Volunteers in Medicine Accountability Report 2021-2022

2003 - Grand Opening of VIM Jacksonville

Dear Friends,

On behalf of the Volunteers in Medicine (VIM) Jacksonville Board of Directors, we are pleased to present the 2021-2022 Accountability Report.

First and foremost, we would like to thank our volunteers, who are the lifeblood of our operation. This year, over 200 compassionate individuals – both medical professionals and laypersons – made VIM possible. The story begins with each and every generous and compassionate volunteer who gave time and talent for our patients. Thank you!

With every annual report, we are reminded that time seems to be flying by. It’s hard to believe just twenty years ago we were preparing for the ribbon cutting on our current downtown clinic. The iconic blue building has served us well, but we are preparing for a new growth phase that will include cutting the ribbon on a new building in South San Marco. We choose to view the change as a wonderful opportunity to expand and improve VIM’s capacities, and in spring 2023 we will relocate to the larger, more technologically enabled clinic. We know that many of our volunteers have been with us from the very beginning, and we encourage all of you to mark your calendars and join us for the many upcoming festivities that will celebrate your twenty years of action.

COVID upended the service model for many healthcare clinics, including VIM. We are proud that VIM continued to serve patients throughout the pandemic. During those stressful days, we considered how we might improve our business and service models to serve a community whose needs might experience rapid changes. As a result, we entered the 2021-2022 fiscal year with some new plans and ideas that have improved patient care and, we hope, also created a welcoming and appreciative environment for our volunteers.

During 2021-2022, VIM expanded the robust telemedicine options that we piloted during the pandemic. Our current telemedicine program is used for mental health counseling and to assist patients who have limited mobility, transportation problems, or questions for their providers. While we will always prefer our traditional hands-on approach to primary care, we acknowledge that being versatile is more important than ever.

We are proud to announce that in 2022, our CEO, Jennifer Ryan, was invited to serve as a co-leader of the City of Jacksonville Special Committee On Critical Quality Of Life Issues around Access to Healthcare. Ms. Ryan co-facilitated a working group that put together recommendations on how the City can invest in activities to increase Access to Healthcare. Ms. Ryan’s past and current experiences in community care will help shape Jacksonville’s efforts to ensure healthy lives for all citizens.

VIM has also recently completed a year-long assessment of the FreeStyle Libre devices and Cologuard tests. These options soundly demonstrated their ability to improve patients’ outcomes. Thanks to the FreeStyle Libre continuous glucose monitoring, more of VIM’s insulin-dependent patients lowered their H1C (blood glucose) levels and improved their overall wellness. Likewise, the Cologuard tests enabled patients to determine if a colonoscopy was necessary before undergoing the invasive and costly procedure. Such results are indicative of the successes we can accomplish when we work together with long-term wellness as our goal.

One of VIM’s accomplishments this year has been the conversion of our inhouse dispensary to be fully electronic using the eScripts system. In August 2022, the new pharmacy system was fully operational. The results are already significant: the entire process is four times faster, clarity and accuracy are improved, and the inventory records are more accurate. As a result, patient safety is increased. We appreciate the support of our volunteers through this training process, which has been a tremendous success. This annual report is a testament to the impact of your philanthropy. Gifts to VIM underwrite thousands of patient appointments each year and lead to transformational health experiences for individuals who express their gratitude with every visit. We are also fortunate to have the support of many local businesses and hospitals which enable us to leverage our funding. Thanks to their in-kind support, VIM can provide $3 in medical care for every $1 donated.

Thank you to everyone who contributed to our success over the past year. We are proud of the work that we are accomplishing together this year and into the next 20 years.

With sincere gratitude,

Jennifer Ryan, CEO

Dr. Barbara Darby, Chair

In the United States, 11% of all workers were uninsured in 2020.

107,000 Duval County residents, or 11.8% of the Duval County population, had no health insurance coverage in 2021. (U.S. Census Bureau American Community Survey)

Such uninsured patients accounted for 5,125 Emergency Department visits in 2020, at a cost between $3,388 and $11,144 per visit that was either absorbed by area hospitals or incurred as family debt (self-pay). (AHCA 2020)

OUR MISSION:

To advance the physical, mental and emotional well-being of the working uninsured to improve the quality of life for all.

OUR VISION:

A healthy community where all have access to healthcare.

OUR GUIDING PRINCIPLES:

• We strive to do the best in all we do.

• Our volunteers are the lifeblood of the organization.

• We value the worth and uniqueness of every individual.

• We contribute to a higher quality of life for all in our community.

• We serve each other with heartfelt care and compassion.

