SOUTH LAKE HOSPITAL INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: SOUTH LAKE HOSPITAL INC (EIN 59-3322533)
Tax period: 2014-10-01 to 2015-09-30
Filed: 2016-08-10
IRS object ID: 201602239349300615
Schema version: 2014v6.0
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-08-10T07:42:09-05:00	ReturnTs
Tax Period End	2015-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	580914992	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	DRAFFIN & TUCKER LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 71309	AddressLine1Txt
City	ALBANY	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	31708	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2014-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	593322533	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Business Name Control	SOUT	BusinessNameControlTxt
Phone	3523944071	PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	LANCE SEWELL	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	3523944071	PhoneNum
Signature	2016-08-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JACQUELINE G ATKINS	PreparerPersonNm
PTIN	P00861721	PTIN
Phone	2298837878	PhoneNum
Preparation	2016-08-09	PreparationDt

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-12-15 16:53:06Z	BuildTS

Form 990 IRS990

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$196,318,625	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SOUTHLAKEHOSPITAL.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1995	FormationYr
Legal Domicile State	FL	LegalDomicileStateCd
Activity Or Mission	TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND COMMUNITIES IN SOUTH LAKE COUNTY.	ActivityOrMissionDesc
Voting Members Governing Body	6	VotingMembersGoverningBodyCnt
Voting Members Independent	3	VotingMembersIndependentCnt
Total Employee	1370	TotalEmployeeCnt
Total Volunteers	148	TotalVolunteersCnt
Total Gross UBI	$2,928,253	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$760,635	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,834,739	PYContributionsGrantsAmt
CY Contributions Grants	$3,541,618	CYContributionsGrantsAmt
PY Program Service Revenue	$142,949,677	PYProgramServiceRevenueAmt
CY Program Service Revenue	$161,834,810	CYProgramServiceRevenueAmt
PY Investment Income	$807,505	PYInvestmentIncomeAmt
CY Investment Income	$1,540,861	CYInvestmentIncomeAmt
PY Other Revenue	$5,262,581	PYOtherRevenueAmt
CY Other Revenue	$4,381,988	CYOtherRevenueAmt
PY Total Revenue	$152,854,502	PYTotalRevenueAmt
CY Total Revenue	$171,299,277	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,025,456	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$56,994	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$63,667,495	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$75,219,981	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$71,369,421	PYOtherExpensesAmt
CY Other Expenses	$79,149,563	CYOtherExpensesAmt
PY Total Expenses	$136,062,372	PYTotalExpensesAmt
CY Total Expenses	$154,426,538	CYTotalExpensesAmt
PY Revenues Less Expenses	$16,792,130	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$16,872,739	CYRevenuesLessExpensesAmt
Total Assets BOY	$279,327,846	TotalAssetsBOYAmt
Total Assets EOY	$298,931,701	TotalAssetsEOYAmt
Total Liabilities BOY	$108,986,569	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$111,757,267	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$170,341,277	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$187,174,434	NetAssetsOrFundBalancesEOYAmt
Mission	TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND COMMUNITIES IN SOUTH LAKE COUNTY.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$128,114,525	ExpenseAmt
Grant	$56,994	GrantAmt
Revenue	$162,115,046	RevenueAmt
Desc	OPERATION OF NOT-FOR-PROFIT HOSPITAL PROVIDING INPATIENT, OUTPATIENT, & EMERGENCY CARE FOR RESIDENTS OF SOUTHERN LAKE COUNTY FLORIDA. THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. TOTAL PATIENT DAYS FOR THE FISCAL YEAR WAS APPROXIMATELY 38,000.	Desc
Total Program Service Expenses	$128,114,525	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	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (true)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	false	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	Yes (true)	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	Yes (true)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	168	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	1370	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	6	GoverningBodyVotingMembersCnt
Independent Voting Member	3	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (true)	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	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	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	FL	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	LANCE SEWELL CFO	PersonNm
Phone	3522417104	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (16 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	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
LUSHANTHA GUNASEKERA MD
BOARD MEMBER	40.00	5.00	Yes (X)	$0	$695,452	$51,613
MILDRED BEAM
VICE PRESIDE	40.00	5.00	Yes (X)	$0	$591,190	$74,287	Yes (X)
CARY D'ORTONA
TREASURER	40.00	5.00	Yes (X)	$0	$230,073	$60,974	Yes (X)
SUSAN MCLEAN
BOARD PRESID	2.00		Yes (X)	$0	$0	$0	Yes (X)
ROBERT E BERENS JR
SECRETARY	2.00		Yes (X)	$0	$0	$0	Yes (X)
DAVID BATMAN
BOARD MEMBER	2.00	1.00	Yes (X)	$0	$0	$0
JOHN MOORE
HOSPITAL PRE	40.00	1.00		$0	$313,492	$79,978	Yes (X)
LANCE SEWELL
CFO	40.00	1.00		$0	$184,497	$45,783	Yes (X)
PAUL JOHNS
COO	40.00			$0	$156,186	$32,077	Yes (X)
LINDA WALTON
CNO	40.00			$0	$153,171	$53,804	Yes (X)
BRAHMBHATT JAMIN MD
PHYSICIAN	40.00			$442,736	$0	$33,225		Yes (X)
PAREKATTIL SIJO MD
PHYSICIAN	40.00			$439,182	$0	$33,225		Yes (X)
ANDREW KAREN MD
PHYSICIAN	40.00			$363,651	$0	$32,172		Yes (X)
JEROME STURM MD
PHYSICIAN	40.00			$317,624	$0	$34,283		Yes (X)
JACOB SINDU MD
PHYSICIAN	40.00			$196,376	$0	$16,783		Yes (X)
SHERRIE SITARIK
FORMER PRESI				$0	$978,146	$14,406			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,759,569	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,302,207	TotReportableCompRltdOrgAmt
Total Other Compensation	$562,610	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	24	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
ORIGIN DBA SHIFTWISE
2501 SW 1ST AVE	PORTLAND	OR	972014752	NURSE STAFFING	$2,598,548
OB HOSPITALIST GROUP
10 CENTIMETERS DRIVE	MAULDIN	SC	296623278	HEALTHCARE SVS	$1,694,221
AVI FOOD SYSTEMS
2590 ELM ROAD NE	WARREN	OH	444832904	MGMT FOOD SVCS	$1,169,752
BIG TEN LLC
2020 OAKLEY SEAVER DR	CLERMONT	FL	347111902	MGMT SURGICAL	$932,025
ROBINS & MORTON GROUP
400 SHADES CREEK PKWY	BIRMINGHAM	AL	352094454	CONSTRUCTION SV	$909,705

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	41	CntrctRcvdGreaterThan100KCnt
Related Organizations	$3,190,439	RelatedOrganizationsAmt
Government Grants	$219,049	GovernmentGrantsAmt
All Other Contributions	$132,130	AllOtherContributionsAmt
Total Contributions	$3,541,618	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	PROGRAM SERVICE REVENUE	Desc
Business	623000	BusinessCd
Total Revenue Column	$161,834,810	TotalRevenueColumnAmt
Related Or Exempt Func Income	$161,834,810	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$161,834,810	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$898,238	TotalRevenueColumnAmt
Exclusion	$898,238	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$390,866	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$298,199	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$92,667	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$92,667	TotalRevenueColumnAmt
Exclusion	$92,667	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$25,319,510	SecuritiesAmt
Other	$44,262	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$24,696,132	SecuritiesAmt
Other	$25,017	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$623,378	SecuritiesAmt
Other	$19,245	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$642,623	TotalRevenueColumnAmt
Exclusion	$642,623	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NATIONAL TRAINING CENTER	623000	$2,928,253	$2,928,253
FOOD AND BEVERAGE	722210	$1,080,832		$1,080,832
EHR HOSPITAL	621990	$184,238			$184,238

