SOUTH LAKE HOSPITAL INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: SOUTH LAKE HOSPITAL INC (EIN 59-3322533)
Tax period: 2020-10-01 to 2021-09-30
Filed: 2022-08-09
IRS object ID: 202222219349301772
Schema version: 2020v4.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-08-09T14:54:57-05:00	ReturnTs
Tax Period End	2021-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	201 N FRANKLIN ST STE 2400	AddressLine1Txt
City	TAMPA	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	33602	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	593322533	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	South Lake Hospital Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% LESLIE FLAKE	InCareOfNm
Business Name Control	SOUT	BusinessNameControlTxt
Phone	3523944071	PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Leslie Flake	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	3218415078	PhoneNum
Signature	2022-08-08	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	Leslie	PersonFirstNm
Person Last	Flake	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MELANIE A MCPEAK	PreparerPersonNm
PTIN	P01346034	PTIN
Phone	8132254950	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	LESLIE FLAKE	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1414 KUHL AVENUE	AddressLine1Txt
City	ORLANDO	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	32806	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$377,967,922	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SOUTHLAKEHOSPITAL.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1995	FormationYr
Legal Domicile State	FL	LegalDomicileStateCd
Activity Or Mission	TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND COMMUNITIES IN SOUTH LAKE COUNTY.	ActivityOrMissionDesc
Voting Members Governing Body	6	VotingMembersGoverningBodyCnt
Voting Members Independent	2	VotingMembersIndependentCnt
Total Employee	1421	TotalEmployeeCnt
Total Volunteers	792	TotalVolunteersCnt
Total Gross UBI	$1,302,854	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$10,147,439	PYContributionsGrantsAmt
CY Contributions Grants	$64,760	CYContributionsGrantsAmt
PY Program Service Revenue	$276,326,149	PYProgramServiceRevenueAmt
CY Program Service Revenue	$325,023,524	CYProgramServiceRevenueAmt
PY Investment Income	$6,489,784	PYInvestmentIncomeAmt
CY Investment Income	$9,309,764	CYInvestmentIncomeAmt
PY Other Revenue	$1,316,642	PYOtherRevenueAmt
CY Other Revenue	$1,153,475	CYOtherRevenueAmt
PY Total Revenue	$294,280,014	PYTotalRevenueAmt
CY Total Revenue	$335,551,523	CYTotalRevenueAmt
PY Grants And Similar Paid	$449,689	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$92,727	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$126,146,323	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$126,206,477	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$125,971,698	PYOtherExpensesAmt
CY Other Expenses	$150,883,989	CYOtherExpensesAmt
PY Total Expenses	$252,567,710	PYTotalExpensesAmt
CY Total Expenses	$277,183,193	CYTotalExpensesAmt
PY Revenues Less Expenses	$41,712,304	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$58,368,330	CYRevenuesLessExpensesAmt
Total Assets BOY	$523,847,395	TotalAssetsBOYAmt
Total Assets EOY	$570,107,480	TotalAssetsEOYAmt
Total Liabilities BOY	$163,128,178	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$135,172,777	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$360,719,217	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$434,934,703	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND COMMUNITIES IN SOUTH LAKE COUNTY.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$273,451,581	ExpenseAmt
Grant	$92,727	GrantAmt
Revenue	$325,027,297	RevenueAmt
Desc	OPERATION OF NOT-FOR-PROFIT HOSPITAL PROVIDING INPATIENT, OUTPATIENT, & EMERGENCY CARE FOR RESIDENTS OF SOUTHERN LAKE COUNTY FLORIDA. THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. TOTAL PATIENT DAYS FOR THE FISCAL YEAR WERE OVER 56,000. INCREASING ACCESS TO CARE LIBBY'S LEGACY: ORLANDO HEALTH SOUTH LAKE HOSPITAL PARTNERED WITH LIBBY'S LEGACY THROUGH THE ORLANDO HEALTH COMMUNITY GRANT PROGRAM TO SUPPORT ITS SAVING AND CHANGING LIVES INITIATIVE. UTILIZING THEIR CANCER SCREENING AND MAMMOGRAM ACCESS PROJECT, LIBBY'S LEGACY DELIVERS MOBILE MAMMOGRAPHY SERVICES TO INDIVIDUALS IN UNDERSERVED COMMUNITIES, PROVIDES THEM WITH A DIAGNOSIS, THEN FOLLOWS UP WITH CONTINUED CARE AND EDUCATION. FROM FEBRUARY TO SEPTEMBER 2021, THIS PROGRAM PROVIDED SCREENINGS TO 519 CLIENTS. OF THE PATIENTS WHOSE RESULTS INDICATED AN ABNORMALITY, 100 PERCENT HAD A FOLLOW-UP CARE APPOINTMENT SCHEDULED WITHIN TWO WEEKS. ALL PATIENTS SEEN ALSO RECEIVED EDUCATION ABOUT THEIR DIAGNOSIS, AND, AS A RESULT, 88 PERCENT INCREASED THEIR OVERALL UNDERSTANDING OF BREAST HEALTH. CENTRAL FLORIDA HOPE CENTER - MOBILE CENTER: THE MISSION OF THE CENTRAL FLORIDA HOPE CENTER IS TO UNIFY COMMUNITIES TO MAKE LIFE-GIVING SOLUTIONS ACCESSIBLE TO EVERYDAY PEOPLE. THE CENTER'S GOAL IS TO PROVIDE ALL OF THE RESOURCES AVAILABLE AT THE OTHER LOCATIONS VIA A MOBILE UNIT THAT ELIMINATES TRANSPORTATION BARRIERS. THE MOBILE HOPE CENTER DOES NOT HAVE WALLS AND IS NOT LIMITED BY GEOGRAPHY AS THEY GO TO AREAS IDENTIFIED WITH NEED AND PROVIDE NUTRITIONAL ALTERNATIVES FOR MEALS, HEALTH SCREENINGS AND A PATHWAY TO A BETTER LIFE. FAITH NEIGHBORHOOD: THE GOAL OF THIS PROGRAM IS TO PROVIDE FRESH PRODUCE, DAIRY PRODUCTS, FRESH MEATS, VEGETABLES AND OTHER NEEDED NUTRITIOUS FOODS TO THE COMMUNITY. DURING FISCAL YEAR 2021, THERE WERE FOUR FOOD DROPS, FEEDING APPROXIMATELY 8,000 INDIVIDUALS, WITH MORE THAN 146,000 POUNDS OF FOOD PROVIDED. DURING THIS TIME, FAITH TRANSITIONED FROM FOOD DROPS TO A FOOD PANTRY TO ENCOURAGE CLIENTS TO COME INTO THE CENTER TO RECEIVE ADDITIONAL RESOURCES, SUCH AS ASSISTANCE WITH FOOD STAMP AND MEDICAID APPLICATIONS, MEDICAL ASSISTANCE, COMPUTER TRAINING AND JOB TRAINING. THEIR FOOD PANTRY SERVED OVER 11,631 FAMILIES, IMPACTING MORE THAN 44,082 INDIVIDUALS BY PROVIDING 1,272,271 POUNDS OF FOOD. NEW BEGINNINGS OF CENTRAL FLORIDA: THIS PROGRAM AIMS TO PROVIDE HOUSING, FOOD, CLOTHING, PROFESSIONAL COUNSELING, SOCIAL SERVICES AND EDUCATION FOR UNDERSERVED, HOMELESS, FOOD INSECURE, POVERTY-STRICKEN INDIVIDUALS LIVING IN LAKE COUNTY. THEY OFFER SEVERAL PROGRAMS THAT EMPOWER RESIDENTS TO ACHIEVE ECONOMIC STABILITY THROUGH HOUSING, JOB AND LIFE-SKILL CLASSES, EMERGENCY GROCERIES AND MORE. FROM OCTOBER 2020 TO SEPTEMBER 2021, 11 RESIDENTS IN NEW BEGINNINGS' TRANSITIONAL HOUSING RECEIVED COUNSELING. NINETY-TWO FAMILIES PRESENTED WITH EMERGENCY NEEDS, FOR WHICH NEW BEGINNINGS PROVIDED OVER $9,500. EMERGENCY FOOD TOTALING 1,888 BOXES PROVIDED RELIEF TO 85 NEW BEGINNINGS' FAMILIES. RESPONDING TO A PANDEMIC - COVID-19 FROM THE ONSET OF THE COVID-19 PUBLIC HEALTH EMERGENCY, ORLANDO HEALTH HAS REFLECTED ITS CORE MISSION TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND COMMUNITIES WE SERVE. WITH A LEVEL ONE TRAUMA CENTER AND A SAFETY NET HOSPITAL, ORLANDO HEALTH QUICKLY BECAME A FOCAL POINT AND COMMUNITY RESOURCE FOR CENTRAL FLORIDA'S RESPONSE TO THE PANDEMIC. SINCE JANUARY 2020, THE HEALTHCARE SYSTEM HAS DEVELOPED ALGORITHMS, DEVISED PROTOCOLS AND DELIVERED LIFESAVING CARE THAT PROTECTED ITS PATIENTS, VISITORS, TEAM MEMBERS AND COMMUNITIES. LIKE MANY HEALTHCARE SYSTEMS ACROSS THE UNITED STATES, ORLANDO HEALTH CONTINUES TO EXPERIENCE AND RESPOND TO OPERATIONAL AND FINANCIAL CHALLENGES RELATED TO THE CURRENT OUTBREAK OF COVID-19. SINCE MARCH 2020, ORLANDO HEALTH HAS BEEN TRACKING DAILY THE NUMBER OF COVID-19 INPATIENTS. THE HIGHEST NUMBER OF COVID-19 INPATIENTS WAS DURING THE DELTA VARIANT SURGE IN AUGUST AND SEPTEMBER 2021, PEAKING AT 760 INPATIENTS ON AUGUST 20, 2021, REPRESENTING NEARLY A THIRD OF TOTAL INPATIENTS. THE CORONAVIRUS AID, RELIEF AND ECONOMIC SECURITIES (CARES) ACT PROVIDER RELIEF FUND WAS SIGNED INTO LAW TO PROVIDE TEMPORARY AND LIMITED RELIEF TO INDIVIDUALS AND BUSINESSES IMPACTED BY THE COVID-19 OUTBREAK, INCLUDING THE APPROPRIATION OF FUNDS FOR HEALTHCARE PROVIDERS FOR REIMBURSEMENT OF EXPENSES AND LOST REVENUE ATTRIBUTABLE TO COVID-19. THROUGH SEPTEMBER 30, 2021, ORLANDO HEALTH HAD RECEIVED DISTRIBUTIONS OF APPROXIMATELY $83 MILLION UNDER THE CARES ACT PROVIDER RELIEF FUND. THE HEALTHCARE SYSTEM HAS TAKEN NUMEROUS STEPS IN RESPONSE TO THE COVID-19 PANDEMIC THAT REFLECT ITS ORGANIZATIONAL CULTURE. WHAT FOLLOWS ARE BUT A FEW OF THE MANY WAYS ORLANDO HEALTH INNOVATED AND ADAPTED AS IT FACED COVID-19. CARING FOR PATIENTS: TO CARE FOR PATIENTS IN ITS HOSPITALS AND OUTPATIENT CENTERS, ORLANDO HEALTH DEVISED A MULTIPRONGED APPROACH THAT INCLUDES INSTITUTING SAFETY MEASURES TO LIMIT THE SPREAD OF THE VIRUS WITHIN ITS FACILITIES. EMERGENCY MEDICINE PHYSICIANS AND DISASTER-RESPONSE EXPERTS ENGAGED TO PREPARE FOR PATIENT SURGES TO KEEP UP WITH SUPPLY AND WORKFORCE DEMANDS. THE HEALTHCARE SYSTEM ALSO ESTABLISHED TESTING CENTERS FOR PATIENTS AT SELECT LOCATIONS. AS VACCINES BECAME AVAILABLE, ORLANDO HEALTH STOOD UP SEVERAL VACCINATION SITES FOR COMMUNITY MEMBERS AND TEAM MEMBERS. BY SEPTEMBER 30, 2021, THE ORGANIZATION HAD ADMINISTERED APPROXIMATELY 132,000 VACCINATIONS. KEEPING PATIENTS AND TEAM MEMBERS SAFE: ORLANDO HEALTH'S SUPPLY CHAIN TEAM CONTINUES TO WORK DILIGENTLY TO SECURE NEEDED SUPPLIES FROM TRUSTED AND VETTED SOURCES, AND ENSURE ALL HOSPITALS IN THE ORGANIZATION ARE TRACKING SUPPLIES AT EACH SITE AND ROUTING EQUIPMENT AND SUPPLIES WHERE THEY ARE MOST NEEDED. ON A DAILY BASIS, SUPPLY CHAIN MANAGEMENT REVIEWS CRITICAL SUPPLIES SUCH AS PERSONAL PROTECTIVE EQUIPMENT (PPE), DIAGNOSTIC TESTING PRODUCTS AND EQUIPMENT TO MANAGE ANTICIPATED VOLUMES. THE HEALTHCARE SYSTEM MAINTAINS OVER 150 DAYS ON HAND OF KEY PPE, INCLUDING MASKS, GOWNS AND GLOVES. MANAGEMENT BELIEVES IT HAS A SUFFICIENT SUPPLY OF PPE TO MEET ITS CURRENT NEEDS BUT EXPECTS CONTINUED HIGH DEMAND. MAINTAINING AN ENGAGED WORKFORCE: AS THE PANDEMIC CONTINUED, ORLANDO HEALTH FACED CONTINUING PRESSURES ON ITS NURSE STAFFING, WHICH ACCOUNTS FOR MORE THAN 20% OF THE TEAM MEMBER POPULATION. SIMILAR TO OTHER HEALTHCARE SYSTEMS ACROSS THE NATION, ORLANDO HEALTH HAD A VOLUNTARY RN TURNOVER RATE THAT WAS THE HIGHEST IN DECADES. IN RESPONSE, THE ORGANIZATION HAS UNDERTAKEN SEVERAL IMPROVEMENT ACTIVITIES TO REIMAGINE NURSING PAY MODELS, ENHANCE WORKFORCE DEVELOPMENT PARTNERSHIPS, INVEST IN THE EDUCATION AND UPSKILLING OF TEAM MEMBERS, AND ACCELERATE HIRING AND ONBOARDING PROCESSES. THROUGHOUT THE WAVES OF COVID-19 SURGES, THE HEALTHCARE SYSTEM HAS IMPLEMENTED PROGRAMS TO RECOGNIZE THE COMMITMENT OF TEAM MEMBERS. DURING JANUARY THROUGH MARCH 2021, ORLANDO HEALTH DEVELOPED AN APPRECIATION PAY PROGRAM TO REWARD THOSE BEDSIDE NURSES AND RESPIRATORY THERAPIST WORKING IN EXCESS OF THEIR NORMAL WORKLOAD AT A COST OF NEARLY $20 MILLION. DURING THE SURGE IN THE SUMMER OF 2021, THE ORGANIZATION OFFERED CRITICAL SHIFT BONUSES TO TEAM MEMBERS WILLING TO WORK ADDITIONAL SHIFTS AT A COST OF MORE THAN $7 MILLION. AS A RESULT OF THESE EFFORTS, ORLANDO HEALTH WAS ABLE TO REDUCE ITS OVERALL STAFFING VACANCY RATE TO SINGLE-DIGIT PERCENTAGES BY THE END OF FY2021. ADDITIONALLY, ORLANDO HEALTH CONTINUED TO INVEST IN THE TRAINING AND DEVELOPMENT OF NEW GRADUATE RNS, INCLUDING THE HIRING OF MORE THAN 500 GRADUATE NURSES DURING THE FISCAL YEAR. PLEASE SEE ORLANDO HEALTH, INC. FORM 990 FOR A FULL DESCRIPTION OF OUR HEALTH SYSTEM'S EFFORTS DURING THE COVID-19 PANDEMIC. QUALITY TO DELIVER THE BEST POSSIBLE CARE TO THE COMMUNITIES IT SERVES, ORLANDO HEALTH IS COMMITTED TO CONSISTENTLY DELIVERING THE HIGHEST QUALITY WHEN TREATING BOTH TRADITIONAL AND EXCEPTIONAL CASES, SUCH AS COVID-19. IN THIS WAY, THE ORGANIZATION DEMONSTRATES NOT ONLY ITS CORE VALUES BUT HOW IT ELEVATES THE LIVES OF OUR PATIENTS BY: DEDICATING LEADERSHIP RESOURCES TO THE QUALITY MISSION EACH ORLANDO HEALTH HOSPITAL QUALITY TEAM IS LED BY AN ONSITE CHIEF QUALITY OFFICER (CQO). THIS EXPERIENCED PHYSICIAN OR ADVANCED CLINICAL LEADER OVERSEES REVIEWS OF EVERY MORTALITY, COMPLICATION AND SERIOUS SAFETY EVENT AT THEIR RESPECTIVE CAMPUS. THE CQOS ALSO ARE RESPONSIBLE FOR IDENTIFYING AND IMPLEMENTING TACTICS FOR NUMEROUS PATIENT CARE IMPROVEMENT STRATEGIES. AN AGGRESSIVE REVIEW OF EVERY DOCUMENTED COMPLICATION OF CARE HAS LED TO A SIGNIFICANT REDUCTION IN COMPLICATIONS AND A SUSTAINED HIGH RATE OF IMPROVEMENT WHEN COMPARED TO HIGH-PERFORMING PEER ORGANIZATIONS. DECREASING INPATIENT MORTALITY RATES INPATIENT MORTALITY RATE IS A CRITICAL MEASURE OF QUALITY OF CARE IN ACUTE CARE SETTINGS. ORLANDO HEALTH HOSPITALS CONTINUE TO SHOW VERY STRONG PERFORMANCE IN MORTALITY MEASURES WHEN	Desc
Prog Srvc Accom Acty2		ProgSrvcAccomActy2Grp
Total Program Service Expenses	$273,451,581	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	115	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1421	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	6	GoverningBodyVotingMembersCnt
Independent Voting Member	2	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	LESLIE FLAKE	PersonNm
Phone	3218415078	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1414 KUHL AVE	AddressLine1Txt
City	ORLANDO	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	32806	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
BERNADETTE SPONG
CFO	2.0	63.0	Yes (X)	$0	$2,124,013	$221,436
MILDRED DENISE BEAM
FORMER BD MEM/VC	0.0	57.0		$0	$879,439	$126,249	Yes (X)
LUSHANTHA GUNASEKERA MD
FORMER BOARD MEMBER	0.0	55.0		$0	$944,761	$45,313	Yes (X)
JOHN A MOORE
FORMER BD MEM/CHAIR	0.0	55.0		$0	$635,833	$112,201	Yes (X)
CARY D'ORTONA
BOARD MEMBER SEC/TREAS.	2.0	55.0	Yes (X)	$0	$551,051	$96,269		Yes (X)
ANDREW KAREN MD
OB/GYN	55.0	0.0		$563,273	$0	$41,265			Yes (X)
SIJO PAREKATTIL MD
UROLOGIST	55.0	0.0		$455,851	$0	$19,872			Yes (X)
MAHMOUD FUAD BAKEER
BOARD MEMBER	55.0	0.0		$351,032	$0	$39,311		Yes (X)
ALBERT ENRIQUEZ MD
UROLOGIST, OB/GYN	55.0	0.0		$351,042	$0	$37,535			Yes (X)
LANCE SEWELL
BD. MEMBER/CHAIR (AS OF 12/20)	55.0	0.0	Yes (X)	$0	$316,517	$60,374		Yes (X)
AMIR FAZELI MD
OB/GYN	55.0	0.0		$302,080	$0	$29,822			Yes (X)
PAUL JOHNS
COO, South Lake Hospital	55.0	0.0		$266,522	$0	$40,545			Yes (X)
BONNIE J ONOFRE
BOARD MEMBER	55.0	0.0		$259,644	$0	$20,619		Yes (X)
JEFFREY FITCH MD
BOARD MEMBER	2.0	0.0		$0	$0	$0		Yes (X)
AMIT VARMA MD
BD MEM/VICE CHAIR	2.0	0.0	Yes (X)	$0	$0	$0		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,549,444	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$5,451,614	TotReportableCompRltdOrgAmt
Total Other Compensation	$890,811	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	79	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
ROBINS MORTIN GROUP
400 SHADES CREEK PKWY STE 200	BIRMINGHAM	AL	35209	CONSTRUCTION SVCS	$5,735,369
EVERGREEN CONSTRUCTION MANAGEMENT
30941 SUNEAGLE DR	MOUNT DORA	FL	32757	CONSTRUCTION SVCS	$1,385,280
MEDICAL DEVELOPMENT OF FLORIDA LLC
639 N ALEXANDER ST	MOUNT DORA	FL	32757	MEDICAL SERVICES	$1,328,613
BIG TEN LLC
2020 OAKLEY SEAVER DR STE 3	CLERMONT	FL	34711	CONSULTING SERVICES	$1,067,064
BOYKIN CONSTRUCTION INC
111 W CENTER ST	MINNEOLA	FL	34715	CONSTRUCTION SVCS	$982,501

