TY 2021 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) Brian Besanceney Board member, Chairman	2.0 ................. 0	X	X			0	0
(2) David W Strong President & CEO	60.0 ................. 5.0	X	X			5,208,296	532,519
(3) Mike Packnett Board member, Vice Chairman	2.0 ................. 0	X	X			6,600	0
(4) Dale Jenkins Board member	2.0 ................. 0	X				0	0
(5) David Brown Board member	2.0 ................. 0	X				0	0
(6) Jim Hyler Board member	2.0 ................. 0	X				2,800	0
(7) M Kathryn Garrett MD Board member	2.0 ................. 0	X				4,000	0
(8) Teri Fontenot Board member	2.0 ................. 0	X				2,400	0
(9) Bernadette Spong Chief Financial Officer Until 6/2022	55.0 ................. 9.0		X			2,210,466	41,812
(10) Leslie Flake CFO as of 6/2022	55.0 ................. 0		X			0	0
(11) Jamal A Hakim MD Chief Operating Officer	60.0 ................. 9.0			X		2,465,284	261,242
(12) Kelly Nierstedt SVP, OH & President, ORMC as of 6/2022	55.0 ................. 0			X		873,490	106,374
(13) Mark A Jones Foundation SVP/Dir Capital Cam	55.0 ................. 3.0			X		1,262,523	157,185
(14) Thibaut Van Marcke De Lummen SVP, OH & Pres, DPH	55.0 ................. 0			X		825,150	135,585
(15) Andrew Snyder SVP, Marketing & Communication	55.0 ................. 0				X	1,003,908	105,278
(16) Erick R Hawkins Chief Admin Officer, OH	55.0 ................. 7.0				X	1,687,235	161,237
(17) Gregory P Ohe SVP, Ambu Svcs, Orlando Health	55.0 ................. 2.0				X	1,075,952	116,545

(A) Name and business address	(B) Description of services	(C) Compensation
ORIGIN INC 2501 SW 1ST AVE STE 200 PORTLAND,OR97201	STAFFING SERVICES	104,701,767
EPIC SYSTEMS CORPORATION 1979 MILKY WAY VERONA,WI53593	SOFTWARE SERVICES	35,327,896
MEDIX STAFFING SOLUTIONS INC 222 S RIVERSIDE PLAZA STE 2120 CHICAGO,IL60606	TEMPORARY STAFFING	22,343,315
MICROSOFT CORPORATION ONE MICROSOFT WAY REDMOND,WA980526399	SOFTWARE SERVICES	15,783,030
DELIVERHEALTH SOLUTIONS LLC 2450 RIMROCK RD STE 201 MADISON,WI53713	COMPUTER SERVICES	14,526,559
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 426

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

Orlando Health Inc

Employer identification number

59-1726273

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2021

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2021 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2020 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2021. If the organization did not check the box on line 13, and line 14 is 33 1/3 % or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2020. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2021. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2020. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2021

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2021 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2020 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2021 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2020 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2021. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2020. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2021

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2021

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2021

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2021

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2021 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2021	(iii) Distributable Amount for 2021
1 Distributable amount for 2021 from Section C, line 6
2 Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2021:
a From 2016.......
b From 2017.......
c From 2018.......
d From 2019.......
e From 2020.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2021 distributable amount
i Carryover from 2016 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2021 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2021 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2021, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2021. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2022. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2017.....
b Excess from 2018.....
c Excess from 2019.....
d Excess from 2020.....
e Excess from 2021.....

Schedule A (Form 990) (2021)

Schedule A (Form 990) 2021

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2021

Additional Data

Software ID:	21014044
Software Version:	2021v4.2

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Name of the organization

Orlando Health Inc

Employer identification number

59-1726273

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990) (2021)

Schedule B (Form 990) (2021) Page 2

Name of organization Orlando Health Inc

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2021)

Schedule B (Form 990) (2021)

Page 3

Name of organization Orlando Health Inc		Employer identification number 59-1726273

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2021)

Schedule B (Form 990) (2021)

Page 4


Name of organization Orlando Health Inc			Employer identification number 59-1726273
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (2021)

Additional Data

Software ID:	21014044
Software Version:	2021v4.2

- TIN:

SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

Orlando Health Inc

Employer identification number

59-1726273

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

Political campaign activity expenditures. See instructions .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities. See instructions ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990) 2021

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990) 2021

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Yes

92,400

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

637,835

Total. Add lines 1c through 1i ....................................................................................................

730,235

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures. See Instructions .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY AND OTHER ACTIVITIES ASSESSING CURRENT STATE AND FEDERAL LEGISLATION WITH CONSULTANTS WHO ADVISE HOW THE LEGISLATION WOULD AFFECT THE ORGANIZATION TOTALING $340,091. AMOUNTS REPORTED FROM VARIOUS HOSPITAL AND HEALTHCARE MEMBERSHIPS OF DUES USED FOR LOBBYING ACTIVITIES TOTALING $297,744.

Schedule C (Form 990) 2021

Additional Data

Software ID:	21014044
Software Version:	2021v4.2

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

Orlando Health Inc

Employer identification number

59-1726273

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2021

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....	41,410,627	35,592,929	38,676,311	36,836,779	31,231,110
b	Contributions ...	1,063,361	418,051	100,004	750,218	4,383,122
c	Net investment earnings, gains, and losses	-7,373,283	8,253,886	2,836,526	1,142,094	1,222,547
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	1,559,653	2,853,403	5,953,480
f	Administrative expenses ....	14,400	836	66,432	52,780
g	End of year balance ......	33,526,652	41,410,627	35,592,929	38,676,311	36,836,779

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

0 %

Permanent endowment SchDMd Bullet

4.81 %

Term endowment SchDMd Bullet

95.19 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	151,292,391		151,292,391
b	Buildings ....	1,224,326,314	577,363,315	646,962,999
c	Leasehold improvements	26,792,699		26,792,699
d	Equipment ....	2,310,008,120	1,664,264,298	645,743,822
e	Other .....	382,905,782	37,973,327	344,932,455
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				1,815,724,366

Schedule D (Form 990) 2021

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1)DUE FROM AFFILIATES				417,379,419
(2)CASH SURRENDER VALUE LIFE INS				78,086,522
(3)EXEC DEFERRED COMP 457B				48,949,665
(4)CAP ACCUM/DEF COMP BEN				16,664,672
(5)GIFT ANNUITY TRUST				2,352,491
(6)DEPOSITS				2,046,749
(7)MED MAL RECOVERIES RECEIVABLE				1,784,493
(8)INVESTMENT IN RELATED PARTIES				11,128,296
(9)PROPERTY MANAGEMENT				140,631
(10)WORKERS COMP SURETY				100,000
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				578,632,938

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	538,688,477
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2021

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
Schedule D, Part V, Line 4 Intended uses of endowment funds	ENDOWMENT FUNDS ARE RESTRICTED AS TO PURPOSE, TIME OR BOTH IN ACCORDANCE WITH DONOR SPECIFICATIONS MADE AT TIME OF CONTRIBUTIONS. ORLANDO HEALTH TREATS ENDOWMENT FUND PRINCIPAL AS RESTRICTED AND UTILIZES THE NET EARNINGS ON ENDOWMENT MONIES FOR PROGRAM AND CAPITAL NEEDS OF ORLANDO HEALTH, INC. AND AFFILIATES IN ACCORDANCE WITH DONOR SPECIFICATIONS.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	FASB ASC TOPIC 740, INCOME TAXES, PRESCRIBES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAX POSITIONS RECOGNIZED IN THE FINANCIAL STATEMENTS. ASC TOPIC 740 PROVIDES GUIDANCE AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THERE WERE NO MATERIAL UNCERTAIN TAX POSITIONS AS OF SEPTEMBER 30, 2022 AND 2021.

Schedule D (Form 990) 2021

Additional Data

Software ID:	21014044
Software Version:	2021v4.2

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization
Orlando Health Inc

Employer identification number

59-1726273

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in the region	(d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region)	(f) Total expenditures for and investments in the region
	Europe (Including Iceland and Greenland)	0	0	Investments	189,291,815
















3a	Sub-total ....	0	0		189,291,815
b	Total from continuation sheets to Part I ...	0	0		0
c	Totals (add lines 3a and 3b)	0	0		189,291,815

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2021

Schedule F (Form 990) 2021

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of noncash assistance	(h) Description of noncash assistance	(i) Method of valuation (book, FMV, appraisal, other)

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) 2021

Schedule F (Form 990) 2021Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of noncash assistance	(g) Description of noncash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2021

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2021

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information. See instructions.

ReturnReference	Explanation
Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements	EUROPE (INCLUDING ICELAND AND GREENLAND)-Accrual

Schedule F (Form 990) 2021

Additional Data

Software ID:	21014044
Software Version:	2021v4.2

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

Orlando Health Inc

Employer identification number

59-1726273

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other 22500 %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .			186,708,248	100,783,136	85,925,112	2.88 %
b	Medicaid (from Worksheet 3, column a) . . . . .			488,444,152	354,476,099	133,968,053	4.50 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .			2,229,223	28,883	2,200,340	0.07 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	0	0	677,381,623	455,288,118	222,093,505	7.46 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).			38,328,481	0	38,328,481	1.29 %
f	Health professions education (from Worksheet 5) . . .			48,715,778	26,458,014	22,257,764	0.75 %
g	Subsidized health services (from Worksheet 6) . . . .			0	0	0	0 %
h	Research (from Worksheet 7) .			2,093,651	0	2,093,651	0.07 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .			2,263,391	0	2,263,391	0.08 %
j	Total. Other Benefits . .	0	0	91,401,301	26,458,014	64,943,287	2.18 %
k	Total. Add lines 7d and 7j .	0	0	768,782,924	481,746,132	287,036,792	9.64 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2021

Schedule H (Form 990) 2021

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing			19,740		19,740	0 %
2	Economic development			45,874		45,874	0 %
3	Community support			14,847		14,847	0 %
4	Environmental improvements					0	0 %
5	Leadership development and training for community members			13,935		13,935	0 %
6	Coalition building					0	0 %
7	Community health improvement advocacy			10,854		10,854	0 %
8	Workforce development			230,166		230,166	0.01 %
9	Other					0	0 %
10	Total	0	0	335,416	0	335,416	0.01 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

108,590,782

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

330,895,915

Enter Medicare allowable costs of care relating to payments on line 5.....

338,246,761

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-7,350,846

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2021

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?6Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)							Other (describe)	Facility reporting group
1	ORLANDO REGIONAL MEDICAL CENTER 1414 KUHL AVENUE ORLANDO,FL32806 HTTPS://WWW.ORLANDOHEALTH.COM/FACILITIES/ORLANDO-REGIONAL-MEDICAL-CENTER 4393	X	X		X	X		A
2	DR P PHILLIPS HOSPITAL 9400 TURKEY LAKE ROAD ORLANDO,FL32819 HTTPS://WWW.ORLANDOHEALTH.COM/FACILITIES/DR-P-PHILLIPS-HOSPITAL 4393	X	X			X		A
3	WINNIE PALMER HOSP FOR WOMEN & BABIES 83 W MILLER STREET ORLANDO,FL32806 HTTPS://WWW.WINNIEPALMERHOSPITAL.COM/ 4393	X	X		X	X	NEONATAL UNIT	A
4	ARNOLD PALMER HOSPITAL FOR CHILDREN 92 W MILLER ORLANDO,FL32806 HTTPS://WWW.ARNOLDPALMERHOSPITAL.COM/ 4393	X		X	X	X		A
5	SOUTH SEMINOLE HOSPITAL 555 W SR 434 LONGWOOD,FL32279 HTTPS://WWW.ORLANDOHEALTH.COM/FACILITIES/SOUTH-SEMINOLE-HOSPITAL 4393	X	X			X		A
6	ORLANDO HEALTH ST CLOUD HOSPITAL 2906 17TH ST ST CLOUD,FL34769 HTTPS://WWW.ORLANDOHEALTH.COM/FACILITIES/ST-CLOUD-HOSPITAL 4484	X	X			X		A

Schedule H (Form 990) 2021

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	A
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 22

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): HTTP://WWW.ORLANDOHEALTH.COM/ABOUT-US/COMMUNITY-INVOLVEMENT/COMMUNITY-BENEFIT

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

If "Yes" (list url):

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Yes

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2021

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 225.0%
and FPG family income limit for eligibility for discounted care of 0.0%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE PART VI

The FAP application form was widely available on a website (list url):

SEE PART VI

A plain language summary of the FAP was widely available on a website (list url):
SEE PART VI

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2021

Page 6

Part VFacility Information (continued)

Billing and Collections

	A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2021

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	A
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2021

