2022-08-14T13:30:57-05:00 2021-09-30 350921680 CROWE LLP 401 East Las Olas Blvd Suite 1100 Fort Lauderdale FL 333014230 990 2020-10-01 591460239 Jupiter Medical Center Inc JUPI 5612632234 1210 South Old Dixie Highway Jupiter FL 33458 Dale Hocking CFO 2022-08-14 true Dale Hocking 999009999 Brittney Kocaj P01320603 9542028600 2020 2022-09-23 18:48:47Z AMIT RASTOGI MD MHCM - PRESIDENT & CEO 1210 South Old Dixie Highway Jupiter FL 33458 370648630 false X www.jupitermed.com X 1973 FL Jupiter Medical Center is a not-for-profit community Medical Center offering state-of-the-art technology and world-class healthcare professionals. 14 14 2076 150 901656 0 35355224 52103333 265082714 313382292 421277 1270406 2021352 3631511 302880567 370387542 28000 7608945 0 0 126793561 141051207 0 0 0 154347518 187056621 281169079 335716773 21711488 34670769 409985360 430547291 220891967 206747844 189093393 223799447 THE MISSION OF JUPITER MEDICAL CENTER IS TO DELIVER EXCELLENT AND COMPASSIONATE HEALTHCARE ADVANCING THE WELL-BEING OF THE PEOPLE WE SERVE, REGARDLESS OF THEIR ABILITY TO PAY. CERTAIN SERVICES ARE PROVIDED AT A LOSS OR AT NO PAYMENT THROUGH THE HOSPITAL'S CHARITY CARE, MEDICARE AND MEDICAID PROGRAMS. false false 260002301 7608945 314806713 JUPITER MEDICAL CENTER, INC. OFFERS NUMEROUS SERVICES TO BENEFIT THE COMMUNITY, INCLUDING CARDIOPULMONARY REHABILITATION, THE CRISP CANCER CENTER (F/K/A THE ELLA MILBANK FOSHAY CANCER CENTER), GI LAB, SLEEP DISORDERS CENTER, OUTPATIENT LAB, HEALTH AND REHABILITATION CENTER, THE MARGARET W. NIEDLAND BREAST CENTER, OBSTETRICS, WOUND CARE, OUTPATIENT IMAGING, AND VASCULAR LAB. THE MEDICAL CENTER ALSO OFFERS A SURGICAL WEIGHT LOSS PROGRAM, CARDIOLOGY SERVICES, PEDIATRIC THERAPY, OUTPATIENT REHABILITATION, PAIN MANAGEMENT AND RESPIRATORY SERVICES. (CONTINUED ON SCHEDULE O) 260002301 true true false true false false false false true true false false false true true false true false false false false false false false false true true true false true true false false false false false false false false false false false false false false false true true true false false true 158 0 true 2076 true true true false false false false false false false false false true false X 14 14 true false false false true true true true false false false true true true true true true true true true true FL X DALE HOCKING 5612632234 1210 SOUTH OLD DIXIE HIGHWAY JUPITER FL 33458 JACK WATERMAN DO SECRETARY 5.0 1.0 X X 0 0 0 MARTIN DYTRYCH CPA CHAIRMAN 5.0 2.0 X X 0 0 0 Robert Stilley Vice Chair 5.0 2.0 X X 0 0 0 ROSANNE M DUANE ESQ Treasurer 5.0 1.0 X X 0 0 0 ANDRES SUAREZ MD TRUSTEE 1.0 1.0 X 0 0 0 Anthony P Shaya MD TRUSTEE 1.0 1.0 X 0 0 0 HARVEY GOLUB Trustee 1.0 1.0 X 0 0 0 Henri DesPlaines TRUSTEE 1.0 1.0 X 0 0 0 JOSEPH C KEMPE JD LLM Trustee (Until Nov 2020) 1.0 6.0 X 0 0 0 Lee Fox Trustee 1.0 1.0 X 0 0 0 MARK L CORRY MD TRUSTEE 1.0 1.0 X 0 0 0 Michael Leighton MD Trustee 1.0 1.0 X 1700 0 0 Michele D Deverich TRUSTEE 1.0 1.0 X 0 0 0 Peter A Lund TRUSTEE 1.0 6.0 X 0 0 0 Philippe Jeck Trustee 1.0 1.0 X 0 0 0 SIMIE PLATT MD TRUSTEE (Until December 2020) 1.0 1.0 X 0 0 0 Amit Rastogi MD MHCM PRESIDENT & CEO/Assistant Secretary 40.0 9.0 X 1142576 0 11945 DALE HOCKING VP FINANCE & CFO/Assistant Treasurer 40.0 10.0 X 462929 0 48237 Steven Seeley SVP & Chief Operating Officer 40.0 10.0 X 832964 0 33010 Judith Magalhaes RN VP Ambulatory Care (thru Jan 2020) 40.0 0 X 280558 0 2401 Karen L Davila general counsel (thru June 2020) 40.0 0 X 335537 0 24591 Mahesh Patel MD Physician 40.0 0 X 298168 0 35585 PAMELA CANTER RN VP Chief Nursing Officer 40.0 0 X 290292 0 10721 Thomas R Schoenig VP Chief Information Officer (thru June 2020) 40.0 0 X 335703 0 25388 Donald Mckenna President & CEO (thru MARCH 2019) 0.0 0.0 X 247241 0 0 Joanne Miller RN VP Chief Nursing Officer and Co-Interim CEO (thru Oct 2019) 0.0 0.0 X 137003 0 0 4364671 0 191878 155 true true false GILBANE BUILDING COMPANY 7 JACKSON WALKWAY PROVIDENCE RI 02903 CONSTRUCTION & REAL ESTATE DEVELOPMENT 30588631 SODEXO INC & AFFILIATES PO BOX 360170 PITTSBURGH PA 152516170 OUTSOURCED SUPPORT SERVICES (FOOD) 8845419 BLACKDIAMOND 1930 COMMERCE LANE STE 204 JUPITER FL 33458 CONSTRUCTION/BLDG RENOVATIONS 8525378 CERNER CORPORATION PO BOX 959156 ST LOUIS MO 63195 HEALTH INFORMATION TECHNOLOGY SERVICES 6259138 SODEXHO INC & AFFILIATES (EVS) ENVIRONMENTAL SERVICES P O BOX 360170 PITTSBURGH PA 15251 environmental services 4377857 162 45303333 6800000 52103333 PATIENT SERVICE REVENUE 622110 312674730 312674730 CLINIC SERVICES 622110 598109 598109 MEDICAID/MEDICARE INCENTIVE PAYMENTS 900099 109453 109453 0 0 0 0 313382292 1260045 1260045 1566522 261088 1305434 0 1305434 1305434 10361 0 0 10361 10361 10361 SPECIALTY PROGRAMS 900099 216627 216627 OUTREACH LAB INCOME 621511 901656 901656 AUXILIARY INCOME 900099 802066 802066 405728 405728 0 0 2326077 370387542 314806713 901656 2575840 7608945 7608945 2469783 857845 1611938 120014410 92499123 27515287 2766098 2168621 597477 8489320 6707171 1782149 7311596 5732291 1579305 1803962 1803962 542018 542018 120000 120000 19133 19133 29520264 15823052 13697212 0 1524484 1524484 2968245 834774 2133471 10324709 1364180 8960529 7137716 5093440 2044276 41128 5014 36114 2939301 2939301 23804339 18662602 5141737 2526292 1922222 604070 MEDICAL & OTHER SUPPLIES 90615890 90615890 Food & Nutrition 1709408 1516731 192677 Indigent Care & Medicaid Assessment 6102041 6102041 Equipment Rental 1965899 1717925 247974 3391792 650434 2741358 0 335716773 260002301 75714472 0 1600 1600 61986586 69067405 32884524 43690139 0 0 0 0 7575641 8624617 5090432 9250990 510864542 237094931 274454925 273769611 0 1893357 1785075 6596496 6596496 19501799 17761358 409985360 430547291 37559092 45723117 11193223 4848934 92812757 75967204 0 0 1364271 852670 77962624 79355919 220891967 206747844 X 189093393 223799447 189093393 223799447 409985360 430547291 34670769 35285 0 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 120000 false true 18543 138543 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY The organization pays dues to professional associations which attempt to influence legislation. When a professional association acknowledges that a percentage of dues paid are related to lobbying, we expense as such. In addition two firms conducted lobbying activities on its behalf. 