JUPITER MEDICAL CENTER FOUNDATION INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
JUPITER MEDICAL CENTER FOUNDATION INC (EIN 65-0132406)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-14
IRS object ID
201422269349303807
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-08-14T15:01:52-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CROWE HORWATH LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1401 EAST LAS OLAS BLVDAddressLine1
Address Line2SUITE 1100AddressLine2
CityFORT LAUDERDALECity
StateFLState
ZIP Code33301ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN650132406EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1JUPITER MEDICAL CENTER FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlJUPINameControl
Phone5612632234Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11210 South Old Dixie HighwayAddressLine1
CityJUPITERCity
StateFLState
ZIP Code33458ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDALE HOCKINGName
TitleCFOTitle
Date Signed2014-08-11DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameNicole BencikName
PTINP00756195PTIN
Phone9542028600Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

FieldValueIRS element (for citing)
Business Name Line1K MURRAY FOURNIEBusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11210 South Old Dixie HighwayAddressLine1
CityJupiterCity
StateFLState
ZIP Code33458ZIPCode
FieldValueIRS element (for citing)
Gross Receipts39799187GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.JMCFOUNDATION.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1989YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionTHE MISSION OF THE JUPITER MEDICAL CENTER FOUNDATION, INC. IS TO SECURE THE FINANCIAL RESOURCES REQUIRED TO SUSTAIN CLINICAL EXCELLENCE AND QUALITY OF CARE AT JUPITER MEDICAL CENTER, INC. AND JUPITER MEDICAL CENTER PAVILION, INC.ActivityOrMissionDescription
Nbr Voting Members Governing Body26NbrVotingMembersGoverningBody
Nbr Independent Voting Members26NbrIndependentVotingMembers
Total Nbr Employees7TotalNbrEmployees
Total Nbr Volunteers189TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year9310121ContributionsGrantsPriorYear
Contributions Grants Current Year10004327ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year2500946InvestmentIncomePriorYear
Investment Income Current Year1555370InvestmentIncomeCurrentYear
Other Revenue Prior Year521544OtherRevenuePriorYear
Other Revenue Current Year357937OtherRevenueCurrentYear
Total Revenue Prior Year12332611TotalRevenuePriorYear
Total Revenue Current Year11917634TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year7184055GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY6555669GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year899365SalariesEtcPriorYear
Salaries Etc Current Year656603SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year1355915TotalFundrsngExpCurrentYear
Other Expense Prior Year956965OtherExpensePriorYear
Other Expenses Current Year1044852OtherExpensesCurrentYear
Total Expenses Prior Year9040385TotalExpensesPriorYear
Total Expenses Current Year8257124TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3292226RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3660510RevenuesLessExpensesCY
Total Assets BOY74594597TotalAssetsBOY
Total Assets EOY79097120TotalAssetsEOY
Total Liabilities BOY982706TotalLiabilitiesBOY
Total Liabilities EOY645792TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY73611891NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY78451328NetAssetsOrFundBalancesEOY
