Liabilities / Assets
74th percentile
Higher debt load relative to assets than 74% of similar nonprofits.
EIN 59-1726273 • 501(c)3 • Orlando, FL
Profile
Orlando health is a trusted leader inspiring hope through the advancement of health. Our mission as a community-owned organization is to improve the health and quality of life of the individuals and communities we serve.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
74th percentile
Higher debt load relative to assets than 74% of similar nonprofits.
Liabilities / Revenue
73rd percentile
Higher debt load relative to revenue than 73% of similar nonprofits.
Net Margin
81st percentile
Higher net margin than 81% of similar nonprofits.
Top Officer Pay
92nd percentile
Higher top officer pay than 92% of similar nonprofits.
Top officer pay equals 0.2% of source-year revenue.
Asset Growth
92nd percentile
Faster asset growth than 92% of similar nonprofits.
Revenue Growth
66th percentile
Faster revenue growth than 66% of similar nonprofits.
Assets
Up$9,481,363,993
Up $3,074,347,133 (+48%) from 2022
Liabilities
Up$4,973,271,853
Up $1,809,001,696 (+57%) from 2022
Net Assets
Up$4,508,092,140
Up $1,265,345,437 (+39%) from 2022
Revenue
Up$4,827,234,371
Up $1,061,059,522 (+28%) from 2022
Expenses
Up$3,770,378,450
Up $791,356,725 (+27%) from 2022
Net Income
Up$1,056,855,921
Up $269,702,797 (+34%) from 2022
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
Orlando health is a trusted leader inspiring hope through the advancement of health. Our mission as a community-owned organization is to improve the health and quality of life of the individuals and communities we serve.
Our mission as a community-owned organization is to improve the health and quality of life of the individuals and communities we serve.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments in Publicly Traded Securities | $2,535,044,803 | $2,686,551,741 | ▲ $151,506,938 |
| Land, Buildings, and Equipment, Net | $2,179,832,930 | $2,677,807,092 | ▲ $497,974,162 |
| Savings and Temporary Cash Investments | $155,333,168 | $1,120,621,473 | ▲ $965,288,305 |
| Prepaid Expenses and Deferred Charges | $64,263,710 | $1,108,891,689 | ▲ $1,044,627,979 |
| Accounts Receivable | $646,749,437 | $642,027,160 | ▼ $4,722,277 |
| Intangible Assets | $237,314,385 | $237,895,614 | ▲ $581,229 |
| Investments Program Related | $0 | $198,889,581 | ▲ $198,889,581 |
| Inventories for Sale or Use | $88,166,221 | $100,023,075 | ▲ $11,856,854 |
| Cash and Non-Interest-Bearing Accounts | $722,770,031 | $9,209,129 | ▼ $713,560,902 |
| Other Notes and Loans Receivable, Net | $0 | $0 | → $0 |
| Pledges and Grants Receivable | $0 | $0 | → $0 |
| Receivable From Disqualified Prsn | $0 | $0 | → $0 |
| Receivables From Officers Etc | $0 | $0 | → $0 |
| Investments Other Securities | $0 | - | - |
| Pd in Cap Srpls Land Bldg Eqp Fund | $0 | $0 | → $0 |
| Rtn Earn Endowment Incm Other Fnds | $0 | $0 | → $0 |
| Cap Stk Tr Prin Current Funds | $0 | $0 | → $0 |
| Loans From Officers Directors | $0 | $0 | → $0 |
| Total Assets | $7,366,400,318 | $9,481,363,993 | ▲ $2,114,963,675 |
| Other Assets Total | $736,925,633 | $699,447,439 | ▼ $37,478,194 |
| Liabilities | |||
| Tax Exempt Bond Liabilities | $2,121,117,638 | $2,924,686,282 | ▲ $803,568,644 |
| Other Liabilities | $694,054,941 | $1,040,900,568 | ▲ $346,845,627 |
| Accounts Payable and Accrued Expenses | $763,510,350 | $805,787,632 | ▲ $42,277,282 |
| Mortgage Notes Payable Secured by Investment Property | $191,383,018 | $200,658,371 | ▲ $9,275,353 |
| Deferred Revenue | $994,186 | $1,239,000 | ▲ $244,814 |
| Grants Payable | $0 | $0 | → $0 |
| Unsecured Notes Loans Payable | $0 | $0 | → $0 |
| Escrow Account Liability | $0 | $0 | → $0 |
| Total Liabilities | $3,771,060,133 | $4,973,271,853 | ▲ $1,202,211,720 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $3,430,371,250 | $4,322,871,732 | ▲ $892,500,482 |
| Net Assets With Donor Restrictions | $164,968,935 | $185,220,408 | ▲ $20,251,473 |
| Total Net Assets Fund Balance | $3,595,340,185 | $4,508,092,140 | ▲ $912,751,955 |
| Total Liabilities and Net Assets / Fund Balance | $7,366,400,318 | $9,481,363,993 | ▲ $2,114,963,675 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $728,402,898 | $1,933,580,703 | $2,661,983,601 |
| Buildings | $847,629,149 | $693,692,334 | $1,541,321,483 |
| Other Land Buildings | $854,123,921 | $48,191,237 | $902,315,158 |
| Land | $211,918,968 | - | $211,918,968 |
| Leasehold Improvements | $35,732,156 | $0 | $35,732,156 |
| Other Assets Org | $100,000 | - | - |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2024 | $39,487,772 | $2,257,245 | ▲ $7,895,711 | $1,642,507 | $47,970,208 |
| 2023 | $33,526,652 | $4,044,374 | ▲ $4,493,268 | $2,570,961 | $39,487,772 |
| 2022 | $41,410,627 | $1,063,361 | ▼ $7,373,283 | $1,559,653 | $33,526,652 |
| 2021 | $35,592,929 | $418,051 | ▲ $8,253,886 | $2,853,403 | $41,410,627 |
| 2020 | $38,676,311 | $100,004 | ▲ $2,836,526 | $5,953,480 | $35,592,929 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| David W Strong | President & CEO | FT | $2,215,953 | $6,363,552 | $8,579,505 |
| Jamal A Hakim MD | Chief Physician Officer | FT | $983,114 | $2,073,307 | $3,056,421 |
| Leslie Flake | Chief Financial Officer (Until July 2024) | FT | $847,338 | $1,426,487 | $2,273,825 |
| Erick R Hawkins | Chief Admin Officer, OH | FT | $764,703 | $1,431,299 | $2,196,002 |
