Form990
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2012
Open to Public Inspection
A For the 2012 calendar year, or tax year beginning 10-01-2012 , 2012, and ending 09-30-2013
BCheck if applicable:
CName of organization
MARTIN MEMORIAL MEDICAL CENTER INC
 
Doing Business As
MARTIN MEDICAL CENTER
 
Number and street (or P.O. box if mail is not delivered to street address)
PO Box 9010
 
Room/suite
City or town, state or country, and ZIP + 4
Stuart, FL349959033
D Employer identification number

59-0637874
E Telephone number

G Gross receipts $ 377,092,067
F Name and address of principal officer:
MARK E ROBITAILLE
200 Hospital Avenue
Stuart,FL34994
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.MARTINHEALTH.ORG
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1939
M State of legal domicile: FL
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: THE PRIMARY MISSION IS TO PROVIDE QUALITY HEALTH CARE SERVICES TO THE CITIZENS OF MARTIN AND SOUTHERN ST. LUCIE COUNTIES THROUGH ITS ACUTE AND AMBULATORY CARE FACILITIES.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 24
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 21
5 Total number of individuals employed in calendar year 2011 (Part V, line 2a) ...... 5 2,773
6 Total number of volunteers (estimate if necessary) ............. 6 804
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 1,194,631
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b -180,010
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 5,103,680 7,924,631
9 Program service revenue (Part VIII, line 2g) ......... 330,465,900 331,264,768
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 7,092,372 4,222,219
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 7,233,204 3,135,524
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 349,895,156 346,547,142
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 148,477 196,523
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 160,022,320 157,362,606
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 171,025,440 166,149,877
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 331,196,237 323,709,006
19 Revenue less expenses. Subtract line 18 from line 12....... 18,698,919 22,838,136
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 479,797,438 508,606,416
21 Total liabilities (Part X, line 26)............. 322,060,337 318,413,396
22 Net assets or fund balances. Subtract line 21 from line 20..... 157,737,101 190,193,020
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
 
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2012)
Form 990 (2012)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III ...............
1
Briefly describe the organization’s mission: TO PROVIDE EXCEPTIONAL HEALTH CARE, HOPE AND COMPASSION TO EVERY PATIENT, EVERY TIME.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If “Yes,” describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 295,946,361 including grants of $ 196,523 ) (Revenue $ 331,264,768 )
MARTIN MEMORIAL MEDICAL CENTER PROVIDED 74,571 PATIENT DAYS OF SERVICE AT ITS TWO HOSPITALS. THE MEDICAL CENTER ALSO PROVIDED CARE TO 87,660 PATIENTS THROUGH ITS THREE EMERGENCY DEPARTMENTS DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2013. MARTIN MEMORIAL MEDICAL CENTER'S PHYSICIAN REFERRAL SERVICES PROVIDES AN UNBIASED SERVICE TO RESIDENTS WHO ARE NEW TO THE COMMUNITY OR FIND IT NECESSARY TO CHANGE PHYSICIANS DUE TO CHANGES IN HEALTHCARE INSURANCE. THE MEDICAL CENTER PROVIDES A NUMBER OF COMMUNITY HEALTH CARE EDUCATION OPPORTUNITIES AND HEALTH SCREENING THROUGHOUT THE YEAR.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet295,946,361
Form 990 (2012)
Form 990 (2012)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part I..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If “Yes,” complete Schedule C, Part IIClick to see attachment........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C,
Part III
............................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete Schedule D, Part I........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If “Yes,” complete Schedule D, Part II
...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III ....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,” complete Schedule D, Part IV..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If “Yes,” complete Schedule D, Part VI.Click to see attachment
...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IXClick to see attachment............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part XClick to see attachment.........................
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If “Yes,” complete Schedule D, Parts XI and XII .................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If “Yes,” complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the United States? If “Yes,” complete Schedule F, Parts II and IV
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the United States? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I (see instructions)....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If “Yes,” complete Schedule H.... Click to see attachment
20a
Yes
 
b
If “Yes” to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
20b
Yes
 
Form 990 (2012)
Form 990 (2012)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants and other assistance to any government or organization in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II... Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........ Click to see attachment
22
Yes
 
23
Did the organization answer “Yes” to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25................ Click to see list of attachments
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?
......................
24c
 
No
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I........
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I...................
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highest compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II
..........................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If “Yes,” complete Schedule L, Part III.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ..........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV
..................... Click to see attachment
28b
Yes
 
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If “Yes,” complete Schedule L, Part IV... Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M.............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I
...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2.............
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VI
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2012)
Form 990 (2012)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V ...............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
171
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
2,773
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes,” to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?............
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?..........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?.......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note.
See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2012)
Form 990 (2012)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI ...............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
24
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
21
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If “Yes,” did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
FL
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletCharles Cleaver200 Hospital AveStuartFL34994 (772) 287-5200
Form 990 (2012)
Form 990 (2012)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII ...............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) DWIGHT DENNY........................................................................
VICE CHAIRMAN/DIRECTOR
5.00
.......................2.00
X   X       0 0 0
(2) GEORGE LEHACH........................................................................
CHAIRMAN/DIRECTOR
5.00
.......................2.00
X   X       0 0 0
(3) JAMES ORR III........................................................................
SECRETARY/DIRECTOR
5.00
.......................1.00
X   X       0 0 0
(4) JOHN LOEWENBERG........................................................................
TREASURER/DIRECTOR
5.00
.......................2.00
X   X       0 0 0
(5) MARK ROBITAILLE........................................................................
PRESIDENT/CEO
50.00
.......................4.00
X   X       1,698,924 0 53,315
(6) ALONZO KIGHT........................................................................
DIRECTOR- PARTIAL YEAR
5.00
.......................0
X           0 0 0
(7) ELMIRA GAINEY........................................................................
DIRECTOR- PARTIAL YEAR
5.00
.......................0
X           0 0 0
(8) EVAN COLLINS MD........................................................................
DIRECTOR
5.00
.......................1.00
X           38,000 0 0
(9) GEORGE RITTERSBACH MD........................................................................
DIRECTOR
5.00
.......................0
X           0 0 0
(10) GERTRUDE RODGERS........................................................................
DIRECTOR
5.00
.......................0
X           0 0 0
(11) JAMES MONDELLO........................................................................
DIRECTOR- PARTIAL YEAR
5.00
.......................1.00
X           0 0 0
(12) JOHN ZIEGLER........................................................................
DIRECTOR- PARTIAL YEAR
5.00
.......................1.00
X           0 0 0
(13) JOSEPH DAY........................................................................
DIRECTOR- PARTIAL YEAR
5.00
.......................1.00
X           0 0 0
(14) JOSEPH GAGE MD........................................................................
DIRECTOR
5.00
.......................1.00
X           10,000 0 0
(15) LEE BOUGHNER........................................................................
DIRECTOR
5.00
.......................0
X           0 0 0
(16) LYNN FRANK........................................................................
DIRECTOR
5.00
.......................0
X           0 0 0
(17) MARIAN MONROE........................................................................
CHAIR EMERITA
5.00
.......................0
X           0 0 0
Form 990 (2012)
Form 990 (2012)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) MARY-JO HORTON........................................................................
DIRECTOR- PARTIAL YEAR
5.00
.......................1.00
X           0 0 0
(19) MARYLIN LEVITT........................................................................
DIRECTOR- PARTIAL YEAR
5.00
.......................1.00
X           0 0 0
(20) MICHAEL EVANS........................................................................
DIRECTOR
5.00
.......................0
X           0 0 0
(21) PAMELA HOUGHTEN........................................................................
DIRECTOR
5.00
.......................0
X           0 0 0
(22) PATRICIA NOONAN........................................................................
DIRECTOR- PARTIAL YEAR
5.00
.......................1.00
X           0 0 0
(23) PETER DAYTON MD........................................................................
DIRECTOR
5.00
.......................0
X           0 0 0
(24) ROSEMARY MEYER........................................................................
DIRECTOR
5.00
.......................1.00
X           0 0 0
(25) TOM WILKINSON........................................................................
DIRECTOR- PARTIAL YEAR
5.00
.......................0
X           0 0 0
(26) WILLIAM CRANDALL........................................................................
DIRECTOR
5.00
.......................0
X           0 0 0
(27) ANGIE METCALF........................................................................
VP
50.00
.......................1.00
    X       177,468 0 46,875
(28) ARTHUR BRINK........................................................................
VP
1.00
.......................50.00
    X       340,833 0 39,224
(29) CHARLES CLEAVER........................................................................
VP
50.00
.......................1.00
    X       263,096 0 52,153
(30) CRAIG CHINDEMI........................................................................
VP- PARTIAL YEAR
1.00
.......................51.00
    X       62,722 0 288
(31) DONNA GRIFFITH........................................................................
VP
50.00
.......................1.00
    X       513,671 0 78,367
(32) EDMUND COLLINS........................................................................
VP
50.00
.......................1.00
    X       345,667 0 75,797
(33) HOWARD ROBBINS MD........................................................................
VP
50.00
.......................0
    X       815,092 0 42,400
(34) MARK COCORULLO........................................................................
ASSISTANT TREASURER/CFO
50.00
.......................2.00
    X       705,274 0 45,109
(35) MICHAEL SKEHAN MD........................................................................
VP- PARTIAL YEAR
50.00
.......................1.00
    X       48,840 0 1,336
(36) MIGUEL COTY........................................................................
VP
50.00
.......................1.00
    X       314,159 0 73,417
(37) ROBERT LORD........................................................................
ASSISTANT SECRETARY/VP
50.00
.......................3.00
    X       487,776 0 149,028
(38) GARY GRIFFIS MD........................................................................
PHYSICIAN
40.00
.......................0
        X   586,400 0 1,800
(39) JOHN AFSHAR MD........................................................................
NEUROSURGEON
40.00
.......................0
        X   1,208,044 0 38,910
(40) JOHN ROBINSON MD........................................................................
NEUROSURGEON
40.00
.......................0
        X   1,006,069 0 38,564
(41) JOHN VIOLA MD........................................................................
PHYSICIAN
40.00
.......................0
        X   1,080,400 0 42,040
(42) JORGE CASTILLO MD........................................................................
PHYSICIAN
40.00
.......................0
        X   491,899 0 41,830
(43) AMY BARRY........................................................................
Former VP
0.00
.......................0.00
          X 190,452 0 24,290
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 10,384,786 0 844,743
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet97
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
DIAGNOSTIC IMAGING SERVICES INCPO BOX 4STUARTFL34995 RADIOLOGY 3,213,902
MARTIN COUNTY ANESTHESIA GROUPPO BOX 868STUARTFL34995 ANESTHESIA SERVICES 1,817,054
STUART CARDIOVASCULAR ASSOC PLPO BOX 3130OCALAFL34478 PERFUSION SERVICES 741,961
BMA PORT ST LUCIE1680 SE LYNGATE DRPORT ST LUCIEFL34952 DIALYSIS SERVICES 575,785
STUART CARDIOVASCULAR ANESTHESIA ASSOC PLLCPO BOX 3130OCALAFL34478 ANESTHESIA SERVICES 541,887
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet22
Form 990 (2012)
Form 990 (2012)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response to any question in this Part VIII ..............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, Gifts, Grants and Other Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 7,808,514
e Government grants (contributions)1e 100,117
f All other contributions, gifts, grants, and
similar amounts not included above
1f
16,000
g Noncash contributions included in lines
1a-1f:$
 
