ORLANDO HEALTH CENTRAL INC: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- ORLANDO HEALTH CENTRAL INC (EIN 80-0764192)
- Tax period
- 2018-10-01 to 2019-09-30
- Filed
- 2020-08-07
- IRS object ID
- 202002209349301035
- Schema version
- 2018v3.3
- 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 J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-08-07T13:45:39-05:00 | ReturnTs |
| Tax Period End | 2019-09-30 | 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 | 2018-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 800764192 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Orlando Health Central Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % BERNADETTE SPONG | InCareOfNm |
| Business Name Control | ORLA | BusinessNameControlTxt |
| Phone | 4072961000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10000 W COLONIAL DRIVE | AddressLine1Txt |
| City | OCOEE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 34761 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BERNADETTE SPONG | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 3218415078 | PhoneNum |
| Signature | 2020-08-06 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MELANIE MCPEAK | PreparerPersonNm |
| PTIN | P01346034 | PTIN |
| Phone | 8132254800 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 99.59.251.89 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 59521020202205000003 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2020-08-07 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DAFA43998C5B16E4847FAA9AD61C49E3BD2EB142 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | E25FB6EA45473F7CCDD5332CA215900F76A46F16 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-09-22 18:59:49Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MARK MARSH | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10000 W COLONIAL DRIVE | AddressLine1Txt |
| City | OCOEE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 34761 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $276,827,854 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | SEE SCHEDULE O | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2011 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE THE HEALTH OF OUR COMMUNITY BY PROVIDING SAFE, QUALITY HEALTHCARE SERVICES IN AN ATMOSPHERE OF CARING. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 2005 | TotalEmployeeCnt |
| Total Volunteers | 245 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $104,352 | PYContributionsGrantsAmt |
| CY Contributions Grants | $64,378 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $220,965,188 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $270,657,012 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,993,298 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,856,894 | CYInvestmentIncomeAmt |
| PY Other Revenue | $198,797 | PYOtherRevenueAmt |
| CY Other Revenue | $1,730,560 | CYOtherRevenueAmt |
| PY Total Revenue | $225,261,635 | PYTotalRevenueAmt |
| CY Total Revenue | $274,308,844 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $110,727,443 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $116,932,921 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $95,865,620 | PYOtherExpensesAmt |
| CY Other Expenses | $117,795,595 | CYOtherExpensesAmt |
| PY Total Expenses | $206,593,063 | PYTotalExpensesAmt |
| CY Total Expenses | $234,728,516 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $18,668,572 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $39,580,328 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $425,425,418 | TotalAssetsBOYAmt |
| Total Assets EOY | $560,319,044 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $194,882,957 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $289,300,175 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $230,542,461 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $271,018,869 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | ORLANDO HEALTH CENTRAL IS A TRUSTED LEADER INSPIRING HOPE THROUGH THE ADVANCEMENT OF HEALTH. OUR MISSION IS TO IMPROVE THE HEALTH OF OUR COMMUNITY BY PROVIDING SAFE, QUALITY HEALTHCARE SERVICES IN AN ATMOSPHERE OF CARING. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $187,853,576 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $249,871,101 | RevenueAmt |
| Desc | ORLANDO HEALTH CENTRAL, INC., DBA ORLANDO HEALTH - HEALTH CENTRAL HOSPITAL PROVIDES HIGH QUALITY INPATIENT, OUTPATIENT, AND EMERGENCY HEALTHCARE TO THE PEOPLE OF WEST ORANGE COUNTY THROUGH ITS HOSPITAL AND VARIOUS OUTPATIENT FACILITIES. PREVIOUSLY OWNED AND OPERATED UNDER THE WEST ORANGE HEALTHCARE DISTRICT, WE HAVE SERVED THE WEST ORANGE COUNTY'S SURGICAL, AND GENERAL HEALTHCARE NEEDS SINCE 1952. IN AN EFFORT TO ACHIEVE ITS OBJECTIVE OF BEING A STATE-OF-THE-ART, FULL-SERVICE HOSPITAL THAT WILL MEET THE FUTURE NEEDS OF ITS COMMUNITY AND BECOME A FACILITY OF CHOICE FOR AREA RESIDENTS IN OCOEE, THE WEST ORANGE HEALTHCARE DISTRICT TRANSITIONED THE HOSPITAL CARE TO ORLANDO HEALTH CENTRAL. ORLANDO HEALTH CENTRAL DELIVERS COMPREHENSIVE HEALTHCARE SERVICES IN ITS 440,000-SQUARE-FOOT, INTEGRATED MEDICAL MALL WHICH INCLUDES A 211-BED JCAHO ACCREDITED ACUTE CARE HOSPITAL, AS WELL AS A 60-BED EMERGENCY CENTER. DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2019, ORLANDO HEALTH CENTRAL FACILITIES PROVIDED 55,704 DAYS OF INPATIENT CARE, 48,774 OUTPATIENT VISITS, AND 72,827 EMERGENCY DEPARTMENT VISITS. IN ACCORDANCE WITH ITS MISSION, ORLANDO HEALTH CENTRAL PROVIDED EXTENSIVE CARE TO PATIENTS WHO MEET ITS CHARITY CARE GUIDELINES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. ORLANDO HEALTH CENTRAL ALSO OFFERS COMMUNITY EDUCATION, SCHOOL INITIATIVES AND SUPPORT GROUPS. AS A NOT-FOR-PROFIT HEALTHCARE PROVIDER, THE CULTURE OF CARING AT ORLANDO HEALTH CENTRAL TOUCHES THE LIVES OF MANY THROUGHOUT THE GREATER WEST ORANGE COUNTY AREA. ORLANDO HEALTH CENTRAL'S PHYSICIANS, EMPLOYEES AND VOLUNTEERS KNOW THAT HEALTHCARE EXTENDS BEYOND THE WALLS OF THE HOSPITAL. OUR DEDICATED MEDICAL PROFESSIONALS AND VOLUNTEERS OFTEN CONTRIBUTE TO THE COMMUNITY OUTSIDE THE ORGANIZATION, EDUCATING THEIR NEIGHBORS AND PROVIDING MEDICAL CARE TO OTHERS IN THE REGION. ORLANDO HEALTH CENTRAL DEMONSTRATES A COMMITMENT TO PROMOTING HEALTH, WELL-BEING AND A CARING SPIRIT THROUGHOUT THE COMMUNITY BY ORGANIZING AND PROVIDING SERVICES RANGING FROM WELLNESS EVENTS AND SCREENINGS, TO FLU SHOTS AND HIGH SCHOOL PHYSICALS. THESE ACTIVITIES BRING LITTLE OR NO PAYMENT TO OUR HOSPITAL BUT ARE SUSTAINED BECAUSE THEY ARE VALUABLE TO OUR REGION AND SUPPORT OUR MISSION. ---COMMUNITY PROGRAMS AND SERVICES--- COMMUNITY OUTREACH SUPPORT / EDUCATION GROUPS COMMUNITY WELLNESS COMMUNITY HEALTH FAIRS PASTORAL OUTREACH & SPIRITUAL CARE ---VALUE TO THE COMMUNITY--- FISCAL YEAR 2019: BY OFFERING THE BEST QUALITY OF CARE, RESPONDING TO COMMUNITY NEEDS AND CONCENTRATING RESOURCES IN AREAS THAT TRULY MAKE A DIFFERENCE, ORLANDO HEALTH CENTRAL MAINTAINS A RICH TRADITION OF PROVIDING A BENEFIT TO THE COMMUNITY. OUR COMMUNITY BENEFIT EFFORT IS A MEASURED APPROACH TO MEETING IDENTIFIED COMMUNITY HEALTH NEEDS, PARTICULARLY IN THE VULNERABLE, UNINSURED AND UNDERSERVED COMMUNITIES. AS A NOT-FOR-PROFIT, COMMUNITY-BASED ORGANIZATION, ORLANDO HEALTH CENTRAL IS DEDICATED TO IMPROVING THE HEALTH AND WELL-BEING OF THE PEOPLE WE SERVE. ORLANDO HEALTH CENTRAL IS, COMMITTED TO CHARITY CARE, WHICH IS THE PROVISION OF MEDICAL ATTENTION AND SERVICES TO THE REGION'S MOST VULNERABLE AND UNINSURED, REGARDLESS OF A PATIENT'S ABILITY TO PAY, A PATIENT'S INSUFFICIENT HEALTH INSURANCE COVERAGE, OR THE EXISTENCE OF ANY GOVERNMENT-SPONSORED PROGRAMS COVERING THE FULL COST OF, SERVICES. IN FISCAL YEAR 2019, ORLANDO HEALTH CENTRAL PROVIDED $9,333,594 IN CHARITY CARE, AND $15,385,467 IN MEDICAID SHORTFALLS. ---NAVIGATING OUT OF THE EMERGENCY ROOM--- THROUGH THE SUPPORT OF THE ORLANDO