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$95,998	TotalRevenueColumnAmt
Related Or Exempt Func Income	$95,998	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$4,289,321	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$171,299,277	TotalRevenueColumnAmt
Related Or Exempt Func Income	$162,115,046	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,928,253	UnrelatedBusinessRevenueAmt
Exclusion	$2,714,360	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$56,994	TotalAmt
Program Services	$56,994	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$61,028,892	TotalAmt
Program Services	$55,127,626	ProgramServicesAmt
Management And General	$5,901,266	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,491,276	TotalAmt
Program Services	$1,347,076	ProgramServicesAmt
Management And General	$144,200	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$8,671,330	TotalAmt
Program Services	$7,832,845	ProgramServicesAmt
Management And General	$838,485	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,028,483	TotalAmt
Program Services	$3,654,336	ProgramServicesAmt
Management And General	$374,147	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$591	TotalAmt
Management And General	$591	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$375,289	TotalAmt
Management And General	$375,289	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$252,437	TotalAmt
Management And General	$252,437	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$21,817,396	TotalAmt
Program Services	$12,535,907	ProgramServicesAmt
Management And General	$9,281,489	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$329,484	TotalAmt
Program Services	$68,671	ProgramServicesAmt
Management And General	$260,813	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$15,430,352	TotalAmt
Program Services	$14,678,746	ProgramServicesAmt
Management And General	$751,606	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$95,976	TotalAmt
Program Services	$77,011	ProgramServicesAmt
Management And General	$18,965	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,016,595	TotalAmt
Program Services	$2,925,192	ProgramServicesAmt
Management And General	$91,403	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$162,163	TotalAmt
Program Services	$126,535	ProgramServicesAmt
Management And General	$35,628	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,972,665	TotalAmt
Management And General	$4,972,665	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$10,223,296	TotalAmt
Program Services	$9,913,530	ProgramServicesAmt
Management And General	$309,766	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,588,105	TotalAmt
Management And General	$1,588,105	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$15,271,526	$15,271,526
REPAIRS AND MAINTENANCE	$2,063,163	$1,740,892	$322,271
PROVIDER FEES	$1,631,660	$1,631,660
RECRUITING	$558,858		$558,858

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,360,007	TotalAmt
Program Services	$1,125,978	ProgramServicesAmt
Management And General	$234,029	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$154,426,538	TotalAmt
Program Services	$128,114,525	ProgramServicesAmt
Management And General	$26,312,013	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$87,427	BOYAmt
EOY	$41,234,584	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$51,867,127	BOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$17,701,205	BOYAmt
EOY	$19,597,131	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$1,024,380	BOYAmt
EOY	$1,485,863	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,481,319	BOYAmt
EOY	$2,731,861	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,150,617	BOYAmt
EOY	$1,271,353	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$234,204,801	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$87,725,742	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$132,973,227	BOYAmt
EOY	$146,479,059	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$60,784,830	BOYAmt
EOY	$72,260,571	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$51,707	BOYAmt
EOY	$77,005	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,504,031	BOYAmt
EOY	$7,570,655	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$6,701,976	BOYAmt
EOY	$6,223,619	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$279,327,846	BOYAmt
EOY	$298,931,701	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$21,379,263	BOYAmt
EOY	$25,376,914	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$423,925	BOYAmt
EOY	$442,725	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$83,185,383	BOYAmt
EOY	$81,652,993	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$2,108,019	BOYAmt
EOY	$1,928,603	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,889,979	BOYAmt
EOY	$2,356,032	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$108,986,569	BOYAmt
EOY	$111,757,267	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$168,809,549	BOYAmt
EOY	$185,563,306	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,531,728	BOYAmt
EOY	$1,611,128	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$170,341,277	BOYAmt
EOY	$187,174,434	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$279,327,846	BOYAmt
EOY	$298,931,701	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$16,872,739	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$156,999	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$117,417	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)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$9,451	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$5,229	OtherActivitiesAmt
Total Lobbying Expenditures	$14,680	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1	FormAndLineReferenceDesc
Explanation	THE HOSPITAL PAYS MEMBERSHIP DUES TO A STATE HEALTHCARE ORGANIZATION. A PORTION OF THOSE DUES IS ALLOCATED TO LOBBYING ACTIVITIES IN WHICH THE STATE HEALTHCARE ORGANIZATION PARTICIPATES. ADDITIONALLY, THE DIRECTOR OF GOVERNMENT RELATIONS SPENDS APPROXIMATALY 10% OF HIS TIME LOBBYING FOR THE ORGANIZATION.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,421,671	BeginningYearBalanceAmt
Contributions	$181,257	ContributionsAmt
Grants Or Scholarships	$25,456	GrantsOrScholarshipsAmt
Other Expenditures	$45,744	OtherExpendituresAmt
End Year Balance	$1,531,728	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,322,778	BeginningYearBalanceAmt
Contributions	$230,518	ContributionsAmt
Grants Or Scholarships	$67,250	GrantsOrScholarshipsAmt
Other Expenditures	$64,375	OtherExpendituresAmt
End Year Balance	$1,421,671	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,372,263	BeginningYearBalanceAmt
Contributions	$227,295	ContributionsAmt
Grants Or Scholarships	$80,246	GrantsOrScholarshipsAmt
Other Expenditures	$196,534	OtherExpendituresAmt
End Year Balance	$1,322,778	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,330,725	BeginningYearBalanceAmt
Contributions	$196,127	ContributionsAmt
Investment Earnings Or Losses	$4,888	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$75,235	GrantsOrScholarshipsAmt
Other Expenditures	$84,242	OtherExpendituresAmt
End Year Balance	$1,372,263	EndYearBalanceAmt

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

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$752,000	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$11,159,435	OtherCostOrOtherBasisAmt
Book Value	$11,911,435	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$141,998,735	OtherCostOrOtherBasisAmt
Depreciation	$40,003,433	DepreciationAmt
Book Value	$101,995,302	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,407,547	OtherCostOrOtherBasisAmt
Depreciation	$1,378,489	DepreciationAmt
Book Value	$3,029,058	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$71,366,516	OtherCostOrOtherBasisAmt
Depreciation	$46,343,820	DepreciationAmt
Book Value	$25,022,696	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,520,568	OtherCostOrOtherBasisAmt
Book Value	$4,520,568	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$146,479,059	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
THIRD PARTY SETTLEMENTS	$1,632,500
RAC RESERVE	$443,257
OTHER LIABILITIES	$280,275

