Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
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Calendar year
(or fiscal year beginning in)
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(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 631,507 | 884,522 | 1,180,809 | 2,696,838 | ||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | 631,507 | 884,522 | 1,180,809 | 2,696,838 | ||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) .. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | 2,696,838 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 631,507 | 884,522 | 1,180,809 | 2,696,838 | ||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 2,032 | 331 | 1,171 | 3,534 | ||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | 2,739,509 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2021 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2021 |
(iii) Distributable Amount for 2021 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2021 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2021: | ||||
| a From 2016....... | ||||
| b From 2017....... | ||||
| c From 2018....... | ||||
| d From 2019....... | ||||
| e From 2020....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2021 distributable amount | ||||
|
i
Carryover from 2016 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2021 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2021 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2021, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2021. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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7 Excess distributions carryover to 2022. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2017..... | ||||
| b Excess from 2018..... | ||||
| c Excess from 2019..... | ||||
| d Excess from 2020..... | ||||
| e Excess from 2021..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PAGE 1, PART I, LINE 6 | VOLUNTEER POOL IS MADE UP OF MEDICAL PROFESSIONALS, INCLUDING DOCTORS, NURSES, AND MEDICAL SUPPORT STAFF. |
| FORM 990, PAGE 2, PART III, LINE 4A | PATIENT SERVICES (832,303) - WECAREJAX'S PATIENT SERVICES PROGRAM INCREASES THE AVAILABILITY OF QUALITY SPECIALTY HEALTH CARE FOR DUVAL COUNTY'S UNINSURED ADULTS LIVING AT 200% OR BELOW THE FEDERAL POVERTY LEVEL. MORE THAN 500 VOLUNTEER SPECIALTY PHYSICIANS AND PROVIDERS OFFER CONSULTATION AND MEDICAL CARE AT NO COST TO THE PATIENT OR THEIR FAMILY. PATIENTS ARE REFERRED BY A NETWORK OF SAFETY NET PRIMARY CARE CLINICS TO WECAREJAX WHEN PATIENTS NEED ADVANCED DIAGNOSTICS OR SPECIALTY CARE. OUR TEAM MANAGES THE REFERRAL PROCESS TO SUPPORT IMPROVED HEALTHCARE OUTCOMES, FROM DIAGNOSIS THROUGH SURGERY, TREATMENT, AND BEYOND. THE PROGRAM IS SUPPORTED BY THE CONTRIBUTION OF DIAGNOSTIC LABS, IMAGING, AND HOSPITAL CARE BY THE PUBLIC AND PRIVATE SECTOR. WHERE DONATED SERVICES ARE NOT AVAILABLE, THE TEAM RAISES FUNDS TO OFFSET OUT-OF-POCKET EXPENSES FOR MEDICATION, SUPPLIES, AND DURABLE MEDICAL EQUIPMENT. THE VALUE OF DONATED CARE TOTALED 21,517,239 FOR THE YEAR ENDED SEPTEMBER 30, 2022 AND SERVED 1,741 PATIENTS, UP 5.4% OVER THE PREVIOUS YEAR. |
