2017-07-28T15:35:31-05:00 2016-09-30 Grant Thornton LLP 200 South Orange Avenue Suite 2050 Orlando FL 32801 990 2015-10-01 800764192 Orlando Health Central Inc % MICHAEL MUELLER ORLA 4072961000 10000 W Colonial Drive Ocoee FL 34761 MARK MARSH PRESIDENT 4072961802 2017-07-26 true Courtney L Maynard P01619105 4074815100 2017-07-28 2015 2021-01-29 14:40:06Z Health Central Michael Mueller 10000 W Colonial Drive Ocoee FL 34761 368070222 false X www.healthcentral.org X 2011 FL TO IMPROVE THE HEALTH OF OUR COMMUNITY BY PROVIDING SAFE, QUALITY HEALTHCARE SERVICES IN AN ATMOSPHERE OF CARING. 10 6 1990 578 0 4651 100344 199683695 199404253 2630822 1004740 239630 51323 202558798 200560660 0 450646 0 0 90099965 98293808 0 0 0 86751415 89480125 176851380 188224579 25707418 12336081 283577482 375347145 177587713 182607206 105989769 192739939 X 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. false false 145255120 450646 172017255 ORLANDO HEALTH CENTRAL, INC., DBA, HEALTH CENTRAL 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, MATERNITY 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 HEALTH CENTRAL. 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 AND PHYSICIAN OFFICES, AS WELL AS A 52-BED EMERGENCY CENTER. DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2016, HEALTH CENTRAL FACILITIES PROVIDED 47,378 DAYS OF INPATIENT CARE, 25,564 OUTPATIENT VISITS, AND 55,684 EMERGENCY DEPARTMENT VISITS. IN ACCORDANCE WITH ITS MISSION, HEALTH CENTRAL PROVIDED EXTENSIVE CARE TO PATIENTS WHO MEET ITS CHARITY CARE GUIDELINES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. HEALTH CENTRAL ALSO OFFERS COMMUNITY EDUCATION, SCHOOL INITIATIVES AND SUPPORT GROUPS. AS A NOT-FOR-PROFIT HEALTHCARE PROVIDER, THE CULTURE OF CARING AT HEALTH CENTRAL TOUCHES THE LIVES OF MANY THROUGHOUT THE GREATER WEST ORANGE COUNTY AREA. 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. 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 2016: BY OFFERING THE BEST QUALITY OF CARE, RESPONDING TO COMMUNITY NEEDS AND CONCENTRATING RESOURCES IN AREAS THAT TRULY MAKE A DIFFERENCE, 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, HEALTH CENTRAL IS DEDICATED TO IMPROVING THE HEALTH AND WELL-BEING OF THE PEOPLE WE SERVE. 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 2016, Health Central provided $6,038,809 in charity care, and $11,016,472 in Medicaid shortfalls. 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. Health Central University consists of six academies: Community Health, Clinical Excellence, Health Central Way, Leadership Development, Physician Excellence, and Professional Development. Each academy is governed by an Advisory Council whose members are responsible for the planning, development and implementation of all the courses offered at Health Central University. Health Central University provides diabetes education to the community by offering the Health Central Diabetes Center, accredited by the American Diabetic Association. It strives to bring education, wellness and fitness to diabetics. It is a comprehensive program, which helps those who are pre-diabetics, newly diagnosed, Gestational diabetes or those who just need help with blood glucose control. Classes are in a group setting. Individual times can be scheduled as needed. The education offered by Health Central University is held in various locations on the hospital campus. Health Central University is governed by an Advisory Board composed of representatives from each of the advisory councils, representatives from Orlando Health Central's Board of Directors, Valencia Community College, University of Central Florida, DeVry University, VITAS, an MD champion and hospital administration. 15840987 20340498 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 33 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, 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, 12 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 65 to 70 patients in therapy. Our main program is our orthopedic program of excellence; the length of stay for our knee patients is 20 days and hips average 27 days and we have about 83 orthopedic patients per month. Our therapy satisfaction is 12% higher than our peers. Health Central Park's workforce is made up of about 300 employees, with nursing department being the largest of about 205; 125 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. Our staff turnover last year was at 21%. 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 843 hours a month. 8061965 7046500 PHYSICIANS SERVICES: ORLANDO HEALTH CENTRAL, INC. PROVIDES PHYSICIANS SERVICES THROUGH WEST ORANGE PHYSICIANS GROUP, LLC (WOPG), A MULTI-SPECIALTY PRACTICE, INCLUDING SERVICES RELATED TO INTERNAL MEDICINE, OBSTETRICS/GYNECOLOGY, GENERAL SURGERY, AND ENDOCRINOLOGY. WOPG SERVES AS AN INTEGRAL COMPONENT OF ORLANDO HEALTH CENTRAL, INC.'S INTEGRATED DELIVERY SYSTEM THROUGH THE PROVISION OF HEALTH CARE SERVICES TO THE COMMUNITY THEY SERVE. WOPG PROVIDED 25,564 PHYSICIAN VISITS FOR THE FISCAL YEAR 2016. 