2020-08-10T09:11:14-05:00 2019-09-30 ERNST & YOUNG US LLP 201 N FRANKLIN ST STE 2400 TAMPA FL 33602 990 2018-10-01 593322533 South Lake Hospital Inc % BERNADETTE SPONG SOUT 3523944071 1900 DON WICKHAM DRIVE CLERMONT FL 347111979 BERNADETTE SPONG CFO 3218415078 2020-08-06 true MELANIE MCPEAK P01346034 8132254950 69.212.35.201 59521020202235000000 2020-08-10 P DAFA43998C5B16E4847FAA9AD61C49E3BD2EB142 718B8778843D2373E641F2FD787A68514E5E2B94 2018 2020-09-23 17:36:50Z JOHN MOORE 1900 DON WICKHAM DR CLERMONT FL 347111979 321453300 false X WWW.SOUTHLAKEHOSPITAL.COM X 1995 FL TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND COMMU OF THE INDIVIDUALS AND COMMUNITIES IN SOUTH LAKE COUNTY. 4 0 1863 191 3277501 0 5662710 5796334 225918247 280465106 4976376 1229074 3549007 2186386 240106340 289676900 62373 343267 0 0 100204549 112983990 0 0 0 105963551 119707958 206230473 233035215 33875867 56641685 372279023 427077711 111320407 109797625 260958616 317280086 TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND COMMUNITIES IN SOUTH LAKE COUNTY. false false 223407456 343267 280518390 OPERATION OF NON-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 47,000. COMMUNITY EDUCATION SOUTH LAKE HOSPITAL IS DEDICATED TO FURTHERING THE HEALTH-RELATED EDUCATION OF THE COMMUNITY. CLASSES ARE AVAILABLE TO AREA RESIDENTS. EATING WELL WITH DIABETES EDUCATION ACROSS CENTRAL FLORIDA, DIABETES CONSISTENTLY RANKS AMONG THE TOP FIVE RISKS IN THE REGIONS HEALTHCARE ASSESSMENTS. ORLANDO HEALTH SOUTH LAKE HOSPITAL HAS IDENTIFIED COMMUNITY EDUCATION AS A KEY APPROACH TO ADDRESSING THIS CHRONIC CONDITION IN THE COMMUNITIES IT SERVES. EACH MONTH, THE HOSPITAL HOSTS ITS EATING WELL WITH DIABETES CLASSES FOR PATIENTS, CAREGIVERS AND MEMBERS OF THE COMMUNITY. THE FREE CLASSES TAUGHT BY A SOUTH LAKE HOSPITAL CLINICAL DIETITIAN REVIEW THE DISEASE PROCESS, DIAGNOSTIC CRITERIA, LABS AND MACRONUTRIENTS (PROTEINS, FATS, CARBOHYDRATES). STRATEGIES SUCH AS THE MYPLATE TOOL DEVELOPED BY THE U.S. DEPARTMENT OF AGRICULTURE, HEALTHY FOOD CHOICES AND HEALTHY LIFESTYLE MODIFICATIONS ARE DISCUSSED. DURING THE TWO-AND-A-HALF-HOUR CLASS, PARTICIPANTS ALSO REVIEW FLUID NEEDS, FOOD MODELS/PORTION SIZES AND LEARN HOW TO PROPERLY READ FOOD LABELS. ALL OF THIS INFORMATION CAN HELP ATTENDEES BECOME MORE KNOWLEDGEABLE ABOUT WAYS TO MANAGE THEIR DIABETES CONDITION. ELEMENTARY SCHOOL HEALTH EDUCATION ROAD SHOWS IN PARTNERSHIP WITH THE FLORIDA DEPARTMENT OF HEALTH, ORLANDO HEALTH SOUTH LAKE HOSPITAL PROVIDED STUDENTS AT NINE LAKE COUNTY PUBLIC ELEMENTARY SCHOOLS WITH AN INTERACTIVE, EDUCATIONAL PROGRAM ON DIET AND EXERCISE. TOPICS COVERED DURING THE PRESENTATIONS INCLUDED NUTRITION, FITNESS AND HAND WASHING. STUDENTS LEARNED ABOUT THE DIFFERENT FOOD GROUPS AND HOW TO MAKE A HEALTHY, BALANCED MEAL. USING FAKE FOOD MODELS, THEY PUT TOGETHER A BALANCED MEAL THAT INCORPORATED DIFFERENT FOOD CHOICES. THEY RECEIVED EASY-TO-MAKE RECIPES THEY COULD TAKE HOME TO ENCOURAGE THEIR PARENTS TO PREPARE BALANCED MEALS. RECIPES CONSISTED OF READILY AVAILABLE INGREDIENTS THAT WERE BOTH INEXPENSIVE AND HEALTHY, MAKING THE RESULTING MEALS AFFORDABLE AND ACHIEVABLE. THE STUDENTS ALSO PARTICIPATED IN AN EXERCISE CLASS SET TO MUSIC TO SHOW THEM HOW EASY AND FUN IT IS TO GET ACTIVE AND WORKOUT. THEY ALSO RECEIVED TIPS FOR EXERCISING AT HOME OR AT LOCAL PARKS. FINALLY, THEY LEARNED ABOUT GERM PREVENTION, THE CORRECT WAY TO WASH THEIR HANDS AND THE IMPORTANCE OF PROPER HYGIENE. RESPONDING TO A PANDEMIC CURRENTLY, THE ORGANIZATION IS RESPONDING TO THE COVID-19 THREAT. WITH A LEVEL ONE TRAUMA CENTER AND A SAFETY NET HOSPITAL, ORLANDO HEALTH HAS BEEN A FOCAL POINT FOR CENTRAL FLORIDAS 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 GROCERY SHOPPING. ORLANDO HEALTH EXPERTS ALSO ARE ADVISING CENTRAL FLORIDA BUSINESSES ON HOW TO SAFELY AND APPROPRIATELY REOPEN AND RECOVER IN A POST-PANDEMIC WORLD. MEMBERS OF THE INFECTION PREVENTION TEAM HAVE VISITED THE OFFICES OF COMMUNITY PHYSICIANS FOR MASK FITTING OF N95 RESPIRATORS, AND MEDICAL LEADERSHIP HAS CONDUCTED WEBINARS ON WHAT APPROACHES WORK BEST IN CLINICAL OFFICE SETTINGS. GUIDANCE ON A RANGE OF GENERAL TOPICS FROM THE RIGHT WAY TO PUT ON A FACE MASK TO HOW TO CLEAN A SURFACE WITHOUT CROSS-CONTAMINATION WAS MADE AVAILABLE TO THE ENTIRE COMMUNITY ON THE DIGITAL MICROSITE ORLANDOHEALTH.COM/BUSINESS READY. THESE RESOURCES CAN HELP KEEP EMPLOYEES AND CUSTOMERS HEALTHY AS FLORIDAS STAY-AT-HOME MANDATES EXPIRE. WE LOOK FORWARD TO SHARING MORE DETAILS OF THESE EFFORTS IN THE FORM 990 FOR 2020. 