Mission DescriptionTHE MISSION OF THE JUPITER MEDICAL CENTER FOUNDATION, INC. IS TO SECURE THE FINANCIAL RESOURCES REQUIRED TO SUSTAIN CLINICAL EXCELLENCE AND QUALITY OF CARE AT JUPITER MEDICAL CENTER, INC. AND JUPITER MEDICAL CENTER PAVILION, INC.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense6563169Expense
Grants6555669Grants
Revenue19714Revenue
DescriptionTHE JUPITER MEDICAL CENTER FOUNDATION, INC. SUPPORTS AND PROMOTES HEALTH CARE BY PROVIDING FINANCIAL AND VOLUNTEER PATIENT ASSISTANCE TO RELATED ORGANIZATIONS INCLUDING JUPITER MEDICAL CENTER, INC. AND JUPITER MEDICAL CENTER PAVILION, INC.Description
Total Program Service Expense6563169TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquipfalseReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingtrueGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included4NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees7NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members26NbrVotingGoverningBodyMembers
Number Independent Voting Members26NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1DALE HOCKINGBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5612632234TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11210 SOUTH OLD DIXIE HIGHWAYAddressLine1
CityJUPITERCity
StateFLState
ZIP Code33458ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (34 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationFormerFormer
DAVID NICHOLSON
PARTIAL YEAR TREASURER5.000XX000
DONALD MCCREE JR
SECRETARY5.000XX000
EDWARD BABINGTON
PARTIAL YEAR TREASURER5.000XX000
JOSEPH C KEMPE JD LLM
VICE CHAIRMAN5.000XX000
JOSEPH TADDEO
PARTIAL YEAR CHAIRMAN5.0010.00XX000
PETER O CRISP
PARTIAL YEAR CHAIRMAN5.000XX000
AMIN KHOURY
TRUSTEE1.000X000
ANN SCHWARTZ
PARTIAL YEAR TRUSTEE1.000X000
ANTHONY PETRARCA
TRUSTEE1.000X000
ARTHUR CALCAGNINI
TRUSTEE1.000X000
BOBBY HENDEL
PARTIAL YEAR TRUSTEE1.000X000
DAVID LONG
TRUSTEE1.000X000
DENNIS WILLIAMS
TRUSTEE1.000X000
ELIZABETH R NEUHOFF
PARTIAL YEAR TRUSTEE1.000X000
FRANK RYAN
TRUSTEE1.000X000
GEORGE BOVENIZER III
TRUSTEE1.000X000
HERBERT BAUM
TRUSTEE1.005.00X000
JAMES PERRELLA
TRUSTEE1.000X000
JANE NAPIER
TRUSTEE1.000X000
JOHN MABIE
TRUSTEE1.000X000
KATHARINE PLUM
TRUSTEE1.000X000
KEVIN BOYLE
TRUSTEE1.000X000
LAWRENCE DE GEORGE
TRUSTEE1.000X000
LEONARD ABRAMSON
TRUSTEE1.000X000
LODEWIJK DE VINK
TRUSTEE1.000X000
PAUL CHIAPPARONE
TRUSTEE1.0010.00X000
RICHARD KATZ JR
TRUSTEE1.000X000
THEORDORE DANFORTH
TRUSTEE1.000X000
TYLER CAIN
TRUSTEE1.000X000
WILLIAM MATTISON JR
TRUSTEE1.000X000
DALE HOCKING
ASSISTANT TREASURER2.0046.00X012171510393
JOHN D COURIS
ASSISTANT SECRETARY1.0050.00X057913079344
K MURRAY FOURNIE
PARTIAL YEAR PRESIDENT40.000X1430800
RICHARD COSNOTTI
FORMER PRESIDENT0.000267350019709X
FieldValueIRS element (for citing)
Total Reportable Comp From Org281658TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs700845TotalReportableCompFrmRltdOrgs
Total Other Compensation109446TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
BUSH & CO ADVERTISING
12936 74TH AVE NSEMINOLEFL33776ADVERTISING122158
CLUB AT ADMIRALS COVE INC
200 ADMIRALS COVE BLVDJUPITERFL33477VENUE RENTAL AND CATERING110258
FRENCHMAN'S CREEK
13495 TOURNAMENT DRPALM BCH GARDENSFL33410VENUE RENTAL AND CATERING107671
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Membership Dues341MembershipDues
Fundraising Events746969FundraisingEvents
All Other Contributions9257017AllOtherContributions
Noncash Contributions281751NoncashContributions
Total Contributions10004327TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

