VOLUNTEERS IN MEDICINE - SAN FRANCISCO: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
VOLUNTEERS IN MEDICINE - SAN FRANCISCO (EIN 26-2593712)
Tax period
2017-07-01 to 2018-06-30
Filed
2018-10-26
IRS object ID
201812999349301286
Schema version
2017v2.2
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)
Return2018-10-26T14:12:26-07:00ReturnTs
Tax Period End2018-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN680260103PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Regalia & Associates CPAsBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1103 Town Country Dr Ste KAddressLine1Txt
CityDanvilleCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94526ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN262593712EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Volunteers in Medicine - San FranciscoBusinessNameLine1Txt
Business Name Line2Clinic By The BayBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlVOLUBusinessNameControlTxt
Phone4154050207PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14877 Mission StreetAddressLine1Txt
CitySan FranciscoCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94112ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDavid WallacePersonNm
Person TitleExecutive DirectorPersonTitleTxt
Phone4154050207PhoneNum
Signature2018-10-26SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDouglas W RegaliaPreparerPersonNm
PTINP00186389PTIN
Phone9253140390PhoneNum
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2018-06-14 16:35:46ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJanet ReillyPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14877 Mission StreetAddressLine1Txt
CitySan FranciscoCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94112ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,575,438GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.clinicbythebay.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2008FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionClinic by the Bay provides free healthcare to the working uninsured in San Francisco and San Mateo counties. The Clinic provides a caring medical home to patients through a holistic philosophy centered on compassion, wellness and dignity.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee7TotalEmployeeCnt
Total Volunteers50TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$588,678PYContributionsGrantsAmt
CY Contributions Grants$1,520,461CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$2,670PYInvestmentIncomeAmt
CY Investment Income$38CYInvestmentIncomeAmt
PY Other Revenue-$15,619PYOtherRevenueAmt
CY Other Revenue$15,198CYOtherRevenueAmt
PY Total Revenue$575,729PYTotalRevenueAmt
CY Total Revenue$1,535,697CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$398,802PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,012,441CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$108,752CYTotalFundraisingExpenseAmt
PY Other Expenses$257,402PYOtherExpensesAmt
CY Other Expenses$583,302CYOtherExpensesAmt
PY Total Expenses$656,204PYTotalExpensesAmt
CY Total Expenses$1,595,743CYTotalExpensesAmt
PY Revenues Less Expenses-$80,475PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$60,046CYRevenuesLessExpensesAmt
Total Assets BOY$172,940TotalAssetsBOYAmt
Total Assets EOY$131,627TotalAssetsEOYAmt
Total Liabilities BOY$10,964TotalLiabilitiesBOYAmt
Total Liabilities EOY$29,697TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$161,976NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$101,930NetAssetsOrFundBalancesEOYAmt
MissionSince 2010 our mission has been simple, but ambitious: operate a free, volunteer-powered health clinic that provides high-quality, primary care to the hard working uninsured men and women in our community. Because they simply cannot afford to see a doctor, a majority of our patients come to us ill or suffering from chronic disease that has gone unchecked or undiagnosed for years. Every day, we are aware that for most of the working uninsured in our neighborhood, our free clinic is the difference between life and death.Even with the Affordable Care Act, nearly 90,000 people remain uninsured in San Francisco and San Mateo counties 25% of this population is in our neighborhood Mission District, Excelsior and northern San Mateo County. Our goal is to meet the needs of this population, creating a genuine positive impact in our community and leveraging medical partnerships that allow us to support our patients beyond our doors.Clinic By The Bay is affiliated with Volunteers in Medicine (VIM)MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$1,085,669ExpenseAmt
DescClinic by the Bay is a free clinic that is the medical home for working uninsured people in the Bay area. The Clinic is the safety net for those who have no other affordable option for high-quality, compassionate primary, acute, chronic or preventative medical care.Even with the Affordable Care Act, nearly 90,000 people remain uninsured in San Francisco and San Mateo counties 25% of this population is in our neighborhood Mission District, Excelsior and northern San Mateo County. Our goal is to meet the needs of this population, creating a genuine positive impact in our community and leveraging medical partnerships that allow us to support our patients beyond our doors.Desc