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
Schedule H, Part V, Section B, Line 3E	THE 2022 CHNA IS A FOUR-COUNTY ASSESSMENT COVERING LAKE, ORANGE, OSCEOLA, AND SEMINOLE COUNTIES. SECONDARY AND PRIMARY DATA WERE COLLECTED AND ANALYZED, GENERATING COMMON THEMES FOR THE REGION, COUNTY, AND ZIP CODES. SECONDARY DATA ABOUT HEALTH INDICATORS, HEALTHCARE UTILIZATION AND INSURANCE COVERAGE WAS GATHERED FROM RESOURCES, INCLUDING THE U.S. CENSUS, FLORIDA COMMUNITY HEALTH ASSESSMENT RESOURCE TOOL SET (CHARTS), THE CENTERS FOR DISEASE CONTROL AND PREVENTION'S BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEMS (BRFSS) DATA, COUNTY HEALTH RANKINGS, THE AMERICAN COMMUNITY SURVEY AND HOSPITAL CLAIMS DATA. PRIMARY DATA SOURCES INCLUDED A COMMUNITY SURVEY (3,699 RESPONSES), ACCESS AUDIT INCLUDING 45 MYSTERY SHOPPER CALLS, IN-DEPTH INTERVIEWS WITH COMMUNITY STAKEHOLDERS (105), FOCUS GROUPS (30 GROUPS WITH 250 TOTAL PARTICIPANTS), EQUITY CHAMPIONS (10) PROVIDING DIVERSITY GROUP OUTREACH AND DIGITAL TREND ANALYSIS USED TO ILLUMINATE CHRONIC HEALTH, BEHAVIORAL HEALTH AND HEALTH INSIGHTS OVER A SELECTED PERIOD OF TIME. BASED ON THE DATA, APPROXIMATELY 50 GRANULAR, COMMUNITY-BASED, DATA-FOUNDED NEEDS WERE GENERATED. USING THE DATA, THE CENTRAL FLORIDA COLLABORATIVE THAT COMMENCED THE 2022 CHNA SELECTED THE PRIORITIES OR NEEDS FOR THE 2022 CHNA. THE COLLABORATIVE UTILIZED MODIFIED DELPHI METHOD, A MIXED MODALITY APPROACH THAT INCLUDED QUANTITATIVE, QUALITATIVE AND TECHNOLOGY-BASED TECHNIQUES, TO SELECT FOUR TOP NEEDS THAT INCLUDE 15 GRANULAR ISSUES BY ORGANIZATION AND COUNTY. THESE PRIORITIES WERE USED FOR EACH HOSPITAL'S IMPLEMENTATION STRATEGY PLAN. THE PRIORITIES FOR EACH COUNTY ARE OUTLINED IN THE COUNTY HEALTH EQUITY SUMMARIES INCLUDED IN THE CHNA. IN ADDITION TO THE PRIORITIES SELECTED BY THE COLLABORATIVE, COUNTY-SPECIFIC SUMMARIES AND HEALTH EQUITY PROFILES WERE PREPARED BY CRESCENDO. THESE SUMMARIES INCLUDE BASIC DEMOGRAPHIC INFORMATION FOR EACH COUNTY, AS WELL AS SOCIAL DETERMINANTS OF HEALTH SECTIONS THAT IDENTIFY HEALTH DISPARITIES EXPERIENCED BY DIFFERENT RACE AND ETHNICITIES FOR EACH COUNTY.
Schedule H, Part V, Section B, Line 3 Facility A, 1	Facility A, 1 - GROUP A. AS PART OF THE SECONDARY DATA COLLECTION, HOSPITAL HOT SPOTTING DATA WAS ALSO INCLUDED IN OUR CHNA. CRESCENDO CONTINUED TO EXPAND THE WORK COMPLETED IN THE 2022 CHNA BY INCLUDING LOCAL HOT SPOTTING AREAS FOR HOSPITALS AND FEDERALLY QUALIFIED HEALTH CENTERS. PATIENT DATA FROM HOSPITALS REPRESENTED IN THE CHNA ENABLED LOCATION ANALYSIS AND MAPPING OF LOCAL "HOT SPOTS" WITH HIGH NUMBERS OF UNINSURED VISITS OVER-UTILIZING THE HEALTHCARE SYSTEM. THE UNINSURED DATA WAS SPLIT INTO ADMITTING FACILITIES AND THEN FURTHER SEPARATED INTO INPATIENT AND EMERGENCY DEPARTMENT DISCHARGES.
Schedule H, Part V, Section B, Line 5 Facility A, 1	Facility A, 1 - GROUP A. FOR OUR 2022 COMMUNITY HEALTH NEEDS ASSESSMENT, WE CONTRACTED CRESCENDO CONSULTING GROUP (CRESCENDO). CRESCENDO CONSULTING GROUP IS AN INNOVATIVE, COMMUNITY RESEARCH AND STRATEGIC PLANNING FIRM PROVIDING SERVICES NATIONALLY. WITH 20 YEARS OF EXPERIENCE CONDUCTING NEEDS ASSESSMENTS, CRESCENDO HAS BECOME A PIONEER IN ITS FIELD - DEVELOPING AND DEPLOYING INNOVATIVE (AND IN SOME CASES COPYWRITTEN) TECHNIQUES TO ENGAGE DIFFICULT-TO-REACH OR HISTORICALLY UNDERREPRESENTED COMMUNITIES, EVALUATE NEEDS BY TRIANGULATING QUANTITATIVE AND QUALITATIVE DATA, BUILD CONSENSUS AROUND RESULTS BY USING A MODIFIED DELPHI TECHNIQUE (I.E., A VALIDATED PRIORITIZATION METHOD), AND OTHERS. THE COMPANY'S MISSION IS TO POSITIVELY CHANGE THE LIVES OF THE PEOPLE, ORGANIZATIONS, AND COMMUNITIES WE SERVE; EVERY ASPECT OF CRESCENDO'S PROJECTS EMBEDS UNMATCHED CLIENT ENGAGEMENT TO SUCCESSFULLY EMBRACE THIS MISSION AND BRING IMPACTFUL, MEASURABLE CHANGE TO INDIVIDUALS, FAMILIES, AND COMMUNITIES. CRESCENDO WORKED TO BUILD ON TOP OF THE PREVIOUS CHNA CONDUCTED IN 2019. DURING THE CHNA PROCESS, INPUT FROM PERSONS WHO REPRESENT BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY WAS TAKEN INTO ACCOUNT. PRIMARY DATA INCLUDED SURVEYS DISTRIBUTED TO BOTH PROVIDERS AND CONSUMERS, IN-DEPTH INTERVIEWS WITH COMMUNITY STAKEHOLDERS AND COMMUNITY FOCUS GROUPS WITHIN THE CENTRAL FLORIDA COMMUNITY. ON BEHALF OF THE HOSPITAL, CRESCENDO WORKED WITH REPRESENTATIVES FROM ALL THE HOSPITALS, HEALTH DEPARTMENTS AND FEDERALLY QUALIFIED HEALTH CENTERS (FQHC) THAT PARTICIPATED IN THE ASSESSMENT TO ENSURE PERSONS WHO PROVIDED INPUT WERE REPRESENTATIVE OF THE COMMUNITY. BROAD POPULATIONS INCLUDING THE ELDERLY, MEDICAL UNDERSERVED, MINORITY GROUPS, AND LOW-INCOME POPULATIONS WERE REPRESENTED. THE CENTRAL FLORIDA COLLABORATIVE TOOK A UNIQUE APPROACH TOWARD RECOGNIZING THE NEED TO REDUCE AND ELIMINATE HEALTH DISPARITIES AND TO INCREASE DIVERSITY AT THE LEADERSHIP AND GOVERNANCE LEVELS OF HEALTHCARE AND OTHER LOCAL ORGANIZATIONS. TO DO THIS, A TEAM OF 10 EQUITY CHAMPIONS WAS DEVELOPED. THESE INDIVIDUALS REPRESENTED MULTIRACIAL AND OTHER MINORITY COMMUNITIES IN CENTRAL FLORIDA. THE EQUITY CHAMPIONS ASSISTED WITH REVIEWING RESEARCH INSTRUMENTS FOR CULTURAL APPROPRIATENESS, PARTICIPATED IN STAKEHOLDER INTERVIEWS, PARTICIPATED IN THE PRIORITIZATION PROCESS AND STRATEGY DEVELOPMENT DISCUSSIONS, AND PROVIDED GUIDANCE REGARDING THE MOST EFFECTIVE WAYS TO ENGAGE UNIQUE COMMUNITY MEMBERS. THE COMMUNITY SURVEY WAS DISTRIBUTED BOTH IN HARD COPY AND DIGITALLY THROUGH SURVEY MONKEY WITH A TOTAL OF 3,699 RESPONSES. A SUMMARY OF RESPONSES FROM THE COMMUNITY SURVEY CAN BE FOUND IN THE PRIMARY QUANTITATIVE COMMUNITY SURVEY SECTION OF THE CHNA. IN-DEPTH, ONE-TO-ONE INTERVIEWS WERE CONDUCTED WITH 105 COMMUNITY STAKEHOLDERS BETWEEN OCTOBER 29, 2021, AND JANUARY 31, 2022. THE SECTORS REPRESENTED ARE DEPARTMENT OF HEALTH, FOOD SECURITY, DEPARTMENT OF CHILDREN AND FAMILIES, HEALTHCARE, FEDERALLY QUALIFIED HEALTH CENTER, HOMELESSNESS, BEHAVIORAL HEALTH, SPECIALTY CARE, EDUCATION, AGING AND BUSINESS. DEMOGRAPHIC INFORMATION ABOUT EACH OF THE STAKEHOLDERS INTERVIEWED CAN BE FOUND IN THE PRIMARY QUALITATIVE RESEARCH SECTION OF THE CHNA. THIRTY FOCUS GROUPS TOOK PLACE WITH A TOTAL OF 250 PARTICIPANTS. MORE DETAILS REGARDING FOCUS GROUP PARTICIPANTS CAN BE FOUND IN THE QUALITATIVE RESEARCH SECTION OF THE CHNA. ACCESS AUDITS WERE INCLUDED IN THE PRIMARY DATA COLLECTION PROCESS. THIS PROCESS INVOLVED MAKING MULTIPLE CALLS TO REPRESENTATIVES OF LOCAL HEALTH SERVICE SITES IN THE FOUR-COUNTY AREA TO PROVIDE INSIGHT TO ACCESS GAPS, IMPROVEMENT STRATEGIES AND SERVICE VARIATIONS. IN TOTAL, 45 CALLS WERE CONDUCTED AND 32 RESULTED IN EITHER AN INTERVIEW OR COMPLETED SETS OF INFORMATION. A COMPLETE LIST OF ORGANIZATIONS INVOLVED CAN BE FOUND IN THE ACCESS AUDIT SECTION OF THE CHNA.
Schedule H, Part V, Section B, Line 6a Facility A, 1	Facility A, 1 - GROUP A. ORLANDO HEALTH: ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER (ORLANDO HEALTH CANCER INSTITUTE), ORLANDO HEALTH ARNOLD PALMER HOSPITAL FOR CHILDREN, ORLANDO HEALTH WINNIE PALMER HOSPITAL FOR WOMEN AND BABIES, ORLANDO HEALTH DR. P. PHILLIPS HOSPITAL, ORLANDO HEALTH - HEALTH CENTRAL HOSPITAL, ORLANDO HEALTH HORIZON WEST HOSPITAL, ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL, ORLANDO HEALTH SOUTH LAKE HOSPITAL AND ORLANDO HEALTH ST. CLOUD HOSPITAL. ADVENTHEALTH: ADVENTHEALTH ALTAMONTE, ADVENTHEALTH APOPKA, ADVENTHEALTH CELEBRATION, ADVENTHEALTH EAST ORLANDO, ADVENTHEALTH FOR CHILDREN, ADVENTHEALTH KISSIMMEE, ADVENTHEALTH ORLANDO, ADVENTHEALTH WATERMAN, ADVENTHEALTH WINTER PARK ASPIRE HEALTH PARTNERS: KENNEDY PLAZA, LAKESIDE PLACE APARTMENTS, PRINCETON PLAZA, RESIDENTIAL PLAZA
Schedule H, Part V, Section B, Line 6b Facility A, 1	Facility A, 1 - GROUP A. DEPARTMENT OF HEALTH: FLORIDA DEPARTMENT OF HEALTH IN LAKE COUNTY FLORIDA DEPARTMENT OF HEALTH IN ORANGE COUNTY FLORIDA DEPARTMENT OF HEALTH IN OSCEOLA COUNTY FLORIDA DEPARTMENT OF HEALTH IN SEMINOLE COUNTY FEDERALLY QUALIFIED HEALTH CENTERS: COMMUNITY HEALTH CENTERS, INC ORANGE BLOSSOM FAMILY HEALTH OSCEOLA COMMUNITY HEALTH SERVICES TRUE HEALTH
Schedule H, Part V, Section B, Line 11 Facility A, 1	Facility A, 1 - GROUP A. FOR MORE THAN 100 YEARS, ORLANDO HEALTH HAS PROVIDED FOR THE HEALTH NEEDS OF OUR LOCAL AND REGIONAL COMMUNITIES, GROWING FROM A SINGLE HOSPITAL INTO AN AWARD-WINNING ORGANIZATION NOW SUPPORTING HEALTHCARE CONSUMERS FROM ACROSS THE SOUTHEASTERN UNITED STATES. IT IS OUR MISSION TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND COMMUNITIES WE SERVE. ORLANDO HEALTH TO CONSTANTLY WORKS TO IMPROVE HEALTH IN THE COMMUNITY AND INCREASE ACCESS TO CARE. FOLLOWING OUR PARTICIPATION IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) ORLANDO HEALTH TOOK INTO CONSIDERATION SEVERAL FACTORS IN SELECTING HEALTH NEEDS TO ADDRESS. FACTORS INCLUDED: INDIVIDUAL ORLANDO HEALTH HOSPITAL DATA; COMMUNITY AND HOSPITAL ASSETS; ABILITY TO IMPACT AN ISSUE; CURRENT COMMUNITY BENEFIT EFFORTS; COMMUNITY PARTNERSHIPS; AND OPPORTUNITIES FOR COLLABORATION. WE ALSO TOOK INTO CONSIDERATION THE COUNTY WHERE EACH HOSPITAL IS LOCATED. ORANGE COUNTY IS THE LOCATION OF ORLANDO HEALTH ARNOLD PALMER HOSPITAL FOR CHILDREN, ORLANDO HEALTH WINNIE PALMER HOSPITAL FOR WOMEN AND BABIES, ORLANDO HEALTH DR. P. PHILLIPS HOSPITAL, ORLANDO HEALTH - HEALTH CENTRAL HOSPITAL, ORLANDO HEALTH HORIZON WEST HOSPITAL AND ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER (ORLANDO HEALTH CANCER INSTITUTE). MEANWHILE ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL IS IN SEMINOLE COUNTY, ORLANDO HEALTH SOUTH LAKE HOSPITAL IS LOCATED IN LAKE COUNTY AND ORLANDO HEALTH ST. CLOUD HOSPITAL IS LOCATED IN OSCEOLA COUNTY. BASED ON OUR PROCESS, WE SELECTED ACCESS TO CARE AS OUR PRIORITY HEALTH NEED FROM THE 2022 CHNA. WITH OUR FOCUS IN FISCAL YEAR 2022 ON ACCESS TO CARE, ORLANDO HEALTH DEVELOPED NEW AND ENHANCED EXISTING COMMUNITY BENEFIT PROGRAMS TO IMPROVE ACCESS TO CARE. ORLANDO HEALTH PROVIDED OVER $287 MILLION IN COMMUNITY BENEFIT IN FISCAL YEAR 2022. IN SUPPORT OF OUR COMMUNITY BENEFIT EFFORTS, WE RECOGNIZE THE IMPORTANCE OF WORKING WITH COMMUNITY ORGANIZATIONS. IN FISCAL YEAR 2022, WE SUPPORTED 22 GRANT PROPOSALS THROUGH THE ORLANDO HEALTH COMMUNITY GRANT PROGRAM, AND WE CONTINUED TO ACTIVELY COLLABORATE WITH LOCAL ORGANIZATIONS AND GROUPS TO MAKE A DIFFERENCE IN THE HEALTH AND QUALITY OF LIFE IN CENTRAL FLORIDA. IN 2022, WE SUPPORTED OVER 380 COMMUNITY ORGANIZATIONS. ORLANDO HEALTH HAS PROVIDED 8,832 BOARD MEMBER, COMMITTEE MEMBER AND ADVISORY BOARD MEMBER HOURS. THE CONTINUED EFFECTS OF COVID-19 HAVE FOREVER SHIFTED EFFORTS FOR SOME OF OUR COMMUNITY PARTNERS FROM IN-PERSON SERVICES TO PROVIDE THESE THROUGH MOBILE OPERATIONS OR ONLINE PLATFORMS. THESE OPPORTUNITIES WERE ABLE TO INCREASE ACCESS AND RESOURCES BY CONTINUING TO MEET RESIDENTS IN THEIR HOMES AND COMMUNITIES. EXAMPLES FROM KEY INITIATIVES ARE INCLUDED TO ILLUSTRATE THE TYPES OF SUCCESSES THESE PROGRAMS YIELD. 1. IN FISCAL YEAR 2022, THE ORLANDO HEALTH COMMUNITY BENEFIT TEAM PARTNERED WITH THE SHARING CENTER IN SEMINOLE COUNTY TO ESTABLISH PROJECT RISE. PROJECT RISE IS AN ADULT WORKFORCE DEVELOPMENT PROGRAM GEARED TOWARD THE UNEMPLOYED OR UNDEREMPLOYED TO GAIN ECONOMIC SELF-SUFFICIENCY AND EMPLOYMENT. THROUGH THIS PROGRAM, PARTICIPANTS COMPLETE SIX WEEKS OF CLASSROOM INSTRUCTION DEDICATED TO EMOTIONAL INTELLIGENCE, CRITICAL SOFT SKILLS AND GUIDANCE THROUGH JOB ACQUISITION AND WORKPLACE SKILLS. THE GOAL OF THIS PROGRAM IS FOR EACH PARTICIPANT TO OBTAIN GAINFUL EMPLOYMENT AND STABLE HOUSING. SINCE PROGRAM LAUNCH, 18 PEOPLE HAVE BEEN ENROLLED AND 14 PARTICIPANTS HAVE COMPLETED THEIR SIX-WEEK COURSE. OF THESE 14 PARTICIPANTS, TWO HAVE OBTAINED A PERMANENT JOB WHILE THE REMAINING PARTICIPANTS ARE CURRENTLY WORKING WITH A CASE MANAGER TO CONTINUE WORKFORCE TRAINING. EACH PARTICIPANT WILL BE MONITORED FOR UP TO THREE YEARS, AND THE PROGRAM WILL CONTINUE TO SERVE OUR MOST VULNERABLE POPULATIONS IN CENTRAL FLORIDA. 2. IN 2022, ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER (OHORMC) IDENTIFIED AN OPPORTUNITY TO ADDRESS THE HIV EPIDEMIC IN CENTRAL FLORIDA. DATA FOUND IN THE 2022 CHNA STATES THAT FROM 2018 - 2020, ORANGE AND OSCEOLA COUNTIES HAD A HIGHER RATE OF HIV CASES (31.1 AND 22.6 PER 100,000) THAN FLORIDA AT 20.0. ORLANDO HEALTH PARTNERED WITH THE FLORIDA DEPARTMENT OF HEALTH IN ORANGE COUNTY TO LAUNCH AN HIV OUTREACH COORDINATOR PROGRAM AT OHORMC. FUNDING PROVIDED BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES AND SUB-AWARDED TO ORLANDO HEALTH SUPPORTS THIS PROGRAM THROUGH MARCH 2025. SINCE THE LAUNCH OF THIS PROGRAM, THE HIV OUTREACH COORDINATOR HAS ASSESSED AND SUPPORTED OVER 200 PATIENTS AT OHORMC. THROUGH THIS PROGRAM, THE HIV OUTREACH COORDINATOR TESTS, TREATS AND EDUCATES PERSONS WHO SCREEN POSITIVE OR ARE ALREADY LIVING WITH HIV. THE COORDINATOR CAN ASSIST WITH PATIENTS OBTAINING PROPER MEDICAL CARE AND MAKING APPROPRIATE REFERRALS FOR TREATMENT WHEN NEEDED. THIS PROGRAM LAUNCHED IN LATE 2022 AND HAS RESULTED IN 200 HIV TESTS BEING PERFORMED, EIGHT HIV POSITIVE PATIENTS IDENTIFIED THROUGH TESTING AND ALL PATIENTS ATTENDING THEIR FIRST HIV APPOINTMENT. IN ADDITION TO CONNECTING PATIENTS TO CARE, THE HIV OUTREACH COORDINATOR LINKED TO MEDICAL CARE 20 KNOWN HIV PATIENTS WHO WERE NOT CURRENTLY SEEKING TREATMENT AT THE TIME. 3. IN 2022, ORLANDO HEALTH WAS ONE OF THREE RECIPIENTS OF FLORIDA BLUE FOUNDATION GRANTS TO ESTABLISH A HEALTH EQUITY TRAIN THE TRAINER PROGRAM. IN COLLABORATION WITH MOFFITT CANCER CENTER AND UNITED WAY OF BROWARD COUNTY, THE HEALTH EQUITY TRAIN THE TRAINER PROGRAM LAUNCHED IN MAY 2022. THE GOAL OF THIS PROGRAM IS TO LEVERAGE HEALTHCARE PROVIDERS' UNDERSTANDING OF HEALTH EQUITY AND TO SUPPORT THE IMPLEMENTATION OF HEALTH EQUITY-ORIENTED ACTIONS IN THE WORKPLACE TO MINIMIZE HEALTH DISPARITIES IN THE COMMUNITIES THEY SERVE. IN THIS PROGRAM, PARTICIPANTS LEARN SOCIAL DETERMINANTS OF HEALTH AND THEIR IMPACT ON HEALTH DISPARITIES, STRATEGIES TO INCREASE PATIENT SATISFACTION, IMPROVE TREATMENT ADHERENCE, INCREASE COMMUNICATION, AND DECREASE PATIENT MISTRUST THROUGH HEALTH EQUITY; AND LEARN IMPROVEMENTS TO ENHANCE PATIENT CARE, PROVIDER-PATIENT INTERACTION, INTERNAL PRACTICES, AND PROCESS IMPROVEMENTS FOR HEALTH EQUITY AND OUTCOMES. DURING THIS INAUGURAL YEAR, 108 PARTICIPANTS ENROLLED INTO FOUR DIFFERENT COHORTS AND A PILOT COHORT. OF THE 108 PARTICIPANTS ENROLLED, 87 ATTENDED AND 74 GRADUATED. THE PARTICIPANTS WERE FROM 27 DIFFERENT ORGANIZATIONS THROUGHOUT FLORIDA. NINE NEW COHORTS ARE SCHEDULED FOR 2023. 4. IN FISCAL YEAR 2022, ORLANDO HEALTH RECEIVED A GRANT FROM THE BOSTON SCIENTIFIC CORPORATION TO ESTABLISH THE CLOSE THE GAP - PROJECT HEALTHY HEART PROGRAM IN CENTRAL FLORIDA. THROUGH TARGETED ACTIVITIES IN THE COMMUNITY PROJECT HEALTHY HEART PROMOTES SERVICES FOR THE PREVENTION OF HEART FAILURE, CORONARY ARTERY DISEASE, AND ATRIAL FIBRILLATION AMONG UNDERSERVED ETHNIC POPULATIONS IN ORANGE, OSCEOLA AND SEMINOLE COUNTIES. THROUGH A PARTNERSHIP WITH THE CENTRAL FLORIDA BLACK NURSES ASSOCIATION OF ORLANDO, INC., 18 CARDIOVASCULAR EVENTS WERE PROVIDED TO THE COMMUNITY FROM JANUARY 1 - JUNE 30, 2022. PARTICIPANTS WERE INVITED TO TWO WEBINARS ON HYPERTENSION AND CARDIOVASCULAR HEALTH. DURING THE 18 OUTREACH EVENTS, 2,486 RESIDENTS OF ORANGE AND SEMINOLE COUNTIES ATTENDED. OF THE 2,486 RESIDENTS WHO ATTENDED, 73 PERCENT WERE BLACK/AFRICAN AMERICAN, AND 77 PERCENT WERE FEMALE. IN ADDITION TO THE OUTREACH EVENTS, ORLANDO HEALTH PARTNERED WITH JONES HIGH SCHOOL FOR THEIR BE A PLAYER CARDIAC SCREENING EVENT. AT THIS EVENT, 269 STUDENTS RECEIVED FREE CARDIAC SCREENINGS. OUT OF THE 269 STUDENTS, NINE WERE IDENTIFIED AS NEEDING FOLLOW-UP CARE, AND TWO WERE IDENTIFIED AS HIGHER-RISK STUDENTS. ORLANDO HEALTH WILL CONTINUE TO FIND OPPORTUNITIES LIKE THIS GRANT PROGRAM TO ADDRESS CHRONIC DISEASES WITHIN OUR UNDERSERVED ETHNIC COMMUNITIES. CONFRONTING THE OPIOID CRISIS: CONTINUING TO RESPOND TO THE OVERWHELMING NUMBER OF CENTRAL FLORIDA RESIDENTS DYING FROM DRUG OVERDOSES, ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER'S OPIOID OUTREACH COORDINATOR ASSESSES PATIENTS WHO PRESENT IN THE EMERGENCY ROOM WITH A POSSIBLE OVERDOSE. IN 2017, ORANGE COUNTY HAD BEEN AMONG FLORIDA'S TOP 10 COUNTIES WITH THE HIGHEST NUMBER OF DEATHS CAUSED BY OPIOIDS SUCH AS FENTANYL ANALOGS, OXYCODONE, ALPRAZOLAM AND METHADONE, AS WELL AS ACCIDENTAL DEATHS CAUSED BY PRESCRIPTION DRUGS. ASSIGNED TO THE EMERGENCY DEPARTMENT AT ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER, THE OPIOID OUTREACH COORDINATOR IS A LICENSED CLINICAL SOCIAL WORKER WHO WORKS WITH THE CARE MANAGEMENT TEAM. WHEN A PATIENT PRESENTS WITH A SUSPECTED SUBSTANCE USE OVERDOSE OR A CONDITION RELATED TO SUBSTANCE USE, THE COORDINATOR IS CALLED IN TO PERFORM AN ASSESSMENT. AFTER THE ASSESSMENT IS COMPLETED, THE PATIENT AND THE COORDINATOR DISCUSS OPTIONS FOR TREATMENT AND REFERRALS TO TREATMENT FACILITIES. FOR PATIENTS DIAGNOSED WITH A SUBSTANCE USE DISORDER, THE COORDINATOR
Schedule H, Part V, Section B, Line 11 Facility A, 2	Facility A, 2 - GROUP A, CONTINUED. WORKS WITH SPECIALISTS FROM A BEHAVIORAL HEALTH PARTNER THAT CAN OFFER EXTENDED INPATIENT CARE. THE NAVIGATOR ALSO CAN PROVIDE ADDITIONAL RESOURCES AND FOLLOW-UP SUPPORT FOR PATIENTS AND THEIR FAMILIES TO ENSURE SUCCESS. DURING COVID-19, AS RATES OF OVERDOSES INCREASED, THE OPIOID OUTREACH COORDINATOR IN PARTNERSHIP WITH OUR CARE MANAGEMENT TEAM IN THE ED HAS CONTINUED TO SERVE MEMBERS OF OUR COMMUNITY BATTLING SUBSTANCE USE DISORDER. TO CONTINUE THE SUPPORT AND EXPANSION OF THIS PROGRAM, THE OPIOID OUTREACH COORDINATOR ADMINISTERS NARCAN IN THE EMERGENCY ROOM AND, WORKS WITH THE PHARMACY TO PRESCRIBE METHADONE THAT ENABLES PATIENTS TO PARTICIPATE IN MEDICALLY ASSISTED TREATMENT. FUTURE OPPORTUNITIES INCLUDE WORKING WITH CAREER SOURCE TO IDENTIFY PATIENTS WHO ARE READY TO RE-ENTER THEIR COMMUNITY AND WORKFORCE THROUGH JOB SKILLS TRAINING AND EMPLOYMENT. IN FISCAL YEAR 2022, THE OPIOID OUTREACH COORDINATOR ASSESSED OVER 800 PATIENTS, DISTRIBUTED OVER 300 NARCAN KITS. OF THOSE SEEN, 63 PERCENT RECEIVED REFERRALS TO TREATMENT AND 128 PATIENTS INITIATED THE PROCESS TO BEGIN MEDICATION FOR OPIOID USE DISORDER WITHIN THE HOSPITAL. DATA ANALYSIS SUGGESTS THESE EFFORTS HAVE REDUCED REOCCURRING EMERGENCY ROOM VISITS BY MORE THAN 50 PERCENT AND FEWER THAN 40 PERCENT OF PATIENTS RETURNED WITH A SUBSTANCE USE DIAGNOSIS WITHIN 30 DAYS OF THEIR INITIAL VISIT. SERVING VULNERABLE PREGNANT WOMEN: MATERNAL AND INFANT HEALTH ARE A SIGNIFICANT FOCUS FOR ORLANDO HEALTH DUE TO THE LONG-TERM EFFECTS ON INDIVIDUALS WHO ARE VULNERABLE TO COMPLICATIONS SUCH AS GESTATIONAL DIABETES OR LOW BIRTH RATES. SUPPORTING PROGRAMS AND SERVICES THAT IMPROVE THE HEALTH OF MOTHERS AND INFANTS HAS SHOWN TO HAVE A POSITIVE, LASTING HEALTH TRAJECTORY. THIS IS TRUE FOR THE IMMEDIATE LIFESPAN OF AN INDIVIDUAL AND FOR THE FUTURE GENERATION OF FAMILIES RECEIVING SUCH PROGRAMS AND SERVICES. ORLANDO HEALTH WINNIE PALMER HOSPITAL FOR WOMEN AND BABIES RECEIVED A GRANT FROM AMERICAN ESSENTIALS HOSPITAL IN PARTNERSHIP WITH CVS HEALTH FOUNDATION TO ESTABLISH A TELEHEALTH PROGRAM FOR PATIENTS WHO RECENTLY DELIVERED AND WERE DIAGNOSED WITH HYPERTENSION OR DIABETES. THE PURPOSE OF THE TELEHEALTH MINORITY MATERNITY CARE PILOT PROGRAM IS TO LEVERAGE THE TELEHEALTH PLATFORM TO REDUCE HEALTH DISPARITIES, INCREASE ACCESS TO CARE, IMPROVE OBSTETRIC OUTCOMES, AND REDUCE SEVERE MATERNAL MORBIDITY IN BLACK PREGNANT AND POSTPARTUM PERSONS. ELIGIBLE PATIENTS INCLUDE PREGNANT AND POSTPARTUM PERSONS WITH HYPERTENSIVE DISORDERS OF PREGNANCY (INCLUDING CHRONIC HYPERTENSION, GESTATIONAL HYPERTENSION, PREECLAMPSIA, PREECLAMPSIA WITH SEVERE FEATURES, HELLP (HEMOLYSIS, ELEVATED LIVER FUNCTION TESTING AND LOW PLATELETS) AND ECLAMPSIA. THESE PATIENTS RECEIVE TELEHEALTH VISITS FOCUSED ON BLOOD PRESSURE MONITORING, MEDICATION REVIEW, SCREENING FOR STROKE SYMPTOMS; SCREENING FOR MENTAL HEALTH CONDITIONS; AND ASSESSMENT OF SDOH. TELEHEALTH VISITS ARE ALSO USED FOR CONSULTATIONS, REFERRALS FOR GROUP MENTAL HEALTH COUNSELING, REFERRALS TO ORLANDO HEALTH REACH PROGRAM; AND REFERRALS TO ALIGNED COMMUNITY PARTNERS IN ORANGE COUNTY. PROGRAM OBJECTIVES INCLUDE REDUCTIONS IN PREECLAMPSIA WITH SEVERE FEATURES; REDUCTIONS IN MEDICALLY INDICATED DELIVERY AT <35 WEEKS DUE TO MATERNAL OR FETAL CONDITION, ABRUPTION, FETAL OR NEONATAL DEATH; REDUCTIONS IN NICU ADMISSIONS; REDUCTIONS IN INTRAUTERINE GROWTH RESTRICTION; AND REDUCTIONS IN LOW-BIRTH-WEIGHT NEONATES. THIS PILOT PROGRAM WAS LAUNCHED IN FY2023 AND WE WILL CONTINUE TO MONITOR THE SUCCESS OF THIS PROGRAM. IN 2022, THE ORLANDO HEALTH COMMUNITY BENEFIT TEAM IDENTIFIED AN OPPORTUNITY TO EXPAND THE MIDWIFE BUS INTO ORANGE COUNTY FROM ITS ORIGINAL BASE IN OSCEOLA COUNTY. ACCORDING TO DATA FROM THE 2022 CHNA, ORANGE COUNTY HAS THE HIGHEST RATE OF MATERNAL MORBIDITY AND INFANT MORTALITY IN CENTRAL FLORIDA. PARTNERING WITH THE CITY OF ORLANDO, THE GRAND AVENUE NEIGHBORHOOD CENTER WAS IDENTIFIED AS A LOCATION THE MIDWIFE BUS WOULD PARK ONCE A WEEK TO PROVIDE PRE-NATAL AND POST-NATAL SERVICES TO UNINSURED OR UNDERINSURED VULNERABLE PREGNANT WOMEN IN ORANGE COUNTY WITH A FOCUS ON OUTREACH TO VULNERABLE ETHNIC RESIDENTS. THE MIDWIFE BUS PARTNERS WITH ORLANDO HEALTH WINNIE PALMER HOSPITAL FOR WOMEN AND BABIES TO REFER PATIENTS FOR DELIVERY AND INFANT CARE. THIS PROGRAM AIMS TO SUPPORT AT LEAST 400 PREGNANT WOMEN LIVING IN ORANGE COUNTY IN NEED OF MATERNAL SERVICES. WITH ORLANDO HEALTH'S SUPPORT, THE MIDWIFE BUS NOW PROVIDES SUPPORT IN BOTH ORANGE AND OSCEOLA COUNTIES WITH PLANS TO EXPAND SERVICES TO LAKE COUNTY. ORLANDO HEALTH WILL CONTINUE TO WORK WITH PROGRAMS LIKE THE MIDWIFE BUS TO ADDRESS HEALTH DISPARITIES AND WORK TOWARDS MAKING MEANINGFUL CHANGE IN MATERNAL HEALTHCARE. WITH ACCESS TO QUALITY CARE AS ITS PRIORITY, ORLANDO HEALTH DETERMINED THAT THE FOLLOWING ISSUES WOULD NOT BE EXPLICITLY INCLUDED IN ITS IMPLEMENTATION STRATEGY SO THAT IT COULD MAXIMIZE AVAILABLE RESOURCES FOR ADDRESSING ACCESS TO CARE. HOWEVER, ORLANDO HEALTH DOES PROVIDE SUPPORT AND SERVICES FOR SEVERAL OF THE REMAINING HEALTH NEEDS. AT THE TIME OF PRIORITIZATION, WE TOOK INTO ACCOUNT THE LEVEL TO WHICH SOME OF THE NEEDS WERE ALREADY BEING ADDRESSED IN THE SERVICE AREA, ALONG WITH WHETHER THE IDENTIFIED NEED FALLS OUTSIDE THE SCOPE OF OUR EXPERTISE AND RESOURCES. FOR THE NEEDS WE DID NOT SELECT, WE WILL CONTINUE TO PROVIDE SUPPORT AND SERVICES WHERE APPROPRIATE, INCLUDING THROUGH THE ORLANDO HEALTH COMMUNITY GRANT PROGRAM. IN ADDITION, MANY OF THE NEEDS LISTED BELOW WILL BE IMPACTED BY OUR FOCUS ON ACCESS TO CARE. WITH EFFORTS CONCENTRATED ON ACCESS TO CARE, WE ARE ABLE TO SUPPORT OUR COMMUNITY IN MULTIPLE ARENAS INSTEAD OF BEING LIMITED TO ONE CONDITION OR NEED. THIS FLEXIBILITY HELPS US BETTER SERVE THE MOST UNDERSERVED AND VULNERABLE POPULATIONS IN OUR COMMUNITY. FOUR - COUNTY SERVICE AREA NEEDS THAT WON'T BE EXPLICITLY ADDRESSED: - AFFORDABLE, QUALITY HOUSING - MENTAL HEALTH CRISIS SERVICES AND COMMUNITY AWARENESS OF AVAILABLE RESOURCES - MENTAL HEALTH OUTPATIENT SERVICES CAPACITY - INFORMATION SHARING AMONG PROVIDERS - CASE MANAGERS, COMMUNITY HEALTH WORKERS AND SIMILARLY LICENSED PROFESSIONALS TO GUIDE HIGH-NEED PATIENTS - RECRUITMENT AND RETENTION OF CULTURALLY DIVERSE AND INFORMED PROVIDERS WHO DEMOGRAPHICALLY REFLECT THE COMMUNITY - MENTAL HEALTH STIGMA REDUCTION - BEHAVIORAL HEALTH OUTPATIENT SERVICES FOR CHILDREN - CO-LOCATED CASE MANAGERS AND BEHAVIORAL HEALTH PROVIDERS AT COMMUNITY BASED PRIMARY CARE SITES - ACCESS TO CARE FOR SENIORS (E.G., TRANSPORTATION) - MENTAL HEALTH INPATIENT BED CAPACITY - HEALTH CARE SERVICES IN LOWER-INCOME AND PRIORITY COMMUNITIES - MENTAL HEALTH AND SUBSTANCE USE DISORDER TRANSITION CARE FOR INMATES BEING RELEASED FROM JAIL - CHILDCARE SERVICES, ESPECIALLY FOR CHILDREN WITH SPECIAL NEEDS AFFORDABLE, QUALITY HOUSING. WE DID NOT SELECT AFFORDABLE, QUALITY HOUSING AS A PRIORITY, BUT WE WILL CONTINUE TO SUPPORT EXISTING PROGRAMS AND SERVICES SURROUNDING THIS NEED. THROUGH OUR SELECTION OF ACCESS TO CARE WE BELIEVE WE CAN POSITIVELY IMPACT THIS AREA OF COMMUNITY NEED BY SUPPORTING PROGRAMS THAT ADDRESS INEQUITIES AFFECTED BY SOCIAL DETERMINANTS OF HEALTH. MENTAL HEALTH CRISIS SERVICES AND COMMUNITY AWARENESS OF AVAILABLE RESOURCES. WE CURRENTLY WORK WITH ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL AND COMMUNITY ORGANIZATIONS TO ADDRESS MENTAL HEALTH. THROUGH OUR SELECTION OF ACCESS TO CARE WE BELIEVE WE CAN POSITIVELY IMPACT RATES OF MENTAL HEALTH AND INCREASE ACCESS TO CRISIS SERVICES. PLEASE REFER TO APPENDIX A FOR INITIATIVES THAT ARE FOCUSED IN THIS AREA. MENTAL HEALTH OUTPATIENT SERVICES CAPACITY. WE CURRENTLY WORK WITH ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL AND COMMUNITY ORGANIZATIONS TO ADDRESS MENTAL HEALTH. THROUGH OUR SELECTION OF ACCESS TO CARE WE BELIEVE WE CAN POSITIVELY IMPACT RATES OF MENTAL HEALTH AND ADDRESS MENTAL HEALTH OUTPATIENT SERVICES CAPACITY. PLEASE REFER TO APPENDIX A FOR INITIATIVES THAT ARE FOCUSED IN THIS AREA. INFORMATION SHARING AMONG PROVIDERS. WE DID NOT SELECT INFORMATION SHARING AMONG PROVIDERS AS A PRIORITY BUT BELIEVE WE CAN POSITIVELY IMPACT THIS AREA OF COMMUNITY NEED THROUGH OUR SELECTION OF ACCESS TO CARE. WE SUPPORT SEVERAL PROGRAMS, SUCH AS THE ASPIRE BEHAVIORAL HEALTH NAVIGATOR, WHICH PROMOTES THE SHARING OF INFORMATION AMONG PROVIDERS IN ORDER TO PROVIDE BETTER, MORE COLLABORATIVE CARE FOR PATIENTS. CASE MANAGERS, COMMUNITY HEALTH WORKERS AND SIMILARLY LICENSED PROFESSIONALS TO GUIDE HIGH-NEED PATIENTS. WE DID NOT SELECT CASE MANAGERS, COMMUNITY HEALTH WORKERS AND SIMILARLY LICENSED PROFESSIONALS TO GUIDE HIGH-NEED PATIENTS AS A PRIORITY, BUT WE WILL CONTINUE TO SUPPORT EXISTING PROGRAMS AND SERVICES SURROUNDING THIS NEED. THROUGH OUR SELECTION OF ACCESS TO CARE WE BELIEVE WE CAN POSITIVELY IMPACT THIS AREA OF
Schedule H, Part V, Section B, Line 11 Facility A, 3	Facility A, 3 - GROUP A, CONTINUED. COMMUNITY NEED BY SUPPORTING PROGRAMS LIKE IMPOWER'S DISCHARGE/TRANSITIONAL SERVICES FOR TEENS UNDERGOING RESIDENTIAL SUBSTANCE ABUSE TREATMENT THAT PROVIDES CASE MANAGEMENT SERVICES TO PATIENTS. RECRUITMENT AND RETENTION OF CULTURALLY DIVERSE AND INFORMED PROVIDERS WHO DEMOGRAPHICALLY REFLECT THE COMMUNITY. WE DID NOT SELECT RECRUITMENT AND RETENTION OF CULTURALLY DIVERSE AND INFORMED PROVIDERS WHO DEMOGRAPHICALLY REFLECT THE COMMUNITY AS A PRIORITY, BUT WE WILL CONTINUE TO SUPPORT EXISTING PROGRAMS AND SERVICES SURROUNDING THIS NEED. THROUGH OUR SELECTION OF ACCESS TO CARE WE BELIEVE WE CAN POSITIVELY IMPACT THIS AREA OF COMMUNITY NEED BY SUPPORTING PROGRAMS LIKE HEALTH EQUITY TRAIN THE TRAINER PROGRAM, WHICH PROVIDES HEALTH EQUITY EDUCATION TO HEALTHCARE WORKERS. MENTAL HEALTH STIGMA REDUCTION. WE CURRENTLY WORK WITH ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL AND COMMUNITY ORGANIZATIONS TO ADDRESS MENTAL HEALTH. THROUGH OUR SELECTION OF ACCESS TO CARE WE BELIEVE WE CAN POSITIVELY IMPACT RATES OF MENTAL HEALTH AND ADDRESS MENTAL HEALTH STIGMA. PLEASE REFER TO APPENDIX A FOR INITIATIVES THAT ARE FOCUSED IN THIS AREA. BEHAVIORAL HEALTH OUTPATIENT SERVICES FOR CHILDREN. WE DID NOT SELECT BEHAVIORAL HEALTH OUTPATIENT SERVICES FOR CHILDREN AS A PRIORITY, BUT WE WILL CONTINUE TO SUPPORT EXISTING PROGRAMS AND SERVICES SURROUNDING THIS NEED. THROUGH OUR SELECTION OF ACCESS TO CARE WE BELIEVE WE CAN POSITIVELY IMPACT THIS AREA OF COMMUNITY NEED BY SUPPORTING PROGRAMS THAT PROVIDES BEHAVIORAL HEALTH OUTPATIENT SERVICES FOR CHILDREN. PLEASE REFER TO APPENDIX A FOR INITIATIVES THAT ARE FOCUSED IN THIS AREA. CO-LOCATED CASE MANAGERS AND BEHAVIORAL HEALTH PROVIDERS AT COMMUNITY-BASED PRIMARY CARE SITES. WE DID NOT SELECT CO-LOCATED CASE MANAGERS AND BEHAVIORAL HEALTH PROVIDERS AT COMMUNITY-BASED PRIMARY CARE SITES AS A PRIORITY, BUT WE WILL CONTINUE TO SUPPORT EXISTING PROGRAMS AND SERVICES SURROUNDING THIS NEED. PLEASE REFER TO APPENDIX A FOR INITIATIVES THAT ARE FOCUSED IN THIS AREA. ACCESS TO CARE FOR SENIORS (E.G., TRANSPORTATION). WHILE WE DID NOT SELECT ACCESS TO CARE FOR SENIORS AS A PRIORITY, WE CHOSE TO FOCUS ON INCREASING ACCESS TO CARE FOR ALL UNDERSERVED AND HIGH-RISK POPULATIONS. THROUGH OUR SELECTION OF BROAD ACCESS TO CARE WE BELIEVE WE CAN POSITIVELY IMPACT BARRIERS SENIORS FACE WHEN ATTEMPTING TO RECEIVE CARE. MENTAL HEALTH INPATIENT BED CAPACITY. WE CURRENTLY WORK WITH ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL AND COMMUNITY ORGANIZATIONS TO ADDRESS MENTAL HEALTH. THROUGH OUR SELECTION OF ACCESS TO CARE WE BELIEVE WE CAN POSITIVELY IMPACT RATES OF MENTAL HEALTH AND INCREASE ACCESS TO INPATIENT BED CAPACITY. PLEASE REFER TO APPENDIX A FOR INITIATIVES THAT ARE FOCUSED IN THIS AREA. HEALTHCARE SERVICES IN LOWER-INCOME AND PRIORITY COMMUNITIES. WE DID NOT SELECT HEALTHCARE SERVICES IN LOWER-INCOME AND PRIORITY COMMUNITIES AS A PRIORITY, BUT WE WILL CONTINUE TO SUPPORT EXISTING PROGRAMS AND SERVICES SURROUNDING THIS NEED. THROUGH OUR SELECTION OF ACCESS TO CARE WE BELIEVE WE CAN POSITIVELY IMPACT THE UNIQUE BARRIERS INDIVIDUALS FROM LOWER-INCOME AND PRIORITY COMMUNITIES FACE WHEN ATTEMPTING TO RECEIVE HEALTHCARE. PLEASE REFER TO APPENDIX A FOR INITIATIVES THAT ARE FOCUSED IN THIS AREA. MENTAL HEALTH AND SUBSTANCE USE DISORDER TRANSITION CARE FOR INMATES BEING RELEASED FROM JAIL. WE DID NOT SELECT MENTAL HEALTH AND SUBSTANCE USE DISORDER TRANSITION CARE FOR INMATES BEING RELEASED FROM JAIL AS A PRIORITY, BUT WE WILL CONTINUE TO SUPPORT EXISTING PROGRAMS AND SERVICES SURROUNDING THIS NEED. THROUGH OUR SELECTION OF ACCESS TO CARE WE BELIEVE WE CAN POSITIVELY IMPACT THIS AREA OF COMMUNITY NEED BY SUPPORTING PROGRAMS THAT PROVIDE MENTAL HEALTH AND SUBSTANCE USE DISORDER RESOURCES. CHILDCARE SERVICES, ESPECIALLY FOR CHILDREN WITH SPECIAL NEEDS. WE DID NOT SELECT CHILDCARE SERVICES, ESPECIALLY FOR CHILDREN WITH SPECIAL NEEDS AS A PRIORITY, BUT WE WILL CONTINUE TO SUPPORT EXISTING PROGRAMS AND SERVICES SURROUNDING THIS NEED. WE BELIEVE THAT THROUGH OUR SELECTION OF ACCESS TO CARE WE CAN POSITIVELY IMPACT THIS AREA OF COMMUNITY NEED.