169158072 true true false true false false false false false false true false false false true true false true false false false false false false false false true true true false true false false false false false false false true false false false false true true true true false false true 83 0 true 1990 true false false false false false false false false false false X 10 6 true false false false true true true true true false false true true true true true true false false false X MICHAEL MUELLER 4072961802 10000 W COLONIAL DRIVE Ocoee FL 34761 Kathy Aber Board Member 2.0 0.0 X 0 0 0 Ann Blakeslee Board Member, secretary 2.0 0.0 X X 0 0 0 Becky Cherney Board Member 2.0 0.0 X 0 0 0 Samuel Davis Jr Board Member 2.0 0.0 X 0 0 0 Jamal A Hakim MD Board Member 2.0 61.0 X 0 1248024 187202 Stephan J Harr Board Member (TRM END 1/6/16) 2.0 61.0 X 0 946669 28569 Randy June Board Member, CHAIR 2.0 0.0 X X 0 0 0 John A Marzano Board Mbr (TRM END 12/16/15) 55.0 0.0 X 0 386929 28011 Michael Mercado MD Board Member 2.0 0.0 X 0 0 0 Cynthia Powell MD Board Member (TRM END 8/13/16) 2.0 57.0 X 0 478045 65963 John Rees Board Member 2.0 0.0 X 0 0 0 John Richard Schooler Board Member, treasurer 2.0 56.0 X X 0 587682 197568 Bernadette Spong Brd Mbr,vice-chr (Eff 7/27/15) 2.0 61.0 X X 0 437185 45531 Gregory P Ohe President (TRM END 6/1/16) 55.0 1.0 X 0 319945 63248 Mark Marsh President 55.0 0.0 X 0 0 0 Michael E Mueller CFO 55.0 0.0 X 0 227503 52304 James B Rodier Chief Quality Officer 55.0 0.0 X 321711 0 28704 Christina M McGuirk Chief Nursing Officer 55.0 0.0 X 0 150274 39323 Rick Smith Chief Operating Officer 55.0 0.0 X 0 210719 37349 Shereen Oloufa OB/GYN Physician 55.0 0.0 X 275863 0 12930 Carlos Dieguez OB/GYN Physician 55.0 0.0 X 276560 0 26859 Carlos Trillo Surgeon 55.0 0.0 X 229159 0 15033 Wm Kelly Bowman Internal Medicine Physician 55.0 0.0 X 211155 0 28081 Firas Sioufi OB/GYN Physician 55.0 0.0 X 316107 0 7276 1630555 4992975 863951 50 false true false Physicians Choice Management LTD 596 Ocoee Commerce Parkway OCOEE FL 34761 Med/Healthcare Pmts 292512 Mateer Harbert PA 225 E Robinson St Ste 600 ORLANDO FL 32801 Attorney 270084 Physicians Choice Surgery Center 1435 Division Avenue OCOEE FL 34761 Med/Healthcare Pmts 260000 The Barranco Clinic 160 E Lake Howard Dr WINTER HAVEN FL 33881 Med/Healthcare Pmts 239971 Colonial Lakes Healthcare 15204 West Colonial Dr WINTER GARDEN FL 34787 Med/Healthcare Pmts 129750 8 85454 7206 7684 100344 NET PATIENT SERVICE REVENUE 621500 193189461 193189461 CAFETERIA REVENUE 621990 1370025 1370025 RELATED PARTY RENT 621990 1562702 1562702 OTHER PROGRAM REVENUE 621990 3282065 3282065 199404253 1288621 1288621 0 0 1369845 1318522 51323 0 51323 51323 165394980 512179 166112555 78485 -717575 433694 -283881 -283881 0 0 0 0 200560660 199404253 1056063 450646 450646 0 0 0 30692 12277 18415 0 80113949 72304501 7809448 1764503 1558721 205782 10719895 9673904 1045991 5664769 5103461 561308 105896 105896 213250 213250 64845 64845 0 0 17372 17372 5043325 4740778 302547 601478 19382 582096 3828914 3152774 676140 4290182 514527 3775655 0 7542563 7433548 109015 269244 155110 114134 0 0 5956160 5956160 0 8966579 8950232 16347 7542645 7542645 REAL ESTATE TAXES 343260 194784 148476 MEDICAL SUPPLIES 30350524 30350524 PURCHASED SERVICES 13292868 9887182 3405686 OTHER 1051020 1051020 188224579 169158072 19066507 0 23877594 4474410 0 0 27545951 13213377 25339913 102658093 0 0 0 0 0 0 1023310 1174334 1793134 4771894 212823994 40168615 130693189 172655379 73304391 76399658 0 0 0 0 0 0 0 0 283577482 375347145 25534028 36354275 0 0 87317 9548 0 0 0 0 0 0 151011993 143906763 0 0 954375 2336620 177587713 182607206 X 105989769 192739939 0 0 0 0 105989769 192739939 283577482 375347145 X 12336081 -732188 75146277 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 44187 44187 false PAID STAFF OR MANAGEMENT Schedule C, Part II-B, Line 1b ASSESSING CURRENT STATE AND FEDERAL LEGISLATION WITH CONSULTANTS WHO ADVISE HOW THE LEGISLATION WOULD AFFECT THE ORGANIZATION TOTALING $36,090. AMOUNTS REPORTED FROM VARIOUS HOSPITAL AND HEALTHCARE MEMBERSHIPS OF DUES USED FOR LOBBYING ACTIVITIES TOTALING $8,097. 