Field	Value	IRS element (for citing)
Total Liability	$2,356,032	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$171,004,256	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$156,999	NetUnrealizedGainsInvstAmt
Other Revenue	$355,193	OtherRevenueAmt
Revenue Not Reported	$198,194	RevenueNotReportedAmt
Revenue Subtotal	$170,806,062	RevenueSubtotalAmt
Other Revenues Not Included	$493,215	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$493,215	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$171,299,277	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$154,336,417	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$298,199	OtherExpensesIncludedAmt
Expenses Not Reported	$298,199	ExpensesNotReportedAmt
Expenses Subtotal	$154,038,218	ExpensesSubtotalAmt
Other Expenses Not Included	$388,320	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$388,320	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$154,426,538	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PAGE 2, PART V, LINE 4	CAPTAIN HOMER N. ALLEN FUND FOR NURSING SCHOLARSHIPS PROVIDES SUPPORT FOR SCHOLARSHIPS FOR RESIDENTS OF SOUTH LAKE COUNTY AND/OR EMPLOYEES OF SOUTH LAKE HOSPITAL WHO WISH TO FURTHER THEIR EDUCATION IN THE FIELD OF NURSING. OTHER RESTRICTED FUNDS ARE AVAILABLE FOR THE ACQUISITION OF FIXED ASSETS AND OTHER OPERATING USES. ORLANDO HEALTH FOUNDATION (AN AFFILIATE OF ORLANDO HEALTH, A RELATED ORGANIZATION) HOLDS AND ADMINISTERS CERTAIN DONOR RESTRICTED FUNDS ON BEHALF OF SOUTH LAKE HOSPITAL. THE AMOUNT HELD WAS 756,057 AS OF SEPTEMBER 30, 2015.
SCHEDULE D, PAGE 3, PART X	THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION THAT HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE HOSPITAL APPLIES ACCOUNTING POLICIES THAT PRESCRIBE WHEN TO RECOGNIZE AND HOW TO MEASURE THE FINANCIAL STATEMENT EFFECTS OF INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON ITS INCOME TAX RETURNS. THESE RULES REQUIRE MANAGEMENT TO EVALUATE THE LIKELIHOOD THAT, UPON EXAMINATION BY THE RELEVANT TAXING JURISDICTIONS, THOSE INCOME TAX POSITIONS WOULD BE SUSTAINED. BASED ON THAT EVALUATION, THE HOSPITAL ONLY RECOGNIZES THE MAXIMUM BENEFIT OF EACH INCOME TAX POSITION THAT IS MORE THAN 50% LIKELY OF BEING SUSTAINED. TO THE EXTENT THAT ALL OR A PORTION OF THE BENEFITS OF AN INCOME TAX POSITION ARE NOT RECOGNIZED, A LIABILITY WOULD BE RECOGNIZED FOR THE UNRECOGNIZED BENEFITS, ALONG WITH ANY INTEREST AND PENALTIES THAT WOULD RESULT FROM DISALLOWANCE OF THE POSITION. SHOULD ANY SUCH PENALTIES AND INTEREST BE INCURRED, THEY WOULD BE RECOGNIZED AS OPERATING EXPENSES. BASED ON THE RESULTS OF MANAGEMENT'S EVALUATION, NO LIABILITY IS RECOGNIZED IN THE ACCOMPANYING BALANCE SHEET FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF SEPTEMBER 30, 2015 AND 2014 OR FOR THE YEARS THEN ENDED. FOR FEDERAL INCOME TAX PURPOSES THE TAX RETURNS ESSENTIALLY REMAIN OPEN FOR POSSIBLE EXAMINATION FOR A PERIOD OF THREE YEARS AFTER THE RESPECTIVE FILING DEADLINES OF THOSE RETURNS.
SCHEDULE D, PAGE 4, PART XI, LINE 2D	RENTAL EXPENSES 298,199 NET ASSETS RELEASED FROM RESTRICTIONS 56,994
SCHEDULE D, PAGE 4, PART XI, LINE 4B	CAPITAL CONTRIBUTIONS 161,889 GRANT EXPENSE NETTED AGAINST REVENUE 331,326
SCHEDULE D, PAGE 4, PART XII, LINE 2D	RENTAL EXPENSE 298,199
SCHEDULE D, PAGE 4, PART XII, LINE 4B	GRANT EXPENSE NETTED AGAINST REVENUE 331,326 SCHOLARSHIPS RELEASED FROM RESTRICTION 56,994

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	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
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	$5,788,280	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,788,280	NetCommunityBenefitExpnsAmt
Total Expense	0.03740	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,979,532	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,646,768	DirectOffsettingRevenueAmt
Net Community Benefit Expns	-$4,667,236	NetCommunityBenefitExpnsAmt

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,434,960	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,675,816	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,759,144	NetCommunityBenefitExpnsAmt
Total Expense	0.01780	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$29,202,772	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$25,322,584	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,880,188	NetCommunityBenefitExpnsAmt
Total Expense	0.05520	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$474,734	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$474,734	NetCommunityBenefitExpnsAmt
Total Expense	0.00310	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$100,598	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$56,994	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$43,604	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$273,345	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$104,042	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$169,303	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$584,059	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$584,059	NetCommunityBenefitExpnsAmt
Total Expense	0.00380	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,432,736	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$161,036	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,271,700	NetCommunityBenefitExpnsAmt
Total Expense	0.00830	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$30,635,508	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$25,483,620	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,151,888	NetCommunityBenefitExpnsAmt
Total Expense	0.06350	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$16,832,198	BadDebtExpenseAmt
Bad Debt Expense Attributable	$12,624,149	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$37,867,928	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$43,521,353	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$5,653,425	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

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

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.SOUTHLAKEHOSPITAL.COM	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	13	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.SOUTHLAKEHOSPITAL.COM	StrategyWebsiteURLTxt
Strategy Attached	false	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	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
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	WWWSOUTHLAKEHOSPITALCOM	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWWSOUTHLAKEHOSPITALCOM	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWWSOUTHLAKEHOSPITALCOM	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	Yes (true)	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Average Negotiated Rates	Yes (X)	AverageNegotiatedRatesInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

FACILITY 1, SOUTH LAKE HOSPITAL - PART V, LINE 5

IN ORDER TO DETERMINE THE COMMUNITY'S PERSPECTIVES ON PRIORITY COMMUNITY HEALTH ISSUES AND QUALITY OF LIFE ISSUES RELATED TO HEALTHCARE, TWO RESEARCH METHODS WERE USED: FOCUS GROUPS AND PROVIDERS SURVEYS. THE STEERING COMMITTEE WORKED WITH WELLFLORIDA COUNCIL TO DETERMINE FOCUS GROUP QUESTIONS AND PROVIDER SURVEY QUESTIONS. FOCUS GROUP PARTICIPANTS WERE RECRUITED BY COMMUNITY LEADERS AT ORGANIZATIONS AND AGENCIES HOSTING THE FOCUS GROUPS AS WELL AS BY FLYERS DISTRIBUTED THROUGHOUT THE COMMUNITY, PRESS RELEASES AND E-MAIL BLASTS DISTRIBUTED TO THE SOUTH LAKE HOSPITAL CONTACT LIST. IN TOTAL, 29 COMMUNITY MEMBERS PARTICIPATED IN THE FOCUS GROUPS. THE SOUTH LAKE HOSPITAL STEERING COMMITTEE, REPRESENTING SOUTH LAKE HOSPITAL, WORKED WITH WELLFLORIDA COUNCIL TO FORMULATE A PROVIDER SURVEY THAT WOULD TOUCH UPON SOME OF THE SAME TOPICS ADDRESSED DURING THE FOCUS GROUPS. WORKING IN COOPERATION WITH THE FACILITIES REPRESENTED BY STEERING COMMITTEE MEMBERS, THE SURVEYS WERE DISTRIBUTED TO LAKE COUNTY PROVIDERS IN MARCH 2013. RESPONDENTS COMPLETED THE SURVEY USING SURVEY MONKEY TO SUBMIT THEIR RESPONSES. TWENTY-NINE PROVIDERS SUBMITTED RESPONSES TO THE SURVEY.

