TY 2014 Form 990

(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)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) MARK ROBITAILLE PRESIDENT/CEO	50.00 .......................4.00	X	X	2,309,735	53,462
(2) JOHN LOEWENBERG CHAIRMAN	5.00 .......................2.00	X	X	0	0
(3) JAMES ORR III VICE CHAIRMAN	5.00 .......................2.00	X	X	0	0
(4) JAMES MONDELLO treasurer	5.00 .......................2.00	X	X	0	0
(5) WILLIAM H LICHTENBERGER secretary - partial year	5.00 .......................2.00	X	X	0	0
(6) DWIGHT DENNY DIRECTOR	5.00 .......................2.00	X		0	0
(7) LEE R BOUGHNER DIRECTOR	5.00 .......................0	X		0	0
(8) EVAN COLLINS MD DIRECTOR	5.00 .......................1.00	X		5,000	0
(9) WILLIAM CRANDALL DIRECTOR	5.00 .......................0	X		0	0
(10) JOSEPH DAY DIRECTOR	5.00 .......................1.00	X		0	0
(11) PETER DAYTON MD DIRECTOR	5.00 .......................0	X		44,700	0
(12) MICHAEL EVANS DIRECTOR	5.00 .......................0	X		0	0
(13) LYNN FRANK DIRECTOR	5.00 .......................0	X		0	0
(14) ELMIRA GAINEY DIRECTOR	5.00 .......................0	X		0	0
(15) DANIEL HOLLEY MD DIRECTOR- PARTIAL YEAR	5.00 .......................1.00	X		35,000	0
(16) MARY-JO HORTON DIRECTOR	5.00 .......................0	X		0	0
(17) PAMELA HOUGHTEN DIRECTOR	5.00 .......................0	X		0	0

(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)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(18) GEORGE RITTERSBACH MD DIRECTOR	50.00 .......................0	X				433,921	36,712
(19) GEORGE LEHACH DIRECTOR- PARTIAL YEAR	5.00 .......................1.00	X				0	0
(20) GERTRUDE RODGERS DIRECTOR- PARTIAL YEAR	5.00 .......................0	X				0	0
(21) TERRY SKIDMORE DIRECTOR- PARTIAL YEAR	5.00 .......................1.00	X				0	0
(22) JOSEPH GAGE MD director	5.00 .......................1.00	X				37,456	0
(23) BILL MICHAUD director - partial year	5.00 .......................1.00	X				0	0
(24) PATRICIA NOONAN director	5.00 .......................1.00	X				0	0
(25) CHARLES CLEAVER ASST TREASURER/CFO	50.00 .......................3.00		X			392,045	112,747
(26) ROBERT LORD ASST SECRETARY/ COO	50.00 .......................3.00		X			538,594	162,869
(27) MARIAN WOSSUM CLO- PARTIAL YEAR	50.00 .......................1.00		X			0	0
(28) EDMUND COLLINS CIO	50.00 .......................1.00		X			358,854	73,682
(29) MIGUEL COTY CMCO	50.00 .......................1.00		X			297,029	72,426
(30) LIBBY FLIPPO CNO - Partial year	50.00 .......................1.00		X			237,435	38,154
(31) ANGIE METCALF CHRO	50.00 .......................1.00		X			276,461	74,177
(32) FERNANDO PETRY DO CMO- PARTIAL YEAR	50.00 .......................1.00		X			34,615	162
(33) VALERIE LARCOMBE CLO- PARTIAL YEAR	50.00 .......................0		X			33,462	157
(34) MICHAEL SKEHAN MD CMO- PARTIAL YEAR	50.00 .......................1.00		X			438,359	93,261
(35) JESSICA MCLAIN CPO - PARTIAL YEAR	50.00 .......................1.00		X			117,499	20,412
(36) JOHN AFSHAR MD NEUROSURGEON	50.00 .......................0			X		1,700,813	158,762
(37) JOHN VIOLA MD PHYSICIAN	50.00 .......................0			X		1,368,234	126,942
(38) JOHN ROBINSON MD NEUROSURGEON	50.00 .......................0			X		1,325,289	156,647
(39) GARY GRIFFIS MD PHYSICIAN	50.00 .......................0			X		545,275	0
(40) ALEXANDER DEBONET MD PHYSICIAN	50.00 .......................0			X		615,866	53,212
(41) CRAIG CHINDEMI FORMER CPO	0.00 .......................0				X	280,209	29,904
(42) DONNA GRIFFITH FORMER CNO	0.00 .......................0.00				X	590,963	32,456

(A) Name and business address	(B) Description of services	(C) Compensation
PRECYSE SOLUTIONS LLC 1275 DRUMMERS LANE SUITE 200 WAYNE,PA19087	HEALTH INFORMATION MGMT	3,166,159
DIAGNOSTIC IMAGING SERVICES INC PO BOX 4 STUART,FL34995	RADIOLOGY	2,309,996
MICHAUD MITTELMARK MARKOWITZ 621 NW 53RD ST 260 BOCA RATON,FL33487	ATTORNEY	1,010,173
REPUBLIC SPINE LLC 2897 N DRUID HILLS SUITE 147 ATLANTA,GA30329	SPINAL SERVICES	908,910
STUART CARDIOLOGY GROUP PA 1001 MONTEREY COMMONS BLVD STE 300 STUART,FL34994	CARDIOVASCULAR SERVICES	784,759
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 21