27390431 27390431 67867251 12791789 55075462 5584428 1846924 3737504 86186956 24454296 61732660 25794928 1075606 24719322 172655379 0 LEASE DEPOSITS 70019 CONSTRUCTION RETAINAGE 2266601 2336620 X LIABILITY FOR UNCERTAIN TAX POSITION (ASC 740) Schedule D, Part X, Line 2 ORLANDO HEALTH AND SUBSTANTIALLY ALL OF ITS CONSOLIDATING ENTITIES ARE NOT-FOR-PROFIT CORPORATIONS, RECOGNIZED AS TAX-EXEMPT UNDER SECTION 501(A) AS AN ORGANIZATION DESCRIBED IN SECTIONS 501(C)(3) AND 501(E) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. CERTAIN OF THE CONTROLLED AFFILIATES ARE ORGANIZED AS FOR-PROFIT CORPORATIONS, BUT HAVE PRODUCED NET OPERATING LOSSES TO DATE. ACCORDINGLY, IN ACCORDANCE WITH THE INCOME TAXES TOPIC OF THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION, THESE ENTITIES HAVE RECOGNIZED DEFERRED TAX ASSETS ASSOCIATED WITH THEIR NET OPERATING LOSSES, ALONG WITH A FULL VALUATION ALLOWANCE SINCE IT IS UNLIKELY THAT THESE DEFERRED TAX ASSETS WILL BE REALIZED. true true X true X false true false true true 6038809 6038809 0.03210 26528138 15511666 11016472 0.05850 32566947 15511666 17055281 0.09060 32566947 15511666 17055281 0.09060 88393 88393 0.00050 88393 88393 0.00050 true 22248000 28098377 32233152 -4134775 X true true 1 1 HEALTH CENTRAL HOSPITAL 10000 W COLONIAL DR OCOEE FL 34761 HTTP://WWW.HEALTHCENTRAL.ORG/ 4119 X X X A A 1 false false true X X X X X X X X X X 16 true true true true X SEE SUPPLEMENTAL INFO X true 17 false true false true X 150. 0. X X X X true true X X true X SEE SUPPLEMENTAL INFO X SEE SUPPLEMENTAL INFO X true X false X X X X true X false false PART V, SECTION B, LINE 3J AS PART OF THE SECONDARY DATA, HOSPITAL HOT SPOTTING DATA WAS ALSO INCLUDED IN OUR CHNA. 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. PART V, SECTION B, LINE 5 FOR OUR 2016 COMMUNITY HEALTH NEEDS ASSESSMENT, WE CONTRACTED IMPACT PARTNERS, LLC (IP). IP CONDUCTS COMMUNITY ENGAGEMENT/ASSESSMENT PROJECTS ACROSS THE UNITED STATES. RECOGNIZING EACH COMMUNITY IS UNIQUE, IPS APPROACH TO BETTER UNDERSTANDING A COMMUNITYS NEED IS ALIGNED WITH THE SOCIAL-ECOLOGICAL MODEL. THE MODEL IS A COMPREHENSIVE APPROACH TO HEALTH AND URBAN PLANNING THAT NOT ONLY ADDRESSES A COMMUNITYS OR INDIVIDUALS RISK FACTORS, BUT ALSO THE NORMS, BELIEFS, AND SOCIAL AND ECONOMIC SYSTEMS THAT CREATE THE CONDITIONS FOR POOR COMMUNITY HEALTH OUTCOMES. IP WORKED TO BUILD ON TOP OF THE FIRST CHNA CONDUCTED IN 2013. 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 CONVERSATIONS WITHIN THE CENTRAL FLORIDA COMMUNITY. ON BEHALF OF THE HOSPITAL, IP WORKED WITH REPRESENTATIVES FROM ALL THE HOSPITALS AND HEALTH DEPARTMENTS 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 CONSUMER SURVEY WAS DISTRIBUTED BOTH IN HARD COPY AND VIA SURVEYMONKEY WITH A TOTAL OF 1,698 RESPONSES. AFTER DATA SCREENING, 1,235 RESPONSES WERE ANALYZED. THE PROVIDER SURVEY WAS DISTRIBUTED ELECTRONICALLY AND INCLUDED RESPONSES FROM 145 PARTICIPANTS. THE QUESTIONS WERE MOSTLY OPEN-ENDED AND EXPLORED RESPONDENTS VIEWS ON THE COMMUNITYS DEFICITS GIVEN A HOLISTIC DEFINITION OF A HEALTHY COMMUNITY, ISSUES RELATED TO HEALTHCARE SERVICES AND FORCES OF CHANGE IN THE COMMUNITY. STAKEHOLDER IN-DEPTH INTERVIEWS WERE CONDUCTED WITH 16 COMMUNITY STAKEHOLDERS. EACH INTERVIEW LASTED AN AVERAGE OF 65 MINUTES. BASIC INFORMATION ABOUT EACH STAKEHOLDER IS OUTLINED IN TABLE 5.1. SIX COMMUNITY CONVERSATIONS TOOK PLACE WITH A TOTAL OF 102 PARTICIPANTS. MORE DETAILS REGARDING QUESTIONS ASKED AND PARTICIPANTS CAN BE FOUND ON PAGES 329 THROUGH 363 OF THE CHNA. PART V, SECTION B, LINE 6a ORLANDO HEALTH: ARNOLD PALMER MEDICAL CENTER (ARNOLD PALMER HOSPITAL FOR CHILDREN, WINNIE PALMER HOSPITAL FOR WOMEN & BABIES), ORLANDO HEALTH DR. P. PHILLIPS HOSPITAL, ORLANDO HEALTH - HEALTH CENTRAL HOSPITAL, ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER (UF HEALTH CANCER CENTER AT ORLANDO HEALTH), ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL AND SOUTH LAKE HOSPITAL IN AFFILIATION WITH ORLANDO HEALTH. FLORIDA HOSPITAL: FLORIDA HOSPITAL ALTAMONTE, FLORIDA HOSPITAL APOPKA, FLORIDA HOSPITAL CELEBRATION HEALTH, FLORIDA HOSPITAL EAST ORLANDO, FLORIDA HOSPITAL FOR CHILDREN, FLORIDA HOSPITAL KISSIMMEE, FLORIDA HOSPITAL ORLANDO, FLORIDA HOSPITAL WATERMAN, WINTER PARK MEMORIAL HOSPITAL ASPIRE HEALTH PARTNERS: KENNEDY PLAZA, LAKESIDE PLACE APARTMENTS, PRINCETON PLAZA, RESIDENTIAL PLAZA PART V, SECTION B, LINE 6b 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 PART V, SECTION B, LINE 7A http://www.orlandohealth.com/about-us/community-involvement/community-bene fit PART V, SECTION B, LINE 11 IN SUPPORT OF OUR COMMUNITY BENEFIT EFFORTS, WE RECOGNIZE THE IMPORTANCE OF WORKING WITH COMMUNITY ORGANIZATIONS. AS A RESULT, ORLANDO HEALTH - HEALTH CENTRAL HOSPITAL ACTIVELY COLLABORATES WITH LOCAL ORGANIZATIONS AND GROUPS IN ORDER TO MAKE A DIFFERENCE IN THE HEALTH AND QUALITY OF LIFE IN CENTRAL FLORIDA. IN FISCAL YEAR 2016 WE PROVIDED INTERVENTIONS FOR SELECTED HEALTH NEEDS IN AN EFFORT TO IMPROVE THE HEALTH STATUS OF RESIDENTS IN OUR COMMUNITY WHILE PARTICIPATING IN OUR NEXT CHNA CYCLE. OUR 2016 CHNA WAS DONE IN COLLABORATION WITH THE ORGANIZATIONS BELOW: FLORIDA HOSPITAL: FLORIDA HOSPITAL ALTAMONTE, FLORIDA HOSPITAL APOPKA, FLORIDA