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	25	CntrctRcvdGreaterThan100KCnt
Fundraising	$0	FundraisingAmt
Government Grants	$47,367	GovernmentGrantsAmt
All Other Contributions	$17,393	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$64,760	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
PROGRAM SERVICE REVENUE	622110	$318,955,921	$318,893,253	$62,668	$0
ST OF FLA SPECIAL MEDICAID	622110	$2,959,538	$2,959,538	$0	$0
CAFETERIA SALES	622110	$222,004	$222,004	$0	$0
LIP QUALITY ADD ON REVENUE	622110	$61,977	$61,977	$0	$0
EHR REVENUE	622110	$1,678	$1,678	$0	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,822,406	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,822,406	RelatedOrExemptFuncIncomeAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$325,023,524	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,328,441	TotalRevenueColumnAmt
Exclusion	$1,328,441	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,164,198	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,216,906	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$52,708	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$52,708	TotalRevenueColumnAmt
Unrelated Business Revenue	$37,776	UnrelatedBusinessRevenueAmt
Exclusion	-$90,484	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$49,165,301	SecuritiesAmt
Other	$15,515	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$40,529,979	SecuritiesAmt
Other	$669,514	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$8,635,322	SecuritiesAmt
Other	-$653,999	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,981,323	TotalRevenueColumnAmt
Exclusion	$7,981,323	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NATIONAL TRAINING CENTER	713940	$1,202,410	$0	$1,202,410	$0
COMMUNITY EDUCATION	622110	$1,500	$1,500	$0	$0
All other revenue	622110	$2,273	$2,273	$0	$0

Field	Value	IRS element (for citing)
Other Revenue Total	$1,206,183	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$335,551,523	TotalRevenueColumnAmt
Related Or Exempt Func Income	$324,964,629	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,302,854	UnrelatedBusinessRevenueAmt
Exclusion	$9,219,280	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$92,727	TotalAmt
Program Services	$92,727	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,284,729	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$1,284,729	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$783,498	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$783,498	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$97,457,453	TotalAmt
Program Services	$96,535,548	ProgramServicesAmt
Management And General	$921,905	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

