2016-08-10T12:01:28-05:00 2015-09-30 350921680 CROWE HORWATH LLP 401 East Las Olas Blvd Suite 1100 Fort Lauderdale FL 370677260 990 2014-10-01 591460239 Jupiter Medical Center Inc JUPI 5612632234 1210 South Old Dixie Highway Jupiter FL 33458 Dale Hocking CFO 2016-08-10 true Nicole Bencik P00756195 9542028600 2014 2016-12-15 16:53:06Z John D Couris 1210 South Old Dixie Highway Jupiter FL 33458 226739686 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 1724 632 333540 230595 4156813 29514415 185449321 194003531 2859763 -416477 3036704 2171635 195502601 225273104 0 0 0 0 79129629 81907904 0 0 15722 106877771 116610740 186007400 198518644 9495201 26754460 219133644 232182018 119798192 109040297 99335452 123141721 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 166782911 0 195303879 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) 166782911 true true false true false 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 233 0 true 1724 true true true false false false false false false false false false X 16 15 false false false false false false false true true false false true true true true true true true true true true X DALE HOCKING 5612632234 1210 SOUTH OLD DIXIE HIGHWAY JUPITER FL 33458 MARTIN DYTRYCH CPA CHAIRMAN 10.00 1.00 X X 0 0 0 JOSEPH TADDEO VICE CHAIRMAN 10.00 6.00 X X 0 0 0 MARK L CORRY MD SECRETARY 10.00 0 X X 0 0 0 PAUL CHIAPPARONE TRUSTEE 5.00 1.00 X 0 0 0 KAREN GOLONKA TRUSTEE 5.00 0 X 0 0 0 DEE PEREZ TRUSTEE 5.00 0 X 0 0 0 S BARRIE GODOWN CPA TRUSTEE 5.00 0 X 0 0 0 JACK WATERMAN DO TRUSTEE 5.00 0 X 0 0 0 JAMES MULLEN MD TRUSTEE 5.00 0 X 0 0 0 JENNIFER DOSS TRUSTEE 5.00 0 X 0 0 0 DOUGLAS BROWN TRUSTEE 5.00 1.00 X 0 0 0 R NEILL BORLAND MD TRUSTEE 5.00 0 X 6300 0 0 HERBERT BAUM TRUSTEE 5.00 1.00 X 0 0 0 RYAN SIMOVITCH MD TRUSTEE 5.00 0 X 23375 0 0 Robert Stilley Trustee 5.00 0 X 0 0 0 THOMAS ROWE TRUSTEE 5.00 0 X 0 0 0 JOHN D COURIS PRESIDENT & CEO 40.00 12.00 X 849047 0 177815 DALE HOCKING VP FINANCE & CFO 40.00 8.00 X 329429 0 85530 STEVEN SEELEY VP CNO 40.00 0 X 364599 0 59412 TERESA WENTZ VP CAO AND ADMIN SERV 40.00 2.00 X 289884 0 21206 PETER GLOGGNER VP HUMAN RESOURCES 40.00 0 X 254432 0 49642 KELLY SULLIVAN VP AND GENERAL COUNSEL 40.00 0 X 285419 0 33664 SHERRI LEWMAN Vice President Service Line Development 40.00 1.00 X 192289 0 38450 THOMAS CRAWFORD VP CHIEF INFO OFfICER 40.00 0 X 270553 0 33519 MICHAEL J FEHR former vp cio 0 X 111748 0 0 2977075 0 499238 48 true true true HASKELL COMPANY 111 RIVERSIDE AVE JACKSONVILLE FL 32202 CONSTRUCTION GENERAL CONTRACTOR 15240353 SODEXO INC & AFFILIATES PO BOX 536922 ATLANTA GA 30353 OUTSOURCED SUPPORT SERVICES 2543475 ARAMARK 12483 COLLECTIONS CENTER DR CHICAGO IL 60693 BIOMED SERVICES 1989831 CHASE TRANSCRIPTIONS INC 5685 HUDSON INDUSTRIAL PKWYSTE ONE HUDSON OH 44236 TRANSCRIPT SERVICE 600817 BCC FINANCIAL MANAGEMENT SERVICES INC 3230 W COMMERCIAL BLVDSTE 190 FT LAUDERDALE FL 33309 COLLECTION SERVICES 471032 25 X 29510346 4069 29514415 PATIENT SERVICE REVENUE 900099 192997977 192997977 CLINIC SERVICES 621110 987126 987126 MEDICAID/MEDICARE INCENTIVE PAYMENTS 900099 18428 18428 0 0 0 0 194003531 462561 -28342 490903 1096949 587544 509405 0 509405 509405 879038 0 -879038 -879038 -879038 PARTNERSHIP SHARE OF INCOME - JOSC 621400 983620 983620 outreach lab income 621511 361882 361882 SPECIALTY PROGRAMS 900099 172988 172988 143740 143740 0 0 1662230 225273104 195303879 333540 121270 0 0 1623689 380030 1243659 69858264 58632724 11225540 1705904 1392700 313204 3603656 2942025 661631 5116391 4595542 520849 1770815 1770815 285258 285258 145346 145346 0 0 28696 28696 12221176 9655639 2565537 0 1577522 233612 1343910 2533029 1866822 666207 3314856 3314856 7911613 6107609 1804004 195471 46591 148880 2218607 2218607 13179862 10760040 2419822 2610122 2378397 231725 MEDICAL & OTHER SUPPLIES 45797629 45736421 61208 Food and Nutrition 1545444 1379195 166249 Provision for Bad Debt 8316587 8316587 Indigent Care Assessment 1974314 1974314 10984393 8166056 2802615 15722 198518644 166782911 31720011 15722 16494981 44456957 26067528 25165549 0 0 0 4428355 4390935 2768754 3847919 270553419 138123635 118890479 132429784 28712322 5137012 125000 165078 9963737 9336211 11682488 7252573 219133644 232182018 23813627 21436655 72330736 69124493 0 4948806 3780782 18705023 14698367 119798192 109040297 X 99335452 123141721 99335452 123141721 219133644 232182018 X 26754460 -15866 -2932325 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 145346 false true 15722 161068 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 were hired by JMC to conduct lobbying activities on its behalf. 