2018-08-01T15:48:48-05:00 2017-12-31 271728945 PKF O'CONNOR DAVIES LLP 300 TICE BOULEVARD SUITE 315 WOODCLIFF LAKE NJ 07677 990 2017-01-01 202633437 BERGEN VOLUNTEER MEDICAL INITIATIVE INC BERG 2013422478 75 ESSEX STREET NO 100 HACKENSACK NJ 07601 ANDREA COSTA EGAN CHAIR 2013422478 2018-07-31 1 JOSEPH N RUSSELL P00168046 2017129800 2018-07-26 2017 2022-09-23 18:48:47Z ANDREA COSTA EGAN 75 ESSEX STREET NO 100 HACKENSACK NJ 07601 1353225 0 X WWW.BVMI.ORG X 2005 NJ THE MISSION OF BERGEN VOLUNTEER MEDICAL INITIATIVE, INC. IS TO PROVIDE FREE PRIMARY MEDICAL CARE AND, WHERE POSSIBLE, REFERRALS TO FREE SPECIALTY CARE FOR WORKING, LOW-INCOME BERGEN COUNTY RESIDENTS WHO HAVE NO HEALTH INSURANCE. 16 16 21 122 0 0 1878145 1323632 0 0 1647 3337 28725 -25725 1908517 1301244 0 0 0 0 752857 779043 27348 35324 176070 312500 535790 1092705 1350157 815812 -48913 1802983 1371590 237334 101272 1565649 1270318 X THE MISSION OF BERGEN VOLUNTEER MEDICAL INITIATIVE, INC. IS TO PROVIDE FREE PRIMARY MEDICAL CARE AND, WHERE POSSIBLE, REFERRALS TO FREE SPECIALTY CARE FOR WORKING, LOW-INCOME BERGEN COUNTY RESIDENTS WHO HAVE NO HEALTH INSURANCE. 0 0 820367 PRIMARY CARE - AT OUR ONSITE MEDICAL CLINIC IN HACKENSACK, NJ, BVMI PROVIDES COMPREHENSIVE MEDICAL CARE, FREE OF CHARGE, TO RESIDENTS OF BERGEN COUNTY WHO WORK, BUT CANNOT AFFORD MEDICAL INSURANCE. THIS INCLUDES A PRIMARY CARE EXAMINATION, CONDUCTED BY OUR VOLUNTEER PRIMARY CARE PHYSICIANS, AND REFERRALS TO SPECIALISTS AT OTHER LOCATIONS WHEN NEEDED. THE SPECIALISTS IN OUR NETWORK ALSO PROVIDE THEIR SERVICES AT NO COST TO BVMI PATIENTS.OUR VOLUNTEER MEDICAL TEAM OF 55 CLINICIANS DETECTS AND SUCCESSFULLY TREATS PATIENTS WITH CHRONIC DISEASES SUCH AS DIABETES, HYPERTENSION, HIGH CHOLESTEROL AND OTHER CONDITIONS. ANOTHER 70 VOLUNTEERS PERFORM VITAL ADMINISTRATIVE TASKS. ALMOST 50% OF OUR VOLUNTEERS HAVE BEEN WITH US SINCE OUR INCEPTION. WE SERVE APPROXIMATELY 1,200 ADULTS ANNUALLY, AND FEMALES COMPRISE 65% OF OUR PATIENT ROSTER. 198032 DIABETES CARE AND EDUCATION - THE DIABETES CARE AND EDUCATION PROGRAM AT BVMI IS DESIGNED TO PROVIDE EARLY DETECTION, SUCCESSFUL TREATMENT, AND IMPROVED OUTCOMES FOR OUR PRE-DIABETIC AND DIABETIC PATIENTS. THESE TWO CATEGORIES REPRESENT NEARLY 1/3 OF BVMI'S PATIENTS. UNCONTROLLED DIABETES CAN LEAD TO INCREASED RISK OF STROKE, HEART DISEASE, CIRCULATORY PROBLEMS AND NEUROPATHY, VISUAL IMPAIRMENT, KIDNEY DISEASE - EVEN DEATH. THE INTAKE FOR ALL BVMI PATIENTS INCLUDES A COMPREHENSIVE PRIMARY CARE EXAMINATION. IF RESULTS INDICATE THAT THEY ARE DIABETIC OR PRE-DIABETIC, THEY ARE REFERRED TO OUR DIABETES TEAM FOR FURTHER CARE AND FOLLOW-UP. WE WORK WITH THIS GROUP OF PATIENTS TO BRING THEIR CONDITION UNDER CONTROL AND UNDER MAINTENANCE. THIS INCLUDES PATIENT EDUCATION IN HEALTHY LIFESTYLE CHOICES, TRAINING FOR PATIENTS AND THEIR FAMILIES OR CAREGIVERS IN HOW TO MONITOR AND MANAGE DIABETES, AND MEDICATION AND SUPPLIES WHERE APPROPRIATE. 