JUPITER ISLAND MEDICAL CLINIC INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: JUPITER ISLAND MEDICAL CLINIC INC (EIN 20-4659155)
Tax period: 2012-10-01 to 2013-09-30
Filed: 2014-02-13
IRS object ID: 201440449349301344
Schema version: 2012v2.3
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-02-13T15:11:57-06:00	Timestamp
Tax Period End Date	2013-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PARKES BUTNER & SHAFFER CPAS	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	420 CLEMATIS ST 2ND FLOOR	AddressLine1
City	WEST PALM BEACH	City
State	FL	State
ZIP Code	33401	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	204659155	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	JUPITER ISLAND MEDICAL CLINIC INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	JUPI	NameControl
Phone	7725463751	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 ESTRADA SQUARE	AddressLine1
City	HOBE SOUND	City
State	FL	State
ZIP Code	33475	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	TYLER R CAIN	Name
Title	PRESIDENT	Title
Phone	7725463751	Phone
Date Signed	2014-02-15	DateSigned
Authorize Third Party	false	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	NARDA E BUTNER	Name
Phone	5613669250	Phone
Date Prepared	2014-02-06	DatePrepared
Self Employed	X	SelfEmployed

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	TYLER R CAIN	NameOfPrincipalOfficerPerson
Gross Receipts	937698	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	NONE	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	2007	YearFormation
State Legal Domicile	FL	StateLegalDomicile
Activity Or Mission Description	PROVIDE MEDICAL SERVICES TO ALL MEMBERS OF THE COMMUNITY WHO NEED THEM REGARDLESS OF THEIR ABILITY TO PAY FOR SUCH SERVICES.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	7	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	7	NbrIndependentVotingMembers
Total Nbr Employees	4	TotalNbrEmployees
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	610612	ContributionsGrantsPriorYear
Contributions Grants Current Year	756538	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	103320	ProgramServiceRevenuePriorYear
Program Service Revenue CY	121178	ProgramServiceRevenueCY
Investment Income Prior Year	35965	InvestmentIncomePriorYear
Investment Income Current Year	32127	InvestmentIncomeCurrentYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	749897	TotalRevenuePriorYear
Total Revenue Current Year	909843	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	519188	SalariesEtcPriorYear
Salaries Etc Current Year	166695	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	3342	TotalFundrsngExpCurrentYear
Other Expense Prior Year	94285	OtherExpensePriorYear
Other Expenses Current Year	484032	OtherExpensesCurrentYear
Total Expenses Prior Year	613473	TotalExpensesPriorYear
Total Expenses Current Year	650727	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	136424	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	259116	RevenuesLessExpensesCY
Total Assets BOY	1381966	TotalAssetsBOY
Total Assets EOY	1692968	TotalAssetsEOY
Total Liabilities BOY	38910	TotalLiabilitiesBOY
Total Liabilities EOY	15809	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	1343056	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	1677159	NetAssetsOrFundBalancesEOY
Mission Description	PROVIDE MEDICAL SERVICES TO ALL MEMBERS OF THE COMMUNITY WHO NEED THEM REGARDLESS OF THEIR ABILITY TO PAY FOR SUCH SERVICES.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	554726	Expense
Description	TO PROVIDE MEDICAL SERVICES TO ALL MEMBERS OF THE COMMUNITY WHO NEED THEM REGARDLESS OF THEIR ABILITY TO PAY.	Description
Total Program Service Expense	554726	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	false	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	7	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	4	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	7	NbrVotingGoverningBodyMembers
Number Independent Voting Members	7	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	FL	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	VICKIE HOFMEISTER	NamePerson
Telephone Number	7725463751	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	100 ESTRADA ROAD	AddressLine1
Address Line2	100 ESTRADA ROAD	AddressLine2
City	HOBE SOUND	City
State	FL	State
ZIP Code	33455	ZIPCode