| Stephen W Burriss | Chief Operating Officer | FT | $503,135 | $1,254,620 | $1,757,755 |
| Karen L Frenier | SVP, HR & Chief Nurse Exec | FT | $560,896 | $1,016,120 | $1,577,016 |
| George A Ralls | SVP, OH & Chief Med Officer | FT | $544,994 | $1,016,982 | $1,561,976 |
| Ryan William Zika | General Counsel | FT | $541,244 | $980,761 | $1,522,005 |
| Gregory P Ohe | SVP, Ambu Svcs, Orlando Health | FT | $455,503 | $937,403 | $1,392,906 |
| Kelly Nierstedt | SVP, OH & President, ORMC | FT | $666,374 | $567,583 | $1,233,957 |
| Thibaut Van Marcke De Lummen | SVP, OH SE Region & Pres, DPH | FT | $550,701 | $522,897 | $1,073,598 |
| Mark A Jones | Foundation SVP/Director Capital CAM | FT | $394,361 | $453,359 | $847,720 |
| Bernadette Spong | Interim Chief Financial Officer (As of July 2024) | FT | $46,600 | $764,107 | $810,707 |
| Jim Hyler | Board member | - | $18,561 | - | $18,561 |
| Mike Packnett | Board member, Vice Chairman | - | $17,050 | - | $17,050 |
| M Kathryn Garrett MD | Board member | - | $15,041 | - | $15,041 |
| Dale Jenkins | Board member | - | $14,865 | - | $14,865 |
| David Brown | Board member | - | $14,467 | - | $14,467 |
| Teri Fontenot | Board member | - | $14,122 | - | $14,122 |
| Brian Besanceney | Board member, Chairman | - | $4,391 | - | $4,391 |
| Name | Title |
|---|---|
| Aurelio Duran MD | Cardiac Electrophysiologist |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Origin INC Dba Shiftwise | Management Services | 2501 SW 1ST AVE STE 200, Portland, OR 97201 | $38,307,009 |
| Epic Systems Corporation | Software Services | 1979 MILKY WAY, Verona, WI 53593 | $26,523,344 |
| Microsoft Corporation | Software Services | ONE MICROSOFT WAY, Redmond, WA 98052-6399 | $18,933,442 |
| Avi Foodsystems INC | Management Services | 2590 ELM RD NE, Warren, OH 44483 | $18,610,315 |
| Efficiency Media INC | Consulting Services | 3616 WINNETKA RD, Glenview, IL 60026 | $16,019,252 |
| Line Item | Amount |
|---|---|
| Other Expenses | $2,259,665,212 |
| Salaries, Compensation, and Employee Benefits | $1,506,277,665 |
| Total Fundraising Expense | $9,416,789 |
| Grants and Similar Amounts Paid | $4,435,573 |
| Professional Fundraising Fees | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $916,334,878 | $205,377,266 | $4,956,064 | $1,126,668,208 |
| Fees for Services Other | $215,915,424 | $72,731,967 | $100,381 | $288,747,772 |
| Other Employee Benefits | $150,054,443 | $34,707,232 | $1,300,764 | $186,062,439 |
| Depreciation Depletion | $123,176,762 | $62,013,006 | - | $185,189,768 |
| Information Technology | $38,980,855 | $101,739,602 | $31,970 | $140,752,427 |
| Occupancy | $34,257,295 | $61,332,441 | $587,461 | $96,177,197 |
| Pension Plan Contributions | $76,308,885 | $18,358,061 | - | $94,666,946 |
| Office Expenses | $80,159,451 | $13,979,838 | $522,623 | $94,661,912 |
| Insurance | $72,885,663 | $12,572,016 | - | $85,457,679 |
| Payroll Taxes | $66,498,930 | $12,845,114 | $341,733 | $79,685,777 |
| Advertising | $44,979,186 | $4,536,487 | $146,522 | $49,662,195 |
| Interest | $28,340,013 | $14,267,703 | - | $42,607,716 |
| All Other Expenses | $23,504,998 | $7,533,929 | $927,994 | $31,966,921 |
| Fees for Services Legal | - | $28,305,614 | - | $28,305,614 |
| Current Officers, Directors, Trustees, and Key Employees | $2,350,678 | $16,023,397 | - | $18,374,075 |
| Other Expenses | $11,535,680 | $125,177 | - | $11,535,680 |
| Travel | $3,804,920 | $2,932,519 | $207,015 | $6,944,454 |
| Grants to Domestic Orgs | $4,435,573 | - | - | $4,435,573 |
| Conferences and Meetings | $2,655,266 | $412,015 | $293,411 | $3,360,692 |
| Fees for Service Investment Mgmnt Fees | - | $2,426,953 | - | $2,426,953 |
| Fees for Services Accounting | - | $1,517,699 | $851 | $1,518,550 |
| Fees for Services Lobbying | $911,300 | - | - | $911,300 |
| Comp Disqual Persons | $820,220 | - | - | $820,220 |
| Total Functional Expenses | $3,087,223,625 | $673,738,036 | $9,416,789 | $3,770,378,450 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| U of Central Fl Fdn Inc | Orlando, FL | 501(c)(3) | Sponsorship | $1,010,000 |
| Grace Medical Home Inc | Orlando, FL | 501(c)(3) | Sponsorship | $350,000 |
| Orlando Health Medical Group Inc | Orlando, FL | 501(c)(3) | Program Services | $337,937 |
| Health Care Ctr for Homeless Inc | Orlando, FL | 501(c)(3) | Sponsorship | $232,500 |
| City of St Petersburg Florida | St Petersburg, FL | Government | Sponsorship | $150,600 |
| Simple Truth Foundation Inc | Leesburg, FL | 501(c)(3) | Sponsorship | $117,000 |
| Arts Foundation for Seniors Inc | Orlando, FL | 501(c)(3) | Sponsorship | $100,000 |
| American Heart Association | Dallas, TX | 501(c)(3) | Sponsorship | $95,000 |
| School Board of Orange County Florida | Orlando, FL | Government | Sponsorship | $85,044 |
| Second Harvest Food Bank of Central Fl | Orlando, FL | 501(c)(3) | Sponsorship | $77,119 |
| Central Florida Community Arts Inc | Orlando, FL | 501(c)(3) | Sponsorship | $65,000 |
| The Boggy Creek Gang Inc | Eustis, FL | 501(c)(3) | Sponsorship | $55,000 |
| Coalition for the Homeless of Central Florida | Orlando, FL | 501(c)(3) | Sponsorship | $54,300 |
| Foundation for Orange Cnty Public Schools | Orlando, FL | 501(c)(3) | Sponsorship | $52,500 |
| Hope Community Center LLC | Apopka, FL | 501(c)(3) | Sponsorship | $50,000 |
| Impower Inc | Longwood, FL | 501(c)(3) | Sponsorship | $50,000 |