Total Revenue ColumnTotalRevenueColumn
0
0
0
0
0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column841556TotalRevenueColumn
Exclusion$841,556ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities27839056Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities27125242Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities713814Securities
Other0Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column713814TotalRevenueColumn
Exclusion$713,814ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events320131GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events746969CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses427368FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-107237TotalRevenueColumn
Exclusion-$107,237ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming119950GrossIncomeGaming
Gaming Direct Expenses32000GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column87950TotalRevenueColumn
Exclusion$87,950ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory654453GrossSalesOfInventory
Cost Of Goods Sold296943CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column357510TotalRevenueColumn
Exclusion$357,510ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
OTHER INCOME9000991971419714
0
0

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue19714TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column11917634TotalRevenueColumn
Related Or Exempt Function Income19714RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,893,593ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total6555669Total
Program Services6555669ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total328934Total
Management And General65787ManagementAndGeneral
Fundraising263147Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total267976Total
Management And General53595ManagementAndGeneral
Fundraising214381Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total
Management And General0ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total49908Total
Management And General9982ManagementAndGeneral
Fundraising39926Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total9785Total
Management And General1957ManagementAndGeneral
Fundraising7828Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1250Total
Management And General1250ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total131329Total
Management And General131329ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total404427Total
Program Services0ProgramServices
Management And General44138ManagementAndGeneral
Fundraising360289Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total162237Total
Fundraising162237Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total112197Total
Program Services7500ProgramServices
Management And General30002ManagementAndGeneral
Fundraising74695Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4897Total
Fundraising4897Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total7239Total
Fundraising7239Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total0Total

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalFundraisingFundraising
REIMBURSEMENT OF EXPENSES157884157884
DONOR RECOGNITION2719727197
BUSINESS/ PROFESSIONAL DEVELOPMENT1253312533
DUES AND SUBSCRIPTIONS2366223662

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total8257124Total
Program Services6563169ProgramServices
Management And General338040ManagementAndGeneral
Fundraising1355915Fundraising

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total0Total

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY13926323BOY
EOY15994886EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY14616617BOY
EOY12390909EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY78400BOY
EOY147322EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis0LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec0LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY45949973BOY
EOY50530876EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY23284BOY
EOY33127EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY74594597BOY
EOY79097120EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY196842BOY
EOY18720EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY785864BOY
EOY627072EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY982706BOY
EOY645792EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY37787617BOY
EOY41481605EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY32971383BOY
EOY33673321EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2852891BOY
EOY3296402EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY73611891BOY
EOY78451328EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY74594597BOY
EOY79097120EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses3660510ReconcilationRevenueExpenses
Reconciliation Unrealized Invest1166453ReconciliationUnrealizedInvest
Reconcilation Donated Services12474ReconcilationDonatedServices
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Written IRS DeterminationXWrittenIRSDetermination
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (3 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
JUPITER MEDICAL CENTER INC
5914602393truetruetrue$6,555,669
JUPITER MEDICAL CENTER PAVILION INC
5924525769truetruetrue$0
JUPITER MEDICAL CENTER PHYSICIANS GROUP INC
2631871199falsetruetrue$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs3TotalNumberOfSupportedOrgs
Sum Of Amounts6555669SumOfAmounts