HEALTH FOUNDATION, A HEALTHCARE NAVIGATOR PROGRAM HAS BEEN INTRODUCED AT ORLANDO HEALTH - HEALTH CENTRAL HOSPITAL TO PROVIDE CARE FOR LOW-INCOME, MEDICALLY UNINSURED/UNDERINSURED POPULATIONS. THE CARE TRANSITION SPECIALIST SERVES AS AN AFFORDABLE AND ACCESSIBLE RESOURCE FOR PATIENTS WHO ACCESS THE EMERGENCY ROOM AT ORLANDO HEALTH - HEALTH CENTRAL HOSPITAL FOR EMERGENT AND NON-EMERGENT NEEDS. SOME OF THESE PATIENTS ARE VISITING THE ER FOR THEIR CHRONIC MEDICATION NEEDS, WHICH COULD BE MET THROUGH A MEDICAL HOME AND EASILY ACCESSIBLE PHARMACY. THE CARE TRANSITION SPECIALIST OFFERS FACE-TO-FACE PATIENT VISITS AND CONNECTS PATIENTS TO A PRIMARY CARE MEDICAL HOME, WHICH INCLUDES PRIMARY MEDICAL, DENTAL, BEHAVIORAL HEALTH, OPTOMETRY, PHARMACY AND LABORATORY SERVICES. PHARMACY OFFERINGS ALSO INCLUDE MEDICATION THERAPY MANAGEMENT FOR CHRONIC-CARE PATIENTS, WHICH CAN HELP ADDRESS OVERUTILIZATION OF THE ER FOR CHRONIC-CARE MEDICATIONS. THIS PROGRAM PAVES THE WAY TO REDUCING MEDICAL COSTS, IN PART, BECAUSE AS MEDICAL HOME UTILIZATION INCREASES, AVOIDABLE VISITS TO THE ER DECREASE. ---COMMUNITY EDUCATION--- HEALTH CENTRAL UNIVERSITY IS DEDICATED TO FURTHERING THE HEALTH-RELATED EDUCATION OF THE COMMUNITY. CLASSES ARE AVAILABLE TO AREA RESIDENTS AS WELL AS CONTINUING EDUCATION FOR OUR HEALTHCARE PROFESSIONALS. ---REDUCING CHRONIC DISEASE RISKS--- HEALTHY WEST ORANGE +ONE IS A GOAL-ORIENTED PROGRAM TO AID PARTICIPANTS IN REDUCING RISK FACTORS FOR CHRONIC DISEASE. FULLY FUNDED BY ORLANDO HEALTH, THE FREE PROGRAM WAS CREATED TO SUPPORT THE VISION OF MAKING WEST ORANGE COUNTY THE HEALTHIEST COUNTY IN THE NATION. AVAILABLE TO RESIDENTS OF WEST ORANGE COUNTY, THE PROGRAM PROVIDES PARTICIPANTS WITH PRE/POST BIOMETRIC ASSESSMENTS, INCLUDING BLOODWORK (LIPID PANEL, HGBA1C), HEIGHT, WEIGHT, WAIST CIRCUMFERENCE AND BLOOD PRESSURE. THE 12-WEEK COURSE INVOLVES GOAL-SETTING, GROUP/SOCIAL SUPPORT, INTERACTIVE ACTIVITIES, BEHAVIOR AND LIFESTYLE MODIFICATIONS, AND EDUCATION ON TOPICS SUCH AS NUTRITION, ACTIVITY, STRESS AND SLEEP. EVERY PARTICIPANT RECEIVES A 4-DAY FOOD RECORD EVALUATION AND INDIVIDUAL MEETING WITH A REGISTERED DIETITIAN. THEY ALSO SET SPECIFIC GOALS TO ACHIEVE PERSONAL HEALTH IMPROVEMENT AND HAND IN WEEKLY TRACKING SHEETS TO SUPPORT GOAL ATTAINMENT. ---MAKING LONG-TERM LIFESTYLE CHANGES--- ENHANCING THE HEALTH AND QUALITY OF LIFE OF CENTRAL FLORIDIANS IS THE FOCUS OF THE ORLANDO HEALTH CENTER FOR HEALTH IMPROVEMENT LOCATED AT THE ORLANDO HEALTH MEDICAL PAVILION - HORIZON WEST. THE CENTER FOR HEALTH IMPROVEMENT USES EVIDENCE-BASED BEST PRACTICES TO IDENTIFY AN INDIVIDUAL'S DISEASE RISKS AND PROVIDE PERSONALIZED HEALTH SUPPORT FOR LONG-TERM LIFESTYLE CHANGES. PROGRAM PARTICIPATION IS OFFERED AT NO COST TO THOSE WHO DEMONSTRATE AN APPROPRIATE LEVEL OF READINESS FOR CHANGE AND MOTIVATION FOR SUCCESS. A PHYSICIAN-LED TEAM PROVIDES HEALTH-IMPROVEMENT CONSULTATIONS, EDUCATION, WORKSHOPS AND HEALTH COACHING FOR A VARIETY OF AREAS. PARTICIPATION RANGES FROM TWO VISITS UP TO A 12-WEEK PROGRAM ENROLLMENT. ---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 FLORIDA'S 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. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $14,809,314 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $20,785,911 | RevenueAmt |
| Desc | ORLANDO HEALTH CENTRAL, INC. PROVIDES LONG-TERM NURSING CARE TO OUR COMMUNITY THROUGH HEALTH CENTRAL PARK, A 228 BED FACILITY. HEALTH CENTRAL PARK CONSISTS OF 5 NEIGHBORHOODS (NURSING WINGS) INCLUDING A POST ACUTE CARE FOR SHORT TERM REHAB WITH 46 BEDS WITH AN AVERAGE LENGTH OF STAY OF 22 DAYS; A GATED COMMUNITY, WHICH SPECIALIZES IN PROVIDING PROGRAMS AND SERVICES FOR ALZHEIMER'S/DEMENTIA TYPE RESIDENTS FOR 49 RESIDENTS; AND AN ADDITIONAL THREE NEIGHBORHOODS PROVIDING CARE TO LONG-TERM-CARE RESIDENTS. WE PROVIDE RESIDENT CENTERED CARE. WE ARE RESTRAINT FREE AND PROVIDE EXCELLENT OUTCOMES IN WOUND CARE AND WEIGHT MANAGEMENT. WE ALSO PROVIDE IV THERAPY, HYPERTENSION MANAGEMENT, MEDICATION MANAGEMENT, DIABETIC MANAGEMENT, DEMENTIA CARE, RESTORATIVE NURSING CARE AND PALLIATIVE CARE. HEALTH CENTRAL PARK PROVIDES FULL THERAPY SERVICES 7 DAYS A WEEK, 8 HOURS A DAY. OUR THERAPY PATIENTS HAVE EXCELLENT OUTCOMES AND AFTER DISCHARGE USUALLY CONTINUE THEIR THERAPY AS OUTPATIENTS. ON ANY GIVEN DAY WE HAVE ABOUT 60 PATIENTS IN THERAPY. OUR REHABILITATION PROGRAM SPECIALIZES IN ORTHOPEDIC AND NON-ORTHOPEDIC/MEDICALLY COMPLEX GERIATRIC PATIENTS. THE LENGTH OF STAY FOR OUR KNEE PATIENTS IS 15 DAYS; OUR HIP PATIENTS AVERAGE 23 DAYS; AND WE HAVE ABOUT 32 ORTHOPEDIC PATIENTS AND 110 NON-ORTHOPEDIC/MEDICALLY COMPLEX PATIENTS PER MONTH. HEALTH CENTRAL PARK'S WORKFORCE IS MADE UP OF ABOUT 300 EMPLOYEES, WITH THE NURSING DEPARTMENT BEING THE LARGEST OF ABOUT 215; 135 OF WHICH ARE C.N.A'S. WE ARE PRIVILEGED TO HAVE A FULL TIME NURSE PRACTITIONER WHICH ACTS AS THE PHYSICIAN EXTENDER AND ATTENDS TO URGENT AND OTHER MEDICAL NEEDS ON A TIMELY BASIS. WE ALSO HAVE A FULL TIME DIETICIAN AND A NUTRITIONAL SPECIALIST TO ADDRESS THE CLINICAL DIETARY NEEDS OF OUR RESIDENTS. OUR SOCIAL WORKERS DO DISCHARGE PLANNING AND ASSIST WITH THE PSYCHO-SOCIAL NEEDS OF THE RESIDENTS ALONG WITH OUR FULL RECREATION DEPARTMENTS. THE AMERICAN HEALTH CARE ASSOCIATION ANNOUNCED HEALTH CENTRAL PARK AS A 2011 RECIPIENT OF THE SILVER - ACHIEVEMENT IN QUALITY NATIONAL QUALITY AWARD FOR ITS OUTSTANDING PERFORMANCE IN THE HEALTH CARE PROFESSION. THE PRESTIGIOUS AWARD HIGHLIGHTS SELECT FACILITIES ACROSS THE NATION THAT SERVE AS MODELS OF EXCELLENCE FOR PROVIDING HIGH-QUALITY LONG-TERM CARE. VERY FEW OF THE 700 SKILLED NURSING FACILITIES IN FLORIDA HAVE ACHIEVED THIS LEVEL OF QUALITY SINCE THE AWARD'S INCEPTION IN 1996. HEALTH CENTRAL PARK HAS BEEN CONSISTENT IN ITS PERFORMANCE AND DEDICATION TO PROVIDING HIGH-QUALITY CARE. VOLUNTEERS SUPPLEMENT OUR STAFF TO HELP ENHANCE QUALITY OF LIFE. THEY PROVIDE ABOUT 609 HOURS A MONTH. DURING FY19, CONSTRUCTION OF THE ORLANDO HEALTH CENTER FOR REHABILITATION, A 110 BED SKILLED NURSING FACILITY LOCATED ON THE CAMPUS OF HEALTH CENTRAL HOSPITAL WAS COMPLETED. THE FACILITY CONSISTS OF 60 PRIVATE REHAB ROOMS, 40 DEMENTIA BEDS OF WHICH 36 ARE PRIVATE ROOMS AND 2 ARE SEMI-PRIVATE ROOMS AND 10 PRIVATE HOSPICE ROOMS BEING LEASED TO CORNERSTONE HOSPICE, AN INDEPENDENT PROVIDER. DURING FY19, THE ORLANDO HEALTH CENTER FOR REHABILITATION WAS UNDERGOING MEDICARE AND MEDICAID CERTIFICATIONS. IN FY20, THE ORLANDO HEALTH CENTER FOR REHABILITATION BECAME BOTH MEDICARE AND MEDICAID CERTIFICED. AS A RESULT, 110 BEDS FROM HEALTH CENTRAL PARK WERE TRANSFERRED TO THE ORLANDO HEALTH CENTER FOR REHABILITATION LEAVING THE PARK WITH 118 LICENSED BEDS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $202,662,890 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | 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 | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| 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 With Officer Ent | Yes (true) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 241 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 2005 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| 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 | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | 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 | BERNADETTE SPONG | 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 (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Kathy Aber | ||||||||||
| Board member | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Ann Blakeslee | ||||||||||
| Board member, Secretary | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| Becky Cherney | ||||||||||
| Board member | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Samuel Davis Jr | ||||||||||
| Board member | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Jamal A Hakim MD | ||||||||||
