4A (Expenses $ 224879997 including grants of $ 1334566) (Revenue $ 236367355)
"Leesburg Regional Medical Center, Inc. (""UFHL""): UFHL is an acute care hospital that offers world class services close to home in Lake, Sumter, and Marion Counties. Located just north of Orlando, Florida, UFHL has grown from a small community hospital built in 1963 to a comprehensive medical center. The Leesburg Regional Heart Institute offers premier cardiovascular services and is recognized for its cutting-edge technology, outstanding outcomes, and consistently high patient satisfaction ratings. Home to one of the largest open heart programs in the state, the Leesburg Regional Heart Institute is pioneering many groundbreaking procedures such as minimally-invasive heart valve surgery. At UFHL, we are committed to providing quality care and service excellence. Our hospital is the region's first designated stroke center with The Joint Commission Seal of Approval, and we provide a multidisciplinary approach to neurosurgical care. The Joint Center at UFHL offers world-class orthopedic services such as hip and knee replacements, and the hospital also features state of the art diagnostic imaging, emergency room, labor and delivery, pediatric services, cancer care and so much more."

Schedule H, Part V, Section B, Line 3E
The significant health needs are a prioritized description of the significant health needs of the community and identified through the CHNA.

Schedule H, Part V, Section B, Line 5 Facility , 1
Facility , 1 - UF HEALTH LEESBURG HOSPITAL. IN GENERAL, INPUT WAS OBTAINED FROM THE FOLLOWING PERSONS REPRESENTING THE BROAD INTEREST OF THE COMMUNITY SERVED BY THE HOSPITALS: BUSINESS LEADERS, MEMBERS OF LOCAL CHURCHES, COMMUNITY NON-PROFIT ORGANIZATIONS, HEALTH DEPARTMENTS, AND REPRESENTATIVES FROM LOCAL NEIGHBORHOOD COMMUNITIES. SEE PAGES 6 AND 7 OF THE 2021-2022 COMMUNITY HEALTH NEEDS ASSESSMENT FOR A COMPLETE LIST OF THE ORGANIZATIONS THAT PROVIDED INPUT AS A PART OF THE UFHCF STEERING COMMITTEE. THE UFHCF STEERING COMMITTEE AND WELLFLORIDA BASED THE 2021-2022 CHNA EFFORT ON A NATIONALLY RECOGNIZED MODEL AND BEST PRACTICE FOR COMPLETING HEALTH ASSESSMENTS CALLED MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP). THERE ARE FOUR CORE MAPP ASSESSMENTS: COMMUNITY HEALTH STATUS ASSESSMENT, COMMUNITY THEMES AND STRENGTHS ASSESSMENT, FORCES OF CHANGE ASSESSMENT, AND LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT. THE UF HEALTH CENTRAL FLORIDA STEERING COMMITTEE, IN PARTNERSHIP WITH WELLFLORIDA COUNCIL, COLLABORATED TO FORMULATE TWO SIMILAR ELECTRONIC SURVEYS TO QUERY INDIVIDUALS ABOUT COMMUNITY HEALTH ISSUES AND THEIR PERSPECTIVES ON HEALTHCARE. BOTH SURVEYS EMPLOYED A CONVENIENCE SAMPLING APPROACH WHERE RESPONDENTS WERE SELECTED BASED ON THEIR CONVENIENT ACCESSIBILITY TO THE SURVEYS. THE UFHCFL STEERING COMMITTEE ASSISTED WITH THE SURVEY DISSEMINATION THROUGH THEIR RESPECTIVE ORGANIZATIONS AND BY CONNECTING WELLFLORIDA TO KEY STAKEHOLDERS AND COMMUNITY PARTNERS. THERE WERE 702 RESPONDENTS TO THE COMMUNITY SURVEY AND 106 TO THE HEALTHCARE PROFESSIONAL SURVEY. AFTER ELIMINATING THE INCOMPLETE AND INELIGIBLE SURVEYS, THERE WERE 608 COMMUNITY SURVEYS AND 23 HEALTHCARE PROFESSIONAL SURVEYS FOR ANALYSIS.