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance22016947BeginningOfYearBalance
Contributions443511Contributions
Investment Earnings Or Losses2437581InvestmentEarningsOrLosses
End Of Year Balance24898039EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance18277283BeginningOfYearBalance
Investment Earnings Or Losses3739664InvestmentEarningsOrLosses
End Of Year Balance22016947EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance17532381BeginningOfYearBalance
Contributions993800Contributions
Investment Earnings Or Losses-244774InvestmentEarningsOrLosses
Other Expenditures4124OtherExpenditures
End Of Year Balance18277283EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance11034876BeginningOfYearBalance
Contributions5243570Contributions
Investment Earnings Or Losses1253935InvestmentEarningsOrLosses
End Of Year Balance17532381EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance12111242BeginningOfYearBalance
Contributions63490Contributions
Investment Earnings Or Losses-540012InvestmentEarningsOrLosses
Other Expenditures599844OtherExpenditures
End Of Year Balance11034876EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.84310BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.13240PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.02450TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Book Value0BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Book Value0BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Book Value0BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionOTHER CURRENT LIABILITIESDescription
Amount$627,072Amount
FieldValueIRS element (for citing)
Total Of Amounts627072TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Intended uses of endowment fundsSchedule D, Part V, Line 4THE FUNDS ARE HELD TO SUPPORT HEALTHCARE SERVICES FOR THOSE IN GREATEST NEED AND FOR FUTURE PHYSICAL PLANT AND EQUIPMENT EXPENDITURES TO EXPAND SERVICES OFFERED. THE FUNDS ARE INTENDED TO SUPPORT THE PROGRAMS AND MISSION OF JUPITER MEDICAL CENTER, INC. AND JUPITER MEDICAL CENTER PAVILION, INC. (BOTH RELATED ORGANIZATIONS).
FIN 48 (ASC 740) footnoteSchedule D, Part X, Line 2JUPITER MEDICAL CENTER FOUNDATION INC. IS INCLUDED IN CONSOLIDATED FINANCIAL STATEMENTS. BELOW IS THE TEXT OF THE FIN 48 FOOTNOTE FROM THOSE FINANCIAL STATEMENTS. THE INTERNAL REVENUE SERVICE HAS DETERMINED THAT THE HOSPITAL, THE PAVILION, THE FOUNDATION, AND THE PHYSICIAN GROUP ARE EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). INCOME EARNED IN FURTHERANCE OF THE CENTER'S TAX-EXEMPT PURPOSE IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES. THE CODE PROVIDES FOR TAXATION OF UNRELATED BUSINESS INCOME UNDER CERTAIN CIRCUMSTANCES. THE CENTER HAS NO MATERIAL UNRELATED BUSINESS INCOME; HOWEVER, SUCH STATUS IS SUBJECT TO FINAL DETERMINATION UPON EXAMINATION OF THE RELATED INCOME TAX RETURNS BY THE APPROPRIATE TAXING AUTHORITY. UNDER ASC, SUBTOPIC 740, INCOME TAXES, THE 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 IDENTIFIED AS OF SEPTEMBER 30, 2013 AND 2012. THE CENTER DOES NOT EXPECT THE TOTAL AMOUNT OF UNRECOGNIZED TAX BENEFITS TO SIGNIFICANTLY CHANGE IN THE NEXT TWELVE MONTHS. TAX RETURNS FILED BY THE CENTER ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE (IRS) UP TO THREE YEARS FROM THE DATE THE RETURN WAS FILED. THE CENTER RECOGNIZES INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS IN INCOME TAX EXPENSE. THE CENTER DID NOT HAVE ANY AMOUNTS ACCRUED FOR INTEREST AND PENALTIES AT SEPTEMBER 30, 2013 AND 2012. TAX RETURNS FILED BY THE CENTER AND ITS AFFILIATED COMPANIES ARE NO LONGER SUBJECT TO EXAMINATION FOR THE YEARS ENDED SEPTEMBER 30, 2009 AND PRIOR.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1BALLNameOfEvent1
Gross Receipts Event1347839GrossReceiptsEvent1
Charitable Contributions Event1243488CharitableContributionsEvent1
Gross Revenue Event1104351GrossRevenueEvent1
Non Cash Prizes Event15731NonCashPrizesEvent1
Food And Beverage Event172196FoodAndBeverageEvent1
Entertainment Event112800EntertainmentEvent1
Other Direct Expenses Event179772OtherDirectExpensesEvent1
Name Of Event2GOLFNameOfEvent2
Gross Receipts Event2479581GrossReceiptsEvent2
Charitable Contributions Event2335706CharitableContributionsEvent2
Gross Revenue Event2143875GrossRevenueEvent2
Cash Prizes Event27100CashPrizesEvent2
Non Cash Prizes Event236326NonCashPrizesEvent2
Rent Facility Costs Event245945RentFacilityCostsEvent2
Food And Beverage Event256935FoodAndBeverageEvent2
Other Direct Expenses Event231102OtherDirectExpensesEvent2
Total Number Of Other Events3TotalNumberOfOtherEvents
Gross Receipts Other Events239680GrossReceiptsOtherEvents
Charitable Contrib Other Events167775CharitableContribOtherEvents
Gross Revenue Other Events71905GrossRevenueOtherEvents
Non Cash Prizes Other Events450NonCashPrizesOtherEvents
Food And Beverage Other Events54367FoodAndBeverageOtherEvents
Entertainment Other Events750EntertainmentOtherEvents
Other Direct Expenses Other Events23894OtherDirectExpensesOtherEvents
Gross Receipts Total1067100GrossReceiptsTotal
Charitable Contributions Total746969CharitableContributionsTotal
Gross Revenue Total Events320131GrossRevenueTotalEvents
Cash Prizes Total Events7100CashPrizesTotalEvents
Non Cash Prizes Total Events42507NonCashPrizesTotalEvents
Rent Facility Costs Total Events45945RentFacilityCostsTotalEvents
Food And Beverage Total Events183498FoodAndBeverageTotalEvents
Entertainment Total Events13550EntertainmentTotalEvents
Other Direct Expenses Total Events134768OtherDirectExpensesTotalEvents
Direct Expense Summary Events427368DirectExpenseSummaryEvents
Net Income Summary-107237NetIncomeSummary