| Make a Wish Foundaton of Central & Northern Florida | Maitland, FL | 501(c)(3) | Sponsorship | $50,000 |
| United Way of Lake & Sumter Counties Inc | Leesburg, FL | 501(c)(3) | Sponsorship | $50,000 |
| Zebra Coalition Inc | Orlando, FL | 501(c)(3) | Sponsorship | $50,000 |
| Homeless Emergency Project Inc | Clearwater, FL | 501(c)(3) | Sponsorship | $49,776 |
| CENTRAL FLORIDA YOUNG MEN'S CHRISTIAN ASSOCIATION | Orlando, FL | 501(c)(3) | Sponsorship | $48,252 |
| Find Feed & Restore Inc | Clermont, FL | 501(c)(3) | Sponsorship | $40,000 |
| Hearts Hands and Hope Inc | Sanford, FL | 501(c)(3) | Sponsorship | $39,000 |
| Arthritis Foundation Inc | Atlanta, GA | 501(c)(3) | Sponsorship | $35,000 |
| United Against Poverty Inc | Vero Beach, FL | 501(c)(3) | Sponsorship | $35,000 |
| Crohns and Colitis Foundation of America Inc | New York, NY | 501(c)(3) | Sponsorship | $32,500 |
| Orlando Museum of Art | Orlando, FL | 501(c)(3) | Sponsorship | $32,500 |
| Camaraderie Foundation Inc | Orlando, FL | 501(c)(3) | Sponsorship | $30,000 |
| Gulf Coast Jewish Family and Community Services Inc | Clearwater, FL | 501(c)(3) | Sponsorship | $30,000 |
| Hispanic Heritage Scholarship | Orlando, FL | 501(c)(3) | Sponsorship | $30,000 |
| Junior Achievement of Central Florida Inc | Orlando, FL | 501(c)(3) | Sponsorship | $30,000 |
| Libbys Legacy Breast Cancer Foundation | Orlando, FL | 501(c)(3) | Sponsorship | $30,000 |
| American Cancer Society Inc | Atlanta, GA | 501(c)(3) | Sponsorship | $28,000 |
| Orlando Science Center Inc | Orlando, FL | 501(c)(3) | Sponsorship | $27,500 |
| Aids Service Association of Pinellas Inc | Clearwater, FL | 501(c)(3) | Sponsorship | $25,000 |
| American National Red Cross | Tampa, FL | 501(c)(3) | Sponsorship | $25,000 |
| Foundation for Seminole County | Sanford, FL | 501(c)(3) | Sponsorship | $25,000 |
| Habitat for Humanity of Pinellas County Inc | Clearwater, FL | 501(c)(3) | Sponsorship | $25,000 |
| Healthy Start Coalition of Pinellas Inc | Pinellas Park, FL | 501(c)(3) | Sponsorship | $25,000 |
| Hope Partnership Inc | Kissimmee, FL | 501(c)(3) | Sponsorship | $25,000 |
| Naval Postgraduate School Foundation Inc | Monterey, CA | 501(c)(3) | Sponsorship | $25,000 |
| Primary Care Medical Services of Poinciana Inc | Kissimmee, FL | 501(c)(3) | Sponsorship | $25,000 |
| Rebuildng Together Tampa Bay Inc | Tampa, FL | 501(c)(3) | Sponsorship | $25,000 |
| Ronald Mcdonald House Charities of Central Florida Inc | Orlando, FL | 501(c)(3) | Sponsorship | $25,000 |
| The Leukemia & Lymphoma Society | Maitland, FL | 501(c)(3) | Sponsorship | $25,000 |
| Shepherds Hope Inc | Orlando, FL | 501(c)(3) | Sponsorship | $22,000 |
| A Gift for Teaching | Orlando, FL | 501(c)(3) | Sponsorship | $21,000 |
| Canine Companions for Independence Inc | Santa Rosa, CA | 501(c)(3) | Sponsorship | $20,000 |
| Central Florida Zoological Society | Sanford, FL | 501(c)(3) | Sponsorship | $20,000 |
| Orange County Child Safety Center Inc | Orlando, FL | 501(c)(3) | Sponsorship | $20,000 |
| Project Scholars Inc | Clermont, FL | 501(c)(3) | Sponsorship | $20,000 |
| Roberto Clemente Foundation Co | San Juan, PR | 501(c)(3) | Sponsorship | $20,000 |
| The Christian Sharing Center Inc | Longwood, FL | 501(c)(3) | Sponsorship | $20,000 |
| The Friends of Leu Gardens Inc | Orlando, FL | 501(c)(3) | Sponsorship | $20,000 |
| Life Concepts Inc | Orlando, FL | 501(c)(3) | Sponsorship | $19,400 |
| Winter Park Day Nursery Inc | Winter Park, FL | 501(c)(3) | Sponsorship | $17,000 |
| Amikids Pinellas Inc | St Petersburg, FL | 501(c)(3) | Sponsorship | $15,000 |
| Center for Independent Living in Central Florida Inc | Winter Park, FL | 501(c)(3) | Sponsorship | $15,000 |
| Central Florida Family Health Center Inc | Sanford, FL | 501(c)(3) | Sponsorship | $15,000 |
| Hope Helps Inc | Oviedo, FL | 501(c)(3) | Sponsorship | $15,000 |
| Orlando Family Stage | Orlando, FL | 501(c)(3) | Sponsorship | $15,000 |
| College Park Main Street Inc | Orlando, FL | 501(c)(3) | Sponsorship | $13,000 |
| Bloom & Grow Garden Society Inc | Oakland, FL | 501(c)(3) | Sponsorship | $12,500 |
| Garden Theatre Inc | Winter Garden, FL | 501(c)(3) | Sponsorship | $12,500 |
| Pan American Medical Association of Central Florida | Orlando, FL | 501(c)(3) | Sponsorship | $12,500 |
| Rescue Outreach Mission of Sanford Inc | Sanford, FL | 501(c)(3) | Sponsorship | $12,000 |
| Strengthen Orlando Inc | Orlando, FL | 501(c)(3) | Sponsorship | $11,545 |
| Bears Who Care Inc | Winter Garden, FL | 501(c)(3) | Sponsorship | $11,500 |
| Central Florida Black Nurses Association of Orlando Inc | Orlando, FL | 501(c)(3) | Sponsorship | $10,650 |
| Runway to Hope | Orlando, FL | 501(c)(3) | Sponsorship | $10,500 |
| Christian Service Center for Central Florida Inc | Orlando, FL | 501(c)(3) | Sponsorship | $10,000 |
| Florida Asssociation of Free and Charitable Clinics | Palm Coast, FL | 501(c)(3) | Sponsorship | $10,000 |
| Florida Medical Clinic Foundation of Caring Inc | Zepyrhills, FL | 501(c)(3) | Sponsorship | $10,000 |
| Ivy Tea Rose Inc | Maitland, FL | 501(c)(3) | Sponsorship | $10,000 |
| John Land Apopka Community Trust Inc | Apopka, FL | 501(c)(3) | Sponsorship | $10,000 |
| Orlando Philharmonic Orchestra Inc | Orlando, FL | 501(c)(3) | Sponsorship | $10,000 |
| Servants Heart Ministry | Orlando, FL | 501(c)(3) | Sponsorship | $10,000 |
