ORLANDO HEALTH INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: ORLANDO HEALTH INC (EIN 59-1726273)
Tax period: 2016-10-01 to 2017-09-30
Filed: 2018-07-12
IRS object ID: 201801939349301320
Schema version: 2016v3.1
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	2018-07-12T16:04:01-05:00	ReturnTs
Tax Period End	2017-09-30	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	55 IVAN ALLEN JR BLVD 1000	AddressLine1Txt
City	ATLANTA	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	30308	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-10-01	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	2018-05-31	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MICHAEL KUCZYNSKI	PreparerPersonNm
PTIN	P01226533	PTIN
Phone	4048748300	PhoneNum

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2022-09-23 18:48:47Z	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	$2,490,343,352	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	12	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	15424	TotalEmployeeCnt
Total Volunteers	1542	TotalVolunteersCnt
Total Gross UBI	$11,324,238	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$1,044,170	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$14,652,978	PYContributionsGrantsAmt
CY Contributions Grants	$12,435,401	CYContributionsGrantsAmt
PY Program Service Revenue	$1,945,332,284	PYProgramServiceRevenueAmt
CY Program Service Revenue	$2,142,199,312	CYProgramServiceRevenueAmt
PY Investment Income	$14,463,190	PYInvestmentIncomeAmt
CY Investment Income	$39,071,791	CYInvestmentIncomeAmt
PY Other Revenue	$1,404,413	PYOtherRevenueAmt
CY Other Revenue	$1,879,851	CYOtherRevenueAmt
PY Total Revenue	$1,975,852,865	PYTotalRevenueAmt
CY Total Revenue	$2,195,586,355	CYTotalRevenueAmt
PY Grants And Similar Paid	$747,710	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,588,501	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$822,988,062	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$914,541,742	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$80,420	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$31,842	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$6,924,837	CYTotalFundraisingExpenseAmt
PY Other Expenses	$862,171,775	PYOtherExpensesAmt
CY Other Expenses	$907,262,936	CYOtherExpensesAmt
PY Total Expenses	$1,685,987,967	PYTotalExpensesAmt
CY Total Expenses	$1,823,425,021	CYTotalExpensesAmt
PY Revenues Less Expenses	$289,864,898	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$372,161,334	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,837,480,510	TotalAssetsBOYAmt
Total Assets EOY	$3,214,282,790	TotalAssetsEOYAmt
Total Liabilities BOY	$1,278,472,120	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,335,935,799	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,559,008,390	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,878,346,991	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	$1,496,067,636	ExpenseAmt
Grant	$1,588,501	GrantAmt
Revenue	$2,142,199,312	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 COMMUNITY-BASED SYSTEM OF PHYSICIAN PRACTICES, HOSPITALS AND 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 WILL CONTINUE TO FOSTER GROWTH AND DEVELOPMENT THROUGHOUT THE REGION FOR GENERATIONS TO COME. OUR SYSTEM INCLUDES: 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. ORMC OFFERS THE MOST ADVANCED CARE AVAILABLE FOR MEDICAL, SURGICAL, REHABILITATIVE AND EMERGENCY CARE NEEDS. ARNOLD PALMER HOSPITAL FOR CHILDREN - A PLACE OF HOPE AND HEALING, ARNOLD PALMER HOSPITAL IS DEDICATED EXCLUSIVELY TO THE HEALTHCARE NEEDS OF CHILDREN, OFFERING EXPERTISE IN A WIDE RANGE OF PEDIATRIC SPECIALTIES. WINNIE PALMER HOSPITAL FOR WOMEN & BABIES - WINNIE PALMER HOSPITAL IS DESIGNED TO MEET THE UNIQUE HEALTH NEEDS OF WOMEN AND 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. DR. P. PHILLIPS HOSPITAL - DR. P. PHILLIPS HOSPITAL IS A COMPREHENSIVE COMMUNITY HOSPITAL OFFERING A WIDE RANGE OF SPECIALIZED PROGRAMS AND SERVICES FOR OUR PATIENTS IN SOUTHWEST ORANGE COUNTY. 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. 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. AFFILIATED HOSPITALS - SOUTH LAKE HOSPITAL 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 17,000 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, 2017 WE HAD 409,695 DAYS OF INPATIENT CARE, 673,628 OUTPATIENT VISITS, 13,966 BIRTHS AND 267,430 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; CENTRAL FLORIDA FAMILY HEALTH CENTER; COMMUNITY HEALTH CENTERS, INC.; HEALTH CENTERS FOR THE HOMELESS; ORANGE COUNTY HEALTH SERVICES AND SHEPARDS HOPE MEDICAL CENTERS 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. COMPREHENSIVE TRAUMA CARE SERVICES INCLUDE DEDICATED, STATE-OF-THE-ART TRAUMA RESUSCITATION ROOMS, OPERATING ROOMS, RADIOLOGY, AND A 256-SLICE CT SCANNER. IN ADDITION TO TRAUMA CARE, THE ORLANDO HEALTH LEVEL ONE TRAUMA CENTER AND AIR CARE TEAM SERVE AS AN INTEGRAL RESOURCE FOR DISASTER READINESS AND RESPONSE PLANNING IN GREATER ORLANDO. IN 2017, 4,438 TRAUMA PATIENTS WERE ADMITTED, OF WHICH 1,357 PATIENTS REQUIRED LEVEL ONE TRAUMA RESPONSES. BERT MARTIN'S CHAMPIONS FOR CHILDREN EMERGENCY DEPARTMENT & TRAUMA CENTER AT ORLANDO HEALTHS ARNOLD PALMER HOSPITAL PROVIDES LEVEL ONE TRAUMA CARE TO PEDIATRIC PATIENTS. IN 2017, THROUGH MORE THAN 53,000 VISITS, OVER 800 PEDIATRIC PATIENTS RECEIVED SPECIALIZED EMERGENCY CARE AND OUR TEAM RESPONDED TO 230 PEDIATRIC TRAUMA ALERTS. WOMEN'S AND CHILDREN'S HEALTH SERVICES THE HOWARD PHILLIPS CENTER FOR CHILDREN & FAMILIES IS A CENTER OF EXCELLENCE, HELPING CHILDREN, HEALING FAMILIES AND STRENGTHENING COMMUNITIES. THE CENTER PROVIDES HEALTHCARE TO TEENS FROM LOW INCOME FAMILIES; SUPPORT AND EDUCATION FOR NEW PARENTS SO THEY MAY BUILD BETTER LIVES FOR THEMSELVES AND THEIR CHILDREN; MUCH NEEDED THERAPEUTIC SUPPORT FOR BABIES AND TODDLERS WITH DEVELOPMENTAL DISABILITIES AND DELAYS; AND A SAFE PLACE FOR CHILDREN TO RECOVER AND HEAL FROM THE TRAUMA OF ABUSE AND NEGLECT. IN FISCAL YEAR 2017, THE HOWARD PHILLIPS CENTER FOR CHILDREN & FAMILIES SERVED 16,511 CHILDREN AND THEIR FAMILIES. RESEARCH RESEARCH IS A KEY COMPONENT IN MAKING ORLANDO HEALTH A STATE-OF-THE-ART HEALTHCARE FACILITY IN CENTRAL FLORIDA. CLOSE TO $3 MILLION IN RESEARCH WAS COMPLETED IN 2017. ADDITIONAL FUNDS ARE CONTINUALLY SECURED FOR ONGOING RESEARCH ACTIVITIES OF THE ORGANIZATION, CONTINUING TO MAKE LEADING-EDGE TREATMENTS AVAILABLE TO PATIENTS. PRESENTLY, PATIENTS WITH A VARIETY OF CANCER TYPES ARE BEING FOLLOWED ON CLINICAL TRIALS, MORE THAN HALF OF THEM ARE NEWLY ENROLLED OR IN ACTIVE TREATMENT. CLINICAL RESEARCH IS INTEGRATED INTO THE ENTIRE CURRICULUM OF THE MEDICAL EDUCATION AND RESIDENCY PROGRAM, ENABLING RESIDENTS TO LEARN ABOUT RESEARCH ON A REGULAR BASIS AND TEACHING THEM THE METHODS OF INCORPORATING RESEARCH INTO THE PRACTICE OF MEDICINE. HEALTH EDUCATION ORLANDO HEALTH IS A DESIGNATED TEACHING HOSPITAL IN CENTRAL FLORIDA AND THE INSTITUTIONAL SPONSOR OF SEVEN RESIDENCY AND MULTIPLE FELLOWSHIP PROGRAMS; OUR COMMITMENT TO MEDICAL EDUCATION IS PART OF OUR CORE MISSION. WE SERVE AS A VALUABLE TRAINING SITE FOR MEDICAL STUDENTS FROM FLORIDA STATE UNIVERSITY, THE UNIVERSITY OF FLORIDA AND THE UNIVERSITY OF SOUTH FLORIDA, AS WELL AS FROM SCHOOLS THROUGHOUT THE UNITED STATES. ORLANDO HEALTH IS ALSO A MAJOR CLINICAL AND COMMUNITY PARTNER WITH THE UNIVERSITY OF CENTRAL FLORIDAS COLLEGE OF MEDICINE, PROVIDING FACULTY TO THE PROGRAM. NURSING AND ALLIED HEALTH PROFESSIONS IN RESPONSE TO THE NURSING AND NURSING FACULTY SHORTAGE, ORLANDO HEALTH UNDERWRITES KEY FACULTY POSITIONS AT LOCAL SCHOOLS, INCLUDING VALENCIA COMMUNITY COLLEGE, SEMINOLE STATE COLLEGE, THE UNIVERSITY OF CENTRAL FLORIDA AND W.R. BOONE HIGH SCHOOL HEALTHCARE ACADEMY. THESE PROGRAMS INCLUDE FACULTY FOR NURSING, RADIOLOGY, CARDIOVASCULAR TECHNOLOGY AND A HIGH SCHOOL HEALTHCARE ACADEMY INSTRUCTOR. CLINICAL PASTORAL EDUCATION IS ALSO PROVIDED BY THE SPIRITUAL CARE DEPARTMENT WITH A CLINICAL SET	Desc
Total Program Service Expenses	$1,496,067,636	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	Yes (true)	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	891	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	15424	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	12	GoverningBodyVotingMembersCnt
Independent Voting Member	9	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 MP8	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 (33 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
Mary Farrell MD
Board member (until 7/17)	55.0	0.0	Yes (X)	$555,744	$0	$32,187
Roy Haley
Board member (until 3/17)	2.0	0.0	Yes (X)	$0	$0	$0
Carolyn Karraker
Board member	2.0	0.0	Yes (X)	$0	$0	$0
Rex V McPherson II
Board member (until 6/17)	2.0	0.0	Yes (X)	$0	$0	$0
Dianna Morgan
Board member (until 3/17)	2.0	0.0	Yes (X)	$0	$0	$0
Philip Rich
Board member (until 3/17)	2.0	2.0	Yes (X)	$0	$0	$0
Ray Sandhagen
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 (Beg. 3/17)	2.0	0.0	Yes (X)	$0	$0	$0
M Kathryn Garrett MD
Board member (Beg. 3/17)	2.0	2.0	Yes (X)	$0	$0	$0
Charles Heard MD
Board member (Beg. 3/17)	2.0	0.0	Yes (X)	$0	$0	$0
David W Strong
President & CEO	55.0	5.0	Yes (X)	$1,702,797	$0	$269,183	Yes (X)
C David Brown II
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
Aurelio Duran MD
Board member	2.0	55.0	Yes (X)	$0	$1,303,900	$35,167
Bernadette Spong
CFO	55.0	8.0		$901,177	$0	$118,076	Yes (X)
Mildred D Beam
SVP, Legal Aff & Gen Counsel	55.0	0.0		$674,128	$0	$79,279		Yes (X)
Thibaut Van Marcke De Lummen
SVP, OH & Pres, DPH	55.0	0.0		$373,309	$0	$43,464		Yes (X)
Jamal A Hakim MD
Chief Operating Officer	55.0	10.0		$1,158,180	$0	$129,224		Yes (X)
David F Huddleson
VP, Chief Compliance & Ethics	55.0	0.0		$410,972	$0	$57,823		Yes (X)
Mark A Jones
SVP, OH & President, ORMC	55.0	5.0		$677,431	$0	$86,271		Yes (X)
Kathy A Swanson
SVP, OH & Pres, APMC	55.0	2.0		$664,019	$0	$94,605		Yes (X)
John Richard Schooler
VP, Chief Information Officer	55.0	3.0		$786,145	$0	$93,245			Yes (X)
Karen L Frenier
SVP, OH & Pres,SSH	55.0	0.0		$491,996	$0	$77,441			Yes (X)
Nancy G Dinon
VP, Human Resources	55.0	0.0		$601,226	$0	$81,767			Yes (X)
Erick R Hawkins
SVP, Strategic Management	55.0	2.0		$653,966	$0	$75,638			Yes (X)
John W Bozard
SVP, OH & PRES, APMCF & OHF	25.0	30.0		$402,635	$402,635	$47,662			Yes (X)
Mark E Sand MD
FR BRD MEMBER (TRM END 7/15)	0.0	0.0		$0	$1,163,691	$27,345				Yes (X)
Paul A Goldstein
VP,FIN & ADMIN	0.0	0.0		$287,494	$0	$16,247				Yes (X)
Cynthia A Powell MD
SVP, OH	0.0	0.0		$0	$386,055	$15,211				Yes (X)
Karl W Hodges
VP	0.0	0.0		$264,348	$0	$11,647				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$10,605,567	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,256,281	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,391,482	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	549	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
BRASFIELD GORRIE LLC
3021 7TH AVENUE S	BIRMINGHAM	AL	35233	CONSTRUCTION SERVICE	$11,210,921
AVI FOODSYSTEMS INC
2590 ELM RD NE	WARREN	OH	44483	FOOD SERVICES	$11,204,182
ALLSCRIPTS HEALTHCARE LLC
8529 SIX FORKS RD	RALEIGH	NC	27615	COMPUTER SERVICES	$8,394,706
VARIAN MEDICAL SYSTEMS INC
3100 HANSEN WAY	PALO ALTO	CA	94304	MAINTENANCE & REPAIR	$7,115,303
J ROBINSON GROUP LLC
1416 LAKE SHORE DR	ORLANDO	FL	32803	CONSULTING SERVICES	$5,833,163