Schedule H, Part V, Section B, Line 6a Facility , 1
Facility , 1 - UF HEALTH LEESBURG HOSPITAL. THE VILLAGES TRI-COUNTY MEDICAL CENTER

Schedule H, Part V, Section B, Line 6b Facility , 1
Facility , 1 - UF HEALTH LEESBURG HOSPITAL. WELLFLORIDA COUNCIL

Schedule H, Part V, Section B, Line 11 Facility , 1
Facility , 1 - UF HEALTH LEESBURG HOSPITAL. UFHL HAS IDENTIFIED THE THREE FOLLOWING AREAS ON WHICH TO FOCUS. STRATEGIC PRIORITY 1: HEALTHY BIRTH OUTCOMES. UFHL IS ADDRESSING THE PERSISTENT DISPARITIES IN BIRTH OUTCOMES BY PROVIDING ACCESS TO PRECONCEPTION WELLNESS RESOURCES, REMOVING BARRIERS TO PRENATAL CARE, AND PROVIDING HEALTH AND NUTRITION EDUCATION. FROM 2019 TO 2022, THE INFANT MORTALITY RATE FOR BIRTHS TO BLACK/AFRICAN AMERICAN WOMEN DECREASED BY MORE THAN 10%, AND UFHL CONTINUES TO FOCUS ON LOWERING THIS RATE EVEN FURTHER. UFHL ALSO FOCUSES ON INCREASING THE NUMBER OF WOMEN WHO RECEIVE PRENATAL CARE IN THEIR FIRST TRIMESTER. DURING THE FISCAL YEAR ENDED JUNE 30, 2022, 1,029 BABIES WERE BORN AT UFHL. ADDITIONALLY, UFHL RECENTLY INSTALLED A GE SENOGRAPHE PRISTINA FOR 3-D MAMMOGRAPHY IN ORDER TO PROVIDE THE MOST ADVANCED WOMEN'S IMAGING TECHNOLOGIES AVAILABLE. STRATEGIC PRIORITY 2: WELLNESS FOR LIFE. A. UFHL PROMOTES WELLNESS CHECKS AND SCREENINGS BY IMPROVING ACCESS TO SCREENINGS, REMOVING BARRIERS TO PREVENTITIVE CARE AND WELLNESS ACTIVITIES, AND PROMOTING AND PROVIDING HEALTH EDUCATION AND SELF-CARE SKILLS DEVELOPMENT. B. UFHL IS ENHANCING ACCESS TO CARE BY ADDRESSING BARRIERS TO HEALTH CARE SERVICES AND PROMOTING HEALTH LITERACY. THE ORGANIZATION AIMS TO DECREASE THE PERCENTAGE OF ADULTS WHO COULD NOT SEE A DOCTOR IN THE PAST YEAR DUE TO COST BY 10% BY JUNE 30, 2025. DURING THE FISCAL YEAR ENDED JUNE 30, 2022, UFHL ADMITTED 11,988 ADULTS INTO INPATIENT CARE, SAW 35,453 EMERGENCY ROOM VISITS, AND PERFORMED 5,184 SURGERIES. ADDITIONALLY, UFHL RECENTLY EXPANDED THE EMERGENCY ROOM TO INCLUDE FULLY-EQUIPPED TRIAGE ROOMS, TRAUMA-SIZED ROOMS FOR CRITICAL CARE, AND A FAST TRACK AREA FOR LOWER-ACUITY PATIENTS. UFHL ALSO PROVIDES NO-COST COMMUNITY HEALTH EVENTS AND HAS HELD SEVERAL OF THESE EVENTS OVER THE LAST YEAR, ADDRESSING ISSUES RANGING FROM CHRONIC DISEASE PREVENTION TO A FIRST AID COURSE. STRATEGIC PRIORITY 3: HEALTHY FOOD CHOICE FOR LIFE. THE ORGANIZATION PROVIDES EVIDENCE-BASED NUTRITION EDUCATION FOR ALL BY OFFERING NUTRITION EDUCATION AND SKILL DEVELOPMENT, SCREENING FOR NUTRITION DEFICIENCIES, AND TAILORING INTERVENTIONS FOR PRIORITY POPULATIONS SUCH AS CHILDREN, TEENS, YOUNG ADULTS AND SENIORS. HEALTH NEEDS NOT ADDRESSED: ISSUES RELATED TO SUBSTANCE USE AND ABUSE, INCLUDING DRUG AND ALCOHOL-RELATED HEALTH PROBLEMS, WERE DISCUSSED IN SOME DETAIL DURING THE CHNA PROCESS. WHILE DEEMED CONCERNING, PERSISTENT PROBLEMS FOR MANY IN THE UF HEALTH CENTRAL FLORIDA AND LEESBURG HOSPITAL SERVICE AREAS, THE STEERING COMMITTEE MEMBERS CITED NUMEROUS HEALTHCARE AND SOCIAL SERVICE ORGANIZATIONS AND COMMUNITY PARTNERS ALREADY ENGAGED IN LOCAL INTERVENTIONS TO ADDRESS SUBSTANCE ABUSE AND THE BROADER ISSUE OF MENTAL AND BEHAVIORAL HEALTH. AMONG THE PARTNER ORGANIZATIONS TACKLING THIS ISSUE ARE LIFESTREAM, THE CENTERS, NATIONAL ASSOCIATION ON MENTAL HEALTH (NAMI), AND THE REGION'S AREA AGENCY ON AGING.

Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance
THE ESTIMATED COST OF FINANCIAL ASSISTANCE PROVIDED WAS DETERMINED BY APPLYING UFHL'S OVERALL COST TO CHARGE RATIO TO TOTAL CHARGES FOREGONE. COST OF BENEFITS FOR THE BROADER COMMUNITY REPRESENTS ACTUAL EXPENSES INCURRED.

Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount
FOR FINANCIAL STATEMENT PURPOSES, THE ORGANIZATION DIRECTLY REDUCES THE AMOUNT OF PATIENT SERVICE REVENUE REPORTED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS BY THE AMOUNT OF BAD DEBT EXPENSE. THEREFORE, BAD DEBTS ARE INCLUDED IN NET PATIENT SERVICE REVENUE AND BAD DEBT EXPENSE IS NOT SEPARATELY REPORTED AS AN EXPENSE.

Schedule H, Part III, Line 3 Bad Debt Expense Methodology
THE ORGANIZATION REPORTS $0 BAD DEBT EXPENSE BECAUSE BAD DEBTS ARE INCLUDED IN NET PATIENT SERVICE REVENUE. THEREFORE, THE AMOUNT OF BAD DEBTS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY IS ALSO $0.

Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote
THE PROVISION FOR BAD DEBTS IS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN FEDERAL AND STATE GOVERNMENTAL HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON THESE TRENDS. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATION TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. PATIENT ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED UNDER UFHL's POLICIES.

Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs
The organization utilizes the Medicare cost report to report the total revenue received from Medicare and the Medicare allowable costs. UFHL accepts all Medicare patients with the knowledge that there may be shortfalls and operates to promote the Health of the community. UFHL believes that any Medicare shortfall should be treated as a Community Benefit because Medicare does not typically fully compensate UFHL for the cost of providing hospital care to Medicare beneficiaries.

Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance
According to the organization's Financial Assistance Policy (which contains certain billing and collection provisions), any balance not qualifying for financial assistance or account balances not related to initial approval based on diagnosis and/or place of service shall be subject to extraordinary collection actions (ECAs) unless appropriate financial arrangements have been established. Thus, patients known to qualify for financial assistance are not subject to ECAs.

Schedule H, Part V, Section B, Line 16a FAP website
- UF HEALTH LEESBURG HOSPITAL: Line 16a URL: https://ufhealth.org/financial-assistance;

Schedule H, Part V, Section B, Line 16b FAP Application website
- UF HEALTH LEESBURG HOSPITAL: Line 16b URL: https://ufhealth.org/financial-assistance;

Schedule H, Part V, Section B, Line 16c FAP plain language summary website
- UF HEALTH LEESBURG HOSPITAL: Line 16c URL: https://ufhealth.org/financial-assistance;