| Board member | 2.0 | 61.0 | Yes (X) | $0 | $1,870,879 | $242,895 | ||||
| Randy June | ||||||||||
| Board member, Chairman | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| Michael Mercado MD | ||||||||||
| Board member thru 2/25/2019 | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Bernadette Spong | ||||||||||
| Board member, Vice-Chair | 2.0 | 59.0 | Yes (X) | $0 | $1,408,770 | $202,987 | Yes (X) | |||
| Joshua High | ||||||||||
| Board member, Treasurer | 2.0 | 1.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| John Rees | ||||||||||
| Board member | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Erick R Hawkins | ||||||||||
| Board member | 2.0 | 55.0 | Yes (X) | $0 | $1,096,308 | $156,059 | ||||
| Mark A Marsh | ||||||||||
| PRESIDENT & SVP, OH | 55.0 | 1.0 | $0 | $551,115 | $109,966 | Yes (X) | ||||
| Randy M Hassard | ||||||||||
| Mgr, Pharmacy Services | 55.0 | 0.0 | $144,798 | $0 | $21,053 | Yes (X) | ||||
| James K Bowman | ||||||||||
| Pharmacy Info Sys Coord | 55.0 | 0.0 | $124,141 | $0 | $11,755 | Yes (X) | ||||
| Bhavna Patel-Pandya | ||||||||||
| Asst Mgr, Pharmacy Operations | 55.0 | 0.0 | $123,154 | $0 | $23,538 | Yes (X) | ||||
| Betty George | ||||||||||
| Pharmacist | 55.0 | 0.0 | $121,113 | $0 | $25,285 | Yes (X) | ||||
| Jacqueline Lewis | ||||||||||
| Clin Assistant Nurse Manager | 55.0 | 0.0 | $118,878 | $0 | $17,413 | Yes (X) | ||||
| John Richard Schooler | ||||||||||
| Fmr Bd Membr,Treasurer 9/19/17 | 0.0 | 0.0 | $0 | $334,998 | $15,975 | Yes (X) | ||||
| Rick Smith | ||||||||||
| COO, Health Central | 55.0 | 0.0 | $0 | $249,586 | $40,775 | Yes (X) | ||||
| Gregory P Ohe | ||||||||||
| Fmr President, OHC thru 6/1/16 | 0.0 | 55.0 | $0 | $743,481 | $106,184 | Yes (X) | ||||
| Michael E Mueller | ||||||||||
| Hospital CFO | 55.0 | 0.0 | $0 | $273,684 | $55,720 | Yes (X) | ||||
| James Rodier Thru 101318 | ||||||||||
| Chief Quality Officer | 55.0 | 0.0 | $0 | $297,946 | $23,813 | Yes (X) | ||||
| Christina M McGuirk | ||||||||||
| Chief Nursing Officer (CNO) | 55.0 | 0.0 | $0 | $203,602 | $44,431 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $632,084 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $7,030,369 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,097,849 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 12 | 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 |
|---|---|---|---|---|---|
| CFIM | |||||
| 52 TECHNOLOGY PARK SUITE 109 | LAKE MARY | FL | 32746 | HOSPITALIST SUPPORT | $998,500 |
| DPR CONSTRUCTION | |||||
| 315 E ROBINSON ST STE 110 | ORLANDO | FL | 32801 | CONSTRUCTION SVCS | $2,662,520 |
| DATA STRATEGY | |||||
| 5555 CORPORATE EXCHANGE CT | GRAND RAPIDS | MI | 49512 | MEDICAL RECORD SUPT | $486,528 |
| HEALOGICS WOUND CARE AND HYPERBARIC | |||||
| 28525 NETWORK PLACE | CHICAGO | IL | 60673 | WOUND CARE MGMT SUPT | $442,427 |
| EMERGENCY PHYSICIANS OF CENTRAL FLO | |||||
| 3090 CARUSO CT | ORLANDO | FL | 32806 | EMERG. RM PHYSICIANS | $437,750 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 37 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $64,378 | RelatedOrganizationsAmt |
| All Other Contributions | $0 | AllOtherContributionsAmt |
| Total Contributions | $64,378 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621990 | $269,013,864 | $269,013,864 | $0 | $0 |
| Related Party Rent | 621990 | $1,448,402 | $1,448,402 | $0 | $0 |
| Billing Services | 621990 | $80,004 | $80,004 | $0 | $0 |
| Medical Staff Services | 621990 | $73,250 | $73,250 | $0 | $0 |
| All other program service revenue | 621990 | $41,492 | $41,492 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $270,657,012 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,749,422 | TotalRevenueColumnAmt |
| Exclusion | $1,749,422 | 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 | $1,657,594 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,496,750 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $160,844 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $160,844 | TotalRevenueColumnAmt |
| Exclusion | $160,844 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,088,532 | SecuritiesAmt |
| Other | $41,200 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,007,900 | SecuritiesAmt |
| Other | $14,360 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $80,632 | SecuritiesAmt |
| Other | $26,840 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $107,472 | TotalRevenueColumnAmt |
| Exclusion | $107,472 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Cafeteria Revenue | Desc |
| Business | 621990 | BusinessCd |
| Total Revenue Column | $1,569,716 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,569,716 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,569,716 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $274,308,844 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $270,657,012 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,587,454 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | 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 | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $91,812,718 | TotalAmt |
| Program Services | $80,359,861 | ProgramServicesAmt |
| Management And General | $11,452,857 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,116,984 | TotalAmt |
| Program Services | $783,372 | ProgramServicesAmt |
| Management And General | $1,333,612 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,531,380 | TotalAmt |
| Program Services | $14,469,231 | ProgramServicesAmt |
| Management And General | $2,062,149 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,471,839 | TotalAmt |
| Program Services | $5,771,420 | ProgramServicesAmt |
| Management And General | $700,419 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $107,423 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $107,423 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $310,683 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $310,683 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $93,511 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $93,511 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,095 | TotalAmt |
| Program Services | $9,095 | 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 | $34,516 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $34,516 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,204,250 | TotalAmt |
| Program Services | $9,786,748 | ProgramServicesAmt |
| Management And General | $417,502 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $976,100 | TotalAmt |
| Program Services | $36,122 | ProgramServicesAmt |
| Management And General | $939,978 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,376,356 | TotalAmt |
| Program Services | $4,271,902 | ProgramServicesAmt |
| Management And General | $3,104,454 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,834,963 | TotalAmt |
| Program Services | $510,707 | ProgramServicesAmt |
| Management And General | $4,324,256 | ManagementAndGeneralAmt |
| 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 | $9,917,668 | TotalAmt |
| Program Services | $9,655,209 | ProgramServicesAmt |
| Management And General | $262,459 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $266,647 | TotalAmt |
| Program Services | $128,229 | ProgramServicesAmt |
| Management And General | $138,418 | 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 | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,005,982 | TotalAmt |
| Program Services | $4,005,982 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| 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 | $17,088,634 | TotalAmt |
| Program Services | $17,083,972 | ProgramServicesAmt |
| Management And General | $4,662 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,522,232 | TotalAmt |
| Program Services | $3,477,904 | ProgramServicesAmt |
| Management And General | $44,328 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES | $39,725,455 | $39,725,455 | $0 | $0 |