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	325	CntrctRcvdGreaterThan100KCnt
Fundraising	$0	FundraisingAmt
Related Organizations	$7,203,502	RelatedOrganizationsAmt
Government Grants	$822,650	GovernmentGrantsAmt
All Other Contributions	$4,409,249	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$12,435,401	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NET PATIENT SERVICE REVENUE	621990	$2,038,258,639	$2,028,182,802	$10,075,837	$0
MANAGEMENT FEES	900099	$9,733,220	$9,733,220	$0	$0
FITNESS CENTER	713940	$1,596	$0	$1,596	$0
OTHER PROGRAM SERVICE REVENUE	621990	$94,205,857	$93,664,456	$541,401	$0

Field	Value	IRS element (for citing)
Total Program Service Revenue	$2,142,199,312	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$21,997,700	TotalRevenueColumnAmt
Exclusion	$21,997,700	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$430,283	TotalRevenueColumnAmt
Exclusion	$430,283	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,462	TotalRevenueColumnAmt
Unrelated Business Revenue	$1,462	UnrelatedBusinessRevenueAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$5,382,033	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$4,028,614	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,353,419	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,353,419	TotalRevenueColumnAmt
Unrelated Business Revenue	$221,252	UnrelatedBusinessRevenueAmt
Exclusion	$1,132,167	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$286,626,894	SecuritiesAmt
Other	$20,745,297	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$283,541,413	SecuritiesAmt
Other	$7,186,970	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$3,085,481	SecuritiesAmt
Other	$13,558,327	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$16,643,808	TotalRevenueColumnAmt
Exclusion	$16,643,808	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
PARKING GARAGE	621990	$42,280	$0	$0	$42,280
PHYSICIANS ANSWERING SERVICE	567499	$415,490	$0	$415,490	$0
INFANT PICTURE CONTRACT	900099	$67,200	$0	$67,200	$0

