VOLUNTEERS IN MEDICINE - SAN FRANCISCO: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
VOLUNTEERS IN MEDICINE - SAN FRANCISCO (EIN 26-2593712)
Tax period
2013-07-01 to 2014-06-30
Filed
2014-10-16
IRS object ID
201432899349300643
Schema version
2013v3.1
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)
Return2014-10-16T14:55:47-07:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Claridad & Crowe CPAsBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO Box 907AddressLine1
CityMill ValleyCity
StateCAState
ZIP Code94942ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN262593712EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1VOLUNTEERS IN MEDICINE - SAN FRANCISCOBusinessNameLine1
Business Name Line2DBA CLINIC BY THE BAYBusinessNameLine2
FieldValueIRS element (for citing)
Business Name ControlVOLUBusinessNameControlTxt
Phone4154050222PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14877 MISSION STREETAddressLine1
CitySAN FRANCISCOCity
StateCAState
ZIP Code94112ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJANET REILLYPersonNm
Person TitlePresidentPersonTitleTxt
Signature2014-10-16SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJASMINE C CLARIDADPreparerPersonNm
PTINP00377442PTIN
Phone4158883645PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts$916,669GrossReceiptsAmt
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 MissionTO ENGAGE VOLUNTEERS TO PROVIDE QUALITY HEALTH CARE IN A FREE CLINIC FOR THE WORKING UNINSURED.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee8TotalEmployeeCnt
Total Volunteers184TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$672,480PYContributionsGrantsAmt
CY Contributions Grants$776,495CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$1,248PYInvestmentIncomeAmt
CY Investment Income$308CYInvestmentIncomeAmt
PY Other Revenue-$3,550PYOtherRevenueAmt
CY Other Revenue$81,522CYOtherRevenueAmt
PY Total Revenue$670,178PYTotalRevenueAmt
CY Total Revenue$858,325CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$387,909PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$474,804CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$48,604CYTotalFundraisingExpenseAmt
PY Other Expenses$163,654PYOtherExpensesAmt
CY Other Expenses$199,091CYOtherExpensesAmt
PY Total Expenses$551,563PYTotalExpensesAmt
CY Total Expenses$673,895CYTotalExpensesAmt
PY Revenues Less Expenses$118,615PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$184,430CYRevenuesLessExpensesAmt
Total Assets BOY$386,014TotalAssetsBOYAmt
Total Assets EOY$566,953TotalAssetsEOYAmt
Total Liabilities BOY$8,354TotalLiabilitiesBOYAmt
Total Liabilities EOY$10,155TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$377,660NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$556,798NetAssetsOrFundBalancesEOYAmt
MissionTO UNDERSTAND AND SERVE, WITH DIGNITY AND RESPECT THE HEALTH AND WELLNESS NEEDS OF THE MEDICALLY UNDERSERVED IN THE SAN FRANCISCO BAY AREA.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$585,986ExpenseAmt
DescPROGRAMS INCLUDE - FREE PRIMARY AND PREVENTIVE HEALTH CARE SERVICES FOR LOW INCOME WORKING UNINSURED ADULTS. SERVICES INCLUDE: PRIMARY CARE CLINIC VISITS; DENTAL CARE VISITS, COORDINATED REFERRALS FOR SPECIALTY, DIAGNOSTIC AND SURGICAL CARE; INDIVIDUAL AND GROUP HEALTH EDUCATION;COMMUNITY OUTREACH; AND PSYCHOSOCIAL ASSESSMENT AND REFERRALS.VOLUNTEER PROGRAM: CREATE AND SUPPORT MEANINGFUL, PROFESSIONAL OPPORTUNITIES FOR CIVIC ENGAGEMENT. RECRUITMENT, ORIENTATION, TRAINING AND ON-GOING RETENTION OF HEALTH CARE PROFESSIONALS (MD, NP, RN) AND COMMUNITY MEMBERS TO PROVIDE FREE HEALTH CARE AND HEALTH EDUCATION TO LOW INCOME UNINSURED ADULTS.Desc
Total Program Service Expenses$585,986TotalProgramServiceExpensesAmt
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 AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
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
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document4IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee8EmployeeCnt
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
Excess Business HoldingsfalseExcessBusinessHoldingsInd
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 Members15GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
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 OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonELIZA GIBSONPersonNm
Phone4154050207PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14877 MISSION STREETAddressLine1
CitySAN FRANCISCOCity
StateCAState
ZIP Code94112ZIPCode

