JUPITER MEDICAL CENTER FOUNDATION INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
JUPITER MEDICAL CENTER FOUNDATION INC (EIN 65-0132406)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-08-14
IRS object ID
201332269349301023
Schema version
2011v1.2
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)
Timestamp2013-08-14T09:00:04-05:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

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 Date2011-10-01TaxPeriodBeginDate

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 Signed2013-08-08DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameNicole BencikName
PTINP00756195PTIN
Phone9542028600Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts79733745GrossReceipts
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 Employees6TotalNbrEmployees
Total Nbr Volunteers175TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year29061259ContributionsGrantsPriorYear
Contributions Grants Current Year9310121ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year2300376InvestmentIncomePriorYear
Investment Income Current Year2500946InvestmentIncomeCurrentYear
Other Revenue Prior Year301092OtherRevenuePriorYear
Other Revenue Current Year521544OtherRevenueCurrentYear
Total Revenue Prior Year31662727TotalRevenuePriorYear
Total Revenue Current Year12332611TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year7653525GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY7184055GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year638856SalariesEtcPriorYear
Salaries Etc Current Year899365SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year1431845TotalFundrsngExpCurrentYear
Other Expense Prior Year1118501OtherExpensePriorYear
Other Expenses Current Year956965OtherExpensesCurrentYear
Total Expenses Prior Year9410882TotalExpensesPriorYear
Total Expenses Current Year9040385TotalExpensesCurrentYear
Revenues Less Expenses Prior Year22251845RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3292226RevenuesLessExpensesCY
Total Assets BOY69458726TotalAssetsBOY
Total Assets EOY74594597TotalAssetsEOY
Total Liabilities BOY1304189TotalLiabilitiesBOY
Total Liabilities EOY982706TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY68154537NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY73611891NetAssetsOrFundBalancesEOY
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
Expense7189334Expense
Grants7184055Grants
Revenue77878Revenue
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 Expense7189334TotalProgramServiceExpense
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 Employees6NumberOfEmployees
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
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
States Where Copy Of Return Is FiledFLStatesWhereCopyOfReturnIsFiled
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 (30 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
DONALD MCCREE JR
SECRETARY5.00XX000
EDWARD BABINGTON
TREASURER5.00XX000
JOSEPH C KEMPE JD LLM
VICE CHAIRMAN5.00XX000
PETER O CRISP
CHAIRMAN5.00XX000
AMIN KHOURY
TRUSTEE1.00X000
ANN SCHWARTZ
TRUSTEE1.00X000
ANTHONY PETRARCA
TRUSTEE1.00X000
ARTHUR CALCAGNINI
TRUSTEE1.00X000
DAVID LONG
TRUSTEE1.00X000
DAVID NICHOLSON
TRUSTEE1.00X000
FRANK RYAN
TRUSTEE1.00X000
GEORGE BOVENIZER III
TRUSTEE1.00X000
HERBERT BAUM
TRUSTEE1.00X000
JAMES PERRELLA
TRUSTEE1.00X000
JANE NAPIER
TRUSTEE1.00X000
JOHN MABIE
TRUSTEE1.00X000
JOSEPH TADDEO
TRUSTEE1.00X000
KATHARINE PLUM
TRUSTEE1.00X000
KEVIN BOYLE
TRUSTEE1.00X000
LAWRENCE DE GEORGE
TRUSTEE1.00X000
LEONARD ABRAMSON
TRUSTEE1.00X000
LODEWIJK DE VINK
TRUSTEE1.00X000
RICHARD KATZ JR
TRUSTEE1.00X000
THEORDORE DANFORTH
TRUSTEE1.00X000
TYLER CAIN
TRUSTEE1.00X000
WILLIAM MATTISON JR
TRUSTEE1.00X000
DALE HOCKING
ASSISTANT TREASURER - PARTIAL YEAR2.00X000
JOHN COURIS
ASSISTANT SECRETARY1.00X052481337668
RICHARD COSNOTTI
PRESIDENT AND CEO40.00X301208025287
STEPHEN J GRIGSBY
ASSISTANT TREASURER - PARTIAL YEAR2.00X027070830045
FieldValueIRS element (for citing)
Total Reportable Comp From Org301208TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs795521TotalReportableCompFrmRltdOrgs
Total Other Compensation93000TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Membership Dues130MembershipDues
Fundraising Events702469FundraisingEvents
All Other Contributions8607522AllOtherContributions
Noncash Contributions3148476NoncashContributions
Total Contributions9310121TotalContributions