h Total. Add lines 1a-1f.......MediumBullet 7,924,631
 Program Service Revenue Business Code
2a PATIENT SERVICES 622110 328,459,733 328,459,733    
b RENTAL TO AFFILIATES 531120 67,967 67,967    
c MEDICARE/MEDICAID INCENTIVE PAYMENTS 900099 2,737,068 2,737,068    
d     0      
e     0      
f All other program service revenue . 0 0 0 0
g Total. Add lines 2a–2f........MediumBullet 331,264,768
 Other Revenue 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 2,021,857     2,021,857
4 Income from investment of tax-exempt bond proceeds..MediumBullet 0      
5 Royalties...........MediumBullet 0      
(i) Real (ii) Personal
6a Gross rents 638,429  
b Less: rental expenses 693,514  
c Rental income or (loss) -55,085 0
d Net rental income or (loss).......MediumBullet -55,085     -55,085
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 31,933,254 118,519
b Less: cost or other basis and sales expenses 28,224,799 1,626,612
c Gain or (loss) 3,708,455 -1,508,093
d Net gain or (loss)..........MediumBullet 2,200,362     2,200,362
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ..
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet 0    
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet 0      
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet 0      
Miscellaneous Revenue Business Code
11a CAFETERIA 624210 1,233,549     1,233,549
b SUPPORT SERVICES TO AFFILIATES 561000 1,910,872   1,148,443 762,429
c LABORATORY SERVICES 621511 46,188   46,188  
d All other revenue .... 0 0 0 0
e Total. Add lines 11a–11d ...... MediumBullet 3,190,609
12 Total revenue. See Instructions......MediumBullet 346,547,142 331,264,768 1,194,631 6,163,112
Form 990 (2012)
Form 990 (2012)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response to any question in this Part IX ...............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the United States. See Part IV, line 21 77,299 77,299
2 Grants and other assistance to individuals in the United States. See Part IV, line 22 119,224 119,224
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16 0  
4 Benefits paid to or for members 0  
5 Compensation of current officers, directors, trustees, and key employees .... 5,984,093   5,984,093  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 237,542 237,542    
7 Other salaries and wages 120,865,391 113,947,967 6,917,424  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 8,691,083 8,451,422 239,661  
9 Other employee benefits ....... 13,042,209 12,691,005 351,204  
10 Payroll taxes ........... 8,542,288 7,983,907 558,381  
11 Fees for services (non-employees):        
a Management ...... 0      
b Legal ......... 268,938 37,430 231,508  
c Accounting ........... 332,675   332,675  
d Lobbying ........... 52,538 52,538    
e Professional fundraising services. See Part IV, line 17 0  
f Investment management fees ...... 572,625   572,625  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 13,152,016 12,166,301 985,715 0
12 Advertising and promotion .... 2,035,003 1,928,338 106,665  
13 Office expenses ....... 7,963,687 4,233,811 3,729,876  
14 Information technology ...... 4,010,480 1,419,767 2,590,713  
15 Royalties .. 0      
16 Occupancy ........... 19,807,588 16,757,143 3,050,445  
17 Travel ............ 289,619 179,363 110,256  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 259,574 187,125 72,449  
20 Interest ........... 93,228 93,228    
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization ..... 22,901,712 21,153,283 1,748,429  
23 Insurance .............. 3,455,889 3,455,889    
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a BAD DEBT 24,625,441 24,625,441    
b INDIGENT TAX 3,991,881 3,991,881    
c PATIENT TRANSPORT 1,128,516 1,128,516    
d MEDICAL SUPPLIES 58,388,974 58,388,974    
e All other expenses 2,819,493 2,638,967 180,526 0
25 Total functional expenses. Add lines 1 through 24e 323,709,006 295,946,361 27,762,645 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720). 0      
Form 990 (2012)
Form 990 (2012)
Page 11
Part X Balance Sheet Check if Schedule O contains a response to any question in this Part X ...............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash—non-interest-bearing ............. -6,323,392 1 -2,473,553
2 Savings and temporary cash investments ......... 29,935,280 2 30,447,781
3 Pledges and grants receivable, net ...........   3  
4 Accounts receivable, net ............. 35,842,608 4 39,513,803
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
  5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
  6 0
7 Notes and loans receivable, net .............   7 86,312
8 Inventories for sale or use .............. 5,945,847 8 6,454,213
9 Prepaid expenses and deferred charges .......... 5,405,172 9 6,508,152
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 516,141,695
b Less: accumulated depreciation ..... 10b 265,213,271 187,842,836 10c 250,928,424
11 Investments—publicly traded securities .......... 193,060,804 11 147,948,714
12 Investments—other securities. See Part IV, line 11 ..... 0 12 0
13 Investments—program-related. See Part IV, line 11 ..... 0 13 0
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ........... 28,088,283 15 29,192,570
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 479,797,438 16 508,606,416
Liabilities 17 Accounts payable and accrued expenses ......... 54,341,813 17 62,677,911
18 Grants payable .................   18  
19 Deferred revenue ................ 6,223 19 6,223
20 Tax-exempt bond liabilities ............. 215,696,607 20 211,297,332
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22 0
23 Secured mortgages and notes payable to unrelated third parties .. 2,421,962 23 1,848,269
24 Unsecured notes and loans payable to unrelated third parties .... 690,683 24 107,555
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.................... 48,903,049 25 42,476,106
26 Total liabilities. Add lines 17 through 25......... 322,060,337 26 318,413,396
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 141,564,552 27 173,611,356
28 Temporarily restricted net assets ........... 16,172,549 28 16,581,664
29 Permanently restricted net assets ...........   29  
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds ........   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 157,737,101 33 190,193,020
34 Total liabilities and net assets/fund balances ........ 479,797,438 34 508,606,416
Form 990 (2012)
Form 990 (2012)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI ...............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
346,547,142
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
323,709,006
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
22,838,136
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
157,737,101
5
Net unrealized gains (losses) on investments ...............
5
4,746,175
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
4,871,608
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
190,193,020
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII ..............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If “Yes,” to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits
3b
 
 
Form 990 (2012)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID: 12000266
Software Version: v2012.1.0
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
MARTIN MEMORIAL MEDICAL CENTER INC
 
Employer identification number

59-0637874
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization? ................
11g(i)
 
 
(ii) A family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) (iv) Is the organization in col. (i) listed in your governing document? (v) Did you notify the organization in col. (i) of your support? (vi) Is the organization in col. (i) organized in the U.S.? (vii) Amount of monetary support
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 4
Part IV
Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2012

Additional Data


Software ID: 12000266
Software Version: v2012.1.0
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2012
Name of the organization
MARTIN MEMORIAL MEDICAL CENTER INC
 
Employer identification number

59-0637874
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......................... Arrow Bullet   $    
Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990; or check the box on line H of its
Form 990-EZ or on Part I, line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 2
Name of organization
MARTIN MEMORIAL MEDICAL CENTER INC
 
Employer identification number

59-0637874
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
     
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED


(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 3
Name of organization
MARTIN MEMORIAL MEDICAL CENTER INC
 
Employer identification number

59-0637874
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
     
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 4
Name of organization
MARTIN MEMORIAL MEDICAL CENTER INC
 
Employer identification number

59-0637874
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  

Use duplicate copies of Part III if additional space is needed.
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Additional Data


Software ID: 12000266
Software Version: v2012.1.0
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public
Inspection
If the organization answered “Yes” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35c (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
MARTIN MEMORIAL MEDICAL CENTER INC
 
Employer identification number

59-0637874
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ...................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2012

Schedule C (Form 990 or 990-EZ) 2012
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).Click to see attachment
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.)
(a) Filing
organization's
totals
(b) Affiliated group
totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......   0
b Total lobbying expenditures to influence a legislative body (direct lobbying) ....... 52,538 52,538
c Total lobbying expenditures (add lines 1a and 1b) ................... 52,538 52,538
d Other exempt purpose expenditures ........................ 295,893,823 319,585,612
e Total exempt purpose expenditures (add lines 1c and 1d) ............... 295,946,361 319,638,150
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.
1,000,000 1,000,000
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) ................. 250,000 250,000
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................   0
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................ 0 0
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in)
(a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) Total
             
2a Lobbying nontaxable amount 1,000,000 1,000,000 1,000,000 1,000,000 4,000,000
             
b Lobbying ceiling amount
(150% of line 2a, column(e))
        6,000,000
             
c Total lobbying expenditures 118,263 222,853 106,418 52,538 500,072
             
d Grassroots nontaxable amount 250,000 250,000 250,000 250,000 1,000,000
             
e Grassroots ceiling amount
(150% of line 2d, column (e))
        1,500,000
             
f Grassroots lobbying expenditures     0 0 0
Schedule C (Form 990 or 990-EZ) 2012


Schedule C (Form 990 or 990-EZ) 2012
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each “Yes” response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
No
Yes
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
 
c
Media advertisements? ....................................
 
 
 
d
Mailings to members, legislators, or the public? .........................
 
 
 
e
Publications, or published or broadcast statements? .......................
 
 
 
f
Grants to other organizations for lobbying purposes? .......................
 
 
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
 
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
 
 
i
Other activities? ..........................
 
 
 
j
Total. Add lines 1c through 1i ...............................
 