Field	Value	IRS element (for citing)
Other Revenue Total	$524,970	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,195,586,355	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,131,580,478	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$11,324,238	UnrelatedBusinessRevenueAmt
Exclusion	$40,246,238	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,588,501	TotalAmt
Program Services	$1,588,501	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$8,485,532	TotalAmt
Program Services	$3,049,052	ProgramServicesAmt
Management And General	$5,436,480	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$697,629,421	TotalAmt
Program Services	$567,277,017	ProgramServicesAmt
Management And General	$126,301,316	ManagementAndGeneralAmt
Fundraising	$4,051,088	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$27,898,466	TotalAmt
Program Services	$22,691,695	ProgramServicesAmt
Management And General	$5,191,083	ManagementAndGeneralAmt
Fundraising	$15,688	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$127,358,731	TotalAmt
Program Services	$102,923,675	ProgramServicesAmt
Management And General	$23,764,500	ManagementAndGeneralAmt
Fundraising	$670,556	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$53,169,592	TotalAmt
Program Services	$43,921,735	ProgramServicesAmt
Management And General	$9,002,460	ManagementAndGeneralAmt
Fundraising	$245,397	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$7,978	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$7,978	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$7,804,728	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$7,804,728	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$359,463	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$359,463	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$358,969	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$358,969	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$31,842	TotalAmt
Fundraising	$31,842	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$283,626	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$283,626	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$128,145,469	TotalAmt
Program Services	$92,191,744	ProgramServicesAmt
Management And General	$35,823,418	ManagementAndGeneralAmt
Fundraising	$130,307	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$16,898,587	TotalAmt
Program Services	$8,312,485	ProgramServicesAmt
Management And General	$8,514,277	ManagementAndGeneralAmt
Fundraising	$71,825	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$35,773,778	TotalAmt
Program Services	$28,474,608	ProgramServicesAmt
Management And General	$6,805,865	ManagementAndGeneralAmt
Fundraising	$493,305	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$44,244,464	TotalAmt
Program Services	$14,820,668	ProgramServicesAmt
Management And General	$29,189,921	ManagementAndGeneralAmt
Fundraising	$233,875	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	$96,461,840	TotalAmt
Program Services	$67,852,431	ProgramServicesAmt
Management And General	$28,110,553	ManagementAndGeneralAmt
Fundraising	$498,856	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$3,342,589	TotalAmt
Program Services	$2,009,477	ProgramServicesAmt
Management And General	$1,135,564	ManagementAndGeneralAmt
Fundraising	$197,548	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	$658,819	TotalAmt
Program Services	$425,592	ProgramServicesAmt
Management And General	$182,179	ManagementAndGeneralAmt
Fundraising	$51,048	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$36,588,124	TotalAmt
Program Services	$29,818,382	ProgramServicesAmt
Management And General	$6,769,742	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	$107,451,917	TotalAmt
Program Services	$87,570,553	ProgramServicesAmt
Management And General	$19,876,343	ManagementAndGeneralAmt
Fundraising	$5,021	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$20,245,008	TotalAmt
Program Services	$20,144,691	ProgramServicesAmt
Management And General	$100,317	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$350,246,832	$350,246,832	$0	$0
PATIENT MED ASST TRUST FUND	$23,516,535	$23,516,535	$0	$0
ELIGIBILITY FEES	$22,524,062	$22,524,062	$0	$0
DISCHARGE SUPPORT	$5,741,398	$5,741,398	$0	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,608,750	TotalAmt
Program Services	$966,503	ProgramServicesAmt
Management And General	$5,413,766	ManagementAndGeneralAmt
Fundraising	$228,481	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,823,425,021	TotalAmt
Program Services	$1,496,067,636	ProgramServicesAmt
Management And General	$320,432,548	ManagementAndGeneralAmt
Fundraising	$6,924,837	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

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

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$199,683,449	BOYAmt
EOY	$144,008,255	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$46,080,332	BOYAmt
EOY	$192,139,900	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	$256,485,240	BOYAmt
EOY	$254,281,560	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	$25,109,727	BOYAmt
EOY	$48,183,904	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$34,095,197	BOYAmt
EOY	$34,053,867	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$2,696,377,070	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,605,532,383	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,065,241,360	BOYAmt
EOY	$1,090,844,687	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$976,522,017	BOYAmt
EOY	$1,172,312,905	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	$31,991,191	BOYAmt
EOY	$31,973,334	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$202,271,997	BOYAmt
EOY	$246,484,378	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,837,480,510	BOYAmt
EOY	$3,214,282,790	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$237,557,065	BOYAmt
EOY	$289,219,392	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	$2,414,273	BOYAmt
EOY	$2,444,566	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$828,416,810	BOYAmt
EOY	$806,802,748	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	$10,690,704	BOYAmt
EOY	$26,667,953	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	$199,393,268	BOYAmt
EOY	$210,801,140	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,278,472,120	BOYAmt
EOY	$1,335,935,799	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,468,640,330	BOYAmt
EOY	$1,778,681,640	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$89,696,515	BOYAmt
EOY	$98,908,632	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$671,545	BOYAmt
EOY	$756,719	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,559,008,390	BOYAmt
EOY	$1,878,346,991	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,837,480,510	BOYAmt
EOY	$3,214,282,790	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$372,161,334	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$63,998,984	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$116,821,717	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

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Media Advertisements	$0	MediaAdvertisementsAmt
Mailings Members	false	MailingsMembersInd
Mailings Members	$0	MailingsMembersAmt
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Publications Or Broadcast	$0	PublicationsOrBroadcastAmt
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Grants Other Organizations	$0	GrantsOtherOrganizationsAmt
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$72,000	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Rallies Demonstrations	$0	RalliesDemonstrationsAmt
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$358,969	OtherActivitiesAmt
Total Lobbying Expenditures	$430,969	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 $192,079. AMOUNTS REPORTED FROM VARIOUS HOSPITAL AND HEALTHCARE MEMBERSHIPS OF DUES USED FOR LOBBYING ACTIVITIES TOTALING $166,890.	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	$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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$17,882,842	BeginningYearBalanceAmt
Contributions	$280,543	ContributionsAmt
Investment Earnings Or Losses	$3,565,773	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$86,150	AdministrativeExpensesAmt
End Year Balance	$21,643,008	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.02420	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.97580	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	$66,575,538	OtherCostOrOtherBasisAmt
Book Value	$66,575,538	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$915,057,905	OtherCostOrOtherBasisAmt
Depreciation	$393,319,174	DepreciationAmt
Book Value	$521,738,731	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$40,996,381	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$40,996,381	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,600,301,020	OtherCostOrOtherBasisAmt
Depreciation	$1,189,691,280	DepreciationAmt
Book Value	$410,609,740	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$73,446,226	OtherCostOrOtherBasisAmt
Depreciation	$22,521,929	DepreciationAmt
Book Value	$50,924,297	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,090,844,687	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (10 entries)

DescDesc	Book ValueBookValueAmt
CASH SURRENDER VALUE LIFE INS	$35,585,725
INVESTMENT IN RELATED PARTIES	$14,625,852
MEDICAL MALPRACTICE RECOVERIES	$6,156,736
LONG TERM DEPOSITS	$8,483,069
GIFT ANNUITY TRUST	$3,635,314
CONTRIBUTIONS RECEIVABLE	$522,557
CAP ACCUM/DEF COMP BENEFITS	$11,394,936
DUE FROM AFFILIATES	$145,022,899
EXEC DEFERRED COMP 457B	$20,957,290
WORKERS COMP SURETY	$100,000