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 Column936469TotalRevenueColumn
Exclusion$936,469ExclusionAmount

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)
Securities68383381Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities66818904Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1564477Securities
Other0Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1564477TotalRevenueColumn
Exclusion$1,564,477ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events301059GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events702469CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses284937FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column16122TotalRevenueColumn
Exclusion$16,122ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming124185GrossIncomeGaming
Gaming Direct Expenses33128GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column91057TotalRevenueColumn
Exclusion$91,057ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory600652GrossSalesOfInventory
Cost Of Goods Sold264165CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column336487TotalRevenueColumn
Exclusion$336,487ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER INCOMEDescription
Business Code900099BusinessCode
Total Revenue Column77878TotalRevenueColumn
Related Or Exempt Function Income77878RelatedOrExemptFunctionIncome

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 Revenue77878TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column12332611TotalRevenueColumn
Related Or Exempt Function Income77878RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$2,944,612ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total7184055Total
Program Services7184055ProgramServices

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)
Total306120Total
Management And General61224ManagementAndGeneral
Fundraising244896Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total511056Total
Management And General118792ManagementAndGeneral
Fundraising392264Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total54984Total
Management And General10997ManagementAndGeneral
Fundraising43987Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total27205Total
Management And General5441ManagementAndGeneral
Fundraising21764Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

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)
Total144872Total
Management And General144872ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total450480Total
Management And General56764ManagementAndGeneral
Fundraising393716Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total124983Total
Fundraising124983Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total26395Total
Program Services5279ProgramServices
Management And General21116ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total5499Total
Fundraising5499Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total2604Total
Fundraising2604Fundraising

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 (3 entries)

DescriptionDescriptionTotalTotalFundraisingFundraising
REIMBURSEMENT OF EXPENSES157884157884
DONOR RECOGNITION3621536215
BUSINESS/ PROFESSIONAL DEVELOPMENT80338033

All Other Expenses AllOtherExpenses

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

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total9040385Total
Program Services7189334ProgramServices
Management And General419206ManagementAndGeneral
Fundraising1431845Fundraising

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total0Total

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY21014367BOY
EOY13926323EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY20343542BOY
EOY14616617EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY27600BOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY34610BOY
EOY78400EOY
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)
BOY27853682BOY
EOY45949973EOY

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)
BOY184925BOY
EOY23284EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY69458726BOY
EOY74594597EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY30224BOY
EOY196842EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY113480BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1160485BOY
EOY785864EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1304189BOY
EOY982706EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY33126772BOY
EOY37787617EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY32174874BOY
EOY32971383EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2852891BOY
EOY2852891EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY68154537BOY
EOY73611891EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY69458726BOY
EOY74594597EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses3292226ReconcilationRevenueExpenses
Reconcilation Other Changes2165128ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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$7,172,724
JUPITER MEDICAL CENTER PAVILION INC
5924525769truetruetrue$11,331
JUPITER MEDICAL CENTER PHYSICIANS GROUP INC
2631871199falsetruetrue$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs3TotalNumberOfSupportedOrgs
Sum Of Amounts7184055SumOfAmounts

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 Balance18277283BeginningOfYearBalance
Investment Earnings Or Losses3739664InvestmentEarningsOrLosses
End Of Year Balance22016947EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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

Current Year Minus3 Years CurrentYearMinus3Years

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 Balance0.84880BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.12950PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.02170TermEndowmentEOYBalance
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 (2 entries)