7244551 326365 -295595 65446 7209875 24898039 4000000 2004347 23657835 7244551 22016947 443511 2437581 24898039 18277283 3739664 22016947 17532381 993800 -244774 4124 18277283 0.0 0.5025 0.4975 false true true 5595546 5595546 133901333 44855090 89046243 7766479 5097689 2668790 113502560 87237880 26264680 9787501 932976 8854525 132429784 accrued liability for self-insurance programs 7121801 capital Lease payable 2594561 Lease financing obligations 3059847 Executive Retirement Plan 622941 Other liabilities 1299217 14698367 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 THE CENTER. INCOME EARNED IN FURTHERANCE OF THE CENTER'S TAX-EXEMPT PURPOSE IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES. THE IRC PROVIDES FOR TAXATION OF UNRELATED BUSINESS INCOME UNDER CERTAIN CIRCUMSTANCES. THE CENTER 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, THE CENTER 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, 2015 AND 2014. THE CENTER DOES NOT EXPECT THE TOTAL AMOUNT OF UNRECOGNIZED TAX BENEFITS TO SIGNIFICANTLY CHANGE IN THE NEXT TWELVE MONTHS. TAX RETURNS FILED BY THE CENTER ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE (IRS) UP TO THREE YEARS FROM THE DATE THE RETURN WAS FILED. THE CENTER RECOGNIZES INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS IN INCOME TAX EXPENSE. THE CENTER DID NOT HAVE ANY AMOUNTS ACCRUED FOR INTEREST AND PENALTIES AT SEPTEMBER 30, 2015 AND 2014. TAX RETURNS FILED BY THE CENTER AND ITS AFFILIATED COMPANIES ARE NO LONGER SUBJECT TO EXAMINATION FOR THE YEARS ENDED SEPTEMBER 30, 2011 AND PRIOR. true true X true X true X true true true false true true 2565611 0 2565611 0.0135 7398925 3150224 4248701 0.0223 1212913 82135 1130778 0.0059 0 0 11177449 3232359 7945090 0.0418 83659 0 83659 0.0004 0 0 0 0.0 8298 0 8298 0.0000 243894 131780 112114 0.0006 163753 0 163753 0.0009 0 0 499604 131780 367824 0.0019 0 0 11677052 3364139 8312914 0.0437 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 8316587 0 95983976 120209164 -24225188 X true true JUPITER OUTPATIENT SURGERY CENTER LLC OUTPATIENT SURGERY CENTER 0.622 0.0 0.378 1 1 JUPITER MEDICAL CENTER www.jupitermed.com 4072 X X X JUPITER MEDICAL CENTER 1 false false true X X X X X X X X X 12 true false false true X http://www.jupitermed.com/jmc-community-benefit X true 12 true http://www.jupitermed.com/jmc-community-benefit false false true X 2.0 4.0 X X X X true true X X X X true X http://www.jupitermed.com/financial-assistance X http://www.jupitermed.com/financial-assistance X http://www.jupitermed.com/financial-assistance X X X X X true X false X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - JUPITER MEDICAL CENTER. As part of the CHNA process, interviews were conducted with community leaders in order to identify the health needs of the community. Interview questions were distributed via email to the Director at the Florida Department of Health - Palm Beach County, the Chief Operating Officer at Florida Public Health Institute, the Mayor of the Town of Jupiter, and the Executive Director of El Sol Neighborhood Resource Center. By way of background, El Sol is Jupiter's Neighborhood Resource Center to improve the quality of life of all residents of the Town of Jupiter by providing services to those in need, especially day laborers and their families. El Sol was formed as a result of a community effort to transform the problem of an unsafe and contentious open air day labor market into a safe and productive resource center in which all people can achieve their highest potential. Members of the Steering Committee believed that El Sol's input into this CHNA was very important to understanding the health needs of the Hispanic population within the community. Some of the surveys were completed and sent back via email, and others were completed over the phone with a member of the Steering Committee. The same questions were asked in each interview: * What are the top 3 strengths of the community? * What are the top 3 health concerns of the community? * What are the barriers to obtaining health services in the community? Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Jupiter Medical Center, Inc.. Jupiter Medical Center, Inc. ("JMC") identified three significant health needs in its most recently conducted community health needs assessment - cancer, cardiac wellness and access to healthcare. The organization has made investments each year to continue to address these needs including: -increasing the number of cancer and ultrasound vascular screenings -increasing community outreach and education -increasing information about transportation services available in the community -adding a second cardiac catheterization lab -adding meditation and yoga classes -increasing the number of heart health community lectures -adding heart failure program through home health services -enhancing information about senior health and insurance options. 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. Schedule H, Part V, Section B, Line 22 Facility , 1 Facility , 1 - Jupiter Medical Center. JMC's Financial Assistance Policy has been established to ensure a fair and equitable system for determining financial need. General guidelines are established, allowing for evaluation of unique financial circumstances. A patient may be determined eligible for financial assistance (either free or discounted care) when the annual individual or family income does not exceed 400% of US Department of Health & Human Services Federal Poverty Guidelines as published annually in the Federal Register. Income and assets will be considered in assessing JMC financial assistance but may not be the sole determining factor. Among other elements to be considered are temporary factors such as short-term employment layoff, unemployment, disability or other demonstrated hardship. An evaluation of available assets will be necessary to determine eligibility for JMC financial assistance. If assets exist to pay the debt, financial assistance may be denied. Size of bill in relation to income and assets may be a qualifying factor in determining financial assistance provided. A. Total annual household income less than or equal to 200% of the Federal Poverty Guidelines will entitle the patient to a 100% discount. B. Total annual household income over 200% but not greater than 400% of the Federal Poverty Guidelines will entitle the patient to a graduated discount of up to 75%. C. Regardless of the applicable write off determined above, the patient's responsibility will not exceed 25% of his/her total annual household income. The organization's financial assistance policy outlines the maximum amount that will be charged to FAP-eligible patients is calculated using the Prospective Medicare method to determine the amounts generally billed to those who have insurance. 8 Jupiter Medical Center Blood Gas 1210 South Old Dixie Highway Jupiter FL 33458 clinical laboratory 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 2011 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 1025 N Military Trail Suite 210 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 8316587 Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance The hospital utilized the cost to charge ratio for the information in Part I, Line 7. 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. 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: http://www.jupitermed.com/financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website - JUPITER MEDICAL CENTER: Line 16b URL: http://www.jupitermed.com/financial-assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - JUPITER MEDICAL CENTER: Line 16c URL: http://www.jupitermed.com/financial-assistance; Schedule H, Part VI, Line 2 Needs assessment Jupiter Medical Center completed a community health needs assessment - as required by IRC Section 501(r) in the year ended September 30, 2013. Jupiter Medical Center serves a diverse community defined primarily by four zip codes and secondarily by five zip codes, within Palm Beach and Martin Counties. The community served continues to grow and includes mostly seniors ages 45-64. As a result of the feedback received while conducting the Community Health Needs Assessment, JMC has identified the significant health needs of the community to be Cancer, Cardiac Wellness, and Access to Health Care. To address the importance of cancer treatment and prevention in the community, JMC identified a need for better coordination of cancer care for at risk patients, as well as a need for an academic cancer program in the community. JMC's Ella Milbank Foshay Cancer Center is accredited by the Commission on Cancer as a Comprehensive Community Cancer Program, an accreditation only 25% of cancer programs hold in the United States. This center along with JMC's Foshay Cancer Center, which is accredited by the American College of Radiology, will work to serve the need for cancer treatment in the community. JMC's cardiology department provides non-invasive, diagnostic cardiac procedures, and also has a cardiac