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MARTIN MEMORIAL MEDICAL CENTER INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
MARTIN MEMORIAL MEDICAL CENTER INC (EIN 59-0637874)
Tax period
2017-10-01 to 2018-09-30
Filed
2019-08-15
IRS object ID
201942279349303424
Schema version
2017v2.2
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)
Return2019-08-15T19:01:50-05:00ReturnTs
Tax Period End2018-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN350921680PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CROWE LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1401 East Las Olas Blvd Suite 1100AddressLine1Txt
CityFort LauderdaleCityNm
State AbbreviationFLStateAbbreviationCd
ZIP333014230ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN590637874EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Martin Memorial Medical Center IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMARTBusinessNameControlTxt
Phone7722875200PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 9010AddressLine1Txt
CityStuartCityNm
State AbbreviationFLStateAbbreviationCd
ZIP349959033ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMichael MoehringPersonNm
Person TitleCFOPersonTitleTxt
Signature2019-08-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBRITTNEY KOCAJPreparerPersonNm
PTINP01320603PTIN
Phone9542028600PhoneNum
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Martin Medical CenterBusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1ROBERT LORDBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 Hospital AvenueAddressLine1Txt
CityStuartCityNm
State AbbreviationFLStateAbbreviationCd
ZIP34994ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$572,113,204GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.martinhealth.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1939FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionThe primary mission is to provide quality health care services to the citizens of Martin and Southern St. Lucie Counties through its acute and ambulatory care facilities.ActivityOrMissionDesc
Voting Members Governing Body20VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee5318TotalEmployeeCnt
Total Volunteers1319TotalVolunteersCnt
Total Gross UBI$35,813TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,169,081PYContributionsGrantsAmt
CY Contributions Grants$4,584,274CYContributionsGrantsAmt
PY Program Service Revenue$500,391,525PYProgramServiceRevenueAmt
CY Program Service Revenue$516,640,022CYProgramServiceRevenueAmt
PY Investment Income$5,119,813PYInvestmentIncomeAmt
CY Investment Income$11,383,665CYInvestmentIncomeAmt
PY Other Revenue$5,884,515PYOtherRevenueAmt
CY Other Revenue$5,613,225CYOtherRevenueAmt
PY Total Revenue$515,564,934PYTotalRevenueAmt
CY Total Revenue$538,221,186CYTotalRevenueAmt
PY Grants And Similar Paid$464,518PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$333,954CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$250,624,193PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$255,082,147CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$249,061,347PYOtherExpensesAmt
CY Other Expenses$262,213,251CYOtherExpensesAmt
PY Total Expenses$500,150,058PYTotalExpensesAmt
CY Total Expenses$517,629,352CYTotalExpensesAmt
PY Revenues Less Expenses$15,414,876PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$20,591,834CYRevenuesLessExpensesAmt
Total Assets BOY$687,193,516TotalAssetsBOYAmt
Total Assets EOY$699,419,017TotalAssetsEOYAmt
Total Liabilities BOY$424,964,011TotalLiabilitiesBOYAmt
Total Liabilities EOY$421,540,886TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$262,229,505NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$277,878,131NetAssetsOrFundBalancesEOYAmt
MissionTo provide exceptional health care, hope and compassion to every person, every time.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$471,150,283ExpenseAmt
Grant$333,954GrantAmt
Revenue$520,180,687RevenueAmt
DescMARTIN MEMORIAL MEDICAL CENTER PROVIDED 117,877 PATIENT DAYS OF SERVICE AT ITS THREE HOSPITALS. THE MEDICAL CENTER ALSO PROVIDED CARE TO 119,079 PATIENTS THROUGH ITS FOUR EMERGENCY DEPARTMENTS DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2018. MARTIN MEMORIAL MEDICAL CENTER'S PHYSICIAN REFERRAL SERVICES PROVIDE AN UNBIASED SERVICE TO RESIDENTS WHO ARE NEW TO THE COMMUNITY OR FIND IT NECESSARY TO CHANGE PHYSICIANS DUE TO CHANGES IN HEALTHCARE INSURANCE. THE MEDICAL CENTER PROVIDES A NUMBER OF COMMUNITY HEALTH CARE EDUCATION OPPORTUNITIES AND HEALTH SCREENING THROUGHOUT THE YEAR.Desc
Total Program Service Expenses$471,150,283TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document249IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee5318EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OfYes (true)Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members20GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldFLStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MICHAEL MOEHRINGBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7722875200PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 Hospital AveAddressLine1Txt
CityStuartCityNm
State AbbreviationFLStateAbbreviationCd
ZIP34994ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (36 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ROBERT LORD
PRESIDENT/CEO50.04.0Yes (X)Yes (X)$789,007$0$259,966
JOHN LOEWENBERG
CHAIRMAN5.02.0Yes (X)Yes (X)$0$0$0
FREDERIC SALERNO
VICE CHAIRMAN5.01.0Yes (X)Yes (X)$0$0$0
H WILLIAM LICHTENBERGER
SECRETARY5.01.0Yes (X)Yes (X)$0$0$0
THEORA WEBB
TREASURER5.02.0Yes (X)Yes (X)$0$0$0
EVAN COLLINS MD
DIRECTOR5.00Yes (X)$0$0$0
PETER DAYTON MD
DIRECTOR5.00Yes (X)$53,438$0$0
LYNN FRANK
DIRECTOR5.00Yes (X)$0$0$0
ELMIRA GAINEY
DIRECTOR5.00Yes (X)$0$0$0
MARY-JO HORTON
DIRECTOR5.00Yes (X)$0$0$0
PAMELA HOUGHTEN
DIRECTOR5.00Yes (X)$0$0$0
GEORGE RITTERSBACH MD
DIRECTOR50.00Yes (X)$369,810$0$53,480
JOHN DOODY
DIRECTOR5.01.0Yes (X)$0$0$0
PATRICIA NOONAN
director5.01.0Yes (X)$0$0$0
TIFFANY WEAKLEY MD
DIRECTOR5.01.0Yes (X)$35,250$0$0
JEFFREY GLICKMAN MD
DIRECTOR50.00Yes (X)$344,822$0$29,609
HOWARD ROBBINS MD
DIRECTOR5.00Yes (X)$0$0$0
NANCYANN TAYLOR
DIRECTOR5.051.0Yes (X)$0$0$0
WYNNE LEE NUNEZ MD
DIRECTOR5.00Yes (X)$0$0$0
GEORGE MCLAIN MD
DIRECTOR5.00Yes (X)$0$0$0
CHARLES CLEAVER
CFO50.03.0Yes (X)$718,153$0$139,881
MARIAN WOSSUM
CLO50.02.0Yes (X)$314,573$0$63,896
EDMUND COLLINS
CIO50.01.0Yes (X)$373,392$0$69,402
MIGUEL COTY
CMCO50.01.0Yes (X)$278,501$0$79,185
LIBBY FLIPPO
CNO50.01.0Yes (X)$330,907$0$90,127
ANGIE METCALF
CHRO50.01.0Yes (X)$320,942$0$88,133
FERNANDO PETRY DO
CMO50.01.0Yes (X)$387,859$0$106,059
JESSICA MCLAIN
CPO1.051.0Yes (X)$0$233,250$71,134
LAURENCE ROTHSTEIN MD
CPGO50.01.0Yes (X)$393,265$0$85,564
DR DANIEL EDELMAN
CPO50.00Yes (X)$300,830$0$39,081
JOHN AFSHAR MD
NEUROSURGEON50.00$1,390,292$0$158,969Yes (X)
JOHN VIOLA MD
PHYSICIAN50.00$1,099,064$0$137,969Yes (X)
JOHN ROBINSON MD
NEUROSURGEON50.00$964,189$0$158,969Yes (X)
JORGE CASTILLO MD
PHYSICIAN50.00$637,158$0$63,480Yes (X)
DR OSZKAR SZENTIRMAI
NEUROSURGEON50.00$878,823$0$62,274Yes (X)
MARK ROBITAILLE
FORMER CEO0.00.0$1,296,380$0$20,442Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$11,276,655TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$233,250TotReportableCompRltdOrgAmt
Total Other Compensation$1,777,620TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K154IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmtAddress Line2ContractorAddress/USAddress/AddressLine2Txt
ROBINS & MORTON GROUP
400 SHADES CREEK PKWYBIRMINGHAMAL35209CONSTRUCTION$12,191,766
SEARCY DENNEY SCAROLA BARNHART & SHIPLEY PA
2139 PALM BEACH LAKES BLVDPALM BEACHFL33409ATTORNEY$4,730,000
DIAGNOSTIC IMAGING SERVICES INC
PO BOX 4STUARTFL34995RADIOLOGY PROFESSIONAL READS$2,716,836
MICHAUD MITTELMARK MARKOWITZ
621 NW 53RD STBOCA RATONFL33487ATTORNEY$1,854,705260
GRESHAM SMITH
PO BOX 440029NASHVILLETN372440029ARCHITECTS/ENGINEERS$1,148,825
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K33CntrctRcvdGreaterThan100KCnt
Related Organizations$4,521,113RelatedOrganizationsAmt
All Other Contributions$63,161AllOtherContributionsAmt
Total Contributions$4,584,274TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Services622110$516,588,686$516,588,686
Rental to affiliates531120$51,336$51,336