HOSPITAL CELEBRATION HEALTH, FLORIDA HOSPITAL EAST ORLANDO, FLORIDA HOSPITAL FOR CHILDREN, FLORIDA HOSPITAL KISSIMMEE, FLORIDA HOSPITAL ORLANDO, FLORIDA HOSPITAL WATERMAN, WINTER PARK MEMORIAL HOSPITAL ASPIRE HEALTH PARTNERS: KENNEDY PLAZA, LAKESIDE PLACE APARTMENTS, PRINCETON PLAZA, RESIDENTIAL PLAZA 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 FOLLOWING OUR PARTICIPATION IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA); HEALTH CENTRAL HOSPITAL IS DEVELOPING NEW AND IS ENHANCING ESTABLISHED COMMUNITY BENEFIT PROGRAMS THAT ADDRESS HEALTH NEEDS IDENTIFIED THROUGH THE CHNA. IN SELECTING THE NEEDS TO ADDRESS FROM THE CHNA, A NUMBER OF FACTORS WERE TAKEN INTO CONSIDERATION INCLUDING, BUT NOT LIMITED TO: INDIVIDUAL HEALTH CENTRAL HOSPITAL DATA; COMMUNITY AND HOSPITAL ASSETS; ABILITY TO IMPACT AN ISSUE; CURRENT COMMUNITY BENEFIT EFFORTS; COMMUNITY PARTNERSHIPS; AND OPPORTUNITIES FOR COLLABORATION. BASED ON OUR PROCESS WE SELECTED ACCESS TO CARE AS OUR PRIORITY HEALTH NEED FROM THE 2016 CHNA. IN AN EFFORT TO MAXIMIZE RESOURCES AVAILABLE FOR ADDRESSING ACCESS TO CARE, HEALTH CENTRAL HOSPITAL DETERMINED THAT THE FOLLOWING ISSUES WOULD NOT BE EXPLICITLY INCLUDED IN OUR IMPLEMENTATION STRATEGY. HOWEVER, HEALTH CENTRAL HOSPITAL DOES PROVIDE SUPPORT AND SERVICES FOR SEVERAL OF THE REMAINING HEALTH NEEDS. AT THE TIME OF PRIORITIZATION WE TOOK INTO ACCOUNT THE LEVEL TO WHICH SOME OF THE NEEDS WERE ALREADY BEING ADDRESSED IN THE SERVICE AREA ALONG WITH WHETHER THE IDENTIFIED NEED FALLS OUT OF THE SCOPE OF OUR EXPERTISE AND RESOURCES. FOR THE NEEDS WE DID NOT SELECT WE WILL CONTINUE TO PROVIDE SUPPORT AND SERVICES WHERE APPROPRIATE. 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 EXPLICITY ADDRESSED) - HEART DISEASE - DIABETES - STI/HIV - SUBSTANCE ABUSE (HEROIN) - MATERNAL AND CHILD HEALTH - UNINSURED RATES - HOUSING SECURITY - FOOD SECURITY - DISABILITY/INJURY PREVENTION - POOR TRANSPORTATION - CANCER - OBESITY - SENIOR MOBILITY/FALLS HEART DISEASE OUR FOCUS ON ACCESS TO CARE WILL HELP SHAPE WHAT WE SUPPORT IN THE FUTURE REGARDING HEART DISEASE. WE CURRENTLY PROVIDE PROGRAMS AND SERVICES FOR HEART DISEASE AND WORK WITH COMMUNITY ORGANIZATIONS LIKE THE AMERICAN HEART ASSOCIATION. WE ALSO HAVE PROVIDED GRANT FUNDING TO ORGANIZATIONS THAT ARE ADDRESSING HEART DISEASE. DIABETES OUR FOCUS ON ACCESS TO CARE WILL HELP SHAPE WHAT WE SUPPORT IN THE FUTURE REGARDING DIABETES. WE CURRENTLY PROVIDE PROGRAMS AND SERVICES FOR DIABETES AND WORK WITH COMMUNITY ORGANIZATIONS LIKE THE AMERICAN DIABETES ASSOCATION AND THE UNIVERSITY OF FLORIDA HEALTH EXTENSION SERVICES. WE ALSO HAVE PROVIDED GRANT FUNDING TO ORGANIZATIONS THAT ARE ADDRESSING DIABETES. STI/HIV OUR FOCUS ON ACCESS TO CARE WILL HELP SHAPE WHAT WE PROVIDE IN THE FUTURE REGARDING STI/HIV. WE WILL CONTINUE TO PROVIDE EXISTING SERVICES FOR SEXUALLY TRANSMITTED INFECTIONS AND WORK WITH OUR INFECTIOUS DISEASE PHYSICIAN PRACTICE AND COMMUNITY ORGANIZATIONS TO ADDRESS THIS NEED. SUBSTANCE ABUSE (HEROIN) OUR FOCUS ON ACCESS TO CARE WILL HELP SHAPE WHAT WE DO IN THE FUTURE REGARDING SUBSTANCE ABUSE. WE WILL CONTINUE TO PROVIDE EXISTING SERVICES FOR SUBSTANCE ABUSE AND WORK WITH COMMUNITY ORGANIZATIONS LIKE ASPIRE HEALTH PARTNERS. HOWEVER, FUNDING OPPORTUNITIES ARE VERY LIMITED IN THIS AREA. MATERNAL AND CHILD HEALTH OUR FOCUS ON ACCESS TO CARE WILL IMPACT WHAT ADDITIONAL SUPPORT WE PROVIDE REGARDING MATERNAL AND CHILD HEALTH. WE WILL CONTINUE TO PROVIDE EXISTING PROGRAMS AND SERVICES AND WORK WITH COMMUNITY ORGANIZATIONS LIKE HEALTHY START AND MARCH OF DIMES. WE HAVE ALSO PROVIDED GRANT FUNDING TO ORGANIZATIONS AND TEAM MEMBERS THAT ARE ADDRESSING THE NEED OF MATERNAL AND CHILD HEALTH. UNINSURED RATES OUR FOCUS ON ACCESS TO CARE MAY IMPACT THIS NEED. WHILE WE DID NOT DIRECTLY SELECT THIS NEED, THE COMMUNITY EDUCATION AND OUTREACH WE PROVIDE HELPS SUPPORT THE NEED. WE WILL CONTINUE TO SUPPORT ORGANIZATIONS AND EFFORTS THAT ADDRESS THE MATTER INCLUDING THE PROMOTION OF OPEN ENROLLMENT. HOUSING SECURITY AS A HEALTHCARE SYSTEM, WE DO NOT HAVE THE EXPERTISE OR RESOURCES TO EFFECTIVELY ADDRESS THIS NEED. HOWEVER, WE CURRENTLY PROVIDE SUPPORT WHERE APPROPRIATE AND WORK WITH COMMUNITY ORGANIZATIONS THAT FOCUS ON THIS NEED. FOOD SECURITY OUR FOCUS ON ACCESS TO CARE WILL HELP SHAPE WHAT WE SUPPORT IN THE FUTURE REGARDING FOOD SECURITY. WE CURRENTLY WORK WITH COMMUNITY ORGANIZATIONS LIKE THE SECOND HARVEST FOOD BANK AND HEALTHY kids AND PARTICIPATE IN THE HEALTH AND HUNGER TASK FORCE. WE ALSO HAVE PROVIDED GRANT FUNDING TO SUPPORT THIS NEED. DISABILITY/INJURY PREVENTION OUR FOCUS ON ACCESS TO CARE WILL HELP SHAPE WHAT WE SUPPORT IN THE FUTURE REGARDING THIS NEED. WE CURRENTLY PROVIDE PROGRAMS AND EDUCATION TO THE COMMUNITY ON THIS MATTER AND WORK WITH COMMUNITY ORGANIZATIONS. POOR