2024-08-15T17:00:04+00:00 2023-09-30 350921680 CROWE LLP 401 East Las Olas Blvd Suite 1100 Fort Lauderdale FL 333014230 990 2022-10-01 591460239 Jupiter Medical Center Inc JUPI 5612632234 1210 South Old Dixie Highway Jupiter FL 33458 Michael Loftus CFO 5612632234 2024-08-15 true Brittney Kocaj P01320603 9542028600 2022 2024-08-08 14:25:15Z AMIT RASTOGI MD MHCM - PRESIDENT & CEO 1210 South Old Dixie Highway Jupiter FL 33458 434782805 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. 15 14 2324 516 528438 0 52597728 39968600 341260788 386647141 167774 396802 6458021 7215440 400484311 434227983 13807333 0 0 182865438 190062933 0 0 195667588 232789035 392340359 422851968 8143952 11376015 580822927 607600199 349015315 388855069 231807612 218745130 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 330901499 390787047 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) 330901499 true true false true false false false false true true false false true 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 true true true true false false true 82 0 true 2324 true true true false false false false false false false false false true false X 15 14 true false false false true true true true false false false true true true true true true true true true true FL X Michael Loftus 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 Anthony P Shaya MD Trustee 1.0 1.0 X 0 0 0 HARVEY GOLUB Trustee 1.0 1.0 X 0 0 0 Henri DesPlaines Trustee 1.0 1.0 X 0 0 0 John Seifert Trustee (beginning Jan 2023) 1.0 1.0 X 0 0 0 Lee Fox MD Trustee 1.0 1.0 X 41925 0 0 MARK L CORRY MD TRUSTEE 1.0 1.0 X 0 0 0 Michael Leighton MD Trustee 1.0 1.0 X 0 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 1477906 0 250527 DALE HOCKING CPA VP FINANCE & CFO/Assistant Treasurer (thru April 2023) 40.0 6.0 X 427414 0 48978 MICHAEL LOFTUS SVP & CFO (beginning April 2023) 40.0 6.0 X 0 0 0 Steven Seeley MSN CENP CEN CPHQ SVP & Chief Operating Officer 40.0 9.0 X 583805 0 103722 Charles Murphy Chief Quality & Patient Safety Officer (thru Sept 2022) 40.0 0 X 308799 0 27026 Julia Click Vice President & Chief Human Resources Officer 40.0 0 X 381273 0 44027 Kevin Olson VP Chief Information Officer 40.0 0 X 354391 0 30856 Pamela S Canter RN VP Chief Nursing Officer 40.0 0 X 388585 0 19880 Rogerio Lilenbaum SVP and Chief Physician Executive 5.0 40.0 X 646398 0 12090 4610496 0 537106 255 false true false AYA HEALTHCARE INC PO BOX 123519 DALLAS TX 75312 TRAVEL NURSE SERVICE 15748368 ROBINS & MORTON GROUP #5870 PO BOX 11407 BIRMINGHAM AL 352465870 CONSTRUCTION 13845263 SODEXO INC & AFFILIATES PO BOX 360170 PITTSBURGH PA 152516170 OUTSOURCED SUPPORT SERVICES (FOOD) 5488105 BLACKDIAMOND 1930 COMMERCE LANE STE 204 JUPITER FL 33458 CONSTRUCTION/BLDG RENOVATIONS 4102902 CERNER CORPORATION PO BOX 959156 ST LOUIS MO 631959156 HEALTH INFORMATION TECHNOLOGY SERVICES 3459504 175 31609962 8358638 39968600 PATIENT SERVICE REVENUE 622110 386121888 386121888 CLINIC SERVICES 622110 525253 525253 0 0 0 0 386647141 355257 355257 3101918 554822 2547096 0 2547096 2547096 41545 0 0 41545 41545 41545 Patient/family concierge services 623110 1923411 1923411 OUTREACH LAB INCOME 621511 528438 528438 AUXILIARY INCOME 900099 1181387 1181387 1035108 1035108 0 0 4668344 434227983 390787047 528438 2943898 2945488 2313977 631511 162792656 127890015 34902641 3557768 2794985 762783 11039055 8672289 2366766 9727966 7642296 2085670 2191245 2191245 338456 14138 324318 120000 120000 12528 12528 34816584 22390359 12426225 0 2441944 18839 2423105 3047901 1713876 1334025 12544637 1323106 11221531 6048734 2982675 3066059 129521 18498 111023 3991674 36752 3954922 26064708 20476451 5588257 8813096 7896666 916430 MEDICAL & OTHER SUPPLIES 115298991 113181668 2117323 Indigent Care & Medicaid Assessment 8280846 8280846 collection fees 3111236 3111236 Food & Nutrition 2284986 1690512 594474 3251948 1443551 1808397 0 422851968 330901499 91950469 0 1600 5000 194917898 126654169 46153752 53447610 0 0 0 0 10304234 10696606 10641373 10399836 651734491 287483355 283936753 364251136 27798 20892 1322694 1483203 6596496 6596496 26920329 34045251 580822927 607600199 50666292 60770097 0 210138762 210615927 0 0 341068 0 87869193 117469045 349015315 388855069 X 231807612 218745130 231807612 218745130 580822927 607600199 X 11376015 81384 -24519881 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 120000 false true 10904 130904 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. 