12694499 2077774 2744398 88137 17428534 12623598 91538 746964 767601 12694499 12530999 232599 140000 12623598 11673606 50000 807393 12530999 8979938 1475912 1217756 11673606 0.0 1.0 0.0 false true true 14025496 14025496 251864779 88197524 163667255 5385845 3342393 2043452 111291725 77774464 33517261 128296697 67780550 60516147 273769611 accrued liability for self-insurance programs 5797449 capital Lease payable 9060507 Lease financing obligations 2202355 Executive Retirement Plan 267346 Property Leases 11973867 Estimated Third Party settlements 26136668 Insurance Liability 2088044 Other Liabilities 21829683 79355919 X Schedule D, Part V, Line 4 Intended uses of endowment funds Endowment funds are held by Jupiter Medical Center Foundation, Inc. (a related organization). The funds are held to support healthcare services for those in greatest need and for future physical plant and equipment expenditures to expand services offered. The funds are intended to support the programs and mission of Jupiter Medical Center, Inc. and affiliates Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote Jupiter Medical Center Inc. is included in consolidated financial statements. Below is the text of the FIN 48 footnote from those financial statements. The Internal Revenue Service has determined that the Hospital, the Pavilion, the Foundation, the Physician Group, and Jupiter Health Outpatient Services, Inc. are exempt from federal income tax under Section 501(c)(3) of the Internal Revenue Code (IRC). JMC Specialty Group, Inc. is a taxable corporation that files federal and Florida income tax returns. Income taxes related to JMC Specialty Group, Inc. is not material to Jupiter Health. Income earned in furtherance of Jupiter Health's tax-exempt purpose is exempt from federal and state income taxes. The IRC provides for taxation of unrelated business income under certain circumstances. Jupiter Health has no material unrelated business income; however, such status is subject to final determination upon examination of the related income tax returns by the appropriate taxing authority. Under ASC Subtopic 740, Income Taxes, Jupiter Health must recognize the tax benefit from an uncertain tax position only if it is "more-likely-than-not" that the tax position will be sustained on examination by the applicable taxing authorities based on the technical merits of the position. The tax benefits recognized in the consolidated financial statements from such a position are measured based on the largest benefit that has a greater than 50 percent likelihood of being realized upon ultimate settlement. ASC Subtopic 740-10, also provides guidance of derecognition, classification, interest and penalties on income taxes and accounting in interim periods and requires increased disclosure. There were no uncertain tax positions identified as of September 30, 2021 and 2020. Jupiter Health does not expect the total amount of unrecognized tax benefits to significantly change in the next twelve months. Tax returns filed by Jupiter Health are subject to examination by the Internal Revenue Service (IRS) up to three years from the date the return was filed. Jupiter Health recognizes interest and/or penalties related to income tax matters in income tax expense. Jupiter Health did not have any amounts accrued for interest and penalties at September 30, 2021 and 2020. Tax returns filed by Jupiter Health and its affiliated companies are no longer subject to examination for the years ended September 30, 2017 and prior. true true X true X true X true true true false true true 3275475 0 3275475 0.0098 19299044 4757805 14541239 0.0433 467037 127064 339973 0.0010 0 0 23041556 4884869 18156687 0.0541 132945 0 132945 0.0004 0 0 0 0.0 45939 0 45939 0.0001 0 0 0 0.0 319379 0 319379 0.0010 0 0 498263 0 498263 0.0015 0 0 23539819 4884869 18654950 0.0556 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 0 0 156280966 176889843 -20608877 X true true JUPITER OUTPATIENT SURGERY CENTER LLC OUTPATIENT SURGERY CENTER 0.743 0.0 0.257 1 1 JUPITER MEDICAL CENTER 1210 OLD DIXIE HWY JUPITER FL 33458 www.jupitermed.com 4072 X X X JUPITER MEDICAL CENTER 1 false false true X X X X X X X X X 18 true false false true X https://www.jupitermed.com/documents/JMC-CHNA-FINAL-9-17-19.pdf X true 18 true https://www.jupitermed.com/documents/2020-2022-Implementation-Strategy-final.pdf false true X 200.0 400.0 X X X X true true X X X true X https://www.jupitermed.com/documents/financial-assistance/Financial-Assistance-Policy-11-4-22.pdf X https://www.jupitermed.com/documents/financial-assistance/FAP-Application.pdf X SEE STATEMENT IN SCHEDULE H PART VI X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E