DescriptionDescriptionAmountAmount
OTHER CURRENT LIABILITIES$133,529
DUE TO RELATED ORGANIZATIONS$652,335
FieldValueIRS element (for citing)
Total Of Amounts785864TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (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 ON AUGUST 2, 1973, THAT THE HOSPITAL, THE PAVILION, THE FOUNDATION AND THE PHYSICIANS GROUP ARE EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). ACCORDINGLY, NO INCOME TAXES HAVE BEEN PROVIDED FOR THESE ENTITIES. ASC TOPIC 740, INCOME TAXES, PRESCRIBES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAX POSITIONS RECOGNIZED IN THE FINANCIAL STATEMENTS. ASC 740 PROVIDES GUIDANCE FOR RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTES FOR THE FINANCIAL RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THERE WERE NO UNCERTAIN TAX POSITIONS RECORDED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT SEPTEMBER 30, 2012 OR 2011.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1BALLNameOfEvent1
Gross Receipts Event1412988GrossReceiptsEvent1
Charitable Contributions Event1289092CharitableContributionsEvent1
Gross Revenue Event1123896GrossRevenueEvent1
Other Direct Expenses Event1152328OtherDirectExpensesEvent1
Name Of Event2GOLFNameOfEvent2
Gross Receipts Event2336712GrossReceiptsEvent2
Charitable Contributions Event2235698CharitableContributionsEvent2
Gross Revenue Event2101014GrossRevenueEvent2
Other Direct Expenses Event2109042OtherDirectExpensesEvent2
Total Number Of Other Events3TotalNumberOfOtherEvents
Gross Receipts Other Events253828GrossReceiptsOtherEvents
Charitable Contrib Other Events177679CharitableContribOtherEvents
Gross Revenue Other Events76149GrossRevenueOtherEvents
Other Direct Expenses Other Events23567OtherDirectExpensesOtherEvents
Gross Receipts Total1003528GrossReceiptsTotal
Charitable Contributions Total702469CharitableContributionsTotal
Gross Revenue Total Events301059GrossRevenueTotalEvents
Cash Prizes Total Events0CashPrizesTotalEvents
Non Cash Prizes Total Events0NonCashPrizesTotalEvents
Rent Facility Costs Total Events0RentFacilityCostsTotalEvents
Food And Beverage Total Events0FoodAndBeverageTotalEvents
Entertainment Total Events0EntertainmentTotalEvents
Other Direct Expenses Total Events284937OtherDirectExpensesTotalEvents
Direct Expense Summary Events284937DirectExpenseSummaryEvents
Net Income Summary16122NetIncomeSummary

Gaming Information GamingInformation

FieldValueIRS element (for citing)
Gross Revenue Other Gaming124185GrossRevenueOtherGaming
Non Cash Prizes Other Gaming33128NonCashPrizesOtherGaming
Volunteer Labor Other GamingtrueVolunteerLaborOtherGaming
Volunteer Labor Prcnt Other Gaming0.95VolunteerLaborPrcntOtherGaming
Gross Revenue Total Gaming124185GrossRevenueTotalGaming
Cash Prizes Total Gaming0CashPrizesTotalGaming
Non Cash Prizes Total Gaming33128NonCashPrizesTotalGaming
Rent Facility Costs Total Gaming0RentFacilityCostsTotalGaming
Other Direct Expenses Total Gaming0OtherDirectExpensesTotalGaming
Direct Expense Summary Gaming33128DirectExpenseSummaryGaming
Net Gaming Income Summary91057NetGamingIncomeSummary
FieldValueIRS element (for citing)
States Where Gaming ConductedFLStatesWhereGamingConducted
LicensedfalseLicensed
Explanation If NoA RAFFLE DOES NOT MEET THE DEFINITION OF GAMING IN FLORIDA AND THEREFORE, THE ORGANIZATION IS NOT REQUIRED TO BE LICENSED.ExplanationIfNo
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 Compensation0GamingManagerCompensation
Gaming Manager Services ProvidedOVERSIGHT OF RAFFLEGamingManagerServicesProvided

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistancePurpose Of GrantPurposeOfGrant
JUPITER MEDICAL CENTER INC
1210 SOUTH OLD DIXIE HIGHWAYJUPITERFL33458591460239501(C)(3)71727240N/AN/ASUPPORT EXPANSION OF JUPITER MEDICAL CENTER
JUPITER MEDICAL CENTER PAVILION
1210 SOUTH DIXIE HIGHWAYJUPITERFL33458592452576501(C)(3)113310N/AN/ASUPPORT EXPANSION OF JUPITER MEDICAL CENTER PAVILION
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants
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)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
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 PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

Base 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
STEPHEN J GRIGSBY
02435060272020005204024841030075300
JOHN COURIS
040593101104750840704505033163056248100
RICHARD COSNOTTI
25386704734100026400226470326495000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierNon-fixed paymentsIdentifier
Return ReferenceSchedule J, Part I, Line 7ReturnReference
ExplanationSOME OF THE INTERESTED PERSONS RECEIVED PERFORMANCE BONUSES THAT WERE NOT BASED ON A FIXED FORMULA.Explanation

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoods

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F990521820NoncashContribsRptdF990
Method Of Determining RevenuesSELLING COSTMethodOfDeterminingRevenues

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions24NumberOfContributions
Noncash Contribs Rptd F9903091889NoncashContribsRptdF990
Method Of Determining RevenuesMARKET VALUEMethodOfDeterminingRevenues