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$516,640,022TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,479,000TotalRevenueColumnAmt
Exclusion$3,479,000ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$752,378RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$891,192RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$138,814RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$138,814TotalRevenueColumnAmt
Exclusion-$138,814ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$40,548,052SecuritiesAmt
Other$357,440OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$32,957,224SecuritiesAmt
Other$43,602OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$7,590,828SecuritiesAmt
Other$313,838OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,904,665TotalRevenueColumnAmt
Exclusion$7,904,665ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Cafeteria624210$2,175,561$2,175,561
Laboratory services621511$35,813$35,813
Support Services to Affiliates561000$3,540,665$3,540,665

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$5,752,039OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$538,221,186TotalRevenueColumnAmt
Related Or Exempt Func Income$520,180,687RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$35,813UnrelatedBusinessRevenueAmt
Exclusion$13,420,412ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$98,799TotalAmt
Program Services$98,799ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$235,155TotalAmt
Program Services$235,155ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$6,205,922TotalAmt
Management And General$6,205,922ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$138,560TotalAmt
Program Services$138,560ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$196,255,166TotalAmt
Program Services$180,287,164ProgramServicesAmt
Management And General$15,968,002ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$11,673,749TotalAmt
Program Services$11,242,746ProgramServicesAmt
Management And General$431,003ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$27,022,114TotalAmt
Program Services$24,855,653ProgramServicesAmt
Management And General$2,166,461ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$13,786,636TotalAmt
Program Services$13,061,010ProgramServicesAmt
Management And General$725,626ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$832,572TotalAmt
Program Services$18,906ProgramServicesAmt
Management And General$813,666ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$189,520TotalAmt
Management And General$189,520ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$68,176TotalAmt
Program Services$68,176ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$525,657TotalAmt
Management And General$525,657ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$22,973,188TotalAmt
Program Services$20,450,841ProgramServicesAmt
Management And General$2,522,347ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,280,571TotalAmt
Program Services$1,982,048ProgramServicesAmt
Management And General$298,523ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$9,800,188TotalAmt
Program Services$6,468,292ProgramServicesAmt
Management And General$3,331,896ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$7,329,978TotalAmt
Program Services$2,809,916ProgramServicesAmt
Management And General$4,520,062ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$36,295,058TotalAmt
Program Services$31,255,366ProgramServicesAmt
Management And General$5,039,692ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$357,098TotalAmt
Program Services$275,049ProgramServicesAmt
Management And General$82,049ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$256,801TotalAmt
Program Services$212,471ProgramServicesAmt
Management And General$44,330ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$38,584,148TotalAmt
Program Services$35,359,012ProgramServicesAmt
Management And General$3,225,136ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$10,617,861TotalAmt
Program Services$10,617,861ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Bad Debt$29,081,311$29,081,311
Indigent Tax$5,494,188$5,494,188
Patient Transport$1,895,511$1,895,511
Medical supplies$93,000,909$92,952,961$47,948

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,630,516TotalAmt
Program Services$2,289,287ProgramServicesAmt
Management And General$341,229ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$517,629,352TotalAmt
Program Services$471,150,283ProgramServicesAmt
Management And General$46,479,069ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$7,189,012BOYAmt
EOY$21,064,000EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$53,312,226BOYAmt
EOY$14,176,766EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$52,952,797BOYAmt
EOY$54,045,905EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$19,026BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$8,920,181BOYAmt
EOY$10,474,731EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$5,153,773BOYAmt
EOY$6,136,616EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$792,712,562LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$422,807,970LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$359,152,328BOYAmt
EOY$369,904,592EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$162,424,703BOYAmt
EOY$180,173,000EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$38,069,470BOYAmt
EOY$43,443,407EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$687,193,516BOYAmt
EOY$699,419,017EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$69,799,637BOYAmt
EOY$65,760,074EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$6,223BOYAmt
EOY$6,223EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$302,364,929BOYAmt
EOY$306,108,975EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$52,793,222BOYAmt
EOY$49,665,614EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$424,964,011BOYAmt
EOY$421,540,886EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$238,207,896BOYAmt
EOY$248,874,272EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$24,021,609BOYAmt
EOY$29,003,859EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$262,229,505BOYAmt
EOY$277,878,131EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$687,193,516BOYAmt
EOY$699,419,017EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$20,591,834ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$3,659,716NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$8,602,924OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Organization Belongs Afflt GrpYes (X)OrganizationBelongsAffltGrpInd

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt
Affiliated Group Total$0AffiliatedGroupTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$68,176FilingOrganizationsTotalAmt
Affiliated Group Total$68,176AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$68,176FilingOrganizationsTotalAmt
Affiliated Group Total$68,176AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$471,082,107FilingOrganizationsTotalAmt
Affiliated Group Total$494,813,670AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$471,150,283FilingOrganizationsTotalAmt
Affiliated Group Total$494,881,846AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Filing Organizations Total$1,000,000FilingOrganizationsTotalAmt
Affiliated Group Total$1,000,000AffiliatedGroupTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Filing Organizations Total$250,000FilingOrganizationsTotalAmt
Affiliated Group Total$250,000AffiliatedGroupTotalAmt

Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt
Affiliated Group Total$0AffiliatedGroupTotalAmt

Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt
Affiliated Group Total$0AffiliatedGroupTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Current Year Minus3$1,000,000CurrentYearMinus3Amt
Current Year Minus2$1,000,000CurrentYearMinus2Amt
Current Year Minus1$1,000,000CurrentYearMinus1Amt
Current Year$1,000,000CurrentYearAmt
Total$4,000,000TotalAmt
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$22,029CurrentYearMinus3Amt
Current Year Minus2$65,557CurrentYearMinus2Amt
Current Year Minus1$69,960CurrentYearMinus1Amt
Current Year$68,176CurrentYearAmt
Total$225,722TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Current Year Minus3$250,000CurrentYearMinus3Amt
Current Year Minus2$250,000CurrentYearMinus2Amt
Current Year Minus1$250,000CurrentYearMinus1Amt
Current Year$250,000CurrentYearAmt
Total$1,000,000TotalAmt
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmt

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$0CurrentYearMinus3Amt
Current Year Minus2$0CurrentYearMinus2Amt
Current Year Minus1$0CurrentYearMinus1Amt
Current Year$0CurrentYearAmt
Total$0TotalAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-A Description of lobbyingFormAndLineReferenceDesc
ExplanationMartin Health System has retained the services of consultants in Tallahassee for the purpose of monitoring legislative and regulatory healthcare-related issues that might affect it or the community it serves, and communicating the System's views on those issues to appropriate elected officials and regulators.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$8,249,523BeginningYearBalanceAmt
Contributions$2,019,361ContributionsAmt
Investment Earnings Or Losses$506,875InvestmentEarningsOrLossesAmt
Grants Or Scholarships$508,419GrantsOrScholarshipsAmt
End Year Balance$10,267,340EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,098,167BeginningYearBalanceAmt
Contributions$915,974ContributionsAmt
Investment Earnings Or Losses$727,298InvestmentEarningsOrLossesAmt
Grants Or Scholarships$491,916GrantsOrScholarshipsAmt
End Year Balance$8,249,523EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,480,115BeginningYearBalanceAmt
Contributions$203,324ContributionsAmt
Investment Earnings Or Losses$597,404InvestmentEarningsOrLossesAmt
Grants Or Scholarships$182,676GrantsOrScholarshipsAmt
End Year Balance$7,098,167EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,742,012BeginningYearBalanceAmt
Contributions$16,254ContributionsAmt
Investment Earnings Or Losses-$82,356InvestmentEarningsOrLossesAmt
Grants Or Scholarships$195,795GrantsOrScholarshipsAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$6,480,115EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,128,528BeginningYearBalanceAmt
Contributions$455,205ContributionsAmt
Investment Earnings Or Losses$473,003InvestmentEarningsOrLossesAmt
Grants Or Scholarships$387,116GrantsOrScholarshipsAmt
Other Expenditures$927,608OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$6,742,012EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.1935BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.2914PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.5151TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$23,061,785OtherCostOrOtherBasisAmt
Book Value$23,061,785BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$325,331,734OtherCostOrOtherBasisAmt
Depreciation$157,346,829DepreciationAmt
Book Value$167,984,905BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$420,512,036OtherCostOrOtherBasisAmt
Depreciation$257,048,552DepreciationAmt
Book Value$163,463,484BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$23,807,007OtherCostOrOtherBasisAmt
Depreciation$8,412,589DepreciationAmt
Book Value$15,394,418BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$369,904,592TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDescBook ValueBookValueAmt
Due from affiliates$1,771,886
Interest receivable$511,513
Interest in Martin Memorial Foundation$28,912,636
Physician guarantee$237,429
Bond issuance cost$4,110,197
Investment in affiliates$7,899,165
Other assets$581
FieldValueIRS element (for citing)
Total Book Value Other Assets$43,443,407TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
Self insurance reserve$9,079,310
Allowance Insurance Audit$454,158
Asset retirement obligation$1,708,711
Deferred pension$33,893,560
Other liabilities$18,114
Due to affiliates$4,511,761
FieldValueIRS element (for citing)
Total Liability$49,665,614TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part V, Line 4 Intended uses of endowment fundsMartin Memorial Foundation, Inc. (a related organization) holds the endowment funds with the intended purpose to support Martin Memorial Medical Center, Inc. ("MMMC"). The funds are used by MMMC for a variety of patient care activities and programs including support of the Cancer Center, support of nursing education, for the purchase of medical equipment, support of the Heart Center, and other general healthcare activities.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteUnder ASC Subtopic 740, Income Taxes, The Medical Center must recognize the tax benefit from an uncertain tax position only if it is "more-likely-than-not" that the tax position will be sustained on examination by the applicable taxing authorities based on the technical merits of the position. The tax benefits recognized in the consolidated financial statements from such a position are measured based on the largest benefit that has a greater than 50 percent likelihood of being realized upon ultimate settlement. ASC, Subtopic 740-10, also provides guidance of derecognition, classification, interest and penalties on income taxes and accounting in interim periods and requires increased disclosure. There were no uncertain tax positions as of September 30, 2018 and 2017. The Medical Center does not expect the total amount of unrecognized tax benefits to significantly change in the next twelve months. Tax returns filed by the Medical Center are subject to examination by the Internal Revenue Service (IRS) up to three years from the date the return was filed. The Medical Center recognizes interest and/or penalties related to income tax matters in income tax expense. The medical center did not have any amounts accrued for interest and penalties at September 30, 2018 and 2017. Tax returns filed by the Medical Center and its affiliated companies are no longer subject to examination for the years ended September 30, 2014 and prior.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$16,173,812TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,173,812NetCommunityBenefitExpnsAmt
Total Expense0.0331TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$45,445,254TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$22,735,872DirectOffsettingRevenueAmt
Net Community Benefit Expns$22,709,382NetCommunityBenefitExpnsAmt
Total Expense0.0465TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$61,619,066TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$22,735,872DirectOffsettingRevenueAmt
Net Community Benefit Expns$38,883,194NetCommunityBenefitExpnsAmt
Total Expense0.0796TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$521,257TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$521,257NetCommunityBenefitExpnsAmt
Total Expense0.0011TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,091,947TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,091,947NetCommunityBenefitExpnsAmt
Total Expense0.0207TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$297,260TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$297,260NetCommunityBenefitExpnsAmt
Total Expense0.0006TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$10,910,464TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,910,464NetCommunityBenefitExpnsAmt
Total Expense0.0223TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$72,529,530TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$22,735,872DirectOffsettingRevenueAmt
Net Community Benefit Expns$49,793,658NetCommunityBenefitExpnsAmt
Total Expense0.1019TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$589TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$589NetCommunityBenefitExpnsAmt
Total Expense0.0000TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served301PersonsServedCnt
Total Community Benefit Expns$314,145TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$314,145NetCommunityBenefitExpnsAmt
Total Expense0.0006TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served301PersonsServedCnt
Total Community Benefit Expns$314,734TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$314,734NetCommunityBenefitExpnsAmt
Total Expense0.0006TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$29,081,311BadDebtExpenseAmt
Bad Debt Expense Attributable$6,107,075BadDebtExpenseAttributableAmt
Reimbursed By Medicare$129,087,482ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$163,217,302CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$34,129,820MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (3 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctOfcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
TREASURE COAST INTEGRATED HEALTHCARE LLC
CLINICALLY INTEGRATED NETWORK0.510.00.49
TRADITION SURGERY CENTER LLC
SURGICAL VENTURES0.32540.00.48
STUART SURGERY CENTER
SURGICAL VENTURES0.45880.00.26
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARTIN MEMORIAL MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 HOSPITAL AVEAddressLine1Txt
CitySTUARTCityNm
State AbbreviationFLStateAbbreviationCd
ZIP34994ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.martinhealth.orgWebsiteAddressTxt
State License4102StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
Facility Reporting GroupaFacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1aBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttps://www.martinhealth.org/addressing-community-health-needsOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsitefalseStrategyPostedWebsiteInd
Strategy AttachedYes (true)StrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.0FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.0FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttps://www.martinhealth.org/patient-financial-assistance-policyFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttps://www.martinhealth.org/patient-financial-assistance-policyFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttps://www.martinhealth.org/patient-financial-assistance-policyFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back MedicareYes (X)LookBackMedicareInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3EThe significant health needs of the community are included and prioritized within the CHNA.
Schedule H, Part V, Section B, Line 5 Facility a, 1Facility a, 1 - MARTIN MEMORIAL MEDICAL CENTER. MARTIN MEMORIAL ENGAGED WITH CARNAHAN GROUP TO CONDUCT THE COMMUNITY HEALTH NEEDS ASSESSMENT; IN ADDITION THERE WAS A DESIGNATED ASSOCIATE THAT HELPED TO COORDINATE THE ENTIRE PROCESS. INFORMATION WAS GATHERED BY CONDUCTING INTERVIEWS WITH INDIVIDUALS REPRESENTING COMMUNITY HEALTH AND PUBLIC SERVICE ORGANIZATIONS INCLUDING THE UNITED WAY OF MARTIN AND ST. LUCIE COUNTY, COUNTY HEALTH DEPARTMENTS, SCHOOL HEALTH SERVICES, MEDICAL PROFESSIONALS: INCLUDING PHYSICIANS, HOSPITAL ADMINISTRATION, OTHER HOSPITAL STAFF, AND ORGANIZATIONS WHOSE MISSION IS TO SERVE THE MEDICALLY UNDERSERVED AND LOW INCOME POPULATIONS IN THE COMMUNITY TO OBTAIN A DIVERSE AND ACCURATE REPRESENTATION.
Schedule H, Part V, Section B, Line 11 Facility a, 1Facility a, 1 - MARTIN MEMORIAL MEDICAL CENTER, INC.. MARTIN MEMORIAL IS TAKING A MULTI-FACETED APPROACH TO ADDRESSING THE 6 MAJOR HEALTH DISPARITIES IN OUR COMMUNITY- DIABETES, OBESITY, CANCER, ACCESS AND AFFORDABILITY, MENTAL HEALTH, AND SUBSTANCE ABUSE. WE ARE WORKING WITH COMMUNITY PARTNERS INCLUDING THE LOCAL PUBLIC HEALTH ENTITES AND OTHER NON-PROFIT ORGANIZATIONS ON COMMUNITY-WIDE PROGRAMS TO ADDRESS ACCESS AND OBESITY INITIATIVES. WE HAVE A MULTITUDE OF PROGRAMS FOR DIABETES INCLUDING DIABETES PREVENTION PROGRAMS AND SUPPORT GROUPS, WHICH WE EXPANDED TO SERVE BOTH COUNTIES. WE ARE ENGAGED WITH LOCAL COMMUNITY BASED ORGANIZATIONS IN SOME OF OUR UNDERSERVED NEIGHBORHOODS TO CONDUCT FREE HEALTH SCREENINGS INCLUDING FREE FLU SHOTS IN NEIGHBORHOODS WHERE DIABETES, POOR NUTRITION, OBESITY AND LACK OF RESOURCES ARE PREVALENT. IN ADDITION, WE OFFER PROSTATE SCREENINGS TO THE COMMUNITY AND LAUNCHED A LUNG NAVIGATOR PROGRAM THAT OFFERS A LOW COST LOW DOSE CT PROGRAM TO CATCH LUNG CANCER EARLY. WE CURRENTLY HAVE A COMPREHENSIVE HEALTH MANAGEMENT PROGRAM WHICH IS AN EVIDENCE BASED FREE OF CHARGE PROGRAM THAT TAKES CHRONIC DISEASE PATIENTS AND PLACES THEM IN THE CARE OF PHARMACISTS TO HELP CONTROL THEIR DIABETES, OBESITY AND OTHER COMPLICATED DISEASES. WE PARTNER WITH OUR LOCAL VOLUNTEERS IN MEDICINE CLINIC TO PROVIDE FREE FITNESS MEMBERSHIPS TO THE PEOPLE THAT USE THEIR SERVICES TO ADDRESS OBESITY. ALTHOUGH WE DO NOT OFFER MENTAL HEALTH OR SUBSTANCE ABUSE SERVICES WITHIN OUR HEALTH SYSTEM, WE HAVE CREATED PARTNERSHIPS WITH OTHER PROVIDERS OF THOSE SERVICES TO ENHANCE COMMUNITY EDUCATION AND AWARENESS ON MENTAL HEALTH, SUICIDE AND SUBSTANCE ABUSE ISSUES. AS THE SUBSTANCE ABUSE EPIDEMIC HAS SPREAD TO OUR SERVICE AREA WE HAVE JOINED THE TREASURE COAST OPIOID TASK FORCE AND HEAD UP THE HEALTHCARE SUBCOMMITTEE TO WORK ON ADDRESSING THAT NEED. WE CONTINUALLY LOOK FOR OPPORTUNITIES TO GET OUT AND EDUCATE THE COMMUNITY, PROVIDING FREE LECTURES ON HEALTH RELATED TOPICS TO A MULTITUDE OF ENTITIES THROUGHOUT THE COMMUNITY. CARING FOR THE COMMUNITY IS AT THE CENTER OF WHAT WE DO.
FieldValueIRS element (for citing)
Facility33FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (33 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
Martin Rehabilitation Center
11602 SE Federal HwyHobe SoundFL33455Rehabilitation Center
Martin Bariatric and Metabolic Surgery Center
3496 NW Federal HwyJensen BeachFL34957Morbid obesity consulting
Martin Medical Health & Fitness
11602 SE Federal HwyHobe SoundFL33455Medically directed fitness center.
David L Smythe Wound Center
314 Hospital AveStuartFL34994Wound Care Center
Martin Pediatric and Aquatics Therapy
3496 NW Federal HwyJensen BeachFL34957Pediatric Rehabilitation Center
MMMC Pediatric Rehab
1095 NW St Lucie W BlvdPort St LucieFL34986Pediatric Rehabilitation Center
Martin Rehabilitation Center
509 Riverside DriveStuartFL34994Rehabilitation Center
East Ocean Lab Drawing Station
2392 SE Ocean BlvdStuartFL34996blood draw station
MMMC Wound Center
1095 NW St Lucie W BlvdPort St LucieFL34984Wound Care Center
MARTIN MEMORIAL MEDICAL CENTER
1095 ST LUCIE WEST BLVDPORT ST LUCIEFL34986EMERGENCY ROOM
Martin Rehabilitation Center
1095 SW St Lucie West BlvdPort St LucieFL34986Rehabilitation Center
Richard C Raub Rehabilitation Center
2195 SE Ocean BlvdStuartFL34996Rehabilitation Center
Martin Medical Radiation Oncology
1095 SW St Lucie West BlvdPort St LucieFL34986Radiation Oncology Treatment Center
Martin Medical Health & Fitness
3066 SW Martin Downs BlvdPalm CityFL34950Medically directed fitness center.
Martin Rehabilitation Center
6001 SE Tower DriveStuartFL34997Rehabilitation Center
Martin Medical Outpatient Surgery Center
509 Riverside DriveStuartFL34995Outpatient surgery department
Martin Medical Back and Spine Center
10050 SW Innovation WayPort St LucieFL34986Neurosurgeons office.
Martin Rehabilitation Center
3066 SW Martin Downs BlvdPalm CityFL34950Rehabilitation Center
St Lucie West lab Drawing Station
1095 SW St Lucie West BlvdPort St LucieFL34986Blood draw station
Martin Occupational Health Services
2384 E Ocean BlvdStuartFL34996MartinOccupational Health Services
Robert and Carol Weissman Cancer Center
501 Osceola StreetStuartFL34994Cancer Center
Martin Medical Sleep Disorders Center
3066 SW Martin Downs BlvdPalm CityFL34950Sleep Disorders Center
Martin Medical Back and Spine Center
509 Riverside DriveStuartFL34994Neurosurgeons offices
Martin Medical Health & Fitness
3496 NW Federal HwyJensen BeachFL34957Medically directed fitness center.
Palm City Lab Drawing Station
3066 SW Martin Downs BlvdPalm CityFL34950Blood draw station
Martin Medical Cardio Rehab
308 Hospital AveStuartFL34994Cardiac care rehabilitation
Martin Rehabilitation Center
1651 SE TiffanyPort St LucieFL34952Rehabilitation Center
Port St Lucie Lab Drawing Station
1651 SE TiffanyPort St LucieFL34952Blood draw station
Martin Medical Health & Fitness
6001 SE Tower DriveStuartFL34997Medically directed fitness center.
Martin Chronic Disease
2150 SE Salerno RoadStuartFL34997CHRONIC DISEASE CENTER
LAB DRAWING STATION- TRADITION MEDICAL CENTER
10050 SW INNOVATION WAYPORT ST LUCIEFL34987BLOOD DRAW STATION
TREASURE COAST MEDICAL PAVILION FOR HEALTH AND HEALING
3496 NW FEDERAL HWY SUITE FJENSEN BEACHFL34957HEALTH AND HEALING
STUART SURGERY CENTER
2096 SE OCEAN BLVDSTUARTFL34996SURGICAL

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation29081311
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistanceThe cost-to-charge ratio derived from worksheet 2 was used for these calculations.
Schedule H, Part II Community Building ActivitiesMartin Memorial has programs targeted at addressing community-wide workforce issues. Martin Memorial joined with the Martin County School District to form Project Search, which is a one year high school transition program. It is offered through the school district and provides training and education which leads to possible employment for individuals with disabilities. It serves as a workforce alternative for students ages 18-21 in their last year of high school, or students 18-21 that graduated with a special diploma. We provide a training classroom, a business liaison, and a rotational internship for on the job training for all participants. In addition to Project Search we have workforce development programs that are school-based programs focused on healthcare careers. Students are able to come in and learn about healthcare careers and job shadow in critical national shortage areas.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountMARTIN MEMORIAL ACCOUNTS FOR BAD DEBT EXPENSE USING A RESERVE METHODOLOGY WHICH ESTIMATES HISTORICAL WRITE-OFFS AS A PERCENTAGE OF PATIENT ACCOUNTS RECEIVABLE. THE ESTIMATED BAD DEBT ON CURRENT ACCOUNTS WHICH WILL BE WRITTEN OFF IN FUTURE PERIODS IS ACCRUED AS EXPENSE IN THE INCOME STATEMENT AND IS EVALUATED MONTHLY. BAD DEBT EXPENSE IS REPORTED AT GROSS IN ACCORDANCE WITH FINANCIAL STATEMENT PRESENTATION IN THE SEPTEMBER 30, 2018 AUDITED FINANCIAL STATEMENTS.
Schedule H, Part III, Line 3 Bad Debt Expense MethodologyThe Medical Center attempts to qualify all non-insured patients for Medicaid or other means-tested programs. Any patient that is ineligible for Medicaid or other means-tested programs and does not have insurance is classified as self pay. The bad debt is primarily based on unpaid self pay balances. Martin does not use any portion of bad debt in its financial assistance calculation. Martin estimates that 20 percent of the bad debt expense is attributable to patients who may have qualified for financial assistance if it was possible to obtain sufficient information to determine their eligibility. Martin Memorial considers this portion of bad debt to be community benefit.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnoteBelow is the text of the footnote from the organization's audited financial statements that discusses bad debt expense. Patient accounts receivable are reduced by an allowance for estimated uncollectible accounts. In evaluating the collectability of accounts receivable, the Medical Center analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for estimated uncollectible accounts and provision for uncollectible accounts. Management regularly reviews data about these major payor sources of revenue in evaluating the sufficiency of the allowance for estimated uncollectible accounts. For receivables associated with services provided to patients who have third-party insurance coverage, the Medical Center analyzes contractually due amounts and provides an allowance for uncollectible accounts and a provision for uncollectible accounts, if necessary (for example, for expected uncollectible deductibles and copayments on accounts for which the third-party payor has not yet paid, or for payors who are known to be having financial difficulties that make the realization of amounts due unlikely). For receivables associated with self-pay patients (which include both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the Medical Center records a significant provision for uncollectible accounts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The Medical Center regularly performs hindsight procedures to evaluate historical write-off and collection experience throughout the year to assist in determining the reasonableness of its process for estimating the allowance for uncollectible accounts. The difference between the standard rates (or the discounted rates if negotiated) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for estimated uncollectible accounts.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costsMartin Memorial's mission is to serve the health care needs of its patients within the community. Martin Memorial considers the provision of care to patients, despite reporting a Medicare operating shortfall, to be a community benefit. The shortfall of $34,129,820 represents unreimbursed services to members of our community. These services are a vital part of the health care Martin Memorial provides to these patients. Only by providing these services below cost are we able to meet the needs of these patients. The data used to determine the revenue and cost amounts came directly from the Medicare Cost Report.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistanceMartin Memorial interviews potential financial assistance patients/guarantors to determine the payment sources, ascertain whether a referral for a medical economic social payment source is advisable or determine if the patient qualifies for financial assistance. Martin Memorial looks at the patients' assets, liabilities, income, family size, existing monthly bills, and other pertinent financial indicators, such as the amount of medical bills. Martin Memorial uses the State of Florida HCCB Charity/Uncompensated Care Guidelines (200% of the current Federal Poverty Guidelines) as a threshold for granting financial assistance. In certain instances where medical indigency is ascertained, financial assistance would be approved for cases that exceed the HCCB income threshold guidelines. After the interview, if full or partial payment is not anticipated, the account is converted to a financial assistance status, and will not be considered bad debt. Once converted to financial assistance the patient is not expected to make payments and is not pursued for payment. If the patient is known to be under a current financial assistance provision, the computer system alerts MMMC and the system adjusts the balance so that the patient is not billed.
Schedule H, Part V, Section B, Line 16a FAP websitea - MARTIN MEMORIAL MEDICAL CENTER: Line 16a URL: https://www.martinhealth.org/patient-financial-assistance-policy;
Schedule H, Part V, Section B, Line 16b FAP Application websitea - MARTIN MEMORIAL MEDICAL CENTER: Line 16b URL: https://www.martinhealth.org/patient-financial-assistance-policy;
Schedule H, Part V, Section B, Line 16c FAP plain language summary websitea - MARTIN MEMORIAL MEDICAL CENTER: Line 16c URL: https://www.martinhealth.org/patient-financial-assistance-policy;
Schedule H, Part VI, Line 2 Needs assessmentIdentifying the health care needs of our communities is imperative, so that we best know how to serve our residents and provide them with exceptional care. Our community health needs assessment was extremely helpful in helping to identify the local needs that we consider priority areas that we can address. As a hospital system It showed us the opportunities where we are able to fill those gaps. Some of the ways that we assess those needs, in addition to the Community Health Needs Assessment, are to stay active and engaged with other organizations that directly serve the populations with the most need. Examples of these are the quarterly Community Conversations in Martin County, led by the United Way of Martin County and representing over 50 organizations county-wide. The Council of Social Agencies in St. Lucie also has a very similar goal of bringing these types of agencies together. Hurricane preparedness, dental and oral hygiene for our pediatric age groups, to obesity and nutrition classes for the homeless population are some of the most recent topics that were discussed. By having these open conversations many needs are able to be discussed and change can then be facilitated. Two other organizations are the Inter-Agency Coalition and Healthy St. Lucie, which the hospital system attends monthly meetings. We collaborate with these groups to enhance our knowledge and reach. The last example is our partnership with the Martin County School Board, which was a pilot program we recently started. After sitting down with the wellness coordinator and benefits director and extensively reviewing the demographics and particular needs of their over 4,000 employees, we determined that a heart screening would be most beneficial. We then offered a low-cost, employer paid screening for 90 employees. The hospital system continues to evaluate and collaborate to meet the ever-changing needs of the residents and community members in the areas that we serve.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistanceFinancial assistance programs are posted in the lobbies of the three emergency departments, admitting areas and written on patient statements and billing. Information is also available on Martin Memorial's website and all collection notices also contain information about financial assistance. Estimates for procedures are provided to the patients upon request and are available in Spanish in addition to English.
Schedule H, Part VI, Line 4 Community informationMartin Memorial serves Martin County and portions of St. Lucie County, a population of approximately 368,983. Most of the area has traditionally been a retirement community, with a substantial population of seasonal residents. However substantial growth in St. Lucie County has included many younger families who live there year-round. Our 2016 Community Health Needs Assessment showed that within five years substantial population growth is expected among residents ages 65 and older (13.4%) along with a slight population growth of individuals aged 20-44 (3.6%). In Martin County, nearly 30% of Martin County residents are over age 65 and in Port St. Lucie, only 21% are older than 65. The most common race/ethnicity in Martin Memorial's community is white (64.95%) followed by Hispanic (16.6%) and black/African American (14.7%). Substantial population growth is expected for Hispanics (12.1%). Median household income is $51,703 in Martin County and $42,665 in St. Lucie County. In Martin County 12% of individuals live below the poverty line and in St. Lucie County 18.4% of individuals live below the poverty line. The percentage of children living below poverty level-Martin County: 19.2%, St. Lucie County: 28.2%. St. Lucie County has a slightly higher incidence of children living in poverty than the state average of 24.1%. Martin Memorial Medical Center is the only hospital in Martin County, Florida. Martin Memorial opened our third hospital, Tradition Medical Center, in December 2013 in Western St. Lucie County. In October 2017 the Tradition Medical Center expansion was completed, which doubled our number of beds available for patients.
Schedule H, Part VI, Line 5 Promotion of community healthMartin Memorial has a multifaceted approach to promoting community health. Our board of directors is comprised of community members seeking to ensure we provide access to high-quality care. Throughout the year, Martin Memorial provides free or low-cost educational opportunities and health screenings which are aimed at disease prevention and target the underserved population in the community. In January 2014 we were one of the first hospitals in the area to launch a Comprehensive Health Management program that focuses on patients with severe chronic diseases which focuses on managing complicated diseases to improve their health and quality of life. This current program is unable to be reimbursed from any type of insurance and is completely free of charge to people referred into this program. The organization also offers free support groups for patients and family members that are facing ongoing management of chronic diseases. Martin Memorial associates provide countless hours of volunteer service to not-for-profit agencies and organizations, with an emphasis on those with a mission to enhance community health. Martin Memorial offers numerous sponsorships intended to promote the health and well-being of our communities, including the support of two local free health clinics that help the medically underserved population. Martin Memorial is working with other agencies and organizations to create programs that will help promote the overall health of the community. We continue to partner with local community organizations to help on county wide health initiatives. We have worked with the Health Departments in both Martin and St. Lucie County to develop a community wide plan that focuses on healthy lifestyle. In addition, a majority of the governing body of Martin Memorial Medical Center is comprised of people who reside in the organization's primary service area and who are neither employees nor independent contractors, nor family members thereof. In addition, the organization extends medical staff privileges to all qualified physicians in the community. Martin Memorial periodically conducts a physician needs assessment that reviews the makeup of both our medical staff as well as the physician community in our service area as a whole. This provides an overview of what physician specialties may be needed in our community.
Schedule H, Part VI, Line 6 Affiliated health care systemMartin Memorial Medical Center belongs to a group of affiliated companies that provide diagnostic and ambulance services to the local community and fundraising for the benefit of Martin Memorial Medical Center. Martin Memorial also has for-profit affiliates providing physician services to the local community as well as billing and collection services for the affiliated companies. There are limited partnerships that own medical office buildings which primarily house affiliated companies' medical offices and clinics as well as an affiliation with ambulatory surgery centers.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescPurpose Of GrantPurposeOfGrantTxt
Indian River State College Foundation
3209 Virginia AveFort PierceFL34981591105591501(c)(3)$77,299$0N/AN/AEducation
Hands of St Lucie County
3855 US-1FT PIERCEFL34982263945016501(C)(3)$12,500$0N/AN/AHEALTHCARE
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (3 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDesc
HEALTH CARE FOR INDIGENT PATIENTS219$148,479$0N/AN/A
SHELTER / TRANSPORTATION / FOOD189$51,684$0N/AN/A
ASSOCIATE CARING FUND50$34,992$0N/AN/A

