ORLANDO HEALTH INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: ORLANDO HEALTH INC (EIN 59-1726273)
Tax period: 2017-10-01 to 2018-09-30
Filed: 2019-08-13
IRS object ID: 201912259349301621
Schema version: 2017v2.3
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 G
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	2019-08-13T11:25:13-05:00	ReturnTs
Tax Period End	2018-09-30	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 SUITE 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	2017-10-01	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	2019-08-13	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	73.184.197.104	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	59521020192255000003	FederalOriginalSubmissionId
Federal Original Submission Id	2019-08-13	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	9D5EEB42429821CBACA628CB88EB15E2B93F9A36	AtSubmissionCreationDeviceId
At Submission Filing Device Id	9D5EEB42429821CBACA628CB88EB15E2B93F9A36	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	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	$3,357,534,611	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	10	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	15859	TotalEmployeeCnt
Total Volunteers	1449	TotalVolunteersCnt
Total Gross UBI	$14,449,681	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$12,435,401	PYContributionsGrantsAmt
CY Contributions Grants	$18,841,992	CYContributionsGrantsAmt
PY Program Service Revenue	$2,142,199,312	PYProgramServiceRevenueAmt
CY Program Service Revenue	$2,465,093,865	CYProgramServiceRevenueAmt
PY Investment Income	$39,071,791	PYInvestmentIncomeAmt
CY Investment Income	$64,911,252	CYInvestmentIncomeAmt
PY Other Revenue	$1,879,851	PYOtherRevenueAmt
CY Other Revenue	$2,991,466	CYOtherRevenueAmt
PY Total Revenue	$2,195,586,355	PYTotalRevenueAmt
CY Total Revenue	$2,551,838,575	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,588,501	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$2,314,729	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$914,541,742	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$978,231,810	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$31,842	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$1,467	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$6,842,443	CYTotalFundraisingExpenseAmt
PY Other Expenses	$907,262,936	PYOtherExpensesAmt
CY Other Expenses	$1,039,221,130	CYOtherExpensesAmt
PY Total Expenses	$1,823,425,021	PYTotalExpensesAmt
CY Total Expenses	$2,019,769,136	CYTotalExpensesAmt
PY Revenues Less Expenses	$372,161,334	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$532,069,439	CYRevenuesLessExpensesAmt
Total Assets BOY	$3,214,282,790	TotalAssetsBOYAmt
Total Assets EOY	$4,025,930,238	TotalAssetsEOYAmt
Total Liabilities BOY	$1,335,935,799	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,756,903,527	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,878,346,991	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$2,269,026,711	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	$1,653,101,011	ExpenseAmt
Grant	$2,314,729	GrantAmt
Revenue	$2,465,093,865	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 2018, over 15,000 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. 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 Orlando Health 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, the 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, 2018 we had 441,109 days of inpatient care, 708,416 outpatient visits, 14,329 births and 278,608 emergency visits. In accordance with our Mission, Orlando Health provided extensive care to patients without charge or at an amount less than our established rates. We offer community education, school initiatives and support groups. As a teaching hospital, Orlando Health offers residency programs designed to train future healthcare professionals. WE ARE ORLANDO'S HEALTHCARE As the physicians, team members and volunteers of Orlando Health understand that healthcare extends beyond the walls of our facilities, they often contribute to the community by educating others and providing programs and services. Some of our community programs include: community outreach, speakers bureau, support and education, community wellness screenings, community health fairs, pastoral outreach and spiritual care. Many of these activities bring little or no payment to our system but are continued because they support our mission and provide value to the community. COMMUNITY CLINICAL SUPPORT SERVICES Orlando Health provides access to primary care services throughout our market area. In addition, we have a long history of supporting the missions of other community organizations who provide primary care access. Organizations such as Primary Care Access Network; True Health; Community Health Centers, Inc.; Orange Blossom Family Health; Orange County Health Services; Grace Medical Home and Sheperds Hope. Relationships with community organizations like the ones named are important to us and remain at the center of the Orlando Health community benefit initiative. LEVEL ONE TRAUMA CENTER Orlando REGIONAL MEDICAL CENTER is proud to be home to Central Florida's only Level One Trauma Center. Not all hospitals are trauma centers, and not every emergency department can handle every emergency. A trauma center is not an emergency department. A trauma center is a state-accredited hospital facility capable of highly specialized treatment for the most critical injuries. In Central Florida, this care can only be received at Orlando Regional Medical Center. Our Level One Trauma Center features a multidisciplinary team of board-certified doctors, nurses and technicians ready to treat the most severely injured patients 24 hours a day, 7 days a week. C	Desc
Total Program Service Expenses	$1,653,101,011	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	Yes (true)	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	976	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	15859	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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	10	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	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	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	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Aurelio Duran MD
Board member	2.0	55.0	Yes (X)	$0	$1,514,837	$204,867
David W Strong
President & CEO	55.0	5.0	Yes (X)	$1,925,558	$0	$277,563	Yes (X)
C David Brown II until 718
Board member, Vice Chair, Sec	2.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
John Cappleman MD
Board member	2.0	0.0	Yes (X)	$0	$0	$0
Carolyn Karraker
Board member	2.0	0.0	Yes (X)	$0	$0	$0
Ray Sandhagen until 318
Board member	2.0	0.0	Yes (X)	$0	$0	$0
Amy Saunders
Board member	2.0	2.0	Yes (X)	$0	$0	$0
Conrad Santiago
Board member, Treasurer	2.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
Sanford C Shugart PhD
Board member, Chairman	2.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
Brian Besanceney
Board Member, Vice Chair, Sec	2.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
M Kathryn Garrett MD
Board member	2.0	2.0	Yes (X)	$0	$0	$0
Charles Heard MD
Board member	55.0	0.0	Yes (X)	$117,500	$0	$0
Bernadette Spong
CFO	55.0	6.0		$982,728	$0	$119,668	Yes (X)
Thibaut Van Marcke De Lummen
SVP, OH & Pres, DPH	55.0	0.0		$455,706	$0	$87,785		Yes (X)
Jamal A Hakim MD
Chief Operating Officer	55.0	8.0		$1,421,936	$0	$144,792		Yes (X)
Mark A Jones
SVP, OH & President, ORMC	55.0	3.0		$701,834	$0	$103,889		Yes (X)
Kathy A Swanson until 318
SVP, OH & Pres, APMC	55.0	0.0		$716,410	$0	$103,371		Yes (X)
Mildred Denise Beam
Chief Legal Strategist	55.0	0.0		$731,456	$0	$92,258			Yes (X)
John W Bozard
SVP, OH & Pres, APMCF & OHF	25.0	30.0		$410,208	$410,208	$50,924			Yes (X)
John Richard Schooler
VP, CIO (Until 10/17)	55.0	0.0		$1,153,068	$0	$82,143			Yes (X)
Erick R Hawkins
SVP, Strategic Management	55.0	2.0		$788,063	$0	$81,724			Yes (X)
Karen L Frenier
VP, OH & CHRO	55.0	0.0		$584,298	$0	$84,474			Yes (X)
Mark E Sand MD
Former Board Member	0.0	55.0		$0	$1,212,478	$30,377				Yes (X)
David F Huddleson
VP, Chief Compliance & Ethics	55.0	0.0		$420,945	$0	$65,084				Yes (X)
D Wayne Jenkins
Fmr SVP, OH, & Pres, OHPP	0.0	0.0		$554,652	$0	$0				Yes (X)
Mary Farrell MD
Chief Pediatrician, APH	55.0	0.0		$549,757	$0	$33,898				Yes (X)
Nancy G Dinon
Fmr VP, Human Resources	0.0	0.0		$601,032	$0	$58,361				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$12,115,151	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,137,523	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,621,178	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	589	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
AVI FOODSYSTEMS INC
2590 ELM RD NE	WARREN	OH	44483	FOOD SERVICES	$11,932,122
BARTON MALOW COMPANY
26500 AMERICAN DR	SOUTHFIELD	MI	48034	CONSTRUCTION SERVICE	$11,770,238
ALLSCRIPTS HEALTHCARE LLC
8529 SIX FORKS RD	RALEIGH	NC	27615	COMPUTER SERVICES	$8,329,629
EFFICIENCY MEDIA INC
3616 WINNETKA RD	GLENVIEW	IL	60026	CONSULTING SERVICES	$7,856,420
THE CLARO GROUP LLC
321 N CLARK ST STE 1200	CHICAGO	IL	60654	CONSULTING SERVICES	$4,796,109

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	355	CntrctRcvdGreaterThan100KCnt
Fundraising	$0	FundraisingAmt
Related Organizations	$14,509,251	RelatedOrganizationsAmt
Government Grants	$393,742	GovernmentGrantsAmt
All Other Contributions	$3,938,999	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$18,841,992	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	$2,320,625,610	$2,309,838,098	$10,787,512	$0
RETAIL PHARMACY	446110	$54,710,859	$54,710,859	$0	$0
LIP TIER 3 STATE REVENUE	900099	$26,466,440	$26,466,440	$0	$0
MANAGEMENT FEES	900099	$10,906,466	$10,906,466	$0	$0
FITNESS CENTER	713940	$1,910	$0	$1,910	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$52,382,580	TotalRevenueColumnAmt
Related Or Exempt Func Income	$51,518,975	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$863,605	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$2,465,093,865	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$30,318,835	TotalRevenueColumnAmt
Unrelated Business Revenue	$840,687	UnrelatedBusinessRevenueAmt
Exclusion	$29,478,148	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$2,939,112	TotalRevenueColumnAmt
Exclusion	-$2,939,112	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$264	TotalRevenueColumnAmt
Unrelated Business Revenue	$264	UnrelatedBusinessRevenueAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$7,639,972	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$5,189,510	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$2,450,462	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,450,462	TotalRevenueColumnAmt
Unrelated Business Revenue	$381,499	UnrelatedBusinessRevenueAmt
Exclusion	$2,068,963	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$829,148,915	SecuritiesAmt
Other	$8,889,140	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$799,778,359	SecuritiesAmt
Other	$728,167	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$29,370,556	SecuritiesAmt
Other	$8,160,973	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$37,531,529	TotalRevenueColumnAmt
Unrelated Business Revenue	$1,081,844	UnrelatedBusinessRevenueAmt
Exclusion	$36,449,685	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	$425,160	$0	$425,160	$0
INFANT PICTURE CONTRACT	900099	$67,200	$0	$67,200	$0
PARKING GARAGE	621990	$48,380	$0	$0	$48,380