12160996 2100000 1423440 2069965 13614471 17428534 2050221 -2466759 4851000 12160996 12694499 2077774 2744398 88137 17428534 12623598 91538 746964 767601 12694499 12530999 232599 140000 12623598 0.0 1.0 0.0 false true true 18767279 18767279 266745708 107823955 158921753 5423517 3951302 1472215 120936538 91475916 29460622 239861449 84232182 155629267 364251136 due from affiliates 4604028 Operating Rights to use assets 28783004 Rent receivable 357822 Self-Insurance Retention Principal Other Assets 300397 34045251 accrued liability for self-insurance programs 8415677 capital Lease payable 4458164 Lease financing obligations 1233022 Executive Retirement Plan 727108 Property Leases 28783004 Estimated Third Party settlements 4154514 Insurance Liability 1560413 Line of Credit 64800000 Other Liabilities 3337143 117469045 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, 2023 and 2022. Tax returns filed by Jupiter Health and its affiliated companies are no longer subject to examination for the years ended September 30, 2019 and prior. true true X true X true X true true true false true true 6414626 0 6414626 0.0152 23139265 7212494 15926771 0.0377 181062 28805 152257 0.0004 0 0 29734953 7241299 22493654 0.0532 1044803 0 1044803 0.0025 0 0 0 0.0 39693196 28372650 11320546 0.0268 0 0 0 0.0 0 0 0 0.0 0 0 40737999 28372650 12365349 0.0292 0 0 70472952 35613949 34859003 0.0824 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 212106193 269651717 -57545524 X true true JUPITER OUTPATIENT SURGERY CENTER LLC (BECAME DISREGARDED EFF 612023) OUTPATIENT SURGERY CENTER 1.0 0.0 0.0 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/JMC-2022-CHNA-9.7.22.FINALpdf.pdf X true 21 true https://www.jupitermed.com/documents/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 the 2021 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 constructed new surgical facility, with less than two years between breaking ground and opening this new facility. Construction of the Johnny and Terry Gray Surgical Institute began in April 2022 and the facility opened to patients in December 2023. This 90,000 square foot facility features the latest in hybrid technology to accommodate complex surgeries with real-time consultations and a comprehensive approach to care. The facility's sixteen "smart" operating rooms accommodate complex surgeries, while the two hybrid suites offer surgeons the ability to transition from a minimally invasive surgery to an open procedure, enhancing the patient experience and improving outcomes. The "operating rooms of the future" use state-of-the-art equipment that is digitally integrated. The surgical team is 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 provides 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 is integrated into the Institute's design, providing seamless updates from the care team to a patient's family. 2) To increase Emergency Department capacity, JMC completed the expansion of the Emergency Department in January 2023 by adding eleven rooms and increasing capacity by 30%. The renovated facility also includes eight 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. 3) To increase inpatient care capacity, JMC is constructing a new 92-bed patient tower. JMC received final approval for this project from the Town of Jupiter in April 2023 and plans to complete construction in May 2025. The new patient tower will increase the hospital's capacity for inpatient care, including oncology, cardiovascular, and orthopedics. 4) To increase general hospital capacity, JMC plans to partner with the University of Florida's academic health center (UF Health) to construct a two-story, 53,000-square-foot facility that will include 24-hour emergency services, inpatient beds, operating rooms, a diagnostic laboratory, and imaging services. This facility, referred to as the Neighborhood Hospital in Avenir, has a targeted completion date in 2025, with construction of this facility beginning in 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. 3) The Neighborhood Hospital in Avenir, the facility to be jointly operated by JMC and UF Health whose construction began in 2023, will include medical office space for primary care physicians. This facility is expected to open in 2025. JMC has undertaken the following programs and services to address Access to care for Chronic Diseases: 1) In November 2022, JMC began offering next-day oncologist appointments for newly diagnosed cancer patients. Patients can call the Anderson Family Cancer Institute for a next-day appointment with a cancer specialist, empowering them and their families to jump start their journey to beat cancer. Since opening the Anderson Family Cancer Institute in March 2020, JMC has hired oncologists who specialize in certain types of cancers, including breast and gynecologic, head and neck, genitourinary, lung, gastrointestinal, blood, and rare neuroendocrine cancers. In 2023, JMC welcomed