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part I, Line 2 Procedures for monitoring use of grant funds.FormAndLineReferenceDesc
ExplanationHealth care assistance is provided to oncology patients that have a financial need including help paying for medical expenses, food, shelter and transportation. The organization's Social Services Department also assists indigent patients that are being discharged with pharmacy items. Grants are closely monitored and assessments are made to ensure they are used for the intended purposes. The Martin Memorial Medical Center education department works closely with Indian River State College Foundation as to the use of the grant funds. In addition, sponsorship funds provided are closely monitored to ensure the funds are used for the intended purpose.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MARK ROBITAILLE
FORMER CEO$57,546$0$145,000$0$1,093,834$0$17,631$0$2,811$0$1,316,822$0$1,093,834$0
ROBERT LORD
PRESIDENT/CEO$618,971$0$50,041$0$119,995$0$220,353$0$39,613$0$1,048,973$0$119,892$0
GEORGE RITTERSBACH MD
DIRECTOR$267,669$0$102,038$0$103$0$15,900$0$37,580$0$423,290$0$0$0
JEFFREY GLICKMAN MD
DIRECTOR$278,856$0$65,966$0$0$0$15,900$0$13,709$0$374,431$0$0$0
CHARLES CLEAVER
CFO$404,898$0$28,257$0$284,998$0$99,639$0$40,242$0$858,034$0$283,051$0
MARIAN WOSSUM
CLO$294,668$0$19,905$0$0$0$33,900$0$29,996$0$378,469$0$0$0
EDMUND COLLINS
CIO$287,773$0$20,239$0$65,380$0$31,688$0$37,714$0$442,794$0$65,380$0
MIGUEL COTY
CMCO$233,153$0$15,978$0$29,370$0$41,497$0$37,688$0$357,686$0$29,370$0
LIBBY FLIPPO
CNO$309,945$0$20,962$0$0$0$49,996$0$40,131$0$421,034$0$0$0
ANGIE METCALF
CHRO$291,560$0$20,468$0$8,914$0$47,947$0$40,186$0$409,075$0$8,755$0
FERNANDO PETRY DO
CMO$363,238$0$24,621$0$0$0$55,854$0$50,205$0$493,918$0$0$0
JESSICA MCLAIN
CPO$0$193,250$0$40,000$0$0$0$48,025$0$23,109$0$304,384$0$0
LAURENCE ROTHSTEIN MD
CPGO$368,639$0$24,626$0$0$0$53,671$0$31,893$0$478,829$0$0$0
DR DANIEL EDELMAN
CPO$284,759$0$16,071$0$0$0$15,900$0$23,181$0$339,911$0$0$0
JOHN AFSHAR MD
NEUROSURGEON$848,572$0$541,720$0$0$0$118,900$0$40,069$0$1,549,261$0$0$0
JOHN VIOLA MD
PHYSICIAN$794,837$0$304,227$0$0$0$97,900$0$40,069$0$1,237,033$0$0$0
JOHN ROBINSON MD
NEUROSURGEON$846,339$0$117,850$0$0$0$118,900$0$40,069$0$1,123,158$0$0$0
JORGE CASTILLO MD
PHYSICIAN$488,301$0$148,857$0$0$0$15,900$0$47,580$0$700,638$0$0$0
DR OSZKAR SZENTIRMAI
NEUROSURGEON$842,212$0$36,611$0$0$0$20,150$0$42,124$0$941,097$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 1a Tax indemnification and gross-up paymentsThe nonqualified Defined Benefit SERP Plan has a tax adjustment factor in its benefit calculation.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planCompensation reported in the Form 990, particularly benefit costs, may be confusing, especially when making comparisons from one organization to another or even from one year to another for the same organization. Retirement benefit costs vary widely depending on the type of plan - defined benefit or contribution, and the age and tenure of the executive. Martin Memorial maintains several unfunded supplemental retirement plans. The amount accrued (not paid) was $186,453 for Mr. Lord, $25,597 for Mr. Coty, $31,688 for Mr. Collins, $32,047 for Ms. Metcalf, $65,739 for Mr. Cleaver, $34,096 for Ms. Flippo, $39,954 for Dr. Petry, $24,020 for Ms. McLain, $19,771 for Dr. Rothstein, $85,000 for Dr. Afshar, $85,000 for Dr. Robinson, $64,000 for Dr. Viola, and $4,250 for Dr. Szentirmai. The following participants in this plan received distributions: $119,892 for Mr. Lord, $283,051 for Mr. Cleaver, $65,380 for Mr. Collins, $29,370 for Mr. Coty, and $8,755 for Ms. Metcalf. Dr. Castillo, Ms. Wossum, and Dr. Edelman do not participate in these plans. Mark Robitaille participates in a non-qualified defined benefit SERP plan. The amount that became vested was $1,093,834 for Mr. Robitaille. This amount was included on his Form W-2, and an amount sufficient to cover taxation was distributed to him.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
Martin County Health Facilities Authority
A362646523573903EF42012-02-09$127,052,929Construction of new hospital in Saint Lucie Countyfalsefalsefalse
Martin County Health Facilities Authority
B362646523573903FD82012-11-15$30,822,326Refund 7/1997 and 12/1998 bond issuesfalsefalsefalse
Martin County Health Facilities Authority
C3626465232010-12-15$24,095,000Acquisition of medical equipmentfalsefalsefalse
Martin County Health Facilities Authority
D3626465232013-09-24$26,555,000Refund 5/2007 bond issuefalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$3,080,080$0$128,299,649$11,812,842$10,269,255$0$2,523,995$0$0$103,409,411$284,145$02013falsefalseYes (true)Yes (true)
B$6,225,000$0$30,822,326$0$0$0$572,679$0$0$0$30,249,647$02012Yes (true)falseYes (true)Yes (true)
C$4,560,000$0$24,242,680$0$0$0$202,903$0$0$24,039,777$0$02013falsefalseYes (true)Yes (true)
D$7,060,000$0$26,555,000$0$0$0$0$0$0$0$26,555,000$02013Yes (true)falseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalsefalseYes (true)Yes (true)Yes (true)Yes (true)0.00.00.0falsefalseYes (true)
BfalsefalseYes (true)Yes (true)Yes (true)Yes (true)0.00.00.0falsefalseYes (true)
CfalsefalseYes (true)Yes (true)Yes (true)Yes (true)0.00.00.0falsefalseYes (true)
DfalsefalseYes (true)Yes (true)Yes (true)Yes (true)0.00.00.0falsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedInd
(no name)
AfalsefalsefalseYes (true)falsefalsefalsefalseYes (true)
(no name)
BfalsefalsefalseYes (true)falsefalsefalsefalseYes (true)
(no name)
CfalsefalsefalseYes (true)falsefalsefalsefalseYes (true)
Wells Fargo
DfalseYes (true)falsefalseYes (true)Yes (true)falsefalseYes (true)25.0falsefalse

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)
DYes (true)

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule K, Part II, Line 3 Total proceeds of issueThe total proceeds of issue shown in Part II, Line 3 are different than the issue price shown in Part I because the figure in Part II includes investment earnings on the proceeds. This is consistent with the form instructions.
Schedule K, Part IV, Line 2c COLUMN AIssuer name: Martin County Health Facilities Authority The calculation for computing no rebate due was performed on 02/09/2018
Schedule K, Part IV, Line 2c COLUMN BIssuer name: Martin County Health Facilities Authority The calculation for computing no rebate due was performed on 11/15/2018
Schedule K, Part IV, Line 2c COLUMN CIssuer name: Martin County Health Facilities Authority The calculation for computing no rebate due was performed on 11/15/2018

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1MARTIN COUNTY HEALTH FACILITIES AUTHORITYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN362646523BondIssuerEIN
CUSIP573903FX4CUSIPNum
Bond Issued2015-09-10BondIssuedDt
Issue Price$109,488,863IssuePriceAmt
PurposeCONSTRUCTION OF HOSPITAL EXPANSION IN SAINT LUCIE COUNTYPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$0RetiredAmt
Bond Defeased$0BondDefeasedAmt
Total Proceeds$109,488,863TotalProceedsAmt
In Reserve Fund$0InReserveFundAmt
Capitalized Interest$12,834,854CapitalizedInterestAmt
Refunding Escrow$0RefundingEscrowAmt
Issuance Costs From Proceeds$0IssuanceCostsFromProceedsAmt
Credit Enhancement$0CreditEnhancementAmt
Working Capital Expenditures$0WorkingCapitalExpendituresAmt
Capital Expenditures$96,654,009CapitalExpendituresAmt
Other Spent Proceeds$0OtherSpentProceedsAmt
Unspent$0UnspentAmt
Substantial Completion2017SubstantialCompletionYr
Current RefundingfalseCurrentRefundingInd
Advance RefundingfalseAdvanceRefundingInd
Final Allocation MadefalseFinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (true)MgmtContractBondFincdPropInd
Engage Bond Counsel ContractsYes (true)EngageBondCounselContractsInd
Any Research AgreementsYes (true)AnyResearchAgreementsInd
Engage Bond Counsel ResearchYes (true)EngageBondCounselResearchInd
Private Bus Use By Others0.0PrivateBusUseByOthersPct
Private Bus Concerning UBI0.0PrivateBusConcerningUBIPct
Total Private Business Use0.0TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetYes (true)RebateNotDueYetInd
Exception To RebatefalseExceptionToRebateInd
No Rebate DuefalseNoRebateDueInd
Variable Rate IssuefalseVariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (true)ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
ANNE LORD
SISTER-IN-LAW OF ROB LORD, OFFICER OF MARTIN MEDICAL CENTER$58,737COMPENSATIONfalse
PATRICK FOGARTY
NEPHEW OF ROB LORD, OFFICER OF MARTIN MEDICAL CENTER$39,400COMPENSATIONfalse
DEIDRE WRIGHT-GAINEY
DAUGHTER-IN-LAW OF ELMIRA GAINEY, DIRECTOR OF MARTIN MEDICAL CENTER$40,423COMPENSATIONfalse

