A Beacon for Healthcare Excellence
2021
Table of Contents BOARD & EXECUTIVE TEAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 LEADERSHIP MESSAGE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 QUALITY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 PATIENT EXPERIENCE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 HEART AND VASCULAR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 ONCOLOGY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 ORTHOPEDICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 NEUROSCIENCES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 WOMEN AND CHILDREN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 FOUNDATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 COMMUNITY BENEFIT AND BUDGET . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 FISCAL YEAR IN REVIEW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 COMMUNITY ENGAGEMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 HEALTHCARE HEROES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 LOOKING FORWARD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
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BOARD OF TRUSTEES 1st row left to right: Henri J. DesPlaines; Robert J. Stilley, Vice
Chairman; Martin A. Dytrych, CPA, Chairman; Lee Fox, MD, Chief of Staff; Michael Leighton, MD; Phillippe Jeck, Esq 2nd row left to right: Harvey Golub; Anthony P. Shaya, MD; Peter Lund; Jack Waterman, DO; Mark L. Corry, MD
NOT PICTURED:
Michele D. Deverich, Board of Trustees
EXECUTIVE TEAM Front Row: Kevin Olson, Vice President, Chief Information Officer; Pamela Canter, RN, BSN, Vice President, Chief Nursing Officer;
Amit Rastogi, MD, MHCM, President and Chief Executive Officer; Charles Murphy, Jr. MD, CPPS, Chief Quality and Safety Officer; Mike Morsberger, Chief Philanthropy Officer Back Row: Patti Patrick, Vice President, Chief Growth and Marketing Officer; Steve Seeley, Senior Vice President, Chief Operating Officer; Julia Click, Vice President, Chief Human Resources Officer; Dale Hocking, CPA, Vice President, Chief Financial Officer
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Rosanne M. Duane, Esq Board of Trustees
HEALTHCARE EXCELLENCE ADVANCED As we commemorate another year of bringing world-class healthcare to the residents of our community, we remain in awe of the commitment to excellence displayed by our caregivers. Our esteemed medical staff, dedicated team members, and our faithful community partners joined forces to fulfill our mission, saving many lives along the way. Significant milestones mark these past months. Healthcare delivery is at the forefront of our nation, from new strains of COVID 19 to innovative vaccines and therapies. At Jupiter Medical Center, this past year’s achievements highlight our commitment to advancement, despite the adversity of a global pandemic. Ranked #1 for quality, safety, and patient experience, Jupiter Medical Center is setting the standard for world-class healthcare as the only hospital in Palm Beach County and the Treasure Coast to receive a 5-star rating from CMS for quality and safety and an “A” Safety rating from nationally respected watchdog organization Leapfrog. We are also proud to be recognized as a World’s Best Hospital by Newsweek Magazine for 2021. A leader in the region for patient experience, our medical center continues to receive numerous Palm Beach County community choice awards. These quality achievements are made possible by the presence of high-caliber, experienced physicians. This year, several new specialists joined our trusted team, bringing many firsts to our region in cardiac, oncologic and neurological care. Utilizing state-of-the-art technology, our medical experts deliver world-class care to our patients. Expert specialists coupled with cutting-edge technology result in even safer surgeries, shorter hospital stays, and better outcomes. As the region’s only independent not-for-profit medical center with over 200,000 patients annually, our vision is nothing short of transformative, and we have only just begun. Opening in 2023, our new Surgical Institute will feature a 90,000 square-foot surgical expansion with 16 state-of-the-art operating rooms and two hybrid operating rooms of the future. Our board of trustees, medical staff, generous donors and our team members allow us to transcend all boundaries. We thank our patients and caregivers for choosing Jupiter Medical Center and allowing us to share in your lives. Together, we will continue to bring the very best healthcare to our region and beyond, and that is our promise.
Martin A. Dytrych, CPA, Chairman, Board of Trustees
Amit Rastogi, MD, MHCM, President & CEO Martin A. Dytrych, CPA and Amit Rastogi, MD, MHCM 4
Quality OUR DEDICATION TO QUALITY AT JUPITER MEDICAL CENTER IS WHY WE CONSISTENTLY EARN THE HIGHEST QUALITY RATINGS IN PALM BEACH COUNTY AND THE TREASURE COAST. Quality, safety, and an exceptional patient experience are what distinguish Jupiter Medical Center as our community’s leading independent, not-for-profit hospital. During 2021, Jupiter Medical Center was the recipient of numerous awards, recognizing various areas of the hospital’s leading performance.