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 domestic organizations and domestic governments. See Part IV, line 21 ....	254,195	254,195
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ....	200,073	200,073
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 ............
4	Benefits paid to or for members ....	0	0
5	Compensation of current officers, directors, trustees, and key employees ....	7,627,980		7,627,980
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	230,392	230,392
7	Other salaries and wages ....	165,210,648	149,807,324	15,403,324
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	8,087,227	7,788,268	298,959
9	Other employee benefits .......	15,620,643	14,800,356	820,287
10	Payroll taxes ...........	11,858,827	11,167,323	691,504
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	261,687	18,275	243,412
c	Accounting ...........	122,112		122,112
d	Lobbying ...........	22,029	22,029
e	Professional fundraising services. See Part IV, line 17	0			0
f	Investment management fees ......	769,990		769,990
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ....	18,471,370	15,829,182	2,642,188	0
12	Advertising and promotion ....	1,458,934	1,257,937	200,997
13	Office expenses .......	11,400,985	7,634,314	3,766,671
14	Information technology ......	5,150,894	1,521,794	3,629,100
15	Royalties ..
16	Occupancy ...........	29,674,150	25,381,396	4,292,754
17	Travel ............	344,662	246,500	98,162
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	216,712	148,382	68,330
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	33,269,203	30,639,722	2,629,481
23	Insurance ..............	5,947,273	5,947,273
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	43,528,474	43,528,474
b	Indigent Tax	4,414,492	4,414,492
c	Patient Transport	1,553,628	1,553,628
d	Medical supplies	79,775,900	79,769,327	6,573
e	All other expenses	2,816,672	2,382,167	434,505	0
25	Total functional expenses. Add lines 1 through 24e	448,289,152	404,542,823	43,746,329	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 if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............	2,896,940	1	15,389,049
2	Savings and temporary cash investments .........	10,689,988	2	141,123,086
3	Pledges and grants receivable, net ...........		3
4	Accounts receivable, net .............	49,987,967	4	49,338,175
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
		0	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
		0	6
7	Notes and loans receivable, net .............	70,728	7	54,347
8	Inventories for sale or use ..............	7,826,966	8	7,497,545
9	Prepaid expenses and deferred charges ..........	6,893,220	9	6,443,535
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	586,289,024
b	Less: accumulated depreciation .....	10b	323,034,540	274,017,289	10c	263,254,484
11	Investments—publicly traded securities ..........	139,825,658	11	135,956,126
12	Investments—other securities. See Part IV, line 11 .....	0	12
13	Investments—program-related. See Part IV, line 11 .....	0	13
14	Intangible assets ...............		14
15	Other assets. See Part IV, line 11 ...........	27,060,273	15	27,223,955
16	Total assets. Add lines 1 through 15 (must equal line 34)......	519,269,029	16	646,280,302
	17	Accounts payable and accrued expenses .........	55,965,531	17	61,330,407
18	Grants payable .................		18
19	Deferred revenue ................	6,223	19	6,223
20	Tax-exempt bond liabilities .............	207,252,503	20	311,321,253
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..........	0	22
23	Secured mortgages and notes payable to unrelated third parties ..	509,167	23	254,583
24	Unsecured notes and loans payable to unrelated third parties ....	1,085,723	24	0
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....................	38,962,767	25	57,043,836
26	Total liabilities. Add lines 17 through 25.........	303,781,914	26	429,956,302
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	200,280,177	27	200,963,157
28	Temporarily restricted net assets ...........	15,206,938	28	15,360,843
29	Permanently restricted net assets ...........		29
	Organizations that do not follow SFAS 117 (ASC 958), check here 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 ...........	215,487,115	33	216,324,000
34	Total liabilities and net assets/fund balances ........	519,269,029	34	646,280,302

- TIN:

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

Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

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.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations .............................

Provide the following information about the supported organization(s).

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2014

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)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(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)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(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 VI.)..
11	Total support Add lines 7 through 10.

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2013 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2014. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2013. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2013. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

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) 2014

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)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(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)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(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 VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2013 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2014 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2013 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2014. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2013. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2014

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations....

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed, (ii) the reasons for each such action, (iii) the authority under the organization's organizing document authorizing such action, and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (a) its supported organizations; (b) individuals that are part of the charitable class benefited by one or more of its supported organizations; or (c) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in IRC 4958(c)(3)(C)), a family member of a substantial contributor, or a 35-percent controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part II of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9(a)) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9(a)) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of IRC 4943 because of IRC 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Schedule A (Form 990 or 990-EZ) 2014

Page 5

Part IV

Supporting Organizations (continued)

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (1) a written notice describing the type and amount of support provided during the prior tax year, (2) a copy of the Form 990 that was most recently filed as of the date of notification, and (3) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2014

Page 6

Part V – Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

1. Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6
7	Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2014

Page 7

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2014 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2014	(iii) Distributable Amount for 2014
1 Distributable amount for 2014 from Section C, line 6
2 Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2014:
a From 2009.......X
b From 2010.......X
c From 2011.......X
d From 2012.......X
e From 2013.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2014 distributable amount
i Carryover from 2009 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2014 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2014 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2015. Add lines 3j and 4c.
8 Breakdown of line 7:
a From 2010.......X
b From 2011.......X
c From 2012.......X
d From 2013.......
e From 2014.......

Schedule A (Form 990 or 990-EZ) (2014)

Schedule A (Form 990 or 990-EZ) 2014

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2014

Additional Data

Software ID:	14000329
Software Version:	2014v1.0

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

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

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... 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 its Form 990PF, Part I, line 2, 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) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 2

Name of organization Martin Memorial Medical Center Inc

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	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 3

Name of organization Martin Memorial Medical Center Inc

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) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 4

Name of organization
Martin Memorial Medical Center Inc

Employer identification number

59-0637874

Part III

Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10)
that total more than $1,000 for the year from any one contributor. 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

(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

(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

(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

(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) (2014)

Additional Data

Software ID:	14000329
Software Version:	2014v1.0

- TIN:

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

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), 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.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

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

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

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) 2014

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 Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures). Click to see attachment

B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

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) .......	22,029	22,029
c	Total lobbying expenditures (add lines 1a and 1b) ...................	22,029	22,029
d	Other exempt purpose expenditures ........................	404,520,794	423,668,032
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............	404,542,823	423,690,061
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	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? ......................................		Yes No

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 separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2011	(b) 2012	(c) 2013	(d) 2014	(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	106,418	52,538	21,812	22,029	202,797

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	0	0

Schedule C (Form 990 or 990-EZ) 2014

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)

Yes

(b)

Amount

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:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Total. Add lines 1c through 1i ...............................

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

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

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

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."

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ............................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

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? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

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, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
Schedule C, Part II-A Description of lobbying	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) 2014

Additional Data

Software ID:	14000329
Software Version:	2014v1.0

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

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.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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 value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

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? ............

Yes No

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? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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.


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

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

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)? .......................................

Yes No

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.

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.

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)

Revenue included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

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:

Revenue included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

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) 2014

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

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):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

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?........

