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Martin Memorial Foundation 2009 Form 990

Martin Memorial Foundation 2009 Form 990

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Published by LynnKWalsh
This is the Form 990 for the Martin Memorial Foundation.
This is the Form 990 for the Martin Memorial Foundation.

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Published by: LynnKWalsh on May 18, 2012
Copyright:Attribution Non-commercial

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05/18/2012

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Ii
"1
AForthe2009calendaryear,ortaxyearbeginning
OCT1,2009
andending
SEP30,2010
200990
ReturnofOrganizationExemptFromIncomeTax
FormUndersection501(c),527,or4947(a)(1)oftheInternalRevenueCode(exceptblacklungDepartmentftheTreasurybenefittrustorprivatefoundation)InternalRevenueService~TheorganizationmayhavetouseacopyofthisretumtosatisfystatereportingrequirementsOMSNot545-0047OpentoPublicInspection
B
Check
f
applicablePleaseCNameoforganizationuseIRS
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~·U'U\.TINMEMORIALFOUNDATION,
D
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ddress
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ame
t
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eturnSeeNumberandstreet(orP_OboxIfmaillsnotdehveredtostreetaddress)Room/sUite
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errrun-
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33
atedInstruc-"
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mended
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Rob
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nons
ETelephonenumber
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GGrossreceipts
$
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"No,"attachahst(seeInstructions)H(c)Groupexemptionnumber~
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LXJ
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Yearof
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M
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FL
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Summary
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1Bneflydescnbetheorganization'smissionormostsignificantactivities
Martl.nMemorl.alFoundatl.on
g
supportsMartinMemorialMedicalCenter,anot-for-profl.thospl.tal,
E
2Checkthrsbox~
0
ftheorganizationdrscontmuedItSoperationsordisposedofmorethan25%ofItSnetassets~3Numberofvotingmembersofthegoverningbody(PartVI,hne1a)1-=3-+
-,2<""4.-
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4NumberofIndependentvotingmembersofthegoverningbody(PartVI,hne1b)t-4-t-
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5Totalnumberofemployees(PartV,
tme
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6
79
Totalnumberofvolunteers(estimateIfnecessary)7b
o.
aTotalgrossunrelatedbusinessrevenuefromPartVIII,column
(C),
hne12bNetunrelatedbusinesstaxableIncomefromForm990-T,hne347a
o.
8Contnbutionsandgrants(PartVIII,hne1h)
j
RECE\VE0
~1-+__:__7__!_'--=6--=O--=1::...!':_:6:._:O:...::2=-.+-_5~'-=-6=-3=-9_!_,=1-=5-=5--=-.
9Programservicerevenue(PartVIII,hne2g)
!:'i){.+---:;-:;:-....,..""';-:;-+----.-..-;:::,.--,_...-=-
10InvestmentIncome(PartVIII,column(A),hnes3,4,an7d&-
1:£2.\
164,921.445,827
11Otherrevenue(PartVIII,cOlumn(A),hneS5,6d,8c,9C,~~and
AUG2220n
Itf..
<162,989.><159,185.>
12Totalrevenue-addhnes8through11(mustequalPart~,OIYJllr.l:~i'hl'le'"l'2)~"
7,603,534.5,925,797
PriorYearCurrentYear
Ul
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Ul
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13Grantsandsimilaramountspaid(PartIX,column(A),hn~1-3)
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I
14Benefrtspaidtoorformembers(PartIX,column(A),IIne'~-15Salanes,othercompensation,employeebenefits(PartIX,column(A),lines5-10)16aProfessionalfundraismqfees(PartIX,column(A),line11e)bTotalfundraismqexpenses(PartIX,column(0),hne25)~17Otherexpenses(PartIX,column(A),lines11a-11d,11f-24f)
920,742.1,004,788.52,160.58,147.1,170,532.343,694.419,150.
18TotalexpensesAddlines13-17(mustequalPartIX,column(A),hne25)19RevenuelessexpensesSubtracthne18fromline12
2,942,980.4,297,152.4,660,554.1,628,645.
~'"
o~
~c:
~-lil
20Totalassets(PartX,line16)~~21Totalliabilities(PartX,line26)
~22
NetassetsorfundbalancesSubtractline21A11omline20
Beginning01CurrentYear
EndofYear
14,759,330.17,634,283.431,842.1,237,658.
l
PartII
I
SignatureBlock
II/
14,327,488.16,396,625.
Preparer's~~
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MaytheIRSdiscussthisreturnwiththepreparershownabove?(seeInstructions)
00
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[_J
No93200102-04-10LHAForPrivacyActandPaperworkReductionActNotice,seetheseparatemstrucnons,Form
990
(2009)
SeeSchedule
0
forOrganizationMissionStatementContinuation
9-ttt
 