MODEL OF INTEGRATED CARE:

We treat the whole person, striving to help each patient achieve their highest possible level of physical, mental, and emotional well-being.

OUR STRATEGIC PLAN:

In 2020, VIM initiated a four-year strategic plan designed to advance the clinic’s mission and help fulfill our vision of a healthy community where we all have access to healthcare. The Strategic Plan’s core strategies are designed to transform the health and wellbeing of our community, expand access to healthcare, and increase and sustain financial stability. Specific action steps will direct controlled growth, increase sustainable funding, increase awareness among our stakeholders, and provide a consistent, quality experience for patients and volunteers.

2022 FINANCIAL ACTIVITY & DONATIONS

VIM’s patients are never asked to pay for any service, medication, testing, or referral.

VIM relies solely on private gifts, grants and in-kind donations. Our unique volunteer model makes it possible to provide $3 in high-quality healthcare services for every $1 donated. We receive no federal funding.

Barbara Darby, Chair

Lynn Bauman, Vice-Chair

Robert Schreck, Treasurer

Lorraine Polite Clark, DMD, Secretary

Ann Carey, Immediate Past Board Chair

Danielle Boyett

Henry M. Coxe, III

Tommie Davis

Jon DeBardeleben

Stefanie Fish

Lisa Goodrich

Amy Cate Huveldt

BOARD OF DIRECTORS

Amber Isley, MD

Curt Lox

Maira Martelo

Akilah J. Pope, MD

Joshua Stewart

Emeriti

Leo Alonso, DO

Michael Boylan

Jim Jamison, MD

Li Loriz

Ron Mallett

CB McIntosh, MD

Cory Meyers

Helen Morse

Rev. Richard Petry

George Ridge

Lisa Weatherby

Rev. Eugene Zimmerman

Founding Members

James N. Burt, MD

Dottie Dorion, RN

FRIENDS AND COMMUNITY PARTNERS

Akumin/Elite Imaging

Allen’s Jewelers

American Academy of Family Physicians Foundation

American Heart Association

Ascension St. Vincent’s

Bacardi Bottling Corporation

George M. Baldwin Foundation

Bank of America

Baptist Health

Dr. Jim and Mrs. Mary Burt

City of Jacksonville

Direct Relief

Dottie Dorion

DuBow Family Foundation

Duval Safety Net Providers

Family Foundations of Northeast Florida, Inc.

Feeding Northeast Florida

Firehouse Subs

First Coast Cardiovascular Institute

First Horizon Foundation

Florida Association of Free & Charitable Clinics

Florida Blue

Preston and Joan Haskell

J. Milton Hoffa and Nellie E. Hoffa

Memorial Foundation

Inspire to Rise

Jaguars Foundation

Kendra Scott

Knowles Giving Fund

Labcorp

MAG Mutual Foundation, Inc.

Mayo Clinic Florida

Medtronic

Merck Foundation

Jay and Susan Monahan

Helen Morse and Fritz Skeen

Natural Life

Nonprofit Center of Northeast Florida

Northeast Florida Endocrine & Diabetes Associates

NovoNordisk

Petway Family Foundation

Publix Super Markets Charities

Regions Bank

Riverside Hospital Foundation, Inc.

Street Dog Coalition

TD Bank

The Phillip and Sandra Burnaman Charitable Fund

The Community Foundation for Northeast Florida

The Jess & Brewster J. Durkee Foundation

The Community Foundation for Northeast Florida

The Henry & Lucy Gooding Endowment

The Hinckley Family Living Trust

The Thomas M. Kirbo and Irene B. Kirbo

Charitable Foundation

The Lord’s Foundation

The Jim Moran Foundation

The Emily Balz Smith Foundation

The Gertrude E. Skelly Charitable Foundation

THE PLAYERS/PGA TOUR -Red Coats

The Isadore Weiner Diabetes Assistance Fund

The Edna Sproull Williams Foundation

TIAA Bank

TRUIST

UF Health Jacksonville

University of North Florida

Vystar Credit Union

Delores Barr Weaver Foundation

WeCare Jacksonville

Women’s Giving Alliance

OUR PATIENTS

Volunteers in Medicine Jacksonville serves Northeast Florida’s working uninsured and their families. Our patients work at least twenty hours per week and earn no more than 250% above the Federal Poverty Level.

PATIENT DEMOGRAPHICS

In FY2021-22, women made up 69% of our patients, 40% of whom were of childbearing age. The majority of VIM’s patients who reported their ethnicity identified as a minority. Less easily identified were the many ethnicities who are changing the face of Jacksonville, including a growing Hispanic population and an influx of at-risk peoples, including Russian and Ukrainian refugees.