| The Foundation for Oscela Education Inc | Kissimmee, FL | 501(c)(3) | Sponsorship | $10,000 |
| The Mustard Seed of Central Florida | Orlando, FL | 501(c)(3) | Sponsorship | $10,000 |
| University of South Florida Foundation Inc | Tampa, FL | 501(c)(3) | Sponsorship | $10,000 |
| The Amyotrophic Lateral Sclerosis Association | Arlington, VA | 501(c)(3) | Sponsorship | $9,200 |
| Seniors First Inc | Orlando, FL | 501(c)(3) | Sponsorship | $9,000 |
| National Diversity Council | Houston, TX | 501(c)(3) | Sponsorship | $8,400 |
| Jdrf International Incorporated | Winter Park, FL | 501(c)(3) | Sponsorship | $8,000 |
| Lakeland Leads Partnership Inc | Lakeland, FL | 501(c)(3) | Sponsorship | $7,500 |
| National Multiple Sclerosis Society | New York, NY | 501(c)(3) | Sponsorship | $7,500 |
| Pancreatic Cancer Action Network Inc | Manhattan Beach, CA | 501(c)(3) | Sponsorship | $7,500 |
| School District of Osceola County | St Cloud, FL | Government | Sponsorship | $7,500 |
| Bike Walk Central Florida Inc | Orlando, FL | 501(c)(3) | Sponsorship | $7,000 |
| Come Out With Pride Inc | Orlando, FL | 501(c)(3) | Sponsorship | $7,000 |
| Grow Healthy Kids Inc | Sanford, FL | 501(c)(3) | Sponsorship | $6,500 |
| Habitat for Humanity of Seminole County | Casselberry, FL | 501(c)(3) | Sponsorship | $6,500 |
| City of Davenport | Davenport, FL | Government | Sponsorship | $6,250 |
| International Medical Outreach Inc | Orlando, FL | 501(c)(3) | Sponsorship | $6,100 |
| St Petersburg Free Clinic Inc | St Petersburg, FL | 501(c)(3) | Sponsorship | $6,000 |
| Region | Activity | Services | Offices | Employees | Spending |
|---|---|---|---|---|---|
| Europe (Including Iceland and Greenland) | Investments | - | 0 | 0 | $2,766,667 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Loans from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Receivables from Disqualified Persons | $0 | $0 | → $0 |
| Receivables from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Liability | Amount |
|---|---|
| Lt Due to Affiliates | $355,882,586 |
| Professional & General Liabilities | $274,267,429 |
| Other Noncurrent Liabilities | $123,068,530 |
| Lt Liab Exec Def Comp 457b | $84,789,034 |
| Public Assistance Fund Liability St | $80,845,012 |
| Deferred Lease Liabilities | $67,898,053 |
| Lt Liab Cap/accum Def Comp | $19,912,519 |
| Swap Liabilities | $14,348,123 |
| Discount/lt Liab Clearing Accounts | $4,893,178 |
| Lt Charitable Commitments to Unrelated Parties | $4,475,000 |
| Federal Excise Tax | $4,009,308 |
| Epic Software License Liabilities | $3,530,879 |
| Transition Care Management | $2,196,296 |
| Due to State | $410,225 |
| Asset Retirement Liability | $363,737 |
| Property Management Liabilities | $10,659 |
| Bond | Issuer | Issued | Issue Price | Purpose |
|---|---|---|---|---|
| A | Orange County Health Facilities Authority | 2022-01-15 | $351,412,255 | SEE PART IV |
| B | Orange County Health Facilities Authority | 2023-02-02 | $333,743,161 | SEE PART IV |
| D | Orange County Health Facilities Authority | 2016-04-27 | $276,195,917 | SEE PART IV |
| A | Orange County Health Facilities Authority | 2008-06-18 | $179,360,000 | SEE PART IV |
| B | Orange County Health Facilities Authority | 2019-07-03 | $157,946,198 | SEE PART IV |
| C | Orange County Health Facilities Authority | 2011-09-15 | $83,175,000 | SEE PART IV |
| Bond | Total Proceeds | Spent | Retired | Issuance Costs |
|---|---|---|---|---|
| A | $355,167,013 | - | - | - |
| B | $343,543,147 | - | - | - |
| D | $276,205,482 | - | - | - |
| A | $179,362,824 | $176,732,854 | $157,225,000 | $1,573,177 |
| B | $157,949,060 | $82,865,395 | $80,475,000 | $309,605 |
| C | $83,175,000 | $66,552,440 | $4,390,000 | $2,250,398 |
“The chief of staff is a non-voting member of the board of directors. In addition, the bod delegates some authority to an executive committee. The executive committee shall consist of the chairman of the board of directors, the vice chairman of the board of directors, the president/ceo, the secretary, the treasurer, and the chairman of the quality committee. The executive committee shall have power to transact all regular business of the board of directors in the management of the corporation during the period between meetings of the board, subject to limitations set forth in these bylaws and any limitations otherwise imposed by the board of directors and with the further understanding that all matters of major importance to the corporation will be referred to the board of directors. The executive committee shall perform the following governance and executive compensation duties: 1.the executive committee shall consider and recommend candidates for vacancies on the board of directors for full or partial terms. Recommendations for election as directors shall be considered by the board of directors, but the board of directors shall not be bound by any such recommendation. 2.the corporate bylaws shall be reviewed by the executive committee from time to time and revised as necessary by appropriate action of the board of directors and dated to indicate the time of review. 3.the executive committee shall review executive compensation matters and policies with the president/ceo annually. The executive committee shall perform such other duties as may be assigned by the board and included in its charter.”