Total Program Service Expenses$1,085,669TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document10IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee7EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Form990 T FiledfalseForm990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Org Filed In Lieu Of Form1041falseOrgFiledInLieuOfForm1041Ind
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDavid WallacePersonNm
Phone4154050207PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14877 Mission StreetAddressLine1Txt
CitySan FranciscoCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94112ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Janet Reilly
President4.000.00Yes (X)Yes (X)$0$0$0
Scott Hauge
Vice President4.000.00Yes (X)Yes (X)$0$0$0
Nick Andrade
Treasurer4.000.00Yes (X)Yes (X)$0$0$0
Karen Kaufman
Secretary4.000.00Yes (X)Yes (X)$0$0$0
William Black MD
Director2.000.00Yes (X)$0$0$0
Debra Caywood-Rukas
Director2.000.00Yes (X)$0$0$0
Nanette Duffy
Director2.000.00Yes (X)$0$0$0
Shally Iver
Director2.000.00Yes (X)$0$0$0
Lynn Jimenez-Catchings
Director2.000.00Yes (X)$0$0$0
Therese Randolph RSM
Director2.000.00Yes (X)$0$0$0
Rita Semel
Director2.000.00Yes (X)$0$0$0
Fern Smith
Director2.000.00Yes (X)$0$0$0
Paul Turek MD
Director2.000.00Yes (X)$0$0$0
Lisa Zhou
Director2.000.00Yes (X)$0$0$0
David Wallace
Exec Director40.000.00Yes (X)$117,500$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$117,500TotalReportableCompFromOrgAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$234,226FundraisingAmt
All Other Contributions$1,286,235AllOtherContributionsAmt
Noncash Contributions$875,295NoncashContributionsAmt
Total Contributions$1,520,461TotalContributionsAmt
Total Program Service Revenue$0TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$38TotalRevenueColumnAmt
Exclusion$38ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$54,631FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$234,226ContriRptFundraisingEventAmt
Fundraising Direct Expenses$39,741FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,890TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOther IncomeDesc
Business621990BusinessCd
Total Revenue Column$308TotalRevenueColumnAmt
Related Or Exempt Func Income$308RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$308OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,535,697TotalRevenueColumnAmt
Related Or Exempt Func Income$308RelatedOrExemptFuncIncomeAmt
Exclusion$38ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$117,500TotalAmt
Program Services$100,676ProgramServicesAmt
Management And General$7,818ManagementAndGeneralAmt
Fundraising$9,006FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$795,912TotalAmt
Program Services$681,950ProgramServicesAmt
Management And General$52,962ManagementAndGeneralAmt
Fundraising$61,000FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$72,478TotalAmt
Program Services$62,100ProgramServicesAmt
Management And General$4,823ManagementAndGeneralAmt
Fundraising$5,555FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$26,551TotalAmt
Program Services$22,749ProgramServicesAmt
Management And General$1,767ManagementAndGeneralAmt
Fundraising$2,035FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$4,826TotalAmt
Management And General$4,826ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$327,421TotalAmt
Program Services$34,271ProgramServicesAmt
Management And General$289,150ManagementAndGeneralAmt
Fundraising$4,000FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$9,290TotalAmt
Program Services$4,680ProgramServicesAmt
Management And General$2,697ManagementAndGeneralAmt
Fundraising$1,913FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$25,521TotalAmt
Program Services$18,100ProgramServicesAmt
Management And General$1,399ManagementAndGeneralAmt
Fundraising$6,022FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$77,135TotalAmt
Program Services$62,788ProgramServicesAmt
Management And General$5,091ManagementAndGeneralAmt
Fundraising$9,256FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,437TotalAmt
Program Services$1,985ProgramServicesAmt
Management And General$160ManagementAndGeneralAmt
Fundraising$292FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$25,556TotalAmt
Program Services$693ProgramServicesAmt
Management And General$24,863ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$34,075TotalAmt
Program Services$27,737ProgramServicesAmt
Management And General$2,249ManagementAndGeneralAmt
Fundraising$4,089FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$12,792TotalAmt
Program Services$11,961ProgramServicesAmt
Management And General$295ManagementAndGeneralAmt
Fundraising$536FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Medical Supplies and Services$36,944$36,944
Outreach & Volunteer Expense$8,449$7,875$204$370
Dues, Licenses and Fees$7,347$2,010$2,344$2,993
Equipment Lease & Purchase$7,290$6,089$426$775

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$4,219TotalAmt
Program Services$3,061ProgramServicesAmt
Management And General$248ManagementAndGeneralAmt