OUR VOLUNTEERS

More than 200 active volunteer medical and administrative professionals perform a wide array of services at our clinics. Volunteer medical professionals form relationships with patients and are often reconnected with the reasons they were drawn to healthcare. Volunteers serve as qualifiers, who are the first to meet prospective patients. Volunteers working the front desk are the face of the agency. These are just a few of their roles; any list of the many ways that VIM volunteers contribute to serving people who need healthcare would be incomplete.

At VIM there’s a lot of love from the staff, they make you feel comfortable when you come here – oh, they are so awesome, awesome, loving.

~ Angela

I found out I had diabetes. And the doctor (at the emergency room) was a doctor that volunteered at Volunteers in Medicine and he said, ‘This is going to be expensive’ and he told me about this program. Volunteers in Medicine helps me out with that ... It’s not a doctor’s office, it’s more like home. They treat you like you belong.

~ Maurice

$179,330

Many thanks to all our 2022 Women with Heart for their hard work and support for Volunteers in Medicine Jacksonville!

2022 Women with Heart raised

Top row, from left: Terrie Andrews, Debbie Buckland, Paula Chamberlain, Jessica Cummings

Bottom row, from left: Sejal Kuthiala, Susan Monahan, Patricia Gillum Sams, Kelli Tice

Dr. Kenneth Adams

William Ahrens, RN

Dr. Alejandro Alonso

Dr. Leo Alonso

Reagan Alonso, RN

Dr. Stefanie Altmann

Dr. Mohamed Antar

Dr. Layal Antoury

Juliana Arcaro

Celia Astrauckas

Deborah Azcuy Malik Bacon

Ashley Bailey, RN

Ellen Balanky, RN

Dr. Clara Barranco

Kim Bartley, APRN

Marissa Beard, PharmD

Michelle Bednarzyk, APRN

Suerta Benga

Gail Bennett, RN

Abigail Bermudez

Amy Bosman

Dr. Bhaumik Brahmbhatt

Dr. Thomas Brown

A’Jada Burke

Daniel Burris

Linda Burton, RN

Marissa Cabrera

Tara Caminade

Betsy Cantin

Rebecca Cardenas, RN

Dr. Adam Chahine

Kiet Chau

Tocca Chester

Dr. Gerardo Colon-Otero

Dr. Kenneth Conrad

Alex Constantino

M. Dallas Cooke, APRN

Michael Corrigan

Jennifer Corvil

Denise Couture

Jennifer Croft

William Crowe

Justin Dalugdug

Elisha Dansby, APRN

Andrea del Rosario

Ariana DeLavallade

Dr. Christopher DeStephano

Jennifer Doan

Sherry Dotson, RN

Kevin Duane, PharmD

Valentina Dunder

Anita Dunford

Dr. Rachel Dykes

Susan Elinoff, RN

Dr. Samantha Espinosa

Anne Fasano-Pablo, RN

Denise Floyd, RN

Jill Floyd

Jennifer Forrester, RN

Dr. Marcia Funderburk

Dr. Philip Gaillard

Donna George, RN

Wiley Gillam

Julie Goins, RN

William Gonzalez, APRN

Dr. Marlene Goodfriend

Dr. Sanjiva Goyal

Cheyanne Graham

Dr. Lewis Gravely

Latonya Green, APRN

Amy Grob, RN

Carol Grysko, RN

Alexis Haag

Kelsey Halbert, EMT

Dr. Kendra Harmon

Tim Harris

Valarie Harris

Jackie Hazelip, RN

Dr. Hazem Herbly

Dena Heyman

Dr. James Higgins

Dawson Hill

Richard Hill

Carolyn Hinckley

Marietta Hodges

Abi House

Dr. Alexander Howell

Andrea Huffman

Courtney Jackson, EMT

Haley Jahn, RN

Jill Johnson

Kim A. Johnson, RN

Brookelin Johnston, EMT

Kim Johnston, RN

Keino Jones

Maia Jones, EMT

Dr. Lantie Jorandby

Jincy Joseph, RN

Jaaziel Juego, PharmD

Dr. Preetha Kamath

Marianne Kardahi

Chaunte Kettles

Dr. John Kiel

Denise Kiernan

Cheryl Knuckles

Reina Lamar

Pattie Lamell, RN

Dr. John Lammie

Olivia Landolfo

Anastasia Langeman

Sheryl Larosa, RN

Theresa Lee

Shelley Lindsey, RN

Dr. Lawrence Lisska

Timothy Loftis, APRN