| PURCHASED SERVICES | $14,807,825 | $11,742,930 | $3,064,895 | $0 |
| REAL ESTATE TAXES | $555,086 | $0 | $555,086 | $0 |
| COLLECTION FEES | $3,114,418 | $0 | $3,114,418 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $844,751 | TotalAmt |
| Program Services | $844,751 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $234,728,516 | TotalAmt |
| Program Services | $202,662,890 | ProgramServicesAmt |
| Management And General | $32,065,626 | 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 | $9,855,065 | BOYAmt |
| EOY | $5,611,935 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $110,928,177 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,922,298 | BOYAmt |
| EOY | $35,790,125 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,381,513 | BOYAmt |
| EOY | $32,909,644 | 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 | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $962,094 | BOYAmt |
| EOY | $2,486,047 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,837,233 | BOYAmt |
| EOY | $3,794,501 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $382,811,864 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $78,097,130 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $262,867,458 | BOYAmt |
| EOY | $304,714,734 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,599,757 | BOYAmt |
| EOY | $64,083,881 | 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 | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $425,425,418 | BOYAmt |
| EOY | $560,319,044 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,877,082 | BOYAmt |
| EOY | $38,454,174 | 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 | $64,009 | BOYAmt |
| EOY | $254,632 | 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 | $143,868,966 | BOYAmt |
| EOY | $248,291,649 | 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 | $6,072,900 | BOYAmt |
| EOY | $2,299,720 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $194,882,957 | BOYAmt |
| EOY | $289,300,175 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $230,542,461 | BOYAmt |
| EOY | $271,018,869 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $230,542,461 | BOYAmt |
| EOY | $271,018,869 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $425,425,418 | BOYAmt |
| EOY | $560,319,044 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $39,580,328 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $960,456 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Investment Expense | $0 | InvestmentExpenseAmt |
| Prior Period Adjustments | $0 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | -$64,376 | 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 | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Media Advertisements | $0 | MediaAdvertisementsAmt |
| Mailings Members | false | MailingsMembersInd |
| Mailings Members | $0 | MailingsMembersAmt |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Publications Or Broadcast | $0 | PublicationsOrBroadcastAmt |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $0 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Direct Contact Legislators | $0 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Rallies Demonstrations | $0 | RalliesDemonstrationsAmt |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $9,095 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $9,095 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Other Political Activities | FormAndLineReferenceDesc |
| Explanation | AMOUNTS REPORTED FROM VARIOUS HOSPITAL AND HEALTHCARE MEMBERSHIPS OF DUES USED FOR LOBBYING ACTIVITIES TOTALING $9,095. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $28,011,953 | OtherCostOrOtherBasisAmt |
| Book Value | $28,011,953 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $96,103,793 | OtherCostOrOtherBasisAmt |
| Depreciation | $23,935,930 | DepreciationAmt |
| Book Value | $72,167,863 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,153,574 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,408,594 | DepreciationAmt |
| Book Value | $7,744,980 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $130,856,454 | OtherCostOrOtherBasisAmt |
| Depreciation | $48,766,108 | DepreciationAmt |
| Book Value | $82,090,346 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $116,686,090 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,986,498 | DepreciationAmt |
| Book Value | $114,699,592 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $304,714,734 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| LEASE DEPOSITS | $63,613 |
| CONSTRUCTION RETAINAGE | $2,236,107 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,299,720 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PART X, LINE 2 | FormAndLineReferenceDesc |
| Explanation | LIABILITY FOR UNCERTAIN TAX POSITION (ASC 740) 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. | ExplanationTxt |
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 | false | ExpensesExceedBudgetInd |
| 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 | $9,333,594 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $9,333,594 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03980 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $28,815,434 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,429,967 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,385,467 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06550 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $38,149,028 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,429,967 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $24,719,061 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10530 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $38,149,028 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,429,967 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $24,719,061 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10530 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $54,621 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $54,621 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $54,621 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $54,621 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $86,429,788 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $42,022,213 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $43,338,714 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,316,501 | 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 | HEALTH CENTRAL HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10000 W COLONIAL DR | AddressLine1Txt |
| City | OCOEE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 34761 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | SEE SUPPLEMENTAL INFORMATION | WebsiteAddressTxt |
| State License | 4119 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Facility Reporting Group | A | FacilityReportingGroupCd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | A | 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 SUPPLEMENTAL INFO | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | 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 SUPPLEMENTAL INFO | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE SUPPLEMENTAL INFO | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE SUPPLEMENTAL INFO | 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 (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, SECTION A | HOSPITAL'S WEBSITE HTTPS://WWW.ORLANDOHEALTH.COM/FACILITIES/HEALTH-CENTRAL-HOSPITAL |
| 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.ORLANDOHEALTH.COM/ABOUT-US/COMMUNITY-INVOLVEMENT/COMMUNITY-BENE FIT |