223407456 true true false true false false false false true true false false false true true false true false false false false false false false false true true true true true false false false false false false false true false false false false false true false false false true 179 0 true 1863 true true true false false false false false false false false false false false X 4 0 false false true false true true true true true false false true true true true true true false false false FL X BERNADETTE SPONG 3218415078 1414 KUHL AVE Orlando FL 32806 X MILDRED BEAM BM, Vice-Chair 2.0 55.0 X X 0 869658 117329 Susan McLean BM, Chairman UNTIL 7/1/19 2.0 0.0 X X 0 0 0 Robert Berens Jr BM, Secretary UNTIL 7/1/19 2.0 0.0 X X 0 0 0 David Batman Board Member UNTIL 7/1/19 2.0 0.0 X 0 0 0 JOHN MOORE CHM, PRES. AS OF 7/1/19 55.0 0.0 X X 0 613209 92357 Lushantha Gunasekera MD Board Member 2.0 55.0 X 0 1021741 35513 CARY D'ORTONA Board Member, Treasurer 2.0 55.0 X X 0 392016 65440 Bernadette Spong CFO 0.0 61.0 X 0 1408770 202987 Sijo Parekattil MD Urologist 55.0 0.0 X 877938 0 45058 Jamin Brahmbhatt MD Urologist 55.0 0.0 X 759620 0 48026 Andrew Karen MD OB/GYN 55.0 0.0 X 655436 0 44928 Albert Enriquez MD Urologist, OB/GYN 55.0 0.0 X 336177 0 37905 Sindhu Jacob MD Endocrinologist 55.0 0.0 X 200139 0 33638 LANCE SEWELL CFO,South Lake Hospital 55.0 0.0 X 0 267910 44440 PAUL JOHNS COO, South Lake Hospital 55.0 0.0 X 0 229161 39826 BONNIE J ONOFRE CNO, South Lake Hospital 55.0 0.0 X 0 220640 17212 2829310 5023105 824659 71 true true false ROBINS MORTON GROUP 400 SHADES CREEK PARKWAY SUITE 200 BIRMINGHAM AL 35209 CONSTRUCTION SERVICE 12115346 SCHMID CONSTRUCTION INC 1655 E HWY 50 SUITE 300 CLERMONT FL 34711 CONSTRUCTION SERVICE 8789377 AVI FOOD SYSTEMS INC 2590 ELM RD NE WARREN OH 44483 FOOD SERVICES 2089206 ORIGIN INC DBA SHIFTWISE 2501 SW 1ST AVENUE SUITE 200 PORTLAND OR 97201 STAFF MGMT SVCS 1162686 BIG TEN LLC 2020 OAKLEY SEAVER DR SUITE 3 CLERMONT FL 34711 HEALTHCARE SERVICES 996600 65 0 5708437 87897 0 5796334 PROGRAM SERVICE REVENUE 623000 279588799 278791817 796982 0 CAFETERIA SALES 623000 582909 582909 ACO REVENUE 623000 198292 198292 ST OF FL DSH REVENUE 623000 27425 27425 EHR REVENUE 623000 5802 5802 61879 61879 0 280465106 2474395 2474395 -1862453 -1862453 0 1588634 1874147 -285513 0 -285513 61904 -347417 30513917 5468 29902253 611664 5468 617132 617132 0 0 0 0 0 0 0 0 0 NATIONAL TRAINING CENTER 623000 2418615 0 2418615 0 LIP QUALITY ADD 621990 24444 24444 COMMUNITY EDUCATION 621990 14441 14441 14399 14399 0 2471899 289676900 279721408 3277501 881657 255541 255541 87726 87726 0 0 0 0 0 0 0 0 0 0 0 0 88252690 83887055 4365635 0 2992404 2844377 148027 0 15726284 14944068 782216 0 6012612 5837401 175211 0 0 0 0 0 670602 0 670602 0 339878 0 339878 0 17191 17191 0 0 0 3148 0 3148 0 19558596 19196288 362308 0 508502 167439 341063 0 18237581 17376862 860719 0 655974 585903 70071 0 0 0 0 0 16448596 16311364 137232 0 185768 174511 11257 0 0 0 0 0 59664 36209 23455 0 4657255 4657255 0 0 0 0 0 0 15580851 15580851 0 0 1378727 1281540 97187 0 MEDICAL SUPPLIES 31760323 31760323 0 0 ASSESSMENT FEES 2181692 2181392 300 0 COLLECTION FEES 4872985 4872985 0 0 RECRUITING EXPENSES 995663 0 995663 0 1594962 1351175 243787 233035215 223407456 9627759 0 0 57727900 100222189 0 0 0 0 26136797 32568087 0 0 0 0 1464192 888016 3574791 3995519 1748476 1082834 341324086 136484902 185122171 204839184 75382496 67897445 0 0 0 0 7570655 7570655 13551545 8013782 372279023 427077711 25461531 30000997 0 0 471937 478419 76585824 0 0 0 0 0 1243816 956091 0 0 7557299 78362118 111320407 109797625 X 259328041 315683456 1630575 1596630 0 0 260958616 317280086 372279023 427077711 X 56641685 -121132 -178972 0 0 -20111 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false 0 false 0 false 0 false 0 true 10841 false 0 true 6350 17191 false Form 990, Schedule C, Part IV 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. 1630575 100183 22805 148930 8003 1596630 1518792 216980 51312 151761 4748 1630575 1528721 339988 343322 6595 1518792 1611128 271064 250215 103256 1528721 1531728 387542 56714 251428 1611128 0.00000 0.00000 1.00000 true false 171190938 17190938 198714639 63195969 135518670 11090745 2983352 8107393 105434570 70305581 35128989 8893194 8893194 204839184 0 RAC RESERVE 2677310 THIRD PARTY SETTLEMENTS 1480334 DUE TO ORLANDO HEALTH (DEFEASANCE) 70176402 OTHER LIABILITIES 4028072 78362118 X 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 $713,534 AS OF SEPTEMBER 30, 2019. 