2014-08-14T15:01:33-05:00 2013-09-30 CROWE HORWATH LLP 401 EAST LAS OLAS BLVD SUITE 1100 FORT LAUDERDALE FL 33301 990 2012-10-01 591460239 JUPITER MEDICAL CENTER INC JUPI 5612632234 1210 South Old Dixie Highway Jupiter FL 33458 DALE HOCKING 2014-08-11 true Nicole Bencik P00756195 9542028600 2012 2015-11-30 17:44:51Z JOHN D COURIS 1210 SOUTH OLD DIXIE HIGHWAY JUPITER FL 33458 225913445 false X WWW.JUPITERMED.COM X 1976 FL JUPITER MEDICAL CENTER, OR JMC, IS A NOT-FOR-PROFIT COMMUNITY MEDICAL CENTER OFFERING STATE-OF-THE-ART TECHNOLOGY AND WORLD-CLASS HEALTHCARE PROFESSIONALS. JMC HAS OVER 520 PHYSICIANS ON OUR MEDICAL STAFF APPROXIMATELY 1,700 EMPLOYEES AND OVER 700 VOLUNTEERS ACROSS ALL AFFILIATED ORGANIZATIONS. 15 15 1724 700 0 0 7192724 6577083 175032297 182105400 661504 -121179 5120211 2222731 188006736 190784035 71068 0 0 0 78902971 80754689 0 0 0 99686604 103224878 178660643 183979567 9346093 6804468 166194249 208846518 83214809 119062610 82979440 89783908 X 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 152812885 0 183589966 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) 152812885 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 183 0 true 1724 true false false false false false false false false false false X 15 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 ERNIE CANTELMO 5.00 0 X X 0 0 0 JOSEPH TADDEO 10.00 5.00 X X 0 0 0 MARK L CORRY MD 10.00 0 X X 0 0 0 PAUL CHIAPPARONE 10.00 1.00 X X 0 0 0 DEE PEREZ 5.00 0 X 0 0 0 DOUGLAS BROWN 5.00 0 X 0 0 0 HERBERT BAUM 5.00 1.00 X 0 0 0 JACK WATERMAN DO 5.00 0 X 0 0 0 JAMES MULLEN MD 5.00 0 X 0 0 0 JENNIFER DOSS 5.00 0 X 0 0 0 KAREN GOLONKA 5.00 0 X 0 0 0 MARTIN DYTRYCH CPA 5.00 0 X 0 0 0 R NEILL BORLAND MD 5.00 0 X 0 0 0 RYAN SIMOVITCH MD 5.00 0 X 0 0 0 S BARRIE GODOWN CPA 5.00 0 X 0 0 0 BETSY HEARTFIELD 5.00 40.00 X 0 160463 12063 CATHY BUSH 40.00 0 X 135262 0 0 DALE HOCKING 40.00 8.00 X 121715 0 10393 JOHN D COURIS 40.00 11.00 X 579130 0 79344 KELLY SULLIVAN 40.00 0 X 0 0 0 MICHAEL J FEHR 40.00 0 X 232926 0 31092 PETER GLOGGNER 40.00 0 X 217649 0 6798 STACEY BRANDT 40.00 0 X 0 0 0 STEVEN SEELEY 40.00 0 X 262238 0 9350 TERESA WENTZ 40.00 1.00 X 240428 0 12248 ALAN G LANDVAY 40.00 0 X 126437 0 25830 ENDURANCE ONORI 40.00 0 X 137353 0 19137 ERIC JOLLY 40.00 0 X 135088 0 35384 PEDRO MENDEZ-CORREA 40.00 0 X 184994 0 24289 THOMAS A DAVIS 40.00 0 X 159126 0 27854 2532346 160463 293782 51 false true false SODEXO INC & AFFILIATES PO BOX 536922 ATLANTA GA 30353 OUTSOURCED SUPPORT SERVICES 2229993 HASKELL COMPANY 111 RIVERSIDE AVE JACKSONVILLE FL 32202 CONSTRUCTION GENERAL CONTRACTOR 1989877 BLACK DIAMOND GENERAL CONTRACTING INC PO BOX 8097 JUPITER FL 33468 CONSTRUCTION GENERAL CONTRACTOR 1879068 CARLTON FIELDS PA PO BOX 3239 TAMPA FL 33601 LEGAL SERVICES 970076 PARKER HUDSON RAINER & DOBBS LLP 1500 MARQUIS TWO TOWER 285 ATLANTA GA 30303 LEGAL SERVICES 937842 9 6555669 21414 6577083 PATIENT SERVICE REVENUE 900099 179151073 179151073 CLINIC SERVICES 621110 834301 834301 MEDICAID/MEDICARE INCENTIVE PAYMENTS 900099 2120026 2120026 0 0 0 0 0 0 182105400 624654 624654 0 0 985942 595447 390495 0 390495 390495 33788130 34490538 43425 -702408 -43425 -745833 -745833 0 0 0 PARTNERSHIP SHARE OF INCOME - JOSC 621400 824935 824935 CAFETERIA 722100 347670 347670 SPECIALTY PROGRAMS 900099 200589 200589 459042 459042 0 0 1832236 190784035 183589966 0 616986 0 0 0 0 1998206 999103 999103 0 64414768 