Carolyn Lovejoy

Dr. Steve Lovejoy

Curt Lox

Adraine Lyles, PharmD

Laine MacWilliam, RN

Dr. Catherine Madaffari

Akhil Mandavalli

Dr. Steven Mathews

Marshall Mayer

Dr. John Mazur

James McAllister

Dr. Carolyn McClanahan

Mary McElroy, RN

Kenneth McElwee, RN

Ken McEnery

Linda McEnery

Angela McKenzie

Wayne McKissick, PharmD

Dr. Jacquelyn Medina

Dr. Pamela Melera

Linda Mello, RN

Sunitha Menon, APRN

Ricaina Metayer

Matthew Miel

Dr. David Miller

Lori Millward, RN

Grace Min

Asia Mixson, PharmD

Carol Montgomery, RN

Dr. Charles (Ted) Montgomery

Leslie Montoya, RN

Kaye Moody, RN

Henry Morar, EMT

Nicole Morris

Marguerite Mumford

Ansonique Munnings

Dr. Rachel Murray

Dr. Neha Narula

Rebecca Newkirk

Anh Nguyen

William Nimo, PharmD

Sam Nussbaum

Dr. Vincent Ober

Dr. Otto Ohm

Cathye Onur

Dr. Sina O’Sullivan

Ally Padgett

Laurie Page, EMT

Bina Patel, RN

Dr. Parita Patel

Michael Pedicone

Helen Perry, APRN

Sasha Perry

Dr. Kevin Peterson

Tan Pham, PharmD

Jacob Piatt

Paula Pierce

Rachel Pinter

Theresa Pola

Barbara Potter

Sala Pradhan, APRN

Madisyn Price

Tom Prince, RN

Megan Radney

John Randle, RN

Dr. Juliana Raymaker

Gina Reynolds, RN

Dr. Bria Rice

Annalea Rix

Tracey Robinson, PharmD

Dr. Eric Rosemund

Maybritt Rozycki

Dr. Leslie Salomone

Francy Aurora Sanchez, RN

Dr. Robert Savarese

Dr. Marcia Schmidt

Dr. Tim Schneider

Brooke Schweers

Katelyn Scott

Sandra Scrudato, RN

Dr. Susie Sennhauser

Donna Shelton, APRN

Lynn Smith

Sharon Sornoza, RN

Rose Speas

Dr. Nancy Staats

William Starke, PharmD

Dr. Angelia Stepien

Dr. Timothy Sternberg

Taneva Stokes, RN

Rasheika Swain

Jahnis Swann, RN

Arun Tahiliani, PharmD

Anita Taylor

Gabrielle Thomas

Dr. Rob Thomas

Dr. Paola Torres-Laboy

Bi Trac

Maggie Trgo

Dr. April Turner

Dr. Edward Urban

Shruti Vaghasia

Omayda Valdez

Martha Valent

Laura VanCuren, RN

Dr. Maria Vazquez Roque

Leilanie Vega

Jeffrey Viau, RN

Barbara Vitsky

Catherine Wallace

Jacob Ward

Brittany Welch

Elise Welle

Ali Wells

Gaige Wilder, RN

Andra Wilke, RN

Candace Williams, PharmD

Jacob Williams, EMT

Alexis Wilson

Tamara Witherspoon

Dr. Timothy Woodward

Sara Woolsey, APRN

Isabel Wothe

Angela Wright

2021-2022 CLINIC ACTIVITIES new patient APPOINTMENTS

263 PATIENTS 145 587 204

VOLUNTEERS

PRESCRIPTIONS for treatment of diabetes and 891 for hypertension including 69 lay volunteers and 43 nurses

DIABETES PROGRAM

• VIM had 1,060 patients in FY2021-2022

• 177 patients (17%) were diagnosed with diabetes

• Of the 177 patients who completed six months in the diabetes control program, 66% lowered their A1C levels, 6% lowered their BMI (lost weight), and 50% lowered their blood pressure

• Fifteen graduate students from UNF conducted an additional 121 nutritional support sessions via telehealth for VIM patients

• 24 VIM patients with diabetes utilized Feeding Northeast Florida’s Mobile Corner Market in 576 visits

• 587 prescriptions were issued for diabetes from VIM’s dispensary

• 42 patients with diabetes, or 24% of the 177 patients, were insulin dependent

• Libre Freestyle: 21 of the insulin-dependent patients received a Libre Freestyle continuous glucose monitoring device…

• Of the 21 Libre recipients in FY2021-22, seventeen provided 6-months of readings:

• 82% decreased their A1C levels across the six months (3 readings).

• 50% decreased their A1C level across three readings (a consistently downward trend over six months); almost all patients had A1C levels <8.0.