TRANSPORTATION IT IS OUR HOPE THAT OUR FOCUS ON ACCESS TO CARE WILL ALSO HELP ADDRESS THE TRANSPORTATION ISSUES IN OUR COMMUNITY. WE CURRENTLY PROVIDE ASSISTANCE TO OUR UNDERSERVED PATIENTS THAT FACE TRANSPORTATION BARRIERS. IN ADDITION, WE WORK WITH COMMUNITY ORGANIZATioNS LIKE SUNRAIL AND LYNX ON THIS MATTER. CANCER - OUR FOCUS ON ACCESS TO CARE WILL HELP SHAPE WHAT WE SUPPORT IN THE FUTURE REGARDING CANCER. WE CURRENTLY PROVIDE PROGRAMS AND SERVICES FOR CANCER AND WORK WITH COMMUNITY ORGANIZATIONS LIKE THE AMERICAN CANCER SOCIETY. OBESITY - OUR FOCUS ON ACCESS TO CARE WILL HELP SHAPE WHAT WE SUPPORT IN THE FUTURE REGARDING OBESITY. WE CURRENTLY PROVIDE PROGRAMS AND SERVICES FOR OBESITY AND WORK WITH COMMUNITY ORGANIZATIONS LIKE HEBNI NUTRITION, THE AMERICAN HEART ASSOCIATION AND THE AMERICAN DIABETES ASSOCiATION. SENIOR MOBILITY/FALLS - OUR FOCUS ON ACCESS TO CARE WILL HELP SHAPE WHAT WE SUPPORT IN THE FUTURE REGARDING THIS NEED. WE CURRENTLY PROVIDE PROGRAMS AND EDUCATION TO THE COMMUNITY ON THIS MATTER AND WORK WITH COMMUNITY ORGANIZATIONS. PART V, SECTION B, LINE 13H ALL UNINSURED PATIENTS, REGARDLESS OF INCOME, ARE PROVIDED WITH A DISCOUNT EQUAL TO 75% OFF GROSS CHARGES. PART V, SECTION B, LINE 16a & 16b: http://www.orlandohealth.com/patients-and-visitors/patient-financial-resou rces/financial-assistance-program PART V, SECTION B, LINE 22d ALL UNINSURED PATIENTS, REGARDLESS OF INCOME, ARE PROVIDED WITH A DISCOUNT EQUAL TO 75% OFF GROSS CHARGES. THIS LEVEL OF DISCOUNT IS GREATER THAN THE AMOUNT CALCULATED UNDER THE METHODOLOGY OF 22B. 1 HEALTH CENTRAL PARK 411 N DILLARD ST WINTER GARDEN FL 34787 SKILLED NURSING FACILITY PART I, LINE 3C ALL UNINSURED AND UNDERINSURED PATIENTS, REGARDLESS OF INCOME, ARE PROVIDED WITH A DISCOUNT EQUAL TO 75% OFF GROSS CHARGES. 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 CENTRAL 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 ANALYSES. ORLANDO HEALTH CENTRAL HAS ASSISTED IN THE RECRUITMENT OF Three NEW COMMUNITY BASED PHYSICIANS 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 WRITTENOFF 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. THE PROVISION FOR BAD DEBT EXPENSE, AS STATED IN THE FOOTNOTE OF THE AUDITED FINANCIAL STATEMENTS, IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED COLLECTIONS OF ACCOUNTS RECEIVABLE CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AND CHARGED TO THE PROVISION FOR BAD DEBTS AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE SYSTEM'S POLICIES. RECOVERIES ARE TREATED AS A REDUCTION TO THE PROVISION FOR BAD DEBTS. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. PERIODICALLY, MANAGEMENT PERFORMS A REVIEW AND ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. DATA RELATED TO PAYOR SOURCES OF REVENUE AND THE RESULTS OF THIS REVIEW ARE THEN USED TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES AND PROVISION FOR BAD DEBTS. ADDITIONALLY, FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, CONTRACTUALLY DUE AMOUNTS ARE ANALYZED AND COMPARED TO ACTUAL CASH COLLECTED OVER TIME TO ENHANCE THE QUALITY OF THE ESTIMATE OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND THE PROVISION FOR BAD DEBTS (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), A SIGNIFICANT ALLOWANCE FOR DOUBTFUL ACCOUNTS IS RECORDED ON THE BASIS OF HISTORICAL EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. AN ESTIMATE OF THE DIFFERENCE BETWEEN CONTRACTED RATES AND AMOUNTS ACTUALLY COLLECTED, AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED, IS CHARGED TO THE PROVISION FOR BAD DEBTS AND CREDITED TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. ALLOWANCES FOR DOUBTFUL ACCOUNTS DECREASED $20,194,000 DURING THE YEAR ENDED SEPTEMBER 30, 2016, FROM $162,928,000 AT SEPTEMBER 30, 2015, TO $142,734,000 AT SEPTEMBER 30, 2016. THE DECREASE IN ALLOWANCE FOR DOUBTFUL ACCOUNTS WAS PRIMARILY DRIVEN BY STRONGER COLLECTIONS DURING THE YEAR ENDED SEPTEMBER 30, 2016 IN ADDITION TO LESS AGED PATIENT ACCOUNTS WITH BALANCES. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS INCLUDES $51,852,000, $79,087,000, AND $67,799,000 IN AMOUNTS DUE FROM THIRD-PARTY PAYORS (INCLUDING THE PATIENT RESPONSIBILITY PORTION INCLUDED IN THESE ACCOUNTS) AT SEPTEMBER 30, 2016, 2015, OR 2014, RESPECTIVELY. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY HOSPITAL PATIENTS AS A PERCENT OF RELATED SELF-PAY ACCOUNTS RECEIVABLE WAS 93%, 94%, AND 95% AT SEPTEMBER 30, 2016, 2015, AND 2014, RESPECTIVELY. THE PROVISION FOR BAD DEBTS INCREASED FROM $112,793,000 FOR THE YEAR ENDED SEPTEMBER 30, 2015 TO $181,450,000 FOR THE YEAR ENDED SEPTEMBER 30, 2016. DURING THE YEAR ENDED SEPTEMBER 30, 2015, THE SYSTEM DETERMINED THERE WERE A SIGNIFICANT NUMBER OF PREVIOUSLY RESERVED PATIENT ACCOUNTS THAT QUALIFED FOR CHARITY STATUS. ACCORDINGLY, DURING 2015 THE RELATED RESERVE WAS RECLASSIFIED FROM THE ALLOWANCE FOR DOUBTFUL ACCOUNTS TO THE ALLOWANCE FOR CHARITY CARE, RESULTING IN A REDUCTION TO THE PROVISION FOR BAD DEBTS AND A RELATED DIRECT REDUCTION TO NET PATIENT SERVICE REVENUE. 