JUPITER MEDICAL CENTER
Cleveland Clinic Indian River Hospital
Bethesda Hospital East Cleveland Clinic Martin North Hospital Boca Regional Hospital
Good Samaritan Medical Center St. Mary’s Medical Center Palm Beach Gardens Medical Center Delray Medical Center West Boca Medical Center Palms West Hospital JFK Medical Center Lakeside Medical Center Wellington Regional Medical Center
Lawnwood Regional Medical Center St. Lucie Medical Center
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5 STARS FOR OVERALL QUALITY BY CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) The Centers for Medicare and Medicaid Services awarded Jupiter Medical Center a 5-star rating for Overall Hospital Quality. CMS rates hospitals on a one-to-five-star scale with five stars being the best. Jupiter Medical Center achieved a 5-star rating by excelling at all seven of CMS’s rigorous standards including mortality, safety of care, readmission, patient experience, the effectiveness of care, timeliness of care, and efficient use of medical imaging. LEAPFROG TOP HOSPITAL Jupiter Medical Center earned the Top Hospital award from the Leapfrog Group, the leading independent watchdog organization focused on health care safety and quality. This prestigious award is given to hospitals that demonstrate excellence in quality and safety. In addition to the Top Hospital award, Jupiter Medical Center also earned a Grade “A” in safety from The Leapfrog Group, our seventh in a row. Only two hospitals in the region hold a Grade “A” rating.
GRADE A
JUPITER MEDICAL CENTER St. Lucie Medical Center
GRADE B Cleveland Clinic Indian River Palms West Hospital Wellington Regional Medical Center GRADE C Bethesda Hospital East Boca Regional Hospital Cleveland Clinic Martin North Hospital Cleveland Clinic Martin South Hospital Cleveland Clinic Tradition Delray Medical Center Good Samaritan Medical Center JFK Medical CenterNorth Campus JFK North Lawnwood Regional Medical Center Palm Beach Gardens Medical Center St. Mary’s Medical Center West Boca Medical Center
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ACCREDITATION: THE CORNERSTONE OF QUALITY CARE Jupiter Medical Center has earned numerous accreditations, underscoring our commitment to exceeding the highest performance standards in healthcare today.
WORLD’S BEST HOSPITALS 2021
POWERED BY
RANKED ONE OF THE WORLD’S BEST HOSPITALS BY NEWSWEEK MAGAZINE WINNER IN FOUR “BEST OF” CATEGORIES IN THE PALM BEACH POST COMMUNITY CHOICE AWARDS AND BEST OF TREASURE COAST Readers of the Palm Beach Post selected Jupiter Medical Center as the Best Hospital, Best Emergency Room, Best Heart Center and Best Place to Have a Baby in the annual 2021 Palm Beach Post Best of Palm Beach County Community Choice Awards. Jupiter Medical Center won all four categories specific to medical centers. In the annual Best of Treasure Coast Awards, readers of the TC Palm daily newspapers overwhelmingly voted Jupiter Medical Center as Best Hospital on the Treasure Coast. TC Palm’s network of newspapers covers Martin and St. Lucie counties where readers clearly prefer traveling south for the clinical excellence of Jupiter Medical Center.
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Accreditation Council for Continuing Medical Education: Accredited
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American College of Radiology: Designated Lung Cancer Screening Center
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American College of Radiology: Imaging services certification in all imaging modalities (MRI, PET, CT, Nuclear Medicine, Ultrasound, Mammography and Breast MRI) as well as a Breast Imaging Center of Excellence
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American College of Radiology: Radiation Oncology Department
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Blue Distinction Center+ for Knee, Hip Replacements & Spine Surgery
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The College of American Pathologists - Laboratory Services / Respiratory Services
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Commission on Cancer: Among only 30 percent of cancer programs in the nation accredited by this prestigious organization
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Joint Commission Accreditation: Antibiotic Stewardship Commendation
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Joint Commission Accreditation: Chest Pain Center
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Joint Commission Accreditation: Thrombectomy-Capable Stroke Center
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Joint Commission Accreditation: Total Joint Replacement for Hips, Knees and Shoulders and for Spine Surgery
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National Accreditation for Metabolic and Bariatric Surgery: Meets the highest standards for patient safety and quality of care
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National Accreditation Program for Breast Centers: The first hospital in Palm Beach and Martin counties to achieve this accreditation
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National Safe Sleep Hospital Certification
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Urgent Care Association: Urgent Care and Occupational Medicine 6
Patient Experience
PATIENT’S RATE THEIR EXPERIENCE WITH JUPITER MEDICAL CENTER.
Overall Patient Experience Rating
The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) surveys patients on their experience at Jupiter Medical Center and all hospitals across the nation. Jupiter Medical Center continues to lead in patient experience among hospitals in Palm Beach County and the Treasure Coast. The information is shared publicly on www.hospitalcompare.hhs.gov, and we are pleased to share highlights here.
Jupiter Medical Center National Average Boca Raton Regional Hospital Average for Florida Palms West Hospital St. Lucie Medical Center Cleveland Clinic Indian River Hospital Bethesda Hospital East Cleveland Clinic Martin North Hospital St. Mary’s Medical Center Palm Beach Gardens Medical Center Good Samaritan Medical Center Lawnwood Regional Medical Center Wellington Regional Medical Center West Boca Medical Center JFK Medical Center Delray Medical Center
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Patients Likely to Recommend
“When patients and family members walk through the doors of Jupiter Medical Center, they can expect to receive the highest quality of care. Our patientfocused culture is at the heart of everything we do. Each day our team members demonstrate an unwavering commitment to our mission to deliver excellent and compassionate care.”
