Form990


Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
Do not enter social security numbers on this form as it may be made public.
Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2023
Open to Public Inspection
A For the 2023 calendar year, or tax year beginning 10-01-2023 , and ending 09-30-2024
BCheck if applicable:
CName of organization
Orlando Health Inc
 
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
1414 KUHL AVENUE MP8
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
ORLANDO, FL32806
D Employer identification number

59-1726273
E Telephone number

G Gross receipts $ 5,262,919,221
F Name and address of principal officer:
BERNADETTE SPONG
1414 KUHL AVENUE MP8
ORLANDO,FL32806
I
Tax-exempt status: (   ) (insert no.) or
J
Website:
WWW.ORLANDOHEALTH.COM
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. See instructions.
H(c)
Group exemption number  
K Form of organization:  
L Year of formation: 1977
M State of legal domicile: FL
Part I
Summary
Activities  & Governance 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 6
5 Total number of individuals employed in calendar year 2023 (Part V, line 2a) ...... 5 20,821
6 Total number of volunteers (estimate if necessary) ............. 6 6,447
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 3,060,659
b Net unrelated business taxable income from Form 990-T, Part I, line 11 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 21,440,951 13,608,347
9 Program service revenue (Part VIII, line 2g) ......... 4,142,062,966 4,689,127,789
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 53,240,626 121,272,979
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 7,327,744 3,225,256
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 4,224,072,287 4,827,234,371
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 5,208,325 4,435,573
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) 1,357,303,734 1,506,277,665
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) 9,416,789    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 1,925,644,885 2,259,665,212
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 3,288,156,944 3,770,378,450
19 Revenue less expenses. Subtract line 18 from line 12....... 935,915,343 1,056,855,921
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 7,366,400,318 9,481,363,993
21 Total liabilities (Part X, line 26)............. 3,771,060,133 4,973,271,853
22 Net assets or fund balances. Subtract line 21 from line 20..... 3,595,340,185 4,508,092,140
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
Signature of officer Date
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name

Firm's EIN
Firm's address



Phone no.
May the IRS discuss this return with the preparer shown above? See Instructions. ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2023)
Form 990 (2023)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: ORLANDO HEALTH IS A TRUSTED LEADER INSPIRING HOPE THROUGH THE ADVANCEMENT OF HEALTH. OUR MISSION AS A COMMUNITY-OWNED ORGANIZATION IS TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND COMMUNITIES WE SERVE.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 3,087,223,625 including grants of $ 4,435,573 ) (Revenue $ 4,689,228,701 )
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 expenses3,087,223,625
Form 990 (2023)
Form 990 (2023)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment
List of Attached Documents:
// Content
.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? See instructions. Click to see attachment
List of Attached Documents:
// Content
...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment
List of Attached Documents:
// Content
.........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Rev. Proc. 98-19? If "Yes," complete Schedule C, Part III..
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part I.........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part II....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D,
Part III..............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IV..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part VClick to see attachment
List of Attached Documents:
// Content
......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X, as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D,
Part VI. Click to see attachment
List of Attached Documents:
// Content
...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VII.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment
List of Attached Documents:
// Content
............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
List of Attached Documents:
// Content
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
List of Attached Documents:
// Content
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XII
......................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
List of Attached Documents:
// Content
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
Yes
 
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........Click to see attachment
List of Attached Documents:
// Content
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I. See instructions. ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....Click to see attachment
List of Attached Documents:
// Content
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
List of Attached Documents:
// Content
20b
Yes
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
List of Attached Documents:
// Content
21
Yes
 
Form 990 (2023)
Form 990 (2023)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
List of Attached Documents:
// Content
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............Click to see list of attachments
List of Attached Documents:
// Content
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
No
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I ....
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................
25b
 
No
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or 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? If "Yes," complete Schedule L, Part II...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part III.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see the Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....
28b
 
No
c
A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If "Yes," complete Schedule L, Part IV.....................
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............Click to see attachment
List of Attached Documents:
// Content
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
List of Attached Documents:
// Content
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...Click to see attachment
List of Attached Documents:
// Content
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2.............
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VI
37
 
No
38
Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable ..
1a
1,326
b
Enter the number of Forms W-2G included on line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
Form 990 (2023)
Form 990 (2023)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
20,821
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
Yes
 
b
If "Yes," enter the name of the foreign country: EI , RO , UK
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see the instructions and file Form 4720, Schedule N.
15
Yes
 
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
17
Section 501(c)(21) organizations. Did the trust, or any disqualified or other person engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? ..
If "Yes," complete Form 6069.
17
 
 
Form 990 (2023)
Form 990 (2023)
Page 6
Part VI
Governance, Management, and Disclosure. For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
8
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
6
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
 
No
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
 
No
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe on Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe on Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process on Schedule O. See instructions.
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filed
18
Section 6104 requires an organization to make its Form 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
BERNADETTE SPONG1414 KUHL AVENUE   ORLANDO,FL32806 (321) 841-5078
Form 990 (2023)
Form 990 (2023)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See the instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (box 5 of Form W-2, box 6 of Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

See the instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(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)
(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
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) Brian Besanceney......................................................................
Board member, Chairman
2.0
.................
0
X   X       4,391 0 0
(2) David W Strong......................................................................
President & CEO
60.0
.................
0.0
X   X       8,173,867 0 405,638
(3) Mike Packnett......................................................................
Board member, Vice Chairman
2.0
.................
0
X   X       17,050 0 0
(4) Dale Jenkins......................................................................
Board member
2.0
.................
0
X           14,865 0 0
(5) David Brown......................................................................
Board member
2.0
.................
0
X           14,467 0 0
(6) Jim Hyler......................................................................
Board member
2.0
.................
0
X           18,561 0 0
(7) M Kathryn Garrett MD......................................................................
Board member
2.0
.................
0
X           15,041 0 0
(8) Teri Fontenot......................................................................
Board member
2.0
.................
0
X           14,122 0 0
(9) Bernadette Spong......................................................................
Interim Chief Financial Officer (As of July 2024)
50.0
.................
10.0
    X       797,040 0 13,667
(10) Leslie Flake......................................................................
Chief Financial Officer (Until July 2024)
50.0
.................
10.0
    X       2,099,622 0 174,203
(11) Jamal A Hakim MD......................................................................
Chief Physician Officer
50.0
.................
10.0
      X     3,006,604 0 49,817
(12) Kelly Nierstedt......................................................................
SVP, OH & President, ORMC
55.0
.................
0
      X     1,106,301 0 127,656
(13) Stephen W Burriss......................................................................
Chief Operating Officer
55.0
.................
0
      X     1,730,810 0 26,945
(14) Thibaut Van Marcke De Lummen......................................................................
SVP, OH SE Region & Pres, DPH
55.0
.................
0
      X     927,940 0 145,658
(15) Erick R Hawkins......................................................................
Chief Admin Officer, OH
55.0
.................
4.0
        X   2,044,768 0 151,234
(16) George A Ralls......................................................................
SVP, OH & Chief Med Officer
55.0
.................
0
        X   1,418,289 0 143,687
(17) Gregory P Ohe......................................................................
SVP, Ambu Svcs, Orlando Health
55.0
.................
2.0
        X   1,349,434 0 43,472
Form 990 (2023)
Form 990 (2023)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(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)
(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
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) Karen L Frenier........................................................................
SVP, HR & Chief Nurse Exec
55.0
.......................0
        X   1,534,292 0 42,724
(19) Ryan William Zika........................................................................
General Counsel
55.0
.......................2.0
        X   1,380,881 0 141,124
(20) Aurelio Duran MD........................................................................
Cardiac Electrophysiologist
0.0
.......................55.0
          X 0 1,916,165 45,871
(21) Mark A Jones........................................................................
Foundation SVP/Dir Capital Cam
55.0
.......................3.0
          X 734,428 0 113,292


















1b Sub-Total..............
c Total from continuation sheets to Part VII, Section A..
d Total (add lines 1b and 1c)......... 26,402,773 1,916,165 1,624,988
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization 1,822
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual
...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
ORIGIN INC DBA SHIFTWISE

2501 SW 1ST AVE STE 200
PORTLAND,OR97201
MANAGEMENT SERVICES 38,307,009
EPIC SYSTEMS CORPORATION

1979 MILKY WAY
VERONA,WI53593
SOFTWARE SERVICES 26,523,344
MICROSOFT CORPORATION

ONE MICROSOFT WAY
REDMOND,WA980526399
SOFTWARE SERVICES 18,933,442
AVI FOODSYSTEMS INC

2590 ELM RD NE
WARREN,OH44483
MANAGEMENT SERVICES 18,610,315
EFFICIENCY MEDIA INC

3616 WINNETKA RD
GLENVIEW,IL60026
CONSULTING SERVICES 16,019,252
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 482
Form 990 (2023)
Form 990 (2023)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, Grants, and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d 11,721,210
e Government grants (contributions)1e 1,802,875
f All other contributions, gifts, grants, and similar amounts not included above1f 84,262
g Noncash contributions included in lines 1a - 1f:$ 1g  
h Total. Add lines 1a-1f....... 13,608,347
 Program Service RevenueAmt Business Code
2a NET PATIENT SERVICE REVENUE 622110 3,935,879,398 3,935,039,391 840,007  
b RETAIL PHARMACY 446110 351,360,212 351,360,212    
c STATE OF FL SPECIAL MEDICAID PMTS 622110 150,792,838 150,792,838    
d LIP TIER 3 STATE REVENUE 622110 111,665,008 111,665,008    
e Medicaid Voluntary Contribution 622110 25,996,999 25,996,999    
f All other program service revenue. 113,433,334 112,127,845 1,305,489 0
g Total. Add lines 2a–2f ..... 4,689,127,789
 OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ...... 83,369,095   -623,851 83,992,946
4 Income from investment of tax-exempt bond proceeds 16,464     16,464
5 Royalties...........        
(i) Real (ii) Personal
6a Gross rents 6a 2,894,162  
b Less: rental expenses 6b 81,080  
c Rental income or (loss) 6c 2,813,082 0
d Net rental income or (loss)....... 2,813,082     1,476,783
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 7a 471,686,195 1,804,995
b Less: cost or other basis and sales expenses 7b 431,292,519 4,311,251
c Gain or (loss) 7c 40,393,676 -2,506,256
d Net gain or (loss)......... 37,887,420   -305 37,887,725
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..        
 OtherRevenueMiscAmt
Business Code
11a PHYSICIANS ANSWERING SVCS 561421 303,932 100,912 203,020  
b PARKING GARAGE 622110 108,242     108,242
c            
d All other revenue .... 0 0 0 0
e Total. Add lines 11a–11d ...... 412,174
12 Total revenue. See instructions..... 4,827,234,371 4,687,083,205 3,060,659 123,482,160
Form 990 (2023)
Form 990 (2023)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising
expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 .... 4,435,573 4,435,573
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 .......    
5 Compensation of current officers, directors, trustees, and key employees ........... 18,374,075 2,350,678 16,023,397  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ......... 820,220 820,220    
7 Other salaries and wages........ 1,126,668,208 916,334,878 205,377,266 4,956,064
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 94,666,946 76,308,885 18,358,061  
9 Other employee benefits ....... 186,062,439 150,054,443 34,707,232 1,300,764
10 Payroll taxes ........... 79,685,777 66,498,930 12,845,114 341,733
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 28,305,614   28,305,614  
c Accounting ........... 1,518,550   1,517,699 851
d Lobbying ........... 911,300 911,300    
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 2,426,953   2,426,953  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 288,747,772 215,915,424 72,731,967 100,381
12 Advertising and promotion .... 49,662,195 44,979,186 4,536,487 146,522
13 Office expenses ....... 94,661,912 80,159,451 13,979,838 522,623
14 Information technology ...... 140,752,427 38,980,855 101,739,602 31,970
15 Royalties ..        
16 Occupancy ........... 96,177,197 34,257,295 61,332,441 587,461
17 Travel ............ 6,944,454 3,804,920 2,932,519 207,015
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 3,360,692 2,655,266 412,015 293,411
20 Interest ........... 42,607,716 28,340,013 14,267,703  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 185,189,768 123,176,762 62,013,006  
23 Insurance ... 85,457,679 72,885,663 12,572,016  
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 951,675,840 951,675,840    
b Patient Med Assist Trust Fund 204,522,037 204,396,860 125,177  
c Eligibility Fees 33,240,505 33,240,505    
d Discharge Support 11,535,680 11,535,680    
e All other expenses 31,966,921 23,504,998 7,533,929 927,994
25 Total functional expenses. Add lines 1 through 24e 3,770,378,450 3,087,223,625 673,738,036 9,416,789
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).        
Form 990 (2023)
Form 990 (2023)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 722,770,031 1 9,209,129
2 Savings and temporary cash investments ......... 155,333,168 2 1,120,621,473
3 Pledges and grants receivable, net ...... 0 3 0
4 Accounts receivable, net ............. 646,749,437 4 642,027,160
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 ........... 0 7 0
8 Inventories for sale or use ............ 88,166,221 8 100,023,075
9 Prepaid expenses and deferred charges ...... 64,263,710 9 1,108,891,689
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 5,353,271,366
b Less: accumulated depreciation 10b 2,675,464,274 2,179,832,930 10c 2,677,807,092
11 Investments—publicly traded securities . 2,535,044,803 11 2,686,551,741
12 Investments—other securities. See Part IV, line 11 ..... 0 12  
13 Investments—program-related. See Part IV, line 11 .. 0 13 198,889,581
14 Intangible assets ............... 237,314,385 14 237,895,614
15 Other assets. See Part IV, line 11 ........... 736,925,633 15 699,447,439
16 Total assets. Add lines 1 through 15 (must equal line 33)... 7,366,400,318 16 9,481,363,993
Liabilities 17 Accounts payable and accrued expenses ..... 763,510,350 17 805,787,632
18 Grants payable ... 0 18 0
19 Deferred revenue ......... 994,186 19 1,239,000
20 Tax-exempt bond liabilities ......... 2,121,117,638 20 2,924,686,282
21 Escrow or custodial account liability. Complete Part IV of Schedule D 0 21 0
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 .. 191,383,018 23 200,658,371
24 Unsecured notes and loans payable to unrelated third parties .. 0 24 0
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 694,054,941 25 1,040,900,568
26 Total liabilities. Add lines 17 through 25.. 3,771,060,133 26 4,973,271,853
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... 3,430,371,250 27 4,322,871,732
28 Net assets with donor restrictions ........... 164,968,935 28 185,220,408
Organizations that do not follow FASB ASC 958, check here right arrow and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds ..... 0 29 0
30 Paid-in or capital surplus, or land, building or equipment fund ... 0 30 0
31 Retained earnings, endowment, accumulated income, or other funds 0 31 0
32 Total net assets or fund balances ........... 3,595,340,185 32 4,508,092,140
33 Total liabilities and net assets/fund balances ........ 7,366,400,318 33 9,481,363,993
Form 990 (2023)
Form 990 (2023)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
4,827,234,371
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
3,770,378,450
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
1,056,855,921
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
3,595,340,185
5
Net unrealized gains (losses) on investments ...............
5
350,467,965
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-494,571,931
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
4,508,092,140
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain on
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Uniform Guidance, 2 C.F.R. Part 200, Subpart F?
3a
 
No
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
 
 
Form 990 (2023)
Form 990 (2023)
Additional Data


Software ID: 23017437
Software Version: 2023v6.0
Form 990, Special Condition Description:
Special Condition Description
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
2023
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.)
1
A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).
2
A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)
3
A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).
4
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:

5
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.)
6
A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).
7
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.)
8
A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)
9
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:
10
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.)
11
12
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.
a
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.
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.
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.
d
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.
e
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.
f
Enter the number of supported organizations ...............................  
g
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 10 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
Total
 
   
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990) 2023

Schedule A (Form 990) 2023
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) right arrow (a) 2019 (b) 2020 (c) 2021 (d) 2022 (e) 2023 (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) right arrow (a) 2019 (b) 2020 (c) 2021 (d) 2022 (e) 2023 (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  
12
12
 
13
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
14
14
 
15
15
 
16a
33 1/3% support test—2023. 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
b
33 1/3% support test—2022. 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—2023. 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
b
10%-facts-and-circumstances test—2022. 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
18
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) 2023

Schedule A (Form 990) 2023
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) right arrow (a) 2019 (b) 2020 (c) 2021 (d) 2022 (e) 2023 (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) right arrow (a) 2019 (b) 2020 (c) 2021 (d) 2022 (e) 2023 (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.)..            
14
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
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
33 1/3% support tests-2023. 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
b
33 1/3 % support tests—2022. 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
20
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) 2023

Schedule A (Form 990) 2023
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
No
1
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.
1
 
 
2
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).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.
3a
 
 
b
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.
3b
 
 
c
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.
3c
 
 
4a
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.
4a
 
 
b
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.
4b
 
 
c
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.
4c
 
 
5a
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).
5a
 
 
b
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?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
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.
6
 
 
7
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) .
7
 
 
8
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).
8
 
 
9a
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.
9a
 
 
b
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.
9b
 
 
c
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.
9c
 
 
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
 
 
b
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) 2023

Schedule A (Form 990) 2023
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
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
 
 
b
A family member of a person described on 11a above?
11b
 
 
c
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
No
1
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.
1
 
 
2
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.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
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).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
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?
1
 
 
2
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).
2
 
 
3
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.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer lines 2a and 2b below.
Yes
No
a
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.
2a
 
 
b
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.
2b
 
 
3
Parent of Supported Organizations. Answer lines 3a and 3b below.
a
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.
3a
 
 
b
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.
3b
 
 
Schedule A (Form 990) 2023

Schedule A (Form 990) 2023
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
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  
7
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) 2023

Schedule A (Form 990) 2023
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 2023 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-2023
(iii)
Distributable
Amount for 2023
1 Distributable amount for 2023 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI).
See instructions.
 
3 Excess distributions carryover, if any, to 2023:
a From 2018.......  
b From 2019.......  
c From 2020.......  
d From 2021.......  
e From 2022.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2023 distributable amount  
i Carryover from 2018 not applied (see
instructions)
 
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.  
4Distributions for 2023 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2023 distributable amount  
c Remainder. Subtract lines 4a and 4b from line 4.  
5 Remaining underdistributions for years prior to
2023, 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 2023. 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 2024. Add lines
3j and 4c.
 
8 Breakdown of line 7:
a Excess from 2019.....  
b Excess from 2020.....  
c Excess from 2021.....  
d Excess from 2022.....  
e Excess from 2023.....  
Schedule A (Form 990) (2023)

Schedule A (Form 990) 2023
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) 2023


Additional Data


Software ID: 23017437
Software Version: 2023v6.0
Schedule B
(Form 990)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2023
Name of the organization
Orlando Health Inc
 
Employer identification number

59-1726273
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ






Form 990-PF




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
Special Rules
......... 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) (2023)
Schedule B (Form 990) (2023) Page 2
Name of organization
Orlando Health Inc
 
Employer identification number
59-1726273
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


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990) (2023)
Schedule B (Form 990) (2023)
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) (2023)
Schedule B (Form 990) (2023)
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 $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a)
No. from Part I
(b) Purpose of gift (c) Use 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 (c) Use 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 (c) Use 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 (c) Use 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) (2023)
Additional Data


Software ID: 23017437
Software Version: 2023v6.0
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

right arrow Complete if the organization is described below. right arrow Attach to Form 990 or Form 990-EZ.
right arrowGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2022
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.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

2
Political campaign activity expenditures. See instructions ....................................................................right arrow
$  
3
Volunteer hours for political campaign activities. See instructions ..................................................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 ................................right arrow
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 .......................right arrow
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................
4a
Was a correction made? ......................................................................................................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... right arrow
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................right arrow

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b...........right arrow

$  
4
Did the filing organization file Form 1120-POL for this year? ...................................................................
5
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) 2022

Schedule C (Form 990) 2022
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 right arrowexpenses, and share of excess lobbying expenditures).
B Check right arrow
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.)
(a) Filing
organization's
totals
(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? ...................................................................................................................

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) 2019 (b) 2020 (c) 2021 (d) 2022 (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) 2022


Schedule C (Form 990) 2022
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
1
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:
a
Volunteers? ...........................................................................................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........
 
No
c
Media advertisements? ...................................................................................................
 
No
 
d
Mailings to members, legislators, or the public? .............................................................................
 
No
 
e
Publications, or published or broadcast statements? ...........................................................
 