Schedule H (Form 990) 2021

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?46
Name and address		Type of Facility (describe)
1	Orlando Health Cancer Institute 1400 South Orange Avenue Orlando,FL32806	Inpatient and Outpatient Cancer Care
2	Orlando Health Emergency Room and Medical Pavilion Osceola 1001 East Osceola Parkway Kissimmee,FL34744	Freestanding ER and Medical Pavilion
3	Orlando Regional Medical Center - Ambulatory Care Center 22 W Underwood Street Orlando,FL32806	Outpatient Surgery and Diagnostics
4	Orlando Health Heart & Vascular Institute 1222 South Orange Avenue Orlando,FL32806	Outpatient Diagnostic Center
5	Orlando Health Emergency Room and Medical Pavilion Lake Mary 380 Rinehart Road Lake Mary,FL32746	Freestanding ER and Medical Pavilion
6	Orlando Health Cancer Institute 9900 W Colonial Drive Ocoee,FL34761	Outpatient Cancer Care
7	Orlando Health Emergency Room and Medical Pavilion Randal Park 10155 Dowden Road Orlando,FL32832	Freestanding ER and Medical Pavilion
8	Orlando Health Cancer Institute 210 Rinehart Road Ste 1000 Lake Mary,FL32746	Outpatient Cancer Care
9	Orlando Health Heart & Vascular Institute 10000 W Colonial Drive Suite 484 Ocoee,FL34761	Outpatient Diagnostic Center
10	Orlando Health Heart & Vascular Institute 2080 Oakley Seaver Dr Clermont,FL34711	Outpatient Diagnostic Center
11	Orlando Health Heart & Vascular Institute 7236 Stonerock Circle Orlando,FL32819	Outpatient Diagnostic Center
12	Orlando Health Cancer Institute 7472 Docs Grove Circle Orlando,FL32819	Outpatient Cancer Care
13	Arnold Palmer Hospital for Children Outpatient Rehabilitation 925 S Orange Avenue Orlando,FL32806	Outpatient Pediatric Rehabilitation
14	Orlando Health Heart & Vascular Institute 100 North Dean Road Ste 202 Orlando,FL32825	Outpatient Diagnostic Center
15	The Heart Center at Arnold Palmer Hospital for Children 1222 S Orange Avenue Orlando,FL32806	Outpatient Diagnostic Center
16	Orlando Health Heart & Vascular Institute 521 W State Road 434 Suite 307 Longwood,FL32750	Outpatient Diagnostic Center
17	Orlando Health Women's Imaging Center 22 W Underwood Street Orlando,FL32806	Outpatient Imaging Center
18	Orlando Health Rehabilitation Services 521 W State Road 434 Suite 204 Longwood,FL32750	Outpatient Rehabilitation
19	Arnold Palmer Hospital Outpatient Centers 50 West Sturtevant Street Orlando,FL32806	Outpatient Pediatric Services
20	Orlando Health Cancer Institute 1001 East Osceola Parkway Orlando,FL32819	Outpatient Cancer Care
21	Orlando Health Cancer Institute 105 West Miller Street Orlando,FL32806	Outpatient Cancer Care
22	Orlando Health Dr P Phillips Hospital Outpatient Rehabilitation 7000 Dr Phillips Boulevard Orlando,FL32819	Outpatient Services
23	Orlando Health Dr P Phillips Hospital Outpatient Rehabilitation 7350 Sandlake Commons Blvd Suite 1 Orlando,FL32819	Outpatient Rehabilitation
24	Orlando Health Audiology Services 50 Sturtevant Street Orlando,FL32806	Outpatient Audiology Services
25	Orlando Health Orlando Regional Medical Center Institute for Advanced Rehab ilitation - Outpatient 1222 S Orange Avenue Orlando,FL32806	Outpatient Rehabilitation
26	Orlando Health Imaging Centers 7243 Della Dr Suite C Orlando,FL32819	Outpatient Imaging Center
27	Arnold Palmer Hospital for Children Outpatient Rehabilitation 1555 Howell Branch Road Ste B1 Winter Park,FL32789	Outpatient Pediatric Rehabilitation
28	Orlando Health Imaging Centers 1800 S Orange Ave Orlando,FL32806	Outpatient Imaging Center
29	Orlando Health Imaging Centers 392 Rinehart Rd Suite 1300 Lake Mary,FL32746	Outpatient Imaging Center
30	Orlando Health Wound Healing Center 55 West Gore Street Orlando,FL32806	Outpatient Wound Care
31	Orlando Health Imaging Centers 5151 Winter Garden Vineland Rd Ste Winderm,FL34786	Outpatient Imaging Center
32	Orlando Health St Cloud Hospital Rehabilitation Services 1330 Budinger Ave Ste 204 Saint Cloud,FL34769	Outpatient Rehabilitation Services
33	Orlando Health Imaging Centers 10889 W Colonial Dr Ocoee,FL34761	Outpatient Imaging Center
34	Orlando Health Orlando Regional Medical Center Institute for Advanced Rehab ilitation - Outpatient 100 W Gore St Ste 104 Orlando,FL32806	Outpatient Rehabilitation
35	Orlando Health Imaging Centers 398 E Altamonte Dr Altamonte Springs,FL32701	Outpatient Imaging Center
36	Orlando Health Wound Healing Center 7339 Stonerock Circle Orlando,FL32819	Outpatient Wound Care
37	Orlando Health St Cloud Hospital Digital Mammography 2900 17th St Ste 4/5 Saint Cloud,FL34769	Digital Mammogram Services
38	Orlando Health Infusion Center 1414 Kuhl Avenue Orlando,FL32806	Outpatient Infusion Center
39	Arnold Palmer Hospital for Children Outpatient Infusion Center 60 W Gore Street Orlando,FL32806	Outpatient Infusion Center
40	South Seminole Wound Care Center 515 W State Road 434 Suite 101 Longwood,FL32750	Outpatient Wound Care
41	Orlando Health Imaging Centers 1111 Fairbanks Ave Winter Park,FL32789	Outpatient Imaging Center
42	Orlando Health Heart & Vascular Institute 392 Rinehart Road Suite 2050 Lake Mary,FL32746	Cardiac Rehab
43	Orlando Health Cancer Institute Genetics & High Risk Care Center 44 W Sturtevant St Orlando,FL32806	Outpatient Cancer Care
44	Orlando Health St Cloud Hospital Wound Care & Hyperbaric Center 2912 17th St Saint Cloud,FL34769	Outpatient Wound Care
45	Orlando Health Cancer Institute 22 W Underwood Street Orlando,FL32806	Outpatient Cancer Care
46	Orlando Health Heart & Vascular Institute 60 W Gore St Orlando,FL32806	Outpatient Diagnostic Center