92043 WOMEN'S HEALTH INITIATIVE - THE WOMEN'S HEALTH INITIATIVE AT BVMI IS DESIGNED TO IMPROVE WOMEN'S HEALTH LITERACY AND HEALTHCARE OUTCOMES. WOMEN COMPRISE APPROXIMATELY 65% OF BVMI'S 1,200 PATIENTS. THROUGH OUR WOMEN'S HEALTH INITIATIVE, GYNECOLOGICAL CARE ALSO BECOMES PART OF OUR FOLLOW-UP CARE FOR FEMALE PATIENTS. CARE IS PROVIDED ONSITE BY VOLUNTEER GYNECOLOGISTS AS WELL AS ADVANCED PRACTICE NURSES WHO ARE WOMEN'S HEALTH SPECIALISTS. THIS INCLUDES A REFERRAL FOR A MAMMOGRAM FOR WOMEN OVER THE AGE OF 40 WHO HAVE NOT HAD THIS SCREENING TEST IN THE PAST 12 MONTHS - SO THAT WE CAN DETECT ANY BREAST HEALTH ISSUES BEFORE THEY REACH A SERIOUS STAGE.WE ALSO CONNECT OUR FEMALE PATIENTS WITH A MULTILINGUAL NURSE NAVIGATOR. WORKING IN PARTNERSHIP WITH THE WOMEN'S HEALTH SPECIALISTS, SHE HELPS THE PATIENT UNDERSTAND HER HEALTH CONDITIONS AND ENCOURAGES COMPLIANCE WITH RECOMMENDED TREATMENT. SUPPORT OF LANGUAGE INTERPRETERS IS AVAILABLE, AS IS GUIDANCE FROM DIETITIANS AND SOCIAL WORKERS. 1110442 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 17 0 21 1 0 0 0 0 0 1 1 0 0 0 0 X 16 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 0 0 0 NJ X X AMANDA MISSEY 2013422478 75 ESSEX STREET ROOM 100 HACKENSACK NJ 07601 ANDREA COSTA EGAN - CHAIR VICE CHAIR THRU 5/21/17 6.00 X X 0 0 0 NEIL ABITABILO - VICE CHAIR CHAIR THRU 5/21/17 6.00 X X 0 0 0 RONALD J SALDARINI - TREASURER SECRETARY THRU 5/21/17 4.00 X X 0 0 0 CHRISTOPHER VANUGA - SECRETARY TRUSTEE - THRU 5/21/17 2.00 X X 0 0 0 GENE MARSH TRUSTEE - THRU 5/21/17 4.00 X 0 0 0 MARK MCKOY TRUSTEE - THRU 9/15/17 1.00 X 0 0 0 SHANNON K LAZARE TRUSTEE 3.00 X 0 0 0 ANA K STANKOVIC MD TRUSTEE 2.00 X 0 0 0 DAVID B SUTTER MD TRUSTEE 2.00 X 0 0 0 DIANNE AM AROH TRUSTEE 2.00 X 0 0 0 MICHAEL W AZZARA TRUSTEE 4.00 X 0 0 0 JANET FINK TRUSTEE - THRU 5/21/17 3.00 X 0 0 0 WENDY F KLEIN ESQ TRUSTEE - THRU 5/21/17 1.00 X 0 0 0 CHARLOTTE SOKOL MD TRUSTEE - THRU 5/21/17 4.00 X 0 0 0 BERNARD WEINSTEIN TRUSTEE - THRU 5/21/17 4.00 X 0 0 0 DIEGO L COIRA MD TRUSTEE - EFFECTIVE 5/21/17 2.00 X 0 0 0 MICHAEL G FAUST MD TRUSTEE - EFFECTIVE 5/21/17 2.00 X 0 0 0 JONATHAN K MAYS MD TRUSTEE - EFFECTIVE 5/21/17 2.00 X 0 0 0 ZACHARY MELI TRUSTEE - EFFECTIVE 5/21/17 2.00 X 0 0 0 JILL ALTANA TRUSTEE - EFFECTIVE 5/21/17 3.00 X 0 0 0 JACK INSERRA TRUSTEE - THRU 1/25/17 2.00 X 0 0 0 LAUREN MENKES TRUSTEE - EFFECTIVE 12/20/17 2.00 X 0 0 0 RICHARD SCHWABACHER TRUSTEE - EFFECTIVE 10/18/17 2.00 X 0 0 0 AMANDA MISSEY PRESIDENT/CEO 40.00 X 110000 0 0 110000 0 0 1 0 0 0 GREATER BERGEN COMMUNITY ACTION 392 MAIN STREET HACKENSACK NJ 