2012-08-14T09:24:27-05:00 2011-09-30 ERNST & YOUNG US LLP 201 S BISCAYNE BLVD STE 3000 MIAMI FL 33131 990 2010-10-01 591726273 ORLANDO HEALTH INC ORLA 4078415155 1414 Kuhl Avenue Orlando FL 32806 Paul A Goldstein 4078120980 2012-08-10 3053584111 2010 2016-02-24 21:20:13Z SHERRIE H SITARIK 1414 Kuhl Ave Orlando FL 32806 2218059013 false X www.orlandohealth.com X 1977 FL OUR MISSION AS A COMMUNITY-OWNED ORGANIZATION IS TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND COMMUNITIES WE SERVE. 17 9 14203 1250 10896546 0 11905924 13971697 1644315215 1652803659 30259527 28626109 2545571 8722297 1689026237 1704123762 1037798 1317737 0 0 755615800 747606498 60131 96842 5854836 808258936 793345585 1564972665 1542366662 124053572 161757100 2059912719 2113949411 1124839623 1105320928 935073096 1008628483 X 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. false false 1286015078 1317737 1642171677 ORLANDO HEALTH (OH) PROVIDES HIGH QUALITY INPATIENT, OUTPATIENT, AND EMERGENCY HEALTHCARE TO THE PEOPLE OF CENTRAL FLORIDA THROUGH ITS SIX HOSPITALS AND VARIOUS OUTPATIENT FACILITIES. DURING THE FISCAL YEAR ENDED SEPTEBER 30, 2011, OH FACILITIES PROVIDED 422,622 DAYS OF INPATIENT CARE, 473,542 OUTPATIENT VISITS, AND 236,867 EMERGENCY DEPARTMENT VISITS. IN ACCORDANCE WITH ITS MISSION, OH PROVIDED EXTENSIVE CARE TO PATIENTS WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. OH ALSO OFFERS COMMUNITY EDUCATION, SCHOOL INITIATIVES AND SUPPORT GROUPS. AS A TEACHING HOSPITAL, OH OFFERS RESIDENCY PROGRAMS TRAINING FUTURE HEALTHCARE PROFESSIONALS. ---WE ARE ORLANDO'S HEALTHCARE--- AS A NOT-FOR-PROFIT HEALTHCARE PROVIDER, THE CULTURE OF CARING AT ORLANDO HEALTH TOUCHES THE LIVES OF MANY THROUGHOUT THE GREATER ORLANDO AREA. ORLANDO HEALTH'S PHYSICIANS, TEAM MEMBERS AND VOLUNTEERS KNOW THAT HEALTHCARE EXTENDS BEYOND THE WALLS OF THE HOSPITAL. OUR DEDICATED MEDICAL PROFESSIONALS AND VOLUNTEERS OFTEN CONTRIBUTE TO THE COMMUNITY OUTSIDE OF THE HOSPITAL, EDUCATING THEIR NEIGHBORS AND PROVIDING MEDICAL CARE TO OTHERS IN THE REGION. ORLANDO HEALTH DEMONSTRATES A COMMITMENT TO PROMOTING HEALTH, WELL-BEING AND A CARING SPIRIT THROUGHOUT THE COMMUNITY BY ORGANIZING AND PROVIDING SERVICES RANGING FROM WELLNESS EVENTS AND SCREENINGS, TO FLU SHOTS AND HIGH SCHOOL PHYSICALS. THESE ACTIVITIES BRING LITTLE OR NO PAYMENT TO OUR HOSPITALS, BUT ARE SUSTAINED BECAUSE THEY ARE VALUABLE TO OUR REGION AND SUPPORT OUR MISSION. ---COMMUNITY PROGRAMS AND SERVICES--- COMMUNITY OUTREACH SPEAKER'S BUREAU SUPPORT / EDUCATION GROUPS COMMUNITY WELLNESS COMMUNITY HEALTH FAIRS PASTORAL OUTREACH AND SPIRITUAL CARE ---COMMUNITY CLINICAL SUPPORT SERVICES--- ORLANDO HEALTH SUPPORTS THE MISSION OF COMMUNITY ORGANIZATIONS THAT PROVIDE ACCESS TO PRIMARY CARE SERVICES. THE FACILITIES THAT MAKE UP THE ORLANDO HEALTH FAMILY ENJOY A LONG HISTORY OF WORKING WITH THE COMMUNITIES THEY SERVE. EACH IS COMMITTED TO STRENGTHENING ITS SURROUNDING NEIGHBORHOODS, CITIES AND COUNTIES. CHARITY CARE SERVICES ARE AN IMPORTANT COMPONENT OF ANY NOT-FOR-PROFIT HOSPITAL'S OPERATION AND REMAIN AT THE EPICENTER OF THE ORLANDO HEALTH COMMUNITY BENEFIT INITIATIVE. CHARITY CARE PROVIDES MEDICAL ATTENTION TO OUR REGION'S MOST VULNERABLE PEOPLE, MANY OF WHOM WOULD NOT OTHERWISE HAVE ACCESS TO MEDICAL CARE AND ATTENTION. ---CARING FOR THE UNINSURED THROUGH COLLABORATION IN THE COMMUNITY--- PRIMARY CARE ACCESS NETWORK CENTRAL FLORIDA FAMILY HEALTH CENTER COMMUNITY HEALTH CENTERS, INC. HEALTH CARE CENTER FOR THE HOMELESS ORANGE COUNTY HEALTH SERVICES SHEPHERD'S HOPE MEDICAL CENTERS ---LEVEL ONE TRAUMA CENTER--- ORLANDO REGIONAL MEDICAL CENTER IS HOME TO THE REGION'S ONLY LEVEL ONE TRAUMA CENTER. THIS STATE-DESIGNATED CENTER IS CAPABLE OF DELIVERING THE HIGHEST LEVEL OF EXPERTISE AND CARE IN THE SHORTEST POSSIBLE TIME. ORMC'S LEVEL ONE TRAUMA CENTER PROVIDED SPECIALIZED CARE FOR CRITICALLY INJURED OR CRITICALLY-ILL PEOPLE WITHIN A 90-MILE RADIUS AND MORE THAN 68,884 PATIENTS VISITED ORMC'S EMERGENCY DEPARTMENT. IN ADDITION TO TRAUMA CARE, THE LEVEL ONE TRAUMA CENTER AND AIR CARE TEAM SERVES AS AN INTEGRAL RESOURCE FOR DISASTER READINESS AND RESPONSE PLANNING IN GREATER ORLANDO. IN 2011, AIR CARE TRANSPORTED 433 TRAUMA PATIENTS. BERT MARTIN'S CHAMPIONS FOR CHILDREN EMERGENCY DEPARTMENT & TRAUMA CENTER AT ARNOLD PALMER HOSPITAL PROVIDES LEVEL ONE TRAUMA CARE TO PEDIATRIC PATIENTS. IN 2011, THROUGH MORE THAN 51,677 VISITS, PEDIATRIC PATIENTS RECEIVED SPECIALIZED EMERGENCY CARE AND OUR TEAM RESPONDED TO 228 TRAUMA ALERTS. ---WOMEN'S AND CHILDREN'S HEALTH SERVICES--- - MATERNAL EDUCATION CENTER - CHILD LIFE HOWARD PHILLIPS CENTER FOR CHILDREN & FAMILIES. THE