Schedule H, Part VI, Line 2 Needs assessment
"THE UFHCF STEERING COMMITTEE AND WELLFLORIDA BASED THE 2021-2022 CHNA EFFORT ON A NATIONALLY RECOGNIZED MODEL AND BEST PRACTICE FOR COMPLETING HEALTH ASSESSMENTS AND IMPROVEMENT PLANS CALLED MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP). THE MAPP TOOL WAS DEVELOPED BY THE NATIONAL ASSOCIATION OF CITY AND COUNTY HEALTH OFFICIALS (NACCHO) IN COOPERATION WITH THE PUBLIC HEALTH PRACTICE PROGRAM OFFICE, CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC). NACCHO AND CDC'S VISION FOR IMPLEMENTING MAPP IS: ""COMMUNITIES ACHIEVING IMPROVED HEALTH AND QUALITY OF LIFE BY MOBILIZING PARTNERSHIPS AND TAKING STRATEGIC ACTION."" AT THE HEART OF THE MAPP PROCESS ARE THE FOUR CORE MAPP ASSESSMENTS. THESE ARE: -COMMUNITY HEALTH STATUS ASSESSMENT (CHSA) -COMMUNITY THEMES AND STRENGTHS ASSESSMENT (CTSA) -FORCES OF CHANGE ASSESSMENT (FCA) -LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT (LPHSA)"

Schedule H, Part VI, Line 3 Patient education of eligibility for assistance
IN ADDITION TO SIGNAGE THROUGHOUT VARIOUS PARTS OF THE HOSPITAL AND WRITTEN INFORMATION PROVIDED TO PATIENTS DURING PRE-REGISTRATION, THE HOSPITAL PROVIDES THE FOLLOWING PATIENT EDUCATION: -FINANCIAL COUNSELING -WRITTEN ESTIMATES FOR HOSPITAL SERVICES -ITEMIZED BILLINGS (UPON REQUEST) -INFORMATION ABOUT EXTRAORDINARY COLLECTION ACTIONS THAT MAY BE USED AFTER REASONABLE COLLECTION EFFORTS HAVE TAKEN PLACE -A LIST OF SERVICE PROVIDERS THAT PROVIDE SERVICES UNDER THE FAP

