VOLUNTEERS IN MEDICINE JACKSONVILLE INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
VOLUNTEERS IN MEDICINE JACKSONVILLE INC (EIN 75-3002172)
Tax period
2020-10-01 to 2021-09-30
Filed
2022-06-30
IRS object ID
202231819349301708
Schema version
2020v4.2
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)
Return2022-06-30T13:43:48-05:00ReturnTs
Tax Period End2021-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN590602635PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SMOAK DAVIS & NIXON LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line15011 GATE PARKWAY BLDG 100 STE 300AddressLine1Txt
CityJACKSONVILLECityNm
State AbbreviationFLStateAbbreviationCd
ZIP322560562ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN753002172EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1VOLUNTEERS IN MEDICINE JACKSONVILLE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlVOLUBusinessNameControlTxt
Phone9043992766PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line141 EAST DUVAL STREETAddressLine1Txt
CityJACKSONVILLECityNm
State AbbreviationFLStateAbbreviationCd
ZIP32202ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJENNIFER RYANPersonNm
Person TitleCHIEF EXECUTIVE OFFICERPersonTitleTxt
Phone9043992766PhoneNum
Signature2022-05-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJENNIFERPersonFirstNm
Person LastRYANPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonROBERT T LOVERICHPreparerPersonNm
PTINP00218080PTIN
Phone9043965831PhoneNum
Preparation2022-05-09PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJENNIFER RYANPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line141 EAST DUVAL STREETAddressLine1Txt
CityJACKSONVILLECityNm
State AbbreviationFLStateAbbreviationCd
ZIP32202ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,317,217GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.VIM-JAX.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2002FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionTO IMPROVE THE HEALTH OF THE NORTHEAST FLORIDA COMMUNITY BY PROVIDING FREE PRIMARY AND SPECIALTY CARE TO THE WORKING POOR, WHO CANNOT AFFORD HEALTH INSURANCE OR HEALTHCARE FOR THEMSELVES AND THEIR FAMILIES. WE ACCOMPLISH THIS THROUGH VOLUNTEER DOCTORS, NURSES AND A LIMITED COMPENSATED STAFF, WHO KEEP OUR PATIENTS HEALTHY, WORKING AND OUT OF THE EMERGENCY ROOM.ActivityOrMissionDesc
Voting Members Governing Body18VotingMembersGoverningBodyCnt
Voting Members Independent18VotingMembersIndependentCnt
Total Employee15TotalEmployeeCnt
Total Volunteers243TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,952,041PYContributionsGrantsAmt
CY Contributions Grants$2,157,484CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$665PYInvestmentIncomeAmt
CY Investment Income$226CYInvestmentIncomeAmt
PY Other Revenue$145,137PYOtherRevenueAmt
CY Other Revenue$135,245CYOtherRevenueAmt
PY Total Revenue$2,097,843PYTotalRevenueAmt
CY Total Revenue$2,292,955CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$590,580PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$617,112CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$310,030CYTotalFundraisingExpenseAmt
PY Other Expenses$1,172,180PYOtherExpensesAmt
CY Other Expenses$1,164,967CYOtherExpensesAmt
PY Total Expenses$1,762,760PYTotalExpensesAmt
CY Total Expenses$1,782,079CYTotalExpensesAmt
PY Revenues Less Expenses$335,083PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$510,876CYRevenuesLessExpensesAmt
Total Assets BOY$622,635TotalAssetsBOYAmt
Total Assets EOY$1,015,847TotalAssetsEOYAmt
Total Liabilities BOY$136,762TotalLiabilitiesBOYAmt
Total Liabilities EOY$19,098TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$485,873NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$996,749NetAssetsOrFundBalancesEOYAmt
MissionTO SERVE LOW-INCOME WORKING UNINSURED ADULTS AND THEIR FAMILIES BY PROVIDING ACCESS TO FREE, HIGH QUALITY PRIMARY AND PREVENTATIVE HEALTH CARE SERVICES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,318,379ExpenseAmt
DescIN FY 2020, VOLUNTEERS IN MEDICINE JACKSONVILLE PROVIDED 4,340 MEDICAL APPOINTMENTS AND MAINTAINED OVER 1,951 ACTIVE CLIENTS. THROUGH THE WORK OF VOLUNTEER PHYSICIANS, NURSE PRACTITIONERS, NURSES, DENTISTS AND OTHERS, ALONG WITH COMMUNITY PARTNERSHIPS, WE WERE ABLE TO GIVE OUR CLIENTS ACCESS TO PRIMARY CARE AND SPECIALTY CARE; PRESCRIPTION MEDICATIONS; CHRONIC DISEASE MANAGEMENT; LAB TESTS; CANCER SCREENINGS, SUCH AS MAMMOGRAMS; PRESCRIPTION EYEGLASSES; MENTAL HEALTH COUNSELING AND BASIC DENTAL CARE. IN-KIND DONATIONS OF OVER $1.73M BRING THE ACTUAL EXPENSE OF OPERATING THE CLINIC TO OVER $2.83M.Desc
