2023-08-15T20:31:09+00:00 2022-09-30 350921680 CROWE LLP 401 East Las Olas Blvd Suite 1100 Fort Lauderdale FL 333014230 990 2021-10-01 591460239 Jupiter Medical Center Inc JUPI 5612632234 1210 South Old Dixie Highway Jupiter FL 33458 Dale Hocking CFO 5612632234 2023-08-15 true Dale Hocking 999009999 Brittney Kocaj P01320603 9542028600 2021 2023-04-26 12:10:37Z AMIT RASTOGI MD MHCM - PRESIDENT & CEO 1210 South Old Dixie Highway Jupiter FL 33458 400891342 false X www.jupitermed.com X 1973 FL Jupiter Medical Center is a not-for-profit community Medical Center offering state-of-the-art technology and world-class healthcare professionals. 14 13 2238 373 428956 0 52103333 52597728 313382292 341260788 1270406 167774 3631511 6458021 370387542 400484311 7608945 13807333 0 141051207 182865438 0 0 0 187056621 195667588 335716773 392340359 34670769 8143952 430547291 580822927 206747844 349015315 223799447 231807612 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 308263706 13807333 344966998 JUPITER MEDICAL CENTER, INC. OFFERS NUMEROUS SERVICES TO BENEFIT THE COMMUNITY, INCLUDING CARDIOPULMONARY REHABILITATION, THE CRISP CANCER CENTER (F/K/A THE ELLA MILBANK FOSHAY CANCER CENTER), GI LAB, SLEEP DISORDERS CENTER, OUTPATIENT LAB, HEALTH AND REHABILITATION CENTER, THE MARGARET W. NIEDLAND BREAST CENTER, OBSTETRICS, WOUND CARE, OUTPATIENT IMAGING, AND VASCULAR LAB. THE MEDICAL CENTER ALSO OFFERS A SURGICAL WEIGHT LOSS PROGRAM, CARDIOLOGY SERVICES, PEDIATRIC THERAPY, OUTPATIENT REHABILITATION, PAIN MANAGEMENT AND RESPIRATORY SERVICES. (CONTINUED ON SCHEDULE O) 308263706 true true false true false false false false true true false false false true true false true false false false false false false false false true true true false true true false false false false false false false false false false false false false false true true true true false false true 160 0 true 2238 true true true false false false false false false false false false true false X 14 13 true false false false true true true true false false false true true true true true true true true true true FL X DALE HOCKING 5612632234 1210 SOUTH OLD DIXIE HIGHWAY JUPITER FL 33458 JACK WATERMAN DO SECRETARY 5.0 1.0 X X 0 0 0 MARTIN DYTRYCH CPA CHAIRMAN 5.0 2.0 X X 0 0 0 Robert Stilley Vice Chair 2.0 1.0 X X 0 0 0 ROSANNE M DUANE ESQ Treasurer 5.0 1.0 X X 0 0 0 ANDRES SUAREZ MD TRUSTEE (THRU DEC 2021) 1.0 1.0 X 0 0 0 Anthony P Shaya MD Trustee 1.0 1.0 X 2125 0 0 HARVEY GOLUB Trustee 1.0 1.0 X 0 0 0 Henri DesPlaines Trustee 1.0 1.0 X 0 0 0 Lee Fox MD Trustee 1.0 1.0 X 17700 0 0 MARK L CORRY MD TRUSTEE 1.0 1.0 X 0 0 0 Michael Leighton MD Trustee 1.0 1.0 X 3825 0 0 Michele D Deverich Trustee 1.0 1.0 X 0 0 0 Peter A Lund Trustee 1.0 6.0 X 0 0 0 Philippe Jeck Trustee 1.0 1.0 X 0 0 0 THOMAS ROWE MD TRUSTEE 1.0 1.0 X 0 0 0 Amit Rastogi MD MHCM PRESIDENT & CEO/ASSISTANT SECRETARY 40.0 9.0 X 1158019 0 289300 DALE HOCKING CPA VP FINANCE & CFO/Assistant Treasurer 40.0 6.0 X 480660 0 38308 Steven Seeley MSN CENP CEN CPHQ SVP & Chief Operating Officer 40.0 9.0 X 530827 0 134792 Charles Murphy Chief Quality & Patient Safety Officer 40.0 0 X 335740 0 22219 Julia Click Vice President & Chief Human Resources Officer 40.0 0 X 351879 0 41404 Mahesh Patel MD PHYSICIAN 40.0 0 X 298624 0 25696 Pamela S Canter RN VP Chief Nursing Officer 40.0 0 X 353782 0 16272 Patricia J Patrick VP & Chief Growth and Marketing Officer 40.0 0 X 271929 0 19195 3805110 0 587186 183 false true false BLACKDIAMOND 1930 COMMERCE LANE STE 204 JUPITER FL 33458 CONSTRUCTION/BLDG RENOVATIONS 5418980 SODEXO INC & AFFILIATES PO BOX 360170 PITTSBURGH PA 152516170 OUTSOURCED SUPPORT SERVICES (FOOD) 4741926 AYA HEALTHCARE INC PO BOX 123519 DALLAS TX 75312 TRAVEL NURSE SERVICE 3956914 CERNER CORPORATION PO BOX 959156 ST LOUIS MO 631959156 HEALTH INFORMATION TECHNOLOGY SERVICES 2795067 SODEXHO INC & AFFILIATES (EVS) ENVIRONMENTAL SERVICES P O BOX 360170 PITTSBURGH PA 15251 ENVIROMENTAL SERVICES 2188895 167 46895949 5701779 52597728 PATIENT SERVICE REVENUE 622110 340756770 340756770 CLINIC SERVICES 622110 504018 504018 0 0 0 0 341260788 192845 192845 2704815 381960 2322855 0 2322855 2322855 0 25071 0 -25071 -25071 -25071 Patient/family concierge services 623110 1398000 1398000 OUTREACH LAB INCOME 621511 428956 428956 AUXILIARY INCOME 900099 1008205 1008205 1300005 1300005 0 0 4135166 400484311 344966998 428956 2490629 13807333 13807333 2564875 575095 1989780 159452881 127404172 32048709 824525 651375 173150 11779438 9370599 2408839 8243719 6512538 1731181 1946695 1946695 275353 275353 110000 110000 30887 30887 31021224 19090946 11930278 0 2492487 29273 2463214 2155078 987290 1167788 10819422 1351597 9467825 6043126 4116372 1926754 110094 14637 95457 2762267 46444 2715823 25207308 19921571 5285737 5912177 5262067 650110 MEDICAL & OTHER SUPPLIES 95817964 92558151 3259813 Food & Nutrition 2193629 1616859 576770 Indigent Care & Medicaid Assessment 3034349 3034349 Equipment Rental 1778588 1050514 728074 3956940 862524 3094416 0 392340359 308263706 84076653 0 1600 1600 69067405 194917898 43690139 46153752 0 0 0 0 8624617 10304234 9250990 10641373 545683455 261746702 273769611 283936753 0 27798 1785075 1322694 6596496 6596496 17761358 26920329 430547291 580822927 45723117 50666292 4848934 0 75967204 210138762 0 0 852670 341068 79355919 87869193 206747844 349015315 X 223799447 231807612 223799447 231807612 430547291 580822927 X 8143952 -185834 50047 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 110000 false true 10100 120100 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY The organization pays dues to professional associations which attempt to influence legislation. When a professional association acknowledges that a percentage of dues paid are related to lobbying, we expense as such. In addition two firms conducted lobbying activities on its behalf. 