In order to prioritize the significant health needs, the CHNA Steering Committee considered such factors as the impact of the health need on community health improvement, the scope of the community affected by the health need, the threat improvement, the scope of the community affected by the health need, the threat to long term quality of life, the of resources in the community to address the health need, and the consequences of inaction related to the health need. After considering these factors and assessing the input provided by the community leaders and survey participants, the CHNA Steering Committee determined that the prioritized health needs of the community served by JMC are as follows: *Access to Pediatric Healthcare Services *Cancer *Heart Disease *High Blood Pressure / Stroke Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Jupiter Medical Center ("JMC"). As part of the CHNA process, JMC obtained input from 12 leaders representing public health, public schools, social services, and local government, Jupiter Medical Center's medical staff and the community at-large through one-on-one interviews. Primary input was also obtained by conducting a community health survey distributed to members of the community. JMC consulted with various community organizations in conducting its most recent CHNA, including: * Florida Department of Health in Palm Beach County * Pediatric Associates * Jupiter Medical Center's Medical Staff * Health Care District of Palm Beach County * El Sol Neighborhood Resource Center * Palm Beach Schools * Healthier Jupiter * Town of Jupiter * MyClinic The stakeholders provided valuable feedback regarding 1) The health and quality of life in the community; 2) Underserved populations and communities of need; 3) Barriers to improving health; and, 4) Most important health and quality of life issues. Secondary data was assessed including: demographics, socioeconomic indicators, health access indicators, community health status indicators, and availability of healthcare facilities and resources. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Jupiter Medical Center. JMC IDENTIFIED Four SIGNIFICANT HEALTH NEEDS IN ITS MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT- Access to pediatric healthcare services, cancer, heart disease, and high blood pressure / stroke. JMC UNDERTOOK THE FOLLOWING PROGRAMS AND SERVICES TO ADDRESS Access to Pediatric Health Care Services- 1. Increase access to pediatric specialists by implementing a more structured referral program. 2. Expand pediatric services offered by JMC. 3. Partner with Lox Farms Fresh Rx program to increase consumption of fresh produce among youth in the community. 4. Address the vaping epidemic among youth. JMC UNDERTOOK THE FOLLOWING PROGRAMS AND SERVICES TO ADDRESS Cancer- 1. Construction and development of Anderson Family Cancer Institute - opened March 2020. 2. Increase access to oncology services by employing additional oncologists. 3. Increase outreach and supportive services. 4. Partner with Lox Farms Fresh Rx program to increase consumption of fresh produce among cancer patients in the community. JMC UNDERTOOK THE FOLLOWING PROGRAMS AND SERVICES TO ADDRESS Heart Disease- 1. Expansion of cardiac services, including the launch of a Structural Heart Program and the establishment of a multidisciplinary valve clinic. During the fiscal year ended September 30, 2021, JMC BECAME THE FIRST HOSPITAL IN SOUTH FLORIDA AND ONE OF THE FIRST IN THE UNITED STATES TO TREAT HEART FAILURE PATIENTS USING CARDIAC CONTRACTILITY MODULATION. 2. Provide additional access to preventive screenings. 3. Partner with Lox Farms Fresh Rx program to increase consumption of fresh produce among cardiac patients in the community. JMC Undertook the following programs and services to address high blood pressure / stroke- 1. Expand resources for outpatient services. 2. Increase educational outreach and screenings. 3. Continue to strengthen relationships with local organizations serving the senior population. 4. During the year ended September 30, 2021, JMC PERFORMED ITS FIRST IMPLANT OF THE WATCHMAN DEVICE FOR ATRIAL FIBRILLATION, WHICH IS PROVEN TO REDUCE STROKE RISK. Additionally, JMC introduced the following programs during FY2020: *Neonatal Intensive Care Unit OPENED DECEMBER 2019. *WOMEN'S INPATIENT FLOOR OPENED FEBRUARY 2020. *HEART & STROKE PROGRAM OPENED MARCH 2020. OTHER HEALTH NEEDS IDENTIFIED THROUGH THE CHNA PROCESS INCLUDED Access to expanded healthcare services, affordability of healthcare, chronic lower respiratory disease, need for increased health education, nutrition, exercise and diabetes, elder care services / aging population, access to mental health services, and substance abuse. THE above HEALTH NEEDS ARE ALREADY BEING ADDRESSED IN SOME FASHION BY JMC AND THUS WERE NOT DEEMED SIGNIFICANT HEALTH NEEDS FOR PURPOSES OF THE CHNA. ALSO, MENTAL HEALTH/BEHAVIORAL SERVICES IS A HEALTH NEED THAT WAS IDENTIFIED THROUGH THE CHNA PROCESS; HOWEVER, THESE SERVICES ARE OUTSIDE THE SCOPE OF JMC'S SERVICE OFFERINGS. Jupiter Medical Center will continue to address the above identified needs through existing services and programs and will look for ways to partner with other organizations within the community to address these identified health needs. 