Total Program Service Expenses$1,318,379TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document8IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee15EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members18GoverningBodyVotingMembersCnt
Independent Voting Member18IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldFLStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JENNIFER RYANBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9043992766PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line141 EAST DUVAL STAddressLine1Txt
CityJACKSONVILLECityNm
State AbbreviationFLStateAbbreviationCd
ZIP32202ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
JENNIFER RYAN
CEO40.00Yes (X)Yes (X)$92,502$0$9,615
ANN CAREY
CHAIRMAN OF THE BOARD2.00Yes (X)Yes (X)$0$0$0
BARBARA DARBY
VICE CHAIR2.00Yes (X)Yes (X)$0$0$0
DANIELLE BOYETT
TREASURER2.00Yes (X)Yes (X)$0$0$0
LORRAINE POLITE CLARK
SECRETARY2.00Yes (X)Yes (X)$0$0$0
MICHAEL BOYLAN
DIRECTOR2.00Yes (X)$0$0$0
KENNETH ADAMS MD
DIRECTOR2.00Yes (X)$0$0$0
LYNN BAUMAN
DIRECTOR2.00Yes (X)$0$0$0
HENRY COXE
DIRECTOR2.00Yes (X)$0$0$0
TOMMIE E DAVIS
DIRECTOR2.00Yes (X)$0$0$0
JON DEBARDELEBEN
DIRECTOR2.00Yes (X)$0$0$0
LISA GOODRICH
DIRECTOR2.00Yes (X)$0$0$0
AMY CATE HUVELDT
DIRECTOR2.00Yes (X)$0$0$0
CURT LOX
DIRECTOR2.00Yes (X)$0$0$0
ROBERT SCHRECK
DIRECTOR2.00Yes (X)$0$0$0
JOSHUA STEWART
DIRECTOR2.00Yes (X)$0$0$0
AUNDRA WALLACE
DIRECTOR2.00Yes (X)$0$0$0
ELIZABETH MCGRAW MD
DIRECTOR2.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$92,502TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$9,615TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$18,468FundraisingAmt
Government Grants$341,067GovernmentGrantsAmt
All Other Contributions$1,797,949AllOtherContributionsAmt
Noncash Contributions$705,826NoncashContributionsAmt
Total Contributions$2,157,484TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$226TotalRevenueColumnAmt
Exclusion$226ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$159,507FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$18,468ContriRptFundraisingEventAmt
Fundraising Direct Expenses$24,262FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$135,245TotalRevenueColumnAmt
Exclusion$135,245ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,292,955TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$135,471ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$102,116TotalAmt
Program Services$68,409ProgramServicesAmt
Management And General$5,165ManagementAndGeneralAmt
Fundraising$28,542FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$443,014TotalAmt
Program Services$296,779ProgramServicesAmt
Management And General$22,410ManagementAndGeneralAmt
Fundraising$123,825FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$37,035TotalAmt
Program Services$24,347ProgramServicesAmt
Management And General$3,246ManagementAndGeneralAmt
Fundraising$9,442FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$34,947TotalAmt
Program Services$23,065ProgramServicesAmt
Management And General$2,796ManagementAndGeneralAmt
Fundraising$9,086FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$37,192TotalAmt
Management And General$37,192ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$49,254TotalAmt
Management And General$49,254ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,336TotalAmt
Management And General$1,336ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$10,855TotalAmt
Program Services$5,507ProgramServicesAmt
Management And General$5,054ManagementAndGeneralAmt
Fundraising$294FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$64,182TotalAmt
Program Services$57,764ProgramServicesAmt
Management And General$6,418ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$7,564TotalAmt
Management And General$7,564ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$16,341TotalAmt
Program Services$14,707ProgramServicesAmt
Management And General$1,634ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$33,118TotalAmt
Program Services$27,984ProgramServicesAmt
Management And General$5,134ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
DRUG AND MEDICAL SUPPLI$677,802$677,802
MISCELLANEOUS$157,485$16,781$1,863$138,841
LAB EXPENSE$40,299$40,299
PHARMACY$22,761$22,761