Field	Value	IRS element (for citing)
Other Revenue Total	$540,740	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,551,838,575	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,453,440,838	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$14,449,681	UnrelatedBusinessRevenueAmt
Exclusion	$65,106,064	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$2,314,729	TotalAmt
Program Services	$2,314,729	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	$6,942,170	TotalAmt
Program Services	$2,014,246	ProgramServicesAmt
Management And General	$4,927,924	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$1,034,231	TotalAmt
Program Services	$575,176	ProgramServicesAmt
Management And General	$459,055	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$751,991,208	TotalAmt
Program Services	$611,768,453	ProgramServicesAmt
Management And General	$136,231,758	ManagementAndGeneralAmt
Fundraising	$3,990,997	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$33,685,547	TotalAmt
Program Services	$27,390,522	ProgramServicesAmt
Management And General	$6,278,793	ManagementAndGeneralAmt
Fundraising	$16,232	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$131,021,697	TotalAmt
Program Services	$105,979,701	ProgramServicesAmt
Management And General	$24,378,523	ManagementAndGeneralAmt
Fundraising	$663,473	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$53,556,957	TotalAmt
Program Services	$43,875,519	ProgramServicesAmt
Management And General	$9,443,744	ManagementAndGeneralAmt
Fundraising	$237,694	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	$9,187,938	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$9,187,938	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$542,701	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$542,701	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$444,513	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$444,513	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$1,467	TotalAmt
Fundraising	$1,467	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$413,291	TotalAmt
Management And General	$413,291	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$140,368,685	TotalAmt
Program Services	$95,153,434	ProgramServicesAmt
Management And General	$45,104,583	ManagementAndGeneralAmt
Fundraising	$110,668	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$21,380,701	TotalAmt
Program Services	$9,720,022	ProgramServicesAmt
Management And General	$11,575,746	ManagementAndGeneralAmt
Fundraising	$84,933	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$37,550,203	TotalAmt
Program Services	$33,810,955	ProgramServicesAmt
Management And General	$3,315,553	ManagementAndGeneralAmt
Fundraising	$423,695	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$51,087,524	TotalAmt
Program Services	$19,962,291	ProgramServicesAmt
Management And General	$30,902,799	ManagementAndGeneralAmt
Fundraising	$222,434	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	$107,491,435	TotalAmt
Program Services	$72,341,969	ProgramServicesAmt
Management And General	$34,624,010	ManagementAndGeneralAmt
Fundraising	$525,456	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$4,483,532	TotalAmt
Program Services	$2,582,776	ProgramServicesAmt
Management And General	$1,676,369	ManagementAndGeneralAmt
Fundraising	$224,387	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	$1,227,741	TotalAmt
Program Services	$940,412	ProgramServicesAmt
Management And General	$228,432	ManagementAndGeneralAmt
Fundraising	$58,897	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$44,719,576	TotalAmt
Program Services	$35,088,666	ProgramServicesAmt
Management And General	$9,630,910	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	$112,630,250	TotalAmt
Program Services	$88,373,943	ProgramServicesAmt
Management And General	$24,239,191	ManagementAndGeneralAmt
Fundraising	$17,116	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$17,166,328	TotalAmt
Program Services	$17,057,015	ProgramServicesAmt
Management And General	$109,313	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$412,977,239	$412,977,239	$0	$0
ELIGIBILITY FEES	$28,057,887	$28,057,887	$0	$0
PATIENT MED ASSIST TRUST	$24,830,706	$24,830,706	$0	$0
DISCHARGE SUPPORT	$7,851,250	$7,851,250	$0	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$16,809,630	TotalAmt
Program Services	$10,434,100	ProgramServicesAmt
Management And General	$6,110,536	ManagementAndGeneralAmt
Fundraising	$264,994	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,019,769,136	TotalAmt
Program Services	$1,653,101,011	ProgramServicesAmt
Management And General	$359,825,682	ManagementAndGeneralAmt
Fundraising	$6,842,443	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$144,008,255	BOYAmt
EOY	$166,700,832	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$192,139,900	BOYAmt
EOY	$366,506,180	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	$254,281,560	BOYAmt
EOY	$303,078,571	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	$48,183,904	BOYAmt
EOY	$51,878,352	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$34,053,867	BOYAmt
EOY	$37,580,802	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$2,884,173,394	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,714,399,785	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,090,844,687	BOYAmt
EOY	$1,169,773,609	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,172,312,905	BOYAmt
EOY	$1,608,023,044	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	$31,973,334	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$246,484,378	BOYAmt
EOY	$290,415,514	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,214,282,790	BOYAmt
EOY	$4,025,930,238	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$289,219,392	BOYAmt
EOY	$353,277,964	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	$2,444,566	BOYAmt
EOY	$5,436,565	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$806,802,748	BOYAmt
EOY	$1,148,951,887	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	$26,667,953	BOYAmt
EOY	$29,293,876	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	$210,801,140	BOYAmt
EOY	$219,943,235	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,335,935,799	BOYAmt
EOY	$1,756,903,527	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,778,681,640	BOYAmt
EOY	$2,169,813,072	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$98,908,632	BOYAmt
EOY	$98,394,746	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$756,719	BOYAmt
EOY	$818,893	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,878,346,991	BOYAmt
EOY	$2,269,026,711	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,214,282,790	BOYAmt
EOY	$4,025,930,238	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$532,069,439	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$4,172,499	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$145,562,218	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

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	$444,513	OtherActivitiesAmt
Total Lobbying Expenditures	$528,513	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 $239,119. AMOUNTS REPORTED FROM VARIOUS HOSPITAL AND HEALTHCARE MEMBERSHIPS OF DUES USED FOR LOBBYING ACTIVITIES TOTALING $205,394.	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	$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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$21,643,008	BeginningYearBalanceAmt
Contributions	$6,820	ContributionsAmt
Investment Earnings Or Losses	$2,460,598	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$108,544	AdministrativeExpensesAmt
End Year Balance	$24,001,882	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.02220	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.97780	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	$97,427,131	OtherCostOrOtherBasisAmt
Book Value	$97,427,131	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$963,228,368	OtherCostOrOtherBasisAmt
Depreciation	$424,232,107	DepreciationAmt
Book Value	$538,996,261	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$41,457,294	OtherCostOrOtherBasisAmt
Book Value	$41,457,294	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,670,210,751	OtherCostOrOtherBasisAmt
Depreciation	$1,265,583,435	DepreciationAmt
Book Value	$404,627,316	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$111,849,850	OtherCostOrOtherBasisAmt
Depreciation	$24,584,243	DepreciationAmt
Book Value	$87,265,607	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,169,773,609	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (10 entries)

DescDesc	Book ValueBookValueAmt
CASH SURRENDER VALUE LIFE INS	$38,081,446
INVESTMENT IN RELATED PARTIES	$16,961,852
MEDICAL MALPRACTICE RECOVERIES	$2,279,580
LONG TERM DEPOSITS	$8,556,592
GIFT ANNUITY TRUST	$3,011,014
CONTRIBUTIONS RECEIVABLE	$538,298
CAP ACCUM/DEF COMP BENEFITS	$11,815,529
DUE FROM AFFILIATES	$184,222,862
EXEC DEFERRED COMP 457B	$24,848,341
WORKERS COMP SURETY	$100,000

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$290,415,514	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$525,557	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (10 entries)

DescDesc	AmtAmt
ASSET RETIREMENT LIABILITY	$692,536
LT-LIAB CAP/ACCUM DEF COMP	$11,815,530
DEBT GUARANTEE - S. LAKE BONDS	$1,088,000
SWAP LIABILITIES	$25,737,696
PROFESSIONAL AND GENERAL LIABILITY	$137,159,634
LT-DUE TO AFFILIATES	$10,294,334
PHYSICIAN LOAN RESERVE	$67,676
LT-LIAB EXEC DEF COMP 457B	$24,848,341
OTHER LIABILITIES	$3,013,931
LT CHARITABLE COMMITMENTS TO UNRELATED PARTIES	$4,700,000

Field	Value	IRS element (for citing)
Total Liability	$219,943,235	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE D, PART V, LINE 4	FormAndLineReferenceDesc
Explanation	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. SCEDULE 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, 2018 and 2017.	ExplanationTxt

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	$54,727	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	$54,727	SubtotalSpentAmt
Total Spent	$54,727	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Phone Solicitations	Yes (X)	PhoneSolicitationsInd
Agrmt Prof Fundraising Acty	Yes (true)	AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp

Field	Value	IRS element (for citing)
Person	TSM DONOR ENGAGEMENT TEAM INC	PersonNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	502 Keystone Dr	AddressLine1Txt
City	Warrendale	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	15086	ZIPCd

