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      <Form990ScheduleDPartXIV>
        <Identifier>Intended uses of endowment funds</Identifier>
        <ReturnReference>Schedule D, Part V, Line 4</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>FIN 48 (ASC 740) footnote</Identifier>
        <ReturnReference>Schedule D, Part X, Line 2</ReturnReference>
        <Explanation>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 ON AUGUST 2, 1973, THAT THE HOSPITAL, THE PAVILION, THE FOUNDATION AND THE PHYSICIANS GROUP ARE EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). ACCORDINGLY, NO INCOME TAXES HAVE BEEN PROVIDED FOR THESE ENTITIES. ASC TOPIC 740, INCOME TAXES, PRESCRIBES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAX POSITIONS RECOGNIZED IN THE FINANCIAL STATEMENTS. ASC 740 PROVIDES GUIDANCE FOR RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTES FOR THE FINANCIAL RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THERE WERE NO UNCERTAIN TAX POSITIONS RECORDED IN THE CONOLIDATED FINANCIAL STATEMENTS AT SEPTEMBER 30, 2011 OR 2010.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH" softwareId="10000128" softwareVersion="v2010.1.0">
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      <WrittenPolicy>true</WrittenPolicy>
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      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <Pcent200>X</Pcent200>
      <FPGReferenceDiscountedCare>true</FPGReferenceDiscountedCare>
      <Pcent400>X</Pcent400>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>true</ExpensesExceededBudget>
      <UnableToProvideCare>false</UnableToProvideCare>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>true</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>4161166</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>7928</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>4153238</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02540</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>8273914</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>3671612</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>4602302</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02810</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <UnreimbursedCosts>
        <TotalCommunityBenefitExpense>1658330</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>597353</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1060977</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00650</PercentOfTotalExpense>
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      <TotalCharityCare>
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        <TotalCommunityBenefitExpense>14093410</TotalCommunityBenefitExpense>
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        <NetCommunityBenefitExpense>91878</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00060</PercentOfTotalExpense>
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      <HealthProfessionsEducation>
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        <PercentOfTotalExpense>0.06190</PercentOfTotalExpense>
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      <PhysicalImprovementsAndHousing>
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        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </PhysicalImprovementsAndHousing>
      <EconomicDevelopment>
        <NetCommunityBuildingExpense>0</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
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      <CommunitySupport>
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        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
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      <EnvironmentalImprovements>
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        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </EnvironmentalImprovements>
      <LeadershipDevelopment>
        <NetCommunityBuildingExpense>0</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
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      <CoalitionBuilding>
        <NetCommunityBuildingExpense>0</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </CoalitionBuilding>
      <HealthImprovementAdvocacy>
        <NetCommunityBuildingExpense>0</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </HealthImprovementAdvocacy>
      <WorkforceDevelopment>
        <NetCommunityBuildingExpense>0</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </WorkforceDevelopment>
      <Other>
        <NetCommunityBuildingExpense>0</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </Other>
      <Total>
        <NumberOfActivitiesOrPrograms>0</NumberOfActivitiesOrPrograms>