68 479 9

unique patients received mental health counseling over 579 appointments

62 PATIENTS RECEIVED

COUNTIES SERVED, (including one in Georgia)

18,025

HYPERTENSION

• 385 VIM patients diagnosed with hypertension (36%)

• 891 non-narcotic prescriptions for hypertension dispensed by VIM

MENTAL HEALTH

• VIM established a new partnership with The Jim Moran Foundation and Family Foundations

• VIM provided 756 mental health screenings (PHQ2 and PHQ9) to patients

• 258 unique patients received a MH diagnosis (24% of VIM patients)

• 84% of these patients were women

• 68 unique patients received professional mental health counseling during 579 appointments with both licensed mental health counselors and psychiatrists

• Additionally, six graduate students from UNF provided 80 hours of mental health counseling.

COLOGUARD PROGRAM

• From January 1, 2022 to present, VIM dispensed 34 Cologuard tests to patients. Of the 23 that completed the test; 21 were negative (91%) and 2 were positive (9%).

TWENTY POINTS OF PURPOSE

TWENTY YEARS OF SERVICE

2002 - VIM becomes reality as Dr. Jim Burt and Dottie Dorion, RN, MA, assemble a purpose-driven board and take the clinic from a concept to a 501c3 reality

2003 - VIM’s Grand Opening at 41 East Duval Street

2004 - VIM and UNF formalize VIM as a UNF teaching facility

2005 - VIM and Mayo Clinic Florida partner to improve access to cancer treatments for VIM patients

2007 - VIM awarded Volunteer Jacksonville’s Dose of Caring Group Award

2008 - VIM welcomes Dr. Vicky Findley as its first Medical Director

2009 - VIM adds mental health counseling for patients

2010 - VIM’s support from The Blue Foundation for a Healthy Florida enables a substantial increase in service capacities

2011 - VIM partners with the Sulzbacher Center so VIM patients receive dental care

2013 - VIM Milestone – 50,000 free patient appointments reached

2016 - VIM’s Challenge Grant from the Delores Barr Weaver Center creates the PEACE community outreach program

2017 - VIM’s inaugural Women with Heart Luncheon

2017 - VIM Co-founder Dr. Jim Burt receives the Jack B. McConnell, MD Award

2018 - VIM receives the Carnegie 15 Award

2019 - VIM and UNF launch a tele-health program sponsored by Florida Blue

2020 - VIM becomes a founding member of the Duval Safety Net Collaborative which creates JaxCareConnect

2020 - VIM opens its second clinic in West Jacksonville

2021 - VIM adds Patient Health Advocates in coordination with JaxCareConnect

2022 - VIM Kicks off its Celebration to Commemorate 20 Years of Heartfelt Care and Selfless Healing

2023 - VIM cuts the ribbon on the new Dorion-Burt Clinic in South San Marco

TWENTY YEARS OF CHANGE AND GROWTH

Volunteers in Medicine (VIM) Jacksonville is the only full-service clinic in Northeast Florida that provides free integrated health care services for the working uninsured.

In 2023, VIM will celebrate its twentieth year of service to Northeast Florida. During those twenty years, Jacksonville has seen remarkable growth – the Census numbers show half a million people moved to Duval County in the last two decades, or about 500 people every week. Jacksonville is now the twelfth largest city in the country. Much of this growth has been driven by a lower-than-average cost of living and job growth.

However, employment does not automatically mean that workers receive insurance or other important benefits that improve a family’s quality of life. In fact, there are still more than 130,000 uninsured adults under age 65 living in Duval County (13.1% of the population), and 2,637,268 in Florida. They often work in service industry jobs – supporting the medical, finance and tech industries that have made Jacksonville so attractive to major corporations, including the Fortune 500. As we consider the many advantages of living in Duval County, let us also remember and assist those who are working behind the scenes to ensure this wonderful qualify of life.

THE FOLLOWING ARE SOME OF THE SERVICES WE PROVIDE FREE OF CHARGE:

• Primary care and 16 specialties: Mental Health, Cardiology, Dermatology, Endocrinology, Ear Nose and Throat, Gastroenterology, Hematology, Oncology, Neurology, Ophthalmology, Orthopedics, Podiatry, Pulmonology, Rheumatology, Urology, and Gynecology.

• Health screenings and treatment for chronic diseases, including patient education in nutrition and weight management

• Well Woman exams

• Prescription medications

• Vision screenings with free prescription eyeglasses

• Lab tests, including specialty labs

Volunteers in Medicine Jacksonville, Inc. is a 501(c)(3) charitable organization (EIN# 75-3002172) Find us on Social Media at: VIMJax