6 Jupiter Outpatient Surgery Center 2055 Military Trail Suite 100 Jupiter FL 33458 ambulatory surgical center The Margaret W Niedland Breast Center 2111 Military Trail Suite 100 Jupiter FL 33458 Breast Center Jupiter Medical Center Outpatient Imaging Center 2111 Military Trail Suite 105 Jupiter FL 33458 Imaging Center Crisp Cancer Center (fka The Ella Milbank Foshay Cancer Center) 1240 S Old Dixie Hwy Jupiter FL 33458 cancer center CARY GROSSMAN HEALTH & WELLNESS CENTER 1004 S OLD DIXIE HWY Jupiter FL 33458 HEALTH & WELLNESS Imaging Center at Jupiter Medical Centers Outpatient Campus 2111 Military Trail Suite 200 Jupiter FL 33458 LAB SERVICES AT JUPITER MEDICAL CENTER Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITE https://www.jupitermed.com/patients-visitors/for-patients/billing-financial-information/financial-assistance-programs/financial-assistance-summary/ Schedule H, Part I, Line 7g Subsidized Health Services NONE OF THE SUBSIDIZED HEALTH SERVICE ARE ATTRIBUTABLE TO PHYSICIAN CLINICS. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THE COSTS IN THE TABLE WERE COMPUTED USING THE ORGANIZATION'S COST-TO-CHARGE RATIO. THIS RATIO WAS DETERMINED USING IRS SCHEDULE H, WORKSHEET 2. THE AMOUNTS REPORTED AT LINE 7 ARE COMPUTED ON THE BASIS OF THE IRS SCHEDULE H WORKSHEETS FOR EACH RESPECTIVE LINE ITEM. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount FOR FINANCIAL STATEMENT PURPOSES, THE ORGANIZATION HAS ADOPTED ACCOUNTING STANDARDS UPDATE NO. 2014-09 (TOPIC 606). IMPLICIT PRICE CONCESSIONS, WHICH INCLUDE BAD DEBTS, DIRECTLY REDUCE THE AMOUNT OF PATIENT SERVICE REVENUE REPORTED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS. THEREFORE, BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE AND BAD DEBT EXPENSE IS NOT SEPARATELY REPORTED AS AN EXPENSE. Schedule H, Part III, Line 3 Bad Debt Expense Methodology Due to the fact that the organization has adopted ACCOUNTING STANDARDS UPDATE NO. 2014-09 (TOPIC 606) for financial statement purposes, the organization reports $0 bad debt expense because bad debts are included in net patient 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 JUPITER MEDICAL CENTER INC. IS INCLUDED IN CONSOLIDATED FINANCIAL STATEMENTS. BELOW IS THE TEXT OF FOOTNOTE REGARDING BAD DEBT EXPENSE: The initial estimate of the transaction price (revenue from service provided to a patient) is determined by reducing the standard charge by any contractual adjustments, discounts, and implicit price concessions. Subsequent changes to the estimate of the transaction price are generally recorded as adjustments to patient service revenue in the period of the change. For the years ended September 30, 2021 and 2020, no significant adjustments to revenue were recognized due to changes in the estimates of implicit price concessions for performance obligations satisfied in prior years. Subsequent changes that are determined to be the result of an adverse change in the patient's ability to pay are recorded as bad debt expense. Bad debt expense for the years ended September 30, 2021 and 2020 was not significant. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs Jupiter Medical Center, Inc. utilizes the Medicare cost report to report the total revenue received from Medicare and the Medicare allowable costs. Jupiter Medical Center, Inc. provides services under governmental programs as a community benefit and as part of its mission; in many cases, this results in accepting payment for those services at less than cost. For this reason the organization believes the shortfall on Medicare services should be considered community benefit. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance Jupiter Medical Center has a collections policy which is followed for patients who are known to qualify for financial assistance, which includes review of traditional financial assistance information, including submitted tax returns, sources of income, available credit and other demographic information. JMC has instituted a financial assistance policy which allows for a full write off of account balances without a patient application for care based upon review of available consumer credit scores and certain demographic information gathered at the time of registration. All collection activity ceases on patient encounters when the patient is believed to qualify for financial assistance. Schedule H, Part V, Section B, Line 16a FAP website - JUPITER MEDICAL CENTER: Line 16a URL: https://www.jupitermed.com/documents/financial-assistance/Financial-Assistance-Policy-11-4-22.pdf; Schedule H, Part V, Section B, Line 16b FAP Application website - JUPITER MEDICAL CENTER: Line 16b URL: https://www.jupitermed.com/documents/financial-assistance/FAP-Application.pdf; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - JUPITER MEDICAL CENTER: Line 16c URL: SEE STATEMENT IN SCHEDULE H PART VI; Schedule H, Part VI, Line 2 Needs assessment Jupiter Medical Center works closely with and supports MyClinic, an independent not-for-profit free clinic that provides a wide range of medical services to residents of Palm Beach County with limited financial resources, in responding to needs of low-income and uninsured. JMC also conducts many health fairs, support groups and education events throughout the community where residents can provide insight into community health needs. Lastly, a Community Health and Benefit Committee of the Board of Directors was formed during the FY19 to include community members and board members. The committee is focused on identifying and addressing community health needs. In response to the COVID-19 pandemic, JMC re-examined the prioritization of resources and was one of the first hospitals to implement CDC guidelines for