        <PersonsServed>0</PersonsServed>
        <TotalCommunityBuildingExpense>0</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>0</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </Total>
      <BadDebtExpenseReported>true</BadDebtExpenseReported>
      <BadDebtExpenseAmount>2986225</BadDebtExpenseAmount>
      <AmountAttributableTo>1194490</AmountAttributableTo>
      <AmountReimbursedByMedicare>61955627</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>69155122</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-7199495</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>JUPITER OUTPATIENT SURGERY CENTER LLC</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>OUTPATIENT SURGERY CENTER</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>0.61</OrganizationProfitOrOwnership>
        <OfficersEtcProfitOrOwnership>0</OfficersEtcProfitOrOwnership>
        <PhysicansProfitOrOwnership>0.39</PhysicansProfitOrOwnership>
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      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>JUPITER MEDICAL CENTER</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1210 SOUTH OLD DIXIE HIGHWAY</AddressLine1>
          <City>JUPITER</City>
          <State>FL</State>
          <ZIPCode>33458</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionC>
        <NumberOfOtherFacilities>3</NumberOfOtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>JUPITER OUTPATIENT SURGERY CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2055 MILITARY TRAIL SUITE 100</AddressLine1>
            <City>JUPITER</City>
            <State>FL</State>
            <ZIPCode>33458</ZIPCode>
          </Address>
          <FacilityType>AMBULATORY SURGICAL CENTER</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>JUPITER MED CENTER CLINICAL LABORATORY</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1210 SOUTH OLD DIXIE HIGHWAY</AddressLine1>
            <City>JUPITER</City>
            <State>FL</State>
            <ZIPCode>33458</ZIPCode>
          </Address>
          <FacilityType>CLINICAL LABORATORY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>JUPITER MEDICAL CENTER BLOOD GAS</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1210 SOUTH OLD DIXIE HIGHWAY</AddressLine1>
            <City>JUPITER</City>
            <State>FL</State>
            <ZIPCode>33458</ZIPCode>
          </Address>
          <FacilityType>CLINICAL LABORATORY</FacilityType>
        </OtherFacilities>
      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <Identifier>Bad Debt Expense excluded from financial assistance calculation</Identifier>
        <ReturnReference>Schedule H, Part I, Line 7, column(f)</ReturnReference>
        <Explanation>15,267,213</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Costing Methodology used to calculate financial assistance</Identifier>
        <ReturnReference>Schedule H, Part I, Line 7</ReturnReference>
        <Explanation>THE HOSPITAL UTILIZED THE COST TO CHARGE RATIO FROM ITS MEDICARE COST REPORT IN TABULATING ALL FIGURES IN PART I, LINE 7.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Bad debt expense - financial statement footnote</Identifier>
        <ReturnReference>Schedule H, Part III, Line 4</ReturnReference>
        <Explanation>JUPITER MEDICAL CENTER, INC. IS INCLUDED IN CONSOLIDATED FINANCIAL STATEMENTS. BELOW IS THE TEXT OF FOOTNOTES REGARDING BAD DEBT EXPENSE: THE CENTER'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS REMAINED CONSISTENT WITH PRIOR YEAR EXPERIENCE AT APPROXIMATELY 100% OF SELF-PAY ACCOUNTS RECEIVABLE. THE CENTER'S SELF-PAY WRITE-OFFS INCREASED APPROXIMATELY $1,330,000 FROM $14,422,000 FOR FISCAL YEAR 2010 TO $15,752,000 FOR FISCAL YEAR 2011. THE CENTER'S SELF-PAY PATIENTS HAVE EXPERIENCED SIMILAR ECONOMIC DIFFICULTIES IN BOTH FISCAL YEARS, WITH AN INCREASE IN WRITE-OFFS DUE TO A CHARGE INCREASE THAT WENT INTO EFFECT ON JANUARY 1, 2011. THE CENTER HAS NOT CHANGED ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES SINCE OCTOBER 1, 2009. THE CENTER DOES NOT MAINTAIN A MATERIAL ALLOWANCE FOR DOUBTFUL ACCOUNTS FROM THIRD-PARY PAYORS, NOR DID IT HAVE SIGNIFICANT WRITE-OFFS FROM THIRD-PARTY PAYORS. FOR UNINSURED PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE, THE CENTER RECOGNIZES REVENUE ON THE BASIS OF ITS STANDARD RATES FOR SERVICES PROVIDED (OR ON THE BASIS OF DISCOUNTED RATES, IF NEGOTIATED OR PROVIDED BY POLICY). ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF THE CENTER'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. COSTING METHODOLOGY THE CENTER UTILIZES THE MEDICARE COST REPORT'S COST TO CHARGE RATIO IN ESTIMATING COST OF SERVICES WRITTEN OFF AS BAD DEBT.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Community benefit &amp; methodology for determining medicare costs</Identifier>