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, 2019 AND 2018. true true X true X 225. false true true true true true 9650290 0 9650290 0.04130 21412665 10147635 11265030 0.04820 165043 102109 62934 0.00030 31227998 10249744 20978254 0.08980 1127783 0 1127783 0.00480 262146 86455 175691 0.00080 0 0 0 0 0 0 255541 0 255541 0.00110 1645470 86455 1559015 0.00670 32873468 10336199 22537269 0.09650 907329 907329 0.00390 907329 907329 0.00390 true 44996148 0 39700914 40251796 -550882 X true true 1 1 SOUTH LAKE HOSPITAL 1900 DON WICKHAM DRIVE CLERMONT FL 34711 WWW.SOUTHLAKEHOSPITAL.COM 4180 X X X SURG CTR, REHAB, MRI HH, SNF, ONC A SOUTH LAKE HOSPITAL 1 false false true X X X X X X X X X X 19 true true true true X SEE PART V, SEC C X true 19 false true false true X 225. 0. X X X X true true X X X true X SEE PART V, SEC C X SEE PART V, SEC C X SEE PART V, SEC C X X X X X X true X false X X X X true X false false 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, THE SUMMARIES PREPARED BY 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 WERE 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 NOT ONLY ADDRESSES A COMMUNITY'S OR INDIVIDUAL'S RISK FACTORS, BUT ALSO 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 VIA 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 & 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 UF HEALTH CANCER CENTER), 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 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; SOUTH LAKE HOSPITAL IS CONSTANTLY EMPLOYING EFFORTS TO IMPROVE HEALTH IN THE COMMUNITY AND INCREASE ACCESS TO CARE. FOLLOWING OUR PARTICIPATION IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) SOUTH LAKE HOSPITAL TOOK INTO CONSIDERATION A NUMBER OF FACTORS IN SELECTING HEALTH NEEDS TO ADDRESS. FACTORS INCLUDED BUT WERE NOT LIMITED TO: INDIVIDUAL 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 2019 WITH OUR FOCUS ON ACCESS TO CARE, ORLANDO HEALTH SOUTH LAKE HOSPITAL DEVELOPED NEW AND ENHANCED ESTABLISHED COMMUNITY BENEFIT PROGRAMS THAT ADDRESS ACCESS TO CARE. SOUTH LAKE HOSPITAL PROVIDED OVER $22 MILLION IN COMMUNITY BENEFIT IN FISCAL YEAR 2019. IN SUPPORT OF OUR COMMUNITY BENEFIT EFFORTS, WE RECOGNIZE THE IMPORTANCE OF WORKING WITH COMMUNITY ORGANIZATIONS. IN 2019, WE SUPPORTED 52 COMMUNITY ORGANIZATIONS. EXAMPLES FROM KEY INITIATIVES ARE INCLUDED TO ILLUSTRATE THE TYPES OF SUCCESSES THESE PROGRAMS YIELD. EATING WELL WITH DIABETES EDUCATION: ACROSS CENTRAL FLORIDA, DIABETES CONSISTENTLY RANKS AMONG THE TOP FIVE RISKS IN THE REGIONS HEALTHCARE ASSESSMENTS. ORLANDO HEALTH SOUTH LAKE HOSPITAL HAS IDENTIFIED COMMUNITY EDUCATION AS A KEY APPROACH TO ADDRESSING THIS CHRONIC CONDITION IN THE COMMUNITIES IT SERVES. EACH MONTH, THE HOSPITAL HOSTS ITS EATING WELL WITH DIABETES CLASSES FOR PATIENTS, CAREGIVERS AND MEMBERS OF THE COMMUNITY. THE FREE CLASSES TAUGHT BY A SOUTH LAKE HOSPITAL CLINICAL DIETITIAN REVIEW THE DISEASE PROCESS, DIAGNOSTIC CRITERIA, LABS AND MACRONUTRIENTS (PROTEINS, FATS, CARBOHYDRATES). STRATEGIES SUCH AS THE MYPLATE TOOL DEVELOPED BY THE U.S. DEPARTMENT OF AGRICULTURE, HEALTHY FOOD CHOICES AND HEALTHY LIFESTYLE MODIFICATIONS ARE DISCUSSED. DURING THE TWO-AND-A-HALF-HOUR CLASS, PARTICIPANTS ALSO REVIEW FLUID NEEDS, FOOD MODELS/PORTION SIZES AND LEARN HOW TO PROPERLY READ FOOD LABELS. ALL OF THIS INFORMATION CAN HELP ATTENDEES BECOME MORE KNOWLEDGEABLE ABOUT WAYS TO MANAGE THEIR DIABETES CONDITION. ELEMENTARY SCHOOL HEALTH EDUCATION ROAD SHOWS: IN PARTNERSHIP WITH THE FLORIDA DEPARTMENT OF HEALTH, ORLANDO HEALTH SOUTH LAKE HOSPITAL PROVIDED STUDENTS AT NINE LAKE COUNTY PUBLIC ELEMENTARY SCHOOLS WITH AN INTERACTIVE, EDUCATIONAL PROGRAM ON DIET AND EXERCISE. TOPICS COVERED DURING THE PRESENTATIONS INCLUDED NUTRITION, FITNESS AND HAND WASHING. STUDENTS LEARNED ABOUT THE DIFFERENT FOOD GROUPS AND HOW TO MAKE A HEALTHY, BALANCED MEAL. USING FAKE FOOD MODELS, THEY PUT TOGETHER A BALANCED MEAL THAT INCORPORATED DIFFERENT FOOD CHOICES. THEY RECEIVED EASY-TO-MAKE RECIPES THEY COULD TAKE HOME TO ENCOURAGE THEIR PARENTS TO PREPARE BALANCED MEALS. RECIPES CONSISTED OF READILY AVAILABLE INGREDIENTS THAT WERE BOTH INEXPENSIVE AND HEALTHY, MAKING THE RESULTING MEALS AFFORDABLE AND ACHIEVABLE. THE STUDENTS ALSO PARTICIPATED IN AN EXERCISE CLASS SET TO MUSIC TO SHOW THEM HOW EASY AND FUN IT IS TO GET ACTIVE AND WORKOUT. THEY ALSO RECEIVED TIPS FOR EXERCISING AT HOME OR AT LOCAL PARKS. FINALLY, THEY LEARNED ABOUT GERM PREVENTION, THE CORRECT WAY TO WASH THEIR HANDS AND THE IMPORTANCE OF PROPER HYGIENE. RESPONDING TO A PANDEMIC: CURRENTLY, THE ORGANIZATION IS RESPONDING TO THE COVID-19 THREAT. WITH A LEVEL ONE TRAUMA CENTER