Schedule H, Part VI, Line 4 Community information
"POPULATION POPULATION GROWTH IS A KEY DETERMINANT OF THE HEALTHCARE SERVICES A COMMUNITY REQUIRES TO BE ABLE TO SUSTAIN POSITIVE HEALTH BEHAVIORS AND IMPROVED HEALTH OUTCOMES. THE UFHL SERVICE AREA PRIMARILY SERVES AN OLDER ADULT POPULATION GREATER THAN 55 YEARS OF AGE AT 65.1 PERCENT OF THE POPULATION, COMPARED TO 68.6 PERCENT IN THE CENTRAL FLORIDA HEALTH (""UFHCF"") SERVICE AREA AND 33.4 PERCENT IN FLORIDA AS A WHOLE. THE OVERWHELMING MAJORITY OF THE UFHL SERVICE AREA POPULATION IS WHITE (87.8 PERCENT) WHICH IS NEARLY THE SAME AS THE UFHCF SERVICE AREA AT 88.6 PERCENT BUT HIGHER THAN FOR FLORIDA AT 75.1 PERCENT WHITE. THE BLACK, AMERICAN INDIAN AND ALASKA NATIVE, ASIAN ONLY, AND NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDER POPULATIONS COMPRISE 8.1, 0.3, 1.1, AND 0.04 PERCENT OF THE UFHL SERVICE AREA, RESPECTIVELY, WHILE 1.2 PERCENT IDENTIFY THEMSELVES AS ANOTHER RACE AND 1.5 PERCENT IDENTIFY AS HAVING TWO OR MORE RACES. BY 2015-2019 AMERICAN COMMUNITY SURVEY, U.S. CENSUS BUREAU ESTIMATES (ACS), 92.3 PERCENT OF THE POPULATION IN THE UFHL SERVICE AREA IDENTIFIED AS NON-HISPANIC OR LATINO, WHICH IS COMPARABLE TO THE 93.1 PERCENT IN THE UFHCF SERVICE AREA AND 94.3 PERCENT IN UFHV SERVICE AREA, BUT NOTABLY LARGER THAN IN FLORIDA AS A WHOLE AT 74.4 PERCENT. LIFE EXPECTANCY CONSIDERING ALL RACES AND ETHNICITIES, THE LONGEST LIFE EXPECTANCY FOR MALES, WHEN USING A THREE-YEAR ESTIMATE PERIOD (2017-2019) WAS FOUND IN SUMTER COUNTY (78.0 YEARS) FOLLOWED BY LAKE COUNTY (75.6 YEARS), AND MARION COUNTY (72.7 YEARS), COMPARED TO FLORIDA (77.0 YEARS). FOR FEMALES, WHEN USING A THREE-YEAR ESTIMATE PERIOD (2017-2019), THE LONGEST LIFE EXPECTANCY WAS ALSO IN SUMTER COUNTY (82.2 YEARS), FOLLOWED BY LAKE COUNTY (81.0 YEARS), AND MARION COUNTY (79.5 YEARS), COMPARED TO FLORIDA (82.6 YEARS). AS OFTEN SEEN THROUGHOUT THE STATE OF FLORIDA, THERE WAS A DISPARITY IN LIFE EXPECTANCY IN THE BLACK POPULATION AS COMPARED TO THE WHITE POPULATION IN THE UFHL SERVICE AREA COUNTIES. ECONOMIC CHARACTERISTICS AT 10.4 PERCENT OF THE POPULATION, THE UFHL SERVICE AREA HAD A LOWER PERCENTAGE OF INDIVIDUALS HAVING LIVED IN POVERTY IN THE PAST 12 MONTHS WHEN COMPARED TO FLORIDA (14.0 PERCENT) ACCORDING TO 2016-2019 ACS DATA. THE UFHCF SERVICE AREA IS ALMOST THE SAME AT 10.1 PERCENT WHEREAS UFHV SERVICE AREA POPULATION FARES BETTER AT ONLY 8.1 PERCENT. WITHIN THE UFHL SERVICE AREA, THE ZIP CODES WHERE THIS INDICATOR OF POVERTY ARE HIGHEST INCLUDE BUSHNELL (33513) AT 16.0 PERCENT, LEESBURG (34748) AT 15.7 PERCENT AND FRUITLAND PARK (34371) AT 14.0 PERCENT WHILE THE VILLAGES (32162) WAS AT ONLY 4.7 PERCENT. ACROSS THE THREE COUNTIES IN THE UFHL SERVICE AREA FOR THIS SAME PERIOD, MARION COUNTY HAD THE HIGHEST