HOWARD PHILLIPS CENTER (HPC) IS A CENTER OF EXCELLENCE, HELPING CHILDREN, HEALING FAMILIES AND STRENGTHENING COMMUNITIES. HPC CONTINUES TO PROVIDE: 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 FY 2010-2011, MORE THAN 14,450 CHILDREN AND THEIR FAMILIES WERE SERVED BY HPC. ---RESEARCH--- RESEARCH IS A KEY COMPONENT IN MAKING ORLANDO HEALTH A STATE-OF-THE-ART HEALTHCARE FACILITY IN CENTRAL FLORIDA. CLOSE TO $ 1.7 MILLION IN RESEARCH WAS COMPLETED IN 2011. ADDITIONAL FUNDS ARE CONTINUALLY SECURED FOR ONGOING RESEARCH ACTIVITIES OF THE ORGANIZATION, CONTINUING TO MAKE LEADING-EDGE TREATMENTS AVAILABLE TO PATIENTS. PRESENTLY OVER 525 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 WELL 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--- - GRADUATE MEDICAL EDUCATION: COMMITMENT TO MEDICAL EDUCATION AS PART OF OUR CORE MISSION WE ARE A DESIGNATED TEACHING HOSPITAL IN CENTRAL FLORIDA AND THE INSTITUTIONAL SPONSOR OF SEVEN RESIDENCY AND 14 FELLOWSHIP PROGRAMS. WE SERVE AS A VALUABLE TRAINING SITE FOR MEDICAL STUDENTS FROM FLORIDA STATE UNIVERSITY, UNIVERSITY OF FLORIDA AND 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 FLORIDA'S COLLEGE OF MEDICINE, PROVIDING FACULTY TO THE PROGRAM, AS WELL AS FINANCIAL SCHOLARSHIPS TO THE INAUGURAL CLASS OF MEDICAL STUDENTS. ---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 SETTING FOR STUDENTS PURSUING A PROFESSION IN PASTORAL CARE OR CHAPLAINCY. ---VALUE TO THE COMMUNITY--- FISCAL YEAR 2011: BY OFFERING THE BEST QUALITY OF CARE, RESPONDING TO COMMUNITY NEEDS AND CONCENTRATING RESOURCES IN AREAS THAT TRULY MAKE A DIFFERENCE, ORLANDO HEALTH MAINTAINS A RICH TRADITION OF PROVIDING BENEFIT TO THE COMMUNITY. OUR COMMUNITY BENEFIT EFFORT IS A MEASURED APPROACH TO MEETING IDENTIFIED COMMUNITY HEALTH NEEDS, PARTICULARLY IN THE VULNERABLE, UNINSURED AND UNDERSERVED COMMUNITIES. AS A NOT-FOR-PROFIT, COMMUNITY-BASED ORGANIZATION, ORLANDO HEALTH IS DEDICATED TO IMPROVING THE HEALTH AND WELL-BEING OF THE PEOPLE WE SERVE. ORLANDO HEALTH IS COMMITTED TO CHARITY CARE, WHICH IS THE PROVISION OF MEDICAL ATTENTION AND SERVICES TO THE REGION'S MOST VULNERABLE AND UNINSURED , REGARDLESS OF A PATIENT'S ABILITY TO PAY, A PATIENT'S INSUFFICIENT HEALTH INSURANCE COVERAGE, OR THE EXISTENCE OF ANY GOVERNMENT-SPONSORED PROGRAMS COVERING THE FULL COST OF SERVICES. IN FISCAL YEAR 2011, ORLANDO HEALTH PROVIDED $75,782,722 IN CHARITY CARE, AS WELL AS $42,675,406 IN COMMUNITY BENEFIT PROGRAMS AND SERVICES AND $14,347,577 IN MEDICAID SHORTFALLS. ---COMMUNITY PARTNERSHIPS--- THE TRUE VALUE OF COMMUNITY BENEFIT IS DERIVED NOT FROM PROGRAMS AND SERVICES THAT AN ORGANIZATION PROVIDES, BUT FROM THE RELATIONSHIPS IT CULTIVATES. ORLANDO HEALTH HAS BEEN FORTUNATE TO PROVIDE BENEFITS BEYOND TRADITIONAL HEALTHCARE PROGRAMS THROUGH PARTNERSHIP OPPORTUNITIES WITH OVER 125 ORGANIZATIONS. 1286015078 true true false true false false false false false true false false true true false false true false true true false false true false false true true true false true true false false false false false false false false true true false false false false false true true true false false true 918 0 true 14203 true true true true CJ false false false false false false false false X 17 9 true false false false true true false true true false false true true true true true true true true false X Paul A Goldstein 3218415155 1414 Kuhl Avenue Orlando FL 32806 Sherrie H Sitarik 40.0 X X 801533 0 137680 Brian Besanceney 5.0 X 0 0 0 C David Brown II 5.0 X 0 0 0 Linda W Chapin 5.0 X 0 0 0 Meg Crofton 5.0 X 0 0 0 Arnold Einhorn 5.0 X 0 618663 50649 Lennard Greenbaum MD 5.0 X 0 0 0 Jamal Hakim MD 5.0 X 0 0 0 Joshua High 5.0 X 0 0 0 Kathy Johnson 5.0 X 0 0 0 Marilyn M King 5.0 X 0 0 0 Harvey Kobrin 5.0 X 0 0 0 George Koehn 5.0 X 0 0 0 Rex V McPherson II 5.0 X 0 0 0 Dianna Morgan 5.0 X 0 0 0 Mark Sand MD 5.0 X 0 0 0 Ray Sandhagen 5.0 X 0 0 0 Conrad Santiago 5.0 X 0 0 0 Sanford C Shugart PhD 5.0 X 0 0 0 CRAIG USTLER 5.0 X 0 0 0 Mildred Denise Beam 40.0 X 513943 0 61489 John W Bozard 5.0 X 690168 0 131017 Nancy G Dinon 40.0 X 395825 0 97070 Keith Eggert 40.0 X 389685 0 64348 P Shannon Elswick 40.0 X 616105 0 103989 Jennifer Endicott 40.0 X 0 172725 30815 Stephen M Glazier 40.0 X 255399 0 28446 Paul A Goldstein 40.0 X 483618 0 101769 Myra J Hancock 40.0 X 252502 0 51246 Stephan J Harr 40.0 X 671173 0 125803 John Hillenmeyer 40.0 X 1986603 0 257508 Karl W Hodges 40.0 X 378265 0 87160 David F Huddleson 40.0 X 152639 0 36809 D Wayne Jenkins 5.0 X 0 988780 152134 Mark A Jones 40.0 X 337367 0 64774 John A Marzano 40.0 X 346774 0 57911 Robert A Miles 40.0 X 339687 0 76109 Anne G Peach 