17428534 2050221 -2466759 4851000 12160996 12694499 2077774 2744398 88137 17428534 12623598 91538 746964 767601 12694499 12530999 232599 140000 12623598 11673606 50000 807393 12530999 0.0 1.0 0.0 false true true 14460971 14460971 258077438 97745607 160331831 5417378 3654104 1763274 115652310 84482506 31169804 152075358 75864485 76210873 283936753 accrued liability for self-insurance programs 8792685 capital Lease payable 7796903 Lease financing obligations 1570439 Executive Retirement Plan 469584 Property Leases 22631847 Estimated Third Party settlements 2708417 Insurance Liability 2481450 Line of Credit 39900000 Other Liabilities 1517868 87869193 X Schedule D, Part V, Line 4 Intended uses of endowment funds Endowment funds are held by Jupiter Medical Center Foundation, Inc. (a related organization). The funds are held to support healthcare services for those in greatest need and for future physical plant and equipment expenditures to expand services offered. The funds are intended to support the programs and mission of Jupiter Medical Center, Inc. and affiliates. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote Jupiter Medical Center Inc. is included in consolidated financial statements. Below is the text of the FIN 48 footnote from those financial statements. The Internal Revenue Service has determined that the Hospital, the Pavilion, the Foundation, the Physician Group, and Jupiter Health Outpatient Services, Inc. are exempt from federal income tax under Section 501(c)(3) of the Internal Revenue Code (IRC). JMC Specialty Group, Inc. is a taxable corporation that files federal and Florida income tax returns. Income taxes related to JMC Specialty Group, Inc. is not material to Jupiter Health. Income earned in furtherance of Jupiter Health's tax-exempt purpose is exempt from federal and state income taxes. The IRC provides for taxation of unrelated business income under certain circumstances. Jupiter Health has no material unrelated business income; however, such status is subject to final determination upon examination of the related income tax returns by the appropriate taxing authority. Under ASC Subtopic 740, Income Taxes, Jupiter Health must recognize the tax benefit from an uncertain tax position only if it is "more-likely-than-not" that the tax position will be sustained on examination by the applicable taxing authorities based on the technical merits of the position. The tax benefits recognized in the consolidated financial statements from such a position are measured based on the largest benefit that has a greater than 50 percent likelihood of being realized upon ultimate settlement. ASC Subtopic 740-10, also provides guidance of derecognition, classification, interest and penalties on income taxes and accounting in interim periods and requires increased disclosure. There were no uncertain tax positions identified as of September 30, 2022 and 2021. Jupiter Health does not expect the total amount of unrecognized tax benefits to significantly change in the next twelve months. Tax returns filed by Jupiter Health are subject to examination by the Internal Revenue Service (IRS) up to three years from the date the return was filed. Jupiter Health recognizes interest and/or penalties related to income tax matters in income tax expense. Jupiter Health did not have any amounts accrued for interest and penalties at September 30, 2022 and 2021. Tax returns filed by Jupiter Health and its affiliated companies are no longer subject to examination for the years ended September 30, 2018 and prior. true true X true X true X true true true false true true 5208371 0 5208371 0.0133 17317057 5057730 12259327 0.0312 183671 53477 130194 0.0003 0 0 22709099 5111207 17597892 0.0449 260653 0 260653 0.0007 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0 452714 0 452714 0.0012 0 0 713367 0 713367 0.0018 0 0 23422466 5111207 18311259 0.0467 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 0 0 169869950 210232129 -40362179 X true true JUPITER OUTPATIENT SURGERY CENTER LLC OUTPATIENT SURGERY CENTER 0.768 0.0 0.232 1 1 JUPITER MEDICAL CENTER 1210 OLD DIXIE HWY JUPITER FL 33458 www.jupitermed.com 4072 X X X JUPITER MEDICAL CENTER 1 false false true X X X X X X X X X 21 true false false true X https://www.jupitermed.com/documents/Compliance/JMC-2022-CHNA-9.7.22.FINALpdf.pdf X true 21 true https://www.jupitermed.com/documents/Compliance/Jupiter-IS-Report-FINAL.pdf false true X 200.0 400.0 X X X X true true X X X true X SEE STATEMENT IN SCHEDULE H PART VI X SEE STATEMENT IN SCHEDULE H PART VI X SEE STATEMENT IN SCHEDULE H PART VI X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E The significant health needs are a prioritized description of the significant health needs of the community and identified through the CHNA. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Jupiter Medical Center ("JMC"). In conducting its most recent community health needs assessment ("CHNA"), Jupiter Medical Center obtained input from 9 leaders representing public health, healthcare organizations, social services, and community leaders through key stakeholder interviews and focus groups. Primary input was also obtained by conducting an online community health survey distributed to members of the community. The process for gathering and analyzing this data spanned from October 2021 to June 2022. JMC consulted with various community organizations in conducting this CHNA, including: -FoundCare, Inc. -Health District of Palm Beach County -Healthier Jupiter -Limestone Creek Community -MyClinic -Palm Beach County Health Department -Palm Health Foundation -Town of Jupiter The stakeholders provided valuable feedback regarding 1) The health and quality of life in the community; 2) Underserved populations and communities of need; 3) Barriers to improving health; and 4) Most important health and quality of life issues. In order to develop a broad understanding of community health needs, JMC conducted a community survey during January and February of 2022. A link to the survey was distributed via e-mail, social media and word of mouth to the community at-large. The survey inquired about 1) health issues that most impact the community; 2) weaknesses in the community; and 3) what would improve the quality of life in the community, in addition to obtaining information about respondents' health habits and behaviors. A total of 2,111 surveys were completed and included members of underserved and minority populations. Populations with the most serious unmet healthcare needs identified in the CHNA process include low-income/uninsured individuals, Black and Hispanic populations, migrant workers and workers in service industries. Secondary data was assessed, including demographics, socioeconomic indicators, and key health indicators. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Jupiter Medical Center ("JMC"). Based on the information gathered through this Community Health Needs Assessment, Jupiter Medical Center chose the needs below to address over the next three years: 1) Access to Services 2) Access to Primary Care Providers 3) Access to care for Chronic Diseases JMC has undertaken the following activities to address Access to Services: 1) To increase operating room capacity, JMC is constructing a new surgical facility. In April 2022, JMC broke ground on the Johnny and Terry Gray Surgical Institute, a 90,000 square foot facility featuring the latest in hybrid technology to accommodate complex surgeries with real-time consultations and a comprehensive approach to care. The facility's "smart" operating rooms will accommodate complex surgeries, while the hybrid suites offer surgeons the ability to transition from a minimally invasive surgery to an open procedure, enhancing the patient experience and im- proving outcomes. The "operating rooms of the future" will use state-of-the-art equipment that is digitally integrated. The surgical team will be able to access and transmit a patient's images from the operating room to additional specialists for real-time consultation, resulting in a multi-disciplinary, comprehensive approach to care. The Institute will provide a spacious reception area for loved ones along with private consultation rooms to meet the surgeon before or after a procedure. Recognizing the importance of real-time communication, leading-edge technology will be integrated into the Institute's design, providing seamless updates from the care team to a patient's family. The targeted completion date of this facility's construction is the end of 2023. 2) To increase Emergency Department capacity, JMC is expanding its Emergency Department to add 11 rooms and increase capacity by 30%. The renovated facility also includes 8 Fast Track bays to treat patients with non-life-threatening ailments more quickly. The renovation and expansion features advanced clinical equipment, spacious patient and triage areas, and expansive waiting areas for loved ones. The center also features cutting-edge technology, including a dedicated CT scanner with True Fidelity technology that utilizes Artificial Intelligence to perform deep learning image reconstruction. The collective improvements will improve quality outcomes and decrease wait times. The majority of these renovations occurred during FYE 9/30/22 and the renovated facility is set to open in early 2023. JMC has undertaken the following programs and services to address Access to Primary Care Providers: 1) To increase the number of primary care physicians in Jupiter Medical Center Physician Group, JMC is actively recruiting physicians both locally and outside of the immediate service area. 2) JMC partners with MyClinic, a clinic that provides primary care services to underserved patients. JMC provides the Executive Director and Business Manager for MyClinic. JMC has undertaken the following programs and services to address Access to care for Chronic Diseases: 1) Since opening the Anderson Family Cancer Center in March 2020, JMC has hired several oncologists who specialize in certain types of cancers, including breast and gynecologic, head and neck, genitourinary, lung, gastrointestinal, blood, and rare neuroendocrine cancers. Technology has been added to JMC's oncology department, including a Varian TrueBeam linear accelerator, to expand the radiation treatment options available to cancer patients. Additionally, JMC hosts a Cancer Wellness Program in which various JMC departments collaborate to assist patients in managing fatigue, exercise/rehabilitation, and nutrition. 