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$46,778TotalAmt
Program Services$42,174ProgramServicesAmt
Management And General$4,604ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,782,079TotalAmt
Program Services$1,318,379ProgramServicesAmt
Management And General$153,670ManagementAndGeneralAmt
Fundraising$310,030FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$526,559BOYAmt
EOY$888,772EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$27,544BOYAmt
EOY$10,719EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$553BOYAmt
EOY$573EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$52,000EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,302BOYAmt
EOY$1,199EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$360,842LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$300,358LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$64,577BOYAmt
EOY$60,484EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,100BOYAmt
EOY$2,100EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$622,635BOYAmt
EOY$1,015,847EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$30,062BOYAmt
EOY$19,098EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$106,700BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$136,762BOYAmt
EOY$19,098EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$311,031BOYAmt
EOY$818,047EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$174,842BOYAmt
EOY$178,702EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$485,873BOYAmt
EOY$996,749EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$622,635BOYAmt
EOY$1,015,847EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$510,876ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$828,087CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$862,466CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,013,549CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,952,041CurrentTaxYearMinus1YearAmt
Current Tax Year$2,963,613CurrentTaxYearAmt
Total$7,619,756TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$828,087CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$862,466CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,013,549CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,952,041CurrentTaxYearMinus1YearAmt
Current Tax Year$2,963,613CurrentTaxYearAmt
Total$7,619,756TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$39,704SubstantialContributorsTotAmt
Public Support Total170$7,580,052PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$22CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$513CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$665CurrentTaxYearMinus1YearAmt
Current Tax Year$226CurrentTaxYearAmt
Total$1,439TotalAmt
FieldValueIRS element (for citing)
Total Support$7,621,195TotalSupportAmt
Public Support CY1700.99460PublicSupportCY170Pct
Public Support PY1700.99970PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$211,001OtherCostOrOtherBasisAmt
Depreciation$206,790DepreciationAmt
Book Value$4,211BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$149,841OtherCostOrOtherBasisAmt
Depreciation$93,568DepreciationAmt
Book Value$56,273BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$60,484TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$3,344,967TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$1,027,750DonatedServicesAndUseFcltsAmt
Other Revenue$24,262OtherRevenueAmt
Revenue Not Reported$1,052,012RevenueNotReportedAmt
Revenue Subtotal$2,292,955RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$2,292,955TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,834,091TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$1,027,750DonatedServicesUseFcltsAmt
Other Expenses Included$24,262OtherExpensesIncludedAmt
Expenses Not Reported$1,052,012ExpensesNotReportedAmt
Expenses Subtotal$1,782,079ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,782,079TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE ORGANIZATION IS A TAX-EXEMPT ORGANIZATION AS DEFINED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME. THE ORGANIZATION APPLIES GENERALLY ACCEPTED ACCOUNTING PRINCIPLES RELATED TO INCOME TAX UNCERTAINTIES. THE ORGANIZATION HAS DETERMINED THAT THERE WERE NO UNRECOGNIZED TAX BENEFITS FOR THE YEARS ENDED SEPTEMBER 30, 2021 AND 2020. THE ORGANIZATION FILES TAX RETURNS IN THE U.S. FEDERAL JURISDICTIONS. TAX YEARS THAT REMAIN SUBJECT TO EXAMINATION BY MAJOR TAX JURISDICTIONS ARE 2018 AND FORWARD.