AND A SAFETY NET HOSPITAL, ORLANDO HEALTH HAS BEEN A FOCAL POINT FOR CENTRAL FLORIDAS 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 GROCERY SHOPPING. ORLANDO HEALTH EXPERTS ALSO ARE ADVISING CENTRAL FLORIDA BUSINESSES ON HOW TO SAFELY AND APPROPRIATELY REOPEN AND RECOVER IN A POST-PANDEMIC WORLD. MEMBERS OF THE INFECTION PREVENTION TEAM HAVE VISITED THE OFFICES OF COMMUNITY PHYSICIANS FOR MASK FITTING OF N95 RESPIRATORS, AND MEDICAL LEADERSHIP HAS CONDUCTED WEBINARS ON WHAT APPROACHES WORK BEST IN CLINICAL OFFICE SETTINGS. GUIDANCE ON A RANGE OF GENERAL TOPICS FROM THE RIGHT WAY TO PUT ON A FACE MASK TO HOW TO CLEAN A SURFACE WITHOUT CROSS-CONTAMINATION WAS MADE AVAILABLE TO THE ENTIRE COMMUNITY ON THE DIGITAL MICROSITE ORLANDOHEALTH.COM/BUSINESS READY. THESE RESOURCES CAN HELP KEEP EMPLOYEES AND CUSTOMERS HEALTHY AS FLORIDA'S STAY-AT-HOME MANDATES EXPIRE. WE LOOK FORWARD TO SHARING MORE DETAILS OF THESE EFFORTS IN THE FORM 990 FOR 2020. WITH ACCESS TO CARE AS OUR PRIORITY, SOUTH LAKE HOSPITAL DETERMINED THAT THE FOLLOWING ISSUES WOULD NOT BE EXPLICITLY INCLUDED IN OUR IMPLEMENTATION STRATEGY IN AN EFFORT TO MAXIMIZE RESOURCES AVAILABLE FOR ADDRESSING ACCESS TO CARE. HOWEVER, 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 OUT 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 OUR EFFORTS BEING 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. 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 -WOMENS 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 ONES ACCESS TO CARE AND THERE MAY BE OPPORTUNITIES TO COLLABORATE WITH COMMUNITY PARTNERS TO ADDRESS THIS NEED. PLEASE REFER TO APPENDIX A FOR ANY INITIATIVES THAT ARE FOCUSED IN THIS AREA. 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 ONES ACCESS TO CARE AND WE MAY HAVE 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 ONES ACCESS TO CARE AND THERE MAY BE OPPORTUNITIES TO COLLABORATE WITH COMMUNITY PARTNERS TO ADDRESS THIS NEED. PLEASE REFER TO APPENDIX A FOR ANY INITIATIVES THAT ARE FOCUSED IN THIS AREA. 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 ONES ACCESS TO CARE AND THERE MAY BE OPPORTUNITIES TO COLLABORATE WITH COMMUNITY PARTNERS TO ADDRESS THIS NEED. PLEASE REFER TO APPENDIX A FOR ANY INITIATIVES THAT ARE FOCUSED IN THIS AREA. 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 ONES ACCESS TO CARE AND THERE MAY BE OPPORTUNITIES TO COLLABORATE WITH COMMUNITY PARTNERS TO ADDRESS THIS NEED. PLEASE REFER TO APPENDIX A FOR ANY INITIATIVES THAT ARE FOCUSED IN THIS AREA. 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 ONES 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 C 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 12 OH SLH JOE H AND LORETTA SCOTT MED pav 16966 CAGAN RIDGE BOULEVARD CLERMONT FL 34714 FREESTANDING ER AND MEDICAL PAVILION SOUTH LAKE ENDOSCOPY CENTER 2040 OAKLEY SEAVER DRIVE STE 100 CLERMONT FL 34711 OUTPATIENT DIAGNOSTIC CENTER OH SLH ER RM & MED PAV AT BLU CEDAR 22316 US HIGHWAY 27 LEESBURG FL 34748 FREESTANDING ER AND MEDICAL PAVILION SOUTH LAKE HOSPITAL SURGERY CENTER 1800 OAKLEY SEAVER DRIVE CLERMONT FL 34711 OUTPATIENT AMBULATORY SURGERY SOUTH LAKE WOUND CARE CENTER 2040 OAKLEY SEAVER DRIVE STE 200 CLERMONT FL 34711 OUTPATIENT WOUND CARE SOUTH LAKE HOSPITAL OUTPATIENT REHAB 1935 DON WICKHAM DRIVE CLERMONT FL 34711 OUTPATIENT REHABILITATION SOUTH LAKE HOSPITAL SATELITE OUTPATIENT 2020 OAKLEY SEAVER DRIVE CLERMONT FL 34711 OUTPATIENT REHABILITATION SKYTOP VIEW REHABILITATION CENTER 2145 NORTH DON WICKHAM DRIVE CLERMONT FL 34711 REHABILITATION AND SKILLED NURSING FACILITY SLH OUTPATIENT REHAB AT BLUE CEDAR 22326 US HIGHWAY 27 SUITE A LEESBURG FL 34748 OUTPATIENT REHABILITATION SOUTH LAKE HOSPITAL CARDIAC REHAB 2080 OAKLEY SEAVER DRIVE STE 140 CLERMONT FL 34711 OUTPATIENT REHABILITATION SOUTH LAKE HOME HEALTH 1920 DON WICKHAM DRIVE CLERMONT FL 34711 SKILLED NURSING FACILITY SOUTH LAKE HOSPITAL OUTPATIENT CENTER 1503 SUNRISE PLAZA DRIVE CLERMONT FL 34714 OUTPATIENT DIAGNOSTIC CENTER PART I, LINE 3C SOUTH LAKE HOSPITAL, INC., USES FEDERAL POVERTY GUIDELINES (FPG) AS A FACTOR FOR DETERMINING ELIGIBILITY FOR PROVIDING FREE CARE TO PATIENTS. IN AN EFFORT TO INCREASE FINANCIAL ASSISTANCE AVAILABILITY TO OUR PATIENTS, AS OF FY18, SOUTH LAKE HOSPITAL ADOPTED AN IMPROVED FINANCIAL ASSISTANCE POLICY IN WHICH THE FPG WAS INCREASED TO 225% FROM 200%. A PATIENT'S FAMILY OR HOUSEHOLD INCOME MUST BE LESS THAN OR EQUAL TO 225% OF FPG FOR THE PATIENT TO QUALIFY FOR FREE CARE. THIS ALLOWS SOUTH LAKE HOSPITAL TO OFFER FREE CARE TO MORE PATIENTS WHO QUALIFY. AS A RESULT, SOUTH LAKE HOSPITALS UPDATED FINANCIAL ASSISTANCE POLICY NO LONGER INCLUDES A PROVISION FOR DISCOUNTED MEDICAL CARE. 