Schedule H (Form 990) 2021

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
Schedule H, Part VI, Line 6 Affiliated Health Care System	ORLANDO HEALTH, INC. IS THE PARENT ORGANIZATION OF AN INTEGRATED HEALTHCARE SYSTEM THAT PROVIDES COMPREHENSIVE SERVICES TO IMPROVE THE HEALTH AND QUALITY OF LIFE FOR THE COMMUNITIES SERVED. AS AN INTEGRATED HEALTHCARE SYSTEM, ORLANDO HEALTH HAS SEVERAL AFFILIATED AND SUPPORT ORGANIZATIONS THAT ENSURE WE MEET THESE COMMUNITIES' NEEDS. AS A NOT-FOR-PROFIT HEALTHCARE SYSTEM OUR MISSION IS TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND COMMUNITIES WE SERVE. OUR COMMUNITY BENEFIT EFFORTS MEET THE NEEDS OF THE COMMUNITIES WE SERVE IN THE FOLLOWING WAYS: * OFFERING DISCOUNTED OR FREE SERVICE TO OUR UNINSURED AND UNDERINSURED PATIENTS WHO ARE UNABLE TO PAY. * SUPPLEMENTING THE UNREIMBURSED COSTS OF THE GOVERNMENTAL MEDICAID ASSISTANCE PROGRAM. * SUBSIDIZING COSTS NOT REIMBURSED BY GOVERNMENTAL MEDICARE FUNDING FOR CARE PROVIDED TO SENIOR PATIENTS. * BENEFITING OUR COMMUNITY'S OVERALL HEALTH BY PROVIDING CLINICS AND PRIMARY CARE SERVICES, HEALTH FAIRS AND SCREENINGS, SUPPORT GROUPS AND MEDICAL RESEARCH. * INVESTING IN CAPITAL IMPROVEMENTS TO OUR FACILITIES AND TECHNOLOGY IN ORDER TO PROVIDE THE BEST POSSIBLE CARE FOR OUR PATIENTS. THROUGH THE INTEGRATED HEALTHCARE SYSTEM OF 10 HOSPITALS, SIX FREESTANDING EMERGENCY ROOMS AND VARIOUS OUTPATIENT FACILITIES, WITH OVER 25,000 EMPLOYEES AND NEARLY 3,300 PHYSICIANS ON MEDICAL STAFF, ORLANDO HEALTH DELIVERS A HIGH LEVEL OF QUALITY INPATIENT, OUTPATIENT AND EMERGENCY HEALTHCARE TO THE COMMUNITIES SERVED. ORLANDO HEALTH IS A DESIGNATED TEACHING HOSPITAL OFFERING GRADUATE MEDICAL EDUCATION SPONSORING 10 RESIDENCY, SEVEN PHARMACY RESIDENCY, AND 32 FELLOWSHIP PROGRAMS. ORLANDO HEALTH FACILITIES ENCOMPASS 3,140 FULLY CERTIFIED BEDS, ADVANCED MEDICAL TREATMENTS AND PROCEDURES, AND EXCEPTIONAL STAFF. AS PREVIOUSLY MENTIONED, ORLANDO HEALTH, INC., IS COMPOSED OF ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER (ORLANDO HEALTH ORMC), ORLANDO HEALTH ARNOLD PALMER HOSPITAL FOR CHILDREN, ORLANDO HEALTH WINNIE PALMER HOSPITAL FOR WOMEN AND BABIES, ORLANDO HEALTH DR. P. PHILLIPS HOSPITAL, ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL AND ORLANDO HEALTH ST. CLOUD HOSPITAL. ORLANDO HEALTH CENTRAL, INC. OPERATES ORLANDO HEALTH - HEALTH CENTRAL HOSPITAL AND ORLANDO HEALTH HORIZON WEST HOSPITAL, WHICH PROVIDES HIGH-QUALITY INPATIENT, OUTPATIENT AND EMERGENCY CARE FOR RESIDENTS OF CENTRAL FLORIDA. SOUTH LAKE HOSPITAL, INC. OPERATES ORLANDO HEALTH SOUTH LAKE HOSPITAL, WHICH PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE FOR RESIDENTS OF CENTRAL FLORIDA. OHI WEST, INC., IS COMPOSED OF BAYFRONT Health St. Petersburg, WHICH PROVIDES HIGH-QUALITY INPATIENT, OUTPATIENT AND EMERGENCY CARE FOR RESIDENTS OF PINELLAS COUNTY, FLORIDA. ORLANDO HEALTH MEDICAL GROUP, INC. SERVES AS A FUNDAMENTAL COMPONENT OF ORLANDO HEALTH'S HEALTHCARE SYSTEM BY PROVIDING AN INTEGRATED DELIVERY NETWORK OF SPECIALTY PHYSICIAN SERVICES, OCCUPATIONAL HEALTH SERVICES, REHABILITATION HEALTH SERVICES AND BEHAVIORAL HEALTH SERVICES WITH MORE THAN 900 PHYSICIANS IN THE CENTRAL FLORIDA AREA. ORLANDO HEALTH CANCER INSTITUTE, NOW A PART OF ORLANDO HEALTH MEDICAL GROUP, INC., HAS MADE SIGNIFICANT CONTRIBUTIONS TO THE CARE OF CANCER PATIENTS IN CENTRAL FLORIDA. ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER, ORLANDO HEALTH CANCER INSTITUTE WITH ORLANDO HEALTH, INC., IS COMMITTED TO DELIVERING HIGH-QUALITY CARE FOR CANCER PATIENTS UTILIZING OUR EXTENSIVE EXPERIENCE AND VITAL RESOURCES, FROM THE INITIAL DIAGNOSIS THROUGH EVERY STAGE OF TREATMENT. ORLANDO PHYSICIAN NETWORK, INC. ALSO SERVES AS A FUNDAMENTAL COMPONENT OF ORLANDO HEALTH'S HEALTH SYSTEM BY PROVIDING AN INTEGRATED DELIVERY SYSTEM OF PRIMARY CARE PHYSICIAN SERVICES WITH OVER 100 PHYSICIANS IN THE CENTRAL FLORIDA AREA. ORLANDO HEALTH FOUNDATION, INC. IS THE PHILANTHROPIC HEART OF ORLANDO HEALTH'S INTEGRATED HEALTHCARE SYSTEM AND HAS BEEN INSTRUMENTAL IN RAISING FUNDS FOR CAPITAL IMPROVEMENTS AND RENOVATIONS TO OUR HOSPITALS, AND IN SUPPORTING PROGRAMS AND THE ACQUISITION OF LIFE-SAVING EQUIPMENT FOR OUR COMMUNITIES. THROUGH ORLANDO HEALTH'S HEALTHCARE SYSTEM, WE PROVIDED APPROXIMATELY $586 MILLION IN SUPPORT OF COMMUNITY HEALTH NEEDS.
SECTION 501(R) RISK ASSESSMENT	ORLANDO HEALTH, INC. (OHI) CONDUCTED AN EXTENSIVE REVIEW OF ITS POLICIES AND PROCEDURES TO ENSURE COMPLIANCE WITH THE REQUIREMENTS OF IRC SECTION 501(R). OHI OPERATES SIX HOSPITAL FACILITIES FOR WHICH IT MUST SATISFY THE REQUIREMENTS OF SECTION 501(R). THE REVIEW THAT OHI UNDERTOOK ADDRESSED SECTION 501(R) COMPLIANCE AT EACH OF THE FOLLOWING HOSPITAL FACILITIES: 1. ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER (OHORMC) 2. ORLANDO HEALTH ARNOLD PALMER HOSPITAL FOR CHILDREN (OHAPH) 3. ORLANDO HEALTH WINNIE PALMER HOSPITAL FOR WOMEN AND BABIES (OHWPH) 4. ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL (OHSSH) 5. ORLANDO HEALTH DR. P. PHILLIPS HOSPITAL (OHDPH) 6. ORLANDO HEALTH ST. CLOUD HOSPITAL (OHSCH) OHI MAKES PHYSICAL COPIES OF ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND FINANCIAL ASSISTANCE POLICY (FAP) AVAILABLE TO THE PUBLIC AT EACH OF THE OHI'S HOSPITALS AS REQUIRED BY SECTION 501(R). OHI PROVIDES PATIENT-FACING EMPLOYEES WITH ANNUAL TRAINING TO ENSURE THAT THEY COULD IDENTIFY THE PHYSICAL LOCATIONS WITHIN THE HOSPITAL FACILITIES WHERE PATIENTS COULD OBTAIN PHYSICAL COPIES OF THESE DOCUMENTS. OHI DETERMINED AS PART OF ITS SECTION 501(R) REVIEW TO ENHANCE PUBLIC AWARENESS OF ITS FAP AND THE FINANCIAL ASSISTANCE AVAILABLE TO DISADVANTAGED MEMBERS OF ITS COMMUNITY. ACCORDINGLY, OHI DISSEMINATED INFORMATION ON THE AVAILABILITY OF FINANCIAL ASSISTANCE AT OHI HOSPITAL FACILITIES TO COMMUNITY PARTNERS IN EACH OF THE FOLLOWING CATEGORIES: FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS), MEDICAL HOMES AND OTHER NONPROFIT ORGANIZATIONS THAT SERVE LOW INCOME POPULATIONS. THE COMMUNITY PARTNERS IDENTIFIED IN EACH GROUP RESPECTIVELY ARE: GRACE MEDICAL HOME, SHEPHERD'S HOPE, COMMUNITY HEALTH CENTERS, TRUE HEALTH, HEALTH CARE CENTER FOR THE HOMELESS DBA ORANGE BLOSSOM FAMILY HEALTH, COALITION FOR THE HOMELESS, ORANGE COUNTY MEDICAL CLINIC, AND MEMBERS OF THE PRIMARY CARE ACCESS NETWORK (PCAN) IN ORANGE COUNTY. IN ADDITION, OHI DESIGNATED A COMMUNITY LIAISON TO ATTEND REGULAR FUNCTIONS IN THE COMMUNITY, DISPLAY THE FAP AT THESE FUNCTIONS, AND PROVIDE COPIES OF THE FAP TO COMMUNITY MEMBERS. FINALLY, OHI HAS IMPLEMENTED REVIEWS OF ITS WEBSITE LINKS TO ENSURE INFORMATION REQUIRED BY SECTION 501(R) IS AVAILABLE TO THE PUBLIC. OHI HAS ESTABLISHED A METHODS FOR MEMBERS OF THE PUBLIC TO PROVIDE INPUT ON OHI'S CHNA REPORT AND IMPLEMENTATION STRATEGY. SUCH INPUT WILL BE MONITORED AND TRACKED QUARTERLY ALONG WITH WEBSITE LINKS PROVIDING INFORMATION TO THE PUBLIC. OHI WILL CONTINUE TO IDENTIFY REPRESENTATIVES OF THE LOW-INCOME, UNDERSERVED AND MINORITY POPULATION(S) IN THE COMMUNITY FROM WHOM INPUT WAS SOLICITED AND DESCRIBE THE RESOURCES POTENTIALLY AVAILABLE TO ADDRESS THE SIGNIFICANT HEALTH NEEDS THROUGHOUT THE 2022 CHNA. DATE RANGES FOR WHICH OHI CONDUCTED SURVEYS AND INTERVIEWS WITHIN THE COMMUNITY TO SEEK INPUT ON IDENTIFYING AND PRIORITIZING COMMUNITY HEALTH NEEDS WILL ALSO BE INCLUDED IN THE 2022 CHNA. MOREOVER, OHI WILL INCLUDE AN EVALUATION IN THE 2022 CHNA OF THE IMPACT OF ANY ACTIONS THAT WERE TAKEN, SINCE OHI FINISHED CONDUCTING ITS IMMEDIATELY PRECEDING CHNA, TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN EACH HOSPITAL FACILITY'S PRIOR CHNA. FINALLY, OHI WILL CONTINUE TO LIST ALL PARTNERS THAT IT PLANS TO WORK WITH IN ADDRESSING SIGNIFICANT COMMUNITY HEALTH NEEDS (I.E., LOCAL HEALTH DEPARTMENTS, OTHER HOSPITALS, NON-PROFITS, GOVERNMENT AGENCIES AND ADVOCACY GROUPS) THAT ARE KNOWN AT THE TIME OF IMPLEMENTATION.
Schedule H, Part III Line 2 and 4	BAD DEBT EXPENSE REFLECTED IN PART III, LINE 2 REPRESENTS COST OF CHARGES WRITTEN OFF AS UNCOLLECTIBLE. BOTH DISCOUNTS AND PAYMENTS TO ACCOUNTS WILL REDUCE THE BAD DEBT EXPENSE, SHOULD THE ACCOUNT BE REPORTED AS BAD DEBT. THAT IS TO SAY, DISCOUNTS APPLIED TO ACCOUNTS ARE NOT REVERSED PRIOR TO DECLARING, ADJUSTING AND/OR WRITING OFF ACCOUNTS AS BAD DEBT. ALL ACCOUNTS WHICH ARE ADJUSTED TO, OR WRITTEN OFF TO, BAD DEBT ARE REVIEWED TO DETERMINE THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE. IF SUFFICIENT DOCUMENTATION WAS NOT PROVIDED BY THE ACCOUNT HOLDER, ORLANDO HEALTH USES PREDICTIVE ANALYTICS TO DETERMINE IF THE FINANCIAL ASSISTANCE FOR ACCOUNTS ARE ADJUSTED TO, OR WRITTEN OFF TO, BAD DEBT. ORLANDO HEALTH USES DATA DERIVED FROM THIRD PARTIES WHICH INCLUDE, BUT ARE NOT LIMITED TO DEMOGRAPHIC VERIFICATION, INCOME VERIFICATION, HOUSEHOLD SIZE VERIFICATION, PAYMENT HISTORY INFORMATION, PROPERTY OWNERSHIP INFORMATION, OCCUPATION INFORMATION, VEHICLE OWNERSHIP HISTORY AND VALUES AND HOME OWNERSHIP HISTORY AND VALUES. ONCE THIS DATA LOGIC IS APPLIED, IT BECOMES APPARENT IF THE ACCOUNT QUALIFIES FOR FINANCIAL ASSISTANCE. IF THE ACCOUNT DOES QUALIFY, PREVIOUS UNINSURED DISCOUNTS, BAD DEBT ADJUSTMENTS AND/OR WRITE OFFS ARE REVERSED AND THE NEW BALANCE REFLECTED IS RECLASSIFIED AS FINANCIAL ASSISTANCE OR CHARITY, WHICH IS REDUCED TO COST. CONSISTENT WITH THE SYSTEM'S MISSION, CARE IS PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THEREFORE, THE SYSTEM HAS DETERMINED THAT IT HAS PROVIDED IMPLICIT PRICE CONCESSIONS TO UNINSURED PATIENTS AND PATIENTS WITH OTHER UNINSURED BALANCES SUCH AS COPAYS AND DEDUCTIBLES. THE DIFFERENCE BETWEEN AMOUNTS BILLED TO PATIENTS AND THE AMOUNTS EXPECTED TO BE COLLECTED BASED ON THE SYSTEM'S COLLECTION HISTORY WITH THOSE PATIENTS IS RECORDED AS IMPLICIT PRICE CONCESSIONS, OR AS A DIRECT REDUCTION TO NET PATIENT REVENUE. SUBSEQUENT ADJUSTMENTS THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S OR PAYOR'S ABILITY TO PAY ARE RECOGNIZED AS BAD DEBT EXPENSE. BAD DEBT EXPENSE IS RECORDED AS A COMPONENT OF OTHER OPERATING EXPENSES IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS. BAD DEBT EXPENSE FOR THE YEARS ENDED SEPTEMBER 30, 2021 AND 2020 WAS NOT SIGNIFICANT FOR THE SYSTEM. (ORLANDO HEALTH, INC. AUDITED FINANCIAL STATEMENTS, PAGE 17).
Schedule H, Part I, Line 7 EXPLANATION OF COSTING METHODOLOGY USED FOR CALCULATING LINE 7 TABLE	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.
Schedule H, Part I, Line 7f BAD DEBT REPORTING	BAD DEBT WAS REPORTED AS AN OFFSET TO PATIENT REVENUE AND NOT ON PART IX. THEREFORE, FORM 990, PART IX, LINE 25 DID NOT INCLUDE BAD DEBT EXPENSE.
Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT	NONE
Schedule H, Part II COMMUNITY BUILDING ACTIVITIES	THE PRIMARY PURPOSE OF ORLANDO HEALTH'S COMMUNITY BUILDING ACTIVITIES IS TO IMPROVE HEALTH IN THE CENTRAL FLORIDA COMMUNITY. WHEN A PARTICULAR PHYSICIAN SPECIALTY IS DEFICIENT IN THE COMMUNITY IN COMPARISON TO THE POPULATION, IT CAN LIMIT ACCESS TO HEALTHCARE SERVICES AND RESULT IN POOR HEALTH OUTCOMES. TO RECTIFY THOSE WORKFORCE SHORTAGES, ORLANDO HEALTH MAY HELP RECRUIT PHYSICIANS WHEN A NEED IS IDENTIFIED TO ESTABLISH, ENHANCE, OR MAINTAIN A MEDICAL SERVICE IN THE AREA. TO DETERMINE NEED, ORLANDO HEALTH USES INDEPENDENT HEALTH PLANNING SERVICE ORGANIZATIONS; COMMUNITY NEEDS ASSESSMENT; AND INDEPENDENTLY MAINTAINED PHYSICIAN DATABASE SOFTWARE. THESE PHYSICIAN RECRUITMENT EFFORTS MEET THE COMMUNITY BENEFIT OBJECTIVE OF IMPROVING ACCESS TO HEALTH SERVICES, WHICH IN TURN IMPROVES PUBLIC HEALTH. WE WILL CONTINUE TO FIND WAYS TO RECRUIT COMMUNITY-BASED PHYSICIANS TO HELP COMBAT PHYSICIAN SHORTAGES IN THE COMING FISCAL YEAR.
Schedule H, Part V, Section B, Line 16a	https://www.orlandohealth.com/patients-and-visitors/patient-financial-resources/pay-your-bill/cant-afford-your-bill/financial-assistance
Schedule H, Part V, Section B, Line 16b	https://www.orlandohealth.com/patients-and-visitors/patient-financial-resources/pay-your-bill/cant-afford-your-bill/financial-assistance
Schedule H, Part V, Section B, Line 16c	https://www.orlandohealth.com/patients-and-visitors/patient-financial-resources/pay-your-bill/cant-afford-your-bill/financial-assistance
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE COSTING METHODOLOGY USED TO REPORT THE AMOUNT REPORTED ON LINE 6 AS MEDICARE ALLOWABLE COSTS OF CARE RELATING TO PAYMENTS RECEIVED FROM MEDICARE WAS CALCULATED USING THE MEDICARE COST REPORT. ORLANDO HEALTH DOES NOT CURRENTLY INCLUDE MEDICARE SHORTFALL AS A COMMUNITY BENEFIT.HOWEVER, AS A NOT-FOR-PROFIT ORGANIZATION WE PROVIDE EMERGENCY AND REQUIRED CARE TO ALL PATIENTS REGARDLESS OF THEIR FINANCIAL STATUS. DESPITE THE MEDICARE SHORTFALL, NOT-FOR-PROFIT HOSPITALS MUST AND WILL CONTINUE TO CARE FOR THE MEDICARE POPULATION AND ACCEPT THE MEDICARE REIMBURSEMENT RATE. CARING FOR THE MEDICARE PATIENT POPULATION FULFILLS A COMMUNITY NEED AND RELIEVES A GOVERNMENT BURDEN AS THIS CLASS OF PATIENTS TYPICALLY HAS LOW AND/OR FIXED INCOMES. THE MEDICARE PATIENT POPULATION IS LARGE AND THE LACK OF SUFFICIENT REIMBURSEMENT TO COVER THE COST OF PROVIDING CARE FOR THESE PATIENTS NECESSITATES THAT NOT-FOR-PROFIT HOSPITALS USE OTHER FUNDS TO COVER THE DEFICIT. NOT-FOR-PROFIT HOSPITALS HAVE A RESPONSIBILITY TO WORK TOWARD IMPROVED HEALTH IN THE COMMUNITIES THEY SERVE AND CARING FOR THE MEDICARE PATIENTS, DESPITE THE SHORTFALL OF REIMBURSEMENT, IS A DIRECT COMMUNITY BENEFIT AND PROVIDES VALUE DIRECTLY TO THE COMMUNITIES SERVED.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	COLLECTION PRACTICES ARE CONSISTENT FOR ALL PATIENTS AND COMPLY WITH APPLICABLE PROVISIONS OF STATE LAW. DURING PREADMISSION, AT REGISTRATION OR AT BEDSIDE, ORLANDO HEALTH PROVIDES ALL PATIENTS WITH INFORMATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE. ORLANDO HEALTH PERFORMS A THOROUGH EVALUATION OF THE PATIENT'S FINANCIAL STATUS TO ENSURE THE UTILIZATION OF ALL DISCOUNTS AND CHARITY CARE PROGRAMS AVAILABLE UNDER THEIR DISCOUNT AND CHARITY CARE POLICIES. THIS DETERMINATION PROCESS IS COMPLETED BEFORE ANY PATIENT'S ACCOUNT PROCEEDS TO COLLECTION. ORLANDO HEALTH DOES NOT PURSUE COLLECTION PRACTICES AGAINST PATIENTS KNOWN TO QUALIFY FOR CHARITY CARE OR OTHER FINANCIAL ASSISTANCE.
Schedule H, Part V, Section B, Line 16a FAP website	A - ORLANDO REGIONAL MEDICAL CENTER: Line 16a URL: SEE PART VI;
Schedule H, Part V, Section B, Line 16b FAP Application website	A - ORLANDO REGIONAL MEDICAL CENTER: Line 16b URL: SEE PART VI;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	A - ORLANDO REGIONAL MEDICAL CENTER: Line 16c URL: SEE PART VI;
Schedule H, Part VI, Line 2 Needs assessment	IN 2022, ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER (ORLANDO HEALTH ORMC), ORLANDO HEALTH DR. P. PHILLIPS HOSPITAL, ORLANDO HEALTH - HEALTH CENTRAL HOSPITAL, ORLANDO HEALTH HORIZON WEST HOSPITAL, ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL, ORLANDO HEALTH ARNOLD PALMER HOSPITAL FOR CHILDREN, ORLANDO HEALTH WINNIE PALMER HOSPITAL FOR WOMEN AND BABIES, ORLANDO HEALTH ST. CLOUD HOSPITAL AND ORLANDO HEALTH SOUTH LAKE HOSPITAL CONDUCTED A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT. HOWEVER, PRIOR TO THE ASSESSMENT, ORLANDO HEALTH ANALYZED THE SERVICES NEEDED AS PART OF OUR STRATEGY, AND BUDGETING PLANNING AND DEVELOPED A PROCESS TO ENSURE THE ORGANIZATION IS RESPONSIVE TO COMMUNITY HEALTH NEEDS. THROUGH OUR EDUCATION, RESEARCH, AND PATIENT CARE PROGRAMS, AS WELL AS THE ORLANDO HEALTH COMMUNITY GRANT PROGRAM, ORLANDO HEALTH MEETS THE NEEDS OF THE COMMUNITY. THE SPECIFIC NEEDS TARGETED BY THESE PROGRAMS HAVE BEEN IDENTIFIED THROUGH THE EXPERIENCE OF COMMUNITY HOSPITAL LEADERSHIP, NEIGHBORHOOD OUTREACH AND THROUGH ASSESSMENTS THAT IDENTIFIED HEALTH NEEDS IN THE COMMUNITIES SERVED BY THE HOSPITALS ALONG WITH HOSPITAL DATA. AS A RESULT, ORLANDO HEALTH SUPPORTS A VARIETY OF PROGRAMS FOR AT-RISK POPULATIONS, FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS AND SPECIAL NEEDS GROUPS, AS WELL AS FOR THE BROADER COMMUNITY. ADDITIONAL EXAMPLES OF HOW ORLANDO HEALTH RESPONDS TO COMMUNITY HEALTH NEEDS ARE AS FOLLOWS: 1. GOVERNING BOARDS ARE COMPOSED OF INDIVIDUALS BROADLY REPRESENTATIVE OF THE COMMUNITY, COMMUNITY LEADERS AND THOSE WITH SPECIALIZED MEDICAL TRAINING AND EXPERTISE; 2. PARTNERSHIP WITH LOCAL GROUPS AND ASSOCIATIONS TO ATTEND TO THE HEALTH CARE NEEDS OF THE ORLANDO HEALTH COMMUNITY; 3. SPONSORSHIP AND PARTICIPATION IN COMMUNITY FORUMS, HEALTH FAIRS, COMMUNITY FITNESS AND WELLNESS EVENTS, AND OTHER OUTREACH EVENTS; AND 4. TRANSITION SERVICES POST-DISCHARGE PATIENT FOR FOLLOW-UPS RELATED TO ON-GOING CARE AND TREATMENT TO PREVENT UNNECESSARY ADMISSIONS AND POTENTIAL RE-ADMISSIONS.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	ORLANDO HEALTH FOLLOWS AN ESTABLISHED PROCESS TO INFORM ALL PATIENTS OF ITS CHARITY CARE AND UNINSURED DISCOUNT POLICIES. DURING PREADMISSION, AT REGISTRATION OR AT BEDSIDE, UNINSURED PATIENTS ARE INFORMED OF THE HOSPITAL'S CHARITY CARE POLICY AND OTHER FINANCIAL ASSISTANCE. FINANCIAL INFORMATION IS SECURED FOR ALL UNINSURED PATIENTS TO SCREEN FOR POSSIBLE ENROLLMENT IN FEDERAL, STATE, AND LOCAL PROGRAMS. ORLANDO HEALTH HAS CONTRACTED DEDICATED ORGANIZATIONS THAT ASSIST THE PATIENT WITH THEIR ENROLLMENT PROCESS ALL THE WAY TO APPROVAL OR DENIAL BY THE RESPECTIVE AGENCIES. FOR UNINSURED PATIENTS THAT ARE DENIED COVERAGE OR DO NOT MEET THE COVERAGE CRITERION FOR A RESPECTIVE AGENCY, ORLANDO HEALTH THEN SCREENS THE PATIENT FOR CHARITY ELIGIBILITY. IT IS ORLANDO HEALTH'S OBJECTIVE TO PROVIDE CHARITY CARE TO OUR PATIENTS WHO DO NOT HAVE THE ABILITY TO PAY.
Schedule H, Part VI, Line 4 Community information	ORLANDO HEALTH CURRENTLY OPERATES 10 HOSPITALS IN FLORIDA, WHICH HAS MILLIONS OF RESIDENTS AND INTERNATIONAL VISITORS ANNUALLY. THE HEALTH SYSTEM IS ONE OF CENTRAL FLORIDA'S LARGEST EMPLOYERS WITH OVER 25,000 EMPLOYEES AND NEARLY 3,300 ON-STAFF PHYSICIANS. AS A STATUTORY TEACHING HOSPITAL, WE OFFER GRADUATE MEDICAL EDUCATION WHERE WE ARE THE INSTITUTIONAL SPONSOR OF 10 RESIDENCY, SEVEN PHARMACY RESIDENCY, 32 FELLOWSHIP PROGRAMS, AND HOST MORE THAN 350 RESIDENTS AND FELLOWS ANNUALLY. ORLANDO HEALTH FACILITIES ENCOMPASS 3,140 FULLY CERTIFIED BEDS, ADVANCED MEDICAL TREATMENTS AND PROCEDURES AND HIGHLY QUALIFIED STAFF. ORLANDO HEALTH IS COMPRISED OF ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER (ORLANDO HEALTH ORMC), ORLANDO HEALTH ARNOLD PALMER HOSPITAL FOR CHILDREN, ORLANDO HEALTH WINNIE PALMER HOSPITAL FOR WOMEN AND BABIES, ORLANDO HEALTH DR. P. PHILLIPS HOSPITAL, ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL, ORLANDO HEALTH ST. CLOUD HOSPITAL, ORLANDO HEALTH - HEALTH CENTRAL HOSPITAL, ORLANDO HEALTH HORIZON WEST HOSPITAL, ORLANDO HEALTH SOUTH LAKE HOSPITAL AND BAYFRONT HEALTH ST. PETERSBURG. ORLANDO HEALTH ORMC IS HOME TO THE REGION'S ONLY LEVEL ONE TRAUMA CENTER. THIS STATE-VERIFIED CENTER IS CAPABLE OF DELIVERING THE HIGHEST LEVEL OF EXPERTISE AND CARE IN THE SHORTEST TIME POSSIBLE. ORLANDO HEALTH ORMC'S LEVEL ONE TRAUMA CENTER PROVIDES SPECIALIZED CARE FOR CRITICALLY INJURED OR CRITICALLY ILL PEOPLE WITHIN A 90-MILE RADIUS, AND OVER 523,368 PATIENTS VISITED OUR EMERGENCY DEPARTMENTS IN 2022. ORLANDO HEALTH ARNOLD PALMER IS THE FIRST FACILITY IN CENTRAL FLORIDA TO PROVIDE EMERGENCY CARE EXCLUSIVELY FOR PEDIATRICS, INCLUDING LEVEL ONE TRAUMA. IN ADDITION TO TRAUMA CARE, THE LEVEL ONE TRAUMA CENTER AND AIR CARE TEAM SERVE AS AN INTEGRAL RESOURCE FOR DISASTER READINESS AND RESPONSE PLANNING IN GREATER ORLANDO. AIR CARE TRANSPORTED 836 ADULT TRAUMA PATIENTS AND 156 PEDIATRIC TRAUMA PATIENTS IN 2022. ORLANDO HEALTH'S PRIMARY SERVICE AREA IS COMPRISED OF LAKE, ORANGE, OSCEOLA, AND SEMINOLE COUNTIES. THE MEDIAN HOUSEHOLD INCOME IN THESE COUNTIES IS $73,739. IN CENTRAL FLORIDA, 12.9 PERCENT OF HOUSEHOLDS ARE BELOW THE FEDERAL POVERTY GUIDELINE. THE PERCENT UNINSURED (AGE 0-64) FOR THE FOUR COUNTY AREA IS 16.7 PERCENT AND THERE ARE 11 FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS PRESENT IN THIS REGION. COMMUNITY OUTREACH ACTIVITIES INCLUDED THE SHIFT TO SOCIAL DISTANCING PROTOCOLS SUCH AS ONLINE SPEAKER'S BUREAU, ONLINE SUPPORT/EDUCATION GROUPS, ONLINE WELLNESS CLASSES, CLINICAL SCREENINGS THROUGH TELEHEALTH 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.
Schedule H, Part VI, Line 5 Promotion of community health	AS A NOT-FOR-PROFIT HEALTHCARE ORGANIZATION, THE CULTURE OF CARING AT ORLANDO HEALTH TOUCHES THE LIVES OF MANY INDIVIDUALS AND FAMILIES THROUGHOUT CENTRAL FLORIDA. ORLANDO HEALTH DEMONSTRATES A COMMITMENT TO PROMOTE HEALTH, WELL-BEING, AND A CARING SPIRIT BY DIRECTING EMPLOYEE TIME AND TALENT TO SERVE ON COMMUNITY COLLABORATION BOARDS AND VOLUNTEERISM. IN FISCAL YEAR 2022 OUR TEAM MEMBERS AND PHYSICIANS PROVIDED OVER 3,100 VOLUNTEER HOURS. THESE HOURS WERE SPENT OUTSIDE OUR HEALTHCARE SYSTEM TO SUPPORT COMMUNITY PARTNERS AND THE NEEDS IN OUR COMMUNITY. ORLANDO HEALTH WORKS WITH NEIGHBORHOOD RESOURCES TO ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS BY SUPPORTING PROGRAMS THAT TARGET COMMUNITY WELLNESS, DISEASE PREVENTION AND ENVIRONMENTAL PROBLEMS. ORLANDO HEALTH FOSTERS PARTNERSHIPS WITH OTHER COMMUNITY AGENCIES IN ITS SERVICE AREA THAT WORK COLLABORATIVELY TO HELP THOSE IN NEED AND TO IMPROVE THE HEALTH AND SAFETY OF THE RESIDENTS OF THE COMMUNITY. BOTH CASH AND IN-KIND DONATIONS ARE MADE ANNUALLY TO THESE VARIOUS LOCAL CHARITABLE ORGANIZATIONS. ORLANDO HEALTH ADDRESSES VARIOUS COMMUNITY CONCERNS, INCLUDING HEALTH IMPROVEMENT, EDUCATION, POVERTY, WORKFORCE DEVELOPMENT AND ACCESS TO HEALTH CARE. THE KEY COMPONENT OF A NOT-FOR-PROFIT ORGANIZATION IS THAT THE ORGANIZATION SERVES A BROAD, INDEFINITE CHARITABLE CLASS. ONE OF THE KEY INDICATORS THAT AN ORGANIZATION DOES SERVE THE BROADER COMMUNITY IS CONTROL OF THE ORGANIZATION BY INDEPENDENT COMMUNITY LEADERS. ORLANDO HEALTH AND ITS HOSPITAL GOVERNING BOARD ARE MADE UP OF MEMBERS 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. ORLANDO HEALTH'S VOLUNTEER BOARD BALANCES FINANCIAL DECISIONS ON COMMUNITY CONCERNS AND SOCIAL RESPONSIBILITY. ORLANDO HEALTH OPERATES AN OPEN MEDICAL STAFF BY EXTENDING MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN CENTRAL FLORIDA. SURPLUS FUNDS ARE RETAINED BY ORLANDO HEALTH AND USED TO CARRY OUT THE MISSION OF IMPROVING THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND COMMUNITIES WE SERVE.