Jupiter Medical Center Boca Raton Regional Hospital Cleveland Clinic Indian River Hospital National Average Average for Florida Cleveland Clinic Martin North Hospital Palms West Hospital St. Lucie Medical Center
– Pamela Canter, RN, BSN, Chief Nursing Officer
Bethesda Hospital East Palm Beach Gardens Medical Center St. Mary’s Medical Center Good Samaritan Medical Center Wellington Regional Medical Center JFK Medical Center West Boca Medical Center Lawnwood Regional Medical Center Delray Medical Center
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Heart and Vascular At the Robson Heart & Vascular Institute, we continue to develop our already exceptional cardiac program through recruitment of world-class talent, cuttingedge technology and the addition of revolutionary new cardiac procedures. By expanding our heart and vascular treatment options and building a Structural Heart Program to treat common heart disease conditions, utilizing the most advanced techniques, we continue to lead the region in comprehensive minimally invasive cardiac care. FIRST WATCHMANTM PROCEDURE TREATS AFIB In January our cardiac team performed the first WATCHMANTM implant procedure at Jupiter Medical Center. Designed for patients with atrial fibrillation not caused by heart valve problems, the WATCHMANTM procedure reduces the risk of stroke, providing peace-of-mind to the increasingly growing number of patients affected by AFib. This minimally invasive procedure expands our commitment to providing the most advanced cardiac care to our patients. A FORWARD-THINKING CARDIAC APPROACH As a leader in the region for exceptional cardiac care, the Robson Heart & Vascular Institute continuously strives to provide our patients with the most advanced treatment options and the highest level of care. Cardiac care is advancing rapidly with many new technologies and innovative treatment methods emerging. Jupiter Medical Center is at the forefront of these advancements, investing in the technologies and talent to continue our commitment to exceptional cardiac care. In 2021, the Robson Heart & Vascular Institute at Jupiter Medical Center created a dedicated Structural Heart Program, encompassing several cutting-edge procedures that treat conditions such as heart valve defects without openheart surgery. A multidisciplinary team of specialists works closely together to develop a comprehensive treatment strategy for patients with the end goal of providing alternatives to open-heart surgery whenever possible. Our cardiac specialists can now offer patients a broader spectrum of treatment options that
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are less invasive and have a much shorter recovery time. Innovative procedures being performed now include transcatheter aortic valve replacement (TAVR), MitraClip, and WATCHMANTM. The Structural Heart Program is continually expanding to offer heart patients more minimally-invasive treatment options in the future as technology continues to evolve. Our efforts to recruit top heart and vascular physicians with the advanced skills and expertise the Robson Heart & Vascular Institute is known for are ongoing. The team, led by Dr. Arthur Katz, Medical Director of Cardiac Surgery, is committed to recruiting only the highest level of talent in cardiac care. The new Surgical Institute opening in 2023 will allow for further growth of our heart and vascular program. With 16 state-of-the-art operating and hybrid rooms, we will have the ability to provide life-saving cardiac care to many more patients suffering with heart disease. FY21 MILESTONES •
Exceeded 200 open-heart surgeries
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Among the first hospitals in the United States to use CCM therapy delivered by the Optimizer System to treat patients suffering from heart failure
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Exceeded 100 AFib ablations
First implant of the WATCHMAN™, the only FDA-approved device proven to reduce stroke risk due to non-valvular atrial fibrillation (AFib)
First transcatheter aortic valve replacement (TAVR) procedure to replace the aortic valve with a man-made valve using minimally invasive catheterization Best Heart Center, Palm Beach Post Community Choice Awards 2021
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continue to be at the forefront of innovation. “We The Structural Heart Program ushers in the latest treatment options for our patients. ” – Dr. Arthur Katz, Medical Director of Cardiac Surgery
Surgical Institute Hybrid Room 10
Oncology In March 2020, Jupiter Medical Center opened the 80,000-squarefoot Anderson Family Cancer Institute, allowing for new growth in our comprehensive cancer program. This state-of-the-art facility sets the bar for cancer care, from early detection to advanced diagnostics and innovative treatments. During 2021, we continued to expand cancer services by investing in technology and recruitment to ensure cancer patients have the highest quality of care and the best treatment options. The Anderson Family Cancer Institute at Jupiter Medical Center provides: •
A full continuum of advanced comprehensive cancer care, all in one location
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A renowned multidisciplinary team of physician experts and support professionals
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State-of-the-art diagnostic and treatment technologies and convenient amenities
ALL SERVICES UNDER ONE ROOF Recognizing the challenges patients face during their cancer journey, the Anderson Family Cancer Institute strives to provide the full spectrum of cancer care and services in one location.
During 2021 we continued our commitment to personalized care for each cancer patient. Through our unique patient navigator program, each patient is connected with a patient navigator who coordinates care and guides patients through the treatment process. Unlike many cancer programs, Jupiter Medical Center offers comprehensive cancer services in one location. Services such as lab work, pharmacy services and therapy are all on-site. As we connect with patients and stay attuned to their needs, we work to enhance patient and family comfort and convenience with features such as: •
Modern auditorium for educational events
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A 2,000-gallon saltwater aquarium to aid in relaxation
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Patient resource center with computer stations
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Convenient on-site pharmacy
PRECISION IN CANCER CARE The Anderson Family Cancer Institute invests in the most progressive technology to diagnose and treat various forms of cancer. Systems such as TrueBeam™ Radiotherapy system, the CyberKnife® M6™ Robotic Radiosurgery, and the Electron IntraOperative Therapy (e-IORT) offer more precision in treating cancer while reducing the impact on healthy tissue and, oftentimes, allowing for fewer radiation treatments. We remain committed to investing in a level of technology that rivals that of any major academic medical center.