the screening, diagnosis, and treatment of COVID-19. JMC began actively treating COVID-19 positive patients in March 2020 and has continued to serve as a COVID-19 testing site, testing more than 1,000 individuals per week at times. In the months following the onset of the pandemic, JMC re-scheduled non-urgent and elective surgeries and canceled several community events and trainings in order to increase capacity and minimize the potential of COVID-19 exposure among patients, team members, and frontline providers. Up-to-date information regarding the impact of COVID-19 on Palm Beach County and surrounding areas is provided through JMC's website, along with resources to ensure that members of the community continue to receive the highest-quality care in the midst of the pandemic, at the following website address: https://safety.jupitermed.com/. JMC has continuously provided COVID-19 vaccinations for the community since they became available and was the first hospital in Palm Beach County to provide COVID-19 vaccinations to the community. More than 950,000 individuals in Palm Beach County had received at least one dose of the vaccine as of September 30, 2021, representing 73% of the county's population over age 12. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance When Jupiter Medical Center registers a patient, insurance/guarantor information is sought. If a patient does not have insurance, JMC employs financial counselors who are trained in helping patients qualify for financial assistance under the federal, Hill-Burton program, State of Florida Medicaid assistance, local Palm Beach County Health District care along with advising on JMC's financial assistance policies. Financial counselors advise the patient on completion of paperwork necessary to receive assistance. In addition, JMC has partnered with a financing institution to provide patients of additional means the ability to finance patient care at a 0% interest rate provided that payments are made over a 12 month period. Further, the organization provided its financial assistance policy and plain language summary on its website, and upon request at the hospital facility. In addition, individuals were notified about the FAP by being offered a copy of the plain language summary and by the conspicuous public displays that demonstrated information on financial assistance. Schedule H, Part VI, Line 4 Community information JMC is located in Jupiter, Florida. A majority of the patients served by the hospital reside in northern Palm Beach County and southeast Martin County. Palm Beach County makes up 1,970 square miles and Martin County makes up 543 square miles. Palm Beach County is the state's third largest county by population while Martin County is the 32nd largest county out of 67 counties in the state of Florida. According to the most recent available U.S. Census data dated April 1, 2020, the population for both counties has experienced significant growth since 2010 with reported population percentage increases of 13.04% for Palm Beach County and 7.88% for Martin County from April 1, 2010 to April 1, 2020. The elderly population (Age 65+) makes up 23.54% of JMC's Primary Service Area and 28.65% of JMC's Secondary Service Area. These percentages are consistent with the populations in Palm Beach and Martin Counties, but they are significantly higher than state and national percentages. The Caucasian population makes up 77.25% of the population, with Hispanic/Latino population accounting for 11.65%, Black/African American 6.14%, and all others at less than 5%. Schedule H, Part VI, Line 5 Promotion of community health JMC's governing body is comprised of lay persons and physicians who reside in the organization's primary service area who are neither employees nor contractors, nor family members thereof. JMC extends medical staff privileges to all qualified physicians in the community for some or all of its service lines. JMC constantly looks at community needs in order to determine what service line should be expanded and equipment reinvestments should be made to better serve our primary service area. The organization offers medical education to the community and has several ongoing medical research studies. JMC has continued to monitor COVID-19 developments and respond accordingly, temporarily halting and re-scheduling inpatient elective procedures during the surge of the Delta variant in August 2021 in order to free up resources for COVID-19 patients. In December 2020, JMC received its first shipment of the Moderna COVID-19 vaccine and began vaccinating healthcare workers within two hours of receiving this shipment. JMC posts regular updates for the public to its website regarding current COVID-19 statistics and information, often posting more than once per week with new information. These posts educate the public and provide transparency in JMC's efforts to combat the pandemic. The contents of these posts include: *Current statistics regarding new cases, number of hospitalizations related to COVID-19, and number of tests administered at the statewide, county-wide, and JMC levels *Information about vaccine availability *Current statistics regarding vaccination rates *Formalized plans for administering the COVID-19 vaccine throughout the community, including reaching out to County and State officials to request additional vaccines and submitting applications to AHCA (Agency for Healthcare Administration) to serve as a Community Vaccination site with the ability to