07601 CONSTRUCTION 161806 1 274735 1048897 284195 1323632 3337 3337 25200 274735 51981 -26781 -26781 MISCELLANEOUS REVENUE 900099 1056 1056 1056 1301244 0 0 -22388 110000 99643 1916 8441 585207 530110 10194 44903 18828 18594 86 148 65008 32970 3412 28626 3395 3395 8000 8000 35324 35324 19231 9861 9370 11421 11116 140 165 60960 29702 5345 25913 27028 16915 1163 8950 100674 82567 9715 8392 2736 1924 262 550 34013 28141 1147 4725 11028 4742 6286 MEDICAL SUPPLIES 229067 227019 75 1973 REPAIR AND MAINTENANCE 12396 9053 664 2679 REGISTRATION, FEES AND 8488 8085 303 100 MISCELLANEOUS 7353 2172 5181 1350157 1110442 63645 176070 139849 3891 451351 463296 564803 497495 1280 1909 17458 17411 421274 47364 614564 373910 13678 13678 1802983 1371590 215788 48754 21546 52518 237334 101272 X 1328604 940635 237045 329683 1565649 1270318 1802983 1371590 X -48913 -246418 X X 0 1 X 1 0 X 886061 963822 977796 1878145 1323632 6029456 886061 963822 977796 1878145 1323632 6029456 406491 5622965 1240 728 439 1647 3337 7391 11873 0 11873 16852 1056 17908 6066628 0.92690 0.91710 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: FORGIVENESS OF DEBT - 2016 AMOUNT: $ 12,570. MISCELLANEOUS REVENUE - 2016 AMOUNT: $ 4,282. 2017 AMOUNT: $ 1,056. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 342474 22631 319843 78800 24733 54067 373910 DEFERRED RENT EXPENSE 52518 52518 X 1892555 598664 598664 1293891 7353 7353 1301244 1941468 598664 598664 1342804 7353 7353 1350157 PART X, LINE 2: THE ORGANIZATION RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY WHEN THEY ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS THAT REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE ORGANIZATION IS NO LONGER SUBJECT TO EXAMINATION BY THE APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO 2014. PART XI, LINE 4B - OTHER ADJUSTMENTS: MISCELLANAOUS EXPENSES NETTED AGAINST REVENUE 7,353. PART XII, LINE 4B - OTHER ADJUSTMENTS: MISCELLANEOUS EXPENSES NETTED AGAINST REVENUE 7,353. X 1 NAHSHON ASSOCIATES INC 1 UNIVERSITY PLAZA DRIVE SUITE 412 HACKENSACK NJ 07601 GRANT WRITING 0 0 35324 -35324 35324 -35324 NJ ANNIVERSARY DINNER 299935 274735 25200 1798 26366 23817 299935 274735 25200 1798 26366 23817 51981 -26781 X 1 49743 AVERAGE FMV X 7 223067 COST X SIGNAGE 1 7768 COST X POSTAGE 1 3118 COST X MAGAZINE SUBSCRIPTION 1 499 COST 0 0 0 PART I, COLUMN (B): THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTORS IN SCHEDULE M, PART I, COLUMN B FORM 990, PART VI, SECTION B, LINE 11B BERGEN VOLUNTEER MEDICAL INITIATIVE HAS ITS FORM 990 PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND HAS ESTABLISHED THE FOLLOWING REVIEW PROCESS TO ENSURE THAT THE INFORMATION REPORTED IS COMPLETE AND ACCURATE. WHEN THE FORM 990 HAS BEEN PREPARED, REVIEWED