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
 
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered “No” OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ............................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.
Identifier Return Reference Explanation
DESCRIPTION OF LOBBYING SCHEDULE C, PART II-A MARTIN HEALTH SYSTEM HAS RETAINED THE SERVICES OF CONSULTANTS IN TALLAHASSEE FOR THE PURPOSE OF MONITORING LEGISLATIVE AND REGULATORY HEALTHCARE-RELATED ISSUES THAT MIGHT AFFECT IT OR THE COMMUNITY IT SERVES, AND COMMUNICATING THE SYSTEM'S VIEWS ON THOSE ISSUES TO APPROPRIATE ELECTED OFFICIALS AND REGULATORS.
Schedule C (Form 990 or 990EZ) 2012

Additional Data


Software ID: 12000266
Software Version: v2012.1.0

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
MARTIN MEMORIAL MEDICAL CENTER INC
 
Employer identification number

59-0637874
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) .....    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance .... 6,188,695 5,356,240 5,400,634 4,797,137 3,980,110
b Contributions ........ 500,000 182,295 73,245 93,885 1,175,997
c Net investment earnings, gains, and losses 569,174 799,736 -45,218 532,094 -354,581
d Grants or scholarships ..... 129,341 149,576      
e Other expenditures for facilities
and programs ........
    72,421 22,482 4,389
f Administrative expenses ....          
g End of year balance ...... 7,128,528 6,188,695 5,356,240 5,400,634 4,797,137
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet20.200 %
b
Permanent endowment SchDMd Bullet37.200 %
c
Temporarily restricted endowment SchDMd Bullet42.600 %
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
Yes
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
Yes
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   18,945,469 18,945,469
b Buildings ................   142,962,275 108,397,356 34,564,919
c Leasehold improvements ............       0
d Equipment ................   245,503,191 152,728,403 92,774,788
e Other .................   108,730,760 4,087,512 104,643,248
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 250,928,424
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)
(b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) INTEREST RECEIVABLE 572,122
(2) BOND ISSUANCE COST 3,383,344
(3) PHYSICIAN GUARANTEE 2,451,093
(4) INTEREST IN MARTIN MEMORIAL FOUNDATION 16,516,963
(5) INVESTMENT IN AFFILIATES 5,584,765
(6) OTHER ASSETS 165
(7) DUE FROM AFFILIATES 684,118


Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 29,192,570
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes 0
ALLOWANCE INSURANCE AUDIT 136,528
DEFERRED COMPENSATION 8,065,771
SECURITY DEPOSITS 19,576
SELF INSURANCE RESERVE 7,765,757
ASSET RETIREMENT OBLIGATION 1,376,491
DEFERRED PENSION 23,731,840
OTHER LIABILITIES 403
DUE TO AFFILIATES 51,466
PHYSICIAN GUARANTEE 1,328,274
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 42,476,106
2. Fin 48 (ASC 740) Footnote. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII .....................................................
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
Intended uses of endowment funds Schedule D, Part V, Line 4 MARTIN MEMORIAL FOUNDATION, INC. (A RELATED ORGANIZATION) HOLDS THE ENDOWMENT FUNDS WITH THE INTENDED PURPOSE TO SUPPORT MARTIN MEMORIAL MEDICAL CENTER, INC. ("MMMC"). THE FUNDS ARE USED BY MMMC FOR A VARIETY OF PATIENT CARE ACTIVITIES AND PROGRAMS INCLUDING SUPPORT OF THE CANCER CENTER, SUPPORT OF NURSING EDUCATION, FOR THE PURCHASE OF MEDICAL EQUIPMENT, SUPPORT OF THE HEART CENTER, AND OTHER GENERAL HEALTHCARE ACTIVITIES.
FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 UNDER ASC SUBTOPIC 740, INCOME TAXES, THE MEDICAL CENTER MUST RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS "MORE-LIKELY-THAN-NOT" THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE APPLICABLE TAXING AUTHORITIES BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50 PERCENT LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. ASC, SUBTOPIC 740-10, ALSO PROVIDES GUIDANCE OF DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES ON INCOME TAXES AND ACCOUNTING IN INTERIM PERIODS AND REQUIRES INCREASED DISCLOSURE. THERE WERE NO UNCERTAIN TAX POSITIONS AS OF SEPTEMBER 30, 2013 AND 2012. THE MEDICAL CENTER DOES NOT EXPECT THE TOTAL AMOUNT OF UNRECOGNIZED TAX BENEFITS TO SIGNIFICANTLY CHANGE IN THE NEXT TWELVE MONTHS. TAX RETURNS FILED BY THE MEDICAL CENTER ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE (IRS) UP TO THREE YEARS FROM THE DATE THE RETURN WAS FILED. THE MEDICAL CENTER RECOGNIZES INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS IN INCOME TAX EXPENSE. THE MEDICAL CENTER DID NOT HAVE ANY AMOUNTS ACCRUED FOR INTEREST AND PENALTIES AT SEPTEMBER 30, 2013 AND 2012. TAX RETURNS FILED BY THE MEDICAL CENTER AND ITS AFFILIATED COMPANIES ARE NO LONGER SUBJECT TO EXAMINATION FOR THE YEARS ENDED SEPTEMBER 30, 2009 AND PRIOR.
Schedule D (Form 990) 2012

Additional Data


Software ID: 12000266
Software Version: v2012.1.0




SCHEDULE H (Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
MARTIN MEMORIAL MEDICAL CENTER INC
 
Employer identification number

59-0637874
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: .........
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? ..........
6a
Yes
 