Yes No

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.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

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 ....	6,742,012	7,128,528	6,188,695	5,356,240	5,400,634
b	Contributions ........	16,254	455,205	500,000	182,295	73,245
c	Net investment earnings, gains, and losses	-82,356	473,003	569,174	799,736	-45,218
d	Grants or scholarships .....	195,795	387,116	129,341	149,576	0
e	Other expenditures for facilities and programs ........		927,608	0	0	72,421
f	Administrative expenses ....	0	0	0	0	0
g	End of year balance ......	6,480,115	6,742,012	7,128,528	6,188,695	5,356,240

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

24.17 %

Permanent endowment SchDMd Bullet

30.49 %

Temporarily restricted endowment SchDMd Bullet

45.34 %

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

Yes

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	15,654,457		15,654,457
b	Buildings ................	220,702,144	125,587,477	95,114,667
c	Leasehold improvements ............
d	Equipment ................	331,148,658	192,157,983	138,990,675
e	Other .................	18,783,765	5,289,080	13,494,685
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				263,254,484

Schedule D (Form 990) 2014

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. 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.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment		(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.)

Part IX

Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes
Self insurance reserve		7,729,991
Allowance Insurance Audit		572,259
Physician Guarantee
Asset retirement obligation		1,565,640
Deferred pension		42,408,004
Other liabilities		79,134
Deferred compensation		4,688,808


Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		57,043,836
2. Liability for uncertain tax positions. 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) 2014

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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 (losses) 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. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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

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.

Return Reference

Explanation

Schedule D, Part V, Line 4 Intended uses of endowment funds

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.

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

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, 2015 and 2014. 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, 2015 and 2014. Tax returns filed by the Medical Center and its affiliated companies are no longer subject to examination for the years ended September 30, 2011 and prior.

Schedule D (Form 990) 2014

Additional Data

Software ID:	14000329
Software Version:	2014v1.0

- TIN:

SCHEDULE H (Form 990)

Department of the TreasuryInternal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

If "Yes," was it a written policy? .......................

Yes

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.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

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.

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:

Yes

100% 150% 200% Other %

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: .........

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used 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.

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"? ..............

Yes

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

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

Yes

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? ..............

Did the organization prepare a community benefit report during the tax year? ..........

Yes

If "Yes," did the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

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) ..			11,886,975	0	11,886,975	2.94 %
b	Medicaid (from Worksheet 3, column a) ....			40,690,466	23,371,629	17,318,837	4.28 %
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	52,577,440	23,371,629	29,205,811	7.22 %
Other Benefits				332,716	4,875	327,841	0.08 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..			332,716	4,875	327,841	0.08 %
f	Health professions education (from Worksheet 5) ..			8,483,592	0	8,483,592	2.10 %
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)			427,703	0	427,703	0.11 %
j	Total. Other Benefits ..	0	0	9,244,011	4,875	9,239,136	2.28 %
k	Total. Add lines 7d and 7j .	0	0	61,821,451	23,376,504	38,444,947	9.50 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2014

Schedule H (Form 990) 2014

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		308		308	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	2		225,112		225,112	0.06 %
9	Other					0	0 %
10	Total	3	0	225,420	0	225,420	0.06 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

43,519,074

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. ......

8,703,815

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

Enter total revenue received from Medicare (including DSH and IME).....

119,554,950

Enter Medicare allowable costs of care relating to payments on line 5.....

150,820,516

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-31,265,566

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:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

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.......................

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) 2014

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, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)					Facility reporting group
1	MARTIN MEMORIAL MEDICAL CENTER www.martinhealth.org 4102	X	X	X	a

Schedule H (Form 990) 2014

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)

	a
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?.......................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C..........

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 12....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 12

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public? ..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): http://www.martinhealth.org/community-benefit

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 12

Is the hospital facility's most recently adopted implementation strategy posted on a website? ........

If "Yes" (list url):

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Yes

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

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)? ...........................

12a

If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ......

12b

If "Yes" to line 12b, 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) 2014

Page

Part VFacility Information (continued)

	a
Name of hospital facility or letter of facility reporting group

Yes

Financial Assistance Policy (FAP)

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 2.0%
and FPG family income limit for eligibility for discounted care of 4.0%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application.

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application.

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process.

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications.

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?.......

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url): https://www.martinhealth.org/patient-financial-assistance-policy-fap

The FAP application form was widely available on a website (list url): https://www.martinhealth.org/patient-financial-assistance-policy-fap

A plain language summary of the FAP was widely available on a website (list url):
https://www.martinhealth.org/patient-financial-assistance-policy-fap

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

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 all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

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 individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	a
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.........

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

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.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

During the tax year, did the hospital facility charge any FAP-eligible individual 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? ................................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2014

Page

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
Schedule H, Part V, Section B, Line 5 Facility a, 1	Facility a, 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.
Schedule H, Part V, Section B, Line 11 Facility a, 1	Facility a, 1 - Martin Memorial Medical Center, Inc.. Martin Memorial is taking a multi-faceted approach to addressing the 6 major health disparities in our community- Diabetes, Obesity, Cancer, Access and Affordability, Mental Health and Substance Abuse. We are working with community partners including the local public health entities and other non-profit organizations on community wide programs to address access and obesity initiatives. We have a multitude of programs for diabetes including diabetes prevention programs. We are engaged with local religious organizations in some of our underserved neighborhoods to conduct free health screenings including free flu shots in neighborhoods where diabetes, poor nutrition, obesity, and lack of resources are prevalent. In addition, we are offering free skin screenings and prostate screenings to the community and launched a lung navigator program that offers a low cost low dose CT program to catch lung cancer early. We currently have a Comprehensive Health Management program which is an evidence based free of charge program that takes chronic disease patients and places them in the care of pharmacists to help control their diabetes, obesity and other complicated diseases. We partner with our local Volunteers in Medicine clinic to provide free fitness memberships to the people that use their services to address obesity. Although we do not offer mental health or substance abuse services within our health system we have created partnerships with other providers of those services to enhance community education and awareness on mental health, suicide and substance abuse issues. We continually look for opportunities to get out and educate the community providing free lectures on health related topics to a multitude of entities throughout the community. Caring for our community is at the epicenter of what we do.
Schedule H, Part V, Section B, Line 22 Facility a, 1	Facility a, 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.

