PATIENTS NEEDS. HOME TO THE MARJORIE AND LEONARD WILLIAMS CENTER FOR PROTON THERAPY, THE CENTER IS FLORIDAS FIRST AND ONLY THE NATIONS 23RD PROTON THERAPY CENTER. WITH 60 PRIVATE INPATIENT BEDS, SPECIFIC SERVICES INCLUDE GENETIC COUNSELING, INTEGRATIVE MEDICINE, NUTRITION SERVICES, COUNSELING AND REHABILITATION. ORLANDO HEALTH DR. P. PHILLIPS HOSPITAL DR. P. PHILLIPS HOSPITAL IS A COMPREHENSIVE COMMUNITY HOSPITAL OFFERING A WIDE RANGE OF SPECIALIZED PROGRAMS AND SERVICES FOR OUR PATIENTS IN SOUTHWEST ORANGE COUNTY. AS A FULL SERVICE MEDICAL AND SURGICAL FACILITY DIAGNOSTIC IMAGING, REHABILITATION AND SURGICAL SERVICES INCLUDING VASCULAR, NEUROSURGERY, ONCOLOGY, ORTHOPEDICS AND THE DAVINCI ROBOTIC SURGICAL SYSTEM ARE OFFERED. THE HOSPITAL ALSO INCLUDES CARDIOVASCULAR CARE AS A FULLY ACCREDITED CHEST PAIN CENTER AND A DESIGNATED PRIMARY STROKE CENTER. HOME HEALTHCARE, WOUND CARE THERAPIES AND MULTIPLE SCLEROSIS COMPREHENSIVE CARE ARE ALSO PROVIDED. ORLANDO HEALTH - HEALTH CENTRAL HOSPITAL - SERVING OUR PATIENTS IN WEST ORANGE COUNTY, HEALTH CENTRAL HOSPITAL IS A FULL-SERVICE ACUTE CARE COMMUNITY HOSPITAL PROVIDING ACCESS TO A WIDE RANGE OF SPECIALTY CARE. THE HOSPITAL PROVIDES SERVICES IN CARDIAC CARE, NEUROLOGY, NEUROSURGERY, ORTHOPEDIC AND SPINE CARE, ENDOCRINOLOGY, ONCOLOGY, WOUND CARE, MAMMOGRAPHY AND GENERAL SURGERY. THE HOSPITAL ALSO OFFERS A PRIMARY STROKE CENTER. ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL - SERVING SEMINOLE COUNTY, SOUTH SEMINOLE HOSPITAL IS A FULL-SERVICE COMMUNITY HOSPITAL OFFERING ADVANCED MEDICAL PROCEDURES AS WELL AS A FOCUS ON PREVENTION, WELLNESS AND COMMUNITY OUTREACH SERVICES. SERVICES OFFERED INCLUDE ENDOSCOPY, WOMENS HEALTH, BEHAVIORAL HEALTH, WOUND CARE AND HYPERBARIC MEDICINE, AND THERAPIES (PHYSICAL, OCCUPATIONAL AND SPEECH). THE FACILITY IS ALSO HOME TO ONE OF ORLANDO HEALTHS THREE AIR CARE TEAM HELICOPTER BASES. ORLANDO HEALTH SOUTH LAKE HOSPITAL SERVING THE WHOLE SOUTHERN REGION OF LAKE COUNTY, SOUTH LAKE HOSPITAL IS A FULLY-ACCREDITED CHEST PAIN CENTER AND A BREAST IMAGING CENTER OF EXCELLENCE. SERVICES OFFERED INCLUDE CARDIAC, WOMENS HEALTH, ORTHOPEDICS, REHABILITATION, AN OUTPATIENT SURGICAL CENTER, WOUND CARE, ROBOTIC SURGERY, DIAGNOSTIC IMAGING, HOME HEALTHCARE AND THE NATIONAL TRAINING CENTER, A SPORTS AND WELLNESS FACILITY. THE FACILITY IS HOME TO ONE OF ORLANDO HEALTHS THREE AIR CARE TEAM HELICOPTER BASES. ORLANDO HEALTH IS PROUD TO OFFER THE REGIONS ONLY LEVEL ONE TRAUMA CENTER; THE AREAS FIRST HEART PROGRAM; SPECIALTY HOSPITALS DEDICATED TO CHILDREN, WOMEN AND BABIES; A MAJOR CANCER CENTER; AND LONG-STANDING COMMUNITY HOSPITALS. OUR TECHNOLOGY AND ADVANCED MEDICAL TREATMENTS AND PROCEDURES, ALONG WITH OUR EXPERT STAFF, HAVE DISTINGUISHED ORLANDO HEALTH AS A HEALTHCARE LEADER, PROVIDING ACCESS TO NEARLY TWO MILLION CENTRAL FLORIDA RESIDENTS. THE HEALTH SYSTEM IS ONE OF CENTRAL FLORIDAS LARGEST EMPLOYERS WITH MORE THAN 16,000 EMPLOYEES AND OVER 2,000 ON-STAFF PHYSICIANS SUPPORTING OUR PHILOSOPHY OF PROVIDING A CONTINUUM OF CARE THAT REVOLVES AROUND PATIENTS NEEDS. WE HAVE ALWAYS BEEN, AND ALWAYS WILL BE, FOCUSED ON ACHIEVING THE VERY BEST OUTCOMES FOR OUR PATIENTS. ORLANDO HEALTH DELIVERS CARE THROUGH OUR FIVE ACUTE CARE HOSPITALS, THREE SPECIALTY HOSPITALS AND NUMEROUS OUTPATIENT CENTERS. DURING THE FISCAL YEAR ENDING ON SEPTEMBER 30, 2019 WE HAD 477,089 DAYS OF INPATIENT CARE, 520,013 OUTPATIENT VISITS, 13,833 BIRTHS AND 297,651 EMERGENCY VISITS. IN ACCORDANCE WITH OUR MISSION, ORLANDO HEALTH PROVIDED EXTENSIVE CARE TO PATIENTS WITHOUT CHARGE OR AT AN AMOUNT LESS THAN OUR ESTABLISHED RATES. WE OFFER COMMUNITY EDUCATION, SCHOOL INITIATIVES AND SUPPORT GROUPS. AS A TEACHING HOSPITAL, ORLANDO HEALTH OFFERS RESIDENCY PROGRAMS DESIGNED TO TRAIN FUTURE HEALTHCARE PROFESSIONALS. WE ARE ORLANDO'S HEALTHCARE AS THE PHYSICIANS, TEAM MEMBERS AND VOLUNTEERS OF ORLANDO HEALTH UNDERSTAND THAT HEALTHCARE EXTENDS BEYOND THE WALLS OF OUR FACILITIES, THEY OFTEN CONTRIBUTE TO THE COMMUNITY BY EDUCATING OTHERS AND PROVIDING PROGRAMS AND SERVICES. SOME OF OUR COMMUNITY PROGRAMS INCLUDE: COMMUNITY OUTREACH, SPEAKERS BUREAU, SUPPORT AND EDUCATION, COMMUNITY WELLNESS SCREENINGS, COMMUNITY HEALTH FAIRS, PASTORAL OUTREACH AND SPIRITUAL CARE. MANY OF THESE ACTIVITIES BRING LITTLE OR NO PAYMENT TO OUR SYSTEM BUT ARE CONTINUED BECAUSE THEY SUPPORT OUR MISSION AND PROVIDE VALUE TO THE COMMUNITY. COMMUNITY CLINICAL SUPPORT SERVICES ORLANDO HEALTH PROVIDES ACCESS TO PRIMARY CARE SERVICES THROUGHOUT OUR MARKET AREA. IN ADDITION, WE HAVE A LONG HISTORY OF SUPPORTING THE MISSIONS OF OTHER COMMUNITY ORGANIZATIONS WHO PROVIDE PRIMARY CARE ACCESS. ORGANIZATIONS SUCH AS PRIMARY CARE ACCESS NETWORK; TRUE HEALTH; COMMUNITY HEALTH CENTERS,	Desc
Total Program Service Expenses	$1,813,176,379	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
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	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	Yes (true)	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln 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	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	1033	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	16533	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	9	GoverningBodyVotingMembersCnt
Independent Voting Member	7	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

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 AVENUE	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 (27 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
JOHN CAPPLEMAN MD
BOARD MEMBER, TREASURER	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
AURELIO DURAN MD
BOARD MEMBER ENDED 4/1/19	2.0	55.0	Yes (X)		$0	$1,228,565	$35,156
CAROLYN KARRAKER
BOARD MEMBER	2.0	0.0	Yes (X)		$0	$0	$0
AMY SAUNDERS
BOARD MEMBER	2.0	0.0	Yes (X)		$0	$0	$0
CONRAD SANTIAGO
BOARD MEMBER ENDED 3/1/19	2.0	0.0	Yes (X)		$0	$0	$0
SANFORD C SHUGART PHD
BOARD MEMBER, CHAIRMAN	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
BRIAN BESANCENEY
BOARD MEMBER, VICE CHAIR/SEC.	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
M KATHRYN GARRETT MD
BOARD MEMBER	2.0	2.0	Yes (X)		$0	$0	$0
MIKE PACKNETT
BOARD MEMBER	2.0	0.0	Yes (X)		$0	$0	$0
CHARLES HEARD MD
BOARD MEMBER, CHIEF OF STAFF	2.0	0.0	Yes (X)		$150,000	$0	$0
DAVID W STRONG
PRESIDENT & CEO	55.0	5.0	Yes (X)	Yes (X)	$3,115,082	$0	$457,473
BERNADETTE SPONG
CHIEF FINANCIAL OFFICER	55.0	6.0		Yes (X)	$1,408,770	$0	$202,987
THIBAUT VAN MARCKE DE LUMMEN
SVP, OH & PRES, DPH	55.0	0.0			$504,962	$0	$107,318	Yes (X)
JAMAL A HAKIM MD
CHIEF OPERATING OFFICER	55.0	8.0			$1,870,879	$0	$242,895	Yes (X)
KELLY NIERSTEDT
SVP, OH & PRES, WPH	55.0	0.0			$304,022	$0	$25,922	Yes (X)
MARK A JONES
SVP, OH & PRESIDENT, ORMC	55.0	3.0			$1,018,096	$0	$140,448	Yes (X)
ERICK R HAWKINS
SVP, STRATEGIC MANAGEMENT	55.0	2.0			$1,096,308	$0	$156,059		Yes (X)
SUNIL S DESAI MD
SVP, OH & PRES, OHMG	0.0	56.0			$927,497	$0	$164,943		Yes (X)
MILDRED DENISE BEAM
Chief Legal Strategist	55.0	2.0			$869,658	$0	$117,329		Yes (X)
GREGORY P OHE
SVP, AMBU SVCS, ORLANDO HEALTH	55.0	0.0			$743,481	$0	$106,184		Yes (X)
JOHN W BOZARD
SVP, OH & Pres, APMCF & OHF	25.0	30.0			$416,475	$416,475	$51,054		Yes (X)
MARK E SAND MD
Former Board Member	0.0	55.0			$0	$1,192,999	$29,680			Yes (X)
MARY FARRELL MD
Former Board Member	55.0	0.0			$573,626	$0	$3,312			Yes (X)
DAVID F HUDDLESON
VP, CHIEF COMPLIANCE & ETHICS	55.0	0.0			$429,460	$0	$83,962			Yes (X)
KATHY A SWANSON
FMR SVP, OH & Pres, APMC	0.0	0.0			$389,531	$0	$33,221			Yes (X)
JOHN RICHARD SCHOOLER
FMR VP, CIO	0.0	0.0			$334,998	$0	$15,975			Yes (X)
NANCY G DINON
FMR VP, Human Resources	0.0	0.0			$203,738	$0	$13,063			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$14,356,583	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,838,039	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,986,981	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	677	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
BARTON MALOW COMPANY
26500 AMERICAN DR	SOUTHFIELD	MI	48034	CONSTRUCTION SVCS	$31,373,214
AVI FOODSYSTEMS INC
2590 ELM RD NE	WARREN	OH	44483	FOOD SERVICES	$13,210,731
EFFICIENCY MEDIA INC
3616 WINNETKA RD	GLENVIEW	IL	60026	CONSULTING SERVICES	$9,800,986
ALLSCRIPTS HEALTHCARE LLC
305 CHURCH AT NORTH HILL ST	RALEIGH	NC	27609	COMPUTER SERVICES	$9,535,583
FITNESS FINANCIAL SERVICES INC
134 SOUTH TAMPA ST	TAMPA	FL	33602	COLLECTION SERVICES	$6,569,272