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 SOUTH LAKE HOSPITAL'S COMMUNITY BUILDING ACTIVITIES IS TO IMPROVE HEALTH IN THE SOUTHERN LAKE COUNTY COMMUNITY. SOUTH LAKE HOSPITAL MAY RECRUIT OR ASSIST IN THE RECRUITMENT OF PHYSICIANS WHEN A NEED IS IDENTIFIED TO BRING A MEDICAL SERVICE OR PROVIDER TO THE AREA, TO MAINTAIN THE DELIVERY OF HEALTHCARE AS PHYSICIAN ATTRITION OCCURS DUE TO RETIREMENT, DISABILITY, RELOCATION OR OTHER PERTINENT REASONS. A COMMUNITY NEED MUST BE DETERMINED BEFORE SOUTH LAKE HOSPITAL WILL ENGAGE IN THE RECRUITMENT OF A PHYSICIAN OR ASSIST IN THE RECRUITMENT OF A PHYSICIAN. RATIONALES THAT SOUTH LAKE HOSPITAL USES TO DETERMINE COMMUNITY NEED INCLUDE INDEPENDENT HEALTH PLANNING SERVICE ORGANIZATIONS, COMMUNITY NEEDS ASSESSMENT AND INDEPENDENTLY MAINTAINED PHYSICIAN DATABASE SOFTWARE THAT ASSISTS IN IDENTIFYING COMMUNITY NEED. IT IS IMPORTANT TO ADDRESS THE PHYSICIAN WORKFORCE SHORTAGE ISSUES IN ORDER TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE CENTRAL FLORIDA COMMUNITY. IF A PARTICULAR PHYSICIAN SPECIALTY IS DEFICIENT IN THE COMMUNITY IN COMPARISON TO THE POPULATION THIS CAN OFTEN LEAD TO INEFFICIENT OR NO ACCESS OR LONG WAIT PERIODS TO ACCESS HEALTHCARE SERVICES WHICH OFTEN LEAD TO POOR HEALTH OUTCOMES. OUR PHYSICIAN RECRUITMENT EFFORTS MEET THE COMMUNITY BENEFIT OBJECTIVE OF IMPROVING ACCESS TO HEALTH SERVICES WHICH ENHANCES PUBLIC HEALTH. THESE ACTIVITIES PRIMARILY BENEFIT THE LOCAL COMMUNITY AND WERE NOT PROVIDED FOR MARKETING PURPOSES, NOR TO INCREASE REFERRALS OF PATIENTS TO SOUTH LAKE HOSPITAL, IN FULFILLMENT OF REGULATORY REQUIREMENTS OR CURRENT STANDARD OF CARE, NOR TO BENEFIT PERSONS AFFILIATED WITH SOUTH LAKE HOSPITAL. RATHER, THE PRIMARY PURPOSE OF THE WORKFORCE DEVELOPMENT ACTIVITIES IS TO BENEFIT THE COMMUNITY BASED ON INDEPENDENT COMMUNITY NEED ANALYSES. SOUTH LAKE HOSPITAL HAS ASSISTED IN THE RECRUITMENT OF FOUR NEW COMMUNITY BASED PHYSICIANS TO SUPPORT THE PHYSICIAN SHORTAGES IN OUR COMMUNITY DURING THE YEAR. PART III, LINE 2 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, SOUTH LAKE HOSPITAL USES PREDICTIVE ANALYTICS TO DETERMINE IF THE FINANCIAL ASSISTANCE FOR ACCOUNTS ARE ADJUSTED TO, OR WRITTEN OFF TO, BAD DEBT. 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. PART III, LINE 3 AND LINE 4 IN MAY 2014, THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ISSUED ACCOUNTING STANDARDS UPDATE (ASU) 2014-09, REVENUE FROM CONTRACTS WITH CUSTOMERS (ASU 2014-09). THE FASB CODIFIED ASU 2014-09 IN THE FASB ACCOUNTING STANDARDS CODIFICATION (ASC) AS TOPIC 606 (ASC 606). THE STANDARD IS A SINGLE, COMPREHENSIVE REVENUE RECOGNITION MODEL THAT REQUIRES REVENUE TO BE RECOGNIZED IN A MANNER DEPICTING THE TRANSFER OF GOODS OR SERVICES TO A CUSTOMER AT AN AMOUNT THAT REFLECTS THE CONSIDERATION EXPECTED TO BE RECEIVED IN EXCHANGE FOR THOSE GOODS OR SERVICES. ON OCTOBER 1, 2018, THE SYSTEM ADOPTED THE NEW REVENUE RECOGNITION STANDARD USING A MODIFIED RETROSPECTIVE METHOD OR APPLICATION TO ALL CONTRACTS EXISTING ON OCTOBER 1, 2018. THE ADOPTION OF ASC 606 RESULTED IN CHANGES TO THE PRESENTATION FOR REVENUE RELATED TO UNINSURED OR UNDERINSURED PATIENTS. PRIOR TO THE ADOPTION OF ASC 606, A SIGNIFICANT PORTION OF THE SYSTEMS PROVISION FOR BAD DEBTS RELATED TO SELF-PAY PATIENTS, AS WELL AS CO-PAY AND DEDUCTIBLES OWED BY PATIENTS WITH INSURANCE. UNDER ASC 606, THE ESTIMATED UNCOLLECTABLE AMOUNTS DUE FROM THESE PATIENTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO NET PATIENT SERVICE REVENUE, RATHER THAN AS A PROVISION FOR BAD DEBTS. FOR THE YEAR ENDED SEPTEMBER 30, 2019, THE SYSTEM RECORDED APPROXIMATELY $429.1 MILLION OF IMPLICIT PRICE CONCESSIONS AS A DIRECT REDUCTION OF NET PATIENT SERVICE REVENUE THAT WOULD HAVE BEEN RECORDED AS A PROVISION FOR BAD DEBTS PRIOR TO ADOPTION OF ASC 606. OTHER THAN THESE CHANGES IN PRESENTATION, THE ADOPTION OF ASC 606 DID NOT HAVE A MATERIAL IMPACT ON THE CONSOLIDATED BALANCE SHEET OR STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS AS OF AND FOR THE YEAR ENDED SEPTEMBER 30, 2019. EXPANDED DISCLOSURES REQUIRED BY ASC 606 ARE INCLUDED WITHIN NOTE 3. (ORLANDO HEALTH, INC. AUDITED FINANCIAL STATEMENTS, PAGE 8-9) CONSISTENT WITH THE SYSTEMS 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 SYSTEMS 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 OR PAYORS 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 YEAR ENDED SEPTEMBER 30, 2019 WAS NOT SIGNIFICANT FOR THE SYSTEM. (ORLANDO