“The executive compensation process at orlando health is administered by a committee of independent board members. They follow a board approved charter and overall executive compensation philosophy. This process applies to the ceo, all officers and was implemented prior to october 1, 2006. The charter empowers the compensation committee to administer the executive compensation program and process on behalf of the full board of trustees. Overall, the philosophy is intended to reward a broad spectrum of high organizational and individual performance expectations, promote retention of key management talent and ensure that compensation and benefits do not exceed market norms. Orlando health's executive compensation philosophy defines the market for administering compensation as a comparable set of not-for-profit health care delivery systems. To fulfill their responsibility to look at relevant market data, and because of the scale and complexity of the organization, the committee reviews information from multiple sources of market data. They use this information to support their decisions regarding on-going administration of the program. Orlando health provides compensation to its senior executives in the form of base salary, an annual incentive program, and executive benefits. The compensation committee is comprised of 5 independent members of the board. The committee is empowered to engage outside counsel and consulting support, which they do. The compensation committee's independent compensation consultant and counsel opine to the compensation committee that the level of the compensation paid and the process by which compensation is established meet applicable irs reasonableness and "safe harbor" standards.”
“JAMAL HAKIM MD, LESLIE FLAKE, AND THIBAUT VAN MARCKE DE LUMMEN - Business relationship”
“The cfo and the finance department reviewed the form 990 and any required changes that were made to the form 990. The final form 990 was then provided to all members of the board to review. Any questions about the content were answered and any changes required of the review were made.”
“The organization has a dedicated compliance department with an anonymous hotline for reporting. The compliance department performs internal audits and monitors all annual conflict of interest questionnaires for all related organizations. Board members routinely announce conflicts at board meetings and leave the room for the discussion and the vote.”
“These documents are made available to the general public upon request in accordance with federal tax law public inspection requirements.”
“other patient revenue - Total Revenue: XXX-XX-XXXX, Related or Exempt Function Revenue: XXX-XX-XXXX, Unrelated Business Revenue: 1305489, Revenue Excluded from Tax Under Sections 512, 513, or 514: ;”
“Orlando health is one of florida's most comprehensive private, not-for-profit healthcare organizations. Since 1918, orlando health has been part of the greater orlando community, growing from a single hospital into an award-winning, not-for-profit healthcare organization and community-based network of physician practices, hospitals and outpatient care centers stretching from the gulf to the atlantic coasts. As a leading healthcare resource that delivers world-class medical care while training our future healthcare providers, orlando health continues to foster growth and development across the region. In fy2024, ohi announced plans to partner with baptist health and expand the communities it serves into central alabama. Our system in florida includes: orlando health orlando regional medical center (orlando health ormc) - one of the largest tertiary facilities in the region, ormc is orlando health's flagship facility in central florida and home to the area's only level one trauma center. For over 100 years, orlando health ormc has provided the most advanced options available for surgical, medical, rehabilitative and emergency care. Today, through state-of-the-art technology and leading medical specialists, orlando health ormc delivers a comprehensive continuum of care for trauma, cardiovascular, stroke, neuroscience, oncology, surgery, digestive health, and orthopedic patients. In addition, orlando health ormc provides central florida's only air ambulance service and is one of the state's major teaching hospitals. The 60 inpatient beds at orlando health cancer institute's downtown orlando location as well as the 75 private inpatient rooms in the state's first orthopedic specialty hospital at orlando health jewett orthopedic institute's downtown orlando location are under the orlando health ormc umbrella. Orlando health arnold palmer hospital for children - for more than 25 years, orlando health arnold palmer hospital has been a place of hope and healing. Dedicated exclusively to the healthcare needs of children, orlando health arnold palmer hospital offers expertise in a wide range of pediatric specialties, including cardiology and cardiac surgery, craniomaxillofacial surgery, endocrinology and diabetes, neurology, and gastroenterology. Orlando health arnold palmer hospital also houses central florida's only pediatric level one trauma center and emergency department. The howard phillips center for children and families is also under the orlando health arnold palmer hospital umbrella. Through the howard phillips center, a continuum of unique, specialized services is provided to children and families in central florida facing difficult medical and emotional challenges such as abuse, neglect, developmental delays and lack of access to proper healthcare. In 2024, over 15,000 children and families were served through the center's six specialized programs. Orlando health winnie palmer hospital for women and babies - designed to meet the unique health needs of women and babies, orlando health winnie palmer hospital provides a caring, family-centered environment. Through state-of-the-art technology and a committed team, orlando health winnie palmer's level iii neonatal intensive care unit (nicu) has one of the highest survival rates in the country for low-birthweight babies. A leader in obstetrics and neonatal intensive care as well as comprehensive healthcare for women throughout all stages of life, the hospital offers a wide range of obstetric and gynecologic services. Orlando health dr. P. Phillips hospital - a comprehensive community hospital, orlando health dr. P. Phillips offers a wide range of specialized programs and services for our patients in southwest orange county. The full-service medical and surgical facility offers diagnostic imaging, rehabilitation and surgical services, including vascular, neurosurgery, oncology, orthopedics and the minimally invasive robotic surgery systems. The hospital also includes cardiovascular c”
“Orlando health advanced rehabilitation institute - certified by the commission on accreditation of rehabilitation facilities (carf) in comprehensive integrated inpatient rehabilitation programs for children, adolescents and adults, orlando health advanced rehabilitation institute's 54-bed specialty hospital in west orange county offers a seamless transition of care. Available programs and services are tailored to patients requiring medical and intensive rehabilitative care following stroke, traumatic brain injury, spinal cord injury, multiple orthopedic injuries, amputation and various other complex neurological conditions. Orlando health is honored to offer the region's only level one trauma center; pinellas county's only state-accredited level ii adult trauma center; the area's first heart program; long-standing community hospitals; specialty hospitals dedicated to children, women and babies, and advanced rehabilitation; and specialty institutes in aesthetic and reconstructive surgery, cancer, colon and rectal, digestive health, heart and vascular, neuroscience, orthopedics and weight loss. Our technology and advanced medical treatments and procedures, along with our expert staff, have distinguished orlando health as a healthcare leader, providing access to more than 2.9 million central florida residents . In fy2024, approximately one in four central florida residents was cared for by orlando health. The health system is one of central florida's largest employers with approximately 36,000 employees and nearly 5,000 on-staff physicians supporting our philosophy of providing a continuum of care that revolves around patients' needs. We have always been, and always will be, focused on achieving the very best outcomes for our patients and delivering those through the most compassionate care. In fy24, orlando health delivered care through its 11 hospitals, including three specialty hospitals, as well as 8 free-standing ers and numerous outpatient centers. In its fiscal year ended september 30, 2024, the orlando health hospital system served approximately 242,000 inpatients, over 1 million outpatients, and more than 572,000 er visits . In accordance with our mission, orlando health provided approximately $818 million in total value to the communities it served in fiscal year ended september 30, 2024, in the form