“My cancer team gave me my life back.”
– Barbara Krumins, Lung Cancer Survivor
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ADDITIONS TO OUR MULTIDISCIPLINARY TEAM OF PHYSICIANS We continue to recruit highly experienced cancer specialists, adding to the renowned physician team at the Anderson Family Cancer Institute. This past year we were proud to announce the addition of several preeminent cancer specialists. Dr. Debra Brandt, Director of Medical Oncology. Before arriving at Jupiter Medical Center, Dr. Brandt was an Assistant Professor of Clinical Medicine at Yale School of Medicine, Medical Director of the Yale Smilow Cancer Hospital Care Center in Torrington, Connecticut, and a member of the Developmental Therapeutics Research Program at Yale Cancer Center. Dr. Adam J. Kotkiewicz, Board-certified and fellowship-trained. Dr. Kotkiewicz brings with him more than a decade of experience and extensive training in the areas of medical hematology and oncology, general oncology, lung and genitourinary cancers and more. Before joining Jupiter Medical Center, he served as Physician Advisor for Executive Health Resources for the Lehigh Valley Health Network.
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Orthopedics Distinguished by state-of-the-art facilities, top-flight physicians and a steadfast commitment to quality, the Anderson Family Orthopedic and Spine Center of Excellence continues to implement new technologies and techniques to provide patients with the region’s best orthopedic care. Recognized for excellence, Jupiter Medical Center is the only medical center in the State of Florida to hold all five of these coveted distinctions: •
Blue Distinction+ Center for Knee and Hip Replacement
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Blue Distinction+ Center for Spine Surgery
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The Joint Commission certification for Hip and Knee Replacement
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The Joint Commission certification for Shoulder Replacement
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The Joint Commission certification for Spine Surgery
A SPECTRUM OF ORTHOPEDIC CARE Jupiter Medical Center remains committed to recruiting top orthopedic talent across a wide range of specialties. Today, patients at the Anderson Family Orthopedic and Spine Center of Excellence receive care from specialists in hand, spine, sports medicine and joint replacement. Our orthopedic surgeons have trained at some of the finest medical schools in the country and are adept at employing the latest technologies to provide surgical solutions that are less invasive and offer quicker recovery times. ROBOTICS IN ORTHOPEDICS Robotic technology has revolutionized orthopedic surgery and Jupiter Medical Center is at the forefront of surgical advancements. Our investment in robotic systems such as the Mako Robotic-Arm Assisted Surgery System provides our surgeons with the advanced level of precision needed to ensure excellent long-term mobility. Our comprehensive approach to orthopedic care focuses not just on a patient’s orthopedic procedure, but on providing comfort and support from pre-surgery through recovery and a return to an active, healthy life.
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Neurosciences At Jupiter Medical Center, technology and expediency are no more important than in our Comprehensive Stroke Center. More than 800 stroke patients annually are treated at Jupiter Medical Center. Recognizing that every second counts for our stroke patients, we have invested in the advanced technology to diagnose and treat stroke quickly and effectively. Utilizing advanced CT and 3T MRI capabilities, we stay on the leading edge of stroke diagnosis and treatment to manage even the most complex conditions. Through the recruiting of highly skilled physicians trained in neurology, neuro-interventional radiology, and neurosurgery, we bring a broader spectrum of knowledge to each individual patient’s approach to treatment. THROMBECTOMY CERTIFIED Jupiter Medical Center is proud to be certified as a Thrombectomy-Capable Stroke Center. This certification was created through the Joint Commission and the American Heart Association/American Stroke Association and recognizes hospitals that have met rigorous standards for performing endovascular thrombectomy and providing exceptional post-procedural care.
STROKE GOLD PLUS RECOGNITION Jupiter Medical Center is also recognized by multiple 2021 Get with the Guidelines – Stroke GOLD PLUS honors from the American Heart Association and American Stroke Association. These Stroke GOLD PLUS recognitions represent the highest level of achievement as measured by key care indicators and ensure that our stroke patients receive efficient, coordinated care that ultimately leads to more lives saved, shorter recovery times and fewer returns to the hospital.
“You saved her life.”
