2013-10-17T16:40:21-07:00 2013-06-30 Claridad & Crowe CPAs PO Box 907 Mill Valley CA 94942 990 2012-07-01 262593712 VOLUNTEERS IN MEDICINE - SAN FRANCISCO DBA CLINIC BY THE BAY VOLU 4154050222 4877 MISSION STREET SAN FRANCISCO CA 94112 JANET REILLY 2013-10-16 true JASMINE C CLARIDAD P00377442 4158883645 2012 2015-11-30 17:44:51Z 673728 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. 14 13 7 195 0 543304 672480 0 66 1248 -3550 543370 670178 0 0 339332 387909 0 38451 146764 163654 486096 551563 57274 118615 268533 386014 9488 8354 259045 377660 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 481012 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. 481012 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 false false false false false false false false false false true 6 0 false 7 true false false false false false false false false 0 false false false false false false false false false false X 14 13 false false false false false false false true true false false true true true true true true true false false CA X ELIZA GIBSON 4154050207 4877 MISSION STREET SAN FRANCISCO CA 94112 CHARLIE WILSON MD 2.00 0.00 X 0 0 0 PAUL TUREK MD 2.00 0.00 X 0 0 0 SISTER THERESA RANDOLPH 2.00 0.00 X 0 0 0 KEN SHACHMUT 2.00 0.00 X 0 0 0 RITA SEMEL 2.00 0.00 X 0 0 0 SETH SCHOLAR 2.00 0.00 X 0 0 0 JOHN LEGNITTO 2.00 0.00 X 0 0 0 SHALLY SHALINI IYER 2.00 0.00 X 0 0 0 KAREN KAUFMAN 2.00 0.00 X 0 0 0 LYNN JIMENEZ CATCHINGS 2.00 0.00 X 0 0 0 CHERYL BARTH 2.00 0.00 X X 0 0 0 SCOTT HAUGE 8.00 0.00 X X 0 0 0 JANET REILLY 8.00 0.00 X X 0 0 0 ELIZA GIBSON 40.00 0.00 X 98750 0 6061 98750 6061 0 false false false 0 153914 518566 672480 0 1248 1248 0 0 0 0 153914 3550 -3550 0 0 0 670178 1248 0 0 0 0 102500 91225 4100 7175 0 226659 207201 4548 14910 0 30218 27834 546 1838 28532 25430 998 2104 0 0 12045 12045 0 0 0 13135 11551 144 1440 0 0 0 0 62824 56541 1885 4398 0 0 0 0 0 7673 6906 230 537 10388 7884 2504 ANCILLARY SERVICES 2627 2627 SMALL EQUIPMENT 11498 10834 199 465 SUPPLIES 12706 12192 154 360 ADMINISTRATIVE EXPENSES 30758 20787 4747 5224 0 551563 481012 32100 38451 195313 228542 0 0 50940 99490 0 0 0 0 0 82358 30576 16079 51782 0 0 0 0 6201 6200 268533 386014 9488 8354 9488 8354 X 171830 219363 87215 158297 259045 377660 268533 386014 118615 X false true X false false X 190825 342806 467615 543304 672480 2217030 0 0 190825 342806 467615 543304 672480 2217030 506201 1710829 3 304 40 66 1248 1661 0 976 324 1300 2219991 0.77060 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 25092 22170 2922 57266 8406 48860 51782 ACCRUED VACATION 8354 8354 1206781 605135 87215 3550 695900 510881 159297 159297 670178 1160248 605135 3550 608685 551563 551563 Part XII, Line 2d Part XII, Line 2d: Other expenses and losses per audited F/S SPECIAL EVENT - DIRECT EXPENSES $3550 Part XI, Line 4b Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S INC IN CURRENT YEAR TEMP REST REV $159297 Part XI, Line 2d Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990 SPECIAL EVENT - DIRECT EXPENSES $3550 false 3RD ANNUAL SPRING FUNDRAISER 153914 153914 3550 153914 153914 3550 3550 -3550 SCOTT HAUGE-CAL Insurance BOARD DIRECTOR 300 INSURANCE PREMIUMS PD false NON-CASH CONTRIBUTIONS OF SERVICES & GOODS Volunteers in Medicine - San Francisco d.b.a. 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 2012-2013, volunteer physicians, nurse practitioners, nurses, receptionists, interpreters and other dedicated community members donated 10,907 hours to provide free health care to low-income working uninsured adults. These hours are valued at $463,966. Additionally, needed ancillary services (lab and radiology) were donated, valued at $105,037, as well as over-the-counter medications, medical and administrative supplies ($8,772). The other largest 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 ($27,360.) The total of in-kind services and goods for fiscal year 2012 - 2013 is $605,135. 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. Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available TAX RETURNS AND ANNUAL FINANCIAL STATEMENTS ARE AVAILABLE UPON WRITTEN REQUEST. Form 990, Part VI, Line 15a 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 12c 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 11b 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.