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$246,484,378	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDesc	AmtAmt
ASSET RETIREMENT LIABILITY	$698,896
LT-LIAB CAP/ACCUM DEF COMP	$11,394,936
DEBT GUARANTEE - S. LAKE BONDS	$1,152,000
SWAP LIABILITIES	$35,917,053
PROFESSIONAL AND GENERAL LIABILITY	$131,472,418
LT-DUE TO AFFILIATES	$6,519,121
PHYSICIAN LOAN RESERVE	$67,676
LT-LIAB EXEC DEF COMP 457B	$20,957,290
OTHER LIABILITIES	$2,621,750

Field	Value	IRS element (for citing)
Total Liability	$210,801,140	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4	ENDOWMENT FUNDS ARE RESTRICTED AS TO PURPOSE, TIME OR BOTH IN ACCORDANCE WITH DONOR SPECIFICATIONS MADE AT TIME OF CONTRIBUTIONS. ORLANDO HEALTH TREATS ENDOWMENT FUND PRINCIPAL AS RESTRICTED AND UTILIZES THE NET EARNINGS ON ENDOWMENT MONIES FOR PROGRAM AND CAPITAL NEEDS OF ORLANDO HEALTH, INC. AND AFFILIATES IN ACCORDANCE WITH DONOR SPECIFICATIONS.
SCHEDULE D, PART X, LINE 2	FASB ASC TOPIC 740, INCOME TAXES, PRESCRIBES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAX POSITIONS RECOGNIZED IN THE FINANCIAL STATEMENTS. ASC TOPIC 740 PROVIDES GUIDANCE AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THERE WERE NO MATERIAL UNCERTAIN TAX POSITIONS AS OF SEPTEMBER 30, 2017 AND 2016.

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	$65,704	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	$65,704	SubtotalSpentAmt
Total Spent	$65,704	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	155 COMMERCE DR	AddressLine1Txt
City	FREEDOM	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	15042	ZIPCd

Field	Value	IRS element (for citing)
Activity	SOLICITING	ActivityTxt
Fundraiser Control Of Funds	false	FundraiserControlOfFundsInd
Retained By Contractor	$31,842	RetainedByContractorAmt

Field	Value	IRS element (for citing)
Total Retained By Contractors	$31,842	TotalRetainedByContractorsAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	DISTINGUISHING PYMT FOR PROF. FUNDRAISING SERVICE FROM EXP PYMT OR REIMB	FormAndLineReferenceDesc
Explanation	SCHEDULE G, PART I, COL V PLEDGE COMMITMENTS ARE GENERATED VIA TELEPHONE BY TSM DONOR ENGAGEMENT TEAM WITH PLEDGE PAYMENT BEING MADE DIRECTLY TO ORLANDO HEALTH FOUNDATION BY THE DONOR. THE FEE RETAINER AT CONTRACT SIGNING IS AN ESTIMATE WITH FINAL AMOUNT BASED UPON PLEDGE COMMITMENTS SECURED. THE CONTRIBUTIONS ARE MADE IN FULL TO ORLANDO HEALTH FOUNDATION, BUT THE EXPENSE IS 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
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
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	$87,577,887	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$87,577,887	NetCommunityBenefitExpnsAmt
Total Expense	0.04800	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$305,159,702	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$224,534,783	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$80,624,919	NetCommunityBenefitExpnsAmt
Total Expense	0.04420	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,080,479	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,776,016	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$304,463	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$394,818,068	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$226,310,799	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$168,507,269	NetCommunityBenefitExpnsAmt
Total Expense	0.09240	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$26,470,815	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$802,844	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$25,667,971	NetCommunityBenefitExpnsAmt
Total Expense	0.01410	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$58,441,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,290,676	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$46,150,324	NetCommunityBenefitExpnsAmt
Total Expense	0.02530	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,891,798	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,891,798	NetCommunityBenefitExpnsAmt
Total Expense	0.00160	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,442,599	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,442,599	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$89,246,212	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,093,520	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$76,152,692	NetCommunityBenefitExpnsAmt
Total Expense	0.04180	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$484,064,280	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$239,404,319	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$244,659,961	NetCommunityBenefitExpnsAmt
Total Expense	0.13420	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$246,622	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$246,622	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$246,622	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$246,622	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$100,277,106	BadDebtExpenseAmt
Reimbursed By Medicare	$261,987,252	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$279,425,570	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$17,438,318	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 HEALTH
1	1414 KUHL AVENUE	ORLANDO	FL	32806	SEE SUPPLEMENTAL INFORMATION FOR WEBSITE	4393	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
WINNIE PALMER HOSP FOR WOMEN & BABIES
2	83 W MILLER STREET	ORLANDO	FL	32806	SEE SUPPLEMENTAL INFORMATION FOR WEBSITE	4393	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A	NEONATAL UNIT
DR P PHILLIPS HOSPITAL
3	9400 TURKEY LAKE ROAD	ORLANDO	FL	32819	SEE SUPPLEMENTAL INFORMATION FOR WEBSITE	4393	Yes (X)	Yes (X)		Yes (X)	A
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 supplemental info	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	17	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	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
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 SUPPLEMENTAL INFO	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE SUPPLEMENTAL INFO	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
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
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 Winnie Palmer Hospital for Women & Babies: http://www.winniepalmerhospital.com/ Orlando Health Arnold Palmer Hospital for Children: http://www.arnoldpalmerhospital.com/ Orlando Health Dr. P. Phillips Hospital: http://www.orlandohealth.com/facilities/dr-p-phillips-hospital Orlando Health South Seminole Hospital: http://www.orlandohealth.com/facilities/south-seminole-hospital
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, 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.
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 - HEALTH CENTRAL HOSPITAL, ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER (ORLANDO HEALTH UF HEALTH CANCER CENTER), 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, ORLANDO HEALTH IS CONSTANTLY EMPLOYING EFFORTS TO IMPROVE HEALTH IN THE COMMUNITY AND INCREASE ACCESS TO CARE. IN SUPPORT OF OUR COMMUNITY BENEFIT EFFORTS, WE RECOGNIZE THE IMPORTANCE OF WORKING WITH COMMUNITY ORGANIZATIONS. AS A RESULT, ORLANDO HEALTH ACTIVELY COLLABORATES WITH LOCAL ORGANIZATIONS AND GROUPS IN ORDER TO MAKE A DIFFERENCE IN THE HEALTH AND QUALITY OF LIFE IN CENTRAL FLORIDA. IN FISCAL YEAR 2017 WE PROVIDED INTERVENTIONS FOR SELECTED HEALTH NEEDS IN AN EFFORT TO IMPROVE THE HEALTH STATUS OF RESIDENTS IN OUR COMMUNITY WHILE PARTICIPATING IN OUR NEXT CHNA CYCLE. OUR 2016 CHNA WAS DONE IN COLLABORATION WITH THE ORGANIZATIONS BELOW: 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 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 FOLLOWING OUR PARTICIPATION IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA); ORLANDO HEALTH IS DEVELOPING NEW AND IS ENHANCING ESTABLISHED COMMUNITY BENEFIT PROGRAMS THAT ADDRESS HEALTH NEEDS IDENTIFIED THROUGH THE CHNA. IN SELECTING THE NEEDS TO ADDRESS FROM THE CHNA, A NUMBER OF FACTORS WERE TAKEN INTO CONSIDERATION INCLUDING, BUT 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. 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 IN ORANGE COUNTY. 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 AN EFFORT TO MAXIMIZE RESOURCES AVAILABLE FOR ADDRESSING ACCESS TO CARE, ORLANDO HEALTH DETERMINED THAT THE FOLLOWING ISSUES WOULD NOT BE EXPLICITLY INCLUDED IN OUR IMPLEMENTATION STRATEGY. 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. 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. 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. 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. 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. 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 AND LYNX 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. 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 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. MENTAL HEALTH OUR FOCUS ON ACCESS TO CARE WILL HELP SHAPE WHAT WE DO IN THE FUTURE REGARDING MENTAL HEALTH. WE WILL CONTINUE TO PROVIDE EXISTING SERVICES FOR MENTAL HEALTH AND WORK WITH COMMUNITY ORGANIZATIONS LIKE ASPIRE HEALTH PARTNERS. HOWEVER, FUNDING OPPORTUNITIES ARE VERY LIMITED IN THIS AREA. HOMELESSNESS/AFFORDABLE HOUSING WE SUPPORT COMMUNITY PARTNERS THAT FOCUS ON THIS ISSUE IN OUR COMMUNITY INCLUDING THE COMMISSION ON HOMELESSNESS AND COALITION FOR THE HOMELESS. THROUGH OUR FOCUS ON ACCESS TO CARE WE WILL CONTINUE TO SUPPORT TO THE HOMELESS POPULATION. POVERTY 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 COMMUNICATION ORGANIZATIONS LIKE LIFT ORLANDO THAT FOCUS ON THIS NEED. PREMATURITY/INFANT MORTALITY OUR FOCUS ON ACCESS TO CARE WILL IMPACT WHAT ADDITIONAL WE PROVIDE REGARDING MATERNA
PART V, SECTION B, LINE 16a	https://www.orlandohealth.com/-/media/files/financial-assistance-policy-10 01-march-2018-final.pdf?la=enla=en
PART V, SECTION B, LINE 16b	https://www.orlandohealth.com/-/media/files/financial-files/5909-84281.pdf ?la=en
PART V, SECTION B, LINE 16c	https://www.orlandohealth.com/-/media/files/orlando-health/patients-and-vi sitors/patient-financial-resources/4610-124849.pdf?la=en