b
If "Yes," did the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) ..
    10,668,726 0 10,668,726 3.570 %
b Medicaid (from Worksheet 3,
column a) ....
    27,049,079 16,109,071 10,940,008 3.660 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) .
    0 0 0 0 %
d Total Financial Assistance
and Means-Tested
Government Programs .
0 0 37,717,805 16,109,071 21,608,734 7.230 %
Other Benefits
    147,900 0 147,900 0.050 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) ..
    4,864,983 0 4,864,983 1.630 %
g Subsidized health services
(from Worksheet 6) ..
    0 0 0 0 %
h Research (from Worksheet 7)     0 0 0 0 %
i Cash and in-kind
contributions for community
benefit (from Worksheet 8)
    167,428 0 167,428 0.060 %
j Total. Other Benefits .. 0 0 5,180,311 0 5,180,311 1.740 %
k Total. Add lines 7d and 7j . 0 0 42,898,116 16,109,071 26,789,045 8.970 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing         0 0 %
2 Economic development         0 0 %
3 Community support 1 3,400 9,198 0 9,198 0 %
4 Environmental improvements         0 0 %
5 Leadership development and training for community members         0 0 %
6 Coalition building         0 0 %
7 Community health improvement advocacy         0 0 %
8 Workforce development 1 112 188,326 0 188,326 0.060 %
9 Other         0 0 %
10 Total 2 3,512 197,524 0 197,524 0.060 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
24,625,441
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
4,925,082
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
101,902,069
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
122,933,340
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-21,031,271
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity
(c) Organization's
profit % or stock
ownership %
(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership %
(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?1
Name, address, and primary website address
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 MARTIN MEMORIAL MEDICAL CENTER
200 HOSPITAL AVE
STUART,FL34994
WWW.MARTINHEALTH.ORG
X X         X      
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
MARTIN MEMORIAL MEDICAL CENTER
Name of hospital facility or facility reporting group  
For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A) 1
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If “Yes,” indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 12
3 In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................ 4   No
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If “Yes,” indicate how the CHNA report was made widely available (check all that apply):
a
b
c
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7 Yes  
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 200%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 400%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?.......... 17   No
If “Yes,” check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If “No,” indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individuals to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If “Yes,” explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?29
Name and address Type of Facility (describe)
1 MARTIN MEDICAL OUTPATIENT SURGERY CENTER
509 RIVERSIDE DRIVE
STUART,FL34995
OUTPATIENT SURGERY DEPARTMENT
2 MARTIN MEMORIAL MEDICAL CENTER
1095 ST LUCIE WEST BLVD
PORT ST LUCIE,FL34986
EMERGENCY ROOM
3 ROBERT AND CAROL WEISSMAN CANCER CENTER
501 OSCEOLA STREET
STUART,FL34994
CANCER CENTER
4 MARTIN MEDICAL BACK AND SPINE CENTER
509 RIVERSIDE DRIVE
STUART,FL34994
NEUROSURGEONS OFFICES
5 MARTIN MEDICAL RADIATION ONCOLOGY
1095 SW ST LUCIE WEST BLVD
PORT ST LUCIE,FL34986
RADIATION ONCOLOGY TREATMENT CENTER
6 DAVID L SMYTHE WOUND CENTER
314 HOSPITAL AVE
STUART,FL34994
WOUND CARE CENTER
7 RICHARD C RAUB REHABILITATION CENTER
2195 SE OCEAN BLVD
STUART,FL34996
REHABILITATION CENTER
8 MARTIN REHABILITATION CENTER
6001 SE TOWER DRIVE
STUART,FL34997
REHABILITATION CENTER
9 MARTIN PEDIATRIC AND AQUATICS THERAPY
3496 NW FEDERAL HWY
JENSEN BEACH,FL34957
PEDIATRIC REHABILITATION CENTER
10 MARTIN MEDICAL SLEEP DISORDERS CENTER
3066 SW MARTIN DOWNS BLVD
PALM CITY,FL34950
SLEEP DISORDERS CENTER
11 MARTIN REHABILITATION CENTER
1095 SW ST LUCIE WEST BLVD
PORT ST LUCIE,FL34986
REHABILITATION CENTER
12 MARTIN REHABILITATION CENTER
3066 SW MARTIN DOWNS BLVD
PALM CITY,FL34950
REHABILITATION CENTER
13 MARTIN REHABILITATION CENTER
1651 SE TIFFANY
PORT ST LUCIE,FL34952
REHABILITATION CENTER
14 MARTIN REHABILITATION CENTER
11602 SE FEDERAL HWY
HOBE SOUND,FL33455
REHABILITATION CENTER
15 MARTIN MEDICAL CARDIO REHAB
308 HOSPITAL AVE
STUART,FL34994
CARDIAC CARE REHABILITATION
16 MARTIN MEDICAL HEALTH & FITNESS
3066 SW MARTIN DOWNS BLVD
PALM CITY,FL34950
MEDICALLY DIRECTED FITNESS CENTER.
17 MARTIN MEDICAL HEALTH & FITNESS
3496 NW FEDERAL HWY
JENSEN BEACH,FL34957
MEDICALLY DIRECTED FITNESS CENTER.
18 EAST OCEAN LAB DRAWING STATION
2392 SE OCEAN BLVD
STUART,FL34996
BLOOD DRAW STATION
19 ST LUCIE WEST LAB DRAWING STATION
1095 SW ST LUCIE WEST BLVD
PORT ST LUCIE,FL34986
BLOOD DRAW STATION
20 MARTIN MEDICAL HEALTH & FITNESS
6001 SE TOWER DRIVE
STUART,FL34997
MEDICALLY DIRECTED FITNESS CENTER.
21 MARTIN OCCUPATIONAL HEALTH SERVICES
2384 E OCEAN BLVD
STUART,FL34996
MARTIN OCCUPATIONAL HEALTH SERVICES
22 MARTIN MEDICAL HEALTH & FITNESS
11602 SE FEDERAL HWY
HOBE SOUND,FL33455
MEDICALLY DIRECTED FITNESS CENTER.
23 MARTIN BARIATRIC AND METABOLIC SURGERY CENTER
3496 NW FEDERAL HWY
JENSEN BEACH,FL34957
MORBID OBESITY CONSULTING
24 PALM CITY LAB DRAWING STATION
3066 SW MARTIN DOWNS BLVD
PALM CITY,FL34950
BLOOD DRAW STATION
25 MARTIN REHABILITATION CENTER
509 RIVERSIDE DRIVE
STUART,FL34994
REHABILITATION CENTER
26 MARTIN MEDICAL HEALTH & FITNESS
582 NW UNIVERSITY BLVD
PORT ST LUCIE,FL34986
MEDICALLY DIRECTED FITNESS CENTER.
27 MARTIN MEDICAL HEALTH & FITNESS
2195 SE AIROSO BLVD
PORT ST LUCIE,FL34984
MEDICALLY DIRECTED FITNESS CENTER.
28 MARTIN MEDICAL BACK AND SPINE CENTER
1095 SW ST LUCIE WEST BLVD
PORT ST LUCIE,FL34986
NEUROSURGEONS OFFICE.
29 PORT ST LUCIE LAB DRAWING STATION
1651 SE TIFFANY
PORT ST LUCIE,FL34952
BLOOD DRAW STATION
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; Part V, Section A; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
8 Facility reporting group(s). If applicable, for each hospital facility in a facility reporting group provide the descriptions required for Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
Identifier ReturnReference Explanation
Costing Methodology used to calculate financial assistance Schedule H, Part I, Line 7 THE COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2 WAS USED FOR THESE CALCULATIONS.
Bad Debt Expense excluded from financial assistance calculation Schedule H, Part I, Line 7, column(f) 24,625,441
Community Building Activities Schedule H, Part II ADVANCED MEDICAL TRANSPORT PROVIDES SUPPORT AND LOCAL COMMUNITY EVENTS TO PROMOTE HEALTH EDUCATION AND SAFETY AWARENESS. IN ADDITION, THE ORGANIZATION HAS CREATED A PARTNERSHIP WITH THE UNITED WAY IN THE COMMUNITIES WE SERVE AND LAUNCHED AN ASSOCIATE FUNDRAISING DRIVE TO RAISE VITAL FUND FOR THE MARTIN AND ST. LUCIE COUNTY UNITED WAY IN ORDER TO SUPPORT PROGRAMS THAT ADDRESS THE MOST PRESSING NEEDS IN OUR COMMUNITY. OVER 1/2 OF OUR ASSOCIATES ACCESS SERVICES THAT ARE FUNDED AND SUPPORTED BY THE UNITED WAY. IN ORDER FOR OUR HEALTH SYSTEM TO RAISE THE DOLLARS FOR COMMUNITY SUPPORT WE FORMED AN INTERNAL CAMPAIGN COMMITTEE AND PROVIDED LOANED EXECUTIVES TO THE COUNTY WIDE UNITED WAY CAMPAIGN DRIVE. THROUGH THE EFFORTS OF THIS CAMPAIGN COMMITTEE OVER $48,000 WAS RAISED FOR MARTIN AND ST. LUCIE UNITED WAY TO FUND PROGRAMS IN THE COMMUNITY THAT SUPPORT SERVICES FOR THE UNDERSERVED POPULATION.
Bad debt expense - methodology used to estimate amount as community benefit Schedule H, Part III, Line 3 THE MEDICAL CENTER ATTEMPTS TO QUALIFY ALL NON-INSURED PATIENTS FOR MEDICAID OR OTHER MEANS-TESTED PROGRAMS. ANY PATIENT THAT IS INELIGIBLE FOR MEDICAID OR OTHER MEANS-TESTED PROGRAMS AND DOES NOT HAVE INSURANCE IS CLASSIFIED AS SELF PAY. THE BAD DEBT IS BASED ON UNPAID SELF PAY BALANCES. MARTIN DOES NOT USE ANY PORTION OF BAD DEBT IN ITS CHARITY CARE CALCULATION. MARTIN ESTIMATES THAT 20 PERCENT OF THE BAD DEBT EXPENSE IS ATTRIBUTABLE TO PATIENTS WHO MAY HAVE QUALIFIED FOR FINANCIAL ASSISTANCE IF IT WERE POSSIBLE TO OBTAIN SUFFICIENT INFORMATION TO DETERMINE THEIR ELIGIBILITY.
Bad debt expense - financial statement footnote Schedule H, Part III, Line 4 BELOW IS THE TEXT OF THE FOOTNOTE FROM THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS THAT DISCUSSES BAD DEBT EXPENSE. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE MEDICAL CENTER ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY INSURANCE COVERAGE, THE MEDICAL CENTER ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY ACCOUNTS (WHICH INCLUDE BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE MEDICAL CENTER RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE MEDICAL CENTER REGULARLY PERFORMS HINDSIGHT PROCEDURES TO EVALUATE HISTORICAL WRITE-OFF AND COLLECTION EXPERIENCE THROUGHOUT THE YEAR TO ASSIST IN DETERMINING THE REASONABLENESS OF ITS PROCESS FOR ESTIMATING THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS.
