2019-08-14T10:03:12-05:00 2018-09-30 350921680 CROWE LLP 401 East Las Olas Blvd Suite 1100 Fort Lauderdale FL 333014230 990 2017-10-01 591460239 Jupiter Medical Center Inc JUPI 5612632234 1210 South Old Dixie Highway Jupiter FL 33458 Dale Hocking CFO 2019-08-14 true Brittney Kocaj P01320603 9542028600 2017 2019-02-21 02:37:17Z Steven Seeley CO-INTERIM CEO 1210 South Old Dixie Highway Jupiter FL 33458 246177110 false X www.jupitermed.com X 1976 FL Jupiter Medical Center is a not-for-profit community Medical Center offering state-of-the-art technology and world-class healthcare professionals. 16 15 1917 833 332588 -107838 9917953 4312399 229078142 237413299 168585 502256 2040889 3344376 241205569 245572330 0 0 103810440 105469859 0 0 128003025 132082128 231813465 237551987 9392104 8020343 242688460 317542176 103825063 176395935 138863397 141146241 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 187874726 239868816 JUPITER MEDICAL CENTER, INC. OFFERS NUMEROUS SERVICES TO BENEFIT THE COMMUNITY, INCLUDING CARDIOPULMONARY REHABILITATION, THE ELLA MILBANK FOSHAY CANCER CENTER, GI LAB, SLEEP DISORDERS CENTER, OUTPATIENT LAB, HEALTH AND REHABILITATION CENTER, THE KRISTIN HOKE BREAST PROGRAM INCLUDING 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) 187874726 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 false false true true false false false false false false false false false false false false false false false true true true false false true 224 0 true 1917 true true true false false false false false true false false false X 16 15 true false false false true true true true false false false true true true true true true true true true true X DALE HOCKING 5612632234 1210 SOUTH OLD DIXIE HIGHWAY JUPITER FL 33458 Robert Stilley CHAIRMAN 1.0 0 X X 0 0 0 MARTIN DYTRYCH CPA VICE CHAIRMAN 1.0 1.0 X X 0 0 0 JACK WATERMAN DO SECRETARY 1.0 0 X X 0 0 0 JENNIFER DOSS TREASURER (Partial Year) 1.0 0 X X 0 0 0 ROSANNE M DUANE ESQ TREASURER (PARTIAL YEAR) 1.0 0 X X 0 0 0 JAMES MULLEN MD TRUSTEE (PARTIAL YEAR) 1.0 0 X 0 0 0 Patti Hamilton TRUSTEE (PARTIAL YEAR) 1.0 0 X 0 0 0 PAUL CHIAPPARONE TRUSTEE 1.0 1.0 X 0 0 0 Henri DesPlaines TRUSTEE 1.0 0 X 0 0 0 Michele D Deverich TRUSTEE 1.0 0 X 0 0 0 HARVEY GOLUB Trustee 1.0 0 X 0 0 0 Peter A Lund TRUSTEE 1.0 1.0 X 0 0 0 Gonzalo Loveday MD TRUSTEE 1.0 1.0 X 8160 0 0 THOMAS ROWE MD TRUSTEE 1.0 0 X 0 0 0 Anthony P Shaya MD TRUSTEE 1.0 0 X 0 0 0 RYAN SIMOVITCH MD TRUSTEE 1.0 0 X 0 0 0 ANDRES SUAREZ MD TRUSTEE 1.0 0 X 0 0 0 JOSEPH TADDEO TRUSTEE 1.0 11.0 X 0 0 0 DALE HOCKING VP FINANCE & CFO/Assistant Treasurer 40.0 10.0 X 410096 0 101728 Steven Seeley VP CNO/ Interim CEO 40.0 13.0 X 552762 0 85954 Donald Mckenna President & CEO 40.0 12.0 X 0 0 0 TERESA WENTZ VP CAO AND ADMIN SERV 40.0 2.0 X 339090 0 16060 PETER GLOGGNER VP HUMAN RESOURCES 40.0 0 X 303073 0 63475 KELLY SULLIVAN VP AND GENERAL COUNSEL - Partial year 40.0 0 X 264745 0 9236 SHERRI LEWMAN Vice President Service Line Development 40.0 6.0 X 251971 0 28771 Judith Magalhaes VP Outpatient Services 20.0 25.0 X 242298 0 13496 JOHN D COURIS FORMER PRESIDENT & CEO/Assistant Secretary 0.0 0.0 X 915311 0 31733 3287506 0 350453 66 true true false BLACKDIAMOND P O BOX 8097 JUPITER FL 33458 CONSTRUCTION/BLDG RENOVATIONS 10242140 GILBANE BUILDING COMPANY 7 JACKSON WALKWAY PROVIDENCE RI 02903 CONSTRUCTION & REAL ESTATE DEVELOPMENT 5663721 CERNER CORPORATION P O BOX 959156 ST LOUIS MO 63195 SUPPLIER OF HEALTH INFORMATION TECHNOLOGY 5042133 SODEXO INC & AFFILIATES PO BOX 536922 ATLANTA GA 30353 OUTSOURCED SUPPORT SERVICES 4175978 BlueVine 401 Warren Street Redwood City CA 94063 SUPPLIER OF HEALTH INFORMATION TECHNOLOGY 4174298 116 X 4312399 4312399 PATIENT SERVICE REVENUE 622110 236438689 236438689 CLINIC SERVICES 622110 858852 858852 MEDICAID/MEDICARE INCENTIVE PAYMENTS 900099 115758 115758 0 0 0 0 237413299 513317 -135907 649224 945692 525328 420364 0 420364 420364 68391 79452 0 -11061 -11061 -11061 PARTNERSHIP SHARE OF INCOME - JOSC 621400 816575 816575 outreach lab income 621511 468495 468495 SPECIALTY PROGRAMS 900099 404041 404041 1234901 1234901 0 0 2924012 245572330 239868816 332588 