Schedule H (Form 990) 2021

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Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization
Orlando Health Inc

Employer identification number
59-1726273

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) City of Davenport 1 S Allpaha Ave Davenport,FL33837	59-6018699	Gov't	6,250	Sponsorship
(2) Homeless Emergency Project Inc 1120 N Betty Lane Clearwater,FL33755	59-2729694	501(c)(3)	7,161	Sponsorship
(3) University of Central Florida Foundation Inc 12201 Research Pkwy Ste 300 Orlando,FL32826	59-6211832	501(c)(3)	60,000	Sponsorship
(4) Central Florida Hope Center Inc 12629 US HWY 27 Steves Road Clermont,FL34711	84-3325902	501(c)(3)	10,000	Sponsorship
(5) Habitat for Humanity of Pinellas County Inc 13355 49th St N Ste B Clearwater,FL33762	59-2509116	501(c)(3)	50,000	Sponsorship
(6) Neighborly Care Network Inc 13945 Evergreen Ave 4th Flr Clearwater,FL33762	59-1218100	501(c)(3)	10,000	Sponsorship
(7) Gulf Coast Jewish Family and Community Services Inc 14041 Icot Blvd Clearwater,FL33760	59-1229354	501(c)(3)	10,000	Sponsorship
(8) Community Health Centers of Pinellas Foundation Inc 14100 58th St N Clearwater,FL33760	84-2812917	501(c)(3)	10,000	Sponsorship
(9) Orlando Health Medical Group Inc 1414 Kuhl Ave Orlando,FL32806	59-3259553	501(c)(3)	107,451	Program Services
(10) Grace Medical Home Inc 1417 E Concord St Orlando,FL32803	26-1817966	501(c)(3)	150,000	Sponsorship
(11) Libbys Legacy Breast Cancer Foundation 1718 S Orange Ave Orlando,FL32806	11-3812766	501(c)(3)	25,000	Sponsorship
(12) OTEM Collective Inc 2001 Glenridge Way Winter Park,FL32792	84-4685544	501(c)(3)	6,000	Sponsorship
(13) LIFT Orlando Inc 2043 Jacobs Pl Orlando,FL32805	46-3607865	501(c)(3)	25,000	Sponsorship
(14) United Against Poverty Inc 2050 40th Ave Ste 9 Vero Beach,FL32960	11-3697936	501(c)(3)	10,000	Sponsorship
(15) Junior Achievement of Central Florida Inc 2121 Camden Rd Orlando,FL32803	59-3599158	501(c)(3)	25,000	Sponsorship
(16) Health Care Center for the Homeless Inc 232 N Orange Blossom Trail Orlando,FL32805	59-3185020	501(c)(3)	125,000	Sponsorship
(17) American Heart Association Inc 237 E Marks St Orlando,FL32803	13-5613797	501(c)(3)	120,000	Sponsorship
(18) Orlando Museum of Art 2416 N Mills Ave Orlando,FL32803	59-0910352	501(c)(3)	20,000	Sponsorship
(19) City Year Inc 287 Columbus Ave Boston,MA02116	22-2882549	501(c)(3)	10,000	Sponsorship
(20) Metropolitan Charities Inc 3251 3rd Ave N St Petersburg,FL33713	59-3153947	501(c)(3)	50,000	Sponsorship
(21) Foundation for Seminole County Public Schools Inc 400 E Lake Mary Blvd Sanford,FL32773	59-2775956	501(c)(3)	50,000	Sponsorship
(22) Florida Department of Health 400 W Airport Blvd Sanford,FL32773	59-3502843	Gov't	50,000	Sponsorship
(23) Second Harvest Food Bank of Central Florida Inc 411 Mercy Drive Orlando,FL32805	59-2142315	501(c)(3)	25,268	Sponsorship
(24) Central Florida Young Men's Christian Association 433 N Mills Ave Orlando,FL32803	59-0624430	501(c)(3)	20,000	Sponsorship
(25) Orange County Public Schools 445 W Amelia St Orlando,FL32804	59-6000771	Gov't	87,102	Sponsorship
(26) United Cerebral Palsy of Central Florida Inc 4780 Data Ct Orlando,FL32817	59-0799925	501(c)(3)	43,070	Sponsorship
(27) The Children's Home Society of Florida 482 S Keller Rd 3rd Flr Orlando,FL32810	59-0192430	501(c)(3)	18,719	Sponsorship
(28) United Way Suncoast Inc 5201 W Kennedy Blvd Ste 600 Tampa,FL33609	59-3725701	501(c)(3)	10,000	Sponsorship
(29) Seniors First Inc 5395 LB McLeod Road Orlando,FL32811	59-2759603	501(c)(3)	10,000	Sponsorship
(30) Center for Independent Living in Central Florida Inc 720 N Denning Dr Winter Park,FL32789	59-1828770	501(c)(3)	15,000	Sponsorship
(31) City of Minneola 800 N US Hwy 27 Minneola,FL34715	59-6165132	Gov't	25,000	Sponsorship
(32) Lake-Sumter State College Foundation Inc 9501 US Hwy 441 Leesburg,FL34788	59-1990323	501(c)(3)	50,000	Sponsorship
(33) City of St Petersburg Florida PO Box 2842 St Petersburg,FL33731	59-6000424	Gov't	150,000	Sponsorship
(34) National Black Nurses Association Inc PO Box 585142 Orlando,FL32858	59-3288443	501(c)(3)	15,000	Sponsorship
(35) St Petersburg Free Clinic Inc 863 3rd Ave N St Petersburg,FL33701	23-7208280	501(c)(3)	10,000	Sponsorship
(36) The Leukemia & Lymphoma Society Inc 3 International Dr Ste 200 Rye Brook,NY10573	13-5644916	501(c)(3)	20,000	Sponsorship
(37) Heart of Florida United Way 1940 Cannery Way Orlando,FL32804	59-0808854	501(c)(3)	20,000	Sponsorship
(38) Faith and Action for Strength Together PO Box 10421 St Petersburg,FL33733	20-2058779	501(c)(3)	20,000	Sponsorship
(39) OnePulse Foundation Inc 125 N Lucerne Cir E Orlando,FL32801	81-3142847	501(c)(3)	25,000	Sponsorship
(40) The Boggy Creek Gang Inc 30500 Brantley Branch Rd Eustis,FL32736	59-3012889	501(c)(3)	25,000	Sponsorship
(41) STAR-TEC Enterprises Inc 501 1st Ave N Ste 901 St Petersburg,FL33701	27-2800023	501(c)(3)	25,000	Sponsorship
(42) Boise State University 1910 University Dr Boise,ID83725	82-0290701	Gov't	30,000	Sponsorship
(43) Foundation for Seminole State College of Florida Inc 1055 AAA Dr Heathrow,FL32746	23-7033822	501(c)(3)	500,000	Sponsorship

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2021

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference

Explanation

Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.

ORLANDO HEALTH, INC. MAKES GRANTS SOLELY TO GOVERNMENT ENTITIES AND ORGANIZATIONS EXEMPT FROM TAX UNDER THE INTERNAL REVENUE CODE SECTION 501(C)(3) THAT FURTHER THE MISSION OF ORLANDO HEALTH TO SUPPORT HEALTHCARE IN CENTRAL FLORIDA. ORLANDO HEALTH COMMUNITY RELATIONS DEPARTMENT DETERMINES SUPPORT FOR LOCAL NON PROFIT SPONSORSHIPS. 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.

Schedule I (Form 990) 2021

Additional Data

Software ID:	21014044
Software Version:	2021v4.2

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

Orlando Health Inc

Employer identification number

59-1726273

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2021

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1David W Strong President & CEO	(i) (ii)	1,367,137 ------------- 0	3,300,085 ------------- 0	541,074 ------------- 0	503,151 ------------- 0	29,368 ------------- 0	5,740,815 ------------- 0	536,715 ------------- 0
2Aurelio Duran Former Board Member	(i) (ii)	0 ------------- 397,660	0 ------------- 902,641	0 ------------- 273,588	0 ------------- 12,876	0 ------------- 20,383	0 ------------- 1,607,148	0 ------------- 0
3Sanford S Shugart PHD Former Board member, Chairman until 03/22/21	(i) (ii)	39,815 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	39,815 ------------- 0	0 ------------- 0
4Mary F Farrell Former Board Member	(i) (ii)	469,527 ------------- 0	81,380 ------------- 0	39,268 ------------- 0	10,751 ------------- 0	0 ------------- 0	600,926 ------------- 0	21,372 ------------- 0
5Bernadette Spong Chief Financial Officer Until 6/2022	(i) (ii)	762,765 ------------- 0	1,048,578 ------------- 0	399,123 ------------- 0	16,148 ------------- 0	25,664 ------------- 0	2,252,278 ------------- 0	212,631 ------------- 0
6David F Huddleson VP, Chief Compliance & Ethics Officer	(i) (ii)	302,031 ------------- 0	221,057 ------------- 0	79,887 ------------- 0	65,524 ------------- 0	25,631 ------------- 0	694,130 ------------- 0	73,791 ------------- 0
7Jamal A Hakim MD Chief Operating Officer	(i) (ii)	890,045 ------------- 0	1,213,475 ------------- 0	361,764 ------------- 0	235,611 ------------- 0	25,631 ------------- 0	2,726,526 ------------- 0	355,443 ------------- 0
8Mark A Jones Foundation SVP/Dir Capital Cam	(i) (ii)	630,042 ------------- 0	513,940 ------------- 0	118,541 ------------- 0	137,660 ------------- 0	19,525 ------------- 0	1,419,708 ------------- 0	113,169 ------------- 0
9Kelly Nierstedt SVP, OH & President, ORMC as of 6/2022	(i) (ii)	541,377 ------------- 0	255,317 ------------- 0	76,796 ------------- 0	102,829 ------------- 0	3,545 ------------- 0	979,864 ------------- 0	30,286 ------------- 0
10Thibaut Van Marcke De Lummen SVP, OH & Pres, DPH	(i) (ii)	513,151 ------------- 0	237,389 ------------- 0	74,610 ------------- 0	100,663 ------------- 0	34,922 ------------- 0	960,735 ------------- 0	73,490 ------------- 0
11Mildred Denise Beam SVP, OH & Chief Legal Strat	(i) (ii)	453,440 ------------- 0	323,178 ------------- 0	46,564 ------------- 0	104,621 ------------- 0	16,840 ------------- 0	944,643 ------------- 0	45,435 ------------- 0
12John W Bozard SVP, OH & Pres, OH Foundation	(i) (ii)	255,476 ------------- 255,476	182,267 ------------- 182,267	60,859 ------------- 60,859	16,493 ------------- 16,493	10,691 ------------- 10,691	525,786 ------------- 525,786	0 ------------- 0
13Sunil S Desai MD SVP, OH & Pres, OHMG	(i) (ii)	684,501 ------------- 0	944,845 ------------- 0	230,747 ------------- 0	173,144 ------------- 0	35,922 ------------- 0	2,069,159 ------------- 0	163,320 ------------- 0
14Erick R Hawkins Chief Admin Officer, OH	(i) (ii)	629,185 ------------- 0	843,383 ------------- 0	214,667 ------------- 0	149,080 ------------- 0	12,157 ------------- 0	1,848,472 ------------- 0	202,995 ------------- 0
15Gregory P Ohe SVP, Ambu Svcs, Orlando Health	(i) (ii)	406,136 ------------- 0	557,493 ------------- 0	112,323 ------------- 0	97,046 ------------- 0	19,499 ------------- 0	1,192,497 ------------- 0	102,671 ------------- 0
16Andrew Snyder SVP, Marketing & Communication	(i) (ii)	392,636 ------------- 0	535,809 ------------- 0	75,463 ------------- 0	95,495 ------------- 0	9,783 ------------- 0	1,109,186 ------------- 0	72,414 ------------- 0

Schedule J (Form 990) 2021

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
Schedule J, Part I, Line 1a First-class or charter travel	DURING FY2022, OFFICERS, BOARD MEMBERS AND KEY EMPLOYEES OF ORLANDO HEALTH, INC. WERE PERMITTED TO FLY FIRST-CLASS OR WERE PERMITTED TO USE A CHARTERED FLIGHT SERVICE WHEN OTHER FLIGHT ARRANGEMENTS WERE NOT AVAILABLE. THE TRAVEL WAS ENTIRELY BUSINESS RELATED FOR OFFICERS, BOARD MEMBERS AND KEY EMPLOYEES.
Schedule J, Part I, Line 1a Tax indemnification and gross-up payments	When applicable, payments made to board members and board officers were grossed-up for tax indemnification purposes.
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	ORLANDO HEALTH, INC. IS A COMMON PAYMASTER AND COMMON PAY AGENT FOR ORLANDO HEALTH MEDICAL GROUP, INC. (EIN: 59 3259553), ORLANDO HEALTH FOUNDATION, INC. (EIN: 59-2244943), ORLANDO HEALTH CENTRAL, INC. (EIN: 80-0764192), SOUTH LAKE HOSPITAL, INC. (EIN: 59 3322533), OSCEOLASC, LLC (EIN: 20-3728235), OHI WEST, INC. (EIN: 84-5074208), OHI WEST MEDICAL GROUP, LLC (EIN: 85-2733660), AND ORLANDO PHYSICIANS NETWORK, INC. (EIN: 59-3110868) AND THEIR EMPLOYEES ARE INCLUDED ON THE ORLANDO HEALTH, INC. 941. THE ORLANDO HEALTH, INC. INDEPENDENT COMPENSATION COMMITTEE APPROVES ALL OFFICER COMPENSATION ARRANGEMENTS, WHICH REPORTS TO THE ORLANDO HEALTH BOARD OF DIRECTORS AND FOLLOWS IRS GUIDELINES.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL QUALIFIED RETIREMENT PLAN. DEFERRAL DEPOSITS: David W. Strong $490,480 Jamal A. Hakim, MD $222,895 Sunil S. Desai, MD $163,236 Erick R Hawkins $132,725 Mark A. Jones $122,758 Mildred Denise Beam $93,732 Gregory P. Ohe $91,031 Kelly Nierstedt $90,463 Thibaut Van Marcke De Lummen $88,189 Andrew Snyder $86,232 David F. Huddleson $53,258 John W Bozard $21,222 DEFERRAL DISTRIBUTIONS MADE TO THE FOLLOWING: David W. Strong $536,715 Jamal A. Hakim, MD $355,443 Bernadette Spong $212,631 Erick R Hawkins $202,995 Sunil S. Desai, MD $163,320 Mark A. Jones $113,169 Gregory P. Ohe $102,671 David F. Huddleson $73,791 Thibaut Van Marcke De Lummen $73,490 Andrew Snyder $72,414 Mildred Denise Beam $45,435 Kelly Nierstedt $30,286 Mary Farrell $21,372

Schedule J (Form 990) 2021

Additional Data

Software ID:	21014044
Software Version:	2021v4.2

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization
Orlando Health Inc

Employer identification number
59-1726273

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	ORANGE COUNTY HEALTH FACILITIES AUTHORITY	52-1378595	6845035U5	06-18-2008	179,360,000	REFUND SERIES 1999A, 1999B & 1999C		X		X		X
B	ORANGE COUNTY HEALTH FACILITIES AUTHORITY	52-1378595	68450LGA7	07-03-2019	157,946,198	REFUND SERIES 2009		X		X		X
C	ORANGE COUNTY HEALTH FACILITIES AUTHORITY	52-1378595		09-15-2011	83,175,000	REFUND SERIES 2007A-1 & A-2 BONDS		X		X		X
D	ORANGE COUNTY HEALTH FACILITIES AUTHORITY	52-1378595	68450LCD5	05-23-2012	190,757,522	ORMC REDEVELOPMENT PROJECT		X		X		X
	ORANGE COUNTY HEALTH FACILITIES AUTHORITY	52-1378595	68450LER2	04-27-2016	276,195,917	RFD 2006B, RFD 2008A-C, REFI HC		X		X		X
	ORANGE COUNTY HEALTH FACILITIES AUTHORITY	52-1378595	68450LGP4	01-15-2022	351,412,255	SEE PART VI		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	145,250,000		43,660,000				184,875,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	179,362,824		157,947,314		83,175,000		190,971,375
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............	136,747,879		157,946,198
7 Issuance costs from proceeds ...............	1,573,177		2,646,857		309,605		1,981,410
8 Credit enhancement from proceeds .............	1,053,969
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	70,645,200		50,820,784				155,500,000
11 Other spent proceeds .............	66,552,440				82,865,395		33,276,112
12 Other unspent proceeds .............	176,732,854
13 Year of substantial completion .............	2008		2019		2011		2015
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........	X			X	X			X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........		X	X			X		X
16 Has the final allocation of proceeds been made? ..........	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2021

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............	X		X		X		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0.04 %		0.7 %		1.03 %		0.85 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............	0.04 %		0.7 %		1.03 %		0.85 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X	X			X		X
b Exception to rebate? ........		X		X		X		X
c No rebate due? .........	X			X	X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....	X			X	X			X

Schedule K (Form 990) 2021

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?	X			X	X			X
b Name of provider ..........	GOLDMAN SACHS				MORGAN STANLEY
c Term of hedge .........	1310 %				2800 %
d Was the hedge superintegrated? ......		X				X
e Was the hedge terminated? ........		X				X
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........		X
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation
Schedule K, Part I, Column (f)	HOSPITAL REVENUE BONDS, SERIES 2008D, E, F, AND G TOGETHER WITH THE DEBT SERVICE RESERVE FUNDS FROM THE 1999ABC BONDS, THE PROCEEDS WERE USED TO REFUND THE 1999ABC BONDS (ISSUE DATE 9/22/99), PAY COSTS OF ISSUANCE, AND PAY THE TERMINATION VALUE OF INTEREST RATE SWAP AGREEMENTS THAT HEDGED THE VARIABLE RATE EXPOSURE OF THE 1999ABC BONDS. SERIES 2019B HOSPITAL REVENUE REFUNDING BONDS FORWARD DELIVERY - ADVANCE REFUND 2009 BONDS AND PAY THE COSTS OF ISSUANCE OF THE 2019B BONDS. SERIES 2011 HOSPITAL REVENUE BONDS - PROCEEDS USED TO REFUND THE SERIES 2007A-1 AND A-2 BONDS. SERIES 2012A & 2012B REVENUE BONDS - ESTABLISH A PROJECT FUND FOR THE ORLANDO REGIONAL MEDICAL CENTER REDESIGN AND DEVELOPMENT PROJECT AND PAY OFF A CONSTRUCTION LOAN RELATED TO MEDICAL OFFICE AND OUTPATIENT SERVICES BUILDING. SERIES 2016A REVENUE REFUNDING BONDS - CURRENT REFUND 2006B BONDS, ADVANCE REFUND PORTION OF 2008A & B BONDS AND ADVANCE REFUND 2008C BONDS AND PAY THE COSTS OF ISSUANCE OF THE 2016A BONDS. SERIES 2016B REVENUE BONDS - REFINANCE ON A TAX-EXEMPT BASIS THE TAX-EXEMPT PORTION OF HEALTH CENTRAL 2012 PURCHASE MONEY PROMISSORY NOTE AND PAY THE COSTS OF ISSUANCE OF THE 2016B BONDS. SERIES 2022 HOSPITAL REVENUE BONDS - FINANCE THE CONSTRUCTION AND EQUIPPING OF A NEW 180 BED HOSPITAL TO BE KNOWN AS ORLANDO HEALTH LAKE MARY HOSPITAL.
Schedule K, Part IV, Line 2c	LAST DATE REBATE COMPUTATION WAS PERFORMED FOR ARBITRAGE SERIES 2008E REFUND SERIES 1999A, 1999B & 1999C 12/31/2017 SERIES 2011 REFUND SERIES 2007A-1 & A-2 BONDS 9/15/2021 SERIES 2012 ORMC REDEVELOPMENT PROJECT 4/12/2022 SERIES 2016 RFD 2006B, RFD 2008A-C, REFI HC 4/27/2021
Schedule K, Part I, Column (c) Page 2 - Row B	Both CUSIPS, 68450LGP4 and 68450LGQ2, apply to the Issuer and Bond identified in row B.

Schedule K (Form 990) 2021

Additional Data

Software ID:	21014044
Software Version:	2021v4.2

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization
Orlando Health Inc

Employer identification number
59-1726273

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	ORANGE COUNTY HEALTH FACILITIES AUTHORITY	52-1378595	6845035U5	06-18-2008	179,360,000	REFUND SERIES 1999A, 1999B & 1999C		X		X		X
B	ORANGE COUNTY HEALTH FACILITIES AUTHORITY	52-1378595	68450LGA7	07-03-2019	157,946,198	REFUND SERIES 2009		X		X		X
C	ORANGE COUNTY HEALTH FACILITIES AUTHORITY	52-1378595		09-15-2011	83,175,000	REFUND SERIES 2007A-1 & A-2 BONDS		X		X		X
D	ORANGE COUNTY HEALTH FACILITIES AUTHORITY	52-1378595	68450LCD5	05-23-2012	190,757,522	ORMC REDEVELOPMENT PROJECT		X		X		X
	ORANGE COUNTY HEALTH FACILITIES AUTHORITY	52-1378595	68450LER2	04-27-2016	276,195,917	RFD 2006B, RFD 2008A-C, REFI HC		X		X		X
	ORANGE COUNTY HEALTH FACILITIES AUTHORITY	52-1378595	68450LGP4	01-15-2022	351,412,255	SEE PART VI		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	145,250,000		43,660,000				184,875,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	179,362,824		157,947,314		83,175,000		190,971,375
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............	136,747,879		157,946,198
7 Issuance costs from proceeds ...............	1,573,177		2,646,857		309,605		1,981,410
8 Credit enhancement from proceeds .............	1,053,969
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	70,645,200		50,820,784				155,500,000
11 Other spent proceeds .............	66,552,440				82,865,395		33,276,112
12 Other unspent proceeds .............	176,732,854
13 Year of substantial completion .............	2008		2019		2011		2015
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........	X			X	X			X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........		X	X			X		X
16 Has the final allocation of proceeds been made? ..........	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2021

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............	X		X		X		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0.04 %		0.7 %		1.03 %		0.85 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............	0.04 %		0.7 %		1.03 %		0.85 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X	X			X		X
b Exception to rebate? ........		X		X		X		X
c No rebate due? .........	X			X	X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....	X			X	X			X

Schedule K (Form 990) 2021

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?	X			X	X			X
b Name of provider ..........	GOLDMAN SACHS				MORGAN STANLEY
c Term of hedge .........	1310 %				2800 %
d Was the hedge superintegrated? ......		X				X
e Was the hedge terminated? ........		X				X
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........		X
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation
Schedule K, Part I, Column (f)	HOSPITAL REVENUE BONDS, SERIES 2008D, E, F, AND G TOGETHER WITH THE DEBT SERVICE RESERVE FUNDS FROM THE 1999ABC BONDS, THE PROCEEDS WERE USED TO REFUND THE 1999ABC BONDS (ISSUE DATE 9/22/99), PAY COSTS OF ISSUANCE, AND PAY THE TERMINATION VALUE OF INTEREST RATE SWAP AGREEMENTS THAT HEDGED THE VARIABLE RATE EXPOSURE OF THE 1999ABC BONDS. SERIES 2019B HOSPITAL REVENUE REFUNDING BONDS FORWARD DELIVERY - ADVANCE REFUND 2009 BONDS AND PAY THE COSTS OF ISSUANCE OF THE 2019B BONDS. SERIES 2011 HOSPITAL REVENUE BONDS - PROCEEDS USED TO REFUND THE SERIES 2007A-1 AND A-2 BONDS. SERIES 2012A & 2012B REVENUE BONDS - ESTABLISH A PROJECT FUND FOR THE ORLANDO REGIONAL MEDICAL CENTER REDESIGN AND DEVELOPMENT PROJECT AND PAY OFF A CONSTRUCTION LOAN RELATED TO MEDICAL OFFICE AND OUTPATIENT SERVICES BUILDING. SERIES 2016A REVENUE REFUNDING BONDS - CURRENT REFUND 2006B BONDS, ADVANCE REFUND PORTION OF 2008A & B BONDS AND ADVANCE REFUND 2008C BONDS AND PAY THE COSTS OF ISSUANCE OF THE 2016A BONDS. SERIES 2016B REVENUE BONDS - REFINANCE ON A TAX-EXEMPT BASIS THE TAX-EXEMPT PORTION OF HEALTH CENTRAL 2012 PURCHASE MONEY PROMISSORY NOTE AND PAY THE COSTS OF ISSUANCE OF THE 2016B BONDS. SERIES 2022 HOSPITAL REVENUE BONDS - FINANCE THE CONSTRUCTION AND EQUIPPING OF A NEW 180 BED HOSPITAL TO BE KNOWN AS ORLANDO HEALTH LAKE MARY HOSPITAL.
Schedule K, Part IV, Line 2c	LAST DATE REBATE COMPUTATION WAS PERFORMED FOR ARBITRAGE SERIES 2008E REFUND SERIES 1999A, 1999B & 1999C 12/31/2017 SERIES 2011 REFUND SERIES 2007A-1 & A-2 BONDS 9/15/2021 SERIES 2012 ORMC REDEVELOPMENT PROJECT 4/12/2022 SERIES 2016 RFD 2006B, RFD 2008A-C, REFI HC 4/27/2021
Schedule K, Part I, Column (c) Page 2 - Row B	Both CUSIPS, 68450LGP4 and 68450LGQ2, apply to the Issuer and Bond identified in row B.

Schedule K (Form 990) 2021

Additional Data

Software ID:	21014044
Software Version:	2021v4.2

- TIN:

Schedule L
(Form 990)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

Orlando Health Inc

Employer identification number

59-1726273

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e) Original principal amount	(f) Balance due	(g) In default?		(h) Approved by board or committee?		(i) Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990) 2021

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) MARY FARRELL MD	SEE PART V	1,460,174	CONTRACTED FPA, LLC		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation
Schedule L, Part IV, Column (b)	MARY FARRELL, MD, FORMER BOARD MEMBER OF ORLANDO HEALTH, INC., IS ALSO EMPLOYED AND AN OFFICER OF FLORIDA PEDIATRIC ASSOCIATES, LLC, WHICH IS CONTRACTED TO PERFORM PEDIATRIC CRITICAL CARE SERVICES FOR THE HOSPITAL. THE HOSPITAL ENGAGES FLORIDA PEDIATRIC ASSOCIATES, LLC AT ARMS-LENGTH TRANSACTIONS AT FAIR MARKET VALUE.