Community benefit & methodology for determining medicare costs Schedule H, Part III, Line 8 THE SHORTFALL OF $21,031,271 REPRESENTS UNREIMBURSED SERVICES TO MEMBERS OF OUR COMMUNITY. THESE SERVICES ARE A VITAL PART OF THE HEALTH CARE MARTIN MEMORIAL PROVIDES TO THESE PATIENTS. ONLY BY PROVIDING THESE SERVICES BELOW COST ARE WE ABLE TO MEET THE NEEDS OF THESE PATIENTS. THE DATA USED TO DETERMINE THE REVENUE AND COST AMOUNTS CAME DIRECTLY FROM THE MEDICARE COST REPORT.
Collection practices for patients eligible for financial assistance Schedule H, Part III, Line 9b MARTIN MEMORIAL INTERVIEWS POTENTIAL CHARITY CARE PATIENTS/GUARANTORS TO DETERMINE THE PAYMENT SOURCES, ASCERTAIN WHETHER A REFERRAL FOR A MEDICAL ECONOMIC SOCIAL PAYMENT SOURCE IS ADVISABLE OR DETERMINE IF THE PATIENT QUALIFIES FOR CHARITY CARE. MARTIN MEMORIAL LOOKS AT THE PATIENTS' ASSETS, LIABILITIES, INCOME, FAMILY SIZE, EXISTING MONTHLY BILLS, AND OTHER PERTINENT FINANCIAL INDICATORS. MARTIN MEMORIAL USES THE STATE OF FLORIDA HCCB CHARITY/UNCOMPENSATED CARE GUIDELINES (200% OF THE CURRENT FEDERAL POVERTY GUIDELINES) AS A THRESHOLD FOR GRANTING CHARITY CARE. IN CERTAIN INSTANCES WHERE MEDICAL INDIGENCY IS ASCERTAINED, CHARITY CARE WOULD BE APPROVED FOR CASES THAT EXCEED THE HCCB INCOME THRESHOLD GUIDELINES. AFTER THE INTERVIEW, IF FULL OR PARTIAL PAYMENT IS NOT ANTICIPATED, THE ACCOUNT IS CONVERTED TO A CHARITY CARE STATUS, AND WILL NOT BE CONSIDERED BAD DEBT. ONCE CONVERTED TO CHARITY CARE THE PATIENT IS NOT EXPECTED TO MAKE PAYMENTS AND IS NOT PURSUED FOR PAYMENT. IF THE PATIENT IS KNOWN TO BE UNDER A CURRENT CHARITY PROVISION, THE COMPUTER SYSTEM ALERTS MMMC AND THE PATIENT WOULD NOT GO TO A COLLECTION AGENCY FOR ANYTHING OTHER THAN THE SMALL AMOUNT THEY WERE SUPPOSED TO PAY AS PART OF THE CHARITY AGREEMENT, AFTER REASONABLE NOTICE OF NONPAYMENT.
Community Served by Needs Assessment Schedule H, Part V Section B, Line 3 (1) MARTIN MEMORIAL MEDICAL CENTER - MARTIN MEMORIAL ENGAGED WITH CARNAHAN GROUP TO CONDUCT THE COMMUNITY HEALTH NEEDS ASSESSMENT; IN ADDITION THERE WAS A DESIGNATED ASSOCIATE THAT HELPED TO COORDINATE THE ENTIRE PROCESS. INFORMATION WAS GATHERED BY CONDUCTING INTERVIEWS WITH INDIVIDUALS REPRESENTING COMMUNITY HEALTH AND PUBLIC SERVICE ORGANIZATIONS INCLUDING THE UNITED WAY OF MARTIN AND ST. LUCIE COUNTY, COUNTY HEALTH DEPARTMENTS, SCHOOL HEALTH SERVICES, MEDICAL PROFESSIONALS INCLUDING PHYSICIANS , HOSPITAL ADMINISTRATION AND OTHER HOSPITAL STAFF MEMBERS AND ORGANIZATIONS WHOSE MISSION IS TO SERVE THE MEDICALLY UNDERSERVED AND LOW INCOME POPULATIONS IN THE COMMUNITY TO OBTAIN A DIVERSE AND ACCURATE REPRESENTATION. ;
Means used to determine amounts billed Schedule H, Part V Section B, Line 20d (1) MARTIN MEMORIAL MEDICAL CENTER - MOST PATIENTS WHO QUALIFY FOR 100% FINANCIAL ASSISTANCE WILL PAY NOTHING TOWARD THEIR SERVICES. OTHER PATIENTS MAY BE ASKED TO PAY SMALL AMOUNTS BASED ON THEIR ABILITY TO PAY. THE AMOUNT PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE WILL PAY WILL VARY AND MAY BE REDUCED OR CHANGED BASED ON THE AMOUNT OF SERVICES THEY RECEIVE AND THE PATIENT'S CONTINUED ABILITY TO PAY. THE MAXIMUM AMOUNT A PATIENT ELIGIBLE FOR FINANCIAL ASSISTANCE WILL BE CHARGED WILL NOT BE MORE THAN THE AMOUNTS GENERALLY BILLED ("AGB") TO THOSE WHO HAVE INSURANCE. THE ORGANIZATION CHOSE THE LOOK-BACK METHOD FOR CALCULATING THE AGB.;
Needs assessment. Schedule H, Part VI, Line 2 MARTIN MEMORIAL COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT IN JULY OF 2013. THE ASSESSMENT CONTAINED EPIDEMIOLOGICAL, QUALITATIVE AND COMPARATIVE METHODS THAT ASSESSES THE HEALTH ISSUES IN OUR ORGANIZATION'S COMMUNITY AND THAT COMMUNITY'S ACCESS TO SERVICES RELATED TO THOSE ISSUES. THE CHNA IS AVAILABLE TO THE PUBLIC VIA OUR WEBSITE MARTINHEALTH.ORG AND BY PAPER UPON REQUEST. MARTIN MEMORIAL CONDUCTED FOCUS GROUPS IN THE COMMUNITY TO DETERMINE THE MOST PRESSING NEEDS. WE OBTAINED INPUT FOR PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED, WHICH INCLUDES THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. WE GATHERED SECONDARY DATA FROM CLARITAS, THE US CENSUS BUREAU, AND THE CENTER FOR DISEASE CONTROL AND PREVENTION (CDC) FLORIDA CHARTS, OUR LOCAL UNITED WAY AND HEALTH DEPARTMENTS. BASED ON OUR LAST COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED IN JULY 2013 WE IDENTIFIED 6 MAIN NEEDS FOR OUR COMMUNITY DIABETES, MENTAL HEALTH, SUBSTANCE ABUSE, CANCER, OBESITY AND ACCESS AND AFFORDABILITY OF SERVICES. WE CONTINUE TO UTILIZE OUR INTERNAL COMMUNITY BENEFIT ADVISORY COUNCIL FOR STRATEGIC EVIDENCE BASED PROGRAM INITIATIVES TO ADDRESS COMMUNITY HEALTH NEEDS AND EVALUATE CURRENT PROGRAMMING. BECAUSE THE COMMUNITY HEALTH NEEDS ASSESSMENT IS THE ORGANIZATION'S PRIMARY METHOD FOR ASSESSING THE HEALTH CARE NEEDS OF THE COMMUNITY, NO ADDITIONAL FORMAL ASSESSMENTS ARE COMPLETED.
Patient education of eligibility for assistance. Schedule H, Part VI, Line 3 CHARITY CARE AND ASSISTANCE PROGRAMS ARE POSTED IN THE LOBBIES OF THE THREE EMERGENCY DEPARTMENTS, ADMITTING AREAS AND WRITTEN ON PATIENT STATEMENTS AND BILLING. INFORMATION IS ALSO AVAILABLE ON MARTIN MEMORIAL'S WEBSITE. PROCEDURES ARE PROVIDED TO THE PATIENTS UPON REQUEST AND ARE AVAILABLE IN SPANISH IN ADDITION TO ENGLISH.
Community information. Schedule H, Part VI, Line 4 MARTIN MEMORIAL SERVES MARTIN COUNTY AND SOUTHERN ST. LUCIE COUNTY, A POPULATION OF APPROXIMATELY 359,000. WE DEFINE OUR COMMUNITY BASED ON 19 ZIP CODES. THE AREA HAS TRADITIONALLY BEEN A RETIREMENT COMMUNITY, WITH A SUBSTANTIAL POPULATION OF SEASONAL RESIDENTS. HOWEVER SUBSTANTIAL GROWTH IN ST. LUCIE COUNTY HAS INCLUDED MANY YOUNGER FAMILIES WHO LIVE THERE YEAR-ROUND. OUR COMMUNITY HEALTH NEEDS ASSESSMENT THAT WAS CONDUCTED IN 2013 SHOWED THAT WITHIN 5 YEARS SUBSTANTIAL POPULATION GROWTH IS EXPECTED AMONG RESIDENTS AGES 18-24 (10.8%) AND 65 AND OLDER (13.6%) AND IN 1 ZIP CODE IDENTIFIED IN ST. LUCIE COUNTY SHOULD SEE A 10.4% GROWTH OF CHILDREN AGES 0-17. 2 COMMUNITIES IN ST. LUCIE COUNTY IDENTIFIED BY ZIP CODES 34953 AND 34986 ARE EXPECTED TO GROW WITHIN 5 YEARS BY OVER 10%. THE FASTEST GROWING ETHNICITY IS HISPANICS. IN MARTIN COUNTY, NEARLY 28.3% OF MARTIN COUNTY RESIDENTS ARE OVER AGE 65 AND 4.2% ARE UNDER THE AGE OF 5. IN PORT ST. LUCIE, WHICH COMPRISES MOST OF MARTIN MEMORIAL'S SERVICE AREA IN ST. LUCIE COUNTY, ONLY 21.4% ARE OLDER THAN 65 AND 5.5% ARE UNDER THE AGE OF 5. MEDIAN HOUSEHOLD INCOME IS $50,281 IN MARTIN COUNTY AND $42,911 IN ST. LUCIE COUNTY. IN MARTIN COUNTY 12.2% OF INDIVIDUALS ARE BELOW THE POVERTY LINE AND IN ST. LUCIE COUNTY 18.3% OF INDIVIDUALS ARE BELOW THE POVERTY LINE. THE PERCENTAGE OF CHILDREN BELOW POVERTY LEVEL MARTIN COUNTY: 20.7%, ST LUCIE COUNTY: 29.6% ST LUCIE COUNTY HAS A SLIGHTLY HIGHER INCIDENCE OF CHILDREN LIVING IN POVERTY THAN THE STATE AVERAGE OF 23.2%. MARTIN MEMORIAL MEDICAL CENTER IS THE ONLY HOSPITAL IN MARTIN COUNTY, FLORIDA.
Promotion of community health Schedule H, Part VI, Line 5 MARTIN MEMORIAL HAS A MULTIFACETED APPROACH TO PROMOTING COMMUNITY HEALTH. OUR BOARDS OF DIRECTORS ARE COMPRISED OF COMMUNITY MEMBERS SEEKING TO ENSURE WE PROVIDE ACCESS TO HIGH-QUALITY CARE. THROUGHOUT THE YEAR, MARTIN MEMORIAL PROVIDES FREE OR LOWER-COST EDUCATIONAL OPPORTUNITIES AND HEALTH SCREENINGS AIMED AT DISEASE PREVENTION TARGETED AT THE UNDERSERVED POPULATION IN THE COMMUNITY. COMMUNITY PARTNERSHIPS HAVE BEEN A VITAL COMPONENT TO REACH THE COMMUNITY MEMBERS WITH THE GREATEST NEED BY RAISING AWARENESS AND ACTING AS A COMMUNITY RESOURCE IN HELPING PEOPLE ACCESS THE SERVICES THEY NEED. THE ORGANIZATION ALSO OFFERS FREE SUPPORT GROUPS FOR PATIENTS AND FAMILY MEMBERS THAT ARE FACING ONGOING MANAGEMENT OF CHRONIC DISEASES. MARTIN MEMORIAL ASSOCIATES PROVIDE COUNTLESS HOURS OF VOLUNTEER SERVICE TO NOT-FOR-PROFIT AGENCIES AND ORGANIZATIONS, WITH AN EMPHASIS ON THOSE WITH A MISSION TO ENHANCE COMMUNITY HEALTH. MARTIN MEMORIAL OFFERS NUMEROUS SPONSORSHIPS INTENDED TO PROMOTE THE HEALTH AND WELL-BEING OF OUR COMMUNITIES INCLUDING THE SUPPORT OF LOCAL FREE HEALTH CLINICS THAT HELP THE MEDICALLY UNDERSERVED POPULATION. MARTIN MEMORIAL IS WORKING WITH OTHER AGENCIES AND ORGANIZATIONS TO CREATE PROGRAMS THAT WILL HELP PROMOTE THE OVERALL HEALTH OF THE COMMUNITY. MARTIN COUNTY IS RANKED THE 4TH HEALTHIEST COMMUNITY IN FL, WHEREAS ST LUCIE COUNTY IS RANKED 24TH. THE LAST RANKING HAD MARTIN COUNTY LISTED AS 5TH HEALTHIEST AND ST LUCIE COUNTY AS 34TH, WHICH SHOWS THAT ORGANIZATIONS ARE WORKING TOGETHER TO ADDRESS THE HEALTH DISPARITIES IN THE COMMUNITY. IN ADDITION, A MAJORITY OF THE GOVERNING BODY OF MARTIN MEMORIAL MEDICAL CENTER IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA AND WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS NOR FAMILY MEMBERS THEREOF. IN ADDITION, THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY.
Affiliated health care system Schedule H, Part VI, Line 6 MARTIN MEMORIAL MEDICAL CENTER BELONGS TO A GROUP OF AFFILIATED COMPANIES THAT PROVIDE DIAGNOSTIC AND AMBULANCE SERVICES TO THE LOCAL COMMUNITY AND FUNDRAISING FOR THE BENEFIT OF MARTIN MEMORIAL MEDICAL CENTER. MARTIN MEMORIAL ALSO HAS FOR-PROFIT AFFILIATES PROVIDING PHYSICIAN SERVICES TO THE LOCAL COMMUNITY AS WELL AS BILLING AND COLLECTION SERVICES FOR THE AFFILIATED COMPANIES. THERE ARE TWO LIMITED PARTNERSHIPS THAT OWN MEDICAL OFFICE BUILDINGS WHICH PRIMARILY HOUSE AFFILIATED COMPANIES MEDICAL OFFICES AND CLINICS.
Schedule H (Form 990) 2012
Additional Data


