VOLUNTEERS IN MEDICINE - SAN FRANCISCO: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- VOLUNTEERS IN MEDICINE - SAN FRANCISCO (EIN 26-2593712)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2012-11-19
- IRS object ID
- 201203249349300930
- Schema version
- 2011v1.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-19T16:41:43-08:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Claridad & Crowe CPAs | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 907 | AddressLine1 |
| City | Mill Valley | City |
| State | CA | State |
| ZIP Code | 94942 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 262593712 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VOLUNTEERS IN MEDICINE - SAN FRANCISCO | BusinessNameLine1 |
| Business Name Line2 | DBA CLINIC BY THE BAY | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | VOLU | NameControl |
| Phone | 4154050222 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4877 MISSION STREET | AddressLine1 |
| City | SAN FRANCISCO | City |
| State | CA | State |
| ZIP Code | 94112 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JANET REILLY | Name |
| Title | President | Title |
| Date Signed | 2012-11-19 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JASMINE C CLARIDAD | Name |
| Phone | 4158883645 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 543370 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| All Affiliates Included | false | AllAffiliatesIncluded |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.CLINICBYTHEBAY.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2008 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | TO ENGAGE VOLUNTEERS TO PROVIDE QUALITY HEALTH CARE IN A FREE CLINIC FOR THE WORKING UNINSURED. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 6 | TotalNbrEmployees |
| Total Nbr Volunteers | 147 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 467615 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 543304 | ContributionsGrantsCurrentYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 40 | InvestmentIncomePriorYear |
| Investment Income Current Year | 66 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 11604 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 479259 | TotalRevenuePriorYear |
| Total Revenue Current Year | 543370 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 306974 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 339332 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 41442 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 134929 | OtherExpensePriorYear |
| Other Expenses Current Year | 146764 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 441903 | TotalExpensesPriorYear |
| Total Expenses Current Year | 486096 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 37356 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 57274 | RevenuesLessExpensesCY |
| Total Assets BOY | 184238 | TotalAssetsBOY |
| Total Assets EOY | 268533 | TotalAssetsEOY |
| Total Liabilities BOY | 12467 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 9488 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 171771 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 259045 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO UNDERSTAND AND SERVE, WITH DIGNITY AND RESPECT THE HEALTH AND WELLNESS NEEDS OF THE MEDICALLY UNDERSERVED IN THE SAN FRANCISCO BAY AREA. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 419896 | Expense |
| Description | PROGRAMS INCLUDE - FREE PRIMARY AND PREVENTIVE HEALTH CARE SERVICES FOR LOW INCOME WORKING UNINSURED ADULTS. SERVICES INCLUDE: PRIMARY CARE CLINIC 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. | Description |
| Total Program Service Expense | 419896 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | true | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | false | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | false | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 5 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | false | ComplianceWithBackupWitholding |
| Number Of Employees | 6 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Form990-T Filed | false | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Form8886 T Filed | false | Form8886TFiled |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Non Deductible Disclosure | false | NonDeductibleDisclosure |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Quid Pro Quo Disclosure | false | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Number Of8282 Filed | 0 | NumberOf8282Filed |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Filed Lieu1041 | false | FiledLieu1041 |
| Licensed More Than One State | false | LicensedMoreThanOneState |
| Indoor Tanning Services | false | IndoorTanningServices |
| Form720 Filed | false | Form720Filed |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Policies Reference Chapters | false | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | false | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | CA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | ELIZA GIBSON | NamePerson |
| Telephone Number | 4154050207 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4877 MISSION STREET | AddressLine1 |