Gaming Information GamingInformation

FieldValueIRS element (for citing)
Gross Revenue Other Gaming119950GrossRevenueOtherGaming
Non Cash Prizes Other Gaming32000NonCashPrizesOtherGaming
Volunteer Labor Other GamingtrueVolunteerLaborOtherGaming
Volunteer Labor Prcnt Other Gaming0.95VolunteerLaborPrcntOtherGaming
Gross Revenue Total Gaming119950GrossRevenueTotalGaming
Cash Prizes Total Gaming0CashPrizesTotalGaming
Non Cash Prizes Total Gaming32000NonCashPrizesTotalGaming
Rent Facility Costs Total Gaming0RentFacilityCostsTotalGaming
Other Direct Expenses Total Gaming0OtherDirectExpensesTotalGaming
Direct Expense Summary Gaming32000DirectExpenseSummaryGaming
Net Gaming Income Summary87950NetGamingIncomeSummary
FieldValueIRS element (for citing)
States Where Gaming ConductedFLStatesWhereGamingConducted
LicensedfalseLicensed
Explanation If NoTHE ORGANIZATION IS NOT REQUIRED TO BE REGISTERED WITH THE STATE OF FLORIDA.ExplanationIfNo
License Suspended EtcfalseLicenseSuspendedEtc
Gaming With NonmemberstrueGamingWithNonmembers
Member Of Other EntityfalseMemberOfOtherEntity
Percentage Of Gaming Own Facility0PercentageOfGamingOwnFacility
Percentage Of Gaming Othr Facility1PercentageOfGamingOthrFacility

Name Of Gaming Rec Keeper Bus NameOfGamingRecKeeperBus

FieldValueIRS element (for citing)
Business Name Line1CATHERINE TOLTONBusinessNameLine1

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

FieldValueIRS element (for citing)
Address Line11210 SOUTH OLD DIXIE HIGHWAYAddressLine1
CityJUPITERCity
StateFLState
ZIP Code33458ZIPCode
FieldValueIRS element (for citing)
Contract With3rd Party For Gam RevfalseContractWith3rdPartyForGamRev

Gaming Manager Name Business GamingManagerNameBusiness

FieldValueIRS element (for citing)
Business Name Line1CATHERINE TOLTONBusinessNameLine1
FieldValueIRS element (for citing)
Gaming Manager Compensation500GamingManagerCompensation
Gaming Manager Services ProvidedOVERSIGHT OF RAFFLEGamingManagerServicesProvided
Gaming Manager Is EmployeeXGamingManagerIsEmployee
Charitable Distrib RequiredfalseCharitableDistribRequired