Software ID: 12000266
Software Version: v2012.1.0
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
MARTIN MEMORIAL MEDICAL CENTER INC
 
Employer identification number
59-0637874
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government
(b) EIN (c) IRC Code section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
(1) INDIAN RIVER STATE COLLEGE FOUNDATION
3209 VIRGINIA AVE
FORT PIERCE,FL34981
59-1105591 501(C)(3) 77,299 0 N/A N/A HEALTH CARE EDUCATION






















2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
1
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2012

Schedule I (Form 990) 2012
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients
(c)Amount of
cash grant
(d)Amount of
non-cash assistance
(e)Method of valuation (book,
FMV, appraisal, other)
(f)Description of non-cash assistance
(1) HEALTH CARE FOR INDIGENT PATIENTS 147 58,281 0 N/A N/A
(2) SHELTER / TRANSPORTATION / FOOD 235 60,943 0 N/A N/A










Part IV
Supplemental Information.
Complete this part to provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Identifier Return Reference Explanation
Procedures for monitoring use of grant funds Schedule I, Part I, Line 2 HEALTH CARE ASSISTANCE IS PROVIDED TO ONCOLOGY PATIENTS THAT HAVE A FINANCIAL NEED INCLUDING HELP PAYING FOR MEDICAL EXPENSES, FOOD, SHELTER AND TRANSPORTATION. THE ORGANIZATION'S SOCIAL SERVICES DEPARTMENT ALSO ASSISTS INDIGENT PATIENTS THAT ARE BEING DISCHARGED WITH PHARMACY ITEMS. GRANTS ARE CLOSELY MONITORED AND ASSESSMENTS ARE MADE TO ENSURE THEY ARE USED FOR THE INTENDED PURPOSES. THE MARTIN MEMORIAL MEDICAL CENTER EDUCATION DEPARTMENT WORKS CLOSELY WITH INDIAN RIVER STATE COLLEGE FOUNDATION AS TO THE USE OF THE FUNDS.
Schedule I (Form 990) 2012


Additional Data


Software ID: 12000266
Software Version: v2012.1.0


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
MARTIN MEMORIAL MEDICAL CENTER INC
 
Employer identification number

59-0637874
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all officers,
directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? .......
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits
(E) Total of columns
(B)(i)-(D)
(F) Compensation
reported as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)AMY BARRYFORMER VP (i)
(ii)
100,221
0
61,162
0
29,069
0
8,763
0
15,527
0
214,742
0
29,069
0
(2)ANGIE METCALFVP (i)
(ii)
142,291
0
35,177
0
0
0
12,634
0
34,241
0
224,343
0
0
0
(3)ARTHUR BRINKVP (i)
(ii)
230,953
0
109,880
0
0
0
10,915
0
28,309
0
380,057
0
0
0
(4)CHARLES CLEAVERVP (i)
(ii)
189,861
0
73,235
0
0
0
17,000
0
35,153
0
315,249
0
0
0
(5)DONNA GRIFFITHVP (i)
(ii)
347,844
0
165,699
0
128
0
69,128
0
9,239
0
592,038
0
0
0
(6)EDMUND COLLINSVP (i)
(ii)
228,201
0
117,466
0
0
0
42,678
0
33,119
0
421,464
0
0
0
(7)GARY GRIFFIS MDPHYSICIAN (i)
(ii)
586,400
0
0
0
0
0
0
0
1,800
0
588,200
0
0
0
(8)HOWARD ROBBINS MDVP (i)
(ii)
358,623
0
186,219
0
270,250
0
30,899
0
11,501
0
857,492
0
0
0
(9)JOHN AFSHAR MDNEUROSURGEON (i)
(ii)
836,642
0
366,378
0
5,024
0
0
0
38,910
0
1,246,954
0
0
0
(10)JOHN ROBINSON MDNEUROSURGEON (i)
(ii)
819,950
0
164,096
0
22,023
0
0
0
38,564
0
1,044,633
0
0
0
(11)JOHN VIOLA MDPHYSICIAN (i)
(ii)
775,798
0
282,579
0
22,023
0
7,350
0
34,690
0
1,122,440
0
0
0
(12)JORGE CASTILLO MDPHYSICIAN (i)
(ii)
491,835
0
0
0
64
0
7,350
0
34,480
0
533,729
0
0
0
(13)MARK COCORULLOASSISTANT TREASURER/CFO (i)
(ii)
373,305
0
183,281
0
148,688
0
17,000
0
28,109
0
750,383
0
0
0
(14)MARK ROBITAILLEPRESIDENT/CEO (i)
(ii)
620,997
0
317,332
0
760,595
0
17,000
0
36,315
0
1,752,239
0
0
0
(15)MIGUEL COTYVP (i)
(ii)
199,974
0
90,499
0
23,686
0
40,298
0
33,119
0
387,576
0
23,686
0
(16)ROBERT LORDASSISTANT SECRETARY/VP (i)
(ii)
286,473
0
129,525
0
71,778
0
113,529
0
35,499
0
636,804
0
71,760
0
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Identifier Return Reference Explanation
Tax indemnification and gross-up payments Schedule J, Part I, Line 1a THE NONQUALIFIED DEFINED BENEFIT SERP PLAN HAS A TAX ADJUSTMENT FACTOR IN ITS BENEFIT CALCULATION.
Supplemental nonqualified retirement plan Schedule J, Part I, Line 4b COMPENSATION REPORTED IN THE FORM 990, PARTICULARLY BENEFIT COSTS, MAY BE CONFUSING, ESPECIALLY WHEN MAKING COMPARISONS FROM ONE ORGANIZATION TO ANOTHER OR EVEN FROM ONE YEAR TO ANOTHER FOR THE SAME ORGANIZATION. RETIREMENT BENEFIT COSTS VARY WIDELY DEPENDING ON THE TYPE OF PLAN - DEFINED BENEFIT OR CONTRIBUTION, AND THE AGE AND TENURE OF THE EXECUTIVE. MARTIN MEMORIAL MAINTAINS SEVERAL UNFUNDED SUPPLEMENTAL RETIREMENT PLANS. THE AMOUNT ACCRUED (NOT PAID) WAS $85,016 FOR MR. LORD, $51,474 FOR MS. GRIFFITH, $29,831 FOR MR. COTY, $35,328 FOR MR. COLLINS, AND $6,517 FOR MS. METCALF. THE FOLLOWING PARTICIPANTS IN THIS PLAN RECEIVED DISTRIBUTIONS: $71,760 FOR MR. LORD; $23,686 FOR MR. COTY AND $29,069 FOR MS. BARRY. MARK ROBITAILLE, DR. HOWARD ROBBINS AND L. MARK COCORULLO PARTICIPATE IN A NON-QUALIFIED DEFINED BENEFIT SERP PLAN. THE AMOUNT THAT BECAME VESTED BUT NOT PAID WAS $753,573 FOR MR. ROBITAILLE, $269,392 FOR DR. ROBBINS, AND $146,163 FOR MR. COCORULLO. THESE AMOUNTS WERE INCLUDED IN THEIR FORMS W-2. THERE WERE NO DISTRIBUTIONS MADE TO MR. ROBITAILLE, DR. ROBBINS OR MR. COCORULLO DURING THE YEAR. DR. AFSHAR, DR. ROBINSON, DR. VIOLA, DR. GRIFFIS AND DR. CASTILLO DO NOT PARTICIPATE IN THESE PLANS.
INCENTIVE PAYMENTS SCHEDULE J, PART II, COLUMN (B)(II) THE ORGANIZATION HISTORICALLY DETERMINED INCENTIVE AMOUNTS IN DECEMBER BUT MADE INCENTIVE PAYMENTS TO INDIVIDUALS IN JANUARY. HOWEVER, DURING 2012 THE ORGANIZATION AMENDED THE PROCESS TO DETERMINE INCENTIVES IN SEPTEMBER WITH PAYMENT IN DECEMBER. THIS ONE-TIME CHANGE IN THE PROCESS HAS CAUSED TWO ANNUAL INCENTIVE PAYMENT AMOUNTS TO BE INCLUDED IN THE 2012 TAXABLE WAGES FOR THE REPORTABLE INDIVIDUALS IN SCHEDULE J.
Schedule J (Form 990) 2012

Additional Data


Software ID: 12000266
Software Version: v2012.1.0
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.

OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
MARTIN MEMORIAL MEDICAL CENTER INC
 
Employer identification number
59-0637874
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A MARTIN COUNTY HEALTH FACILITIES AUTHORITY
 
36-2646523   12-15-2010 24,095,000 ACQUISITION OF MEDICAL EQUIPMENT   X   X   X
B MARTIN COUNTY HEALTH FACILITIES AUTHORITY
 
36-2646523 573903EF4 02-09-2012 127,052,929 CONSTRUCTION OF NEW HOSPITAL IN SAINT LUCIE COUNTY   X   X   X
C MARTIN COUNTY HEALTH FACILITIES AUTHORITY
 
36-2646523 573903FD8 11-15-2012 30,822,326 REFUND 7/1997 AND 12/1998 BOND ISSUES   X   X   X
D MARTIN COUNTY HEALTH FACILITIES AUTHORITY
 
36-2646523   09-24-2013 26,555,000 REFUND 5/2007 BOND ISSUE   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 200,000 10,080 78,555 0
2 Amount of bonds legally defeased . . . . . . . . . . . 0 0 0 0
3 Total proceeds of issue . . . . . . . . . . . . . . 24,242,680 128,299,649 30,822,326 26,555,000
4 Gross proceeds in reserve funds . . . . . . . . . . . . 0 12,154,624 0 0
5 Capitalized interest from proceeds . . . . . . . . . . . 0 4,219,307 0 0
6 Proceeds in refunding escrows . . . . . . . . . . . . 0 0 0 0
7 Issuance costs from proceeds . . . . . . . . . . . . 202,903 2,523,995 572,679 0
8 Credit enhancement from proceeds . . . . . . . . . . . 0 0 0 0
9 Working capital expenditures from proceeds . . . . . . . . . 0 0 0 0
10 Capital expenditures from proceeds . . . . . . . . . . . 15,446,813 55,535,973 0 0
11 Other spent proceeds . . . . . . . . . . . . . . 0 0 30,249,647 26,555,000
12 Other unspent proceeds . . . . . . . . . . . . . . 8,592,964 53,865,750 0 0
13 Year of substantial completion . . . . . . . . . . . . 2012 2012
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X   X X   X  
15 Were the bonds issued as part of an advance refunding issue? . . . . .   X   X   X   X
16 Has the final allocation of proceeds been made? . . . . . . . .   X   X X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .   X   X   X   X
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . . X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . . . . . . . . . . . . . X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . . X   X   X   X  
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? . X   X   X   X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0.00000% 0.00000% 0.00000% 0.00000%
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0.00000% 0.00000% 0.00000% 0.00000%
6 Total of lines 4 and 5 . . . . . . . . . . . . . . . 0.00000% 0.00000% 0.00000% 0.00000%
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X   X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If “Yes” to line 8a, enter the percentage of bond-financed property sold or disposed of. 0% 0% 0% 0%
c If “Yes” to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .   X   X   X   X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2?
X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . . X   X   X   X  
b Exception to rebate? . . . . . . . .                
c No rebate due? . . . . . . . . . .
               
