2017-03-03T13:54:16-06:00 2016-09-30 590602635 SMOAK DAVIS & NIXON LLP 5011 GATE PARKWAY BLDG 100 STE 300 JACKSONVILLE FL 322560562 990 2015-10-01 753002172 VOLUNTEERS IN MEDICINE JACKSONVILLE INC VOLU 9043992766 41 EAST DUVAL STREET JACKSONVILLE FL 32202 MARY PAT CORRIGAN CHIEF EXECUTIVE OFFICER 9043992766 2017-02-28 1 ROBERT T LOVERICH P00218080 9043965831 2015 2021-01-29 14:40:06Z MARY PAT CORRIGAN 41 EAST DUVAL STREET JACKSONVILLE FL 32202 778468 0 X WWW.VIM-JAX.ORG X 2002 FL SEE SCHEDULE OTO 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. 13 13 8 290 0 0 763346 778132 0 0 21 336 0 0 763367 778468 0 0 0 0 442093 457696 0 0 146298 249281 259468 691374 717164 71993 61304 29817 108515 25056 42450 4761 66065 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 466973 IN FY 2016. VOLUNTEERS IN MEDICINE JACKSONVILLE PROVIDED 5,158 MEDICAL APPOINTMENTS AND MAINTAINED OVER 1800 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 $1.2M BRING THE ACTUAL EXPENSE OF OPERATING THE CLINIC TO OVER $1.9M. 466973 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 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 0 0 1 8 1 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X X MARY PAT CORRIGAN 9043992766 41 EAST DUVAL ST JACKSONVILLE FL 32202 LEO ALONSO DO DIRECTOR 2.00 X 0 0 0 RON MALLET DIRECTOR, EMERITUS 2.00 X 0 0 0 GUY CUDDIHEE DIRECTOR 2.00 X 0 0 0 JIM JAMISON MD DIRECTOR, EMERITUS 2.00 X 0 0 0 WILL KETCHUM DIRECTOR 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 CHAIRMAN OF THE BOARD 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 2.00 X 0 0 0 JOHN WILLIS DIRECTOR 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 DIRECTOR 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 MARY PAT CORRIGAN CEO 40.00 X 90000 0 0 90000 0 0 0 0 0 0 0 127988 650144 778132 336 336 0 127988 0 0 778468 0 0 336 405884 265813 33571 106500 25435 16787 2035 6613 26377 17409 2110 6858 20006 20006 5566 5566 35304 9375 25929 49930 43997 5933 2858 2572 286 21134 16912 4222 OTHER DIRECT EXPENSES 26002 26002 PHARMACY 25778 25778 X-RAY EXPENSE 23221 23221 MEDICAL SUPPLIES 11781 11781 37888 33328 4235 325 717164 466973 103893 146298 17055 20376 74725 3431 6941 267204 261331 8731 5873 600 600 29817 108515 25056 42450 25056 42450 X -13435 65129 18196 936 4761 66065 29817 108515 61304 0 X X 0 1 X 1 0 X 481478 665859 669403 763346 778132 3358218 481478 665859 669403 763346 778132 3358218 3358218 2133 4 21 336 2494 3360712 0.99930 0.99910 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 206396 206396 0 36431 36431 0 24377 18504 5873 5873 2003700 1225232 1225232 778468 0 778468 1942396 1225232 1225232 717164 0 717164 0 ANNUAL FUND KICK-OFF 127988 127988 127988 127988 X MEDICAL SERVICES 19787 997422 STATE OF FL ALLOWED X DONATED PRESCRIPTION MEDICATION 0 99298 INVOICES X LABORATORY TESTS 0 91312 INVOICES X IN KIND RENT 1 37200 MARKET RENT SURVEY 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 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.