of charity care, community benefit programs and services, community-building activities and more. We offer community education, school initiatives and support groups. As a statutory teaching hospital, orlando health provides a growing list of residency and fellowship programs that annually train more than 350 future healthcare professionals. We are orlando's healthcare as the physicians, team members and volunteers of orlando health understand that healthcare extends beyond the walls of our facilities, they often contribute to the community by educating others and providing programs and services. Some of our community programs include: community outreach, speakers bureau, support and education, community wellness screenings, community health fairs, pastoral outreach and spiritual care. Many of these activities bring little or no payment to our system but are continued because they support our mission and provide value to the community. Community clinical support services orlando health provides access to primary care services throughout our market area. In addition, we have a long history of supporting the missions of other community organizations that provide primary care access. These include primary care access network; true health; community health centers, inc.; orange blossom family health; orange county health services; osceola community health services; grace medical home and shepherd's hope. Relationships with community organizations like the ones named are important to us and remain at the center of the orlando health community benefit initiative. Level one trauma center orlando health ormc is home to central flor”
“Value to the community by offering the best quality of care, responding to community needs and concentrating resources in areas that truly make a difference, orlando health maintains a longstanding tradition of providing benefit to the community. Our community benefit effort is a measured approach to meeting identified community health needs, particularly in vulnerable, uninsured communities with few resources . As a not-for-profit, community-based organization, orlando health is dedicated to improving the health and well-being of the people we serve. We are committed to charity care, which is the provision of medical attention and services to the region's most vulnerable and uninsured, regardless of a patient's ability to pay, a patient's insufficient health insurance coverage, or the existence of any government-sponsored programs covering the full cost of services. In fy 2024, orlando health provided $137,256,591 in charity care, as well as $109,401,514 in community benefit programs and services, and $258,795,971 in medicaid shortfalls and other means-tested government programs. Managing medications to prevent readmission the 340b drug pricing program enables orlando health to reduce the price of pharmaceuticals, provide free care, and implement medication management and community health programs for central florida's underserved populations. The education process starts during a patient's discharge from the hospital when medications are reviewed and a follow-up appointment made. Patients are encouraged to bring all their prescriptions to their first clinic visit. The pharmacist scours the therapies to assess potential drug interactions and dosage issues, then educates the patient as to what they are taking, what it does and potential side effects. More than simply dispensing and organizing prescriptions, this program has developed into a one-stop shop for patient support and care coordination. The clinic helps patients organize meals on wheels deliveries, find housing, and decipher food labels and serving sizes. They hold seminars, provide a pulse oximeter, scale and blood pressure cuff for remote patient monitoring, and discuss how ingredients like sodium impact some medicines. Serving vulnerable pregnant women maternal and infant health are focal points for orlando health due to the long-term effects of complications such as gestational diabetes or low birthweights. Supporting programs and services that improve the health of mothers and infants has shown a positive, lasting health trajectory. This is true for the immediate lifespan of an individual and for the future generation of families receiving such programs and services. Orlando health winnie palmer hospital for women and babies received a grant from american essentials hospital in partnership with cvs health foundation to establish a telehealth program for patients who recently delivered and were diagnosed with hypertension or diabetes. The purpose of the telehealth minority maternity care pilot program is to leverage the telehealth platform to increase access to care, improve obstetric outcomes and reduce severe maternal morbidity in pregnant and postpartum women. Eligible patients include pregnant and postpartum women with hypertensive disorders of pregnancy (including chronic hypertension, gestational hypertension, preeclampsia, preeclampsia with severe features, hellp (hemolysis, elevated liver function testing and low platelets) and eclampsia. These patients receive telehealth visits focused on blood pressure monitoring, medication review, screening for stroke symptoms, screening for mental health conditions and more. Telehealth visits are also used for consultations, referrals for group mental health counseling, referrals to orlando health reach program and referrals to aligned community partners in orange county. Program objectives include reductions in preeclampsia with severe features; reductions in medically indicated delivery at <35 weeks due to maternal”
“Responding to the mental health crisis in fy2024, orlando health continued responding to an identified need for enhanced mental healthcare through a mental health first aid training program. The 2022 community health needs assessment (chna) identified mental health as one of the top community needs in central florida. In all counties, survey respondents ranked mental health problems, including suicide, among the top two needs to address in their community. One way orlando health addressed the issue was by implementing a training program that helps onlookers learn skills to assist someone in a mental health crisis. This training is free of charge to community members either in person or virtually. The curriculum is provided through the national council of mental wellbeing. It is designed for bystanders who may have little to no medical training but may be able to provide initial support to someone in mental health crisis until they are connected with appropriate professional help. Through community-specific scenarios, activities and videos, course participants learn common signs and symptoms of mental health and substance use challenges, how to interact with a person in crisis and how to connect a person to help and resources in the community. Since launching in may 2023, we have established four mental health first aid trainers at orlando health. We have taught 21 classes to 235 participants. Of those participants who attended class, more than 80% say they are more aware of mental health resources than prior to taking the course. To address mental health challenges within the community's youth population, orlando health partnered with breakthrough orange to provide mental health first aid to individuals who engage with those 17 years old and younger. Since launching, 3 classes have been provided to 20 individuals. Of those who attended training, more than 80% stated they are more aware of mental health resources than previously. Connecting the community to essential resources to support better access to care through community collaboration, orlando health in fy2024 began the process of onboarding findhelp, an online referral system that seamlessly connects our community with essential social and health services, including financial assistance, food pantries, medical care and other free or reduced-cost resources. With the integration of findhelp into the healthcare system's electronic health record, our physicians and team members now have easy access to findhelp's extensive network of programs and resources - empowering them to provide comprehensive support for every patient and enhancing healthcare quality, safety and patient satisfaction. The resource will be introduced to team members through a phased rollout in fy2025. During that time, we will begin evaluating the number of searches conducted and the number of referrals made through the platform. Making long-term lifestyle changes enhancing the health and quality of life of central floridians is the focus of the orlando health center for health improvement located at the orlando health medical pavilion - horizon west. Utilizing evidence-based best practices, the team identifies an individual's disease risks and provides personalized health support for long-term lifestyle changes. Program participation is offered at no cost to those who demonstrate an appropriate level of readiness for change and motivation for success. A physician-led team provides health-improvement consultations, education, workshops and health coaching for a variety of areas. Community partnerships the true value of community benefit is derived not only from programs and services that an organization provides, but from the relationships it cultivates. Orlando health has been fortunate to provide benefits beyond traditional healthcare programs through partnership opportunities with 380 community organizations and by providing 8,852 board member, committee member and advisory board member hours. In fy 20”