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	430	CntrctRcvdGreaterThan100KCnt
Related Organizations	$7,648,999	RelatedOrganizationsAmt
Government Grants	$507,472	GovernmentGrantsAmt
All Other Contributions	$3,913,472	AllOtherContributionsAmt
Total Contributions	$12,069,943	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NET PATIENT SERVICE REVENUE	621990	$2,495,341,511	$2,493,077,629	$2,263,882	$0
RETAIL PHARMACY	446110	$68,781,784	$68,038,731	$743,053	$0
LIP TIER 3 STATE REVENUE	900099	$46,776,675	$46,776,675	$0	$0
STATE OF FL TEACHING/IGT SAFETY NET PMTS	900099	$13,378,101	$13,378,101	$0	$0
MEDICAID VOLUNTARY CONTRIBUTION	900099	$12,716,191	$12,716,191	$0	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$51,297,973	TotalRevenueColumnAmt
Related Or Exempt Func Income	$51,052,137	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$245,836	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$2,688,292,235	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$50,927,626	TotalRevenueColumnAmt
Unrelated Business Revenue	$3,035,569	UnrelatedBusinessRevenueAmt
Exclusion	$47,892,058	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$3,171,620	TotalRevenueColumnAmt
Exclusion	-$3,171,620	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	$9,192,262	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$5,623,205	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$3,569,057	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,569,057	TotalRevenueColumnAmt
Unrelated Business Revenue	$352,510	UnrelatedBusinessRevenueAmt
Exclusion	$3,216,547	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$577,679,379	SecuritiesAmt
Other	$5,452,130	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$573,251,694	SecuritiesAmt
Other	$5,248,304	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$4,427,685	SecuritiesAmt
Other	$203,826	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,631,511	TotalRevenueColumnAmt
Unrelated Business Revenue	$1,737,712	UnrelatedBusinessRevenueAmt
Exclusion	$2,893,799	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
PHYSICIANS ANSWERING SERVICE	567499	$341,835	$0	$341,835	$0
INFANT PICTURE CONTRACT	900099	$61,200	$0	$61,200	$0
PARKING GARAGE	621990	$51,920	$0	$0	$51,920

Field	Value	IRS element (for citing)
Other Revenue Total	$454,955	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,756,773,707	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,685,039,464	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$8,781,597	UnrelatedBusinessRevenueAmt
Exclusion	$50,882,704	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$5,849,882	TotalAmt
Program Services	$5,849,882	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	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	$8,455,267	TotalAmt
Program Services	$1,639,414	ProgramServicesAmt
Management And General	$6,815,853	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$1,066,415	TotalAmt
Program Services	$604,823	ProgramServicesAmt
Management And General	$461,592	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$820,068,867	TotalAmt
Program Services	$655,323,892	ProgramServicesAmt
Management And General	$160,753,520	ManagementAndGeneralAmt
Fundraising	$3,991,455	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$34,717,601	TotalAmt
Program Services	$27,669,082	ProgramServicesAmt
Management And General	$7,032,106	ManagementAndGeneralAmt
Fundraising	$16,413	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$138,018,963	TotalAmt
Program Services	$109,455,683	ProgramServicesAmt
Management And General	$27,905,308	ManagementAndGeneralAmt
Fundraising	$657,972	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$58,812,405	TotalAmt
Program Services	$46,885,519	ProgramServicesAmt
Management And General	$11,691,848	ManagementAndGeneralAmt
Fundraising	$235,038	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	$9,884,999	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$9,884,999	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$773,489	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$773,489	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$540,332	TotalAmt
Program Services	$540,332	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$549,785	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$549,785	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$143,235,603	TotalAmt
Program Services	$100,621,318	ProgramServicesAmt
Management And General	$42,544,832	ManagementAndGeneralAmt
Fundraising	$69,453	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$23,281,325	TotalAmt
Program Services	$10,244,943	ProgramServicesAmt
Management And General	$12,958,687	ManagementAndGeneralAmt
Fundraising	$77,695	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$45,452,664	TotalAmt
Program Services	$40,034,943	ProgramServicesAmt
Management And General	$5,007,874	ManagementAndGeneralAmt
Fundraising	$409,847	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$74,390,041	TotalAmt
Program Services	$24,567,175	ProgramServicesAmt
Management And General	$49,610,771	ManagementAndGeneralAmt
Fundraising	$212,095	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	$114,278,480	TotalAmt
Program Services	$71,231,810	ProgramServicesAmt
Management And General	$42,472,026	ManagementAndGeneralAmt
Fundraising	$574,644	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$6,608,761	TotalAmt
Program Services	$2,754,974	ProgramServicesAmt
Management And General	$3,662,253	ManagementAndGeneralAmt
Fundraising	$191,534	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	$2,191,050	TotalAmt
Program Services	$993,779	ProgramServicesAmt
Management And General	$1,165,860	ManagementAndGeneralAmt
Fundraising	$31,411	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$47,240,573	TotalAmt
Program Services	$37,934,680	ProgramServicesAmt
Management And General	$9,305,893	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	$125,155,490	TotalAmt
Program Services	$100,251,905	ProgramServicesAmt
Management And General	$24,886,508	ManagementAndGeneralAmt
Fundraising	$17,077	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$17,542,074	TotalAmt
Program Services	$17,417,345	ProgramServicesAmt
Management And General	$124,729	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$462,360,727	$462,360,727	$0	$0
ELIGIBILITY FEES	$59,446,637	$59,446,637	$0	$0
PATIENT MED ASSIST TRUST	$29,406,068	$29,406,068	$0	$0
DISCHARGE SUPPORT	$5,168,349	$5,168,349	$0	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$13,310,158	TotalAmt
Program Services	$2,773,099	ProgramServicesAmt
Management And General	$10,296,867	ManagementAndGeneralAmt
Fundraising	$240,192	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,247,806,005	TotalAmt
Program Services	$1,813,176,379	ProgramServicesAmt
Management And General	$427,904,800	ManagementAndGeneralAmt
Fundraising	$6,724,826	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	$166,700,832	BOYAmt
EOY	$11,632,380	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$366,506,180	BOYAmt
EOY	$426,453,902	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	$303,078,571	BOYAmt
EOY	$304,642,759	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$51,878,352	BOYAmt
EOY	$55,141,269	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$37,580,802	BOYAmt
EOY	$34,871,692	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$3,197,641,945	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,833,919,622	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,169,773,609	BOYAmt
EOY	$1,363,722,323	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,608,023,044	BOYAmt
EOY	$1,863,578,284	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	$31,973,334	BOYAmt
EOY	$26,592,926	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$290,415,514	BOYAmt
EOY	$396,694,332	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,025,930,238	BOYAmt
EOY	$4,483,329,867	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$353,277,964	BOYAmt
EOY	$443,140,806	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	$5,436,565	BOYAmt
EOY	$1,524,986	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,148,951,887	BOYAmt
EOY	$1,227,289,338	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	$29,293,876	BOYAmt
EOY	$27,477,529	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	$219,943,235	BOYAmt
EOY	$275,890,509	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,756,903,527	BOYAmt
EOY	$1,975,323,168	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,169,813,072	BOYAmt
EOY	$2,393,515,626	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$98,394,746	BOYAmt
EOY	$113,233,489	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$818,893	BOYAmt
EOY	$1,257,584	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,269,026,711	BOYAmt
EOY	$2,508,006,699	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$4,025,930,238	BOYAmt
EOY	$4,483,329,867	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$508,967,702	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$8,416,872	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$278,404,586	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
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	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

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	$84,000	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Rallies Demonstrations	$0	RalliesDemonstrationsAmt
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$540,332	OtherActivitiesAmt
Total Lobbying Expenditures	$624,332	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind
Form4720 Filed4912 Tax	false	Form4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1B	FormAndLineReferenceDesc
Explanation	PAID STAFF OR MANAGEMENT ASSESSING CURRENT STATE AND FEDERAL LEGISLATION WITH CONSULTANTS WHO ADVISE HOW THE LEGISLATION WOULD AFFECT THE ORGANIZATION TOTALING $224,369. AMOUNTS REPORTED FROM VARIOUS HOSPITAL AND HEALTHCARE MEMBERSHIPS OF DUES USED FOR LOBBYING ACTIVITIES TOTALING $315,963.	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	$36,836,779	BeginningYearBalanceAmt
Contributions	$750,218	ContributionsAmt
Investment Earnings Or Losses	$1,142,094	InvestmentEarningsOrLossesAmt
Administrative Expenses	$52,780	AdministrativeExpensesAmt
End Year Balance	$38,676,311	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$31,231,110	BeginningYearBalanceAmt
Contributions	$4,383,122	ContributionsAmt
Investment Earnings Or Losses	$1,222,547	InvestmentEarningsOrLossesAmt
End Year Balance	$36,836,779	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$26,942,285	BeginningYearBalanceAmt
Contributions	$1,393,819	ContributionsAmt
Investment Earnings Or Losses	$2,937,429	InvestmentEarningsOrLossesAmt
Administrative Expenses	$42,423	AdministrativeExpensesAmt
End Year Balance	$31,231,110	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$23,569,881	BeginningYearBalanceAmt
Contributions	$2,338,450	ContributionsAmt
Investment Earnings Or Losses	$1,073,988	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$40,034	AdministrativeExpensesAmt
End Year Balance	$26,942,285	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$24,001,882	BeginningYearBalanceAmt
Contributions	$532,938	ContributionsAmt
Investment Earnings Or Losses	-$885,678	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$79,261	AdministrativeExpensesAmt
End Year Balance	$23,569,881	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.02240	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.97760	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$124,970,531	OtherCostOrOtherBasisAmt
Book Value	$124,970,531	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,028,876,786	OtherCostOrOtherBasisAmt
Depreciation	$457,783,362	DepreciationAmt
Book Value	$571,093,424	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$41,645,196	OtherCostOrOtherBasisAmt
Book Value	$41,645,196	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,894,339,987	OtherCostOrOtherBasisAmt
Depreciation	$1,349,056,285	DepreciationAmt
Book Value	$545,283,702	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$107,809,445	OtherCostOrOtherBasisAmt
Depreciation	$27,079,975	DepreciationAmt
Book Value	$80,729,470	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,363,722,323	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (11 entries)

DescDesc	Book ValueBookValueAmt
CASH SURRENDER VALUE LIFE INS	$43,392,584
INVESTMENT IN RELATED PARTIES	$11,282,296
MEDICAL MALPRACTICE RECOVERIES	$3,045,649
LONG TERM DEPOSITS	$8,480,544
GIFT ANNUITY TRUST	$2,680,350
CONTRIBUTIONS RECEIVABLE	$547,730
CAP ACCUM/DEF COMP BENEFITS	$13,136,158
DUE FROM AFFILIATES	$280,946,636
EXEC DEFERRED COMP 457B	$32,267,717
PROPERTY MANAGEMENT	$814,668
WORKER'S COMP SURETY	$100,000

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$396,694,332	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (15 entries)

DescDesc	AmtAmt
FEDERAL INCOME TAXES	$1,167,903
ASSET RETIREMENT LIABILITY	$1,844,625
LT-LIAB CAP/ACCUM DEF COMP	$13,136,159
EPIC-ELLIE SOFWARE LICENSE LIAB	$21,440,686
SWAP LIABILITIES	$43,814,801
PROFESSIONAL AND GENERAL LIABILITY	$140,105,399
LT-DUE TO AFFILIATES	$12,106,837
PHYSICIAN LOAN RESERVE	$67,676
LT-LIAB EXEC DEF COMP 457B	$32,267,717
LT CHARITABLE COMMITMENTS TO UNRELATED PARTIES	$4,775,000
PROPERTY MANAGEMENT LIABILITIES	$711,342
DUE TO STATE - AP	$55,035
LT LIABILITIES/DISCOUNTS - CLEAR BALANCE (NET)	$2,105,765
POST-RETIREMENT BENEFITS	$264,176
PUBLIC ASSISTANCE FUND LIABILITY	$2,027,388

Field	Value	IRS element (for citing)
Total Liability	$275,890,509	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4	ENDOWMENT FUNDS ARE RESTRICTED AS TO PURPOSE, TIME OR BOTH IN ACCORDANCE WITH DONOR SPECIFICATIONS MADE AT TIME OF CONTRIBUTIONS. ORLANDO HEALTH TREATS ENDOWMENT FUND PRINCIPAL AS RESTRICTED AND UTILIZES THE NET EARNINGS ON ENDOWMENT MONIES FOR PROGRAM AND CAPITAL NEEDS OF ORLANDO HEALTH, INC. AND AFFILIATES IN ACCORDANCE WITH DONOR SPECIFICATIONS.
SCHEDULE D, PART X, LINE 2	FASB ASC TOPIC 740, INCOME TAXES, PRESCRIBES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAX POSITIONS RECOGNIZED IN THE FINANCIAL STATEMENTS. ASC TOPIC 740 PROVIDES GUIDANCE AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THERE WERE NO MATERIAL UNCERTAIN TAX POSITIONS AS OF SEPTEMBER 30, 2019 AND 2018.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Offices	1	OfficesCnt
Employee	1	EmployeeCnt
Type Of Activities Conducted	Program services	TypeOfActivitiesConductedTxt
Specific Services Provided	CAPTIVE INSURANCE	SpecificServicesProvidedTxt
Region Total Expenditures	$42,714	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	1	SubtotalOfficesCnt
Subtotal Employees	1	SubtotalEmployeesCnt
Total Office	1	TotalOfficeCnt
Total Employee	1	TotalEmployeeCnt
Subtotal Spent	$42,714	SubtotalSpentAmt
Total Spent	$42,714	TotalSpentAmt
Transfer To Foreign Corp	false	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