– Frank Doyle, husband of stroke survivor Caroline Doyle
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Women and Children CARING FOR OUR FAMILIES At Jupiter Medical Center, we know that families throughout Palm Beach County, the Treasure Coast and beyond rely on us to keep them healthy. We continue to grow our pediatrics and obstetrics services to provide exceptional care for all stages of our families’ lives. OBSTETRICS In 2021, the Florence A. De George Children’s & Women’s Services Obstetrics Unit delivered more than 1,900 babies. This is a testament to the trust expectant mothers and families put in us. We are proud to offer a state-of-the-art center that provides for the medical needs of moms and babies while offering a luxurious, comforting environment to make your family’s special day truly memorable. Our center offers beautiful, modern suites that comfortably accommodate overnight labor partners and a welcoming lounge where loved ones can gather and lend support nearby. LEVEL II DE GEORGE NEONATAL INTENSIVE CARE UNIT Recognizing that newborns in need of extra care because of premature delivery or other difficulties do far better if they’re not transferred, Jupiter Medical Center offers a Level II NICU to treat our smallest patients. Our team of neonatal intensive care specialists is equipped with the most advanced monitoring technologies and experienced physicians and staff to care for babies born as early as 32 weeks gestation, a full five weeks prematurely. Through advanced monitoring, care and technologies and access to world-class neonatologists, we fulfill our commitment to families to nurture new babies and send them home healthy and happy. PALM BEACH COUNTY VOTE OF CONFIDENCE In 2021, Palm Beach County families once again showed just how confident and loyal they are to the exceptional women’s and children’s care provided by Jupiter Medical Center. Readers of the Palm Beach Post selected Jupiter Medical Center as the Best Place to Have a Baby in its annual 2021 Palm Beach Post Best of Palm Beach County Community Choice Awards. We are honored to have been chosen by so many local families as the place they want to have their baby. 15
PEDIATRICS At Jupiter Medical Center, we continue to build our pediatric services to provide families with the highest level of pediatric care in our region. From the opening of the De George Pediatric Unit in 2016, to the 2019 build of our 6,300 squarefoot, state-of-the-art Mastroianni Family Pediatric Emergency Department, we remain committed to bringing world-class care to children of all ages. As our pediatric services have grown, we have invested in attracting top pediatric physicians and specialists. Through our affiliation with Nicklaus Children’s Hospital, we are staffed with an expert team of neonatologists, hospitalists and emergency medicine physicians. Families can now rely on Jupiter Medical Center for comprehensive pediatric care 24/7. A KID-FRIENDLY HOSPITAL A hospital stay can be a frightening experience for kids and their families. At Jupiter Medical Center, our pediatrics team works hard to ensure that we treat both our young patients’ medical needs and make their stay as comfortable as possible. Our pediatric-trained nurses and child-life specialists are skilled at keeping patients comfortable and mitigating anxiety. Modern kid-friendly rooms are bright and welcoming and attentive pediatric staff work hard to encourage a positive approach to healing. • • • • • •
12 private inpatient pediatric rooms Pediatric surgery suites Pediatric therapies Children’s playroom supported by a child life specialist Bear’s Den for resting, inspired by Jack “The Golden Bear” Nicklaus 24/7 Dedicated Emergency Care for Kids
NATIONAL SAFE SLEEP HOSPITAL CERTIFICATION Jupiter Medical Center received certification by the National Safe Sleep Hospital Certification Program for our commitment to best practices and education on infant safe sleep. Our Safe Sleep initiative, which led to our certification, includes ongoing education for mothers and families of newborns and infants up to one year of age. Printed materials are provided, a DVD, and real time conversations with families, as well as modeling behavior by the team.
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Foundation A LANDMARK YEAR In fiscal year 2021, Jupiter Medical Center Foundation received a recordbreaking level of philanthropic support totaling nearly $54 million. This extraordinary level of philanthropy has enabled the medical center to expand its highly specialized services to rival that of an academic medical center. At the Robson Heart and Vascular Institute, for instance, the cardiac team has expanded its minimally invasive treatment options to include advanced procedures such as TAVR and WATCHMANTM technology for AFib treatment. Increased philanthropy also gives Jupiter Medical Center the opportunity to recruit top medical oncologists, expand, and enhance emergency services, and purchase the most advanced technology. The Anderson Family Cancer Institute has added several renowned specialists, providing patients with top medical experts to treat a wider spectrum of cancer diagnoses. Most importantly, the generosity of our donors allows Jupiter Medical Center to meet the needs of the community while remaining independent and adept at responding to the changing landscape of healthcare. To date, the Foundation has raised more than $278 million since the launch of the Vision. Innovation. Impact. Campaign for Jupiter Medical Center.
PHILANTHROPIC INVESTMENTS IN SURGERY The Frank E. & Mary D. Walsh Robotic Surgery Program at Jupiter Medical Center is one of the most comprehensive programs in the area and offers cutting-edge technology including the daVinci® Xi™ Surgical Systems. A third surgical system has been added to the Robotic Surgery Program thanks to a $2 million gift from Johnny and Terry Gray. The program also added the Ion Intuitive Robot, funded by a gift from Dr. Daniel Morello, a retired plastic surgeon, and his wife Mona. This stateof the-art technology features an ultra-thin, ultra-maneuverable catheter that allows navigation far into the lung and provides the unprecedented stability needed to achieve more precise biopsies. The use of robotic technology to treat lung cancer, as well as a myriad of other cancers, comes with tremendous benefits to patients including fewer complications, less blood loss, lower risk of infection, a shorter hospital stay, less pain, and a faster return to normal life. Further advancements in Jupiter Medical Center’s surgical programs will be initiated through the generosity of the Ruane Family Foundation. The Foundation’s gift of $5 million to support Surgical Institute programs is the largest gift received to date to support the Surgical Institute. In recognition of the family’s philanthropy, the surgical concourse will be named the Ruane Family Surgical Concourse.