administer thousands of vaccines weekly on the JMC campus and Urgent Care Centers *Information regarding new variants of COVID-19 *Explanation of how the Johnson & Johnson vaccine differs from the Pfizer and Moderna vaccines *Updates regarding recommended timing of booster vaccine doses *Descriptions of COVID-19 treatments and therapies *Practical guidelines to for preventing the spread of COVID-19, including surrounding holiday travel This website can be found at https://www.jupitermed.com/covid19-vaccine/ Schedule H, Part VI, Line 6 Affiliated health care system JUPITER MEDICAL CENTER, INC IS AN AFFILIATE OF JUPITER MEDICAL CENTER PAVILION, INC., JUPITER HEALTH, INC., AND JUPITER MEDICAL CENTER PHYSICIANS GROUP, INC. TOGETHER WITH JUPITER MEDICAL CENTER FOUNDATION, INC., THE ORGANIZATION IS FOCUSED ON PROVIDING HIGH QUALITY, COMMUNITY CENTERED HEALTHCARE IN A COST-EFFECTIVE AND COMPASSIONATE MANNER. AS A NON-PROFIT ORGANIZATION, WE RECOGNIZE RESPONSIBILITY FOR THE HEALTH OF OUR COMMUNITY. TOGETHER, THESE ORGANIZATIONS PROVIDE A CONTINUUM OF CARE TO THE COMMUNITY FROM PRIMARY CARE OF PATIENTS THROUGH TO HOSPITAL AND ANCILLARY CARE SERVICES, LONG-TERM, RESIDENTIAL AND REHABILITATION CARE. WE CONSTANTLY REVIEW THE HEALTHCARE NEEDS OF OUR COMMUNITY IN ORDER TO ENSURE THE ORGANIZATION IS RESPONDING TO AND MEETING THE NEEDS OF THE COMMUNITY. true JUPITER MEDICAL CENTER PHYSICIANS GROUP INC 1210 S OLD DIXIE HIGHWAY JUPITER FL 33458 263187119 501(C)(3) 6421334 GENERAL SUPPORT JUPITER MEDICAL CENTER PAVILION INC 1230 S OLD DIXIE HIGHWAY JUPITER FL 33458 592452576 501(C)(3) 719243 GENERAL SUPPORT JMC MSNY VENTURES INC 1210 S OLD DIXIE HIGHWAY JUPITER FL 33458 814028690 501(C)(3) 196008 GENERAL SUPPORT Children's HEALTHCARE CHARITY INC 3300 PGA BLVD 80 PALM BEACH GARDENS FL 33410 204394654 501(c)(3) 159360 DONATION American Heart Association GREATER SE AFFILIATES-AR PO BOX 4002900 DES MOINES IA 50340 135613797 501(c)(3) 55000 DONATION THE ARMORY ART CENTER INC 811 PARK PLACE WEST PALM BEACH FL 33401 592808612 501(C)(3) 25000 DONATION NICKLAUS CHILDREN'S HOSPITAL FOUNDATION 3100 SW 62ND AVE MIAMI FL 33155 461784918 501(c)(3) 10000 DONATION LEADERSHIP PALM BEACH COUNTY 2751 S DIXIE HWY 1 West Palm Beach FL 33405 592569079 501(C)(3) 10000 SPONSORSHIP 8 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. Jupiter Medical Center, Inc. sponsors local organizations in order to provide community benefit. Sponsorship packages are selected based on the event taking place and its impact on the community. X X false true X X X X X true true false false false false false true false Donald Mckenna President & CEO (thru MARCH 2019) 0 0 0 0 247241 0 0 0 0 0 247241 0 0 0 Joanne Miller RN VP Chief Nursing Officer and Co-Interim CEO (thru Oct 2019) 0 0 50000 0 87003 0 0 0 0 0 137003 0 0 0 Amit Rastogi MD MHCM PRESIDENT & CEO/Assistant Secretary 554107 0 450000 0 138469 0 4494 0 7451 0 1154521 0 0 0 DALE HOCKING VP FINANCE & CFO/Assistant Treasurer 332292 0 125000 0 5637 0 24583 0 23654 0 511166 0 0 0 Steven Seeley SVP & Chief Operating Officer 353097 0 160000 0 319867 0 24821 0 8189 0 865974 0 200072 0 Thomas R Schoenig VP Chief Information Officer (thru June 2020) 97696 0 0 0 238007 0 14857 0 10531 0 361091 0 62686 0 Karen L Davila general counsel (thru June 2020) 95409 0 50000 0 190128 0 15866 0 8725 0 360128 0 13059 0 Judith Magalhaes RN VP Ambulatory Care (thru Jan 2020) 14536 0 0 0 266022 0 2306 0 95 0 282959 0 43374 0 Mahesh Patel MD Physician 254898 0 42063 0 1207 0 5350 0 30235 0 333753 0 0 0 PAMELA CANTER RN VP Chief Nursing Officer 215290 0 72596 0 2406 0 4248 0 6473 0 301013 0 0 0 Schedule J, Part I, Line 1a Housing allowance or residence for personal use Amit Rastogi received a housing allowance during calendar year 2020. This allowance was treated as taxable compensation to the individual. Schedule J, Part I, Line 1a Health or social club dues or initiation fees Jupiter Medical Center paid club dues on behalf of Amit Rastogi during calendar year 2020. These dues were treated as taxable compensation to the individual. Schedule J, Part I, Line 1b Written policy regarding payment or reimbursement of expenses The club dues paid on behalf of and housing allowance provided to Amit Rastogi are written into his employment contract. The organization has a written expense reimbursement policy, but this policy does not specifically address club dues or housing allowances. Schedule J, Part I, Line 4a Severance or change-of-control payment The following individuals entered into severance agreements with the organization upon termination of employment. Severance payments received by each individual during calendar year 2020 were as follows: Donald McKenna - $243,034 Judith Magalhaes - $214,918 Joanne Miller - $87,003 Karen Davila - $167,819 THOMAS SCHOENIG - $150,101 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan THE INDIVIDUALS LISTED BELOW PARTICIPATED IN A RETENTION BONUS PLAN DURING 2020. THESE RETENTION BONUS ARRANGEMENTS ARE TREATED AS DEFERRED COMPENSATION AND ARE TAXED WHEN PAID. THE FOLLOWING INDIVIDUALS RECEIVED PAYOUTS RELATED TO THESE RETENTION BONUS ARRANGEMENTS DURING CALENDAR YEAR 2020. THESE AMOUNTS WERE TAXABLE TO THE INDIVIDUAL AND ARE INCLUDED ON SCHEDULE J, PART II, COLUMN (B)(III): Steven Seeley - $300,000 Thomas Schoenig - $76,270 Judith Magalhaes - $43,208 THE FOLLOWING INDIVIDUALS PARTICIPATED IN A 457(F) PLAN DURING 2020. ACCRUALS INTO THE PLAN DURING CALENDAR YEAR 2020 WERE AS FOLLOWS. THESE AMOUNTS ARE INCLUDED ON