2025-08-14T11:45:38+00:00 2024-09-30 350921680 CROWE LLP 401 East Las Olas Blvd Suite 1100 Fort Lauderdale FL 333014230 990 2023-10-01 591460239 Jupiter Medical Center Inc JUPI 5612632234 1210 South Old Dixie Highway Jupiter FL 33458 ALLISON VIRAMONTES CFO 5612632234 2025-08-14 true Brittney Kocaj P01320603 9542028600 2025-08-14 2023 2025-03-06 01:10:19Z AMIT RASTOGI MD MHCM - PRESIDENT & CEO 1210 South Old Dixie Highway Jupiter FL 33458 484351378 false X www.jupitermed.com X 1973 FL To deliver excellent and compassionate healthcare advancing the well-being of the people we serve. 15 14 2511 402 422538 0 39968600 36160727 386647141 440447538 396802 -17587631 7215440 5312074 434227983 464332708 0 0 190062933 201242952 0 0 232789035 260247589 422851968 461490541 11376015 2842167 607600199 593968635 388855069 393674541 218745130 200294094 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 361029538 442441081 Jupiter Medical Center ("JMC") is a 248-bed community medical center offering state-of-the-art technology and top-tier healthcare professionals. Highly-skilled physicians, strategic partnerships, and innovative techniques and technology enable JMC to provide comprehensive care in a broad range of specialties, including cardiac and vascular care, oncology, stroke care, treatment and management of chronic illnesses, women's and children's services, orthopedics, pain management, and urgent care. JMC demonstrates a commitment to providing exceptional patient care by continuously implementing new or expanded services to meet the evolving needs of the community, which includes consistently being among the first in the region to incorporate new technologies and procedures. (CONTINUED ON SCHEDULE O) 361029538 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 211 0 true 2511 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 ALLISON VIRAMONTES 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 1.0 1.0 X 0 0 0 Lee Fox MD Trustee 1.0 1.0 X 62475 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 ESQ 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 1517296 0 260293 MICHAEL LOFTUS SVP & CFO (beginning April 2023) 40.0 6.0 X 524195 0 6735 Steven Seeley MSN CENP CEN CPHQ SVP & Chief Operating Officer 40.0 9.0 X 583331 0 105301 DALE HOCKING CPA VP OF FINANCE (THRU MARCH 2024) 40.0 0.0 X 465382 0 31816 Julia Click Vice President & Chief Human Resources Officer 40.0 0 X 369897 0 90079 Kevin Olson VP Chief Information Officer 40.0 0 X 362832 0 57970 Pamela S Canter RN VP Chief Nursing Officer 40.0 0 X 400483 0 89473 Rogerio Lilenbaum SVP and Chief Physician Executive 5.0 40.0 X 1189002 0 163606 5474893 0 805273 317 false true false RYAN WILLIAM'S AGENCY 1016 CLARE AVE STE 5 WEST PALM BEACH FL 33401 MARKETING SERVICES 2037094 NICKLAUS CHILDRENS PEDIATRIC SPECIALISTS 3100 SW 62ND AVE Miami FL 33155 PEDIATRIC / NICU MANAGEMENT 1754933 CORDEA CONSULTING LLC 1131 EAST 9TH ST STE 100 Edmond OK 73034 IT CONSULTING 1746015 CARLTON FIELDS PA PO BOX 3239 Tampa FL 33601 LEGAL 1078949 ROTH STAFFING COMPANIES LLP 450 N STATE COLLEGE BLVD Orange City CA 92868 STAFFING 829437 36 36160727 36160727 PATIENT SERVICE REVENUE 622110 437812940 437812940 CLINIC SERVICES 622110 696075 696075 Patient/family concierge services 622110 1938523 1938523 0 0 0 0 440447538 1931812 1931812 3389220 493227 2895993 0 2895993 2895993 6000 19525443 0 -19519443 -19519443 -19519443 AUXILIARY INCOME 900099 1149028 1149028 OUTREACH LAB INCOME 621511 422538 422538 specialty and support programs 900999 523355 523355 321160 321160 0 0 2416081 464332708 442441081 422538 -14691638 3496418 2807181 689237 168533748 135311258 33222490 3979244 3194829 784415 12117162 9728547 2388615 13116380 10530792 2585588 3057153 3057153 63295 63295 118750 118750 1025957 1025957 37044606 24355487 12689119 0 2656891 33373 2623518 2457164 1408269 1048895 13165894 1847027 11318867 6759639 1911604 4848035 93373 15961 77412 5309583 5309583 28095282 22556954 5538328 8469783 7647100 822683 MEDICAL & OTHER SUPPLIES 130983772 128833049 2150723 Indigent Care & Medicaid Assessment 7021426 7021426 collection fees 3557888 3557888 Food & Nutrition 2197557 1638164 559393 8169576 2069767 6099809 0 461490541 361029538 100461003 0 5000 4600 126654169 51365610 53447610 72206791 0 0 0 0 10696606 12718370 10399836 12334776 671029958 275140477 364251136 395889481 3175462 20892 27551 1483203 7192116 6596496 6596496 34045251 32457382 607600199 593968635 60770097 66986903 210615927 209370315 0 0 0 117469045 117317323 388855069 393674541 X 218745130 200294094 218745130 200294094 607600199 593968635 X 2842167 5419675 -26712878 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 118750 false true 11459 130209 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. 