No
 
f
Grants to other organizations for lobbying purposes? ..........................................................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? .......................
Yes
 
92,400
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
 
No
 
i
Other activities? ...................................................................................................................
Yes
 
818,900
j
Total. Add lines 1c through 1i ....................................................................................................
911,300
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 ...........................................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................
 
d
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
No
1
Were substantially all (90% or more) dues received nondeductible by members? ...............................................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................
3
 
 
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."
1
Dues, assessments and similar amounts from members ......................................................................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).
a
Current year .............................................................................................................................
2a
 
b
Carryover from last year ............................................................................................................
2b
 
c
Total ...........................................................................................................................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
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? ......................................................................................................................
4
 
5
Taxable amount of lobbying and political expenditures. See Instructions .........................................
5
 
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 $478,065. AMOUNTS REPORTED FROM VARIOUS HOSPITAL AND HEALTHCARE MEMBERSHIPS OF DUES USED FOR LOBBYING ACTIVITIES TOTALING $340,835.
Schedule C (Form 990) 2022


Additional Data


Software ID: 23017437
Software Version: 2023v6.0

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
right arrow 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.
right arrow Attach to Form 990.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2022
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 ........    
5
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? ............
6
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? ...................................
Part II
Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
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.
Held at the End of the 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 July 25, 2006, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year right arrow  
4
Number of states where property subject to conservation easement is located right arrow  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow $  
8
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)? .............................
9
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.
1a
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.
b
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 .........................right arrow $  
(ii)
Assets included in Form 990, Part X ...............................right arrow $  
2
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:
a
Revenue included on Form 990, Part VIII, line 1 ..........................right arrow $  
b
Assets included in Form 990, Part X ...............................right arrow $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2022

Schedule D (Form 990) 2022
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
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):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
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?...
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.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
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  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
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 .... 39,487,772 33,526,652 41,410,627 35,592,929 38,676,311
b Contributions ... 2,257,245 4,044,374 1,063,361 418,051 100,004
c Net investment earnings, gains, and losses 7,895,711 4,493,268 -7,373,283 8,253,886 2,836,526
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ...
1,642,507 2,570,961 1,559,653 2,853,403 5,953,480
f Administrative expenses .... 28,013 5,561 14,400 836 66,432
g End of year balance ...... 47,970,208 39,487,772 33,526,652 41,410,627 35,592,929
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment right arrow0 %
b
Permanent endowment right arrow13.16 %
c
Term endowment right arrow86.84 %
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) Unrelated organizations .................
3a(i)
 
No
(ii) Related organizations .................
3a(ii)
 
No
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
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 .....   211,918,968 211,918,968
b Buildings ....   1,541,321,483 693,692,334 847,629,149
c Leasehold improvements   35,732,156 0 35,732,156
d Equipment ....   2,661,983,601 1,933,580,703 728,402,898
e Other .....   902,315,158 48,191,237 854,123,921
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..right arrow 2,677,807,092
Schedule D (Form 990) 2022

Schedule D (Form 990) 2022
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.)right arrow  
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.)right arrow  
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  
(2)INVESTMENT IN RELATED PARTIES  
(3)CASH SURRENDER VALUE LIFE INS  
(4)EXEC DEFERRED COMP 457B  
(5)CAP ACCUM/DEF COMP BEN  
(6)MED MAL RECOVERIES RECEIVABLE  
(7)GIFT ANNUITY TRUST  
(8)DEPOSITS  
(9)PROPERTY MANAGEMENT  
(10)WORKERS COMP SURETY  
(11)Due From Affiliates 457,984,527
(12)Investment in Related Parties 23,401
(13)CASH SURENDER VALUE LIFE INS. 98,939,558
(14)EXEC DEFERRED COMP 457B 84,789,034
(15)MED. MAL. RECOVERIES REC. 33,851,979
(16)CAP ACCUM/DEF COMP BEN. 19,912,529
(17)DEPOSITS 2,049,624
(18)GIFT ANNUITY TRUST 1,663,940
(19)PROPERTY MANAGEMENT 132,847
(20)WORKERS COMP SURETY 100,000
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........right arrow 699,447,439
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  
LT DUE TO AFFILIATES 355,882,586
PROFESSIONAL & GENERAL LIABILITIES 274,267,429
OTHER NONCURRENT LIABILITIES 123,068,530
LT LIAB EXEC DEF COMP 457B 84,789,034
PUBLIC ASSISTANCE FUND LIABILITY ST 80,845,012
DEFERRED LEASE LIABILITIES 67,898,053
LT LIAB CAP/ACCUM DEF COMP 19,912,519
SWAP LIABILITIES 14,348,123
DISCOUNT/LT LIAB CLEARING ACCOUNTS 4,893,178
LT CHARITABLE COMMITMENTS TO UNRELATED PARTIES 4,475,000
FEDERAL EXCISE TAX 4,009,308
EPIC SOFTWARE LICENSE LIABILITIES 3,530,879
TRANSITION CARE MANAGEMENT 2,196,296
DUE TO STATE 410,225
ASSET RETIREMENT LIABILITY 363,737
PROPERTY MANAGEMENT LIABILITIES 10,659
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)right arrow 1,040,900,568
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) 2022

Schedule D (Form 990) 2022
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, 2024 AND 2023.
Schedule D (Form 990) 2022


Additional Data


Software ID: 23017437
Software Version: 2023v6.0




SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right arrow Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16.Right arrow Attach to Form 990.Right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2023
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.
1
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? . . . . . . . . . . . . . . . . . . . . . . . . .
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.
3
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) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in the region
(f) Total expenditures
for and investments
in the region
Europe (Including Iceland and Greenland) 0 0 Investments   2,766,667
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total .... 0 0 2,766,667
b Total from continuation sheets to Part I ... 0 0 0
c Totals (add lines 3a and 3b) 0 0 2,766,667
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2023
Schedule F (Form 990) 2023
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 .......MediumBullet
 
3 Enter total number of other organizations or entities .......................MediumBullet
 
Schedule F (Form 990) 2023
Schedule F (Form 990) 2023Page 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) 2023
Schedule F (Form 990) 2023
Page 4
Part IV
Foreign Forms
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). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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). . . . . . . . . . . . . . . . . . . . . . . .
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). . . . . . . . . . . . . . . . . . . . . . . . . . . .
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) .
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). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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).. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule F (Form 990) 2023
Schedule F (Form 990) 2023
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) 2023
Additional Data


Software ID: 23017437
Software Version: 2023v6.0



SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
Medium right arrow Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow Attach to Form 990.
Medium right arrow Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2023
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
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
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.
3
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.
a
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:
3a
Yes
 
b
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: . . . . . . . .
3b
 
No
%
c
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.
4
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"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
Yes
 
c
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? . . . . . . . . . . . . .
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
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) . . .
    248,921,599 111,665,008 137,256,591 3.64 %
b Medicaid (from Worksheet 3, column a) . . . . .     618,880,755 363,040,638 255,840,117 6.79 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .     5,231,135 2,275,281 2,955,854 0.08 %
d Total Financial Assistance and Means-Tested Government Programs . . . . . 0 0 873,033,489 476,980,927 396,052,562 10.51 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     47,231,422 15,131,665 32,099,757 0.85 %
f Health professions education (from Worksheet 5) . . .     88,642,315 19,831,324 68,810,991 1.83 %
g Subsidized health services (from Worksheet 6) . . . .         0 0 %
h Research (from Worksheet 7) .     3,305,577   3,305,577 0.09 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     5,185,189   5,185,189 0.14 %
j Total. Other Benefits . . 0 0 144,364,503 34,962,989 109,401,514 2.90 %
k Total. Add lines 7d and 7j . 0 0 1,017,397,992 511,943,916 505,454,076 13.41 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2023
Schedule H (Form 990) 2023
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     19,924   19,924 0 %
2 Economic development     23,538   23,538 0 %
3 Community support     38,343   38,343 0 %
4 Environmental improvements         0 0 %
5 Leadership development and
training for community members
    51,915   51,915 0 %
6 Coalition building         0 0 %
7 Community health improvement advocacy         0 0 %
8 Workforce development         0 0 %
9 Other     14,618   14,618 0 %
10 Total 0 0 148,338 0 148,338 0 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
52,652,783
3
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. ......
3
0
4
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
5
Enter total revenue received from Medicare (including DSH and IME).....
5
342,178,455
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
392,123,737
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-49,945,282
8
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:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
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 .........................

9b

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) 2023
Schedule H (Form 990) 2023
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?7Name, 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)
Licensed Hospital General Medical and Surgical Children's Hospital Teaching Hospital Critical Access Hospital Research Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 ORLANO HEALTH ORLANDO REGIONAL MEDICAL CENTER
1414 KUHL AVENUE
ORLANDO,FL32806
HTTPS://WWW.ORLANDOHEALTH.COM/FACILITIES/ORLANDO-REGIONAL-MEDICAL-CENTER
4393
X X   X     X     A
3 ORLANDO HEALTH WINNIE PALMER HOSP FOR WOMEN & BABIES
83 W MILLER STREET
ORLANDO,FL32806
https://www.orlandohealth.com/facilities/winnie-palmer-hospital
4393
X X   X     X   NEONATAL UNIT A
2 ORLANDO HEALTH DR P PHILLIPS HOSPITAL
9400 TURKEY LAKE ROAD
ORLANDO,FL32819
HTTPS://WWW.ORLANDOHEALTH.COM/FACILITIES/DR-P-PHILLIPS-HOSPITAL
4393
X X         X     A
5 ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL
555 W SR 434
LONGWOOD,FL32279
https://www.orlandohealth.com/services-and-specialties/behavioral-health
4393
X X         X     A
4 ORLANDO HEALTH ARNOLD PALMER HOSPITAL FOR CHILDREN
92 W MILLER
ORLANDO,FL32806
HTTPS://WWW.ARNOLDPALMERHOSPITAL.COM/
4393
X   X X     X     A
6 ORLANDO HEALTH ST CLOUD HOSPITAL
2906 17TH ST
ST CLOUD,FL34769
https://www.orlandohealth.com/FACILITIES/ST-CLOUD-HOSPITAL#/St+Cloud+Hospital/
4484
X X         X     A
7 ORLANDO HEALTH ADVANCED REHABILITATION INSTITUTE
1300 HEMPEL AVENUE
OCOEE,FL34761
https://www.orlandohealth.com/services-and-specialties/advanced-rehab-institute
4393
X               INPATIENT REHABILITATION A
Schedule H (Form 990) 2023
Schedule H (Form 990) 2023
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):
7
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 21
5 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 ................. 5 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.................................. 6a Yes  
b 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. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 21
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10   No
a If "Yes" (list url):  
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b Yes  
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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) 2023
Schedule H (Form 990) 2023
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
A
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE PART VI
b
SEE PART VI
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2023
Schedule H (Form 990) 2023
Page 6
Part VFacility Information (continued)