        <ReturnReference>Schedule H, Part III, Line 8</ReturnReference>
        <Explanation>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'S COST TO CHARGE RATIO TO DETERMINE THE COST OF CARE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Collection practices for patients eligible for financial assistance</Identifier>
        <ReturnReference>Schedule H, Part III, Line 9b</ReturnReference>
        <Explanation>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 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Gross Charges for Medical Care</Identifier>
        <ReturnReference>Schedule H, Part V Section B, Line 21</ReturnReference>
        <Explanation>(1) JUPITER MEDICAL CENTER - THE HOSPITAL UTILIZES GROSS CHARGES IN BILLING PATIENTS WITHOUT INSURANCE FOR ELECTIVE (NON-EMERGENCY OR OTHER MEDICALLY NECESSARY SERVICES) CARE.;</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Needs assessment.</Identifier>
        <ReturnReference>Schedule H, Part VI, Line 2</ReturnReference>
        <Explanation>JUPITER MEDICAL CENTER ENGAGED THE FLORIDA PUBLIC HEALTH INSTITUTE TO PERFORM A NEEDS ASSESSMENT ON ITS PRIMARY SERVICE AREA. THE NEEDS ASSESSMENT DEMONSTRATED THE NEED FOR ADDITIONAL PRIMARY CARE RESOURCES FOR THE MOST NEEDY IN THE JUPITER, FLORIDA AREA. DURING FY 2011, JUPITER MEDICAL CENTER BEGAN A PARTNERSHIP WITH THE PALM BEACH COUNTY HEALTH DEPARTMENT TO OPERATE A VOLUNTEER CLINIC IN ORDER EXPAND CARE FOR UNINSURED AND UNDERINSURED IN OUR COMMUNITY. JUPITER MEDICAL CENTER HAS CONTRACTED WITH THE CLINIC TO PROVIDE FREE DIAGNOSTIC LAB AND RADIOLOGY SERVICES.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Patient education of eligibility for assistance.</Identifier>
        <ReturnReference>Schedule H, Part VI, Line 3</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Community information.</Identifier>
        <ReturnReference>Schedule H, Part VI, Line 4</ReturnReference>
        <Explanation>ACCORDING TO THE AMERICAN COMMUNITY SURVEY 2006-2008 ESTIMATES, THE TOTAL POPULATION FOR JUPITER MEDICAL CENTER'S SERVICE AREA IS APPROXIMATELY 79,746. 80% OF THE POPULATION WITHIN THE TOWN OF JUPITER IS WHITE. HISPANICS MAKE UP 14.6%, ASIANS ACCOUNT FOR 2% AND AFRICAN AMERICANS COMPRISE 1.7% OF THE POPULATION. 58.5% OF JUPITER'S POPULATION IS BETWEEN THE AGES OF 20 AND 64. 18.1% OF THE POPULATION ARE BETWEEN THE AGES OF 5-19, AND INDIVIDUALS OVER 65 YEARS OF AGE ACCOUNT FOR 17% 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 2006-2008. 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 8.3% OF THOSE FAMILIES HAVE CHILDREN UNDER THE AGE OF 5. NEARLY 5% OF THAT POPULATION HAD INCOME BELOW THE 1999 FEDERAL POVERTY LEVEL AND 4.7% OF THOSE INDIVIDUALS HAD CHILDREN UNDER THE AGE OF 18. THE MEDIAN INCOME FOR JUPITER FAMILIES IS $81,039 AND FOR NON-FAMILIES ITS $44,003. MEDIAN EARNINGS FOR FEMALE, YEAR-ROUND WORKERS IN JUPITER ARE $44,139 AND IS 15.6% LESS THAN THAT OF MALES. 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Promotion of community health</Identifier>
        <ReturnReference>Schedule H, Part VI, Line 5</ReturnReference>
        <Explanation>ALL MEMBERS OF JMC'S GOVERNING BODY IS COMPRISED OF 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. DURING THE PAST YEAR, THE ORGANIZATION HAS ADDED ADDITIONAL WOUND CARE AND HYPERBARIC SERVICES, INVESTED IN TECHNOLOGY TO PROVIDE MORE LOCALIZED RADIATION DOSES TO CANCER PATIENTS AND EXPANDED INTO THE DIAGNOSTIC CARDIAC CATH SERVICE LINE. THE ORGANIZATION OFFERS MEDICAL EDUCATION TO THE COMMUNITY AND HAS SEVERAL ONGOING MEDICAL RESEARCH STUDIES.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Affiliated health care system</Identifier>
        <ReturnReference>Schedule H, Part VI, Line 6</ReturnReference>
        <Explanation>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 AND HAVE PERFORMED A COMMUNITY NEEDS ASSESSMENT, WHICH INCLUDES REVIEW OF OUR AREA AS A MEDICALLY UNDERSERVED DISTRICT.</Explanation>
      </Form990ScheduleHPartVI>
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      <ClubDuesOrFees>X</ClubDuesOrFees>
      <WrittenPolicyReTAndEExpenses>true</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>true</SubstantiationRequired>
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      <IndependentConsultant>X</IndependentConsultant>
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        <NamePerson>JOHN D COURIS</NamePerson>
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        <NamePerson>PAUL DELL UOMO</NamePerson>
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        <NamePerson>THOMAS A DAVIS</NamePerson>