Field	Value	IRS element (for citing)
No Listed Persons Compensated	X	NoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (3 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation
TYLER R CAIN
PRESIDENT	4.00	X	X	0	0	0
LODEWIJK J R DE VINK
TREASURER	4.00	X	X	0	0	0
JOANIE MADEIRA
SECRETARY	4.00	X	X	0	0	0

Field	Value	IRS element (for citing)
Number Individuals GT100 K	1	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
CHERYL J ROBERT MD
100 ESTRADA SQUARE	HOBE SOUND	FL	33455	MEDICAL DOCTOR	161360
DANIEL HARWITZ MD
100 ESTRADA SQUARE	HOBE SOUND	FL	33455	MEDICAL DOCTOR	144000

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	2	NumberOfContractorsGT100K
All Other Contributions	756538	AllOtherContributions
Noncash Contributions	19468	NoncashContributions
Total Contributions	756538	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICAL SERVICES REVENUE	121341	121341
PATIENT REFUNDS	-163	-163

Field	Value	IRS element (for citing)
Total Program Service Revenue	121178	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	32957	TotalRevenueColumn
Exclusion	$32,957	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	27025	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	27096	Securities
Other	759	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	-71	Securities
Other	-759	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-830	TotalRevenueColumn
Related Or Exempt Function Income	-830	RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	909843	TotalRevenueColumn
Related Or Exempt Function Income	120348	RelatedOrExemptFunctionIncome
Exclusion	$32,957	ExclusionAmount

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	X	InfoInScheduleOPartIX

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	122041	Total
Program Services	63563	ProgramServices
Management And General	58478	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	35000	Total
Program Services	35000	ProgramServices

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	9654	Total
Program Services	5020	ProgramServices
Management And General	4634	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	4650	Total
Management And General	4650	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	394774	Total
Program Services	394774	ProgramServices

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	25003	Total
Program Services	6730	ProgramServices
Management And General	18273	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	11200	Total
Program Services	11200	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES AND SERV	16844	16844
OFFICE SUPPLIES AND EXPEN	9802	9802
COMPUTER SUPPORT	6854	6854
D & O LIABILITY INSURANCE	3587		3587

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	11318	Total
Program Services	4939	ProgramServices
Management And General	3037	ManagementAndGeneral
Fundraising	3342	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	650727	Total
Program Services	554726	ProgramServices
Management And General	92659	ManagementAndGeneral
Fundraising	3342	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	50	BOY
EOY	43581	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	203843	BOY
EOY	273225	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	1960	BOY
EOY	16251	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1597	BOY
EOY	1711	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	65776	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	27363	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	24558	BOY
EOY	38413	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	1149958	BOY
EOY	1319787	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1381966	BOY
EOY	1692968	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	38352	BOY
EOY	15141	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	558	BOY
EOY	668	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	38910	BOY
EOY	15809	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	150357	BOY
EOY	357372	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1192699	BOY
EOY	1319787	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1343056	BOY
EOY	1677159	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1381966	BOY
EOY	1692968	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	259116	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	74859	ReconciliationUnrealizedInvest
Reconcilation Other Changes	128	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Separate	X	FinancialStatementSeparate

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
ACCRUED WAGES & PAYROLL TAXES	$668
PATIENTS' CREDITS

Field	Value	IRS element (for citing)
Total Of Amounts	668	TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt	984702	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	74859	NetUnrealizedGainsInvestments
Revenue Not Rptd F990	74859	RevenueNotRptdF990
Revenue Subtotal	909843	RevenueSubtotal
Total Revenue Per Form990	909843	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	650724	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	650724	ExpensesSubtotal
Other Expenses Not Included	3	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	3	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	650727	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHER	SCHEDULE D, PAGE 4, PART XII, LINE 2D	ROUNDING 0
EXPENSE AMOUNTS INCLUDED ON RETURN - OTHER	SCHEDULE D, PAGE 4, PART XII, LINE 4B	BOOK / TAX DEPRECIATION DIFFERENCE 3