2) In 2022, JMC continued to expand access to innovative vascular treatments, introducing procedures such as Transcarotid Artery Revascularization (TCAR) and Endovascular Aneurys Repair (EVAR). These clinically proven, minimally invasive procedures treat carotid artery disease and aneurysms, helping to prevent future strokes. The multidisciplinary group of experts of JMC's Structural Heart Program have treated conditions such as aortic valve stenosis, aortic insufficiency, mitral valve regurgitation, tricuspid valve regurgitation, hypertrophic cardiomyopathy, and holes in the heart, including Atrial Septal Defect (ASD) and Patent Foramen Olvale (PFO). JMC expanded the team by introducing a dedicated Valve Clinic Coordinator, who provides education and coordinates every aspect of care. 3) JMC continues its partnership with Lox Farms Fresh Rx program to increase availability to and consumption of fresh produce among cancer and cardiac patients in the community. Qualified participants receive a weekly bag of produce for 12 weeks along with educational materials (in English and Spanish) related to food storage, recipes, and resources. Other health needs identified through the CHNA process that are not specifically being addressed are described below, along with an explanation of why these needs are not being specifically addressed. The following needs are addressed through Access to Services and Treatment of Chronic Diseases. These needs received a relatively low priority per community input obtained through key stakeholder interviews and the community survey. 1) Affordability of health care 2) Obesity 3) Preventative care 4) Food insecurity/low food access The are addressed through JMC's comprehensive services and/or educational outreach. These needs also received a relatively low priority per community input obtained through key stakeholder interviews and the community survey. 1) Adult Mental Health 2) Asthma in Children 3) Health Equity 4) Pediatric Mental Health 5) Unintentional Injuries 6) Youth Vaping The following needs are outside the scope of services provided by JMC, but opportunities may exist for JMC to support organizations addressing these needs. 1) Pedestrian/Biker Safety 2) Poverty Among Children 3) Violence/Safety 4) Substance Use 5) Transportation 6 Jupiter Outpatient Surgery Center 2055 Military Trail Suite 100 Jupiter FL 33458 ambulatory surgical center The Margaret W Niedland Breast Center 2111 Military Trail Suite 100 Jupiter FL 33458 Breast Center Jupiter Medical Center Outpatient Imaging Center 2111 Military Trail Suite 105 Jupiter FL 33458 Imaging Center Crisp Cancer Center (fka The Ella Milbank Foshay Cancer Center) 1240 S Old Dixie Hwy Jupiter FL 33458 cancer center CARY GROSSMAN HEALTH & WELLNESS CENTER 1004 S OLD DIXIE HWY Jupiter FL 33458 HEALTH & WELLNESS IMAGING CENTER AT JUPITER MEDICAL CENTERS OUTPATIENT CAMPUS 2111 Military Trail Suite 200 Jupiter FL 33458 IMAGING AND LAB SERVICES AT JUPITER MEDICAL CENTER Schedule H, Part V, Section B, Line 16a FAP AVAILABLE WEBSITE https://www.jupitermed.com/patients-visitors/for-patients/billing-financial-information/financial-assistance-programs/ Schedule H, Part V, Section B, Line 16b FAP APPLICATION FORM WEBSITE https://www.jupitermed.com/patients-visitors/for-patients/billing-financial-information/financial-assistance-programs/ Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITE https://www.jupitermed.com/patients-visitors/for-patients/billing-financial-information/financial-assistance-programs/ Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THE COSTS IN THE TABLE WERE COMPUTED USING THE ORGANIZATION'S COST-TO-CHARGE RATIO. THIS RATIO WAS DETERMINED USING IRS SCHEDULE H, WORKSHEET 2. THE AMOUNTS REPORTED AT LINE 7 ARE COMPUTED ON THE BASIS OF THE IRS SCHEDULE H WORKSHEETS FOR EACH RESPECTIVE LINE ITEM. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount FOR FINANCIAL STATEMENT PURPOSES, THE ORGANIZATION HAS ADOPTED ACCOUNTING STANDARDS UPDATE NO. 2014-09 (TOPIC 606). IMPLICIT PRICE CONCESSIONS, WHICH INCLUDE BAD DEBTS, DIRECTLY REDUCE THE AMOUNT OF PATIENT SERVICE REVENUE REPORTED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS. THEREFORE, BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE AND BAD DEBT EXPENSE IS NOT SEPARATELY REPORTED AS AN EXPENSE. Schedule H, Part III, Line 3 Bad Debt Expense Methodology Due to the fact that the organization has adopted Accounting Standards Update No. 2014-09 (Topic 606) for financial statement purposes, the organization reports $0 bad debt expense because bad debts are included in net patient revenue. Therefore, the amount of bad debts attributable to patients eligible under the organization's financial assistance policy is also $0. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote JUPITER MEDICAL CENTER INC. IS INCLUDED IN CONSOLIDATED FINANCIAL STATEMENTS. BELOW IS THE TEXT OF FOOTNOTE REGARDING BAD DEBT EXPENSE: The initial estimate of the transaction price is determined by reducing the standard charge by any contractual adjustments, discounts, and implicit price concessions. Subsequent changes to the estimate of the transaction price are generally recorded as adjustments to patient service revenue in the period of the change. For the years ended September 30, 2022 and 2021, no significant adjustments to revenue were recognized due to changes in the estimates of implicit price concessions for performance obligations satisfied in prior years. Subsequent changes that are determined to be the result of an adverse change in the patient's ability to pay are recorded as bad debt expense. 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: SEE STATEMENT IN SCHEDULE H PART VI; Schedule H, Part V, Section B, Line 16b FAP Application website - JUPITER MEDICAL CENTER: Line 16b URL: SEE STATEMENT IN SCHEDULE H PART VI; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - JUPITER MEDICAL CENTER: Line 16c URL: SEE STATEMENT IN SCHEDULE H PART VI; Schedule H, Part VI, Line 2 Needs assessment Jupiter Medical Center works closely with and supports MyClinic, an independent not-for-profit free clinic that provides a wide range of medical services to residents of Palm Beach County with limited financial resources, in responding to needs of low-income and uninsured. JMC also conducts many health fairs, support groups and education events throughout the community where residents can provide insight into community health needs. Lastly, a Community Health and Benefit Committee of the Board of Directors was formed during the FY19 to include community members and board members. The committee is focused on identifying and addressing community health needs. In response to the COVID-19 pandemic, JMC re-examined the prioritization of resources and was one of the first hospitals to implement CDC guidelines for the screening, diagnosis, and treatment of COVID-19. JMC began actively treating COVID-19 positive patients in March 2020 and has continued to serve as a COVID-19 testing site, testing more than 1,000 individuals per week at times. In the months following the onset of the pandemic, JMC re-scheduled non-urgent and elective surgeries and canceled several community events and trainings in order to increase capacity and minimize the potential of COVID-19 exposure among patients, team members, and frontline providers. Up-to-date information regarding the impact of COVID-19 on Palm Beach County and surrounding areas is provided through JMC's website, along with resources to ensure that members of the community continue to receive the highest-quality care in the midst of the pandemic, at the following website address: https://safety.jupitermed.com/. JMC has continuously provided COVID-19 vaccinations for the community since they became available and was the first hospital in Palm Beach County to provide COVID-19 vaccinations to the community. More than 1.1 million individuals in Palm Beach County had received at least one dose of the vaccine as of September 2022, representing 74% of the county's population over 6 months of age. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance When Jupiter Medical Center registers a patient, insurance/guarantor information is sought. If a patient does not have insurance, JMC employs financial counselors who are trained in helping patients qualify for financial assistance under the federal, Hill-Burton program, State of Florida Medicaid assistance, local Palm Beach County Health District care along with advising on JMC's financial assistance policies. Financial counselors advise the patient on completion of paperwork necessary to receive assistance. In addition, JMC has partnered with a financing institution to provide patients of additional means the ability to finance patient care at a 0% interest rate provided that payments are made over a 12 month period. Further, the organization provided its financial assistance policy and plain language summary on its website, and upon request at the hospital facility. In addition, individuals were notified about the FAP by being offered a copy of the plain language summary and by the conspicuous public displays that demonstrated information on financial assistance. Schedule H, Part VI, Line 4 Community information JMC is located in Jupiter, Florida. A majority of the patients served by the hospital reside in northern Palm Beach County and southeast Martin County. Palm Beach County makes up 1,970 square miles and Martin County makes up 543 square miles. Palm Beach County is the state's third largest county by population while Martin County is the 32nd largest county out of 67 counties in the state of Florida. According to the most recent available U.S. Census data dated April 1, 2020, the population for both counties has experienced significant growth since 2010 with reported population percentage increases of 13.04% for Palm Beach County and 7.88% for Martin County from April 1, 2010 to April 1, 2020. The elderly population (Age 65+) makes up 23.54% of JMC's Primary Service Area and 28.65% of JMC's Secondary Service Area. These percentages are consistent with the populations in Palm Beach and Martin Counties, but they are significantly higher than state and national percentages. The Caucasian population makes up 77.25% of the population, with Hispanic/Latino population accounting for 11.65%, Black/African American 6.14%, and all others at less than 5%. Schedule H, Part VI, Line 5 Promotion of community health JMC's governing body is comprised of lay persons and physicians who reside in the organization's primary service area who are neither employees nor contractors, nor family members thereof. JMC extends medical staff privileges to all qualified physicians in the community for some or all of its service lines. 