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
President8.000.00Yes (X)Yes (X)$0$0$0
SCOTT HAUGE
Vice President8.000.00Yes (X)Yes (X)$0$0$0
BILL BLACK
Director2.000.00Yes (X)$0$0$0
LYNN JIMENEZ CATCHINGS
Director2.000.00Yes (X)$0$0$0
KAREN KAUFMAN
Secretary8.000.00Yes (X)Yes (X)$0$0$0
SHALLY SHALINI IYER
Director2.000.00Yes (X)$0$0$0
NANETTE DUFFY
Director2.000.00Yes (X)$0$0$0
SETH SCHOLAR
Director2.000.00Yes (X)$0$0$0
RITA SEMEL
Director2.000.00Yes (X)$0$0$0
KEN SHACHMUT
Treasurer8.000.00Yes (X)Yes (X)$0$0$0
SISTER THERESA RANDOLPH
Director2.000.00Yes (X)$0$0$0
PAUL TUREK MD
Director2.000.00Yes (X)$0$0$0
CHARLIE WILSON MD
Director2.000.00Yes (X)$0$0$0
DON HOWERTON
Director2.000.00Yes (X)$0$0$0
ELIZA GIBSON
Executive Dir.40.000.00Yes (X)$100,982$0$6,279
FieldValueIRS element (for citing)
Total Reportable Comp From Org$100,982TotalReportableCompFromOrgAmt
Total Other Compensation$6,279TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$66,270FundraisingAmt
All Other Contributions$710,225AllOtherContributionsAmt
Noncash Contributions$44,500NoncashContributionsAmt
Total Contributions$776,495TotalContributionsAmt
Total Program Service Revenue$0TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$308TotalRevenueColumnAmt
Related Or Exempt Func Income$308RelatedOrExemptFuncIncomeAmt

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$139,866FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$66,270ContriRptFundraisingEventAmt
Fundraising Direct Expenses$58,344FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$81,522TotalRevenueColumnAmt

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
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$858,325TotalRevenueColumnAmt
Related Or Exempt Func Income$308RelatedOrExemptFuncIncomeAmt

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$105,279TotalAmt
Program Services$92,645ProgramServicesAmt
Management And General$7,271ManagementAndGeneralAmt
Fundraising$5,363FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$311,025TotalAmt
Program Services$280,450ProgramServicesAmt
Management And General$4,679ManagementAndGeneralAmt
Fundraising$25,896FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$24,291TotalAmt
Program Services$21,234ProgramServicesAmt
Management And General$612ManagementAndGeneralAmt
Fundraising$2,445FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$34,209TotalAmt
Program Services$30,788ProgramServicesAmt
Management And General$684ManagementAndGeneralAmt
Fundraising$2,737FundraisingAmt

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$13,123TotalAmt
Management And General$13,123ManagementAndGeneralAmt

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$22,731TotalAmt
Program Services$21,123ProgramServicesAmt
Management And General$641ManagementAndGeneralAmt
Fundraising$967FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$73,906TotalAmt
Program Services$66,515ProgramServicesAmt
Management And General$2,069ManagementAndGeneralAmt
Fundraising$5,322FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

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$7,408TotalAmt
Program Services$6,667ProgramServicesAmt
Management And General$148ManagementAndGeneralAmt
Fundraising$593FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$13,494TotalAmt
Program Services$9,982ProgramServicesAmt
Management And General$3,512ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
ADMINISTRATIVE EXPENSES$39,447$29,144$6,256$4,047
SMALL EQUIPMENT$13,685$12,734$191$760
SUPPLIES$12,953$12,360$119$474
ANCILLARY SERVICES$2,344$2,344

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$673,895TotalAmt
Program Services$585,986ProgramServicesAmt
Management And General$39,305ManagementAndGeneralAmt
Fundraising$48,604FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$228,542BOYAmt
EOY$342,747EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$99,490BOYAmt
EOY$65,939EOYAmt

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)
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$190,050LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$37,983LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$51,782BOYAmt
EOY$152,067EOYAmt

