2022-06-30T13:43:48-05:00 2021-09-30 590602635 SMOAK DAVIS & NIXON LLP 5011 GATE PARKWAY BLDG 100 STE 300 JACKSONVILLE FL 322560562 990 2020-10-01 753002172 VOLUNTEERS IN MEDICINE JACKSONVILLE INC VOLU 9043992766 41 EAST DUVAL STREET JACKSONVILLE FL 32202 JENNIFER RYAN CHIEF EXECUTIVE OFFICER 9043992766 2022-05-09 1 JENNIFER RYAN 999009999 ROBERT T LOVERICH P00218080 9043965831 2022-05-09 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z JENNIFER RYAN 41 EAST DUVAL STREET JACKSONVILLE FL 32202 2317217 0 X WWW.VIM-JAX.ORG X 2002 FL TO 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. 18 18 15 243 0 0 1952041 2157484 0 0 665 226 145137 135245 2097843 2292955 0 0 0 0 590580 617112 0 0 310030 1172180 1164967 1762760 1782079 335083 510876 622635 1015847 136762 19098 485873 996749 TO SERVE LOW-INCOME WORKING UNINSURED ADULTS AND THEIR FAMILIES BY PROVIDING ACCESS TO FREE, HIGH QUALITY PRIMARY AND PREVENTATIVE HEALTH CARE SERVICES. 0 0 1318379 IN 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. 1318379 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 8 0 1 15 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 18 18 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 FL X X JENNIFER RYAN 9043992766 41 EAST DUVAL ST JACKSONVILLE FL 32202 JENNIFER RYAN CEO 40.00 X X 92502 0 9615 ANN CAREY CHAIRMAN OF THE BOARD 2.00 X X 0 0 0 BARBARA DARBY VICE CHAIR 2.00 X X 0 0 0 DANIELLE BOYETT TREASURER 2.00 X X 0 0 0 LORRAINE POLITE CLARK SECRETARY 2.00 X X 0 0 0 MICHAEL BOYLAN DIRECTOR 2.00 X 0 0 0 KENNETH ADAMS MD DIRECTOR 2.00 X 0 0 0 LYNN BAUMAN DIRECTOR 2.00 X 0 0 0 HENRY COXE DIRECTOR 2.00 X 0 0 0 TOMMIE E DAVIS DIRECTOR 2.00 X 0 0 0 JON DEBARDELEBEN DIRECTOR 2.00 X 0 0 0 LISA GOODRICH DIRECTOR 2.00 X 0 0 0 AMY CATE HUVELDT DIRECTOR 2.00 X 0 0 0 CURT LOX DIRECTOR 2.00 X 0 0 0 ROBERT SCHRECK DIRECTOR 2.00 X 0 0 0 JOSHUA STEWART DIRECTOR 2.00 X 0 0 0 AUNDRA WALLACE DIRECTOR 2.00 X 0 0 0 ELIZABETH MCGRAW MD DIRECTOR 2.00 X 0 0 0 92502 0 9615 0 0 0 0 0 18468 341067 1797949 705826 2157484 226 226 159507 18468 24262 135245 135245 2292955 0 0 135471 102116 68409 5165 28542 443014 296779 22410 123825 37035 24347 3246 9442 34947 23065 2796 9086 37192 37192 49254 49254 1336 1336 10855 5507 5054 294 64182 57764 6418 7564 7564 16341 14707 1634 33118 27984 5134 DRUG AND MEDICAL SUPPLI 677802 677802 MISCELLANEOUS 157485 16781 1863 138841 LAB EXPENSE 40299 40299 PHARMACY 22761 22761 46778 42174 4604 1782079 1318379 153670 310030 526559 888772 27544 10719 553 573 0 52000 1302 1199 360842 300358 64577 60484 2100 2100 622635 1015847 30062 19098 106700 0 136762 19098 X 311031 818047 174842 178702 485873 996749 622635 1015847 510876 0 X X 0 1 X 1 0 X 828087 862466 1013549 1952041 2963613 7619756 828087 862466 1013549 1952041 2963613 7619756 39704 7580052 13 22 513 665 226 1439 7621195 0.99460 0.99970 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 211001 206790 4211 149841 93568 56273 60484 X 3344967 1027750 24262 1052012 2292955 0 2292955 2834091 1027750 24262 1052012 1782079 0 1782079 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. ANNUAL FUND KICK-OFF 177975 18468 159507 24262 177975 18468 159507 24262 24262 135245 X 131 679030 FMV X OTHER GOODS 13 26796 FMV 0 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE 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 12C THE 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 15 THE 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 19 GOVERNING DOCUMENTS AND AUDITED FINANCIAL STATEMENTS ARE AVAIAILBLE UPON REQUEST, AND ARE MADE AVAILABLE VIA A WEBSITE ON THE INTERNET. PART XII, LINE 2C THIS PROCESS HAS NOT CHANGED FROM PRIOR YEARS.