VOLUNTEERS IN MEDICINE - SAN FRANCISCO: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- VOLUNTEERS IN MEDICINE - SAN FRANCISCO (EIN 26-2593712)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2011-11-15
- IRS object ID
- 201143209349300014
- Schema version
- 2010v3.4
- 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 | 2011-11-15T13:58:53-06:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BURR PILGER MAYER INC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 CALIFORNIA STREET SUITE 1300 | AddressLine1 |
| City | SAN FRANCISCO | City |
| State | CA | State |
| ZIP Code | 94108 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-07-01 | 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 |
| Phone | 4154050222 | Phone |
| Date Signed | 2011-11-11 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DEBORAH KAMINSKI | Name |
| Phone | 4154215757 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JANET REILLY | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4877 MISSION STREET | AddressLine1 |
| City | SAN FRANCISCO | City |
| State | CA | State |
| ZIP Code | 94112 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 479259 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| 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 | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 7 | TotalNbrEmployees |
| Total Nbr Volunteers | 85 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 342806 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 467615 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 0 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 304 | InvestmentIncomePriorYear |
| Investment Income Current Year | 40 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 976 | OtherRevenuePriorYear |
| Other Revenue Current Year | 11604 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 344086 | TotalRevenuePriorYear |
| Total Revenue Current Year | 479259 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 122032 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 306974 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 55264 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 28457 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 76512 | OtherExpensePriorYear |
| Other Expenses Current Year | 134929 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 253808 | TotalExpensesPriorYear |
| Total Expenses Current Year | 441903 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 90278 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 37356 | RevenuesLessExpensesCY |
| Total Assets BOY | 138922 | TotalAssetsBOY |
| Total Assets EOY | 184238 | TotalAssetsEOY |
| Total Liabilities BOY | 4524 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 12467 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 134398 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 171771 | 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 | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 218247 | Expense |
| Description | 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. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 172527 | Expense |
| Description | 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 |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1651 | Expense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 1651 | TotalOfOtherProgramServiceExp |
| Total Program Service Expense | 392425 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 6 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 7 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | CA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ELIZA GIBSON EXEC DIRECTOR | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4154050222 | 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 (12 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| JANET REILLY | ||||||
| PRESIDENT | 8.00 | X | X | 0 | 0 | 0 |
| SCOTT HAUGE | ||||||
| VICE PRESIDENT | 8.00 | X | X | 0 | 0 | 0 |
| CHERYL BARTH | ||||||
| TREASURER | 2.00 | X | X | 0 | 0 | 0 |
| PETRA CHAVEZ | ||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |
| RITA SEMEL | ||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |
| PAUL TUREK MD | ||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |
| LYNN JIMENEZ | ||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |
| SETH SCHOLAR | ||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |
| CHARLIE WILSON | ||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |
| KAREN KAUFMAN | ||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |
| JOHN LEGNITTO | ||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |
| ELIZA GIBSON | ||||||
| EXECUTIVE DIRECTOR | 40.00 | X | 90000 | 0 | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 90000 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Fundraising Events | 67450 | FundraisingEvents |
| All Other Contributions | 400165 | AllOtherContributions |
| Total Contributions | 467615 | TotalContributions |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 40 | TotalRevenueColumn |
| Exclusion | $40 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 11280 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 67450 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 0 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 11280 | TotalRevenueColumn |
| Exclusion | $11,280 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | OTHER INCOME | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 324 | TotalRevenueColumn |
| Exclusion | $324 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 324 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 479259 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $11,644 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 89723 | Total |
| Program Services | 79853 | ProgramServices |
| Management And General | 2692 | ManagementAndGeneral |
| Fundraising | 7178 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 164571 | Total |
| Program Services | 149444 | ProgramServices |
| Management And General | 3168 | ManagementAndGeneral |
| Fundraising | 11959 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 52680 | Total |
| Program Services | 47410 | ProgramServices |
| Management And General | 1055 | ManagementAndGeneral |
| Fundraising | 4215 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2956 | Total |
| Management And General | 2956 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14366 | Total |
| Program Services | 13611 | ProgramServices |
| Management And General | 755 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8626 | Total |
| Program Services | 8626 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4133 | Total |
| Program Services | 3711 | ProgramServices |
| Management And General | 211 | ManagementAndGeneral |
| Fundraising | 211 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3646 | Total |
| Program Services | 2191 | ProgramServices |
| Management And General | 1286 | ManagementAndGeneral |
| Fundraising | 169 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 54188 | Total |
| Program Services | 48770 | ProgramServices |
| Management And General | 2709 | ManagementAndGeneral |
| Fundraising | 2709 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 816 | Total |