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

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$19,961,240	TotalAmt
Program Services	$19,775,184	ProgramServicesAmt
Management And General	$186,056	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$6,719,557	TotalAmt
Program Services	$6,653,433	ProgramServicesAmt
Management And General	$66,124	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$86,130	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$86,130	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$4,255	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$4,255	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$21,638	TotalAmt
Program Services	$21,638	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,767	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$1,767	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$29,322,191	TotalAmt
Program Services	$29,309,975	ProgramServicesAmt
Management And General	$12,216	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$27,691	TotalAmt
Program Services	$24,538	ProgramServicesAmt
Management And General	$3,153	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,976,566	TotalAmt
Program Services	$7,856,961	ProgramServicesAmt
Management And General	$119,605	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$453,050	TotalAmt
Program Services	$453,050	ProgramServicesAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$17,961,613	TotalAmt
Program Services	$17,766,643	ProgramServicesAmt
Management And General	$194,970	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$49,462	TotalAmt
Program Services	$40,415	ProgramServicesAmt
Management And General	$9,047	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$113,298	TotalAmt
Program Services	$84,749	ProgramServicesAmt
Management And General	$28,549	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,851,644	TotalAmt
Program Services	$3,851,644	ProgramServicesAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$22,518,138	TotalAmt
Program Services	$22,518,138	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,027,181	TotalAmt
Program Services	$2,027,181	ProgramServicesAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$44,143,199	$44,143,199	$0	$0
PROFESSIONAL FEES	$3,354,325	$3,354,325	$0	$0
ASSESSMENTS	$3,024,232	$3,024,232	$0	$0
AMBULANCE TRANSFERS	$1,710,967	$1,710,967	$0	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$14,236,642	TotalAmt
Program Services	$14,207,034	ProgramServicesAmt
Management And General	$29,608	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$277,183,193	TotalAmt
Program Services	$273,451,581	ProgramServicesAmt
Management And General	$3,731,612	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

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

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$34,404,559	BOYAmt
EOY	$17,756,409	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$27,871,948	BOYAmt
EOY	$45,603,472	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$951,740	BOYAmt
EOY	$974,619	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,164,081	BOYAmt
EOY	$3,066,105	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,422,920	BOYAmt
EOY	$211,502	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$366,949,735	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$170,180,816	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$209,217,086	BOYAmt
EOY	$196,768,919	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$159,310,127	BOYAmt
EOY	$210,395,016	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$51,952,213	BOYAmt
EOY	$51,656,010	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$34,552,721	BOYAmt
EOY	$43,675,428	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$523,847,395	BOYAmt
EOY	$570,107,480	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$17,531,809	BOYAmt
EOY	$17,052,790	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$25,267,923	BOYAmt
EOY	$352,870	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$42,365,414	BOYAmt
EOY	$42,547,099	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$77,963,032	BOYAmt
EOY	$75,220,018	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$163,128,178	BOYAmt
EOY	$135,172,777	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$359,138,395	BOYAmt
EOY	$434,057,887	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,580,822	BOYAmt
EOY	$876,816	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$360,719,217	BOYAmt
EOY	$434,934,703	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$523,847,395	BOYAmt
EOY	$570,107,480	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$58,368,330	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$16,056,904	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	-$180,312	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$29,436	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$17,245	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$4,393	OtherActivitiesAmt
Total Lobbying Expenditures	$21,638	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,580,822	BeginningYearBalanceAmt
Contributions	$23,716	ContributionsAmt
Investment Earnings Or Losses	$124,398	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$16,299	GrantsOrScholarshipsAmt
Other Expenditures	$1,698	OtherExpendituresAmt
End Year Balance	$1,710,939	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,596,630	BeginningYearBalanceAmt
Contributions	$87,750	ContributionsAmt
Investment Earnings Or Losses	$31,999	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$98,242	GrantsOrScholarshipsAmt
Other Expenditures	$37,315	OtherExpendituresAmt
End Year Balance	$1,580,822	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,630,575	BeginningYearBalanceAmt
Contributions	$100,183	ContributionsAmt
Investment Earnings Or Losses	$22,805	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$148,930	GrantsOrScholarshipsAmt
Other Expenditures	$8,003	OtherExpendituresAmt
End Year Balance	$1,596,630	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,518,792	BeginningYearBalanceAmt
Contributions	$216,980	ContributionsAmt
Investment Earnings Or Losses	$51,312	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$151,761	GrantsOrScholarshipsAmt
Other Expenditures	$4,748	OtherExpendituresAmt
End Year Balance	$1,630,575	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,528,721	BeginningYearBalanceAmt
Contributions	$339,988	ContributionsAmt
Grants Or Scholarships	$343,322	GrantsOrScholarshipsAmt
Other Expenditures	$6,595	OtherExpendituresAmt
End Year Balance	$1,518,792	EndYearBalanceAmt

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

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$17,190,938	OtherCostOrOtherBasisAmt
Book Value	$17,190,938	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$215,774,656	OtherCostOrOtherBasisAmt
Depreciation	$80,767,163	DepreciationAmt
Book Value	$135,007,493	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$15,594,890	OtherCostOrOtherBasisAmt
Depreciation	$4,931,404	DepreciationAmt
Book Value	$10,663,486	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$114,027,402	OtherCostOrOtherBasisAmt
Depreciation	$84,482,249	DepreciationAmt
Book Value	$29,545,153	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$4,361,849	OtherCostOrOtherBasisAmt
Book Value	$4,361,849	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$196,768,919	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES	$39,915,724
RENT RECEIVABLE	$1,684,958
SECURITY DEPOSITS	$126,655
INTEREST IN SOLK FOUNDATION	$1,911,591
OTHER RECEIVABLES	$36,500

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$43,675,428	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
OTHER LIABILITIES	$307,308
RAC RESERVE	$3,540,549
THIRD PARTY SETTLEMENTS	$689,432
DUE TO ORLANDO HEALTH (DEFEASANCE)	$70,176,402
PUBLIC ASSISTANCE LIABILITY	$430,373
DUE TO SOLK FOUNDATION	$75,954

Field	Value	IRS element (for citing)
Total Liability	$75,220,018	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE D, PART V, LINE 4

CAPTAIN HOMER N. ALLEN FUND FOR NURSING SCHOLARSHIPS PROVIDES SUPPORT FOR SCHOLARSHIPS FOR RESIDENTS OF SOUTH LAKE COUNTY AND/OR EMPLOYEES OF SOUTH LAKE HOSPITAL WHO WISH TO FURTHER THEIR EDUCATION IN THE FIELD OF NURSING. OTHER RESTRICTED FUNDS ARE AVAILABLE FOR THE ACQUISITION OF FIXED ASSETS AND OTHER OPERATING USE. ORLANDO HEALTH FOUNDATION, INC. (AN AFFILIATE OF ORLANDO HEALTH, INC., A RELATED ORGANIZATION) HOLDS AND ADMINISTERS CERTAIN DONOR RESTRICTED FUNDS ON BEHALF OF SOUTH LAKE HOSPITAL. THE AMOUNT HELD WAS $822,673 AS OF SEPTEMBER 30, 2021.

SCHEDULE D, PART X, LINE 2

FASB ASC TOPIC 740, INCOME TAXES, PRESCRIBES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAX POSITIONS RECOGNIZED IN THE FINANCIAL STATEMENTS. ASC TOPIC 740 PROVIDES GUIDANCE AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THERE WERE NO MATERIAL UNCERTAIN TAX POSITIONS AS OF SEPTEMBER 30, 2021 AND 2020.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	225.	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	false	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,437,156	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$16,437,156	NetCommunityBenefitExpnsAmt
Total Expense	0.05930	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$33,123,132	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,261,605	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,861,527	NetCommunityBenefitExpnsAmt
Total Expense	0.06800	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$80,798	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$34,413	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$46,385	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$49,641,086	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,296,018	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$35,345,068	NetCommunityBenefitExpnsAmt
Total Expense	0.12750	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$958,088	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$958,088	NetCommunityBenefitExpnsAmt
Total Expense	0.00350	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$349,708	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,882	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$332,826	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$267,403	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$267,403	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,575,199	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,882	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,558,317	NetCommunityBenefitExpnsAmt
Total Expense	0.00570	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$51,216,285	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,312,900	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$36,903,385	NetCommunityBenefitExpnsAmt
Total Expense	0.13320	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$488	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$488	NetCommunityBenefitExpnsAmt

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$107	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$107	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$308,214	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$308,214	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$308,809	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$308,809	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$21,033,124	BadDebtExpenseAmt
Reimbursed By Medicare	$54,305,364	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$61,230,639	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$6,925,275	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1900 DON WICKHAM DRIVE	AddressLine1Txt
City	CLERMONT	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	34711	ZIPCd