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

Section D. 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 Rehabilitation Center 11602 SE Federal Hwy Hobe Sound,FL33455	Rehabilitation Center
2	Martin Bariatric and Metabolic Surgery Center 3496 NW Federal Hwy Jensen Beach,FL34957	Morbid obesity consulting
3	Martin Medical Health & Fitness 11602 SE Federal Hwy Hobe Sound,FL33455	Medically directed fitness center.
4	David L Smythe Wound Center 314 Hospital Ave Stuart,FL34994	Wound Care Center
5	Martin Pediatric and Aquatics Therapy 3496 NW Federal Hwy Jensen Beach,FL34957	Pediatric Rehabilitation Center
6	MMMC Pediatric Rehab 1095 NW St Lucie W Blvd Port St Lucie,FL34986	Pediatric Rehabilitation Center
7	Martin Rehabilitation Center 509 Riverside Drive Stuart,FL34994	Rehabilitation Center
8	East Ocean Lab Drawing Station 2392 SE Ocean Blvd Stuart,FL34996	blood draw station
9	MMMC Wound Center 1095 NW St Lucie W Blvd Port St Lucie,FL34984	Wound Care Center
10	MARTIN MEMORIAL MEDICAL CENTER 1095 ST LUCIE WEST BLVD PORT ST LUCIE,FL34986	EMERGENCY ROOM
11	Martin Rehabilitation Center 1095 SW St Lucie West Blvd Port St Lucie,FL34986	Rehabilitation Center
12	Richard C Raub Rehabilitation Center 2195 SE Ocean Blvd Stuart,FL34996	Rehabilitation Center
13	Martin Medical Radiation Oncology 1095 SW St Lucie West Blvd Port St Lucie,FL34986	Radiation Oncology Treatment Center
14	Martin Medical Health & Fitness 3066 SW Martin Downs Blvd Palm City,FL34950	Medically directed fitness center.
15	Martin Rehabilitation Center 6001 SE Tower Drive Stuart,FL34997	Rehabilitation Center
16	Martin Medical Outpatient Surgery Center 509 Riverside Drive Stuart,FL34995	Outpatient surgery department
17	Martin Medical Back and Spine Center 10050 SW Innovation Way Port St Lucie,FL34986	Neurosurgeons office.
18	Martin Rehabilitation Center 3066 SW Martin Downs Blvd Palm City,FL34950	Rehabilitation Center
19	St Lucie West lab Drawing Station 1095 SW St Lucie West Blvd Port St Lucie,FL34986	Blood draw station
20	Martin Occupational Health Services 2384 E Ocean Blvd Stuart,FL34996	Martin Occupational Health Services
21	Robert and Carol Weissman Cancer Center 501 Osceola Street Stuart,FL34994	Cancer Center
22	Martin Medical Sleep Disorders Center 3066 SW Martin Downs Blvd Palm City,FL34950	Sleep Disorders Center
23	Martin Medical Back and Spine Center 509 Riverside Drive Stuart,FL34994	Neurosurgeons offices
24	Martin Medical Health & Fitness 3496 NW Federal Hwy Jensen Beach,FL34957	Medically directed fitness center.
25	Palm City Lab Drawing Station 3066 SW Martin Downs Blvd Palm City,FL34950	Blood draw station
26	Martin Medical Cardio Rehab 308 Hospital Ave Stuart,FL34994	Cardiac care rehabilitation
27	Martin Rehabilitation Center 1651 SE Tiffany Port St Lucie,FL34952	Rehabilitation Center
28	Port St Lucie Lab Drawing Station 1651 SE Tiffany Port St Lucie,FL34952	Blood draw station
29	Martin Medical Health & Fitness 6001 SE Tower Drive Stuart,FL34997	Medically directed fitness center.

Schedule H (Form 990) 2014

Page

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs 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.

Form and Line Reference	Explanation
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation	43528474
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	The cost-to-charge ratio derived from worksheet 2 was used for these calculations.
Schedule H, Part II Community Building Activities	Martin Memorial has programs targeted at addressing community wide workforce issues. In partnership with the Martin County School District, Martin Memorial formed Project Search which is a one year, high school transition program offered through the school district which provides training and education leading to possible employment for individuals with disabilities. It serves as a workforce alternative for students age 18-21 in their last year of high school or students 18-21 that graduated with a special diploma. We provide a training classroom, a business liaison and a rotational internship for on the job training for all participants. In addition to Project Search we have workforce development programs that are school-based programs focused on health care careers so that students are able to come in and learn about health care careers and job shadow in critical national shortage areas.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	MARTIN MEMORIAL ACCOUNTS FOR BAD DEBT EXPENSE USING A RESERVE METHODOLOGY WHICH ESTIMATES HISTORICAL WRITE-OFFS AS A PERCENTAGE OF PATIENT ACCOUNTS RECEIVABLE. THE ESTIMATED BAD DEBT ON CURRENT ACCOUNTS WHICH WILL BE WRITTEN OFF IN FUTURE PERIODS IS ACCRUED AS EXPENSE IN THE INCOME STATEMENT AND IS EVALUATED MONTHLY. BAD DEBT EXPENSE IS REPORTED AT GROSS IN ACCORDANCE WITH FINANCIAL STATEMENT PRESENTATION IN THE SEPTEMBER 30, 2015 AUDITED FINANCIAL STATEMENTS.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	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 primarily 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 was possible to obtain sufficient information to determine their eligibility. Martin Memorial considers this portion of bad debt to be community benefit.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	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 estimated uncollectible accounts. In evaluating the collectability of accounts receivable, the System 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 estimated uncollectible accounts. For receivables associated with services provided to patients who have third-party insurance coverage, the System analyzes contractually due amounts and provides an allowance for estimated 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 System 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 System 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.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	Martin Memorial's mission is to serve the health care needs of its patients within the community. Martin Memorial considers the provision of care to patients, despite reporting a Medicare operating shortfall, to be a community benefit. The shortfall of $31,265,556 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.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	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.
Schedule H, Part V, Section B, Line 16a FAP website	a - MARTIN MEMORIAL MEDICAL CENTER: Line 16a URL: https://www.martinhealth.org/patient-financial-assistance-policy-fap;
Schedule H, Part V, Section B, Line 16b FAP Application website	a - MARTIN MEMORIAL MEDICAL CENTER: Line 16b URL: https://www.martinhealth.org/patient-financial-assistance-policy-fap;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	a - MARTIN MEMORIAL MEDICAL CENTER: Line 16c URL: https://www.martinhealth.org/patient-financial-assistance-policy-fap;
Schedule H, Part VI, Line 2 Needs assessment	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.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	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 and all collection notices also contain information about charity care and financial assistance. Procedures are provided to the patients upon request and are available in Spanish in addition to English.
Schedule H, Part VI, Line 4 Community information	Martin Memorial serves Martin County and portions of 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. In St. Lucie County there are three hospitals, two for profit hospitals situated in Eastern and Northern St. Lucie County ran by HCA named St. Lucie Medical Center and Lawnwood Regional Medical Center. Martin Memorial built our 3rd hospital that opened in December 2013 called Tradition Medical Center that is situated in Western St. Lucie County. While conducting our Community Health Needs Assessment in Spring 2013 we planned for the addition of Tradition Medical Center ensuring we were assessing the needs of the community that the new facility would serve, as well.
Schedule H, Part VI, Line 5 Promotion of community health	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. In January 2014 we were one of the first hospitals in the area to launch a Comprehensive Health Management program that focuses on patients with severe chronic diseases and aims to help get their complicated diseases managed and looks to improve their health and quality of life. This is a current program that unable to be reimbursed from any type of insurance and is completely free of charge to people referred into this program. 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. We continue to partner with local community organizations to help on county wide health initiatives. We have worked with the Health Departments in both Martin and St. Lucie County to develop a community wide plan that focuses on healthy lifestyle. Martin County is ranked the 3rd healthiest community in FL, whereas St Lucie County is ranked 26th. The last ranking had Martin County listed as 4th healthiest and St Lucie County as 26th, 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.
Schedule H, Part VI, Line 6 Affiliated health care system	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) 2014