Schedule L (Form 990) 2021

Additional Data

Software ID:	21014044
Software Version:	2021v4.2

- TIN:

SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

Orlando Health Inc

Employer identification number

59-1726273

Return Reference	Explanation
Form 990, Part III, Line 4a	ORLANDO HEALTH IS ONE OF FLORIDA'S MOST COMPREHENSIVE PRIVATE, NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS. SINCE 1918, ORLANDO HEALTH HAS BEEN PART OF THE GREATER ORLANDO COMMUNITY, GROWING FROM A SINGLE HOSPITAL INTO AN AWARD-WINNING, NOT-FOR-PROFIT HEALTHCARE ORGANIZATION AND COMMUNITY-BASED NETWORK OF PHYSICIAN PRACTICES, HOSPITALS AND OUTPATIENT CARE CENTERS STRETCHING FROM THE GULF TO THE ATLANTIC COASTS. AS A LEADING HEALTHCARE RESOURCE, PROVIDING WORLD-CLASS MEDICAL CARE AS WELL AS TRAINING OUR FUTURE HEALTHCARE PROVIDERS, ORLANDO HEALTH CONTINUES TO FOSTER GROWTH AND DEVELOPMENT THROUGHOUT THE REGION. OUR SYSTEM INCLUDES: ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER (ORLANDO HEALTH ORMC) - ONE OF THE LARGEST TERTIARY FACILITIES IN THE REGION, ORMC IS ORLANDO HEALTH'S FLAGSHIP FACILITY AND HOME TO THE AREA'S ONLY LEVEL ONE TRAUMA CENTER. FOR OVER 100 YEARS, ORMC HAS PROVIDED THE MOST ADVANCED OPTIONS AVAILABLE FOR SURGICAL, MEDICAL, REHABILITATIVE AND EMERGENCY CARE. TODAY, THROUGH STATE-OF-THE-ART TECHNOLOGY AND LEADING MEDICAL SPECIALISTS, ORMC PROVIDES A COMPREHENSIVE CONTINUUM OF CARE FOR TRAUMA, CARDIOVASCULAR, STROKE, NEUROSCIENCE, ONCOLOGY, SURGERY, DIGESTIVE HEALTH, AND ORTHOPEDIC PATIENTS. IN ADDITION, ORMC IS HOME TO CENTRAL FLORIDA'S ONLY AIR AMBULANCE SERVICE AND IS ONE OF THE STATE'S MAJOR TEACHING HOSPITALS. ORLANDO HEALTH ARNOLD PALMER HOSPITAL FOR CHILDREN - FOR MORE THAN 25 YEARS, ORLANDO HEALTH ARNOLD PALMER HOSPITAL HAS BEEN A PLACE OF HOPE AND HEALING. DEDICATED EXCLUSIVELY TO THE HEALTHCARE NEEDS OF CHILDREN, ORLANDO HEALTH ARNOLD PALMER HOSPITAL OFFERS EXPERTISE IN A WIDE RANGE OF PEDIATRIC SPECIALTIES, INCLUDING CARDIOLOGY AND CARDIAC SURGERY, CRANIOMAXILLOFACIAL SURGERY, ENDOCRINOLOGY AND DIABETES, AND GASTROENTEROLOGY. ORLANDO HEALTH ARNOLD PALMER HOSPITAL ALSO HOUSES CENTRAL FLORIDA'S ONLY PEDIATRIC LEVEL ONE TRAUMA CENTER AND EMERGENCY DEPARTMENT. THE HOWARD PHILLIPS CENTER FOR CHILDREN & FAMILIES IS ALSO UNDER THE ORLANDO HEALTH ARNOLD PALMER HOSPITAL UMBRELLA. THROUGH THE HOWARD PHILLIPS CENTER, A CONTINUUM OF UNIQUE, SPECIALIZED SERVICES IS PROVIDED TO AT-RISK CHILDREN AND FAMILIES IN CENTRAL FLORIDA FACING DIFFICULT MEDICAL AND EMOTIONAL CHALLENGES SUCH AS ABUSE, NEGLECT, DEVELOPMENTAL DELAYS AND LACK OF ACCESS TO PROPER HEALTHCARE. IN 2022, OVER 15,000 CHILDREN AND FAMILIES WERE SERVED THROUGH THE CENTER'S SIX SPECIALIZED PROGRAMS. ORLANDO HEALTH WINNIE PALMER HOSPITAL FOR WOMEN AND BABIES - DESIGNED TO MEET THE UNIQUE HEALTH NEEDS OF WOMEN AND BABIES, ORLANDO HEALTH WINNIE PALMER HOSPITAL PROVIDES A CARING, FAMILY-CENTERED ENVIRONMENT. THROUGH STATE-OF-THE-ART TECHNOLOGY AND A COMMITTED TEAM, ORLANDO HEALTH WINNIE PALMER'S LEVEL III NEONATAL INTENSIVE CARE UNIT (NICU) HAS ONE OF THE HIGHEST SURVIVAL RATES IN THE COUNTRY FOR LOW-BIRTH WEIGHT BABIES. A LEADER IN OBSTETRICS AND NEONATAL INTENSIVE CARE AS WELL AS COMPREHENSIVE HEALTHCARE FOR WOMEN THROUGHOUT ALL STAGES OF LIFE, THE HOSPITAL OFFERS A WIDE RANGE OF OBSTETRIC AND GYNECOLOGIC SERVICES. ORLANDO HEALTH CANCER INSTITUTE - THE ESTABLISHMENT OF THE ORLANDO HEALTH CANCER INSTITUTE BRINGS THE MOST EXPERIENCED CANCER DOCTORS TOGETHER WITH TOP CANCER RESEARCHERS TO PROVIDE UNIQUE TREATMENTS TAILORED TO EACH PATIENT'S NEEDS. HOME TO THE MARJORIE AND LEONARD WILLIAMS CENTER FOR PROTON THERAPY, THE CENTER IS FLORIDA'S FIRST - AND ONLY THE NATION'S 23RD - PROTON THERAPY CENTER. WITH 60 PRIVATE INPATIENT BEDS, SPECIFIC SERVICES INCLUDE GENETIC COUNSELING, INTEGRATIVE MEDICINE, NUTRITION SERVICES, COUNSELING AND REHABILITATION. ORLANDO HEALTH DR. P. PHILLIPS HOSPITAL - A COMPREHENSIVE COMMUNITY HOSPITAL, ORLANDO HEALTH DR. P. PHILLIPS OFFERS A WIDE RANGE OF SPECIALIZED PROGRAMS AND SERVICES FOR OUR PATIENTS IN SOUTHWEST ORANGE COUNTY. THE FULL-SERVICE MEDICAL AND SURGICAL FACILITY OFFERS DIAGNOSTIC IMAGING, REHABILITATION AND SURGICAL SERVICES, INCLUDING VASCULAR, NEUROSURGERY, ONCOLOGY, ORTHOPEDICS AND THE DAVINCI ROBOTIC SURGICAL SYSTEM. THE HOSPITAL ALSO INCLUDES CARDIOVASCULAR CARE AS A FULLY ACCREDITED CHEST PAIN CENTER AND A DESIGNATED PRIMARY STROKE CENTER. HOME HEALTHCARE, WOUND CARE THERAPIES AND MULTIPLE SCLEROSIS COMPREHENSIVE CARE ALSO ARE PROVIDED. ORLANDO HEALTH - HEALTH CENTRAL HOSPITAL - SERVING OUR PATIENTS IN WEST ORANGE COUNTY, ORLANDO HEALTH - HEALTH CENTRAL IS A FULL-SERVICE ACUTE CARE COMMUNITY HOSPITAL PROVIDING ACCESS TO A WIDE RANGE OF SPECIALTY CARE. THE HOSPITAL PROVIDES SERVICES IN CARDIAC CARE, NEUROLOGY, NEUROSURGERY, ORTHOPEDIC AND SPINE CARE, ENDOCRINOLOGY, ONCOLOGY, WOUND CARE, MAMMOGRAPHY AND GENERAL SURGERY. THE HOSPITAL ALSO IS A PRIMARY STROKE CENTER. ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL - SERVING SEMINOLE COUNTY, ORLANDO HEALTH SOUTH SEMINOLE IS A FULL-SERVICE COMMUNITY HOSPITAL OFFERING ADVANCED MEDICAL PROCEDURES AS WELL AS A FOCUS ON PREVENTION, WELLNESS AND COMMUNITY OUTREACH SERVICES. AMONG ITS SERVICES ARE ENDOSCOPY, WOMEN'S HEALTH, BEHAVIORAL HEALTH, WOUND CARE AND HYPERBARIC MEDICINE. A VARIETY OF THERAPIES, INCLUDING PHYSICAL, OCCUPATIONAL AND SPEECH ARE AVAILABLE. ORLANDO HEALTH SOUTH LAKE HOSPITAL - SERVING THE SOUTHERN REGION OF LAKE COUNTY, ORLANDO HEALTH SOUTH LAKE IS A FULLY ACCREDITED CHEST PAIN CENTER AND A BREAST IMAGING CENTER OF EXCELLENCE. SERVICES OFFERED INCLUDE CARDIAC, WOMEN'S HEALTH, ORTHOPEDICS, REHABILITATION, OUTPATIENT SURGERY, WOUND CARE, ROBOTIC SURGERY, DIAGNOSTIC IMAGING, HOME HEALTHCARE AND THE NATIONAL TRAINING CENTER, A SPORTS AND WELLNESS FACILITY. ORLANDO HEALTH ST. CLOUD HOSPITAL - LOCATED IN OSCEOLA COUNTY, FLORIDA, ORLANDO HEALTH ST. CLOUD HOSPITAL IS A FULL-SERVICE, ACUTE CARE HOSPITAL THAT DELIVERS COMPREHENSIVE EMERGENCY, INPATIENT AND OUTPATIENT SERVICES, INCLUDING OUTPATIENT REHABILITATION SERVICES AND A WOUND HEALING AND HYPERBARIC CENTER. AMONG THE MEDICAL AND SURGICAL SERVICES OFFERED ARE CARDIOLOGY, CRITICAL CARE, DIGESTIVE HEALTH, ENDOCRINOLOGY, INFECTIOUS DISEASE, NEUROLOGY, ORTHOPEDICS, RADIOLOGY, REHABILITATION, AND MINIMALLY INVASIVE AND ROBOTIC SURGICAL PROCEDURES. IN ADDITION TO A BROAD RANGE OF SERVICES, ORLANDO HEALTH ST. CLOUD PROVIDES MODERN FACILITIES, ADVANCED TECHNOLOGY AND A SKILLED TEAM OF CARE PROVIDERS. ORLANDO HEALTH HORIZON WEST HOSPITAL - A 60-BED ACUTE CARE HOSPITAL LOCATED WEST OF ORLANDO, ORLANDO HEALTH HORIZON WEST IS THE HEALTHCARE SYSTEM'S NEWEST FACILITY. IT OPENED IN JANUARY 2021 AS A FULL-SERVICE COMMUNITY HOSPITAL WITH A 23-BED EMERGENCY DEPARTMENT, MEDICAL OFFICES AND AN OUTPATIENT REHABILITATION SUITE. BAYFRONT HEALTH ST. PETERSBURG -- EFFECTIVE OCTOBER 1, 2020, ORLANDO HEALTH FINALIZED THE PURCHASE OF THE 480-BED BAYFRONT HEALTH ST. PETERSBURG FACILITY AND ITS ASSOCIATED HEALTHCARE OPERATIONS IN ST. PETERSBURG FROM AN AFFILIATE OF COMMUNITY HEALTH SYSTEMS, INC. LOCATED IN PINELLAS COUNTY, FLORIDA, BAYFRONT HEALTH ST. PETERSBURG PROVIDES A DIVERSE AND COMPREHENSIVE SCOPE OF SERVICES. IT IS A TEACHING HOSPITAL THAT OFFERS COMPREHENSIVE SERVICES IN TRAUMA AND EMERGENCY CARE; ORTHOPEDICS, OBSTETRICS AND GYNECOLOGY; CARDIAC MEDICINE AND SURGERY (SPECIALIZING IN VALVE SURGERY); NEUROSCIENCES (WITH ITS OWN EPILEPSY CENTER); SPORTS MEDICINE; SURGERY AND REHABILITATION. MORE THAN 550 PHYSICIANS ARE ON THE MEDICAL STAFF WITH SPECIALTIES RANGING FROM OPEN-HEART SURGERY TO FERTILITY TREATMENT. ORLANDO HEALTH IS HONORED TO OFFER THE REGION'S ONLY LEVEL ONE TRAUMA CENTER; THE AREA'S FIRST HEART PROGRAM; SPECIALTY HOSPITALS DEDICATED TO CHILDREN, WOMEN AND BABIES; A MAJOR CANCER CENTER; AND LONG-STANDING COMMUNITY HOSPITALS. OUR TECHNOLOGY AND ADVANCED MEDICAL TREATMENTS AND PROCEDURES, ALONG WITH OUR EXPERT STAFF, HAVE DISTINGUISHED ORLANDO HEALTH AS A HEALTHCARE LEADER, PROVIDING ACCESS TO NEARLY 2.7 MILLION CENTRAL FLORIDA RESIDENTS. THE HEALTH SYSTEM IS ONE OF CENTRAL FLORIDA'S LARGEST EMPLOYERS WITH OVER 25,000 EMPLOYEES AND NEARLY 3,300 ON-STAFF PHYSICIANS SUPPORTING OUR PHILOSOPHY OF PROVIDING A CONTINUUM OF CARE THAT REVOLVES AROUND PATIENTS' NEEDS. WE HAVE ALWAYS BEEN, AND ALWAYS WILL BE, FOCUSED ON ACHIEVING THE VERY BEST OUTCOMES FOR OUR PATIENTS. ORLANDO HEALTH DELIVERS CARE THROUGH OUR 10 ACUTE CARE HOSPITALS, INCLUDING THREE SPECIALTY HOSPITALS AND NUMEROUS OUTPATIENT CENTERS. IN ITS FISCAL YEAR ENDED SEPTEMBER 30, 2022, ORLANDO HEALTH HAD 520,427 DAYS OF INPATIENT CARE, 737,367 OUTPATIENT VISITS, 14,009 BIRTHS AND 313,192 EMERGENCY VISITS. IN ACCORDANCE WITH OUR MISSION, ORLANDO HEALTH PROVIDED APPROXIMATELY $586.7 MILLION IN TOTAL VALUE TO THE COMMUNITIES IT SERVED IN FISCAL YEAR ENDED SEPTEMBER 30, 2022, IN THE FORM OF CHARITY CARE, COMMUNITY BENEFIT PROGRAMS AND SERVICES, COMMUNITY-BUILDING ACTIVITIES AND MORE. WE OFFER COMMUNITY EDUCATION, SCHOOL INITIATIVES AND SUPPORT GROUPS. AS A TEACHING HOSPITAL, ORLANDO HEALTH OFFERS A GROWING LIST OF RESIDENCY AND FELLOWSHIP PROGRAMS DESIGNED TO TRAIN FUTURE HEALTHCARE PROFESSIONALS.
Form 990, Part III, Line 4a Continued	WE ARE ORLANDO'S HEALTHCARE AS THE PHYSICIANS, TEAM MEMBERS AND VOLUNTEERS OF ORLANDO HEALTH UNDERSTAND THAT HEALTHCARE EXTENDS BEYOND THE WALLS OF OUR FACILITIES, THEY OFTEN CONTRIBUTE TO THE COMMUNITY BY EDUCATING OTHERS AND PROVIDING PROGRAMS AND SERVICES. SOME OF OUR COMMUNITY PROGRAMS INCLUDE: COMMUNITY OUTREACH, SPEAKERS BUREAU, SUPPORT AND EDUCATION, COMMUNITY WELLNESS SCREENINGS, COMMUNITY HEALTH FAIRS, PASTORAL OUTREACH AND SPIRITUAL CARE. MANY OF THESE ACTIVITIES BRING LITTLE OR NO PAYMENT TO OUR SYSTEM BUT ARE CONTINUED BECAUSE THEY SUPPORT OUR MISSION AND PROVIDE VALUE TO THE COMMUNITY. COMMUNITY CLINICAL SUPPORT SERVICES ORLANDO HEALTH PROVIDES ACCESS TO PRIMARY CARE SERVICES THROUGHOUT OUR MARKET AREA. IN ADDITION, WE HAVE A LONG HISTORY OF SUPPORTING THE MISSIONS OF OTHER COMMUNITY ORGANIZATIONS THAT PROVIDE PRIMARY CARE ACCESS. ORGANIZATIONS SUCH AS PRIMARY CARE ACCESS NETWORK; TRUE HEALTH; COMMUNITY HEALTH CENTERS, INC.; ORANGE BLOSSOM FAMILY HEALTH; ORANGE COUNTY HEALTH SERVICES; GRACE MEDICAL HOME AND SHEPHERD'S HOPE. RELATIONSHIPS WITH COMMUNITY ORGANIZATIONS LIKE THE ONES NAMED ARE IMPORTANT TO US AND REMAIN AT THE CENTER OF THE ORLANDO HEALTH COMMUNITY BENEFIT INITIATIVE. LEVEL ONE TRAUMA CENTER ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER (ORMC) IS HOME TO CENTRAL FLORIDA'S ONLY LEVEL ONE TRAUMA CENTER. NOT ALL HOSPITALS ARE TRAUMA CENTERS, AND NOT EVERY EMERGENCY DEPARTMENT CAN HANDLE EVERY EMERGENCY. A TRAUMA CENTER IS NOT AN EMERGENCY DEPARTMENT. A TRAUMA CENTER IS A STATE-ACCREDITED HOSPITAL FACILITY CAPABLE OF HIGHLY SPECIALIZED TREATMENT FOR THE MOST CRITICAL INJURIES. IN CENTRAL FLORIDA, THIS CARE CAN ONLY BE RECEIVED AT ORLANDO HEALTH ORMC. OUR LEVEL ONE TRAUMA CENTER FEATURES A MULTIDISCIPLINARY TEAM OF BOARD-CERTIFIED DOCTORS, NURSES, AND TECHNICIANS READY TO IMMEDIATELY TREAT THE MOST SEVERELY INJURED PATIENTS 24 HOURS A DAY, 7 DAYS A WEEK. COMPREHENSIVE TRAUMA CARE SERVICES INCLUDE DEDICATED, STATE-OF-THE-ART TRAUMA RESUSCITATION ROOMS, OPERATING ROOMS, RADIOLOGY, AND A 256-SLICE CT SCANNER. FOR TRAUMA CARE, THE ORLANDO HEALTH LEVEL ONE TRAUMA CENTER AND AIR CARE TEAM SERVE AS INTEGRAL RESOURCES FOR DISASTER READINESS AND RESPONSE PLANNING IN GREATER ORLANDO. IN FY 2022, ORMC SAW 6,359 TRAUMA CASES AND THE AIR CARE TEAM TRANSPORTED 2,312 PATIENTS. BERT MARTIN'S CHAMPIONS FOR CHILDREN EMERGENCY DEPARTMENT AND TRAUMA CENTER AT ORLANDO HEALTH ARNOLD PALMER HOSPITAL PROVIDES LEVEL ONE TRAUMA CARE TO PEDIATRIC PATIENTS. IN FY 2022, ORLANDO HEALTH ARNOLD PALMER SAW 1,121 PEDIATRIC TRAUMA CASES. WOMEN'S AND CHILDREN'S HEALTH SERVICES ORLANDO HEALTH WINNIE PALMER HOSPITAL FOR WOMEN AND BABIES IS A STATE-DESIGNATED REGIONAL PERINATAL INTENSIVE CARE CENTER, WHICH REQUIRES THE PROVISION OF THE HIGHEST ACUITY NEONATAL SERVICES, PEDIATRIC SUBSPECIALIST SUPPORT AND HIGH-RISK OBSTETRICS. THE UNIQUE INTEGRATION OF THESE PROGRAMS AT ORLANDO HEALTH WINNIE PALMER DISTINGUISHES THE ORGANIZATION WITHIN ITS COMMUNITY. IN ADDITION, ORLANDO HEALTH WINNIE PALMER RECEIVED PERINATAL CARE RECERTIFICATION FROM THE JOINT COMMISSION IN 2021. IT IS AMONG APPROXIMATELY 60 HOSPITALS IN THE COUNTRY, AND THE ONLY ONE IN CENTRAL FLORIDA, TO EARN THIS RECOGNITION. THE HOWARD PHILLIPS CENTER FOR CHILDREN & FAMILIES IS A CENTER OF EXCELLENCE, HELPING CHILDREN, HEALING FAMILIES AND STRENGTHENING COMMUNITIES. THE CENTER PROVIDES HEALTHCARE TO TEENS FROM LOW-INCOME FAMILIES; SUPPORT AND EDUCATION FOR NEW PARENTS SO THEY MAY BUILD BETTER LIVES FOR THEMSELVES AND THEIR CHILDREN; MUCH NEEDED THERAPEUTIC SUPPORT FOR BABIES AND TODDLERS WITH DEVELOPMENTAL DISABILITIES AND DELAYS; AND A SAFE PLACE FOR CHILDREN TO RECOVER AND HEAL FROM THE TRAUMA OF ABUSE AND NEGLECT. IN FY 2022, THE HOWARD PHILLIPS CENTER FOR CHILDREN AND FAMILIES SERVED 15,696 CHILDREN AND THEIR FAMILIES. RESEARCH RESEARCH IS A KEY COMPONENT IN MAKING ORLANDO HEALTH A STATE-OF-THE-ART HEALTHCARE FACILITY IN CENTRAL FLORIDA. MORE THAN $2 MILLION IN RESEARCH WAS COMPLETED IN 2022. ADDITIONAL FUNDS ARE CONTINUALLY SECURED FOR ONGOING RESEARCH ACTIVITIES OF THE ORGANIZATION, CONTINUING TO MAKE LEADING-EDGE TREATMENTS AVAILABLE TO PATIENTS. PRESENTLY PATIENTS WITH A VARIETY OF CANCER TYPES AND DIGESTIVE HEALTH ISSUES ARE BEING FOLLOWED IN CLINICAL TRIALS, MORE THAN HALF OF THEM ARE NEWLY ENROLLED OR IN ACTIVE TREATMENT. CLINICAL RESEARCH IS INTEGRATED INTO THE ENTIRE CURRICULUM OF THE MEDICAL EDUCATION, RESIDENCY AND FELLOWSHIP PROGRAMS, ENABLING THEM TO LEARN ABOUT RESEARCH ON A REGULAR BASIS AND HOW TO INCORPORATE THAT RESEARCH INTO THE PRACTICE OF MEDICINE. HEALTH EDUCATION AS A DESIGNATED TEACHING HOSPITAL AND THE INSTITUTIONAL SPONSOR OF 29 ACCREDITED TRAINING PROGRAMS - 10 RESIDENCY AND 19 FELLOWSHIP PROGRAMS - ORLANDO HEALTH CONSIDERS MEDICAL EDUCATION PART OF ITS CORE MISSION. WE SERVE AS A VALUABLE TRAINING SITE FOR MEDICAL STUDENTS FROM FLORIDA STATE UNIVERSITY, THE UNIVERSITY OF FLORIDA AND THE UNIVERSITY OF SOUTH FLORIDA, AS WELL AS FROM SCHOOLS THROUGHOUT THE UNITED STATES. VALUE TO THE COMMUNITY 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 LONGSTANDING 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. WE ARE 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 2022, ORLANDO HEALTH PROVIDED $85,925,112IN CHARITY CARE, AS WELL AS $64,943,287 IN COMMUNITY BENEFIT PROGRAMS AND SERVICES AND $136,168,393 IN MEDICAID SHORTFALLS AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS. MANAGING MEDICATIONS TO PREVENT READMISSION THE 340B DRUG PRICING PROGRAM ENABLES ORLANDO HEALTH TO REDUCE THE PRICE OF PHARMACEUTICALS, PROVIDE FREE CARE, AND IMPLEMENT MEDICATION MANAGEMENT AND COMMUNITY HEALTH PROGRAMS FOR CENTRAL FLORIDA'S UNDERSERVED POPULATIONS. THE EDUCATION PROCESS STARTS DURING A PATIENT'S DISCHARGE FROM THE HOSPITAL WHEN MEDICATIONS ARE REVIEWED AND A FOLLOW-UP APPOINTMENT MADE. PATIENTS ARE ENCOURAGED TO BRING ALL THEIR PRESCRIPTIONS TO THEIR FIRST CLINIC VISIT. THE PHARMACIST SCOURS THE THERAPIES TO ASSESS POTENTIAL DRUG INTERACTIONS AND DOSAGE ISSUES, THEN EDUCATES THE PATIENT AS TO WHAT THEY ARE TAKING, WHAT IT DOES AND POTENTIAL SIDE EFFECTS. MORE THAN SIMPLY DISPENSING AND ORGANIZING PRESCRIPTIONS, THIS PROGRAM HAS DEVELOPED INTO A ONE-STOP SHOP FOR PATIENT SUPPORT AND CARE COORDINATION. THE CLINIC HELPS PATIENTS ORGANIZE MEALS ON WHEELS DELIVERIES, FIND HOUSING, AND DECIPHER FOOD LABELS AND SERVING SIZES. THEY HOLD SEMINARS, PROVIDE A PULSE OXIMETER, SCALE AND BLOOD PRESSURE CUFF FOR REMOTE PATIENT MONITORING, AND DISCUSS HOW INGREDIENTS LIKE SODIUM IMPACT SOME MEDICINES. SERVING VULNERABLE PREGNANT WOMEN IN 2022, THE ORLANDO HEALTH COMMUNITY BENEFIT TEAM IDENTIFIED AN OPPORTUNITY TO EXPAND THE MIDWIFE BUS INTO ORANGE COUNTY FROM ITS ORIGINAL BASE IN OSCEOLA COUNTY. ACCORDING TO DATA FROM THE 2022 CHNA, ORANGE COUNTY HAS THE HIGHEST RATE OF MATERNAL MORBIDITY AND INFANT MORTALITY IN CENTRAL FLORIDA. PARTNERING WITH THE CITY OF ORLANDO, THE GRAND AVENUE NEIGHBORHOOD CENTER WAS IDENTIFIED AS A LOCATION THE MIDWIFE BUS WOULD PARK ONCE A WEEK TO PROVIDE PRE-NATAL AND POST-NATAL SERVICES TO UNINSURED OR UNDERINSURED VULNERABLE PREGNANT WOMEN IN ORANGE COUNTY WITH A FOCUS ON OUTREACH TO VULNERABLE ETHNIC RESIDENTS. THE MIDWIFE BUS PARTNERS WITH ORLANDO HEALTH WINNIE PALMER HOSPITAL FOR WOMEN AND BABIES TO REFER PATIENTS FOR DELIVERY AND INFANT CARE. THIS PROGRAM AIMS TO SUPPORT AT LEAST 400 PREGNANT WOMEN LIVING IN ORANGE COUNTY IN NEED OF MATERNAL SERVICES. WITH ORLANDO HEALTH'S SUPPORT, THE MIDWIFE BUS NOW PROVIDES SUPPORT IN BOTH ORANGE AND OSCEOLA COUNTIES WITH PLANS TO EXPAND SERVICES TO LAKE COUNTY. ORLANDO HEALTH WILL CONTINUE TO WORK WITH PROGRAMS LIKE THE MIDWIFE BUS TO ADDRESS HEALTH DISPARITIES AND WORK TOWARD MAKING MEANINGFUL CHANGE IN MATERNAL HEALTHCARE.
Form 990, Part III, Line 4a Continued	CONFRONTING THE OPIOID CRISIS CONTINUING TO RESPOND TO THE OVERWHELMING NUMBER OF CENTRAL FLORIDA RESIDENTS DYING FROM DRUG OVERDOSES, ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER'S OPIOID OUTREACH COORDINATOR ASSESSES PATIENTS WHO PRESENT IN THE EMERGENCY ROOM WITH A POSSIBLE OVERDOSE. IN 2017, ORANGE COUNTY HAD BEEN AMONG FLORIDA'S TOP 10 COUNTIES WITH THE HIGHEST NUMBER OF DEATHS CAUSED BY OPIOIDS SUCH AS FENTANYL ANALOGS, OXYCODONE, ALPRAZOLAM AND METHADONE, AS WELL AS ACCIDENTAL DEATHS CAUSED BY PRESCRIPTION DRUGS. ASSIGNED TO THE EMERGENCY DEPARTMENT AT ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER, THE OPIOID OUTREACH COORDINATOR IS A LICENSED CLINICAL SOCIAL WORKER WHO WORKS WITH THE CARE MANAGEMENT TEAM. WHEN A PATIENT PRESENTS WITH A SUSPECTED SUBSTANCE USE OVERDOSE OR A CONDITION RELATED TO SUBSTANCE USE, THE COORDINATOR IS CALLED IN TO PERFORM AN ASSESSMENT. AFTER THE ASSESSMENT IS COMPLETED, THE PATIENT AND THE COORDINATOR DISCUSS OPTIONS FOR TREATMENT AND REFERRALS TO TREATMENT FACILITIES. FOR PATIENTS DIAGNOSED WITH A SUBSTANCE USE DISORDER, THE COORDINATOR WORKS WITH SPECIALISTS FROM A BEHAVIORAL HEALTH PARTNER THAT CAN OFFER EXTENDED INPATIENT CARE. THE NAVIGATOR ALSO CAN PROVIDE ADDITIONAL RESOURCES AND FOLLOW-UP SUPPORT FOR PATIENTS AND THEIR FAMILIES TO ENSURE SUCCESS. DURING COVID-19, AS RATES OF OVERDOSES INCREASED, THE OPIOID OUTREACH COORDINATOR IN PARTNERSHIP WITH OUR CARE MANAGEMENT TEAM IN THE ED HAS CONTINUED TO SERVE MEMBERS OF OUR COMMUNITY BATTLING SUBSTANCE USE DISORDER. TO CONTINUE THE SUPPORT AND EXPANSION OF THIS PROGRAM, THE OPIOID OUTREACH COORDINATOR ADMINISTERS NARCAN IN THE EMERGENCY ROOM AND WORKS WITH THE PHARMACY TO PRESCRIBE METHADONE THAT ENABLES PATIENTS TO PARTICIPATE IN MEDICALLY ASSISTED TREATMENT. FUTURE OPPORTUNITIES INCLUDE WORKING WITH CAREER SOURCE TO IDENTIFY PATIENTS WHO ARE READY TO RE-ENTER THEIR COMMUNITY AND WORKFORCE THROUGH JOB SKILLS TRAINING AND EMPLOYMENT. IN FISCAL YEAR 2022, THE OPIOID OUTREACH COORDINATOR ASSESSED MORE THAN 800 PATIENTS AND DISTRIBUTED MORE THAN 300 NARCAN KITS. OF THOSE SEEN, 63 PERCENT RECEIVED REFERRALS TO TREATMENT, AND 128 PATIENTS INITIATED THE PROCESS TO BEGIN MEDICATION FOR OPIOID USE DISORDER WITHIN THE HOSPITAL. DATA ANALYSIS SUGGESTS THESE EFFORTS HAVE REDUCED REOCCURRING EMERGENCY ROOM VISITS BY MORE THAN 50 PERCENT. FEWER THAN 40 PERCENT OF THESE PATIENTS RETURNED WITH A SUBSTANCE USE DIAGNOSIS WITHIN 30 DAYS OF THEIR INITIAL VISIT. 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 334 ORGANIZATIONS. WITH OUR FOCUS IN FISCAL YEAR 2022 ON ACCESS TO CARE, ORLANDO HEALTH DEVELOPED NEW AND ENHANCED EXISTING COMMUNITY BENEFIT PROGRAMS TO IMPROVE ACCESS TO CARE. ORLANDO HEALTH PROVIDED OVER $287 MILLION IN COMMUNITY BENEFIT IN FISCAL YEAR 2022. IN SUPPORT OF OUR COMMUNITY BENEFIT EFFORTS, WE RECOGNIZE THE IMPORTANCE OF WORKING WITH COMMUNITY ORGANIZATIONS. IN FISCAL YEAR 2022, WE SUPPORTED 22 GRANT PROPOSALS THROUGH THE ORLANDO HEALTH COMMUNITY GRANT PROGRAM, AND WE CONTINUED TO ACTIVELY COLLABORATE WITH LOCAL ORGANIZATIONS AND GROUPS TO MAKE A DIFFERENCE IN THE HEALTH AND QUALITY OF LIFE IN CENTRAL FLORIDA. IN 2022, WE SUPPORTED 380 COMMUNITY ORGANIZATIONS. ORLANDO HEALTH HAS PROVIDED 8.832 BOARD MEMBER, COMMITTEE MEMBER AND ADVISORY BOARD MEMBER HOURS. 