PERCENTAGE OF INDIVIDUALS HAVING LIVED IN POVERTY IN THE PAST 12 MONTHS (16.1 PERCENT) WHICH IS HIGHER THAN THE STATE OF FLORIDA (14 PERCENT). LAKE COUNTY, AT 12.0 PERCENT AND SUMTER COUNTY AT 8.2 PERCENT WERE BOTH LOWER THAN FOR FLORIDA. GENDER DIFFERENCES CAN BE SEEN IN RATES OF POVERTY. FOR 2015-2019, THE PERCENTAGE OF MALES HAVING LIVED IN POVERTY IN THE PAST 12 MONTHS IN THE UFHL SERVICE AREA AT 9.5 PERCENT WAS NEARLY THE SAME AS THE OVERALL UFHCF SERVICE AREA (9.1 PERCENT) BUT HIGHER THAN UFHV SERVICE AREA AT 7.2 PERCENT. ALL WERE BELOW THE 12.9 PERCENT STATE RATE FOR FLORIDA. SIMILARLY, THE RATE OF 11.3 PERCENT OF FEMALES HAVING LIVED IN POVERTY IN THE UFHL SERVICE AREA WAS ON PAR WITH THE UFHCF SERVICE AREA AT 11.0 PERCENT AND HIGHER THAN UFHV RATE OF 8.8 PERCENT. ALTHOUGH THESE RATES FOR FEMALES WERE LOWER THAN THE STATE RATE OF 15.1 PERCENT, THE RATES WERE HIGHER THAN FOR MALES IN THE SAME GEOGRAPHIC AREAS. WHEN COMPARED BY SERVICE AREA COUNTY, BOTH MARION COUNTY MALES AT 15.0 PERCENT AND FEMALES AT 17.1 PERCENT HAD THE HIGHEST RATES FOR THIS POVERTY MEASURE WITH BOTH RATES EXCEEDING STATE RATES (12.9 AND 15.1 PERCENT, RESPECTIVELY). SUMTER COUNTY MALES AND FEMALES HAD THE LOWEST RATES AT 7.4 AND 8.9 PERCENT, RESPECTIVELY. LAKE COUNTY RATES WERE LOWER THAN STATE RATES BUT HIGHER THAN THE UFHCF SERVICE AREA RATE. POVERTY RATES FOR CHILDREN (0-17 YEARS OF AGE) EXCEEDED STATE RATES IN THE UFHL SERVICE AREA. DATA SHOW THAT FROM 2015-2019 IN THE UFHL SERVICE AREA 25.3 PERCENT OF CHILDREN LIVED IN POVERTY IN THE PAST 12 MONTHS COMPARED TO 26.9 PERCENT IN THE UFHCF SERVICE AREA AND 21.0 PERCENT STATEWIDE. THE GREATEST NUMBERS OF CHILDREN LIVING IN POVERTY WERE IN MARION COUNTY AND LAKE COUNTY AT 38.1 AND 19.2 PERCENT, RESPECTIVELY, COMPARED TO SUMTER COUNTY AT 17.3 PERCENT AND FLORIDA AT 20.1 PERCENT. FOR 2015-2019, THE ESTIMATED PERCENTAGE OF THE BLACK POPULATION HAVING LIVED IN POVERTY IN THE PAST 12 MONTHS IN THE UFHL SERVICE AREA WAS 25.7 PERCENT COMPARED TO 9.1 PERCENT FOR THE WHITE POPULATION. THIS PERCENTAGE FOR THE BLACK POPULATION WAS THE SAME AS THE UFHCF SERVICE AREA AND HIGHER THAN THE 22.8 PERCENT STATE RATE. STARK DIFFERENCES IN POVERTY RATES FOR THE WHITE AND BLACK POPULATIONS WERE SEEN IN THE UFHCF SERVICE AREA COUNTIES. THE PERCENTAGES OF THE BLACK POPULATION IN MARION COUNTY AT 32.8 PERCENT AND IN SUMTER COUNTY AT 24.3 PERCENT HAVING LIVED IN POVERTY IN THE PAST 12 MONTHS EXCEEDED THE STATE RATE OF 22.0 PERCENT. THE POVERTY RATE FOR THE WHITE POPULATION IN MARION COUNTY AT 13.5 PERCENT ALSO EXCEEDED THE STATE RATE FOR THE WHITE POPULATION OF 12.1 PERCENT. IN THE UFHL SERVICE AREA, SUMTER COUNTY PER CAPITA INCOME AND MEDIAN HOUSEHOLD INCOME EXCEEDED THE STATE FIGURES AS WELL AS THOSE FOR LAKE AND MARION