51641042 12773726 1291380 1037642 253738 8343700 6704279 1639421 4706635 3781847 924788 0 952584 952584 367561 367561 120155 120155 0 33455 33455 14706755 10756077 3950678 0 1467016 1467016 2819738 2114803 704935 3402913 2777568 625345 0 6115284 5159009 956275 149715 126303 23412 0 0 1885479 1583802 301677 0 11485101 8126224 3358877 4438158 3938882 499276 MEDICAL AND OTHER SUPPLIES 34399027 34399027 FOOD AND NUTRITION 3529488 3529488 PROVISION FOR BAD DEBT 12399122 12399122 INDIGENT CARE ASSESSMENT 2089226 2089226 2864101 1649441 1214660 0 183979567 152812885 31166682 0 0 15146438 10213536 28090087 26778229 0 0 3774796 3809399 2793393 2467249 215237427 118419537 91123560 96817890 13081159 50958189 0 0 10578973 10370895 1605843 7431131 166194249 208846518 23225004 21490119 0 36197845 74913931 0 8598250 10142022 15193710 12516538 83214809 119062610 X 82979440 89783908 82979440 89783908 166194249 208846518 6804468 0 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true false false false false false false false true 129180 129180 false Description of the activities reported on Lines 1a through 1i Schedule C, Part II-B, Line 1 THE ORGANIZATION PAYS DUES TO PROFESSIONAL ORGANIZATIONS AND MEMBERSHIP ASSOCIATIONS, SUCH AS THE AMERICAN HOSPITAL ASSOCIATION. A PORTION OF DUES ARE IDENTIFIED BY THESE ORGANIZATIONS AS HAVING BEEN SPENT ON LOBBYING ACTIVITIES. IN ADDITION TWO FIRMS HIRED AS REPRESENTATIVES OF JMC WERE RETAINED. 22016947 443511 2437581 24898039 18277283 3739664 22016947 17532381 993800 -244774 4124 18277283 11034876 5243570 1253935 0 0 0 17532381 12111242 63490 -540012 0 599844 0 11034876 0.84310 0.13240 0.02450 false true true 5595546 5595546 84323795 40010922 44312873 4211568 2590556 1621012 104800974 75075147 29725827 16305544 742912 15562632 96817890 0 SELF INSURANCE LIABILITIES 5257700 OTHER 1920455 DEPOSIT 26391 INDIGENT CARE TAX 1062360 LEASE FINANCING OBLIGATION 111610 JOSC NOTE PAYABLE 4138022 12516538 X Intended uses of endowment funds Schedule D, Part V, Line 4 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 JUPITER MEDICAL CENTER PAVILION, INC. FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 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, AND THE PHYSICIAN GROUP ARE EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). INCOME EARNED IN FUTHERANCE OF THE CENTER'S TAX-EXEMPT PURPOSE IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES. THE CODE 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 REALTED 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, 2013 AND 2012. 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, 2013 AND 2012. TAX RETURNS FILED BY THE CENTER AND ITS AFFILIATED COMPANIES ARE NO LONGER SUBJECT TO EXAMINATION FOR THE YEARS ENDED SEPTEMBER 30, 2009 AND PRIOR. THE CENTER HAS A 60.5% INVESTMENT INTEREST IN AN AMBULATORY SURGERY CENTER AT SEPTEMBER 30, 2013 WHICH MAY BE DEEMED TO OPERATE IN A FOR-PROFIT MANNER. HOWEVER, THE CENTER BELIEVES, THROUGH ITS MEMBERSHIP AGREEMENT, IT HAS DOCUMENTATION TO SUPPORT THE INTEREST IN THIS INVESTMENT BY THE HOSPITAL CAUSING IT TO BE RELATED TO ITS EXEMPT PURPOSE. AS A RESULT, THE CENTER HAS NOT RECORDED INCOME TAXES PAYABLE OR AN INCOME TAX PROVISION RELATING TO THE INCOME FROM THIS INVESTMENT. THERE ARE NO SIGNIFICANT DEFERRED INCOME TAX ASSETS OR LIABILITIES. true true X true X true X true true true false true true 4022350 0 4022350 0.02340 7821281 3948938 3872343 0.02260 1268138 23625 1244513 0.00730 0 0 13111769 3972563 9139206 0.05330 152891 101882 51009 0.00030 0 0 0 0.00000 0 0 0 0.00000 280859 85224 195635 0.00110 17835 0 17835 0.00010 0 0 451585 187106 264479 0.00150 0 0 13563354 4159669 9403685 0.05480 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0 0 0 0 0.00000 true 12399122 0 64424624 77998000 -13573376 X true true JUPITER OUTPATIENT SURGERY CENTER LLC OUTPATIENT SURGERY CENTER 0.605 0 0.395 1 1 JUPITER MEDICAL CENTER