FACILITY 1, SOUTH LAKE HOSPITAL - PART V, LINE 11

PROGRESS ON CHNA INPLEMENTATION STRATEGIES 2014-2015: IN FISCAL YEAR 2015, SOUTH LAKE HOSPITAL FOCUSED ON ADDRESSING THE COMMUNITY HEALTH NEEDS IDENTIFIED IN OUR 2013 COMMUNITY HEALTH NEEDS ASSESSMENT. BELOW IS AN UPDATE ON THE VARIOUS EFFORTS MADE BY THE HOSPITAL THROUGHOUT THE FISCAL YEAR 2015 ON EACH IDENTIFIED NEED. NEED TO ADDRESS: DISPARITY OF NUMEROUS HEALTH FACTORS FOR GROVELAND/MASCOTTE AREA RESIDENTS THE GOAL IS TO EDUCATE RESIDENTS IN THE CITIES OF GROVELAND AND MASCOTTE AND THE SURROUNDING AREAS ABOUT DIABETES, HEART DISEASE AND CHRONIC LOWER RESPIRATORY DISEASE (CLRD) PREVENTION AND IMPORTANT CANCER SCREENINGS. THE HOSPITAL WORKING TO ACHIEVE THIS GOAL THROUGH EDUCATIONAL EVENTS IN COLLABORATION WITH FAITH-BASED AND COMMUNITY ORGANIZATIONS, WORKING WITH LOCAL LEADERS TO ENSURE THAT THEY ARE AWARE OF HEALTH RESOURCES FOR UNINSURED AND UNDERINSURED RESIDENTS AND WORKING IN THE SCHOOLS TO TEACH THE IMPORTANCE OF PREVENTION. IN FISCAL YEAR 2015, SOUTH LAKE HOSPITAL MADE EFFORTS TOWARD THIS GOAL BY: - WORKED WITH GROVELAND AND MASCOTTE ELEMENTARY SCHOOLS TO ATTEND THEIR AFTERCARE PROGRAM FOR THE THIRD YEAR IN A ROW AND PROVIDE AN INTERACTIVE, EDUCATIONAL PROGRAM FOR THEIR STUDENTS. AN EXERCISE PHYSIOLOGIST PRESENTED ON NUTRITION, TEACHING THE CHILDREN ABOUT THE FOOD GROUPS AND HOW TO MAKE A HEALTHY, BALANCED MEAL. THE CHILDREN WERE THEN TASKED WITH PUTTING TOGETHER A BALANCED MEAL USING DIFFERENT FOOD CHOICES (FAKE FOOD MODELS). THEY WERE GIVEN SIMPLE, INEXPENSIVE RECIPES TO TAKE HOME TO ENCOURAGE THEIR PARENTS TO PREPARE BALANCED MEALS. RECIPES WERE FOCUSED ON READILY AVAILABLE, INEXPENSIVE HEALTHY FOOD CHOICES TO MAKE THE MEALS AFFORDABLE AND ACHIEVABLE. ALL PARTICIPANTS WERE ALSO SENT HOME WITH INFORMATION ON CREATING HEALTHY FOOD PLATES AND TIPS FOR EXERCISING AT HOME OR AT LOCAL PARKS. THE STUDENTS THEN PARTICIPATED IN A FUN EXERCISE CLASS SET TO MUSIC TO SHOW THEM HOW EASY IT IS TO GET ACTIVE. THE THIRD PART OF THE PROGRAM TAUGHT THE IMPORTANCE OF HANDWASHING AND AN INTERACTIVE DEMONSTRATION WAS DONE TO ENSURE THE CHILDREN KNEW HOW TO PROPERLY SCRUB AND WASH THEIR HANDS. - VISITED PHYSICIAN PRACTICES THROUGHOUT THE GROVELAND AND MASCOTTE COMMUNITIES, INCLUDING THE LARGE SLIDING SCALE CLINIC - COMMUNITY HEALTH CENTERS - TO ENSURE THEY ALL HAVE INFORMATION TO DISTRIBUTE ON SOUTH LAKE HOSPITAL'S EDUCATIONAL RESOURCES AND PROGRAMS FOR UNINSURED RESIDENTS. THE HOSPITAL OFFERS FREE SMOKING CESSATION CLASSES; FREE DIABETES AWARENESS CLASSES AND SUPPORTS A FREE HEALTH CLINIC FOR UNINSURED RESIDENTS WHO CAN RECEIVE FREE PRESCRIPTION MEDICATIONS AND PREVENTATIVE SCREENINGS. - THE HOSPITAL PARTNERED WITH MASCOTTE ELEMENTARY TO CREATE A "MORNING MILE CLUB." THE CONCEPT WAS PRESENTED TO THE HOSPITAL BY A LOCAL ELEMENTARY STUDENT WHO FELT HER PEERS NEEDED MORE PHYSICAL ACTIVITY. AT ANOTHER SOUTH LAKE COUNTY SCHOOL, SHE OBTAINED SPONSORS AND GOT SCHOOL BUY-IN TO CREATE A MORNING WALKING CLUB THAT REWARDED STUDENTS FOR WALKING ON THE SCHOOL GROUNDS PRIOR TO SCHOOL DAY STARTING. WHEN MILESTONES WERE REACHED IN THE NUMBER OF LAPS, STUDENTS WERE REWARDED WITH CHARMS/TOKENS FOR A MORNING MILE NECKLACE. THE PROGRAM PROVED SUCCESSFUL AND THE STUDENT WANTED SOUTH LAKE HOSPITAL TO PARTNER WITH ANOTHER LOCAL SCHOOL TO HELP GROW THE PROGRAM IN THE COMMUNITY. SOUTH LAKE HOSPITAL AGREED TO FOCUS EFFORTS AT MASCOTTE ELEMENTARY SCHOOL AND HELPED LAUNCH THE PROGRAM IN FALL OF 2015. THE PROGRAM WILL BE EVALUATED AFTER ONE YEAR FOR EFFECTIVENESS AND PARTICIPATION. - IN SUMMER OF 2015, SOUTH LAKE HOSPITAL BEGAN COLLABORATING WITH LOCAL HEALTH PARTNERS TO BEGIN THE PLANNING PHASE FOR A HEALTH RESOURCE EVENT TO BE HELD JANUARY 2016 IN MASCOTTE. THIS EVENT WILL TARGET RESIDENTS IN GROVELAND, MASCOTTE AND THE SURROUNDING AREA. THE AIM OF THIS EVENT IS TO SELECT KEY PARTNERS THAT CAN PROVIDE PREVENTATIVE SCREENINGS AT NO COST TO RESIDENTS THAT MAY NOT OTHERWISE BE ABLE TO AFFORD THE SCREENINGS AND TO OFFER EDUCATION ON PREVENTION. SCREENINGS WILL INCLUDE FREE CHOLESTEROL AND GLUCOSE SCREENINGS, KIDNEY URINALYSIS SCREENING, MAMMOGRAMS AND FLU SHOTS. PARTNERS INCLUDED THE NATIONAL KIDNEY FOUNDATION, COMMUNITY FOUNDATION OF SOUTH LAKE, LIBBY'S LEGACY, COMMUNITY HEALTH CENTERS AND THE FLORIDA DEPARTMENT OF HEALTH - LAKE COUNTY. NEED TO ADDRESS: TEENAGE BIRTH RATES & LOW BIRTH RATES THE GOAL IS TO REDUCE BOTH THE NUMBER OF TEENAGE BIRTH RATES AND THE NUMBER OF INFANT DEATHS FOR THE SERVICE AREA, PARTICULARLY IN THE AFRICAN AMERICAN