Billing and Collections
A
Name of hospital facility or letter of facility reporting group  
Yes No
17 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?.................................. 17 Yes  
18 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:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2023
Schedule H (Form 990) 2023
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 No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2023
Schedule H (Form 990) 2023
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 SPRINGS, ADVENTHEALTH APOPKA, ADVENTHEALTH CELEBRATION, ADVENTHEALTH EAST ORLANDO, ADVENTHEALTH KISSIMMEE, ADVENTHEALTH ORLANDO, ADVENTHEALTH WATERMAN, ADVENTHEALTH WINTER GARDEN AND 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 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 FY 2024 ON ACCESS TO CARE, ORLANDO HEALTH DEVELOPED NEW AND ENHANCED EXISTING COMMUNITY BENEFIT PROGRAMS TO IMPROVE ACCESS TO CARE. ORLANDO HEALTH PROVIDED OVER $505 MILLION IN COMMUNITY BENEFIT IN FY 2024. IN SUPPORT OF OUR COMMUNITY BENEFIT EFFORTS, WE RECOGNIZE THE IMPORTANCE OF WORKING WITH COMMUNITY ORGANIZATIONS. IN FY 2024, WE SUPPORTED 20 GRANT PROPOSALS THROUGH THE ORLANDO HEALTH COMMUNITY GRANT PROGRAM, AND WE CONTINUED TO ACTIVELY COLLABORATE WITH LOCAL ORGANIZATIONS AND GROUPS TO MAKE A DIFFERENCE IN THE HEALTH AND QUALITY OF LIFE IN CENTRAL FLORIDA. IN 2024, WE SUPPORTED OVER 520 COMMUNITY ORGANIZATIONS. ORLANDO HEALTH HAS PROVIDED MORE THAN 8,500 BOARD MEMBER, COMMITTEE MEMBER AND ADVISORY BOARD MEMBER HOURS. EXAMPLES FROM KEY INITIATIVES ARE INCLUDED TO ILLUSTRATE THE TYPES OF SUCCESSES THESE PROGRAMS YIELD. ORLANDO HEALTH PARTNERED WITH GRACE MEDICAL HOME TO PROVIDE FUNDING FOR ITS HEALING BY OFFERING POSSIBILITIES AND ENCOURAGEMENT PROGRAM (HOPE). THIS PROGRAM FOCUSES ON PROVIDING WHOLE-PATIENT CARE THAT IDENTIFIES A PATIENT'S TOXIC TRAUMA AND OFFERS INDIVIDUALIZED INTERVENTIONS THROUGH A MULTI-DISCIPLINARY APPROACH IN A MEDICAL HOME SETTING. PART OF THIS FUNDING ENABLED GRACE MEDICAL TO HIRE A CLINICAL COUNSELOR, GIVING PATIENTS INCREASED ACCESS TO MENTAL HEALTH COUNSELING AND RESOURCES TO RESOLVE ISSUES ASSOCIATED WITH TOXIC STRESS. FOLLOWING THE SCREENING FOR ADVERSE CHILDHOOD EXPERIENCES (ACES), CLIENTS RECEIVE SERVICES SUCH AS MENTAL HEALTH COUNSELING, MENTORING, PARENTING CLASSES, NUTRITION PROGRAMS AND SPIRITUAL CARE. DURING FY 2024, 83 CHILDREN WERE SCREENED FOR ACES AND 47 WERE REFERRED INTO THE PROGRAM. OF THOSE 47 REFERRALS, 18 HAVE MET WITH A MENTAL HEALTH COUNSELOR AND MORE THAN 900 COUNSELING SESSIONS HAVE BEEN PROVIDED TO NEW AND EXISTING PATIENTS. THIS PROGRAM WILL CONTINUE THROUGH FY 2025. TO ADDRESS ACCESS TO CARE, THE ORLANDO HEALTH COMMUNITY BENEFIT TEAM PARTNERED WITH PATHWAY HOMES OF FLORIDA. THE HOMELESS TO HOME - KEY TO ACCESS TO MENTAL AND PHYSICAL HEALTHCARE PROGRAM FOCUSES ON INCREASING INCOME AND ACCESS OF HEALTHCARE FOR INDIVIDUALS WHO WERE FORMERLY OR CURRENTLY EXPERIENCING HOMELESSNESS. IN THE PROGRAM, CASE MANAGERS SUPPORT CLIENTS IN APPLYING FOR SOCIAL SECURITY INCOME AND MEDICARE OR MEDICAID BENEFITS. ONCE OBTAINED, INDIVIDUALS ARE CONNECTED TO MEDICAL, SOCIAL AND/OR EMPLOYMENT SERVICES. IN FY 2024, 15 INDIVIDUALS RECEIVED SUPPORT APPLYING FOR SOCIAL SECURITY DISABILITY INSURANCE (SSDI). EVEN THOUGH THE PROCESS TO BE APPROVED FOR SSDI IS LENGTHY, FIVE INDIVIDUALS WERE APPROVED FOR SSDI AND THREE ARE IN THE PROCESS OF APPEALING THEIR SSDI DECISION. ALL 15 OF THE INDIVIDUALS WHO APPLIED FOR SSDI WERE CONNECTED TO A MEDICAL HOME AND ARE ACTIVELY SEEKING PRIMARY CARE FROM THEIR MEDICAL HOME. ELEVEN INDIVIDUALS GAINED ACCESS TO INSURANCE AS A RESULT OF THE PROGRAM - SIX RECEIVING MEDICAID AND FIVE RECEIVING MEDICARE. ORLANDO HEALTH WILL CONTINUE TO SUPPORT THE HOMELESS TO HOME - KEY TO ACCESS TO MENTAL AND PHYSICAL HEALTHCARE PROGRAM FOR RESIDENTS OF ORANGE COUNTY. IN FY 2024, ORLANDO HEALTH CONTINUED ITS FUNDING TO THE COALITION FOR THE HOMELESS OF CENTRAL FLORIDA IN SUPPORT OF ITS GOAL TO INCREASE ACCESS TO CARE FOR FAMILIES AND INDIVIDUALS EXPERIENCING HOMELESSNESS. THE PROGRAM PROVIDES HEALTH SCREENINGS FOR NEW SHELTER GUESTS, FACILITATES REFERRALS FOR MEDICAL CARE, EDUCATES SHELTER GUESTS AND STAFF ON HEALTH- AND WELLNESS-RELATED TOPICS, AND TRAINS CASE MANAGERS IN MENTAL HEALTH FIRST AID. IN FY2024, 1,063 SHELTER GUEST RECEIVED A HEALTH AND WELLNESS SCREENING. FOLLOWING THE SCREENING, 140 SHELTER GUESTS WERE CONNECTED TO A LOCAL FEDERALLY QUALIFIED HEALTH CENTER. OF THOSE 140, 109 INDIVIDUALS ATTENDED THEIR APPOINTMENTS TO ESTABLISH A MEDICAL HOME. ORLANDO HEALTH WILL CONTINUE TO PARTNER WITH THE COALITION FOR THE HOMELESS OF CENTRAL FLORIDA TO INCREASE ACCESS TO CARE FOR INDIVIDUALS EXPERIENCING HOMELESSNESS. ORLANDO HEALTH ST. CLOUD HOSPITAL PROVIDED FUNDING TO OSCEOLA COMMUNITY HEALTH SERVICES TO INCREASE ACCESS TO PRIMARY HEALTHCARE MEDICAL, BEHAVIORAL/MENTAL HEALTH AND DENTAL SERVICES FOR THE HOMELESS AND THOSE LIVING IN MOTELS WHO WOULD BE OTHERWISE HOMELESS. OSCEOLA COMMUNITY HEALTH SERVICES OPERATES TWO FULLY EQUIPPED MOBILE UNITS, ONE FOR PRIMARY MEDICAL AND BEHAVIORAL/MENTAL HEALTH SERVICES AND ANOTHER FOR DENTAL SERVICES. DURING FY 2024, 571 HOMELESS PATIENTS RECEIVED CARE THROUGH A TOTAL OF 1,505 WELLNESS VISITS. OF THOSE VISITS, 794 WERE FOR MEDICAL CARE, 518 FOR DENTAL CARE AND 193 FOR MENTAL HEALTHCARE. THE ORLANDO HEALTH COMMUNITY BENEFIT TEAM IDENTIFIED AN OPPORTUNITY TO SUPPORT THE EXPANSION OF THE MIDWIFE BUS PROGRAM IN ORANGE AND LAKE COUNTIES. THE MIDWIFE BUS PROVIDES PRE- AND POST-NATAL SERVICES TO UNINSURED OR UNDERINSURED PREGNANT WOMEN IN ORANGE, OSCEOLA AND LAKE COUNTIES. THE MIDWIFE BUS PARTNERS WITH ORLANDO HEALTH WINNIE PALMER HOSPITAL FOR WOMEN AND BABIES AND ORLANDO HEALTH SOUTH LAKE HOSPITAL TO REFER PATIENTS FOR DELIVERY AND INFANT CARE. RECENT FUNDING PROVIDED TO THE MIDWIFE BUS SUPPORTED THE PURCHASE AND RENOVATION OF AN ADDITIONAL BUS INTO A MOBILE MIDWIFERY CLINIC. HOWEVER, IN FALL OF 2023, THE ORIGINAL BUS AND PRIMARY MIDWIFERY CLINIC BECAME INOPERABLE. THE SECOND BUS, WHICH WAS SUPPORTED BY THIS FUNDING, BECAME THE PRIMARY AND ONLY MIDWIFE BUS CLINIC. IN FY 2024, THE MIDWIFE BUS PROVIDED 155 CLIENT VISITS TO WOMEN IN ORANGE COUNTY. THE MIDWIFE BUS SUPPORTED 41 BIRTHS. OF THOSE 41 BIRTHS, 97 PERCENT WERE BABIES WITH APGAR SCORES FROM 7 TO 10, AND 98 PERCENT OF THE BABIES WERE BORN FULL TERM AND AT A HEALTHY BIRTHWEIGHT OF MORE THAN 5 POUNDS 8 OUNCES. ORLANDO HEALTH WILL CONTINUE TO WORK WITH PROGRAMS LIKE THE MIDWIFE BUS TO MAKE MEANINGFUL IMPROVEMENTS IN MATERNAL HEALTHCARE. IN 2022, ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER (ORMC) 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 ORLANDO HEALTH ORMC. FUNDING PROVIDED BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES AND SUB-AWARDED TO ORLANDO HEALTH SUPPORTS THIS PROGRAM THROUGH MARCH 2025. 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. IN FY 2024, MORE THAN 1,900 HIV TESTS WERE PERFORMED, 76 PATIENTS RECEIVED POSITIVE HIV RESULTS THROUGH TESTING AND 21 PATIENTS ATTENDED THEIR FIRST HIV APPOINTMENT. IN ADDITION TO THESE CASES, THE HIV OUTREACH COORDINATOR LINKED TO MEDICAL CARE 37 KNOWN HIV PATIENTS WHO WERE NOT SEEKING TREATMENT AT THE TIME.
Schedule H, Part V, Section B, Line 11 Facility A, 2 Facility A, 2 - GROUP A, CONTINUED. CONFRONTING THE OPIOID CRISIS: CONTINUING ITS RESPONSE 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 COLLABORATES 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 PEER RECOVERY 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. 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. THE OPIOID OUTREACH COORDINATOR ALSO WORKS WITH CAREER SOURCE TO IDENTIFY PATIENTS WHO ARE READY TO RE-ENTER THEIR COMMUNITY AND WORKFORCE THROUGH JOB SKILLS TRAINING AND EMPLOYMENT. IN FY 2024, THE OPIOID OUTREACH COORDINATOR ASSESSED 902 PATIENTS. OF THOSE SEEN, 437 RECEIVED A REFERRAL TO FOLLOW-UP CARE OR TREATMENT AND 285 PATIENTS INITIATED THE PROCESS TO BEGIN MEDICATION-ASSISTED TREATMENT. IN FY 2024, THIS PROGRAM EXPANDED TO INCLUDE TWO ADDITIONAL OPIOID NAVIGATORS AND ONE PEER RECOVERY SPECIALIST WITH PLANS TO INCLUDE TWO MORE COMMUNITY LIAISONS IN ORANGE COUNTY. SERVING VULNERABLE PREGNANT WOMEN: MATERNAL AND INFANT HEALTH ARE FOCAL POINTS FOR ORLANDO HEALTH DUE TO THE LONG-TERM EFFECTS OF COMPLICATIONS SUCH AS GESTATIONAL DIABETES OR LOW BIRTH WEIGHTS. SUPPORTING PROGRAMS AND SERVICES THAT IMPROVE THE HEALTH OF MOTHERS AND INFANTS HAS SHOWN 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. DURING FY 2024 MORE THAN 671 PATIENTS WERE CONSENTED INTO THE PROGRAM. OF THOSE CONSENTED, 607 WERE SCREENED FOR SOCIAL DRIVERS OF HEALTH AND 594 WERE SCREENED FOR MENTAL HEALTH NEEDS. BASED ON RESPONSES DURING THE SCREENINGS, MORE THAN 660 PATIENTS WERE REFERRED TO COMMUNITY PARTNERS FOR ADDITIONAL SUPPORT. SEVENTY-THREE PERCENT OF THOSE REFERRED ENROLLED IN SERVICES WITH A COMMUNITY PARTNER. IN ADDITION, MORE THAN 235 FAMILIES RECEIVED BIWEEKLY FOOD DELIVERIES IN RESPONSE TO SCREENING POSITIVE FOR FOOD INSECURITY. THE PILOT PROGRAM WILL CONTINUE TO PROVIDE SUPPORT TO VULNERABLE PREGNANT WOMEN IN FY 2025. IN FY2024, ORLANDO HEALTH CONTINUED RESPONDING TO AN IDENTIFIED NEED FOR ENHANCED MENTAL HEALTHCARE THROUGH A MENTAL HEALTH FIRST AID TRAINING PROGRAM. THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IDENTIFIED MENTAL HEALTH AS ONE OF THE TOP COMMUNITY NEEDS IN CENTRAL FLORIDA. IN ALL COUNTIES, SURVEY RESPONDENTS RANKED MENTAL HEALTH PROBLEMS INCLUDING SUICIDE AS THE NUMBER ONE OR NUMBER TWO TOP NEED TO ADDRESS IN THEIR COMMUNITY. ONE WAY ORLANDO HEALTH ADDRESSED THE ISSUE WAS BY IMPLEMENTING A TRAINING PROGRAM THAT HELPS ONLOOKERS LEARN SKILLS TO ASSIST SOMEONE IN A MENTAL HEALTH CRISIS. THIS TRAINING IS FREE OF CHARGE TO COMMUNITY MEMBERS EITHER IN PERSON OR VIRTUALLY. THE CURRICULUM IS PROVIDED THROUGH THE NATIONAL COUNCIL OF MENTAL WELLBEING. IT IS DESIGNED FOR BYSTANDERS WHO MAY HAVE LITTLE TO NO MEDICAL TRAINING BUT MAY BE ABLE TO PROVIDE INITIAL SUPPORT TO SOMEONE IN MENTAL HEALTH CRISIS UNTIL THEY ARE CONNECTED WITH APPROPRIATE PROFESSIONAL HELP. THROUGH COMMUNITY-SPECIFIC SCENARIOS, ACTIVITIES AND VIDEOS, COURSE PARTICIPANTS LEARN COMMON SIGNS AND SYMPTOMS OF MENTAL HEALTH AND SUBSTANCE USE CHALLENGES, HOW TO INTERACT WITH A PERSON IN CRISIS AND HOW TO CONNECT A PERSON TO HELP AND RESOURCES IN THE COMMUNITY. SINCE LAUNCHING IN MAY 2023, WE HAVE ESTABLISHED FOUR MENTAL HEALTH FIRST AID TRAINERS AT ORLANDO HEALTH. WE HAVE TAUGHT 21 CLASSES TO 235 PARTICIPANTS. OF THOSE PARTICIPANTS WHO ATTENDED CLASS, MORE THAN 80% SAY THEY ARE MORE AWARE OF MENTAL HEALTH RESOURCES THAN PRIOR TO TAKING THE COURSE. TO ADDRESS MENTAL HEALTH CHALLENGES WITHIN THE COMMUNITY'S YOUTH POPULATION, ORLANDO HEALTH PARTNERED WITH BREAKTHROUGH ORANGE TO PROVIDE MENTAL HEALTH FIRST AID TO INDIVIDUALS WHO ENGAGE WITH THOSE 17 YEARS OLD AND YOUNGER. SINCE LAUNCHING, 3 CLASSES HAVE BEEN PROVIDED TO 20 INDIVIDUALS. OF THOSE WHO ATTENDED TRAINING, MORE THAN 80% STATED THEY ARE MORE AWARE OF MENTAL HEALTH RESOURCES THAN PREVIOUSLY. TO SUPPORT BETTER ACCESS TO CARE THROUGH COMMUNITY COLLABORATION, ORLANDO HEALTH IN FY2024 BEGAN THE PROCESS OF ONBOARDING FINDHELP, AN ONLINE REFERRAL SYSTEM THAT SEAMLESSLY CONNECTS OUR COMMUNITY WITH ESSENTIAL SOCIAL AND HEALTH SERVICES, INCLUDING FINANCIAL ASSISTANCE, FOOD PANTRIES, MEDICAL CARE AND OTHER FREE OR REDUCED-COST RESOURCES. WITH THE INTEGRATION OF FINDHELP INTO THE HEALTHCARE SYSTEM'S ELECTRONIC HEALTH RECORD, OUR PHYSICIANS AND TEAM MEMBERS NOW HAVE EASY ACCESS TO FINDHELP'S EXTENSIVE NETWORK OF PROGRAMS AND RESOURCES - EMPOWERING THEM TO PROVIDE COMPREHENSIVE SUPPORT FOR EVERY PATIENT AND ENHANCING HEALTHCARE QUALITY, SAFETY AND PATIENT SATISFACTION. THE RESOURCE WILL BE INTRODUCED TO TEAM MEMBERS THROUGH A PHASED ROLLOUT IN FY 2025. DURING THAT TIME, WE WILL BEGIN EVALUATING THE NUMBER OF SEARCHES CONDUCTED AND THE NUMBER OF REFERRALS MADE THROUGH THE PLATFORM. 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 ALREADY WERE 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.
Schedule H, Part V, Section B, Line 11 Facility A, 3 Facility A, 3 - GROUP A, CONTINUED. 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 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, Part V, Section B, Line 13 Facility A, 1 Facility A, 1 - GROUP A. ORLANDO HEALTH ALSO USES THE INDEPENDENT ELIGIBILITY ASSESSMENT TO DETERMINE PATIENT PAYMENT CAPABILITY. THE INDEPENDENT ELIGIBILITY ASSESSMENT CONSISTS OF ALGORITHMS THAT INCORPORATE DATA FROM CREDIT BUREAUS, DEMOGRAPHIC DATABASES, AND HOSPITAL SPECIFIC DATA. THE THIRD-PARTY CREDIT REPORT DATA AND OTHER PUBLICLY AVAILABLE DATA SOURCES UTILIZED HEALTHCARE INDUSTRY-RECOGNIZED, PREDICTIVE MODELING THAT IS BASED ON PUBLIC RECORD DATABASES TO CALCULATE SOCIO-ECONOMIC AND FINANCIAL CAPABILITY SCORE. INFORMATION GLEANED FROM THIS INDEPENDENT ELIGIBILITY ASSESSMENT CONSITUTUES ADEQUATE DOCUMENTATION OF FINANCIAL NEED UNDER THE FINANCIAL ASSISTANCE POLICY TO INFER AND CLASSIFY INDIVIDUALS INTO RESPECTIVE ECONOMIC MEANS CATEGORIES IRRESPECTIVE OF WHETHER COMPLETE DOCUMENTATION HAS BEEN VOUNTARILY PROVIDED.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2023
Schedule H (Form 990) 2023
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?59
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 Digestive Health Institute
1305 Kuhl Avenue
Orlando,FL32806
Digestive Health Services
3 Orlando Health Emergency Room and Medical Pavilion Osceola
1001 East Osceola Parkway
Kissimmee,FL34744
Freestanding ER and Medical Pavilion
4 Orlando Regional Medical Center - Ambulatory Care Center
22 W Underwood Street
Orlando,FL32806
Outpatient Surgery / Diagnostics
5 Orlando Health Heart & Vascular Institute
1222 South Orange Avenue
Orlando,FL32806
Outpatient Diagnostic Center
6 Orlando Health Cancer Institute
9900 W Colonial Drive
Ocoee,FL34761
Outpatient Cancer Care
7 Orlando Health Emergency Room and Medical Pavilion Lake Mary
380 Rinehart Road
Lake Mary,FL32746
Freestanding ER and Medical Pavilion
8 Orlando Health Emergency Room and Medical Pavilion Randal Park
10155 Dowden Road
Orlando,FL32832
Freestanding ER and Medical Pavilion
9 Orlando Health Cancer Institute
7472 Docs Grove Circle
Orlando,FL32819
Outpatient Cancer Care
10 Orlando Health Heart & Vascular Institute
10000 W Colonial Drive Suite 484
Ocoee,FL34761
Outpatient Diagnostic Center
11 Orlando Health Heart & Vascular Institute
7236 Stonerock Circle
Orlando,FL32819
Outpatient Diagnostic Center
12 Orlando Health Heart & Vascular Institute
2080 Oakley Seaver Dr
Clermont,FL34711
Outpatient Diagnostic Center
13 Orlando Health Winnie Palmer Hospital Outpatient Women's Imaging
105 W Miller St
Orlando,FL32806
Outpatient Imaging Center
14 Arnold Palmer Hospital for Children Outpatient Rehabilitation
925 S Orange Avenue
Orlando,FL32806
Outpatient Pediatric Rehabilitation
15 The Heart Center at Arnold Palmer Hospital for Children
1222 S Orange Avenue
Orlando,FL32806
Outpatient Diagnostic Center
16 Orlando Health Cancer Institute
1330 Budinger Ave Ste 100
Saint Cloud,FL34769
Outpatient Cancer Care
17 Orlando Health Heart & Vascular Institute
100 North Dean Road Ste 202
Orlando,FL32825
Outpatient Diagnostic Center
18 Orlando Health Heart & Vascular Institute
521 W State Road 434 Suite 307
Longwood,FL32750
Outpatient Diagnostic Center
19 Orlando Health Rehabilitation Services
521 W State Road 434 Suite 204
Longwood,FL32750
Outpatient Rehabilitation
20 Arnold Palmer Hospital Outpatient Centers
50 West Sturtevant Street
Orlando,FL32806
Outpatient Pediatric Services
21 Orlando Health Cancer Institute
210 Rinehart Road Ste 1000
Lake Mary,FL32746
Outpatient Cancer Care
22 Orlando Health Jewett Orthopedic Institute Outpatient Rehabilitation
60 Columbia St Ste 501
Orlando,FL32806
Outpatient Rehabilitation
23 Orlando Health Neuroscience Institute
76 Underwood St Ste 200
Orlando,FL32806
Outpatient Diagnostic Center
24 Orlando Health Dr P Phillips Hospital Outpatient Rehabilitation
7350 Sandlake Commons Blvd Suite 1
Orlando,FL32819
Outpatient Rehabilitation
25 Orlando Health St Cloud Hospital Rehabilitation Services
1330 Budinger Ave Ste 204
Saint Cloud,FL34769
Outpatient Rehabilitation Services
26 Orlando Health Audiology Services
50 Sturtevant Street
Orlando,FL32806
Outpatient Audiology Services
27 Orlando Health Dr P Phillips Hospital Outpatient Rehabilitation
7000 Dr Phillips Boulevard
Orlando,FL32819
Outpatient Services
28 Orlando Health Imaging Centers
1800 S Orange Ave
Orlando,FL32806
Outpatient Imaging Center
29 Orlando Health Imaging Centers
392 Rinehart Rd Suite 1040
Lake Mary,FL32746
Outpatient Imaging Center
30 Arnold Palmer Hospital for Children Outpatient Rehabilitation
1555 Howell Branch Road Ste B1
Winter Park,FL32789
Outpatient Pediatric Rehabilitation
31 Orlando Health Imaging Centers
7243 Della Dr Suite C
Orlando,FL32819
Outpatient Imaging Center
32 Orlando Health Imaging Centers
5151 Winter Garden Vineland Rd Ste
Windermere,FL34786
Outpatient Imaging Center
33 Orlando Health St Cloud Hospital Digital Mammography
2900 17th St Ste 4/5
Saint Cloud,FL34769
Digital Mammogram Services
34 Orlando Health Imaging Centers
10889 W Colonial Dr
Ocoee,FL34761
Outpatient Imaging Center
35 Orlando Health Infusion Center
1414 Kuhl Avenue
Orlando,FL32806
Outpatient Infusion Center
36 Orlando Health Imaging Centers
1210 E Osceola Pkwy Suite 103
Kissimmee,FL34744
Outpatient Imaging Center
37 Orlando Health Advanced Rehabilitation Institute
100 W Gore St Ste 104
Orlando,FL32806
Outpatient Rehabilitation
38 Orlando Health Advanced Rehabilitation Institute
32 W Gore St Fl 2
Orlando,FL32806
Outpatient Rehabilitation
39 Orlando Health Wound Healing Center
55 West Gore Street
Orlando,FL32806
Outpatient Wound Care
40 Orlando Health Advanced Rehabilitation Institute
1222 S Orange Avenue
Orlando,FL32806
Outpatient Rehabilitation
41 Orlando Health Imaging Centers
2000 N Alafaya Trail Suite 800
Orlando,FL32826
Outpatient Imaging Center
42 Orlando Health Wound Healing Center
7339 Stonerock Circle
Orlando,FL32819
Outpatient Wound Care
43 South Seminole Wound Care Center
515 W State Road 434 Suite 101
Longwood,FL32750
Outpatient Wound Care
44 Orlando Health Imaging Centers
398 E Altamonte Dr
Altamonte Springs,FL32701
Outpatient Imaging Center
45 Orlando Health Imaging Centers
60 Columbia St 1st Floor Suite 102
Orlando,FL32806
Outpatient Imaging Center
46 Arnold Palmer Hospital for Children Outpatient Infusion Center
60 W Gore Street
Orlando,FL32806
Outpatient Infusion Center
47 Orlando Health Imaging Centers
1111 Fairbanks Ave Suite 140
Winter Park,FL32789
Outpatient Imaging Center
48 Arnold Palmer Hospital for Children Outpatient Rehabilitation
1135 E SR 434 Ste 1002
Winter Springs,FL32708
Outpatient Pediatric Rehabilitation
49 Orlando Health Heart & Vascular Institute
392 Rinehart Road Suite 2050
Lake Mary,FL32746
Cardiac Rehab
50 Orlando Health Cancer Institute Genetics & High Risk Care Center
44 W Sturtevant St
Orlando,FL32806
Outpatient Cancer Care
51 Orlando Health Imaging Centers
1285 N Orange Ave
Winter Park,FL32789
Outpatient Imaging Center
52 Orlando Health St Cloud Hospital Wound Care & Hyperbaric Center
2912 17th St
Saint Cloud,FL34769
Outpatient Wound Care
53 Orlando Health Outpatient Rehabilitation
76 Underwood St Ste 110
Orlando,FL32806
Outpatient Rehabilitation
54 Orlando Health Aesthetic and Reconstructive Surgery Institute
125 W Copeland Drive
Orlando,FL32806
Aesthetic and Reconstructive Services
55 Orlando Health Cancer Institute
22 W Underwood Street
Orlando,FL32806
Outpatient Cancer Care
56 Orlando Health Support Team For Aftercare And Resources Outpatient
1224 Sligh Blvd Ste B
Orlando,FL32806
Discharge Support
57 Orlando Health Support Team for Aftercare and Resources Outpatient
9430 Turkey Lake Road Suite 200b
Orlando,FL32819
Outpatient Services
58 Orlando Health Imaging Centers
1675 W Broadway Street
Oviedo,FL32765
Outpatient Imaging Center
59 Orlando Health Heart & Vascular Institute
60 W Gore St
Orlando,FL32806
Outpatient Diagnostic Center
Schedule H (Form 990) 2023
Schedule H (Form 990) 2023
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. ORLANDO HEALTH HAS ONE OF THE MOST GENEROUS CHARITY POLICIES IN THE STATE OF FLORIDA. * 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 11 HOSPITALS, 8 FREESTANDING EMERGENCY ROOMS AND VARIOUS OUTPATIENT FACILITIES, WITH OVER 30,000 EMPLOYEES AND OVER 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 30 FELLOWSHIP PROGRAMS. ORLANDO HEALTH FACILITIES ENCOMPASS 3,327 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, ORLANDO HEALTH ADVANCED REHABILITATION INSTITUTE 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 ORLANDO HEALTH BAYFRONT HOSPITAL, 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 1,300 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 200 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 $818 MILLION IN SUPPORT OF COMMUNITY HEALTH NEEDS.
Schedule H, Part III Line 2 and 4 - BAD DEBT METHODOLOGY BAD DEBT EXPENSE REFLECTED IN PART III, LINE 2 REPRESENTS AMOUNTS 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, AND OCCUPATION INFORMATION. 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, 2024 AND 2023 WAS NOT SIGNIFICANT FOR THE SYSTEM. (ORLANDO HEALTH, INC. AUDITED FINANCIAL STATEMENTS, PAGE 16)
Schedule H, Part I, Line 7f BAD DEBT REPORTING BAD DEBT EXPENSE OF $411,041 WAS INCLUDED ON FORM 990, PART IX, LINE 25 AND REMOVED IN ORDER TO COMPUTE THE PERCENTAGES FOR COLUMN F OF LINE 7. ALL OTHER BAD DEBT WAS REPORTED AS AN OFFSET TO PATIENT REVENUE AND NOT ON PART IX.
Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT NONE
Schedule H, Part V, Section B, Line 16a https://www.orlandohealth.com/patients-and-visitors/patient-financial-resources/pay-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/financial-assistance
Schedule H, Part V, Section B, Line 16c https://www.orlandohealth.com/patients-and-visitors/patient-financial-resources/pay-your-bill/financial-assistance
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). THE REVIEW THAT OHI UNDERTOOK ADDRESSED SECTION 501(R) COMPLIANCE AT EACH OF THE FOLLOWING AFFILIATED 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 - HEALTH CENTRAL HOSPITAL (OH-HCH) 7. ORLANDO HEALTH SOUTH LAKE HOSPITAL (OHSLH) OHI CONTINUES TO EVALUATE AND IMPLEMENT 501(R) COMPLIANCE AMONG ALL AFFILIATED HOSPITAL FACILITIES. ADDITIONAL HOSPITAL FACILITIES THAT FOLLOW OHI'S 501(R) ESTABLISHED COMPLIANCE STANDARDS INCLUDE: 8. ORLANDO HEALTH ST. CLOUD HOSPITAL (OHSCH) 9. ORLANDO HEALTH BAYFRONT HOSPITAL (OHBH) 10. ORLANDO HEALTH HORIZON WEST HOSPITAL (OHHWH) 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 COMMUNITY MEMBERS AT RISK OF NOT RECEIVING ADEQUATE MEDICAL CARE BECAUSE OF BEING UNINSURED OR UNDERINSURED. 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 METHODS FOR MEMBERS OF THE PUBLIC TO PROVIDE INPUT ON OHI'S CHNA REPORT. 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 IS INCLUDED IN THE 2022 CHNA. MOREOVER, OHI INCLUDED 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 I, Line 3c Eligibility criteria for free or discounted care SEE THE DISCLOSURE FOR PART V, SECTION B, LINE 13H
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 411041
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THE COST-TO-CHARGE RATIO UTILIZED TO CALCULATE THE AMOUNTS ON LINES 7A-7C WAS DERIVED USING OUR MEDICARE COST REPORTS AND WAS NOT CALCULATED ON THE EXACT PARAMETERS OF WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS. ORLANDO HEALTH BELIEVES THE COST-TO-CHARGE RATIO UTILIZED BEST REPRESENTS THE ACTUAL COST OF CARE IN EACH CIRCUMSTANCE. THE AMOUNTS FOR LINES 7E-7I ARE ACTUAL EXPENSES AND NOT BASED ON A COST-TO-CHARGE RATIO.
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. ORLANDO HEALTH DID NOT RECRUIT ANY NEW COMMUNITY-BASED PHYSICIANS DURING THE FISCAL YEAR. HOWEVER, WE WILL CONTINUE TO FIND WAYS TO RECRUIT COMMUNITY-BASED PHYSICIANS TO HELP COMBAT PHYSICIAN SHORTAGES IN THE COMING FISCAL YEAR.
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 - ORLANO HEALTH ORLANDO REGIONAL MEDICAL CENTER: Line 16a URL: SEE PART VI;
Schedule H, Part V, Section B, Line 16b FAP Application website A - ORLANO HEALTH ORLANDO REGIONAL MEDICAL CENTER: Line 16b URL: SEE PART VI;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - ORLANO HEALTH 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. 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 11 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 30,000 EMPLOYEES AND OVER 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, 30 FELLOWSHIP PROGRAMS, AND HOST MORE THAN 370 RESIDENTS AND FELLOWS ANNUALLY. ORLANDO HEALTH FACILITIES ENCOMPASS 3,327 FULLY CERTIFIED BEDS, ADVANCED MEDICAL TREATMENTS AND PROCEDURES AND HIGHLY QUALIFIED STAFF. ORLANDO HEALTH 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, ORLANDO HEALTH ST. CLOUD HOSPITAL, ORLANDO HEALTH - HEALTH CENTRAL HOSPITAL, ORLANDO HEALTH HORIZON WEST HOSPITAL, ORLANDO HEALTH SOUTH LAKE HOSPITAL, ORLANDO HEALTH BAYFRONT HOSPITAL AND ORLANDO HEALTH ADVANCED REHABILITATION INSTITUTE. 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. IN FY24, THE ORLANDO HEALTH HOSPITAL SYSTEM RECEIVED 1,087,350 OUTPATIENT VISITS, 163,234 ADMISSIONS (EXCLUDING NEWBORNS), 19,629 BABIES BORN AND 572,576 PATIENTS VISITED OUR EMERGENCY DEPARTMENTS. ORLANDO HEALTH ARNOLD PALMER HOSPITAL IS THE FIRST FACILITY IN CENTRAL FLORIDA TO PROVIDE EMERGENCY CARE EXCLUSIVELY FOR PEDIATRICS, INCLUDING LEVEL ONE TRAUMA. IN ADDITION TO TRAUMA CARE, THE LEVEL ONE TRAUMA CENTER AND AIR CARE TEAM SERVE AS AN INTEGRAL RESOURCE FOR DISASTER READINESS AND RESPONSE PLANNING IN GREATER ORLANDO. AIR CARE TRANSPORTED 421 ADULT TRAUMA PATIENTS AND 172 PEDIATRIC TRAUMA PATIENTS IN FY2024. ORLANDO HEALTH'S PRIMARY SERVICE AREA IS COMPRISED OF LAKE, ORANGE, OSCEOLA, AND SEMINOLE COUNTIES, WHICH INCLUDES RURAL, URBAN AND SUBURBAN COMMUNITIES. THE CURRENT POPULATION OF THE 4 COUNTY SERVICE AREA IS 2,899,290. THE MEDIAN HOUSEHOLD INCOME IN THESE COUNTIES IS $76,147. IN CENTRAL FLORIDA, 11.3 PERCENT OF HOUSEHOLDS ARE BELOW THE FEDERAL POVERTY GUIDELINE. THE PERCENT UNINSURED (AGE 0-64) FOR THE FOUR COUNTY AREA IS 13.6 PERCENT AND THERE ARE 11 FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS PRESENT IN THIS REGION. A COMBINED TOTAL OF 40 HOSPITALS ARE ALSO IN THIS AREA AND SERVE THE COMMUNITY. 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, SPONSORSHIPS, SCHOOL INITIATIVES, DONATED MEETING SPACE, SPIRITUAL CARE, AND PUBLIC PROGRAM ENROLLMENT ASSISTANCE AND POST-ACUTE CARE FOR HOMELESS AND UNINSURED.
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 FY 2024 OUR TEAM MEMBERS AND PHYSICIANS PROVIDED OVER 6,400 VOLUNTEER HOURS 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) 2023
Additional Data