Field	Value	IRS element (for citing)
Activity	SOLICITING	ActivityTxt
Fundraiser Control Of Funds	false	FundraiserControlOfFundsInd
Gross Receipts	$0	GrossReceiptsAmt
Retained By Contractor	$1,467	RetainedByContractorAmt
Net To Organization	$0	NetToOrganizationAmt

Field	Value	IRS element (for citing)
Total Gross Receipts	$0	TotalGrossReceiptsAmt
Total Retained By Contractors	$1,467	TotalRetainedByContractorsAmt
Total Net To Organization	$0	TotalNetToOrganizationAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	DISTINGUISHING PYMTS FOR PROF. FUNDRAISING SERVICES FROM EXP PYMT OR REIMB	FormAndLineReferenceDesc
Explanation	SCHEDULE G, PART I, COLUMN V ORLANDO HEALTH, INC. AND ORLANDO HEALTH FOUNDATION, INC. HAVE DISCONTINUED THE PHONE SOLICITATION PROGRAM. HOWEVER, TSM DONOR ENGAGEMENT TEAM HAD BEEN RETAINED TO MANAGE THE FULFILLMENT OF EXISTING OUTSTANDING PLEDGES, WITH THOSE PLEDGES AND THE FULFILLMENT SERVICES CONCLUDED IN 2018. EACH PLEDGE PAYMENT HAS BEEN MADE DIRECTLY TO ORLANDO HEALTH FOUNDATION BY THE DONOR. THE FEE RETAINER AT CONTRACT SIGNING WAS AN ESTIMATE WITH FINAL AMOUNT BASED UPON PLEDGE COMMITMENTS SECURED. THE CONTRIBUTIONS WERE MADE IN FULL TO ORLANDO HEALTH FOUNDATION, BUT THE EXPENSE HAS BEEN PAID BY ORLANDO HEALTH.	ExplanationTxt