1058527 1522798 593848 928950 88902316 67954321 20947995 2203378 1663550 539828 6870207 5187006 1683201 5971160 4508226 1462934 1321121 1321121 243948 243948 84301 84301 21799 21799 22061065 15238984 6822081 0 1106329 19517 1086812 2033131 1385190 647941 5938195 850641 5087554 4533891 3543018 990873 144726 34074 110652 2307965 76303 2231662 15288750 11543006 3745744 4640576 4607282 33294 MEDICAL & OTHER SUPPLIES 58869006 58597927 271079 medical equipment rental 2717248 2585201 132047 Provision for Bad Debt 4277992 4277992 Indigent Care Assessment 2535982 2535982 3956103 2672658 1283445 0 237551987 187874726 49677261 0 54825061 89549647 29242741 27122097 0 0 0 4722174 4883919 4615309 4418092 352240557 180274759 135188067 171965798 0 9039344 9174933 5055764 10427690 242688460 317542176 25861785 34374509 47124188 114018862 0 2899077 2387475 27940013 25615089 103825063 176395935 X 138863397 141146241 138863397 141146241 242688460 317542176 X 8020343 -21599 -5715900 X false true X true false X false false false false false false true 84301 false true 17051 101352 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. 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. 11673606 50000 807393 12530999 8979938 1475912 1217756 11673606 7209875 924226 845837 8979938 7244551 326365 -295595 65446 7209875 24898039 4000000 2004347 23657835 7244551 0.0 0.4846 0.5154 false true true 13438568 13438568 151726988 63547218 88179770 4737097 2933015 1804082 182337904 113794526 68543378 171965798 accrued liability for self-insurance programs 5611722 capital Lease payable 2037934 Lease financing obligations 3049794 Executive Retirement Plan 851246 Other liabilities 14064393 25615089 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 dereco4gnition, 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, 2017 and 2016.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, 2018 and 2017. Tax returns filed by Jupiter Health and its affiliated companies are no longer subject to examination for the years ended September 30, 2015 and prior. true true X true X true X true true true false true true 5978877 0 5978877 0.0256 10947049 4729410 6217639 0.0267 1078983 351288 727695 0.0031 0 0 18004909 5080698 12924211 0.0554 3507 0 3507 0.0000 0 0 0 0.0 20149 0 20149 0.0001 150268 59612 90656 0.0004 183518 0 183518 0.0008 0 0 357442 59612 297830 0.0013 0 0 18362351 5140310 13222041 0.0567 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 4277992 0 121431045 146895943 -25464898 X true true JUPITER OUTPATIENT SURGERY CENTER LLC OUTPATIENT SURGERY CENTER 0.5473 0.0 0.4527 1 1 JUPITER MEDICAL CENTER 1210 SOUTH OLD DIXIE HIGHWAY 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 15 true false false true X https://www.jupitermed.com/documents/patients-visitors/JMC-FINAL-CHNA.pdf X true 15 true https://www.jupitermed.com/documents/JMC-Implementation-Strategy-2016_2019.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-(5490_3).pdf X https://www.jupitermed.com/documents/financial-assistance/FAP-Application.pdf X https://www.jupitermed.com/patients-visitors/financial-information/financial-assistance-summary/ 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 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 to long term quality of life, the lack 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 Steering Committee determined that the prioritized health needs of the community served by JMC are as follows: * Cancer * Heart Disease * Nutrition & Exercise / Diabetes Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Jupiter Medical Center. As part of the CHNA process, JMC solicited and took into account input received from a variety of sources in identifying and prioritizing significant health needs and in identifying resources potentially available to address those health needs. Interviews were conducted with community leaders in order to identify the health needs of the community. The community leaders interviewed included the leaders of El Sol - Jupiter's Neighborhood Resource Center, the Florida Department of Health in Palm Beach County, Jupiter High School, and the Florida Institute for Health Innovation, among others. In addition, surveys were distributed electronically to over 3,600 individuals, representing a broad range of persons in the community served by Jupiter Medical Center. Community leaders were selected for interviews based on their expertise in the health of the community and the minority, low-income, medically underserved, or other vulnerable populations they represent. Each leader represented a unique and different segment of the population, giving JMC broad insight into the health needs of the community. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Jupiter Medical Center. Jupiter Medical Center, Inc. ("JMC") identified three significant health needs in its most recently conducted community health needs assessment- cancer, heart disease, and nutrition, exercise and diabetes. JMC undertook the following programs and services to address cancer- 1. Expanded services and technology including state-of-the-art TrueBeam Linear Accelerator through the Anderson Family Cancer Institute 2. Added Medical Director for Gastrointestinal Surgical Oncology Program 3. Increased education regarding risk factors for lung cancer including occupational exposures and CT Lung screenings 4. Expanded Patient Navigation Team 5. Expanded support groups 6. Oncology lecture series offered six programs per year specific to cancer patients, including: fear of recurrence, fatigue, complementary and alternative medicine 7. Screening and diagnostic imaging and biopsies are being provided for My Clinic patients JMC undertook the following programs and services to address heart disease- 1. Increased cardiac screenings and provided additional access to screenings 2. Held Jupiter Heart Club monthly in which physicians and allied health professionals addressed heart topics 3. Expand chronic disease management services 4. Held Heart & Stroke Health Fairs on site and in Martin County JMC undertook the following programs and services to address nutrition, exercise and diabetes- 1. Expanded health coaching and exercise services 2. Coordinated through Living Hungry (a collaboration with Healthier Jupiter, My Clinic, Health Care Tax District and JMC's Diabetes Educational Program) to provide Pop Up Pantry offering healthy food at no cost to underserved, monitored weight loss, physical activity and blood glucose. 3. Increased healthy-lifestyle education provided to the community with educational programs at El Sol, My Clinic, Edna Runner Center, JMC's Cardiac Rehabilitation, and the annual Diabetes Resource Day Other health needs identified through the CHNA process included chronic lower respiratory diseases, elder care services, and stroke. These 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. 11 Mount Sinai Heart New York at Jupiter Medical Center 1210 S Old Dixie Hwy Jupiter FL 33458 cardiology Cary Grossman Health & Wellness Center 1004 S Old Dixie Hwy Jupiter FL 33458 Health & Wellness Calcagnini Center for Mindfulness 1230 South Old Dixie Highway Jupiter FL 33458 Integrative Medicine Imaging Center at Jupiter Medical Centers Outpatient Campus 2111 Military Trail Suite 105 Jupiter FL 33458 Laboratory Services Jupiter Outpatient Surgery Center 2055 Military Trail Suite 100 Jupiter FL 33458 ambulatory surgical center Jupiter Med Center Clinical Laboratory 1210 South Old Dixie Highway Jupiter FL 33458 clinical laboratory 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 Niedland Breast Screening Center 11310 Legacy Place Suite 110 Palm Beach Gardens FL 33410 Screening Center The Ella Milbank Foshay Cancer Center 1240 S Old Dixie Hwy Jupiter FL 33458 cancer center The Sleep Center 1230 S Old Dixie Hwy Jupiter FL 33458 sleep center Schedule H, Part I, Line 7g Subsidized Health Services NONE OF THE SUBSIDIZED HEALTH SERVICES ARE ATTRIBUTABLE TO PHYSICIAN CLINICS. Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 4277992 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 7 ITEM. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount The amount reported as bad debt expense matches the bad debt expense at gross charges as reported in the organization's audited financial statements, which are prepared according to GAAP. The difference between contracted rates and amounts actually collected, after all reasonable collection efforts have been exhausted, is charged to the provision for bad debts. Schedule H, Part III, Line 3 Bad Debt Expense Methodology The organization doesn't believe that it can estimate the portion of bad debt expense attributable to patients eligible for financial assistance. The organization uses a presumptive eligibility policy to determine patients who may qualify for financial assistance using means-tested methodology and records those uncollectible accounts in financial assistance. The remaining accounts in bad debt expense are patients believed to have been ineligible for financial assistance. 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 PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED COLLECTIONS OF ACCOUNTS RECEIVABLE CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AND CHARGED TO THE PROVISION FOR BAD DEBTS AFTER COLLECTION EFFORTS HAVE BEEN MADE IN ACCORDANCE WITH THE CENTER'S POLICIES. RECOVERIES ARE TREATED AS A REDUCTION TO THE PROVISION FOR PATIENT BAD DEBTS. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. PERIODICALLY, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY MAJOR PAYOR CATEGORY. DATA ABOUT THE MAJOR PAYOR SOURCES OF REVENUE IS ANALYZED TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES AND PROVISION FOR PATIENT BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, CONTRACTUALLY DUE AMOUNTS ARE ANALYZED AND COMPARED TO ACTUAL CASH COLLECTED OVER TIME TO ENHANCE THE QUALITY OF THE ESTIMATE OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND THE PROVISION FOR PATIENT BAD DEBTS (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), AN ALLOWANCE FOR DOUBTFUL ACCOUNTS IS RECORDED ON THE BASIS OF HISTORICAL EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. AN ESTIMATE OF THE DIFFERENCE BETWEEN CONTRACTED RATES AND AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED, IS CHARGED TO THE PROVISION FOR PATIENT BAD DEBTS AND CREDITED TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS 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-(5490_3).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: https://www.jupitermed.com/patients-visitors/financial-information/financial-assistance-summary/; Schedule H, Part VI, Line 2 Needs assessment Jupiter Medical Center works closely with and supports my clinic 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. 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 According to Intellimed estimates, 79.2% of the population within JMC's Service Area is white. African Americans comprise 6.1% of the population. The population of the primary service area has increased 2.36% from 2010 to 2014, 71% of primary service area population is under the age 64. Individuals over 65 years of age account for 29% of the population. 93% of Jupiter residents are high school graduates and 41% have a bachelor's degree or higher. The median income for Jupiter primary service area families is between $45,000 and $55,000. In JMC's primary service area approximately 1.5% of the population was registered to receive healthcare at a Federally Qualified Health Center in 2014. 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. To the extent that JMC has surplus funds, 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. 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. X X X X X true true false false false false false true false JOHN D COURIS FORMER PRESIDENT & CEO/Assistant Secretary 384364 0 0 0 530947 0 15876 0 15857 0 947044 0 524569 0 DALE HOCKING VP FINANCE & CFO/Assistant Treasurer 299342 0 107844 0 2910 0 77995 0 23733 0 511824 0 0 0 Steven Seeley VP CNO/ Interim CEO 345301 0 204483 0 2978 0 79480 0 6474 0 638716 0 0 0 TERESA WENTZ VP CAO AND ADMIN SERV 248559 0 88182 0 2349 0 9964 0 6096 0 355150 0 0 0 PETER GLOGGNER VP HUMAN RESOURCES 211202 0 81726 0 10145 0 56738 0 6737 0 366548 0 0 0 KELLY SULLIVAN VP AND GENERAL COUNSEL - Partial year 62111 0 15000 0 187634 0 2959 0 6277 0 273981 0 0 0 SHERRI LEWMAN Vice President Service Line Development 176807 0 74509 0 655 0 7434 0 21337 0 280742 0 0 0 Judith Magalhaes VP Outpatient Services 177758 0 63612 0 928 0 6622 0 6874 0 255794 0 0 0 Schedule J, Part I, Line 4a Severance or change-of-control payment Kelly Sullivan received a payment of $187,216 which is reported in Part II Column B(iii). Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Subsequent to John Couris' continued employment through June 30, 2017, Jupiter Medical Center paid a retention bonus of $524,569 which is reported in Part II Column B(iii). Dale Hocking, Steve Seeley and Peter Gloggner will receive a retention bonus if they remain continuously employed over five years. The portion of this bonus that is included in nontaxable compensation for 2017 is $66,349, $66,546 and $47,946 respectively. 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 Attached false false false A 16251809 0 54346809 0 0 0 430780 0 0 23561908 30354121 0 2014 true false true true B 0 0 42500000 0 0 2899958 0 0 0 39600042 0 0 true false false true C 0 0 30400000 0 0 0 0 0 0 30400000 0 0 true false false 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 true false true false false false false true B false true false false true false false false true C false true 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 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 207 PRIVATE ACUTE CARE HOSPITAL BEDS AND 120 LONG-TERM CARE 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 1,202 EMPLOYEES, 307 PHYSICIANS, 594 NURSES AND OVER 833 VOLUNTEERS. FOR THE YEAR ENDING SEPTEMBER 30, 2018, THE MEDICAL CENTER HAD 11,700 DISCHARGES, 1,556 BIRTHS, 39,233 EMERGENCY ROOM VISITS, 174,223 OUTPATIENT VISITS, AND 8,293 SURGERIES. OVER THE YEARS, JUPITER MEDICAL CENTER HAS GAINED A REPUTATION AS A WORLD-CLASS MEDICAL FACILITY, KNOWN FOR ITS EXCELLENT, COMPASSIONATE CARE. 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 part of the same management teams for related taxable entities. Form 990, Part VI, Line 6 Classes of members or stockholders Jupiter Health, Inc., the organization's parent is a 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 assets. 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 audit committee and GOVERNING BODY for their review. ONCE REVIEWED AND APPROVED BY THE audit 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, 2017 for the fiscal year ended September 30, 2018. 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, 2017 for the fiscal year ended September 30, 2018. 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 Misc. Revenue - Total Revenue: 262526, Related or Exempt Function Revenue: 262526, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Collaborative - Total Revenue: 4273, Related or Exempt Function Revenue: 4273, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Auxiliary - Total Revenue: 951540, Related or Exempt Function Revenue: 951540, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Medical Records & RAC Fees - Total Revenue: 16562, Related or Exempt Function Revenue: 16562, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Transfers to Affiliates - -5715900; JUPITER MEDICAL CENTER FOUNDATION INC 1210 SOUTH OLD DIXIE HIGHWAY JUPITER FL 33458 650132406 FUNDRAISING FL 501(c)(3) 7 JUPITER MEDICAL CENTER INC true 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 S OLD DIXIE HIGHWAY JUPITER FL 33458 814028690 SUPPORTING ORGANIZATION FL 501(c)(3) Type I NA false JUPITER OUTPATIENT SURGERY CENTER LLC 2055 N MILITARY TRAIL SUITE 100 JUPITER FL 33458 650925020 SURGERY CENTER FL JMC Related 414912 1812080 false false 0.5473 TTB PARTNERS LTD 900 BROKEN SOUND PKY NW STE 125 BOCA RATON FL 33487 650945554 MEDICAL OFFICE BUILDING FL JMC Related 194230 2060229 false 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 false true true false false false false false false true true true true true false true true true Jupiter Medical Center Foundation C 4312399 FMV Jupiter Medical Center Foundation Q 356385 FMV Jupiter Medical Center Pavilion Q 65619 FMV Jupiter Medical Center Physicians Q 468589 FMV Jupiter Outpatient Surgery Center LLC K 170965 FMV