Additional Data

Software ID:	14000329
Software Version:	2014v1.0

- TIN:

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.
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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

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? ....................................

Yes No

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 Domestic Organizations and Domestic Governments. 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 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	HEALTHCARE EDUCATION
(2) SUSAN G KOMEN 1309 N FLAGLER DRIVE 5TH FLOOR WEST PALM BEACH,FL33401	65-0254225	501(C)(3)	25,000	0	N/A	N/A	SPONSORSHIP
(3) TREASURE COAST CHILDRENS MUSEUM 1707 NE INDIAN RIVER DRIVE JENSEN BEACH,FL34957	65-1091607	501(C)(3)	15,000	0	N/A	N/A	SPONSORSHIP
(4) MARCH OF DIMES 112 43RD AVE SW VERO BEACH,FL32968	13-1846366	501(c)(3)	10,000	0	N/A	N/A	SPONSORSHIP
(5) COUNCIL ON AGING 900 SE SALERNO RD STUART,FL34994	52-1007762	501(c)(3)	10,000	0	N/A	N/A	SPONSORSHIP
(6) TREASURE COAST PINK HEALS 11201 W MIDWAY RD FT PIERCE,FL349452314	56-6177385	501(C)(3)	10,000	0	N/A	N/A	SPONSORSHIP

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2014

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. 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	103	158,779	0	N/A	N/A
(2) SHELTER / TRANSPORTATION / FOOD	118	41,294	0	N/A	N/A

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference

Explanation

Schedule I, Part I, Line 2 Description Of Procedure For Monitoring Use Of Grant Funds

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 grant funds. In addition, sponsorship funds provided are closely monitored to ensure the funds are used for the intended purpose.

Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.

Schedule I (Form 990) 2014

Additional Data

Software ID:	14000329
Software Version:	2014v1.0

- TIN:

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, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

Martin Memorial Medical Center Inc

Employer identification number

59-0637874

Part I

Questions Regarding Compensation

Yes

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.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

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....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Yes

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.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

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:

Receive a severance payment or change-of-control payment? ................

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

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:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

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:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

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 ............

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 .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2014

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 in column(B) reported as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1MARK ROBITAILLE PRESIDENT/CEO	(i) (ii)	692,684 ............................... 0	189,000 ............................... 0	1,428,051 ............................... 0	17,500 ............................... 0	35,962 ............................... 0	2,363,197 ............................... 0	0 ............................... 0
2GEORGE RITTERSBACH MD DIRECTOR	(i) (ii)	264,511 ............................... 0	169,410 ............................... 0	0 ............................... 0	0 ............................... 0	36,712 ............................... 0	470,633 ............................... 0	0 ............................... 0
3CRAIG CHINDEMI FORMER CPO	(i) (ii)	1,890 ............................... 0	47,250 ............................... 0	231,069 ............................... 0	1,532 ............................... 0	28,372 ............................... 0	310,113 ............................... 0	0 ............................... 0
4DONNA GRIFFITH FORMER CNO	(i) (ii)	89,263 ............................... 0	97,267 ............................... 0	404,433 ............................... 0	22,928 ............................... 0	9,528 ............................... 0	623,419 ............................... 0	0 ............................... 0
5CHARLES CLEAVER ASST TREASURER/CFO	(i) (ii)	315,489 ............................... 0	74,610 ............................... 0	1,946 ............................... 0	77,435 ............................... 0	35,312 ............................... 0	504,792 ............................... 0	0 ............................... 0
6ROBERT LORD ASST SECRETARY/ COO	(i) (ii)	363,624 ............................... 0	90,710 ............................... 0	84,260 ............................... 0	124,257 ............................... 0	38,612 ............................... 0	701,463 ............................... 0	0 ............................... 0
7EDMUND COLLINS CIO	(i) (ii)	261,799 ............................... 0	60,379 ............................... 0	36,676 ............................... 0	40,570 ............................... 0	33,112 ............................... 0	432,536 ............................... 0	0 ............................... 0
8MIGUEL COTY CMCO	(i) (ii)	214,563 ............................... 0	50,731 ............................... 0	31,735 ............................... 0	39,314 ............................... 0	33,112 ............................... 0	369,455 ............................... 0	0 ............................... 0
9LIBBY FLIPPO CNO - Partial year	(i) (ii)	197,320 ............................... 0	40,115 ............................... 0	0 ............................... 0	2,042 ............................... 0	36,112 ............................... 0	275,589 ............................... 0	0 ............................... 0
10ANGIE METCALF CHRO	(i) (ii)	223,821 ............................... 0	52,640 ............................... 0	0 ............................... 0	39,634 ............................... 0	34,543 ............................... 0	350,638 ............................... 0	0 ............................... 0
11MICHAEL SKEHAN MD CMO- PARTIAL YEAR	(i) (ii)	350,369 ............................... 0	87,990 ............................... 0	0 ............................... 0	65,144 ............................... 0	28,117 ............................... 0	531,620 ............................... 0	0 ............................... 0
12JOHN AFSHAR MD NEUROSURGEON	(i) (ii)	850,813 ............................... 0	850,000 ............................... 0	0 ............................... 0	123,150 ............................... 0	35,612 ............................... 0	1,859,575 ............................... 0	0 ............................... 0
13JOHN VIOLA MD PHYSICIAN	(i) (ii)	825,686 ............................... 0	542,548 ............................... 0	0 ............................... 0	93,050 ............................... 0	33,892 ............................... 0	1,495,176 ............................... 0	0 ............................... 0
14JOHN ROBINSON MD NEUROSURGEON	(i) (ii)	850,090 ............................... 0	475,199 ............................... 0	0 ............................... 0	122,958 ............................... 0	33,689 ............................... 0	1,481,936 ............................... 0	0 ............................... 0
15GARY GRIFFIS MD PHYSICIAN	(i) (ii)	545,275 ............................... 0	0 ............................... 0	0 ............................... 0	0 ............................... 0	0 ............................... 0	545,275 ............................... 0	0 ............................... 0
16ALEXANDER DEBONET MD PHYSICIAN	(i) (ii)	302,088 ............................... 0	313,778 ............................... 0	0 ............................... 0	20,100 ............................... 0	33,112 ............................... 0	669,078 ............................... 0	0 ............................... 0