40.0 X 312347 0 86997 John Richard Schooler 40.0 X 503195 0 113134 Kathy A Swanson 40.0 X 490049 0 77853 Karen L Frenier 40.0 X 177142 0 48172 Andrew Caswell Gardiner 40.0 X 145284 0 24224 Beth Boyer Kollas 40.0 X 103968 0 24916 Robert E Snyder 40.0 X 201145 0 71256 David P Sylvester 40.0 X 0 0 0 Jay L Falk 40.0 X 475412 0 66356 Timothy Bullard 40.0 X 396042 0 56146 Mark E Swanson 25.0 X 367450 0 45251 Michael Leonard Howell 40.0 X 332226 0 68652 Simon S Margolis 40.0 X 303062 0 73350 12418608 1780168 2473033 283 false true false Sodexho Inc 9801 Washingtonian Blvd GAITHERSBURG MD 20878 MGMT SVCS -FOOD/ENV. 15105022 Robins Morton Group 400 Shades Creek Parkway Ste 200 BIRMINGHAM AL 35209 GENERAL CONTRACTOR 13731625 Fl Hospital Healthcare Systems In 602 Courtland St Ste 162 ORLANDO FL 32804 HEALTHCARE SERVICES 5982823 Chamberlin Edmnds Assoc Inc PO Box 572490 MURRAY UT 84157 COLLECTION SERVICES 5366880 Variety Children's Hospital Inc 3100 SW 62nd Avenue MIAMI FL 33155 PHYSICIANS SERVICES 5069636 261 10203368 1816287 1952042 13971697 Net Patient Service Revenue 621500 1609620820 1599014770 10606050 OTHER PROGRAM REVENUE 621990 41968400 41968400 Inc Exempt Affiliate 621990 676284 676284 FITNESS CENTER 713940 512223 512223 WELLNESS CENTER 713940 25932 25932 1652803659 12585748 -533 12586281 1039731 1039731 3308 3308 578987 263790 346121 281104 232866 -17314 215552 -60831 276383 527929657 378999 512607554 700472 15322103 -321473 15000630 15000630 0 0 0 Parking Garage 621990 939418 939418 Physicians Answering Service 561499 325928 325928 MANAGEMENT FEES 900099 6767754 6767754 470337 470337 8503437 1704123762 1642171677 10896546 37083842 1317737 1317737 0 0 0 10314792 2631734 6400326 1282732 0 603045525 489745331 111626223 1673971 19880733 16148394 3732339 71687248 57715114 13597011 375123 42678200 34641916 7837257 199027 0 6076776 6076776 399095 340686 58409 301846 301846 96842 96842 1211927 1211927 94789538 76291542 18137466 360530 7216043 769790 6442643 3610 295197727 290251297 4274153 672277 26616911 12303495 14208740 104676 0 70405621 49024027 20969279 412315 3066625 1649567 1298623 118435 0 529362 64940 415803 48619 37313156 27984867 9141723 186566 0 89086645 67253533 21784066 49046 15150204 15146120 4084 Regulatory Assessment 19261936 19261936 Bad Debt Expense 101281169 101281169 Discharge Support 6530318 6530318 Eligibility Fees 10517957 10517957 All other expenses 8392729 5484294 2695777 212658 1542366662 1286015078 250496748 5854836 44955526 24251735 34182947 4196652 221341573 232393215 16263061 18105771 35850543 32608969 1928168759 1062859879 861467743 865308880 715015265 780616126 26256096 33081668 104579965 123386395 2059912719 2113949411 144291332 136277924 780082768 764198912 705071 642733 199760452 204201359 1124839623 1105320928 X 877462879 943789507 57030794 64245526 579423 593450 935073096 1008628483 2059912719 2113949411 X 161757100 -88201713 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 83600 false true 218246 301846 false Other Political Activities Schedule C, Part II-B, Line 1 ASSESSING CURRENT STATE AND FEDERAL LEGISLATION WITH CONSULTANTS WHO ADVISE HOW THE LEGISLATION WOULD AFFECT THE ORGANIZATION TOTALING $76,423. AMOUNTS REPORTED FROM VARIOUS HOSPITAL AND HEALTHCARE MEMBERSHIPS OF DUES USED FOR POLITICAL ACTIVITIES TOTALING $141,823. 56289088 56289088 614846527 244953924 369892603 6024294 0 6024294 1166231782 806529975 359701807 84777068 11375980 73401088 865308880 Investment in Related Parties 9879296 CASH SURRENDER VALUE LIFE INS 16223080 Due from Affiliates 79974494 Deposits 7663598 Gift Annuity Trust 3511752 Other Assets 6134175 123386395 0 Malpractice Liability 89544586 REGULATORY ASSESSMENTS 764175 Accrued Interest 15619170 Due to Third Party Payors 43338586 Other Liabilities 10784102 Due to Related Organizations 642749 Due to Affiliates 370073 Swap Liability 43137918 204201359 AFS NOTE - INCOME TAXES SCHEDULE D, PART X, LINE 2 ORLANDO HEALTH AND THE SIGNIFICANT CONSOLIDATING ENTITIES ARE NOT-FOR-PROFIT CORPORATIONS, RECOGNIZED AS TAX-EXEMPT UNDER SECTION 501(A) AS AN ORGANIZATION DESCRIBED IN SECTIONS 501(C)(3) AND 501(E) OF THE INTERNAL REVENUE CODE OF 1985, AS AMENDED. THE OTHER CONSOLIDATING ENTITIES ARE ORGANIZED AS FOR-PROFIT CORPORATIONS, BUT HAVE PRODUCED NET OPERATING LOSSES TO DATE. ACCORDINGLY, IN ACCORDANCE WITH THE INCOME TAXES TOPIC OF THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION, THESE ENTITIES HAVE RECOGNIZED DEFERRED TAX ASSETS ASSOCIATED WITH THEIR NET OPERATING LOSSES, ALONG WITH A FULL VALUATION ALLOWANCE SINCE IT IS UNLIKELY THAT THESE DEFERRED TAX ASSETS WILL BE REALIZED. Central America and the