| PART V, SECTION B, LINE 11 | ORLANDO HEALTH CENTRAL IS A SUBSIDIARY OF ORLANDO HEALTH AND FOR NEARLY 100 YEARS, ORLANDO HEALTH HAS BEEN SERVING THE CENTRAL FLORIDA REGION. DEDICATED TO IMPROVING THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND COMMUNITIES WE SERVE, ORLANDO HEALTH CENTRAL 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) ORLANDO HEALTH CENTRAL TOOK INTO CONSIDERATION A NUMBER OF FACTORS IN SELECTING HEALTH NEEDS TO ADDRESS. FACTORS INCLUDED BUT WERE NOT LIMITED TO: INDIVIDUAL ORLANDO HEALTH CENTRAL AND ORLANDO HEALTH DATA; COMMUNITY AND HOSPITAL ASSETS; ABILITY TO IMPACT AN ISSUE; CURRENT COMMUNITY BENEFIT EFFORTS; COMMUNITY PARTNERSHIPS; AND OPPORTUNITIES FOR COLLABORATION. WE ALSO TOOK INTO CONSIDERATION THE COUNTY WHERE WE ARE LOCATED WHICH IS ORANGE COUNTY. 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 CENTRAL DEVELOPED NEW AND ENHANCED ESTABLISHED COMMUNITY BENEFIT PROGRAMS THAT ADDRESS ACCESS TO CARE. ORLANDO HEALTH CENTRAL PROVIDED OVER $24 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 FISCAL YEAR 2019, 17 GRANT PROPOSALS WERE SUPPORTED THROUGH THE ORLANDO HEALTH COMMUNITY GRANT PROGRAM. MANY OF THESE GRANTS SERVED RESIDENTS FROM ORANGE COUNTY. DURING THE FISCAL YEAR, 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 2019, ORLANDO HEALTH SUPPORTED 271 COMMUNITY ORGANIZATIONS. EXAMPLES FROM KEY INITIATIVES ARE INCLUDED TO ILLUSTRATE THE TYPES OF SUCCESSES THESE PROGRAMS YIELD. REDUCING CHRONIC DISEASE RISKS: HEALTHY WEST ORANGE +ONE IS A GOAL-ORIENTED PROGRAM TO AID PARTICIPANTS IN REDUCING RISK FACTORS FOR CHRONIC DISEASE. FULLY FUNDED BY ORLANDO HEALTH, THE FREE PROGRAM WAS CREATED TO SUPPORT THE VISION OF MAKING WEST ORANGE COUNTY THE HEALTHIEST COUNTY IN THE NATION. AVAILABLE TO RESIDENTS OF WEST ORANGE COUNTY, THE PROGRAM PROVIDES PARTICIPANTS WITH PRE/POST BIOMETRIC ASSESSMENTS, INCLUDING BLOODWORK (LIPID PANEL, HGBA1C), HEIGHT, WEIGHT, WAIST CIRCUMFERENCE AND BLOOD PRESSURE. THE 12-WEEK COURSE INVOLVES GOAL-SETTING, GROUP/SOCIAL SUPPORT, INTERACTIVE ACTIVITIES, BEHAVIOR AND LIFESTYLE MODIFICATIONS, AND EDUCATION ON TOPICS SUCH AS NUTRITION, ACTIVITY, STRESS AND SLEEP. EVERY PARTICIPANT RECEIVES A 4-DAY FOOD RECORD EVALUATION AND INDIVIDUAL MEETING WITH A REGISTERED DIETITIAN. THEY ALSO SET SPECIFIC GOALS TO ACHIEVE PERSONAL HEALTH IMPROVEMENT AND HAND IN WEEKLY TRACKING SHEETS TO SUPPORT GOAL ATTAINMENT. NAVIGATING OUT OF THE EMERGENCY ROOM: THROUGH THE SUPPORT OF THE ORLANDO HEALTH FOUNDATION, A HEALTHCARE NAVIGATOR PROGRAM HAS BEEN INTRODUCED AT ORLANDO HEALTH HEALTH CENTRAL TO PROVIDE CARE FOR LOW-INCOME, MEDICALLY UNINSURED/UNDERINSURED POPULATIONS. THE CARE TRANSITION SPECIALIST SERVES AS AN AFFORDABLE AND ACCESSIBLE RESOURCE FOR PATIENTS WHO ACCESS THE EMERGENCY ROOM AT ORLANDO HEALTH HEALTH CENTRAL FOR EMERGENT AND NON-EMERGENT NEEDS. SOME OF THESE PATIENTS ARE VISITING THE ER FOR THEIR CHRONIC MEDICATION NEEDS, WHICH COULD BE MET THROUGH A MEDICAL HOME AND EASILY ACCESSIBLE PHARMACY. THE CARE TRANSITION SPECIALIST OFFERS FACE-TO-FACE PATIENT VISITS AND CONNECTS PATIENTS TO A PRIMARY CARE MEDICAL HOME, WHICH INCLUDES PRIMARY MEDICAL, DENTAL, BEHAVIORAL HEALTH, OPTOMETRY, PHARMACY AND LABORATORY SERVICES. PHARMACY OFFERINGS ALSO INCLUDE MEDICATION THERAPY MANAGEMENT FOR CHRONIC-CARE PATIENTS, WHICH CAN HELP ADDRESS OVERUTILIZATION OF THE ER FOR CHRONIC-CARE MEDICATIONS. THIS PROGRAM PAVES THE WAY TO REDUCING MEDICAL COSTS, IN PART, BECAUSE AS MEDICAL HOME UTILIZATION INCREASES, AVOIDABLE VISITS TO THE ER DECREASE. MAKING LONG-TERM LIFESTYLE CHANGES: IMPROVING THE HEALTH AND QUALITY OF LIFE OF CENTRAL FLORIDIANS IS THE FOCUS OF THE ORLANDO HEALTH CENTER FOR HEALTH IMPROVEMENT LOCATED AT THE ORLANDO HEALTH MEDICAL PAVILION HORIZON WEST. THE CENTER FOR HEALTH IMPROVEMENT USES EVIDENCE-BASED BEST PRACTICES TO IDENTIFY AN INDIVIDUALS DISEASE RISKS AND PROVIDE PERSONALIZED HEALTH SUPPORT FOR LONG-TERM LIFESTYLE CHANGES. PROGRAM PARTICIPATION IS OFFERED AT NO COST TO THOSE WHO DEMONSTRATE AN APPROPRIATE LEVEL OF READINESS FOR CHANGE AND MOTIVATION FOR SUCCESS. A PHYSICIAN-LED TEAM PROVIDES HEALTH-IMPROVEMENT CONSULTATIONS, EDUCATION, WORKSHOPS AND HEALTH COACHING FOR A VARIETY OF AREAS. PARTICIPATION RANGES FROM TWO VISITS UP TO A 12-WEEK PROGRAM ENROLLMENT. 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. WITH ACCESS TO CARE AS OUR PRIORITY, ORLANDO HEALTH CENTRAL 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, ORLANDO HEALTH CENTRAL 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 THE ORLANDO HEALTH COMMUNITY GRANT PROGRAM. IN ADDITION, MANY OF THE NEEDS LISTED BELOW WILL BE IMPACTED BY OUR FOCUS ON ACCESS TO CARE. WITH 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. ORANGE COUNTY HOSPITALS: (NEEDS THAT WON'T BE EXPLICITLY ADDRESSED) - ASSET INVENTORY - BEHAVIOR RISK FACTORS - BUILT ENVIRONMENT - BIRTH CHARACTERISTICS (MATERNAL AND CHILD HEALTH) - CHRONIC CONDITIONS - COMMUNICABLE DISEASES - DISPARITIES - ECONOMIC CONDITIONS - INJURY - LEADING CAUSES OF DEATH - MENTAL HEALTH CONCERNS - PREVENTATIVE CARE - QUALITY OF LIFE - SCHOOL AND STUDENT CHARACTERISTICS - SUBSTANCE ABUSE ASSET INVENTORY - WHILE ASSET INVENTORY WAS NOT SELECTED AS A PRIORITY, WE INCLUDED AN ASSET RESOURCE LISTING IN OUR 2019 CHNA AS A TOOL TO ASSIST WITH LOCATING SPECIFIED SERVICES FOR SOMEONE IN NEED. BEHAVIORAL RISK FACTORS - WE DID NOT SELECT BEHAVIORAL RISK FACTORS AS A PRIORITY BECAUSE WE DO NOT HAVE THE RESOURCES TO EFFECTIVELY MEET THIS NEED. HOWEVER, WE RECOGNIZE THAT BEHAVIORAL RISK FACTORS CAN INHIBIT ONES ACCESS TO CARE AND WE MAY HAVE OPPORTUNITIES TO COLLABORATE WITH COMMUNITY ORGANIZATIONS TO ADDRESS THIS NEED. BUILT ENVIRONMENT - WE DID NOT SELECT BUILT ENVIRONMENT AS A PRIORITY BECAUSE WE DO NOT HAVE THE RESOURCES TO EFFECTIVELY MEET THIS NEED. HOWEVER, WE RECOGNIZE THAT BUILT ENVIRONMENT CAN INHIBIT ONES ACCESS TO CARE AND WE MAY HAVE OPPORTUNITIES TO COLLABORATE WITH COMMUNITY ORGANIZATIONS TO ADDRESS THIS NEED. BIRTH CHARACTERISTICS:(MATERNAL AND CHILD HEALTH) - WE WILL CONTINUE TO PROVIDE EXISTING PROGRAMS AND SERVICES SURROUNDING MATERNAL AND CHILD HEALTH. THROUGH OUR SELECTION OF ACCESS TO CARE WE BELIEVE WE CAN POSITIVELY AFFECT THIS AREA OF COMMUNITY NEED. CHRONIC CONDITIONS - WE DID NOT SELECT CHRONIC CONDITIONS AS A PRIORITY BUT WE MAY HAVE PROGRAMS THAT WILL POSITIVELY IMPACT THIS IDENTIFIED NEED THROUGH THE SELECTED PRIORITY OF ACCESS TO CARE. WE RE |
| 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 | 7 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| Orlando Health Emerg Room & Medical Pav | ||||
| 17000 Porter Road | Winter Garden | FL | 34787 | Freestanding ER and Medical Pavilion |
| Orlando Health UF Health Cancer Center | ||||
| 9900 W Colonial Drive | Ocoee | FL | 347614549 | Outpatient Cancer Center |
| Orlando Health - Health Central Park | ||||
| 411 North Dillard Street | Winter Garden | FL | 34787 | Skilled Nursing Facility |
| Health Central Hospital Surgery Center | ||||
| 1435 Division Avenue | Ocoee | FL | 34761 | Outpatient Ambulatory Surgery |
| Health Central Wound Care | ||||
| 10000 W Colonial Drive | Ocoee | FL | 34761 | Outpatient Wound Care |
| Health Central Hospital Rehabilitation | ||||
| 2706 Rew Circle | Ocoee | FL | 34761 | Outpatient Rehabilitation |
| Orlando Health Center for Rehabilitation | ||||