COUNTIES FOR 2015-2019 FOR ALL RACES. THE SAME PERIOD, THE BLACK POPULATION IN LAKE COUNTY SHOWED LOWER MEDIAN HOUSEHOLD INCOMES THAN FOR THE BLACK POPULATION STATEWIDE. THE MEDIAN HOUSEHOLD INCOME FOR THE HISPANIC POPULATION IN LAKE COUNTY AT $49,499 WAS THE HIGHEST AMONG THE UFHL SERVICE AREA COUNTIES AND SLIGHLY ABOVE THE STATE FIGURE OF $49,266. EDUCATIONAL ATTAINMENT ACCORDING TO ACS ESTIMATES FOR 2015-2019, THOSE IN THE UFHL SERVICE AREA 25 YEARS OF AGE AND OLDER WHOSE HIGHEST LEVEL OF EDUCATION COMPLETED WAS A HIGH SCHOOL DIPLOMA (INCLUDING EQUIVALENCY DIPLOMAS AND SOME COLLEGE BUT NO DEGREE) FOR ALL GENDERS WAS 55.6 PERCENT; THE COMPARABLE STATE RATE WAS 48.5 PERCENT. THOSE WITH A COLLEGE DEGREE (INCLUDING ASSOCIATE'S, BACHELOR'S, MASTER'S, PROFESSIONAL AND DOCTORATE DEGREES) FOR THE UFHL SERVICE AREA REPRESENTED 36.1 PERCENT OF THE POPULATION COMPARED TO 39.7 PERCENT FOR FLORIDA. FOR THE 2019-2020 SCHOOL YEAR, OF THE UFHL SERVICE AREA COUNTIES LAKE COUNTY ACHIEVED THE BEST HIGH SCHOOL GRADUATION RATE AT 91.2 PERCENT WHICH EXCEEDED THE 90.0 PERCENT STATE RATE AND OUTPACED SUMTER COUNTY AT 88.0 PERCENT AND MARION COUNTY AT 87.1 PERCENT. LAKE COUNTY ALSO RECORDED THE HIGHEST HIGH SCHOOL DROPOUT RATE FOR THE SERVICE AREA FOR 2018-2019 AT 4.8 PERCENT, PERFORMING WORSE THAN THE STATE AT 3.4 PERCENT, AND MARION AND SUMTER COUNTIES AT 3.6 PERCENT AND 4.1 PERCENT, RESPECTIVELY. CAUSES OF DEATH THE TOP FIVE LEADING CAUSES OF DEATH IN THE UFHL SERVICE AREA FOR ALL RACES IN 2018-2020 WERE HEART DISEASE, CANCER, UNINTENTIONAL INJURIES, CHRONIC LOWER RESPIRATORY DISEASE (CLRD) AND STROKE. FOR THE UFHCF SERVICE AREA AND THE STATE OF FLORIDA THE FIVE LEADING CAUSES OF DEATH WERE THE SAME AS FOR THE UFHL SERVICE AREA WITH A SLIGHT DIFFERENCE IN RANK ORDER. HEART DISEASE WAS THE LEADING CAUSE OF DEATH FOR THE UFHCF SERVICE AREA AND FLORIDA WHILE CANCER WAS AT THE TOP OF THE LIST FOR UFHV AND UFHL SERVICE AREAS. AGE-ADJUSTED DEATH RATES FOR THE TOP FIVE CAUSES OF DEATH IN UFHV, UFHL AND UFHCF SERVICE AREAS HAD VAST DIFFERENCES BETWEEN EACH OTHER. COVID-19 AS OF APRIL 2022, 22.51% OF THE UFHCF SERVICE AREA POPULATION HAD CONFIRMED CASES OF COVID19, AS COMPARED TO 27.61% OF FLORIDA'S POPULATION AND 24.15% OF THE UNITED STATES. HOWEVER, GIVEN THE DISPROPORTIONATELY LARGE POPULATION OF HIGH-RISK SENIORS RESIDING IN THE UFHCF SERVICE AREA, THE MORTALITY RATE OF COVID-19 WAS HIGHER THAN THE STATE AND NATIONAL RATES, AT 0.49% FOR THE UFHCF SERVICE AREA, 0.34% FOR FLORIDA, AND 0.29% NATIONALLY. 76.58% OF ADULTS WITHIN THE UFHCF SERVICE AREA ARE FULLY VACCINATED, AS COMPARED TO 77.7% OF FLORIDA ADULTS AND 73.07% OF ADULTS ACROSS THE UNITED STATES. DURING FYE 6/30/2022, UFHL CARED FOR 3,447 COVID-19 PATIENTS AND PROVIDED 1,088 COVID-19 VACCINES."