Caribbean 1 1 Program Services CAPTIVE INSURANCE 70226 East Asia and the Pacific Investments 11875906 Europe (Including Iceland and Greenland) Investments 13805894 North America Investments 33521 Middle East and North Africa Investments 6540 Sub-Saharan Africa Investments 854 1 1 1 1 25792941 25792941 true false true false false false X true Allegiant Direct Inc TELEPHONE SOLICITING false 96842 96842 DISTINGUISHING PYMTS FOR PROF. FUNDRAISING SERVICES FROM EXP PYMT OR REIMB SCHEDULE G, PART I, COL V PLEDGE COMMITMENTS ARE GENERATED VIA TELEPHONE BY DIRECT LINE TECHNOLOGIES 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. true true X true X true X true true false true true 58826712 0 58826712 0.04080 271946206 263529639 8416567 0.00580 23592097 886180 22705917 0.01580 354365015 264415819 89949196 0.06240 27434776 812237 26622539 0.01850 45354818 15036683 30318135 0.02100 0 0 0 0.00000 1782229 0 1782229 0.00120 447854 0 447854 0.00030 75019677 15848920 59170757 0.04100 429384692 280264739 149119953 0.10340 531000 0 531000 0.00030 531000 0 531000 0.00030 true 21409292 0 261170256 281621762 -20451506 X true true 5 1 Orlando Regional Medical Center X X X X 2 Dr P Phillips Hospital

9400 Turkey Lake Rd Orlando FL 32819

X X X 3 South Seminole Hospital

555 W SR 434 Longwood FL 32279

X X X 4 Arnold Palmer Hospital for Children

92 W Miller Orlando FL 32806

X X X X 5 Winnie Palmer Hosp for Women & Babies

82 W MILLER ORLANDO FL 32806

X X X NEONATAL UNIT Orlando Regional Medical Center 1 Dr P Phillips Hospital 2 South Seminole Hospital 3 Arnold Palmer Hospital for Children 4 X Winnie Palmer Hosp for Women & Babies 5 PART I, LINE 3C N/A PART I, LINE 6A OUR COMMUNITY BENEFIT REPORT FOR FY 2010 WAS PREPARED BY OUR OFFICE. PART I, LINE 7 PART I, LINE 7G: NOT APPLICABLE; ORLANDO HEALTH DOES NOT INCLUDE COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC AS SUBSIDIZED HEALTH SERVICES. PART I, LINE 7, COLUMN F: BED DEBT EXPENSE REPORTED ON FORM 990, PART IX, LINE 25, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IS $101,281,169. OUR TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN (A) WAS $1,542,323,599. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT WAS $101,281,169. THIS LEFT A TOTAL EXPENSE OF $1,441,042,430 FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F). PART I, LINE 7: THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN 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 II COMMUNITY BUILDING ACTIVITIES THE PRIMARY PURPOSE OF ORLANDO HEALTH'S COMMUNITY BUILDING ACTIVITIES IS TO IMPROVE HEALTH IN THE CENTRAL FLORIDA COMMUNITY. ORLANDO HEALTH MAY RECRUIT OR ASSIST IN THE RECRUITMENT OF PHYSICIANS WHEN A NEED IS IDENTIFIED TO BRING A MEDICAL SERVICE OR PROVIDER TO THE AREA, TO MAINTAIN THE DELIVERY OF HEALTHCARE AS PHYSICIAN ATTRITION OCCURS DUE TO RETIREMENT, DISABILITY, RELOCATION OR OTHER PERTINENT REASONS. A COMMUNITY NEED MUST BE DETERMINED BEFORE ORLANDO HEALTH WILL ENGAGE IN THE RECRUITMENT OF A PHYSICIAN OR ASSIST IN THE RECRUITMENT OF A PHYSICIAN. RATIONALES THAT ORLANDO HEALTH USES TO DETERMINE COMMUNITY NEED INCLUDE INDEPENDENT HEALTH PLANNING SERVICE ORGANIZATIONS; COMMUNITY NEEDS ASSESSMENT AND INDEPENDENTLY MAINTAINED PHYSICIAN DATABASE SOFTWARE THAT ASSISTS IN IDENTIFYING COMMUNITY NEED. IT IS IMPORTANT TO ADDRESS THE PHYSICIAN WORKFORCE SHORTAGE ISSUES IN ORDER TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE CENTRAL FLORIDA COMMUNITY. IF A PARTICULAR PHYSICIAN SPECIALTY IS DEFICIENT IN THE COMMUNITY IN COMPARISON TO THE POPULATION THIS CAN OFTEN LEAD TO INEFFICIENT OR NO ACCESS OR LONG WAIT PERIODS TO ACCESS HEALTHCARE SERVICES WHICH OFTEN LEAD TO POOR HEALTH OUTCOMES. OUR PHYSICIAN RECRUITMENT EFFORTS MEET THE COMMUNITY BENEFIT OBJECTIVE OF IMPROVING ACCESS TO HEALTH SERVICES WHICH ENHANCES PUBLIC HEALTH. THESE ACTIVITIES PRIMARILY BENEFIT THE LOCAL COMMUNITY AND WERE NOT PROVIDED FOR MARKETING PURPOSES, NOR TO INCREASE REFERRALS OF PATIENTS TO ORLANDO HEALTH, IN FULFILLMENT OF REGULATORY REQUIREMENTS OR CURRENT STANDARD OF CARE, NOR TO BENEFIT PERSONS AFFILIATED WITH ORLANDO HEALTH. RATHER, THE PRIMARY PURPOSE OF THE WORKFORCE DEVELOPMENT ACTIVITIES IS TO BENEFIT THE COMMUNITY BASED ON INDEPENDENT COMMUNITY NEEDS ANALYSES. ORLANDO HEALTH HAS ASSISTED IN THE RECRUITMENT OF TWELVE NEW COMMUNITY BASED PHYSICIANS TO SUPPORT THE PHYSICIAN SHORTAGES IN OUR COMMUNITY DURING THE YEAR. PART III, LINE 4 THE COST OF BAD DEBT AS REFLECTED IN PART III, LINE 2, WAS CALCULATED USING A COST-TO-CHARGE RATIO. 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 ACCOUNT QUALIFIES FOR FINANCIAL ASSISTANCE. 