Software ID: 23017437
Software Version: 2023v6.0

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

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
2023
Open to Public
Inspection
Name of the organization
Orlando Health Inc
 
Employer identification number
59-1726273
Part I
General Information on Grants and Assistance
1
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? ........................
2
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 (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
noncash assistance
(h) Purpose of grant
or assistance
(1) U OF CENTRAL FL FDN INC
12424 RESEARCH PKWY
ORLANDO,FL328263257
59-6211832 501(c)(3) 1,010,000       SPONSORSHIP
(2) GRACE MEDICAL HOME INC
1417 E CONCORD STREET
ORLANDO,FL32803
26-1817966 501(c)(3) 350,000       SPONSORSHIP
(3) HEALTH CARE CTR FOR HOMELESS INC
232 N ORANGE BLOSSOM TRL
ORLANDO,FL32805
59-3185020 501(c)(3) 232,500       SPONSORSHIP
(4) CITY OF ST PETERSBURG FLORIDA
PO BOX 2842
ST PETERSBURG,FL337312842
59-6000424 GOVERNMENT 150,600       SPONSORSHIP
(5) SIMPLE TRUTH FOUNDATION INC
2224 LAKE POINTE CIRCLE
LEESBURG,FL34747
27-3684092 501(c)(3) 117,000       SPONSORSHIP
(6) ARTS FOUNDATION FOR SENIORS INC
211 N MAGNOLIA AVE
ORLANDO,FL32801
92-0800650 501(c)(3) 100,000       SPONSORSHIP
(7) AMERICAN HEART ASSOCIATION
7272 GREENVILLE AVE
DALLAS,TX75231
13-5613797 501(c)(3) 95,000       SPONSORSHIP
(8) SCHOOL BOARD OF ORANGE COUNTY FLORIDA
445 W AMELIA ST
ORLANDO,FL32801
59-6000771 GOVERNMENT 85,044       SPONSORSHIP
(9) SECOND HARVEST FOOD BANK OF CENTRAL FL
411 MERCY DR
ORLANDO,FL32805
59-2142315 501(c)(3) 77,119       SPONSORSHIP
(10) CENTRAL FLORIDA COMMUNITY ARTS INC
PO BOX 722517
ORLANDO,FL32872
45-2324172 501(c)(3) 65,000       SPONSORSHIP
(11) THE BOGGY CREEK GANG INC
30500 BRANTLEY BRANCH ROAD
EUSTIS,FL32736
59-3012889 501(c)(3) 55,000       SPONSORSHIP
(12) COALITION FOR THE HOMELESS OF CENTRAL FLORIDA
18 NORTH TERRY AVE
ORLANDO,FL32801
59-2814255 501(c)(3) 54,300       SPONSORSHIP
(13) FOUNDATION FOR ORANGE CNTY PUBLIC SCHOOLS
445 WEST AMELIA ST
ORLANDO,FL32801
59-2788435 501(c)(3) 52,500       SPONSORSHIP
(14) UNITED WAY OF LAKE & SUMTER COUNTIES INC
32644 BLOSSOM LANE
LEESBURG,FL34788
59-1143758 501(c)(3) 50,000       SPONSORSHIP
(15) IMPOWER INC
111 W MAGNOLIA AVE
LONGWOOD,FL32750
65-0439778 501(c)(3) 50,000       SPONSORSHIP
(16) MAKE A WISH FOUNDATON OF CENTRAL & NORTHERN FLORIDA
1020 N ORLANDO AVE SUITE 100
MAITLAND,FL32751
59-3235806 501(c)(3) 50,000       SPONSORSHIP
(17) ZEBRA COALITION INC
911 N MILLS AVE
ORLANDO,FL32803
27-1645847 501(c)(3) 50,000       SPONSORSHIP
(18) HOPE COMMUNITY CENTER LLC
1016 NORTH PARK AVE
APOPKA,FL32712
56-2551312 501(c)(3) 50,000       SPONSORSHIP
(19) HOMELESS EMERGENCY PROJECT INC
1120 N BETTY LANE
CLEARWATER,FL33755
59-2729694 501(c)(3) 49,776       SPONSORSHIP
(20) CENTRAL FLORIDA YOUNG MEN'S CHRISTIAN ASSOCIATION
433 N MILLS AVE
ORLANDO,FL32803
59-0624430 501(c)(3) 48,252       SPONSORSHIP
(21) ORLANDO SCIENCE CENTER INC
777 EAST PRINCETON STREET
ORLANDO,FL32803
59-0896343 501(c)(3) 27,500       SPONSORSHIP
(22) FIND FEED & RESTORE INC
830 W MONTROSE ST
CLERMONT,FL34711
86-3070194 501(c)(3) 40,000       SPONSORSHIP
(23) HEARTS HANDS AND HOPE INC
198 SPECIALTY POINT
SANFORD,FL32771
81-2669649 501(c)(3) 39,000       SPONSORSHIP
(24) UNITED AGAINST POVERTY INC
1400 27TH ST
VERO BEACH,FL32960
11-3697936 501(c)(3) 35,000       SPONSORSHIP
(25) ARTHRITIS FOUNDATION INC
1355 PEACHTREE ST NE STE 600
ATLANTA,GA30309
58-1341679 501(c)(3) 35,000       SPONSORSHIP
(26) ORLANDO MUSEUM OF ART
2416 N MILLS AVE
ORLANDO,FL32803
59-0910352 501(c)(3) 32,500       SPONSORSHIP
(27) CROHNS AND COLITIS FOUNDATION OF AMERICA INC
733 THIRD AVE STE 510
NEW YORK,NY10017
13-6193105 501(c)(3) 32,500       SPONSORSHIP
(28) JUNIOR ACHIEVEMENT OF CENTRAL FLORIDA INC
2121 CAMDEN ROAD
ORLANDO,FL32803
59-0972112 501(c)(3) 30,000       SPONSORSHIP
(29) HISPANIC HERITAGE SCHOLARSHIP
518 S MAGNOLIA ST STE 100
ORLANDO,FL32801
01-0807279 501(c)(3) 30,000       SPONSORSHIP
(30) LIBBYS LEGACY BREAST CANCER FOUNDATION
112 ANNIE ST
ORLANDO,FL32806
11-3812766 501(c)(3) 30,000       SPONSORSHIP
(31) CAMARADERIE FOUNDATION INC
2488 E MICHIGAN ST
ORLANDO,FL32806
27-0593856 501(c)(3) 30,000       SPONSORSHIP
(32) GULF COAST JEWISH FAMILY AND COMMUNITY SERVICES INC
14041 ICOT BOULEVARD
CLEARWATER,FL33760
59-1229354 501(c)(3) 30,000       SPONSORSHIP
(33) AMERICAN CANCER SOCIETY INC
270 PEACHTREE ST NW
ATLANTA,GA30303
13-1788491 501(c)(3) 28,000       SPONSORSHIP
(34) SHEPHERDS HOPE INC
4851 S APOPKA-VINELAND RD
ORLANDO,FL32819
59-3420727 501(c)(3) 22,000       SPONSORSHIP
(35) FOUNDATION FOR SEMINOLE COUNTY
400 E LAKE MARY BLVD
SANFORD,FL32773
59-2775956 501(c)(3) 25,000       SPONSORSHIP
(36) RONALD MCDONALD HOUSE CHARITIES OF CENTRAL FLORIDA INC
1030 N ORANGE AVE SUITE 105
ORLANDO,FL32801
59-3211250 501(c)(3) 25,000       SPONSORSHIP
(37) THE LEUKEMIA & LYMPHOMA SOCIETY
341 N MAITLAND BLVD
MAITLAND,FL32751
13-5644916 501(c)(3) 25,000       SPONSORSHIP
(38) PRIMARY CARE MEDICAL SERVICES OF POINCIANA INC
1877 FORTUNE RD
KISSIMMEE,FL34744
75-3147007 501(c)(3) 25,000       SPONSORSHIP
(39) HABITAT FOR HUMANITY OF PINELLAS COUNTY INC
13355 49TH ST N STE B
CLEARWATER,FL33762
59-2509116 501(c)(3) 25,000       SPONSORSHIP
(40) AIDS SERVICE ASSOCIATION OF PINELLAS INC
5771 ROOSEVELT BLVD
CLEARWATER,FL33760
59-2862537 501(c)(3) 25,000       SPONSORSHIP
(41) HOPE PARTNERSHIP INC
2420 OLD VINELAND RD
KISSIMMEE,FL34746
80-0855060 501(c)(3) 25,000       SPONSORSHIP
(42) REBUILDNG TOGETHER TAMPA BAY INC
3914 N US 301 HIGHWAY
TAMPA,FL33619
59-3664580 501(c)(3) 25,000       SPONSORSHIP
(43) HEALTHY START COALITION OF PINELLAS INC
4000 GATEWAY CENTRE BLVD
PINELLAS PARK,FL33782
59-3109517 501(c)(3) 25,000       SPONSORSHIP
(44) AMERICAN NATIONAL RED CROSS
3310W MAIN ST
TAMPA,FL33607
53-0196605 501(c)(3) 25,000       SPONSORSHIP
(45) NAVAL POSTGRADUATE SCHOOL FOUNDATION INC
PO BOX 8626
MONTEREY,CA93943
23-7098729 501(c)(3) 25,000       SPONSORSHIP
(46) A GIFT FOR TEACHING
6501 MAGIC WAY
ORLANDO,FL32809
59-3515162 501(c)(3) 21,000       SPONSORSHIP
(47) CANINE COMPANIONS FOR INDEPENDENCE INC
2965 DUTTON AVE
SANTA ROSA,CA95402
94-2494324 501(c)(3) 20,000       SPONSORSHIP
(48) ORANGE COUNTY CHILD SAFETY CENTER INC
910 FAIRVILLA RD
ORLANDO,FL32808
59-2898030 501(c)(3) 20,000       SPONSORSHIP
(49) THE CHRISTIAN SHARING CENTER INC
600 N HWY 17-92 STE 158
LONGWOOD,FL32750
59-2744535 501(c)(3) 20,000       SPONSORSHIP
(50) CENTRAL FLORIDA ZOOLOGICAL SOCIETY
3755 NW HWY 17-92
SANFORD,FL32771
59-1357197 501(c)(3) 20,000       SPONSORSHIP
(51) THE FRIENDS OF LEU GARDENS INC
1920 N FOREST AVE
ORLANDO,FL32803
59-2319239 501(c)(3) 20,000       SPONSORSHIP
(52) PROJECT SCHOLARS INC
PO BOX 121543
CLERMONT,FL34712
54-2079731 501(c)(3) 20,000       SPONSORSHIP
(53) ROBERTO CLEMENTE FOUNDATION CO
36A ROBERTO CLEMENTE STREET
SAN JUAN,PR00926
66-0811708 501(c)(3) 20,000       SPONSORSHIP
(54) LIFE CONCEPTS INC
1509 E COLONIAL DR
ORLANDO,FL32803
59-2013160 501(c)(3) 19,400       SPONSORSHIP
(55) WINTER PARK DAY NURSERY INC
741 S PENNSYLVANIA AVE
WINTER PARK,FL32789
59-0638506 501(c)(3) 17,000       SPONSORSHIP
(56) CENTER FOR INDEPENDENT LIVING IN CENTRAL FLORIDA INC
720 N DENNING DR
WINTER PARK,FL32789
59-1828770 501(c)(3) 15,000       SPONSORSHIP
(57) ORLANDO FAMILY STAGE
1001 E PRINCETON ST
ORLANDO,FL32803
59-1056385 501(c)(3) 15,000       SPONSORSHIP
(58) HOPE HELPS INC
812 EYRIE DR
OVIEDO,FL32765
20-8490916 501(c)(3) 15,000       SPONSORSHIP
(59) CENTRAL FLORIDA FAMILY HEALTH CENTER INC
4930 EAST LAKE MARY RD
SANFORD,FL327716012
59-1741286 501(c)(3) 15,000       SPONSORSHIP
(60) AMIKIDS PINELLAS INC
2220 62ND AVE SOUTH
ST PETERSBURG,FL33771
23-7228523 501(c)(3) 15,000       SPONSORSHIP
(61) COLLEGE PARK MAIN STREET INC
648 DARTMOUTH ST
ORLANDO,FL32804
23-7250533 501(c)(3) 13,000       SPONSORSHIP
(62) PAN AMERICAN MEDICAL ASSOCIATION OF CENTRAL FLORIDA
PO BOX 521943
ORLANDO,FL32752
20-1469047 501(c)(3) 12,500       SPONSORSHIP
(63) BLOOM & GROW GARDEN SOCIETY INC
PO BOX 97
OAKLAND,FL34760
57-1184124 501(c)(3) 12,500       SPONSORSHIP
(64) GARDEN THEATRE INC
160 WEST PLANT ST
WINTER GARDEN,FL34787
27-2577059 501(c)(3) 12,500       SPONSORSHIP
(65) RESCUE OUTREACH MISSION OF SANFORD INC
1701 HISTORIC GOLDSBORO BLVD
SANFORD,FL32771
59-2876415 501(c)(3) 12,000       SPONSORSHIP
(66) STRENGTHEN ORLANDO INC
400 S ORANGE AVE
ORLANDO,FL328013302
27-1964941 501(c)(3) 11,545       SPONSORSHIP
(67) BEARS WHO CARE INC
14102 ALDFORD DR
WINTER GARDEN,FL34787
27-1277339 501(c)(3) 11,500       SPONSORSHIP
(68) CENTRAL FLORIDA BLACK NURSES ASSOCIATION OF ORLANDO INC
PO BOX 585142
ORLANDO,FL32808
59-3288443 501(c)(3) 10,650       SPONSORSHIP
(69) RUNWAY TO HOPE
189 S ORANGE AVE STE 1800
ORLANDO,FL32801
27-3272616 501(c)(3) 10,500       SPONSORSHIP
(70) CHRISTIAN SERVICE CENTER FOR CENTRAL FLORIDA INC
808 W CENTRAL BLVD
ORLANDO,FL32805
59-1353031 501(c)(3) 10,000       SPONSORSHIP
(71) ORLANDO PHILHARMONIC ORCHESTRA INC
425 N BUMBY AVE
ORLANDO,FL32803
59-3058884 501(c)(3) 10,000       SPONSORSHIP
(72) JOHN LAND APOPKA COMMUNITY TRUST INC
PO BOX 1837
APOPKA,FL32704
90-0712301 501(c)(3) 10,000       SPONSORSHIP
(73) THE FOUNDATION FOR OSCELA EDUCATION INC
2310 NEW BEGINNINGS RD
KISSIMMEE,FL347448480
59-2960396 501(c)(3) 10,000       SPONSORSHIP
(74) SERVANTS HEART MINISTRY
6109 ANNO AVE
ORLANDO,FL32809
01-0612200 501(c)(3) 10,000       SPONSORSHIP
(75) FLORIDA ASSSOCIATION OF FREE AND CHARITABLE CLINICS
PO BOX 352658
PALM COAST,FL32135
46-3502696 501(c)(3) 10,000       SPONSORSHIP
(76) FLORIDA MEDICAL CLINIC FOUNDATION OF CARING INC
38135 MARKET SQUARE
ZEPYRHILLS,FL33542
20-2384178 501(c)(3) 10,000       SPONSORSHIP
(77) UNIVERSITY OF SOUTH FLORIDA FOUNDATION INC
4202 E FOWLER AVE
TAMPA,FL33620
59-0879015 501(c)(3) 10,000       SPONSORSHIP
(78) THE MUSTARD SEED OF CENTRAL FLORIDA
12 MUSTARD SEED LN
ORLANDO,FL32810
59-2906383 501(c)(3) 10,000       SPONSORSHIP
(79) IVY TEA ROSE INC
PO BOX 940808
MAITLAND,FL32794
20-3468250 501(c)(3) 10,000       SPONSORSHIP
(80) THE AMYOTROPHIC LATERAL SCLEROSIS ASSOCIATION
1300 WILSON BLVD
ARLINGTON,VA22209
13-3271855 501(c)(3) 9,200       SPONSORSHIP
(81) SENIORS FIRST INC
5395 LB MCLEOD RD
ORLANDO,FL32811
59-2759603 501(c)(3) 9,000       SPONSORSHIP
(82) NATIONAL DIVERSITY COUNCIL
PO BOX 590258
HOUSTON,TX772590258
71-1037612 501(c)(3) 8,400       SPONSORSHIP
(83) JDRF INTERNATIONAL INCORPORATED
1850 LEE RD STE 132
WINTER PARK,FL32789
23-1907729 501(c)(3) 8,000       SPONSORSHIP
(84) SCHOOL DISTRICT OF OSCEOLA COUNTY
1200 VERMONT AVE
ST CLOUD,FL34769
59-6000779 GOVERNMENT 7,500       SPONSORSHIP
(85) PANCREATIC CANCER ACTION NETWORK INC
1500 ROSECRANS AVE STE 200
MANHATTAN BEACH,CA90266
33-0841281 501(c)(3) 7,500       SPONSORSHIP
(86) NATIONAL MULTIPLE SCLEROSIS SOCIETY
733 THIRD AVE 3RD FL
NEW YORK,NY10017
13-5661935 501(c)(3) 7,500       SPONSORSHIP
(87) LAKELAND LEADS PARTNERSHIP INC
ONE LAKE MORTON DR
LAKELAND,FL33801
83-3380202 501(c)(3) 7,500       SPONSORSHIP
(88) COME OUT WITH PRIDE INC
424 E CENTRAL BLVD STE 415
ORLANDO,FL32801
26-4696702 501(c)(3) 7,000       SPONSORSHIP
(89) BIKE WALK CENTRAL FLORIDA INC
100 E PINE ST
ORLANDO,FL32801
46-1958502 501(c)(3) 7,000       SPONSORSHIP
(90) HABITAT FOR HUMANITY OF SEMINOLE COUNTY
PO BOX 181010
CASSELBERRY,FL32718
59-3034059 501(c)(3) 6,500       SPONSORSHIP
(91) GROW HEALTHY KIDS INC
419 S PARK AVE
SANFORD,FL32771
81-0912291 501(c)(3) 6,500       SPONSORSHIP
(92) CITY OF DAVENPORT
1 S ALLAPAHA AVE
DAVENPORT,FL33837
59-6018699 GOVERNMENT 6,250       SPONSORSHIP
(93) INTERNATIONAL MEDICAL OUTREACH INC
PO BOX 781823
ORLANDO,FL32878
27-2790647 501(c)(3) 6,100       SPONSORSHIP
(94) ST PETERSBURG FREE CLINIC INC
863 3RD AVE N
ST PETERSBURG,FL33701
23-7208280 501(c)(3) 6,000       SPONSORSHIP
(95) Orlando Health Medical Group Inc
1414 Kuhl Ave
Orlando,FL32806
59-3259553 501(c)(3) 337,937       PROGRAM SERVICES
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
95
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2023