BY MANAGEMENT AND IS READY TO BE FILED WITH THE INTERNAL REVENUE SERVICE, IT IS ELECTRONICALLY SENT TO THE BOARD MEMBERS OF THE ORGANIZATION FOR ANY COMMENTS. ANY COMMENTS ARE THEN GROUPED, SUMMARIZED AND PROVIDED TO THE OUTSIDE ACCOUNTANTS. EACH ISSUE IS DOCUMENTED AND ADDRESSED UNTIL THE RETURN IS FINALIZED AND APPROVED FOR FILING. FORM 990, PART VI, SECTION B, LINE 12C BERGEN VOLUNTEER MEDICAL INITIATIVE, INC. HAS IN PLACE A CONFLICT OF INTEREST POLICY WHICH IT ANNUALLY MONITORS AND ENFORCES. THE BOARD CURRENTLY MANDATES THAT ALL TRUSTEES, OFFICERS AND MEMBERS OF A COMMITTEE WITH BOARD DELEGATED POWERS ANNUALLY SIGN A CONFLICT OF INTEREST POLICY AND DISCLOSE ANY POTENTIAL OR ACTUAL CONFLICTS THAT MAY EXIST. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE, AS SOON AS POSSIBLE, THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE TRUSTEES AND MEMBERS OF COMMITTEES CONSIDERING THE PROPOSED TRANSACATION OR ARRANGEMENT. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, THE INTERESTED PERSON SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IN DISCUSSED AND VOTED UPON. THE REMAINING BOARD OF COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. AN INTERESTED PERSON MAY BE INVITED TO MAKE A PRESENTATAION AT THE BOARD OR COMMITTEE MEETING, BUT AFTER THE PRESENTATION, HE OR SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING THE POSSIBLE CONFLICT OF INTEREST. THE MINUTES OF THE BOARD AND ALL COMMITTEES WITH BOARD DELEGATED POWERS SHALL CONTAIN: - THE NAMES OF THE PERSONS WHO DISCLOSED OR OTHERWISE WERE FOUND TO HAVE A FINANCIAL INTEREST IN CONNECTION WITH AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST; - THE NATURE OF THE FINANCIAL INTEREST; - ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT; - THE BOARD OR COMMITTEE'S DECISION AS TO WHETHER A CONFLICT OF INTEREST IN FACT EXISTED; - THE NAMES OF THE PERSONS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT; - THE CONTENT OF THE DISCUSSION, INCLUDING ANY ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARANGEMENT; AND - A RECORD OF ANY VOTES TAKEN IN CONNECTION WITH THE PROCEEDINGS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S FORM 990 AND FINANCIAL STATEMENTS ARE POSTED ON THE ORGANIZATION'S WEBSITE, GUIDESTAR.ORG AND OTHER SIMILAR TYPES OF WEBSITES. IN ADDTION, THE CONFLICT OF INTEREST POLICY, ARTICLES OF INCORPORATION AND BY-LAWS ARE ALSO AVAILBALE UPON WRITTEN REQUEST AT 75 ESSEX STREET, ROOM 100, HACKENSACK, NJ 07601 OR BY CALLING THE ORGANIZATION DIRECTLY AT (201)342-2478. FORM 990, PART XI, LINE 9: LOSS ON DISPOSAL OF FIXED ASSET -246,418. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS AN AUDIT COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS DID NOT CHANGE FROM THE PRIOR YEAR.