Form990(2009)
MARTINMEMORIALFOUNDATION,INC
59-2343938
P~e2
I
PartIII
I
StatementofProgramServiceAccomplishments
Bneflydescribetheorganization'smission
Toprovideexceptionalhealthcare,hopeandcompassiontoeverypatlent,everytlme.
2DidtheorganizationundertakeanysignificantprogramservicesdunngtheyearwhichwerenotlistedonthepnorForm990or990-EZ?If"Yes,"describethesenewservicesonSchedule
0
3Didtheorganizationceaseconducting,ormakesignificantchangesInhowItconducts,anyprogramservices?If"Yes,"describethesechangesonSchedule
0
4Describetheexemptpurposeachievementsforeachoftheorganization'sthreelargestprogramservicesbyexpensesSection501(c)(3)and501(c)(4)organizationsandsection4947(a)(1)trustsarerequiredtoreporttheamountofgrantsandallocationstoothers,thetotalexpenses,andrevenue,Ifany,foreachprogramservicereportedDYes[X]NoDYes[][INo4a(Code)(Expenses
$
2,699,844.
includinggrantsof
$
2,699,844.)
(Revenue
$
o.)
MartinMemorialFoundationprovidedsupporttoMartinMemorialMedicalCenteranot-for-proflthospltal.MartlnMemorlalMedlcalCenterprovldedcareto
66,731
patlentsthroughltSthreeemgencydepartmentsandprovlded
81.455
lnpatlentdaysofcarethroughltStwohospltals.
4b(Code)(Expenses
$
71,725.
Includinggrantsof
$
71,725.)
(Revenue
$
o.)
MartinMemorialFoudationprovidedsupporttoCoastalCareCorporationanot-for-proflthealthcarecorporatlon.CoastalCareCorporatl0nsaw
88,340
patlentsthroughltSdlagnosticandMRIfacllltles,
7,669
patlentsthroughltSMedl-Centerwalklncllnlcs,andprovlded
9,321
patlenttransportsthroughltSambulanceserVlces.
4c(Code)(Expenses
$
8,498.
Includinggrantsof
$
8,498.)
(Revenue
$
MartinMemorialFoundationpaysforvariousmedicalanddentalproceduresforlndlgentchlldren.Thesepaymentaremadedlrectlytothehealthcareprovlder.
4dOtherprogramservices(DescribeInSchedule
0)
(Expenses
$
35,00
o.
Includinggrantsof
$
35,00
o.)
(Revenue
$
4eTotalprogramserviceexpenses~
$
2,815,067
93200202-04-10
Form
990
(2009)
18380808143547
MMF
2
2009.05000
MARTINMEMORIALFOUNDATION,MMF
1
 
