2019-07-25T12:59:48-05:00 2018-09-30 590602635 SMOAK DAVIS & NIXON LLP 5011 GATE PARKWAY BLDG 100 STE 300 JACKSONVILLE FL 322560562 990 2017-10-01 753002172 VOLUNTEERS IN MEDICINE JACKSONVILLE INC VOLU 9043992766 41 EAST DUVAL STREET JACKSONVILLE FL 32202 JENNIFER RYAN CHIEF EXECUTIVE OFFICER 9043992766 2019-07-24 1 ROBERT T LOVERICH P00218080 9043965831 2019-07-24 97.65.155.77 2019-07-24 13:11:24 ED P F362EEFF9D1FE0FFC2C6A6A69F994E670B238353 DAA18A948E192D1913423C8465596173D4FB106B 2017 2019-02-21 02:37:17Z JENNIFER RYAN 41 EAST DUVAL STREET JACKSONVILLE FL 32202 862488 0 X WWW.VIM-JAX.ORG X 2002 FL TO 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. 15 15 9 230 0 0 828087 862466 0 0 13 22 0 0 828100 862488 0 0 0 0 504168 522150 0 0 226819 346198 293889 850366 816039 -22266 46449 152058 164650 108259 74402 43799 90248 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 488065 IN FY 2018, VOLUNTEERS IN MEDICINE JACKSONVILLE PROVIDED 5,921 MEDICAL APPOINTMENTS AND MAINTAINED 1,619 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 $1.5M BRING THE ACTUAL EXPENSE OF OPERATING THE CLINIC TO OVER $2.3M. 488065 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 9 1 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X X JENNIFER RYAN 9043992766 41 EAST DUVAL ST JACKSONVILLE FL 32202 LEE ALONSO DO DIRECTOR, EMERITUS 2.00 X 0 0 0 RON MALLET DIRECTOR, EMERITUS 2.00 X 0 0 0 JIM JAMISON MD DIRECTOR, EMERITUS 2.00 X 0 0 0 LI LORIZ PHD ARNP DIRECTOR, EMERITUS 2.00 X 0 0 0 CB MCINTOSH MD DIRECTOR, EMERITUS 2.00 X 0 0 0 CORY MEYERS RN MN DIRECTOR 2.00 X 0 0 0 HELEN MORSE DIRECTOR, EMERITUS 2.00 X 0 0 0 JACQUELINE RUDLOFF DIRECTOR 2.00 X 0 0 0 REV RICHARD PETRY DIRECTOR, EMERITUS 2.00 X 0 0 0 GEORGE RIDGE ESQ DIRECTOR, EMERITUS 2.00 X 0 0 0 MARK J SHORSTEIN CPA DIRECTOR 2.00 X 0 0 0 LISA WEATHERBY CIMA CIS DIRECTOR, EMERITUS 2.00 X 0 0 0 JIM BURT MD DIRECTOR, EMERITUS 2.00 X 0 0 0 DOTTIE DORION RN DIRECTOR, EMERITUS 2.00 X 0 0 0 REV EUGENE ZIMMERMAN DIRECTOR, EMERITUS 2.00 X 0 0 0 KRISTI AIELLO DIRECTOR 2.00 X 0 0 0 MICHAEL BOYLAN CHAIRMAN OF THE BOARD 2.00 X 0 0 0 ANN CAREY DIRECTOR 2.00 X 0 0 0 ELIZABETH MCGRAW MD 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 BARBARA DARBY DIRECTOR 2.00 X 0 0 0 CARLY THURSTON DIRECTOR 2.00 X 0 0 0 JOHN DELANEY DIRECTOR 2.00 X 0 0 0 EARL GOOGE DIRECTOR 2.00 X 0 0 0 MARY PAT CORRIGAN CEO 40.00 X 90000 0 0 90000 0 0 0 0 0 0 0 214257 648209 862466 22 22 0 214257 0 0 862488 0 0 22 469569 289436 43917 136216 21154 13962 1692 5500 31427 20742 2514 8171 25152 25152 3640 3640 21478 11702 9776 47817 42286 5531 1322 1322 6316 5684 632 21800 19482 2318 MISCELLANEOUS 76932 76932 PHARMACY 22308 22308 MEDICAL SUPPLIES 12023 12023 LAB EXPENSE 9144 9144 45957 41296 4661 816039 488065 101155 226819 107786 129581 18300 11850 1858 816 293116 271313 23514 21803 600 600 152058 164650 63259 34402 45000 40000 108259 74402 X 10576 -30717 33223 120965 43799 90248 152058 164650 46449 0 X X 0 1 X 1 0 X 669403 763346 778132 828087 862466 3901434 669403 763346 778132 828087 862466 3901434 3901434 21 336 13 22 392 3901826 0.99990 0.99990 X 206396 206396 0 61630 54480 7150 25090 10437 14653 21803 X 2630327 1767839 1767839 862488 0 862488 2583878 1767839 1767839 816039 0 816039 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, 2018 AND 2017. THE ORGANIZATION FILES TAX RETURNS IN THE U.S. FEDERAL JURISDICTIONS. TAX YEARS THAT REMAIN SUBJECT TO EXAMINATION BY MAJOR TAX JURISDICTIONS ARE 2015 AND FORWARD. ANNUAL FUND KICK-OFF 214257 214257 214257 214257 X MEDICAL SERVICES 0 1202311 STATE OF FL ALLOWED X DONATED PRESCRIPTION MEDICATION 0 294676 INVOICES X LABORATORY TESTS 0 231152 INVOICES X IN KIND RENT 0 39700 MARKET RENT SURVEY 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 FORM 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. 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. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.