| 1300 Hempel Avenue | Oconee | FL | 34761 | Skilled Nursing Facility |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c | Orlando Health, 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, in FY18, Orlando Health, Inc. has adopted an improved Financial Assistance Policy in which the FPG was increased to 225% from 200%. A patients family or household income must be less than or equal to 225% of FPG for the patient to qualify for free care. This allows Orlando Health Central to offer free care to more patients who qualify. As a result, Orlando Health Central's updated Financial Assistance Policy no longer includes a provision for discounted medical care. 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 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 II | THE PRIMARY PURPOSE OF ORLANDO HEALTH CENTRALS COMMUNITY BUILDING ACTIVITIES IS TO IMPROVE HEALTH IN THE CENTRAL FLORIDA COMMUNITY. ORLANDO HEALTH CENTRAL MAY RECRUIT OR ASSIST IN THE RECRUITMENT OF PHYSICIANS WHEN A NEED IS IDENTIFIED TO BRING A MEDICAL SERVICE OR PROVIDER TO THE AREA, TO MAINTAIN THE DELIVERY OF HEALTHCARE AS PHYSICIAN ATTRITION OCCURS DUE TO RETIREMENT, DISABILITY, RELOCATION OR OTHER PERTINENT REASONS. A COMMUNITY NEED MUST BE DETERMINED BEFORE ORLANDO HEALTH CENTRAL WILL ENGAGE IN THE RECRUITMENT OF A PHYSICIAN OR ASSIST IN THE RECRUITMENT OF A PHYSICIAN. RATIONALES THAT ORLANDO HEALTH CENTRAL USES TO DETERMINE COMMUNITY NEED INCLUDE INDEPENDENT HEALTH PLANNING SERVICE ORGANIZATIONS; COMMUNITY NEEDS ASSESSMENT AND INDEPENDENTLY MAINTAINED PHYSICIAN DATABASE SOFTWARE THAT ASSISTS IN IDENTIFYING COMMUNITY NEED. IT IS IMPORTANT TO ADDRESS THE PHYSICIAN WORKFORCE SHORTAGE ISSUES IN ORDER TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE CENTRAL FLORIDA COMMUNITY. IF A PARTICULAR PHYSICIAN SPECIALTY IS DEFICIENT IN THE COMMUNITY IN COMPARISON TO THE POPULATION THIS CAN OFTEN LEAD TO INEFFICIENT OR NO ACCESS OR LONG WAIT PERIODS TO ACCESS HEALTHCARE SERVICES WHICH OFTEN LEAD TO POOR HEALTH OUTCOMES. OUR PHYSICIAN RECRUITMENT EFFORTS MEET THE COMMUNITY BENEFIT OBJECTIVE OF IMPROVING ACCESS TO HEALTH SERVICES WHICH ENHANCES PUBLIC HEALTH. THESE ACTIVITIES PRIMARILY BENEFIT THE LOCAL COMMUNITY AND WERE NOT PROVIDED FOR MARKETING PURPOSES, NOR TO INCREASE REFERRALS OF PATIENTS TO ORLANDO HEALTH CENTRAL, IN FULFILLMENT OF REGULATORY REQUIREMENTS OR CURRENT STANDARD OF CARE, NOR TO BENEFIT PERSONS AFFILIATED WITH ORLANDO HEALTH CENTRAL. RATHER, THE PRIMARY PURPOSE OF THE WORKFORCE DEVELOPMENT ACTIVITIES IS TO BENEFIT THE COMMUNITY BASED ON INDEPENDENT COMMUNITY NEED ANALYSIS. ORLANDO HEALTH CENTRAL HAS ASSISTED IN THE RECRUITMENT OF ONE NEW COMMUNITY BASED PHYSICIAN TO SUPPORT 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 CENTRAL USES PREDICTIVE ANALYTICS TO DETERMINE IF THE FINANCIAL ASSISTANCE FOR ACCOUNTS ARE ADJUSTED TO, OR WRITTEN OFF TO, BAD DEBT. ORLANDO HEALTH CENTRAL 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. 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. ORLANDO HEALTH CENTRAL 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 CENTRAL PROVIDES ALL PATIENTS WITH INFORMATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE. ORLANDO HEALTH CENTRAL 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, ORLANDO HEALTH CENTRAL, ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER (ORMC), ORLANDO HEALTH DR. P. PHILLIPS HOSPITAL, ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL, ORLANDO HEALTH ARNOLD PALMER HOSPITAL FOR CHILDREN, ORLANDO HEALTH WINNIE PALMER HOSPITAL FOR WOMEN & BABIES AND ORLANDO HEALTH SOUTH LAKE HOSPITAL CONDUCTED A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT. HOWEVER, PRIOR TO THE ASSESSMENT, ORLANDO HEALTH CENTRAL 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, RESEARCH AND PATIENT CARE PROGRAMS, AND THE ORLANDO HEALTH COMMUNITY GRANT PROGRAM, ORLANDO HEALTH CENTRAL 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 HOSPITAL ALONG WITH HOSPITAL DATA. AS A RESULT, ORLANDO HEALTH CENTRAL 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 CENTRAL 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 ORLANDO HEALTH CENTRAL 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 CENTRAL 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 CENTRAL 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 CENTRAL THEN SCREENS THE PATIENT FOR CHARITY ELIGIBILITY. IT IS ORLANDO HEALTH CENTRAL'S OBJECTIVE TO PROVIDE CHARITY CARE TO OUR PATIENTS WHO DO NOT HAVE THE ABILITY TO PAY. |
| PART VI, LINE 4 | ORLANDO HEALTH CENTRAL PROVIDES HIGH QUALITY INPATIENT, OUTPATIENT, AND EMERGENCY HEALTHCARE TO THE PEOPLE OF WEST ORANGE COUNTY THROUGH ITS HOSPITAL AND VARIOUS OUTPATIENT FACILITIES. ORLANDO HEALTH CENTRAL HAS MORE THAN 2,000 EMPLOYEES AND 855 PHYSICIANS ON STAFF. ORLANDO HEALTH CENTRAL FACILITIES ENCOMPASS 211 FULLY CERTIFIED BEDS, ADVANCED MEDICAL TREATMENTS AND PROCEDURES AND HIGHLY QUALIFIED STAFF. ORLANDO HEALTH CENTRAL FACILITIES RECEIVED 72,827 EMERGENCY DEPARTMENT VISITS, 73,815 OUTPATIENT VISITS AND 13,340 ADMISSIONS (INCLUDING NEWBORNS). ORLANDO HEALTH CENTRAL'S PRIMARY SERVICE AREA IS ORANGE COUNTY. THE MEDIAN HOUSEHOLD INCOME IN THIS COUNTY IS $80,303 WHEREAS THE AVERAGE INCOME IS $81,152. IN CENTRAL FLORIDA, 14.7 PERCENT OF HOUSEHOLDS ARE BELOW THE FEDERAL POVERTY GUIDELINE. THE PERCENT UNINSURED (AGE 0-64) FOR ORANGE COUNTY AREA IS 14.5 PERCENT AND THERE ARE SEVEN FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS PRESENT IN THE COMMUNITY. COMMUNITY OUTREACH ACTIVITIES INCLUDE SPEAKER'S BUREAU, SUPPORT/EDUCATION GROUPS, WELLNESS ACTIVITIES, HEALTH FAIRS, CLINICAL SCREENINGS AND ASSESSMENTS, MEDICAL EDUCATION, 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 CENTRAL'S MISSION IS TO IMPROVE THE HEALTH OF THE WEST ORANGE COUNTY COMMUNITY BY PROVIDING SAFE, QUALITY HEALTHCARE IN A PATIENT-CENTERED ATMOSPHERE OF CARING AND COMPASSION USING STATE-OF-THE-ART DIAGNOSTICS AND TECHNOLOGY, AND A TEAM OF DEDICATED PHYSICIANS AND STAFF. ORLANDO HEALTH CENTRAL DEMONSTRATES A COMMITMENT TO PROMOTE HEALTH, WELL-BEING AND A CARING SPIRIT BY DIRECTING EMPLOYEE TIME AND TALENT TO SERVE ON COMMUNITY COLLABORATION BOARDS AND VOLUNTEERISM. IN FISCAL YEAR 2019, OUR TEAM MEMBERS AND PHYSICIANS THROUGH ORLANDO HEALTH HELPED TO PROVIDE OVER 2,974 VOLUNTEER HOURS. THESE HOURS WERE SPENT OUTSIDE OUR HEALTHCARE SYSTEM IN ORDER TO SUPPORT COMMUNITY PARTNERS AND THE NEEDS THEY ADDRESS IN OUR COMMUNITY. ORLANDO HEALTH CENTRAL WORKS WITH NEIGHBORHOOD RESOURCES TO ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS BY SUPPORTING PROGRAMS THAT TARGET COMMUNITY WELLNESS, DISEASE PREVENTION AND ENVIRONMENTAL PROBLEMS. ORLANDO HEALTH CENTRAL FOSTERS PARTNERSHIPS WITH OTHER COMMUNITY AGENCIES IN ITS SERVICE AREA THAT WORK COLLABORATIVELY TO HELP THOSE IN NEED AND TO IMPROVE THE HEALTH AND SAFETY OF THE RESIDENTS OF THE COMMUNITY. ORLANDO HEALTH CENTRAL ADDRESSES VARIOUS COMMUNITY CONCERNS, INCLUDING HEALTH IMPROVEMENT, EDUCATION, POVERTY, WORKFORCE DEVELOPMENT, AND ACCESS TO HEALTHCARE. THE KEY COMPONENT OF A NON-PROFIT ORGANIZATION IS THAT THE ORGANIZATION SERVES A BROAD, INDEFINITE CHARITABLE CLASS. ONE OF THE KEY INDICATORS THAT AN ORGANIZATION SERVES THE BROADER COMMUNITY IS CONTROL OF THE ORGANIZATION BY INDEPENDENT COMMUNITY LEADERS. ORLANDO HEALTH CENTRAL AND ITS HOSPITAL GOVERNING BOARD ARE MADE UP OF MEMBERS OF THE COMMUNITY WHO DIRECT AND GUIDE MANAGEMENT IN CARRYING OUT THE MISSION OF ORLANDO HEALTH CENTRAL AND ITS AFFILIATES. DIRECTORS ARE SELECTED ON THE BASIS OF THEIR EXPERTISE AND EXPERIENCE AND THEY ARE NOT COMPENSATED FOR THEIR SERVICES.ORLANDO HEALTH CENTRAL'S VOLUNTEER BOARD BALANCE FINANCIAL DECISIONS ON COMMUNITY CONCERNS AND SOCIAL RESPONSIBILITY. ORLANDO HEALTH CENTRAL OPERATES AN OPEN MEDICAL STAFF BY EXTENDING MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN CENTRAL FLORIDA. ORLANDO HEALTH CENTRAL'S CREDENTIALING PROCESS IS GUIDED BY POLICIES AND PROCEDURES THAT STANDARDIZE THE PROCESS. THIS PRESCRIBED CREDENTIALING PROCESS ENSURES EQUAL OPPORTUNITY FOR ALL QUALIFIED APPLICANTS. SURPLUS FUNDS ARE RETAINED BY ORLANDO HEALTH CENTRAL AND USED TO FURTHER CHARITABLE PURPOSES AND ACTIVITIES. SURPLUS FUNDS FOR ORLANDO HEALTH CENTRAL AND ITS AFFILIATES ARE REINVESTED AND USED IN CARRYING OUT THE MISSION OF IMPROVING THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND COMMUNITIES WE SERVE. |