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 2 Family/business relationships amongst interested personsGEORGE MCLAIN MD AND JESSICA MCLAIN - Family relationship, CHARLES CLEAVER, EDMUND COLLINS, MIGUEL COTY, LIBBY FLIPPO, ROB LORD, JESSICA MCLAIN, ANGIE METCALF, AND FERNANDO PETRY - Business relationship
Form 990, Part VI, Line 6 Classes of members or stockholdersMartin Memorial Health Systems, Inc. a 501(c)(3) tax exempt corporation, is the sole member of Martin Memorial Medical Center, Inc.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyThe Member of Martin Memorial Medical Center may select, replace or remove the members of the governing body.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersThe Sole Member of the Medical Center expressly reserves the following powers, to be exercised by it in its sole discretion: -To select or replace and to remove, with or without cause, Directors of the Medical Center; and -To amend the Articles of Incorporation; -To amend the Bylaws of the Medical Center; -Adopt any annual or long-term capital or operational budget or any changes therein; -Authorize the Medical Center to enter into any contract or engage in any transaction which is not provided for in an annual or long-term capital or operational budget approved by the Sole Member of the Medical Center where the amount involved exceeds $100,000.00; -Adopt any new, or any changes to the existing, long-term or master institutional plans of the Medical Center; -Authorize the Medical Center to engage in, or enter into, any transaction providing for or requiring a Certificate of Need. However, the President/ CEO of the Medical Center, or the Executive Committee of the Sole Member, may submit a letter of intent and/or an application for a Certificate of Need at any time without prior authorization. The Board of Directors of the Sole Member shall subsequently either ratify the action or vote to withdraw the letter of intent or the application. -Adopt a plan of dissolution of the Medical Center; -Authorize the Medical Center to engage in, or enter into, any transaction providing for the sale, lease, mortgage or other disposition of the assets of the Medical Center not contemplated as part of the capital or operating budget; however, it is understood that this does not preclude the sale of fully depreciated assets, assets to be scrapped and taken out of service, or assets to be traded in on the purchase of new assets approved as part of the budgeting process. -Adopt a plan of merger or consolidation of the Medical Center with another corporation; -Organize or acquire, or authorize the organization or acquisition of, any subsidiary or affiliate of the Medical Center ("affiliate" shall include any corporation, association, partnership, trust, joint venture or other entity directly or indirectly controlling, controlled by, or under common control with the Medical Center).
Form 990, Part VI, Line 11b Review of form 990 by governing bodyThe Form 990 is reviewed in detail by internal management to ensure the accuracy and completeness of the return prior to filing with the IRS. The Form 990 is made available to all members of the Board of Directors subsequent to the filing of the form.
Form 990, Part VI, Line 12c Conflict of interest policyThe Corporate Compliance Officer surveys each director, officer and key employee of Martin Memorial Medical Center and related affiliated companies. These annual surveys are designed to determine if any potential conflicts of interest exist. The Corporate Compliance officer educates board members, officers and key employees of their responsibility to report any possible conflicts of interest that may arise between annual surveys. The Corporate Compliance Officer also monitors and investigates any possible conflicts that may arise. If a potential or actual conflict of interest exists, the individual with the conflict will abstain from voting on any issues or participating in discussions that are related to the conflict of interest.
Form 990, Part VI, Line 15a Process to establish compensation of top management officialExecutive compensation at Martin Memorial Health System ("MMHS") is governed and controlled by the Compensation & Retirement Committee of the Board of Directors according to policies set by the board as a whole. The committee is made up entirely of community leaders, none of whom are employed by Martin Memorial Medical Center ("MMMC"). The committee determines pay levels at MMHS in comparison with other not-for-profit hospitals and health systems like MMHS in size and complexity and which serve similar types of communities. It looks at national data but also takes into consideration data from similar health systems in the Southeast region of the country. The committee reviews comparability data on salary levels, incentive pay, and benefit costs, assessing each element of compensation independently and total compensation in aggregate. The committee retains independent consultants to gather comparability data on executive compensation in the MMHS' peer group. These consultants regularly assist the committee in making its determination that executive compensation at MMHS remains reasonable and consistent with the board-approved MMHS executive compensation philosophy. The committee approves compensation for all listed executives every year. The committee diligently follows best practices in governing executive compensation, including the process prescribed by the IRS for governing executive compensation in the tax-exempt sector. It is committed to accurately disclosing executive compensation on Form 990.
Form 990, Part VI, Line 15b Process to establish compensation of other employeesCompensation of other officers and key employees follows the same process as described in Part VI, Line 15a.
Form 990, Part VI, Line 19 Required documents available to the publicMartin Memorial Medical Center does not make its governing documents, conflict of interest policy, or financial statements available to the public.
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesTRANSFER TO AFFILIATE - -21962986; CHANGE IN NET ASSETS HELD AT MARTIN FOUNDATION - 9446410; MIN PENSION LIABILITY ADJUSTMENT - 6895915; UNREALIZED LOSS ON SWAP AGREEMENT - 1014958; RETIREE HEALTH LIABILITY ADJUSTMENT - 474407; NET ASSETS TEMPORARILY RELEASED - -4471628;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
MARTIN MEMORIAL HEALTH SYSTEMS
PO BOX 9033STUARTFL34995592307522SUPPORTS MARTIN MEMORIAL MEDICAL CENTER AND COASTAL CARE CORPORATIONFL501(c)(3)Type IINAfalse
MARTIN MEMORIAL FOUNDATION
PO BOX 9033STUARTFL349959033592343938FUNDRAISINGFL501(c)(3)7MMHSfalse
COASTAL CARE CORPORATION
PO BOX 9033STUARTFL349959033592333374HEALTHCAREFL501(c)(3)3MMHSfalse
MARTIN MEMORIAL HOSPITAL AUXILIARY
PO BOX 9033STUARTFL349959033237115443PROMOTE PURPOSES & ACTIVITIES OF MARTIN MEMORIAL HEALTH SYSTEMS & AFFILIATESFL501(c)(3)10MMHSfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndUBI Code VUBICodeVAmtGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
MEDICAL CENTER AT ST LUCIE WEST LTD
PO BOX 9033STUARTFL34995650504863MEDICAL OFFICESFLMMMCRelated$615,737$7,415,030false$0false0.99
MEDICAL CENTER AT HOBE SOUND LTD
PO BOX 9033STUARTFL34995650748232MEDICAL OFFICESFLMMMCRelated$76,595$1,784,265false$0false0.99
TREASURE COAST INTEGRATED HEALTHCARE LLC
PO BOX 9010STUARTFL34995820708813CLINICALLY INTEGRATED NETWORKFLMMMCRelated$0$237,140false$0Yes (true)0.51
martin surgical ventures llc
9131 anson way suite 304raleighNC27615320496475surgical venturesNCMMMCRelated-$494,916$354,377false$0false0.62
TRADITION SURGERY CENTER LLC
9131 ANSON WAY SUITE 304RALEIGHNC27615364837780SURGICAL VENTURESNCNAN/A
STUART SURGERY CENTER
2096 SE OCEAN BLVDSTUARTFL34996822542219SURGICAL VENTURESFLNAN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPct
MARTIN MEMORIAL PHYSICIAN CORPORATION
PO BOX 9010STUARTFL34995650556041PHYSICIAN OFFICESFLNAC Corporationfalse
MEDICAL & FINANCIAL MANAGEMENT
PO BOX 9033STUARTFL349959033592320501BILLING AND COLLECTIONSFLNAC Corporationfalse
CSC CONDOMINIUM ASSOCIATION
PO BOX 9033STUARTFL34995592843163CONDOMINIUM ASSOCIATIONFLMMMCC CorporationYes (true)$129,216$365,6540.6442
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
MEDICAL CENTER AT ST LUCIE WEST LTD
J$1,490,086FMV
MEDICAL CENTER AT HOBE SOUND LTD
J$203,000FMV

Affiliated Group Schedule AffiliatedGroupSchedule

Affiliated Schedule AffiliatedScheduleGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINElecting OrganizationElectingOrganizationIndTotal Grassroots LobbyTotalGrassrootsLobbyAmtTotal Direct LobbyTotalDirectLobbyAmtTotal Lobby ExpenditureTotalLobbyExpenditureAmtOther Exempt Purpose ExpendOtherExemptPurposeExpendAmtTotal Exempt Purpose ExpendTotalExemptPurposeExpendAmtLobby NontxLobbyNontxAmtGrassroots NontxGrassrootsNontxAmtTotal Lobby Grssroot Mns NontxTotalLobbyGrssrootMnsNontxAmtTot Lbby Expend Mns Lobby NontxTotLbbyExpendMnsLobbyNontxAmtShare Excess Lobby ExpendShareExcessLobbyExpendAmt
Martin Memorial Medical Center Inc
PO Box 9010StuartFL349959033590637874Yes (X)$0$68,176$68,176$471,082,107$471,150,283$1,000,000$250,000$0$0$0
COASTAL CARE CORPORATION
PO BOX 9033STUARTFL349959033592333374$0$0$0$18,292,784$18,292,784$1,000,000$250,000$0$0$0
MARTIN MEMORIAL HEALTH SYSTEMS
PO BOX 9033STUARTFL349959033592307522$0$0$0$0$0$0$0$0$0$0
MARTIN MEMORIAL FOUNDATION INC
PO BOX 9033STUARTFL349959033592343938$0$0$0$5,438,779$5,438,779$421,939$105,485$0$0$0