13614471 2040000 3147524 56419 18745576 12160996 2100000 1423440 2069965 13614471 17428534 2050221 -2466759 4851000 12160996 12694499 2077774 2744398 88137 17428534 12623598 91538 746964 767601 12694499 0.0 1.0 0.0 false true true 18767279 18767279 328896143 102099329 226796814 6598666 4297153 2301513 147606709 99733058 47873651 169161161 69010937 100150224 395889481 due from affiliates 384497 Operating Rights to use assets 25517153 Rent receivable 204571 Financing Rights to use assets 6084649 Other Assets 266512 32457382 accrued liability for self-insurance programs 10727722 capital Lease payable 4017152 Executive Retirement Plan 1215805 Property Leases 26155727 Estimated Third Party settlements 7299834 Insurance Liability 1687362 Line of Credit 64900000 Other Liabilities 1313721 117317323 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 INCOME TAXES FOOTNOTE FROM THOSE FINANCIAL STATEMENTS. The Internal Revenue Service has determined that the Hospital, Pavilion Insurance, the Foundation, JMCPG, and JHOS 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% likelihood of being realized upon ultimate settlement. ASC Subtopic 740-10, also provides guidance on 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, 2024 and 2023. 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, 2024 and 2023. Tax returns filed by Jupiter Health and its affiliated companies are no longer subject to examination for the years ended September 30, 2020 and prior. Jupiter Health has a 100% investment interest in an ambulatory surgery center at September 30, 2024 and 2023, which may be considered to operate in a for-profit manner. However, Jupiter Health believes, through its membership agreement, it has documentation to support the interest in this investment by the Hospital causing it to be related to its exempt purpose. As a result, Jupiter Health has not recorded income taxes payable or an income tax provision relating to the income from this investment. There are no significant deferred income tax assets or liabilities. true true X true X true X true true true false true true 13572906 0 13572906 0.0294 19126542 5132562 13993980 0.0303 424786 66792 357994 0.0008 0 0 33124234 5199354 27924880 0.0605 1452891 0 1452891 0.0031 0 0 0 0.0 47357191 40145043 7212148 0.0156 0 0 0 0.0 0 0 0 0.0 0 0 48810082 40145043 8665039 0.0188 0 0 81934316 45344397 36589919 0.0793 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 207306347 275083098 -67776751 X true true 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 (FYE 9/30/2022) 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) Epitomizing JMC's commitment to providing patients with the entire continuum of leading-edge surgical care, the Johnny and Terry Gray Surgical Institute began serving patients in early 2024, less than two years after construction on the facility first began. 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. JMC further enhanced its surgical capabilities in Spring 2024, becoming one of the nation's first facilities to acquire the da Vinci 5 Robotic Surgical System and bringing JMC's surgical robot count to six. During FYE 9/30/2024, JMC celebrated the milestone of 10,000 robotic procedures, highlighting JMC's commitment to providing minimally-invasive, complex care. 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 enhance the hospital's capacity for providing comprehensive inpatient care, JMC is constructing a new 92-bed patient tower on the main JMC campus. JMC received final approval for this project from the Town of Jupiter in April 2023 and plans to open in early 2026. This new patient tower will feature an Oncology Floor, a Cardiac Floor, and two Orthopedic Floors, in addition to housing specialized simulation labs for critical care, medical/surgical, and labor and delivery/NICU environments. 4) To increase JMC's general capacity to serve its community, construction of a new 53,000 square foot hospital facility began in 2023. This facility, referred to as the Neighborhood Hospital at Avenir, will feature 24-hour emergency services with 10 emergency room beds, 29 inpatient beds, operating rooms, a diagnostic laboratory, and imaging services. This expansion will provide the community with conveniently-located expanded access to essential emergency and surgical care, as well as inpatient nursing and rehabilitation services. With plans to open in 2026, the Neighborhood Hospital at Avenir will also include dedicated medical office space for both primary and specialty care providers, featuring services such as: -Primary Care (traditional and concierge) -Specialty Care (Cardiology, Oncology, Pulmonology and more) -Women's Imaging -Physical Therapy -Phlebotomy JMC has undertaken the following activities 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. The number of physicians employed by the Jupiter Medical Center Physician Group nearly doubled from 2022 to 2023, expanding the strata of individuals cared for by Jupiter physicians. 