| City | SAN FRANCISCO | City |
| State | CA | State |
| ZIP Code | 94112 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (14 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| CHARLIE WILSON MD | ||||||
| Director | 2.00 | X | 0 | 0 | 0 | |
| PAUL TUREK MD | ||||||
| Director | 2.00 | X | 0 | 0 | 0 | |
| VINEET SINGAL | ||||||
| Director | 2.00 | X | 0 | 0 | 0 | |
| KEN SHACHMUT | ||||||
| Director | 2.00 | X | 0 | 0 | 0 | |
| RITA SEMEL | ||||||
| Director | 2.00 | X | 0 | 0 | 0 | |
| SETH SCHOLAR | ||||||
| Director | 2.00 | X | 0 | 0 | 0 | |
| JOHN LEGNITTO | ||||||
| Director | 2.00 | X | 0 | 0 | 0 | |
| ANN LAZARUS | ||||||
| Director | 2.00 | X | 0 | 0 | 0 | |
| KAREN KAUFMAN | ||||||
| Director | 2.00 | X | 0 | 0 | 0 | |
| LYNN JIMENEZ | ||||||
| Director | 2.00 | X | 0 | 0 | 0 | |
| CHERYL BARTH | ||||||
| Treasurer | 2.00 | X | 0 | 0 | 0 | X |
| SCOTT HAUGE | ||||||
| Vice President | 8.00 | X | 0 | 0 | 0 | X |
| JANET REILLY | ||||||
| President | 8.00 | X | 0 | 0 | 0 | X |
| ELIZA GIBSON | ||||||
| Executive Dir. | 40.00 | 95000 | 0 | 5702 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 95000 | TotalReportableCompFromOrg |
| Total Other Compensation | 5702 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | false | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Fundraising Events | 77086 | FundraisingEvents |
| All Other Contributions | 466218 | AllOtherContributions |
| Total Contributions | 543304 | TotalContributions |
| Total Program Service Revenue | 0 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 66 | TotalRevenueColumn |
| Related Or Exempt Function Income | 66 | RelatedOrExemptFunctionIncome |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrbtns Rprtd Fundraising Events | 77086 | CntrbtnsRprtdFundraisingEvents |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 543370 | TotalRevenueColumn |
| Related Or Exempt Function Income | 66 | RelatedOrExemptFunctionIncome |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 89987 | Total |
| Program Services | 79188 | ProgramServices |
| Management And General | 3599 | ManagementAndGeneral |
| Fundraising | 7200 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 190879 | Total |
| Program Services | 171107 | ProgramServices |
| Management And General | 4334 | ManagementAndGeneral |
| Fundraising | 15438 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34779 | Total |
| Program Services | 30853 | ProgramServices |
| Management And General | 1043 | ManagementAndGeneral |
| Fundraising | 2883 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23687 | Total |
| Program Services | 21250 | ProgramServices |
| Management And General | 643 | ManagementAndGeneral |
| Fundraising | 1794 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2297 | Total |
| Management And General | 2297 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16736 | Total |
| Program Services | 10075 | ProgramServices |
| Management And General | 311 | ManagementAndGeneral |
| Fundraising | 6350 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 56244 | Total |
| Program Services | 50619 | ProgramServices |
| Management And General | 2813 | ManagementAndGeneral |
| Fundraising | 2812 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10752 | Total |
| Program Services | 9677 | ProgramServices |
| Management And General | 537 | ManagementAndGeneral |
| Fundraising | 538 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9668 | Total |
| Program Services | 6416 | ProgramServices |
| Management And General | 3252 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| SUPPLIES | 9061 | 8649 | 206 | 206 |
| SMALL EQUIPMENT | 5322 | 4790 | 266 | 266 |
| ANCILLARY SERVICES | 390 | 390 | ||
| ADMINISTRATIVE EXPENSES | 36294 | 26882 | 5457 | 3955 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 486096 | Total |
| Program Services | 419896 | ProgramServices |
| Management And General | 24758 | ManagementAndGeneral |
| Fundraising | 41442 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 139345 | BOY |
| EOY | 195313 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10500 | BOY |
| EOY | 50940 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 38982 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 22903 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26831 | BOY |
| EOY | 16079 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7562 | BOY |
| EOY | 6201 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 184238 | BOY |
| EOY | 268533 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12467 | BOY |
| EOY | 9488 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12467 | BOY |
| EOY | 9488 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 124271 | BOY |
| EOY | 171830 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 47500 | BOY |
| EOY | 87215 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 171771 | BOY |
| EOY | 259045 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 184238 | BOY |
| EOY | 268533 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 57274 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 30000 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | false | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