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
Other	Yes (X)	OtherInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SEC C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	ImplementationStrategyAdptYr
Strategy Posted Website	false	StrategyPostedWebsiteInd
Strategy Attached	Yes (true)	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	225.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	0.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SEC C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SEC C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SEC C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION A	HTTPS://WWW.SOUTHLAKEHOSPITAL.COM/
PART V, SECTION B, LINE 3E	THE 2019 CHNA IS A FOUR-COUNTY ASSESSMENT COVERING LAKE, ORANGE, OSCEOLA, AND SEMINOLE COUNTIES. SECONDARY AND PRIMARY DATA WERE COLLECTED AND ANALYZED THAT GENERATED COMMON THEMES FOR THE REGION, COUNTY, ZIP CODE AND NEIGHBORHOOD CENSUS TRACTS. 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 (2,708 RESPONSES), KEY INFORMANT SURVEY (172 RESPONSES), IN-DEPTH INTERVIEWS WITH COMMUNITY STAKEHOLDERS (34), INTERCEPT SURVEY (135 RESPONSES) AND FOCUS GROUPS (15 GROUPS WITH 235 TOTAL PARTICIPANTS). BASED ON THE DATA, DOZENS OF THEMES WERE GENERATED. USING THE DATA, THE CENTRAL FLORIDA COMMUNITY COLLABORATIVE THAT COMMENCED THE 2019 CHNA SELECTED THE PRIORITIES OR THEMES FOR THE 2019 CHNA. THE COLLABORATIVE UTILIZED AN ELECTRONIC EXERCISE USING OPTIONFINDER, AN AUDIENCE RESPONSE POLLING SYSTEM, TO SELECT 10 PRIORITY AREAS 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 ASSESSMENT SUMMARIES INCLUDED IN THE CHNA. IN ADDITION TO THE PRIORITIES SELECTED BY THE COLLABORATIVE, SUMMARIES WERE PREPARED BY STRATEGY SOLUTIONS, INC (SSI). SSI ALSO INCLUDE BASIC DEMOGRAPHIC INFORMATION FOR EACH COUNTY, AS WELL AS HIGH-LEVEL OVERVIEWS OF THE FOUR ASSESSMENT COMPONENTS OF THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP (MAPP) MODEL: COMMUNITY HEALTH STATUS, COMMUNITY THEMES AND STRENGTHS, LOCAL PUBLIC HEALTH SYSTEMS AND FORCES OF CHANGE.
PART V, SECTION B, LINE 3J	AS PART OF THE SECONDARY DATA COLLECTION, HOSPITAL HOT SPOTTING DATA WAS ALSO INCLUDED IN OUR CHNA. SSI CONTINUED TO EXPAND THE WORK COMPLETED IN THE 2019 CHNA BY ZOOMING IN ON CENSUS TRACTS IN LOCAL HOT SPOTTING AREAS. PATIENT DATA FROM HOSPITALS REPRESENTED IN THE CHNA ALLOWED LOCATION ANALYSIS AND MAPPING OF LOCAL "HOT SPOTS" WITH HIGH NUMBERS OF UNINSURED VISITS OVER-UTILIZING THE HEALTHCARE SYSTEM. THE UNINSURED DATA WAS SPLIT INTO ADMITTING FACILITIES AND THEN FURTHER SEPARATED INTO INPATIENT AND EMERGENCY DEPARTMENT DISCHARGES ALONG THESE IDENTIFIED CENSUS TRACTS.
PART V, SECTION B, LINE 5	FOR OUR 2019 COMMUNITY HEALTH NEEDS ASSESSMENT, WE CONTRACTED STRATEGY SOLUTIONS, INC (SSI). SSI IS A CERTIFIED WBE (WOMAN BUSINESS ENTERPRISE) WITH A MISSION TO CREATE HEALTHY COMMUNITIES. SSI HAS BEEN CONDUCTING CHNAS SINCE 1993 WITH THEIR CLIENTS BEING RECOGNIZED FOR BEST PRACTICES. RECOGNIZING EACH COMMUNITY IS UNIQUE, SSI'S APPROACH TO BETTER UNDERSTANDING A COMMUNITY'S NEED IS ALIGNED WITH THE SOCIAL-ECOLOGICAL MODEL. THE MODEL IS A COMPREHENSIVE APPROACH TO HEALTH AND URBAN PLANNING THAT ADDRESSES A COMMUNITY'S OR INDIVIDUAL'S RISK FACTORS AS WELL AS THE NORMS, BELIEFS, AND SOCIAL AND ECONOMIC SYSTEMS THAT CREATE THE CONDITIONS FOR POOR COMMUNITY HEALTH OUTCOMES. SSI WORKED TO BUILD ON TOP OF THE PREVIOUS CHNA CONDUCTED IN 2016. 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, SSI WORKED WITH REPRESENTATIVES FROM ALL THE HOSPITALS, HEALTH DEPARTMENTS AND FEDERALLY QUALIFIED HEALTH CENTERS (FQHC) THAT PARTICIPATED IN THE ASSESSMENT TO ENSURE PERSONS THAT PROVIDED INPUT WERE REPRESENTATIVE OF THE COMMUNITY. BROAD POPULATIONS INCLUDING THE ELDERLY, MEDICAL UNDERSERVED, MINORITY GROUPS, AND LOW-INCOME POPULATIONS WERE REPRESENTED. THE COMMUNITY SURVEY WAS DISTRIBUTED BOTH IN HARD COPY AND DIGITALLY THROUGH SURVEY MONKEY WITH A TOTAL OF 2,708 RESPONSES. A SUMMARY OF RESPONSES FROM THE COMMUNITY SURVEY CAN BE FOUND IN APPENDIX A OF THE CHNA. STAKEHOLDER IN-DEPTH INTERVIEWS WERE CONDUCTED WITH 34 COMMUNITY STAKEHOLDERS DURING THE BEGINNING OF 2019. 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. INFORMATION ABOUT EACH STAKEHOLDER IS OUTLINED IN APPENDIX B OF THE CHNA. THE KEY INFORMANT SURVEY WAS DISTRIBUTED ELECTRONICALLY AND INCLUDED RESPONSES FROM 172 PARTICIPANTS. A SUMMARY OF RESPONSES FROM THE KEY INFORMANT SURVEYS CAN BE FOUND IN APPENDIX D OF THE CHNA. FIFTEEN FOCUS GROUPS TOOK PLACE WITH A TOTAL OF 235 PARTICIPANTS. MORE DETAILS REGARDING FOCUS GROUP PARTICIPANTS CAN BE FOUND IN APPENDIX C OF THE CHNA. INTERCEPT SURVEYS WERE CONDUCTED AS IN-PERSON INTERVIEWS AS OPEN-ENDED QUESTIONS BY SSI CONSULTANTS IN FQHC WAITING ROOMS WITH A TOTAL OF 135 COMPLETED. AN INTERCEPT SURVEY IS A RESEARCH METHOD TOOL USED TO GATHER ONSITE FEEDBACK FROM AN IDENTIFIED POPULATION IN A LOCATION WHERE THERE IS A CAPTIVE AUDIENCE. A LIST OF INTERCEPT SURVEY DATES, LOCATIONS AND NUMBER OF RESIDENTS WHO COMPLETED THE SURVEY CAN BE FOUND IN APPENDIX E OF THE CHNA.
PART V, SECTION B, LINE 6A	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 & BABIES, ORLANDO HEALTH DR. P. PHILLIPS HOSPITAL, ORLANDO HEALTH - HEALTH CENTRAL HOSPITAL, ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL AND ORLANDO HEALTH SOUTH LAKE HOSPITAL. ADVENTHEALTH: ADVENTHEALTH ALTAMONTE, ADVENTHEALTH APOPKA, ADVENTHEALTH CELEBRATION, ADVENTHEALTH EAST ORLANDO, ADVENTHEALTH FOR CHILDREN, ADVENTHEALTH KISSIMMEE, ADVENTHEALTH ORLANDO, ADVENTHEALTH WATERMAN, ADVENTHEALTH WINTER PARK ASPIRE HEALTH PARTNERS: KENNEDY PLAZA, LAKESIDE PLACE APARTMENTS, PRINCETON PLAZA, RESIDENTIAL PLAZA
PART V, SECTION B, LINE 6B	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
PART V, SECTION B, LINE 7A	HTTP://WWW.SOUTHLAKEHOSPITAL.COM/ABOUT-US/COMMUNITY-OUTREACH
PART V, SECTION B, LINE 11	ORLANDO HEALTH SOUTH LAKE HOSPITAL HAS BEEN SERVING THE HEALTHCARE NEEDS OF LAKE COUNTY RESIDENTS FOR OVER 70 YEARS. DEDICATED TO IMPROVING THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND COMMUNITIES WE SERVE, ORLANDO HEALTH SOUTH LAKE HOSPITAL CONSTANTLY WORKS TO IMPROVE HEALTH IN THE COMMUNITY AND INCREASE ACCESS TO CARE. FOLLOWING OUR PARTICIPATION IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) ORLANDO HEALTH SOUTH LAKE HOSPITAL TOOK INTO CONSIDERATION SEVERAL FACTORS IN SELECTING HEALTH NEEDS TO ADDRESS. FACTORS INCLUDED: INDIVIDUAL ORLANDO HEALTH SOUTH LAKE HOSPITAL DATA; COMMUNITY AND HOSPITAL ASSETS; ABILITY TO IMPACT AN ISSUE; CURRENT COMMUNITY BENEFIT EFFORTS; COMMUNITY PARTNERSHIPS; AND OPPORTUNITIES FOR COLLABORATION. BASED ON OUR PROCESS, WE SELECTED ACCESS TO CARE AS OUR PRIORITY HEALTH NEED FROM THE 2019 CHNA. IN FISCAL YEAR 2021 WITH OUR FOCUS ON ACCESS TO CARE, ORLANDO HEALTH SOUTH LAKE HOSPITAL DEVELOPED NEW AND ENHANCED EXISTING COMMUNITY BENEFIT PROGRAMS IMPROVING ACCESS TO CARE. ORLANDO HEALTH SOUTH LAKE HOSPITAL PROVIDED OVER $36 MILLION IN COMMUNITY BENEFIT. IN SUPPORT OF OUR COMMUNITY BENEFIT EFFORTS, WE RECOGNIZE THE IMPORTANCE OF WORKING WITH COMMUNITY ORGANIZATIONS. IN 2021, WE SUPPORTED 12 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 2021, ORLANDO HEALTH SUPPORTED 334 COMMUNITY ORGANIZATIONS. THE CONTINUED EFFECTS OF COVID-19 SHIFTED EFFORTS FOR SOME OF OUR COMMUNITY PARTNERS FROM IN-PERSON SERVICES TO PROVIDE THESE THROUGH MOBILE OPERATIONS OR ONLINE PLATFORMS. THESE OPPORTUNITIES WERE ABLE TO INCREASE ACCESS AND RESOURCES WHEN MANY RESIDENTS WERE UNABLE TO LEAVE THEIR HOMES. EXAMPLES FROM KEY INITIATIVES ARE INCLUDED TO ILLUSTRATE THE TYPES OF SUCCESSES THESE PROGRAMS YIELD. INCREASING ACCESS TO CARE: ORLANDO HEALTH SOUTH LAKE HOSPITAL PARTNERED WITH LIBBY'S LEGACY THROUGH THE ORLANDO HEALTH COMMUNITY GRANT PROGRAM BY SUPPORTING THEIR SAVING AND CHANGING LIVES PROGRAM. UTILIZING THEIR CANCER SCREENING INITIATIVE AND MAMMOGRAM ACCESS PROJECT, LIBBY'S LEGACY PROVIDES MOBILE MAMMOGRAPHY SERVICES TO INDIVIDUALS IN UNDERSERVED COMMUNITIES, PROVIDES THEM WITH A DIAGNOSIS, THEN FOLLOWS UP WITH CONTINUED CARE AND EDUCATION. IN 2021, THIS PROGRAM PROVIDED SCREENINGS TO 519 CLIENTS. SEVENTEEN PATIENTS HAVE RECEIVED A POSITIVE DIAGNOSIS THAT HAS BEEN MANAGED BY LIBBY'S LEGACY. ALL PATIENTS SEEN HAVE ALSO RECEIVED EDUCATION ABOUT THEIR DIAGNOSIS AND 90 PERCENT OF THOSE PARTICIPATING HAVE INCREASED THEIR OVERALL COMPREHENSION OF BREAST HEALTH. RESPONDING TO A PANDEMIC: THE ORGANIZATION SUCCESSFULLY RESPONDED TO THE COVID-19 PANDEMIC. WITH A LEVEL ONE TRAUMA CENTER AND AS A SAFETY NET HOSPITAL, ORLANDO HEALTH HAS BEEN A FOCAL POINT FOR CENTRAL FLORIDA'S SUCCESSFUL RESPONSE TO THE DISEASE. SINCE JANUARY 2020, THE HEALTHCARE SYSTEM HAS DEVELOPED ALGORITHMS AND DEVISED PROTOCOLS TO PROTECT ITS PATIENTS, VISITORS, TEAM MEMBERS AND THE COMMUNITIES WE SERVE. THESE BEST PRACTICES HAVE BEEN SHARED ACROSS THE REGION TO KEEP RESIDENTS SAFE BY INFORMING THEM THROUGH THE ORLANDOHEALTH.COM WEBSITE ON TOPICS SUCH AS HOW TO AVOID BRINGING THE CORONAVIRUS INTO THEIR HOMES AND HOW TO LIMIT EXPOSURE TO THE VIRUS WHILE IN PUBLIC SPACES. ORLANDO HEALTH EXPERTS ALSO HAVE ADVISED CENTRAL FLORIDA BUSINESSES AND SCHOOLS AS THEY RETURNED TO IN-PERSON ACTIVITIES. FROM DECEMBER 2020 WHEN THE COVID-19 VACCINES FIRST BECAME AVAILABLE THROUGH FY 2021, ORLANDO HEALTH ADMINISTERED 107,800 VACCINATIONS TO TEAM MEMBERS AND COMMUNITY MEMBERS. WITH ACCESS TO QUALITY CARE AS OUR PRIORITY, ORLANDO HEALTH SOUTH LAKE HOSPITAL DETERMINED THAT THE FOLLOWING ISSUES WOULD NOT BE EXPLICITLY INCLUDED IN OUR IMPLEMENTATION STRATEGY SO THAT IT COULD MAXIMIZE RESOURCES AVAILABLE FOR ADDRESSING ACCESS TO CARE. HOWEVER, ORLANDO HEALTH SOUTH LAKE HOSPITAL DOES PROVIDE SUPPORT AND SERVICES FOR SEVERAL OF THE REMAINING HEALTH NEEDS. AT THE TIME OF PRIORITIZATION, WE TOOK INTO ACCOUNT THE LEVEL TO WHICH SOME OF THE NEEDS WERE ALREADY BEING ADDRESSED IN THE SERVICE AREA, ALONG WITH WHETHER THE IDENTIFIED NEED FALLS OUTSIDE OF THE SCOPE OF OUR EXPERTISE AND RESOURCES. FOR THE NEEDS WE DID NOT SELECT WE WILL CONTINUE TO PROVIDE SUPPORT AND SERVICES WHERE APPROPRIATE INCLUDING THROUGH COMMUNITY SPONSORSHIPS AND SUPPORT. 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 WILL HELP US TO BETTER SERVE THE MOST UNDERSERVED AND VULNERABLE POPULATIONS IN OUR COMMUNITY. LAKE COUNTY HOSPITAL: NEEDS THAT WON'T BE EXPLICITLY ADDRESSED: -ACCESS TO AFFORDABLE FOOD -CANCER -CARDIOVASCULAR DISEASE -CHILDHOOD OBESITY -DIABETES (ADULT/CHILDREN) -EMPLOYMENT/LIVABLE WAGES -FAMILY STABILITY -HOUSING/HOMELESSNESS -INFANT MORTALITY -INSURANCE -MEDICATION -LACK OF BILINGUAL PROVIDERS -WOMEN'S ANNUAL SCREENING -LACK OF MENTAL HEALTH PROVIDERS -SUBSTANCE USE -TOBACCO USE -TRANSPORTATION ACCESS TO AFFORDABLE FOOD: WE DID NOT SELECT ACCESS TO AFFORDABLE FOOD AS A PRIORITY, BUT WE MAY HAVE PROGRAMS THAT WILL POSITIVELY IMPACT THIS IDENTIFIED NEED THROUGH THE SELECTED PRIORITY OF ACCESS TO CARE. WE RECOGNIZE THAT CHRONIC CONDITIONS CAN INHIBIT ONE'S ACCESS TO CARE, AND THERE MAY BE OPPORTUNITIES TO COLLABORATE WITH COMMUNITY PARTNERS TO ADDRESS THIS NEED. CANCER: WE DID NOT SELECT CANCER AS A PRIORITY BECAUSE WE DO NOT HAVE THE RESOURCES TO EFFECTIVELY MEET THIS NEED. HOWEVER, WE RECOGNIZE THAT DISPARITIES CAN INHIBIT ONE'S ACCESS TO CARE, AND WORK WITH ORLANDO HEALTH CANCER INSTITUTE ALONG WITH IDENTIFIED OPPORTUNITIES TO COLLABORATE WITH COMMUNITY ORGANIZATIONS TO ADDRESS THIS NEED. CARDIOVASCULAR DISEASE: WE DID NOT SELECT CARDIOVASCULAR DISEASE AS A PRIORITY, BUT WE MAY HAVE PROGRAMS THAT WILL POSITIVELY IMPACT THIS IDENTIFIED NEED THROUGH THE SELECTED PRIORITY OF ACCESS TO CARE. WE RECOGNIZE THAT CHRONIC CONDITIONS CAN INHIBIT ONE'S ACCESS TO CARE, AND THERE MAY BE OPPORTUNITIES TO COLLABORATE WITH COMMUNITY PARTNERS TO ADDRESS THIS NEED. CHILDHOOD OBESITY: WE DID NOT SELECT CHILDHOOD OBESITY AS A PRIORITY, BUT WE MAY HAVE PROGRAMS THAT WILL POSITIVELY IMPACT THIS IDENTIFIED NEED THROUGH THE SELECTED PRIORITY OF ACCESS TO CARE. WE RECOGNIZE THAT CHRONIC CONDITIONS CAN INHIBIT ONE'S ACCESS TO CARE, AND THERE MAY BE OPPORTUNITIES TO COLLABORATE WITH COMMUNITY PARTNERS TO ADDRESS THIS NEED. DIABETES (CHILDREN/ADULTS): WE DID NOT SELECT DIABETES (CHILDREN/ADULTS) AS A PRIORITY, BUT WE MAY HAVE PROGRAMS THAT WILL POSITIVELY IMPACT THIS IDENTIFIED NEED THROUGH THE SELECTED PRIORITY OF ACCESS TO CARE. WE RECOGNIZE THAT CHRONIC CONDITIONS CAN INHIBIT ONE'S ACCESS TO CARE, AND THERE MAY BE OPPORTUNITIES TO COLLABORATE WITH COMMUNITY PARTNERS TO ADDRESS THIS NEED. EMPLOYMENT/LIVABLE WAGES: WE DID NOT SELECT EMPLOYMENT/LIVABLE WAGES AS A PRIORITY BECAUSE WE DO NOT HAVE THE RESOURCES TO EFFECTIVELY MEET THIS NEED. HOWEVER, WE RECOGNIZE THAT DISPARITIES CAN INHIBIT ONE'S ACCESS TO CARE, AND WE MAY HAVE OPPORTUNITIES TO COLLABORATE WITH COMMUNITY ORGANIZATIONS TO ADDRESS THIS NEED. FAMILY STABILITY: WE DID NOT SELECT FAMILY STABILITY AS A PRIORITY BECAUSE WE DO NOT HAVE THE RESOURCES TO EFFECTIVELY MEET THIS NEED. HOWEVER, WE RECOGNIZE THAT DISPARITIES CAN INHIBIT ONE'S ACCESS TO CARE, AND WE MAY HAVE OPPORTUNITIES TO COLLABORATE WITH COMMUNITY ORGANIZATIONS TO ADDRESS THIS NEED. HOUSING/HOMELESSNESS: WE DID NOT SELECT HOUSING/HOMELESSNESS AS A PRIORITY BECAUSE WE DO NOT HAVE THE RESOURCES TO EFFECTIVELY MEET THIS NEED. HOWEVER, WE RECOGNIZE THAT DISPARITIES CAN INHIBIT ONE'S ACCESS TO CARE, AND WE MAY HAVE OPPORTUNITIES TO COLLABORATE WITH COMMUNITY ORGANIZATIONS TO ADDRESS THIS NEED. INFANT MORTALITY: WE DID NOT SELECT INFANT MORTALITY AS A PRIORITY, BUT WE MAY HAVE PROGRAMS THAT WILL POSITIVELY IMPACT THIS IDENTIFIED NEED THROUGH THE SELECTED PRIORITY OF ACCESS TO CARE. WE RECOGNIZE THAT DISPARITIES CAN INHIBIT ONE'S ACCESS TO CARE AND WE WORK WITH ORLANDO HEALTH WINNIE PALMER HOSPITAL FOR WOMEN & BABIES ALONG WITH OPPORTUNITIES TO COLLABORATE WITH COMMUNITY PARTNERS TO ADDRESS THIS NEED. INSURANCE/MEDICATION/LACK OF BILINGUAL PROVIDERS/WOMAN'S ANNUAL SCREENING: WE DID NOT SELECT INSURANCE/MEDICATION/LACK OF BILINGUAL PROVIDERS/WOMAN'S ANNUAL SCREENING AS A PRIORITY, BUT WE MAY HAVE PROGRAMS THAT WILL POSITIVELY IMPACT THIS IDENTIFIED NEED THROUGH THE SELECTED PRIORITY OF ACCESS TO CARE. WE RECOGNIZE THAT DISPARITIES CAN INHIBIT ONE'S ACCESS TO CARE, AND THERE MAY BE OPPORTUNITIES TO COLLABORATE WITH COMMUNITY PARTNERS TO ADDRESS THIS NEED. LACK OF MENTAL HEALTH PROVIDERS: WE DID NOT SELECT LACK OF MENTAL HEALTH PROVIDERS AS A PRIORITY BECAUSE WE DO NOT HAVE THE RESOURCES TO EFFECTIVELY MEET THIS NEED. HOWEVER,
PART V, SECTION B, LINE 16A	HTTPS://WWW.ORLANDOHEALTH.COM/PATIENTS-AND-VISITORS/PATIENT-FINANCIAL-RESO URCES/FINANCIAL-ASSISTANCE-PROGRAM PART V, SECTION B, LINE 16B HTTPS://WWW.ORLANDOHEALTH.COM/PATIENTS-AND-VISITORS/PATIENT-FINANCIAL-RESO URCES/FINANCIAL-ASSISTANCE-PROGRAM PART V, SECTION B, LINE 16C HTTPS://WWW.ORLANDOHEALTH.COM/PATIENTS-AND-VISITORS/PATIENT-FINANCIAL-RESO URCES/FINANCIAL-ASSISTANCE-PROGRAM