HEALTH, INC. AUDITED FINANCIAL STATEMENTS, PAGE 20) PRIOR TO THE ADOPTION OF ASC 606, NET PATIENT SERVICE REVENUE WAS REPORTED AT ESTIMATED NET REALIZABLE AMOUNTS DUE FROM PATIENTS AND THIRD-PARTY PAYORS FOR MEDICAL SERVICES RENDERED AND INCLUDED ADJUSTMENTS RESULTING FROM REVIEWS AND AUDITS OF PRIOR YEAR MEDICARE AND MEDICAID COST REPORTS, AS DESCRIBED ABOVE. SUCH ADJUSTMENTS WERE CONSIDERED IN THE RECOGNITION AND ESTIMATION OF REVENUE IN THE CURRENT AND FUTURE PERIODS AS THE ADJUSTMENTS BECAME KNOWN OR AS COST REPORT YEARS WERE NO LONGER SUBJECT TO SUCH REVIEWS AND AUDITS. ADDITIONALLY, THE SYSTEM RECORDED AN ALLOWANCE FOR DOUBTFUL ACCOUNTS THAT WAS BASED ON EXPECTED NET COLLECTIONS, AFTER CONTRACTUAL ADJUSTMENTS, PRIMARILY FROM PATIENTS. THE PROVISION FOR BAD DEBTS FOR THE YEAR ENDED SEPTEMBER 30, 2018 WAS APPROXIMATELY $421.6 MILLION. ALLOWANCES FOR DOUBTFUL ACCOUNTS INCREASED APPROXIMATELY $88.4 MILLION DURING THE YEAR ENDED SEPTEMBER 30, 2018 AND TOTALED $248.8 MILLION AT SEPTEMBER 30, 2018. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS INCLUDES APPROXIMATELY $78.1 MILLION IN AMOUNTS DUE FROM THIRD-PARTY PAYORS, INCLUDING THE PATIENT RESPONSIBILITY PORTION INCLUDED IN THESE ACCOUNTS AT SEPTEMBER 30, 2018. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY HOSPITAL PATIENTS AS A PERCENT OF RELATED SELF-PAY ACCOUNTS RECEIVABLE WAS 96% AT SEPTEMBER 30, 2018. (ORLANDO HEALTH, INC. AUDITED FINANCIAL STATEMENTS, PAGE 21) 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. 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, SOUTH LAKE HOSPITAL PROVIDES ALL PATIENTS WITH INFORMATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE. SOUTH LAKE HOSPITAL PERFORMS A THOROUGH EVALUATION OF THE PATIENT'S FINANCIAL STATUS TO ENSURE THE UTILIZATION OF ALL AVAILABLE DISCOUNTS AND CHARITY CARE PROGRAMS AVAILABLE UNDER THEIR DISCOUNT AND CHARITY CARE POLICIES. THIS DETERMINATION PROCESS IS COMPLETED BEFORE ANY PATIENT'S ACCOUNT IS REMITTED TO COLLECTION. IT IS OUR POLICY NOT TO PURSUE COLLECTION PRACTICES AGAINST PATIENTS KNOWN TO QUALIFY FOR CHARITY CARE OR OTHER FINANCIAL ASSISTANCE. PART VI, LINE 2 IN 2019, SOUTH LAKE HOSPITAL CONDUCTED A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT. HOWEVER, PRIOR TO THE ASSESSMENT, 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, 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 NEEDS ASSESSMENTS THAT IDENTIFIED HEALTH NEEDS IN THE COMMUNITIES SERVED BY THE HOSPITALS ALONG WITH HOSPITAL DATA. AS A RESULT, 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 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 HEALTH CARE NEEDS OF THE 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 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. 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, SOUTH LAKE HOSPITAL THEN SCREENS THE PATIENT FOR CHARITY ELIGIBILITY. IT IS SOUTH LAKE HOSPITAL'S OBJECTIVE TO PROVIDE CHARITY CARE TO OUR PATIENTS WHO DO NOT HAVE THE ABILITY TO PAY. PART VI, LINE 4 SOUTH LAKE HOSPITAL CURRENTLY OPERATES IN THE CENTRAL FLORIDA REGION, WHICH HAS OVER TWO MILLION RESIDENTS AND THOUSANDS OF INTERNATIONAL VISITORS ANNUALLY. SOUTH LAKE'S PRIMARY SERVICE AREA IS COMPRISED OF ORANGE AND LAKE COUNTIES. AS OF 2019, THE AVERAGE HOUSEHOLD INCOME IN LAKE COUNTY IS $70,731. APPROXIMATELY 27.55% OF THE SERVICE AREA IS OVER 64 WHILE APPROXIMATELY 22.4% IS AGED 20 OR YOUNGER. COMMUNITY OUTREACH ACTIVITIES INCLUDE SPEAKER'S BUREAU, SUPPORT/EDUCATION GROUPS, WELLNESS ACTIVITIES, HEALTH FAIRS, CLINICAL SCREENINGS AND ASSESSMENTS, MEDICAL EDUCATION, RESEARCH, WOMEN, CHILDREN AND SENIOR HEALTH INITIATIVES, PUBLIC PROGRAM ENROLLMENT ASSISTANCE AND POST-ACUTE CARE FOR HOMELESS AND UNINSURED, SPONSORSHIPS, SCHOOL INITIATIVES, DONATED MEETING SPACE AND SPIRITUAL CARE. PART VI, LINE 5 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 SOUTH LAKE HOSPITAL IS PART OF AN INTEGRATED HEALTH SYSTEM THROUGH WHICH WE ARE ABLE TO 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 HEALTHS INTEGRATED HEALTH SYSTEM, SOUTH LAKE HOSPITAL HAS SEVERAL AFFILIATED ORGANIZATIONS TO ENSURE WE MEET THE COMMUNITY'S NEEDS. THROUGH THE INTEGRATED HEALTH SYSTEM OF SEVEN HOSPITALS AND VARIOUS OUTPATIENT FACILITIES, WITH MORE THAN 22,000 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 SEVEN RESIDENCY AND 21 FELLOWSHIP PROGRAMS. ORLANDO HEALTH FACILITIES ENCOMPASS 2,196 FULLY CERTIFIED BEDS, ADVANCED MEDICAL TREATMENTS AND PROCEDURES AND HIGHLY QUALIFIED STAFF. AS PREVIOUSLY MENTIONED, ORLANDO HEALTH, INC., IS COMPRISED OF ORLANDO HEALTH, 