Schedule J (Form 990) 2014

Page 3

Part III

Supplemental Information

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.

Return Reference	Explanation
Schedule J, Part I, Line 1a Tax indemnification and gross-up payments	The nonqualified Defined Benefit SERP Plan has a tax adjustment factor in its benefit calculation.
Schedule J, Part I, Line 4a Severance or change-of-control payment	Craig Chindemi, Former CPO, received severance in 2014 of $201,923. Donna Griffith, Former CNO, received severance in 2014 of $294,135.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	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 $92,607 for Mr. Lord, $27,232 for Mr. Coty, $32,920 for Mr. Collins, $28,499 for Ms. Metcalf, $59,935 for Mr. Cleaver, $44,431 for Mr. Skehan, and $2,042 for Ms. Flippo. The following participants in this plan received distributions: $84,260 for Mr. Lord, $36,676 for Mr. Collins, $31,735 for Mr. Coty, $29,146 for Craig Chindemi and $110,170 for Donna Griffith. Mark Robitaille participates in a non-qualified defined benefit SERP plan. The amount that became vested was $1,421,908 for Mr. Robitaille. This amount was included on his form W-2 and an amount sufficient to cover taxation was distributed to him. Dr. Afshar, Dr. Robinson, Dr. Viola, Dr. Griffis and Dr. Debonet do not participate in these plans.

Schedule J (Form 990) 2014

Additional Data

Software ID:	14000329
Software Version:	2014v1.0

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

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

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	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
B	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
C	Martin County Health Facilities Authority	36-2646523		12-15-2010	24,095,000	Acquisition of medical equipment		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
	MARTIN COUNTY HEALTH FACILITIES AUTHORITY	36-2646523	573903FX4	09-10-2015	109,488,863	CONSTRUCTION OF HOSPITAL EXPANSION IN SAINT LUCIE COUNTY		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	10,080		2,440,000		1,455,000		2,665,000
2 Amount of bonds legally defeased . . . . . . . . . . .	0		0		0		0
3 Total proceeds of issue . . . . . . . . . . . . . .	128,299,649		30,822,326		24,242,680		26,555,000
4 Gross proceeds in reserve funds . . . . . . . . . . . .	11,812,842		0		0		0
5 Capitalized interest from proceeds . . . . . . . . . . .	10,269,255		0		0		0
6 Proceeds in refunding escrows . . . . . . . . . . . .	0		0		0		0
7 Issuance costs from proceeds . . . . . . . . . . . .	2,523,995		572,679		202,903		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 . . . . . . . . . . .	103,409,411		0		24,039,777		0
11 Other spent proceeds . . . . . . . . . . . . . .	284,145		30,249,647		0		26,555,000
12 Other unspent proceeds . . . . . . . . . . . . . .	0		0		0		0
13 Year of substantial completion . . . . . . . . . . . .	2013		2012		2013		2013
	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) 2014

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 . .	0 %		0 %		0 %		0 %
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 . . . . . . .	0 %		0 %		0 %		0 %
6 Total of lines 4 and 5 . . . . . . . . . . . . .	0 %		0 %		0 %		0 %
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.
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .
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, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .		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? . . . . . . . .		X
c No rebate due? . . . . . . . .		X
If "Yes" to 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 . . . . . . . . .	Wells Fargo
c Term of hedge . . . . . . . . . .	25.0						25.0
d Was the hedge superintegrated? . . . .		X						X
e Was the hedge terminated? . . . . . .		X						X

Schedule K (Form 990) 2014

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
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. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
Schedule K, Part II, Line 3 Total proceeds of issue	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 investment earnings on the proceeds. This is consistent with the form instructions.

Schedule K (Form 990) 2014

Additional Data

Software ID:	14000329
Software Version:	2014v1.0

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

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

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	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
B	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
C	Martin County Health Facilities Authority	36-2646523		12-15-2010	24,095,000	Acquisition of medical equipment		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
	MARTIN COUNTY HEALTH FACILITIES AUTHORITY	36-2646523	573903FX4	09-10-2015	109,488,863	CONSTRUCTION OF HOSPITAL EXPANSION IN SAINT LUCIE COUNTY		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	10,080		2,440,000		1,455,000		2,665,000
2 Amount of bonds legally defeased . . . . . . . . . . .	0		0		0		0
3 Total proceeds of issue . . . . . . . . . . . . . .	128,299,649		30,822,326		24,242,680		26,555,000
4 Gross proceeds in reserve funds . . . . . . . . . . . .	11,812,842		0		0		0
5 Capitalized interest from proceeds . . . . . . . . . . .	10,269,255		0		0		0
6 Proceeds in refunding escrows . . . . . . . . . . . .	0		0		0		0
7 Issuance costs from proceeds . . . . . . . . . . . .	2,523,995		572,679		202,903		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 . . . . . . . . . . .	103,409,411		0		24,039,777		0
11 Other spent proceeds . . . . . . . . . . . . . .	284,145		30,249,647		0		26,555,000
12 Other unspent proceeds . . . . . . . . . . . . . .	0		0		0		0
13 Year of substantial completion . . . . . . . . . . . .	2013		2012		2013		2013
	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) 2014

