VOLUNTEERS IN MEDICINE JACKSONVILLE INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
VOLUNTEERS IN MEDICINE JACKSONVILLE INC (EIN 75-3002172)
Tax period
2019-10-01 to 2020-09-30
Filed
2021-06-18
IRS object ID
202131699349300003
Schema version
2019v5.2
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)
Return2021-06-18T07:08:59-05:00ReturnTs
Tax Period End2020-09-30TaxPeriodEndDt

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 Begin2019-10-01TaxPeriodBeginDt

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
Signature2021-06-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonROBERT T LOVERICHPreparerPersonNm
PTINP00218080PTIN
Phone9043965831PhoneNum
Preparation2021-06-15PreparationDt
FieldValueIRS element (for citing)
Tax2019TaxYr
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$2,137,751GrossReceiptsAmt
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 LIMITED 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 Body17VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee10TotalEmployeeCnt
Total Volunteers248TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,013,550PYContributionsGrantsAmt
CY Contributions Grants$1,952,041CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$513PYInvestmentIncomeAmt
CY Investment Income$665CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$145,137CYOtherRevenueAmt
PY Total Revenue$1,014,063PYTotalRevenueAmt
CY Total Revenue$2,097,843CYTotalRevenueAmt
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$514,013PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$590,580CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$294,865CYTotalFundraisingExpenseAmt
PY Other Expenses$439,508PYOtherExpensesAmt
CY Other Expenses$1,172,180CYOtherExpensesAmt
PY Total Expenses$953,521PYTotalExpensesAmt
CY Total Expenses$1,762,760CYTotalExpensesAmt
PY Revenues Less Expenses$60,542PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$335,083CYRevenuesLessExpensesAmt
Total Assets BOY$177,095TotalAssetsBOYAmt
Total Assets EOY$622,635TotalAssetsEOYAmt
Total Liabilities BOY$26,305TotalLiabilitiesBOYAmt
Total Liabilities EOY$136,762TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$150,790NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$485,873NetAssetsOrFundBalancesEOYAmt
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$1,332,689ExpenseAmt
DescIN FY 2019, VOLUNTEERS IN MEDICINE JACKSONVILLE PROVIDED 4,525 MEDICAL APPOINTMENTS AND MAINTAINED OVER 1,775 ACTIVE CLIENTS. THROUGH THE WORK OF VOLUNTEER PHYSICIANS, NURSE PRACTICIONERS, 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 AMNAGEMENT; LAB TESTS; CANCER SCREENINGS, SUCH AS MAMMOGRAMS; PRESCRIPTION EYEGLASSES; MENTAL HEALTH COUNSELING AND BASIC DENTAL CARE. IN-KIND DONATIONS OF OVER $1.75M BRING THE ACTUAL EXPENSES OF OPERATING THE CLINIC TO OVER $2.8M.Desc
Total Program Service Expenses$1,332,689TotalProgramServiceExpensesAmt
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 LiabilitiesYes (1)ReportOtherLiabilitiesInd
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 Document9IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee10EmployeeCnt
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 Members17GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
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 (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
JENNIFER RYAN
CEO40.00Yes (X)Yes (X)$86,902$0$8,636
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
MARK J SHORSTEIN CPA
DIRECTOR2.00Yes (X)$0$0$0
MICHAEL BOYLAN
DIRECTOR2.00Yes (X)$0$0$0
ELIZABETH MCGRAW MD
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
AMY CATE HUVELDT
DIRECTOR2.00Yes (X)$0$0$0
QUANG PHAM
DIRECTOR2.00Yes (X)$0$0$0
ROBERT SCHRECK
DIRECTOR2.00Yes (X)$0$0$0
JOSHUA STEWART
DIRECTOR2.00Yes (X)$0$0$0
CURT LOX
DIRECTOR2.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$86,902TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$8,636TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$20,948FundraisingAmt
Government Grants$237,307GovernmentGrantsAmt
All Other Contributions$1,693,786AllOtherContributionsAmt
Noncash Contributions$689,419NoncashContributionsAmt
Total Contributions$1,952,041TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$665TotalRevenueColumnAmt
Exclusion$665ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$185,045FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$20,948ContriRptFundraisingEventAmt
Fundraising Direct Expenses$39,908FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$145,137TotalRevenueColumnAmt
Exclusion$145,137ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,097,843TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$145,802ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$102,022TotalAmt
Program Services$69,285ProgramServicesAmt
Management And General$4,863ManagementAndGeneralAmt
Fundraising$27,874FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$422,652TotalAmt
Program Services$287,029ProgramServicesAmt
Management And General$20,147ManagementAndGeneralAmt
Fundraising$115,476FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$32,364TotalAmt
Program Services$21,177ProgramServicesAmt
Management And General$2,900ManagementAndGeneralAmt
Fundraising$8,287FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$33,542TotalAmt
Program Services$22,138ProgramServicesAmt
Management And General$2,683ManagementAndGeneralAmt
Fundraising$8,721FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$38,773TotalAmt
Management And General$38,773ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$23,806TotalAmt
Management And General$23,806ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$13,619TotalAmt
Management And General$13,619ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$18,376TotalAmt
Program Services$12,023ProgramServicesAmt
Management And General$6,035ManagementAndGeneralAmt
Fundraising$318FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$230,791TotalAmt
Program Services$224,780ProgramServicesAmt
Management And General$6,011ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,721TotalAmt
Management And General$2,721ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$8,581TotalAmt
Program Services$7,723ProgramServicesAmt
Management And General$858ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$27,275TotalAmt
Program Services$22,418ProgramServicesAmt
Management And General$4,857ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MISCELLANEOUS$717,896$579,652$4,055$134,189
PHARMACY$31,727$31,727
REPAIRS AND MAINTENANCE$15,927$14,334$1,593
VOLUNTEER RECOGNITION$12,405$12,405