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .   X   X   X X  
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X X  
b Name of provider . . . . . . . . . WACHOVIA BANK NA
 
 
 
 
 
 
 
c Term of hedge . . . . . . . . . . 25.0     25.0
d Was the hedge superintegrated? . . . . . .   X           X
e Was a hedge terminated? . . . . . . .   X           X
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . .  
 
 
 
 
 
 
 
c Term of GIC . . . . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
1 Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
TOTAL PROCEEDS OF ISSUE SCHEDULE K, PART II, LINE 3 THE TOTAL PROCEEDS OF ISSUE SHOWN IN PART II, LINE 3 ARE DIFFERENT THAN THE ISSUE PRICE SHOWN IN PART I BECAUSE THE FIGURE IN PART II INCLUDES $147,680 OF INVESTMENT EARNINGS ON THE PROCEEDS. THIS IS CONSISTENT WITH THE FORM INSTRUCTIONS.
Schedule K (Form 990) 2012

Additional Data


Software ID: 12000266
Software Version: v2012.1.0

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.

OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
MARTIN MEMORIAL MEDICAL CENTER INC
 
Employer identification number
59-0637874
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A MARTIN COUNTY HEALTH FACILITIES AUTHORITY
 
36-2646523   12-15-2010 24,095,000 ACQUISITION OF MEDICAL EQUIPMENT   X   X   X
B MARTIN COUNTY HEALTH FACILITIES AUTHORITY
 
36-2646523 573903EF4 02-09-2012 127,052,929 CONSTRUCTION OF NEW HOSPITAL IN SAINT LUCIE COUNTY   X   X   X
C MARTIN COUNTY HEALTH FACILITIES AUTHORITY
 
36-2646523 573903FD8 11-15-2012 30,822,326 REFUND 7/1997 AND 12/1998 BOND ISSUES   X   X   X
D MARTIN COUNTY HEALTH FACILITIES AUTHORITY
 
36-2646523   09-24-2013 26,555,000 REFUND 5/2007 BOND ISSUE   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 200,000 10,080 78,555 0
2 Amount of bonds legally defeased . . . . . . . . . . . 0 0 0 0
3 Total proceeds of issue . . . . . . . . . . . . . . 24,242,680 128,299,649 30,822,326 26,555,000
4 Gross proceeds in reserve funds . . . . . . . . . . . . 0 12,154,624 0 0
5 Capitalized interest from proceeds . . . . . . . . . . . 0 4,219,307 0 0
6 Proceeds in refunding escrows . . . . . . . . . . . . 0 0 0 0
7 Issuance costs from proceeds . . . . . . . . . . . . 202,903 2,523,995 572,679 0
8 Credit enhancement from proceeds . . . . . . . . . . . 0 0 0 0
9 Working capital expenditures from proceeds . . . . . . . . . 0 0 0 0
10 Capital expenditures from proceeds . . . . . . . . . . . 15,446,813 55,535,973 0 0
11 Other spent proceeds . . . . . . . . . . . . . . 0 0 30,249,647 26,555,000
12 Other unspent proceeds . . . . . . . . . . . . . . 8,592,964 53,865,750 0 0
13 Year of substantial completion . . . . . . . . . . . . 2012 2012
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X   X X   X  
15 Were the bonds issued as part of an advance refunding issue? . . . . .   X   X   X   X
16 Has the final allocation of proceeds been made? . . . . . . . .   X   X X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .   X   X   X   X
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . . X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . . . . . . . . . . . . . X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . . X   X   X   X  
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? . X   X   X   X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0.00000% 0.00000% 0.00000% 0.00000%
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0.00000% 0.00000% 0.00000% 0.00000%
6 Total of lines 4 and 5 . . . . . . . . . . . . . . . 0.00000% 0.00000% 0.00000% 0.00000%
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X   X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If “Yes” to line 8a, enter the percentage of bond-financed property sold or disposed of. 0% 0% 0% 0%
c If “Yes” to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .   X   X   X   X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2?
X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . . X   X   X   X  
b Exception to rebate? . . . . . . . .                
c No rebate due? . . . . . . . . . .
               
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .   X   X   X X  
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X X  
b Name of provider . . . . . . . . . WACHOVIA BANK NA
 
 
 
 
 
 
 
c Term of hedge . . . . . . . . . . 25.0     25.0
d Was the hedge superintegrated? . . . . . .   X           X
e Was a hedge terminated? . . . . . . .   X           X
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . .  
 
 
 
 
 
 
 
c Term of GIC . . . . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
1 Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
TOTAL PROCEEDS OF ISSUE SCHEDULE K, PART II, LINE 3 THE TOTAL PROCEEDS OF ISSUE SHOWN IN PART II, LINE 3 ARE DIFFERENT THAN THE ISSUE PRICE SHOWN IN PART I BECAUSE THE FIGURE IN PART II INCLUDES $147,680 OF INVESTMENT EARNINGS ON THE PROCEEDS. THIS IS CONSISTENT WITH THE FORM INSTRUCTIONS.
Schedule K (Form 990) 2012

Additional Data


Software ID: 12000266
Software Version: v2012.1.0

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
MARTIN MEMORIAL MEDICAL CENTER INC
 
Employer identification number

59-0637874
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No





2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
Total ......Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2012
Schedule L (Form 990 or 990-EZ) 2012
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) RANDALL BOUGHNER
 
FAMILY OF DIRECTOR 67,247 COMPENSATION   No
(2) SMITHFIELD PLAZA LLC
 
GEORGE RITTERSBACH, DIRECTOR OWNS 6.5% OF SMITHFIELD PLAZA, LLC 508,714 SMITHFIELD PLAZA RENTS OFFICE SPACE TO MARTIN MEMORIAL MEDICAL CENTER.   No
(3) MEDICAL MALL ASSOCIATES OF MARTIN COUNTY LTD
 
EVAN COLLINS DIRECTOR IS A PARTNER IN MEDICAL MALL ASSOCIATES 609,573 MEDICAL MALL ASSOCIATES RENTS SPACE TO MARTIN MEMORIAL MEDICAL CENTER.   No
(4) ANNE WILLIAMS
 
FAMILY OF OFFICER 34,560 COMPENSATION   No
(5) SHANNON COTY
 
DAUGHTER OF MIGUEL COTY, OFFICER AT MARTIN MEDICAL CENTER 11,164 COMPENSATION   No
(6) LINDA KARDOS
 
SPOUSE OF HOWARD ROBBINS, OFFICER OF MARTIN MEDICAL CENTER 124,571 COMPENSATION   No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2012

Additional Data


Software ID: 12000266
Software Version: v2012.1.0




SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
MARTIN MEMORIAL MEDICAL CENTER INC
 