catheterization lab which provides services that don't include invasive or interventional cardiac procedures. Jupiter will work to create cardiac wellness programs that reduce cardiovascular risk and improve the quality of life of patients. JMC, the Town of Jupiter, Palm Beach County Health Department and El Sol (Jupiter's Neighborhood Resource Center), opened the Jupiter Volunteer Clinic. The Clinic was established, along with input from the Florida Public Health Institute, in response to the growing number of uninsured/underinsured individuals living in the Jupiter area, who have limited access to health care. In addition, Jupiter Medical Center acquired a medical screening vehicle called the "Wellness in Motion" van equipped with digital mammography, bone density screening, blood draws, patient education and outreach. This mobile program can reach populations who may not have access to health care programs due to transportation challenges or other barriers to access. 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. Schedule H, Part VI, Line 4 Community information According to Intellimed estimates, 92% of the population within JMC's Primary Service Area is white. African Americans comprise 2.1% of the population. 79% of primary service area population is under the age 64. Individuals over 65 years of age account for 21% of the population. Almost 64% of the households in Jupiter are family households. Of those, 50% are married couples and 20% of those have children under 18 living in them. Jupiter has 8.3% of its households headed by females with no husband. The data for the surrounding zip codes that comprise Jupiter Medical Center's service area is similar as females head 7.4% of the households and 4.4% of those have children under the age of 18 living in them. 43% of families in Jupiter and its surrounding zip codes have grandparents living in the home that are responsible for their own grandchildren. 89% of Jupiter residents are high school graduates and 32% have a bachelor's degree or higher. Only 4% of the population have less than a ninth grade education and only 6.6% have attended high school but not received a diploma. Nearly 6% of all people living in Jupiter have income levels below the federal poverty level. 10.3% of the Jupiter population was living at or below 200% of the federal poverty level. 4% of families are living below the poverty level and 1.8% of those families have children under the age of 5. The median income for Jupiter primary service area families is between $100,000 and $150,000. 56% of houses with mortgages in Jupiter have monthly owner costs of $2,000 or more; the gross rent as a percentage of household income (GRAPI) is steep, and 35% of those who rent in Jupiter pay 35% or more of their monthly income on rent. Of the population ages 21-64, 17% have a disability and of those, 68.3% of them are employed. 6% of the population ages 5-19 have a disability. A target population of potential users of a Federally Qualified Health Care Center does exist in Jupiter. These users are comprised of the 10.3% of the population which is living at or below 200% of the federal poverty level, female-headed households with children earning 15.6% less than their male counterparts, the 25% of the school-aged children that are eligible for free and reduced lunches, non-English speaking day laborers and the 10,000 non-insured and Medicaid patients utilizing the Jupiter Medical Center for primary care services. The community has thirteen other hospitals to choose from in Palm Beach County. 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 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 MICHAEL J FEHR former vp cio 111748 0 0 0 0 0 0 0 0 0 111748 0 0 0 JOHN D COURIS PRESIDENT & CEO 507149 0 331487 0 10411 0 146572 0 31243 0 1026862 0 0 0 DALE HOCKING VP FINANCE & CFO 239438 0 67746 0 22245 0 52618 0 32912 0 414959 0 0 0 STEVEN SEELEY VP CNO 254212 0 109436 0 951 0 50443 0 8969 0 424011 0 0 0 TERESA WENTZ VP CAO AND ADMIN SERV 230983 0 58347 0 554 0 11637 0 9569 0 311090 0 0 0 PETER GLOGGNER VP HUMAN RESOURCES 195525 0 58634 0 273 0 37864 0 11778 0 304074 0 0 0 KELLY SULLIVAN VP AND GENERAL COUNSEL 216275 0 68421 0 723 0 8182 0 25482 0 319083 0 0 0 SHERRI LEWMAN Vice President Service Line Development 158354 0 33775 0 160 0 8000 0 30450 0 230739 0 0 0 THOMAS CRAWFORD VP CHIEF INFO OFfICER 208217 0 61347 0 989 0 932 0 32587 0 304072 0 0 0 Schedule J, Part I, Line 4a Severance or change-of-control payment Michael Fehr received severance of $111,748 in 2014. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan John Couris will receive a retention bonus if he remains continuously employed over five years. The portion of this bonus that is included in nontaxable compensation for 2014 is $120,698. The same arrangement was extended to Dale Hocking, Steve Seeley, and Peter Gloggner. The nontaxable compensation for 2014 is $40,597, $38,224 and $29,180 respectively. Schedule J, Part I, Line 7 Non-fixed payments Some of the interested persons received performance bonuses that were not based on a fixed formula. A Palm Beach County Health Facilities Authority 521297506 2013-05-07 20773973 See statement false false false B Palm Beach County Health Facilities Authority 521297506 696507SW3 2013-05-07 54346809 See Statement false false false A 585690 0 20773973 0 0 0 233973 0 0 15000000 5540000 0 2014 true false true true B 2500000 0 54346809 0 0 0 430780 0 0 23561908 30784901 0 2014 true false true true A false true false false 0.0 0.0 0.0 false false true B false true false false 0.0 0.0 0.0 false false true A false true false false true false false false true B false true false false false false false false true A true B true Schedule K, Part I, Column (f) Description of Purpose Bond Issue A - Purpose of Bond - Various Capital Improvements and Refund the following bond issues: Series 1993, 1999A, 2009A, and 2009B. Bond Issue B - Purpose of Bond - Various Capital Improvements and Refund the following bond issues: Series 1999B and a 2011 promisory note. 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 163 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 1,500 EMPLOYEES, 554 PHYSICIANS, 441 NURSES AND OVER 600 VOLUNTEERS. FOR THE YEAR ENDING SEPTEMBER 30, 2015, THE MEDICAL CENTER HAD 10,331 DISCHARGES, 1,285 BIRTHS, 33,247 EMERGENCY ROOM VISITS, 139,562 OUTPATIENT VISITS, AND 7,047 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 1a Delegate broad authority to a committee When the Board is not in session, the Executive Committee shall have and exercise all of the authority of the Board in the management of the Corporation, except as such authority is limited by Florida Statute. The Executive Committee shall: (i) consist of six Trustees, at least one of which shall be a physician member and (ii) have the President of the Corporation as an ex-officio, non-voting, seventh Committee Member. 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. 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, 2014 for the fiscal year ended September 30, 2015. A compensation consultant is also hired on an annual basis. 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 other officers and key employees. The Compensation Committee reviews survey data, financial ability of the organization, and accomplishment of goals in order to determine the President and CEO, Chief Financial Officer, Chief Operating Officer and Foundation President. 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, 2014 for the fiscal year ended September 30, 2015. 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 All Other Revenue - Total Revenue: 97490, Related or Exempt Function Revenue: 97490, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; physician application fees - Total Revenue: 46250, Related or Exempt Function Revenue: 46250, 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 - -2932325; JUPITER MEDICAL CENTER FOUNDATION INC 1210 SOUTH OLD DIXIE HIGHWAY JUPITER FL 33458 650132406 SUPPORTING ORGANIZATION FL 501(c)(3 Type I 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 9 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 9 JUPITER MEDICAL CENTER INC true JUPITER HEALTH OUTPATIENT SERVICES INC 1210 S OLD DIXIE HIGHWAY JUPITER FL 33458 455310772 AMBULATORY CARE SERVICES FL 501(c)(3 3 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 814870 1708540 false 0 false 0.622 TTB PARTNERS LTD 900 BROKEN SOUND PKY NW STE 125 BOCA RATON FL 33487 650945554 MEDICAL OFFICE BUILDING FL JMC Related 198023 2066850 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 -261901 627381 1 true JUPITER MEDICAL CENTER COLLABORATIVE INC 1210 SOUTH OLD DIXIE HIGHWAY JUPITER FL 33458 474731137 MANAGED CARE CONTRACTING FL na C Corporation 0 0 1 true true false true true false false false false false false true true true true true false true true true JUPITER MEDICAL CENTER FOUNDATION C 29510346 FMV JUPITER MEDICAL CENTER FOUNDATION O 179724 FMV JUPITER OUTPATIENT SURGERY center llc A 265200 FMV JUPITER MEDICAL CENTER PHYSICIANS GROUP INC R 5092407 FMV