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$6,200BOYAmt
EOY$6,200EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$386,014BOYAmt
EOY$566,953EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,354BOYAmt
EOY$10,155EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,354BOYAmt
EOY$10,155EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$250,075BOYAmt
EOY$361,902EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$127,585BOYAmt
EOY$194,896EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$377,660BOYAmt
EOY$556,798EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$386,014BOYAmt
EOY$566,953EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$184,430ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$5,292OtherChangesInNetAssetsAmt
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 CommitteefalseAuditCommitteeInd
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$342,806CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$467,615CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$543,304CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$672,480CurrentTaxYearMinus1YearAmt
Current Tax Year$771,203CurrentTaxYearAmt
Total$2,797,408TotalAmt

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$342,806CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$467,615CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$543,304CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$672,480CurrentTaxYearMinus1YearAmt
Current Tax Year$771,203CurrentTaxYearAmt
Total$2,797,408TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$586,842SubstantialContributorsTotAmt
Public Support Total170$2,210,566PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$304CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$40CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$66CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,248CurrentTaxYearMinus1YearAmt
Current Tax Year$308CurrentTaxYearAmt
Total$1,966TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$976CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$324CurrentTaxYearMinus3YearsAmt
Total$1,300TotalAmt
FieldValueIRS element (for citing)
Total Support$2,800,674TotalSupportAmt
Public Support CY1700.78930PublicSupportCY170Pct
Public Support PY1700.77060PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$132,784OtherCostOrOtherBasisAmt
Depreciation$22,170DepreciationAmt
Book Value$110,614BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$57,266OtherCostOrOtherBasisAmt
Depreciation$15,813DepreciationAmt
Book Value$41,453BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$152,067TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescACCRUED VACATIONDesc
Amt$10,155Amt
FieldValueIRS element (for citing)
Total Liability$10,155TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$1,490,665TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$680,515DonatedServicesAndUseFcltsAmt
Recoveries Prior Year Grants$127,585RecoveriesPriorYearGrantsAmt
Other Revenue$19,136OtherRevenueAmt
Revenue Not Reported$827,236RevenueNotReportedAmt
Revenue Subtotal$663,429RevenueSubtotalAmt
Other Revenues Not Included$194,896OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$194,896RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$858,325TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,373,546TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$680,515DonatedServicesUseFcltsAmt
Other Expenses Included$19,136OtherExpensesIncludedAmt
Expenses Not Reported$699,651ExpensesNotReportedAmt
Expenses Subtotal$673,895ExpensesSubtotalAmt
Total Expenses Per Form990$673,895TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990SPECIAL EVENT - DIRECT EXPENSES $19136
Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/SINC IN CURRENT YEAR TEMP REST REV $194896
Part XII, Line 2d: Other expenses and losses per audited F/SSPECIAL EVENT - DIRECT EXPENSES $19136

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Agrmt Prof Fundraising ActyfalseAgrmtProfFundraisingActyInd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event1SPRING EVENTNameOfEvent1Amt
Gross Receipts Event1$169,291GrossReceiptsEvent1Amt
Charitable Contri Event1$57,734CharitableContriEvent1Amt
Gross Revenue Event1$111,557GrossRevenueEvent1Amt
Rent Facility Costs Event1$5,000RentFacilityCostsEvent1Amt
Food And Beverage Event1$2,191FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$50,695OtherDirectExpensesEvent1Amt
Name Of Event2SCOMA'SNameOfEvent2Amt
Gross Receipts Event2$28,379GrossReceiptsEvent2Amt
Charitable Contri Event2$70CharitableContriEvent2Amt
Gross Revenue Event2$28,309GrossRevenueEvent2Amt
Other Direct Expenses Event2$214OtherDirectExpensesEvent2Amt
Other Events Total1OtherEventsTotalCnt
Gross Receipts Other Events$8,466GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$8,466CharitableContriOtherEventsAmt
Oth Direct Expnss Other Events$244OthDirectExpnssOtherEventsAmt
Gross Receipts Total$206,136GrossReceiptsTotalAmt
Charitable Contributions Tot$66,270CharitableContributionsTotAmt
Gross Revenue Total Events$139,866GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$5,000RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$2,191FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$51,153OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$58,344DirectExpenseSummaryEventsAmt
Net Income Summary$81,522NetIncomeSummaryAmt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
SCOTT HAUGE-CAL Insurance
BOARD DIRECTOR$300INSURANCE PREMIUMS PDfalse
NANETTE DUFFY
BOARD DIRECT$2,000EVENT COORDINATORfalse