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 THREE NEW COMMUNITY BASED PHYSICIANS 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 MANAGEMENT'S 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 $17,670,000 DURING THE YEAR ENDED SEPTEMBER 30, 2017, FROM $142,734,000 AT SEPTEMBER 30, 2016, TO $160,404,000 AT SEPTEMBER 30, 2017. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS INCLUDES $58,886,000 AND $51,852,000 IN AMOUNTS DUE FROM THIRD-PARTY PAYORS, INCLUDING THE PATIENT RESPONSIBILITY PORTION INCLUDED IN THESE ACCOUNTS AT SEPTEMBER 30, 2017 AND 2016, RESPECTIVELY. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY HOSPITAL PATIENTS AS A PERCENT OF RELATED SELF-PAY ACCOUNTS RECEIVABLE WAS 95% AND 93% AT SEPTEMBER 30, 2017 AND 2016. THE PROVISION FOR BAD DEBTS DECREASED FROM $181,450,000 FOR THE YEAR ENDED SEPTEMBER 30, 2016, TO $144,060,000 FOR THE YEAR ENDED SEPTEMBER 30, 2017. 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, AND APPROXIMATELY $30 MILLION WAS RECLASSIFIED FROM THE PROVISION FOR BAD DEBT TO CHARITY CARE. ACCORDINGLY, 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. IN ADDITION, THE SYSTEM MADE POLICY CHANGES THAT ALLOWED FOR ADDITIONAL PATIENT ACCOUNTS TO BE REVIEWED UNDER THE SYSTEMS CHARITY CARE POLICY. 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.
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 HEALTH CENTRAL HOSPITAL, 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 AND PATIENT CARE PROGRAMS, ORLANDO HEALTH MEETS THE NEEDS OF THE COMMUNITY. THE SPECIFIC NEEDS TARGETED BY THESE PROGRAMS HAVE BEEN IDENTIFIED BY THE EXPERIENCE OF COMMUNITY HOSPITAL ADVISORY COUNCILS, NEIGHBORHOOD OUTREACH AND THROUGH NEEDS ASSESSMENTS THAT IDENTIFIED HEALTH NEEDS IN THE COMMUNITIES SERVED BY THE HOSPITALS. 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 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 MORE THAN 17,000 EMPLOYEES AND OVER 2,000 PHYSICIANS ON STAFF. AS A STATUTORY TEACHING HOSPITAL, WE OFFER GRADUATE MEDICAL EDUCATION WHERE WE ARE THE INSTITUTIONAL SPONSOR OF SEVEN RESIDENCY AND 18 FELLOWSHIP PROGRAMS. ORLANDO HEALTH FACILITIES ENCOMPASS 1,837 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 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 267,430 PATIENTS VISITED OUR EMERGENCY DEPARTMENTS IN 2017. 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 307 ADULT TRAUMA PATIENTS AND 81 PEDIATRIC TRAUMA PATIENTS IN 2017. ORLANDO HEALTH'S PRIMARY SERVICE AREA IS COMPRISED OF ORANGE, OSCEOLA, SEMINOLE AND LAKE COUNTIES. THE MEDIAN HOUSEHOLD INCOME IN THESE COUNTIES IS $54,146 WHEREAS THE AVERAGE HOUSEHOLD INCOME IS $71,364. IN CENTRAL FLORIDA, 14.6 PERCENT OF HOUSEHOLDS IN CENTRAL FLORIDA ARE BELOW THE FEDERAL POVERTY GUIDELINE. THE PERCENT UNINSURED (AGE 0-64) FOR THE FOUR COUNTY AREA IS 15.1 PERCENT AND THERE ARE TEN 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. 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 HEALTHCARE 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 CANCER CENTER, INC. HAS MADE SIGNIFICANT CONTRIBUTIONS TO THE CARE OF OUR CANCER PATIENTS. ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER WITH ORLANDO HEALTH, INC., OUR COMMITMENT TO THE TREATMENT OF 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 $408 MILLION IN SUPPORT OF COMMUNITY HEALTH NEEDS.
PART VI, LINE 7	STATE FILING OF COMMUNITY BENEFIT REPORT NONE