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	false	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	$117,418,806	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$59,567,867	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$57,850,939	NetCommunityBenefitExpnsAmt
Total Expense	0.02570	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$333,240,237	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$217,146,989	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$116,093,248	NetCommunityBenefitExpnsAmt
Total Expense	0.05160	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,050,268	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$932,646	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$117,622	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$451,709,311	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$277,647,502	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$174,061,809	NetCommunityBenefitExpnsAmt
Total Expense	0.07740	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,302,991	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,044,620	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,258,371	NetCommunityBenefitExpnsAmt
Total Expense	0.00950	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$62,285,524	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,589,623	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$46,695,901	NetCommunityBenefitExpnsAmt
Total Expense	0.02080	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
Total Expense	0.00000	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,052,568	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,052,568	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,738,223	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,738,223	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$89,379,306	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,634,243	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$72,745,063	NetCommunityBenefitExpnsAmt
Total Expense	0.03250	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$541,088,617	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$294,281,745	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$246,806,872	NetCommunityBenefitExpnsAmt
Total Expense	0.10990	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,306	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$14,306	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$58,747	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$58,747	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$117,202	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$117,202	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$32,911	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$32,911	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,315	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,315	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,435	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,435	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$91,636	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$91,636	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$335,552	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$335,552	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$304,434,966	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$295,627,812	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$323,220,014	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$27,592,202	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	5	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (5 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd	OtherOtherDesc	Childrens HospitalChildrensHospitalInd
ORLANDO REGIONAL MEDICAL CENTER
1	1414 KUHL AVENUE	ORLANDO	FL	32806	SEE SUPPLEMENTAL INFORMATION FOR WEBSITE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
DR P PHILLIPS HOSPITAL
2	9400 TURKEY LAKE ROAD	ORLANDO	FL	32819	SEE SUPPLEMENTAL INFORMATION FOR WEBSITE	Yes (X)	Yes (X)		Yes (X)	A
WINNIE PALMER HOSP FOR WOMEN & BABIES
3	83 W MILLER STREET	ORLANDO	FL	32806	SEE SUPPLEMENTAL INFORMATION FOR WEBSITE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A	NEONATAL UNIT
ARNOLD PALMER HOSPITAL FOR CHILDREN
4	92 W MILLER	ORLANDO	FL	32806	SEE SUPPLEMENTAL INFORMATION FOR WEBSITE	Yes (X)		Yes (X)	Yes (X)	A		Yes (X)
SOUTH SEMINOLE HOSPITAL
5	555 W SR 434	LONGWOOD	FL	32279	SEE SUPPLEMENTAL INFORMATION FOR WEBSITE	Yes (X)	Yes (X)		Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	5	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	MAIN WEBSITE: HTTP://WWW.ORLANDOHEALTH.COM ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER: HTTPS://WWW.ORLANDOHEALTH.COM/FACILITIES/ORLANDO-REGIONAL-MEDICAL-CENTER ORLANDO HEALTH WINNIE PALMER HOSPITAL FOR WOMEN & BABIES: HTTPS://WWW.WINNIEPALMERHOSPITAL.COM/ ORLANDO HEALTH ARNOLD PALMER HOSPITAL FOR CHILDREN: HTTPS://WWW.ARNOLDPALMERHOSPITAL.COM/ ORLANDO HEALTH DR. P. PHILLIPS HOSPITAL: HTTPS://WWW.ORLANDOHEALTH.COM/FACILITIES/DR-P-PHILLIPS-HOSPITAL ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL: HTTPS://WWW.ORLANDOHEALTH.COM/FACILITIES/SOUTH-SEMINOLE-HOSPITAL
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.ORLANDOHEALTH.COM/ABOUT-US/COMMUNITY-INVOLVEMENT/COMMUNITY-BENE FIT
PART V, SECTION B, LINE 11	FOR OVER 100 YEARS, ORLANDO HEALTH HAS BEEN SERVING THE CENTRAL FLORIDA REGION. DEDICATED TO IMPROVING THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND COMMUNITIES, WE SERVE, ORLANDO HEALTH IS CONSTANTLY EMPLOYING EFFORTS TO IMPROVE HEALTH IN THE COMMUNITY AND INCREASE ACCESS TO CARE. FOLLOWING OUR PARTICIPATION IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) ORLANDO HEALTH TOOK INTO CONSIDERATION A NUMBER OF FACTORS IN SELECTING HEALTH NEEDS TO ADDRESS. FACTORS INCLUDED BUT WERE NOT LIMITED TO: INDIVIDUAL ORLANDO HEALTH DATA; COMMUNITY AND HOSPITAL ASSETS; ABILITY TO IMPACT AN ISSUE; CURRENT COMMUNITY BENEFIT EFFORTS; COMMUNITY PARTNERSHIPS; AND OPPORTUNITIES FOR COLLABORATION. WE ALSO TOOK INTO CONSIDERATION THE COUNTY WHERE EACH HOSPITAL IS LOCATED. IN ORANGE COUNTY, ORLANDO HEALTH ARNOLD PALMER HOSPITAL FOR CHILDREN, ORLANDO HEALTH WINNIE PALMER HOSPITAL FOR WOMEN & BABIES, ORLANDO HEALTH DR. P. PHILLIPS HOSPITAL, ORLANDO HEALTH HEALTH CENTRAL HOSPITAL AND ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER (ORLANDO HEALTH UF HEALTH CANCER CENTER) ARE LOCATED. MEANWHILE ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL IS IN SEMINOLE COUNTY AND ORLANDO HEALTH SOUTH LAKE HOSPITAL IS LOCATED IN LAKE COUNTY. BASED ON OUR PROCESS WE SELECTED ACCESS TO CARE AS OUR PRIORITY HEALTH NEED FROM THE 2019 CHNA. IN FISCAL YEAR 2019 WITH OUR FOCUS ON ACCESS TO CARE, ORLANDO HEALTH DEVELOPED NEW AND ENHANCED ESTABLISHED COMMUNITY BENEFIT PROGRAMS THAT ADDRESS ACCESS TO CARE. ORLANDO HEALTH PROVIDED OVER $246 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 FISCAL YEAR 2019, WE SUPPORTED 17 GRANT PROPOSALS THROUGH THE ORLANDO HEALTH COMMUNITY GRANT PROGRAM AND WE CONTINUED TO ACTIVELY COLLABORATE WITH LOCAL ORGANIZATIONS AND GROUPS TO MAKE A DIFFERENCE IN THE HEALTH AND QUALITY OF LIFE IN CENTRAL FLORIDA. IN 2019, WE SUPPORTED 271 COMMUNITY ORGANIZATIONS. EXAMPLES FROM KEY INITIATIVES ARE INCLUDED TO ILLUSTRATE THE TYPES OF SUCCESSES THESE PROGRAMS YIELD. ADDRESSING FOOD INSECURITIES: ONE IN SEVEN PEOPLE IN CENTRAL FLORIDA FACE FOOD INSECURITY. THAT EQUATES TO NEARLY HALF A MILLION PEOPLE IN OUR SIX-COUNTY MARKET WHO DONT KNOW WHEN OR FROM WHERE THEIR NEXT MEAL WILL COME. AN ANALYSIS OF COUNTY DATA ON HEALTH INDICATORS AND FOOD INSECURITY SHOWS THAT COMMUNITIES WITH THE HIGHEST RATES OF FOOD INSECURITY FACE A HIGHER PREVALENCE FOR DISEASES AND OTHER MEASURES TIED TO POOR HEALTH. TO HELP ADDRESS THIS SITUATION, ORLANDO HEALTH HAS EMBRACED SEVERAL FOOD AND NUTRITION PROGRAMS, INCLUDING THESE THREE: 1. THROUGH THE ORLANDO HEALTH COMMUNITY GRANT PROGRAM, ORLANDO HEALTH TEAMS WORK WITH SECOND HARVEST FOOD BANK OF CENTRAL FLORIDA TO IDENTIFY PATIENTS WHO ARE FOOD INSECURE AND ELIGIBLE FOR A HEALTHY FOOD BOX EACH WEEK. THE PATIENTS IDENTIFIED THROUGH THIS PROGRAM ARE HIGH HOSPITAL UTILIZERS WITH CHRONIC ILLNESSES SUCH AS HEART DISEASE. THE PATIENT IS ASKED A SERIES OF QUESTIONS AND IF DETERMINED TO BE FOOD INSECURE, THEY RECEIVE A VOUCHER FOR A BOX OF HEALTHY FOODS FROM A DESIGNATED SECOND HARVEST PANTRY. THE FOOD IS LOW SODIUM, WHOLE GRAIN AND INCLUDES FRESH VEGETABLES AND MEATS ALONG WITH A RECIPE BOOK ON HOW TO COOK MEALS FROM THE FOODS IN THE BOX. THE PATIENT CAN PICK UP FOOD ONCE A WEEK AT ONE OF THE PARTICIPATING PANTRIES. THESE PATIENTS GENERALLY ARE RESIDENTS WHO ARE UNDERSERVED, UNDERINSURED AND LOWER INCOME. 2. THE ORLANDO HEALTH COMMUNITY GRANT PROGRAM ALSO PARTNERED WITH GROWING ORLANDO AND ORLANDO CITY SOCCER FOUNDATION TO CREATE RAISED GARDEN BEDS FOR LOCAL, UNDERSERVED FAMILIES SO THEY COULD HAVE MORE ACCESS TO HEALTHY FOOD. THIS PROGRAM SUPPORTED EIGHT FAMILIES AND ONE HEAD START PROGRAM IN THE PARRAMORE COMMUNITY, LOCATED IN THE CENTER OF OUR DOWNTOWN SERVICE AREA. CONSIDERED A FOOD DESERT, THIS COMMUNITY HAS A HIGH PROPORTION OF UNINSURED/UNDERINSURED AND LOWER-INCOME RESIDENTS. FOR THE FAMILIES THAT PARTICIPATED, THIS WAS AN OPPORTUNITY TO HAVE FRESH PRODUCE IN LIMITED SPACES. THEY RECEIVED ALL THE NECESSARY SUPPLIES TO PLANT FRESH PRODUCE AT THEIR HOMES. REPORTS SHOWED THEY REDUCED THEIR MONTHLY FOOD BUDGET BY BEING ABLE TO GROW THEIR OWN PRODUCE, REDUCED THE AMOUNT OF MONEY THEY SPENT EATING OUT AND REDUCED THE AMOUNT OF BENEFITS THEY USED FROM THE FEDERAL SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP). THEY ALSO INCREASED THE AMOUNT OF MEALS THEY PREPARED AND COOKED AT HOME. 3. ORLANDO HEALTH ARNOLD PALMER HOSPITAL FOR CHILDREN CONTINUES TO SPONSOR A TEACHING GARDEN AND NUTRITION PROGRAM AT ORANGE CENTER ELEMENTARY IN THE UNDERSERVED COMMUNITY OF PARRAMORE. THROUGHOUT THE YEAR, STUDENTS AND TEACHERS TEND TO THE GARDEN, PULLING RIPE VEGETABLES TO USE IN SCHOOL COOKING CLASSES, TAKE HOME TO THEIR FAMILIES OR SELL TO COMMUNITY MEMBERS. TO HELP IMPROVE LIFESTYLE CHOICES, DIETITIANS FROM ORLANDO HEALTH ARNOLD PALMER VISIT THE SCHOOL TO TEACH STUDENTS ABOUT NUTRITION. CONFRONTING THE OPIOID CRISIS: IN RESPONSE TO THE OVERWHELMING NUMBER OF CENTRAL FLORIDA RESIDENTS DYING FROM DRUG OVERDOSES, ORLANDO HEALTH ESTABLISHED THE OPIOID OUTREACH COORDINATOR POSITION IN THE FALL OF 2018. THE PRECEDING YEAR, ORANGE COUNTY HAD BEEN AMONG FLORIDAS TOP 10 COUNTIES WITH THE HIGHEST NUMBER OF DEATHS CAUSED BY OPIOIDS SUCH AS FENTANYL ANALOGS, OXYCODONE, ALPRAZOLAM AND METHADONE, AS WELL AS ACCIDENTAL DEATHS CAUSED BY PRESCRIPTION DRUGS. ASSIGNED TO THE ER AT ORLANDO HEALTH ORMC, THE OPIOID OUTREACH COORDINATOR IS A LICENSED CLINICAL SOCIAL WORKER WHO WORKS WITH THE CARE MANAGEMENT TEAM. WHEN A PATIENT PRESENTS WITH A SUSPECTED SUBSTANCE USE OVERDOSE, THE NAVIGATOR IS CALLED IN FOR AN ASSESSMENT. AFTER ITS COMPLETED, THE PATIENT AND THE NAVIGATOR DISCUSS OPTIONS FOR OUTPATIENT TREATMENT AND REFERRALS TO TREATMENT FACILITIES. FOR PATIENTS DIAGNOSED WITH A SUBSTANCE USE DISORDER, THE COORDINATOR WORKS WITH SPECIALISTS FROM A BEHAVIORAL HEALTH PARTNER THAT CAN OFFER EXTENDED INPATIENT CARE. THE NAVIGATOR ALSO CAN PROVIDE ADDITIONAL RESOURCES AND FOLLOW-UP SUPPORT FOR PATIENTS AND THEIR FAMILIES TO ENSURE SUCCESS. SERVING VULNERABLE PREGNANT WOMEN: ORLANDO HEALTHS HIGH-RISK OBSTETRICS & GYNECOLOGY RESIDENT PRACTICE OFFERS SUPPORTIVE CARE FOR VULNERABLE PREGNANT WOMEN, BEFORE AND AFTER THEY DELIVER. LOCATED AT ORLANDO HEALTH WINNIE PALMER HOSPITAL FOR WOMEN & BABIES, THE PRACTICE IS A WELL-KNOWN RESOURCE FOR CENTRAL FLORIDA WOMEN WHO OTHERWISE MAY NOT HAVE ANY OBSTETRIC CARE. PATIENTS ARE REFERRED FROM HEALTH DEPARTMENTS AND PROVIDERS IN SURROUNDING COUNTIES, AS WELL AS ACROSS THE STATE. RISK FACTORS VARY FROM ADVANCED MATERNAL AGE AND DIABETES TO HIGH BLOOD PRESSURE, SEVERE CARDIAC PROBLEMS, CHROMOSOME ABNORMALITIES AND CONGENITAL ANOMALIES. SERVICES PROVIDED INCLUDE FETAL MONITORING, DIABETIC EDUCATION, AND NUTRITIONAL AND GENETIC COUNSELING. THE CLINIC ALSO SEES LOW-RISK OBSTETRIC PATIENTS WHO ARE IN THEIR THIRD TRIMESTER AND UNABLE TO FIND A LOCAL PROVIDER. SOME HAVE POSTPONED PRENATAL CARE BECAUSE OF FINANCIAL SITUATIONS. OTHERS ARE NEW TO THE AREA, TRANSFERRED TO FLORIDA MID-PREGNANCY FOR JOBS OR MILITARY SERVICE. IN ADDITION TO HIGH- AND LOW-RISK MATERNITY CARE, THE CLINIC ALSO OFFERS POST-PARTUM AND GYNECOLOGICAL SERVICES, INCLUDING WELL-WOMAN EXAMS, BIOPSIES, SONOGRAMS AND BIRTH-CONTROL MANAGEMENT. THEY ALSO PROVIDE BREASTFEEDING SUPPORT AND NUTRITIONAL EDUCATION TO THOSE IN NEED, AS WELL AS SOCIAL SERVICES TO COMBAT POST-PARTUM DEPRESSION. RECOVERING FROM SPINAL CORD INJURIES: THROUGH AN INNOVATIVE NEW PROGRAM PIONEERED BY ORLANDO HEALTHS REHABILITATION TEAM, PATIENTS WHO HAVE BEEN PARALYZED WITH SPINAL CORD INJURIES ARE PUMPING IRON AND PARTICIPATING IN CLASSES ALONGSIDE OTHER FITNESS ENTHUSIASTS AT A SOUTH ORLANDO CROSS-FITNESS GYM. ABOUT 50 PATIENTS ARE DIAGNOSED WITH TRAUMATIC SPINAL CORD INJURY (SCI) EACH YEAR AT ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER (ORMC). AFTER SCI PATIENTS GRADUATED FROM THE REHAB PROGRAM, THERE WERENT ANY ADAPTIVE EXERCISE PROGRAMS OR FITNESS CENTERS WITH ADAPTIVE EQUIPMENT ACCESSIBLE TO THIS POPULATION TO HELP THEM CONTINUE BUILDING THEIR STRENGTH. SO, ORLANDO HEALTH DECIDED TO CREATE ITS OWN PROGRAM, WHICH LAUNCHED IN APRIL 2018. GAINING STRENGTH FROM WORKING OUT ENABLES SCI PATIENTS TO BETTER PERFORM DAILY TASKS LIKE GETTING ON THE BUS OR TRANSFERRING FROM THEIR WHEELCHAIR. IT ALSO HELPS WITH QUALITY OF LIFE. HONORING THE PULSE VICTIMS: IN 2019, ORLANDO HEALTH BECAME THE FIRST SPONSOR OF THE NATIONAL PULSE MEMORIAL & MUSEUM AT THE SITE OF ONE OF THE NATIONS DEADLIEST MASS SHOOTINGS. THE ORGANIZATION CONTRIBUTED $1 MILLION TOWARD ITS CONSTRUCTION AND TO THE ESTABLISHMENT OF THE LEGACY SCHOLARSHIP FUND. PULSE NIGHTCLUB WAS LOCATED LESS THAN HALF A MILE FROM THE FRONT DOOR OF THE LEVEL ONE TRAUMA CENTER AT ORMC. THIRTY-FIVE VICTIMS OF THE PULSE SHOOTING ARRIVED ALIVE AT ORMC. ALL SURVIVED. NONE RECEIVED A BILL FOR THEIR CARE. FOLLOWING THE PULSE SHOOTINGS, ORLANDO HEALTHS LEVEL ONE TRAUMA TEAM L
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	37	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (37 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
Orlando Health UF Health Cancer Center
1400 South Orange Avenue	ORLANDO	FL	32806	INPATIENT AND OUTPATIENT CANCER CARE
ORLANDO REG MED CTR-AMBULATORY CARE CTR
22 W UNDERWOOD AVENUE	ORLANDO	FL	32806	OUTPATIENT SURGERY/DIAGNOSTICS
ORLANDO HEALTH HEART INSTITUTE
1222 SOUTH ORANGE AVENUE	ORLANDO	FL	32806	OUTPATIENT DIAGNOSTIC CENTER
ORLANDO HEALTH ER & MED PAV OSCEOLA
1001 EAST OSCEOLA PARKWAY	KISSIMMEE	FL	34744	FREESTANDING EMERGENCY ROOM & MEDICAL PAVILLION
ORLANDO HEALTH HEART INSTITUTE
7472 DOCS GROVE CIRCLE	ORLANDO	FL	32819	OUTPATIENT DIAGNOSTIC CENTER
ORLANDO HEALTH UF HEALTH CANCER CENTER
7472 DOCS GROVE CIRCLE	ORLANDO	FL	32819	OUTPATIENT CANCER CARE
ORLANDO HEALTH UF HEALTH CANCER CENTER
210 RINEHART ROAD	LAKE MARY	FL	32746	OUTPATIENT CANCER CARE
ORLANDO HEALTH HEART INSTITUTE
10000 W COLONIAL DRIVE SUITE 282	OCOEE	FL	34761	OUTPATIENT DIAGNOSTIC CENTER
ORLANDO HEALTH HEART INSTITUTE
100 NORTH DEAN ROAD SUITE 202	ORLANDO	FL	32825	OUTPATIENT DIAGNOSTIC CENTER
ORLANDO HEALTH HEART INSTITUTE
521 W STATE ROAD 434 SUITE 308	LONGWOOD	FL	32750	OUTPATIENT DIAGNOSTIC CENTER
ARNOLD PALMER HSPTL FOR CHILDREN
925 S ORANGE AVENUE	ORLANDO	FL	32806	OUTPATIENT PEDIATRIC REHABILITION
THE HEART CTR AT ARNOLD PALMER HSPTL
1222 S ORANGE AVENUE	ORLANDO	FL	32806	OUTPATIENT DIAGNOSTIC CENTER
ORLANDO HEALTH WOUND HEALING CENTER
55 WEST GORE STREET	ORLANDO	FL	32806	OUTPATIENT WOUND CARE
ORLANDO HEALTH REHABILITATION INSTITUTE
1222 S ORANGE AVE	ORLANDO	FL	32806	OUTPATIENT REHABILITATION
ORLANDO HEALTH WOMEN'S IMAGING CENTER
22 W UNDERWOOD STREET	ORLANDO	FL	32806	OUTPATIENT IMAGING CENTER
ORLANDO HEALTH AUDIOLOGY SERVICES
50 STURTEVANT STREET	ORLANDO	FL	32806	OUTPATIENT AUDIOLOGY SERVICES
ORLANDO HEALTH UF HEALTH CANCER CENTER
105 WEST MILLER STREET	ORLANDO	FL	32806	OUTPATIENT CANCER CARE
ORLANDO HEALTH REHABILITATION SERVICES
521 W STATE ROAD 434 SUITE 204	LONGWOOD	FL	32750	OUTPATIENT REHABILITATION
ORLANDO HEALTH WOUND HEALING CENTER
7339 STONEROCK CIRCLE	ORLANDO	FL	32819	OUTPATIENT WOUND CARE
SOUTH SEMINOLE WOUND CARE CENTER
515 W STATE ROAD 434 SUITE 101	LONGWOOD	FL	32750	OUTPATIENT WOUND CARE
ORLANDO HEALTH REHABILITATION INSTITUTE
100 W GORE ST STE 104	ORLANDO	FL	32806	OUTPATIENT REHABILITATION
OH OUTPATIENT REHAB - DR PHILLIPS YMCA
7000 DR PHILLIPS BOULEVARD	ORLANDO	FL	32819	OUTPATIENT SERVICES
OH OUTPATIENT REHAB - DR PHILLIPS HSPTL
7350 SANDLAKE COMMONS BLVD SUITE 1	ORLANDO	FL	32819	OUTPATIENT REHABILITATION
ARNOLD PALMER HSPTL - OUTPATIENT REHAB
1555 HOWELL BRANCH ROAD STE B1	WINTER PARK	FL	32819	OUTPATIENT PEDIATRIC REHABILITATION
ORLANDO HEALTH HEART INSTITUTE
10000 W COLONIAL DRIVE SUITE 484	OCOEE	FL	34761	OUTPATIENT DIAGNOSTIC CENTER
ORLANDO HEALTH INFUSION CENTER
1414 KUHL AVENUE	ORLANDO	FL	32806	OUTPATIENT INFUSION CENTER
SOUTH SEMINOLE HSPTL WOMEN'S IMAGING CTR
521 W STATE ROAD 434 SUITE 101	LONGWOOD	FL	32750	OUTPATIENT DIAGNOSTIC CENTER
ARNOLD PALMER HSPTL OUTPATIENT INFUSION
60 W GORE STREET	ORLANDO	FL	32806	OUTPATIENT INFUSION CENTER
ORLANDO HEALTH UF HEALTH CANCER CENTER
1361 CITRUS TOWER BOULEVARD STE 10	CLERMONT	FL	34711	OUTPATIENT CANCER CARE
ORLANDO HEALTH HEART INSTITUTE
2080 OAKLEY SEAVER DR	CLERMONT	FL	34711	OUTPATIENT DIAGNOSTIC CENTER
OH EMERGENCY ROOM AND MEDICAL PAVILION
380 RINEHART ROAD	LAKE MARY	FL	32746	FREESTANDING ER AND MEDICAL PAVILION
ORLANDO HEALTH UF HEALTH CANCER CENTER
22 W UNDERWOOD STREET	ORLANDO	FL	32806	OUTPATIENT CANCER CARE
ORLANDO HEALTH PRE-ADMISSION CENTER
7448 DOCS GROVE CIRCLE SUITE 108	ORLANDO	FL	32819	HOSPITAL PRE-ADMISSION TESTING
OH HEART INSTITUTE CARDIAC REHAB
392 RINEHART ROAD SUITE 2050	LAKE MARY	FL	32746	CARDIAC REHABILITATION
ORLANDO HEALTH UF HEALTH CANCER CENTER
50 STURTEVANT STREET	ORLANDO	FL	32806	OUTPATIENT CANCER CARE
ORLANDO HEALTH HEART INSTITUTE
60 W GORE ST	ORLANDO	FL	32806	OUTPATIENT DIAGNOSTIC CENTER
ARNOLD PALMER HOSPITAL OUTPATIENT CENTER
50 WEST STURTEVANT STREET	ORLANDO	FL	32806	OUTPATIENT PEDIATRIC SERVICES