Schedule H, Part VI, Line 5 Promotion of community health
THE MAJORITY OF UFHL'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE UF HEALTH SYSTEM'S PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF UFHL, NOR FAMILY MEMBERS THEREOF. UFHL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY AND USES SURPLUS FUNDS TO INVEST IN PATIENT CARE NEEDS. UFHL IS A PRIVATE, NOT-FOR-PROFIT HOSPITAL SYSTEM AFFILIATED WITH THE UNIVERSITY OF FLORIDA. IT IS PART OF UNIVERSITY OF FLORIDA HEALTH, THE SOUTHEAST'S MOST COMPREHENSIVE ACADEMIC HEALTH CENTER, WITH CAMPUSES IN GAINESVILLE, JACKSONVILLE, LEESBURG, AND THE VILLAGES. UFHL IS BASED IN LEESBURG. UFHL FEATURES INPATIENT ACUTE HOSPITAL SERVICES AT THE HOSPITAL ALONG WITH DIAGNOSTIC LABORATORY SERVICES. UFHL IS ALSO HOME TO AN AWARD-WINNING COMPREHENSIVE CARDIOVASCULAR UNIT, INCLUDING ONE OF THE LARGEST OPEN-HEART PROGRAMS IN FLORIDA, WITH SERVICES RANGING FROM EARLY DETECTION TO COMPLEX CARDIOTHORACIC SURGERIES AND VASCULAR PROCEDURES. UFHL'S COMMITMENT TO TREATING PATIENTS WITH CHEST PAIN IS RECOGNIZED BY THE AMERICAN COLLEGE OF CARDIOLOGY, WHO HAS GRANTED ITS HIGHEST LEVEL OF ACCREDITATION TO UFHL. UFHL ALSO OFFERS ADVANCED ORTHOPAEDIC SURGERY, MINIMALLY INVASIVE ROBOTIC SURGERY, LIFE-SAVING EMERGENCY CARE, STROKE TREATMENT, AND LABOR & DELIVERY CARE. UFHL IS AFFILIATED WITH MORE THAN 50 UF HEALTH PHYSICIANS' PRIMARY CARE AND SPECIALTY MEDICAL PRACTICES LOCATED THROUGHOUT FLORIDA AND HAS AFFILIATION RELATIONSHIPS WITH COMMUNITY HOSPITALS LOCATED THROUGHOUT FLORIDA. IT HAS BUILT RELATIONSHIPS WITH AFFILIATES THROUGHOUT THE STATE IN SERVICES SUCH AS CANCER, HEART SURGERY, NEUROSURGERY, PEDIATRICS, PEDIATRIC CARDIOLOGY, PEDIATRIC NEPHROLOGY, VASCULAR SURGERY, AND ADDICTION MEDICINE. AFFILIATIONS WITH OTHER HOSPITALS AND HEALTH CARE PROVIDERS ALLOW UFHL TO COLLABORATE WITH THESE ORGANIZATIONS TO EXPAND CLINICAL PROGRAMS AND RESEARCH AND EDUCATION EFFORTS. FOOTNOTE 3 TO THE ACCOMPANYING AUDITED FINANCIAL STATEMENTS SUMMARIZES THE FY22 COMMUNITY BENEFIT PROVIDED BY UF HEALTH, THROUGH COLLABORATIONS WITH UF'S HEALTH SCIENCE COLLEGES, RESEARCH CENTERS AND INSTITUTES, UFHL AND OTHER HEALTH CARE ENTITIES.

Schedule H, Part VI, Line 6 Affiliated health care system
"The sole member of Leesburg Regional Medical Center, Inc is Central Florida Health, Inc (""UFHCF""). The sole member of UFHCF is Shands Teaching Hospital and Clinics, Inc. (""STHC""). Prior to January 1, 2020, UFHCF did not have a corporate member. Effective January 1, 2020, STHC acquired UFHCF, pursuant to which STHC became the sole corporate member of UFHCF. STHC controls or owns various other affiliated entities that operate facilities and provide services as part of STHC. STHC and certain of its affiliated entities operate under names beginning with ""UF Health."" UFHCF manages and operates two acute care hospitals in central Florida: Leesburg Regional Medical Center, Inc. (""UFHL"") and The Villages Tri-County Medical Center, Inc. (""UFHV""). UFHCF is also affiliated with Leesburg Regional Medical Center Foundation, Inc., and The Villages Regional Hospital Auxiliary Foundation, Inc. In strategic partnership with its fellow UF Health affiliates, UFHL works to improve the health and quality of life of Lake County, Marion County, and Sumter County communities."