2,355
Total # of Gifts FY 21 (new cash, pledges, planned gifts, GIK)
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Peter and Missy Crisp
23,224
Total # of Gifts for Campaign (new cash, pledges, planned gifts, GIK)
Best Year Ever!
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Artist’s rendering for concept purposes only.
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Foundation THE NEXT LEVEL IN EMERGENCY CARE The Emergency Department plans for a new wing thanks to a $3 million gift from the Attilio and Beverly Petrocelli Foundation. Soon to be named the Petrocelli Emergency Center, this much needed addition to emergency care includes eight fast-track bays to assist patients with less-acute medical needs. With the expanded capability of identifying patients who require less advanced care and treating them more quickly, the Emergency Department will be able to reduce wait times and provide a better patient experience for all emergency patients. The renovation will also include the purchase of advanced clinical equipment, spacious patient and triage rooms, a more functional layout for clinicians with state-of-the-art technologies to handle higher patient volumes, and larger waiting areas for loved ones. This expansion achieves the ultimate goal of streamlining emergency services for greater efficiency while providing world-class care in a comforting environment for patients and loved ones during a medical crisis. NEONATAL INTENSIVE CARE GROWTH Neonatal Intensive Care services will be expanding thanks to a $1 million gift from Frank DiMino and the Frank DiMino Family Foundation. The generous donation will make a big impact on Jupiter Medical Center’s smallest patients by further developing clinical care for babies as small as 1,000 grams. Jupiter Medical Center will also be hiring a nurse educator and an in-house laborist while undergoing an expansion of postpartum space. The DiMino gift was recognized with the naming of one of the Pods within the Level II De George Neonatal Intensive Care Unit. GROWING THE GENETICS PROGRAM Retired, professional golfer Raymond Floyd and his wife made a very personal and generous gift to support the new BRCA Genetics program. The program, which helps identify BRCA gene mutations early to help prevent the development of breast and ovarian cancers, will use the donation for programmatic and financial assistance for qualified patients who are undergoing oncology treatment at Jupiter Medical Center.
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We are grateful for the generosity of our “community over this past year and look forward to building upon our success in this time of historical growth and transformation. – Michael Morsberger, Chief Philanthropy Officer
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Foundation
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Artist’s rendering for concept purposes only.
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$300 million Campaign Campaign Areas
Fiscal Year 2021 Goal
Raised-to-Date
$0
$ 2,920,893
COVID-19
Neuroscience Institute
$ 30,000,000
$ 16,466,471
Neuroscience Institute
$ 4,440,862
Heart & Vascular Institute
$ 35,000,000
$ 33,707,470
Heart & Vascular Institute
$ 11,731,939
Gastrointestinal Institute
$ 5,000,000
$ 2,647,966
Gastrointestinal Institute
$ 50,000
Unrestricted
$ 35,000,000
$ 56,732,859
Cancer Institute
$ 78,000,000
$ 68,121,040
Orthopedics & Spine Institute
$ 5,000,000
$ 1,403,415
Patient Experience
$ 20,000,000
$ 21,606,784
Med Ed and Research
$ 5,000,000
$ 5,266,961
Children's Institute
$ 22,000,000
$ 26,281,592
Women's Health Institute
$ 20,000,000
$ 10,157,936
Surgical Institute
$ 9,313,260
Surgical Institute
$ 45,000,000
$ 14,128,589
Planned Gifts
$ 3,535,000
$0
$ 18,780,000
Other
$ 120,142
$ 300,000,000
$ 278,221,976
TOTAL
$ 53,630,256
COVID-19
Estate and Planned Gifts TOTAL
Campaign Areas
$ Raised FY 21 $ 541,020
Unrestricted
$ 11,953,765
Cancer Institute
$ 3,482,446
Orthopedics & Spine Institute Patient Experience Med Ed and Research Children's Institute Women's Health Institute
$ 20,000 $ 5,643,734 $ 94,000 $ 2,155,830 $ 548,258
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Community Benefit & Budget CHARITY CARE
EDUCATIONAL PROGRAMS ETC.