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	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	$74,572,885	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$74,572,885	NetCommunityBenefitExpnsAmt
Total Expense	0.03690	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$319,608,666	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$234,104,749	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$85,503,917	NetCommunityBenefitExpnsAmt
Total Expense	0.04230	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,327,226	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,119,061	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$208,165	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$396,508,777	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$236,223,810	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$160,284,967	NetCommunityBenefitExpnsAmt
Total Expense	0.07930	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$26,067,775	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$852,040	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$25,215,735	NetCommunityBenefitExpnsAmt
Total Expense	0.01250	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$60,336,252	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,238,220	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$50,098,032	NetCommunityBenefitExpnsAmt
Total Expense	0.02480	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,295,144	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,295,144	NetCommunityBenefitExpnsAmt
Total Expense	0.00160	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,325,964	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,325,964	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$91,025,135	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,090,260	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$79,934,875	NetCommunityBenefitExpnsAmt
Total Expense	0.03960	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$487,533,912	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$247,314,070	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$240,219,842	NetCommunityBenefitExpnsAmt
Total Expense	0.11890	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,505	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$18,505	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,755	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$14,755	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$53,828	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$53,828	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,444	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,444	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$50,518	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$50,518	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,345	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$9,345	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$64,274	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$64,274	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$216,669	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$216,669	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$232,611,280	BadDebtExpenseAmt
Reimbursed By Medicare	$273,605,519	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$290,010,107	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$16,404,588	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	State LicenseStateLicenseNum	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	4393	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	4393	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	4393	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	4393	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	4393	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)
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	16	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	18	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: http://www.orlandohealth.com/facilities/orlando-regional-medical-center Orlando Health Dr. P. Phillips Hospital: http://www.orlandohealth.com/facilities/dr-p-phillips-hospital Orlando Health Winnie Palmer Hospital for Women & Babies: http://www.winniepalmerhospital.com/ Orlando Health Arnold Palmer Hospital for Children: http://www.arnoldpalmerhospital.com/ Orlando Health South Seminole Hospital: http://www.orlandohealth.com/facilities/south-seminole-hospital
PART V, SECTION B, Line 3e	The following responses apply to all facilities within the group, unless otherwise noted. The 2016 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 Preventions Behavioral Risk Factor Surveillance Systems (BRFSS) Data, County Health Rankings, the American Community Survey and hospital claims data. Primary data sources included a consumer survey (1,698 responses), provider survey (145 responses), in-depth interviews with community stakeholders (16) and community conversations (6). Based on the data, dozens of themes were generated. Using the data, the Central Florida Community Benefit Collaborative that commenced the 2016 CHNA selected the priorities or themes for the 2016 CHNA. The Collaborative utilized a democratic voting process to select 10-15 priorities for each county. These priorities were used for each hospitals 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 IP 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 The following responses apply to all facilities within the group, unless otherwise noted. AS PART OF THE SECONDARY DATA COLLECTION, HOSPITAL HOT SPOTTING DATA WAS ALSO INCLUDED IN OUR CHNA. 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.
PART V, SECTION B, Line 5	The following responses apply to all facilities within the group, unless otherwise noted. FOR OUR 2016 COMMUNITY HEALTH NEEDS ASSESSMENT, WE CONTRACTED IMPACT PARTNERS, LLC (IP). IP CONDUCTS COMMUNITY ENGAGEMENT/ASSESSMENT PROJECTS ACROSS THE UNITED STATES. RECOGNIZING EACH COMMUNITY IS UNIQUE, IPS APPROACH TO BETTER UNDERSTANDING A COMMUNITYS NEED IS ALIGNED WITH THE SOCIAL-ECOLOGICAL MODEL. THE MODEL IS A COMPREHENSIVE APPROACH TO HEALTH AND URBAN PLANNING THAT NOT ONLY ADDRESSES A COMMUNITYS OR INDIVIDUALS RISK FACTORS, BUT ALSO THE NORMS, BELIEFS, AND SOCIAL AND ECONOMIC SYSTEMS THAT CREATE THE CONDITIONS FOR POOR COMMUNITY HEALTH OUTCOMES. IP WORKED TO BUILD ON TOP OF THE FIRST CHNA CONDUCTED IN 2013. 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 CONVERSATIONS WITHIN THE CENTRAL FLORIDA COMMUNITY. ON BEHALF OF THE HOSPITAL, IP WORKED WITH REPRESENTATIVES FROM ALL THE HOSPITALS AND HEALTH DEPARTMENTS 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 CONSUMER SURVEY WAS DISTRIBUTED BOTH IN HARD COPY AND VIA SURVEY MONKEY WITH A TOTAL OF 1,698 RESPONSES. AFTER DATA SCREENING, 1,235 RESPONSES WERE ANALYZED. THE PROVIDER SURVEY WAS DISTRIBUTED ELECTRONICALLY AND INCLUDED RESPONSES FROM 145 PARTICIPANTS. THE QUESTIONS WERE MOSTLY OPEN-ENDED AND EXPLORED RESPONDENTS VIEWS ON THE COMMUNITYS DEFICITS GIVEN A HOLISTIC DEFINITION OF A HEALTHY COMMUNITY, ISSUES RELATED TO HEALTHCARE SERVICES AND FORCES OF CHANGE IN THE COMMUNITY. STAKEHOLDER IN-DEPTH INTERVIEWS WERE CONDUCTED WITH 17 COMMUNITY STAKEHOLDERS DURING THE FALL OF 2015. EACH INTERVIEW LASTED AN AVERAGE OF 65 MINUTES. OF THE 17 STAKEHOLDERS 10 SELF-IDENTIFIED AS WHITE, TWO AS BLACK/AFRICAN AMERICAN, ONE AS BLACK, ONE AS BLACK HAITIAN, ONE AS LATINO AND TWO AS WHITE/LATINO. NINE OF THE STAKEHOLDERS ARE FEMALE AND EIGHT MALE. THE SECTORS REPRESENTED ARE ER PHYSICIAN, GOVERNMENT, FOOD SECURITY, HISPANIC HEALTH, DEPARTMENT OF CHILDREN & FAMILIES, HEALTHCARE, LAW ENFORCEMENT, FEDERALLY QUALIFIED HEALTH CENTER, HOMELESSNESS, BEHAVIORAL HEALTH, FAITH COMMUNITY, URBAN LEAGUE, SPECIALTY CARE, EDUCATION, COMMUNITY CONVENER, AGING, AND BUSINESS. BASIC INFORMATION ABOUT EACH STAKEHOLDER IS OUTLINED IN TABLE 5.1 OF THE CHNA. SIX COMMUNITY CONVERSATIONS TOOK PLACE WITH A TOTAL OF 102 PARTICIPANTS. MORE DETAILS REGARDING QUESTIONS ASKED AND PARTICIPANTS CAN BE FOUND ON PAGES 329 THROUGH 363 OF THE CHNA.
PART V, SECTION B, LINE 6a	The following responses apply to all facilities within the group, unless otherwise noted. ORLANDO HEALTH: ARNOLD PALMER MEDICAL CENTER (ORLANDO HEALTH ARNOLD PALMER HOSPITAL FOR CHILDREN, ORLANDO HEALTH WINNIE PALMER HOSPITAL FOR WOMEN & BABIES), ORLANDO HEALTH DR. P. PHILLIPS HOSPITAL, ORLANDO HEALTH CENTRAL, ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER (ORLANDO HEALTH UF HEALTH CANCER), ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL AND SOUTH LAKE HOSPITAL IN AFFILIATION WITH ORLANDO HEALTH. FLORIDA HOSPITAL: FLORIDA HOSPITAL ALTAMONTE, FLORIDA HOSPITAL APOPKA, FLORIDA HOSPITAL CELEBRATION HEALTH, FLORIDA HOSPITAL EAST ORLANDO, FLORIDA HOSPITAL FOR CHILDREN, FLORIDA HOSPITAL KISSIMMEE, FLORIDA HOSPITAL ORLANDO, FLORIDA HOSPITAL WATERMAN, WINTER PARK MEMORIAL HOSPITAL. ASPIRE HEALTH PARTNERS: KENNEDY PLAZA, LAKESIDE PLACE APARTMENTS, PRINCETON PLAZA, RESIDENTIAL PLAZA
PART V, SECTION B, LINE 6b	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 PART V, SECTION B, LINE 7A http://www.orlandohealth.com/about-us/community-involvement/community-bene fit
PART V, SECTION B, LINE 11	FOR NEARLY 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 2016 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, ARNOLD PALMER MEDICAL 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 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 SOUTH LAKE HOSPITAL IN AFFILIATION WITH ORLANDO HEALTH IS LOCATED IN LAKE COUNTY. BASED ON OUR PROCESS WE SELECTED ACCESS TO CARE AS OUR PRIORITY HEALTH NEED FROM THE 2016 CHNA. IN FISCAL YEAR 2018 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 $240 MILLION IN COMMUNITY BENEFIT IN FISCAL YEAR 2018. IN SUPPORT OF OUR COMMUNITY BENEFIT EFFORTS, WE RECOGNIZE THE IMPORTANCE OF WORKING WITH COMMUNITY ORGANIZATIONS. IN FISCAL YEAR 2018, WE SUPPORTED 20 GRANT PROPOSALS THROUGH THE ORLANDO HEALTH COMMUNITY GRANT PROGRAM AND WE CONTINUED TO ACTIVELY COLLABORATE WITH LOCAL ORGANIZATIONS AND GROUPS TO MAKE A DIFFERENCE IN THE HEALTH AND QUALITY OF LIFE IN CENTRAL FLORIDA. IN 2018, WE SUPPORTED 267 COMMUNITY ORGANIZATIONS. WITH ACCESS TO CARE AS OUR PRIORITY, ORLANDO HEALTH DETERMINED THAT THE FOLLOWING ISSUES WOULD NOT BE EXPLICITLY INCLUDED IN OUR IMPLEMENTATION STRATEGY IN AN EFFORT TO MAXIMIZE RESOURCES AVAILABLE FOR ADDRESSING ACCESS TO CARE. HOWEVER, ORLANDO HEALTH DOES PROVIDE SUPPORT AND SERVICES FOR SEVERAL OF THE REMAINING HEALTH NEEDS. AT THE TIME OF PRIORITIZATION, WE TOOK INTO ACCOUNT THE LEVEL TO WHICH SOME OF THE NEEDS WERE ALREADY BEING ADDRESSED IN THE SERVICE AREA, ALONG WITH WHETHER THE IDENTIFIED NEED FALLS OUT OF THE SCOPE OF OUR EXPERTISE AND RESOURCES. FOR THE NEEDS WE DID NOT SELECT WE WILL CONTINUE TO PROVIDE SUPPORT AND SERVICES WHERE APPROPRIATE INCLUDING THROUGH THE ORLANDO HEALTH COMMUNITY GRANT PROGRAM. IN ADDITION, MANY OF THE NEEDS LISTED BELOW WILL BE IMPACTED BY OUR FOCUS ON ACCESS TO CARE. WITH OUR EFFORTS BEING CONCENTRATED ON ACCESS TO CARE WE ARE ABLE TO SUPPORT OUR COMMUNITY IN MULTIPLE ARENAS INSTEAD OF BEING LIMITED TO ONE CONDITION OR NEED. THIS FLEXIBILITY WILL HELP US TO BETTER SERVE THE MOST UNDERSERVED AND VULNERABLE POPULATIONS IN OUR COMMUNITY. ORANGE COUNTY HOSPITALS: (NEEDS THAT WONT BE EXPLICITLY ADDRESSED) - HEART DISEASE - DIABETES - STI/HIV - SUBSTANCE ABUSE (HEROIN) - MATERNAL AND CHILD HEALTH - UNINSURED RATES - HOUSING SECURITY - FOOD SECURITY - DISABILITY/INJURY PREVENTION - POOR TRANSPORTATION - CANCER - OBESITY - SENIOR MOBILITY/FALLS SEMINOLE COUNTY HOSPITALS: (NEEDS THAT WONT BE EXPLICITLY ADDRESSED) - DIABETES - HEART DISEASE - MENTAL HEALTH - CANCER - HOMELESSNESS/AFFORDABLE HOUSING - POVERTY - FOOD SECURITY - PREMATURITY/INFANT MORTALITY - ASTHMA - SENIOR SAFETY AND MOBILITY - POOR TRANSPORTATION HEART DISEASE OUR FOCUS ON ACCESS TO CARE WILL HELP SHAPE WHAT WE SUPPORT IN THE FUTURE REGARDING HEART DISEASE. WE CURRENTLY PROVIDE PROGRAMS AND SERVICES FOR HEART DISEASE AND WORK WITH COMMUNITY ORGANIZATIONS LIKE THE AMERICAN HEART ASSOCIATION. WE ALSO HAVE PROVIDED GRANT FUNDING TO ORGANIZATIONS THAT ARE ADDRESSING HEART DISEASE LIKE GRACE MEDICAL HOME. DIABETES OUR FOCUS ON ACCESS TO CARE WILL HELP SHAPE WHAT WE SUPPORT IN THE FUTURE REGARDING DIABETES. WE CURRENTLY PROVIDE PROGRAMS AND SERVICES FOR DIABETES AND WORK WITH COMMUNITY ORGANIZATIONS LIKE THE AMERICAN DIABETES ASSOCIATION AND THE UNIVERSITY OF FLORIDA HEALTH EXTENSION SERVICES. WE ALSO HAVE PROVIDED GRANT FUNDING TO ORGANIZATIONS THAT ARE ADDRESSING DIABETES. STI/HIV OUR FOCUS ON ACCESS TO CARE WILL HELP SHAPE WHAT WE PROVIDE IN THE FUTURE REGARDING STI/HIV. WE WILL CONTINUE TO PROVIDE EXISTING SERVICES FOR SEXUALLY TRANSMITTED INFECTIONS AND WORK WITH OUR INFECTIOUS DISEASE PHYSICIAN PRACTICE AND COMMUNITY ORGANIZATIONS TO ADDRESS THIS NEED. SUBSTANCE ABUSE (HEROIN) OUR FOCUS ON ACCESS TO CARE WILL HELP SHAPE WHAT WE DO IN THE FUTURE REGARDING SUBSTANCE ABUSE. WE WILL CONTINUE TO PROVIDE EXISTING SERVICES FOR SUBSTANCE ABUSE AND WORK WITH COMMUNITY ORGANIZATIONS LIKE ASPIRE HEALTH PARTNERS. HOWEVER, FUNDING OPPORTUNITIES ARE VERY LIMITED IN THIS AREA. IN AUGUST 2017, ORLANDO HEALTH FORMED AN INTERNAL OPIOID TASK FORCE. THE TASK FORCE INCLUDES SENIOR LEADERSHIP AND CONSISTS OF THE FOLLOWING AREAS: EXTERNAL AFFAIRS AND COMMUNITY BENEFIT, GOVERNMENT AFFAIRS, NURSING, REGULATORY, COMPLIANCE, EMERGENCY MEDICINE, ORLANDO HEALTH PHYSICIAN GROUP, CARE MANAGEMENT, BEHAVIORAL HEALTH AND OPERATIONS. THE GROUP IS FOCUSED ON POLICY, EDUCATION AND PREVENTION AND TREATMENT. WE HAVE PROVIDED AND SUPPORTED SEVERAL EDUCATION EVENTS IN THE COMMUNITY WORKING ALONGSIDE COMMUNITY PARTNERS. EVENTS HAVE BEEN FOCUSED ON BOTH ADULTS AND ADOLESCENTS. IN FISCAL YEAR 2018, ORANGE COUNTY GOVERNMENT SECURED A SAMHSA GRANT THAT WILL FUND AN OPIOID OUTREACH COORDINATOR AT ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER. THIS IS OUR FLAGSHIP HOSPITAL, WHERE WE RECEIVE THE MOST OPIOID ABUSERS ACROSS OUR SYSTEM. THE OPIOID OUTREACH COORDINATOR STARTED IN NOVEMBER 2018. MATERNAL AND CHILD HEALTH OUR FOCUS ON ACCESS TO CARE WILL IMPACT WHAT ADDITIONAL SUPPORT WE PROVIDE REGARDING MATERNAL AND CHILD HEALTH. WE WILL CONTINUE TO PROVIDE EXISTING PROGRAMS AND SERVICES AND WORK WITH COMMUNITY ORGANIZATIONS LIKE HEALTHY START AND MARCH OF DIMES. WE HAVE ALSO PROVIDED GRANT FUNDING TO ORGANIZATIONS AND TEAM MEMBERS THAT ARE ADDRESSING THE NEED OF MATERNAL AND CHILD HEALTH. UNINSURED RATES OUR FOCUS ON ACCESS TO CARE MAY IMPACT THIS NEED. WHILE WE DID NOT DIRECTLY SELECT THIS NEED, THE COMMUNITY EDUCATION AND OUTREACH WE PROVIDE HELPS SUPPORT THE NEED. WE WILL CONTINUE TO SUPPORT ORGANIZATIONS AND EFFORTS THAT ADDRESS THE MATTER INCLUDING THE PROMOTION OF OPEN ENROLLMENT. HOUSING SECURITY AS A HEALTHCARE SYSTEM, WE DO NOT HAVE THE EXPERTISE OR RESOURCES TO EFFECTIVELY ADDRESS THIS NEED. HOWEVER, WE CURRENTLY PROVIDE SUPPORT WHERE APPROPRIATE AND WORK WITH COMMUNITY ORGANIZATIONS THAT FOCUS ON THIS NEED. FOR EXAMPLE, WE SUPPORT SUCH ORGANIZATIONS LIKE THE COMMISSION ON HOMELESSNESS, COALITION FOR THE HOMELESS, IDIGNITY, CAREERSOURCE, JOBS PARTNERSHIP AND LIFT ORLANDO. FOOD SECURITY OUR FOCUS ON ACCESS TO CARE WILL HELP SHAPE WHAT WE SUPPORT IN THE FUTURE REGARDING FOOD SECURITY. WE CURRENTLY WORK WITH COMMUNITY ORGANIZATIONS LIKE THE SECOND HARVEST FOOD BANK AND HEALTHY KIDS AND PARTICIPATE IN THE HEALTH AND HUNGER TASK FORCE. WE ALSO HAVE PROVIDED GRANT FUNDING TO SUPPORT THIS NEED. DISABILITY/INJURY PREVENTION OUR FOCUS ON ACCESS TO CARE WILL HELP SHAPE WHAT WE SUPPORT IN THE FUTURE REGARDING THIS NEED. WE CURRENTLY PROVIDE PROGRAMS AND EDUCATION TO THE COMMUNITY ON THIS MATTER AND WORK WITH COMMUNITY ORGANIZATIONS. IN ADDITION, OUR TRAUMA TEAM PROVIDES OUTREACH IN THE COMMUNITY ON BLEEDING CONTROL AND FALLS PREVENTION. POOR TRANSPORTATION IT IS OUR HOPE THAT OUR FOCUS ON ACCESS TO CARE WILL ALSO HELP ADDRESS THE TRANSPORTATION ISSUES IN OUR COMMUNITY. WE CURRENTLY PROVIDE ASSISTANCE TO OUR UNDERSERVED PATIENTS THAT FACE TRANSPORTATION BARRIERS. IN ADDITION, WE WORK WITH COMMUNITY ORGANIZATIONS LIKE SUNRAIL, LYNX AND SENIORS FIRST ON THIS MATTER. CANCER - OUR FOCUS ON ACCESS TO CARE WILL HELP SHAPE WHAT WE SUPPORT IN THE FUTURE REGARDING CANCER. WE CURRENTLY PROVIDE PROGRAMS AND SERVICES FOR CANCER AND WORK WITH COMMUNITY ORGANIZATIONS LIKE THE AMERICAN CANCER SOCIETY. WE ALSO OFFER THE CANCER SUPPORT COMMUNITY (CSC) PROGRAM AT ORLANDO HEALTH UF HEALTH CANCER CENTER. THROUGH THE CSC PATIENTS, FAMILY MEMBERS AND CAREGIVERS RECEIVE SUPPORT FOR FREE THROUGH VARIOUS PROGRAMS. IN ADDITION, IN FISCAL YEAR 2018, WE PLACED 40 NEW SUNSCREEN DISPENSERS AND MAINTAIN 73 TOTAL THROUGHOUT CENTRAL FLORIDA FOR THE GENERAL PUBLIC. THESE DISPENSERS WERE PROVIDED AT NO COST. OBESITY - OUR FOCUS ON ACCESS TO CARE WILL HELP SHAPE WHAT WE SUPPORT IN THE FUTURE REGARDING OBESITY. WE CURRENTLY PROVIDE PROGRAMS AND SERVICES FOR OBESITY AND WORK WITH COMMUNITY ORGANIZATIONS LIKE HEBNI NUTRITION, THE AMERICAN HEART ASSOCIATION AND THE AMERICAN DIABETES ASSOCIATION. SENIOR MOBILITY/FALLS - OUR
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