Schedule I (Form 990) 2023
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) 2023



Additional Data


Software ID: 23017437
Software Version: 2023v6.0


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic Attach to Form 990.
medium right arrow graphic Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2023
Open to Public Inspection
Name of the organization
Orlando Health Inc
 
Employer identification number

59-1726273
Part I
Questions Regarding Compensation
Yes
No
1a
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.
b
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 .....
1b
Yes
 
2
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? ....
2
Yes
 
3
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.
4
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:
a
Receive a severance payment or change-of-control payment? .............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
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.
5
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:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
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:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
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 ............
7
 
No
8
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 ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2023

Schedule J (Form 990) 2023
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
(i) Base
compensation
(ii) Bonus & incentive
compensation
(iii) Other reportable compensation
1David W Strong
President & CEO
(i)

(ii)
2,215,953
-------------
0
5,376,227
-------------
0
581,687
-------------
0
369,615
-------------
0
36,023
-------------
0
8,579,505
-------------
0
556,755
-------------
0
2Aurelio Duran MD
Cardiac Electrophysiologist
(i)

(ii)
0
-------------
441,669
0
-------------
908,725
0
-------------
565,771
0
-------------
19,392
0
-------------
26,479
0
-------------
1,962,036
0
-------------
0
3Mark A Jones
Foundation SVP/Dir Capital Cam
(i)

(ii)
394,361
-------------
0
208,571
-------------
0
131,496
-------------
0
82,805
-------------
0
30,487
-------------
0
847,720
-------------
0
124,729
-------------
0
4Leslie Flake
Chief Financial Officer (Until July 2024)
(i)

(ii)
847,338
-------------
0
1,230,142
-------------
0
22,142
-------------
0
159,600
-------------
0
14,603
-------------
0
2,273,825
-------------
0
0
-------------
0
5Bernadette Spong
Interim Chief Financial Officer (As of July 2024)
(i)

(ii)
46,600
-------------
0
604,993
-------------
0
145,447
-------------
0
13,667
-------------
0
0
-------------
0
810,707
-------------
0
0
-------------
0
6Jamal A Hakim MD
Chief Physician Officer
(i)

(ii)
983,114
-------------
0
1,442,488
-------------
0
581,002
-------------
0
19,595
-------------
0
30,222
-------------
0
3,056,421
-------------
0
308,597
-------------
0
7Kelly Nierstedt
SVP, OH & President, ORMC
(i)

(ii)
666,374
-------------
0
341,181
-------------
0
98,746
-------------
0
125,793
-------------
0
1,863
-------------
0
1,233,957
-------------
0
93,226
-------------
0
8Thibaut Van Marcke De Lummen
SVP, OH SE Region & Pres, DPH
(i)

(ii)
550,701
-------------
0
287,652
-------------
0
89,587
-------------
0
106,088
-------------
0
39,570
-------------
0
1,073,598
-------------
0
70,346
-------------
0
9Stephen W Burriss
Chief Operating Officer
(i)

(ii)
503,135
-------------
0
1,145,780
-------------
0
81,895
-------------
0
16,500
-------------
0
10,445
-------------
0
1,757,755
-------------
0
0
-------------
0
10Karen L Frenier
SVP, HR & Chief Nurse Exec
(i)

(ii)
560,896
-------------
0
821,559
-------------
0
151,837
-------------
0
19,725
-------------
0
22,999
-------------
0
1,577,016
-------------
0
0
-------------
0
11Erick R Hawkins
Chief Admin Officer, OH
(i)

(ii)
764,703
-------------
0
1,098,341
-------------
0
181,724
-------------
0
136,494
-------------
0
14,740
-------------
0
2,196,002
-------------
0
148,335
-------------
0
12Gregory P Ohe
SVP, Ambu Svcs, Orlando Health
(i)

(ii)
455,503
-------------
0
673,649
-------------
0
220,282
-------------
0
18,291
-------------
0
25,181
-------------
0
1,392,906
-------------
0
102,031
-------------
0
13Ryan William Zika
General Counsel
(i)

(ii)
541,244
-------------
0
790,805
-------------
0
48,832
-------------
0
104,404
-------------
0
36,720
-------------
0
1,522,005
-------------
0
44,288
-------------
0
14George A Ralls
SVP, OH & Chief Med Officer
(i)

(ii)
544,994
-------------
0
805,450
-------------
0
67,845
-------------
0
106,967
-------------
0
36,720
-------------
0
1,561,976
-------------
0
62,301
-------------
0
Schedule J (Form 990) 2023

Schedule J (Form 990) 2023
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 Orlando Health may provide the following benefits to certain executives, officers, and board members when they are necessary to achieve Orlando Health's charitable mission objectives: first-class or charter travel; and/or travel for companions. Provision of any such benefits is predicated on compliance with the organization's policies, is subject to review and approval process, and is treated as taxable income to the individual where required under the Internal Revenue Code.
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), OHI WEST MEDICAL GROUP II, LLC (EIN: 92-3479126), OHRI, LLC (EIN: 47-2067699) 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 457(B) DEFERRED COMPENSATION PLAN: ELIGIBILITY TO PARTICIPATE IN THIS PLAN IS DETERMINED BY JOB CLASSIFICATION. THE PLAN ACCEPTS PRE-TAX EMPLOYEE CONTRIBUTIONS ONLY, AND THE AMOUNT OF THE CONTRIBUTION IS DETERMINED BY THE EMPLOYEE. PARTICIPANTS ARE AUTOMATICALLY VESTED IN THE PLAN, SINCE THERE ARE NO COMPANY CONTRIBUTIONS. THE TEAM MEMBER RETIREMENT PLAN OVERSIGHT COMMITTEE OVERSEES THE PLAN AND DETERMINES THE INVESTMENT OPTIONS WITH THE ASSISTANCE OF A THIRD-PARTY INVESTMENT ADVISORY FIRM. EXECU-FLEX 457(F) AND DIRECTOR/ADMIN 457(F) PLANS: ELIGIBILITY TO PARTICIPATE IN THESE PLANS IS DETERMINED BY JOB CLASSIFICATION. ANNUAL CONTRIBUTIONS TO THE PLAN OR PAYMENTS TO PARTICIPANTS WILL BE BASED ON A PERCENTAGE OF THE PARTICIPANT'S BASE SALARY AS OF NOVEMBER 1ST OF THE PRIOR PLAN YEAR. VESTING OCCURS FOR EACH ANNUAL CONTRIBUTION THREE YEARS AFTER THE CONTRIBUTION OCCURS. ONCE THE PARTICIPANT REACHES AGE 62, THEY ARE FULLY VESTED IN THE PLAN AND BEGIN TO RECEIVE ADDITIONAL WAGES IN LIEU OF CONTRIBUTIONS. THE TEAM MEMBER RETIREMENT PLAN OVERSIGHT COMMITTEE OVERSEES THE PLAN AND DETERMINES THE INVESTMENT OPTIONS WITH THE ASSISTANCE OF A THIRD-PARTY INVESTMENT ADVISORY FIRM. THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL QUALIFIED RETIREMENT PLAN. DEFERRAL DEPOSITS: DAVID W. STRONG $352,751 LESLIE FLAKE $143,100 ERICK R. HAWKINS $122,537 KELLY NIERSTEDT $109,375 THIBAUT VAN MARCKE DE LUMMEN $89,626 GEORGE A. RALLS $88,000 RYAN WILLIAM ZIKA $87,155 MARK A. JONES $59,678 DEFERRAL DISTRIBUTIONS MADE TO THE FOLLOWING: DAVID W. STRONG $556,755 JAMAL A. HAKIM MD $308,597 ERICK R. HAWKINS $148,335 MARK A. JONES $124,729 GREGORY P. OHE $102,031 KELLY NIERSTEDT $93,226 THIBAUT VAN MARCKE DE LUMMEN $70,346 GEORGE A. RALLS $62,301 RYAN WILLIAM ZIKA $44,288
Schedule J (Form 990) 2023

Additional Data


Software ID: 23017437
Software Version: 2023v6.0

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 , line 24a. Provide descriptions,
explanations, and any additional information in Part .
Attach to Form 990.

Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2023
Open to Public
Inspection
Name of the organization
Orlando Health Inc
 
Employer identification number
59-1726273
Part
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
Yes No Yes No Yes No
A ORANGE COUNTY HEALTH FACILITIES AUTHORITY
 
52-1378595 6845035U5 06-18-2008 179,360,000 SEE PART IV   X   X   X
B ORANGE COUNTY HEALTH FACILITIES AUTHORITY
 
52-1378595 68450LGA7 07-03-2019 157,946,198 SEE PART IV   X   X   X
C ORANGE COUNTY HEALTH FACILITIES AUTHORITY
 
52-1378595   09-15-2011 83,175,000 SEE PART IV   X   X   X
D ORANGE COUNTY HEALTH FACILITIES AUTHORITY
 
52-1378595 68450LER2 04-27-2016 276,195,917 SEE PART IV   X   X   X
ORANGE COUNTY HEALTH FACILITIES AUTHORITY
 
52-1378595 68450LGP4 01-15-2022 351,412,255 SEE PART IV   X   X   X
ORANGE COUNTY HEALTH FACILITIES AUTHORITY
 
52-1378595 68450LHL2 02-02-2023 333,743,161 SEE PART IV   X   X   X
Part
Proceeds
A B C D
1 Amount of bonds retired .................. 157,225,000 80,475,000   4,390,000
2 Amount of bonds legally defeased ..............        
3 Total proceeds of issue .................. 179,362,824 157,949,060 83,175,000 276,205,482
4 Gross proceeds in reserve funds .............        
5 Capitalized interest from proceeds .............        
6 Proceeds in refunding escrows ...............   157,946,198   136,747,879
7 Issuance costs from proceeds ............... 1,573,177   309,605 2,250,398
8 Credit enhancement from proceeds ............. 1,053,969      
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds ............. 348,345,022 332,646,794   70,645,200
11 Other spent proceeds ............. 176,732,854   82,865,395 66,552,440
12 Other unspent proceeds ............. 6,821,991 10,896,353    
13 Year of substantial completion ............. 2008 2019 2011 2016
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) 2023

Schedule K (Form 990) 2023
Page 2
Part
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 % 0.74 % 0.92 % 0.28 %
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 % 0.74 % 0.92 % 0.28 %
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
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 the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? ..... X     X X     X
Schedule K (Form 990) 2023

Schedule K (Form 990) 2023
Page 3
Part
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
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
Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).
Return Reference Explanation
Schedule K, Part I, Column (c) CUSIP # - Page 2 - ROW B Both CUSIPS, 68450LGP4 and 68450LGQ2, apply to the Issuer and Bond identified in row B.
Schedule K, Part I, Column (f) DESCRIPTION OF PURPOSE - PAGE 1, ROW D 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
Schedule K, Part I, Column (f) DESCRIPTION OF PURPOSE - PAGE 1, ROW C 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.
Schedule K, Part I, Column (f) DESCRIPTION OF PURPOSE - PAGE 1, ROW B Series 2019B Hospital Revenue Refunding Bonds Forward Delivery- Advance Refund 2009 Bonds and pay the costs of issuance of the 2019B Bonds.
Schedule K, Part I, Column (f) DESCRIPTION OF PURPOSE - PAGE 1, ROW A 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.
Schedule K, Part I, Column (f) DESCRIPTION OF PURPOSE - PAGE 2, ROW A 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 I, Column (f) DESCRIPTION OF PURPOSE - PAGE 2, ROW B Series 2023A Hospital Revenue Bonds - Finance the construction and equipping of health care facilities in Longwood, Lakeland, Health Central, South Lk and Downtown Orlando.
Schedule K, Part II, Line 3 DIFFERENCE BETWEEN PROCEEDS THE DIFFERENCE BETWEEN THE TOTAL PROCEEDS REPORTED ON LINE 3 AND THE ISSUE PRICE LISTED IN PART I, COLUMN (E) IS INVESTMENT EARNINGS.
Schedule K, Part IV, Line 2c COLUMN A Issuer name: ORANGE COUNTY HEALTH FACILITIES AUTHORITY The calculation for computing no rebate due was performed on 06/18/2023
Schedule K, Part IV, Line 2c COLUMN B Issuer name: ORANGE COUNTY HEALTH FACILITIES AUTHORITY The calculation for computing no rebate due was performed on 07/03/2024
Schedule K, Part IV, Line 2c COLUMN C Issuer name: ORANGE COUNTY HEALTH FACILITIES AUTHORITY The calculation for computing no rebate due was performed on 09/15/2021
Schedule K, Part IV, Line 2c COLUMN D Issuer name: ORANGE COUNTY HEALTH FACILITIES AUTHORITY The calculation for computing no rebate due was performed on 04/27/2021
Schedule K (Form 990) 2023

Additional Data


Software ID: 23017437
Software Version: 2023v6.0


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 , line 24a. Provide descriptions,
explanations, and any additional information in Part .
Attach to Form 990.

Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2023
Open to Public
Inspection
Name of the organization
Orlando Health Inc
 
Employer identification number
59-1726273
Part
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
Yes No Yes No Yes No
A ORANGE COUNTY HEALTH FACILITIES AUTHORITY
 
52-1378595 6845035U5 06-18-2008 179,360,000 SEE PART IV   X   X   X
B ORANGE COUNTY HEALTH FACILITIES AUTHORITY
 
52-1378595 68450LGA7 07-03-2019 157,946,198 SEE PART IV   X   X   X
C ORANGE COUNTY HEALTH FACILITIES AUTHORITY
 
52-1378595   09-15-2011 83,175,000 SEE PART IV   X   X   X
D ORANGE COUNTY HEALTH FACILITIES AUTHORITY
 
52-1378595 68450LER2 04-27-2016 276,195,917 SEE PART IV   X   X   X
ORANGE COUNTY HEALTH FACILITIES AUTHORITY
 
52-1378595 68450LGP4 01-15-2022 351,412,255 SEE PART IV   X   X   X
ORANGE COUNTY HEALTH FACILITIES AUTHORITY
 
52-1378595 68450LHL2 02-02-2023 333,743,161 SEE PART IV   X   X   X
Part
Proceeds
A B C D
1 Amount of bonds retired .................. 157,225,000 80,475,000   4,390,000
2 Amount of bonds legally defeased ..............        
3 Total proceeds of issue .................. 179,362,824 157,949,060 83,175,000 276,205,482
4 Gross proceeds in reserve funds .............        
5 Capitalized interest from proceeds .............        
6 Proceeds in refunding escrows ...............   157,946,198   136,747,879
7 Issuance costs from proceeds ............... 1,573,177   309,605 2,250,398
8 Credit enhancement from proceeds ............. 1,053,969      
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds ............. 348,345,022 332,646,794   70,645,200
11 Other spent proceeds ............. 176,732,854   82,865,395 66,552,440
12 Other unspent proceeds ............. 6,821,991 10,896,353    
13 Year of substantial completion ............. 2008 2019 2011 2016
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) 2023

Schedule K (Form 990) 2023
Page 2
Part
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 % 0.74 % 0.92 % 0.28 %
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 % 0.74 % 0.92 % 0.28 %
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
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 the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? ..... X     X X     X
Schedule K (Form 990) 2023

Schedule K (Form 990) 2023
Page 3
Part
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
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
Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).
Return Reference Explanation
Schedule K, Part I, Column (c) CUSIP # - Page 2 - ROW B Both CUSIPS, 68450LGP4 and 68450LGQ2, apply to the Issuer and Bond identified in row B.
Schedule K, Part I, Column (f) DESCRIPTION OF PURPOSE - PAGE 1, ROW D 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
Schedule K, Part I, Column (f) DESCRIPTION OF PURPOSE - PAGE 1, ROW C 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.
Schedule K, Part I, Column (f) DESCRIPTION OF PURPOSE - PAGE 1, ROW B Series 2019B Hospital Revenue Refunding Bonds Forward Delivery- Advance Refund 2009 Bonds and pay the costs of issuance of the 2019B Bonds.
Schedule K, Part I, Column (f) DESCRIPTION OF PURPOSE - PAGE 1, ROW A 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.
Schedule K, Part I, Column (f) DESCRIPTION OF PURPOSE - PAGE 2, ROW A 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 I, Column (f) DESCRIPTION OF PURPOSE - PAGE 2, ROW B Series 2023A Hospital Revenue Bonds - Finance the construction and equipping of health care facilities in Longwood, Lakeland, Health Central, South Lk and Downtown Orlando.
Schedule K, Part II, Line 3 DIFFERENCE BETWEEN PROCEEDS THE DIFFERENCE BETWEEN THE TOTAL PROCEEDS REPORTED ON LINE 3 AND THE ISSUE PRICE LISTED IN PART I, COLUMN (E) IS INVESTMENT EARNINGS.
Schedule K, Part IV, Line 2c COLUMN A Issuer name: ORANGE COUNTY HEALTH FACILITIES AUTHORITY The calculation for computing no rebate due was performed on 06/18/2023
Schedule K, Part IV, Line 2c COLUMN B Issuer name: ORANGE COUNTY HEALTH FACILITIES AUTHORITY The calculation for computing no rebate due was performed on 07/03/2024
Schedule K, Part IV, Line 2c COLUMN C Issuer name: ORANGE COUNTY HEALTH FACILITIES AUTHORITY The calculation for computing no rebate due was performed on 09/15/2021
Schedule K, Part IV, Line 2c COLUMN D Issuer name: ORANGE COUNTY HEALTH FACILITIES AUTHORITY The calculation for computing no rebate due was performed on 04/27/2021
Schedule K (Form 990) 2023