| Federal Grant Audit Performed | false | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 190825 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 342806 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 467615 | CurrentTaxYearMinus1Year |
| Current Tax Year | 543304 | CurrentTaxYear |
| Total | 1544550 | Total |
Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 190825 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 342806 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 467615 | CurrentTaxYearMinus1Year |
| Current Tax Year | 543304 | CurrentTaxYear |
| Total | 1544550 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 250955 | AmountsSubstContributorsTotal |
| Public Support Total170 | 1293595 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 3 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 304 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 40 | CurrentTaxYearMinus1Year |
| Current Tax Year | 66 | CurrentTaxYear |
| Total | 413 | Total |
Net UBI NetUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 976 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 324 | CurrentTaxYearMinus1Year |
| Total | 1300 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 1546263 | TotalSupport |
| First5 Years170 | X | First5Years170 |
| Public Support Pertcentage170 | 0.00000 | PublicSupportPertcentage170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 22170 | OtherCostOrOtherBasis |
| Depreciation | 17859 | Depreciation |
| Book Value | 4311 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 16812 | OtherCostOrOtherBasis |
| Depreciation | 5044 | Depreciation |
| Book Value | 11768 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 16079 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | ACCRUED VACATION | Description |
| Amount | $9,488 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 9488 | TotalOfAmounts |
| Total Revenue | 543370 | TotalRevenue |
| Total Expenses | 486096 | TotalExpenses |
| Excess Or Deficit For Year | 57274 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | 57274 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 980017 | TotRevenueEtcAuditedFinclStmt |
| Donated Srvc And Use Of Facilities | 438862 | DonatedSrvcAndUseOfFacilities |
| Recoveries Of Prior Year Grants | 85000 | RecoveriesOfPriorYearGrants |
| Revenue Not Rptd F990 | 523862 | RevenueNotRptdF990 |
| Revenue Subtotal | 456155 | RevenueSubtotal |
| Other Revenues Not Included | 87215 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 87215 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 543370 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 924958 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 438862 | DonatedServicesUseOfFacilities |
| Expenses Not Rptd F990 | 438862 | ExpensesNotRptdF990 |
| Expenses Subtotal | 486096 | ExpensesSubtotal |
| Total Expenses Per Form990 | 486096 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part XII, Line 4b | Identifier |
| Return Reference | Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S | ReturnReference |
| Explanation | INC IN CURRENT YEAR TEMP REST REV $87215 | Explanation |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agreement Ref Fundraising | false | AgreementRefFundraising |
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | BELIEVE IT! 2012 | NameOfEvent1 |
| Gross Receipts Event1 | 77086 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 77086 | CharitableContributionsEvent1 |
| Gross Receipts Total | 77086 | GrossReceiptsTotal |
| Charitable Contributions Total | 77086 | CharitableContributionsTotal |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | SCOTT HAUGE-CAL Insurance | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | BOARD DIRECTOR | Relationship |
| Amount Of Transaction | 2354 | AmountOfTransaction |
| Description Of Transaction | INSURANCE PREMIUMS PD | DescriptionOfTransaction |
| Sharing Of Revenues | false | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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 2011-2012, volunteer physicians, nurse practitioners, nurses, receptionists, interpreters and other dedicated community members donated 8,250 hours to provide free health care to low-income working uninsured adults. These hours are valued at $320,004. Additionally, needed ancillary services (lab and radiology) were donated, valued at $77,488, as well as over-the-counter medications ($3,157) and medical and administrative supplies ($1,975.) 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 ($15,730.) The total of in-kind services and goods for fiscal year 2011 - 2012 is $438,862. | |
| NON-CASH ASSISTANCE TO INDIVIDUALS | VOLUNTEERS IN MEDICINE-SAN FRANCISCO dba CLINIC BY THE BAY PROVIDES PRIMARY CARE MEDICAL 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, 2012, ASSISTANCE TO 839 RECIPIENTS WAS PROVIDED WITH A FAIR MARKET VALUE OF $334,706. FMV IS BASED ON MEDICARE 4 & 5 RATES PLUS COSTS OF LAB AND RADIOLOGY SERVICES. | |
| 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 19 |
| 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 12c |
| Form 990, Part VI, Line 11: 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 11 |
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