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        <Identifier>Housing allowance or residence for personal use</Identifier>
        <ReturnReference>Schedule J, Part I, Line 1a</ReturnReference>
        <Explanation>THE ORGANIZATION'S NEW PRESIDENT/CEO RECEIVED THE BENEFIT OF A HOUSING ALLOWANCE FOR HIS FIRST 12 MONTHS. THE HOUSING ALLOWANCE IS PAID BY THE ORGANIZATION AND IS TREATED AS TAXABLE COMPENSATION TO HIM.</Explanation>
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        <Identifier>Health or social club dues or initiation fees</Identifier>
        <ReturnReference>Schedule J, Part I, Line 1a</ReturnReference>
        <Explanation>THE PRESIDENT/CEO RECEIVES THE BENEFIT OF A GOLF CLUB MEMBERSHIP WHICH IS PAID BY THE ORGANIZATION. THE MEMBERSHIP IS USED FOR BUSINESS PURPOSES, THEREFORE IT IS NOT TREATED AS TAXABLE COMPENSATION TO THE INDIVIDUAL.</Explanation>
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        <Identifier>Severance or change-of-control payment</Identifier>
        <ReturnReference>Schedule J, Part I, Line 4a</ReturnReference>
        <Explanation>PAUL DELL UOMO, THE PRESIDENT AND CEO, RECEIVED A SEPARATION PAYMENT EQUAL TO TWELVE MONTHS SALARY FROM JUPITER MEDICAL CENTER, INC. MARY BISHOP, THE FORMER VP OF NURSING/CNO , RECEIVED A SEPARATION PAYMENT EQUAL TO NINE MONTHS SALARY FROM JUPITER MEDICAL CENTER, INC. JON GRAHAM, THE FORMER VP OF PLANNING/BUSINESS DEVELOPMENTADMINISTRATOR OF THE PHYSICIANS GROUP, RECEIVED A SEPARATION PAYMENT EQUAL TO NINE MONTHS SALARY FROM JUPITER MEDICAL CENTER, INC.</Explanation>
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          <BusinessNameLine1>PALM BEACH COUNTY HEALTH FACILITIES AUTHORITY</BusinessNameLine1>
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        <IssuerEIN>521297505</IssuerEIN>
        <DateIssued>2009-08-07</DateIssued>
        <IssuePrice>13000000</IssuePrice>
        <DescriptionOfPurpose>REFINANCE DEBT AND VARIOUS CAPITAL IMPROVEMENTS</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
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        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>13000000</CapitalExpenditures>
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        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>2010</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
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      <GeneralExplanation>
        <Identifier>PROGRAM SERVICE ACCOMPLISHMENT</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 4A</ReturnReference>
        <Explanation>(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 1,500 EMPLOYEES, 525 PHYSICIANS AND 453 VOLUNTEERS. FOR THE YEAR ENDING SEPTEMBER 30, 2011, THE MEDICAL CENTER HAD 10,044 ADMISSIONS, 1,116 BIRTHS, 29,277 EMERGENCY ROOM VISITS, 108,938 OUTPATIENT VISITS, AND 6,451 SURGERIES. OVER THE YEARS, JUPITER MEDICAL CENTER HAS GAINED A REPUTATION AS A WORLD-CLASS MEDICAL FACILITY, KNOWN FOR ITS EXCELLENT, COMPASSIONATE CARE.</Explanation>
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      <GeneralExplanation>
        <Identifier>Review of form 990 by governing body</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 11a</ReturnReference>
        <Explanation>THE CFO AND SENIOR VICE PRESIDENT OF HUMAN RESOURCES REVIEW THE FORM 990 PRIOR TO ITS FINALIZATION. THE FORM 990 IS ALSO APPROVED AND REVIEWED BY THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS. ACCESS TO THE FINAL DRAFT OF THE FORM 990 IS PROVIDED ELECTRONICALLY TO EVERY MEMBER OF THE BOARD OF DIRECTORS BEFORE IT IS FILED.</Explanation>
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      <GeneralExplanation>
        <Identifier>Conflict of interest policy</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 12c</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Process used to establish compensation of top management official</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 15a</ReturnReference>
        <Explanation>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 &amp; CEO. COMPENSATION IS THEN APPROVED BY THE BOARD OF JUPITER MEDICAL CENTER, INC. THE DELIBERATIONS AND DECISIONS OF THE COMPENSATION COMMITTEE ARE DOCUMENTED IN THE COMMITTEE MINUTES. THIS PROCESS WAS LAST UNDERTAKEN IN THE YEAR ENDED SEPTEMBER 30, 2011.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Process used to establish compensation of other officers/key employees</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 15b</ReturnReference>