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 . .	0 %		0 %		0 %		0 %
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 . . . . . . .	0 %		0 %		0 %		0 %
6 Total of lines 4 and 5 . . . . . . . . . . . . .	0 %		0 %		0 %		0 %
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.
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .
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, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .		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? . . . . . . . .		X
c No rebate due? . . . . . . . .		X
If "Yes" to 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 . . . . . . . . .	Wells Fargo
c Term of hedge . . . . . . . . . .	25.0						25.0
d Was the hedge superintegrated? . . . .		X						X
e Was the hedge terminated? . . . . . .		X						X

Schedule K (Form 990) 2014

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
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. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
Schedule K, Part II, Line 3 Total proceeds of issue	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 investment earnings on the proceeds. This is consistent with the form instructions.

Schedule K (Form 990) 2014

Additional Data

Software ID:	14000329
Software Version:	2014v1.0

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

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

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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), section 501(c)(4), and 501(c)(29) 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	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

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?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No






Total ...... $

Part III

Grants or Assistance Benefiting 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) 2014

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?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) RANDALL BOUGHNER	SON OF LEE BOUGHNER, DIRECTOR OF MARTIN MEDICAL CENTER	60,652	COMPENSATION		No
(2) ANNE WILLIAMS	SISTER-IN-LAW OF ROB LORD, OFFICER OF MARTIN MEDICAL CENTER	27,804	COMPENSATION		No
(3) MITCHELL CLEAVER	SON OF CHARLES CLEAVER, OFFICER OF MARTIN MEDICAL CENTER	18,797	COMPENSATION		No
(4) PATRICK FOGARTY	NEPHEW OF ROB LORD, OFFICER OF MARTIN MEDICAL CENTER	28,027	COMPENSATION		No
(5) SARAH ROBITAILLE	RELATIVE OF MARK ROBITAILLE, OFFICER OF MARTIN MEDICAL CENTER	66,497	COMPENSATION		No
(6) DEIDRE GAINEY	RELATIVE OF ELMIRA GAINEY, DIRECTOR OF MARTIN MEDICAL CENTER	28,615	COMPENSATION		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2014

Additional Data

Software ID:	14000329
Software Version:	2014v1.0

- TIN:

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 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization

Martin Memorial Medical Center Inc

Employer identification number

59-0637874

Return Reference	Explanation
Form 990, Part VI, Line 4 Significant changes to organizational documents	IN APRIL OF 2015, THE BYLAWS WERE AMENDED TO REFLECT THE CHANGES TO INCLUDE THE CHIEF OPERATING OFFICER AS AN EX-OFFICIO NONVOTING MEMBER OF THE GOVERNING BODY. IN ADDITION, THE CHIEF OPERATING OFFICER HAS THE AUTHORITY IN EMERGENCY SITUATIONS TO GRANT TEMPORARY MEDICAL STAFF PRIVILEGES TO PHYSICIANS IN THE ABSENCE OF THE PRESIDENT/CEO. FINALLY, THE MEDICAL STAFF APPLICATION REVIEW COMMITTEE SHALL NOW INCLUDE THE CHIEF OPERATING OFFICER, IN ADDITION TO THE PRESIDENT/CEO, THE PRESIDENT OF THE MEDICAL STAFF, THE CHAIRPERSON, THE VICECHAIRPERSON, THE TREASURER, THE SECRETARY, THE CHIEF MEDICAL OFFICER, AND THE CHIEF NURSING OFFICER.
Form 990, Part VI, Line 6 Classes of members or stockholders	Martin Memorial Health Systems, Inc. a 501(c)(3) tax exempt corporation, is the sole member of Martin Memorial Medical Center, Inc.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	The Member of Martin Memorial Medical Center may select, replace or remove the members of the governing body.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	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).
Form 990, Part VI, Line 11b Review of form 990 by governing body	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 the Asst Treasurer/CFO and the President of Martin Memorial review the 990 to ensure the accuracy and completeness of the return prior to it being filed.
Form 990, Part VI, Line 12c Conflict of interest policy	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.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	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.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	Compensation of other officers and key employees follows the same process as described in Part VI, Line 15a.
Form 990, Part VI, Line 19 Required documents available to the public	Martin Memorial Medical Center does not make its governing documents, conflict of interest policy, or financial statements available to the public.
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	TRANSFER TO AFFILIATE - -13998205; CHANGE IN NET ASSETS HELD AT MARTIN FOUNDATION - 3380512; NA TEMP RELEASED - -3232852; MIN PENSION LIABILITY ADJUSTMENT - -18010187; MIN SERP LIABILITY ADJUSTMENT - 805600; UNREALIZED LOSS ON SWAP AGREEMENT - -355983; RETIREE HEALTH LIABILITY ADJUSTMENT - -1115151;

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2014

Additional Data

Software ID:	14000329
Software Version:	2014v1.0

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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" on 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" on 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?
(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	Yes	No
(1) MARTIN MEMORIAL HEALTH SYSTEMS PO BOX 9010 STUART,FL34995 59-2307522	SUPPORTS MARTIN MEMORIAL CENTER AND COASTAL CARE CORPORATION	FL	501(c)(3	Type II	NA		No
(2) MARTIN MEMORIAL FOUNDATION PO BOX 9033 STUART,FL349959033 59-2343938	FUNDRAISING	FL	501(c)(3	7	MMHS		No
(3) COASTAL CARE CORPORATION PO BOX 9033 STUART,FL349959033 59-2333374	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) 2014

