VOLUNTEERS IN MEDICINE JACKSONVILLE INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
VOLUNTEERS IN MEDICINE JACKSONVILLE INC (EIN 75-3002172)
Tax period
2014-10-01 to 2015-09-30
Filed
2016-05-12
IRS object ID
201621339349301042
Schema version
2014v6.0
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)
Return2016-05-12T08:44:39-05:00ReturnTs
Tax Period End2015-09-30TaxPeriodEndDt

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 Begin2014-10-01TaxPeriodBeginDt

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)
PersonMARY PAT CORRIGANPersonNm
Person TitleCHIEF EXECUTIVE OFFICERPersonTitleTxt
Phone9043992766PhoneNum
Signature2016-04-27SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonROBERT T LOVERICHPreparerPersonNm
PTINP00218080PTIN
Phone9043965831PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-08-17 19:52:53ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMARY PAT CORRIGANPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line141 EAST DUVAL STREETAddressLine1Txt
CityJACKSONVILLECityNm
State AbbreviationFLStateAbbreviationCd
ZIP32202ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$763,367GrossReceiptsAmt
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 GREATER JACKSONVILLE 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 AND NURSES, WHO KEEP OUR PATIENTS HEALTHY, WORKING AND OF THE EMERGENCY ROOM.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee7TotalEmployeeCnt
Total Volunteers293TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$669,403PYContributionsGrantsAmt
CY Contributions Grants$763,346CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$21CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$669,403PYTotalRevenueAmt
CY Total Revenue$763,367CYTotalRevenueAmt
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$511,338PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$442,093CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$76,272CYTotalFundraisingExpenseAmt
PY Other Expenses$294,951PYOtherExpensesAmt
CY Other Expenses$249,281CYOtherExpensesAmt
PY Total Expenses$806,289PYTotalExpensesAmt
CY Total Expenses$691,374CYTotalExpensesAmt
PY Revenues Less Expenses-$136,886PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$71,993CYRevenuesLessExpensesAmt
Total Assets BOY$66,886TotalAssetsBOYAmt
Total Assets EOY$29,817TotalAssetsEOYAmt
Total Liabilities BOY$134,118TotalLiabilitiesBOYAmt
Total Liabilities EOY$25,056TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$67,232NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,761NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
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$514,057ExpenseAmt
DescIN FY 2015, VOLUNTEERS IN MEDICINE JACKSONVILLE PROVIDED 5,068 MEDICAL APPOINTMENTS AND MAINTAINED OVER 1,800 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 PROFESSIONAL VOLUNTEER TIME VALUED AT OVER $1,100,000 BRING THE ACTUAL EXPENSES OF OPERATING THE CLINIC TO OVER $1,800,000. OTHER SERVICES INCLUDED WELL-WOMEN EXAMS, NUTRITIONAL COUNSELING, OPHTHALMOLOGY, PODIATRY, CARDIOLOGY, DERMATOLOGY, ENDOCRINOLOGY, ENT, GASTROENTEROLOGY, GYNECOLOGY, HEMATOLOGY-ONCOLOGY, LUNG FUNCTION TESTING, NEUROLOGY, ORTHOPEDICS, PAIN MANAGEMENT, PSYCHIATRY, RHEUMATOLOGY, AND UROLOGY.Desc
Total Program Service Expenses$514,057TotalProgramServiceExpensesAmt
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
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
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 Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee7EmployeeCnt
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 Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
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 CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARY PAT CORRIGANBusinessNameLine1Txt
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 (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
LEO ALONSO DO
DIRECTOR2.00Yes (X)$0$0$0
RUSHAB CHOKSI
DIRECTOR2.00Yes (X)$0$0$0
GUY CUDDIHEE
DIRECTOR2.00Yes (X)$0$0$0
JIM JAMISON MD
DIRECTOR, EMERITUS2.00Yes (X)$0$0$0
WILL KETCHUM
DIRECTOR2.00Yes (X)$0$0$0
LI LORIZ PHD ARNP
DIRECTOR2.00Yes (X)$0$0$0
CB MCINTOSH MD
DIRECTOR, EMERITUS2.00Yes (X)$0$0$0
CORY MEYERS RN MN
DIRECTOR2.00Yes (X)$0$0$0
HELEN MORSE
CHAIRMAN OF THE BOARD2.00Yes (X)$0$0$0
MARSHA OLIVER MBA
DIRECTOR2.00Yes (X)$0$0$0
REV RICHARD PETRY
DIRECTOR, EMERITUS2.00Yes (X)$0$0$0
GEORGE RIDGE ESQ
DIRECTOR, EMERITUS2.00Yes (X)$0$0$0
MARK J SHORSTEIN CPA
DIRECTOR2.00Yes (X)$0$0$0
LISA WEATHERBY CIMA CIS
DIRECTOR2.00Yes (X)$0$0$0
JOHN WILLIS
DIRECTOR2.00Yes (X)$0$0$0
JIM BURT MD
DIRECTOR, EMERITUS2.00Yes (X)$0$0$0
DOTTIE DORION RN
DIRECTOR, EMERITUS2.00Yes (X)$0$0$0
REV EUGENE ZIMMERMAN
DIRECTOR, EMERITUS2.00Yes (X)$0$0$0
KRISTI AIELLO
DIRECTOR2.00Yes (X)$0$0$0
MICHAEL BOYLAN
DIRECTOR2.00Yes (X)$0$0$0
ANN CAREY
DIRECTOR2.00Yes (X)$0$0$0
ELIZABETH MCGRAW MD
DIRECTOR2.00Yes (X)$0$0$0
MARY PAT CORRIGAN
CEO40.00$90,000$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$90,000TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$25,000FundraisingAmt
All Other Contributions$738,346AllOtherContributionsAmt
Total Contributions$763,346TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$21TotalRevenueColumnAmt
Exclusion$21ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$25,000ContriRptFundraisingEventAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$763,367TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$21ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$379,724TotalAmt
Program Services$271,612ProgramServicesAmt
Management And General$53,811ManagementAndGeneralAmt
Fundraising$54,301FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$37,065TotalAmt
Program Services$26,513ProgramServicesAmt
Management And General$5,252ManagementAndGeneralAmt
Fundraising$5,300FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$25,304TotalAmt
Program Services$18,100ProgramServicesAmt
Management And General$3,586ManagementAndGeneralAmt
Fundraising$3,618FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$13,667TotalAmt
Management And General$13,667ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,597TotalAmt
Management And General$2,597ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$12,667TotalAmt
Program Services$6,291ProgramServicesAmt
Management And General$6,376ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$48,811TotalAmt
Program Services$42,944ProgramServicesAmt
Management And General$5,867ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,577TotalAmt
Program Services$1,419ProgramServicesAmt
Management And General$158ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$22,369TotalAmt
Program Services$18,325ProgramServicesAmt
Management And General$4,044ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MISCELLANEOUS$44,903$30,974$3,442$10,487
X-RAY EXPENSE$31,397$31,397
PHARMACY$26,606$26,606
MEDICAL SUPPLIES$10,413$10,413

