VOLUNTEERS IN MEDICINE JACKSONVILLE INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
VOLUNTEERS IN MEDICINE JACKSONVILLE INC (EIN 75-3002172)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-05-16
IRS object ID
201111369349302981
Schema version
2009v1.7
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)
Timestamp2011-05-16T10:52:40-05:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1HUNTER & ASSOCIATES PABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line14201 BAYMEADOWS RD STE 4AddressLine1
CityJACKSONVILLECity
StateFLState
ZIP Code322175604ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN753002172EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1VIM JAX INCBusinessNameLine1
Business Name Line2D/B/A VOLUNTEERS IN MEDICINEBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlVIMJNameControl
Phone9043992766Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line141 EAST DUVAL STREETAddressLine1
CityJACKSONVILLECity
StateFLState
ZIP Code32202ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJAMES N BURT MDName
TitleMEDICAL DIRECTORTitle
Phone9043992766Phone
Date Signed2011-04-29DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameLEWIS B HUNTER JRName
Phone9047319222Phone
Date Prepared2011-05-16DatePrepared
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts524138GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.VIM-JAX.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Activity Or Mission DescriptionTO SERVE THE WORKING UNINSURED AND THEIR FAMILIES BY PROVIDING ACCESS TO FREE, HIGH QUALITY PRIMARY AND PREVENTIVE HEALTH CARE SERVICES.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees5TotalNbrEmployees
Total Nbr Volunteers180TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year524138ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Current Year-1089InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Current Year523049TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Current Year295176SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year351TotalFundrsngExpCurrentYear
Other Expense Prior Year6816OtherExpensePriorYear
Other Expenses Current Year232247OtherExpensesCurrentYear
Total Expenses Prior Year6816TotalExpensesPriorYear
Total Expenses Current Year527423TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-6816RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-4374RevenuesLessExpensesCY
Total Assets BOY321595TotalAssetsBOY
Total Assets EOY330519TotalAssetsEOY
Total Liabilities BOY1886TotalLiabilitiesBOY
Total Liabilities EOY12164TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY319709NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY318355NetAssetsOrFundBalancesEOY
Mission DescriptionTO SERVE THE WORKING UNINSURED AND THEIR FAMILIES BY PROVIDING ACCESS TO FREE, HIGH QUALITY PRIMARY AND PREVENTIVE HEALTH CARE SERVICES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense354731Expense
DescriptionTHE VIM CLINIC SERVES APPROXIMATELY 3,200 UNINSURED, WORKING PATIENTS WITH APPROXIMATELY 5,200 CLINICAL APPOINTMENT FOR THE YEAR. THROUGH GRANTS AND PUBLIC DONTATIONS, VIM JAX WAS ABLE TO PROVIDE: FREE EXAMINATIONS, FREE LABORATORY TESTING, FREE MAMMOGRAMS, ULTRASOUNDS, FREE PRESCRIPTION MEDICATIONS, FREE EYEGLASSES AND FREE REFERRAL TO SPECIALTY CARE. THE CLINIC IS STAFFED BY 27 PHYSICIANS, 15 ARNP'S, 45 RN'S AND 110 NON-CLINICAL VOLUNTEERS WHO PROVIDE SUPPORT SERVICES FOR ALL OTHER CLINIC ACTIVITIES. ALL CLINICAL SERVICES ARE PROVIDED FREE OF CHARGE TO OUR WORKING UNINSURED PATIENTS.Description
Total Program Service Expense354731TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredfalseScheduleORequired
Number Forms Transmitted With109614NumberFormsTransmittedWith1096
Number W2 G Included14NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees5NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicyfalseConflictOfInterestPolicy
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJEFF MATTHEWSNamePerson
Telephone Number9043992766TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line141 EAST DUVAL STREETAddressLine1
CityJACKSONVILLECity
StateFLState
ZIP Code32202ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
JIM BURT MD
BOARD CHAIR10.00X000
CB MCINTOSH MD
DIRECTOR4.00X000
DOTTIE DORION RN
DIRECTOR4.00X000
REV DICK PETRY
DIRECTOR2.00X000
GEORGE RIDGE ESQ
DIRECTOR2.00X000
LI LORIZ PHD
DIRECTOR1.00X000
GUY CUDDIHEE
DIRECTOR1.00X000
LEO ALONSO DO
DIRECTOR1.00X000
KEVIN HYDE
DIRECTOR1.00X000
HEATHER DUNCAN
DIRECTOR1.00X000
RON MALLETT
DIRECTOR1.00X000
GENE BAKER
DIRECTOR1.00X000
LISA WEATHERBY
DIRECTOR1.00X000
JOSEPH MITRICK
DIRECTOR1.00X000
FieldValueIRS element (for citing)
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
All Other Contributions524138AllOtherContributions
Total Contributions524138TotalContributions

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other1089Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-1089Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-1089TotalRevenueColumn
Related Or Exempt Function Income-1089RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column523049TotalRevenueColumn
Related Or Exempt Function Income-1089RelatedOrExemptFunctionIncome

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total263990Total
Program Services180835ProgramServices
Management And General83155ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total17675Total
Program Services17675ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total13511Total
Program Services7656ProgramServices
Management And General5855ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total28500Total
Management And General28500ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total11210Total
Program Services11210ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
X-RAY EXPENSE5533955339
PHARMACY4492744927
INSURANCE28406211507256
SUPPLIES - MEDICAL1160811608
UTILITIES99849984

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total42273Total
Program Services4331ProgramServices
Management And General37591ManagementAndGeneral
Fundraising351Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total527423Total
Program Services354731ProgramServices
Management And General172341ManagementAndGeneral
Fundraising351Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY179610BOY
EOY193545EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis253212LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec244368LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY13881BOY
EOY8844EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY127504BOY
EOY127530EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY600BOY
EOY600EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY321595BOY
EOY330519EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1886BOY
EOY12164EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1886BOY
EOY12164EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY257509BOY
EOY273232EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY62200BOY
EOY45123EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY319709BOY
EOY318355EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY321595BOY
EOY330519EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis253212OtherCostOrOtherBasis
Depreciation244368Depreciation
Book Value8844BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings8844TotalOfBookValueLandBuildings
Total Revenue523049TotalRevenue
Total Expenses527423TotalExpenses
Excess Or Deficit For Year-4374ExcessOrDeficitForYear
Other$1,682OtherAmount
Total Adjustments1682TotalAdjustments
Excess Or Deficit Per FS-2692ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt523049TotRevenueEtcAuditedFinclStmt
Revenue Subtotal523049RevenueSubtotal
Total Revenue Per Form990523049TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt525741TotExpensesEtcAuditedFinclStmt
Expenses Subtotal525741ExpensesSubtotal
Other Expenses Not Included1682OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt1682ExpensesNotRptdOnFinStmt
Total Expenses Per Form990527423TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RECONCILIATION OF CHANGES - OTHERSCHEDULE D, PAGE 4, PART XI, LINE 8BOOK / TAX DEPRECIATION DIFFERENCE 1,682
EXPENSE AMOUNTS INCLUDED ON RETURN - OTHERSCHEDULE D, PAGE 4, PART XIII, LINE 4BBOOK / TAX DEPRECIATION DIFFERENCE 1,682

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11NO REVIEW WAS OR WILL BE CONDUCTED.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19NO DOCUMENTS AVAILABLE TO THE PUBLIC

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.