POPULATION. INFANT DEATH RATES DIRECTLY CORRELATE WITH LOW BIRTH WEIGHTS SO THE FOCUS IS TO EDUCATION WOMEN ON PROPER PRENATAL CARE TO LEAD TO FULL TERM DELIVERIES. IN FISCAL YEAR 2015, SOUTH LAKE HOSPITAL MADE EFFORTS TOWARD THESE GOALS BY: - SOUTH LAKE HOSPITAL OFFERS NUMEROUS EDUCATION COURSES FOR EXPECTING MOMS THAT EDUCATES ABOUT PRENATAL CARE THAT FOCUSES ON DELIVERING HEALTHY, FULL-TERM BABIES. THE HOSPITAL IDENTIFIED THAT MANY PARENTS THAT MAY BE AT RISK FOR LOW BIRTH RATES ARE UNABLE TO AFFORD THE CLASSES, WHICH ARE ALREADY AT A LOW RATE COMPARATIVELY IN THE CENTRAL FLORIDA MARKET. THE HOSPITAL FOUNDATION APPLIED FOR A GRANT THROUGH THE LOCAL MARCH OF DIMES CHAPTER FOR FUNDS TO PROVIDE FREE EDUCATION CLASSES ON PRENATAL CARE AND WAS AWARDED A 3,000 GRANT. THE GRANT BEGAN IN APRIL 2015 AND ALLOWS ALL RESIDENTS OF LAKE COUNTY TO ATTEND CHILDBIRTH CLASSES, NEWBORN CARE CLASSES AND BREASTFEEDING EDUCATION CLASSES AT NO COST. IN 2015, 74 EXPECTANT MOTHERS ATTENDED FREE CLASSES THANKS TO THE GRANT. THE GRANT FUNDING WAS UTILIZED IN FULL PRIOR TO THE END OF 2015, AT WHICH TIME SOUTH LAKE HOSPITAL CONTINUED TO LET EXPECTANT MOTHERS TO TAKE CLASSES AT NO COSTS AND SERVED AN ADDITIONAL 18 NEW MOTHERS. - IN FISCAL YEAR 2015, SOUTH LAKE HOSPITAL PARTNERED WITH THE FLORIDA DEPARTMENT OF HEALTH - LAKE COUNTY TO ALLOW THEIR LABOR AND DELIVERY PATIENTS TO DELIVER AT SOUTH LAKE HOSPITAL. PRIOR TO THE ARRANGEMENT, THE DEPARTMENT HAD TO SEND ALL OF THEIR PATIENTS TO A HOSPITAL IN THE NORTH END OF LAKE COUNTY, WHICH IS APPROXIMATELY 20 MILES FROM AREAS IN SOUTH LAKE COUNTY. THE HEALTH DEPARTMENT WAS ABLE TO OPEN A PRENATAL CLINIC IN THE SOUTH END OF LAKE COUNTY AS WELL, PROVIDING MORE ACCESSIBILITY FOR RESIDENTS IN THE HOSPITAL'S SERVICE AREA TO PRENATAL CARE, OBSTETRICS EMERGENCY CARE AND DELIVERY SERVICES. PRIOR TO THE OPENING OF THIS PRENATAL CLINIC, PATIENTS ALSO HAD TO TRAVEL TO THE NORTH END OF THE COUNTY FOR PRENATAL CARE, WHICH CAUSED TRANSPORTATION CHALLENGES. THIS NEW PARTNERSHIP PROVIDES EXCELLENT OBSTETRICS CARE TO PATIENTS IN SOUTH LAKE HOSPITAL'S DISTRICT DUE TO THE OBSTETRICS HOSPITALIST PROGRAM, WHICH ENSURES A BOARD-CERTIFIED OBSTETRICIAN IS ONSITE IN THE LABOR AND DELIVERY DEPARTMENT 24 HOURS A DAY, SEVEN DAYS A WEEK. - SOUTH LAKE HOSPITAL PARTNERED WITH THE YOUNG FAMILIES HEALTH INITIATIVE COMMITTEE OF LAKE COUNTY (YFHI) TO SPONSOR AND PROVIDE EDUCATION DURING THEIR 2015 WORLD'S BEST BABY FAIR IN SOUTH LAKE COUNTY. THE EVENT IS AIMED AT FIRST-TIME OR SPECIAL NEEDS PARENTS AND INCLUDES LECTURES ON PRENATAL CARE, NUTRITION, EXERCISE AND SUPPORT RESOURCES FOR EXPECTING MOTHERS AND THEIR FAMILIES. - IN FISCAL YEAR 2015, SOUTH LAKE HOSPITAL COMMITTED RESOURCES TO HOST THE 2016 MARCH OF DIMES MARCH FOR BABIES FOR LAKE AND SUMTER COUNTIES. THE HOSPITAL'S WELLNESS AND SPORTS FACILITIES PLUS STAFF TIME ARE BEING DONATED TO THE EVENT TO HELP RAISE AWARENESS OF THE MISSION OF THE MARCH OF DIMES AND TO CREATE AWARENESS ON THE IMPORTANCE OF PRENATAL CARE FOR FULL-TERM PREGNANCIES. NEED TO ADDRESS: KNOWLEDGE OF AVAILABLE HEALTHCARE RESOURCES AND HEALTHCARE EDUCATION IN THE COMMUNITY THE COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED THAT KEY STAKEHOLDERS LACKED THE INFORMATION NECESSARY TO UNDERSTAND WHAT HEALTH CARE RESOURCES ARE AVAILABLE IN THE SOUTH LAKE HOSPITAL SERVICE AREA AND THE COUNTY AS A WHOLE. THIS INCLUDES INFORMATION ON HOW TO ACCESS TRANSPORTATION SERVICES, AVAILABLE INDIGENT CARE FACILITIES, FINANCIAL ASSISTANCE PROGRAMS AND PHARMACEUTICAL PROGRAMS. IN FISCAL YEAR 2015, SOUTH LAKE HOSPITAL MADE EFFORTS TOWARD THIS GOAL BY: - SOUTH LAKE HOSPITAL CONTINUED TO UTILIZE AND PROMOTE CENTRAL FLORIDA UNITED WAY'S 211 PROGRAM AND ENSURE THAT THEY HAVE ACCURATE INFORMATION ABOUT SOUTH LAKE HOSPITAL'S COMMUNITY EDUCATION PROGRAMMING AS WELL AS SERVICES FOR THE UNDER AND UNINSURED RESIDENTS. THE HOSPITAL STAFF WAS EDUCATED ON 211 AND HOW IT CAN BE UTILIZED BY HOSPITAL STAFF, PATIENTS AND FAMILY MEMBERS FOR IDENTIFYING HEALTH CARE RESOURCES. IN ADDITION, SOUTH LAKE HOSPITAL PARTNERED WITH UNITED WAY DURING OPEN ENROLLMENT TO ASSIST RESIDENTS IN NAVIGATING THE HEALTHCARE EXCHANGES SO THAT THOSE WITHOUT INSURANCE COULD RECEIVE HELP IN IDENTIFYING AFFORDABLE CARE OPTIONS. THE HOSPITAL DONATED SPACE FOR A HEALTHCARE NAVIGATOR TO MEET WITH RESIDENTS AND PROMOTED THE USE OF UNITED WAY'S 211 PROGRAMS FOR CONSOLATIONS. - SOUTH LAKE HOSPITAL FOCUSES ITS OUTREACH EFFORTS TO LOCAL SCHOOLS, THE LOCAL HEALTH DEPARTMENT, FAITH BASED ORGANIZATIONS A