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$30,283TotalAmt
Program Services$27,998ProgramServicesAmt
Management And General$2,285ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,762,760TotalAmt
Program Services$1,332,689ProgramServicesAmt
Management And General$135,206ManagementAndGeneralAmt
Fundraising$294,865FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$157,709BOYAmt
EOY$526,559EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,500BOYAmt
EOY$27,544EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$377BOYAmt
EOY$553EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$796BOYAmt
EOY$1,302EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$350,161LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$285,584LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$16,113BOYAmt
EOY$64,577EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$600BOYAmt
EOY$2,100EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$177,095BOYAmt
EOY$622,635EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$26,305BOYAmt
EOY$30,062EOYAmt

Other Liabilities OtherLiabilitiesGrp

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

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$26,305BOYAmt
EOY$136,762EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$18,527BOYAmt
EOY$311,031EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$169,317BOYAmt
EOY$174,842EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$150,790BOYAmt
EOY$485,873EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$177,095BOYAmt
EOY$622,635EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$335,083ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
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$778,132CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$828,087CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$862,466CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,013,549CurrentTaxYearMinus1YearAmt
Current Tax Year$1,952,041CurrentTaxYearAmt
Total$5,434,275TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$778,132CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$828,087CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$862,466CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,013,549CurrentTaxYearMinus1YearAmt
Current Tax Year$1,952,041CurrentTaxYearAmt
Total$5,434,275TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$5,434,275PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$336CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$22CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$513CurrentTaxYearMinus1YearAmt
Current Tax Year$665CurrentTaxYearAmt
Total$1,549TotalAmt
FieldValueIRS element (for citing)
Total Support$5,435,824TotalSupportAmt
Public Support CY1700.99970PublicSupportCY170Pct
Public Support PY1700.99980PublicSupportPY170Pct
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$206,714DepreciationAmt
Book Value$4,287BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$139,160OtherCostOrOtherBasisAmt
Depreciation$78,870DepreciationAmt
Book Value$60,290BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$64,577TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescPPP LOANDesc
Amt$106,700Amt
FieldValueIRS element (for citing)
Total Liability$106,700TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$3,169,690TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$1,071,847DonatedServicesAndUseFcltsAmt
Revenue Not Reported$1,071,847RevenueNotReportedAmt
Revenue Subtotal$2,097,843RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$2,097,843TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,834,607TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$1,071,847DonatedServicesUseFcltsAmt
Expenses Not Reported$1,071,847ExpensesNotReportedAmt
Expenses Subtotal$1,762,760ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,762,760TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE 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, 2020 AND 2019. THE ORGANIZATION FILES TAX RETURNS IN THE U.S. FEDERAL JURISDICTIONS. TAX YEARS THAT REMAIN SUBJECT TO EXAMINATION BY MAJOR TAX JURISDICTIONS ARE 2017 AND FORWARD.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1ANNUAL FUND KICK-OFFEvent1Nm
Gross Receipts Event1$175,385GrossReceiptsEvent1Amt
Charitable Contri Event1$20,948CharitableContriEvent1Amt
Gross Revenue Event1$154,437GrossRevenueEvent1Amt
Food And Beverage Event1$13,146FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$26,762OtherDirectExpensesEvent1Amt
Event2INDIVIDUAL HONOREE EVENTEvent2Nm
Gross Receipts Event2$30,608GrossReceiptsEvent2Amt
Gross Revenue Event2$30,608GrossRevenueEvent2Amt
Gross Receipts Total$205,993GrossReceiptsTotalAmt
Charitable Contributions Tot$20,948CharitableContributionsTotAmt
Gross Revenue Total Events$185,045GrossRevenueTotalEventsAmt
Food And Beverage Total Events$13,146FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$26,762OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$39,908DirectExpenseSummaryEventsAmt
Net Income Summary$145,137NetIncomeSummaryAmt

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution130ContributionCnt
Noncash Contributions Rpt F990$663,236NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMV/INTERNET/DONOR LISTEMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescOTHER GOODSDesc
Contribution5ContributionCnt
Noncash Contributions Rpt F990$26,183NoncashContributionsRptF990Amt
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 (4 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 FORM 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.

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