Field	Value	IRS element (for citing)
Facility	10	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
OH SLH JOE H AND LORETTA SCOTT MED PAV
16966 CAGAN RIDGE BOULEVARD	clermont	FL	34714	FREESTANDING ER AND MEDICAL PAVILION
OH SLH ER RM & MED PAV AT BLU CEDAR
22316 US HIGHWAY 27	LEESBURG	FL	34748	FREESTANDING ER AND MEDICAL PAVILION
OH SLH Center for Specialty Surgery
890 Medical Park Drive	CLERMONT	FL	34711	OUTPATIENT AMBULATORY SURGERY
South Lake Endoscopy Center
2040 Oakley Seaver Drive Ste 100	Clermont	FL	34711	OUTPATIENT DIAGNOSTIC CENTER
Orlando Health Cancer Institute
1361 Citrus Tower Boulevard Ste 10	CLERMONT	FL	34711	Outpatient Cancer Care
Orlando Health National Training Center
1935 Don Wickham Drive	Clermont	FL	34711	Outpatient Rehabilitation
SLH Outpatient Rehab at Blue Cedar
22326 US Highway 27 Suite A	LEESBURG	FL	34748	Outpatient Rehabilitation
SkyTop View Rehabilitation Center
2145 North Don Wickham Drive	Clermont	FL	34711	Rehabilitation and Skilled Nursing Facility
South Lake Wound Care Center
2040 Oakley Seaver Drive Ste 200	Clermont	FL	34711	Outpatient Wound Care
South Lake Hospital Cardiac Rehab
2080 Oakley Seaver Drive Ste 140	Clermont	FL	34711	Outpatient Rehabilitation