1. IN FISCAL YEAR 2022, THE ORLANDO HEALTH COMMUNITY BENEFIT TEAM PARTNERED WITH THE SHARING CENTER IN SEMINOLE COUNTY TO ESTABLISH PROJECT RISE. PROJECT RISE IS AN ADULT WORKFORCE DEVELOPMENT PROGRAM GEARED TOWARD THE UNEMPLOYED OR UNDEREMPLOYED TO GAIN ECONOMIC SELF-SUFFICIENCY AND EMPLOYMENT. THROUGH THIS PROGRAM, PARTICIPANTS COMPLETE SIX WEEKS OF CLASSROOM INSTRUCTION DEDICATED TO EMOTIONAL INTELLIGENCE, CRITICAL SOFT SKILLS AND GUIDANCE THROUGH JOB ACQUISITION AND WORKPLACE SKILLS. THE GOAL OF THIS PROGRAM IS FOR EACH PARTICIPANT TO OBTAIN GAINFUL EMPLOYMENT AND STABLE HOUSING. SINCE PROGRAM LAUNCH, 18 PEOPLE HAVE BEEN ENROLLED AND 14 PARTICIPANTS HAVE COMPLETED THEIR SIX-WEEK COURSE. OF THESE 14 PARTICIPANTS, TWO HAVE OBTAINED A PERMANENT JOB WHILE THE REMAINING PARTICIPANTS ARE CURRENTLY WORKING WITH A CASE MANAGER TO CONTINUE WORKFORCE TRAINING. EACH PARTICIPANT WILL BE MONITORED FOR UP TO THREE YEARS, AND THE PROGRAM WILL CONTINUE TO SERVE OUR MOST VULNERABLE POPULATIONS IN CENTRAL FLORIDA. 2. IN 2022, ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER (OHORMC) IDENTIFIED AN OPPORTUNITY TO ADDRESS THE HIV EPIDEMIC IN CENTRAL FLORIDA. DATA FOUND IN THE 2022 CHNA STATES THAT FROM 2018 - 2020, ORANGE AND OSCEOLA COUNTIES HAD A HIGHER RATE OF HIV CASES (31.1 AND 22.6 PER 100,000) THAN FLORIDA AT 20.0. ORLANDO HEALTH PARTNERED WITH THE FLORIDA DEPARTMENT OF HEALTH IN ORANGE COUNTY TO LAUNCH AN HIV OUTREACH COORDINATOR PROGRAM AT OHORMC. FUNDING PROVIDED BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES AND SUB-AWARDED TO ORLANDO HEALTH SUPPORTS THIS PROGRAM THROUGH MARCH 2025. SINCE THE LAUNCH OF THIS PROGRAM, THE HIV OUTREACH COORDINATOR HAS ASSESSED AND SUPPORTED MORE THAN 200 PATIENTS AT OHORMC. THROUGH THIS PROGRAM, THE HIV OUTREACH COORDINATOR TESTS, TREATS AND EDUCATES PERSONS WHO SCREEN POSITIVE OR ARE ALREADY LIVING WITH HIV. THE COORDINATOR CAN ASSIST WITH PATIENTS OBTAINING PROPER MEDICAL CARE AND MAKING APPROPRIATE REFERRALS FOR TREATMENT WHEN NEEDED. THIS PROGRAM LAUNCHED IN LATE 2022 AND HAS RESULTED IN 200 HIV TESTS BEING PERFORMED, EIGHT HIV POSITIVE PATIENTS IDENTIFIED THROUGH TESTING AND ALL PATIENTS ATTENDING THEIR FIRST HIV APPOINTMENT. IN ADDITION TO CONNECTING PATIENTS TO CARE, THE HIV OUTREACH COORDINATOR LINKED TO MEDICAL CARE 20 KNOWN HIV PATIENTS WHO WERE NOT SEEKING TREATMENT AT THE TIME. 3. IN 2022, ORLANDO HEALTH WAS ONE OF THREE RECIPIENTS OF FLORIDA BLUE FOUNDATION GRANTS TO ESTABLISH A HEALTH EQUITY TRAIN THE TRAINER PROGRAM. IN COLLABORATION WITH MOFFITT CANCER CENTER AND UNITED WAY OF BROWARD COUNTY, THE HEALTH EQUITY TRAIN THE TRAINER PROGRAM LAUNCHED IN MAY 2022. THE GOAL OF THIS PROGRAM IS TO LEVERAGE HEALTHCARE PROVIDERS' UNDERSTANDING OF HEALTH EQUITY AND TO SUPPORT THE IMPLEMENTATION OF HEALTH EQUITY-ORIENTED ACTIONS IN THE WORKPLACE TO MINIMIZE HEALTH DISPARITIES IN THE COMMUNITIES THEY SERVE. IN THIS PROGRAM, PARTICIPANTS LEARN SOCIAL DETERMINANTS OF HEALTH AND THEIR IMPACT ON HEALTH DISPARITIES; STRATEGIES TO INCREASE PATIENT SATISFACTION, IMPROVE TREATMENT ADHERENCE, INCREASE COMMUNICATION, AND DECREASE PATIENT MISTRUST THROUGH HEALTH EQUITY; AND LEARN IMPROVEMENTS TO ENHANCE PATIENT CARE, PROVIDER-PATIENT INTERACTION, INTERNAL PRACTICES, AND PROCESS IMPROVEMENTS FOR HEALTH EQUITY AND OUTCOMES. DURING THIS INAUGURAL YEAR, 108 PARTICIPANTS ENROLLED INTO FOUR DIFFERENT COHORTS AND A PILOT COHORT. OF THE 108 PARTICIPANTS ENROLLED, 87 ATTENDED AND 74 GRADUATED. THE PARTICIPANTS WERE FROM 27 DIFFERENT ORGANIZATIONS THROUGHOUT FLORIDA. NINE NEW COHORTS ARE SCHEDULED FOR 2023. 4. IN FISCAL YEAR 2022, ORLANDO HEALTH RECEIVED A GRANT FROM THE BOSTON SCIENTIFIC CORPORATION TO ESTABLISH THE CLOSE THE GAP - PROJECT HEALTHY HEART PROGRAM IN CENTRAL FLORIDA. THROUGH TARGETED ACTIVITIES IN THE COMMUNITY, PROJECT HEALTHY HEART PROMOTES SERVICES FOR THE PREVENTION OF HEART FAILURE, CORONARY ARTERY DISEASE, AND ATRIAL FIBRILLATION AMONG UNDERSERVED ETHNIC POPULATIONS IN ORANGE, OSCEOLA AND SEMINOLE COUNTIES. THROUGH A PARTNERSHIP WITH THE CENTRAL FLORIDA BLACK NURSES ASSOCIATION OF ORLANDO, INC., 18 CARDIOVASCULAR EVENTS WERE PROVIDED TO THE COMMUNITY FROM JANUARY 1 - JUNE 30, 2022. PARTICIPANTS WERE INVITED TO TWO WEBINARS - ON HYPERTENSION AND CARDIOVASCULAR HEALTH. DURING THE 18 OUTREACH EVENTS, 2,486 RESIDENTS OF ORANGE AND SEMINOLE COUNTIES ATTENDED. OF THE 2,486 RESIDENTS WHO ATTENDED, 73 PERCENT WERE BLACK/AFRICAN AMERICAN, AND 77 PERCENT WERE FEMALE. IN ADDITION TO THE OUTREACH EVENTS, ORLANDO HEALTH PARTNERED WITH JONES HIGH SCHOOL FOR THEIR BE A PLAYER CARDIAC SCREENING EVENT. AT THIS EVENT, 269 STUDENTS RECEIVED FREE CARDIAC SCREENINGS. OUT OF THE 269 STUDENTS, NINE WERE IDENTIFIED AS NEEDING FOLLOW-UP CARE, AND TWO WERE IDENTIFIED AS HIGHER-RISK STUDENTS. ORLANDO HEALTH WILL CONTINUE TO FIND OPPORTUNITIES LIKE THIS GRANT PROGRAM TO ADDRESS CHRONIC DISEASES WITHIN OUR UNDERSERVED ETHNIC COMMUNITIES.
Form 990, Part III, Line 4a Continued	WHILE ONE IN SEVEN PEOPLE IN CENTRAL FLORIDA FACE FOOD INSECURITY, THAT FIGURE IS EVEN MORE DRAMATIC FOR CHILDREN, ONE IN FIVE OF WHOM DON'T KNOW WHEN OR FROM WHERE THEIR NEXT MEAL WILL COME. IN OUR SIX-COUNTY MARKET, NEARLY HALF A MILLION PEOPLE FACE FOOD INSECURITY. AN ANALYSIS OF COUNTY DATA ON HEALTH INDICATORS AND FOOD INSECURITY SHOWS THAT COMMUNITIES WITH THE HIGHEST RATES OF FOOD INSECURITY FACE A HIGHER PREVALENCE FOR DISEASES AND OTHER MEASURES TIED TO POOR HEALTH. TO HELP ADDRESS THIS SITUATION, ORLANDO HEALTH HAS EMBRACED SEVERAL FOOD AND NUTRITION PROGRAMS, INCLUDING THE FOLLOWING: 1. THE SMART BUS INITIATIVE, WHICH SUCCESSFULLY LAUNCHED THROUGH THE ORLANDO HEALTH COMMUNITY GRANT PROGRAM, IS A FOOD ACCESS PROGRAM IN OSCEOLA COUNTY THAT DELIVERS MOBILE FOOD RELIEF TO HOMELESS STUDENTS. THE SMART BUS PROVIDES FOOD, NUTRITION EDUCATION AND GENERAL ACADEMIC SUPPORT TO MEET THE NEEDS OF OSCEOLA COUNTY'S MORE THAN 2,500 HOMELESS STUDENTS, SOME OF WHOM RESIDE IN HOTELS AND MOTELS ALONG THE U.S. HIGHWAY 192 CORRIDOR. THE BUS IS EQUIPPED WITH WIFI AND LAPTOPS, AND IS STAFFED BY EDUCATORS WITHIN THE SCHOOL DISTRICT OF OSCEOLA COUNTY. THE BUS GOES TO THE HEART OF THE COMMUNITY NEED BY STOPPING AT COMMUNITY RESOURCE CENTERS WHERE CHILDREN ATTEND AFTER-SCHOOL PROGRAMS. ADDITIONALLY, THE SMART SHUTTLE BUS, A SMALLER VEHICLE, MAKES STOPS AT MOTELS WHERE HOMELESS FAMILIES ARE LIVING TO ASSIST A LARGER NUMBER OF PEOPLE IN NEED. IN 2021, THE PROGRAM EXPANDED BY INCREASING THE NUMBER OF STOPS ALONG ITS ROUTE IN OSCEOLA COUNTY, PROVIDING MORE FOOD, EDUCATION AND ACADEMIC SUPPORT. MORE THAN 1,000 STUDENTS WERE SERVED AT A VARIETY OF LOCATIONS IN THE AREA SINCE THIS EXPANSION. 2. THROUGH THE ORLANDO HEALTH COMMUNITY GRANT PROGRAM, ORLANDO HEALTH TEAMS WORK WITH SECOND HARVEST FOOD BANK OF CENTRAL FLORIDA TO IDENTIFY PATIENTS WHO ARE FOOD INSECURE AND ELIGIBLE FOR A HEALTHY FOOD BOX EACH WEEK. THE PATIENTS IDENTIFIED THROUGH THIS PROGRAM ARE HIGH HOSPITAL UTILIZERS WITH CHRONIC ILLNESSES SUCH AS HEART DISEASE. THE PATIENT IS ASKED A SERIES OF QUESTIONS AND IF DETERMINED TO BE FOOD INSECURE, THEY RECEIVE A VOUCHER FOR A BOX OF HEALTHY FOODS FROM A DESIGNATED SECOND HARVEST PANTRY. THE FOOD IS LOW SODIUM, WHOLE GRAIN AND INCLUDES FRESH VEGETABLES AND MEATS ALONG WITH A RECIPE BOOK ON HOW TO COOK MEALS FROM THE FOODS IN THE BOX. THE PATIENT CAN PICK UP FOOD ONCE A WEEK AT ONE OF THE PARTICIPATING PANTRIES. THESE PATIENTS GENERALLY ARE RESIDENTS WHO ARE UNDERSERVED, UNDERINSURED AND LOWER INCOME. 3. ORLANDO HEALTH ARNOLD PALMER HOSPITAL FOR CHILDREN CONTINUES TO SPONSOR A TEACHING GARDEN AND NUTRITION PROGRAM AT ORANGE CENTER ELEMENTARY IN THE UNDERSERVED COMMUNITY OF PARRAMORE. THROUGHOUT THE YEAR, STUDENTS AND TEACHERS TEND TO THE GARDEN, PULLING RIPE VEGETABLES TO USE IN SCHOOL COOKING CLASSES, TAKE HOME TO THEIR FAMILIES OR SELL TO COMMUNITY MEMBERS. TO HELP IMPROVE LIFESTYLE CHOICES, DIETITIANS FROM ORLANDO HEALTH ARNOLD PALMER VISIT THE SCHOOL TO TEACH STUDENTS ABOUT NUTRITION. QUALITY TO DELIVER THE BEST POSSIBLE CARE TO THE COMMUNITIES IT SERVES, ORLANDO HEALTH IS COMMITTED TO CONSISTENTLY DELIVERING THE HIGHEST QUALITY WHEN TREATING BOTH TRADITIONAL AND EXCEPTIONAL CASES, SUCH AS COVID-19. IN THIS WAY, THE ORGANIZATION DEMONSTRATES NOT ONLY ITS CORE VALUES BUT HOW IT ELEVATES THE LIVES OF OUR PATIENTS BY: DEDICATING LEADERSHIP RESOURCES TO THE QUALITY MISSION EACH ORLANDO HEALTH HOSPITAL QUALITY TEAM IS LED BY AN ONSITE CHIEF QUALITY OFFICER (CQO). THIS EXPERIENCED PHYSICIAN OR ADVANCED CLINICAL LEADER OVERSEES REVIEWS OF EVERY MORTALITY, COMPLICATION AND SERIOUS SAFETY EVENT AT THEIR RESPECTIVE CAMPUS. THE CQOS ALSO ARE RESPONSIBLE FOR IDENTIFYING AND IMPLEMENTING TACTICS FOR NUMEROUS PATIENT CARE IMPROVEMENT STRATEGIES. AN AGGRESSIVE REVIEW OF EVERY DOCUMENTED COMPLICATION OF CARE HAS LED TO A SIGNIFICANT REDUCTION IN COMPLICATIONS AND A SUSTAINED HIGH RATE OF IMPROVEMENT WHEN COMPARED TO HIGH-PERFORMING PEER ORGANIZATIONS. DECREASING INPATIENT MORTALITY RATES INPATIENT MORTALITY RATE IS A CRITICAL MEASURE OF QUALITY OF CARE IN ACUTE CARE SETTINGS. ORLANDO HEALTH HOSPITALS CONTINUE TO SHOW VERY STRONG PERFORMANCE IN MORTALITY MEASURES WHEN COMPARED TO PEER ORGANIZATIONS. A SYSTEMWIDE PROGRAM TO REDUCE MORTALITY AND MORBIDITY ASSOCIATED WITH DELAYED RECOGNITION OF CLINICAL DECLINE WAS IMPLEMENTED IN THE INPATIENT SETTING. THE PROGRAM WAS INSTRUMENTAL IN REDUCING MORTALITY RATES AND AVOIDING NEGATIVE OUTCOMES FOR PATIENTS. RECOGNIZING AND TREATING SEPSIS EARLY RECOGNITION AND AGGRESSIVE MANAGEMENT OF SEPSIS ARE ESSENTIAL IN SAVING LIVES FROM THIS DEVASTATING DISEASE PROCESS. THROUGH A WELL-COORDINATED CENTRALIZED TASK FORCE, SEPSIS CARE ACROSS ALL SITES IS STANDARDIZED AND ALIGNED WITH NATIONAL QUALITY GOALS. REDUCING HEALTHCARE ASSOCIATED INFECTIONS (HAIS) A SYSTEMWIDE CAMPAIGN TO REDUCE HAIS IN THREE KEY CATEGORIES SIGNIFICANTLY REDUCED THESE HARM EVENTS ACROSS ORLANDO HEALTH HOSPITALS. TO HELP REACH THIS GOAL, THE ORGANIZATION DEVELOPED BEST PRACTICE PREVENTION BUNDLES FOR EACH INFECTION TYPE, INCREASED AWARENESS OF INFECTIONS BY SHARING ACROSS THE SYSTEM EACH TIME A NEW INFECTION WAS IDENTIFIED, COMMUNICATED OPPORTUNITIES FOR IMPROVEMENT IDENTIFIED DURING THE INTENSIVE REVIEWS AND BROADLY IMPLEMENTED SOLUTIONS TO COMMON PROBLEMS. IN ADDITION, A SYSTEMWIDE HAND HYGIENE PROGRAM WAS IMPLEMENTED IN ORLANDO HEALTH ACUTE CARE SETTINGS. THIS COMPREHENSIVE STRATEGY TO REDUCE HAIS IS BASED ON THE JOINT COMMISSION TARGETED SOLUTIONS TOOL. AS A RESULT OF THESE EXTENSIVE EFFORTS, ORLANDO HEALTH ORMC, ORLANDO HEALTH SOUTH SEMINOLE AND ORLANDO HEALTH DR. P. PHILLIPS PERFORMED STATISTICALLY BETTER THAN NATIONAL BENCHMARKS IN PREVENTING CENTRAL LINE-ASSOCIATED BLOODSTREAM INFECTIONS (CLABSI), CATHETER-ASSOCIATED URINARY TRACT INFECTIONS (CAUTI) AND CLOSTRIDIOIDES DIFFICILE (C. DIFF) INTESTINAL INFECTIONS. THOSE THREE ORLANDO HEALTH HOSPITALS ALSO OUTPERFORMED EVERY MAJOR HOSPITAL IN FLORIDA AND ALL 20 HOSPITALS ON THE U.S. NEWS & WORLD REPORT HONOR ROLL IN CLABSI AND CAUTI. THEY ALSO OUTPERFORMED EVERY U.S. NEWS & WORLD REPORT HONOR ROLL HOSPITAL IN PREVENTING C. DIFF. ACHIEVING RECOGNITION FOR QUALITY FROM TOP-TIER EXTERNAL ORGANIZATIONS ORLANDO HEALTH HOSPITALS WERE AGAIN RECOGNIZED AS REGIONAL BEST HOSPITALS AND NATIONALLY HIGH-PERFORMING HOSPITALS FOR 2022-2023 BY U.S. NEWS & WORLD REPORT. ORLANDO HEALTH ORMC, ORLANDO HEALTH SOUTH SEMINOLE AND ORLANDO HEALTH DR. P. PHILLIPS EARNED BEST HOSPITAL DESIGNATIONS FOR CENTRAL FLORIDA. ORLANDO HEALTH RATED HIGH PERFORMING IN 12 CATEGORIES: AORTIC VALVE SURGERY, HEART ATTACK, HEART BYPASS SURGERY, HEART FAILURE, CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD), COLON CANCER SURGERY, DIABETES, HIP REPLACEMENT, KIDNEY FAILURE, KNEE REPLACEMENT, LUNG CANCER SURGERY AND STROKE. FOR THE 13TH CONSECUTIVE YEAR, U.S. NEWS & WORLD REPORT RECOGNIZED ORLANDO HEALTH ARNOLD PALMER (TOGETHER WITH ORLANDO HEALTH WINNIE PALMER) AS A BEST CHILDREN'S HOSPITAL AND AMONG THE TOP 50 PEDIATRIC FACILITIES IN THE NATION. IT REMAINS THE MOST-RECOGNIZED HOSPITAL IN ORLANDO, WITH DESIGNATIONS IN FIVE PEDIATRIC SPECIALTIES FOR 2022-2023: PEDIATRIC DIABETES AND ENDOCRINOLOGY, PEDIATRIC NEUROLOGY AND NEUROSURGERY, PEDIATRIC ORTHOPEDICS, PEDIATRIC UROLOGY, AND NEONATOLOGY. THE PATIENT-SAFETY ADVOCATES AT THE LEAPFROG GROUP HONORED THREE ORLANDO HEALTH HOSPITALS WITH TOP HOSPITAL AWARDS. ORLANDO HEALTH ORMC AND ORLANDO HEALTH WINNIE PALMER WERE RECOGNIZED AMONG THE NATION'S 58 HOSPITALS SELECTED IN THE TOP TEACHING HOSPITAL DIVISION, WHILE ORLANDO HEALTH ARNOLD PALMER WAS ONE OF A DOZEN TOP CHILDREN'S HOSPITALS SELECTED. WIDELY CONSIDERED AMONG THE MOST PRESTIGIOUS AWARDS AN AMERICAN HOSPITAL CAN EARN, TOP HOSPITAL DESIGNATIONS ARE AWARDED TO FEWER THAN 5 PERCENT OF ALL ELIGIBLE FACILITIES. SEVERAL ORLANDO HEALTH HOSPITALS WERE SELECTED AS 2022 BEST HOSPITALS FOR BILLING ETHICS BY PERSONAL FINANCE PUBLICATION MONEY AND THE LEAPFROG GROUP QUALITY AND SAFETY ADVOCATES. THE ONLY HOSPITALS SELECTED IN THE GREATER CENTRAL FLORIDA AREA, ORLANDO HEALTH ORMC, ORLANDO HEALTH DR. P. PHILLIPS, ORLANDO HEALTH SOUTH SEMINOLE, ORLANDO HEALTH ARNOLD PALMER AND ORLANDO HEALTH WINNIE PALMER WERE RECOGNIZED FOR THEIR FAIR BILLING PRACTICES, INCLUDING PROVIDING PATIENTS WITH TIMELY AND ACCURATE BILLING STATEMENTS, PROVIDING CLEAR INSTRUCTIONS FOR CONTACTING A BILLING REPRESENTATIVE AND NOT TAKING LEGAL ACTION FOR LATE OR INSUFFICIENT MEDICAL BILL PAYMENTS.
Form 990, Part III, Line 4a Continued	THE AMERICAN HEART ASSOCIATION (AHA) RECOGNIZED FIVE ORLANDO HEALTH HOSPITALS FOR CONSISTENTLY FOLLOWING THE MOST UP-TO-DATE, RESEARCH-BASED GUIDELINES FOR THE TREATMENT OF STROKE. ORLANDO HEALTH DR. P. PHILLIPS AND ORLANDO HEALTH SOUTH SEMINOLE RECEIVED THE AHA'S GET WITH THE GUIDELINES STROKE GOLD AWARD FOR PROVIDING QUALITY STROKE CARE. BAYFRONT HEALTH ST. PETERSBURG, ORLANDO HEALTH ORMC AND ORLANDO HEALTH SOUTH LAKE RECEIVED GET WITH THE GUIDELINES STROKE GOLD PLUS AWARDS FOR MEETING ADDITIONAL QUALITY MEASURES IN STROKE CARE. BAYFRONT HEALTH ST. PETERSBURG AND ORLANDO HEALTH ORMC ALSO RECEIVED THE ASSOCIATION'S TARGET: STROKE ELITE HONOR ROLL AWARD FOR ACHIEVING DOOR-TO-NEEDLE TIMES WITHIN 60 MINUTES IN APPLICABLE STROKE PATIENTS. AS OF JANUARY 1, 2023, ORLANDO HEALTH HAD 25 ACTIVE BEACON AWARDS FOR EXCELLENCE IN BEDSIDE CARE - MORE THAN ANY OTHER HEALTHCARE SYSTEM IN FLORIDA. THE DISTINCTION IS AWARDED BY THE AMERICAN ASSOCIATION OF CRITICAL-CARE NURSES TO UNITS THAT EMPLOY EVIDENCE-BASED PRACTICES TO IMPROVE PATIENT AND FAMILY OUTCOMES. AT THAT TIME, ORLANDO HEALTH ORMC ALSO WAS RECOGNIZED WITH MORE BEACON AWARDS THAN ANY OTHER HOSPITAL IN THE STATE. ORLANDO HEALTH ORMC ACHIEVED MAGNET RECOGNITION AS A REFLECTION OF ITS NURSING PROFESSIONALISM, TEAMWORK AND SUPERIORITY IN PATIENT CARE. ORLANDO HEALTH ARNOLD PALMER AND ORLANDO HEALTH WINNIE PALMER ALSO ACHIEVED MAGNET RE-DESIGNATION. THE AMERICAN NURSES CREDENTIALING CENTER'S MAGNET RECOGNITION PROGRAM IS THE GOLD STANDARD FOR NURSING'S CONTRIBUTION TO QUALITY PATIENT CARE, SAFETY, RESEARCH AND SERVICE EXCELLENCE. THIS HONOR IS AWARDED TO ORGANIZATIONS THAT DISTINGUISH THEMSELVES BY MEETING RIGOROUS STANDARDS FOR NURSING EXCELLENCE, THE GOLD STANDARD FOR NURSING'S CONTRIBUTION TO QUALITY PATIENT CARE, SAFETY, RESEARCH AND SERVICE EXCELLENCE. THE QUALITY OF ITS CULTURE EARNED ORLANDO HEALTH A SPOT ON THE FORBES 2022 LIST OF AMERICA'S BEST LARGE EMPLOYERS. THE SYSTEM RANKED AS THE NUMBER 1 HEALTHCARE EMPLOYER IN FLORIDA AND AMONG THE TOP 20 IN THE NATION. ORLANDO HEALTH WAS NAMED ONE OF THE 150 TOP PLACES TO WORK IN HEALTHCARE FOR 2022 BY BECKER'S HEALTHCARE. THE NATIONAL LIST, PUBLISHED IN BECKER'S HOSPITAL REVIEW, FEATURES ORGANIZATIONS THAT PROMOTE DIVERSITY WITHIN THE WORKFORCE, EMPLOYEE ENGAGEMENT AND PROFESSIONAL GROWTH. ORLANDO HEALTH WAS SELECTED AS AN ORLANDO SENTINEL TOP WORKPLACE FOR 2022, RECOGNIZING COMPANIES IN CENTRAL FLORIDA THAT DEMONSTRATE A POSITIVE WORK ENVIRONMENT AND HEALTHY WORKPLACE CULTURE. HONOREES ARE SELECTED BASED ENTIRELY ON EMPLOYEE FEEDBACK GATHERED THROUGH AN ANONYMOUS WORKPLACE SURVEY.
Form 990, Part VI, Line 1a	THE CHIEF OF STAFF IS A NON-VOTING MEMBER OF THE BOARD OF DIRECTORS. IN ADDITION, THE BOD DELEGATES SOME AUTHORITY TO AN EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE CHAIRMAN OF THE BOARD OF DIRECTORS, THE VICE CHAIRMAN OF THE BOARD OF DIRECTORS, THE PRESIDENT/CEO, THE SECRETARY, THE TREASURER, AND THE CHAIRMAN OF THE QUALITY COMMITTEE. THE EXECUTIVE COMMITTEE SHALL HAVE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE BOARD OF DIRECTORS IN THE MANAGEMENT OF THE CORPORATION DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD, SUBJECT TO LIMITATIONS SET FORTH IN THESE BYLAWS AND ANY LIMITATIONS OTHERWISE IMPOSED BY THE BOARD OF DIRECTORS AND WITH THE FURTHER UNDERSTANDING THAT ALL MATTERS OF MAJOR IMPORTANCE TO THE CORPORATION WILL BE REFERRED TO THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE SHALL PERFORM THE FOLLOWING GOVERNANCE AND EXECUTIVE COMPENSATION DUTIES: 1. THE EXECUTIVE COMMITTEE SHALL CONSIDER AND RECOMMEND CANDIDATES FOR VACANCIES ON THE BOARD OF DIRECTORS FOR FULL OR PARTIAL TERMS. RECOMMENDATIONS FOR ELECTION AS DIRECTORS SHALL BE CONSIDERED BY THE BOARD OF DIRECTORS, BUT THE BOARD OF DIRECTORS SHALL NOT BE BOUND BY ANY SUCH RECOMMENDATION. 2. THE CORPORATE BYLAWS SHALL BE REVIEWED BY THE EXECUTIVE COMMITTEE FROM TIME TO TIME AND REVISED AS NECESSARY BY APPROPRIATE ACTION OF THE BOARD OF DIRECTORS AND DATED TO INDICATE THE TIME OF REVIEW. 3. THE EXECUTIVE COMMITTEE SHALL REVIEW EXECUTIVE COMPENSATION MATTERS AND POLICIES WITH THE PRESIDENT/CEO ANNUALLY. THE EXECUTIVE COMMITTEE SHALL PERFORM SUCH OTHER DUTIES AS MAY BE ASSIGNED BY THE BOARD AND INCLUDED IN ITS CHARTER.
Form 990, Part VI, Line 15 LINE 15A & B	THE EXECUTIVE COMPENSATION PROCESS AT ORLANDO HEALTH IS ADMINISTERED BY A COMMITTEE OF INDEPENDENT BOARD MEMBERS. THEY FOLLOW A BOARD APPROVED CHARTER AND OVERALL EXECUTIVE COMPENSATION PHILOSOPHY. THIS PROCESS APPLIES TO THE CEO, ALL OFFICERS AND WAS IMPLEMENTED PRIOR TO OCTOBER 1, 2006. THE CHARTER EMPOWERS THE COMPENSATION COMMITTEE TO ADMINISTER THE EXECUTIVE COMPENSATION PROGRAM AND PROCESS ON BEHALF OF THE FULL BOARD OF TRUSTEES. OVERALL, THE PHILOSOPHY IS INTENDED TO REWARD A BROAD SPECTRUM OF HIGH ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE EXPECTATIONS, PROMOTE RETENTION OF KEY MANAGEMENT TALENT AND ENSURE THAT COMPENSATION AND BENEFITS DO NOT EXCEED MARKET NORMS. ORLANDO HEALTH'S EXECUTIVE COMPENSATION PHILOSOPHY DEFINES THE MARKET FOR ADMINISTERING COMPENSATION AS A COMPARABLE SET OF NOT-FOR-PROFIT HEALTH CARE DELIVERY SYSTEMS. TO FULFILL THEIR RESPONSIBILITY TO LOOK AT RELEVANT MARKET DATA, AND BECAUSE OF THE SCALE AND COMPLEXITY OF THE ORGANIZATION, THE COMMITTEE REVIEWS INFORMATION FROM MULTIPLE SOURCES OF MARKET DATA. THEY USE THIS INFORMATION TO SUPPORT THEIR DECISIONS REGARDING ON-GOING ADMINISTRATION OF THE PROGRAM. ORLANDO HEALTH PROVIDES COMPENSATION TO ITS SENIOR EXECUTIVES IN THE FORM OF BASE SALARY, AN ANNUAL INCENTIVE PROGRAM, AND EXECUTIVE BENEFITS. THE COMPENSATION COMMITTEE IS COMPRISED OF 5 INDEPENDENT MEMBERS OF THE BOARD. THE COMMITTEE IS EMPOWERED TO ENGAGE OUTSIDE COUNSEL AND CONSULTING SUPPORT, WHICH THEY DO. THE COMPENSATION COMMITTEE'S INDEPENDENT COMPENSATION CONSULTANT AND COUNSEL OPINE TO THE COMPENSATION COMMITTEE THAT THE LEVEL OF THE COMPENSATION PAID AND THE PROCESS BY WHICH COMPENSATION IS ESTABLISHED MEET APPLICABLE IRS REASONABLENESS AND "SAFE HARBOR" STANDARDS.
Form 990, Part VI, Line 2	BERNADETTE SPONG, JAMAL HAKIM MD, LESLIE FLAKE AND MARK JONES HAD A BUSINESS RELATIONSHIP AS BOARD MEMBERS OF FOR-PROFIT COMPANIES WHOLLY OWNED BY ORLANDO HEALTH, INC.
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE CFO AND THE FINANCE DEPARTMENT REVIEWED THE FORM 990 AND ANY REQUIRED CHANGES THAT WERE MADE TO THE FORM 990. THE FINAL FORM 990 WAS THEN PROVIDED TO ALL MEMBERS OF THE BOARD TO REVIEW. ANY QUESTIONS ABOUT THE CONTENT WERE ANSWERED AND ANY CHANGES REQUIRED OF THE REVIEW WERE MADE.
Form 990, Part VI, Line 12c Conflict of interest policy	THE ORGANIZATION HAS A DEDICATED COMPLIANCE DEPARTMENT WITH AN ANONYMOUS HOTLINE FOR REPORTING. THE COMPLIANCE DEPARTMENT PERFORMS INTERNAL AUDITS AND MONITORS ALL ANNUAL CONFLICT OF INTEREST QUESTIONNAIRES FOR ALL RELATED ORGANIZATIONS. BOARD MEMBERS ROUTINELY ANNOUNCE CONFLICTS AT BOARD MEETINGS AND LEAVE THE ROOM FOR THE DISCUSSION AND THE VOTE.
Form 990, Part VI, Line 19 Required documents available to the public	THESE DOCUMENTS ARE MADE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST IN ACCORDANCE WITH FEDERAL TAX LAW PUBLIC INSPECTION REQUIREMENTS.
Form 990, Part VIII, Line 2f Other Program Service Revenue	OTHER - Total Revenue: 84480786, Related or Exempt Function Revenue: 83128762, Unrelated Business Revenue: 1352024, Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	AFFILIATED EQUITY TRANSFERS - -XXX-XX-XXXX; CONTRIBUTIONS - BOOK/TAX DIFFERENCES - 3945284; OTHER CHANGES AND EXTRAORDINARY ITEMS - -5523640;