Field	Value	IRS element (for citing)
Facility	3	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
NATIONAL TRAINING CENTER
1935 DON WICKHAM DRIVE	CLERMONT	FL	347111979	WELLNESS CENTER
SOUTH LAKE SURGICAL CENTER
1935 DON WICKHAM DRIVE	CLERMONT	FL	347111979	OUTPATIENT SURGERY
SOUTH LAKE HOME HEALTH AGENCY
1935 DON WICKHAM DRIVE	CLERMONT	FL	347111979	HOME HEALTH

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C - OTHER INCOME BASED CRITERIA FOR FREE OR DISCOUNTED CARE	IF TOTAL OF ALL OPEN BILLS ACCOUNTS FOR MORE THAN 25% OF THEIR ANNUAL INCOME, DISCOUNT WILL BE APPLIED TO REACH THE 25% MARK, PROVIDED PATIENT'S INCOME DOES NOT EXCEED 400% OF THE FPG.
PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES EXPLANATION	SUBSIDIZED HEALTH SERVICES REPRESENT THE OPERATIONAL COSTS FOR THE FREE CLINIC TO CARE FOR INDIGENT PATIENTS OF SOUTH LAKE COUNTY.
PART I, LINE 7, COLUMN (F) - EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE	IN DERIVING THE DENOMINATOR TO BE USED FOR COLUMN (F), THE FOLLOWING ADJUSTMENTS WERE MADE TO THE TOTAL EXPENSES REPORTED ON FORM 990, PART IX, LINE 25: FORM 990, PART IX, LINE 25 154,426,538 ADD: EXPENSES REPORTED IN PART VIII 298,199 DENOMINATOR FOR COLUMN (F) 154,724,737
PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION	THE ORGANIZATION USES THE COST TO CHARGE RATIO USING THE IRS' RECOMMENDED FORMAT IN WORKSHEET 2. OTHER COSTS IN PART I, LINES 7E THROUGH 7I WERE OBTAINED FROM THE ORGANIZATION'S ACCOUNTING RECORDS.
PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY	AMOUNTS INCLUDED ON PART III LINE 2 REPRESENT THE AMOUNT OF CHARGES CONSIDERED UNCOLLECTIBLE AFTER REASONABLE ATTEMPTS TO COLLECT, AND WRITTEN OFF TO BAD DEBT EXPENSE. THE AMOUNT INCLUDED ON PART III LINE 3 IS BASED ON HISTORICAL DATA FOR THOSE INDIVIDUALS WHO MAY HAVE BEEN ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S POLICY; HOWEVER, FAILED TO COMPLETE THE APPLICATION PROCESS.
BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS	SEE THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOOTNOTE ON PAGE 10 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8 - MEDICARE EXPLANATION	MEDICARE ALLOWABLE COSTS ARE COMPUTED IN ACCORDANCE WITH COST REPORTING METHODOLOGIES UTILIZED ON THE MEDICARE COST REPORT AND IN ACCORDANCE WITH RELATED REGULATIONS. INDIRECT COSTS ARE ALLOCATED TO DIRECT SERVICE AREAS USING THE MOST APPROPRIATE STATISTICAL BASIS.
PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION	BOTH DISCOUNTS AND PAYMENTS TO ACCOUNTS WILL REDUCE THE BAD DEBT EXPENSE, SHOULD THE ACCOUNT BE REPORTED AS BAD DEBT. THAT IS TO SAY, DISCOUNTS APPLIED TO ACCOUNTS ARE NOT REVERSED PRIOR TO DECLARING, ADJUSTING AND/OR WRITING OFF ACCOUNTS AS BAD DEBT. ALL ACCOUNTS WHICH ARE ADJUSTED TO, OR WRITTEN OFF TO, BAD DEBT ARE REVIEWED TO DETERMINE THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE. IF SUFFICIENT DOCUMENTATION WAS NOT PROVIDED BY THE ACCOUNT HOLDER, SOUTH LAKE USES PREDICTIVE ANALYTICS TO DETERMINE IF THE ACCOUNT WOULD HAVE QUALIFIED FOR FINANCIAL ASSISTANCE. THE PREDICTIVE ANALYTICS DESIGNED TO ASSESS FINANCIAL ASSISTANCE FOR ACCOUNTS ADJUSTED TO, OR WRITTEN OFF TO, BAD DEBT 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.
PART VI, LINE 2 - NEEDS ASSESSMENT	SOUTH LAKE DOES ASSESS THE SERVICES NEEDED AS PART OF OUR STRATEGY, PLANNING AND BUDGETING PROCESS AND HAS PROCESSES IN PLACE TO ENSURE THE ORGANIZATION IS REACTIVE TO COMMUNITY HEALTH NEEDS. EXAMPLES OF HOW SOUTH LAKE RESPONDS TO COMMUNITY 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 ASSOCIATES TO ATTEND TO THE HEALTH CARE NEEDS OF THE SOUTH LAKE COMMUNITY; 3. SPONSORSHIP AND PARTICIPATION IN COMMUNITY HEALTH FAIRS, COMMUNITY FITNESS, 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. SOUTH LAKE MEETS THE NEEDS OF THE COMMUNITY THROUGH ITS EDUCATION, RESEARCH AND PATIENT CARE PROGRAMS. THE SPECIFIC NEEDS TARGETED BY THESE PROGRAMS HAVE BEEN IDENTIFIED BY THE EXPERIENCE OF COMMUNITY HOSPITAL ADVISORY COUNCILS, NEIGHBORHOOD OUTREACH AND THROUGH COMMUNITY NEEDS ASSESSMENTS THAT IDENTIFIED HEALTH PROBLEMS IN THE COMMUNITIES SERVED BY THE HOSPITAL. SOUTH LAKE SPONSORS A VARIETY OF PROGRAMS FOR AT-RISK POPULATIONS, FEDERALLY-DESIGNED MEDICALLY UNDERSERVED AREAS AND SPECIAL NEEDS GROUPS, AS WELL AS FOR THE BROADER COMMUNITY. DURING THE FISCAL YEAR 2013, THE ORGANIZATION, ALONG WITH THE EFFORTS OF WELLFLORIDA COUNCIL, INC., CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT. THE CHNA CAN BE FOUND AT HTTP://WWW.SOUTHLAKEHOSPITAL.COM/ABOUT-US/COMMUNITY-OUTREACH. THE IMPLEMENTATION STRATEGY PLAN CAN ALSO BE FOUND ON THE ORGANIZATION'S WEBSITE AT HTTP://WWW.SOUTHLAKEHOSPITAL.COM/ABOUT-US/COMMUNITY-OUTREACH/COMMUNITY- HEALTH-NEEDS-ASSESSMENT-IMPLEMENTATION-PLAN.
PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	SOUTH LAKE FOLLOWS AN ESTABLISHED PROCESS TO INFORM ALL PATIENTS OF ITS CHARITY CARE AND UNINSURED DISCOUNT POLICIES. DURING PREADMISSION, AT REGISTRATION OR AT BEDSIDE, UNINSURED PATIENTS ARE INFORMED OF THE HOSPITAL'S CHARITY CARE POLICY AND OTHER FINANCIAL ASSISTANCE. FINANCIAL INFORMATION IS SECURED FOR ALL UNINSURED PATIENTS TO SCREEN FOR POSSIBLE ENROLLMENT IN FEDERAL, STATE AND LOCAL PROGRAMS. SOUTH LAKE HAS CONTRACTED DEDICATED ORGANIZATIONS THAT ASSIST THE PATIENT WITH THEIR ENROLLMENT PROCESS ALL THE WAY TO APPROVAL OR DENIAL BY THE RESPECTIVE AGENCIES. FOR UNINSURED PATIENTS THAT ARE DENIED COVERAGE OR DO NOT MEET THE COVERAGE CRITERION FOR A RESPECTIVE AGENCY, SOUTH LAKE THEN SCREENS THE PATIENT FOR CHARITY ELIGIBILITY. IT IS SOUTH LAKE'S OBJECTIVE TO PROVIDE CHARITY CARE TO OUR PATIENTS WHO DO NOT HAVE THE ABILITY TO PAY.
PART VI, LINE 4 - COMMUNITY INFORMATION	SOUTH LAKE CURRENTLY OPERATES IN THE CENTRAL FLORIDA REGION, WHICH HAS OVER TWO MILLION RESIDENTS AND THOUSANDS OF INTERNATIONAL VISITORS ANNUALLY. SOUTH LAKE'S PRIMARY SERVICE AREA IS COMPRISED OF ORANGE, OSCEOLA, SEMINOLE AND LAKE COUNTIES. THE MEDIAN HOUSEHOLD INCOME IN THESE COUNTIES IS 59,710. TEN PERCENT OF HOUSEHOLDS IN CENTRAL FLORIDA ARE BELOW THE FEDERAL POVERTY GUIDELINE. THE PERCENT UNINSURED (AGE 0-64) FOR THE FOUR COUNTY AREAS ARE 23% AND THERE ARE ELEVEN 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	SOUTH LAKE HOSPITAL, INC. FURTHERS ITS EXEMPT PURPOSE BY REINVESTING SURPLUS FUNDS IN THE HOSPITAL, EXTENDING ADMITTING PRIVILEGES TO QUALIFYING PHYSICIANS IN THE COMMUNITY AND SURROUNDING AREAS, OPERATING A FREE CLINIC FOR RESIDENTS OF SOUTH LAKE WHO FALL BELOW THE MEDICAID GUIDELINES, OPERATING THE NATIONAL TRAINING CENTER FOR THE OVERALL HEALTH OF THE COMMUNITY AND ENCOURAGING OVERALL COMMUNITY INVOLVEMENT IN THE GOVERNING BODY OF THE ORGANIZATION. GOVERNING BOARDS ARE COMPOSED OF INDIVIDUALS BROADLY REPRESENTATIVE OF THE COMMUNITY, COMMUNITY LEADERS AND THOSE WITH SPECIALIZED MEDICAL TRAINING AND EXPERTISE.
PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM	SOUTH LAKE HOSPITAL, INC. (HOSPITAL) IS PART OF AN AFFILIATED HEALTH CARE SYSTEM WHICH ALSO INCLUDES ORLANDO HEALTH (OH), SOUTH LAKE HOSPITAL FOUNDATION (FOUNDATION), AND SOUTH LAKE COUNTY HOSPITAL DISTRICT (DISTRICT). THE HOSPITAL, LOCATED IN CLERMONT, FL, IS A NOT-FOR-PROFIT HOSPITAL PROVIDING INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES FOR RESIDENTS OF SOUTHERN LAKE COUNTY, FL AND SURROUNDING AREAS. OH PROVIDES TRAUMA AND ACUTE CARE TO PATIENTS THROUGHOUT THE CENTRAL FLORIDA AREA AND OFFERS PEDIATRIC AND ADULT PATIENT SERVICES. THE FOUNDATION WAS FOUNDED AND OPERATES TO SUPPORT THE SERVICES OF SOUTH LAKE HOSPITAL. THE FOUNDATION OFFERS SUPPORT TO PATIENTS OF SOUTH LAKE HOSPITAL AS WELL AS THE CHILDREN IN THE COMMUNITY FOR WELLNESS. THE DISTRICT LEVIES AD VALOREM TAXES AND HAS USED THE TAXES COLLECTED TO SUPPORT THE HOSPITAL.