Additional Data


Software ID: 23017437
Software Version: 2023v6.0

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.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2023
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 THAT DELIVERS WORLD-CLASS MEDICAL CARE WHILE TRAINING OUR FUTURE HEALTHCARE PROVIDERS, ORLANDO HEALTH CONTINUES TO FOSTER GROWTH AND DEVELOPMENT ACROSS THE REGION. IN FY2024, OHI ANNOUNCED PLANS TO PARTNER WITH BAPTIST HEALTH AND EXPAND THE COMMUNITIES IT SERVES INTO CENTRAL ALABAMA. OUR SYSTEM IN FLORIDA 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 IN CENTRAL FLORIDA AND HOME TO THE AREA'S ONLY LEVEL ONE TRAUMA CENTER. FOR OVER 100 YEARS, ORLANDO HEALTH 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, ORLANDO HEALTH ORMC DELIVERS A COMPREHENSIVE CONTINUUM OF CARE FOR TRAUMA, CARDIOVASCULAR, STROKE, NEUROSCIENCE, ONCOLOGY, SURGERY, DIGESTIVE HEALTH, AND ORTHOPEDIC PATIENTS. IN ADDITION, ORLANDO HEALTH ORMC PROVIDES CENTRAL FLORIDA'S ONLY AIR AMBULANCE SERVICE AND IS ONE OF THE STATE'S MAJOR TEACHING HOSPITALS. THE 60 INPATIENT BEDS AT ORLANDO HEALTH CANCER INSTITUTE'S DOWNTOWN ORLANDO LOCATION AS WELL AS THE 75 PRIVATE INPATIENT ROOMS IN THE STATE'S FIRST ORTHOPEDIC SPECIALTY HOSPITAL AT ORLANDO HEALTH JEWETT ORTHOPEDIC INSTITUTE'S DOWNTOWN ORLANDO LOCATION ARE UNDER THE ORLANDO HEALTH ORMC UMBRELLA. 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, NEUROLOGY, 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 AND 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 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 2024, 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-BIRTHWEIGHT 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 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 MINIMALLY INVASIVE ROBOTIC SURGERY SYSTEMS. THE HOSPITAL ALSO INCLUDES CARDIOVASCULAR CARE AS A FULLY ACCREDITED CHEST PAIN CENTER AND HEART FAILURE PROGRAM, AND A DESIGNATED STROKE PROGRAM. 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. (FOR MORE INFORMATION ON THIS HOSPITAL AND ITS PROGRAM SERVICES, PLEASE SEE THE FORM 990 FOR ORLANDO HEALTH CENTRAL, INC.) 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. IN JANUARY 2025, THE ACUTE CARE HOSPITAL BEDS RELOCATED TO ORLANDO HEALTH LAKE MARY HOSPITAL. WITH THAT MOVE TO A NEW AND LARGER FACILITY, A LABOR AND DELIVERY DEPARTMENT WAS ADDED. 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. THE OPENING OF A NEW FIVE-STORY PATIENT TOWER ADDED MORE THAN 50 BEDS AND BROUGHT MORE ADVANCED CARE AND ADDITIONAL WOMEN'S HEALTH SERVICES TO THE LAKE COUNTY COMMUNITY, INCLUDING SPECIALTY PRACTICES LIKE THE CENTER FOR MATERNAL-FETAL MEDICINE, CENTER FOR UROGYNECOLOGY, CENTER FOR MINIMALLY INVASIVE GYNECOLOGIC SURGERY AND AN ORLANDO HEALTH CANCER INSTITUTE BREAST CARE CENTER. THESE COMPLEMENT EXISTING SERVICES FOR CARDIAC, ORTHOPEDICS, REHABILITATION, OUTPATIENT SURGERY, WOUND CARE, ROBOTIC SURGERY, DIAGNOSTIC IMAGING, HOME HEALTHCARE AND THE NATIONAL TRAINING CENTER, A SPORTS AND WELLNESS FACILITY. (FOR MORE INFORMATION ON THIS HOSPITAL AND ITS PROGRAM SERVICES, PLEASE SEE THE FORM 990 FOR SOUTH LAKE HOSPITAL, INC.) ORLANDO HEALTH ST. CLOUD HOSPITAL - LOCATED IN OSCEOLA COUNTY, FLORIDA, ORLANDO HEALTH ST. CLOUD IS A FULL-SERVICE, ACUTE CARE HOSPITAL THAT DELIVERS COMPREHENSIVE EMERGENCY, INPATIENT AND OUTPATIENT SERVICES, INCLUDING FOR OUTPATIENT REHABILITATION, WOUND HEALING AND HYPERBARIC TREATMENTS. 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 ONE OF THE HEALTHCARE SYSTEM'S NEWEST FACILITIES. IT OPENED IN JANUARY 2021 AS A FULL-SERVICE COMMUNITY HOSPITAL WITH A 23-BED EMERGENCY DEPARTMENT, MEDICAL OFFICES AND AN OUTPATIENT REHABILITATION SUITE. IN SEPTEMBER 2024, HORIZON WEST WAS NAMED A CERTIFIED PRIMARY STROKE CENTER BY THE JOINT COMMISSION. (FOR MORE INFORMATION ON THIS HOSPITAL AND ITS PROGRAM SERVICES, PLEASE SEE THE FORM 990 FOR ORLANDO HEALTH CENTRAL, INC.) ORLANDO HEALTH BAYFRONT HOSPITAL - SINCE OCTOBER 1, 2020, THE 480-BED ORLANDO HEALTH BAYFRONT HOSPITAL IN ST. PETERSBURG AND ITS ASSOCIATED HEALTHCARE OPERATIONS HAVE BEEN PART OF ORLANDO HEALTH. LOCATED IN PINELLAS COUNTY, FLORIDA, ORLANDO HEALTH BAYFRONT PROVIDES A FULL RANGE OF DIVERSE SERVICES AND IS HOME TO THE ONLY STATE-ACCREDITED LEVEL II ADULT TRAUMA CENTER IN THE COUNTY. 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 ACCREDITED EPILEPSY CENTER); SPORTS MEDICINE; SURGERY AND REHABILITATION. MORE THAN 600 PHYSICIANS ARE ON THE MEDICAL STAFF WITH SPECIALTIES RANGING FROM OPEN-HEART SURGERY TO FERTILITY TREATMENT. (FOR MORE INFORMATION ON THIS HOSPITAL AND ITS PROGRAM SERVICES, PLEASE SEE THE FORM 990 FOR OHI WEST, INC.)
Form 990, Part III, Line 4a CONTINUED ORLANDO HEALTH ADVANCED REHABILITATION INSTITUTE - CERTIFIED BY THE COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES (CARF) IN COMPREHENSIVE INTEGRATED INPATIENT REHABILITATION PROGRAMS FOR CHILDREN, ADOLESCENTS AND ADULTS, ORLANDO HEALTH ADVANCED REHABILITATION INSTITUTE'S 54-BED SPECIALTY HOSPITAL IN WEST ORANGE COUNTY OFFERS A SEAMLESS TRANSITION OF CARE. AVAILABLE PROGRAMS AND SERVICES ARE TAILORED TO PATIENTS REQUIRING MEDICAL AND INTENSIVE REHABILITATIVE CARE FOLLOWING STROKE, TRAUMATIC BRAIN INJURY, SPINAL CORD INJURY, MULTIPLE ORTHOPEDIC INJURIES, AMPUTATION AND VARIOUS OTHER COMPLEX NEUROLOGICAL CONDITIONS. ORLANDO HEALTH IS HONORED TO OFFER THE REGION'S ONLY LEVEL ONE TRAUMA CENTER; PINELLAS COUNTY'S ONLY STATE-ACCREDITED LEVEL II ADULT TRAUMA CENTER; THE AREA'S FIRST HEART PROGRAM; LONG-STANDING COMMUNITY HOSPITALS; SPECIALTY HOSPITALS DEDICATED TO CHILDREN, WOMEN AND BABIES, AND ADVANCED REHABILITATION; AND SPECIALTY INSTITUTES IN AESTHETIC AND RECONSTRUCTIVE SURGERY, CANCER, COLON AND RECTAL, DIGESTIVE HEALTH, HEART AND VASCULAR, NEUROSCIENCE, ORTHOPEDICS AND WEIGHT LOSS. OUR TECHNOLOGY AND ADVANCED MEDICAL TREATMENTS AND PROCEDURES, ALONG WITH OUR EXPERT STAFF, HAVE DISTINGUISHED ORLANDO HEALTH AS A HEALTHCARE LEADER, PROVIDING ACCESS TO MORE THAN 2.9 MILLION CENTRAL FLORIDA RESIDENTS . IN FY2024, APPROXIMATELY ONE IN FOUR CENTRAL FLORIDA RESIDENTS WAS CARED FOR BY ORLANDO HEALTH. THE HEALTH SYSTEM IS ONE OF CENTRAL FLORIDA'S LARGEST EMPLOYERS WITH APPROXIMATELY 36,000 EMPLOYEES AND NEARLY 5,000 ON-STAFF PHYSICIANS SUPPORTING OUR PHILOSOPHY OF PROVIDING A CONTINUUM OF CARE THAT REVOLVES AROUND PATIENTS' NEEDS. WE HAVE ALWAYS BEEN, AND ALWAYS WILL BE, FOCUSED ON ACHIEVING THE VERY BEST OUTCOMES FOR OUR PATIENTS AND DELIVERING THOSE THROUGH THE MOST COMPASSIONATE CARE. IN FY24, ORLANDO HEALTH DELIVERED CARE THROUGH ITS 11 HOSPITALS, INCLUDING THREE SPECIALTY HOSPITALS, AS WELL AS 8 FREE-STANDING ERS AND NUMEROUS OUTPATIENT CENTERS. IN ITS FISCAL YEAR ENDED SEPTEMBER 30, 2024, THE ORLANDO HEALTH HOSPITAL SYSTEM SERVED APPROXIMATELY 242,000 INPATIENTS, OVER 1 MILLION OUTPATIENTS, AND MORE THAN 572,000 ER VISITS . IN ACCORDANCE WITH OUR MISSION, ORLANDO HEALTH PROVIDED APPROXIMATELY $818 MILLION IN TOTAL VALUE TO THE COMMUNITIES IT SERVED IN FISCAL YEAR ENDED SEPTEMBER 30, 2024, 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 STATUTORY TEACHING HOSPITAL, ORLANDO HEALTH PROVIDES A GROWING LIST OF RESIDENCY AND FELLOWSHIP PROGRAMS THAT ANNUALLY TRAIN MORE THAN 350 FUTURE HEALTHCARE PROFESSIONALS. WE ARE ORLANDO'S HEALTHCARE AS THE PHYSICIANS, TEAM MEMBERS AND VOLUNTEERS OF ORLANDO HEALTH UNDERSTAND THAT HEALTHCARE EXTENDS BEYOND THE WALLS OF OUR FACILITIES, THEY OFTEN CONTRIBUTE TO THE COMMUNITY BY EDUCATING OTHERS AND PROVIDING PROGRAMS AND SERVICES. SOME OF OUR COMMUNITY PROGRAMS INCLUDE: COMMUNITY OUTREACH, SPEAKERS BUREAU, SUPPORT AND EDUCATION, COMMUNITY WELLNESS SCREENINGS, COMMUNITY HEALTH FAIRS, PASTORAL OUTREACH AND SPIRITUAL CARE. MANY OF THESE ACTIVITIES BRING LITTLE OR NO PAYMENT TO OUR SYSTEM BUT ARE CONTINUED BECAUSE THEY SUPPORT OUR MISSION AND PROVIDE VALUE TO THE COMMUNITY. COMMUNITY CLINICAL SUPPORT SERVICES ORLANDO HEALTH PROVIDES ACCESS TO PRIMARY CARE SERVICES THROUGHOUT OUR MARKET AREA. IN ADDITION, WE HAVE A LONG HISTORY OF SUPPORTING THE MISSIONS OF OTHER COMMUNITY ORGANIZATIONS THAT PROVIDE PRIMARY CARE ACCESS. THESE INCLUDE PRIMARY CARE ACCESS NETWORK; TRUE HEALTH; COMMUNITY HEALTH CENTERS, INC.; ORANGE BLOSSOM FAMILY HEALTH; ORANGE COUNTY HEALTH SERVICES; OSCEOLA COMMUNITY 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 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 2024, ORLANDO HEALTH ORMC SAW 6,751 TRAUMA CASES AND THE AIR CARE TEAM TRANSPORTED 421 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 2024, ORLANDO HEALTH ARNOLD PALMER SAW 1,275 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. ADDITIONALLY, ORLANDO HEALTH WINNIE PALMER RECEIVED THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL FOR ADVANCED CERTIFICATION IN PERINATAL CARE (ACPC). IN 2023, IT WAS AMONG ONLY 17 FACILITIES ACROSS THE COUNTRY - AND THE FIRST IN FLORIDA - TO EARN THIS RECOGNITION. THE HOWARD PHILLIPS CENTER FOR CHILDREN AND 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 2024, THE HOWARD PHILLIPS CENTER FOR CHILDREN AND FAMILIES SERVED MORE THAN 15,000 CHILDREN AND THEIR FAMILIES. RESEARCH RESEARCH IS A KEY COMPONENT IN MAKING ORLANDO HEALTH A STATE-OF-THE-ART HEALTHCARE SYSTEM IN CENTRAL FLORIDA. THE HUMAN RESEARCH PROTECTIONS PROGRAM HAS TWO INSTITUTIONAL REVIEW BOARDS OVERSEEING ALL RESEARCH UNDER OH. IN FY2024, OH INVESTED MORE THAN $3.3 MILLION IN RESEARCH INFRASTRUCTURE, WITH ADDITIONAL FUNDS CONSISTENTLY SECURED FOR ONGOING RESEARCH ACTIVITIES, ENSURING LEADING-EDGE TREATMENTS REMAIN AVAILABLE TO PATIENTS. WITH MORE THAN 1,000 ACTIVE STUDIES ACROSS ADULT AND PEDIATRIC POPULATIONS, ORLANDO HEALTH'S RESEARCH ENTERPRISE SPANS A BROAD SPECTRUM OF CLINICAL SPECIALTIES, INCLUDING ONCOLOGY, CARDIOLOGY, DIGESTIVE HEALTH, ENDOCRINOLOGY, INFECTIOUS DISEASE, NEUROLOGY, NEUROSURGERY, PULMONARY MEDICINE, BARIATRICS, OBSTETRICS AND GYNECOLOGY, MATERNAL-FETAL MEDICINE, NEONATAL INTENSIVE CARE, ORTHOPEDICS, UROLOGY, EMERGENCY MEDICINE AND TRAUMATIC BRAIN INJURY. MANY OF THESE TRIALS OFFER ACCESS TO INNOVATIVE THERAPIES THAT ARE OTHERWISE UNAVAILABLE IN THE REGION. RESEARCH IS ALSO A FOUNDATIONAL ELEMENT OF ORLANDO HEALTH'S GRADUATE MEDICAL EDUCATION (GME) PROGRAMS. RESEARCH TRAINING AND SCHOLARLY ACTIVITY ARE REQUIRED COMPONENTS FOR ACGME ACCREDITATION, AND ORLANDO HEALTH SUPPORTS THE RESEARCH EFFORTS OF MORE THAN 330 RESIDENTS AND FELLOWS ACROSS 26 ACGME-ACCREDITED PROGRAMS, AS WELL AS OVER 70 FACULTY INVESTIGATORS. ALL RESIDENCY AND FELLOWSHIP PROGRAMS MUST DEMONSTRATE EVIDENCE OF SCHOLARLY ACTIVITIES, CONSISTENT WITH THE SPONSORING INSTITUTION'S MISSIONS AND AIMS. THIS SCHOLARLY ACTIVITY MAY INCLUDE RESEARCH IN BASIC SCIENCE, EDUCATION, TRANSLATIONAL, SCIENCE, PATIENT CARE, POPULATION HEALTH, QUALITY IMPROVEMENT AND PATIENT SAFETY INITIATIVES. THIS INTEGRATED APPROACH ENSURES THAT FUTURE PHYSICIANS ARE EQUIPPED TO BOTH INTERPRET AND GENERATE CLINICAL EVIDENCE, REINFORCING ORLANDO HEALTH'S COMMITMENT TO ADVANCING CARE AND MEDICAL KNOWLEDGE. HEALTH EDUCATION AS A STATUTORY TEACHING HOSPITAL WITH 43 TRAINING PROGRAMS - 11 RESIDENCY AND 32 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.
Form 990, Part III, Line 4a CONTINUED 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 VULNERABLE, UNINSURED COMMUNITIES WITH FEW RESOURCES . 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 FY 2024, ORLANDO HEALTH PROVIDED $137,256,591 IN CHARITY CARE, AS WELL AS $109,401,514 IN COMMUNITY BENEFIT PROGRAMS AND SERVICES, AND $258,795,971 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 MATERNAL AND INFANT HEALTH ARE FOCAL POINTS FOR ORLANDO HEALTH DUE TO THE LONG-TERM EFFECTS OF COMPLICATIONS SUCH AS GESTATIONAL DIABETES OR LOW BIRTHWEIGHTS. SUPPORTING PROGRAMS AND SERVICES THAT IMPROVE THE HEALTH OF MOTHERS AND INFANTS HAS SHOWN 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 INCREASE ACCESS TO CARE, IMPROVE OBSTETRIC OUTCOMES AND REDUCE SEVERE MATERNAL MORBIDITY IN PREGNANT AND POSTPARTUM WOMEN. ELIGIBLE PATIENTS INCLUDE PREGNANT AND POSTPARTUM WOMEN 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 MORE. 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-BIRTHWEIGHT NEONATES. DURING FY 2024, MORE THAN 670 PATIENTS WERE CONSENTED INTO THE PROGRAM. OF THOSE, 607 WERE SCREENED FOR NON-MEDICAL FACTORS THAT INFLUENCED THEIR HEALTH AND 594 WERE SCREENED FOR MENTAL HEALTH NEEDS. BASED ON RESPONSES DURING THE SCREENINGS, MORE THAN 660 PATIENTS WERE REFERRED TO COMMUNITY PARTNERS FOR ADDITIONAL SUPPORT. SEVENTY-THREE PERCENT OF THOSE REFERRED ENROLLED IN SERVICES WITH A COMMUNITY PARTNER. IN ADDITION, MORE THAN 235 FAMILIES RECEIVED BIWEEKLY FOOD DELIVERIES IN RESPONSE TO SCREENING POSITIVE FOR FOOD INSECURITY. THE PROGRAM WILL CONTINUE TO PROVIDE SUPPORT TO VULNERABLE PREGNANT WOMEN IN THE NEXT FISCAL YEAR. OF THOSE CONSENTED, 1,071 WERE SCREENED FOR SOCIAL DRIVERS OF HEALTH, AND 1,201 WERE SCREENED FOR MENTAL HEALTH NEEDS. BASED ON RESPONSES DURING THE SCREENINGS, MORE THAN 345 PATIENTS WERE REFERRED TO COMMUNITY PARTNERS FOR ADDITIONAL SUPPORT. SIXTY PERCENT OF THOSE REFERRED ENROLLED IN SERVICES WITH A COMMUNITY PARTNER. IN ADDITION, MORE THAN 350 FAMILIES RECEIVED BIWEEKLY FOOD DELIVERIES IN RESPONSE TO SCREENING POSITIVE FOR FOOD INSECURITY. THE PILOT PROGRAM WILL CONTINUE TO PROVIDE SUPPORT TO VULNERABLE PREGNANT WOMEN IN FY 2024. ADDITIONALLY, THE ORLANDO HEALTH COMMUNITY BENEFIT TEAM IDENTIFIED AN OPPORTUNITY TO SUPPORT THE EXPANSION OF THE MIDWIFE BUS PROGRAM IN ORANGE AND LAKE COUNTIES. THE MIDWIFE BUS PROVIDES PRE- AND POST-NATAL SERVICES TO UNINSURED OR UNDERINSURED PREGNANT WOMEN IN ORANGE AND LAKE COUNTIES. THE MIDWIFE BUS PARTNERS WITH ORLANDO HEALTH WINNIE PALMER HOSPITAL FOR WOMEN AND BABIES AND ORLANDO HEALTH SOUTH LAKE HOSPITAL TO REFER PATIENTS FOR DELIVERY AND INFANT CARE. RECENT FUNDING PROVIDED TO THE MIDWIFE BUS SUPPORTED THE PURCHASE AND RENOVATION OF AN ADDITIONAL BUS INTO A MOBILE MIDWIFERY CLINIC. HOWEVER, IN FALL OF 2023, THE ORIGINAL BUS AND PRIMARY MIDWIFERY CLINIC BECAME INOPERABLE. THE SECOND BUS, WHICH WAS SUPPORTED BY THIS FUNDING, BECAME THE PRIMARY AND ONLY MIDWIFE BUS CLINIC. IN FY2024, THE MIDWIFE BUS PROVIDED 155 CLIENT VISITS TO WOMEN IN ORANGE COUNTY. THE MIDWIFE BUS SUPPORTED 41 BIRTHS. OF THOSE 41 BIRTHS, 97 PERCENT WERE BABIES WITH APGAR SCORES FROM 7 TO 10, AND 98 PERCENT OF THE BABIES WERE BORN FULL TERM AND AT A HEALTHY BIRTHWEIGHT OF MORE THAN 5 POUNDS 8 OUNCES. ORLANDO HEALTH WILL CONTINUE TO WORK WITH PROGRAMS LIKE THE MIDWIFE BUS TO MAKE MEANINGFUL IMPROVEMENTS IN MATERNAL HEALTHCARE. CONFRONTING THE OPIOID CRISIS CONTINUING TO RESPOND TO THE OVERWHELMING NUMBER OF CENTRAL FLORIDA RESIDENTS DYING FROM DRUG OVERDOSES, ORLANDO HEALTH ORMC'S OPIOID OUTREACH COORDINATOR ASSESSES PATIENTS WHO PRESENT IN THE EMERGENCY ROOM WITH A POSSIBLE OVERDOSE. IN 2017, ORANGE COUNTY WAS 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 ORMC, 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. 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. THE OPIOID OUTREACH COORDINATOR ALSO WORKS WITH CAREER SOURCE TO IDENTIFY PATIENTS WHO ARE READY TO RE-ENTER THEIR COMMUNITY AND WORKFORCE THROUGH JOB SKILLS TRAINING AND EMPLOYMENT. IN FY2024, THE OPIOID OUTREACH COORDINATOR ASSESSED 902 PATIENTS. OF THOSE SEEN, 437 RECEIVED A REFERRAL TO FOLLOW-UP CARE OR TREATMENT, AND 285 PATIENTS INITIATED THE PROCESS TO BEGIN MEDICATION-ASSISTED TREATMENT.
Form 990, Part III, Line 4a CONTINUED RESPONDING TO THE MENTAL HEALTH CRISIS IN FY2024, ORLANDO HEALTH CONTINUED RESPONDING TO AN IDENTIFIED NEED FOR ENHANCED MENTAL HEALTHCARE THROUGH A MENTAL HEALTH FIRST AID TRAINING PROGRAM. THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IDENTIFIED MENTAL HEALTH AS ONE OF THE TOP COMMUNITY NEEDS IN CENTRAL FLORIDA. IN ALL COUNTIES, SURVEY RESPONDENTS RANKED MENTAL HEALTH PROBLEMS, INCLUDING SUICIDE, AMONG THE TOP TWO NEEDS TO ADDRESS IN THEIR COMMUNITY. ONE WAY ORLANDO HEALTH ADDRESSED THE ISSUE WAS BY IMPLEMENTING A TRAINING PROGRAM THAT HELPS ONLOOKERS LEARN SKILLS TO ASSIST SOMEONE IN A MENTAL HEALTH CRISIS. THIS TRAINING IS FREE OF CHARGE TO COMMUNITY MEMBERS EITHER IN PERSON OR VIRTUALLY. THE CURRICULUM IS PROVIDED THROUGH THE NATIONAL COUNCIL OF MENTAL WELLBEING. IT IS DESIGNED FOR BYSTANDERS WHO MAY HAVE LITTLE TO NO MEDICAL TRAINING BUT MAY BE ABLE TO PROVIDE INITIAL SUPPORT TO SOMEONE IN MENTAL HEALTH CRISIS UNTIL THEY ARE CONNECTED WITH APPROPRIATE PROFESSIONAL HELP. THROUGH COMMUNITY-SPECIFIC SCENARIOS, ACTIVITIES AND VIDEOS, COURSE PARTICIPANTS LEARN COMMON SIGNS AND SYMPTOMS OF MENTAL HEALTH AND SUBSTANCE USE CHALLENGES, HOW TO INTERACT WITH A PERSON IN CRISIS AND HOW TO CONNECT A PERSON TO HELP AND RESOURCES IN THE COMMUNITY. SINCE LAUNCHING IN MAY 2023, WE HAVE ESTABLISHED FOUR MENTAL HEALTH FIRST AID TRAINERS AT ORLANDO HEALTH. WE HAVE TAUGHT 21 CLASSES TO 235 PARTICIPANTS. OF THOSE PARTICIPANTS WHO ATTENDED CLASS, MORE THAN 80% SAY THEY ARE MORE AWARE OF MENTAL HEALTH RESOURCES THAN PRIOR TO TAKING THE COURSE. TO ADDRESS MENTAL HEALTH CHALLENGES WITHIN THE COMMUNITY'S YOUTH POPULATION, ORLANDO HEALTH PARTNERED WITH BREAKTHROUGH ORANGE TO PROVIDE MENTAL HEALTH FIRST AID TO INDIVIDUALS WHO ENGAGE WITH THOSE 17 YEARS OLD AND YOUNGER. SINCE LAUNCHING, 3 CLASSES HAVE BEEN PROVIDED TO 20 INDIVIDUALS. OF THOSE WHO ATTENDED TRAINING, MORE THAN 80% STATED THEY ARE MORE AWARE OF MENTAL HEALTH RESOURCES THAN PREVIOUSLY. CONNECTING THE COMMUNITY TO ESSENTIAL RESOURCES TO SUPPORT BETTER ACCESS TO CARE THROUGH COMMUNITY COLLABORATION, ORLANDO HEALTH IN FY2024 BEGAN THE PROCESS OF ONBOARDING FINDHELP, AN ONLINE REFERRAL SYSTEM THAT SEAMLESSLY CONNECTS OUR COMMUNITY WITH ESSENTIAL SOCIAL AND HEALTH SERVICES, INCLUDING FINANCIAL ASSISTANCE, FOOD PANTRIES, MEDICAL CARE AND OTHER FREE OR REDUCED-COST RESOURCES. WITH THE INTEGRATION OF FINDHELP INTO THE HEALTHCARE SYSTEM'S ELECTRONIC HEALTH RECORD, OUR PHYSICIANS AND TEAM MEMBERS NOW HAVE EASY ACCESS TO FINDHELP'S EXTENSIVE NETWORK OF PROGRAMS AND RESOURCES - EMPOWERING THEM TO PROVIDE COMPREHENSIVE SUPPORT FOR EVERY PATIENT AND ENHANCING HEALTHCARE QUALITY, SAFETY AND PATIENT SATISFACTION. THE RESOURCE WILL BE INTRODUCED TO TEAM MEMBERS THROUGH A PHASED ROLLOUT IN FY2025. DURING THAT TIME, WE WILL BEGIN EVALUATING THE NUMBER OF SEARCHES CONDUCTED AND THE NUMBER OF REFERRALS MADE THROUGH THE PLATFORM. MAKING LONG-TERM LIFESTYLE CHANGES ENHANCING THE HEALTH AND QUALITY OF LIFE OF CENTRAL FLORIDIANS IS THE FOCUS OF THE ORLANDO HEALTH CENTER FOR HEALTH IMPROVEMENT LOCATED AT THE ORLANDO HEALTH MEDICAL PAVILION - HORIZON WEST. UTILIZING EVIDENCE-BASED BEST PRACTICES, THE TEAM IDENTIFIES AN INDIVIDUAL'S DISEASE RISKS AND PROVIDES PERSONALIZED HEALTH SUPPORT FOR LONG-TERM LIFESTYLE CHANGES. PROGRAM PARTICIPATION IS OFFERED AT NO COST TO THOSE WHO DEMONSTRATE AN APPROPRIATE LEVEL OF READINESS FOR CHANGE AND MOTIVATION FOR SUCCESS. A PHYSICIAN-LED TEAM PROVIDES HEALTH-IMPROVEMENT CONSULTATIONS, EDUCATION, WORKSHOPS AND HEALTH COACHING FOR A VARIETY OF AREAS. COMMUNITY PARTNERSHIPS THE TRUE VALUE OF COMMUNITY BENEFIT IS DERIVED NOT ONLY 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 380 COMMUNITY ORGANIZATIONS AND BY PROVIDING 8,852 BOARD MEMBER, COMMITTEE MEMBER AND ADVISORY BOARD MEMBER HOURS. IN FY 2024, ORLANDO HEALTH DEVELOPED NEW AND ENHANCED EXISTING COMMUNITY BENEFIT PROGRAMS TO IMPROVE ACCESS TO CARE. ORLANDO HEALTH PROVIDED OVER $505 MILLION IN COMMUNITY BENEFIT IN FY 2024. IN SUPPORT OF OUR COMMUNITY BENEFIT EFFORTS, WE RECOGNIZE THE IMPORTANCE OF WORKING WITH COMMUNITY ORGANIZATIONS. THE ORLANDO HEALTH COMMUNITY GRANT PROGRAM, SUPPORTED 20 GRANT PROPOSALS IN FY 2024, AND THE HEALTHCARE SYSTEM CONTINUED TO ACTIVELY COLLABORATE WITH ADDITIONAL LOCAL ORGANIZATIONS AND GROUPS TO MAKE A DIFFERENCE IN THE HEALTH AND QUALITY OF LIFE IN CENTRAL FLORIDA. 