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) 2021

Additional Data

Software ID:	21014044
Software Version:	2021v4.2

1	Briefly describe the organization’s mission or most significant activities: OUR MISSION AS A COMMUNITY-OWNED ORGANIZATION IS TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND COMMUNITIES WE SERVE.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	8
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	7
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	18,699
6	Total number of volunteers (estimate if necessary) .............	6	5,640
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	4,293,590
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	11,565,115	22,259,771
9	Program service revenue (Part VIII, line 2g) .........	3,276,841,461	3,657,195,052
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	92,102,943	81,211,601
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	4,022,529	5,508,425
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	3,384,532,048	3,766,174,849
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	2,937,272	2,081,021
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	1,166,269,263	1,305,228,584
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 7,566,814
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	1,559,556,395	1,671,712,120
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	2,728,762,930	2,979,021,725
19	Revenue less expenses. Subtract line 18 from line 12.......	655,769,118	787,153,124
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	6,015,160,971	6,407,016,860
21	Total liabilities (Part X, line 26).............	2,707,127,885	3,164,270,157
22	Net assets or fund balances. Subtract line 21 from line 20.....	3,308,033,086	3,242,746,703

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 2,453,858,739 including grants of $ 2,081,021 ) (Revenue $ 3,657,195,052 )
	SEE SCHEDULE O

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses2,453,858,739

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)			(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) John W Bozard SVP, OH & Pres, OH Foundation	25.0 .......................30.0	X		498,602	498,602	54,368
(19) Sunil S Desai MD SVP, OH & Pres, OHMG	10.0 .......................55.0	X		1,860,093	0	209,066
(20) Aurelio Duran Former Board Member	0.0 .......................55.0		X	0	1,573,889	33,259
(21) David F Huddleson VP, Chief Compliance & Ethics Officer	55.0 .......................0		X	602,975	0	91,155
(22) Mary F Farrell Former Board Member	55.0 .......................0.0		X	590,175	0	10,751
(23) Mildred Denise Beam SVP, OH & Chief Legal Strat	55.0 .......................2.0		X	823,182	0	121,461
(24) Sanford S Shugart PHD Former Board member, Chairman until 03/22/21	0.0 .......................0		X	39,815	0	0

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	21,042,946	2,072,491	2,137,837

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	9,266,004
e	Government grants (contributions)		1e	8,156,231

f	All other contributions, gifts, grants, and similar amounts not included above		1f	4,837,536

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		22,259,771

		Business Code
2a	NET PATIENT SERVICE REVENUE	622110	3,171,484,120	3,170,950,804	533,316
b	RETAIL PHARMACY	446110	166,547,076	166,547,076
c	STATE OF FL SPECIAL MEDICAID PMTS	622110	112,564,155	112,564,155
d	LIP TIER 3 STATE REVENUE	622110	100,783,136	100,783,136
e	Medicaid Voluntary Contribution	622110	21,335,779	21,335,779
f	All other program service revenue.		84,480,786	83,128,762	1,352,024	0
g	Total. Add lines 2a–2f .....		3,657,195,052

3 Investment income (including dividends, interest, and othersimilar amounts) ......			19,955,582		782	19,954,800
4 Income from investment of tax-exempt bond proceeds			4			4
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		4,844,747	6a
b	Less: rental expenses			6b
c	Rental income or (loss)	0	4,844,747	6c
d	Net rental income or (loss).......			4,844,747		1,810,456	3,034,291
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	183,497	62,598,600	7a
b	Less: cost or other basis and sales expenses	674,795	851,287	7b
c	Gain or (loss)	-491,298	61,747,313	7c
d	Net gain or (loss).........			61,256,015			61,256,015
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	PHYSICIANS ANSWERING SVCS		561421	597,012		597,012
b	PARKING GARAGE		622110	66,666			66,666
c
d	All other revenue ....			0	0	0	0
e	Total. Add lines 11a–11d ......			663,678
12	Total revenue. See instructions.....			3,766,174,849	3,655,309,712	4,293,590	84,311,776

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	2,081,021	2,081,021
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......	0	0
5	Compensation of current officers, directors, trustees, and key employees ...........	13,231,979	2,960,125	10,271,854
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	1,241,870	600,908	640,962
7	Other salaries and wages........	994,648,108	826,137,055	163,905,875	4,605,178
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	74,445,115	61,498,337	12,929,865	16,913
9	Other employee benefits .......	156,276,995	128,352,715	26,980,418	943,862
10	Payroll taxes ...........	65,384,517	55,048,315	10,060,219	275,983
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	25,020,486		25,020,486
c	Accounting ...........	1,095,601		1,095,601
d	Lobbying ...........	730,235	730,235
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	875,770		875,770
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	195,393,774	150,180,984	45,199,891	12,899
12	Advertising and promotion ....	26,349,047	19,428,601	6,826,697	93,749
13	Office expenses .......	75,767,636	65,770,621	9,719,800	277,215
14	Information technology ......	107,647,055	39,192,248	68,445,074	9,733
15	Royalties ..
16	Occupancy ...........	99,931,955	38,653,950	60,774,872	503,133
17	Travel ............	3,886,760	2,176,611	1,560,996	149,153
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	1,728,234	1,549,172	136,080	42,982
20	Interest ...........	42,875,222	29,198,696	13,676,526
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	163,821,544	111,565,031	52,256,513
23	Insurance ...	38,383,007	38,378,348	4,659
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	664,881,976	664,881,976
b	PATIENT MED ASSIST TRUST	140,360,305	140,360,305
c	ELIGIBILITY FEES	40,347,870	40,347,870
d	DISCHARGE SUPPORT	18,187,968	18,187,968
e	All other expenses	24,427,675	16,577,647	7,214,014	636,014
25	Total functional expenses. Add lines 1 through 24e	2,979,021,725	2,453,858,739	517,596,172	7,566,814
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			552,890,560	1	735,300,428
2	Savings and temporary cash investments .........			36,081,011	2	36,293,727
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			533,710,988	4	529,729,203
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				0	6	0
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............			109,829,956	8	96,164,171
9	Prepaid expenses and deferred charges ......			46,130,478	9	169,638,983
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	4,095,325,306
b	Less: accumulated depreciation	10b	2,279,600,940	1,629,200,903	10c	1,815,724,366
11	Investments—publicly traded securities .			2,256,231,653	11	2,185,889,093
12	Investments—other securities. See Part IV, line 11 .....			0	12
13	Investments—program-related. See Part IV, line 11 ..			0	13
14	Intangible assets ...............			279,174,432	14	259,643,951
15	Other assets. See Part IV, line 11 ...........			571,910,990	15	578,632,938
16	Total assets. Add lines 1 through 15 (must equal line 33)...			6,015,160,971	16	6,407,016,860

17	Accounts payable and accrued expenses .....	638,221,741	17	661,780,965
18	Grants payable ...		18
19	Deferred revenue .........	4,750,000	19	1,000,000
20	Tax-exempt bond liabilities .........	1,498,836,723	20	1,819,980,837
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
		0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	80,300,585	23	142,819,878
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	485,018,836	25	538,688,477
26	Total liabilities. Add lines 17 through 25..	2,707,127,885	26	3,164,270,157

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	3,163,761,439	27	3,093,252,726
28	Net assets with donor restrictions ...........	144,271,647	28	149,493,977
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	3,308,033,086	32	3,242,746,703
33	Total liabilities and net assets/fund balances ........	6,015,160,971	33	6,407,016,860

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) OSCEOLASC LLC 2906 17TH STREET ST CLOUD,FL34769 20-3728235	HEALTHCARE	FL	98,400,530	156,782,724	OHI
(2) OHRI LLC 1414 KUHL AVENUE ORLANDO,FL32806 47-2067699	IMAGING SVCS	FL	24,658,314	23,176,920	OHI
(3) HEALTHCARE CAPTIVE LLC 101 SOUTH TRYON STREET SUITE 2700 CHARLOTTE,NC28280 88-1312254	CAPTIVE INS	NC	0	250,000	OHI

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)ORLANDO HEALTH FOUNDATION INC 3160 SOUTHGATE COMMERCE BLVD ORLANDO,FL32806 59-2244943	SUPPORT OH	FL	501(c)(3)	7	OHI	Yes
(2)ORLANDO HEALTH CENTRAL INC 10000 W COLONIAL DRIVE OCOEE,FL34761 80-0764192	HEALTHCARE	FL	501(c)(3)	3	OHI	Yes
(3)ORLANDO PHYSICIANS NETWORK INC 1414 KUHL AVENUE ORLANDO,FL32806 59-3110868	SUPPORT OH	FL	501(c)(3)	Type I	OHI	Yes
(4)GREATER ORLANDO CHILDREN'S MIRACLE NETWO 3160 SOUTHGATE COMMERCE BLVD ORLANDO,FL32806 59-3452974	SUPPORT OHF	FL	501(c)(3)	7	OHF	Yes
(5)ORLANDO HEALTH MEDICAL GROUP INC 1414 KUHL AVENUE ORLANDO,FL32806 59-3259553	PHYSICIAN SUPPORT SERVICES	FL	501(c)(3)	Type I	OHI	Yes
(6)SOUTH LAKE HOSPITAL 1900 DON WICKHAM DRIVE CLERMONT,FL34711 59-3322533	HEALTHCARE	FL	501(c)(3)	3	OHI	Yes
(7)OHI WEST INC 1414 KUHL AVENUE ORLANDO,FL32806 84-5074208	HEALTHCARE	FL	501(c)(3)	3	OHI	Yes

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) LIFT ORLANDO IMPACT 2043 JACOBS PL ORLANDO,FL32855 81-4062133	REAL ESTATE	FL	OHI	Excluded	-65,846	2,692,949		No			No	48.88 %
(2) ORLANDO HEALTH VENTURES I LLC 1414 KUHL AVENUE MP2 Orlando,FL32806 84-5099351	INVESTMENTS	FL	OHI	Excluded	-86,365	11,232,175		No			No	94.12 %
(3) Orlando Health Ventures II LLC 1414 KUHL AVENUE MP2 Orlando,FL32806 88-2697867	INVESTMENTS	FL	OHI	Excluded	0	528,583		No			No	97.89 %

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) Healthnet Services Inc	J	77,253	FMV
(2) Healthnet Services Inc	O	451,027	FMV
(3) Healthnet Services Inc	Q	3,254,780	FMV
(4) Lakeview Surgery Center LLC	J	201,361	FMV
(5) OHI West Inc	J	3,599,311	FMV
(6) OHI West Inc	O	129,149,864	FMV
(7) OHI West Inc	Q	153,238,477	FMV
(8) Orange Ave Surgery Center LLC	J	85,023	FMV
(9) Orlando Cancer Center Inc	Q	288,084	FMV
(10) Orlando Health Central Inc	L	551,453	FMV
(11) Orlando Health Central Inc	O	50,428,723	FMV
(12) Orlando Health Central Inc	Q	65,482,696	FMV
(13) Orlando Health Foundation Inc	C	9,266,004	FMV
(14) Orlando Health Foundation Inc	Q	1,259,017	FMV
(15) Orlando Health Medical Group Inc	J	23,065,280	FMV
(16) Orlando Health Medical Group Inc	O	595,163,923	FMV
(17) Orlando Health Medical Group Inc	Q	82,961,314	FMV
(18) Orlando Physicians Network Inc	J	9,027,678	FMV
(19) Orlando Physicians Network Inc	O	77,931,953	FMV
(20) Orlando Physicians Network Inc	Q	25,898,116	FMV
(21) Rinehart Surgery Center LLC	J	607,939	FMV
(22) South Lake Hospital Inc	J	5,053,555	FMV
(23) South Lake Hospital Inc	L	684,719	FMV
(24) South Lake Hospital Inc	O	42,562,454	FMV
(25) South Lake Hospital Inc	Q	63,779,074	FMV
(26) Healthnet Inc	R	94,233,000	FMV
(27) OHPP	R	3,523,000	FMV
(28) Orlando Health Central Inc	K	364,761	FMV
(29) Orlando Health Foundation Inc	N	1,724,878	FMV
(30) Orlando Health Foundation Inc	O	5,841,936	FMV
(31) Orlando Health Medical Group Inc	B	107,451	FMV
(32) Orlando Health Medical Group Inc	M	1,543,137	FMV
(33) Orlando Health Medical Group Inc	R	296,500,000	FMV
(34) Orlando Physicians Network Inc	R	33,000,000	FMV

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership