2011-05-10T14:00:43-05:00 2010-09-30 CROWE HORWATH LLP 3815 River Crossing Parkway Suite 300 Indianapolis IN 462400977 990 2009-10-01 650132406 JUPITER MEDICAL CENTER FOUNDATION INC JUPI 5617472234 1210 SOUTH OLD DIXIE HIGHWAY JUPITER FL 33458 STEPHEN J GRIGSBY 2011-04-30 true 3175698989 2009 2016-02-24 21:20:13Z RICHARD COSNOTTI 1210 SOUTH OLD DIXIE HIGHWAY JUPITER FL 33458 17139156 false X WWW.JMCFOUNDATION.ORG X 1989 FL THE 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. 26 26 6 114 0 0 8282308 5828506 0 0 -312144 529680 342969 47515 8313133 6405701 2336343 1401676 0 0 846899 749265 0 0 998848 748254 738779 3931496 2889720 4381637 3515981 42825615 48378512 261651 366435 42563964 48012077 THE 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. false false 1413803 1401676 0 THE 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. 1413803 true true false false false false false false true true false true false false false false false false true false false true false true false false false false false false false false true false false false false true false false false true 0 0 6 true false false false false false true true false false false 26 26 false false false false true true true true true false false true true true true true true true true false FL X STEPHEN J GRIGSBY 5617472234 1210 SOUTH OLD DIXIE HIGHWAY JUPITER FL 33458 DONALD MCCREE JR 5 X X 0 0 0 PETER CRISP 5 X X 0 0 0 JOSEPH KEMPE JD 5 X X 0 0 0 EDWARD BABINGTON 5 X X 0 0 0 LAWRENCE FLINN JR 1 X 0 0 0 FRANK MANSELL 1 X 0 0 0 JOSEPH TADDEO 1 X 0 0 0 FRANK RYAN 1 X 0 0 0 KATHARINE PLUM 1 X 0 0 0 JAMES PERRELLA 1 X 0 0 0 DAVID NICHOLSON 1 X 0 0 0 WILLIAM MATTISON JR 1 X 0 0 0 JOAN MADEIRA 1 X 0 0 0 JOHN MABIE 1 X 0 0 0 DAVID LONG 1 X 0 0 0 AMIN KHOURY 1 X 0 0 0 RICHARD KATZ JR 1 X 0 0 0 THOMAS KANE 1 X 0 0 0 MADDIE HAMOT 1 X 0 0 0 MARK GOCKE MD 1 X 0 0 0 CURTIS FRANCISCO 1 X 0 0 0 LODEWIJK DE VINK 1 X 0 0 0 LAWRENCE DE GEORGE 1 X 0 0 0 THEORDORE DANFORTH 1 X 0 0 0 TYLER CAIN 1 X 0 0 0 GEORGE BUTTS 1 X 0 0 0 GEORGE BOVENIZER III 1 X 0 0 0 LEONARD ABRAMSON 1 X 0 0 0 STEPHEN J GRIGSBY 2 X 0 414396 15652 JOHN COURIS 1 X 0 0 0 PAUL DELL UOMO 1 X 0 428601 26997 RICHARD COSNOTTI 40 X 255001 0 8891 255001 842997 51540 1 false true false 0 0 210 575419 0 0 5252877 347566 5828506 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 821978 0 0 821978 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9903268 0 10195566 0 -292298 0 -292298 0 0 -292298 249785 575419 360915 -111130 0 0 -111130 0 0 0 0 0 0 335619 176974 158645 0 0 158645 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6405701 0 0 577195 1401676 1401676 0 0 0 0 0 0 244682 0 73405 171277 0 0 0 0 433163 0 108291 324872 0 0 0 0 27964 0 7496 20468 43456 0 11648 31808 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 135682 0 135682 0 112463 9537 30393 72533 171477 0 0 171477 55645 0 9521 46124 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 DONOR RECOGNITION 77350 0 0 77350 MISCELLANEOUS 33198 2590 24151 6457 REIMBURSEMENT TO RELATED ORGANIZATION 152964 0 76482 76482 0 0 0 0 0 0 0 0 0 0 0 0 2889720 1413803 477069 998848 0 0 0 0 0 0 20463852 20963083 4865214 4809514 0 0 0 0 0 0 0 0 0 0 4195 44891 0 0 0 0 17348649 22300498 0 0 0 0 0 0 143705 260526 42825615 48378512 12746 35145 0 0 0 0 0 0 0 0 0 0 0 0 0 0 248905 331290 261651 366435 X 29203332 32153888 10751540 12999097 2609092 2859092 0 0 0 0 0 0 42563964 48012077 42825615 48378512 X false true true X false X X X X false false false JUPITER MEDICAL CENTER INC 591460239 3 true true true 1099778 JUPITER MEDICAL CENTER PAVILION INC 592452576 9 true true true 301898 2 1401676 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 11034876 5243570 1235935 17532381 12111242 63490 -540012 599844 11034876 0.8369 0.1631 0 false false 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 OTHER CURRENT LIABILITIES 109815 DUE TO RELATED ORGANIZATIONS 221475 331290 Intended uses of endowment funds Schedule D, Part V, Line 4 THE 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 footnote Schedule D, Part X, Line 2 JUPITER 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 PHYSICIAN 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. BALL 371828 216728 155100 30995 1000 138431 GOLF TOURNAMENT 209075 189075 20000 54981 3 244301 169616 74685 135508 825204 575419 249785 30995 1000 328920 360915 -111130 true JUPITER MEDICAL CENTER INC 1210 SOUTH OLD DIXIE HIGHWAY JUPITER FL 33458 591460239 501(C)(3) 1099778 0 N/A N/A EXPANSION OF BUILDING AND SERVICES JUPITER MEDICAL CENTER PAVILION INC 1230 SOUTH OLD DIXIE HIGHWAY JUPITER FL 33458 592452576 501(C)(3) 301898 0 N/A N/A EXPANSION OF SERVICES 2 0 Procedures for monitoring use of grant funds Schedule I, Part I, Line 2 JUPITER 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. X X X X X X false false false false false false false false false STEPHEN J GRIGSBY 0 245988 0 0 0 168408 0 9004 0 6648 0 430048 0 0 PAUL DELL UOMO 0 422951 0 0 0 5650 0 17337 0 9660 0 455598 0 0 RICHARD COSNOTTI 255001 0 0 0 0 0 4231 0 4660 0 263892 0 0 0 SCHEDULE J, PART I, LINE 3 METHODS USED TO DETERMINE COMPENSATION OF TOP OFFICIAL RICHARD COSNOTTI, PRESIDENT, IS PAID BY JUPITER MEDICAL CENTER, INC. (A RELATED ORGANIZATION). HIS COMPENSATION IS DETERMINED BY THE COMPENSATION COMMITTEE OF JUPITER MEDICAL CENTER, INC. THE COMPENSATION COMMITTEE USES AN INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, AND COMPENSATION SURVEYS AND STUDIES IN DETERMINING COMPENSATION. THE ENTIRE JUPITER MEDICAL CENTER GOVERNING BODY APPROVES COMPENSATION ONCE IT IS SET BY THE COMPENSATION COMMITTEE. JUPITER MEDICAL CENTER FOUNDATION, INC. RELIED ON THE COMPENSATION COMMITTEE OF JUPITER MEDICAL CENTER, INC. TO ENSURE HIS COMPENSATION IS REASONABLE. X 224204 RESALE VALUE X 20 301724 MARKET VALUE X GIFT CERTIFICATES & FINE MERCHANDISE 21 35447 MARKET VALUE 0 false true false Classes of members or stockholders Form 990, Part VI, Section A, Line 6 JUPITER MEDICAL CENTER, INC. (A RELATED ORGANIZATION) IS THE SOLE MEMBER OF JUPITER MEDICAL CENTER FOUNDATION, INC. Members or stockholders electing members of governing body Form 990, Part VI, Section A, Line 7a JUPITER 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 stockholders Form 990, Part VI, Section A, Line 7b JUPITER 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 body Form 990, Part VI, Section B, Line 11A THE CFO AND SENIOR