“5. In 2022, orlando health ormc identified an opportunity to address the hiv epidemic in central florida. Data found in the 2022 chna states that from 2018 - 2020, orange and osceola counties had a higher rate of hiv cases (31.1 and 22.6 per 100,000) than florida at 20.0. Orlando health partnered with the florida department of health in orange county to launch an hiv outreach coordinator program at orlando health ormc. Funding provided by the u.s. Department of health and human services and sub-awarded to orlando health supports this program through march 2025. Through this program, the hiv outreach coordinator tests, treats and educates persons who screen positive or are already living with hiv. The coordinator can assist with patients obtaining proper medical care and making appropriate referrals for treatment when needed. In fy2024, more than 1,900 hiv tests were performed, 76 patients received positive hiv results through testing and 21 patients attended their first hiv appointment. In addition to these cases, the hiv outreach coordinator linked to medical care 37 known hiv patients who were not seeking treatment at the time. While one in seven people in central florida face food insecurity, that figure is even more dramatic for children, one in five of whom don't know when or from where their next meal will come. In our six-county market, nearly half a million people face food insecurity. An analysis of county data on health indicators and food insecurity shows that communities with the highest rates of food insecurity face a higher prevalence for diseases and other measures tied to poor health. To help address this situation, orlando health has embraced food and nutrition programs such as these: 1. Through the collaborative hunger prevention project, orlando health assists in connecting food insecure households with the nutritious food they need. A portion of the funding ensures more than 1,600 local students and their families have access to nutritious food during the academic year. The second portion of the project provides healthy food resources and linkages to other community resources for orange blossom family health patients who have been diagnosed with diabetes and are experiencing food insecurity. Orange blossom family health identifies patients experiencing diabetes, a chronic diet-related illness, and screening them for food insecurity. Patients who meet inclusion criteria receive healthy food boxes from second harvest food bank of central florida delivered on a bi-weekly basis for up to 6 months via the bring hope home program model. Emergency food boxes containing shelf-stable items are available in the diabetes clinic for immediate patient needs. The program launched in fy 2024. From may to september 2024, 351 orange blossom family health patients with diabetes were screened for food insecurity. As a result, 227 households were referred to a community health worker (chw) to provide wraparound support. One hundred and nine of the households referred to the community health worker were then enrolled in the bring hope home food delivery program. Those 109 households represented 367 individuals who received food support. A total of 617 food boxes filled with 8,250 pounds of food were delivered to patients experiencing food insecurity. We look forward to sharing additional outcomes in our next update. 2. Orlando health arnold palmer hospital for children continues to sponsor a teaching garden and nutrition program at orange center elementary in the struggling community of parramore. Throughout the year, students and teachers tend to the garden, pulling ripe vegetables to use in school cooking classes, take home to their families or sell to community members. To help improve lifestyle choices, dietitians from orlando health arnold palmer visit the school to teach students about nutrition. Quality in keeping with its mission to improve the health and quality of life of the individuals and communities it serves, orl”
“Achieving recognition for quality from top-tier external organizations across a spectrum of services and facilities, orlando health has been recognized both locally and nationally with a variety of awards. The following are examples of recent awards and designations: orlando health hospitals received top-50 national rankings in cardiology, heart and vascular surgery, and diabetes and endocrinology for 2024-2025 from u.s. News & world report. In addition to these two programs, orlando health ormc, orlando health south seminole and orlando health dr. P. Phillips ranked nationally in four specialties: gastroenterology and gi surgery, geriatrics, pulmonology and lung surgery, and urology. Orlando health ormc, orlando health south seminole and orlando health dr. P. Phillips also earned designations as regional best hospitals and nationally high-performing hospitals for 2024-2025 from u.s. News & world report. Orlando health rated high performing in 11 categories: aortic valve surgery; chronic obstructive pulmonary disease (copd); colon cancer surgery; gynecologic cancer surgery; heart attack; heart bypass surgery; heart failure; kidney failure; knee replacement; leukemia, lymphoma and myeloma; and lung cancer surgery. For the 15th consecutive year, u.s. News & world report recognized orlando health arnold palmer (together with orlando health winnie palmer) as a best children's hospital and among the top 50 pediatric facilities in the nation. It remains the most recognized children's hospital in orlando, with top 50 designations in five pediatric specialties for 2024-2025: pediatric and adolescent behavioral health, pediatric diabetes and endocrinology, pediatric neurology and neurosurgery, neonatology, and pediatric pulmonology and lung surgery. Only 88 children's hospitals in the nation were ranked in at least one of the 11 pediatric specialties u.s. News & world report evaluates. The patient-safety advocates at the leapfrog group honored five orlando health hospitals with top hospital awards for 2024. Orlando health - health central hospital, orlando health ormc, orlando health south lake hospital and orlando health winnie palmer hospital for women and babies were named among 75 top teaching hospitals, and orlando health arnold palmer hospital for children was one of only eight hospitals in the nation named a top children's hospital. Widely considered among the most prestigious awards an american hospital can earn, top hospital designations are awarded to fewer than 5 percent of all eligible facilities. The american heart association (aha) recognized six orlando health hospitals for consistently following the most up-to-date, research-based guidelines for the treatment of stroke. In 2024, orlando health bayfront hospital, orlando health dr. P. Phillips, orlando health - health central, orlando health ormc, orlando health south lake and orlando health south seminole received aha's get with the guidelines stroke gold plus achievement awards with orlando health bayfront earning 10-year recognition. These hospitals are recognized for 85% or higher adherence on all achievement measures applicable and 75% or higher adherence with additional select quality measures in stroke for two or more consecutive calendar years. Additionally, these hospitals earned target: type 2 diabetes honor roll recognition for providing the most up-to-date, evidence-based care for patients with type 2 diabetes who are hospitalized with heart failure, heart attack or stroke. As of october 31, 2024, orlando health had 28 active beacon awards for excellence in bedside care - more than any other healthcare system in florida. The distinction is awarded by the american association of critical-care nurses to units that employ evidence-based practices to improve patient and family outcomes. At that time, orlando health ormc also was recognized with more beacon awards than any other hospital in the state. Orlando health ormc achieved magnet recognition as a reflection”
“Affiliated equity transfers - -xxx-xx-xxxx; contributions - book/tax differences - 25664706; other changes and extraordinary items - -1186000; net assets released from restrictions - -16939000; net realized/ unrealized gains in restricted funds - 5758375; other book/tax adjustments - 434988;”
“Endowment funds are restricted as to purpose, time or both in accordance with donor specifications made at time of contributions. Orlando health treats endowment fund principal as restricted and utilizes the net earnings on endowment monies for program and capital needs of orlando health, inc. And affiliates in accordance with donor specifications.”