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C	ORLANDO HEALTH, 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, ORLANDO HEALTH 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 ORLANDO HEALTH TO OFFER FREE CARE TO MORE PATIENTS WHO QUALIFY. AS A RESULT, ORLANDO HEALTH, INC.'S 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 ORLANDO HEALTH'S COMMUNITY BUILDING ACTIVITIES IS TO IMPROVE HEALTH IN THE CENTRAL FLORIDA COMMUNITY. ORLANDO HEALTH 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 ORLANDO HEALTH WILL ENGAGE IN THE RECRUITMENT OF A PHYSICIAN OR ASSIST IN THE RECRUITMENT OF A PHYSICIAN. RATIONALES THAT ORLANDO HEALTH 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 ORLANDO HEALTH, IN FULFILLMENT OF REGULATORY REQUIREMENTS OR CURRENT STANDARD OF CARE, NOR TO BENEFIT PERSONS AFFILIATED WITH ORLANDO HEALTH. RATHER, THE PRIMARY PURPOSE OF THE WORKFORCE DEVELOPMENT ACTIVITIES IS TO BENEFIT THE COMMUNITY BASED ON INDEPENDENT COMMUNITY NEED ANALYSES. ORLANDO HEALTH HAS ASSISTED IN THE RECRUITMENT OF ONE NEW COMMUNITY BASED PHYSICIAN TO SUPPORT THE PHYSICIAN SHORTAGES IN OUR COMMUNITY DURING THE YEAR.
PART III, LINE 2 AND LINE 4	BAD DEBT EXPENSE REFLECTED IN PART III, LINE 2 REPRESENTS COST OF CHARGES WRITTEN OFF AS UNCOLLECTIBLE. BOTH DISCOUNTS AND PAYMENTS TO ACCOUNTS WILL REDUCE THE BAD DEBT EXPENSE, SHOULD THE ACCOUNT BE REPORTED AS BAD DEBT. THAT IS TO SAY, DISCOUNTS APPLIED TO ACCOUNTS ARE NOT REVERSED PRIOR TO DECLARING, ADJUSTING AND/OR WRITING OFF ACCOUNTS AS BAD DEBT. ALL ACCOUNTS WHICH ARE ADJUSTED TO, OR WRITTEN OFF TO, BAD DEBT ARE REVIEWED TO DETERMINE THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE. IF SUFFICIENT DOCUMENTATION WAS NOT PROVIDED BY THE ACCOUNT HOLDER, ORLANDO HEALTH USES PREDICTIVE ANALYTICS TO DETERMINE IF THE FINANCIAL ASSISTANCE FOR ACCOUNTS ARE ADJUSTED TO, OR WRITTEN OFF TO, BAD DEBT. ORLANDO HEALTH USES DATA DERIVED FROM THIRD PARTIES WHICH INCLUDE, BUT ARE NOT LIMITED TO DEMOGRAPHIC VERIFICATION, INCOME VERIFICATION, HOUSEHOLD SIZE VERIFICATION, PAYMENT HISTORY INFORMATION, PROPERTY OWNERSHIP INFORMATION, OCCUPATION INFORMATION, VEHICLE OWNERSHIP HISTORY AND VALUES AND HOME OWNERSHIP HISTORY AND VALUES. ONCE THIS DATA LOGIC IS APPLIED, IT BECOMES APPARENT IF THE ACCOUNT QUALIFIES FOR FINANCIAL ASSISTANCE. IF THE ACCOUNT DOES QUALIFY, PREVIOUS UNINSURED DISCOUNTS, BAD DEBT ADJUSTMENTS AND/OR WRITE OFFS ARE REVERSED AND THE NEW BALANCE REFLECTED IS RECLASSIFIED AS FINANCIAL ASSISTANCE OR CHARITY, WHICH IS REDUCED TO COST. 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. ORLANDO HEALTH DOES NOT CURRENTLY INCLUDE MEDICARE SHORTFALL AS A COMMUNITY BENEFIT. HOWEVER, AS A NOT-FOR-PROFIT ORGANIZATION WE PROVIDE EMERGENCY AND REQUIRED CARE TO ALL PATIENTS REGARDLESS OF THEIR FINANCIAL STATUS. DESPITE THE MEDICARE SHORTFALL, NOT-FOR-PROFIT HOSPITALS MUST AND WILL CONTINUE TO CARE FOR THE MEDICARE POPULATION AND ACCEPT THE MEDICARE REIMBURSEMENT RATE. CARING FOR THE MEDICARE PATIENT POPULATION FULFILLS A COMMUNITY NEED AND RELIEVES A GOVERNMENT BURDEN AS THIS CLASS OF PATIENTS TYPICALLY HAS LOW AND/OR FIXED INCOMES. THE MEDICARE PATIENT POPULATION IS LARGE AND THE LACK OF SUFFICIENT REIMBURSEMENT TO COVER THE COST OF PROVIDING CARE FOR THESE PATIENTS NECESSITATES THAT NOT-FOR-PROFIT HOSPITALS USE OTHER FUNDS TO COVER THE DEFICIT. NOT-FOR-PROFIT HOSPITALS HAVE A RESPONSIBILITY TO WORK TOWARD IMPROVED HEALTH IN THE COMMUNITIES THEY SERVE AND CARING FOR THE MEDICARE PATIENTS, DESPITE THE SHORTFALL OF REIMBURSEMENT, IS A DIRECT COMMUNITY BENEFIT AND PROVIDES VALUE DIRECTLY TO THE COMMUNITIES SERVED.
PART III, LINE 9B	COLLECTION PRACTICES ARE CONSISTENT FOR ALL PATIENTS AND COMPLY WITH APPLICABLE PROVISIONS OF STATE LAW. DURING PREADMISSION, AT REGISTRATION OR AT BEDSIDE, ORLANDO HEALTH PROVIDES ALL PATIENTS WITH INFORMATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE. ORLANDO HEALTH PERFORMS A THOROUGH EVALUATION OF THE PATIENT'S FINANCIAL STATUS TO ENSURE THE UTILIZATION OF ALL 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, ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER (ORMC), ORLANDO HEALTH DR. P. PHILLIPS HOSPITAL, ORLANDO HEALTH CENTRAL HOSPITAL, ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL, ORLANDO HEALTH ARNOLD PALMER HOSPITAL FOR CHILDREN, ORLANDO HEALTH WINNIE PALMER HOSPITAL FOR WOMEN & BABIES AND ORLANDO HEALTH SOUTH LAKE HOSPITAL CONDUCTED A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT. HOWEVER, PRIOR TO THE ASSESSMENT, ORLANDO HEALTH ASSESSED THE SERVICES NEEDED AS PART OF OUR STRATEGY, PLANNING AND BUDGETING PROCESS AND DEVELOPED A PROCESS TO ENSURE THE ORGANIZATION IS RESPONSIVE TO COMMUNITY HEALTH NEEDS. THROUGH OUR EDUCATION, RESEARCH, PATIENT CARE PROGRAMS, AND THE ORLANDO HEALTH COMMUNITY GRANT PROGRAM, ORLANDO HEALTH MEETS THE NEEDS OF THE COMMUNITY. THE SPECIFIC NEEDS TARGETED BY THESE PROGRAMS HAVE BEEN IDENTIFIED BY THE EXPERIENCE OF COMMUNITY HOSPITAL LEADERSHIP, NEIGHBORHOOD OUTREACH AND THROUGH NEEDS ASSESSMENTS THAT IDENTIFIED HEALTH NEEDS IN THE COMMUNITIES SERVED BY THE HOSPITALS ALONG WITH HOSPITAL DATA. AS A RESULT, ORLANDO HEALTH SUPPORTS A VARIETY OF PROGRAMS FOR AT-RISK POPULATIONS, FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS AND SPECIAL NEEDS GROUPS, AS WELL AS FOR THE BROADER COMMUNITY. ADDITIONAL EXAMPLES OF HOW ORLANDO HEALTH RESPONDS TO COMMUNITY HEALTH NEEDS ARE AS FOLLOWS: 1. GOVERNING BOARDS ARE COMPOSED OF INDIVIDUALS BROADLY REPRESENTATIVE OF THE COMMUNITY, COMMUNITY LEADERS AND THOSE WITH SPECIALIZED MEDICAL TRAINING AND EXPERTISE; 2. PARTNERSHIP WITH LOCAL AREA GROUPS AND ASSOCIATIONS TO ATTEND TO THE HEALTH CARE NEEDS OF THE ORLANDO HEALTH COMMUNITY; 3. SPONSORSHIP AND PARTICIPATION IN COMMUNITY FORUMS, HEALTH FAIRS, COMMUNITY FITNESS AND WELLNESS EVENTS AND OTHER OUTREACH EVENTS; AND 4. TRANSITION SERVICES POST-DISCHARGE PATIENT FOLLOW-UP RELATED TO THE ON-GOING CARE AND TREATMENT OF PATIENTS TO PREVENT UNNECESSARY ADMISSIONS AND POTENTIAL RE-ADMISSIONS.
PART VI, LINE 3	ORLANDO HEALTH FOLLOWS AN ESTABLISHED PROCESS TO INFORM ALL PATIENTS OF ITS CHARITY CARE AND UNINSURED DISCOUNT POLICIES. DURING PREADMISSION, AT REGISTRATION OR AT BEDSIDE, UNINSURED PATIENTS ARE INFORMED OF THE HOSPITAL'S CHARITY CARE POLICY AND OTHER FINANCIAL ASSISTANCE. FINANCIAL INFORMATION IS SECURED FOR ALL UNINSURED PATIENTS TO SCREEN FOR POSSIBLE ENROLLMENT IN FEDERAL, STATE, AND LOCAL PROGRAMS. ORLANDO HEALTH HAS CONTRACTED DEDICATED ORGANIZATIONS THAT ASSIST THE PATIENT WITH THEIR ENROLLMENT PROCESS ALL THE WAY TO APPROVAL OR DENIAL BY THE RESPECTIVE AGENCIES. FOR UNINSURED PATIENTS THAT ARE DENIED COVERAGE OR DO NOT MEET THE COVERAGE CRITERION FOR A RESPECTIVE AGENCY, ORLANDO HEALTH THEN SCREENS THE PATIENT FOR CHARITY ELIGIBILITY. IT IS ORLANDO HEALTH'S OBJECTIVE TO PROVIDE CHARITY CARE TO OUR PATIENTS WHO DO NOT HAVE THE ABILITY TO PAY.
PART VI, LINE 4	ORLANDO HEALTH CURRENTLY OPERATES 5 HOSPITALS IN CENTRAL FLORIDA WHICH HAS OVER TWO MILLION RESIDENTS AND THOUSANDS OF INTERNATIONAL VISITORS ANNUALLY. ORLANDO HEALTH HAS 16,528 EMPLOYEES AND 2,259 PHYSICIANS ON STAFF. AS A STATUTORY TEACHING HOSPITAL, WE OFFER GRADUATE MEDICAL EDUCATION WHERE WE ARE THE INSTITUTIONAL SPONSOR OF SEVEN RESIDENCY AND 21 FELLOWSHIP PROGRAMS. ORLANDO HEALTH FACILITIES ENCOMPASS 1,815 FULLY CERTIFIED BEDS, ADVANCED MEDICAL TREATMENTS AND PROCEDURES AND HIGHLY QUALIFIED STAFF. ORLANDO HEALTH IS COMPRISED OF ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER (ORMC), 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. ORMC IS HOME TO THE REGION'S ONLY LEVEL ONE TRAUMA CENTER. THIS STATE-VERIFIED CENTER IS CAPABLE OF DELIVERING THE HIGHEST LEVEL OF EXPERTISE AND CARE IN THE SHORTEST TIME POSSIBLE. ORMC'S LEVEL ONE TRAUMA CENTER PROVIDES SPECIALIZED CARE FOR CRITICALLY INJURED OR CRITICALLY ILL PEOPLE WITHIN A 90-MILE RADIUS, AND 297,651 PATIENTS VISITED OUR EMERGENCY DEPARTMENTS IN 2019. ARNOLD PALMER HOSPITAL IS THE FIRST FACILITY IN CENTRAL FLORIDA TO PROVIDE EMERGENCY CARE EXCLUSIVELY FOR PEDIATRICS INCLUDING LEVEL ONE TRAUMA. IN ADDITION TO TRAUMA CARE, THE LEVEL ONE TRAUMA CENTER AND AIR CARE TEAM SERVE AS AN INTEGRAL RESOURCE FOR DISASTER READINESS AND RESPONSE PLANNING IN GREATER ORLANDO. AIR CARE TRANSPORTED 380 ADULT TRAUMA PATIENTS AND 80 PEDIATRIC TRAUMA PATIENTS IN 2019. ORLANDO HEALTH'S PRIMARY SERVICE AREA IS COMPRISED OF ORANGE, OSCEOLA, SEMINOLE AND LAKE COUNTIES. THE MEDIAN HOUSEHOLD INCOME IN THESE COUNTIES IS $60,350 WHEREAS THE AVERAGE HOUSEHOLD INCOME IS $77,735. IN CENTRAL FLORIDA, 14.7 PERCENT OF HOUSEHOLDS ARE BELOW THE FEDERAL POVERTY GUIDELINE. THE PERCENT UNINSURED (AGE 0-64) FOR THE FOUR COUNTY AREA IS 13.5 PERCENT AND THERE ARE 11 FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS PRESENT IN THE COMMUNITY. 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	AS A NOT-FOR-PROFIT HEALTH CARE PROVIDER, THE CULTURE OF CARING AT ORLANDO HEALTH TOUCHES THE LIVES OF MANY INDIVIDUALS AND FAMILIES THROUGHOUT CENTRAL FLORIDA. ORLANDO HEALTH DEMONSTRATES A COMMITMENT TO PROMOTE HEALTH, WELL-BEING AND A CARING SPIRIT BY DIRECTING EMPLOYEE TIME AND TALENT TO SERVE ON COMMUNITY COLLABORATION BOARDS AND VOLUNTEERISM. IN FISCAL YEAR 2019, OUR TEAM MEMBERS AND PHYSICIANS PROVIDED OVER 2974 VOLUNTEER HOURS. THESE HOURS WERE SPENT OUTSIDE OUR HEALTHCARE SYSTEM IN ORDER TO SUPPORT COMMUNITY PARTNERS AND THE NEEDS THEY ADDRESS IN OUR COMMUNITY. ORLANDO HEALTH WORKS WITH NEIGHBORHOOD RESOURCES TO ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS BY SUPPORTING PROGRAMS THAT TARGET COMMUNITY WELLNESS, DISEASE PREVENTION AND ENVIRONMENTAL PROBLEMS. ORLANDO HEALTH FOSTERS PARTNERSHIPS WITH OTHER COMMUNITY AGENCIES IN ITS SERVICE AREA THAT WORK COLLABORATIVELY TO HELP THOSE IN NEED AND TO IMPROVE THE HEALTH AND SAFETY OF THE RESIDENTS OF THE COMMUNITY. BOTH CASH AND IN-KIND DONATIONS ARE MADE ANNUALLY TO THESE VARIOUS LOCAL CHARITABLE ORGANIZATIONS. ORLANDO HEALTH ADDRESSES VARIOUS COMMUNITY CONCERNS, INCLUDING HEALTH IMPROVEMENT, EDUCATION, POVERTY, WORKFORCE DEVELOPMENT, AND ACCESS TO HEALTH CARE. THE KEY COMPONENT OF A NOT-FOR-PROFIT ORGANIZATION IS THAT THE ORGANIZATION SERVES A BROAD, INDEFINITE CHARITABLE CLASS. ONE OF THE KEY INDICATORS THAT AN ORGANIZATION SERVES THE BROADER COMMUNITY IS CONTROL OF THE ORGANIZATION BY INDEPENDENT COMMUNITY LEADERS. ORLANDO HEALTH AND ITS HOSPITAL GOVERNING BOARD ARE MADE UP OF MEMBERS OF THE COMMUNITY WHO DIRECT AND GUIDE MANAGEMENT IN CARRYING OUT THE MISSION OF ORLANDO HEALTH AND ITS AFFILIATES. DIRECTORS ARE SELECTED ON THE BASIS OF THEIR EXPERTISE AND EXPERIENCE AND THEY ARE NOT COMPENSATED FOR THEIR SERVICES. ORLANDO HEALTH'S VOLUNTEER BOARD BALANCES FINANCIAL DECISIONS ON COMMUNITY CONCERNS AND SOCIAL RESPONSIBILITY. ORLANDO HEALTH OPERATES AN OPEN MEDICAL STAFF BY EXTENDING MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN CENTRAL FLORIDA. ORLANDO HEALTH'S CREDENTIALING PROCESS IS GUIDED BY POLICIES AND PROCEDURES THAT STANDARDIZE THE PROCESS. THIS PRESCRIBED CREDENTIALING PROCESS ENSURES EQUAL OPPORTUNITY FOR ALL QUALIFIED APPLICANTS. SURPLUS FUNDS ARE RETAINED BY ORLANDO HEALTH AND USED TO FURTHER CHARITABLE PURPOSES AND ACTIVITIES. SURPLUS FUNDS FOR ORLANDO HEALTH AND ITS AFFILIATES ARE REINVESTED AND USED IN CARRYING OUT THE MISSION OF IMPROVING THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND COMMUNITIES WE SERVE.
PART VI, LINE 6	ORLANDO HEALTH, INC. IS THE PARENT ORGANIZATION OF AN INTEGRATED HEALTH SYSTEM THROUGH WHICH WE ARE ABLE TO PROVIDE COMPREHENSIVE SERVICES TO IMPROVE THE HEALTH AND QUALITY OF LIFE FOR OUR COMMUNITY SERVED. AS AN INTEGRATED HEALTH SYSTEM, ORLANDO HEALTH HAS SEVERAL AFFILIATED AND SUPPORT 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 REGIONAL MEDICAL CENTER (ORMC), 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. SOUTH LAKE HOSPITAL, INC. OPERATES ORLANDO HEALTH SOUTH LAKE HOSPITAL, WHICH PROVIDES HIGH QUALITY INPATIENT, OUTPATIENT, AND EMERGENCY CARE FOR RESIDENTS OF SOUTHERN LAKE 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 (38 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt
LIFT Orlando Inc
2043 Jacobs Pl	Orlando	FL	32805	463607865	501(c)(3)	$2,290,000
OnePulse Foundation Inc
PO Box 530036	Orlando	FL	32853	813142847	501(c)(3)	$1,000,000
Fdn for Seminole State College of FL Inc
1055 AAA Drive	Heathrow	FL	32746	237033822	501(c)(3)	$500,000
Valencia College Foundation Inc
1768 Park Ctr Dr 4th Fl	Orlando	FL	32835	237442785	501(c)(3)	$500,000
Grace Medical Home Inc
51 Pennsylvania St	Orlando	FL	32806	261817966	501(c)(3)	$410,200
Orlando Health Medical Group Inc
1414 Kuhl Ave	Orlando	FL	32806	593259553	501(c)(3)	$160,498
Health Care Ctr for the Homeless Inc
232 N Orange Blossom Trail	Orlando	FL	32805	593185020	501(c)(3)	$125,000
Florida State University Foundation Inc
1115 W Call St	Tallahassee	FL	32306	596152180	501(c)(3)	$100,000
Orange County Public Schools
445 W Amelia St	Orlando	FL	32804	596000771	Gov't	$73,199
American Heart Association Inc
237 E Marks St	Orlando	FL	32803	135613797	501(c)(3)	$65,000
Aspire Health Partners Inc
5151 Adanson St	Orlando	FL	32804	592301233	501(c)(3)	$58,000
Second Harvest Food Bank of Cntrl FL Inc
411 Mercy Drive	Orlando	FL	32805	592142315	501(c)(3)	$57,692
Heart to Heart International
PO Box 15566	Lenexa	KS	66285	481108359	501(c)(3)	$56,239
Florida Department of Health
400 W Airport Blvd	Sanford	FL	32773	593502843	Gov't	$50,000
Community Health Centers Inc
110 South Woodland Street	Winter Garden	FL	34787	591480970	501(c)(3)	$43,000
United Against Poverty Inc
150 W Michigan St	Orlando	FL	32806	113697936	501(c)(3)	$36,450
Covenant House Florida Inc
5931 E Colonial Drive	Orlando	FL	32807	592323607	501(c)(3)	$33,560
University of Central Florida Fdn Inc
12424 Research Pkwy Ste 250	Orlando	FL	32826	596211832	501(c)(3)	$30,000
The Boggy Creek Gang Inc
30500 Brantley Branch Rd	Eustis	FL	32736	593012889	501(c)(3)	$25,000
Hebni Nutrition Consultants Inc
2009 W Central Blvd	Orlando	FL	32805	593258397	501(c)(3)	$25,000
Ronald McDonald House Charities of Cntrl FL
1350 Orange Avenue Suite 200	Winter Park	FL	32789	593211250	501(c)(3)	$25,000
Seniors First Inc
5395 LB McLeod Rd	Orlando	FL	32811	592759603	501(c)(3)	$20,000
Junior Achievement of Central FL Inc
2121 Camden Rd	Orlando	FL	32803	590972112	501(c)(3)	$15,000
Be a Trailblazer Inc
1381 Brayford Point	Deland	FL	32724	810575559	501(c)(3)	$12,500
City of Orlando
400 S Orange Ave	Orlando	FL	32802	596000396	Gov't	$11,795
A Gift for Teaching Inc
6501 Magic Way Bldg 400C	Orlando	FL	32809	593515162	501(c)(3)	$10,000
Cntrl FL Black Nurses Assn of Orlando Inc
PO Box 585142	Orlando	FL	32858	593288443	501(c)(3)	$10,000
Cntrl FL Young Mens Christian Assn
433 N Mills Ave	Orlando	FL	32803	590624430	501(c)(3)	$10,000
First Community Care Inc
3125 Bruton Blvd	Orlando	FL	32805	453438576	501(c)(3)	$10,000
Hispanic Heritage Scholarship Fund
518 S Magnolia Ave Suite 100	Orlando	FL	32801	010807279	501(c)(3)	$10,000
Nathaniels Hope Inc
2300 Jetport Drive	Orlando	FL	32809	593195534	501(c)(3)	$10,000
Orlando Science Center Inc
777 E Princeton St	Orlando	FL	32803	590896343	501(c)(3)	$10,000
Orlando Shakespeare Theater Inc
812 E Rollins Street Ste 100	Orlando	FL	32803	592931698	501(c)(3)	$10,000
Randal Park Community Dvlpmnt District
9145 Narcoossee Rd Ste A206	Orlando	FL	32827	208229373	Gov't	$10,000
Jobs Partnership of Florida Inc
5336 Millenia Blvd Ste 5000	Orlando	FL	32839	593612893	501(c)(3)	$10,000
United Arts of Central Florida Inc
2450 Maitland Center Prkwy Ste 201	Maitland	FL	32751	591166446	501(c)(3)	$10,000
Pediatric Congenital Heart Assn Inc
14 Ellis Potter Court	Madison	WI	53711	463576700	501(c)(3)	$8,900
Make-A-Wish Central and Northern FL Inc
1020 N Orlando Ave	Maitland	FL	32751	593235806	501(c)(3)	$7,850