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (39 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
A Gift for Teaching Inc
6501 Magic Way Bldg 400C	Orlando	FL	32809	593515162	501(c)(3)	$10,000	Sponsorship Sponsorship Sponsorship Sponsorship Sponsorship Scholarship Sponsorship Sponsorship Sponsorship Sponsorship Sponsorship Sponsorship Sponsorship Sponsorship Sponsorship Sponsorship Sponsorship Sponsorship Sponsorship Sponsorship Scholarship Sponsorship Sponsorship Sponsorship Sponsorship Sponsorship Sponsorship Sponsorship Sponsorship Sponsorship Sponsorship Sponsorship Sponsorship Sponsorship Sponsorship Sponsorship Sponsorship Sponsorship SPONSORSHIP SPONSORSHIP EMPLOYER DISASTER RELIEF FUND
American Heart Association Inc
237 E Marks St	Orlando	FL	32803	135613797	501(c)(3)	$25,000	Sponsorship Fee	Suite 565
Boone Sports Legacy Board Inc
2000 S Mills Ave	Orlando	FL	32806	571166744	501(c)(3)	$23,000	Sponsorship Fee	Suite 465
The Boggy Creek Gang Inc
30500 Brantley Branch Rd	Eustis	FL	32736	593012889	501(c)(3)	$25,000	Sponsorship Fee
Central Florida Black Nurses AssC ORLANDO
PO Box 585142	Orlando	FL	32858	593288443	501(c)(3)	$10,000	Sponsorship Fee
Central Florida Commission on Homelessness
111 N Orange Ave Ste 1800	Orlando	FL	32801	460994106	501(c)(3)	$35,000	Scholarship	Suite 105
Central Florida Young Mens Christian Assoc
433 N Mills Ave	Orlando	FL	32803	590624430	501(c)(3)	$24,500	Sponsorship Fee	Suite 190
Children's Home Society of Florida
1485 S Semoran Blvd Ste 1448	Winter Park	FL	32792	590192430	501(c)(3)	$8,000	Sponsorship Fee	Suite 115
Clean the World Foundation Inc
2544 E Landstreet Rd Ste 600	Orlando	FL	32824	264212487	501(c)(3)	$10,000	Sponsorship Fee	Suite 330
Coalition for the Homeless of Central FL
639 W Central Blvd	Orlando	FL	32801	592814255	501(c)(3)	$12,250	Sponsorship Fee	Suite 565
Center for Multicultural Wellness & Prevntn
641 N Rio Grande Ave	Orlando	FL	32805	593368679	501(c)(3)	$10,000	Scholarship
Dave's House Inc
9152 Point Cypress Dr	Orlando	FL	32836	270533943	501(c)(3)	$10,000	Sponsorship Fee	Suite 105
Dental Care Access Foundation Inc
800 N Mills Ave	Orlando	FL	32803	201531222	501(c)(3)	$10,000	Sponsorship Fee	Suite 201
Florida Department of Health
400 W Airport Blvd	Sanford	FL	32773	593502843	Gov't	$15,000	Sponsorship Fee
Florida State University Foundation Inc
1115 W Call St	Tallahassee	FL	32306	596152180	501(c)(3)	$100,000	Sponsorship Fee
Grace Medical Home Inc
51 Pennsylvania St	Orlando	FL	32806	261817966	501(c)(3)	$159,500	Sponsorship Fee
Healing the Children-Florida Inc
PO Box 608432	Orlando	FL	32860	593503974	501(c)(3)	$10,000	Sponsorship Fee
Health Care Center for the Homeless Inc
232 N Orange Blossom Trl	Orlando	FL	32805	593185020	501(c)(3)	$210,000	Sponsorship Fee
Healthy Start Coalition of Orange County
1040 Woodcock Rd Ste 215	Orlando	FL	32803	593125675	501(c)(3)	$10,000	Sponsorship Fee
Hispanic Heritage Scholar Fund METRO ORLANDO
518 S Magnolia St Ste 100	Orlando	FL	32801	010807279	501(c)(3)	$10,000	Sponsorship Fee
IDignity Inc
424 E Central Blvd 199	Orlando	FL	32801	010921490	501(c)(3)	$10,000	Sponsorship Fee	Suite 115
Junior Achievement of Central Florida Inc
2121 Camden Rd	Orlando	FL	32803	590972112	501(c)(3)	$16,692
The Leukemia & Lymphoma Society
341 N Maitland Ave Ste 100	Maitland	FL	32751	135644916	501(c)(3)	$25,000
Libby's Legacy Breast Cancer Foundation
1718 S Orange Ave	Orlando	FL	32806	113812766	501(c)(3)	$7,500
LIFT Orlando Inc
215 E Central Blvd	Orlando	FL	32801	463607865	501(c)(3)	$25,000
Make-A-Wish Foundation CTRL & N FLORIDA
1020 N Orlando Ave Ste 100	Maitland	FL	32751	593235806	501(c)(3)	$7,920
New Hope for Kids Inc
544 Mayo Ave	Maitland	FL	32751	591791345	501(c)(3)	$13,000
Orange County Board of County Commissioners
2002-A E Michigan St	Orlando	FL	32806	596000773	Gov't	$150,000
Orange County Public Schools
445 W Amelia St	Orlando	FL	32804	596000771	Gov't	$69,964
The Orlando Philharmonic Orchestra Inc
425 N Bumby Ave	Orlando	FL	32803	593058884	501(c)(3)	$25,500
Ronald McDonald House Charities of Ctrl Fl
1030 N Orange Avenue Suite 105	Orlando	FL	32801	593211250	501(c)(3)	$20,000
Second Harvest Food Bank of Central Florida Inc
411 Mercy Dr	Orlando	FL	32805	592142315	501(c)(3)	$20,000
Seniors First Inc
5395 LB McLeod Rd	Orlando	FL	32811	592759603	501(c)(3)	$15,000
University of Central Florida Foundation
12424 Research Pkwy Ste 250	Orlando	FL	32826	596211832	501(c)(3)	$50,000
United Cerebral Palsy of Central Florida
3305 S Orange Ave	Orlando	FL	32806	590799925	501(c)(3)	$14,775
Zebra Coalition Inc
911 N Mills Ave	Orlando	FL	32803	271645847	501(c)(3)	$20,000
Heart of Florida United Way
1940 TRAYLOR BLVD	ORLANDO	FL	32804	590808854	501(c)(3)	$20,900
Valencia College Foundation Inc
1768 Park Center Dr 4th Flr	Orlando	FL	32835	237442785	501(c)(3)	$250,000
Orlando Health Foundation Inc
3160 Southgate Commerce Blvd Ste 5	Orlando	FL	32806	592244943	501(c)(3)	$100,000

Field	Value	IRS element (for citing)
Total501c3 Org	39	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	PROCEDURE FOR MONITORING USE OF GRANT FUNDS ORLANDO HEALTH, INC. MAKES GRANTS SOLELY TO GOVERNMENT ENTITIES AND ORGANIZATIONS EXEMPT FROM TAX UNDER THE INTERNAL REVENUE CODE SECTION 501(C)(3) THAT FURTHER THE MISSION OF ORLANDO HEALTH TO SUPPORT HEALTHCARE IN CENTRAL FLORIDA. ORLANDO HEALTH COMMUNITY RELATIONS DEPARTMENT DETERMINES SUPPORT FOR LOCAL NON-PROFIT SPONSORSHIPS. ANY GRANT AMOUNT OVER $25,000 HAS TO BE APPROVED BY THE CEO AND REPORTED TO THE BOARD. THE GRANTS ARE MONITORED TO ENSURE THE 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)
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 (19 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
Mary Farrell MD
Board member (until 7/17)	$436,932	$0	$75,747	$0	$43,065	$0	$32,187	$0	$0	$0	$587,931	$0	$0	$0
David W Strong
President & CEO	$988,698	$0	$712,167	$0	$1,932	$0	$242,500	$0	$26,683	$0	$1,971,980	$0	$0	$0
Bernadette Spong
CFO	$597,962	$0	$299,110	$0	$4,105	$0	$109,898	$0	$8,178	$0	$1,019,253	$0	$0	$0
Mildred D Beam
SVP, Legal Aff & Gen Counsel	$424,625	$0	$209,539	$0	$39,964	$0	$63,469	$0	$15,810	$0	$753,407	$0	$38,386	$0
Thibaut Van Marcke De Lummen
SVP, OH & Pres, DPH	$229,441	$0	$98,842	$0	$45,026	$0	$31,267	$0	$12,197	$0	$416,773	$0	$0	$0
Jamal A Hakim MD
Chief Operating Officer	$707,787	$0	$352,850	$0	$97,543	$0	$129,224	$0	$0	$0	$1,287,404	$0	$92,947	$0
David F Huddleson
VP, Chief Compliance & Ethics	$253,416	$0	$126,873	$0	$30,683	$0	$39,907	$0	$17,916	$0	$468,795	$0	$24,573	$0
Mark A Jones
SVP, OH & President, ORMC	$434,065	$0	$200,331	$0	$43,035	$0	$69,508	$0	$16,763	$0	$763,702	$0	$39,548	$0
Kathy A Swanson
SVP, OH & Pres, APMC	$402,352	$0	$208,814	$0	$52,853	$0	$73,590	$0	$21,015	$0	$758,624	$0	$48,579	$0
John Richard Schooler
VP, Chief Information Officer	$416,065	$0	$209,739	$0	$160,341	$0	$74,682	$0	$18,563	$0	$879,390	$0	$157,150	$0
Karen L Frenier
SVP, OH & Pres,SSH	$317,545	$0	$124,494	$0	$49,957	$0	$54,634	$0	$22,807	$0	$569,437	$0	$47,118	$0
Nancy G Dinon
VP, Human Resources	$364,100	$0	$179,965	$0	$57,161	$0	$55,474	$0	$26,293	$0	$682,993	$0	$51,103	$0
Erick R Hawkins
SVP, Strategic Management	$443,673	$0	$197,315	$0	$12,978	$0	$63,066	$0	$12,572	$0	$729,604	$0	$0	$0
Paul A Goldstein
VP,FIN & ADMIN	$171,580	$0	$0	$0	$115,914	$0	$10,489	$0	$5,758	$0	$303,741	$0	$0	$0
Mark E Sand MD
FR BRD MEMBER (TRM END 7/15)	$0	$549,743	$0	$569,852	$0	$44,096	$0	$11,262	$0	$16,083	$0	$1,191,036	$0	$0
Karl W Hodges
VP	$235,812	$0	$28,536	$0	$0	$0	$0	$0	$11,647	$0	$275,995	$0	$0	$0
Cynthia A Powell MD
SVP, OH	$0	$345,135	$0	$0	$0	$40,920	$0	$11,262	$0	$3,949	$0	$401,266	$0	$0
John W Bozard
SVP, OH & PRES, APMCF & OHF	$239,832	$239,832	$120,168	$120,168	$42,635	$42,635	$15,450	$15,450	$8,381	$8,381	$426,466	$426,466	$0	$0
Aurelio Duran MD
Board member	$0	$377,479	$0	$424,380	$0	$502,041	$0	$11,262	$0	$23,905	$0	$1,339,067	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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), 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	SEVERANCE PAYMENTS TO THE FOLLOWING: KARL HODGES $264,348
SCHEDULE J, PART I, LINE 4B	SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN The following individuals participated in a supplemental qualified retirement plan, which included the following deposits during calendar year 2016 that were previously deferred: MARY FARRELL $ 29,750 DAVID W. STRONG $231,238 BERNADETTE SPONG $102,494 MILDRED D. BEAM $ 60,157 THIBAUT VAN MARCKE DE LUMMEN $ 31,267 JAMAL A. HAKIM, MD $117,962 DAVID F. HUDDLESON $ 28,694 MARK A. JONES $ 58,246 KATHY A. SWANSON $ 62,328 JOHN W. BOZARD $ 19,638 J. RICHARD SCHOOLER $ 63,420 KAREN L. FRENIER $ 46,460 NANCY G. DINON $ 44,212 ERICK R. HAWKINS $ 63,066 PAUL A. GOLDSTEIN $ 4,737 DEFERRAL DISTRIBUTIONS MADE TO THE FOLLOWING: MILDRED D. BEAM $ 38,386 JAMAL A. HAKIM, MD $ 92,947 DAVID F. HUDDLESON $ 24,573 MARK A. JONES $ 39,548 KATHY A. SWANSON $ 48,579 J. RICHARD SCHOOLER $157,150 KAREN L. FRENIER $ 47,118 NANCY G. DINON $ 51,103