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, AND ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL. ORLANDO HEALTH CENTRAL, INC. OPERATES ORLANDO HEALTH HEALTH CENTRAL HOSPITAL, WHICH PROVIDES HIGH QUALITY INPATIENT, OUTPATIENT, AND EMERGENCY CARE FOR RESIDENTS OF WEST ORANGE COUNTY THROUGH ITS HOSPITAL AND VARIOUS OUTPATIENT FACILITIES. ORLANDO HEALTH MEDICAL GROUP, INC. SERVES AS AN INTEGRAL COMPONENT OF ORLANDO HEALTH'S HEALTH SYSTEM BY PROVIDING AN INTEGRATED DELIVERY SYSTEM OF SPECIALTY PHYSICIAN SERVICES, OCCUPATIONAL HEALTH SERVICES, REHABILITATION HEALTH SERVICES AND BEHAVIORAL HEALTH SERVICES. ORLANDO HEALTH UF HEALTH CANCER CENTER, NOW A PART OF ORLANDO HEALTH MEDICAL GROUP, INC., HAS MADE SIGNIFICANT CONTRIBUTIONS TO THE CARE OF OUR CANCER PATIENTS. ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER WITH ORLANDO HEALTH, INC., OUR COMMITMENT TO THE TREATMENT OF OUR CANCER FOR OUR COMMUNITY IS BACKED BY EXPERTISE AND RESOURCES TO DELIVER HIGH-QUALITY PATIENT CARE FROM DIAGNOSIS THROUGH TREATMENT AND CONTINUING THROUGH THE END OF LIFE. ORLANDO PHYSICIAN NETWORK, INC. ALSO SERVES AS AN INTEGRAL COMPONENT OF ORLANDO HEALTH'S HEALTH SYSTEM BY PROVIDING AN INTEGRATED DELIVERY SYSTEM OF PRIMARY CARE PHYSICIAN SERVICES. ORLANDO HEALTH FOUNDATION, INC. IS THE PHILANTHROPIC HEART OF ORLANDO HEALTH'S INTEGRATED HEALTH SYSTEM AND HAS BEEN INSTRUMENTAL IN RAISING FUNDS FOR CAPITAL IMPROVEMENTS AND RENOVATIONS TO OUR HOSPITALS, SUPPORTING PROGRAMS AND THE ACQUISITION OF LIFE-SAVING EQUIPMENT FOR OUR AFFILIATES. THROUGH ORLANDO HEALTH'S AFFILIATED HEALTH CARE SYSTEM, WE PROVIDED APPROXIMATELY $760 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). Minor omissions were identified in FY 2018 as part of this review, and OHI believes the omissions are minor and either inadvertent or due to reasonable cause, as described in Rev. Proc. 2015-21. OHI has decided, in the interest of transparency, to provide this disclosure as part of its Form 990 filing pursuant to Section 7 of Rev. Proc. 2015-21. OHI operates seven 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 - Health Central Hospital (HCH) 6) Orlando Health Dr. P. Phillips Hospital (DPH) 7) 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 OHIs hospitals as required by Section 501(R). OHIs review indicated that OHI should provide certain patient-facing employees with additional training to ensure that they could identify the physical locations within the hospital facilities where patients could obtain physical copies of these documents. All OHI's patient-facing non-clinical staff collecting payments from patients will receive this additional training during FY19. An online learning module will also be developed and will be assigned annually to appropriate OHI personnel as well as new hires in applicable areas. In addition, OHI personnel that greet patients and visitors will continue to be educated on where copies of the two most recently conducted CHNAs are located and how to share this information with patients and visitors. 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, Shepherds 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 is in the process of establishing methods for members of the public to provide input on OHIs 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 facilitys 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. IN JULY 2019, OHI DISCOVERED THAT LINKS TO TRANSLATIONS OF ITS FAP INTO SPANISH, PORTUGUESE, AND HAITIAN-CREOLE HAD INADVERTENTLY BEEN REMOVED FROM ITS FINANCIAL ASSISTANCE PROGRAM WEB PAGE. UPON DISCOVERY, OHI ACTED DILIGENTLY TO RESTORE THESE LINKS PRIOR TO THE END OF JULY 2019. OHI changed its procedures in July 2019 to provide a plain language summary of its FAP at intake or discharge to all patients. IN JULY 2018, OHI UPDATED THE 501(R) PHYSICIAN LISTING ON ITS WEBSITE (AS REFERENCED IN AND LINKED TO FROM OHI'S FAP) TO INCLUDE ALL NON-EMPLOYED PROVIDERS. true SCHOOL DISTRICT OF LAKE COUNTY 201 WEST BURLEIGH BOULEVARD TAVARES FL 32778 596000694 GOVT 6000 0 SPONSORSHIP INDIGENT CARE LIFESTREAM BEHAVIORAL CENTER INC PO BOX 491000 LEESBURG FL 34749 591561501 501(c)(3) 249541 0 2 HOMER ALLEN SCHOLARSHIPS 19 86455 MAMMOGRAMS 5 1271 SCHEDULE I, PART I, LINE 2 NURSING SCHOLARSHIP POLICY IS TO PROVIDE TUITION REIMBURSEMENT FOR ANY APPLICANT WHO MEETS CERTAIN CRITERIA REGARDING EMPLOYMENT, GRADES AND QUALIFICATIONS AS WELL AS SUPERVISORY RECOMMENDATIONS. PROOF OF GRADE AND PAYMENT MUST BE PRESENTED AT THE TIME OF REIMBURSEMENT. THE SUSAN G. KOMEN PROGRAM PROVIDES FREE OR LOW COST MAMMOGRAMS TO