SCHEDULE J, PART II, COL (C): AMIT RASTOGI - $4,494 DALE HOCKING - $13,092 STEVEN SEELEY - $13,633 KAREN DAVILA - $11,333 THOMAS SCHOENIG - $8,986 Distributions OUT OF THE 457(F) PLAN DURING CALENDAR YEAR 2020 WERE AS FOLLOWS. THESE AMOUNTS WERE TAXABLE TO THE INDIVIDUAL AND ARE INCLUDED ON SCHEDULE J, PART II, COL (B)(III): KAREN DAVILA - $13,059 JUDITH MAGALHAES - $7,896 THOMAS SCHOENIG - $10,355 Schedule J, Part I, Line 7 Non-fixed payments THE ORGANIZATION OFFERS BONUSES BASED ON THE ACHIEVEMENT OF INDIVIDUAL AND ORGANIZATIONAL GOALS; THIS BONUS IS BASED ON A PERCENTAGE OF BASE SALARY OF THE EMPLOYEE. IN ADDITION, SOME INTERESTED PERSONS RECEIVED AN ADDITIONAL PERFORMANCE BONUS THAT IS NOT BASED ON A FIXED FORMULA. A Palm Beach County Health Facilities Authority - 2013A 521297506 696507SW3 2013-05-07 54346809 See Statement false false false B Palm Beach County Health facilities Authority - 2017A 521297506 000000000 2017-12-20 42500000 See Statement false false false C Palm Beach County Health facilities Authority - 2017B 521297506 000000000 2017-12-20 30400000 See Statement false false false A 23716809 0 54346809 0 0 0 430780 0 0 23561908 30354121 0 2014 true false true true B 30000000 0 42500000 0 0 2899958 0 0 0 39600042 0 0 2018 true false true true C 225000 0 30400000 0 0 0 0 0 0 30400000 0 0 2018 true false true true A false true true true false 0.0 0.0 0.0 false false true B false true true true false 0.0 0.0 0.0 false false true C false false true true false 0.0 0.0 0.0 false false true A false false false true false false false false true B false false false false true false false false true C false false false false false false false false true A true B true C true Schedule K, Part I, Column (f) Description of Purpose 2013 Bond Issue A - Purpose of Bond: Various Capital Improvements and Refund the following bond issues: Series 1999B and a 2011 promissory note. 2017 Bond Issue A - Purpose of Bond: Various Capital Improvements and Refund the following bond issues: Series 2013B 2017 Bond Issue B - Purpose of Bond: Various Capital Improvements Schedule K, Part IV, Line 2c COLUMN A Issuer name: Palm Beach County Health Facilities Authority - 2013A The calculation for computing no rebate due was performed on 05/01/2018 Form 990, Part III, Line 4a PROGRAM SERVICE ACCOMPLISHMENT (CONTINUED FROM PART III) IN ADDITION, JMC CONTINUALLY IMPLEMENTS NEW TECHNOLOGY AND SERVICES TO MEET THE COMMUNITY'S NEEDS. THE MEDICAL CENTER CONSISTS OF 248 PRIVATE ACUTE CARE HOSPITAL BEDS. PROVIDES A BROAD RANGE OF SERVICES WITH SPECIALTY CONCENTRATIONS IN CANCER CARE, ORTHOPEDICS/SPINE, EMERGENCY SERVICES, CARDIAC SERVICES, WOMEN'S AND CHILDREN'S SERVICES, MINIMALLY-INVASIVE SURGICAL PROCEDURES, INCLUDING A ROBOTIC SURGERY PROGRAM, ADVANCED DIAGNOSTICS, AND REHABILITATION. JUPITER MEDICAL CENTER IS AFFILIATED WITH THE UNIVERSITY OF MIAMI MILLER SCHOOL OF MEDICINE. THE MEDICAL CENTER HAS OVER 2,076 EMPLOYEES, 462 PHYSICIANS, 543 NURSES AND OVER 150 VOLUNTEERS. FOR THE YEAR ENDING SEPTEMBER 30, 2021, THE MEDICAL CENTER HAD 12,726 DISCHARGES, 1,903 BIRTHS, 38,585 EMERGENCY ROOM VISITS, 186,286 OUTPATIENT VISITS, AND 8,286 SURGERIES. OVER THE YEARS, JUPITER MEDICAL CENTER HAS GAINED A REPUTATION AS A WORLD-CLASS MEDICAL FACILITY, KNOWN FOR ITS EXCELLENT, COMPASSIONATE CARE. Additionally, Jupiter Medical Center opened the ANDERSON FAMILY CANCER INSTITUTE in MARCH 2020, a HEART & STROKE PROGRAM in MARCH 2020, a NICU in DECEMBER 2019, AND a WOMEN'S INPATIENT FLOOR in FEBRUARY 2020. During the fiscal year ended September 30, 2021, JUPITER MEDICAL CENTER became the first hospital in South Florida and one of the first in the United States to treat heart failure patients using cardiac contractility modulation, established a multidisciplinary valve clinic, launched a structural heart program, and performed its first implant of the Watchman device for Atrial Fibrillation, which is proven to reduce stroke risk. Form 990, Part VI, Line 2 FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONS THE ORGANIZATION'S GOVERNING BODY HAS MULTIPLE BUSINESS RELATIONSHIPS WHEREBY THE DIRECTORS, OFFICERS AND KEY EMPLOYEES MAY BE A PART OF THE SAME MANAGEMENT TEAM FOR RELATED TAXABLE ENTITIES. Form 990, Part VI, Line 6 Classes of members or stockholders Jupiter Health, Inc., the organization's parent, is the sole member of the organization. The member has the exclusive authority to appoint the trustees of the organization. Further, the member's approval will be required to authorize any amendments to the bylaws or articles of incorporation, merging with another corporation or entity, dissolving the corporation, guaranteeing the obligations of another, and selling or transferring the organization's asset. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body Jupiter Health, Inc., the organization's parent, has the exclusive authority to appoint the trustees of the organization. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders Jupiter Health, Inc.'s approval will be required to authorize any amendments to the bylaws or articles of incorporation, merging with another corporation or entity, dissolving the corporation, guaranteeing the obligations of another, and selling or transferring the organization's assets. Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body The organization had no committees with the authority to act on behalf of the governing body. Form 990, Part VI, Line 11b Review of form 990 by governing body The VP of Finance and CFO reviews the Form 990 prior to its finalization. A FINAL DRAFT IS PROVIDED TO EACH MEMBER OF THE ORGANIZATION'S finance committee and GOVERNING BODY for their review. ONCE REVIEWED AND APPROVED BY THE finance committee and the GOVERNING BODY, IT IS THEN FILED WITH THE IRS. Form 990, Part VI, Line 12c Conflict of interest policy THE ORGANIZATION MAINTAINS A CORPORATE COMPLIANCE PROGRAM THAT MONITORS FOR POTENTIAL AND ACTUAL CONFLICTS OF INTEREST. ON AN ANNUAL BASIS, ALL DEPARTMENTAL MANAGERS THROUGH ORGANIZATION SENIOR MANAGEMENT AND ALL MEMBERS OF THE GOVERNING BODY ARE REQUIRED TO SIGN A STATEMENT TO DISCLOSE POTENTIAL CONFLICTS. THE STATEMENTS ARE REVIEWED IN DETAIL BY THE CEO AND THE CORPORATE COMPLIANCE DIRECTOR. IF ANY CONFLICT DOES EXIST, THE INDIVIDUAL WITH THE CONFLICT IS PROHIBITED FROM PARTICIPATING IN THE TRANSACTION OR VOTING ON MATTERS RELATED TO THE CONFLICT. Form 990, Part VI, Line 15a Process to establish compensation of top management official The Compensation Committee of the Board of Jupiter Medical Center, Inc. reviews survey data, financial ability of the organization, and accomplishment of goals to determine the amount of compensation of the President & CEO. A compensation consultant is also hired on an ongoing basis. The compensation is then reported to the Board of Jupiter Medical Center, Inc. The deliberations and decisions of the Compensation Committee are documented in the committee minutes. This process was undertaken November, 2020 for the fiscal year ended September 30, 2021. Form 990, Part VI, Line 15b Process to establish compensation of other employees The Compensation Committee of the Board of Jupiter Medical Center, Inc. reviews and approves the compensation of the President and CEO, Chief Financial Officer, Chief Operating Officer and Foundation President. The Compensation Committee reviews survey data, financial ability of the organization, and accomplishment of goals in order to determine compensation. A compensation consultant is also hired on an ongoing basis. Compensation is then reported to the Board of Jupiter Medical Center, Inc. The decisions and deliberations are documented in the committee minutes. This process was undertaken November, 2020 for the fiscal year ended September 30, 2021. Form 990, Part VI, Line 19 Required documents available to the public The organization's financial statements are available to the public through the state of Florida because they are filed with the Agency for Health Care Administration. The organization's governing documents and conflict of interest policy are available for review upon request at Hospital Administration. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue MEDICAL RECORDS - Total Revenue: 4380, Related or Exempt Function Revenue: 4380, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; CAFETERIA - Total Revenue: , Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; MISCELLANEOUS - Total Revenue: 401348, Related or Exempt Function Revenue: 401348, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; PAVILION ASSET TRANSFER - Total Revenue: , Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; JUPITER MEDICAL CENTER FOUNDATION INC 1210 SOUTH OLD DIXIE HIGHWAY JUPITER FL 33458 650132406 FUNDRAISING FL 501(c)(3) 7 JUPITER HEALTH INC false JUPITER MEDICAL CENTER PAVILION INC 1230 SOUTH OLD DIXIE HIGHWAY JUPITER FL 33458 592452576 SKILLED NURSING FACILITY FL 501(c)(3) 10 JUPITER MEDICAL CENTER INC true JUPITER MEDICAL CENTER PHYSICIANS GROUP INC 1210 SOUTH OLD DIXIE HIGHWAY JUPITER FL 33458 263187119 PHYSICIAN OFFICES FL 501(c)(3) 10 JUPITER MEDICAL CENTER INC true JUPITER HEALTH OUTPATIENT SERVICES INC 1210 SOUTH OLD DIXIE HIGHWAY JUPITER FL 33458 455310772 AMBULATORY CARE SERVICES FL 501(c)(3) 3 JUPITER MEDICAL CENTER INC true JUPITER HEALTH INC 1210 SOUTH OLD DIXIE HIGHWAY JUPITER FL 33458 811545676 PARENT ORGANIZATION FL 501(c)(3) Type III-FI NA false JMC MSNY VENTURES INC 1210 SOUTH OLD DIXIE HIGHWAY JUPITER FL 33458 814028690 SUPPORTING ORGANIZATION FL 501(c)(3) Type I JUPITER MEDICAL CENTER INC true JUPITER OUTPATIENT SURGERY CENTER LLC 2055 N MILITARY TRAIL SUITE 100 JUPITER FL 33458 650925020 SURGERY CENTER FL JMC Related 621210 12999067 false 0 false 0.7516 TTB PARTNERS LTD 900 BROKEN SOUND PKY NW STE 125 BOCA RATON FL 33487 650945554 MEDICAL OFFICE BUILDING FL JMC Related 234447 2669784 false 0 false 0.51 JMC POST-ACUTE SERVICES INC 1210 SOUTH DIXIE HIGHWAY JUPITER FL 33458 452860629 HEALTHCARE SERVICES FL JUPITER MEDICAL CENTER INC C Corporation 0 0 1 true JMC SPECIALTY GROUP INC 1210 SOUTH OLD DIXIE HIGHWAY JUPITER FL 33458 462997753 PHYSICIAN GROUP FL JUPITER MEDICAL CENTER INC C Corporation 0 0 1 true JUPITER MEDICAL CENTER COLLABORATIVE INC 1210 SOUTH OLD DIXIE HIGHWAY JUPITER FL 33458 474731137 MANAGED CARE CONTRACTING FL Jupiter Medical Center Inc C Corporation 0 0 1 true JUPITER HEALTH VENTURES INC 1210 SOUTH OLD DIXIE HIGHWAY JUPITER FL 33458 812659400 JV HOLDING COMPANY FL Jupiter Health Inc C Corporation 0 0 false Jupiter Health Management Services LLC 1210 South Old Dixie Highway Jupiter FL 33458 371830787 Management Services FL Jupiter Medical Center Inc C Corporation 0 0 1 true false true true false false false false false false false true true true true true false true true true Jupiter Medical Center Physicians Group B 6421334 FMV Jupiter Medical Center Pavilion B 719243 FMV JMC MSNY VENTURES B 196008 FMV Jupiter Medical Center Pavilion Q 824304 FMV Jupiter Medical Center Physicians Group Q 766138 FMV