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
EXPLANATION ON VOLUNTEERS AND TYPES OF SERVICES OR BENEFITS	FORM 990, PAGE 1, PART I, LINE 6	THE VOLUNTEER ARE THE BOARD OF DIRECTORS AND MEMBERS OF THE BOARD
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11B	THE BOARD OF DIRECTORS REVIEW AND APPROVES THE ANNUAL AUDITED FINANCIAL STATEMENTS. THE BOARD OF DIRECTORS ALSO REVIEWS AND APPROVES THE ANNUAL FORM 990 RETURN OF THE ORGANIZATION.
ENFORCEMENT OF CONFLICTS POLICY	FORM 990, PAGE 6, PART VI, LINE 12C	THERE ARE NO RELATED PARTIES EMPLOYED BY THE CLINIC. THE EMPLOYEES AND DOCTORS ARE HIRED BASED ON THEIR SKILLS AND ABILITY TO DO THE JOB.
COMPENSATION PROCESS FOR TOP OFFICIAL	FORM 990, PAGE 6, PART VI, LINE 15A	THE BOARD OF DIRECTORS APPROVES ALL SALARIES AND DOCTORS COMPENSATIONS.
COMPENSATION PROCESS FOR OFFICERS	FORM 990, PAGE 6, PART VI, LINE 15B	THE BOARD OF DIRECTORS GIVE ANNUAL BONUSES AND RAISES BASED ON THE INDIVIDUALS ABILITY AND SKILLS DEMONSTRATED ON THE JOB.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND ANNUAL AUDITED FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
OTHER FEES FOR SERVICES	FORM 990, PART IX, LINE 11G	DR. CHERYL J. ROBERTS 161,360 0 0 DR. DANIEL HARWITZ 144,000 0 0 NURSE CONTRACT 89,414 0 0
RECONCILIATION OF CHANGES - OTHER	FORM 990, PART XI, LINE 9	ROUNDING 0 BOOK / TAX DEPRECIATION DIFFERENCE 3
OTHER CHANGES IN NET ASSETS EXPLANATION	FORM 990, PART XI, LINE 9	TAX DIFFERENCE IN ASSET DISPOSITION 125 DEPRECIATION ROUNDING 0

JUPITER ISLAND MEDICAL CLINIC INC: Form 990, tax year 2012

Return header ReturnHeader

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Preparer Firm US Address PreparerFirmUSAddress

Filer Filer

Name Name

US Address USAddress

Officer Officer

Preparer Preparer

Form 990 IRS990

The Books Are In Care Of TheBooksAreInCareOf

Address US AddressUS

Form990 Part VII Section A Form990PartVIISectionA (3 entries)

Contractor Compensation ContractorCompensation (2 entries)

Program Service Revenue ProgramServiceRevenue (2 entries)

Investment Income InvestmentIncome

Gross Amount Sales Assets GrossAmountSalesAssets

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Gain Or Loss GainOrLoss

Net Gain Or Loss Investments NetGainOrLossInvestments

Total Revenue TotalRevenue

Other Salaries And Wages OtherSalariesAndWages

Pension Plan Contributions PensionPlanContributions

Payroll Taxes PayrollTaxes

Fees For Services Accounting FeesForServicesAccounting

Fees For Services Other FeesForServicesOther

Occupancy Occupancy

Depreciation Depletion DepreciationDepletion

Other Expenses OtherExpenses (4 entries)

All Other Expenses AllOtherExpenses

Total Functional Expenses TotalFunctionalExpenses

Cash Non Interest Bearing CashNonInterestBearing

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Accounts Receivable AccountsReceivable

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Total Assets TotalAssets

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Other Liabilities OtherLiabilities

Total Liabilities TotalLiabilities

Unrestricted Net Assets UnrestrictedNetAssets

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FS Audited Basis FSAuditedBasis

Schedule A IRS990ScheduleA

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Contributor Name Business ContributorNameBusiness

Contributor Address US ContributorAddressUS

Schedule D IRS990ScheduleD

Other Liabilities OtherLiabilities (2 entries)

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Comments