VICE PRESIDENT OF HUMAN RESOURCES REVIEW THE FORM 990 PRIOR TO ITS FINALIZATION. THE FORM 990 IS ALSO APPROVED AND REVIEWED BY THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS. THE FINAL DRAFT OF THE FORM 990 IS PROVIDED TO EVERY MEMBER OF THE BOARD OF DIRECTORS BEFORE IT IS FILED. Conflict of interest policy Form 990, Part VI, Section B, Line 12c THE 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. Process used to establish compensation of top management official Form 990, Part VI, Section B, Line 15a THE 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, 2010. JUPITER MEDICAL CENTER FOUNDATION, INC. RELIES ON THE COMMITTEE OF JUPITER MEDICAL CENTER, INC. TO ENSURE THE COMPENSATION IS REASONABLE. Process used to establish compensation of other officers/key employees Form 990, Part VI, Section B, Line 15b THE OTHER OFFICERS ARE COMPENSATED BY JUPITER MEDICAL CENTER, INC. (A RELATED ORGANIZATION). FOR ALL OF THE OTHER OFFICERS, COMPENSATION 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 WAS LAST UNDERTAKEN IN THE YEAR ENDED SEPTEMBER 30, 2010. JUPITER MEDICAL CENTER FOUNDATION, INC. RELIES ON THE COMPENSATION COMMITTEE OF JUPITER MEDICAL CENTER, INC. TO ENSURE THEIR COMPENSATION IS REASONABLE. Public Disclosure Form 990, Part VI, Section C, Line 19 THE 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). INTERESTED PERSONS' AVERAGE HOURS WORKED PER WEEK FORM 990, PART VII, SECTION A STEPHEN J. GRIGSBY 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). THEREFORE HE WORKS APPROXIMATELY 2 HOURS/WEEK FOR JUPITER MEDICAL CENTER FOUNDATION, INC. JOHN COURIS AND PAUL DELL UOMO SERVE AS AN OFFICER FOR JUPITER MEDICAL CENTER FOUNDATION, INC. THEY ALSO WORK 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). THEREFORE THEY WORK APPROXIMATELY 1 HOUR/WEEK FOR JUPITER MEDICAL CENTER FOUNDATION, INC. NON-CASH CONTRIBUTIONS FORM 990, PART VIII, LINE 1G THE ORGANIZATION OPERATES RESALE SHOPS THAT SELL PRIMARILY DONATED MERCHANDISE. THE RESALE VALUE IS SHOWN IN SCHEDULE M. HOWEVER, THE ORGANIZATION DOES NOT RECOGNIZE REVENUE UNTIL THE ITEMS ARE SOLD. THEREFORE FORM 990, PART VIII, LINE 1G DOES NOT INCLUDE ANY NON-CASH CONTRIBUTIONS TO THE RESALE SHOP. THE SALES OF THE DONATED MERCHANDISE IS SHOWN ON FORM 990, PART VIII, LINE 10. NON-CASH CONTRIBUTIONS FORM 990, PART VIII, LINE 1G THE ORGANIZATION OPERATES RESALE SHOPS THAT SELL PRIMARILY DONATED MERCHANDISE. THE RESALE VALUE IS SHOWN IN SCHEDULE M. HOWEVER, THE ORGANIZATION DOES NOT RECOGNIZE REVENUE UNTIL THE ITEMS ARE SOLD. THEREFORE FORM 990, PART VIII, LINE 1G DOES NOT INCLUDE ANY NON-CASH CONTRIBUTIONS TO THE RESALE SHOP. THE SALES OF THE DONATED MERCHANDISE IS SHOWN ON FORM 990, PART VIII, LINE 10. JUPITER MEDICAL CENTER INC 1210 SOUTH OLD DIXIE HIGHWAY JUPITER FL 33458 591460239 HOSPITAL FL 501(C)(3) 3 NA JUPITER MEDICAL CENTER PAVILION INC 1230 SOUTH OLD DIXIE HIGHWAY JUPITER FL 33458 592452576 REHABILITATION HOSPITAL FL 501(C)(3) 9 NA JUPITER MEDICAL CENTER PHYSICIANS GROUP 1210 SOUTH OLD DIXIE HIGHWAY JUPITER FL 33458 263187119 PHYSICIAN OFFICES FL 501(C)(3) 9 NA false true false true true false false false false false true false true true true false false false