2) JMC continues to partner with HealthyMe (formerly MyClinic), a clinic that provides free comprehensive primary care services to patients who demonstrate a financial need. HealthyMe served more than 4100 individuals in 2023. JMC provides the Executive Director and Business Manager for HealthyMe. 3) The Neighborhood Hospital at Avenir, JMC's new hospital facility on track to open in 2026, will include medical office space for primary care providers. JMC has undertaken the following activities 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. JMC also supplements clinical cancer care through support groups, health fairs and screenings, and other educational community events. In January 2024, JMC announced an innovative new partnership with My Gene Counsel, a digital health company specializing in scaled genetic counseling and testing. This collaboration marks a pioneering step for JMC as it becomes the first clinical site in the region to integrate digital tools for all patients who have been seen for genetic counseling. My Gene Counsel's Living LabReport will provide JMC patients with updated genetic counseling information as new disease details are discovered, precision medicines are developed, guidelines evolve, and genetic variants are reclassified. The availability of these services at JMC breaks down barriers to care and provides every patient with cancer, or a family history of cancer, the opportunity to have genetic testing that could positively impact their cancer journey. In response to a growing demand for access to specialized and emerging treatments for urological conditions, JMC prioritized the creation of a dedicated urological care center. In June 2024, the Barb and Joe Charles Center for Urology was opened in the Anderson Family Cancer Institute on the hospital's main campus. The center operates on a multidisciplinary model so patients can receive the best quality care in an environment that prioritizes personalized treatment and superior outcomes. In September 2024, JMC became one of the first in the region to administer a first-in-class gene therapy for bladder cancer. This therapy is the first and only FDA-approved gene therapy for non-muscle invasive bladder cancer, benefitting patients who are unresponsive to standard treatments and providing a path for more targeted and effective interventions. Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - Jupiter Medical Center ("JMC") (cont.). 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 providing relief to patients through a host of modern techniques, offering various options to help patients manage Afib and reduce long-term reliance on blood thinners. 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. Included in the skillset of the JMC Afib Center of Excellence team is the WATCHMAN implant, a minimally-invasive procedure that offers an alternative to long-term blood thinner medication. In 2024, JMC completed its 200th WATCHMAN implant procedure. 2024 also saw the JMC cardiac team perform the region's first robotic mitral valve replacement surgery, a minimally-invasive procedure replaces damaged mitral valves with prosthetic ones. JMC provides several minimally-invasive valve replacement options, including the Harmony transcatheter pulmonary valve (TPV), the first FDA-approved system explicitly designed for severe pulmonary regurgitation. The benefits of the JMC Afib Center of Excellence are felt even beyond the local community served by JMC, as this center serves as a national teaching and training site for cardiology and electrophysiology physicians. JMC was among the first in the region to provide Barostim Baroreflex Activation Therapy, the world's first FDA-approved heart failure device utilizing neuromodulation to alleviate symptoms in heart failure patients. Highlighting JMC's dedication to leading the way in cardiac care, JMC was also the first in Palm Beach County to adopt Boston Scientific's AGENT drug-coated balloon for in-stent restenosis (ISR) and the first in the tri-county area to implement the Shockwave C2 Coronary Lithotripsy balloon for intra-coronary lithotripsy. For patients with AFIB seeking alternatives to long-term anticoagulants, JMC electrophysiologists offer the Amplatzer Amulet LAA Occluder, which permanently closes a primary stroke pathway. 