MEDICAID UNDERFUNDING
COMMUNITY BENEFIT BY CATEGORY
2021
Charity Care
54%
Medicaid Underfunding
43%
Educational Programs, Free Healthcare Screenings, Corporate Sponsorships and Donations
3.0%
COMMUNITY BENEFIT BY CATEGORY
2021
2020
2019
2018
2017
Charity Care
$10.4M
$8.7M
$8.7M
$7.4M
$9.0M
Medicaid Underfunding
$8.2M
$6.6M
$5.7M
$5.2M
$5.0M
Educational Programs, Free Healthcare Screenings, Corporate Sponsorships and Donations
$0.6M
$0.7M
$0.7M
$0.7M
$0.4M
Total Contributions
$19.2M
$16M
$15.1M
$13.3M
$14.4M
23
Ann u a l Re p o r t 202 1
JUPITER WEST PALM BEACH
NORTH PALM BEACH 36.3% PALM BEACH GARDENS
PORT ST. LUCIE
5.2% 3.5% 3.4%
3.6% 16.4%
TEQUESTA
HOBE SOUND
8.4%
STUART
15.9%
7.3%
OTHER
HOSPITAL INPATIENT VOLUME BY COMMUNITY JUPITER
36.3%
Palm Beach Gardens
16.4%
Tequesta
7.3%
North Palm Beach
3.6%
Stuart
3.4%
West Palm Beach
8.4%
Hobe Sound
5.2%
Port St. Lucie
3.5%
Other
15.9%
CHARITABLE DONATIONS RECEIVED 2021
$54.0M
2020 2019
$31.0M $26.0M
2018 2017
$42.0M $25.3M 24
Fiscal Year in Review Consolidated Statement of Operations
September 30, 2021, 2020, 2019, 2018, 2017 (Dollars in Thousands)
2021
2020
2019
2018
2017
$321,871
$268,170
$262,137
$238,583
$230,066
Unrestricted Contributions
$7,893
10,234
6,779
8,842
4,952
Investment Activities
$17,266
5,828
5,931
6,027
8,919
Other Operating Activities
$19,241
23,109
7,440
8,266
9,132
Total Unrestricted Revenue
$366,271
307,341
282,287
261,718
253,069
2021
2020
2019
2018
2017
Salaries, Wages and Benefits
$154,166
$137,577
$127,835
$112,386
$111,012
Supplies and Services
$164,464
134,028
127,173
115,134
110,554
Interest
$2,939
3,296
3,090
2,308
2,301
Insurance
$3,496
4,584
8,045
4,763
3,690
Depreciation and Amortization
$24,460
22,287
18,962
15,910
15,587
Total Expenses
$349,525
301,772
285,105
250,501
243,144
Excess of Revenue Over Expenses
$16,746
5,569
(2,818)
11,217
9,925
REVENUES DERIVED FROM: Patient Service Revenue
OPERATING EXPENSES:
25
Ann u a l Re p o r t 202 1
By The Numbers
248
15,132
1,880 Team Members
Volunteers
38,585
1,903
675
55,289
12,786
323,657
561
151
Licensed Beds
Surgeries
Emergency Department Visits
Births
Hospital Admissions
Physicians
Outpatient Visits
Nurses
YEAR IN NUMBERS
2021
2020
2019
2018
2017
Average Daily Census
151
136
131
118
129
1,880
1,820
1,780
1,689
1,650
Nurses
561
588
570
593
556
Physicians
675
605
663
650
637
Volunteers
511
600
640
640
640
$366,271
307,341
282,287
261,718
253,069
Team Members
Total Unrestricted Revenue
511
Patient Days
Average Daily Census
26
Community Engagement
27
Ann u a l Re p o r t 202 1
While our primary focus at Jupiter Medical Center is quality, safety and an exceptional patient experience, we are also committed to being active in our community and giving back to the people we serve. Jupiter Medical Center promotes a vibrant culture both inside our walls and outside in the community. During the challenges of 2021, our culture grew even stronger and everyone at Jupiter Medical Center drew together to support each other and those around us. Numerous special events were held on campus, giving Jupiter Medical Center’s physicians, nurses, supprt team members and volunteers a chance to come together for moments of friendship, support and camaraderie. We were also active in the community, sponsoring many events and sharing important health messages with our community.
28
Healthcare Heroes
Dr. Leslie Diaz
Dr. Andrew Noble
29
Dr. Gary Ackerman
Emergency department staff (from left): John Pnaife, Julie Viguerie, Stephanie Dubeck, Todd Wagner, Jon Hodges, Shannon Hartfield, Dawn Argyriou, Morgan Gray
Fifth-floor oncology nurses (from left): Ryan Garvey, Suzanne Carmody, Chelsea Weaver
Dr. Arthur Katz
Radiology depar Dr. Andrew Ha
Ann u a l Re p o r t 202 1
During the challenging times of this past year, our team members at Jupiter Medical Center have gone above and beyond to ensure each patient not only receives exceptional care, but is treated with compassion and an unwavering commitment to healing. Each year the Jupiter Medical Center Foundation honors caregivers who have made an outstanding impact on patients and their loved ones. Our grateful patients identified more than two dozen individual caregivers and departments over the past year by gifting the Foundation. These donors’ generosity will help us continue our mission of providing world-class care and expanding services, technology, and infrastructure. Caregivers not pictured: Janine Boylan, Jeffrey Fenster, MD, Vincent Fowble, MD, Abraham Schwarzberg, MD, Jack Waterman, DO, Bruce Wiita, MD, Jupiter Medical Center Medical Staff
rtment staff (from left): Danielle Hoag, Evymel Terron, all, Amanda Gaab, Kathleen Moore, Kristina Gostic
Dr. Donna Pinelli (center) with her office staff (from left): Bernadette Frank, Natalie Fix, Susan Dooley, Jennifer Mcerlain, Jessica Suits, Vanessa Martinez
Dr. Robert Biscup
Intensive Care Unit staff (from left): Megan Hamric, Fern Finnerty, Karin Hudson, Abigail Lentz, Andrea Clarke
30
Healthcare Heroes
Dr. Catherine Drourr
Steven Seeley
Critical Care Unit staff (from left): Linda Leary, Dr. Arthur Katz, Deborah Mueller, Debbie Cardenas
31
Dr. Henry Shapiro
Dr. Mark Corry
Anthony Kanhai and supervisor Betsy Heartfield
Wound Care department staff (from left Stephanie Garcia,