Supplemental Information Detail SupplementalInformationDetail (12 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, in FY18, Orlando Health, Inc. has adopted an improved Financial Assistance Policy in which the FPG was increased to 225% from 200%. A patients 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, Inc. 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 HEALTHS 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. THE PROVISION FOR BAD DEBTS, AS STATED IN THE FOOTNOTE OF THE AUDITED FINANCIAL STATEMENTS, IS BASED UPON MANAGEMENTS ASSESSMENT OF HISTORICAL AND EXPECTED COLLECTIONS OF ACCOUNTS RECEIVABLE CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AND CHARGED TO THE PROVISION FOR BAD DEBTS AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE SYSTEMS POLICIES. RECOVERIES ARE TREATED AS A REDUCTION TO THE PROVISION FOR BAD DEBTS. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. PERIODICALLY, MANAGEMENT PERFORMS A REVIEW AND ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. DATA RELATED TO PAYOR SOURCES OF REVENUE AND THE RESULTS OF THIS REVIEW ARE THEN USED TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES AND PROVISION FOR BAD DEBTS. ADDITIONALLY, FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, CONTRACTUALLY DUE AMOUNTS ARE ANALYZED AND COMPARED TO ACTUAL CASH COLLECTED OVER TIME TO ENHANCE THE QUALITY OF THE ESTIMATE OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND THE PROVISION FOR BAD DEBTS (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), A SIGNIFICANT ALLOWANCE FOR DOUBTFUL ACCOUNTS IS RECORDED ON THE BASIS OF HISTORICAL EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. AN ESTIMATE OF THE DIFFERENCE BETWEEN CONTRACTED RATES AND AMOUNTS ACTUALLY COLLECTED, AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED, IS CHARGED TO THE PROVISION FOR BAD DEBTS AND CREDITED TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. ALLOWANCES FOR DOUBTFUL ACCOUNTS INCREASED APPROXIMATELY $88,393,000 DURING THE YEAR ENDED SEPTEMBER 30, 2018, FROM $160,404,000 AT SEPTEMBER 30, 2017, TO $248,797,000 AT SEPTEMBER 30, 2018. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS INCLUDES APPROXIMATELY $78,117,000 AND $58,886,000 IN AMOUNTS DUE FROM THIRD-PARTY PAYORS, INCLUDING THE PATIENT RESPONSIBILITY PORTION INCLUDED IN THESE ACCOUNTS AT SEPTEMBER 30, 2018 AND 2017, RESPECTIVELY. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY HOSPITAL PATIENTS AS A PERCENT OF RELATED SELF-PAY ACCOUNTS RECEIVABLE WAS 96% AND 95% AT SEPTEMBER 30, 2018 AND 2017. THE PROVISION FOR BAD DEBTS INCREASED FROM APPROXIMATELY $144,060,000 FOR THE YEAR ENDED SEPTEMBER 30, 2017, TO $421,614,000 FOR THE YEAR ENDED SEPTEMBER 30, 2018 WITH APPROXIMATELY $107,412,000 ATTRIBUTED TO LAKELAND REGIONAL HEALTH SYSTEMS, INC. DURING THE YEAR ENDED SEPTEMBER 30, 2017, THE SYSTEM DETERMINED THERE WERE A SIGNIFICANT NUMBER OF PREVIOUSLY RESERVED PATIENT ACCOUNTS THAT QUALIFIED FOR CHARITY STATUS. DURING 2017 THE RELATED AMOUNTS WERE RECLASSIFIED FROM THE PROVISION FOR BAD DEBTS TO CHARITY CARE, RESULTING IN A REDUCTION TO THE PROVISION FOR BAD DEBT AND AN INCREASE IN CHARITY CARE. WHILE ACCOUNTS WERE RECLASSIFIED AGAIN IN THE YEAR ENDED SEPTEMBER 30, 2018 IT WAS NOT TO THE VOLUME THAT WAS EXPERIENCED IN THE YEAR ENDED SEPTEMBER 30, 2017. THEREFORE, THE PROVISION FOR BAD DEBTS IN THE YEAR ENDED SEPTEMBER 30, 2018 IS HIGHER DUE TO NOT HAVING THE OFFSET TRANSACTIONS AS IN THE YEAR ENDED SEPTEMBER 30, 2017. THIS CHANGE IS NOT EXPECTED TO HAVE AN IMPACT ON NET PATIENT SERVICE REVENUE LESS PROVISION FOR BAD DEBTS BECAUSE CHARITY SERVICES ARE NOT RECORDED AS REVENUE. IN ADDITION, THE SELF PAY DISCOUNT WAS DECREASED FROM 65% TO 50% IN FISCAL YEAR 2018 WHICH LEAVES A LARGER BALANCE THAT CAN POTENTIALLY BE CLASSIFIED TO BAD DEBT EXPENSE.
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.
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	NEEDS ASSESSMENT IN 2016, ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER (ORMC), ORLANDO HEALTH DR. P. PHILLIPS HOSPITAL, ORLANDO HEALTH CENTRAL, ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL, ORLANDO HEALTH ARNOLD PALMER HOSPITAL FOR CHILDREN, ORLANDO HEALTH WINNIE PALMER HOSPITAL FOR WOMEN & BABIES AND SOUTH LAKE HOSPITAL IN AFFILIATION WITH ORLANDO HEALTH 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	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE ORLANDO HEALTH FOLLOWS AN ESTABLISHED PROCESS TO INFORM ALL PATIENTS OF ITS CHARITY CARE AND UNINSURED DISCOUNT POLICIES. DURING PREADMISSION, AT REGISTRATION OR AT BEDSIDE, UNINSURED PATIENTS ARE INFORMED OF THE HOSPITAL'S CHARITY CARE POLICY AND OTHER FINANCIAL ASSISTANCE. FINANCIAL INFORMATION IS SECURED FOR ALL UNINSURED PATIENTS TO SCREEN FOR POSSIBLE ENROLLMENT IN FEDERAL, STATE, AND LOCAL PROGRAMS. ORLANDO HEALTH HAS CONTRACTED DEDICATED ORGANIZATIONS THAT ASSIST THE PATIENT WITH THEIR ENROLLMENT PROCESS ALL THE WAY TO APPROVAL OR DENIAL BY THE RESPECTIVE AGENCIES. FOR UNINSURED PATIENTS THAT ARE DENIED COVERAGE OR DO NOT MEET THE COVERAGE CRITERION FOR A RESPECTIVE AGENCY, ORLANDO HEALTH THEN SCREENS THE PATIENT FOR CHARITY ELIGIBILITY. IT IS ORLANDO HEALTH'S OBJECTIVE TO PROVIDE CHARITY CARE TO OUR PATIENTS WHO DO NOT HAVE THE ABILITY TO PAY.
PART VI, LINE 4	COMMUNITY INFORMATION ORLANDO HEALTH CURRENTLY OPERATES 5 HOSPITALS IN CENTRAL FLORIDA WHICH HAS OVER TWO MILLION RESIDENTS AND THOUSANDS OF INTERNATIONAL VISITORS ANNUALLY. ORLANDO HEALTH HAS 16,069 EMPLOYEES AND 2,148 PHYSICIANS ON STAFF. AS A STATUTORY TEACHING HOSPITAL, WE OFFER GRADUATE MEDICAL EDUCATION WHERE WE ARE THE INSTITUTIONAL SPONSOR OF SEVEN RESIDENCY AND 19 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 278,608 PATIENTS VISITED OUR EMERGENCY DEPARTMENTS IN 2018. 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 371 ADULT TRAUMA PATIENTS IN 2018. ORLANDO HEALTH'S PRIMARY SERVICE AREA IS COMPRISED OF ORANGE, OSCEOLA, SEMINOLE AND LAKE COUNTIES. THE MEDIAN HOUSEHOLD INCOME IN THESE COUNTIES IS $55,889 WHEREAS THE AVERAGE HOUSEHOLD INCOME IS $77,735. IN CENTRAL FLORIDA, 15.4 PERCENT OF HOUSEHOLDS ARE BELOW THE FEDERAL POVERTY GUIDELINE. THE PERCENT UNINSURED (AGE 0-64) FOR THE FOUR COUNTY AREA IS 15 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	PROMOTION OF COMMUNITY HEALTH 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 2018, OUR TEAM MEMBERS AND PHYSICIANS PROVIDED OVER 1,246 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	AFFILIATED HEALTH CARE SYSTEM ORLANDO HEALTH, INC. IS THE PARENT ORGANIZATION OF AN INTEGRATED HEALTH SYSTEM THROUGH WHICH WE ARE ABLE TO PROVIDE AN ARRAY OF SERVICES TO IMPROVE THE HEALTH AND QUALITY OF LIFE FOR OUR COMMUNITY SERVED. AS AN INTEGRATED HEALTH SYSTEM, ORLANDO HEALTH HAS SEVERAL SUPPORT ORGANIZATIONS TO ENSURE WE MEET THE COMMUNITY'S NEEDS. ORLANDO HEALTH UF HEALTH CANCER CENTER 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 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 HEALTH PHYSICIAN 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 PHYSICIAN NETWORK, INC. 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 $571 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 (35 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt	Non Cash AssistanceNonCashAssistanceAmt
Valencia College Foundation Inc
1768 Park Center Dr 4th Flr	Orlando	FL	32835	237442785	501(c)(3)	$500,000	SPONSORSHIP
Foundation for Seminole State College of Florida
1055 AAA Drive	Heathrow	FL	32746	237033822	501(c)(3)	$506,650	SponsorshIP	Suite 565
Grace Medical Home Inc
51 Pennsylvania St	Orlando	FL	32806	261817966	501(c)(3)	$462,089	SponsorshIP	Suite 465
Florida State University Foundation
1115 W Call St	Tallahassee	FL	32306	596152180	501(c)(3)	$100,000	SponsorshiP
Orange County Public Schools
445 W Amelia St	Orlando	FL	32804	596000771	Gov't	$81,868	SponsorshiP
University of Central Florida Foundation
12424 Research Pkwy Ste 250	Orlando	FL	32826	596211832	501(c)(3)	$60,000	SPONSORSHIP	Suite 105
Shepherd's Hope Inc
4851 S Apopka Vineland Rd	Orlando	FL	32819	593420727	501(c)(3)	$53,360	Sponsorship	Suite 190
Florida Department of Health
400 W Airport Blvd	Sanford	FL	32773	593502843	Gov't	$25,350	Sponsorship	Suite 115
United Cerebral Palsy of Central Florida
3305 S Orange Ave	Orlando	FL	32806	590799925	501(c)(3)	$25,042	Sponsorship	Suite 330
Central Florida Commission on Homelessness
111 N Orange Ave Ste 1800	Orlando	FL	32801	460994106	501(c)(3)	$25,000	Sponsorship	Suite 565
LIFT Orlando Inc
215 E Central Blvd	Orlando	FL	32801	463607865	501(c)(3)	$25,000	SPONSORSHIP
The Boggy Creek Gang Inc
30500 Brantley Branch Rd	Eustis	FL	32736	593012889	501(c)(3)	$25,000	Sponsorship	Suite 105
Heart of Florida United Way
1940 Traylor Blvd	Orlando	FL	32804	590808854	501(c)(3)	$24,150	Sponsorship	Suite 201
Central Florida Young Mens Christian AsSn
433 N Mills Ave	Orlando	FL	32803	590624430	501(c)(3)	$21,500	Sponsorship
Orlando Science Center Inc
777 E Princeton St	Orlando	FL	32803	590896343	501(c)(3)	$20,500	SponsorshiP
Greater Orlando Children's Miracle Network
3160 Southgate Commerce Blvd Ste 6	Orlando	FL	32806	593452974	501(c)(3)	$20,000	Sponsorship
Impower Inc
3157 N Alafaya Trl	Orlando	FL	32826	650439778	501(c)(3)	$18,500	Sponsorship
American Heart Association Inc
237 E Marks St	Orlando	FL	32803	135613797	501(c)(3)	$15,000	Sponsorship
Junior Achievement of Central Florida Inc
2121 Camden Rd	Orlando	FL	32803	590972112	501(c)(3)	$15,000	Sponsorship
Seniors First Inc
5395 LB McLeod Rd	Orlando	FL	32811	592759603	501(c)(3)	$15,000	Sponsorship
Central Florida Foundation Inc
800 N Magnolia Ave Ste 1200	Orlando	FL	32803	593182886	501(c)(3)	$15,000	Sponsorship	Suite 115
City of Orlando
400 S Orange Ave	Orlando	FL	32802	596000396	Gov't	$14,028	SPONSORSHIP
Zebra Coalition Inc
911 N Mills Ave	Orlando	FL	32803	271645847	501(c)(3)	$13,000	SPONSORSHIP
Healthy Start Coalition of Orange County
1040 Woodcock Rd Ste 215	Orlando	FL	32803	593125675	501(c)(3)	$12,500	SPONSORSHIP
Crohns & Colitis Foundation
PO Box 701130	St Cloud	FL	34770	136193105	501(c)(3)	$12,500	SPONSORHSIP
Adult Literacy League
345 W Michigan St 100	Orlando	FL	32806	237076600	501(c)(3)	$11,500	SPONSORSHIP
Children's Home Society of Florida
1485 S Semoran Blvd Ste 1448	Winter Park	FL	32792	590192430	501(c)(3)	$11,252	SPONSORSHIP
Orange County School Readiness Coalition
PO Box 540387	Orlando	FL	32854	311759186	501(c)(3)	$10,500	SPONSORSHIP
A Gift for Teaching Inc
6501 Magic Way Bldg 400C	Orlando	FL	32809	593515162	501(c)(3)	$10,000	SPONSORSHIP
Orlando Museum of Art
2416 N Mills Ave	Orlando	FL	32803	590910352	501(c)(3)	$10,000	SPONSORSHIP
Live Like Bella Inc
PO Box 161215	Miami	FL	33116	462965698	501(c)(3)	$10,000	SPONSORSHIP
Leukemia & Lymphoma Society
3301 Maguire Blvd Ste 101	Orlando	FL	32803	135644916	501(c)(3)	$7,500	SPONSORSHIP
NAMI Greater Orlando
1800 Mercy Dr Ste 300	Orlando	FL	32808	592600149	501(c)(3)	$7,500	SPONSORSHIP
University of Florida IFAS Extension
6021 S Conway Rd	Orlando	FL	32812	596002052	Gov't	$7,500	SPONSORSHIP
ORLANDO HEALTH MEDICAL GROUP INC
1414 KUHL AVE	ORLANDO	FL	32806	593259553	501(c)(3)	$117,940	PROGRAM SERVICE		$0