Field	Value	IRS element (for citing)
Total501c3 Org	38	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	PROCEDURE FOR MONITORING USE OF GRANT FUNDS ORLANDO HEALTH, INC. MAKES GRANTS SOLELY TO GOVERNMENT ENTITIES AND ORGANIZATIONS EXEMPT FROM TAX UNDER THE INTERNAL REVENUE CODE SECTION 501(C)(3) THAT FURTHER THE MISSION OF ORLANDO HEALTH TO SUPPORT HEALTHCARE IN CENTRAL FLORIDA. ORLANDO HEALTH COMMUNITY RELATIONS DEPARTMENT DETERMINES SUPPORT FOR LOCAL NON-PROFIT SPONSORSHIPS. ANY GRANT AMOUNT OVER $25,000 HAS TO BE APPROVED BY THE CEO AND REPORTED TO THE BOARD. THE GRANTS ARE MONITORED TO ENSURE THE ORGANIZATION'S MISSION IS ALIGNED WITH ORLANDO HEALTH'S, MEETING A SOCIAL AND COMMUNITY NEED IN THE AREAS OF HEALTH, SOCIAL SERVICES, ARTS AND EDUCATION.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	Yes (X)	FirstClassOrCharterTravelInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	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 (18 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
AURELIO DURAN MD
BOARD MEMBER ENDED 4/1/19	$0	$389,575	$0	$664,889	$0	$174,101	$0	$4,604	$0	$30,552	$0	$1,263,721	$0	$0
DAVID W STRONG
PRESIDENT & CEO	$1,251,131	$0	$1,671,146	$0	$192,805	$0	$433,314	$0	$24,159	$0	$3,572,555	$0	$190,506	$0
BERNADETTE SPONG
CHIEF FINANCIAL OFFICER	$694,976	$0	$662,670	$0	$51,124	$0	$181,770	$0	$21,217	$0	$1,611,757	$0	$44,657	$0
THIBAUT VAN MARCKE DE LUMMEN
SVP, OH & PRES, DPH	$353,973	$0	$149,710	$0	$1,279	$0	$80,859	$0	$26,459	$0	$612,280	$0	$0	$0
JAMAL A HAKIM MD
CHIEF OPERATING OFFICER	$827,694	$0	$790,471	$0	$252,714	$0	$216,861	$0	$26,034	$0	$2,113,774	$0	$247,535	$0
KELLY NIERSTEDT
SVP, OH & PRES, WPH	$203,220	$0	$69,293	$0	$31,509	$0	$24,792	$0	$1,130	$0	$329,944	$0	$0	$0
MARK A JONES
SVP, OH & PRESIDENT, ORMC	$487,386	$0	$463,869	$0	$66,841	$0	$123,878	$0	$16,570	$0	$1,158,544	$0	$62,129	$0
ERICK R HAWKINS
SVP, STRATEGIC MANAGEMENT	$553,845	$0	$530,136	$0	$12,327	$0	$133,740	$0	$22,319	$0	$1,252,367	$0	$0	$0
SUNIL S DESAI MD
SVP, OH & PRES, OHMG	$640,960	$0	$272,995	$0	$13,542	$0	$135,781	$0	$29,162	$0	$1,092,440	$0	$0	$0
MILDRED DENISE BEAM
Chief Legal Strategist	$453,308	$0	$192,776	$0	$223,574	$0	$101,698	$0	$15,631	$0	$986,987	$0	$221,545	$0
GREGORY P OHE
SVP, AMBU SVCS, ORLANDO HEALTH	$361,714	$0	$345,535	$0	$36,232	$0	$87,614	$0	$18,570	$0	$849,665	$0	$27,217	$0
JOHN W BOZARD
SVP, OH & Pres, APMCF & OHF	$249,793	$249,793	$106,153	$106,153	$60,529	$60,529	$16,492	$16,492	$9,035	$9,035	$442,002	$442,002	$0	$0
MARK E SAND MD
Former Board Member	$0	$547,288	$0	$596,807	$0	$48,904	$0	$11,688	$0	$17,992	$0	$1,222,679	$0	$0
MARY FARRELL MD
Former Board Member	$459,801	$0	$69,522	$0	$44,303	$0	$3,312	$0	$0	$0	$576,938	$0	$8,869	$0
DAVID F HUDDLESON
VP, CHIEF COMPLIANCE & ETHICS	$270,105	$0	$116,758	$0	$42,597	$0	$61,898	$0	$22,064	$0	$513,422	$0	$36,273	$0
KATHY A SWANSON
FMR SVP, OH & Pres, APMC	$158,391	$0	$184	$0	$230,956	$0	$31,297	$0	$1,924	$0	$422,752	$0	$203,360	$0
JOHN RICHARD SCHOOLER
FMR VP, CIO	$332,699	$0	$0	$0	$2,299	$0	$0	$0	$15,975	$0	$350,973	$0	$0	$0
NANCY G DINON
FMR VP, Human Resources	$202,181	$0	$0	$0	$1,557	$0	$0	$0	$13,063	$0	$216,801	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1A	DURING FY19, OFFICERS, BOARD MEMBERS AND KEY EMPLOYEES OF ORLANDO HEALTH, INC. WERE PERMITTED TO FLY FIRST-CLASS OR WERE PERMITTED TO USE A CHARTERED FLIGHT SERVICE WHEN OTHER FLIGHT ARRANGEMENTS WERE NOT AVAILABLE. THE TRAVEL WAS ENTIRELY BUSINESS RELATED FOR OFFICERS, BOARD MEMBERS AND KEY EMPLOYEES. HOWEVER, DURING THE TAX YEAR, ONE BOARD MEMBER WAS ATTRIBUTED INCOME FOR THE NON-BUSINESS ATTENDEES ON FLIGHTS INTENDED FOR BOARD MEETING PURPOSES. THE BOARD MEMBERS TAXABLE COMPENSATION WAS REPORTED ON FORM 1099 AND WAS GROSSED UP TO COVER ANY RESULTING TAXES FROM SUCH ARRANGEMENTS.
SCHEDULE J, PART I, LINE 3	RELATED ORGANIZATIONS ORLANDO HEALTH, INC. IS A COMMON PAYMASTER AND COMMON PAY AGENT FOR ORLANDO CANCER CENTER, INC. (EIN: 59-3005020), ORLANDO HEALTH MEDICAL GROUP, INC. (EIN: 59-3259553), ORLANDO HEALTH FOUNDATION, INC. (EIN: 59-2244943), ORLANDO HEALTH CENTRAL, INC. (EIN: 80-0764192) AND ORLANDO PHYSICIANS NETWORK, INC. (EIN: 59-3110868) AND THEIR EMPLOYEES ARE INCLUDED ON THE ORLANDO HEALTH, INC. 941. THE ORLANDO HEALTH, INC. INDEPENDENT COMPENSATION COMMITTEE APPROVES ALL OFFICER COMPENSATION ARRANGEMENTS, WHICH REPORTS TO THE ORLANDO HEALTH BOARD OF DIRECTORS AND FOLLOWS IRS GUIDELINES.
SCHEDULE J, PART I, LINE 4A	THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SEVERANCE PAYMENT, WHICH INCLUDED THE FOLLOWING DEPOSITS DURING CALENDAR YEAR 2018: NANCY DINON $206,719 JOHN RICHARD SCHOOLER $340,099
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: DAVID W. STRONG $421,626 BERNADETTE SPONG $170,082 MILDRED D. BEAM $98,260 THIBAUT VAN MARCKE DU LUMMEN $69,171 JAMAL A. HAKIM MD $205,173 KELLY NIERSTEDT $24,792 DAVID F. HUDDLESON $50,434 MARK A. JONES $112,190 KATHY A. SWANSON $27,198 ERICK R. HAWKINS $122,052 SUNIL S. DESAI MD $124,093 GREGORY P. OHE $76,060 DEFERRAL DISTRIBUTIONS MADE TO THE FOLLOWING: MILDRED D. BEAM $221,545 JAMAL A. HAKIM MD $247,535 DAVID F. HUDDLESON $36,273 MARK A. JONES $62,129 KATHY A. SWANSON $203,360 DAVID W. STRONG $190,506 BERNADETTE SPONG $44,657 GREGORY P. OHE $27,217 MARY FARRELL MD $8,869 JOHN W BOZARD $21,296