| PART VI, LINE 6 | ORLANDO HEALTH CENTRAL 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, ORLANDO HEALTH CENTRAL 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. ORLANDO HEALTH, INC., IS COMPRISED OF ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER (ORMC), 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. ORMC IS HOME TO THE REGION'S ONLY LEVEL ONE TRAUMA CENTER. THIS STATE-VERIFIED CENTER IS CAPABLE OF DELIVERING THE HIGHEST LEVEL OF EXPERTISE AND CARE IN THE SHORTEST TIME POSSIBLE. SOUTH LAKE HOSPITAL, INC. OPERATES ORLANDO HEALTH SOUTH LAKE HOSPITAL, WHICH PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE FOR RESIDENTS OF SOUTHERN LAKE COUNTY FLORIDA. 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 | 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 TRANSPARANCY, TO PROVIDE THIS DISCLOSURE AS PART OF ITS FORM 990 FILING PURSUANT TO SETION 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. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (true) | 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 (11 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Jamal A Hakim MD | ||||||||||||||
| Board member | $0 | $827,694 | $0 | $790,471 | $0 | $252,714 | $0 | $216,861 | $0 | $26,034 | $0 | $2,113,774 | $0 | $247,535 |
| Bernadette Spong | ||||||||||||||
| Board member, Vice-Chair | $0 | $694,976 | $0 | $662,670 | $0 | $51,124 | $0 | $181,770 | $0 | $21,217 | $0 | $1,611,757 | $0 | $44,657 |
| Erick R Hawkins | ||||||||||||||
| Board member | $0 | $553,845 | $0 | $530,136 | $0 | $12,327 | $0 | $133,740 | $0 | $22,319 | $0 | $1,252,367 | $0 | $0 |
| Mark A Marsh | ||||||||||||||
| PRESIDENT & SVP, OH | $379,844 | $170,333 | $938 | $0 | $86,057 | $0 | $23,909 | $0 | $661,081 | $0 | $0 | |||
| Rick Smith | ||||||||||||||
| COO, Health Central | $0 | $202,466 | $0 | $31,267 | $0 | $15,853 | $0 | $24,610 | $0 | $16,165 | $0 | $290,361 | $0 | $15,035 |
| Randy M Hassard | ||||||||||||||
| Mgr, Pharmacy Services | $143,525 | $0 | $400 | $0 | $873 | $0 | $6,290 | $0 | $14,763 | $0 | $165,851 | $0 | $0 | $0 |
| Gregory P Ohe | ||||||||||||||
| Fmr President, OHC thru 6/1/16 | $0 | $361,714 | $0 | $345,535 | $0 | $36,232 | $0 | $87,614 | $0 | $18,570 | $0 | $849,665 | $0 | $27,217 |
| John Richard Schooler | ||||||||||||||
| Fmr Bd Membr,Treasurer 9/19/17 | $0 | $332,699 | $0 | $0 | $0 | $2,299 | $0 | $0 | $0 | $15,975 | $0 | $350,973 | $0 | $0 |
| Michael E Mueller | ||||||||||||||
| Hospital CFO | $0 | $221,398 | $0 | $35,461 | $0 | $16,825 | $0 | $26,217 | $0 | $29,503 | $0 | $329,404 | $0 | $16,600 |
| James Rodier Thru 101318 | ||||||||||||||
| Chief Quality Officer | $0 | $251,603 | $0 | $0 | $0 | $46,343 | $0 | $9,524 | $0 | $14,289 | $0 | $321,759 | $0 | $44,785 |
| Christina M McGuirk | ||||||||||||||
| Chief Nursing Officer (CNO) | $0 | $167,853 | $0 | $26,384 | $0 | $9,365 | $0 | $21,224 | $0 | $23,207 | $0 | $248,033 | $0 | $9,136 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART I, LINE 3 | RELATED ORGANIZATION ORLANDO HEALTH, INC. IS A COMMON PAYMASTER AND COMMON PAY AGENT FOR ORLANDO CANCER CENTER, INC. (EIN: 59-3005020), ORLANDO HEALTH MEDICAL GROUP, INC. (EIN: 59-3259553), ORLANDO HEALTH FOUNDATION, INC. (EIN: 59-2244943), ORLANDO HEALTH CENTRAL, INC. (EIN: 80-0764192) AND ORLANDO PHYSICIANS NETWORK, INC. (EIN: 59-3110868) AND THEIR EMPLOYEES ARE INCLUDED ON THE ORLANDO HEALTH, INC. FORM 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 4A | THE FOLLOWING INDIVIDUAL PARTICIPATED IN A SEVERANCE PAYMENT, WHICH INCLUDED THE FOLLOWING DEPOSIT DURING CALENDAR YEAR 2018: JOHN RICHARD SCHOOLER $340,099 JAMES RODIER $142,969 |
| 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: JAMAL A. HAKIM MD $205,173 BERNADETTE SPONG $170,082 MARK A. MARSH $74,369 MICHAEL E. MUELLER $16,417 JAMES RODIER $7,500 CHRISTINA M. MCGUIRK $12,215 RICK SMITH $14,476 GREGORY P. OHE $76,060 ERICK R. HAWKINS $122,052 DEFERRAL DISTRIBUTIONS MADE TO THE FOLLOWING: JAMAL A. HAKIM MD $247,535 BERNADETTE SPONG $44,657 MICHAEL E. MUELLER $16,600 CHRISTINA M. MCGUIRK $9,136 GREGORY P. OHE $27,217 RICK SMITH $15,035 JAMES RODIER $44,785 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ORANGE COUNTY HEALTH FACILITIES AUTHORITY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 521378595 | BondIssuerEIN |
| CUSIP | 68450LFS9 | CUSIPNum |
| Bond Issued | 2019-02-06 | BondIssuedDt |
| Issue Price | $104,619,500 | IssuePriceAmt |
| Purpose | SEE PART VI | PurposeDesc |
| Defeased | false | DefeasedInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Pool Financing | false | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $0 | RetiredAmt |
| Bond Defeased | $0 | BondDefeasedAmt |
| Total Proceeds | $104,619,500 | TotalProceedsAmt |
| In Reserve Fund | $0 | InReserveFundAmt |
| Capitalized Interest | $0 | CapitalizedInterestAmt |
| Refunding Escrow | $0 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $0 | IssuanceCostsFromProceedsAmt |
| Credit Enhancement | $0 | CreditEnhancementAmt |
| Working Capital Expenditures | $0 | WorkingCapitalExpendituresAmt |
| Capital Expenditures | $14,620,086 | CapitalExpendituresAmt |
| Other Spent Proceeds | $0 | OtherSpentProceedsAmt |
| Unspent | $89,999,414 | UnspentAmt |
| Refunding Tax Exempt Bonds | false | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | false | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (true) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (true) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | Yes (true) | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | Yes (true) | MgmtContractBondFincdPropInd |
| Engage Bond Counsel Contracts | Yes (true) | EngageBondCounselContractsInd |
| Any Research Agreements | false | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0 | PrivateBusUseByOthersPct |
| Bond Iss Meet Prvt Sec Pymt Test | false | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedPropInd |
| Remedial Action Taken | false | RemedialActionTakenInd |
| Procs Nonqualified Bond Remdtd | Yes (true) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (true) | RebateNotDueYetInd |
| Exception To Rebate | false | ExceptionToRebateInd |
| No Rebate Due | false | NoRebateDueInd |
| Variable Rate Issue | false | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | false | HedgeIdentifiedInBksAndRecInd |
Hedge Provider Name HedgeProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGICInd |
GIC Provider Name GICProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested | false | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (true) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (true) | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE K | FormAndLineReferenceDesc |
| Explanation | SERIES 2019A HOSPITAL REVENUE BONDS - FINANCE THE CONSTRUCTION AND EQUIPPING OF A NEW HOSPITAL TO BE KNOWN AS HORIZON WEST. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LAKE APOPKA NATURAL GAS DISTRICT | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | OHC DIR. S. DAVIS CEO | RelationshipDescriptionTxt |
| Transaction | $571,929 | TransactionAmt |
| Transaction | GAS SERVICES | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Business Transactions | FormAndLineReferenceDesc |
| Explanation | SAMUEL DAVIS, JR., BOARD MEMBER OF ORLANDO HEALTH CENTRAL, INC., IS ALSO THE CEO OF LAKE APOPKA NATURAL GAS DISTRICT. LAKE APOPKA NATURAL GAS DISTRICT IS CONTRACTED TO PROVIDE GAS UTILITY SERVICES TO THE HOSPITAL. THE HOSPITAL ENGAGES THE LAKE APOPKA NATURAL GAS DISTRICT AT ARMS-LENGTH TRANSACTIONS AT FAIR MARKET VALUE. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, BOX J | ORGANIZATION'S WEBSITE HTTPS://WWW.ORLANDOHEALTH.COM/FACILITIES/HEALTH-CENTRAL-HOSPITAL FORM 990, PART VI, LINE 1A EXECUTIVE COMMITTEE THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE CHAIRPERSON OF THE BOARD OF DIRECTORS, THE VICE CHAIRPERSON OF THE BOARD OF DIRECTORS, THE PRESIDENT, THE SECRETARY, THE TREASURER, AND THE IMMEDIATE PAST CHAIRPERSON OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE SHALL HAVE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE BOARD OF DIRECTORS IN THE MANAGEMENT OF THE CORPORATION DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD, SUBJECT TO LIMITATIONS SET FORTH IN THE BYLAWS AND ANY LIMITATIONS OTHERWISE IMPOSED BY THE BOARD OF DIRECTORS AND WITH THE FURTHER UNDERSTANDING THAT ALL MATTERS OF MAJOR IMPORTANCE TO THE CORPORATION WILL BE REFERRED TO THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE SHALL ALSO SERVE AS THE COMPENSATION COMMITTEE. AT LEAST ONE ORLANDO HEALTH, INC. DIRECTOR SHALL SERVE ON THE EXECUTIVE COMMITTEE. |