Field	Value	IRS element (for citing)
Total501c3 Org	31	Total501c3OrgCnt
Total Other Org	4	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 ORGANIZATIONS MISSION IS ALIGNED WITH ORLANDO HEALTHS, 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
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 (17 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	$0	$222,191	$0	$507,803	$0	$784,843	$0	$181,152	$0	$23,715	$0	$1,719,704	$0	$214,501
David W Strong
President & CEO	$1,162,105	$0	$761,521	$0	$1,932	$0	$249,390	$0	$28,173	$0	$2,203,121	$0	$0	$0
Bernadette Spong
CFO	$668,244	$0	$308,307	$0	$6,177	$0	$111,374	$0	$8,294	$0	$1,102,396	$0	$0	$0
Mildred Denise Beam
Chief Legal Strategist	$446,575	$0	$212,708	$0	$72,173	$0	$75,469	$0	$16,789	$0	$823,714	$0	$70,163	$0
Thibaut Van Marcke De Lummen
SVP, OH & Pres, DPH	$330,171	$0	$124,284	$0	$1,251	$0	$59,562	$0	$28,223	$0	$543,491	$0	$0	$0
Jamal A Hakim MD
Chief Operating Officer	$810,834	$0	$372,382	$0	$238,720	$0	$144,792	$0	$0	$0	$1,566,728	$0	$233,541	$0
David F Huddleson
VP, Chief Compliance & Ethics	$262,985	$0	$127,207	$0	$30,753	$0	$46,034	$0	$19,050	$0	$486,029	$0	$24,460	$0
Mark A Jones
SVP, OH & President, ORMC	$466,328	$0	$181,298	$0	$54,208	$0	$83,686	$0	$20,203	$0	$805,723	$0	$49,593	$0
Kathy A Swanson until 318
SVP, OH & Pres, APMC	$433,077	$0	$217,212	$0	$66,121	$0	$81,046	$0	$22,325	$0	$819,781	$0	$60,484	$0
John W Bozard
SVP, OH & Pres, APMCF & OHF	$245,152	$245,152	$117,850	$117,850	$47,206	$47,206	$15,810	$15,810	$9,652	$9,652	$435,670	$435,670	$0	$0
John Richard Schooler
VP, CIO (Until 10/17)	$478,581	$0	$207,139	$0	$467,348	$0	$62,215	$0	$19,928	$0	$1,235,211	$0	$161,956	$0
Erick R Hawkins
SVP, Strategic Management	$531,997	$0	$241,985	$0	$14,081	$0	$73,430	$0	$8,294	$0	$869,787	$0	$0	$0
Mary Farrell MD
Chief Pediatrician, APH	$450,899	$0	$75,682	$0	$23,176	$0	$33,898	$0	$0	$0	$583,655	$0	$0	$0
Karen L Frenier
VP, OH & CHRO	$335,428	$0	$151,986	$0	$96,884	$0	$60,202	$0	$24,272	$0	$668,772	$0	$54,544	$0
Mark E Sand MD
Former Board Member	$0	$547,415	$0	$629,341	$0	$35,722	$0	$11,262	$0	$19,115	$0	$1,242,855	$0	$0
D Wayne Jenkins
Fmr SVP, OH, & Pres, OHPP	$0	$0	$0	$0	$554,652	$0	$0	$0	$0	$0	$554,652	$0	$554,652	$0
Nancy G Dinon
Fmr VP, Human Resources	$421,277	$0	$0	$0	$179,755	$0	$31,590	$0	$26,771	$0	$659,393	$0	$176,561	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1A	DURING FY18, 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 AND THERE WAS NO TAXABLE COMPENSATION FOR ANY OF THESE INDIVIDUALS.
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 PHYSICIAN 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 2017: NANCY DINON $181,241 JOHN RICHARD SCHOOLER $97,505
SCHEDULE J, PART I, LINE 4B	THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL QUALIFIED RETIREMENT PLAN, WHICH INCLUDED THE FOLLOWING DEPOSITS DURING CALENDAR YEAR 2017 THAT WERE PREVIOUSLY DEFERRED: MARY FARRELL $ 30,586 DAVID W. STRONG $238,128 BERNADETTE SPONG $100,112 MILDRED D. BEAM $ 72,157 THIBAUT VAN MARCKE DU LUMMEN $ 50,960 JAMAL A. HAKIM MD $133,530 DAVID F. HUDDLESON $ 34,772 MARK A. JONES $ 72,424 KATHY A. SWANSON $ 69,784 JOHN W. BOZARD $ 20,358 JOHN RICHARD SCHOOLER $ 51,062 KAREN L. FRENIER $ 52,149 NANCY G. DINON $ 24,150 ERICK R. HAWKINS $ 63,843 AURELIO DURAN $169,890 DEFERRAL DISTRIBUTIONS MADE TO THE FOLLOWING: MILDRED D. BEAM $ 70,163 JAMAL A. HAKIM $233,541 DAVID F. HUDDLESON $ 24,460 MARK A. JONES $ 49,593 KATHY A. SWANSON $ 60,484 JOHN RICHARD SCHOOLER $161,956 KAREN L. FRENIER $ 54,544 NANCY G. DINON $176,561 D. WAYNE JENKINS $554,652 AURELIO DURAN $214,501