“Fasb asc topic 740, income taxes, prescribes the accounting for uncertainty in income tax positions recognized in the financial statements. Asc topic 740 provides guidance and measurement of a tax position taken or expected to be taken in a tax return. There were no material uncertain tax positions as of september 30, 2024 and 2023.”
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| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 994186 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 1239000 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 62013006 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 123176762 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 185189768 |
| IRS990/Desc | 0 | SEE SCHEDULE O |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | true |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 164968935 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 185220408 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | true |
| IRS990/ElectionOfBoardMembersInd | 0 | false |
| IRS990/EmployeeCnt | 0 | 20821 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/EscrowAccountInd | 0 | false |
| IRS990/EscrowAccountLiabilityGrp/BOYAmt | 0 | 0 |
| IRS990/EscrowAccountLiabilityGrp/EOYAmt | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 3087223625 |
| IRS990/FamilyOrBusinessRlnInd | 0 | true |
| IRS990/FederalGrantAuditRequiredInd | 0 | false |
| IRS990/FeesForServicesAccountingGrp/FundraisingAmt | 0 | 851 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 1517699 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 1518550 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 28305614 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 28305614 |
| IRS990/FeesForServicesLobbyingGrp/ProgramServicesAmt | 0 | 911300 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 911300 |
| IRS990/FeesForServicesOtherGrp/FundraisingAmt | 0 | 100381 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 72731967 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 215915424 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 288747772 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 2426953 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 2426953 |
| IRS990/ForeignActivitiesInd | 0 | true |
| IRS990/ForeignCountryCd | 0 | EI |
| IRS990/ForeignCountryCd | 1 | RO |
| IRS990/ForeignCountryCd | 2 | UK |
| IRS990/ForeignFinancialAccountInd | 0 | true |
| IRS990/ForeignOfficeInd | 0 | true |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 10.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 10.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 10.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 4.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 55.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 3.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 60.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 55.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 55.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 55.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 55.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 55.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 55.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 55.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 55.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 55.0 |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 405638 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 13667 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 174203 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 49817 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 127656 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 26945 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 145658 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 151234 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 143687 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 43472 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 42724 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 141124 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 45871 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 113292 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | Brian Besanceney |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | David W Strong |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | Mike Packnett |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | Dale Jenkins |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | David Brown |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | Jim Hyler |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | M Kathryn Garrett MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | Teri Fontenot |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | Bernadette Spong |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | Leslie Flake |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | Jamal A Hakim MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | Kelly Nierstedt |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | Stephen W Burriss |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | Thibaut Van Marcke De Lummen |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | Erick R Hawkins |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | George A Ralls |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | Gregory P Ohe |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | Karen L Frenier |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | Ryan William Zika |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | Aurelio Duran MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | Mark A Jones |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 4391 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 8173867 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 17050 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 14865 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 14467 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 18561 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 15041 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 14122 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 797040 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 2099622 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 3006604 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 1106301 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 1730810 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 927940 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 2044768 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 1418289 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 1349434 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 1534292 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 1380881 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 734428 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 1916165 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | Board member, Chairman |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | President & CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Board member, Vice Chairman |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Board member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | Board member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | Board member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | Board member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | Board member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | Interim Chief Financial Officer (As of July 2024) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | Chief Financial Officer (Until July 2024) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | Chief Physician Officer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | SVP, OH & President, ORMC |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | Chief Operating Officer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | SVP, OH SE Region & Pres, DPH |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | Chief Admin Officer, OH |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | SVP, OH & Chief Med Officer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | SVP, Ambu Svcs, Orlando Health |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | SVP, HR & Chief Nurse Exec |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | General Counsel |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | Cardiac Electrophysiologist |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | Foundation SVP/Dir Capital Cam |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/Form990TFiledInd | 0 | true |
| IRS990/FormationYr | 0 | 1977 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | true |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GainOrLossGrp/OtherAmt | 0 | -2506256 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 40393676 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 8 |
| IRS990/GovernmentGrantsAmt | 0 | 1802875 |
| IRS990/GrantAmt | 0 | 4435573 |
| IRS990/GrantsPayableGrp/BOYAmt | 0 | 0 |
| IRS990/GrantsPayableGrp/EOYAmt | 0 | 0 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 4435573 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 4435573 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | true |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 1804995 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 471686195 |
| IRS990/GrossReceiptsAmt | 0 | 5262919221 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 2894162 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | true |
| IRS990/IncmFromInvestBondProceedsGrp/ExclusionAmt | 0 | 16464 |
| IRS990/IncmFromInvestBondProceedsGrp/TotalRevenueColumnAmt | 0 | 16464 |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 6 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 1822 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartVInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/FundraisingAmt | 0 | 31970 |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 101739602 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 38980855 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 140752427 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 12572016 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 72885663 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 85457679 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 237314385 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 237895614 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 14267703 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 28340013 |
| IRS990/InterestGrp/TotalAmt | 0 | 42607716 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 88166221 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 100023075 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 83992946 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 83369095 |
| IRS990/InvestmentIncomeGrp/UnrelatedBusinessRevenueAmt | 0 | -623851 |
| IRS990/InvestmentInJointVentureInd | 0 | true |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 198889581 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 2535044803 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 2686551741 |
| IRS990/InvestTaxExemptBondsInd | 0 | false |
| IRS990/IRPDocumentCnt | 0 | 1326 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 2675464274 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 2179832930 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 2677807092 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 5353271366 |
| IRS990/LegalDomicileStateCd | 0 | FL |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 4311251 |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 431292519 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 81080 |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LoansFromOfficersDirectorsGrp/BOYAmt | 0 | 0 |
| IRS990/LoansFromOfficersDirectorsGrp/EOYAmt | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | true |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | false |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MiscellaneousRevenueGrp/ExclusionAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 0 |
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