Food Inventory FoodInventory

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F9905130NoncashContribsRptdF990
Method Of Determining RevenuesCOSTMethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionAUCTION PRIZES/GIFT CERTIFICATESDescription
Number Of Contributions20NumberOfContributions
Noncash Contribs Rptd F99022253NoncashContribsRptdF990
Method Of Determining RevenuesSELLING COSTMethodOfDeterminingRevenues
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 (4 entries)

IdentifierIdentifierReturn ReferenceReturnReference
Number of contributions or items contributed.Schedule M, part I, column (b), Line 5
Number of contributions or items contributed.Schedule M, part I, column (b), Line 9
Number of contributions or items contributed.Schedule M, part I, column (b), Line 19
Number of contributions or items contributed.Schedule M, part I, column (b), Line other=AUCTION PRIZES/GIFT CERTIFICATES

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 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 CHANGE THE CORPORATE NAME, APPOINT THE BOARD OF TRUSTEES OF THE CORPORATION, AND AMEND THE BY-LAWS OF THE CORPORATION.
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 VP OF FINANCE AND CFO 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 & CEO, RICHARD COSNOTTI. 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, 2012. JUPITER MEDICAL CENTER FOUNDATION, INC. RELIES ON THE COMMITTEE OF JUPITER MEDICAL CENTER, INC. TO ENSURE THE COMPENSATION IS REASONABLE.
LINE 15BFORM 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).
Other changes in net assets or fund balancesForm 990, Part XI, Line 5NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - 2165128;
INTERESTED PERSONS' AVERAGE HOURS WORKED PER WEEKSCHEDULE J, PART I, LINE 3STEPHEN J. GRIGSBY SERVED AS AN OFFICER FOR JUPITER MEDICAL CENTER FOUNDATION, INC. HE ALSO WORKED APPROXIMATELY 40 HOURS/WEEK FOR JUPITER MEDICAL CENTER, INC., 5 HOURS/WEEK FOR JUPITER MEDICAL CENTER PAVILION, INC. AND 1 HOUR/WEEK FOR JUPITER MEDICAL CENTER PHYSICIANS GROUP, INC. (ALL RELATED ORGANIZATIONS). DALE HOCKING SERVES AS AN OFFICER FOR JUPITER MEDICAL CENTER FOUNDATION, INC. HE ALSO WORKS APPROXIMATELY 40 HOURS/WEEK FOR JUPITER MEDICAL CENTER, INC., 5 HOURS/WEEK FOR JUPITER MEDICAL CENTER PAVILION, INC. AND 1 HOUR/WEEK FOR JUPITER MEDICAL CENTER PHYSICIANS GROUP, INC. (ALL RELATED ORGANIZATIONS). JOHN COURIS SERVES AS AN OFFICER FOR JUPITER MEDICAL CENTER FOUNDATION, INC. HE ALSO WORKS APPROXIMATELY 5 HOURS/WEEK FOR JUPITER MEDICAL CENTER PAVILION, INC., 5 HOURS/WEEK FOR JUPITER MEDICAL CENTER PHYSICIANS GROUP, INC., AND 40 HOURS/WEEK FOR JUPITER MEDICAL CENTER, INC. (ALL RELATED ORGANIZATIONS). HERBERT BAUM IS A TRUSTEE FOR JUPITER MEDICAL CENTER FOUNDATION, INC. AND ALSO SERVES 5 HOURS/WEEK AS A TRUSTEE FOR JUPITER MEDICAL CENTER, INC. JOSEPH R. TADDEO IS A TRUSTEE FOR JUPITER MEDICAL CENTER FOUNDATION, INC. AND ALSO SERVES 10 HOURS/WEEK AS A TRUSTEE AND OFFICER FOR JUPITER MEDICAL CENTER, INC.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
JUPITER MEDICAL CENTER INC
1210 SOUTH OLD DIXIE HIGHWAYJUPITERFL33458591460239HOSPITALFL501(C)(3)3NAfalse
JUPITER MEDICAL CENTER PAVILION INC
1230 SOUTH OLD DIXIE HIGHWAYJUPITERFL33458592452576REHABILITATION HOSPITALFL501(C)(3)9JUPITER MEDICAL CENTER INCfalse
JUPITER MEDICAL CENTER PHYSICIANS GROUP
1210 SOUTH OLD DIXIE HIGHWAYJUPITERFL33458263187119PHYSICIAN OFFICESFL501(C)(3)9JUPITER 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
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
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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