2014-10-16T14:55:47-07:00 2014-06-30 Claridad & Crowe CPAs PO Box 907 Mill Valley CA 94942 990 2013-07-01 262593712 VOLUNTEERS IN MEDICINE - SAN FRANCISCO DBA CLINIC BY THE BAY VOLU 4154050222 4877 MISSION STREET SAN FRANCISCO CA 94112 JANET REILLY President 2014-10-16 true JASMINE C CLARIDAD P00377442 4158883645 2013 2015-11-30 17:44:51Z 916669 false false X WWW.CLINICBYTHEBAY.ORG X 2008 CA TO ENGAGE VOLUNTEERS TO PROVIDE QUALITY HEALTH CARE IN A FREE CLINIC FOR THE WORKING UNINSURED. 15 14 8 184 0 672480 776495 0 1248 308 -3550 81522 670178 858325 0 0 387909 474804 0 48604 163654 199091 551563 673895 118615 184430 386014 566953 8354 10155 377660 556798 TO UNDERSTAND AND SERVE, WITH DIGNITY AND RESPECT THE HEALTH AND WELLNESS NEEDS OF THE MEDICALLY UNDERSERVED IN THE SAN FRANCISCO BAY AREA. false false 585986 PROGRAMS 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. 585986 true true false false false false false false false false true false false false true false true false false false false false false false true false false false false false false false false false false false false false false false false true false false false false false false false false false true 4 0 true 8 true false false false false false false false false 0 false false false false false false false false false false X 15 14 false false false false false false false true true false false true true true true true true true false false X ELIZA GIBSON 4154050207 4877 MISSION STREET SAN FRANCISCO CA 94112 JANET REILLY President 8.00 0.00 X X 0 0 0 SCOTT HAUGE Vice President 8.00 0.00 X X 0 0 0 BILL BLACK Director 2.00 0.00 X 0 0 0 LYNN JIMENEZ CATCHINGS Director 2.00 0.00 X 0 0 0 KAREN KAUFMAN Secretary 8.00 0.00 X X 0 0 0 SHALLY SHALINI IYER Director 2.00 0.00 X 0 0 0 NANETTE DUFFY Director 2.00 0.00 X 0 0 0 SETH SCHOLAR Director 2.00 0.00 X 0 0 0 RITA SEMEL Director 2.00 0.00 X 0 0 0 KEN SHACHMUT Treasurer 8.00 0.00 X X 0 0 0 SISTER THERESA RANDOLPH Director 2.00 0.00 X 0 0 0 PAUL TUREK MD Director 2.00 0.00 X 0 0 0 CHARLIE WILSON MD Director 2.00 0.00 X 0 0 0 DON HOWERTON Director 2.00 0.00 X 0 0 0 ELIZA GIBSON Executive Dir. 40.00 0.00 X 100982 0 6279 100982 6279 1 false false false 0 66270 710225 44500 776495 0 308 308 0 0 0 0 139866 66270 58344 81522 0 0 0 858325 308 0 0 0 0 105279 92645 7271 5363 0 311025 280450 4679 25896 0 24291 21234 612 2445 34209 30788 684 2737 0 0 13123 13123 0 0 0 22731 21123 641 967 0 0 0 0 73906 66515 2069 5322 0 0 0 0 0 7408 6667 148 593 13494 9982 3512 ADMINISTRATIVE EXPENSES 39447 29144 6256 4047 SMALL EQUIPMENT 13685 12734 191 760 SUPPLIES 12953 12360 119 474 ANCILLARY SERVICES 2344 2344 0 673895 585986 39305 48604 228542 342747 0 0 99490 65939 0 0 0 0 0 190050 37983 51782 152067 0 0 0 0 6200 6200 386014 566953 8354 10155 8354 10155 X 250075 361902 127585 194896 377660 556798 386014 566953 X 184430 -5292 X false true X false false X 342806 467615 543304 672480 771203 2797408 0 0 342806 467615 543304 672480 771203 2797408 586842 2210566 304 40 66 1248 308 1966 0 976 324 1300 2800674 0.78930 0.77060 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 132784 22170 110614 57266 15813 41453 152067 ACCRUED VACATION 10155 10155 1490665 680515 127585 19136 827236 663429 194896 194896 858325 1373546 680515 19136 699651 673895 673895 Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990 SPECIAL EVENT - DIRECT EXPENSES $19136 Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S INC IN CURRENT YEAR TEMP REST REV $194896 Part XII, Line 2d: Other expenses and losses per audited F/S SPECIAL EVENT - DIRECT EXPENSES $19136 false SPRING EVENT 169291 57734 111557 5000 2191 50695 SCOMA'S 28379 70 28309 214 1 8466 8466 244 206136 66270 139866 5000 2191 51153 58344 81522 SCOTT HAUGE-CAL Insurance BOARD DIRECTOR 300 INSURANCE PREMIUMS PD false NANETTE DUFFY BOARD DIRECT 2000 EVENT COORDINATOR false X 9 5292 FMV X HOST EVENT 1 15174 FAIR MARKET VALUE X RADIO PROMOTION 1 6500 FAIR MARKET VALUE X AUCTION DONATIO 48 17425 FMV X WINE-NEIGHBOR E 1 109 FMV false false false Form 990, Part VI, Line 11b: Form 990 Review Process THE 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 Conflicts ALL 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 Management THE 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 Available TAX RETURNS AND ANNUAL FINANCIAL STATEMENTS ARE AVAILABLE UPON WRITTEN REQUEST. Other Changes In Net Assets Or Fund Balances - Other Decreases DONATED PROGRAM SUPPLIES = -$5292 NON-CASH ASSISTANCE TO INDIVIDUALS VOLUNTEERS 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 & GOODS Volunteers 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.