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. 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. THE PROVISION FOR BAD DEBT EXPENSE, 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 HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AND CHARGED TO THE PROVISION FOR BAD DEBTS AFTER COLLECTION EFFORT HAS BEEN FOLLOWED IN ACCORDANCE WITH THE SYSTEM'S POLICIES. RECOVERIES ARE TREATED AS A REDUCTION TO THE PROVISION FOR BAD DEBTS. PERIODICALLY, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCES BY PAYOR CATEGORY. RESULTS OF THIS REVIEW ARE THEN USED TO MAKE MODIFICATIONS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES AND PROVISION FOR BAD DEBTS. 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. OH DOES NOT CURRENTLY INCLUDE MEDICARE SHORTFALL AS A COMMUNITY BENEFIT. HOWEVER, AS A NOT-FOR-PROFIT ORGANIZATION WE PROVIDE EMERGENCY AND REQUIRED CARE TO ALL PATIENTS REGARDLESS OF THEIR FINANCIAL STATUS. DESPITE THE MEDICARE SHORTFALL, NOT-FOR-PROFIT HOSPITALS MUST AND WILL CONTINUE TO CARE FOR THE MEDICARE POPULATION AND ACCEPT THE MEDICARE REIMBURSEMENT RATE. CARING FOR THE MEDICARE PATIENT POPULATION FULFILLS A COMMUNITY NEED AND RELIEVES A GOVERNMENT BURDEN AS THIS CLASS OF PATIENTS TYPICALLY HAS LOW AND/OR FIXED INCOMES. THE MEDICARE PATIENT POPULATION IS LARGE AND THE LACK OF SUFFICIENT REIMBURSEMENT TO COVER THE COST OF PROVIDING CARE FOR THESE PATIENTS NECESSITATES THAT NOT-FOR-PROFIT HOSPITALS USE OTHER FUNDS TO COVER THE DEFICIT. NOT-FOR-PROFIT HOSPITALS HAVE A RESPONSIBILITY TO WORK TOWARD IMPROVED HEALTH IN THE COMMUNITIES THEY SERVE AND CARING FOR THE MEDICARE PATIENTS, DESPITE THE SHORTFALL OF REIMBURSEMENT, IS A DIRECT COMMUNITY BENEFIT AND PROVIDES VALUE DIRECTLY TO THE COMMUNITIES SERVED. PART III, LINE 9B COLLECTION PRACTICES ARE CONSISTENT FOR ALL PATIENTS AND COMPLY WITH APPLICABLE PROVISIONS OF STATE LAW. DURING PRE-ADMISSION, 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 - QUESTION 2 - NEEDS ASSESSMENT OH DID NOT CONDUCT A FORMAL COMMUNITY HEALTH CARE NEEDS ASSESSMENT DURING THIS FISCAL YEAR. HOWEVER, THE ORGANIZATION 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 OH 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 ASSOCIATIONS TO ATTEND TO THE HEALTH CARE NEEDS OF THE OH 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. OH 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 HOSPITALS. OH SPONSORS A VARIETY OF PROGRAMS FOR AT-RISK POPULATIONS, FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS AND SPECIAL NEEDS GROUPS, AS WELL AS FOR THE BROADER COMMUNITY. PART VI - QUESTION 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. PART VI - QUESTION 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 14,300 EMPLOYEES AND 1,950 PHYSICIANS ON STAFF. WE ARE OUR COMMUNITY'S ONLY STATUTORY TEACHING HOSPITAL OFFERING GRADUATE MEDICAL EDUCATION WHERE WE ARE THE INSTITUTIONAL SPONSOR OF SEVEN RESIDENCY AND 14 FELLOWSHIP PROGRAMS. ORLANDO HEALTH FACILITIES ENCOMPASS 1,700 FULLY CERTIFIED BEDS, ADVANCED MEDICAL TREATMENTS AND PROCEDURES AND HIGHLY QUALIFIED STAFF. ORLANDO HEALTH IS COMPRISED OF ORLANDO REGIONAL MEDICAL CENTER (ORMC), ARNOLD PALMER HOSPITAL FOR CHILDREN, WINNIE PALMER HOSPITAL FOR WOMEN & BABIES, DR. P. PHILLIPS HOSPITAL, AND SOUTH SEMINOLE HOSPITAL. ORMC IS HOME TO THE REGION'S ONLY LEVEL ONE ADULT 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 MORE THAN 236,837 PATIENTS VISITED OUR EMERGENCY DEPARTMENTS IN 2011. ARNOLD PALMER HOSPITAL IS THE FIRST FACILITY IN CENTRAL FLORIDA TO PROVIDE EMERGENCY CARE EXCLUSIVELY FOR PEDIATRICS INCLUDING LEVEL ONE. 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 433 TRAUMA PATIENTS IN 2011. ORLANDO HEALTH'S PRIMARY SERVICE AREA IS COMPRISED OF ORANGE, OSCEOLA, SEMINOLE AND LAKE COUNTIES. THE MEDIAN HOUSEHOLD INCOME IN THESE COUNTIES IS $64,393. 10.7 PERCENT OF HOUSEHOLDS IN CENTRAL FLORIDA ARE BELOW THE FEDERAL POVERTY GUIDELINE. THE PERCENT UNINSURED (AGE 0-64) FOR THE FOUR COUNTY AREA IS 24% 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. ORLANDO HEALTH SERVICES ALSO INCLUDE A REGIONAL BURN UNIT; ORTHOPEDICS AND SPORTS MEDICINE; CANCER CARE; THORACIC CARDIOVASCULAR SURGERY; CARDIOLOGY SERVICES; INTERNATIONAL HEALTH; AIR MEDICAL RESCUE; NEUROLOGY; AMBULATORY SURGERY; REHABILITATION; BEHAVIORAL HEALTH SERVICES; COMMUNITY EDUCATION AND OUTREACH PROGRAMS; HOSPITALITY AND GUEST SERVICES; SENIORS PROGRAM; HOME HEALTH; MULTIPLE SCLEROSIS CENTER; PAIN MANAGEMENT; OCCUPATIONAL MEDICINE; PSYCHOSOCIAL SERVICES; PULMONARY MEDICINE. PART VI - QUESTION 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 AND THE PUBLIC HEALTH DEPARTMENT IN OUR 