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$34,274TotalAmt
Program Services$29,463ProgramServicesAmt
Management And General$2,245ManagementAndGeneralAmt
Fundraising$2,566FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$691,374TotalAmt
Program Services$514,057ProgramServicesAmt
Management And General$101,045ManagementAndGeneralAmt
Fundraising$76,272FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$57,042BOYAmt
EOY$17,055EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,431BOYAmt
EOY$3,431EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$267,204LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$258,473LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,813BOYAmt
EOY$8,731EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,600BOYAmt
EOY$600EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$66,886BOYAmt
EOY$29,817EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$134,118BOYAmt
EOY$25,056EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$134,118BOYAmt
EOY$25,056EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$134,982BOYAmt
EOY-$13,435EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$67,750BOYAmt
EOY$18,196EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$67,232BOYAmt
EOY$4,761EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$66,886BOYAmt
EOY$29,817EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$71,993ReconcilationRevenueExpnssAmt
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$653,313CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$481,478CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$665,859CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$669,403CurrentTaxYearMinus1YearAmt
Current Tax Year$763,346CurrentTaxYearAmt
Total$3,233,399TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$653,313CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$481,478CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$665,859CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$669,403CurrentTaxYearMinus1YearAmt
Current Tax Year$763,346CurrentTaxYearAmt
Total$3,233,399TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$3,233,399PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$661CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,133CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4CurrentTaxYearMinus2YearsAmt
Current Tax Year$21CurrentTaxYearAmt
Total$2,819TotalAmt
FieldValueIRS element (for citing)
Total Support$3,236,218TotalSupportAmt
Public Support CY1700.99910PublicSupportCY170Pct
Public Support PY1700.99940PublicSupportPY170Pct
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$206,396OtherCostOrOtherBasisAmt
Depreciation$206,396DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$36,431OtherCostOrOtherBasisAmt
Depreciation$36,431DepreciationAmt
Book Value$0BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$24,377OtherCostOrOtherBasisAmt
Depreciation$15,646DepreciationAmt
Book Value$8,731BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$8,731TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$1,888,285TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$1,124,918DonatedServicesAndUseFcltsAmt
Revenue Not Reported$1,124,918RevenueNotReportedAmt
Revenue Subtotal$763,367RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$763,367TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,816,292TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$1,124,918DonatedServicesUseFcltsAmt
Expenses Not Reported$1,124,918ExpensesNotReportedAmt
Expenses Subtotal$691,374ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$691,374TotalExpensesPerForm990Amt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1ANNUAL FUND KICK-OFFEvent1Nm
Gross Receipts Event1$25,000GrossReceiptsEvent1Amt
Charitable Contri Event1$25,000CharitableContriEvent1Amt
Gross Receipts Total$25,000GrossReceiptsTotalAmt
Charitable Contributions Tot$25,000CharitableContributionsTotAmt

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp (3 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)MEDICAL SERVICES19053$932,167STATE OF FL ALLOWED
Yes (X)LABORATORY TESTS9500$155,551INVOICES
Yes (X)PORTION OF RENT1$37,200MARKET RENT SURVEY
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, LINE 1A:THE BOARD OF DIRECTORS CAN VOTE TO ALLOW MEMBERS OF A SUB-COMMITTE TO MAKE DECISIONS ON THEIR BEHALF, FOR THE FUNCTION ADDRESSED BY THE SUB-COMMITTE, SUCH AS FUNDRAISING. THE EXECUTIVE COMMITTEE CAN MAKE A DECISION WITHOUT THE FULL BOARD OF DIRECTORS, THOUGH THIS IS DONE INFREQUENTLY.
FORM 990, PART VI, SECTION B, LINE 11A SPECIAL MEETING OF THE FINANCE COMMITTEE IS CONVENED TO REVIEW AND APPROVE THE FORM 990 BEFORE IT IS FILED. THE BOARD OF DIRECTORS DELEGATES AUTHORITY TO THE FINANCE SUB-COMMITTE TO APPROVE THE FORM 990.
FORM 990, PART VI, SECTION B, LINE 12CTHE POLICY IS REVIEWED ANNUALLY AT A BOARD OF DIRECTORS MEETING.
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.
FORM 990, PART XII, LINE 2C:THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

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