2021-08-16T13:03:09-05:00 2020-09-30 350921680 CROWE LLP 401 East Las Olas Blvd Suite 1100 Fort Lauderdale FL 333014230 990 2019-10-01 591460239 Jupiter Medical Center Inc JUPI 5612632234 1210 South Old Dixie Highway Jupiter FL 33458 Dale Hocking CFO 2021-08-16 true Brittney Kocaj P01320603 9542028600 2019 2022-09-23 18:48:47Z AMIT RASTOGI MD MHCM - PRESIDENT & CEO 1210 South Old Dixie Highway Jupiter FL 33458 303919281 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 2087 589 491195 0 37631540 35355224 278230203 265082714 1240768 421277 2455999 2021352 319558510 302880567 231805 28000 0 120149546 126793561 0 0 167758712 154347518 288140063 281169079 31418447 21711488 342129456 409985360 173382381 220891967 168747075 189093393 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 206982174 28000 266485218 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 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) 206982174 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 211 0 true 2087 true true true false false false false false false false false false false 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 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 1.0 6.0 X 0 0 0 JOSEPH TADDEO Trustee (THRU JANUARY 2020) 1.0 12.0 X 0 0 0 MARK L CORRY MD TRUSTEE 1.0 1.0 X 0 0 0 Michele D Deverich TRUSTEE 1.0 1.0 X 0 0 0 PAUL CHIAPPARONE Trustee (THRU JANUARY 2020) 1.0 2.0 X 0 0 0 Peter A Lund TRUSTEE 1.0 2.0 X 0 0 0 RYAN SIMOVITCH MD TRUSTEE 1.0 1.0 X 7225 0 0 SIMIE PLATT MD TRUSTEE 1.0 1.0 X 0 0 0 Amit Rastogi MD MHCM PRESIDENT & CEO (beginning September 2019) 40.0 14.0 X 197788 0 1569 DALE HOCKING VP FINANCE & CFO/Assistant Treasurer 40.0 11.0 X 692211 0 29584 Joanne Miller Co-Interim CEO (thru October 2019) 40.0 7.0 X 335148 0 111272 Steven Seeley Co-Interim CEO (thru October 2019) 40.0 10.0 X 546487 0 189336 Judith Magalhaes VP Outpatient Services (thru January 2020) 20.0 21.0 X 291431 0 60112 Karen L Davila General Counsel (thru June 2020) 40.0 0 X 345043 0 30770 PETER GLOGGNER VP HUMAN RESOURCES (thru October 2019) 40.0 0 X 498458 0 33557 TERESA WENTZ VP CAO AND ADMIN SERV (thru June 2019) 40.0 0.0 X 539429 0 2841 Thomas R Schoenig VP Chief Information Officer 40.0 0 X 312678 0 89566 Donald Mckenna President & CEO (THRU MARCH 2019) 0.0 0.0 X 651556 0 6592 4417454 0 555199 114 true true false GILBANE BUILDING COMPANY 7 JACKSON WALKWAY PROVIDENCE RI 02903 CONSTRUCTION & REAL ESTATE DEVELOPMENT 31449743 BLACKDIAMOND P O BOX 8097 JUPITER FL 33458 CONSTRUCTION/BLDG RENOVATIONS 6438546 SODEXO INC & AFFILIATES PO BOX 536922 ATLANTA GA 30353 OUTSOURCED SUPPORT SERVICES 4731740 LAW OFFICES OF SPICER & CHAMBERS PA 8895 N MILITARY TRL STE 302E PALM BEACH GARDENS FL 33410 LEGAL SERVICES 1050000 Orthopedic Management Company LLC 1210 S OLD DIXIE HWY JUPITER FL 33458 HEALTHCARE SERVICES 1005268 150 35355224 35355224 PATIENT SERVICE REVENUE 622110 261775900 261775900 CLINIC SERVICES 622110 509905 509905 MEDICAID/MEDICARE INCENTIVE PAYMENTS 900099 2796909 2796909 0 0 0 0 265082714 443306 443306 1144338 1016685 127653 0 127653 127653 0 22029 0 -22029 -22029 -22029 SPECIALTY PROGRAMS 900099 273902 273902 OUTREACH LAB INCOME 621511 491195 491195 AUXILIARY INCOME 900099 710688 710688 417914 417914 0 0 1893699 302880567 266485218 491195 548930 X 28000 28000 2257670 735380 1522290 106966878 78854734 28112144 2412114 571671 1840443 8254723 6298354 1956369 6902176 5266360 1635816 2208568 2208568 305425 305425 84000 84000 18267 18267 33564296 14578126 18986170 0 890653 7461 883192 2518295 1380953 1137342 6129345 4676922 1452423 160861 154841 6020 3296008 62001 3234007 21568979 16441913 5127066 3696590 3321797 374793 MEDICAL & OTHER SUPPLIES 70403224 68634645 1768579 Food & Nutrition 1747482 1198832 548650 Indigent Care Assessment 2892388 2892388 Equipment Rental 1179534 1060851 118683 3683603 732945 2950658 0 281169079 206982174 74186905 0 45153899 61988186 35940755 32884524 0 0 0 0 6062656 7575641 5250997 5090432 488506425 214051500 237638449 274454925 0 7513515 8489853 4569185 19501799 342129456 409985360 35280661 37559092 0 11193223 110973309 92812757 0 0 1875873 1364271 25252538 77962624 173382381 220891967 X 168747075 189093393 168747075 189093393 342129456 409985360 X 21711488 -56604 -1308566 X X false true X true true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 84000 false true 18311 102311 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. 