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 NON-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 BALANCE 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. ORLANDO HEALTH, THE UNIVERSITY OF FLORIDA, AND SHANDS HEALTHCARE HAVE SIGNED A MEMORANDUM OF UNDERSTANDING WITH THE INTENT TO COLLABORATE ON NEW HEALTH INITIATIVES THAT WILL MAKE CARE MORE ACCESSIBLE TO MILLIONS OF PATIENTS OVER A 20-COUNTY REGION AND EXPAND TRAINING OPPORTUNITIES FOR PHYSICIANS. PART VI - QUESTION 6 - AFFILIATED HEALTH CARE SYSTEM ORLANDO HEALTH, INC. IS THE PARENT ORGANIZATION OF AN INTEGRATED HEALTH SYSTEM FOR WHICH WE ARE ABLE TO PROVIDE COMPREHENSIVE SERVICES TO IMPROVE THE HEALTH AND QUALITY OF LIFE FOR OUR COMMUNITY SERVED. AS AN INTEGRATED HEALTH SYSTEM, ORLANDO HEALTH HAS SEVERAL 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 OUR CANCER FOR OUR COMMUNITY IS BACKED BY EXPERTISE AND RESOURCES TO DELIVER HIGH-QUALITY PATIENT CARE FROM DIAGNOSIS THROUGH TREATMENT AND CONTINUING THROUGH THE END OF LIFE. ORLANDO HEALTH PHYSCIANS GROUP, INC. SERVES AS AN INTEGRAL COMPONENT OF ORLANDO HEALTH'S HEALTH SYSTEM BY PROVIDING AN INTEGRATED DELIVERY SYSTEM OF PRIMARY CARE PHYSICIAN SERVICES, SPECIALTY PHYSICIAN SERVICES, OCCUPATIONAL HEALTH SERVICES, REHABILITATION HEALTH SERVICES AND BEHAVIORAL HEALTH SERVICES. ORLANDO PHYSICIAN NETWORK , INC. ALSO SERVES AS AN INTEGRAL COMPONENT OF ORLANDO HEALTH'S HEALTH SYSTEM BY PROVIDING CARDIOLOGY PHYSICIAN SERVICES TO OUR PATIENTS AND COMMUNITY SERVED. HEALTHCARE PURCHASING ALLIANCE, INC. SERVES ORLANDO HEALTH'S INTEGRATED HEALTH SYSTEM BY PROVIDING VALUE THROUGH CENTRALIZED PURCHASING SERVICES TO ITS PATRON HOSPITALS THEREBY HELPING TO REDUCE THE COSTS ASSOCIATED WITH PROVIDING SERVICES TO OUR COMMUNITY. 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 $205 MILLION IN SUPPORT OF COMMUNITY HEALTH NEEDS. PART VI - QUESTION 7 - STATE FILING OF COMMUNITY BENEFIT REPORT NONE true A Gift For Teaching Inc 6501 Magic Way Orlando FL 32809 593515162 501(c)(3) 7500 American Cancer Society 1601 West Colonial Drive Suite 400-C Orlando FL 32804 590657320 501(c)(3) 7700 Sponsorship Fee American Heart Association Inc 237 E Marks St Suite 565 Orlando FL 32803 135613797 501(c)(3) 170000 Sponsorship Fee Camp Boggy Creek 30500 Brantley Branch Rd Suite 465 Eustis FL 32736 593012889 501(c)(3) 7500 Sponsorship Fee Central FL Black Nurses Association Inc PO Box 585142 Orlando FL 32858 593288443 501(c)(3) 10000 Sponsorship Fee Central Florida Pediatric Society 1890 SR 436 Winter Park FL 32792 237422278 501(c)(3) 10000 Sponsorship Fee CENTRAL FL WOMEN'S LEAGUE FOUNDATION INC PO Box 1100 Windermere FL 34786 593614854 501(c)(3) 6000 Sponsorship Fee Foundation for Seminole State College of FL 100 Weldon Blvd Sanford FL 32773 237033822 501(c)(3) 83400 Scholarship Grace Medical Home Inc 51 Pennsylvania St Orlando FL 32806 261817966 501(c)(3) 100000 Sponsorship Fee Healthcare Center for the Homeless Inc 232 N Orange Blossom Trail Orlando FL 32805 593185020 501(c)(3) 200000 Sponsorship Fee HEART OF FLORIDA UNITED WAY INC 1940 Taylor Blvd Orlando FL 32804 590808854 501(c)(3) 19800 Sponsorship Fee Junior League of Greater Orlando FL Inc 125 N Lucerne Circle East Orlando FL 32801 590774674 501(c)(3) 15000 Sponsorship Fee March of Dimes Foundation - Central FL Div 341 N Maitland Ave Maitland FL 32751 131846366 501(c)(3) 7500 Sponsorship Fee Orange County Public Schools 445 W Amelia Avenue Orlando FL 32802 596000773 GOVRMT ENTITY 61278 Sponsorship Fee Ronald McDonald House Charities Cntrl FL 1030 N Orange Avenue Orlando FL 32801 593211250 501(c)(3) 7000 Sponsorship Fee Second Harvest Food Bank of Central Florida 2008 Brengle Avenue Orlando FL 32808 592142315 501(c)(3) 5250 Sponsorship Fee UNITED ARTS OF CENTRAL FLORIDA 2450 Maitland Center Parkway Maitland FL 32751 591166446 501(c)(3) 11000 Sponsorship Fee University of Central Florida Fdn Inc 12424 Research Pkwy Ste 140 Suite 115 Orlando FL 32806 596211832 501(c)(3) 253200 Sponsorship Fee Valencia Community College Foundation Inc PO Box 3028 Orlando FL 32802 237442785 501(c)(3) 237000 Health Central Foundation Inc 10000 West Colonial Drive Ocoee FL 34761 592091206 501(c)(3) 7500 22 2 Form 990, Schedule I Description of Organization's Procedures for Monitoring the Use of Grants ORLANDO HEALTH, INC. MAKES GRANTS SOLELY TO GOVERNMENT ENTITIES AND ORGANIZATIONS EXEMPT FROM TAX UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) THAT FURTHER THE MISSION OF ORLANDO HEALTH TO SUPPORT HEALTHCARE IN CENTRAL FLORIDA. ORLANDO HEALTH'S COMMUNITY RELATIONS DEPARTMENT DETERMINES SUPPORT FOR LOCAL NON-PROFIT SPONSORSHIPS. ANY GRANT AMOUNT OVER $25,000 HAS TO BE APPROVED BY THE CEO AND REPORTED TO THE BOARD. THE GRANTS ARE MONITORED TO ENSURE THE ORGANIZATION'S MISSION IS ALIGNED WITH ORLANDO HEALTH'S MEETING A SOCIAL AND COMMUNITY NEED IN THE AREAS OF HEALTH, SOCIAL SERVICES, ARTS AND EDUCATION. 