PART XI, LINE 2D - OTHER ADJUSTMENTS:FUNDRAISING EXPENSES 24,262.
PART XII, LINE 2D - OTHER ADJUSTMENTS:FUNDRAISING EXPENSES 24,262.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1ANNUAL FUND KICK-OFFEvent1Nm
Gross Receipts Event1$177,975GrossReceiptsEvent1Amt
Charitable Contri Event1$18,468CharitableContriEvent1Amt
Gross Revenue Event1$159,507GrossRevenueEvent1Amt
Other Direct Expenses Event1$24,262OtherDirectExpensesEvent1Amt
Gross Receipts Total$177,975GrossReceiptsTotalAmt
Charitable Contributions Tot$18,468CharitableContributionsTotAmt
Gross Revenue Total Events$159,507GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$24,262OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$24,262DirectExpenseSummaryEventsAmt
Net Income Summary$135,245NetIncomeSummaryAmt

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution131ContributionCnt
Noncash Contributions Rpt F990$679,030NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescOTHER GOODSDesc
Contribution13ContributionCnt
Noncash Contributions Rpt F990$26,796NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE COMPLETED DOCUMENT IS SENT TO THE BOARD FINANCE COMMITTEE WHO WILL REVIEW AND RECOMMEND CHANGES. THIS COMMITTEE, ON BEHALF OF THE ENTIRE BOARD, WILL APPROVE THE 990. THE ENTIRE BOARD IS SENT A COPY OF THE FINAL FORM 990.
FORM 990, PART VI, SECTION B, LINE 12CTHE POLICY IS REVIEWED ANNUALLY AT A BOARD OF DIRECTORS MEETING. IF A DIRECTOR BELIEVES THAT HE OR SHE MAY HAVE A CONFLICT OF INTEREST, THE DIRECTOR SHALL PROMPTLY AND FULLY DISCLOSE THE CONFLICT TO THE CEO OR THE CHAIR OF THE BOARD DEVELOPMENT COMMITTEE AND SHALL REFRAIN FROM PARTICIPATING IN THE CONSIDERATION OR VOTE ON THE MATTER TO WHICH THE CONFLICT RELATES UNTIL THE CONFLICT QUESTION HAS BEEN RESOLVED. THE CEO OR CHAIR OF THE BOARD DEVELOPMENT COMMITTEE, AS APPROPRIATE, SHALL CONSULT WITH THE GENERAL COUNSEL REGARDING ALL CONFLICT QUESTIONS OF WHICH THE CEO OR THE CHAIR OF THE BOARD DEVELOPMENT COMMITTEE IS INFORMED AND SHALL REPORT REGULARLY TO THE BOARD REGARDING ANY UNRESOLVED CONFLICT QUESTIONS. IT MAY BE DETERMINED THAT, AFTER FULL DISCLOSURE TO THOSE CONCERNED, VOLUNTEERS IN MEDICINE JACKSONVILLE'S INTERESTS ARE BEST SERVED BY PARTICIPATION BY THE DIRECTOR DESPITE THE CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD OF DIRECTORS MAKES ALL DECISIONS REGARDING THE COMPENSATION OF THE CEO, THE CEO MAKES ALL DECISIONS REGARDING THE COMPENSATION OF ALL OTHER EMPLOYEES. THE CEO REVIEWS COMPENSATION CHANGES WITH THE FINANCE COMMITTEE OF THE BOARD.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS AND AUDITED FINANCIAL STATEMENTS ARE AVAIAILBLE UPON REQUEST, AND ARE MADE AVAILABLE VIA A WEBSITE ON THE INTERNET.
PART XII, LINE 2CTHIS PROCESS HAS NOT CHANGED FROM PRIOR YEARS.

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