Employer identification number

59-0637874
Identifier Return Reference Explanation
Classes of members or stockholders Form 990, Part VI, Section A, Line 6 MARTIN MEMORIAL HEALTH SYSTEMS, INC. A 501(C)(3) TAX EXEMPT CORPORATION, IS THE SOLE MEMBER OF MARTIN MEMORIAL MEDICAL CENTER, INC.
Members or stockholders electing members of governing body Form 990, Part VI, Section A, Line 7a THE MEMBER OF MARTIN MEMORIAL MEDICAL CENTER MAY SELECT, REPLACE OR REMOVE THE MEMBERS OF THE GOVERNING BODY.
Decisions requiring approval by members or stockholders Form 990, Part VI, Section A, Line 7b THE SOLE MEMBER OF THE MEDICAL CENTER EXPRESSLY RESERVES THE FOLLOWING POWERS, TO BE EXERCISED BY IT IN ITS SOLE DISCRETION: -TO SELECT OR REPLACE AND TO REMOVE, WITH OR WITHOUT CAUSE, DIRECTORS OF THE MEDICAL CENTER; AND -TO AMEND THE ARTICLES OF INCORPORATION; -TO AMEND THE BYLAWS OF THE MEDICAL CENTER; -ADOPT ANY ANNUAL OR LONG-TERM CAPITAL OR OPERATIONAL BUDGET OR ANY CHANGES THEREIN; -AUTHORIZE THE MEDICAL CENTER TO ENTER INTO ANY CONTRACT OR ENGAGE IN ANY TRANSACTION WHICH IS NOT PROVIDED FOR IN AN ANNUAL OR LONG-TERM CAPITAL OR OPERATIONAL BUDGET APPROVED BY THE SOLE MEMBER OF THE MEDICAL CENTER WHERE THE AMOUNT INVOLVED EXCEEDS $100,000.00; -ADOPT ANY NEW, OR ANY CHANGES TO THE EXISTING, LONG-TERM OR MASTER INSTITUTIONAL PLANS OF THE MEDICAL CENTER; -AUTHORIZE THE MEDICAL CENTER TO ENGAGE IN, OR ENTER INTO, ANY TRANSACTION PROVIDING FOR OR REQUIRING A CERTIFICATE OF NEED. HOWEVER, THE PRESIDENT/ CEO OF THE MEDICAL CENTER, OR THE EXECUTIVE COMMITTEE OF THE SOLE MEMBER, MAY SUBMIT A LETTER OF INTENT AND/OR AN APPLICATION FOR A CERTIFICATE OF NEED AT ANY TIME WITHOUT PRIOR AUTHORIZATION. THE BOARD OF DIRECTORS OF THE SOLE MEMBER SHALL SUBSEQUENTLY EITHER RATIFY THE ACTION OR VOTE TO WITHDRAW THE LETTER OF INTENT OR THE APPLICATION. -ADOPT A PLAN OF DISSOLUTION OF THE MEDICAL CENTER; -AUTHORIZE THE MEDICAL CENTER TO ENGAGE IN, OR ENTER INTO, ANY TRANSACTION PROVIDING FOR THE SALE, LEASE, MORTGAGE OR OTHER DISPOSITION OF THE ASSETS OF THE MEDICAL CENTER NOT CONTEMPLATED AS PART OF THE CAPITAL OR OPERATING BUDGET; HOWEVER, IT IS UNDERSTOOD THAT THIS DOES NOT PRECLUDE THE SALE OF FULLY DEPRECIATED ASSETS, ASSETS TO BE SCRAPPED AND TAKEN OUT OF SERVICE, OR ASSETS TO BE TRADED IN ON THE PURCHASE OF NEW ASSETS APPROVED AS PART OF THE BUDGETING PROCESS. -ADOPT A PLAN OF MERGER OR CONSOLIDATION OF THE MEDICAL CENTER WITH ANOTHER CORPORATION; -ORGANIZE OR ACQUIRE, OR AUTHORIZE THE ORGANIZATION OR ACQUISITION OF, ANY SUBSIDIARY OR AFFILIATE OF THE MEDICAL CENTER ("AFFILIATE" SHALL INCLUDE ANY CORPORATION, ASSOCIATION, PARTNERSHIP, TRUST, JOINT VENTURE OR OTHER ENTITY DIRECTLY OR INDIRECTLY CONTROLLING, CONTROLLED BY, OR UNDER COMMON CONTROL WITH THE MEDICAL CENTER).
Review of form 990 by governing body Form 990, Part VI, Section B, Line 11b THE FORM 990 IS E-MAILED (MAILED IF THE DIRECTOR DOES NOT HAVE E-MAIL) TO ALL MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO THE FORM 990 BEING FILED. THE FORM 990 ALSO GOES THROUGH A PROCESS WHERE AT LEAST 2 MEMBERS OF MARTIN MEMORIAL'S ACCOUNTING STAFF, THE ASST VP OF FINANCE, THE CFO AND THE PRESIDENT OF MARTIN MEMORIAL REVIEWS THE 990 TO ENSURE THE ACCURACY AND COMPLETENESS OF THE RETURN PRIOR TO IT BEING FILED.
Conflict of interest policy Form 990, Part VI, Section B, Line 12c THE CORPORATE COMPLIANCE OFFICER SURVEYS EACH DIRECTOR, OFFICER AND KEY EMPLOYEE OF MARTIN MEMORIAL MEDICAL CENTER AND RELATED AFFILIATED COMPANIES. THESE ANNUAL SURVEYS ARE DESIGNED TO DETERMINE IF ANY POTENTIAL CONFLICTS OF INTEREST EXIST. THE CORPORATE COMPLIANCE OFFICER EDUCATES BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES OF THEIR RESPONSIBILITY TO REPORT ANY POSSIBLE CONFLICTS OF INTEREST THAT MAY ARISE BETWEEN ANNUAL SURVEYS. THE CORPORATE COMPLIANCE OFFICER ALSO MONITORS AND INVESTIGATES ANY POSSIBLE CONFLICTS THAT MAY ARISE. IF A POTENTIAL OR ACTUAL CONFLICT OF INTEREST EXISTS, THE INDIVIDUAL WITH THE CONFLICT WILL ABSTAIN FROM VOTING ON ANY ISSUES OR PARTICIPATING IN DISCUSSIONS THAT ARE RELATED TO THE CONFLICT OF INTEREST.
Process used to establish compensation of top management official Form 990, Part VI, Section B, Line 15a EXECUTIVE COMPENSATION AT MARTIN MEMORIAL HEALTH SYSTEM ("MMHS") IS GOVERNED AND CONTROLLED BY THE COMPENSATION & RETIREMENT COMMITTEE OF THE BOARD OF DIRECTORS ACCORDING TO POLICIES SET BY THE BOARD AS A WHOLE. THE COMMITTEE IS MADE UP ENTIRELY OF COMMUNITY LEADERS, NONE OF WHOM ARE EMPLOYED BY MARTIN MEMORIAL MEDICAL CENTER ("MMMC"). THE COMMITTEE DETERMINES PAY LEVELS AT MMHS IN COMPARISON WITH OTHER NOT-FOR-PROFIT HOSPITALS AND HEALTH SYSTEMS LIKE MMHS IN SIZE AND COMPLEXITY AND WHICH SERVE SIMILAR TYPES OF COMMUNITIES. IT LOOKS AT NATIONAL DATA BUT ALSO TAKES INTO CONSIDERATION DATA FROM SIMILAR HEALTH SYSTEMS IN THE SOUTHEAST REGION OF THE COUNTRY. THE COMMITTEE REVIEWS COMPARABILITY DATA ON SALARY LEVELS, INCENTIVE PAY, AND BENEFIT COSTS, ASSESSING EACH ELEMENT OF COMPENSATION INDEPENDENTLY AND TOTAL COMPENSATION IN AGGREGATE. THE COMMITTEE RETAINS INDEPENDENT CONSULTANTS TO GATHER COMPARABILITY DATA ON EXECUTIVE COMPENSATION IN THE MMHS' PEER GROUP. THESE CONSULTANTS REGULARLY ASSIST THE COMMITTEE IN MAKING ITS DETERMINATION THAT EXECUTIVE COMPENSATION AT MMHS REMAINS REASONABLE AND CONSISTENT WITH THE BOARD-APPROVED MMHS EXECUTIVE COMPENSATION PHILOSOPHY. THE COMMITTEE APPROVES COMPENSATION FOR ALL LISTED EXECUTIVES EVERY YEAR. THE COMMITTEE DILIGENTLY FOLLOWS BEST PRACTICES IN GOVERNING EXECUTIVE COMPENSATION, INCLUDING THE PROCESS PRESCRIBED BY THE IRS FOR GOVERNING EXECUTIVE COMPENSATION IN THE TAX-EXEMPT SECTOR. IT IS COMMITTED TO ACCURATELY DISCLOSING EXECUTIVE COMPENSATION ON FORM 990.
Process used to establish compensation of other officers/key employees Form 990, Part VI, Section B, Line 15b COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES FOLLOWS THE SAME PROCESS AS DESCRIBED IN PART VI, LINE 15A.
Governing documents, conflict of interest policy and financial statements available to the public Form 990, Part VI, Section C, Line 19 MARTIN MEMORIAL MEDICAL CENTER DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. PURSUANT TO IRC SECTION 6104, THE FORM 990 WHICH INCLUDES INCOME STATEMENT AND BALANCE SHEET IS AVAILABLE UPON REQUEST. THE FORM 990 IS ALSO AVAILABLE ONLINE THROUGH THIRD PARTY REPORTING SERVICES.
Other changes in net assets or fund balances Form 990 , Part XI, Line 9 TRANSFER TO AFFILIATE - -6563081; CHANGE IN NET ASSETS HELD AT MARTIN FOUNDATION - 6489671; MIN PENSION LIABILITY ADJUSTMENT - 10416083; MIN SERP LIABILITY ADJUSTMENT - -1836550; RETIREE HEALTH LIABILITY ADJUSTMENT - 803504; NA TEMP RELEASE - -6095114; UNREALIZED GAIN ON SWAP AGREEMENT - 1657095;
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2012

Additional Data


Software ID: 12000266
Software Version: v2012.1.0
SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
MARTIN MEMORIAL MEDICAL CENTER INC
 
Employer identification number

59-0637874
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" to Form 990, Part IV, line 33.)
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income


(e)
End-of-year assets


(f)
Direct controlling
entity











Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section


(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled entity?
Yes No
(1) MARTIN MEMORIAL HEALTH SYSTEMS

PO BOX 9010

STUART,FL34995
SUPPORTS MARTIN MEMORIAL CENTER AND COASTAL CARE CORPORATION FL 501(C)(3) 11 - Type II NA
 
 
No
(2) MARTIN MEMORIAL FOUNDATION

PO BOX 9033

STUART,FL349959033
FUNDRAISING FL 501(C)(3) 7 MMHS
 
 
No
(3) COASTAL CARE CORPORATION

PO BOX 9033

STUART,FL349959033
HEALTHCARE FL 501(C)(3) 3 MMHS
 
 
No








For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No
(1) MEDICAL CENTER AT ST LUCIE WEST LTD

PO BOX 9033
STUART,FL34995
65-0504863
MEDICAL OFFICES FL MMMC
 
RELATED 558,827 3,767,338   No 0   No 99 %
(2) MEDICAL CENTER AT HOBE SOUND LTD

PO BOX 9033
STUART,FL34995
65-0748232
MEDICAL OFFICES FL MMMC
 
RELATED -3,872 1,991,936   No 0   No 99 %










Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) MARTIN MEMORIAL PHYSICIAN CORPORATION

PO BOX 9010
STUART,FL34995
65-0550641
PHYSICIAN OFFICES FL NA
 
C CORPORATION          
(2) MEDICAL & FINANCIAL MANAGEMENT

PO BOX 9033
STUART,FL349959033
59-2320501
BILLING AND COLLECTIONS FL NA
 
C CORPORATION          
(3) CSC CONDOMINIUM ASSOCIATION

PO BOX 9033
STUART,FL34995
59-2843163
CONDOMINIUM ASSOCIATION FL MMMC
 
C CORPORATION 89,415 224,845 57.4 % Yes  








Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34, 35b, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
Yes
 
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1) MEDICAL CENTER AT ST LUCIE WEST LTD

J 1,111,324 FMV
(2) MEDICAL CENTER AT HOBE SOUND LTD

J 70,600 FMV
(3) CSC CONDOMINIUM ASSOCIATION

O 98,234 COST



Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under section 512-514)

(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income




(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V—UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation

Additional Data


Software ID: 12000266
Software Version: v2012.1.0






TY 2012 AffiliatedGroupSchedule
Name:
MARTIN MEMORIAL MEDICAL CENTER INC
EIN: 59-0637874
Software ID:12000266
Software Version:v2012.1.0
Affiliated Group Business Name:
Martin Memorial Medical Center Inc
 
Address. Either US or Foreign Type:
PO Box 9010
Stuart, FL349959033    
EIN:
59-0637874
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
52,538
Total Lobbying Expenditures:
52,538
Other Exempt Purpose Expenditures:
295,893,823
Total Exempt Purpose Expenditures:
295,946,361
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
COASTAL CARE CORPORATION
 
Address. Either US or Foreign Type:
PO Box 9033
Stuart, FL349959033    
EIN:
59-2333374
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
15,800,980
Total Exempt Purpose Expenditures:
0
Lobbying Nontaxable Amount:
0
Grassroots Nontaxable Amount:
0
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
MARTIN MEMORIAL HEALTH SYSTEMS
 
Address. Either US or Foreign Type:
PO Box 9033
Stuart, FL349959033    
EIN:
59-2307522
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
0
Total Exempt Purpose Expenditures:
0
Lobbying Nontaxable Amount:
0
Grassroots Nontaxable Amount:
0
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
MARTIN MEMORIAL FOUNDATION INC
 
Address. Either US or Foreign Type:
PO Box 9033
Stuart, FL349959033    
EIN:
59-2343938
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
7,890,809
Total Exempt Purpose Expenditures:
0
Lobbying Nontaxable Amount:
0
Grassroots Nontaxable Amount:
0
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0