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IS A COMMON PAYMASTER AND COMMON PAY AGENT FOR ORLANDO CANCER CENTER, INC. EIN 59-3005020; ORLANDO HEALTH PHYSICIAN GROUP, INC. EIN 59-3259553; HEALTHCARE PURCHASING ALLIANCE, INC. EIN 59-2353091; ORLANDO HEALTH FOUNDATION, INC. EIN 59-2244943; AND ORLANDO PHYSICIAN NETWORK, INC. EIN 59-3110868 AND THEIR EMPLOYEES ARE INCLUDED ON THE ORLANDO HEALTH, INC. 941. Supplemental Compensation Information SCHEDULE J, PART I, LINE 4B DEFERRAL DISTRIBUTIONS PAID TO THE FOLLOWING: JOHN HILLENMEYER $428,017; D. WAYNE JENKINS, M.D. $254,942. DEFERRAL DEPOSIT MADE ON BEHALF OF THE FOLLOWING: MILDRED BEAM $48,423; JOHN W. BOZARD $85,533; NANCY G. DINON $31,585; KEITH EGGERT $35,043; SHANNON P. ELSWICK $58,207; JENNIFER ENDICOTT $19,815; KAREN L. FRENIER $10,573; STEPHEN M. GLAZIER $8,657; PAUL A. GOLDSTEIN $54,153; MYRA J. HANCOCK $19,520; STEPHAN J. HARR $61,587; JOHN HILLENMEYER $212,341; KARL W. HODGES $41,765; DAVIS F. HUDDLESON $11,706; D. WAYNE JENKINS $81,769; MARK A. JONES $31,470; JOHN A. MARZANO $31,249; ROBERT A. MILES $27,270; ANNE G. PEACH $23,477; JOHN R. SCHOOLER $47,109; SHERRIE H. SITARIK $74,310; ROBERT E. SNYDER $17,371; KATHY A. SWANSON $45,440. Orange County Health Facilities Authority 521378595 6845032J3 2006-01-25 182254609 REFUND REMAINING SERIES 2002 BONDS true false false ORANGE COUNTY HEALTH FACILITIES AUTHORITY 521378595 6845035L5 2008-05-15 155816665 CONVERT SERIES 2005A, 2006A1 & A2 false false false ORANGE COUNTY HEALTH FACILITIES AUTHORITY 521378595 6845035Q4 2008-06-18 78568277 REPAY CREDIT DRAW REFUND SRS 2007B false false false ORANGE COUNTY HEALTH FACILITIES AUTHORITY 521378595 6845035U5 2008-06-18 179360000 REFUND SERIES 1999A, 1999B & 1999C false false false 187977751 5303599 713556 69579532 2006 false true true true 161016385 13674864 1110980 2008 true false true true 79612524 9788842 847852 14685424 2008 false false true true 125230000 179362823 1573177 1053969 18727325 2008 true false false true false false true false true 0.00000 0.00000 0.00000 true false false true false true 0.00000 0.00000 0.00000 true false false true false true 0.00000 0.00000 0.00000 true false false true false true 0.00000 0.00210 0.00210 true false true false false false false false false false false false false false false false false false false false true true MORGAN STANLEYDEXIA 14.4 false false false false DESCRIPTION OF PURPOSE SCHEDULE K, PART I COLUMN (F) HOSPITAL REVENUE BONDS, SERIES 2006A&B TO REFUND THE REMAINING SERIES 2002 BONDS (ISSUE DATE 5/16/02), AND PROVIDE $6,809,000 TO FINANCE AND REIMBURSE FOR CONTRUCTION AND EQUIPMENT COSTS FOR IMPROVEMENTS AT ORLANDO REGIONAL MEDICAL CENTER, AND TO FINANCE AND REIMBURSE FOR A PORTION OF THE CONTRUCTION AND EQUIPMENT COSTS OF THE NEW WINNIE PALMER HOSPITAL FOR WOMEN AND BABIES. DEFEASED AND CONVERTED TO FIXED RATE BY SERIES 2008B ISSUED ON 5/15/08. HOSPITAL REVENUE BONDS, SERIES 2008A&B TO CONVERT SERIES 2005A (ISSUE DATE 5/26/05) AND SERIES 2006A1&A2 (ISSUE DATE 1/25/06)TO FIXED INTEREST RATE. 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. 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. 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. 2011 HOSPITAL REVENUE BONDS TO REFUND THE 2007A BONDS AND PAY THE COST OF ISSUANCE OF THE 2011 BONDS.(ISSUE DATE 9/15/2011) IRENE KOVATS MOTHER OF N. DINON OFCR 34023 COMPENSATION FOR EMPLOYMENT false THOMAS F MCDANIEL JR BROTHER OF M. KING BOD 51305 COMPENSATION FOR EMPLOYMENT false STACEY L SITARIK DAUGHTER S. SITARIK OFCR 10873 COMPENSATION FOR EMPLOYMENT false JESSICA JONES SPOUSE OF M. JONES OFCR 44759 COMPENSATION FOR EMPLOYMENT false ANESTHIA GROUP OF ORLANDO PA SEE PART V 1172239 CONTRACTED ANESTHESIOLOGY SVCS false SUNTRUST BANK OF CENTRAL FLORIDA SEE PART V 726408 GENERAL BANKING SERVICES false SUNTRUST BANK OF CENTRAL FLORIDA SEE PART V 726408 GENERAL BANKING SERVICES false CARDIOVASCULAR SURGEONS PA SEE PART V 363843 CONTRACTED SURGERY SERVICES false FULCROM PARTNERS SEE PART V 66235 RETIREMENT PLAN SERVICES false HEALTHCHOICE INC OH OFFICERS ON HC BOARD 717851 PURCHASED MANAGED CARE SVCS false COLUMBIA PROPERTIES SILVER COURT L SEE PART V 692262 OHI RENTS OFFICE SPACE false RELATIONSHIP BETWEEN PERSONS AND ORGANIZATION SCHEDULE L, PART IV, COLUMN B LINE 5 - J. HAKIM, BOD, OWNER IN CONTRACTED GROUP LINE 6 - RAY SANDHAGEN, BOD OF BOTH