1210 SOUTH OLD DIXIE HIGHWAY JUPITER FL 33458

X X X JUPITER MEDICAL CENTER 1 true X X X X X X X X X 12 true false true X X X X X X X X X X true false true true 200 true 400 true X X X X X true true X X X X X X true false X X X true X false false 3 JUPITER OUTPATIENT SURGERY CENTER

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AMBULATORY SURGICAL CENTER JUPITER MED CENTER CLINICAL LABORATORY

1210 SOUTH OLD DIXIE HIGHWAY JUPITER FL 33458

CLINICAL LABORATORY JUPITER MEDICAL CENTER BLOOD GAS

1210 SOUTH OLD DIXIE HIGHWAY JUPITER FL 33458

CLINICAL LABORATORY Costing Methodology used to calculate financial assistance Schedule H, Part I, Line 7 THE HOSPITAL UTILIZED THE COST TO CHARGE RATIO FOR THE INFORMATION IN PART I, LINE 7. Bad Debt Expense excluded from financial assistance calculation Schedule H, Part I, Line 7, column(f) 12,399,122 Bad debt expense - financial statement footnote Schedule H, Part III, Line 4 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 UNCOLLECTIBLE 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 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. Community benefit & methodology for determining medicare costs Schedule H, Part III, Line 8 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. JUPITER MEDICAL CENTER, INC. UTILIZES THE MEDICARE COST REPORT TO REPORT THE TOTAL REVENUE RECEIVED FROM MEDICARE AND THE MEDICARE ALLOWABLE COSTS. Collection practices for patients eligible for financial assistance Schedule H, Part III, Line 9b JUPITER MEDICAL CENTER HAS A COLLECTIONS POLICY WHICH IS FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE, WHICH INCLUDES REVIEW OF TRADITIONAL CHARITY CARE INFORMATION, INCLUDING SUBMITTED TAX RETURNS, SOURCES OF INCOME, AVAILABLE CREDIT AND OTHER DEMOGRAPHIC INFORMATION. IN ADDITION TO OUR TRADITIONAL CHARITY CARE METHODOLOGY, JMC HAS INSTITUTED A CHARITY CARE 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 CHARITY CARE PATIENT ENCOUNTERS. Means used to determine amounts billed Schedule H, Part V Section B, Line 20d (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.; Needs assessment. Schedule H, Part VI, Line 2 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 COMMUNTIY 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 IN 2012 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. Patient education of eligibility for assistance. Schedule H, Part VI, Line 3 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 CHARITY CARE UNDER JMC'S FINANCIAL ASSISTANCE POLICIES, AMONG OTHERS. 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. Community information. Schedule H, Part VI, Line 4 ACCORDING TO INTELLIMED 2013 ESTIMATES, THE TOTAL POPULATION FOR JUPITER MEDICAL CENTER'S PRIMARY AND SECONDARY SERVICE AREA IS APPROXIMATELY 212,094. 92% OF THE POPULATION WITHIN THE 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 IN 2011. 