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on 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
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) MEDICAL CENTER AT ST LUCIE WEST LTD PO BOX 9033 STUART,FL34995 65-0504863	MEDICAL OFFICES	FL	MMMC	Related	585,291	4,521,234		No	0		No	99 %
(2) MEDICAL CENTER AT HOBE SOUND LTD PO BOX 9033 STUART,FL34995 65-0748232	MEDICAL OFFICES	FL	MMMC	Related	22,729	1,988,437		No	0		No	99 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on 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?
(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		Yes	No
(1) MARTIN MEMORIAL PHYSICIAN CORPORATION PO BOX 9010 STUART,FL34995 65-0550641	PHYSICIAN OFFICES	FL	NA	C Corporation					No
(2) MEDICAL & FINANCIAL MANAGEMENT PO BOX 9033 STUART,FL349959033 59-2320501	BILLING AND COLLECTIONS	FL	NA	C Corporation					No
(3) CSC CONDOMINIUM ASSOCIATION PO BOX 9033 STUART,FL34995 59-2843163	CONDOMINIUM ASSOCIATION	FL	MMMC	C Corporation	119,489	236,556	60.7 %	Yes

Schedule R (Form 990) 2014

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on 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

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 . . . . . . . . . . . . . . . . . . . . . . .

Yes

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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 related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) MEDICAL CENTER AT ST LUCIE WEST LTD	J	1,423,926	FMV
(2) MEDICAL CENTER AT HOBE SOUND LTD	J	74,400	FMV

Schedule R (Form 990) 2014

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on 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)	(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?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2014

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2014

Additional Data

Software ID:	14000329
Software Version:	2014v1.0

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
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	21
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	16
5	Total number of individuals employed in calendar year 2014 (Part V, line 2a) ......	5	3,842
6	Total number of volunteers (estimate if necessary) .............	6	995
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	37,497
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	-21,775

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	6,656,454	3,528,832
9	Program service revenue (Part VIII, line 2g) .........	427,898,448	477,499,785
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	8,098,754	9,092,979
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	3,303,571	3,995,873
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	445,957,227	494,117,469
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	215,624	454,268
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)	198,502,632	208,635,717
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	218,243,195	239,199,167
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	416,961,451	448,289,152
19	Revenue less expenses. Subtract line 18 from line 12.......	28,995,776	45,828,317
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	519,269,029	646,280,302
21	Total liabilities (Part X, line 26).............	303,781,914	429,956,302
22	Net assets or fund balances. Subtract line 21 from line 20.....	215,487,115	216,324,000

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 404,542,823 including grants of $ 454,268 ) (Revenue $ 479,615,585 )
	MARTIN MEMORIAL MEDICAL CENTER PROVIDED 107,023 PATIENT DAYS OF SERVICE AT ITS THREE HOSPITALS. THE MEDICAL CENTER ALSO PROVIDED CARE TO 118,968 PATIENTS THROUGH ITS FOUR EMERGENCY DEPARTMENTS DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2015. MARTIN MEMORIAL MEDICAL CENTER'S PHYSICIAN REFERRAL SERVICES PROVIDE 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 expenses404,542,823

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	12,016,814	0	1,296,144

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		3,451,587
e	Government grants (contributions)1e		60,245

f	All other contributions, gifts, grants, and similar amounts not included above1f		17,000

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			3,528,832
			Business Code
2a	Patient Services		622110	476,323,283	476,323,283
b	Rental to affiliates		531120	85,790	85,790
c	Medicare/Medicaid Incentive Payments		900099	1,090,712	1,090,712
d
e
f	All other program service revenue .			0	0	0	0
g	Total. Add lines 2a–2f........			477,499,785
3	Investment income (including dividends, interest, and other similar amounts).......			1,966,000			1,966,000
4	Income from investment of tax-exempt bond proceeds..
5	Royalties...........
		(i) Real	(ii) Personal
6a	Gross rents	649,837
b	Less: rental expenses	753,254
c	Rental income or (loss)	-103,417	0
d	Net rental income or (loss).......			-103,417			-103,417
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	34,641,130	8,422,646
b	Less: cost or other basis and sales expenses	28,332,130	7,604,667
c	Gain or (loss)	6,309,000	817,979
d	Net gain or (loss)..........			7,126,979			7,126,979
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..
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...
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..
Miscellaneous Revenue			Business Code
11a	Cafeteria		624210	1,945,993			1,945,993
b	Laboratory services		621511	37,497		37,497
c	Support Services to Affiliates		561000	2,115,800	2,115,800
d	All other revenue ....			0	0	0	0
e	Total. Add lines 11a–11d ......			4,099,290
12	Total revenue. See Instructions......			494,117,469	479,615,585	37,497	10,935,555


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			2,896,940	1	15,389,049
2	Savings and temporary cash investments .........			10,689,988	2	141,123,086
3	Pledges and grants receivable, net ...........				3
4	Accounts receivable, net .............			49,987,967	4	49,338,175
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
				0	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
				0	6
7	Notes and loans receivable, net .............			70,728	7	54,347
8	Inventories for sale or use ..............			7,826,966	8	7,497,545
9	Prepaid expenses and deferred charges ..........			6,893,220	9	6,443,535
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	586,289,024
b	Less: accumulated depreciation .....	10b	323,034,540	274,017,289	10c	263,254,484
11	Investments—publicly traded securities ..........			139,825,658	11	135,956,126
12	Investments—other securities. See Part IV, line 11 .....			0	12
13	Investments—program-related. See Part IV, line 11 .....			0	13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			27,060,273	15	27,223,955
16	Total assets. Add lines 1 through 15 (must equal line 34)......			519,269,029	16	646,280,302
17	Accounts payable and accrued expenses .........			55,965,531	17	61,330,407
18	Grants payable .................				18
19	Deferred revenue ................			6,223	19	6,223
20	Tax-exempt bond liabilities .............			207,252,503	20	311,321,253
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..........			0	22
23	Secured mortgages and notes payable to unrelated third parties ..			509,167	23	254,583
24	Unsecured notes and loans payable to unrelated third parties ....			1,085,723	24	0
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....................			38,962,767	25	57,043,836
26	Total liabilities. Add lines 17 through 25.........			303,781,914	26	429,956,302
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			200,280,177	27	200,963,157
28	Temporarily restricted net assets ...........			15,206,938	28	15,360,843
29	Permanently restricted net assets ...........				29
	Organizations that do not follow SFAS 117 (ASC 958), check here 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 ...........			215,487,115	33	216,324,000
34	Total liabilities and net assets/fund balances ........			519,269,029	34	646,280,302