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
Orange County Health Facilities Authority
A	521378595	6845035US	2008-06-18	$179,360,000	REFUND SERIES 1999A, 1999B & 1999C	false	false	false
Orange County Health Facilities Authority
B	521378595	64850LAY1	2009-12-16	$244,229,719	RFD SRS 1999D, 1999E, 2004 & 2008D	false	false	false
ORANGE COUNTY HEALTH FACILITIES AUTHORITY
C	521378595	68450LGA7	2019-07-03	$157,946,198	REFUND SERIES 2009	false	false	false
Orange County Health Facilities Authority
D	521378595		2011-09-15	$83,175,000	Refund Series 2007A-1 & A-2 Bonds	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$132,350,000	$0	$179,360,000	$0	$0	$0	$1,573,177	$1,053,969	$0	$0	$176,732,854	$0	2008	Yes (true)	false	Yes (true)	Yes (true)
B	$86,305,000	$154,830,000	$244,229,719	$0	$0	$0	$3,220,489	$0	$0	$0	$241,009,230	$0	2009	Yes (true)	false	Yes (true)	Yes (true)
C	$0	$0	$157,946,198	$0	$0	$157,946,198	$0	$0	$0	$0	$0	$0	2019	false	Yes (true)	Yes (true)	Yes (true)
D	$0	$0	$83,175,000	$0	$0	$0	$309,605	$0	$0	$0	$82,865,395	$0	2011	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	Yes (true)	Yes (true)	false	0.00040	0.00040	false	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	false	0.00750	0.00750	false	false	false	Yes (true)
C	false	Yes (true)	Yes (true)	Yes (true)	false	0.00750	0.00750	false	false	false	Yes (true)
D	false	Yes (true)	Yes (true)	Yes (true)	false	0.01030	0.01030	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
MORGAN STANLEYGOLDM
A	false	false	false	Yes (true)	Yes (true)	Yes (true)	13.1	false	false	false	0	false	Yes (true)
0
B	false	false	false	Yes (true)	false	false				false	0	false	Yes (true)
0
C	false	Yes (true)	false	false	false	false				false	0	false	Yes (true)
MORGAN STANLEY
D	false	false	false	Yes (true)	Yes (true)	Yes (true)	28.	false	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE K, PART I, COLUMN (F)