Ann u a l Re p o r t 202 1
Tansky Concierge Suites staff (from left): Anne Sias, Alysha Tennant, Krista Coquillette, Alicia Frith, Ryan Garvey
t): Amanda Hall, Stephanie Bhagwandin, Amy Van Denberg
Luisa Zivillica
Dr. Linda Kiley
Dr. Lee Fox
Executive Chef Waleid “Wally” Mohamed
32
CEO Message: Looking Forward As we reflect on the past year, while much of it was overshadowed by the COVID-19 pandemic, we have many achievements to commemorate. Together, we embarked on a healing journey—mourning the loss of social engagement, loss of normalcy and often the loss of loved ones. While the year amplified the resilience of our team and our community, it did not alter our mission. In many ways, we matured; our understanding of medicine grew with the advent of new vaccines and treatments, and our compassion for our community deepened. The dedication to our mission was more evident than ever. In the coming months, we plan to increase the depth and breadth of services available to our patients through several expansion projects. As the Emergency Department is often considered the front door to a hospital, our priority is enhancing the emergency experience for our patients, families, and first responders. The planned $4 million investment will add eight private ER bays, increasing our current capacity by 25%. The Emergency Department will also undergo an operational restructuring with the creation of a “Fast Track” area for patients with ailments not serious enough to require admission and a separate dedicated team for patients requiring hospitalization. We thank our area first responders for their trust in us and look forward to expanding access to care for all types of emergencies. Nowhere is our vision more apparent than in our plans for a new 90,000+ square foot Surgical Institute. In response to growing demand resulting in increasingly complex diagnoses, we are adding 16 state-of-the-art operating rooms and two hybrid rooms to be operational in 2023. We applaud our world-class medical staff for their commitment to innovation and look forward to creating operating rooms of the future to support their leading-edge care. The pandemic further highlighted the importance of patient-centered care for the critically ill. Thanks to the generosity of our community, we will soon renovate our intensive care unit to serve our most acute patients. The expansion will result in enhancements to one of our busiest departments. Quality, safety, and an exceptional patient experience have distinguished Jupiter Medical Center as a leading hospital for decades. The tradition continues, as reflected in our quality and safety rankings. For the seventh time in a row, Jupiter Medical Center received an “A” rating in patient safety from the Leapfrog Group, and most recently, we were named as a Top Hospital by the Leapfrog group. Those accolades, along with the others, are a direct reflection of the commitment of our incredible medical staff and JMC team members. Every member of our team is acutely aware of the significant role that they play in the lives of our patients and their families. Their dedication to providing a safe environment where they have assured the highest quality of care is at the core of our mission. Our campus reflects our vision for expansion and attracting and retaining exceptional clinical talent is at the cornerstone of our growth. Our medical staff and clinical teams are the finest in the nation. They are more inspired than ever to deliver world-class care through clinical research, innovation, and technology. We embark upon the next year more prepared than ever to deliver the depth and breadth of world-class healthcare services that our community deserves. On behalf of the leadership team, I extend my sincerest thanks to our boards, medical staff, donors and the entire JMC team for fulfilling our mission. Most importantly, thank you to our patients and families for entrusting us with their most prized possession – their health and well-being.
Amit Rastogi, MD, MHCM, President & CEO 33
Ann u a l Re p o r t 202 1
34
1. Jupiter Medical Center Hospital 1210 S. Old Dixie Highway Jupiter, FL 33458 561-263-2234
8 Stuart 76
2. Jupiter Outpatient Surgery Center Outpatient Surgery Center 2055 N. Military Trail, Suite 100 Jupiter, FL 33458 561-741-1705
95
3. Margaret W. Niedland Breast Center Breast Imaging 2111 Military Trail, Suite 100 Jupiter, FL 33458 561-575-2000
Hobe Sound
76
711
Tequesta 706 706
711
4
Jupiter
1
2&3
Juno Beach
5 710
6 786
786
North Palm Beach
Palm Beach Gardens
95 704
7 West Palm Beach
4. Jupiter Medical Center Urgent Care - Indiantown Road Urgent Care Center 1335 W. Indiantown Road Jupiter, FL 33458 561-263-7025 5. Jupiter Medical Center Urgent Care - Donald Ross Road Urgent Care Center 5430 Military Trail, Suite 64 Jupiter, FL 33458 561-263-7010 6. Jupiter Medical Center Urgent Care - PGA Blvd Urgent Care Center 3250 PGA Blvd. Palm Beach Gardens, FL 33410 561-263-7010 7. Jupiter Medical Center Urgent Care - West Palm Beach Urgent Care Center 625 N. Flagler Drive, Suite 100 West Palm Beach, FL 33401 561-263-7060 8. Jupiter Medical Center Urgent Care - Stuart Urgent Care Center 2628 SE Federal Hwy Stuart, FL 34994 561-263-7010
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