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, QUESTION 2 NEEDS ASSESSMENT IN 2016 ORLANDO HEALTH HEALTH CENTRAL HOSPITAL, ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER (ORMC), ORLANDO HEALTH DR. P. PHILLIPS HOSPITAL, ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL, ARNOLD PALMER HOSPITAL FOR CHILDREN, WINNIE PALMER HOSPITAL FOR WOMEN & BABIES AND SOUTH LAKE HOSPITAL IN AFFILIATION WITH ORLANDO HEALTH CONDUCTED A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT. HOWEVER, PRIOR TO THE ASSESSMENT, HEALTH CENTRAL HOSPITAL ASSESSED THE SERVICES NEEDED AS PART OF OUR STRATEGY, PLANNING AND BUDGETING PROCESS AND DEVELOPED A PROCESS TO ENSURE THE ORGANIZATION IS RESPONSIVE TO COMMUNITY HEALTH NEEDS. THROUGH OUR EDUCATION, RESEARCH AND PATIENT CARE PROGRAMS, HEALTH CENTRAL HOSPITAL MEETS THE NEEDS OF THE COMMUNITY. THE SPECIFIC NEEDS TARGETED BY THESE PROGRAMS HAVE BEEN IDENTIFIED BY THE EXPERIENCE OF COMMUNITY HOSPITAL ADVISORY COUNCILS, NEIGHBORHOOD OUTREACH AND THROUGH NEEDS ASSESSMENTS THAT IDENTIFIED HEALTH NEEDS IN THE COMMUNITIES SERVED BY THE HOSPITALS. AS A RESULT, HEALTH CENTRAL HOSPITAL SPONSORS 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 HEALTH CENTRAL HOSPITAL RESPONDS TO COMMUNITY HEALTH NEEDS ARE AS FOLLOWS: 1. GOVERNING BOARDS ARE COMPOSED OF INDIVIDUALS BROADLY REPRESENTATIVE OF THE COMMUNITY, COMMUNITY LEADERS AND THOSE WITH SPECIALIZED MEDICAL TRAINING AND EXPERTISE; 2. PARTNERSHIP WITH LOCAL AREA GROUPS AND ASSOCIATIONS TO ATTEND TO THE HEALTH CARE NEEDS OF THE HEALTH CENTRAL HOSPITAL COMMUNITY; 3. SPONSORSHIP AND PARTICIPATION IN COMMUNITY 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, QUESTION 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE 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, QUESTION 4 COMMUNITY INFORMATION 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. HEALTH CENTRAL HOSPITAL HAS MORE THAN 1,686 EMPLOYESS AND 468 PHYSICIANS ON STAFF. HEALTH CENTRAL HOSPITAL FACILITIES ENCOMPASS 211 FULLY CERTIFIED BEDS, ADVANCED MEDICAL TREATMENTS AND PROCEDURES AND HIGHLY QUALIFIED STAFF. HEALTH CENTRAL HOSPITAL FACILITIES RECEIVED 55,684 EMERGENCY DEPARTMENT VISITS, 25,564 OUTPATIENT VISITS AND 11,261 ADMISSIONS (INCLUDING NEWBORNS). HEALTH CENTRAL HOSPITALS PRIMARY SERVICE AREA IS ORANGE COUNTY. THE MEDIAN HOUSEHOLD INCOME IN THIS COUNTY IS $50,517 WHEREAS THE AVERAGE INCOME IS $67,639. IN CENTRAL FLORIDA, 12.4 PERCENT OF HOUSEHOLDS IN CENTRAL FLORIDA ARE BELOW THE FEDERAL POVERTY GUIDELINE. THE PERCENT UNINSURED (AGE 0-64) FOR ORANGE COUNTY AREA IS 15.6 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, QUESTION 5 PROMOTION OF COMMUNITY HEALTH ORLANDO HEALTH HEALTH CENTRAL HOSPITALS 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 THE STATE-OF-THE-ART DIAGNOSTICS AND TECHNOLOGY, AND A TEAM OF DEDICATED PHYSICIANS AND STAFF. ORLANDO HEALTH HEALTH CENTRAL HOSPITAL DEMONSTRATES A COMMITMENT TO PROMOTE HEALTH, WELL-BEING AND A CARING SPIRIT BY DIRECTING EMPLOYEE TIME AND TALENT TO SERVE ON COMMUNITY COLLABORATION BOARDS. ORLANDO HEALTH HEALTH CENTRAL HOSPITAL 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 HEALTH CENTRAL HOSPITAL 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 HEALTH CENTRAL HOSPITAL 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 HEALTH CENTRAL HOSPITAL 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 HEALTH CENTRAL HOSPITAL AND ITS AFFILIATES. DIRECTORS ARE SELECTED ON THE BASIS OF THEIR EXPERTISE AND EXPERIENCE AND THEY ARE NOT COMPENSATED FOR THEIR SERVICES. ORLANDO HEALTH HEALTH CENTRAL HOSPITALS VOLUNTEER BOARD BALANCE FINANCIAL DECISIONS ON COMMUNITY CONCERNS AND SOCIAL RESPONSIBILITY. ORLANDO HEALTH HEALTH CENTRAL HOSPITAL OPERATES AN OPEN MEDICAL STAFF BY EXTENDING MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN CENTRAL FLORIDA. ORLANDO HEALTH HEALTH CENTRAL HOSPITALS 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 HEALTH CENTRAL HOSPITAL AND USED TO FURTHER CHARITABLE PURPOSES AND ACTIVITIES. SURPLUS FUNDS FOR ORLANDO HEALTH HEALTH CENTRAL HOSPITAL 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, QUESTION 6 AFFILIATED HEALTH CARE SYSTEM ORLANDO HEALTH CENTRAL, INC. DBA ORLANDO HEALTH HEALTH CENTRAL HOSPITAL IS A PART OF AN INTEGRATED HEALTH SYSTEM FOR WHICH WE ARE ABLE TO PROVIDE COMPREHENSIVE SERVICES TO IMPROVE THE HEALTH AND QUALITY OF LIFE FOR OUR COMMUNITY SERVED. AS AN INTEGRATED HEALTH SYSTEM, ORLANDO HEALTH HEALTH CENTRAL HOSPITAL HAS SEVERAL AFFILIATED ORGANIZATIONS TO ENSURE WE MEET THE COMMUNITY'S NEEDS. 