| FORM 990, PAGE 2, PART III, LINE 4B | BEACHES HEALTH AND WELLNESS (136,961) - THIS PROJECT MICRO-TARGETS NEIGHBORS WHO RESIDE IN DUVAL COUNTY ZIP CODES 32233, 32266, 32250, 32082, 32224, AND 32227 WITH A RECENT INPATIENT STAY AT BAPTIST BEACHES HOSPITAL. ELIGIBLE PATIENTS ARE UNINSURED AT DISCHARGE AND LIVING AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL. THE FOCUS OF THE PROGRAM IS SIGNIFICANT BURDEN OF CHRONIC DISEASE THAT CAN MEAN LOST YEARS OF PRODUCTIVE, INDEPENDENT LIVING AND FREQUENT RE-HOSPITALIZATION IF THE CONDITIONS ARE NOT IMPROVED IN AN OUTPATIENT SETTING. CURRENT DIAGNOSES ADDRESSED INCLUDE DIABETES, HYPERTENSION, COPD, "LONG-HAUL" COVID, CONGESTIVE HEART FAILURE, AND ACUTE OR CHRONIC KIDNEY INJURY/DISEASE. PATIENTS IN NEED OF FOLLOW-UP WOUND CARE ARE ALSO SUPPORTED WITH OR WITHOUT UNDERLYING CONDITION LISTED ABOVE, AS LACK OF CARE FOLLOWING HOSPITAL DISCHARGE IS A SIGNIFICANT RISK FOR RE- ADMISSION. THE PROGRAM RELIES ON A FULL-TIME RN CASE MANAGER, CERTIFIED COMMUNITY HEALTH WORKER, AND A CONTRACTED WOUND CARE NURSE. |
| FORM 990, PAGE 2, PART III, LINE 4C | JAX CARE CONNECT (326,058) - WECAREJAX IS SERVING AS THE COMPREHENSIVE FISCAL AGENT FOR JAXCARECONNECT, A PILOT PROGRAM OF THE DUVAL SAFETY COLLABORATIVE (AGAPE HEALTH, COMMUNITY HEALTH OUTREACH, MISSION HOUSE, MUSLIM AMERICAN SOCIAL SERVICES, SULZBACHER, VOLUNTEERS IN MEDICINE, AND WE CARE JACKSONVILLE, INC.). IN THIS CAPACITY, WECAREJAX ALSO HOSTS THE STAFF FOR THE PROJECT, WHICH INCLUDES A HEADCOUNT OF FOUR FULL-TIME AND TWO PART-TIME EMPLOYEES. THE OBJECTIVE OF THE PROGRAM IS TO SUPPORT A MINIMUM OF 2,000 UNINSURED NEIGHBORS ENGAGING AND RETAINING PRIMARY CARE, REDUCING INAPPROPRIATE RELIANCE ON EPISODIC CARE IN EMERGENCY ROOMS AND URGENT CARE FACILITIES. AT THE END OF THE PILOT, THE COLLABORATIVE HOPES TO OPEN AVAILABLE SUPPORT TO EVEN MORE UNINSURED NEIGHBORS, AS DUVAL COUNTY CURRENTLY HAS ROUGHLY 114,000 UNINSURED ADULT RESIDENTS. |
| FORM 990, PAGE 2, PART III, LINE 4D | CANCER CARE COHORT (107,171) - THE CANCER CARE COHORT, DESIGNED FOR OUR UNINSURED NEIGHBORS FACING A DIAGNOSIS OF CANCER, PROVIDES WRAP-AROUND SUPPORT FROM DIAGNOSIS THROUGH TREATMENT, POST-TREATMENT SURVEILLANCE, AND BEYOND. FROM THE SUPPORT OF A DEDICATE RN CASE MANAGER TO RESOURCES TO SUPPORT THE SOCIAL DETERMINANTS OF HEALTH - HOUSING, NUTRITION, TRANSPORTATION, HOME MEDICAL SUPPLIES, AND MORE - PATIENTS CAN COUNT ON WECAREJAX TO HELP THEM FACE THE COMPLEX CARE PLAN NEEDED. DURING THE MONTHS OF THE ACTIVE PANDEMIC, WE SAW A SIGNIFICANT INCREASE IN THE NUMBER OF PATIENTS PRESENTING FOR CARE WITH AN ADVANCED STAGE DIAGNOSIS OF CANCER. IN FACT, THE NUMBER OF PATIENTS WITH A NEW DIAGNOSIS OF CANCER IN 2022 WAS 42 - A 223% INCREASE OVER THE 13 PATIENTS BROUGHT INTO CARE IN THE PREVIOUS YEAR. |
| FORM 990, PAGE 6, PART VI, LINE 11B | FORM 990 IS DELIVERED TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS WHO REVIEW AND APPROVE THE FILING. |
| FORM 990, PAGE 6, PART VI, LINE 15A | EXECUTIVE COMMITTEE REVIEWS THE EXECUTIVE DIRECTOR'S SALARY YEARLY AND MAKES A DECISION BASED ON ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE IN FULFILLING THE ORGANIZATION'S MISSION. |
| FORM 990, PAGE 6, PART VI, LINE 15B | EXECUTIVE COMMITTEE REVIEWS KEY EMPLOYEES' SALARY YEARLY AND MAKES A DECISION BASED ON ORGANIZATIONAL AND INVDIVIDUAL PERFORMANCE IN FULFILLING THE ORGANIZATION'S MISSION. |
| FORM 990, PAGE 6, PART VI, LINE 19 | AVAILABLE UPON REQUEST |
| Software ID: | |
| Software Version: |