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	6845035L5	2008-05-15	$155,816,665	Convert Series 2005A, 2006A1 & A2	Yes (true)	false	false
Orange County Health Facilities Authority
B	521378595	6845035US	2008-06-18	$179,360,000	Refund Series 1999A, 1999B & 1999C	false	false	false
ORANGE COUNTY HEALTH FACILITIES AUTHORITY
C	521378595	64850LAY1	2009-12-16	$244,229,719	RFD SRS 1999D, 1999E, 2004 & 2008D	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	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$18,125,000	$136,550,000	$155,816,665	$0	$0	$155,816,665	$0	$0	$0	$0	$0	$0	2008	Yes (true)	false	Yes (true)	Yes (true)
B	$130,825,000	$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)
C	$82,975,000	$0	$244,229,719	$0	$0	$0	$3,220,489	$0	$0	$0	$241,009,230	$0	2009	Yes (true)	false	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	0.00000	0.00000	false	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	false	0.00040	0.00040	false	false	false	Yes (true)
C	false	Yes (true)	Yes (true)	Yes (true)	false	0.00740	0.00740	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	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd
0
A	false	false	false	Yes (true)	false	false	false	0	false	Yes (true)
MORGAN STANLEYDEXIA
B	false	false	false	Yes (true)	Yes (true)	Yes (true)	false	0	false	Yes (true)	13.1	false	false
0
C	false	false	false	Yes (true)	false	false	false	0	false	Yes (true)
MORGAN STANLEY
D	false	false	false	Yes (true)	Yes (true)	Yes (true)	false	0	false	Yes (true)	28.	false	false

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 2008A&B TO CONVERT SERIES 2005A (ISSUE DATE 05/26/05) AND SERIES 2006A1&A2 (ISSUE DATE 1/25/06) TO FIXED INTEREST RATE. PORTION OF 2008A&B WERE ADVANCE REFUNDED BY 2016A SERIES ISSUED 04/27/2016. REMAINDER OF 2008A&B WERE ADVANCE REFUNDED BY 2018 SERIES (TAXABLE) ISSUED 02/06/2018. 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. 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.

SCHEDULE K, PART IV, LINE 2C

LAST DATE REBATE COMPUTATION WAS PERFORMED FOR ARBITRAGE SERIES 2008A CONVERT SERIES 2005A, 2006A1& A2 2/6/2018 (FINAL) SERIES 2008B CONVERT SERIES 2005A, 2006A1& A2 2/6/2018 (FINAL) SERIES 2008E REFUND SERIES 1999A, 1999B & 1999C 2/5/2018 SERIES 2009 REFUND SRS 1999D, 1999E, 2004 & 2008D 1/14/2014 SERIES 2011 REFUND SERIES 2007A-1 & A-2 BONDS 2/5/2013 SERIES 2012 ORMC REDEVELOPMENT PROJECT 5/23/2017