Form990 Schedule G Part IV Form990ScheduleGPartIV

FieldValueIRS element (for citing)
IdentifierStates where organization is not licensed to operate gaming activitiesIdentifier
Return ReferenceSchedule G, Part III, Line 9bReturnReference
ExplanationTHE ORGANIZATION IS NOT REQUIRED TO BE REGISTERED WITH THE STATE OF FLORIDA.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1JUPITER MEDICAL CENTERBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11210 S OLD DIXIE HWYAddressLine1
CityJUPITERCity
StateFLState
ZIP Code33458ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient591460239EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant6555669AmountOfCashGrant
Amount Of Non Cash Assistance0AmountOfNonCashAssistance
Method Of ValuationN/AMethodOfValuation
Description Of Non Cash AssistanceN/ADescriptionOfNonCashAssistance
Purpose Of GrantGENERAL SUPPORTPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedures for monitoring use of grant fundsIdentifier
Return ReferenceSchedule I, Part I, Line 2ReturnReference
ExplanationJUPITER MEDICAL CENTER FOUNDATION, INC. SEEKS AND OBTAINS DONOR CONTRIBUTIONS PRIMARILY TO SUPPORT THE EXPANSION OF JUPITER MEDICAL CENTER INC'S BUILDING AND SERVICES. IN ADDITION, GRANT FUNDS SUPPORT THE EXPANSION OF SERVICES AT JUPITER MEDICAL CENTER PAVILION, INC. AT THE TIME OF THE EXPENDITURE AT JUPITER MEDICAL CENTER, INC. OR JUPITER MEDICAL CENTER PAVILION, INC., A COMPLETED VOUCHER PACKAGE IS SUBMITTED TO THE FOUNDATION SPECIFYING WHAT WAS PURCHASED. IF APPROPRIATE, GRANT FUNDS ARE THEN RELEASED TO JUPITER MEDICAL CENTER, INC. FOR REIMBURSEMENT OF EXPENDITURES.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JOHN D COURIS
ASSISTANT SECRETARY0444889012500009241054400024944065847400
RICHARD COSNOTTI
FORMER PRESIDENT140394000126956026400170690287059000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Arrangement used to establish the top management official's compensationSchedule J, Part I, Line 3THE COMPENSATION COMMITTEE OF THE BOARD OF JUPITER MEDICAL CENTER, INC. DETERMINES THE COMPENSATION OF THE PRESIDENT & CEO, KENNETH M. FOURNIE. THE COMMITTEE REVIEWS SURVEY DATA, FINANCIAL ABILITY OF THE ORGANIZATION, AND ACCOMPLISHMENT OF GOALS IN ORDER TO DETERMINE THE COMPENSATION. COMPENSATION IS THEN APPROVED BY THE BOARD OF JUPITER MEDICAL CENTER, INC. THE DECISIONS AND DELIBERATIONS ARE DOCUMENTED IN THE COMMITTEE MINUTES. THIS PROCESS WAS LAST UNDERTAKEN IN THE YEAR ENDED SEPTEMBER 30, 2013. JUPITER MEDICAL CENTER FOUNDATION, INC. RELIES ON THE COMMITTEE OF JUPITER MEDICAL CENTER, INC. TO ENSURE THE COMPENSATION IS REASONABLE.
Severance or change-of-control paymentSchedule J, Part I, Line 4aRICHARD COSNOTTI, FORMER PRESIDENT OF THE FOUNDATION, RECEIVED SEVERANCE OF $126,900 IN 2012.
Supplemental nonqualified retirement planSchedule J, Part I, Line 4bJOHN COURIS WILL RECEIVE A RETENTION BONUS IF HE REMAINS CONTINUOUSLY EMPLOYED OVER FIVE YEARS. THE PORTION OF THIS BONUS THAT IS INCLUDED IN NONTAXABLE COMPENSATION FOR 2012 IS $45,900.

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoods

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F99036326NoncashContribsRptdF990
Method Of Determining RevenuesSELLING COSTMethodOfDeterminingRevenues

Cars And Other Vehicles CarsAndOtherVehicles

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F9903500NoncashContribsRptdF990
Method Of Determining RevenuesSELLING COSTMethodOfDeterminingRevenues

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions22NumberOfContributions
Noncash Contribs Rptd F990225842NoncashContribsRptdF990
Method Of Determining RevenuesMARKET VALUEMethodOfDeterminingRevenues

Food Inventory FoodInventory

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions3NumberOfContributions
Noncash Contribs Rptd F9907836NoncashContribsRptdF990
Method Of Determining RevenuesCOSTMethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (2 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XAUCTION PRIZES / GIFT CERTIFICATES84247SELLING COST
XOTHER14000COST
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Explanations of reporting method for number of contributionsSchedule M, Part ICLOTHING AND HOUSEHOLD GOODS: CONTRIBUTIONS CARS AND OTHER VEHICLES: NUMBER OF CONTRIBUTIONS SECURITIES - PUBLICLY TRADED: NUMBER OF CONTRIBUTIONS FOOD INVENTORY: NUMBER OF CONTRIBUTIONS OTHER: NUMBER OF CONTRIBUTIONS OTHER: NUMBER OF CONTRIBUTIONS
Number of contributions or items contributed.Schedule M, part I, column (b), Line 5CONTRIBUTIONS
Number of contributions or items contributed.Schedule M, part I, column (b), Line 6NUMBER OF CONTRIBUTIONS
Number of contributions or items contributed.Schedule M, part I, column (b), Line 9NUMBER OF CONTRIBUTIONS
Number of contributions or items contributed.Schedule M, part I, column (b), Line 19NUMBER OF CONTRIBUTIONS