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. THROUGH ITS INTEGRATED HEALTH SYSTEM OF SIX HOSPITALS AND VARIOUS OUTPATIENT FACILITIES, WITH more than 16,000 EMPLOYEES AND over 2,000 PHYSICIANS ON STAFF, OHI PROVIDES A HIGH LEVEL OF QUALITY INPATIENT, OUTPATIENT, AND EMERGENCY HEALTHCARE TO THE PEOPLE OF CENTRAL FLORIDA. OHI IS A DESIGNATED TEACHING HOSPITAL OFFERING GRADUATE MEDICAL EDUCATION SPONSORING SEVEN RESIDENCY AND 18 FELLOWSHIP PROGRAMS. OHI FACILITIES ENCOMPASS 1,941 FULLY CERTIFIED BEDS, ADVANCED MEDICAL TREATMENTS AND PROCEDURES AND HIGHLY QUALIFIED STAFF. OHI IS COMPRISED OF ORLANDO REGIONAL MEDICAL CENTER (ORMC), ARNOLD PALMER HOSPITAL FOR CHILDREN, WINNIE PALMER HOSPITAL FOR WOMEN & BABIES, DR. P. PHILLIPS HOSPITAL, AND SOUTH SEMINOLE HOSPITAL. ORMC IS HOME TO THE REGIONS ONLY LEVEL ONE TRAUMA CENTER. THIS STATE-VERIFIED CENTER IS CAPABLE OF DELIVERING THE HIGHEST LEVEL OF EXPERTISE AND CARE IN THE SHORTEST TIME POSSIBLE. ORLANDO CANCER CENTER, 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 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 HEALTH PHYSICIAN GROUP, INC. SERVES AS AN INTEGRAL COMPONENT OF ORLANDO HEALTH'S HEALTH SYSTEM BY PROVIDING AN INTEGRATED DELIVERY SYSTEM OF SPECIALTY PHYSICIAN SERVICES. ORLANDO PHYSICIANS NETWORK, INC. ALSO SERVES AS AN INTEGRAL COMPONENT OF ORLANDO HEALTH'S HEALTH SYSTEM BY PROVIDING PRIMARY CARE PHYSICIAN SERVICES TO OUR PATIENTS AND COMMUNITY SERVED. 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 $344 MILLION IN SUPPORT OF COMMUNITY HEALTH NEEDS. PART VI, QUESTION 7 NONE true West Orange Healthcare District 10000 W Colonial Dr Suite 281 Ocoee FL 34761 590660025 501(c)(3) 450000 FMV Land Contribution 1 PROCEDURE FOR MONITORING THE USE OF GRANT FUNDS IN THE U.S. Schedule I, Part I, Line 2 Orlando Health Central, Inc. makes grants solely to government entities and organizations exempt from tax under the Internal Revenue Code Section 501(c)(3) that further the mission of Orlando Health Central to support healthcare in Central Florida. Orlando Health Central's community relations department determines support for local non-profit sponsorships. Any grant amount over $25,000 has to be approved by the CEO and reported to the Board. The grants are monitored to ensure the organization's mission is aligned with Orlando Health Central's meeting a social and community need in the areas of health, social services, arts and education. false true false false false false false false false Jamal A Hakim MD Board Member 0 818185 0 371283 0 58556 0 187202 0 0 0 1435226 0 55086 Stephan J Harr Board Member (TRM END 1/6/16) 0 529642 0 316331 0 100696 0 11262 0 17307 0 975238 0 0 John A Marzano Board Mbr (TRM END 12/16/15) 0 233332 0 73628 0 79969 0 11262 0 16749 0 414940 0 43071 Cynthia Powell MD Board Member (TRM END 8/13/16) 0 338576 0 104916 0 34553 0 59193 0 6770 0 544008 0 26307 John Richard Schooler Board Member, treasurer 0 403778 0 126745 0 57159 0 179019 0 18549 0 785250 0 54624 Bernadette Spong Brd Mbr,vice-chr (Eff 7/27/15) 0 260489 0 148201 0 28495 0 43488 0 2043 0 482716 0 0 Gregory P Ohe President (TRM END 6/1/16) 0 224807 0 72115 0 23023 0 37660 0 25588 0 383193 0 15308 Michael E Mueller CFO 0 185013 0 29570 0 12920 0 22038 0 30266 0 279807 0 12740 James B Rodier Chief Quality Officer 262724 0 56592 0 2395 0 11263 0 17441 0 350415 0 0 0 Christina M McGuirk Chief Nursing Officer 0 123490 0 19220 0 7564 0 15429 0 23894 0 189597 0 7465 Rick Smith Chief Operating Officer 0 182507 0 27828 0 384 0 20983 0 16366 0 248068 0 0 Shereen Oloufa OB/GYN Physician 255671 0 19351 0 841 0 8968 0 3962 0 288793 0 0 0 Carlos Dieguez OB/GYN Physician 253508 0 19351 0 3701 0 11263 0 15596 0 303419 0 0 0 Carlos Trillo Surgeon 227203 0 0 0 1956 0 8948 0 6085 0 244192 0 0 0 Wm Kelly Bowman Internal Medicine Physician 164445 0 45868 0 842 0 9176 0 18905 0 239236 0 0 0 Firas Sioufi OB/GYN Physician 209801 0 106078 0 228 0 0 0 7276 0 323383 0 0 0 RELATED ORGANIZATION Schedule J, Part I, Line 3 The officers of Orlando Health Central, Inc. are employees of orlando health, Inc., the tax-exempt parent of orlando health central, inc. and thus are subject to the compensation policies implemented by orlando health, inc. and their compensation is included on orlando health, inc. form 941. During the year, one officer was paid by this organization for the first part of the year, however at mid-year his compensation was moved to Orlando Health, consistent with other officers for the health system. All officer and Key Employee compensation for the health system is governed by Orlando Health, as described above, rather than by individual organizations. SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN SCHEDULE J, PART I, LINE 4B DEFERRAL DEPOSIT MADE ON BEHALF OF THE FOLLOWING: JAMAL HAKIM $175,940 CYNTHIA