five physicians to the cancer team, building upon JMC's expertise across medical, surgical and radiation oncology. Technology has also been added to JMC's oncology department, including a Varian TrueBeam linear accelerator, to expand the radiation treatment options available to cancer patients. In 2023, JMC expanded its imaging and diagnostic capabilities to ensure the highest accuracy in cancer detection. At the Margaret W. Niedland Breast Center, JMC launched 3D Contrast Enhanced Mammography, a groundbreaking technology that identifies breast cancer earlier. The technology offers more detailed imaging and allows for more flexibility for women with pacemakers or those who cannot tolerate an MRI. Additionally, JMC hosts a Cancer Wellness Program in which various JMC departments collaborate to assist patients in managing fatigue, exercise/rehabilitation, and nutrition. 2) JMC expanded the Structural Heart Program in 2023, giving patients more options for heart and vascular care that are less invasive and require less recovery time. Adding to its expertise in innovative Structural Heart procedures, JMC now offers transcatheter aortic valve replacement (TAVR), a minimally invasive procedure used to replace the aortic valve in people with severe aortic stenosis. 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). Additional physicians were added to this team of experts during 2023. JMC's Atrial Fibrillation (AFib) Center of Excellence focuses on offering patients relief through a host of modern techniques, and in 2023, JMC expanded the electrophysiology program to integrate minimally invasive cutting-edge treatments for abnormal heart rhythms. This robust program now includes a multidisciplinary team of specialists experienced in a wide range of pharmaceutical, minimally invasive, and surgical options. 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 following needs 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 8 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 Johnny and Terry Gray Surgical Institute 1240 S OLD DIXIE HWY JUPITER FL 33458 SURGICAL CENTER Jupiter Medical Center Krupa Medical Building Pain Management 1002 S Old Dixie Hwy Suite 302 Jupiter FL 33458 PAIN MANAGEMENT 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 7g Subsidized Health Services None of the subsidized health services reported on Line 7g are attributable to physician clinics. 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, 2023 and 2022, 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. 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. For example, JMC's hospitalist program was created in response to JMC's finding that many hospital patients did not have a primary care physician. JMC also continues to invest in oncological services as new oncologists quickly reach capacity. The organization offers medical education to the community and has several ongoing medical research studies. Schedule H, Part VI, Line 6 Affiliated health care system JUPITER MEDICAL CENTER, INC IS AN AFFILIATE OF JUPITER 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. X X false true X X X X X true true false false false false false true false Amit Rastogi MD MHCM PRESIDENT & CEO/ASSISTANT SECRETARY 731163 0 515400 0 231343 0 241660 0 8867 0 1728433 0 0 0 DALE HOCKING CPA VP FINANCE & CFO/Assistant Treasurer (thru April 2023) 349982 0 71333 0 6099 0 40556 0 8422 0 476392 0 0 0 Steven Seeley MSN CENP CEN CPHQ SVP & Chief Operating Officer 371963 0 193494 0 18348 0 95075 0 8647 0 687527 0 0 0 Rogerio Lilenbaum SVP and Chief Physician Executive 447007 0 170193 0 29198 0 0 0 12090 0 658488 0 0 0 Julia Click Vice President & Chief Human Resources Officer 239816 0 127400 0 14057 0 14722 0 29305 0 425300 0 0 0 Pamela S Canter RN VP Chief Nursing Officer 237770 0 127420 0 23395 0 17438 0 2442 0 408465 0 0 0 Kevin Olson VP Chief Information Officer 239739 0 91200 0 23452 0 11778 0 19078 0 385247 0 0 0 Charles Murphy Chief Quality & Patient Safety Officer (thru Sept 2022) 185405 0 47517 0 75877 0 20646 0 6380 0 335825 0 0 0 Schedule J, Part I, Line 1a Housing allowance or residence for personal use Jupiter Medical Center paid a housing benefit for Amit Rastogi during calendar year 2022. This amount was treated as taxable compensation to the individual. 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 2022. 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 4a Severance or change-of-control payment During calendar year 2022, Charles Murphy received severance payments from the filing organization totaling $70,317. This amount was treated as taxable compensation and is included in Form 990, Schedule J, Part II, Column B(iii). Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan THE INDIVIDUALS LISTED BELOW PARTICIPATED IN A RETENTION BONUS PLAN DURING 2022. During calendar year 2022, accruals related to retention bonuses were made for the following individuals. These amounts are included on Schedule J, Part II, Col (C): Amit Rastogi - $150,710 Steven Seeley - $39,487 None of the individuals reported on the filing organization's Form 990, Part VII, Section A received a retention bonus payout during calendar year 2022. The following individuals participated in a 457(f) plan during 2022. Accruals into the plan during calendar year 2022 were as follows. These amounts are included on Schedule J, Part II, Col (c): Amit Rastogi - $71,491 Dale Hocking - $27,681 Steven Seeley - $43,735 Julia Click - $5,019 Kevin Olson - $6,379 Pamela Canter - $7,037 Charles Murphy - $13,911 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 2022. 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 - 2017B 521297506 000000000 2017-12-20 30400000 Capital Improvements false false false B Palm Beach County Health Facilities Authority - 2022A 521297506 69651ACE2 2022-07-07 151641763 Capital Improvements false false false C Palm Beach County Health Facilities Authority - 2022B 521297506 000000000 2022-10-05 26950000 PAY OFF 2013A BONDS false false false A 460000 0 30400000 0 0 0 0 0 0 30400000 0 0 2018 false false true true B 0 0 151641763 0 0 0 1641763 0 0 67426464 82573536 0 2022 false false true true C 0 0 26950000 0 0 0 202184 0 0 0 26747816 0 2022 true false true true A false false true true false 0.0 0.0 0.0 false false true B false false false 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 true false 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 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 EMPLOYS APPROXIMATELY 2500 INDIVIDUALS, INCLUDING 742 PHYSICIANS AND 678 NURSES. DURING 2023, THE MEDICAL CENTER HAD 369,035 OUTPATIENT VISITS, 14,535 HOSPITAL ADMISSIONS, 2,486 BIRTHS, 53,276 EMERGENCY ROOM VISITS, AND 16,228 SURGERIES. OVER THE YEARS, JUPITER MEDICAL CENTER HAS GAINED A REPUTATION AS A WORLD-CLASS MEDICAL FACILITY, KNOWN FOR ITS EXCELLENT, COMPASSIONATE CARE. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons AMIT RASTOGI, STEVE SEELEY, THOMAS ROWE, AND DALE HOCKING - Business relationship, AMIT RASTOGI, STEVE SEELEY, THOMAS ROWE, AND MICHAEL LOFTUS - 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 CONFLICT. Form 990, Part VI, Line 15a Process to establish compensation of top management official The Compensation Committee of the Board of Jupiter Medical Center, Inc. reviews survey data, financial ability of the organization, and accomplishment of goals to determine the amount of compensation of the President & CEO. A compensation consultant is also hired on an ongoing basis. The compensation is then reported to the Board of Jupiter Medical Center, Inc. The deliberations and decisions of the Compensation Committee are documented in the committee minutes. This process was undertaken November, 2022 for the fiscal year ended September 30, 2023. 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, 2022 for the fiscal year ended September 30, 2023. 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: 6238, Related or Exempt Function Revenue: 6238, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; SPECIALTY PROGRAMS - Total Revenue: 564685, Related or Exempt Function Revenue: 564685, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; MISC REVENUE - Total Revenue: 464185, Related or Exempt Function Revenue: 464185, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances TRANSFERS TO AFFILIATES - -24519881; Pavilion Insurance Company LLC 101 South Tryon Street Suite 2700 Charlotte NC 28280 874057103 INSURANCE NC 0 5024272 JUPITER MEDICAL CENTER INC JUPITER OUTPATIENT SURGERY CENTER LLC (became disregarded effective 612023) 2055 N MILITARY TRAIL SUITE 100 JUPITER FL 33458 650925020 SURGERY CENTER FL 6593429 14621824 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) Type II 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 (BECAME DISREGARDED EFFECTIVE 612023) 2055 N MILITARY TRAIL SUITE 100 JUPITER FL 33458 650925020 SURGERY CENTER FL JMC Related 796048 0 false 0 false 0.7681 TTB PARTNERS LTD 900 BROKEN SOUND PKY NW STE 125 BOCA RATON FL 33487 650945554 MEDICAL OFFICE BUILDING FL JMC Related 62710 2988136 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 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 false true false false false false false false false true true true true true false true true true JUPITER MEDICAL CENTER PHYSICIANS GROUP INC R 24311934 FMV JMC MSNY VENTURES INC R 207945 FMV