Form990(2009)
MARTINMEMORIALFOUNDATIONINC59-2343938
Page
3
l
Part
IV
I
ChecklistofRequiredSchedules
YesNo1IstheorganizationdescnbedInsection501(c)(3)or4947(a)(1)(otherthanapnvatefoundation)?
If"Yes,"completeSchedule
A
1
X
2IstheorganizationrequiredtocompleteScheduleS,ScheduleofContributors?2
X
3OldtheorganizationengageIndirectorIndirectpoliticalcampaignactivitiesonbehalfoforInoppositiontocandidatesforpublicoffice?
If"Yes,"completeSchedule
C,
PartI
3
X
4Section501(c)(3)organizations,OldtheorganizationengageInlobbymqactivities?
If"Yes,"completeSchedule
C,
PartII
4
X
5Section501(c)(4),501(c)(5},and501(c)(6}organizations.Istheorganizationsubjecttothesection6033(e)noticeandreportingrequirementandproxytax?
If"Yes,"completeSchedule
C,
Part/II
56OldtheorganizationmaintainanydonoradvisedfundsoranysimilarfundsoraccountswheredonorshavethenghttoprovideadviceonthedistnbutronorInvestmentofamountsInsuchfundsoraccounts?
If"Yes,"completeScheduleD,PartI
6
X
7Oldtheorganizationreceiveorholdaconservationeasement,Includingeasementstopreserveopenspace,theenvironment,rustonclandareas,ortustoncstructures?
If"Yes,"completeScheduleD,PartII
7
X
8
Oldtheorganizationmaintaincollectionsofworksofart,lustoncaltreasures,orothersimilarassets?
If"Yes,"completeScheduleD,Part/II
8
X
9
OldtheorganizationreportanamountInPartX,line21,serveasacustodianforamountsnotlistedInPartX,orprovidecreditcounseling,debtmanagement,creditrepair,ordebtnegotiationservices?
If"Yes,"completeScheduleD,PartIV
9
X
10Oldtheorganization,directlyorthrougharelatedorganization,holdassetsInterm,permanent,orquasi-endowments?
If"Yes,"completeScheduleD,PartV
10
X
11Istheorganization'sanswertoanyofthefollowinqquestions"Yes"?
Ifso,completeScheduleD,PartsVI,VII,VIII,IX,or
Xas
applicable
11
X
Oldtheorganizationreportanamountforland,bUildings,andequipmentInPartX,line10?
If"Yes,"completeScheduleD,PartVI
OldtheorganizationreportanamountforInvestments·othersecuntresInPartX,line12thatIS5%ormoreofItStotalassetsreportedInPartX,line16?
If"Yes,"completeScheduleD,PartVII
OldtheorganizationreportanamountforInvestments·programrelatedInPartX,line13thatIS5%ormoreofItstotalassetsreportedInPartX,line16?
If"Yes,"completeScheduleD,PartVIII
OldtheorganizationreportanamountforotherassetsInPartX,line15thatIS5%ormoreofItStotalassetsreportedInPartX,line16?
If"Yes,"completeScheduleD,PartIX
OldtheorganizationreportanamountforotherliabilitiesInPartX,line25?
If"Yes,"completeScheduleD,Part
X
Oldtheorganization'sseparateorconsolidatednnancialstatementsforthetaxyearIncludeafootnotethataddressestheorganization'sliabilityforuncertaintaxpositionsunderFIN48?
If"Yes,"completeScheduleD,Part
X12Oldtheorganizationobtainseparate,Independentauditedfinancialstatementsforthetaxyear?
If"Yes,"completeScheduleD,PartsXI,XII,andX/II
12
X
12AWastheorganizationIncludedInconsolidated,Independentauditedfinancialstatementsforthetaxyear?
I
Yes
I
No
If"Yes,"completmgScheduleD,PartsXI,XII,andXIII
IS
optional
112A
I
X
I
13IstheorganizationaschooldescnbedInsection170(bH1HAHII)?
If"Yes,"completeScheduleE
13
X
14aOldtheorganizationmaintainanoffice,employees,oragentsoutsideoftheUnitedStates?14a
X
bOldtheorganizationhaveaggregaterevenuesorexpensesofmorethan$10,000fromgrantmaklng,tundraismq,business.andprogramserviceacnvmesoutsidetheUnitedStates?
If"Yes,"completeScheduleF,PartI
14b
X
15OldtheorganizationreportonPartIX,column(AJ.line3,morethan$5,000ofgrantsorassistancetoanyorganizationorentitylocatedoutsidetheUnitedStates?
If"Yes,"completeScheduleF,PartII
15
X
16OldtheorganizationreportonPartIX,column(A),line3,morethan$5,000ofaggregategrantsorassistancetomdivrdualslocatedoutsidetheUnitedStates?
If"Yes,"completeScheduleF,PartIII
16
X
17Oldtheorganizationreportatotalofmorethan$15,000ofexpensesforprofessionalfundraismqservicesonPartIX,column(A),lines6and11e?
If"Yes,"completeSchedule
G,
PartI
17
X
18
Oldtheorganizationreportmorethan$15,000totaloftundraismqeventgrossIncomeandcontnbutionsonPartVIII,lines1candBa?
If"Yes,"completeSchedule
G,
PartII
18
X
19
Oldtheorganizationreportmorethan$15,000ofgrossIncomefromgamingactivitiesonPartVIII,line9a?
If"Yes,"completeSchedule
G,
Part/II
19
X
20Oldtheoroaruzanonoperateoneormorehosortals?
If"Yes,completeScheduleH
20
X
Form
990
(2009)
93200302-04-10
18380808143547MMF
3
2009.05000MARTINMEMORIALFOUNDATION,MMF1

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