Schedule I IRS990ScheduleI

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

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	NURSING SCHOLARSHIPS	GrantTypeTxt
Recipient	24	RecipientCnt
Cash Grant	$56,994	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PAGE 1, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	NURSING SCHOLARSHIP POLICY IS TO PROVIDE TUITION REIMBURSEMENT FOR ANY APPLICANT WHO MEETS CERTAIN CRITERIA REGARDING EMPLOYMENT, GRADES AND QUALIFICATIONS AS WELL AS SUPERVISORY RECOMMENDATIONS. PROOF OF GRADE AND PAYMENT MUST BE PRESENTED AT THE TIME OF REIMBURSEMENT.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
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 (13 entries)

TitleTitleTxt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount
LUSHANTHA GUNASEKERA MD
BOARD MEMBER	$396,596	$297,164	$1,692	$28,550	$23,063	$747,065
MILDRED BEAM
VICE PRESIDENT	$372,750	$140,104	$78,336	$58,311	$15,976	$665,477	$52,286
CARY D'ORTONA
TREASURER	$182,600	$38,749	$8,724	$38,911	$22,063	$291,047
JOHN MOORE
HOSPITAL PRESIDENT	$217,330	$84,373	$11,789	$57,646	$22,332	$393,470	$8,641
LANCE SEWELL
CFO	$145,300	$27,123	$12,074	$22,731	$23,052	$230,280	$8,956
PAUL JOHNS
COO	$126,332	$23,040	$6,814	$9,745	$22,332	$188,263
LINDA WALTON
CNO	$125,704	$23,607	$3,860	$36,898	$16,906	$206,975
BRAHMBHATT JAMIN MD
PHYSICIAN								$442,352	$384	$16,442	$16,783	$475,961
PAREKATTIL SIJO MD
PHYSICIAN								$438,702	$480	$16,442	$16,783	$472,407
ANDREW KAREN MD
PHYSICIAN								$315,892	$330	$17,500	$14,672	$395,823	$47,429
JEROME STURM MD
PHYSICIAN								$266,726	$1,165	$17,500	$16,783	$351,907	$49,733
JACOB SINDU MD
PHYSICIAN								$188,952	$7,424		$16,783	$213,159
SHERRIE SITARIK
FORMER PRESIDENT			$978,146		$14,406	$992,552

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PAGE 1, PART I, LINE 3	NONE OF THE INDIVIDUAL BOARD MEMBERS OR OFFICERS ARE COMPENSATED BY THE FILING ORGANIZATION. THE FILING ORGANIZATION, INSTEAD, RELIES ON THE METHODS USED BY THE RELATED ORGANIZATION AND PROVIDER OF MANAGEMENT SERVICES, ORLANDO HEALTH INC. (OH), TO ESTABLISH COMPENSATION OF THE CEO AND EXECUTIVE OFFICERS. COMPENSATION DETERMINATION BY OH INCLUDES AN INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, AND BOARD APPROVAL. THESE METHODS ARE WELL DOCUMENTED.
SCHEDULE J, PAGE 1, PART I, LINE 4	MILDRED BEAM 0 55,061 0 CARY D'ORTONA 0 12,600 0 JOHN MOORE 0 31,500 0 LANCE SEWELL 0 9,918 0 PAUL JOHNS 0 7,700 0 LINDA WALTON 0 8,750 0 SHERRIE SITARIK 787,985 0 0
SCHEDULE J, PART III	THE 457F DEFERRED COMPENSATION PLAN IS A RETENTION PLAN WHEREBY 7% OF THE EXECUTIVE'S BASE SALARY IS DEPOSITED INTO A LINCOLN ACCOUNT. EACH YEAR'S DEPOSIT IS SUBJECT TO A THREE YEAR VESTING SCHEDULE. UPON VESTING THE ACCOUNT IS TAXED AND PAID OUT LESS ANY 403B DEDUCTIONS. IF THE EXECUTIVE VOLUNTARILY SEPARATES FOR ANY REASON, ALL UNVESTED AMOUNTS ARE FORFEITED. BONUS PLAN DEPARTMENT DIRECTORS RECEIVE AN INCENTIVE FOR THE ACHIEVEMENT OF CERTAIN FINANCIAL, PERSONNEL, CUSTOMER SATISFACTION AND QUALITY GOALS. PHYSICIANS ARE ELIGIBLE FOR BONUS/INCENTIVE PAYMENTS. THESE PAYMENTS ARE BASED ON VARIOUS ORGANIZATIONAL GOALS OF WHICH RELATIVE VALUE UNIT (RVU) EXPECTATIONS MAKE UP ONE OF THE COMPONENTS.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Business Name Line2IssuerName/BusinessNameLine2Txt	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
SOUTH LAKE COUNTY HOSP HLTH DIST
A	BOARD OF TRUSTEES	590571600	838640DL1	2010-01-06	$52,335,000	CONSTRUCTION/RENOVATION	false	Yes (true)	false
SOUTH LAKE COUNTY HOSP HLTH DIST
B	BOARD OF TRUSTEES	590571600	838640DX5	2010-06-03	$34,330,000	REDEMPTION OF 1999 BONDS	false	Yes (true)	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Refunding EscrowRefundingEscrowAmt
A	$1,810,000	$51,998,222	$5,199,822	$998,399	$45,800,001	2011	false	false	false	Yes (true)
B	$2,610,000	$33,956,621		$680,262		2010	Yes (true)	false	Yes (true)	Yes (true)	$33,276,360