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. JMC has continued to monitor COVID-19 developments and respond accordingly, temporarily halting and re-scheduling inpatient elective procedures during the surge of the Delta variant in August 2021 in order to free up resources for COVID-19 patients. In December 2020, JMC received its first shipment of the Moderna COVID-19 vaccine and began vaccinating healthcare workers within two hours of receiving this shipment. JMC posts regular updates for the public to its website regarding current COVID-19 statistics and information, often posting more than once per week with new information. These posts educate the public and provide transparency in JMC's efforts to combat the pandemic. The contents of these posts include: *Current statistics regarding new cases, number of hospitalizations related to COVID-19, and number of tests administered at the statewide, county-wide, and JMC levels *Information about vaccine availability *Current statistics regarding vaccination rates *Formalized plans for administering the COVID-19 vaccine throughout the community, including reaching out to County and State officials to request additional vaccines and submitting applications to AHCA (Agency for Healthcare Administration) to serve as a Community Vaccination site with the ability to administer thousands of vaccines weekly on the JMC campus and Urgent Care Centers *Information regarding new variants of COVID-19 *Explanation of how the Johnson & Johnson vaccine differs from the Pfizer and Moderna vaccines *Updates regarding recommended timing of booster vaccine doses *Descriptions of COVID-19 treatments and therapies *Practical guidelines to for preventing the spread of COVID-19, including surrounding holiday travel This website can be found at https://www.jupitermed.com/covid19-vaccine/ Schedule H, Part VI, Line 6 Affiliated health care system JUPITER MEDICAL CENTER, INC IS AN AFFILIATE OF JUPITER MEDICAL CENTER PAVILION, INC., JUPITER HEALTH, INC., AND JUPITER MEDICAL CENTER PHYSICIANS GROUP, INC. TOGETHER WITH JUPITER MEDICAL CENTER FOUNDATION, INC., THE ORGANIZATION IS FOCUSED ON PROVIDING HIGH QUALITY, COMMUNITY CENTERED HEALTHCARE IN A COST-EFFECTIVE AND COMPASSIONATE MANNER. AS A NON-PROFIT ORGANIZATION, WE RECOGNIZE RESPONSIBILITY FOR THE HEALTH OF OUR COMMUNITY. TOGETHER, THESE ORGANIZATIONS PROVIDE A CONTINUUM OF CARE TO THE COMMUNITY FROM PRIMARY CARE OF PATIENTS THROUGH TO HOSPITAL AND ANCILLARY CARE SERVICES, LONG-TERM, RESIDENTIAL AND REHABILITATION CARE. WE CONSTANTLY REVIEW THE HEALTHCARE NEEDS OF OUR COMMUNITY IN ORDER TO ENSURE THE ORGANIZATION IS RESPONDING TO AND MEETING THE NEEDS OF THE COMMUNITY. true JUPITER MEDICAL CENTER PHYSICIANS GROUP INC 1210 S OLD DIXIE HIGHWAY JUPITER FL 33458 263187119 501(C)(3) 13265945 0 N/A N/A GENERAL SUPPORT JMC MSNY VENTURES INC 1210 S OLD DIXIE HIGHWAY JUPITER FL 33458 814028690 501(C)(3) 201888 0 N/A N/A GENERAL SUPPORT American Heart Association Greater SE Affiliates-AR PO Box 4002900 Des Moines IA 50340 135613797 501(c)(3) 60000 0 N/A N/A GENERAL SUPPORT Children's HEALTHCARE CHARITY INC 3300 PGA BLVD 80 PALM BEACH GARDENS FL 33410 204394654 501(c)(3) 266000 0 N/A N/A GENERAL SUPPORT 4 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. Jupiter Medical Center, Inc. sponsors local organizations in order to provide community benefit. Sponsorship packages are selected based on the event taking place and its impact on the community. X false true X X X X X false true false false false false false true false Amit Rastogi MD MHCM PRESIDENT & CEO/ASSISTANT SECRETARY 603169 0 514247 0 40603 0 281207 0 8093 0 1447319 0 0 0 DALE HOCKING CPA VP FINANCE & CFO/Assistant Treasurer 316308 0 129001 0 35351 0 25768 0 12540 0 518968 0 0 0 Steven Seeley MSN CENP CEN CPHQ SVP & Chief Operating Officer 351426 0 161309 0 18092 0 126482 0 8310 0 665619 0 0 0 Julia Click Vice President & Chief Human Resources Officer 221276 0 109600 0 21003 0 13186 0 28218 0 393283 0 0 0 Pamela S Canter RN VP Chief Nursing Officer 221324 0 110176 0 22282 0 13799 0 2473 0 370054 0 0 0 Charles Murphy Chief Quality & Patient Safety Officer 258875 0 72500 0 4365 0 13652 0 8567 0 357959 0 0 0 Mahesh Patel MD PHYSICIAN 257558 0 39103 0 1963 0 811 0 24885 0 324320 0 0 0 Patricia J Patrick VP & Chief Growth and Marketing Officer 187853 0 60900 0 23176 0 9902 0 9293 0 291124 0 0 0 Schedule J, Part I, Line 1a Health or social club dues or initiation fees Jupiter Medical Center paid club dues on behalf of Amit Rastogi during calendar year 2021. These dues were treated as taxable compensation to the individual. Schedule J, Part I, Line 1b Written policy regarding payment or reimbursement of expenses The club dues paid on behalf of Amit Rastogi are written into his employment contract. The organization has a written expense reimbursement policy, but this policy does not specifically address club dues. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan THE INDIVIDUALS LISTED BELOW PARTICIPATED IN A RETENTION BONUS PLAN DURING 2021. During calendar year 2021, accruals related to retention bonuses were made for the following individuals. These amounts are included on Schedule J, Part II, Col (C): Amit Rastogi - $226,481 Steven Seeley - $100,456 NONE OF THE INDIVIDUALS REPORTED ON THE FILING ORGANIZATION'S FORM 990, PART VII, SECTION A RECEIVED A RETENTION BONUS PAYOUT DURING CALENDAR YEAR 2021. THE FOLLOWING INDIVIDUALS PARTICIPATED IN A 457(F) PLAN DURING 2021. ACCRUALS INTO THE PLAN DURING CALENDAR YEAR 2021 WERE AS FOLLOWS. THESE AMOUNTS ARE INCLUDED ON SCHEDULE J, PART II, COL (C): AMIT RASTOGI - $38,500 DALE HOCKING - $14,090 STEVEN SEELEY - $14,672 Julia Click - $8,820 Pamela Canter - $8,893 Charles Murphy - $9,012 Patricia Patrick - $7,570 NONE OF THE INDIVIDUALS REPORTED ON THE FILING ORGANIZATION'S FORM 990, PART VII, SECTION A RECEIVED A DISTRIBUTION FROM THE 457(F) PLAN DURING CALENDAR YEAR 2021. Schedule J, Part I, Line 7 Non-fixed payments THE ORGANIZATION OFFERS BONUSES BASED ON THE ACHIEVEMENT OF INDIVIDUAL AND ORGANIZATIONAL GOALS; THIS BONUS IS BASED ON A PERCENTAGE OF BASE SALARY OF THE EMPLOYEE. IN ADDITION, SOME INTERESTED PERSONS RECEIVED AN ADDITIONAL PERFORMANCE BONUS THAT IS NOT BASED ON A FIXED FORMULA. A Palm Beach County Health Facilities Authority - 2013A 521297506 696507SW3 2013-05-07 54346809 See Statement false false false B Palm Beach County Health facilities Authority - 2017B 521297506 000000000 2017-12-20 30400000 See Statement false false false C Palm Beach County Health Facilities Authority - 2022A 521297506 69651ACE2 2022-07-07 151641763 See Statement false false false A 25591809 0 54346809 0 0 0 430780 0 0 23561908 30354121 0 2014 true false true true B 340000 0 30400000 0 0 0 0 0 0 30400000 0 0 2018 false false true true C 0 0 151641763 0 0 0 1641763 0 0 10277651 0 139722349 false false false true A false true true true false 0.0 0.0 0.0 false false true B false false true true false 0.0 0.0 0.0 false false true C false false false false 0.0 0.0 0.0 false false true A false false false true false false false false true B false true false false false false false false true C false true false false false false false false true A true B true C true Schedule K, Part I, Column (f) Description of Purpose 2013 Bond Issue A - Purpose of Bond: Various Capital Improvements and Refund the following bond issues: Series 1999B and a 2011 promissory note. 2017 Bond Issue B - Purpose of Bond: Various Capital Improvements 2022 Bond Issue A - Purpose of Bond: Various Capital Improvements Schedule K, Part IV, Line 2c COLUMN A Issuer name: Palm Beach County Health Facilities Authority - 2013A The calculation for computing no rebate due was performed on 05/01/2018 Form 990, Part III, Line 4a PROGRAM SERVICE ACCOMPLISHMENT (CONTINUED FROM PART III) IN ADDITION, JMC CONTINUALLY IMPLEMENTS NEW TECHNOLOGY AND SERVICES TO MEET THE COMMUNITY'S NEEDS. THE MEDICAL CENTER CONSISTS OF 248 PRIVATE ACUTE CARE HOSPITAL 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 2,238 EMPLOYEES, 736 PHYSICIANS, 591 NURSES AND OVER 373 VOLUNTEERS. FOR THE YEAR ENDING SEPTEMBER 30, 2022, THE MEDICAL CENTER HAD 13,240 DISCHARGES, 2,114 BIRTHS, 45,545 EMERGENCY ROOM VISITS, 336,521 OUTPATIENT VISITS, AND 16,216 SURGERIES. OVER THE YEARS, JUPITER MEDICAL CENTER HAS GAINED A REPUTATION AS A WORLD-CLASS MEDICAL FACILITY, KNOWN FOR ITS EXCELLENT, COMPASSIONATE CARE. Additionally, Jupiter Medical Center opened the ANDERSON FAMILY CANCER INSTITUTE in MARCH 2020, a HEART & STROKE PROGRAM in MARCH 2020, a NICU in DECEMBER 2019, AND a WOMEN'S INPATIENT FLOOR in FEBRUARY 2020. During the fiscal year ended September 30, 2021, JUPITER MEDICAL CENTER became the first hospital in South Florida and one of the first in the United States to treat heart failure patients using cardiac contractility modulation, established a multidisciplinary valve clinic, launched a structural heart program, and performed its first implant of the Watchman device for Atrial Fibrillation, which is proven to reduce stroke risk. In April 2022, Jupiter Medical Center broke ground on the Johnny and Terry Gray Surgical Institute, a 90,000 square foot state-of-the-art facility featuring the latest in hybrid technology to accommodate complex surgeries with real-time consultations and a comprehensive approach to care. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons AMIT RASTOGI, DALE HOCKING, STEVE SEELEY, PATRICIA PATRICK, AND THOMAS ROWE - Business relationship Form 990, Part VI, Line 6 Classes of members or stockholders Jupiter Health, Inc., the organization's parent, is the sole member of the organization. The member has the exclusive authority to appoint the trustees of the organization. Further, the member's approval will be required to authorize any amendments to the bylaws or articles of incorporation, merging with another corporation or entity, dissolving the corporation, guaranteeing the obligations of another, and selling or transferring the organization's asset. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body Jupiter Health, Inc., the organization's parent, has the exclusive authority to appoint the trustees of the organization. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders Jupiter Health, Inc.'s approval will be required to authorize any amendments to the bylaws or articles of incorporation, merging with another corporation or entity, dissolving the corporation, guaranteeing the obligations of another, and selling or transferring the organization's assets. Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body The organization had no committees with the authority to act on behalf of the governing body. Form 990, Part VI, Line 11b Review of form 990 by governing body The VP of Finance and CFO reviews the Form 990 prior to its finalization. A FINAL DRAFT IS PROVIDED TO EACH MEMBER OF THE ORGANIZATION'S 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 CONFLIC Form 990, Part VI, Line 15a Process to establish compensation of top management official The Compensation Committee of the Board of Jupiter Medical Center, Inc. reviews survey data, financial ability of the organization, and accomplishment of goals to determine the amount of compensation of the President & CEO. A compensation consultant is also hired on an ongoing basis. The compensation is then reported to the Board of Jupiter Medical Center, Inc. The deliberations and decisions of the Compensation Committee are documented in the committee minutes. This process was undertaken November, 2021 for the fiscal year ended September 30, 2022. Form 990, Part VI, Line 15b Process to establish compensation of other employees The Compensation Committee of the Board of Jupiter Medical Center, Inc. reviews and approves the compensation of the President and CEO, Chief Financial Officer, Chief Operating Officer and Foundation President. The Compensation Committee reviews survey data, financial ability of the organization, and accomplishment of goals in order to determine compensation. A compensation consultant is also hired on an ongoing basis. Compensation is then reported to the Board of Jupiter Medical Center, Inc. The decisions and deliberations are documented in the committee minutes. This process was undertaken November, 2021 for the fiscal year ended September 30, 2022. Form 990, Part VI, Line 19 Required documents available to the public The organization's financial statements are available to the public through the state of Florida because they are filed with the Agency for Health Care Administration. The organization's governing documents and conflict of interest policy are available for review upon request at Hospital Administration. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue MEDICAL RECORDS - Total Revenue: 4549, Related or Exempt Function Revenue: 4549, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; SPECIALTY PROGRAMS - Total Revenue: 438933, Related or Exempt Function Revenue: 438933, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; MISCELLANEOUS - Total Revenue: 856523, Related or Exempt Function Revenue: 856523, 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 NET ASSET TRANSFER FROM RELATED ORGANIZATION - 50047; Pavilion Insurance Company LLC 101 South Tryon Street Suite 2700 Charlotte NC 28280 874057103 INSURANCE NC 0 7779156 JUPITER MEDICAL CENTER INC JUPITER MEDICAL CENTER FOUNDATION INC 1210 SOUTH OLD DIXIE HIGHWAY JUPITER FL 33458 650132406 FUNDRAISING FL 501(c)(3) 7 JUPITER HEALTH INC false JUPITER MEDICAL CENTER PAVILION INC 1230 SOUTH OLD DIXIE HIGHWAY JUPITER FL 33458 592452576 SKILLED NURSING FACILITY FL 501(c)(3) 10 JUPITER MEDICAL CENTER INC true JUPITER MEDICAL CENTER PHYSICIANS GROUP INC 1210 SOUTH OLD DIXIE HIGHWAY JUPITER FL 33458 263187119 PHYSICIAN OFFICES FL 501(c)(3) 10 JUPITER MEDICAL CENTER INC true JUPITER HEALTH OUTPATIENT SERVICES INC 1210 SOUTH OLD DIXIE HIGHWAY JUPITER FL 33458 455310772 AMBULATORY CARE SERVICES FL 501(c)(3) 3 JUPITER MEDICAL CENTER INC true JUPITER HEALTH INC 1210 SOUTH OLD DIXIE HIGHWAY JUPITER FL 33458 811545676 PARENT ORGANIZATION FL 501(c)(3) Type III-FI NA false JMC MSNY VENTURES INC 1210 SOUTH OLD DIXIE HIGHWAY JUPITER FL 33458 814028690 SUPPORTING ORGANIZATION FL 501(c)(3) Type I 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 945102 12489608 false false 0.768 TTB PARTNERS LTD 900 BROKEN SOUND PKY NW STE 125 BOCA RATON FL 33487 650945554 MEDICAL OFFICE BUILDING FL JMC Related 197362 2991197 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 0 0 1 true JUPITER MEDICAL CENTER COLLABORATIVE INC 1210 SOUTH OLD DIXIE HIGHWAY JUPITER FL 33458 474731137 MANAGED CARE CONTRACTING FL Jupiter Medical Center Inc C Corporation 0 0 1 true JUPITER HEALTH VENTURES INC 1210 SOUTH OLD DIXIE HIGHWAY JUPITER FL 33458 812659400 JV HOLDING COMPANY FL Jupiter Health Inc C Corporation 0 0 false Jupiter Health Management Services LLC 1210 South Old Dixie Highway Jupiter FL 33458 371830787 Management Services FL Jupiter Medical Center Inc C Corporation 0 0 1 true false true true false false false false false false false true true true true true false true true true Jupiter Medical Center Pavilion S 50047 FMV JMC MSNY VENTURES B 201888 FMV JUPITER MEDICAL CENTER PHYSICIANS GROUP INC B 13265945 FMV