| FORM 990, PART VI, LINE 2 | FAMILY OR BUSINESS RELATIONSHIPS BERNADETTE SPONG, JAMAL HAKIM MD, AND ERICK HAWKINS HAD A BUSINESS RELATIONSHIP AS BOARD MEMBERS OF FOR-PROFIT COMPANIES WHOLLY OWNED BY ORLANDO HEALTH, INC. |
| FORM 990, PART VI, LINE 6 | DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS THE SOLE VOTING MEMBER OF ORLANDO HEALTH CENTRAL, INC. IS ORLANDO HEALTH INC., FEIN: 59-1726273. |
| FORM 990, PART VI, LINE 7A | DESCRIPTION OF CLASSES 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 CENTRAL, INC. BOARD ELECTS MEMBERS WHO ARE THEN APPROVED BY THE PARENT ORGANIZATION ORLANDO HEALTH, INC. (OHI) BOARD. THE OHI BOARD ALSO APPROVES THE FOLLOWING ACTIONS OF THE ORLANDO HEALTH CENTRAL BOARD: - CHANGES OR AMENDMENTS TO HEALTH CENTRAL'S ARTICLES OF INCORPORATION OR BYLAWS. - THE BUDGET OF HEALTH CENTRAL FOR THE HOSPITAL AND OTHER HEALTH CARE FACILITIES AND SERVICES OPERATED BY HEALTH CENTRAL. - POLICIES OR PROPOSALS ESTABLISHING THE STRATEGIC DIRECTION OF HEALTH CENTRAL. - THE STRATEGIC PLAN OF HEALTH CENTRAL. - THE CONSISTENCY OF THE QUALITY ASSESSMENT, RISK MANAGEMENT, IMPROVEMENT AND UTILIZATION PROGRAMS FOR THE HOSPITAL AND FACILITIES, AND SERVICES OPERATED BY HEALTH CENTRAL, WITH SYSTEM-WIDE QUALITY AND SERVICE INITIATIVES. - MATERIAL CHANGES IN SERVICES OFFERED BY HEALTH CENTRAL. - PLANS OF THE DIRECTORS TO COORDINATE THE POLICIES AND ACTIVITIES OF THE HOSPITAL AND HEALTH CENTRAL. - PLANS OF THE DIRECTORS TO PROVIDE OVERSIGHT FOR REGULATORY COMPLIANCE(JOINT COMMISSION, AHCA, CMS, ETC.) FOR THE HOSPITAL AND OTHER HEALTH CARE FACILITIES AND SERVICES OPERATED BY HEALTH CENTRAL. - PLANS OF THE DIRECTORS TO ENSURE QUALITY OF CARE; ENSURE THAT EVERY PATIENT IS UNDER THE CARE OF A MEMBER OF THE HOSPITAL'S MEDICAL STAFF. - OPERATIONAL OBJECTIVES FOR THE HOSPITAL AND OTHER HEALTH CARE FACILITIES AND SERVICES OPERATED BY HEALTH CENTRAL. - ANY PLANS OF THE DIRECTORS FOR SERVING AS COMMUNITY LIAISON. - ANY PLANS OF THE DIRECTORS FOR INTERACTING WITH AND ACCESS TO LEADERSHIP OF OHI. - ANY PLANS OF THE DIRECTORS FOR ESTABLISHING EFFECTIVE COMMUNICATION LINES AMONG THE BOARD, ADMINISTRATION AND MEDICAL STAFF. - EVALUATION OF THE PRESIDENT'S PERFORMANCE. - THE APPOINTMENT, REMOVAL, AND DETERMINATION OF THE COMPENSATION OF THE PRESIDENT. - ALL OPERATING AND CAPITAL EXPENDITURES,INCLUDING, BUT NOT LIMITED TO, CAPITAL LEASES, IN EXCESS OF $5.0 MILLION FOR THE HOSPITAL AND FACILITIES AND SERVICES OPERATED BY HEALTH CENTRAL. - ANY PLANS TO DIRECT THE PLACEMENT OF FUNDS AND CAPITAL, LOANS, AND TRANSFERS OF FUNDS OR OTHER ASSETS FOR THE HOSPITAL AND FACILITIES AND SERVICES OPERATED BY HEALTH CENTRAL, IF THE AMOUNT OF SUCH FUNDS, CAPITAL LOANS, AND OTHER ASSETS EXCEED FIVE MILLION DOLLARS ($5,000,000). - ANY PROPOSED DONATIONS, CONTRIBUTIONS, AND GIFTS TO CHARITIES AND COMMUNITY ORGANIZATIONS BY HEALTH CENTRAL OVER $100,000 IN THE AGGREGATE PER FISCAL YEAR. - ANY PROPOSED INVESTMENT POLICY OR AMENDMENT TO SUCH INVESTMENT POLICY FOR HEALTH CENTRAL'S FUNDS. |
| 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 MEMBER ROUTINELY ANNOUNCE CONFLICTS AT BOARD MEETINGS AND LEAVE THE ROOM FOR THE DISCUSSION AND THE VOTE. |
| FORM 990, PART VI, LINE 15A | OFFICERS AND POSITIONS FOR WHICH COMPENSATION PROCESS WAS USED OFFICERS OF ORLANDO HEALTH CENTRAL, INC. ARE EMPLOYEES OF AND RECEIVE COMPENSATION FROM 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 IS USED FOR ALL OFFICERS, EXECUTIVE DIRECTORS AND DIRECTORS AND WAS IMPLEMENTED AT ORLANDO HEALTH CENTRAL UPON ITS CREATION. ALL OFFICER AND KEY EMPLOYEE COMPENSATION FOR THE HEALTH SYSTEM IS GOVERNED BY ORLANDO HEALTH, AS DESCRIBED ABOVE, RATHER THAN BY INDIVIDUAL ORGANIZATIONS. |
| 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 CONTRIBUTION REVENUE FROM ORLANDO HEALTH FOUNDATION, INC $(64,378) ROUNDING $2 --------- TOTAL $(64,376) |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| WEST ORANGE PHYSICIANS GROUP LLC | |||||||||
| 10000 W COLONIAL DRIVE | OCOEE | FL | 34761 | 270159074 | PHYSICIAN SER | FL | $23,115 | $0 | OHC |
| ORLANDO URGENT CARE LLC | |||||||||
| 10000 W COLONIAL DRIVE | OCOEE | FL | 34761 | 352540373 | URGENT CARE | FL | $29,364 | $0 | OHC |
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 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 | Yes (true) |
| ORLANDO CANCER CENTER INC | ||||||||||
| 1400 S ORANGE AVENUE | ORLANDO | FL | 32806 | 593005020 | CANCER CENTER | FL | 501(c)(3) | 12a | OHI | Yes (true) |
| ORLANDO PHYSICIANS NETWORK INC | ||||||||||
| 1414 KUHL AVENUE | ORLANDO | FL | 32806 | 593110868 | SUPPORT OH | FL | 501(c)(3) | 12a | OHI | Yes (true) |
| WEST ORANGE HEALTHCARE INC | ||||||||||
| 10000 W COLONIAL DRIVE | OCOEE | FL | 34761 | 593269402 | SUPPORT OHC | FL | 501(c)(3) | 12a | OHC | Yes (true) |
| HEALTH CENTRAL FOUNDATION INC | ||||||||||
| 10000 W COLONIAL DRIVE | OCOEE | FL | 32806 | 592091206 | SUPPORT OHC | FL | 501(c)(3) | 7 | OHF | Yes (true) |
| GREATER ORLANDO CHILDREN'S MIRACLE NTWRK | ||||||||||
| 3160 SOUTHGATE COMMERCE BLVD | ORLANDO | FL | 32806 | 593452974 | SUPPORT OHF | FL | 501(c)(3) | 7 | OHF | Yes (true) |
| ORLANDO HEALTH MEDICAL GROUP INC | ||||||||||
| 1414 KUHL AVENUE | ORLANDO | FL | 32806 | 593259553 | PHY SUPRT SRV | FL | 501(c)(3) | 12a | OHI | Yes (true) |
| SOUTH LAKE HOSPITAL INC | ||||||||||
| 1900 DON WICKHAM DRIVE | CLERMONT | FL | 34711 | 593322533 | HEALTHCARE | FL | 501(c)(3) | 3 | OHI | Yes (true) |
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 | SEE PART VII | 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 |
| General Or Managing Partner | false | GeneralOrManagingPartnerInd |
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 | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HEALTHNET SERVICES INC & SUBS | ||||||||||||||||
| 1414 KUHL AVENUE | ORLANDO | FL | 32806 | 592246203 | MEDICAL SVCS | FL | OHI | C CORP | $0 | $0 | 0.00000 | Yes (true) | ||||
| ORANGE INDEMNITY LTD | ||||||||||||||||
| 980516252 | CAPTIVE INS | OHI | C CORP | $0 | $0 | 0.00000 | Yes (true) | PO BOX 1159 | KY | CJ | CJ | |||||
| COMMUNITY HEALTH OF FLORIDA INC | ||||||||||||||||
| 1414 KUHL AVENUE | ORLANDO | FL | 32806 | 463171911 | INSURANCE LIC | FL | OHI | C CORP | $0 | $0 | 0.00000 | Yes (true) | ||||
| 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 | Yes (true) | 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 | Yes (true) | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | 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 | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (10 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| ORLANDO HEALTH FOUNDATION INC | ||
| c | $64,378 | FMV |
| WEST ORANGE HEALTHCARE INC | ||
| s | $73,745 | FMV |
| ORLANDO HEALTH INC | ||
| j | $1,861,396 | FMV |
| ORLANDO HEALTH INC | ||
| l | $13,465,760 | FMV |
| ORLANDO HEALTH INC | ||
| m | $7,345,620 | FMV |
| ORLANDO HEALTH INC | ||
| o | $108,280,878 | FMV |
| ORLANDO HEALTH INC | ||
| p | $14,721,891 | FMV |
| ORLANDO HEALTH INC | ||
| r | $23,384,716 | FMV |
| ORLANDO HEALTH INC | ||
| s | $5,528,865 | FMV |
| ORLANDO HEALTH INC | ||
| q | $373,937 | FMV |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART III, LINE 1 | FormAndLineReferenceDesc |
| Explanation | NAME: LIFT ORLANDO IMPACT INVESTMENT FUND, LLC EIN: 81-4062133 ADDRESS: 2043 JACOBS PLACE, ORLANDO, FL 32805 | ExplanationTxt |