Fundraising$910FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,595,743TotalAmt
Program Services$1,085,669ProgramServicesAmt
Management And General$401,322ManagementAndGeneralAmt
Fundraising$108,752FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$47,421BOYAmt
EOY$37,922EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$10,012BOYAmt
EOY$10,110EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,850BOYAmt
EOY$3,850EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$248,334LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$177,162LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$105,247BOYAmt
EOY$71,172EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$6,410BOYAmt
EOY$8,573EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$172,940BOYAmt
EOY$131,627EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$10,964BOYAmt
EOY$29,697EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,964BOYAmt
EOY$29,697EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$161,976BOYAmt
EOY$101,930EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$161,976BOYAmt
EOY$101,930EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$172,940BOYAmt
EOY$131,627EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$60,046ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

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$776,495CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$775,412CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$472,975CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$588,678CurrentTaxYearMinus1YearAmt
Current Tax Year$645,166CurrentTaxYearAmt
Total$3,258,726TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$776,495CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$775,412CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$472,975CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$588,678CurrentTaxYearMinus1YearAmt
Current Tax Year$645,166CurrentTaxYearAmt
Total$3,258,726TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$691,654SubstantialContributorsTotAmt
Public Support Total170$2,567,072PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$308CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$63CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$46CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,670CurrentTaxYearMinus1YearAmt
Current Tax Year$38CurrentTaxYearAmt
Total$3,125TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$3,261,851TotalSupportAmt
Gross Receipts Rltd Activities$15,198GrossReceiptsRltdActivitiesAmt
Public Support CY1700.78700PublicSupportCY170Pct
Public Support PY1700.77580PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$191,068OtherCostOrOtherBasisAmt
Depreciation$123,942DepreciationAmt
Book Value$67,126BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$57,266OtherCostOrOtherBasisAmt
Depreciation$53,220DepreciationAmt
Book Value$4,046BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$71,172TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescOther assetsDesc
Book Value$8,573BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$8,573TotalBookValueOtherAssetsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,575,438TotalRevEtcAuditedFinclStmtAmt
Other Revenue$39,741OtherRevenueAmt
Revenue Not Reported$39,741RevenueNotReportedAmt
Revenue Subtotal$1,535,697RevenueSubtotalAmt
Total Revenue Per Form990$1,535,697TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,635,484TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$39,741OtherExpensesIncludedAmt
Expenses Not Reported$39,741ExpensesNotReportedAmt
Expenses Subtotal$1,595,743ExpensesSubtotalAmt
Total Expenses Per Form990$1,595,743TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part X : FIN48 FootnoteFinancial statement presentation follows the recommendations of ASC 740, Income Taxes. Under ASC 740, the Clinic is required to report information regarding its exposure to various tax positions taken by the Clinic and requires a two-step process that separates recognition from measurement. The first step is determining whether a tax position has met the recognition threshold; the second step is measuring a tax position that meets the recognition threshold. Management believes that the Clinic has adequately evaluated its current tax positions and has concluded that as of June 30, 2018, the Clinic does not have any uncertain tax positions for which a reserve or an accrual for a tax liability would be necessary.The Clinic has received notification from the Internal Revenue Service and the State of California that it qualifies for tax-exempt status under Section 501(c)(3) of the Internal Revenue Code and Section 23701d of the California Revenue and Taxation Code. The exemptions are subject to periodic review by the federal and state taxing authorities and management is confident that the Clinic continues to satisfy all federal and state statutes in order to qualify for continued tax exemption status. The Clinic may periodically receive unrelated business income (such as sublease rental income) requiring the Clinic to file separate tax returns under federal and state statutes. Under such conditions, the Clinic calculates and accrues the applicable taxes.
Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990Special Events Expenses $39741
Part XII, Line 2d: Other expenses and losses per audited F/SSpecial Events Expenses $39741

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsYes (X)MailSolicitationsInd
Email SolicitationsYes (X)EmailSolicitationsInd
Phone SolicitationsYes (X)PhoneSolicitationsInd
In Person SolicitationsYes (X)InPersonSolicitationsInd
Solicitation Of Non Govt GrantsYes (X)SolicitationOfNonGovtGrantsInd
Solicitation Of Govt GrantsYes (X)SolicitationOfGovtGrantsInd
Special Fundraising EventsYes (X)SpecialFundraisingEventsInd
Agrmt Prof Fundraising ActyfalseAgrmtProfFundraisingActyInd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Special EventEvent1Nm
Gross Receipts Event1$288,857GrossReceiptsEvent1Amt
Charitable Contri Event1$234,226CharitableContriEvent1Amt
Gross Revenue Event1$54,631GrossRevenueEvent1Amt
Other Direct Expenses Event1$39,741OtherDirectExpensesEvent1Amt
Gross Receipts Total$288,857GrossReceiptsTotalAmt
Charitable Contributions Tot$234,226CharitableContributionsTotAmt
Gross Revenue Total Events$54,631GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$39,741OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$39,741DirectExpenseSummaryEventsAmt
Net Income Summary$14,890NetIncomeSummaryAmt

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp (4 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)Doctors31$786,693FMV
Yes (X)Lab Services1$30,531FMV
Yes (X)Supplies/Other7$24,695FMV
Yes (X)Special Events10$33,376FMV
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 11b: Form 990 Review ProcessFORM 990 IS PREPARED BY AN OUTSIDE TAX PROFESSIONAL. THE FORM IS THEN REVIEWED BYTHE ORGANIZATION'S MANAGEMENT, A MEMBER OF THE BOARD OF DIRECTORS, AND THE EXECUTIVEDIRECTOR. THIS GROUP OF INDIVIDUALS THEN DISCUSSES THE CONTENTS OF THE RETURN WITHTHE OUTSIDE TAX PROFESSIONAL. AFTER A FULL REVIEW, THE FINAL VERSION OF THE TAX RETURN IS PROVIDED TO ALL MEMBERS OF THE ORGANIZATION'S VOTING BODY. A REPRESENTATIVE OF MANAGEMENT AUTHORIZES THE FINAL FORM 990 WHICH IS THEN E-FILED WITH THE INTERNAL REVENUE SERVICE.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsMEMBERS OF THE BOARD OF DIRECTORS REVIEW ALL POTENTIAL CONFLICTS OF INTEREST ATLEAST ANNUALLY. ALL PERSONNEL AND BOARD MEMBERS ARE REQUIRED TO DISCLOSE (INWRITING) POTENTIAL CONFLICTS AND ANY RELATED PARTY AFFILIATIONS. LOANS BETWEEN THEORGANIZATION AND MEMBERS OF MANAGEMENT AND THE BOARD ARE STRICTLY PROHIBITED. THEORGANIZATION SEEKS FULL TRANSPARENCY ON ALL RELATIONSHIPS. ANY POTENTIAL CONFLICTS(IN FACT OR APPEARANCE) ARE DISCUSSED OPENLY AND RESOLVED IN ACCORDANCE WITH THEORGANIZATION'S POLICIES AND PROCEDURES.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementMEMBERS OF THE BOARD OF DIRECTORS REVIEW THE COMPENSATION OF ALL HIGH-LEVEL PERSONNEL PERIODICALLY IN ACCORDANCE WITH IRS RULES AND REGULATIONS. EFFORTS ARE MADE TO SECURE COMPENSATION DATA FROM INDUSTRY SOURCES IN ORDER TO DETERMINE COMPETITIVENESS AND APPROPRIATENESS OF SALARIES. EVERY EFFORT IS MADE TO ENSURE THAT THE PROCESS IS THOROUGH AND TRANSPARENT IN ACCORDANCE WITH IRS GUIDELINES AND THE ORGANIZATION'S POLICIES AND PROCEDURES.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesCOMPENSATION OF OTHER HIGH-LEVEL PERSONNEL AND KEY EMPLOYEES IS REVIEWED PERIODICALLY BY MEMBERS OF MANAGEMENT. EFFORTS ARE MADE TO SECURE COMPENSATION DATA FROM INDUSTRY SOURCES IN ORDER TO DETERMINE COMPETITIVENESS AND APPROPRIATENESS OF SALARIES AND ALL RELATED BENEFITS. ALL DECISIONS ARE THEN DOCUMENTED IN PERSONNEL FILES.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableALL OF THE ORGANIZATION'S GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND OTHER LEGALFILINGS ARE MAINTAINED IN A SECURE ENVIRONMENT AND HELD AVAILABLE FOR INSPECTION BYTAX AUTHORITIES AND THE GENERAL PUBLIC. TAX RETURNS ARE POSTED ANNUALLY TOWWW.GUIDESTAR.ORG (WHERE THEY ARE AVAILABLE FOR VIEWING AS ELECTRONIC COPIES) AND ARE ALSO AVAILABLE FOR A PHYSICAL INSPECTION AT THE ORGANIZATION'S OFFICE IN SAN FRANCISCO, CALIFORNIA.

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