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	Yes (true)	Yes (true)	false	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	false	false	false	false	false	false	false	false
B	false	false	false	false	false	false	false	false	false

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	false
B	false

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

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

Field	Value	IRS element (for citing)
Relationship Description	BOARD MEMBER	RelationshipDescriptionTxt
Transaction	$388,334	TransactionAmt
Transaction	BANK OFFICER; CASH	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART V	FormAndLineReferenceDesc
Explanation	ROBERT E. BERENS, JR., CURRENTLY SERVING AS SECRETARY OF THE GOVERNING BOARD, IS A VICE PRESIDENT AT SEACOAST NATIONAL BANK AND OWNS LESS THAN 1% OF THE BANK'S STOCK. THE BANK HOLDS A CD VALUED AT APPROXIMATELY 388,000 FOR THE FILING ENTITY.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 3	ORLANDO HEALTH (OH) PROVIDES THE HOSPITAL'S PRESIDENT, CFO, COO AND CNO PURSUANT TO A MANAGEMENT AGREEMENT WITH THE HOSPITAL.
FORM 990, PAGE 6, PART VI, LINE 7A	FIFTY PERCENT OF THE BOARD MEMBERS ARE APPOINTED BY OH WHILE THE REMAINING MEMBERS ARE APPOINTED BY SOUTH LAKE MEMORIAL HOSPITAL, INC. ON BEHALF OF SOUTH LAKE COUNTY HOSPITAL DISTRICT ("DISTRICT"), A RELATED ORGANIZATION. THE DISTRICT LEVIES AD VALOREM TAXES AND HAS USED THE TAXES COLLECTED TO SUPPORT THE HOSPITAL. NEITHER RELATED ORGANIZATION HAS TECHNICAL CONTROL OF THE HOSPITAL.
FORM 990, PAGE 6, PART VI, LINE 11B	THE BOARD CHAIR REVIEWS THE FORM 990 WITH THE CFO IN DETAIL PAYING PARTICULAR ATTENTION TO ANY NEW SCHEDULES AND THE RECONCILIATION TO THE AUDITED FINANCIAL STATEMENTS PRIOR TO FILING WITH THE IRS. THE PUBLIC INSPECTION COPY (WITHOUT CONTRIBUTORS' NAMES AND ADDRESSES) IS THEN ELECTRONICALLY CIRCULATED TO THE CURRENT VOTING BOARD MEMBERS BY SURVEY MONKEY AS AN ATTACHMENT, PRIOR TO FILING WITH THE IRS.
FORM 990, PAGE 6, PART VI, LINE 12C	ANNUALLY, THE COMPLIANCE OFFICER FOR OH PROVIDES A QUESTIONNAIRE TO THE LEADERSHIP, BOARD OF DIRECTORS, DISTRICT BOARD OF TRUSTEES AND MEDICAL STAFF LEADERSHIP FOR DISCLOSURE IN REGARDS TO POTENTIAL CONFLICTS OF INTEREST. THE OH COMPLIANCE OFFICER EVALUATES EACH QUESTIONNAIRE AND WILL REQUEST ADDITIONAL INFORMATION SHOULD IT BE REQUIRED. ANY VOTING RIGHTS OR COMPENSATION RECEIVED IN RELATION TO ANY COMPETING ENTITIES IS QUESTIONED AS WELL AS OWNERSHIP IN ANY VENDOR STOCK DIRECTLY. IF ANY CONFLICT OF INTEREST OCCURS, THAT INDIVIDUAL IS RECUSED FROM THAT PORTION OF THE MEETING REGARDING THE CONFLICTED TRANSACTION.
FORM 990, PAGE 6, PART VI, LINE 19	FINANCIAL STATEMENTS ARE MADE AVAILABLE THROUGH CONTINUING DISCLOSURE AGREEMENT WITH DIGITAL ASSURANCE CORPORATION (DAC). GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST THROUGH THE SUNSHINE LAW.
FORM 990, PART IX, LINE 11G	CONTRACT SERVICE 5,253,849 1,067,752 0 REFERENCE LAB 887,461 0 0 PROFESSIONAL FEES 4,585,343 0 0 OTHER FEES 573,977 22,926 0 PURCHASED SERVICES 510,117 5,368,660 0 COURIER 25,353 2,301 0 CONSULTING FEES 13,478 170,625 0 COLLECTION 248,176 2,649,225 0 UBTI - OTHER FEES 438,153 0 0
FORM 990, PART XI, LINE 9	RENTAL EXPENSES 298,199 NET ASSETS RELEASED FROM RESTRICTIONS 56,994 CAPITAL CONTRIBUTIONS -161,889 GRANT EXPENSE NETTED AGAINST REVENUE -331,326 RENTAL EXPENSE -298,199 GRANT EXPENSE NETTED AGAINST REVENUE 331,326 SCHOLARSHIPS RELEASED FROM RESTRICTION 56,994
FORM 990, PART XI, LINE 9	NET ASSETS RELEASED FROM RESTRICTIONS -56,994 CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION 57,868 CAPITAL CONTRIBUTION 164,444 TOTAL INCREASE IN NET ASSETS 117,417

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 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
1414 KUHL AVENUE	ORLANDO	FL	328062008	591726273	HEALTHCARE	FL	501C3	3	NA	false
SOUTH LAKE COUNTY HOSPITAL DISTRICT
1900 DON WICKHAM DRIVE	CLERMONT	FL	347111979	590571600	LEVY TAX	FL	501C3	6	NA	false
SOUTH LAKE HOSPITAL FOUNDATION
1935 DON WICKHAM DRIVE	CLERMONT	FL	347111915	900805455	FUNDRAISIN	FL	501C3	7	NA	false

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 S KUHL AVENUE SUITE 100	AddressLine1Txt
City	ORLANDO	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	328062010	ZIPCd

Field	Value	IRS element (for citing)
EIN	591726273	EIN
Primary Activities	PURCHASING	PrimaryActivitiesTxt
Legal Domicile State	FL	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	OH	BusinessNameLine1Txt
Business Name Line2	ORLANDO HEALTH INC	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Predominant Income Type	RELATED	PredominantIncomeTypeTxt
Share Of Total Income	$439,220	ShareOfTotalIncomeAmt
Share Of EOY Assets	$279,231	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
General Or Managing Partner	false	GeneralOrManagingPartnerInd
Ownership	0.07540	OwnershipPct

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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R	FormAndLineReferenceDesc
Explanation	HEALTHCARE PURCHASING ALLIANCE, INC. IS OWNED 7% BY THE FILING ENTITY WITH THE REMAINING 93% OWNED BY ORLANDO HEALTH, INC., A RELATED ORGANIZATION.	ExplanationTxt