1. ORLANDO HEALTH PARTNERED WITH GRACE MEDICAL HOME TO PROVIDE FUNDING FOR ITS HEALING BY OFFERING POSSIBILITIES AND ENCOURAGEMENT PROGRAM (HOPE). THIS PROGRAM FOCUSES ON PROVIDING WHOLE-PATIENT CARE THAT IDENTIFIES A PATIENT'S TOXIC TRAUMA AND OFFERS INDIVIDUALIZED INTERVENTIONS THROUGH A MULTI-DISCIPLINARY APPROACH IN A MEDICAL HOME SETTING. PART OF THIS FUNDING ENABLED GRACE MEDICAL TO HIRE A CLINICAL COUNSELOR, GIVING PATIENTS INCREASED ACCESS TO MENTAL HEALTH COUNSELING AND RESOURCES TO RESOLVE ISSUES ASSOCIATED WITH TOXIC STRESS. FOLLOWING THE SCREENING FOR ADVERSE CHILDHOOD EXPERIENCES (ACES), CLIENTS RECEIVE SERVICES SUCH AS MENTAL HEALTH COUNSELING, MENTORING, PARENTING CLASSES, NUTRITION PROGRAMS AND SPIRITUAL CARE. DURING FY2024, 83 CHILDREN WERE SCREENED FOR ACES AND 47 WERE REFERRED INTO THE PROGRAM. OF THOSE 47 REFERRALS, 18 HAVE MET WITH A MENTAL HEALTH COUNSELOR AND MORE THAN 900 COUNSELING SESSIONS HAVE BEEN PROVIDED TO NEW AND EXISTING PATIENTS. THIS PROGRAM WILL CONTINUE THROUGH FY2025. ADDITIONALLY, ORLANDO HEALTH PARTNERED WITH GRACE MEDICAL HOME TO HELP FUND ITS ACCESS TO AFFORDABLE MENTAL HEALTH COUNSELING PROGRAM. THIS PROGRAM PROVIDES ACCESS TO AFFORDABLE HEALTHCARE AND MENTAL HEALTH SERVICES FOR LOW-INCOME, UNINSURED RESIDENTS OF ORANGE COUNTY AND INCLUDES COUNSELING, MEDICATION MANAGEMENT, AND CASE MANAGEMENT. IN FY 2024, THIS PROGRAM PROVIDED ACCESS TO 223 INDIVIDUALS. OF THESE INDIVIDUALS, 12 REFERRALS WERE MADE TO THEIR PSYCHIATRIC APRN WITH A TOTAL OF 35 APPOINTMENTS COMPLETED. THIS PROGRAM ALSO RESULTED IN 74 REFERRALS MADE TO A MENTAL HEALTH COUNSELOR AND 265 APPOINTMENTS MADE TO A MENTAL HEALTH COUNSELOR. 2. TO ADDRESS ACCESS TO CARE, THE ORLANDO HEALTH COMMUNITY BENEFIT TEAM PARTNERED WITH PATHWAY HOMES OF FLORIDA. THE HOMELESS TO HOME - KEY TO ACCESS TO MENTAL AND PHYSICAL HEALTHCARE PROGRAM FOCUSES ON INCREASING INCOME AND ACCESS OF HEALTHCARE FOR INDIVIDUALS WHO WERE FORMERLY OR CURRENTLY EXPERIENCING HOMELESSNESS. IN THE PROGRAM, CASE MANAGERS SUPPORT CLIENTS APPLYING FOR SOCIAL SECURITY INCOME AND MEDICARE OR MEDICAID BENEFITS. ONCE OBTAINED, INDIVIDUALS ARE CONNECTED TO MEDICAL, SOCIAL, AND/OR EMPLOYMENT SERVICES. IN FY2024, 15 INDIVIDUALS RECEIVED SUPPORT APPLYING FOR SOCIAL SECURITY DISABILITY INSURANCE (SSDI). EVEN THOUGH THE PROCESS TO BE APPROVED FOR SSDI IS LENGTHY, FIVE INDIVIDUALS WERE APPROVED FOR SSDI AND THREE ARE IN THE PROCESS OF APPEALING THEIR SSDI DECISION. ALL 15 OF THE INDIVIDUALS WHO APPLIED FOR SSDI WERE CONNECTED TO A MEDICAL HOME AND ARE ACTIVELY SEEKING PRIMARY CARE FROM THEIR MEDICAL HOME. ELEVEN INDIVIDUALS GAINED ACCESS TO INSURANCE AS A RESULT OF THE PROGRAM - SIX RECEIVING MEDICAID AND FIVE RECEIVING MEDICARE. ORLANDO HEALTH WILL CONTINUE TO SUPPORT THE HOMELESS TO HOME - KEY TO ACCESS TO MENTAL AND PHYSICAL HEALTHCARE PROGRAM FOR RESIDENTS OF ORANGE COUNTY. 3. IN FY2024, ORLANDO HEALTH CONTINUED ITS FUNDING TO THE COALITION FOR THE HOMELESS OF CENTRAL FLORIDA TO INCREASE ACCESS TO CARE FOR FAMILIES AND INDIVIDUALS EXPERIENCING HOMELESSNESS. THE PROGRAM PROVIDES HEALTH SCREENINGS FOR NEW SHELTER GUESTS, FACILITATES REFERRALS FOR MEDICAL CARE, EDUCATES SHELTER GUESTS AND STAFF ON HEALTH- AND WELLNESS-RELATED TOPICS, AND TRAINS CASE MANAGERS IN MENTAL HEALTH FIRST AID. IN FY2024, 1,063 SHELTER GUEST RECEIVED A HEALTH AND WELLNESS SCREENING. FOLLOWING THE SCREENING, 140 SHELTER GUESTS WERE CONNECTED TO A LOCAL FEDERALLY QUALIFIED HEALTH CENTER. OF THOSE 140, 109 INDIVIDUALS ATTENDED THEIR APPOINTMENTS TO ESTABLISH A MEDICAL HOME. ORLANDO HEALTH WILL CONTINUE TO PARTNER WITH THE COALITION FOR THE HOMELESS OF CENTRAL FLORIDA TO INCREASE ACCESS TO CARE FOR INDIVIDUALS EXPERIENCING HOMELESSNESS. 4. IN FY2024, ORLANDO HEALTH ST. CLOUD HOSPITAL PROVIDED FUNDING TO OSCEOLA COMMUNITY HEALTH SERVICES TO INCREASE ACCESS TO PRIMARY HEALTHCARE MEDICAL, BEHAVIORAL/MENTAL HEALTH AND DENTAL SERVICES FOR THE HOMELESS AND THOSE LIVING IN MOTELS WHO WOULD BE OTHERWISE HOMELESS. OSCEOLA COMMUNITY HEALTH SERVICES OPERATES TWO FULLY EQUIPPED MOBILE UNITS, ONE FOR PRIMARY MEDICAL AND BEHAVIORAL/MENTAL HEALTH SERVICES AND ANOTHER FOR DENTAL SERVICES. DURING FY2024, 571 HOMELESS PATIENTS RECEIVED CARE THROUGH A TOTAL OF 1,505 WELLNESS VISITS. OF THOSE VISITS, 794 WERE FOR MEDICAL CARE, 518 FOR DENTAL CARE AND 193 FOR MENTAL HEALTHCARE.
Form 990, Part III, Line 4a CONTINUED 5. IN 2022, ORLANDO HEALTH ORMC 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 ORLANDO HEALTH ORMC. FUNDING PROVIDED BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES AND SUB-AWARDED TO ORLANDO HEALTH SUPPORTS THIS PROGRAM THROUGH MARCH 2025. 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. IN FY2024, MORE THAN 1,900 HIV TESTS WERE PERFORMED, 76 PATIENTS RECEIVED POSITIVE HIV RESULTS THROUGH TESTING AND 21 PATIENTS ATTENDED THEIR FIRST HIV APPOINTMENT. IN ADDITION TO THESE CASES, THE HIV OUTREACH COORDINATOR LINKED TO MEDICAL CARE 37 KNOWN HIV PATIENTS WHO WERE NOT SEEKING TREATMENT AT THE TIME. 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 FOOD AND NUTRITION PROGRAMS SUCH AS THESE: 1. THROUGH THE COLLABORATIVE HUNGER PREVENTION PROJECT, ORLANDO HEALTH ASSISTS IN CONNECTING FOOD INSECURE HOUSEHOLDS WITH THE NUTRITIOUS FOOD THEY NEED. A PORTION OF THE FUNDING ENSURES MORE THAN 1,600 LOCAL STUDENTS AND THEIR FAMILIES HAVE ACCESS TO NUTRITIOUS FOOD DURING THE ACADEMIC YEAR. THE SECOND PORTION OF THE PROJECT PROVIDES HEALTHY FOOD RESOURCES AND LINKAGES TO OTHER COMMUNITY RESOURCES FOR ORANGE BLOSSOM FAMILY HEALTH PATIENTS WHO HAVE BEEN DIAGNOSED WITH DIABETES AND ARE EXPERIENCING FOOD INSECURITY. ORANGE BLOSSOM FAMILY HEALTH IDENTIFIES PATIENTS EXPERIENCING DIABETES, A CHRONIC DIET-RELATED ILLNESS, AND SCREENING THEM FOR FOOD INSECURITY. PATIENTS WHO MEET INCLUSION CRITERIA RECEIVE HEALTHY FOOD BOXES FROM SECOND HARVEST FOOD BANK OF CENTRAL FLORIDA DELIVERED ON A BI-WEEKLY BASIS FOR UP TO 6 MONTHS VIA THE BRING HOPE HOME PROGRAM MODEL. EMERGENCY FOOD BOXES CONTAINING SHELF-STABLE ITEMS ARE AVAILABLE IN THE DIABETES CLINIC FOR IMMEDIATE PATIENT NEEDS. THE PROGRAM LAUNCHED IN FY 2024. FROM MAY TO SEPTEMBER 2024, 351 ORANGE BLOSSOM FAMILY HEALTH PATIENTS WITH DIABETES WERE SCREENED FOR FOOD INSECURITY. AS A RESULT, 227 HOUSEHOLDS WERE REFERRED TO A COMMUNITY HEALTH WORKER (CHW) TO PROVIDE WRAPAROUND SUPPORT. ONE HUNDRED AND NINE OF THE HOUSEHOLDS REFERRED TO THE COMMUNITY HEALTH WORKER WERE THEN ENROLLED IN THE BRING HOPE HOME FOOD DELIVERY PROGRAM. THOSE 109 HOUSEHOLDS REPRESENTED 367 INDIVIDUALS WHO RECEIVED FOOD SUPPORT. A TOTAL OF 617 FOOD BOXES FILLED WITH 8,250 POUNDS OF FOOD WERE DELIVERED TO PATIENTS EXPERIENCING FOOD INSECURITY. WE LOOK FORWARD TO SHARING ADDITIONAL OUTCOMES IN OUR NEXT UPDATE. 2. ORLANDO HEALTH ARNOLD PALMER HOSPITAL FOR CHILDREN CONTINUES TO SPONSOR A TEACHING GARDEN AND NUTRITION PROGRAM AT ORANGE CENTER ELEMENTARY IN THE STRUGGLING 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 IN KEEPING WITH ITS MISSION TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND COMMUNITIES IT SERVES, ORLANDO HEALTH IS COMMITTED TO CONSISTENTLY DELIVERING THE HIGHEST QUALITY CARE FOR ADULT AND PEDIATRIC PATIENTS AT ALL LEVELS OF MEDICAL COMPLEXITY. IN THIS WAY, THE ORGANIZATION DEMONSTRATES NOT ONLY ITS CORE VALUES BUT HOW IT ELEVATES THE LIVES OF ITS PATIENTS. EXAMPLES OF ORLANDO HEALTH'S CONTINUOUS IMPROVEMENT EFFORTS INCLUDE: DEDICATED LEADERSHIP RESOURCES FOCUSED ON QUALITY OUTCOMES EACH ORLANDO HEALTH HOSPITAL QUALITY TEAM IS LED BY AN ONSITE CHIEF QUALITY OFFICER (CQO) OR CHIEF MEDICAL OFFICER (CMO). THESE EXPERIENCED PHYSICIANS AND ADVANCED PRACTITIONERS OVERSEE REVIEWS OF EVERY MORTALITY, COMPLICATION, AND SERIOUS SAFETY EVENT AT THEIR RESPECTIVE CAMPUS. THESE CLINICAL EXECUTIVES ALSO ARE RESPONSIBLE FOR ACTIVELY IDENTIFYING CARE GAPS AND IMPLEMENTING SOLUTIONS TO ENSURE OUTCOMES ARE OPTIMIZED. AS AN EXAMPLE, AGGRESSIVE AND WELL-COORDINATED CORRECTIVE ACTIONS IMPLEMENTED AT EVERY SITE IN RESPONSE TO HEALTHCARE ASSOCIATED INFECTIONS (HAI) HAS RESULTED IN WORLD-CLASS PERFORMANCE IN REDUCING THIS AVOIDABLE COMPLICATION OF CARE. ADDITIONALLY, SYSTEM-LEVEL RESOURCES HELP ENSURE A STANDARDIZED AND SYSTEMATIC ASSESSMENT OF QUALITY PERFORMANCE ACROSS ALL ORLANDO HEALTH CARE TEAMS. THE DEVELOPMENT OF SHARED AND FOCUSED IMPROVEMENT PLANS IN PARTNERSHIP WITH THE ONSITE QUALITY LEADERS DELIVERS BETTER CARE FOR OUR PATIENTS AND THEIR FAMILIES. CLOSING GAPS OF CARE INVESTMENTS IN STRATEGIES THAT CLOSE THE GAPS OF CARE FOR OUR PATIENTS HAVE RESULTED IN PROGRAMS SUCH AS HOUSE CALLS, REMOTE PATIENT MONITORING SERVICES, ASSISTANCE WITH TRANSPORTATION NEEDS, EVER-EXPANDING TELEHEALTH SERVICES AND CONDITION-SPECIFIC INITIATIVES FOR PATIENTS AT A HIGHER RISK FOR POOR HEALTH OUTCOMES. THESE NEWER PROGRAMS ARE THE LATEST EXAMPLES OF HOW ORLANDO HEALTH REACHES BEYOND THE "BASICS" OF QUALITY CLINICAL CARE TO FIND CREATIVE SOLUTIONS THAT ADDRESS HEALTHCARE GAPS WITHIN OUR COMMUNITIES. COMMITMENT TO REDUCING AVOIDABLE MORTALITY MORTALITY RATE IS A CRITICAL MEASURE OF QUALITY OF CARE IN ACUTE CARE SETTINGS. ORLANDO HEALTH HOSPITALS CONTINUE TO SHOW EXCEPTIONAL PERFORMANCE IN ALL-CAUSE INPATIENT MORTALITY AND CONTINUALLY IMPROVING PERFORMANCE IN DISEASE-SPECIFIC, 30- DAY MORTALITY MEASURES WHEN COMPARED TO PEER ORGANIZATIONS. SYSTEMWIDE EFFORTS TO REDUCE MORTALITY ARE COORDINATED BY A CORPORATE QUALITY TEAM THAT WORKS CLOSELY WITH EACH SITE'S QUALITY LEADERSHIP. ALL MORTALITIES ARE REVIEWED FOR OPPORTUNITIES FOR IMPROVEMENT, RESULTING IN SIGNIFICANT CLINICAL AND OPERATIONAL ENHANCEMENTS. ONE EXAMPLE IS THE IMPLEMENTATION OF IMPROVED EARLY WARNING SYSTEMS THAT ALERT CLINICIANS ABOUT DETERIORATION OF A PATIENT'S CONDITIONS BEFORE ADDITIONAL CONSEQUENCES ENSUE. THIS EFFORT ENABLES EARLIER INTERVENTION AND HAS DIRECTLY IMPACTED MORTALITY MEASURES AT ALL SITES. FOCUS ON REDUCING HEALTHCARE ASSOCIATED INFECTIONS (HAI) A MULTI-YEAR, SYSTEMWIDE CAMPAIGN TO REDUCE HAIS HAS SIGNIFICANTLY REDUCED THESE HARM EVENTS ACROSS ORLANDO HEALTH HOSPITALS. TO DATE, ORLANDO HEALTH HOSPITALS ARE AMONG THE TOP PERFORMERS IN THE COUNTRY IN AVOIDING HAIS, REDUCING MORBIDITY FOR PATIENTS AND UNNECESSARY COSTS OF CARE. TO REACH THIS GOAL, THE ORGANIZATION DEVELOPED BEST-PRACTICE PREVENTION BUNDLES FOR EACH INFECTION TYPE, CLOSELY MONITORED PROCESS AND OUTCOME MEASURES, INCREASED AWARENESS OF HAI OCCURRENCES ACROSS ALL LEVELS OF LEADERSHIP, AND COMMUNICATED OPPORTUNITIES FOR IMPROVEMENT IN A SYSTEMATIC WAY. THIS ENABLED ALL SITES TO PROACTIVELY IMPLEMENT SOLUTIONS TO COMMON PROBLEMS OCCURRING BEYOND THEIR DIRECT SCOPE OF RESPONSIBILITY. ENGAGEMENT OF THE MEDICAL STAFF ACROSS THE ORGANIZATION TO SUPPORT QUALITY IMPROVEMENT AS THE VISIBLE CLINICAL LEADERS IN ANY HEALTHCARE SETTING, PHYSICIANS ON THE FRONTLINE AND IN LEADERSHIP POSITIONS ARE CRITICAL TO DELIVERING THE BEST CARE POSSIBLE. ORLANDO HEALTH HAS ACTIVELY ENGAGED ITS MEDICAL STAFF IN NUMEROUS EFFORTS TO IMPROVE OUTCOMES, ENVISION MORE EFFECTIVE AND EFFICIENT CLINICAL PROCESSES, AND DEVELOP SOLUTIONS FOR COMPLEX PROBLEMS. RECENT RESTRUCTURING OF THE PHYSICIAN PEER REVIEW PROCESS NOW MORE HEAVILY RELIES ON MEDICAL STAFF MEMBERS APPOINTED TO SITE-SPECIFIC AND SYSTEM-LEVEL COMMITTEES TO REVIEW AND ADDRESS QUALITY CONCERNS INVOLVING OTHER MEDICAL STAFF MEMBERS. ADDITIONALLY, PHYSICIAN LEADERS ARE PRINCIPAL MEMBERS OF CLINICAL AND OPERATIONAL WORKGROUPS TO ADDRESS PROBLEMS SUCH AS REDUCING AVOIDABLE READMISSIONS, REVIEWING MORTALITIES, IMPLEMENTING NEW MEDICAL DEVICES, AND OPTIMIZING INFORMATION TECHNOLOGIES TO IMPROVE CARE. THIS LEVEL OF ENGAGEMENT IS A DIRECT RESULT OF THE CLOSE AND MUTUALLY SUPPORTIVE RELATIONSHIP BETWEEN THE ORLANDO HEALTH MEDICAL STAFF AND ADMINISTRATIVE LEADERSHIP.
Form 990, Part III, Line 4a CONTINUED ACHIEVING RECOGNITION FOR QUALITY FROM TOP-TIER EXTERNAL ORGANIZATIONS ACROSS A SPECTRUM OF SERVICES AND FACILITIES, ORLANDO HEALTH HAS BEEN RECOGNIZED BOTH LOCALLY AND NATIONALLY WITH A VARIETY OF AWARDS. THE FOLLOWING ARE EXAMPLES OF RECENT AWARDS AND DESIGNATIONS: ORLANDO HEALTH HOSPITALS RECEIVED TOP-50 NATIONAL RANKINGS IN CARDIOLOGY, HEART AND VASCULAR SURGERY, AND DIABETES AND ENDOCRINOLOGY FOR 2024-2025 FROM U.S. NEWS & WORLD REPORT. IN ADDITION TO THESE TWO PROGRAMS, ORLANDO HEALTH ORMC, ORLANDO HEALTH SOUTH SEMINOLE AND ORLANDO HEALTH DR. P. PHILLIPS RANKED NATIONALLY IN FOUR SPECIALTIES: GASTROENTEROLOGY AND GI SURGERY, GERIATRICS, PULMONOLOGY AND LUNG SURGERY, AND UROLOGY. ORLANDO HEALTH ORMC, ORLANDO HEALTH SOUTH SEMINOLE AND ORLANDO HEALTH DR. P. PHILLIPS ALSO EARNED DESIGNATIONS AS REGIONAL BEST HOSPITALS AND NATIONALLY HIGH-PERFORMING HOSPITALS FOR 2024-2025 FROM U.S. NEWS & WORLD REPORT. ORLANDO HEALTH RATED HIGH PERFORMING IN 11 CATEGORIES: AORTIC VALVE SURGERY; CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD); COLON CANCER SURGERY; GYNECOLOGIC CANCER SURGERY; HEART ATTACK; HEART BYPASS SURGERY; HEART FAILURE; KIDNEY FAILURE; KNEE REPLACEMENT; LEUKEMIA, LYMPHOMA AND MYELOMA; AND LUNG CANCER SURGERY. FOR THE 15TH 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 CHILDREN'S HOSPITAL IN ORLANDO, WITH TOP 50 DESIGNATIONS IN FIVE PEDIATRIC SPECIALTIES FOR 2024-2025: PEDIATRIC AND ADOLESCENT BEHAVIORAL HEALTH, PEDIATRIC DIABETES AND ENDOCRINOLOGY, PEDIATRIC NEUROLOGY AND NEUROSURGERY, NEONATOLOGY, AND PEDIATRIC PULMONOLOGY AND LUNG SURGERY. ONLY 88 CHILDREN'S HOSPITALS IN THE NATION WERE RANKED IN AT LEAST ONE OF THE 11 PEDIATRIC SPECIALTIES U.S. NEWS & WORLD REPORT EVALUATES. THE PATIENT-SAFETY ADVOCATES AT THE LEAPFROG GROUP HONORED FIVE ORLANDO HEALTH HOSPITALS WITH TOP HOSPITAL AWARDS FOR 2024. ORLANDO HEALTH - HEALTH CENTRAL HOSPITAL, ORLANDO HEALTH ORMC, ORLANDO HEALTH SOUTH LAKE HOSPITAL AND ORLANDO HEALTH WINNIE PALMER HOSPITAL FOR WOMEN AND BABIES WERE NAMED AMONG 75 TOP TEACHING HOSPITALS, AND ORLANDO HEALTH ARNOLD PALMER HOSPITAL FOR CHILDREN WAS ONE OF ONLY EIGHT HOSPITALS IN THE NATION NAMED A TOP CHILDREN'S HOSPITAL. 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. THE AMERICAN HEART ASSOCIATION (AHA) RECOGNIZED SIX ORLANDO HEALTH HOSPITALS FOR CONSISTENTLY FOLLOWING THE MOST UP-TO-DATE, RESEARCH-BASED GUIDELINES FOR THE TREATMENT OF STROKE. IN 2024, ORLANDO HEALTH BAYFRONT HOSPITAL, ORLANDO HEALTH DR. P. PHILLIPS, ORLANDO HEALTH - HEALTH CENTRAL, ORLANDO HEALTH ORMC, ORLANDO HEALTH SOUTH LAKE AND ORLANDO HEALTH SOUTH SEMINOLE RECEIVED AHA'S GET WITH THE GUIDELINES STROKE GOLD PLUS ACHIEVEMENT AWARDS WITH ORLANDO HEALTH BAYFRONT EARNING 10-YEAR RECOGNITION. THESE HOSPITALS ARE RECOGNIZED FOR 85% OR HIGHER ADHERENCE ON ALL ACHIEVEMENT MEASURES APPLICABLE AND 75% OR HIGHER ADHERENCE WITH ADDITIONAL SELECT QUALITY MEASURES IN STROKE FOR TWO OR MORE CONSECUTIVE CALENDAR YEARS. ADDITIONALLY, THESE HOSPITALS EARNED TARGET: TYPE 2 DIABETES HONOR ROLL RECOGNITION FOR PROVIDING THE MOST UP-TO-DATE, EVIDENCE-BASED CARE FOR PATIENTS WITH TYPE 2 DIABETES WHO ARE HOSPITALIZED WITH HEART FAILURE, HEART ATTACK OR STROKE. AS OF OCTOBER 31, 2024, ORLANDO HEALTH HAD 28 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. ORLANDO HEALTH WAS HONORED BY THE AMERICAN MEDICAL ASSOCIATION (AMA) AS A JOY IN MEDICINE RECOGNIZED ORGANIZATION AT THE SILVER LEVEL FOR DEMONSTRATING A COMMITMENT TO PRESERVING THE WELL-BEING OF PHYSICIANS THROUGH PROVEN EFFORTS TO COMBAT WORK-RELATED STRESS AND BURNOUT. THE PRESTIGIOUS AMA DESIGNATION, WHICH IS VALID FOR TWO YEARS, WAS GRANTED TO ONLY 72 ORGANIZATIONS IN 2023. FOR THE FIFTH CONSECUTIVE YEAR, ORLANDO HEALTH HAS BEEN NAMED AMONG THE 150 TOP PLACES TO WORK IN HEALTHCARE FOR 2024 BY BECKER'S HEALTHCARE. THE NATIONAL LIST, PUBLISHED IN BECKER'S HOSPITAL REVIEW, FEATURES ORGANIZATIONS COMMITTED TO PROMOTING WORK-LIFE BALANCE AND BOOSTING TEAM MEMBER ENGAGEMENT. THE LIST MADE SPECIAL NOTE OF ORLANDO HEALTH'S ADOPTION AND FERTILITY ASSISTANCE, PARENTAL LEAVE, TUTORING, CONTINUING EDUCATION BENEFITS, WELLNESS PERKS AND WELLNESS OPPORTUNITIES FOR PHYSICAL AND MENTAL HEALTH. BECKER'S ALSO HIGHLIGHTED ORLANDO HEALTH'S COMMITMENT TO SHARING FINANCIAL ACHIEVEMENTS WITH TEAM MEMBERS WHO PARTICIPATE IN AN ANNUAL INCENTIVE BONUS PROGRAM DEPENDENT ON THE ACHIEVEMENT OF KEY ORGANIZATIONAL GOALS. ORLANDO HEALTH WAS SELECTED AS AN ORLANDO SENTINEL TOP WORKPLACE FOR 2024, 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 - PROCESS TO DETERMINE COMPENSATION 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 Family/business relationships amongst interested persons JAMAL HAKIM MD, LESLIE FLAKE, AND THIBAUT VAN MARCKE DE LUMMEN - Business relationship
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 patient revenue - Total Revenue: XXX-XX-XXXX, Related or Exempt Function Revenue: XXX-XX-XXXX, Unrelated Business Revenue: 1305489, 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 - 25664706; OTHER CHANGES AND EXTRAORDINARY ITEMS - -1186000; NET ASSETS RELEASED FROM RESTRICTIONS - -16939000; NET REALIZED/ UNREALIZED GAINS IN RESTRICTED FUNDS - 5758375; OTHER BOOK/TAX ADJUSTMENTS - 434988;
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2023