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	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	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	$1,585,017	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 (9 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 IMMEDIATE PAST CHAIRMAN OF THE BOARD OF DIRECTORS. 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 THE 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 ALSO SERVE AS THE COMPENSATION COMMITTEE.
FORM 990, PART VI, LINE 2	BUSINESS RELATIONSHIPS BERNADETTE SPONG, JAMAL HAKIM MD, JOHN CAPPLEMAN, KATHY SWANSON 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 6	DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS A GROUP OF 40 MEMBERS OF THE COMMUNITY WAS ESTABLISHED WHEN ORLANDO HEALTH WAS CREATED. THIS SELF-PERPETUATING GROUP ELECTS THE GOVERNING BODY OF ORLANDO HEALTH. THIS GROUP DOES NOT APPROVE DECISIONS OF THE GOVERNING BODY, NOR DOES IT RECEIVE A SHARE OF THE INCOME OR NET ASSETS OF ORLANDO HEALTH.
FORM 990, PART VI, LINE 7A	MEMBERS OF STOCKHOLDERS WHO MAY ELECT THE GROUP OF 40 MEMBERS DESCRIBED ABOVE ELECTS THE GOVERNING BODY OF ORLANDO HEALTH, INC.
FORM 990, PART VI, LINE 11B	FORM 990 REVIEW PROCESS THE CFO AND THE FINANCE DEPARTMENT REVIEWED THE FORM 990 AND ANY REQUIRED CHANGES THAT WERE MADE TO THE FORM 990. THE FINAL FORM 990 WAS THEN PROVIDED TO ALL MEMBERS OF THE BOARD TO REVIEW. ANY QUESTIONS ABOUT THE CONTENT WERE ANSWERED AND ANY CHANGES REQUIRED OF THE REVIEW WERE MADE.
FORM 990, PART VI, LINE 12C	CONFLICT OF INTEREST POLICY MENTORING AND ENFORCEMENT THE ORGANIZATION HAS A DEDICATED COMPLIANCE DEPARTMENT WITH AN ANONYMOUS HOTLINE FOR REPORTING. THE COMPLIANCE DEPARTMENT PERFORMS INTERNAL AUDITS AND MONITORS ALL ANNUAL CONFLICT OF INTEREST QUESTIONNAIRES FOR ALL RELATED ORGANIZATIONS. BOARD MEMBERS ROUTINELY ANNOUNCE CONFLICTS AT BOARD MEETINGS AND LEAVE THE ROOM FOR THE DISCUSSION AND THE VOTE.
FORM 990, PART VI, LINE 15A	OFFICERS AND POSITIONS FOR WHICH COMPENSATION PROCESS WAS USED THE EXECUTIVE COMPENSATION PROCESS AT ORLANDO HEALTH IS ADMINISTERED BY A COMMITTEE OF INDEPENDENT BOARD MEMBERS. THEY FOLLOW A BOARD APPROVED CHARTER AND OVERALL EXECUTIVE COMPENSATION PHILOSOPHY. THIS PROCESS APPLIES TO THE CEO, ALL OFFICERS AND WAS IMPLEMENTED PRIOR TO OCTOBER 1, 2006. THE CHARTER EMPOWERS THE COMPENSATION COMMITTEE TO ADMINISTER THE EXECUTIVE COMPENSATION PROGRAM AND PROCESS ON BEHALF OF THE FULL BOARD OF TRUSTEES. OVERALL, THE PHILOSOPHY IS INTENDED TO REWARD A BROAD SPECTRUM OF HIGH ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE EXPECTATIONS, PROMOTE RETENTION OF KEY MANAGEMENT TALENT AND ENSURE THAT COMPENSATION AND BENEFITS DO NOT EXCEED MARKET NORMS. ORLANDO HEALTH'S EXECUTIVE COMPENSATION PHILOSOPHY DEFINES THE MARKET FOR ADMINISTERING COMPENSATION AS A COMPARABLE SET OF NOT-FOR-PROFIT HEALTH CARE DELIVERY SYSTEMS. TO FULFILL THEIR RESPONSIBILITY TO LOOK AT RELEVANT MARKET DATA, AND BECAUSE OF THE SCALE AND COMPLEXITY OF THE ORGANIZATION, THE COMMITTEE REVIEWS INFORMATION FROM MULTIPLE SOURCES OF MARKET DATA. THEY USE THIS INFORMATION TO SUPPORT THEIR DECISIONS REGARDING ON-GOING ADMINISTRATION OF THE PROGRAM. ORLANDO HEALTH PROVIDES COMPENSATION TO ITS SENIOR EXECUTIVES IN THE FORM OF BASE SALARY, AN ANNUAL INCENTIVE PROGRAM, AND EXECUTIVE BENEFITS. THE COMPENSATION COMMITTEE IS COMPRISED OF 5 INDEPENDENT MEMBERS OF THE BOARD. THE COMMITTEE IS EMPOWERED TO ENGAGE OUTSIDE COUNSEL AND CONSULTING SUPPORT, WHICH THEY DO. THE COMPENSATION COMMITTEE'S INDEPENDENT COMPENSATION CONSULTANT AND COUNSEL OPINE TO THE COMPENSATION COMMITTEE THAT THE LEVEL OF THE COMPENSATION PAID AND THE PROCESS BY WHICH COMPENSATION IS ESTABLISHED MEET APPLICABLE IRS REASONABLENESS AND "SAFE HARBOR" STANDARDS.
FORM 990, PART VI, LINE 19	AVAILABILITY OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS TO THE PUBLIC THESE DOCUMENTS ARE MADE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST IN ACCORDANCE WITH FEDERAL TAX LAW PUBLIC INSPECTION REQUIREMENTS.
FORM 990, PART XI, LINE 9	OTHER CHANGES IN NET ASSETS OR FUND BALANCES AFFILIATED EQUITY TRANSFERS $(135,046,000) CONTRIBUTIONS - BOOK/TAX DIFFERENCES $( 9,782,039) OTHER CHANGES AND EXTRAORDINARY ITEMS $( 734,179) ============= TOTAL $(145,562,218)

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 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	SUPPORT OHC	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 PHYSICIAN GROUP INC
1414 KUHL AVENUE	ORLANDO	FL	32806	593259553	PHY SUPPT SRV	FL	501(c)(3)	12A	OHI	Yes (true)
LAKELAND REGIONAL MEDICAL CENTER FND
1324 LAKELAND HILLS BOULEVARD	LAKELAND	FL	33805	237134974	FUNDRAISING	FL	501(c)(3)	12A	LRHS	Yes (true)
LAKELAND REGIONAL MEDICAL CENTER INC
1324 LAKELAND HILLS BOULEVARD	LAKELAND	FL	33805	592650456	HEALTHCARE	FL	501(c)(3)	3	LRHS	Yes (true)
LAKELAND REGIONAL HEALTH SYSTEMS INC
1324 LAKELAND HILLS BOULEVARD	LAKELAND	FL	33805	592650464	SUPPORT OTHER	FL	501(c)(3)	12A	OHI	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
POLK STARLIGHT SLEEP LABS LLC
3003 SOUTH FLORIDA AVENUE STE 203	LAKELAND	FL	33803	202108795	TESTING FACILITY	FL	LRHS	RELATED	$0	$0	false	$0	false	0.51000
LIFT ORLANDO IMPACT INVESTMENT FUND LLC
2043 JACOBS PLACE	ORLANDO	FL	32805	814062133	REAL ESTATE	FL	OHI	EXCLUDED	-$20,382	$2,756,809	false	$0	false	0.51375

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 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	-$18,106,615	$129,407,718	1.00000	Yes (true)
ORANGE INDEMNITY LTD
				980516252	CAPTIVE INS		OHI	C CORP	$75,000	$1,968,204	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)
LAKELAND REGIONAL HEALTH VENTURES INC
1324 LAKELAND HILLS BOULEVARD	LAKELAND	FL	33805	592650902	MEDICAL SVCS	FL	LRHS	C CORP	$0	$0	0.00000	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	Yes (true)	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 (38 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ORLANDO HEALTH FOUNDATION INC
c	$14,509,251	FMV
ORLANDO HEALTH CENTRAL INC
i	$2,420,573	FMV
ORLANDO HEALTH MEDICAL GROUP INC
j	$9,749,623	FMV
ORLANDO HEALTH CENTRAL INC
k	$2,305,474	FMV
ORLANDO HEALTH CENTRAL INC
l	$4,091,101	FMV
HEALTHNET SERVICES INC
l	$55,077	FMV
ORLANDO HEALTH MEDICAL GROUP INC
l	$2,076,932	FMV
ORANGE INDEMNITY LTD
m	$75,000	FMV
ORLANDO HEALTH FOUNDATION INC
n	$1,934,048	FMV
ORLANDO HEALTH FOUNDATION INC
o	$4,908,396	FMV
ORLANDO HEALTH CENTRAL INC
o	$73,336,241	FMV
ORLANDO HEALTH MEDICAL GROUP INC
o	$311,125,268	FMV
ORLANDO PHYSICIANS NETWORK INC
o	$3,887,694	FMV
ORLANDO HEALTH CENTRAL INC
q	$12,283,920	FMV
ORLANDO HEALTH MEDICAL GROUP INC
q	$43,634,521	FMV
ORLANDO PHYSICIANS NETWORK INC
q	$814,233	FMV
ORLANDO HEALTH FOUNDATION INC
q	$1,752,513	FMV
PHYSICIAN ASSOCIATES LLC
q	$38,352,891	FMV
OHRI LLC
q	$119,150	FMV
ORLANDO HEALTH MEDICAL GROUP INC
r	$125,000,000	FMV
ORLANDO PHYSICIANS NETWORK INC
r	$1,575,000	FMV
ORLANDO HEALTH PHYSICIAN PARTNERS INC
r	$1,000,000	FMV
ORLANDO HEALTH CENTRAL INC
r	$1,434,728	FMV
PHYSICIAN ASSOCIATES LLC
r	$834,000	FMV
HEALTHNET SERVICES INC
r	$7,470,000	FMV
ORLANDO HEALTH CENTRAL INC
s	$709,559	FMV
OHRI LLC
r	$4,700,000	FMV
PHYSICIAN ASSOCIATES LLC
j	$4,819,053	FMV
OHRI LLC
j	$272,597	FMV
ORLANDO HEALTH CENTRAL INC
p	$559,237	FMV
ORLANDO PHYSICIANS NETWORK INC
j	$585,149	FMV
ORLANDO HEALTH MEDICAL GROUP INC
b	$117,940	FMV
LAKELAND REGIONAL MEDICAL CENTER
j	$992,742	FMV
LAKELAND REGIONAL PHYSICIAN GROUP
j	$3,132,188	FMV
LAKELAND REGIONAL MEDICAL CENTER
q	$5,100,263	FMV
LAKELAND REGIONAL PHYSICIAN GROUP
q	$1,938,842	FMV
HEALTHNET SERVICES INC
q	$434,447	FMV
ORLANDO SURGERY CENTER LLC
r	$1,936,000	FMV

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R, PART III, LINES 1 AND 2	FormAndLineReferenceDesc
Explanation	POLK STARLIGHT SLEEP LABS, LLC EIN: 20-2108795 ADDRESS: 3003 S. FLORIDA AVENUE, LAKELAND, FL 33803 LIFT ORLANDO IMPACT INVESTMENT FUND, LLC EIN: 81-4062133 ADDRESS: 2043 JACOBS PLACE, ORLANDO, FL 32805 SCHEDULE R, PART VII SUPPLEMENTAL INFORMATION 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.	ExplanationTxt