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	6845032J3	2006-01-25	$182,254,609	Refund Remaining Series 2002 Bonds	Yes (true)	false	false
Orange County Health Facilities Authority
B	521378595	6845035Q4	2008-06-18	$78,568,277	Repay Credit Draw Rfd Series 2007B	Yes (true)	false	false
Orange County Health Facilities Authority
C	521378595	6845035L5	2008-05-15	$155,816,665	Convert Series 2005A, 2006A1 & A2	Yes (true)	false	false
Orange County Health Facilities Authority
D	521378595	6845035U5	2008-06-18	$179,360,000	Refund Series 1999A, 1999B & 1999C	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	$74,650,000	$106,800,000	$182,254,609	$5,161,521	$0	$96,552,274	$1,479,856	$2,675,900	$0	$76,385,058	$0	$0	2006	false	Yes (true)	Yes (true)	Yes (true)
B	$0	$80,225,000	$78,568,277	$7,535,001	$0	$0	$847,852	$0	$0	$14,685,424	$55,500,000	$0	2008	Yes (true)	false	Yes (true)	Yes (true)
C	$14,275,000	$55,490,000	$155,816,665	$0	$0	$155,816,665	$0	$0	$0	$0	$0	$0	2008	Yes (true)	false	Yes (true)	Yes (true)
D	$127,430,000	$0	$179,360,000	$0	$0	$176,732,854	$1,573,177	$1,053,969	$0	$0	$0	$0	2008	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	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Total Private Business UseTotalPrivateBusinessUsePct
A	false	Yes (true)	Yes (true)	Yes (true)	false	0	false	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	false	0	false	false	false	Yes (true)
C	false	Yes (true)	Yes (true)	Yes (true)	false	0	false	false	false	Yes (true)
D	false	Yes (true)	Yes (true)	Yes (true)	false	0.00040	false	false	false	Yes (true)	0.00040

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Term Of GICTermOfGICPct	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd
DEXIA
A	Yes (true)	Yes (true)	Yes (true)	26.9	false	false	Yes (true)	MORGAN STANLEY	33.4	Yes (true)	Yes (true)	Yes (true)
0
B	false	false	false				false	0			false	Yes (true)	Yes (true)	false	Yes (true)
0
C	false	false	false				false	0			false	Yes (true)	Yes (true)	false	Yes (true)
MORGAN STANLEYDEXIA
D	false	Yes (true)	Yes (true)	13.1	false	false	false	0			false	Yes (true)	Yes (true)	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE K, PART I, COLUMN (F)

HOSPITAL REVENUE BONDS, SERIES 2006A&B TO REFUND THE REMAINING SERIES 2002 BONDS (ISSUE DATE 05/16/02), AND PROVIDE $6,809,000 TO FINANCE AND REIMBURSE FOR CONSTRUCTION AND EQUIPMENT COSTS FOR IMPROVEMENTS AT ORLANDO REGIONAL MEDICAL CENTER, AND TO FINANCE AND REIMBURSE FOR A PORTION OF THE CONSTRUCTION AND EQUIPMENT COSTS OF THE NEW WINNIE PALMER HOSPITAL FOR WOMEN AND BABIES. DEFEASED AND CONVERTED TO FIXED RATE BY SERIES ISSUED ON 5/15/08. 2006B CURRENT REFUNDED BY 2016A SERIES ISSUED 4/27/2016. HOSPITAL REVENUE BONDS, SERIES 2008C TO REPAY A $55,500,000 LINE OF CREDIT DRAW USED TO REFUND THE 2007B BONDS (ISSUE DATE 1/25/07), AND REIMBURSE FOR CERTAIN PRIOR CAPITAL EXPENDITURES, FUND A DEBT SERVICE RESERVE FUND, AND PAY COSTS OF ISSUANCE. 2008C WERE ADVANCE REFUNDED BY 2016A SERIES ISSUED 04/27/2016. 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. 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 REGIONAL 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 2006 REFUND REMAINING SERIES 2002 BONDS 9/26/2016 SERIES 2008A CONVERT SERIES 2005A, 2006A1& A2 2/6/2018 SERIES 2008B CONVERT SERIES 2005A, 2006A1& A2 2/6/2018 SERIES 2008C REPAY CREDIT DRAW REFUND SRS 2007B 10/15/2015 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 10/15/2015