10.3% OF THE JUPITER POPULATION WAS LIVING AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL IN 2005. 4% OF FAMILIES ARE LIVING BELOW THE POVERTY LEVEL AND 1.8% OF THOSE FAMILIES HAVE CHILDREN UNDER THE AGE OF 5 IN 2011. 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. Promotion of community health Schedule H, Part VI, Line 5 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. Affiliated health care system Schedule H, Part VI, Line 6 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 true true X X X X X false true false false false false false true false ALAN G LANDVAY 126437 0 0 0 0 0 2704 0 23126 0 152267 0 0 0 BETSY HEARTFIELD 0 144507 0 15900 0 56 0 2936 0 9127 0 172526 0 0 ENDURANCE ONORI 137353 0 0 0 0 0 2851 0 16286 0 156490 0 0 0 ERIC JOLLY 135088 0 0 0 0 0 0 0 35384 0 170472 0 0 0 JOHN D COURIS 444889 0 125000 0 9241 0 54400 0 24944 0 658474 0 0 0 MICHAEL J FEHR 201714 0 31156 0 56 0 4848 0 26244 0 264018 0 0 0 PEDRO MENDEZ-CORREA 184938 0 0 0 56 0 3720 0 20569 0 209283 0 0 0 PETER GLOGGNER 188441 0 29152 0 56 0 0 0 6798 0 224447 0 0 0 STEVEN SEELEY 222646 0 39536 0 56 0 1934 0 7416 0 271588 0 0 0 TERESA WENTZ 212925 0 27447 0 56 0 4832 0 7416 0 252676 0 0 0 THOMAS A DAVIS 149294 0 9776 0 56 0 1610 0 26244 0 186980 0 0 0 Health or social club dues or initiation fees Schedule J, Part I, Line 1a THE PRESIDENT/CEO RECEIVES THE BENEFIT OF A GOLF CLUB MEMBERSHIP WHICH IS PAID BY THE ORGANIZATION. THE MEMBERSHIP IS USED FOR BUSINESS PURPOSES, BUT IT IS TREATED AS TAXABLE COMPENSATION TO THE INDIVIDUAL. Supplemental nonqualified retirement plan Schedule J, Part I, Line 4b 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 2012 IS $45,900. Non-fixed payments Schedule J, Part I, Line 7 SOME OF THE INTERESTED PERSONS RECEIVED PERFORMANCE BONUSES THAT WERE NOT BASED ON A FIXED FORMULA. A PALM BEACH COUNTY HEALTH FACILITIES AUTHORITY 521297506 696507SW3 2013-05-07 54346809 SEE STATEMENT false false false B PALM BEACH COUNTY HEALTH FACILITIES AUTHORITY 521297506 2013-05-07 20773973 SEE STATEMENT false false false A 39184 0 54346809 0 0 0 430780 0 0 0 30354121 23561908 true false false true B 166667 0 20773973 0 0 0 233973 0 0 0 5540000 15000000 true false false true A false false false false false false 0.00000 0.00000 0.00000 false false 0 false false B false false false false false false 0.00000 0.00000 0.00000 false false 0 false false A false true false false false false 0.0 false 0.0 false false B false true false false true false false false false A false B false DESCRIPTION OF PURPOSE SCHEDULE K, PART I, COLUMN (F) 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. WRITTEN PROCEDURES AND POLICIES SCHEDULE K, PART III, LINE 9 THE ORGANIZATION IS IN THE PROCESS OF ADOPTING WRITTEN PROCEDURES TO ENSURE ALL NONQUALIFIED BONDS (IF ANY) OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE ASSOCIATED REGULATIONS. THE ORGANIZATION STRIVES TO STAY ABREAST OF FEDERAL REGULATIONS AND CONSIDERS THE REPERCUSSIONS OF ALL SIGNIFICANT ACTIVITIES WHICH COULD FORESEEABLY HAVE AN IMPACT ON THE ORGANIZATION'S TAX EXEMPT BONDS AND THE ASSOCIATED FEDERAL TAX REGULATIONS. WRITTEN PROCEDURES AND POLICIES SCHEDULE K, PART IV, LINE 7 THE ORGANIZATION IS IN THE PROCESS OF ADOPTING WRITTEN PROCEDURES TO MONITOR THE ORGANIZATION'S ABILITY TO REMAIN IN COMPLIANCE WITH THE ARBITRAGE REQUIREMENTS UNDER SECTION 148 OF THE INTERNAL REVENUE CODE. THE ORGANIZATION STRIVES TO STAY ABREAST OF