POWELL $47,931 JOHN SCHOOLER $167,757 BERNADETTE SPONG $43,488 GREGORY OHE $26,926 MICHAEL MUELLER $13,597 CHRISTINA MCGUIRK $8,686 RICK SMITH $12,810 DEFERRAL DISTRIBUTION MADE ON BEHALF OF THE FOLLOWING: JOHN SCHOOLER $54,624 JOHN MARZANO $43,071 CHRISTINA MCGUIRK $7,465 JAMAL HAKIM $55,086 CYNTHIA POWELL $26,307 GREGORY OHE $15,308 MICHAEL MUELLER $12,740 Lake Apopka Natural Gas District OHC Dir. S. Davis CEO 374049 Gas Services false Schedule L, Part IV, Line 1 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. EXECUTIVE COMMITTEE FORM 990, PART VI, LINE 1A 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. DESCRIPTION OF RELATIONSHIPS Form 990, Part VI, Line 2 CYNTHIA POWELL, BERNADETTE SPONG, AND JAMAL HAKIM HAVE A BUSINESS RELATIONSHIP AS BOARD MEMBERS OF FOR PROFIT COMPANIES WHOLLY OWNED BY ORLANDO HEALTH, INC. DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS Form 990, Part VI, Line 6 THE SOLE VOTING MEMBER OF ORLANDO HEALTH CENTRAL, INC. IS ORLANDO HEALTH INC., FEIN: 59-1726273. DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS Form 990, Part VI, Line 7a ORLANDO HEALTH, INC., THE TAX EXEMPT PARENT ORGANIZATION, ELECTS AND APPROVES ALL BOARD MEMBERS. DECISIONS SUBJECT TO APPROVAL Form 990, Part VI, Line 7b 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. PROCESS USED BY MANAGEMENT AND/OR GOVERNING BODY TO REVIEW 990 Form 990, Part VI, Line 11b 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. CONFLICT OF INTEREST POLICY MONITORING AND ENFORCEMENT FORM 990, PART VI, LINE 12C ORGANIZATION HAS A DEDICATED COMPLIANCE DEPARTMENT WITH AN ANONYMOUS HOTLINE FOR REPORTING. THE COMPLIANCE DEPARTMENT PERFORMS INTERNAL AUDITS AND MONITORS ALL ANNUAL CONFLICT OF INTEREST QUESTIONNAIRES. BOARD MEMBERS ROUTINELY ANNOUNCE CONFLICTS AT BOARD MEETINGS AND LEAVE THE ROOM FOR THE DISCUSSION AND THE VOTE. OFFICERS AND POSITIONS FOR WHICH COMPENSATION PROCESS WAS USED FORM 990, PART VI, LINE 15A 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. During the year, one officer was paid by this organization for the first part of the year, however at mid-year his compensation was moved to ORLANDO HEALTH, consistent with other officers for the health system. All officer and Key Employee compensation for the health system is governed by ORLANDO HEALTH, as described above, rather than by individual organizations. AVAILABILITY OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY FINANCIAL STATEMENTS TO THE PUBLIC Form 990, Part VI, Line 19 THE FINANCIAL STATEMENTS ARE ATTACHED TO THE RETURN AS FILED WITH THE IRS. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 9 EQUITY CONTRIBUTION FROM PARENT $75,231,731 CONTRIBUTIONS - BOOK/TAX DIFFERENCE $(85,454) TOTAL $75,146,277 WEST ORANGE PHYSICIANS GROUP LLC 10000 W COLONIAL DRIVE OCOEE FL 34761 270159074 PHYSICIAN SER FL 7046500 587997 OHC ORLANDO URGENT CARE LLC 10000 W COLONIAL DRIVE OCOEE FL 34761 352540373 URGENT CARE FL 811858 OHC ORLANDO HEALTH INC 1414 KUHL AVENUE ORLANDO FL 32806 591726273 HEALTHCARE FL 501(C)(3) 03 NA false ORLANDO HEALTH FOUNDATION INC 3160 SOUTHGATE COMMERCE BLVD ORLANDO FL 32806 592244943 SUPPORT OH FL 501(C)(3) 07 OHI true ORLANDO CANCER CENTER INC 1400 S ORANGE AVENUE ORLANDO FL 32806 593005020 CANCER CENTER FL 501(C)(3) 11-I OHI true ORLANDO HEALTH PHYSICIAN GROUP INC 1414 KUHL AVENUE ORLANDO FL 32806 593259553 PHY SUPRT SRV FL 501(C)(3) 11-I OHI true ORLANDO PHYSICIANS NETWORK INC 1414 KUHL AVENUE ORLANDO FL 32806 593110868 SUPPORT OH FL 501(C)(3) 11-I OHI true WEST ORANGE HEALTHCARE INC 10000 W COLONIAL DRIVE OCOEE FL 34761 593269402 SUPPORT OHC FL 501(C)(3) 11-I OHC true HEALTH CENTRAL FOUNDATION INC 10000 W COLONIAL DRIVE OCOEE FL 34761 592091206 SUPPORT OHC FL 501(C)(3) 07 OHF true HEALTHCARE PURCHASING ALLIANCE LLC 1417 KUHL AVENUE ORLANDO FL 32806 454843489 GROUP PRCHSNG FL OHI RELATED 0 0 false 0 false 0.00000 ORLANDO HEALTHUSP SURGERY CENTERS LLC 1414 KUHL AVENUE ORLANDO FL 32806 320417400 SURG CENTR FL OHI RELATED 0 0 false 0 false 0.00000 HEALTHNET SERVICES INC & SUBS 1414 KUHL AVENUE ORLANDO FL 32806 592246203 MEDICAL SVCS FL OHI C Corp 0 0 0.00000 true ORANGE INDEMNITY LTD PO BOX 1159 KY1--1102 CJ 980516252 CAPTIVE INS CJ OHI C Corp 0 0 0.00000 true COMMUNITY HEALTH OF FLORIDA INC 1414 KUHL AVENUE ORLANDO FL 32806 463171911 INSURANCE LIC FL OHI C Corp 0 0 0.00000 true false false true false false false false false true true false false true false true true false true true ORLANDO HEALTH FOUNDATION INC C 85454 FMV ORLANDO HEALTH INC I 50444 FMV ORLANDO HEALTH INC J 1668509 FMV ORLANDO HEALTH INC M 16914099 FMV ORLANDO HEALTH INC O 4767775 FMV WEST ORANGE HEALTHCARE INC O 5969075 FMV ORLANDO HEALTH INC P 9693486 FMV ORLANDO HEALTH INC R 378452 FMV ORLANDO HEALTH INC S 848821 FMV WEST ORANGE HEALTHCARE INC S 554716 FMV