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7	THE AMOUNTS OF COSTS REPORTED ON LINE 7 PART I OF SCHEDULE H WERE DETERMINED BY UTILIZATION OF A COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2 AS CONTAINED IN THE SCHEDULE H INSTRUCTIONS. PART I, LINE 7, COLUMN F BAD DEBT WAS REPORTED AS AN OFFSET TO PATIENT REVENUE AND NOT ON PART IX. THEREFORE, FORM 990, PART IX, LINE 25 DID NOT INCLUDE BAD DEBT EXPENSE.
PART II	THE PRIMARY PURPOSE OF ORLANDO HEALTH SOUTH LAKE HOSPITAL'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 SOUTH LAKE HOSPITAL MAY HELP RECRUIT PHYSICIANS WHEN A NEED IS IDENTIFIED TO ESTABLISH, ENHANCE OR MAINTAIN A MEDICAL SERVICE IN THE AREA. TO DETERMINE NEED, THE HOSPITAL 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 SOUTH LAKE HOSPITAL ASSISTED IN RECRUITING FIVE NEW COMMUNITY-BASED PHYSICIANS TO COMBAT THE PHYSICIAN SHORTAGES IN OUR COMMUNITY DURING THE YEAR.
PART III, LINE 2 AND LINE 4	BAD DEBT EXPENSE REFLECTED IN PART III, LINE 2 REPRESENTS COST OF CHARGES WRITTEN OFF AS UNCOLLECTIBLE. BOTH DISCOUNTS AND PAYMENTS TO ACCOUNTS WILL REDUCE THE BAD DEBT EXPENSE, SHOULD THE ACCOUNT BE REPORTED AS BAD DEBT. THAT IS TO SAY, DISCOUNTS APPLIED TO ACCOUNTS ARE NOT REVERSED PRIOR TO DECLARING, ADJUSTING AND/OR WRITING OFF ACCOUNTS AS BAD DEBT. ALL ACCOUNTS WHICH ARE ADJUSTED TO, OR WRITTEN OFF TO, BAD DEBT ARE REVIEWED TO DETERMINE THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE. IF SUFFICIENT DOCUMENTATION WAS NOT PROVIDED BY THE ACCOUNT HOLDER, ORLANDO HEALTH SOUTH LAKE HOSPITAL USES PREDICTIVE ANALYTICS TO DETERMINE IF THE FINANCIAL ASSISTANCE FOR ACCOUNTS ARE ADJUSTED TO, OR WRITTEN OFF TO, BAD DEBT. ORLANDO HEALTH SOUTH LAKE HOSPITAL USES DATA DERIVED FROM THIRD PARTIES WHICH INCLUDE, BUT ARE NOT LIMITED TO DEMOGRAPHIC VERIFICATION, INCOME VERIFICATION, HOUSEHOLD SIZE VERIFICATION, PAYMENT HISTORY INFORMATION, PROPERTY OWNERSHIP INFORMATION, OCCUPATION INFORMATION, VEHICLE OWNERSHIP HISTORY AND VALUES AND HOME OWNERSHIP HISTORY AND VALUES. ONCE THIS DATA LOGIC IS APPLIED, IT BECOMES APPARENT IF THE ACCOUNT QUALIFIES FOR FINANCIAL ASSISTANCE. IF THE ACCOUNT DOES QUALIFY, PREVIOUS UNINSURED DISCOUNTS, BAD DEBT ADJUSTMENTS AND/OR WRITE OFFS ARE REVERSED AND THE NEW BALANCE REFLECTED IS RECLASSIFIED AS FINANCIAL ASSISTANCE OR CHARITY, WHICH IS REDUCED TO COST. CONSISTENT WITH THE SYSTEM'S MISSION, CARE IS PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THEREFORE, THE SYSTEM HAS DETERMINED THAT IT HAS PROVIDED IMPLICIT PRICE CONCESSIONS TO UNINSURED PATIENTS AND PATIENTS WITH OTHER UNINSURED BALANCES SUCH AS COPAYS AND DEDUCTIBLES. THE DIFFERENCE BETWEEN AMOUNTS BILLED TO PATIENTS AND THE AMOUNTS EXPECTED TO BE COLLECTED BASED ON THE SYSTEM'S COLLECTION HISTORY WITH THOSE PATIENTS IS RECORDED AS IMPLICIT PRICE CONCESSIONS, OR AS A DIRECT REDUCTION TO NET PATIENT REVENUE. SUBSEQUENT ADJUSTMENTS THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S OR PAYOR'S ABILITY TO PAY ARE RECOGNIZED AS BAD DEBT EXPENSE. BAD DEBT EXPENSE IS RECORDED AS A COMPONENT OF OTHER OPERATING EXPENSES IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS. BAD DEBT EXPENSE FOR THE YEARS ENDED SEPTEMBER 30, 2021 AND 2020 WAS NOT SIGNIFICANT FOR THE SYSTEM. (ORLANDO HEALTH, INC. AUDITED FINANCIAL STATEMENTS, PAGE 17)
PART III, LINE 8	THE COSTING METHODOLOGY USED TO REPORT THE AMOUNT REPORTED ON LINE 6 AS MEDICARE ALLOWABLE COSTS OF CARE RELATING TO PAYMENTS RECEIVED FROM MEDICARE WAS CALCULATED USING THE MEDICARE COST REPORT. ORLANDO HEALTH SOUTH LAKE HOSPITAL DOES NOT CURRENTLY INCLUDE MEDICARE SHORTFALL AS A COMMUNITY BENEFIT. HOWEVER, AS A NOT-FOR-PROFIT ORGANIZATION WE PROVIDE EMERGENCY AND REQUIRED CARE TO ALL PATIENTS REGARDLESS OF THEIR FINANCIAL STATUS. DESPITE THE MEDICARE SHORTFALL, NOT-FOR-PROFIT HOSPITALS MUST AND WILL CONTINUE TO CARE FOR THE MEDICARE POPULATION AND ACCEPT THE MEDICARE REIMBURSEMENT RATE. CARING FOR THE MEDICARE PATIENT POPULATION FULFILLS A COMMUNITY NEED AND RELIEVES A GOVERNMENT BURDEN AS THIS CLASS OF PATIENTS TYPICALLY HAS LOW AND/OR FIXED INCOMES. THE MEDICARE PATIENT POPULATION IS LARGE AND THE LACK OF SUFFICIENT REIMBURSEMENT TO COVER THE COST OF PROVIDING CARE FOR THESE PATIENTS NECESSITATES THAT NOT-FOR-PROFIT HOSPITALS USE OTHER FUNDS TO COVER THE DEFICIT. NOT-FOR-PROFIT HOSPITALS HAVE A RESPONSIBILITY TO WORK TOWARD IMPROVED HEALTH IN THE COMMUNITIES THEY SERVE AND CARING FOR THE MEDICARE PATIENTS, DESPITE THE SHORTFALL OF REIMBURSEMENT, IS A DIRECT COMMUNITY BENEFIT AND PROVIDES VALUE DIRECTLY TO THE COMMUNITIES SERVED.
PART III, LINE 9B	COLLECTION PRACTICES ARE CONSISTENT FOR ALL PATIENTS AND COMPLY WITH APPLICABLE PROVISIONS OF STATE LAW. DURING PREADMISSION, AT REGISTRATION OR AT BEDSIDE, ORLANDO HEALTH SOUTH LAKE HOSPITAL PROVIDES ALL PATIENTS WITH INFORMATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE. ORLANDO HEALTH SOUTH LAKE HOSPITAL 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 SOUTH LAKE HOSPITAL DOES NOT PURSUE COLLECTION PRACTICES AGAINST PATIENTS KNOWN TO QUALIFY FOR CHARITY CARE OR OTHER FINANCIAL ASSISTANCE.
PART VI, LINE 2	IN 2019, ORLANDO HEALTH SOUTH LAKE HOSPITAL CONDUCTED A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT. HOWEVER, PRIOR TO THE ASSESSMENT, ORLANDO HEALTH SOUTH LAKE HOSPITAL ASSESSED THE SERVICES NEEDED AS PART OF OUR STRATEGY, PLANNING AND BUDGETING PROCESS AND DEVELOPED A PROCESS TO ENSURE THE ORGANIZATION IS RESPONSIVE TO COMMUNITY HEALTH NEEDS. THROUGH OUR EDUCATION, PATIENT CARE PROGRAMS AND THE ORLANDO HEALTH SOUTH LAKE HOSPITAL COMMUNITY RELATIONS OUTREACH PROGRAM, ORLANDO HEALTH SOUTH LAKE HOSPITAL MEETS THE NEEDS OF THE COMMUNITY. THE SPECIFIC NEEDS TARGETED BY THESE PROGRAMS HAVE BEEN IDENTIFIED BY THE EXPERIENCE OF COMMUNITY HOSPITAL LEADERSHIP, NEIGHBORHOOD OUTREACH AND THROUGH ASSESSMENTS THAT IDENTIFIED HEALTH NEEDS IN THE COMMUNITIES SERVED BY THE HOSPITAL ALONG WITH HOSPITAL DATA. AS A RESULT, ORLANDO HEALTH SOUTH LAKE HOSPITAL 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 SOUTH LAKE HOSPITAL RESPONDS TO COMMUNITY HEALTH NEEDS ARE AS FOLLOWS: 1. GOVERNING BOARDS ARE COMPOSED OF INDIVIDUALS BROADLY REPRESENTATIVE OF THE COMMUNITY, COMMUNITY LEADERS AND THOSE WITH SPECIALIZED MEDICAL TRAINING AND EXPERTISE; 2. PARTNERSHIP WITH LOCAL AREA GROUPS AND ASSOCIATIONS TO ATTEND TO THE HEALTHCARE NEEDS OF THE ORLANDO HEALTH SOUTH LAKE HOSPITAL COMMUNITY; 3. SPONSORSHIP AND PARTICIPATION IN COMMUNITY FORUMS, HEALTH FAIRS, COMMUNITY FITNESS AND WELLNESS EVENTS AND OTHER OUTREACH EVENTS; AND 4. TRANSITION SERVICES POST-DISCHARGE PATIENT FOLLOW-UP RELATED TO THE ON-GOING CARE AND TREATMENT OF PATIENTS TO PREVENT UNNECESSARY ADMISSIONS AND POTENTIAL RE-ADMISSIONS.
PART VI, LINE 3	ORLANDO HEALTH SOUTH LAKE HOSPITAL 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 SOUTH LAKE HOSPITAL 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 SOUTH LAKE HOSPITAL THEN SCREENS THE PATIENT FOR CHARITY ELIGIBILITY. IT IS ORLANDO HEALTH SOUTH LAKE HOSPITAL'S OBJECTIVE TO PROVIDE CHARITY CARE TO OUR PATIENTS WHO DO NOT HAVE THE ABILITY TO PAY.
PART VI, LINE 4	ORLANDO HEALTH SOUTH LAKE HOSPITAL CURRENTLY OPERATES IN THE CENTRAL FLORIDA REGION, WHICH HAS THOUSANDS OF INTERNATIONAL VISITORS ANNUALLY. ORLANDO HEALTH SOUTH LAKE HOSPITAL'S PRIMARY SERVICE AREA IS COMPOSED OF ORANGE AND LAKE COUNTIES. THE MEDIAN HOUSEHOLD INCOME IN LAKE COUNTY IS $57,170 WITH 11.2 PERCENT OF HOUSEHOLDS BELOW THE FEDERAL POVERTY GUIDELINE. THE PERCENT UNINSURED (AGE 0-64) FOR THE COUNTY IS 15.2 PERCENT AND THERE ARE TWO FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS PRESENT IN THE COMMUNITY. COMMUNITY OUTREACH ACTIVITIES INCORPORATE SOCIAL DISTANCING PROTOCOLS SUCH AS ONLINE SPEAKER'S BUREAUS; SUPPORT/EDUCATION GROUPS; WELLNESS CLASSES; CLINICAL SCREENINGS THROUGH TELEHEALTH AND ASSESSMENTS; MEDICAL EDUCATION; RESEARCH; WOMEN, CHILDREN AND SENIOR HEALTH INITIATIVES; PUBLIC PROGRAM ENROLLMENT ASSISTANCE AND POST-ACUTE CARE FOR HOMELESS AND UNINSURED; SPONSORSHIPS; SCHOOL INITIATIVES; DONATED MEETING SPACE AND SPIRITUAL CARE.
PART VI, LINE 5	ORLANDO HEALTH SOUTH LAKE HOSPITAL FURTHERS ITS EXEMPT PURPOSE BY REINVESTING SURPLUS FUNDS IN THE HOSPITAL, EXTENDING ADMITTING PRIVILEGES TO QUALIFYING PHYSICIANS IN THE COMMUNITY AND SURROUNDING AREAS, SUPPORTING A SLIDING SCALE CLINIC FOR RESIDENTS OF LAKE COUNTY WHO MEET CERTAIN INDIGENT GUIDELINES, OPERATING THE NATIONAL TRAINING CENTER FOR THE OVERALL HEALTH OF THE COMMUNITY AND ENCOURAGING OVERALL COMMUNITY INVOLVEMENT IN THE GOVERNING BODY OF THE ORGANIZATION. GOVERNING BOARDS ARE COMPOSED OF INDIVIDUALS BROADLY REPRESENTATIVE OF THE COMMUNITY, COMMUNITY LEADERS AND THOSE WITH SPECIALIZED MEDICAL TRAINING AND EXPERTISE.
PART VI, LINE 6	ORLANDO HEALTH SOUTH LAKE HOSPITAL IS PART OF AN INTEGRATED HEALTHCARE SYSTEM THROUGH WHICH WE CAN PROVIDE COMPREHENSIVE SERVICES TO IMPROVE THE HEALTH AND QUALITY OF LIFE FOR OUR COMMUNITY SERVED. THE PARENT OF THE CORPORATION, ORLANDO HEALTH, INC. (OHI), IS A TAX-EXEMPT ORGANIZATION ORGANIZED UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS A PART OF ORLANDO HEALTH'S INTEGRATED HEALTHCARE SYSTEM, ORLANDO HEALTH SOUTH LAKE HOSPITAL HAS SEVERAL AFFILIATED ORGANIZATIONS TO ENSURE WE MEET THE COMMUNITY'S NEEDS. AS A NOT-FOR-PROFIT HEALTHCARE SYSTEM OUR MISSION IS TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND COMMUNITIES WE SERVE. OUR COMMUNITY BENEFIT EFFORTS MEET THE NEEDS OF THE COMMUNITIES WE SERVE IN THE FOLLOWING WAYS: - Offering discounted or free service to our uninsured and underinsured patients who are unable to pay. - Supplementing the unreimbursed costs of the governmental Medicaid assistance program. - Subsidizing costs not reimbursed by governmental Medicare funding for care provided to senior patients. - Benefiting our community's overall health by providing clinics and primary care services, health fairs and screenings, support groups and medical research. - Investing in capital improvements to our facilities and technology in order to provide the best possible care for our patients. THROUGH THE INTEGRATED HEALTH SYSTEM OF TEN HOSPITALS, SIX FREESTANDING EMERGENCY ROOMS AND VARIOUS OUTPATIENT FACILITIES, WITH OVER 23,000 EMPLOYEES AND OVER 3,000 PHYSICIANS ON STAFF, ORLANDO HEALTH PROVIDES A HIGH LEVEL OF QUALITY INPATIENT, OUTPATIENT, AND EMERGENCY HEALTHCARE TO THE PEOPLE OF CENTRAL FLORIDA. ORLANDO HEALTH IS A DESIGNATED TEACHING HOSPITAL OFFERING GRADUATE MEDICAL EDUCATION SPONSORING TEN RESIDENCY, SIX PHARMACY RESIDENCY AND 24 FELLOWSHIP PROGRAMS. ORLANDO HEALTH FACILITIES ENCOMPASS 3,133 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 MEDICAL GROUP, ORLANDO HEALTH ARNOLD PALMER HOSPITAL FOR CHILDREN, ORLANDO HEALTH WINNIE PALMER HOSPITAL FOR WOMEN & BABIES, ORLANDO HEALTH DR. P. PHILLIPS HOSPITAL, ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL AND ORLANDO HEALTH ST. CLOUD HOSPITAL. ORLANDO HEALTH CENTRAL, INC. OPERATES ORLANDO HEALTH - HEALTH CENTRAL HOSPITAL AND ORLANDO HEALTH HORIZON WEST HOSPITAL, WHICH PROVIDES HIGH-QUALITY INPATIENT, OUTPATIENT AND EMERGENCY CARE FOR RESIDENTS OF CENTRAL FLORIDA. OHI WEST, INC., IS COMPOSED OF BAYFRONT HEALTH ST. PETERSBURG, WHICH PROVIDES HIGH-QUALITY INPATIENT, OUTPATIENT AND EMERGENCY CARE FOR RESIDENTS OF PINELLAS COUNTY, FLORIDA. ORLANDO HEALTH MEDICAL GROUP, INC. SERVES AS A FUNDAMENTAL COMPONENT OF ORLANDO HEALTH'S HEALTHCARE SYSTEM BY PROVIDING AN INTEGRATED DELIVERY NETWORK OF SPECIALTY PHYSICIAN SERVICES, OCCUPATIONAL HEALTH SERVICES, REHABILITATION HEALTH SERVICES AND BEHAVIORAL HEALTH SERVICES WITH OVER 500 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 POST-TREATMENT CARE AND SUPPORT. ORLANDO PHYSICIAN NETWORK, INC. ALSO SERVES AS A FUNDAMENTAL COMPONENT OF ORLANDO HEALTH'S HEALTH SYSTEM BY PROVIDING AN INTEGRATED DELIVERY SYSTEM OF PRIMARY CARE PHYSICIAN SERVICES WITH OVER 100 PHYSICIANS IN THE CENTRAL FLORIDA AREA. ORLANDO HEALTH FOUNDATION, INC. IS THE PHILANTHROPIC HEART OF ORLANDO HEALTH'S INTEGRATED HEALTH 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 $780 MILLION IN SUPPORT OF COMMUNITY HEALTH NEEDS. THROUGH ORLANDO HEALTH'S HEALTHCARE SYSTEM, WE PROVIDED APPROXIMATELY $780 MILLION IN SUPPORT OF COMMUNITY HEALTH NEEDS.
PART VI, LINE 7	STATE FILING OF COMMUNITY BENEFIT REPORT NONE SECTION 501 (R) RISK ASSESSMENT ORLANDO HEALTH, INC. (OHI) CONDUCTED AN EXTENSIVE REVIEW OF ITS POLICIES AND PROCEDURES TO ENSURE COMPLIANCE WITH THE REQUIREMENTS OF IRC SECTION 501(R). OHI OPERATES EIGHT HOSPITAL FACILITIES FOR WHICH IT MUST SATISFY THE REQUIREMENTS OF SECTION 501(R). THE REVIEW THAT OHI UNDERTOOK ADDRESSED SECTION 501(R) COMPLIANCE AT EACH OF THE FOLLOWING HOSPITAL FACILITIES: 1. ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER (ORMC) 2. ORLANDO HEALTH ARNOLD PALMER HOSPITAL FOR CHILDREN (APH) 3. ORLANDO HEALTH WINNIE PALMER HOSPITAL FOR WOMEN & BABIES (WPH) 4. ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL (SSH) 5. ORLANDO HEALTH DR. P. PHILLIPS HOSPITAL (DPH) 6. ORLANDO HEALTH ST. CLOUD HOSPITAL (SCH) 7. ORLANDO HEALTH - HEALTH CENTRAL HOSPITAL (HCH) 8. ORLANDO HEALTH SOUTH LAKE HOSPITAL (SLH) OHI MAKES PHYSICAL COPIES OF ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND FINANCIAL ASSISTANCE POLICY (FAP) AVAILABLE TO THE PUBLIC AT EACH OF THE OHI'S HOSPITALS AS REQUIRED BY SECTION 501(R). OHI PROVIDES PATIENT-FACING EMPLOYEES WITH ANNUAL TRAINING TO ENSURE THAT THEY COULD IDENTIFY THE PHYSICAL LOCATIONS WITHIN THE HOSPITAL FACILITIES WHERE PATIENTS COULD OBTAIN PHYSICAL COPIES OF THESE DOCUMENTS. OHI DETERMINED AS PART OF ITS SECTION 501(R) REVIEW TO ENHANCE PUBLIC AWARENESS OF ITS FAP AND THE FINANCIAL ASSISTANCE AVAILABLE TO DISADVANTAGED MEMBERS OF ITS COMMUNITY. ACCORDINGLY, OHI DISSEMINATED INFORMATION ON THE AVAILABILITY OF FINANCIAL ASSISTANCE AT OHI HOSPITAL FACILITIES TO COMMUNITY PARTNERS IN EACH OF THE FOLLOWING CATEGORIES: FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS), MEDICAL HOMES AND OTHER NONPROFIT ORGANIZATIONS THAT SERVE LOW INCOME POPULATIONS. THE COMMUNITY PARTNERS IDENTIFIED IN EACH GROUP RESPECTIVELY ARE: GRACE MEDICAL HOME, SHEPHERD'S HOPE, COMMUNITY HEALTH CENTERS, TRUE HEALTH, HEALTH CARE CENTER FOR THE HOMELESS DBA ORANGE BLOSSOM FAMILY HEALTH, COALITION FOR THE HOMELESS, ORANGE COUNTY MEDICAL CLINIC, AND MEMBERS OF THE PRIMARY CARE ACCESS NETWORK (PCAN) IN ORANGE COUNTY. IN ADDITION, OHI DESIGNATED A COMMUNITY LIAISON TO ATTEND REGULAR FUNCTIONS IN THE COMMUNITY, DISPLAY THE FAP AT THESE FUNCTIONS, AND PROVIDE COPIES OF THE FAP TO COMMUNITY MEMBERS. FINALLY, OHI HAS IMPLEMENTED REVIEWS OF ITS WEBSITE LINKS TO ENSURE INFORMATION REQUIRED BY SECTION 501(R) IS AVAILABLE TO THE PUBLIC. OHI HAS ESTABLISHED METHODS FOR MEMBERS OF THE PUBLIC TO PROVIDE INPUT ON OHI'S CHNA REPORT AND IMPLEMENTATION STRATEGY. SUCH INPUT WILL BE MONITORED AND TRACKED QUARTERLY ALONG WITH WEBSITE LINKS PROVIDING INFORMATION TO THE PUBLIC. OHI WILL CONTINUE TO IDENTIFY REPRESENTATIVES OF THE LOW-INCOME, UNDERSERVED AND MINORITY POPULATION(S) IN THE COMMUNITY FROM WHOM INPUT WAS SOLICITED AND DESCRIBE THE RESOURCES POTENTIALLY AVAILABLE TO ADDRESS THE SIGNIFICANT HEALTH NEEDS THROUGHOUT THE 2019 CHNA. DATE RANGES FOR WHICH OHI CONDUCTED SURVEYS AND INTERVIEWS WITHIN THE COMMUNITY TO SEEK INPUT ON IDENTIFYING AND PRIORITIZING COMMUNITY HEALTH NEEDS WILL ALSO BE INCLUDED IN THE 2019 CHNA. MOREOVER, OHI WILL INCLUDE AN EVALUATION IN THE 2019 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 I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LIFESTREAM BEHAVIORAL CENTER INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 491000	AddressLine1Txt
City	LEESBURG	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	34749	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	591561501	RecipientEIN
IRC Section	501(c)(3)	IRCSectionDesc
Cash Grant	$92,727	CashGrantAmt
Valuation Method Used	FMV	ValuationMethodUsedDesc
Purpose Of Grant	SPONSORSHIP	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	Yes (X)	FirstClassOrCharterTravelInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BERNADETTE SPONG
CFO	$0	$815,666	$0	$1,017,381	$0	$290,966	$0	$198,096	$0	$23,340	$0	$2,345,449	$0	$104,991
MILDRED DENISE BEAM
FORMER BD MEM/VC	$0	$501,447	$0	$304,082	$0	$73,910	$0	$111,205	$0	$15,044	$0	$1,005,688	$0	$72,781
LUSHANTHA GUNASEKERA MD
FORMER BOARD MEMBER	$0	$392,033	$0	$551,984	$0	$744	$0	$14,209	$0	$31,104	$0	$990,074	$0	$0
JOHN A MOORE
FORMER BD MEM/CHAIR	$0	$380,337	$0	$196,164	$0	$59,332	$0	$81,710	$0	$30,491	$0	$748,034	$0	$57,316
CARY D'ORTONA
BOARD MEMBER SEC/TREAS.	$0	$363,011	$0	$160,870	$0	$27,170	$0	$70,428	$0	$25,841	$0	$647,320	$0	$18,852
ANDREW KAREN MD
OB/GYN	$438,698	$0	$0	$0	$124,575	$0	$10,161	$0	$31,104	$0	$604,538	$0	$0	$0
SIJO PAREKATTIL MD
UROLOGIST	$357,772	$0	$0	$0	$98,079	$0	$8,353	$0	$11,519	$0	$475,723	$0	$0	$0
MAHMOUD FUAD BAKEER
BOARD MEMBER	$279,105	$0	$70,624	$0	$1,303	$0	$13,083	$0	$26,228	$0	$390,343	$0	$0	$0
ALBERT ENRIQUEZ MD
UROLOGIST, OB/GYN	$348,652	$0	$0	$0	$2,390	$0	$7,217	$0	$30,318	$0	$388,577	$0	$0	$0
LANCE SEWELL
BD. MEMBER/CHAIR (AS OF 12/20)	$0	$240,571	$0	$60,868	$0	$15,078	$0	$29,352	$0	$31,022	$0	$376,891	$0	$14,710
AMIR FAZELI MD
OB/GYN	$301,390	$0	$0	$0	$690	$0	$6,159	$0	$23,663	$0	$331,902	$0	$0	$0
PAUL JOHNS
COO, South Lake Hospital	$200,547	$0	$52,010	$0	$13,965	$0	$20,576	$0	$19,969	$0	$307,067	$0	$12,694	$0
BONNIE J ONOFRE
BOARD MEMBER	$194,834	$0	$48,876	$0	$15,934	$0	$11,877	$0	$8,742	$0	$280,263	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1A	DURING FY2021, OFFICERS, BOARD MEMBERS AND KEY EMPLOYEES OF SOUTH LAKE HOSPITAL, INC. WERE PERMITTED TO FLY FIRST-CLASS OR WERE PERMITTED TO USE A CHARTERED FLIGHT SERVICE AT THE REQUEST OF ORLANDO HEALTH. THE TRAVEL WAS ENTIRELY BUSINESS RELATED FOR OFFICERS, BOARD MEMBERS, AND KEY EMPLOYEES.
SCHEDULE J, PART I, LINE 3	RELATED ORGANIZATION ORLANDO HEALTH, INC. IS A COMMON PAYMASTER AND COMMON PAY AGENT FOR ORLANDO HEALTH MEDICAL GROUP, INC. (EIN: 59-3259553), ORLANDO HEALTH FOUNDATION, INC. (EIN: 59-2244943), ORLANDO HEALTH CENTRAL, INC. (EIN: 80-0764192), SOUTH LAKE HOSPITAL, INC. (EIN: 59-3322533), OSCEOLASC, LLC (EIN: 20-3728235), OHI WEST, INC. (EIN: 84-5074208), OHI WEST MEDICAL GROUP, LLC (EIN: 85-2733660) AND ORLANDO PHYSICIANS NETWORK, INC. (EIN: 59-3110868) AND THEIR EMPLOYEES ARE INCLUDED ON THE ORLANDO HEALTH, INC. 941. THE ORLANDO HEALTH, INC. INDEPENDENT COMPENSATION COMMITTEE APPROVES ALL OFFICER COMPENSATION ARRANGEMENTS, WHICH REPORTS TO THE ORLANDO HEALTH BOARD OF DIRECTORS AND FOLLOWS IRS GUIDELINES.
SCHEDULE J, PART I, LINE 4B	PARTICIPATE IN, OR RECEIVE PAYMENT FROM, A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL QUALIFIED RETIREMENT PLAN. DEFERRAL DEPOSITS: BERNADETTE SPONG $180,114 MILDRED BEAM $92,999 JOHN MOORE $69,771 CARY D'ORTONA $58,533 LANCE SEWELL $21,126 PAUL MARK JOHNS $14,563 DEFERRAL DISTRIBUTIONS MADE TO THE FOLLOWING: BERNADETTE SPONG $104,991 MILDRED BEAM $72,781 JOHN MOORE $57,316 CARY D'ORTONA $18,852 LANCE SEWELL $14,710 PAUL MARK JOHNS $12,694