INDIGENT PATIENTS. SOUTH LAKE COUNTY WOMEN WHO CANNOT AFFORD A MAMMOGRAM OR OTHER DIAGNOSTIC BREAST EXAMINATIONS MAY BE ELIGIBLE TO RECEIVE THEM FOR FREE OR AT A REDUCED COST AT SOUTH LAKE HOSPITAL AS A RESULT OF A GRANT FROM SUSAN G. KOMEN CENTRAL FLORIDA. THE SCREENING MAMMOGRAMS AND OTHER DIAGNOSTIC SERVICES ARE PROVIDED BY THE CENTER FOR WOMEN'S HEALTH AT SOUTH LAKE HOSPITAL. PATIENTS WILL NEED TO SHOW PROOF THEY RESIDE IN SOUTH LAKE COUNTY, HAVE FINANCIAL NEED (INCOME AT OR BELOW 225% POVERTY LEVEL) AND A SCRIPT/ORDER FROM A PHYSICIAN FOR THE TEST. ADDITIONALLY ANY PRIOR MAMMOGRAM FILMS ARE REQUIRED (UNLESS THIS IS THE PATIENT'S FIRST MAMMOGRAM). false true false false false false false false false MILDRED BEAM BM, Vice-Chair 0 453308 0 192776 0 223574 0 101698 0 15631 0 986987 0 221545 LANCE SEWELL CFO,South Lake Hospital 0 220894 0 33024 0 13992 0 19503 0 24937 0 312350 0 13774 JOHN MOORE CHM, PRES. AS OF 7/1/19 0 327605 0 236403 0 49201 0 76895 0 15462 0 705566 0 47153 Sijo Parekattil MD Urologist 517860 0 359628 0 450 0 18500 0 26558 0 922996 0 0 0 Jamin Brahmbhatt MD Urologist 514892 0 244156 0 572 0 18500 0 29526 0 807646 0 0 0 Andrew Karen MD OB/GYN 452308 0 202678 0 450 0 16741 0 28187 0 700364 0 0 0 Albert Enriquez MD Urologist, OB/GYN 334297 0 0 0 1880 0 14895 0 23010 0 374082 0 0 0 Sindhu Jacob MD Endocrinologist 199860 0 0 0 279 0 10250 0 23388 0 233777 0 0 0 PAUL JOHNS COO, South Lake Hospital 0 189044 0 28218 0 11899 0 16689 0 23137 0 268987 0 11134 BONNIE J ONOFRE CNO, South Lake Hospital 0 180295 0 26057 0 14288 0 9127 0 8085 0 237852 0 557 Lushantha Gunasekera MD Board Member 0 395781 0 589124 0 36836 0 11688 0 23825 0 1057254 0 0 CARY D'ORTONA Board Member, Treasurer 0 293791 0 74652 0 23573 0 41615 0 23825 0 457456 0 18279 Bernadette Spong CFO 0 694976 0 662670 0 51124 0 181770 0 21217 0 1611757 0 44657 SCHEDULE J, PART I, LINE 3 RELATED ORGANIZATION 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 THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL QUALIFIED RETIREMENT PLAN, WHICH INCLUDED THE FOLLOWING DEPOSITS DURING CALENDAR YEAR 2018 THAT WERE PREVIOUSLY DEFERRED. DEFERRAL DEPOSITS: MILDRED BEAM $98,260 CARY D'ORTONA $29,927 LANCE SEWELL $16,065 JOHN MOORE $65,207 PAUL MARK JOHNS $13,727 BERNADETTE SPONG $170,082 DEFERRAL DISTRIBUTIONS MADE TO THE FOLLOWING: MILDRED BEAM $221,545 CARY D'ORTONA $18,279 LANCE SEWELL $13,774 JOHN MOORE $47,153 PAUL MARK JOHNS $11,134 BONNIE ONOFRE $557 BERNADETTE SPONG $44,657 ROBERT BERENS JR BOARD MEMBER 391835 BANK OFFICER; CASH false SCHEDULE L, PART IV, LINE 1 Robert E. Berens, Jr., former Secretary of the Governing Board, is a Vice President at Seacoast National Bank and owns less than 1% of the banks stock. The bank held a CD that was valued at approximately $391,835 for the filing entity; however, this investment was liquidated prior to 9/30/19. FORM 990, PART VI, LINE 4 EFFECTIVE JULY 1, 2019, THE ARTICLES OF INCORPORATION AND BYLAWS WERE UPDATED TO REFLECT ORLANDO HEALTH, INC. AS THE SOLE MEMBER OF SOUTH LAKE HOSPITAL, INC. FORM 990, PART VI, LINE 6 DESCRIPTION OF CLASSES OF MEMEBERS OR STOCKHOLDERS EFFECTIVE JULY 1, 2019, 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 As of July 1, 2019, 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 OFFICES 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 IN NET ASSETS $(20,111) ORLANDO HEALTH INC 1414 KUHL AVENUE ORLANDO FL 32806 591726273 HEALTHCARE FL 501(c)(3) 3 NA false ORLANDO HEALTH FOUNDATION INC 3160 SOUTHGATE COMMERCE BLVD ORLANDO FL 32806 592244943 SUPPORT OH FL 501(c)(3) 7 OHI false ORLANDO HEALTH CENTRAL INC 10000 W COLONIAL DRIVE OCOEE FL 34761 800764192 HEALTHCARE FL 501(c)(3) 3 OHI false ORLANDO CANCER CENTER INC 1400 S ORANGE AVENUE ORLANDO FL 32806 593005020 CANCER CENTER FL 501(c)(3) 12A OHI 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 SUPPORT OHC FL 501(c)(3) 12A OHC false HEALTH CENTRAL FOUNDATION INC 10000 W COLONIAL DRIVE OCOEE FL 32806 592091206 SUPPORT OHC FL 501(c)(3) 7 OHF false GREATER ORLANDO CHILDREN'S MIRACLE NETWO 3160 SOUTHGATE COMMERCE BLVD 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 HEALTHNET SERVICES INC & SUBS 1414 KUHL AVENUE ORLANDO FL 32806 592246203 MEDICAL SVCS FL OHI C CORP 0 0 0.00000 false ORANGE INDEMNITY LTD PO BOX 1159 KY CJ 980516252 CAPTIVE INS CJ OHI C CORP 0 0 0.00000 false COMMUNITY HEALTH OF FLORIDA INC 1414 KUHL AVENUE ORLANDO FL 32806 463171911 INSURANCE LIC FL OHI C CORP 0 0 0.00000 false false false true false false false false false false true false false true false true true false false false