HOSPITAL REVENUE BONDS, SERIES 2008D, E, F, AND G TOGETHER WITH THE DEBT SERVICE RESERVE FUNDS FROM THE 1999ABC BONDS, THE PROCEEDS WERE USED TO REFUND THE 1999ABC BONDS (ISSUE DATE 9/22/99), PAY COSTS OF ISSUANCE, AND PAY THE TERMINATION VALUE OF INTEREST RATE SWAP AGREEMENTS THAT HEDGED THE VARIABLE RATE EXPOSURE OF THE 1999ABC BONDS. SERIES 2009 HOSPITAL REVENUE BOND TO REFUND THE SERIES 1999D&E (ISSUE DATE 9/22/99), SERIES 2004 (ISSUE DATE 12/16/04), AND SERIES 2008D, F & G (ISSUE DATE 6/18/2008) AND TO FUND THE TERMINATION OF RELATED INTEREST RATE SWAPS ON THE REFUNDED BONDS. ADVANCE REFUNDED IN 2019. SERIES 2011 HOSPITAL REVENUE BONDS - PROCEEDS USED TO REFUND THE SERIES 2007A-1 AND A-2 BONDS. SERIES 2012A & 2012B REVENUE BONDS - ESTABLISH A PROJECT FUND FOR THE ORLANDO GERIONAL MEDICAL CENTER REDESIGN AND DEVELOPMENT PROJECT AND PAY OFF A CONSTRUCTION LOAN RELATED TO MEDICAL OFFICE AND OUTPATIENT SERVICES BUILDING. SERIES 2016A REVENUE REFUNDING BONDS - CURRENT REFUND 2006B BONDS, ADVANCE REFUND PORTION OF 2008A & B BONDS AND ADVANCE REFUND 2008C BONDS AND PAY THE COSTS OF ISSUANCE OF THE 2016A BONDS. SERIES 2016B REVENUE BONDS - REFINANCE ON A TAX-EXEMPT BASIS THE TAX-EXEMPT PORTION OF HEALTH CENTRAL 2012 PURCHASE MONEY PROMISSORY NOTE AND PAY THE COSTS OF ISSUANCE OF THE 2016B BONDS. Series 2019B Hospital Revenue Refunding Bonds Forward Delivery - Advance Refund 2009 Bonds and pay the costs of issuance of the 2019B Bonds.

SCHEDULE K, PART IV, LINE 2C

LAST DATE REBATE COMPUTATION WAS PERFORMED FOR ARBITRAGE SERIES 2008E REFUND SERIES 1999A, 1999B & 1999C 12/31/2017 SERIES 2009 REFUND SRS 1999D, 1999E, 2004 & 2008D 10/28/2019 SERIES 2011 REFUND SERIES 2007A-1 & A-2 BONDS 2/5/2013 SERIES 2012 ORMC REDEVELOPMENT PROJECT 5/23/2015