FEDERAL REGULATIONS AND CONSIDERS THE REPERCUSSIONS OF ALL SIGNIFICANT ACTIVITIES WHICH COULD FORESEEABLY HAVE AN IMPACT ON THE ORGANIZATION'S TAX EXEMPT BONDS AND THE ASSOCIATED FEDERAL TAX REGULATIONS. WRITTEN PROCEDURES AND POLICIES SCHEDULE K, PART V THE ORGANIZATION IS IN THE PROCESS OF ADOPTING WRITTEN PROCEDURES WHICH DICTATE HOW MANAGEMENT TIMELY IDENTIFIES AND CORRECTS VIOLATIONS OF FEDERAL TAX REQUIREMENTS USING THE VOLUNTARY CLOSING AGREEMENT PROGRAM PROVIDED BY THE IRS WHEN SELF-REMEDIATION IS NOT AVAILABLE TO THE ORGANIZATION. THE ORGANIZATION STRIVES TO STAY ABREAST OF FEDERAL REGULATIONS AND CONSIDERS THE REPERCUSSIONS OF ALL SIGNIFICANT ACTIVITIES WHICH COULD FORESEEABLY HAVE AN IMPACT ON THE ORGANIZATION'S TAX EXEMPT BONDS AND THE ASSOCIATED FEDERAL TAX REGULATIONS. IN THE EVENT A VIOLATION IS IDENTIFIED THE ORGANIZATION'S POLICY IS TO CORRECT THE VIOLATION AS SOON AS POSSIBLE, WHILE WORKING WITH THE FEDERAL AUTHORITIES AS NECESSARY TO ENSURE THAT SUFFICIENT CONTROLS ARE PRESENT WHICH WILL GUARD AGAINST FUTURE VIOLATIONS. PROGRAM SERVICE ACCOMPLISHMENT FORM 990, PART III, LINE 4A (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 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 APPROXIMATELY 1,700 EMPLOYEES, 601 PHYSICIANS AND 700 VOLUNTEERS. FOR THE YEAR ENDING SEPTEMBER 30, 2013, THE MEDICAL CENTER HAD 10,233 DISCHARGES, 1,135 BIRTHS, 31,007 EMERGENCY ROOM VISITS, 131,658 OUTPATIENT VISITS, AND 6,693 SURGERIES. OVER THE YEARS, JUPITER MEDICAL CENTER HAS GAINED A REPUTATION AS A WORLD-CLASS MEDICAL FACILITY, KNOWN FOR ITS EXCELLENT, COMPASSIONATE CARE. Delegate broad authority to a committee Form 990, Part VI, Section A, Line 1a 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. Review of form 990 by governing body Form 990, Part VI, Section B, Line 11b THE VP OF FINANCE AND CFO REVIEWS THE FORM 990 PRIOR TO ITS FINALIZATION. ACCESS TO THE FINAL DRAFT OF THE FORM 990 IS PROVIDED ELECTRONICALLY TO EVERY MEMBER OF THE BOARD OF DIRECTORS BEFORE IT IS FILED. Conflict of interest policy Form 990, Part VI, Section B, Line 12c 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. IN ADDITION, IN ORDER TO REGULARLY MONITOR AND ENFORCE THE CONFLICT OF INTEREST POLICY, THE BOARD CHAIR ASKS THE VOTING MEMBERS OF THE GOVERNING BODY TO DISCLOSE ANY CONFLICTS OF INTEREST AT THE START OF EACH BOARD MEETING. Process used to establish compensation of top management official Form 990, Part VI, Section B, Line 15a 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, 2012 FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2013. A COMPENSATION CONSULTANT IS ALSO HIRED ON AN ANNUAL BASIS. Process used to establish compensation of other officers/key employees Form 990, Part VI, Section B, Line 15b THE COMPENSATION COMMITTEE OF THE BOARD OF JUPITER MEDICAL CENTER, INC. REVIEWS AND APPROVES THE COMPENSATION OF DISQUALIFIED POSITIONS WITHIN THE ORGANIZATION. THE PRESIDENT AND CEO DETERMINES THE COMPENSATION OF THE 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 EXECUTIVE DIRECTOR. 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, 2012 FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2013. Governing documents, conflict of interest policy and financial statements available to the public Form 990, Part VI, Section C, Line 19 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. 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