12623598 91538 746964 767601 12694499 12530999 232599 140000 12623598 11673606 50000 807393 12530999 8979938 1475912 1217756 11673606 7209875 924226 845837 8979938 0.0 1.0 0.0 false true true 13875496 13875496 245060635 79029081 166031554 4642636 3070604 1572032 104552849 71703474 32849375 120374809 60248341 60126468 274454925 accrued liability for self-insurance programs 7650896 capital Lease payable 494463 Lease financing obligations 2497734 Executive Retirement Plan 862766 Other Liabilities 16628139 Property Leases 13462544 Estimated Third Party settlements 36366082 77962624 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, 2020 and 2019. 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, 2020 and 2019. Tax returns filed by Jupiter Health and its affiliated companies are no longer subject to examination for the years ended September 30, 2016 and prior. true true X true X true X true true true false true true 5289787 0 5289787 0.0188 13475357 4407186 9068171 0.0323 596535 162092 434443 0.0015 0 0 19361679 4569278 14792401 0.0526 0 0 0 0.0 0 0 0 0.0 36612 0 36612 0.0001 287666 57206 230460 0.0008 111887 0 111887 0.0004 0 0 436165 57206 378959 0.0013 0 0 19797844 4626484 15171360 0.0540 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 125519821 175169437 -49649616 X true true JUPITER OUTPATIENT SURGERY CENTER LLC OUTPATIENT SURGERY CENTER 0.74 0.0 0.26 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-(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 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 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. 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. 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. 12 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 De George Neonatal Intensive Care Unit 1210 SOUTH OLD DIXIE HIGHWAY JUPITER FL 33458 Neonatal Intensive Care Unit 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 SERVICE ARE ATTRIBUTABLE TO PHYSICIAN CLINICS Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THE COST 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 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, 2020 and 2019, 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, 2020 and 2019 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-(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 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 also serves as a COVID-19 testing site. 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 is the only hospital in Palm Beach County to provide COVID-19 vaccinations to the community. 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 31st largest county out of 67 counties in the state of Florida. According to the most recent available U.S. Census data dated July 1, 2017, the population for both counties has experienced significant growth since 2010 with reported population percentage increases of 11.5% for Palm Beach County and 8.9% for Martin County from April 1, 2010 to July 1, 2017. The elderly population (Age 65+) makes up 23.1% of JMC's Primary Service Area and 28.2% 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 78.4% of the population, with Hispanic/Latino population accounting for 11.1%, Black/African American 6.2%, 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. 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. true Leadership Palm Beach County Inc 2751 S Dixie Hwy No 1 West Palm FL 33405 592569079 501(c)(3) 15000 Sponsorship Lighthouse Dragons Inc 5500 Military Trail Jupiter FL 33458 815099859 501(c)(3) 10000 Sponsorship 2 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 false true X X X X X true true false false false false false true false Donald Mckenna President & CEO (THRU MARCH 2019) 118267 0 87500 0 445789 0 0 0 6592 0 658148 0 0 0 Steven Seeley Co-Interim CEO (thru October 2019) 379823 0 150122 0 16542 0 181574 0 7762 0 735823 0 0 0 DALE HOCKING VP FINANCE & CFO/Assistant Treasurer 311638 0 93689 0 286884 0 5867 0 23717 0 721795 0 263947 0 Joanne Miller Co-Interim CEO (thru October 2019) 236897 0 37701 0 60550 0 95505 0 15767 0 446420 0 0 0 Amit Rastogi MD MHCM PRESIDENT & CEO (beginning September 2019) 107482 0 50000 0 40306 0 0 0 1569 0 199357 0 0 0 TERESA WENTZ VP CAO AND ADMIN SERV (thru June 2019) 150413 0 0 0 389016 0 0 0 2841 0 542270 0 0 0 PETER GLOGGNER VP HUMAN RESOURCES (thru October 2019) 202117 0 0 0 296341 0 27226 0 6331 0 532015 0 209218 0 Thomas R Schoenig VP Chief Information Officer 242027 0 67775 0 2876 0 57093 0 32473 0 402244 0 0 0 Karen L Davila General Counsel (thru June 2020) 250211 0 71316 0 23516 0 6922 0 23848 0 375813 0 0 0 Judith Magalhaes VP Outpatient Services (thru January 2020) 225835 0 64168 0 1428 0 47304 0 12808 0 351543 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 2019. This allowance was treated as taxable compensation to the individual. Schedule J, Part I, Line 1b Written policy regarding payment or reimbursement of expenses The housing allowance provided to Amit Rastogi is written into his employment contract. The organization has a written expense reimbursement policy, but this policy does not specifically address housing allowances. The organization plans to revise its expense reimbursement policy to specifically address 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 2019 were as follows: Donald McKenna - $421,781 Teresa Wentz - $387,685 Peter Gloggner - $41,523 Joanne Miller - $38,668. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan IN MAY 2019, DALE HOCKING RECEIVED A RETENTION BONUS PAYOUT IN THE AMOUNT OF $281,134.96. Peter Gloggner also received a retention bonus payout of $234,485.31 in October 2019. ANNUAL ACCRUALS FOR these RETENTION bonuses WERE INCLUDED IN each respective individual's DEFERRED COMPENSATION IN PREVIOUS YEARS. ANOTHER RETENTION BONUS PROGRAM WAS STARTED FOR STEVE SEELEY AFTER HIS OCTOBER 2018 RETENTION BONUS PAYOUT. The individuals listed below PARTICIPATED IN A RETENTION BONUS PLAN DURING CALENDAR YEAR 2019 AS WELL. THESE RETENTION BONUS ARRANGEMENTS ARE TREATED AS DEFERRED COMPENSATION AND WILL BE TAXED WHEN PAID. The portion of this bonus that is included in deferred compensation for 2019 for each individual is as follows: Steve Seeley - $170,647 Liv Vesely - $80,797 Peter Gloggner - $25,297 Joanne Miller - $94,732 Thomas R. Schoenig - $52,331 Judith Magalhaes - $44,152 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 22216809 0 54346809 0 0 0 430780 0 0 23561908 30354121 0 2014 true false true true B 15000000 0 42500000 0 0 2899958 0 0 0 39600042 0 0 2018 true false true true C 0 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 242 PRIVATE ACUTE CARE HOSPITAL BEDS AND 90 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 1,076 EMPLOYEES, 613 PHYSICIANS, 562 NURSES AND OVER 589 VOLUNTEERS. FOR THE YEAR ENDING SEPTEMBER 30, 2020, THE MEDICAL CENTER HAD 13,895,DISCHARGES, 1,705 BIRTHS, 36,598 EMERGENCY ROOM VISITS, 124,952 OUTPATIENT VISITS, AND 7,704 SURGERIES. OVER THE YEARS, JUPITER MEDICAL CENTER HAS GAINED A REPUTATION AS A WORLD-CLASS MEDICAL FACILITY, KNOWN FOR ITS EXCELLENT, COMPASSIONATE CARE. IN FY2020, THE FOLLOWING SERVICES WERE IMPLEMENTED AS WELL: ANDERSON FAMILY CANCER INSTITUTE OPENED MARCH 2020, HEART & STROKE PROGRAM OPENED MARCH 2020, NICU OPENED DEC 2019, AND WOMEN'S INPATIENT FLOOR OPENED FEB 2020. 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, 2019 for the fiscal year ended September 30, 2020. 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, 2019 for the fiscal year ended September 30, 2020. 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: 1815, Related or Exempt Function Revenue: 1815, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; CAFETERIA - Total Revenue: 859, Related or Exempt Function Revenue: 859, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; MISCELLANEOUS - Total Revenue: 415240, Related or Exempt Function Revenue: 415240, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees Medical Specialist Fees - Total Expense: 4766332, Program Service Expense: 1493928, Management and General Expenses: 3272404, Fundraising Expenses: ; Maintenance contracts - Total Expense: 12726351, Program Service Expense: 4654574, Management and General Expenses: 8071777, Fundraising Expenses: ; Outside linen services - Total Expense: 990965, Program Service Expense: 975121, Management and General Expenses: 15844, Fundraising Expenses: ; Dialysis services - Total Expense: 397755, Program Service Expense: 397755, Management and General Expenses: , Fundraising Expenses: ; Other Purchased Services - Total Expense: 13293497, Program Service Expense: 5712325, Management and General Expenses: 7581172, Fundraising Expenses: ; Other Management fees - Total Expense: 1389396, Program Service Expense: 1344423, Management and General Expenses: 44973, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Transfers to Affiliates - -1308566; Form 990, Part XII, Line 3b Reason organization did not undergo required audit DUE TO FUNDING RECEIVED AS A RESULT OF THE CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY ACT, THE ORGANIZATION IS REQUIRED TO UNDERGO AN AUDIT AS SET FORTH IN THE SINGLE AUDIT ACT. THE REQUIRED SINGLE AUDIT HAS NOT BEEN COMPLETED AS OF THE DATE OF THE FILING OF THIS FORM 990; HOWEVER, THIS AUDIT WILL BE COMPLETED BE THE REQUIRED DEADLINE. 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