OHI & SUNTRUST LINE 7 - REX V, MCPHERSON II, BOD OF BOTH OHI & SUNTRUST LINE 8 - M. SAND, BOD OF OHI AND DIRECTOR OF CONTRACTED ENTITY LINE 9 - BOD, D. MORGAN'S BROTHER-IN-LAW SCOTT CAHILL IS OWNER OF CONTRACTED ENTITY. RELATIONSHIP BETWEEN PERSONS AND ORGANIZATION SCHEDULE L, PART IV, COLUMN B LINE 1 - FATHER OF CRAIG USTLER, BOD, OWNS 1/3 OF COLUMBIA PROPERTIES SILVER COURT LLC. DESCRIPTION OF RELATIONSHIPS FORM 990, PART VI, QUESTION 2 JOHN HILLENMEYER, STEPHAN HARR, PAUL GOLDSTEIN, KARL HODGES, AND NANCY DINON HAVE A BUSINESS RELATIONSHIP AS BOARD MEMBERS OF FOR PROFIT COMPANIES WHOLLY OWNED BY ORLANDO HEALTH, INC. DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PART VI, QUESTION 6 A GROUP OF 40 MEMBERS OF THE COMMUNITY WAS ESTABLISHED WHEN ORLANDO HEALTH (OH) WAS CREATED. THIS SELF-PERPETUATING GROUP ELECTS THE GOVERNING BODY OF OH. THIS GROUP DOES NOT APPROVE DECISIONS OF THE GOVERNING BODY, NOR DOES IT RECEIVE AN SHARE OF THE INCOME OR NET ASSETS OF OH. DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS FORM 990, PART VI, QUESTION 7A THE GROUP OF 40 MEMBERS DESCRIBED ABOVE ELECTS THE GOVERNING BODY OF ORLANDO HEALTH, INC. THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, QUESTION 11B CFO AND THE FINANCE DEPARTMENT REVIEWED THE FORM 990 AND ANY REQUIRED CHANGES WERE MADE TO THE FORM 990 BEFORE THE FORM WAS REVIEWED WITH THE FINANCE AND AUDIT COMMITTEES OF THE BOARD. ANY QUESTIONS ABOUT THE CONTENT WERE ANSWERED AND ANY CHANGES REQUIRED AS A RESULT OF THE REVIEW WERE MADE. THE COMMITTEE JOINTLY SUBMITTED A REPORT TO THE BOARD OF DIRECTORS ABOUT THEIR REVIEW OF THE FORM AND THE FINAL FORM 990 WAS THEN MADE AVAILABLE TO ALL MEMBERS OF THE BOARD BEFORE IT WAS FILED. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, QUESTION 12C 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. BOARD MEMBERS ROUTINELY ANNOUNCE CONFLICTS AT BOARD MEETINGS AND LEAVE THE ROOM FOR THE DISCUSSION AND THE VOTE. OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN FORM 990, PART VI, QUESTION 15A & 15B THE EXECUTIVE COMPENSATION PROCESS AT ORLANDO HEALTH IS ADMINISTERED BY A COMMITTEE OF INDEPENDENT TRUSTEES. THEY FOLLOW A BOARD APPROVED CHARTER AND OVERALL EXECUTIVE COMPENSATION PHILOSOPHY. THIS PROCESS APPLIES TO THE CEO 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 AND RETENTION OF KEY MANAGEMENT TALENT AND TO ENSURE THAT COMPENSATION AND BENEFITS DO NOT EXCEED MARKET NORMS. ORLANDO HEALTH'S EXECUTIVE COMPENSATION PHILOSOPHY DEFINES THE MARKET FOR ADMINISTERING COMPENSATION AS 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 ALSO 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. AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO PUBLIC FORM 990, PART VI, QUESTION 19 THESE DOCUMENTS ARE NOT MADE AVAILABLE TO THE GENERAL PUBLIC. HOURS WORKED FOR RELATED ORGANIZATIONS FORM 990, PART VII, SECTION A, COLUMN B ESTIMATED HOURS WORKED BY OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES,AND HIGHEST COMPENSATED EMPLOYEES AT RELATED ENTITIES: HEALTHCARE PURCHASING ALLIANCE, INC.: JOHN W. BOZARD - 5 P. SHANNON ELSWICK - 5 STEPHEN M. GLAZIER - 5 PAUL A. GOLDSTEIN - 5 STEPHAN J. HARR - 5 MARK A. JONES - 5 JOHN RICHARD SCHOOLER - 5 ROBERT E. SNYDER - 5 KATHY A. SWANSON - 5 ORLANDO HEALTH FOUNDATION, INC.: JOHN W. BOZARD - 40 JOHN HILLENMEYER - 5 KATHY JOHNSON - 5 RAY SANDHAGEN - 5 SHERRIE H. SITARIK - 5 ORLANDO CANCER CENTER, INC.: P. SHANNON ELSWICH - 2 PAUL A. GOLDSTEIN - 2 STEPHAN J. HARR - 2 JOHN HILLENMEYER - 2 ANNE G. PEACH - 2 SHERRIE H. SITARIK - 2 ORLANDO PHYSICIAN NETWORK, INC.: P. SHANNON ELSWICK - 5 JENNIFER ENDICOTT - 5 PAUL A. GOLDSTEIN - 5 STEPHAN J. HARR - 5 JOHN HILLENMEYER - 5 KARL W. HODGES - 5 D. WAYNE JENKINS - 30 SHERRIE H. SITARIK - 5 ORLANDO HEALTH PHYSICIAN GROUP, INC.: P. SHANNON ELSWICK - 5 JENNIFER ENDICOTT - 40 PAUL A. GOLDSTEIN - 5 STEPHAN J. HARR - 5 JOHN HILLENMEYER - 5 KARL W. HODGES - 5 D. WAYNE JENKINS - 20 SHERRIE H. SITARIK - 5 MARK E. SWANSON - 25 OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 5 CONTRIBUTION REVENUE - BOOK/TAX DIFFERENCE = ($11,589,240); UNREALIZED GAIN/LOSS = ($21,714,588); NET ASSETS RELEASED FROM RESTRICTIONS = $2,879,080; CONTRIBUTIONS - TEMP. RESTRICTED NET ASSETS = $13,775,011; NET REALIZED/UNREALIZED GAIN ON INVESTMENTS - TEMP. = ($53,019); CONTRIBUTIONS - PERMANENT RESTRICTED NET ASSETS = $19,205; NET REALIZED/UNREALIZED GAINS ON INVESTMENTS - PERM. = ($5,177); NET ASSETS RELEASED FROM RESTRICTIONS - TEMP. = ($6,507,259); AFFILIATED EQUITY TRANSFERS = ($65,000,000); MISCELLANEOUS CHANGES = ($5,726); TOTAL = (88,201,713). 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