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
Orange County Health Facilities Authority
A	521378595	68450LCDS	2012-05-23	$190,757,522	ORMC Redevelopment Project	false	false	false
Orange County Health Facilities Authority
B	521378595	68450LER2	2016-04-27	$276,195,917	Rfd 2006B, Rfd 2008A-C, Refi HC	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$0	$0	$190,757,522	$0	$0	$0	$1,981,410	$0	$0	$155,500,000	$33,276,112	$0	2015	false	false	Yes (true)	Yes (true)
B	$0	$0	$276,195,917	$0	$0	$136,747,879	$2,250,398	$0	$0	$70,645,200	$66,552,440	$0	2016	Yes (true)	Yes (true)	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropPct	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	Yes (true)	Yes (true)	false	0.00850	0.00000	0.00850	false	false	0.00000	false	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	false	0.00120	0.00000	0.00120	false	false	0.00000	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	false	false	Yes (true)	false	false	false	0	false	Yes (true)
0
B	false	Yes (true)	false	false	false	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	MARY FARRELL	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	SEE PART V	RelationshipDescriptionTxt
Transaction	$1,499,005	TransactionAmt
Transaction	CONTRACTED FPA, LLC	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, COLUMN B	FormAndLineReferenceDesc
Explanation	MARY FARRELL, MD, FORMER BOARD MEMBER OF ORLANDO HEALTH, INC., IS ALSO EMPLOYED AND AN OFFICER OF FLORIDA PEDIATRIC ASSOCIATES, LLC, WHICH IS CONTRACTED TO PERFORM PEDIATRIC CRITICAL CARE SERVICES FOR THE HOSPITAL. THE HOSPITAL ENGAGES FLORIDA PEDIATRIC ASSOCIATES, LLC AT ARMS-LENGTH TRANSACTIONS AT FAIR MARKET VALUE.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, LINE 1A	EXECUTIVE COMMITTEE The Executive Committee shall consist of the Chairman of the Board of Directors, the Vice Chairman of the Board of Directors, the President/CEO, the Secretary, the Treasurer, and the Chairman of the Quality Committee. The Executive Committee shall have power to transact all regular business of the Board of Directors in the management of the Corporation during the period between meetings of the Board, subject to limitations set forth in these Bylaws and any limitations otherwise imposed by the Board of Directors and with the further understanding that all matters of major importance to the Corporation will be referred to the Board of Directors. The Executive Committee shall perform the following governance and executive compensation duties: 1. The Executive Committee shall consider and recommend candidates for vacancies on the Board of Directors for full or partial terms. Recommendations for election as directors shall be considered by the Board of Directors, but the Board of Directors shall not be bound by any such recommendation. 2. The Corporate Bylaws shall be reviewed by the Executive Committee /from time to time and revised as necessary by appropriate action of the Board of Directors and dated to indicate the time of review. 3. The Executive Committee shall review executive compensation matters and policies with the President/CEO annually. The Executive Committee shall perform such other duties as may be assigned by the Board and included in its Charter.
FORM 990, PART VI, LINE 2	BUSINESS RELATIONSHIPS BERNADETTE SPONG, JAMAL HAKIM MD, JOHN CAPPLEMAN AND MARK JONES HAD A BUSINESS RELATIONSHIP AS BOARD MEMBERS OF FOR PROFIT COMPANIES WHOLLY OWNED BY ORLANDO HEALTH, INC.
FORM 990, PART VI, LINE 11B	FORM 990 REVIEW PROCESS THE CFO AND THE FINANCE DEPARTMENT REVIEWED THE FORM 990 AND ANY REQUIRED CHANGES THAT WERE MADE TO THE FORM 990. THE FINAL FORM 990 WAS THEN PROVIDED TO ALL MEMBERS OF THE BOARD TO REVIEW. ANY QUESTIONS ABOUT THE CONTENT WERE ANSWERED AND ANY CHANGES REQUIRED OF THE REVIEW WERE MADE.
FORM 990, PART VI, LINE 12C	CONFLICT OF INTEREST POLICY MENTORING AND ENFORCEMENT THE ORGANIZATION HAS A DEDICATED COMPLIANCE DEPARTMENT WITH AN ANONYMOUS HOTLINE FOR REPORTING. THE COMPLIANCE DEPARTMENT PERFORMS INTERNAL AUDITS AND MONITORS ALL ANNUAL CONFLICT OF INTEREST QUESTIONNAIRES FOR ALL RELATED ORGANIZATIONS. BOARD MEMBERS ROUTINELY ANNOUNCE CONFLICTS AT BOARD MEETINGS AND LEAVE THE ROOM FOR THE DISCUSSION AND THE VOTE.
FORM 990, PART VI, LINE 15A	OFFICERS AND POSITIONS FOR WHICH COMPENSATION PROCESS WAS USED THE EXECUTIVE COMPENSATION PROCESS AT ORLANDO HEALTH IS ADMINISTERED BY A COMMITTEE OF INDEPENDENT BOARD MEMBERS. THEY FOLLOW AN OVERALL EXECUTIVE COMPENSATION PHILOSOPHY. THE PHILOSOPHY IS INTENDED TO REWARD A BROAD SPECTRUM OF HIGH ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE EXPECTATIONS, PROMOTE RETENTION OF KEY MANAGEMENT TALENT AND ENSURE THAT COMPENSATION AND BENEFITS ARE MARKET COMPETITIVE. ORLANDO HEALTH'S EXECUTIVE COMPENSATION PHILOSOPHY DEFINES THE MARKET FOR ADMINISTERING COMPENSATION AS A COMPARABLE SET OF NOT-FOR-PROFIT HEALTH CARE DELIVERY SYSTEMS. TO FULFILL THEIR RESPONSIBILITY TO LOOK AT RELEVANT MARKET DATA, AND BECAUSE OF THE SCALE AND COMPLEXITY OF THE ORGANIZATION, THE COMMITTEE ENGAGES AN INDEPENDENT, NATIONALLY RECOGNIZED THIRD-PARTY HUMAN RESOURCE FIRM TO PROVIDE THE EXECUTIVE COMMITTEE WITH BENCHMARK DATA. ORLANDO HEALTH PROVIDES COMPENSATION TO ITS SENIOR EXECUTIVES IN THE FORM OF BASE SALARY, AN ANNUAL INCENTIVE PROGRAM, AND EXECUTIVE BENEFITS. ADDITIONALLY, SELECT EXECUTIVES ARE OFFERED A LONG-TERM INCENTIVE PROGRAM THAT REWARDS MEETING ESTABLISHED ORGANIZATIONAL GOALS. THE INDEPENDENT COMPENSATION CONSULTANT AND COUNSEL OPINE TO THE EXECUTIVE COMMITTEE THAT THE LEVEL OF THE COMPENSATION PAID AND THE PROCESS BY WHICH COMPENSATION IS ESTABLISHED MEET APPLICABLE IRS REASONABLENESS AND "SAFE HARBOR" STANDARDS.
FORM 990, PART VI, LINE 19	AVAILABILITY OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS TO THE PUBLIC THESE DOCUMENTS ARE MADE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST IN ACCORDANCE WITH FEDERAL TAX LAW PUBLIC INSPECTION REQUIREMENTS.
FORM 990, PART XI, LINE 9	OTHER CHANGES IN NET ASSETS OR FUND BALANCES AFFILIATED EQUITY TRANSFERS $(286,800,000) CONTRIBUTIONS - BOOK/TAX DIFFERENCES $ 8,762,420 OTHER CHANGES AND EXTRAORDINARY ITEMS $( 367,006) ============= TOTAL $(278,404,586)

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 FOUNDATION INC
3160 SOUTHGATE COMMERCE BLVD	ORLANDO	FL	32806	592244943	SUPPORT OH	FL	501(c)(3)	7	OHI	Yes (true)
ORLANDO HEALTH CENTRAL INC
10000 W COLONIAL DRIVE	OCOEE	FL	34761	800764192	HEALTHCARE	FL	501(c)(3)	3	OHI	Yes (true)
ORLANDO CANCER CENTER INC
1400 S ORANGE AVENUE	ORLANDO	FL	32806	593005020	CANCER CENTER	FL	501(c)(3)	12a	OHI	Yes (true)
ORLANDO PHYSICIANS NETWORK INC
1414 KUHL AVENUE	ORLANDO	FL	32806	593110868	SUPPORT OH	FL	501(c)(3)	12A	OHI	Yes (true)
WEST ORANGE HEALTHCARE INC
10000 W COLONIAL DRIVE	OCOEE	FL	34761	593269402	PHY SUPRT SRV	FL	501(c)(3)	12A	OHC	Yes (true)
HEALTH CENTRAL FOUNDATION INC
10000 W COLONIAL DRIVE	OCOEE	FL	32806	592091206	SUPPORT OHC	FL	501(c)(3)	7	OHF	Yes (true)
GREATER ORLANDO CHILDREN'S MIRACLE NTWK
3160 SOUTHGATE COMMERCE BLVD	ORLANDO	FL	32806	593452974	SUPPORT OHF	FL	501(c)(3)	7	OHF	Yes (true)
ORLANDO HEALTH MEDICAL GROUP INC
1414 KUHL AVENUE	ORLANDO	FL	32806	593259553	PHY SUPRT SRV	FL	501(c)(3)	12A	OHI	Yes (true)
SOUTH LAKE HOSPITAL INC
1900 DON WICKHAM DRIVE	CLERMONT	FL	34711	593322533	HEALTHCARE	FL	501(c)(3)	3	OHI	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	LIFT ORLANDO IMPACT INVESTMENT FUND LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2043 JACOBS PLACE	AddressLine1Txt
City	ORLANDO	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	32805	ZIPCd

Field	Value	IRS element (for citing)
EIN	814062133	EIN
Primary Activities	REAL ESTATE	PrimaryActivitiesTxt
Legal Domicile State	FL	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Predominant Income Type	EXCLUDED	PredominantIncomeTypeTxt
Share Of Total Income	$11,787	ShareOfTotalIncomeAmt
Share Of EOY Assets	$2,745,758	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
UBI Code V	$0	UBICodeVAmt
General Or Managing Partner	false	GeneralOrManagingPartnerInd
Ownership	0.51375	OwnershipPct

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	-$22,674,124	$145,988,146	1.00000	Yes (true)
ORANGE INDEMNITY LTD
				980516252	CAPTIVE INS		OHI	C CORP	$37,500	$1,925,490	1.00000	Yes (true)	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	0.50100	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	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	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (36 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ORLANDO HEALTH FOUNDATION INC
c	$7,648,999	FMV
ORLANDO HEALTH MEDICAL GROUP INC
j	$11,173,938	FMV
ORLANDO HEALTH CENTRAL INC
k	$1,861,396	FMV
ORLANDO HEALTH CENTRAL INC
l	$7,345,620	FMV
HEALTHNET SERVICES INC
l	$56,729	FMV
ORLANDO HEALTH MEDICAL GROUP INC
l	$2,126,273	FMV
ORLANDO HEALTH FOUNDATION INC
n	$1,823,949	FMV
ORLANDO HEALTH FOUNDATION INC
o	$4,900,877	FMV
ORLANDO HEALTH CENTRAL INC
o	$108,280,878	FMV
ORLANDO HEALTH MEDICAL GROUP INC
o	$347,870,717	FMV
ORLANDO PHYSICIANS NETWORK INC
o	$3,770,496	FMV
ORLANDO HEALTH CENTRAL INC
q	$14,721,891	FMV
ORLANDO HEALTH MEDICAL GROUP INC
q	$53,893,746	FMV
ORLANDO PHYSICIANS NETWORK INC
q	$973,000	FMV
ORLANDO HEALTH FOUNDATION INC
q	$1,496,739	FMV
PHYSICIAN ASSOCIATES LLC
q	$36,661,457	FMV
OHRI LLC
q	$114,780	FMV
ORLANDO HEALTH MEDICAL GROUP INC
r	$140,500,000	FMV
ORLANDO PHYSICIANS NETWORK INC
r	$1,500,000	FMV
ORLANDO HEALTH PHYSICIAN PARTNERS INC
r	$4,800,000	FMV
HEALTHNET SERVICES INC
r	$12,000,000	FMV
ORLANDO HEALTH CENTRAL INC
s	$23,384,716	FMV
PHYSICIAN ASSOCIATES LLC
j	$9,100,763	FMV
OHRI LLC
j	$840,048	FMV
ORLANDO HEALTH CENTRAL INC
p	$373,937	FMV
ORLANDO PHYSICIANS NETWORK INC
j	$635,161	FMV
ORLANDO HEALTH MEDICAL GROUP INC
b	$160,498	FMV
HEALTHNET SERVICES INC
q	$655,849	FMV
SOUTH LAKE HOSPITAL INC
b	$128,000,000	FMV
PHYSICIAN ASSOCATES LLC
o	$1,634,079	FMV
SOUTH LAKE HOSPITAL INC
l	$334,201	FMV
SOUTH LAKE HOSPITAL INC
o	$1,108,163	FMV
ORLANDO HEALTH CENTRAL INC
m	$13,465,760	FMV
ORLANDO HEALTH CENTRAL INC
r	$5,528,865	FMV
SOUTH LAKE HOSPITAL INC
q	$41,857,652	FMV
LIFT ORLANDO INC
B	$2,290,000	FMV

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R, PART III, LINE 1	FormAndLineReferenceDesc
Explanation	LIFT ORLANDO IMPACT INVESTMENT FUND, LLC EIN: 81-4062133 ADDRESS: 2043 JACOBS PLACE, ORLANDO, FL 32805 SCHEDULE R, PART V, LINE 2 THE AMOUNTS REPORTED ON SCHEDULE R, PART V, LINE 2, TRANSACTION TYPE O REPRESENT SALARIES AND EMPLOYMENT COSTS OF EMPLOYEES THAT PROVIDE SERVICES TO MULTIPLE ORGANIZATIONS AFFILIATED WITH ORLANDO HEALTH, INC. REPRESENT SALARIES AND EMPLOYMENT COSTS OF EMPLOYEES THAT PROVIDE SERVICES TO MULTIPLE ORGANIZATIONS AFFILIATED WITH ORLANDO HEALTH, INC.	ExplanationTxt