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 10 URGENT CARE - ABACOA 5430 Military Trail Suite 64 Jupiter FL 33458 Urgent Care URGENT CARE - INDIANTOWN ROAD 1335 West Indiantown Rd Jupiter FL 33458 Urgent Care URGENT CARE - PGA BLVD 3250 PGA Blvd Palm Beach Gardens FL 33410 Urgent Care 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 THE ANDERSON FAMILY CANCER INSTITUTE 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 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 304 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 V Joint venture that operates a hospital facility The organization participates in a joint venture that operates a hospital facility. However, under the final regulations of section 501(r), the organization does not treat this facility as a hospital facility for section 501(r) compliance purposes because it does not have sufficient control to ensure that the facility furthers an exempt purpose under section 501(c)(3). Accordingly, the organization treats its share of income as unrelated business income under section 513. The facility is not included in Part V, Sections A or B of Schedule H, but is disclosed here for completeness and transparency. 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, 2024 and 2023, 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 HEALTHYME (FORMERLY 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 false true X X X X X false true false false false false false true false Amit Rastogi MD MHCM PRESIDENT & CEO/ASSISTANT SECRETARY 912980 0 560500 0 43816 0 251224 0 9069 0 1777589 0 0 0 MICHAEL LOFTUS SVP & CFO (beginning April 2023) 361019 0 129125 0 34051 0 0 0 6735 0 530930 0 0 0 Steven Seeley MSN CENP CEN CPHQ SVP & Chief Operating Officer 421726 0 141600 0 20005 0 102370 0 2931 0 688632 0 0 0 Rogerio Lilenbaum SVP and Chief Physician Executive 890917 0 284175 0 13910 0 155100 0 8506 0 1352608 0 0 0 DALE HOCKING CPA VP OF FINANCE (THRU MARCH 2024) 348982 0 105414 0 10986 0 28185 0 3631 0 497198 0 0 0 Pamela S Canter RN VP Chief Nursing Officer 299295 0 96304 0 4884 0 78502 0 10971 0 489956 0 0 0 Julia Click Vice President & Chief Human Resources Officer 294157 0 74005 0 1735 0 78268 0 11811 0 459976 0 0 0 Kevin Olson VP Chief Information Officer 277798 0 80644 0 4390 0 49708 0 8262 0 420802 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 2023. 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 2023. During calendar year 2023, accruals related to retention bonuses were made for the following individuals. These amounts are included on Schedule J, Part II, Col (C): Amit Rastogi - $140,000 Steven Seeley - $55,021 Rogerio Lilenbaum - $90,000 Julia Click - $50,817 Pamela Canter - $50,817 Kevin Olson - $27,500 None of the individuals reported on the filing organization's Form 990, Part VII, Section A received a retention bonus payout during calendar year 2023. The following individuals participated in a 457(f) plan during 2023. Accruals into the plan during calendar year 2023 were as follows. These amounts are included on Schedule J, Part II, Col (c): Amit Rastogi - $95,000 Dale Hocking - $14,090 Steven Seeley - $32,000 Julia Click - $15,250 Kevin Olson - $13,750 Pamela Canter - $15,250 Rogerio Lilenbaum - $49,500 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 2023. 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 710000 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) THE MEDICAL CENTER EMPLOYS APPROXIMATELY 2500 INDIVIDUALS, INCLUDING 789 PHYSICIANS AND 694 NURSES. DURING 2024, THE MEDICAL CENTER HAD 440,569 OUTPATIENT VISITS, 15,494 HOSPITAL ADMISSIONS, 2,553 BIRTHS, 55,453 EMERGENCY ROOM VISITS, AND 15,869 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, 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 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, 2023 for the fiscal year ended September 30, 2024. 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, 2023 for the fiscal year ended September 30, 2024. 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 MISC REVENUE - Total Revenue: 282946, Related or Exempt Function Revenue: 282946, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; MEDICAL RECORDS - Total Revenue: 38214, Related or Exempt Function Revenue: 38214, 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 - -26712878; Pavilion Insurance Company LLC 101 South Tryon Street Suite 2700 Charlotte NC 28280 874057103 INSURANCE NC 8678926 8886777 JUPITER MEDICAL CENTER INC JUPITER OUTPATIENT SURGERY CENTER LLC 2055 N MILITARY TRAIL SUITE 100 JUPITER FL 33458 650925020 SURGERY CENTER FL 5259686 12072540 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 1210 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 TTB PARTNERS LTD 900 BROKEN SOUND PKY NW STE 125 BOCA RATON FL 33487 650945554 MEDICAL OFFICE BUILDING FL JMC Related 272002 1927110 false 0 false 0.51 Jupiter Medical Specialists LLC 1A BURTON HILLS BOULEVARD NASHVILLE TN 37215 462998206 Physician practices FL NA N/A 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 HEALTH VENTURES INC 1210 SOUTH OLD DIXIE HIGHWAY JUPITER FL 33458 812659400 JV HOLDING COMPANY FL Jupiter Health Inc C Corporation false 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 26498694 FMV JMC MSNY VENTURES INC R 214184 FMV