        <Explanation>THE COMPENSATION COMMITTEE OF THE BOARD OF JUPITER MEDICAL CENTER, INC. REVIEWS AND APPROVES 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 COMPENSATION OF THE TOP OFFICIALS. COMPENSATION IS THEN APPROVED BY THE BOARD OF JUPITER MEDICAL CENTER, INC. THE DECISIONS AND DELIBERATIONS ARE DOCUMENTED IN THE COMMITTEE MINUTES. THIS PROCESS WAS LAST UNDERTAKEN IN THE YEAR ENDED SEPTEMBER 30, 2011.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Public Disclosure</Identifier>
        <ReturnReference>Form 990, Part VI, Section C, Line 19</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Other changes in net assets or fund balances</Identifier>
        <ReturnReference>Form 990, Part XI, Line 5</ReturnReference>
        <Explanation>NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - -57655; CHANGE IN VALUE OF CASH FLOW HEDGE - 673996; TRANSFER FROM FOUNDATION - 212791;</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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          <BusinessNameLine1>JUPITER MEDICAL CENTER FOUNDATION INC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1210 SOUTH OLD DIXIE HIGHWAY</AddressLine1>
          <City>JUPITER</City>
          <State>FL</State>
          <ZIPCode>33458</ZIPCode>
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          <BusinessNameLine1>JUPITER MEDICAL CENTER PAVILION INC</BusinessNameLine1>
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        <AddressUS>
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          <City>JUPITER</City>
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        <ControlledOrg>true</ControlledOrg>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>JUPITER OUTPATIENT SURGERY CENTER LLC</BusinessNameLine1>
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        </AddressUS>
        <EIN>650925020</EIN>
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        <LegalDomicileState>FL</LegalDomicileState>
        <DirectControllingEntityName>
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        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.6203</PercentageOwnership>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>TTB PARTNERS LTD</BusinessNameLine1>
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        <LegalDomicileState>FL</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>UNRELATED</PredominantIncomeType>
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        <ShareOfEOYAssets>2429100</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.51</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <ReceiptOfIntAnnRentsRoyalties>true</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>true</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>true</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>true</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>true</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>true</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
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      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>true</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>true</OtherTransferFromOtherOrg>
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          <BusinessNameLine1>JUPITER OUTPATIENT SURGERY CENTER LLC</BusinessNameLine1>
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      <TransactionsRelatedOrgsTable>
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        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>JUPITER MEDICAL CENTER PHYSICIANS GROUP INC</BusinessNameLine1>
        </NameOfOtherOrganization>
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        <MethodOfAmtDetermination>COST</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>JUPITER MEDICAL CENTER PHYSICIANS GROUP INC</BusinessNameLine1>
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        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>JUPITER MEDICAL CENTER FOUNDATION INC</BusinessNameLine1>
        </NameOfOtherOrganization>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>JUPITER MEDICAL CENTER FOUNDATION INC</BusinessNameLine1>
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        <MethodOfAmtDetermination>COST</MethodOfAmtDetermination>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>JUPITER MEDICAL CENTER FOUNDATION INC</BusinessNameLine1>
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        <TransactionType>C</TransactionType>
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        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>JUPITER MEDICAL CENTER FOUNDATION INC</BusinessNameLine1>
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        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>JUPITER MEDICAL CENTER PAVILION INC</BusinessNameLine1>
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        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>