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution9ContributionCnt
Noncash Contributions Rpt F990$5,292NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (4 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)HOST EVENT1$15,174FAIR MARKET VALUE
Yes (X)RADIO PROMOTION1$6,500FAIR MARKET VALUE
Yes (X)AUCTION DONATIO48$17,425FMV
Yes (X)WINE-NEIGHBOR E1$109FMV
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 (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 11b: Form 990 Review ProcessTHE ORGANIZATION ENGAGED A CPA FIRM TO PREPARE THE TAX RETURNS, WHICH IS CLOSELY REVIEWED BY THE EXECUTIVE DIRECTOR. AN ELECTRONIC VERSION IS SUBMITTED TO ALL BOARD MEMBERS FOR COMMENT BEFORE FILING.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsALL MEMBERS OF THE GOVERNING BOARD ARE REQUIRED TO REFRAIN FROM ENGAGING IN TRANSACTIONS THAT PRESENT A CONFLICT OF INTEREST TO THE ORGANIZATION, AND MUST (AT LEAST ANNUALLY), PROVIDE A WRITTEN STATEMENT TO THE BOARD THAT NO SUCH CONFLICTS EXIST.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementTHE EXECUTIVE COMMITTEE, ON AN ANNUAL BASIS, REVIEWS AND SETS THE EXECUTIVE DIRECTOR'S SALARY. THE COMMITTEE CONSIDERS COMPARABLE SALARIES IN SIMILAR ORGANIZATIONS AS WELL AS THE PERFORMANCE OF THE DIRECTOR.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableTAX RETURNS AND ANNUAL FINANCIAL STATEMENTS ARE AVAILABLE UPON WRITTEN REQUEST.
Other Changes In Net Assets Or Fund Balances - Other DecreasesDONATED PROGRAM SUPPLIES = -$5292
NON-CASH ASSISTANCE TO INDIVIDUALSVOLUNTEERS IN MEDICINE-SAN FRANCISCO dba CLINIC BY THE BAY PROVIDES PRIMARY CARE MEDICAL SERVICES AND LIMITED DENTAL SERVICES FOR UNINSURED ADULTS.THE ELIGIBILITY CRITERIA FOR PRIMARY CARE MEDICAL SERVICES ARE - PATIENTS MUST BE 18 YEARS OR OLDER, LIVE IN ONE OF OUR NEARBY ZIP CODES (94112,94134,94014,94015), HAVE NO INSURANCE, AND HAVE INCOME AT OR BELOW 250% OF THE FEDERAL POVERTY LEVEL. ASSISTANCE INCLUDES PRIMARY CARE OFFICE VISITS, DIAGNOSTIC AND ANCILLARY SERVICES (RADIOLOGY AND LAB). FOR THE YEAR ENDED JUNE 30, 2013, ASSISTANCE TO 1,225 RECIPIENTS WAS PROVIDED WITH A FAIR MARKET VALUE OF $445,767. FMV IS BASED ON MEDICARE 4 & 5 RATES PLUS COSTS OF LAB AND RADIOLOGY SERVICES.
NON-CASH CONTRIBUTIONS OF SERVICES & GOODSVolunteers in Medicine San Francisco DBA Clinic by the Bay is committed to creating meaningful opportunities for civic engagement and as such, donated professional services and goods are core to our operations. During fiscal year 2013-2014, volunteer physicians, nurse practitioners, nurses, dentists, dental hygienists, receptionists, interpreters and other dedicated community members donated 12,287 hours to provide free health care to low-income working uninsured adults. These hours are valued at $538,734. Additionally, needed ancillary services (lab, pathology, radiology) were donated, valued at $101,484 as well as over-the-counter medications, medical and administrative supplies ($5,292.) The other largest portion of donated services and goods is in the area of fundraising, including event space and service, food and drink, as well as donated items for a silent auction for our annual spring fundraiser ($24,034.) The total of in-kind services and good for fiscal year 2013-2014 is $685,807.Non-Cash assistance to individualsVolunteers in Medicine San Francisco DBA Clinic by the Bay provides primary care medical services and limited dental services to uninsured adults.The eligibility criteria for primary care medical services patients must be 18 years old, live in San Francisco or San Mateo County, have no insurance and have income at or below 250% of the federal poverty level.Assistance includes primary care office visits, dental office visits, physical therapy, diagnostic and ancillary services (radiology and lab.) For the year ended June 30, 2014, assistance to 1,359 recipients was provided with a fair market value of $462,349. FMV is based on Medicare 3 & 4 rates plus costs of lab and radiology services.

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