Additional Data


Software ID: 23017437
Software Version: 2023v6.0
SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2023
Open to Public Inspection
Name of the organization
Orlando Health Inc
 
Employer identification number

59-1726273
Part I
Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(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 136,568,025 139,620,218 OHI
 
(2) OHRI LLC
1414 KUHL AVENUE
ORLANDO,FL32806
47-2067699
IMAGING SVCS FL 34,795,780 29,877,611 OHI
 
(3) HEALTHCARE CAPTIVE LLC
101 SOUTH TRYON STREET SUITE 2700
CHARLOTTE,NC28280
88-1312254
CAPTIVE INS NC 449,624 120,818,530 OHI
 






Part II
Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(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?
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
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2023
Schedule R (Form 990) 2023
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(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


Yes No Yes No
(1) ORLANDO HEALTH VENTURES I LLC

1414 KUHL AVENUE MP2
Orlando,FL32806
84-5099351
INVESTMENTS FL OHI
 
Excluded -1,978,376 9,942,043   No     No 94.12 %
(2) Orlando Health Ventures II LLC

1414 KUHL AVENUE MP2
Orlando,FL32806
88-2697867
INVESTMENTS FL OHI
 
Excluded 119,138 74,366,343   No     No 98.04 %










Part IV
Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) HEALTHNET SERVICES INC & SUBS

1414 KUHL AVENUE
ORLANDO,FL32806
59-2246203
MEDICAL SVCS FL OHI
 
C Corporation 45,771,962 375,439,730 100 % Yes  












Schedule R (Form 990) 2023
Schedule R (Form 990) 2023
Page 3
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) ............................
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
Yes
 
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
Yes
 
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
Yes
 
s Other transfer of cash or property from related organization(s) ............................
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1) SHC Owner LLC

A 1,156,817 FMV
(2) Orlando Health Medical Group Inc

B 337,937 FMV
(3) Orlando Health Foundation Inc

C 11,721,210 FMV
(4) Orlando Health Ventures II LLC

B 25,000,000 FMV
(5) SHC Owner LLC

D 9,017,117 FMV
(6) Jewett Orthopedic Institute Surgery Center LLC

J 3,124,109 FMV
(7) Lakeview Surgery Center LLC

J 418,410 FMV
(8) OHI West Inc

J 3,681,140 FMV
(9) Orlando Extremity Surgery Center LLC

J 82,562 FMV
(10) Orlando Health Medical Group Inc

J 46,343,975 FMV
(11) Orlando Physicians Network Inc

J 9,741,991 FMV
(12) Rinehart Surgery Center LLC

J 635,038 FMV
(13) South Lake Hospital Inc

J 5,050,162 FMV
(14) Summerport Surgery Center LLC

J 635,431 FMV
(15) Orlando Health Central Inc

K 2,628,696 FMV
(16) South Lake Hospital Inc

K 129,151 FMV
(17) Orlando Health Central Inc

L 499,585 FMV
(18) South Lake Hospital Inc

L 453,124 FMV
(19) Orlando Health Medical Group Inc

M 1,408,794 FMV
(20) Orlando Health Foundation Inc

N 2,818,227 FMV
(21) OHI West Inc

O 166,451,781 FMV
(22) Orlando Health Central Inc

O 122,792,933 FMV
(23) Orlando Health Foundation Inc

O 6,598,561 FMV
(24) Orlando Health Medical Group Inc

O 883,017,603 FMV
(25) Orlando Physicians Network Inc

O 99,372,323 FMV
(26) South Lake Hospital Inc

O 111,086,160 FMV
(27) Jewett Orthopedic Institute Surgery Center LLC

P 5,525,278 FMV
(28) Healthnet Services Inc

Q 3,039,871 FMV
(29) OHI West Inc

Q 181,408,281 FMV
(30) Orlando Health Central Inc

Q 123,344,261 FMV
(31) Orlando Health Foundation Inc

Q 5,936,619 FMV
(32) Orlando Health Medical Group Inc

Q 117,275,765 FMV
(33) Orlando Health Physician Partners Inc

Q 1,848,250 FMV
(34) Orlando Physicians Network Inc

Q 34,533,108 FMV
(35) South Lake Hospital Inc

Q 156,718,131 FMV
(36) OHI West Inc

R 1,750,000 FMV
(37) Orlando Health Medical Group Inc

R 465,207,990 FMV
(38) Orlando Health Physician Partners Inc

R 5,700,000 FMV
(39) Orlando Physicians Network Inc

R 47,900,000 FMV
(40) Healthnet Services Inc

S 12,252,780 FMV
Schedule R (Form 990) 2023
Schedule R (Form 990) 2023
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(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


Yes No Yes No Yes No






























Schedule R (Form 990) 2023
Schedule R (Form 990) 2023
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. See instructions.
Return Reference Explanation
Schedule R (Form 990) 2023

Additional Data


Software ID: 23017437
Software Version: 2023v6.0