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (16 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Classes of members or stockholdersForm 990, Part VI, Section A, Line 6JUPITER MEDICAL CENTER, INC. (A RELATED ORGANIZATION) IS THE SOLE MEMBER OF JUPITER MEDICAL CENTER FOUNDATION, INC.
Members or stockholders electing members of governing bodyForm 990, Part VI, Section A, Line 7aJUPITER MEDICAL CENTER, INC. (A RELATED ORGANIZATION) HAS THE RIGHT TO APPOINT THE BOARD OF TRUSTEES OF THE FOUNDATION.
Decisions requiring approval by members or stockholdersForm 990, Part VI, Section A, Line 7bJUPITER MEDICAL CENTER, INC. (A RELATED ORGANIZATION) HAS THE RIGHT TO CHANGE THE CORPORATE NAME, APPOINT THE BOARD OF TRUSTEES OF THE CORPORATION, AND AMEND THE BY-LAWS OF THE CORPORATION.
Review of form 990 by governing bodyForm 990, Part VI, Section B, Line 11bTHE ASSISTANT TREASURER REVIEWS THE FORM 990 PRIOR TO ITS FINALIZATION. ACCESS TO THE FINAL DRAFT OF THE FORM 990 IS PROVIDED ELECTRONICALLY TO EVERY MEMBER OF THE BOARD OF DIRECTORS BEFORE IT IS FILED.
Conflict of interest policyForm 990, Part VI, Section B, Line 12cTHE ORGANIZATION MAINTAINS A CORPORATE COMPLIANCE PROGRAM THAT MONITORS FOR POTENTIAL AND ACTUAL CONFLICTS OF INTEREST. ON AN ANNUAL BASIS, ALL DEPARTMENTAL MANAGERS THROUGH ORGANIZATION SENIOR MANAGEMENT AND ALL MEMBERS OF THE GOVERNING BODY ARE REQUIRED TO SIGN A STATEMENT TO DISCLOSE POTENTIAL CONFLICTS. THE STATEMENTS ARE REVIEWED IN DETAIL BY THE CEO AND THE CORPORATE COMPLIANCE DIRECTOR. IF ANY CONFLICT DOES EXIST, THE INDIVIDUAL WITH THE CONFLICT IS PROHIBITED FROM PARTICIPATING IN THE TRANSACTION OR VOTING ON MATTERS RELATED TO THE CONFLICT. IN ADDITION, IN ORDER TO REGULARLY MONITOR AND ENFORCE THE CONFLICT OF INTEREST POLICY, THE BOARD CHAIR ASKS THE VOTING MEMBERS OF THE GOVERNING BODY TO DISCLOSE ANY CONFLICTS OF INTEREST AT THE START OF EACH BOARD MEETING
Process used to establish compensation of top management officialForm 990, Part VI, Section B, Line 15aTHE COMPENSATION COMMITTEE OF THE BOARD OF JUPITER MEDICAL CENTER, INC. DETERMINES THE COMPENSATION OF THE PRESIDENT KENNETH M. FOURNIE. THE COMMITTEE REVIEWS SURVEY DATA, FINANCIAL ABILITY OF THE ORGANIZATION, AND ACCOMPLISHMENT OF GOALS IN ORDER TO DETERMINE THE COMPENSATION. COMPENSATION IS THEN REPORTED TO THE BOARD OF JUPITER MEDICAL CENTER, INC. THE DECISIONS AND DELIBERATIONS ARE DOCUMENTED IN THE COMMITTEE MINUTES. THIS PROCESS WAS LAST UNDERTAKEN IN NOVEMBER 2012, FOR THE YEAR ENDED SEPTEMBER 30, 2013. JUPITER MEDICAL CENTER FOUNDATION, INC. RELIES ON THE COMMITTEE OF JUPITER MEDICAL CENTER, INC. TO ENSURE THE COMPENSATION IS REASONABLE. A COMPENSATION CONSULTANT IS ALSO HIRED ON AN ANNUAL BASIS.
PROCESS FOR DETERMINING COMPENSATIONFORM 990, PART VI, LINE 15BCOMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES IS DETERMINED BY THE COMPENSATION COMMITTEE OF THE BOARD OF JUPITER MEDICAL CENTER, INC. THE COMPENSATION COMMITTEE REVIEWS SURVEY DATA, FINANCIAL ABILITY OF THE ORGANIZATION, AND ACCOMPLISHMENT OF GOALS IN ORDER TO DETERMINE THEIR COMPENSATION. COMPENSATION IS THEN APPROVED BY THE BOARD OF JUPITER MEDICAL CENTER, INC. THE DECISIONS AND DELIBERATIONS ARE DOCUMENTED IN THE COMMITTEE MINUTES. THIS PROCESS HAPPENS EACH TIME A CONTRACT IS RENEWED. EACH KEY EMPLOYEE IS UNDER A DIFFERENT EMPLOYMENT CONTRACT, SO THE PROCESS OCCURS AT DIFFERENT TIMES FOR EACH INDIVIDUAL. JUPITER MEDICAL CENTER FOUNDATION, INC. RELIES ON THE COMPENSATION COMMITTEE OF JUPITER MEDICAL CENTER, INC. TO ENSURE THEIR COMPENSATION IS REASONABLE AND ON PUBLISHED SURVEYS AND FAIR VALUE ANALYSIS OF INDIVIDUAL PRACTICES IN DETERMINING EMPLOYED PHYSICIAN SALARY RATES.
Governing documents, conflict of interest policy and financial statements available to the publicForm 990, Part VI, Section C, Line 19THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC THROUGH THE STATE OF FLORIDA BECAUSE THEY ARE FILED WITH THE AGENCY FOR HEALTH CARE ADMINISTRATION. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE FOR REVIEW UPON REQUEST AT JUPITER MEDICAL CENTER, INC. (A RELATED ORGANIZATION).
Number of contributions or items contributed.Schedule M, part I, column (b), Line other=AUCTION PRIZES / GIFT CERTIFICATESNUMBER OF CONTRIBUTIONS
Number of contributions or items contributed.Schedule M, part I, column (b), Line other=OTHERNUMBER OF CONTRIBUTIONS
Number of contributions or items contributed.Schedule M, part I, column (b), Line 5CONTRIBUTIONS
Number of contributions or items contributed.Schedule M, part I, column (b), Line 6NUMBER OF CONTRIBUTIONS
Number of contributions or items contributed.Schedule M, part I, column (b), Line 9NUMBER OF CONTRIBUTIONS
Number of contributions or items contributed.Schedule M, part I, column (b), Line 19NUMBER OF CONTRIBUTIONS
Number of contributions or items contributed.Schedule M, part I, column (b), Line other=AUCTION PRIZES / GIFT CERTIFICATESNUMBER OF CONTRIBUTIONS
Number of contributions or items contributed.Schedule M, part I, column (b), Line other=OTHERNUMBER OF CONTRIBUTIONS