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, LINE 6	DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS THE SOLE VOTING MEMBER OF SOUTH LAKE HOSPITAL, INC. IS ORLANDO HEALTH, INC., FEIN:59-1726273.
FORM 990, PART VI, LINE 7A	DESCRIPTION OF CLASS OF PERSONS AND THE NATURE OF THEIR RIGHTS ORLANDO HEALTH, INC., THE TAX-EXEMPT PARENT ORGANIZATION, ELECTS AND APPROVES ALL BOARD MEMBERS.
FORM 990, PART VI, LINE 7B	DECISIONS SUBJECT TO APPROVAL ORLANDO HEALTH, INC., SOLE MEMBER OF SOUTH LAKE HOSPITAL, INC. ("CORPORATION") SHALL HAVE THE FOLLOWING RESERVED POWERS, IN ADDITION TO OTHER POWERS SET FORTH IN THE BYLAWS, TO: AMEND THE BYLAWS OF THE CORPORATION; ELECT, APPOINT OR REMOVE ANY MEMBER OF ANY COMMITTEE OR ANY DIRECTOR, OR OFFICER; AMEND THE ARTICLES OF INCORPORATION OF CORPORATION; ADOPT A PLAN OF MERGER OR CONSOLIDATION, AUTHORIZE THE SALE, LEASE, EXCHANGE OR MORTGAGE OF THE PROPERTY AND ASSETS OF THE CORPORATION; AUTHORIZE DISSOLUTION OR LIQUIDATION OF THE CORPORATION; ADOPT A PLAN FOR DISTRIBUTION OF THE ASSETS OF THE CORPORATION; AND/OR TO AMEND OR REPEAL ANY RESOLUTION OF THE BOARD OF DIRECTORS. NEITHER THE BOARD OF DIRECTORS NOR ANY COMMITTEE OF THE BOARD SHALL HAVE THE AUTHORITY TO EXERCISE ANY POWER RESERVED TO MEMBER OR OTHERWISE EXTENDED TO MEMBER UNDER THESE BYLAWS. THE CEO OF MEMBER SHALL HAVE FULL AUTHORITY TO TAKE ANY ACTION OR EXECUTE ANY POWER OR RESPONSIBILITY OF ON BEHALF OF MEMBER UNDER THESE BYLAWS.
FORM 990, PART VI, LINE 11B	PROCESS USED BY MANAGEMENT AND/OR GOVERNING BODY TO REVIEW 990 THE CFO AND THE FINANCE DEPARTMENT REVIEWED THE FORM 990 AND ANY REQUIRED CHANGES WERE MADE TO THE FORM 990. THE FINAL FORM 990 WAS THEN PROVIDED TO ALL MEMBERS OF THE BOARD TO REVIEW. ANY QUESTIONS ABOUT THE CONTENT WERE ANSWERED AND ANY CHANGES REQUIRED OF THE REVIEW WERE MADE.
FORM 990, PART VI, LINE 12C	CONFLICT OF INTEREST POLICY MONITORING AND ENFORCEMENT THE PARENT ORGANIZATION, ORLANDO HEALTH, INC., HAS A DEDICATED COMPLIANCE DEPARTMENT WITH AN ANONYMOUS HOTLINE FOR REPORTING. THE COMPLIANCE DEPARTMENT PERFORMS INTERNAL AUDITS AND MONITORS ALL ANNUAL CONFLICT OF INTEREST QUESTIONNAIRES FOR ALL RELATED ORGANIZATIONS. BOARD MEMBERS ROUTINELY ANNOUNCE CONFLICTS AT BOARD MEETINGS AND LEAVE THE ROOM FOR THE DISCUSSION AND THE VOTE.
FORM 990, PART VI, LINE 15A AND 15B	OFFICERS AND POSITIONS FOR WHICH COMPENSATION PROCESS WAS USED ALL COMPENSATION IS PAID BY PARENT, ORLANDO HEALTH, INC., WHICH HAS AN INDEPENDENT COMPENSATION COMMITTEE THAT REPORTS TO THE ORLANDO HEALTH BOARD OF DIRECTORS AND UTILIZES THE GUIDELINES CONSISTENT WITH THE IRS GUIDELINES ON INDEPENDENT ANALYSIS AND DOCUMENTATION OF COMPENSATION. THE PROCESS, WHICH IS USED FOR THE PRESIDENT, ALL OFFICERS, EXECUTIVE DIRECTORS AND DIRECTORS, AND WAS IMPLEMENTED PRIOR TO 10/01/2006, WAS UNDERTAKEN FOR THE CURRENT YEAR.
FORM 990, PART VI, LINE 19	AVAILABILITY OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS TO THE PUBLIC THESE DOCUMENTS ARE MADE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST IN ACCORDANCE WITH FEDERAL TAX LAW PUBLIC INSPECTION REQUIREMENTS.
FORM 990, PART XI, LINE 9	OTHER CHANGES AND X-ITEMS (152,436) NET ASSETS RELEASED FROM RESTRICTION - TEMP (16,000) NET REALIZED/UNREALIZED GAINS/LOSSES - TEMP RESTRICTED 139,000 ========== TOTAL (29,436)
FORM 990 PART IX LINE 11G	DESCRIPTION:CONTRACT SERVICES TOTAL FEES:18616064
FORM 990 PART IX LINE 11G	DESCRIPTION:CONTRACT SERVICES - PHYSICIANS TOTAL FEES:9979983
FORM 990 PART IX LINE 11G	DESCRIPTION:CONSULTING FEES TOTAL FEES:726144