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	68450LAY1	2009-12-16	$244,229,719	RFD SRS 1999D, 1999E, 2004 & 2008D	false	false	false
Orange County Health Facilities Authority
B	521378595		2011-09-15	$83,175,000	Refund Series 2007A-1 & A-2 Bonds	false	false	false
Orange County Health Facilities Authority
C	521378595	68450LCD5	2012-05-23	$190,757,522	ORMC Redevelopment Project	false	false	false
Orange County Health Facilities Authority
D	521378595	68450LER2	2016-04-27	$276,195,917	Rfd 2006B, Rfd 2008A-C, Refi HC	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	$67,095,000	$0	$244,229,719	$0	$0	$241,009,230	$3,220,489	$0	$0	$0	$0	$0	2008	Yes (true)	false	Yes (true)	Yes (true)
B	$0	$0	$83,175,000	$0	$0	$82,865,395	$309,605	$0	$0	$0	$0	$0	2011	Yes (true)	false	Yes (true)	Yes (true)
C	$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)
D	$0	$0	$276,195,917	$0	$0	$203,300,319	$2,250,398	$0	$0	$0	$70,645,200	$0	2016	Yes (true)	Yes (true)	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	0.00740	0.00740	false	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	false	0.01030	0.01030	false	false	false	Yes (true)
C	false	Yes (true)	Yes (true)	Yes (true)	false	0.00850	0.00850	false	false	false	Yes (true)
D	false	Yes (true)	Yes (true)	Yes (true)	false	0.00120	0.00120	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	Yes (true)	false	Yes (true)	false	false	false	0	false	Yes (true)
MORGAN STANLEY
B	false	Yes (true)	false	false	Yes (true)	Yes (true)	false	0	false	Yes (true)	28.	false	false
0
C	false	Yes (true)	false	false	false	false	false	0	false	Yes (true)
0
D	false	Yes (true)	false	false	false	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
MARY FARRELL
SEE PART V	$1,712,682	CONTRACTED FPA, LLC	false
SCOTT CAHILL FULCRUM PARTNERS
SEE PART V	$72,726	CONTRACTED FULCRUM PARTNERS	false
SUNTRUST BANK OF CENTRAL FLORIDA
SEE PART V	$2,411,703	GENERAL BANKING SERVICES	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART IV, COLUMN B	FormAndLineReferenceDesc
Explanation	RELATIONSHIP BETWEEN PERSONS AND ORGANIZATION 1. MARY FARRELL, MD, 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. 2. DIANNA MORGAN, BOARD MEMBER OF ORLANDO HEALTH, INC., IS RELATED TO SCOTT CAHILL (BROTHER-IN-LAW), WHO IS A PARTNER AT FULCRUM PARTNERS. FULCRUM PARTNERS IS CONTRACTED TO PERFORM CONSULTING SERVICES. THE HOSPITAL ENGAGES FULCRUM PARTNERS AT ARMS-LENGTH TRANSACTIONS AT FAIR MARKET VALUE. 3. REX V. MCPHERSON, II IS A BOARD MEMBER OF BOTH ORLANDO HEALTH, INC. AND SUNTRUST BANK OF CENTRAL FLORIDA. SUNTRUST BANK PROVIDES GENERAL BANKING SERVICES TO ORLANDO HEALTH, INC. 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, JOHN CAPPLEMAN, KATHRYN GARRETT, KATHY SWANSON, MARK JONES AND MILDRED BEAM 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 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 $(116,561,000) OTHER REVENUE - BOOK/TAX DIFFERENCE $( 469,778) CONTRIBUTIONS - BOOK/TAX DIFFERENCE $ 416,647 OTHER CHANGES AND EXTRAORDINARY ITEMS $( 207,586) ------------- TOTAL $(116,821,717)

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 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 NETWO
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 SUPRT SRV	FL	501(c)(3)	12a	OHI	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	HEALTHCARE PURCHASING ALLIANCE LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1417 KUHL AVENUE	AddressLine1Txt
City	ORLANDO	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	32806	ZIPCd

Field	Value	IRS element (for citing)
EIN	454843489	EIN
Primary Activities	GROUP PRCHSNG	PrimaryActivitiesTxt
Legal Domicile State	FL	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Predominant Income Type	Related	PredominantIncomeTypeTxt
Share Of Total Income	$6,671,079	ShareOfTotalIncomeAmt
Share Of EOY Assets	$0	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
UBI Code V	$0	UBICodeVAmt
General Or Managing Partner	false	GeneralOrManagingPartnerInd
Ownership	0.92300	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
HEALTHNET SERVICES INC & SUBS
1414 KUHL AVENUE	ORLANDO	FL	32806	592246203	MEDICAL SVCS	FL	OHI	C Corp	-$11,588,678	$105,263,221	1.00000	Yes (true)
ORANGE INDEMNITY LTD
				980516252	CAPTIVE INS		OHI	C Corp	$75,000	$1,942,231	1.00000	Yes (true)	PO BOX 1159	KY	CJ	CJ
COMMUNITY HEALTH OF FLORIDA INC
1414 KUHL AVENUE	ORLANDO	FL	32806	463171911	INSURANCE LIC	FL	OHI	C Corp	$0	$0	0.50100	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	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	false	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 (44 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ORLANDO HEALTH FOUNDATION INC
c	$7,203,502	FMV
ORLANDO HEALTH CENTRAL INC
i	$57,500	FMV
ORLANDO HEALTH PHYSICIAN GROUP INC
j	$8,234,669	FMV
HEALTHCARE PURCHASING ALLIANCE LLC
j	$111,829	FMV
ORLANDO HEALTH CENTRAL INC
k	$1,819,146	FMV
ORLANDO HEALTH CENTRAL INC
l	$3,626,889	FMV
HEALTHCARE PURCHASING ALLIANCE LLC
l	$78,401	FMV
HEALTHNET SERVICES INC
l	$53,473	FMV
ORLANDO HEALTH PHYSICIAN GROUP INC
l	$1,909,197	FMV
ORANGE INDEMNITY LTD
m	$75,000	FMV
HEALTHCHOICE INC
m	$782,364	FMV
ORLANDO HEALTH FOUNDATION INC
n	$1,942,107	FMV
ORLANDO HEALTH FOUNDATION INC
o	$5,033,257	FMV
ORLANDO HEALTH CENTRAL INC
o	$6,281,547	FMV
ORLANDO CANCER CENTER INC
o	$30,471,049	FMV
ORLANDO HEALTH PHYSICIAN GROUP INC
o	$243,984,194	FMV
ORLANDO PHYSICIAN NETWORK INC
o	$4,973,128	FMV
ORLANDO HEALTH CENTRAL INC
q	$24,408,222	FMV
HEALTHCARE PURCHASING ALLIANCE LLC
q	$257,170	FMV
ORLANDO CANCER CENTER INC
q	$3,146,321	FMV
ORLANDO HEALTH PHYSICIAN GROUP INC
q	$34,251,109	FMV
ORLANDO PHYSICIAN NETWORK INC
q	$921,632	FMV
ORLANDO HEALTH FOUNDATION INC
q	$1,112,757	FMV
PHYSICIAN ASSOCIATES LLC
q	$17,830,354	FMV
OHRI LLC
q	$82,490	FMV
COLLABORATIVE CARE OF FLORIDA LLC
q	$1,917,187	FMV
ORLANDO HEALTH PHYSICIAN GROUP INC
r	$98,000,000	FMV
ORLANDO CANCER CENTER INC
r	$5,800,000	FMV
ORLANDO PHYSICIAN NETWORK INC
r	$1,720,000	FMV
ORLANDO HEALTH PHYSICIAN PARTNERS INC
r	$4,150,000	FMV
ORLANDO HEALTH CENTRAL INC
r	$5,835,919	FMV
HEALTHCARE PURCHASING ALLIANCE LLC
r	$9,208,833	FMV
PHYSICIAN ASSOCIATES LLC
r	$1,000,000	FMV
HEALTHNET INC
r	$2,391,000	FMV
ORLANDO HEALTH CENTRAL INC
s	$293,475	FMV
OHRI LLC
r	$1,391,000	FMV
PHYSICIAN ASSOCIATES LLC
j	$3,685,474	FMV
OHRI LLC
j	$112,414	FMV
HEALTHCHOICE INC
j	$59,226	FMV
ORLANDO HEALTH CENTRAL INC
p	$277,974	FMV
ORLANDO CANCER CENTER INC
j	$159,626	FMV
ORLANDO PHYSICIANS NETWORK INC
j	$370,545	FMV
ORLANDO HEALTH FOUNDATION INC
b	$100,000	FMV
ORLANDO HEALTH PHYSICIAN GROUP INC
b	$141,513	FMV

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R, PART V, LINE 2	FormAndLineReferenceDesc
Explanation	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