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodePrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
JUPITER MEDICAL CENTER INC
1210 SOUTH OLD DIXIE HIGHWAYJUPITERFL33458HOSPITALFL501(C)(3)3NAfalse
JUPITER MEDICAL CENTER PAVILION INC
1230 SOUTH OLD DIXIE HIGHWAYJUPITERFL33458SKILLED NURSING FACILITYFL501(C)(3)9JUPITER MEDICAL CENTER INCfalse
JUPITER MEDICAL CENTER PHYSICIANS GROUP
1210 SOUTH OLD DIXIE HIGHWAYJUPITERFL33458PHYSICIAN OFFICESFL501(C)(3)9JUPITER MEDICAL CENTER INCfalse
JUPITER HEALTH OUTPATIENT SERVICES INC
1210 SOUTH OLD DIXIE HIGHWAYJUPITERFL33458AMBULATORY CARE SERVICESFL501(C)(3)3JUPITER MEDICAL CENTER INCfalse

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeType
JUPITER OUTPATIENT SURGERY CENTER LLC
2055 N MILITARY TRAIL SUITE 100JUPITERFL33458650925020SURGERY CENTERFLNAN/A
TTB PARTNERS LTD
2300 GLADES ROAD SUITE 100EBOCA RATONFL33431650945554LAND RENTALFLNAN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntity
JMC POST-ACUTE SERVICES INC
1210 SOUTH OLD DIXIE HIGHWAYJUPITERFL33458452860629HEALTHCARE SERVICESFLNAC CORPORATION
JMC SPECIALTY GROUP INC
1210 SOUTH OLD DIXIE HIGHWAYJUPITERFL33458462998206PHYSICIAN GROUPFLNAC CORPORATION
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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