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
ORLANDO HEALTH FOUNDATION INC
3160 SOUTHGATE COMMERCE BLVD	ORLANDO	FL	32806	592244943	SUPPORT OH	FL	501(c)(3)	7	OHI	false
ORLANDO HEALTH INC
1414 KUHL AVENUE	ORLANDO	FL	32806	591726273	HEALTHCARE	FL	501(c)(3)	3	NA	false
ORLANDO PHYSICIANS NETWORK INC
1414 KUHL AVENUE	ORLANDO	FL	32806	593110868	SUPPORT OH	FL	501(C)(3)	12A	OHI	false
WEST ORANGE HEALTHCARE INC
10000 W COLONIAL DRIVE	OCOEE	FL	34761	593269402	PHY SUPRT SRV	FL	501(C)(3)	12A	OHC	false
HEALTH CENTRAL FOUNDATION INC
10000 W COLONIAL DRIVE	OCOEE	FL	34761	592091206	SUPPORT OHC	FL	501(C)(3)	7	OHF	false
GREATER ORLANDO CHILDREN'S MIRACLE NTWK
3160 SOUTHGATE COMMERCE BLV	ORLANDO	FL	32806	593452974	SUPPORT OHF	FL	501(C)(3)	7	OHF	false
ORLANDO HEALTH MEDICAL GROUP INC
1414 KUHL AVENUE	ORLANDO	FL	32806	593259553	PHY SUPRT SRV	FL	501(c)(3)	12A	OHI	false
ORLANDO HEALTH CENTRAL INC
10000 W COLONIAL DRIVE	OCOEE	FL	34761	800764192	HEALTHCARE	FL	501(c)(3)	3	OHI	false
OHI WEST INC
1414 KUHL AVENUE	ORLANDO	FL	32806	845074208	HEALTHCARE	FL	501(c)(3)	3	OHI	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	LIFT ORLANDO IMPACT	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2043 JACOBS PLACE	AddressLine1Txt
City	ORLANDO	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	32805	ZIPCd

Field	Value	IRS element (for citing)
EIN	814062133	EIN
Primary Activities	REAL ESTATE	PrimaryActivitiesTxt
Legal Domicile State	FL	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Predominant Income Type	EXCLUDED	PredominantIncomeTypeTxt
Share Of Total Income	$0	ShareOfTotalIncomeAmt
Share Of EOY Assets	$0	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
UBI Code V	$0	UBICodeVAmt

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Address Line1ForeignAddress/AddressLine1Txt	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
HEALTHNET SERVICES INC & SUBS
1414 KUHL AVENUE	ORLANDO	FL	32806	592246203	MEDICAL SVCS	FL	OHI	C CORP
ORANGE INDEMNITY LTD
				980516252	CAPTIVE INS		OHI	C CORP	PO BOX 1159	CJ	KY1-1102	CJ
ORLANDO CANCER CENTER INC
1414 KUHL AVENUE	ORLANDO	FL	32806	593005020	MEDICAL SVCS	FL	OHMG	C CORP

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

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ORLANDO HEALTH INC
M	$5,806,963	FMV
ORLANDO HEALTH INC
O	$83,754,206	FMV
ORLANDO HEALTH INC
P	$45,834,329	FMV
ORLANDO HEALTH INC
J	$4,768,302	FMV
ORLANDO HEALTH MEDICAL GROUP INC
J	$94,718	FMV

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R, PART III	FormAndLineReferenceDesc
Explanation	LIFT ORLANDO IMPACT INVESTMENT FUND, LLC EIN: 81-4062133 ADDRESS: 2043 JACOBS PLACE, ORLANDO, FL 32805	ExplanationTxt