| Program Services | 816 | ProgramServices |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 717 | Total |
| Program Services | 426 | ProgramServices |
| Management And General | 291 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9 | Total |
| Management And General | 9 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9072 | Total |
| Program Services | 8164 | ProgramServices |
| Management And General | 454 | ManagementAndGeneral |
| Fundraising | 454 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9508 | Total |
| Program Services | 6194 | ProgramServices |
| Management And General | 3314 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| EQUIPMENT | 10766 | 9740 | 513 | 513 |
| ADMIN & OTHER SUPPLIES | 4319 | 3887 | 216 | 216 |
| VOLUNTEER EXPENSES | 4112 | 4112 | ||
| MEDICAL SUPPLIES | 2741 | 2741 | ||
| MISCELLANEOUS | 1394 | 1254 | 70 | 70 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3560 | Total |
| Program Services | 1475 | ProgramServices |
| Management And General | 1322 | ManagementAndGeneral |
| Fundraising | 763 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 441903 | Total |
| Program Services | 392425 | ProgramServices |
| Management And General | 21021 | ManagementAndGeneral |
| Fundraising | 28457 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 106161 | BOY |
| EOY | 139345 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6933 | BOY |
| EOY | 10500 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 38981 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 12150 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19091 | BOY |
| EOY | 26831 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6737 | BOY |
| EOY | 7562 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 138922 | BOY |
| EOY | 184238 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4524 | BOY |
| EOY | 12467 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4524 | BOY |
| EOY | 12467 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 126006 | BOY |
| EOY | 124271 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8392 | BOY |
| EOY | 47500 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 134398 | BOY |
| EOY | 171771 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 138922 | BOY |
| EOY | 184238 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 37356 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 17 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 0 | FSAudited |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
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 Minus2 Years | 190825 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 342806 | CurrentTaxYearMinus1Year |
| Current Tax Year | 691672 | CurrentTaxYear |
| Total | 1225303 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 190825 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 342806 | CurrentTaxYearMinus1Year |
| Current Tax Year | 691672 | CurrentTaxYear |
| Total | 1225303 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 300001 | AmountsSubstContributorsTotal |
| Public Support Total170 | 925302 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 3 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 304 | CurrentTaxYearMinus1Year |
| Current Tax Year | 40 | CurrentTaxYear |
| Total | 347 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | 976 | CurrentTaxYearMinus1Year |
| Current Tax Year | 324 | CurrentTaxYear |
| Total | 1300 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 1226950 | TotalSupport |
| First5 Years170 | X | First5Years170 |
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) |
|---|---|---|
| Investment Cost Or Other Basis | 22170 | InvestmentCostOrOtherBasis |
| Depreciation | 10469 | Depreciation |
| Book Value | 11701 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 16811 | InvestmentCostOrOtherBasis |
| Depreciation | 1681 | Depreciation |
| Book Value | 15130 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 26831 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| OTHER CURRENT LIABILITIES | $2,580 |
| ACCRUED VACATION | $9,887 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 12467 | TotalOfAmounts |
| Total Revenue | 479259 | TotalRevenue |
| Total Expenses | 441903 | TotalExpenses |
| Excess Or Deficit For Year | 37356 | ExcessOrDeficitForYear |
| Prior Period Adjustments | 17 | PriorPeriodAdjustments |
| Total Adjustments | 17 | TotalAdjustments |
| Excess Or Deficit Per FS | 37373 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 692036 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 212777 | OtherRevenues |
| Revenue Not Rptd F990 | 212777 | RevenueNotRptdF990 |
| Revenue Subtotal | 479259 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 479259 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 654680 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 212777 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 212777 | ExpensesNotRptdF990 |
| Expenses Subtotal | 441903 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 441903 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | IN-KIND INCOME 212,777. |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | IN-KIND EXPENSES 212,777. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | SCOMA'S | NameOfEvent1 |
| Gross Receipts Event1 | 8800 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 7920 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 880 | GrossRevenueEvent1 |
| Name Of Event2 | BELIEVE IT | NameOfEvent2 |
| Gross Receipts Event2 | 69930 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 59530 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 10400 | GrossRevenueEvent2 |
| Gross Receipts Total | 78730 | GrossReceiptsTotal |
| Charitable Contributions Total | 67450 | CharitableContributionsTotal |
| Gross Revenue Total Events | 11280 | GrossRevenueTotalEvents |
| Net Income Summary | 11280 | NetIncomeSummary |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | PRIMARY CARE MEDICAL SERVICES FOR UNINSURED ADULTS | TypeOfGrant |
| Number Of Recipients | 275 | NumberOfRecipients |
| Amount Of Non Cash Assistance | 116878 | AmountOfNonCashAssistance |
| Method Of Valuation | FMV | MethodOfValuation |
| Description Of Non Cash Assistance | PRIMARY CARE OFFICE VISITS, DIAGNOSTIC AND ANCILLARY SERVICES (RADIOLOGY & LAB). FMV BASED UPON MEDICARE LEVEL 4 & 5 RATES + COSTS OF LAB & RADIOLOGY SERVICES | DescriptionOfNonCashAssistance |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: ELIGIBILITY CRITERIA FOR PRIMARY CARE MEDICAL SERVICES: CLINIC BY THE BAY 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. | Explanation |
Schedule M IRS990ScheduleM
Securities Prtnrshp Trust Intrsts SecuritiesPrtnrshpTrustIntrsts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 3 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 56338 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV AT TRANSFER DATE | MethodOfDeterminingRevenues |
Drugs And Medical Supplies DrugsAndMedicalSupplies
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 7 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 16454 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
Other Non Cash Contributions Table OtherNonCashContributionsTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Description | 4 LAPTOPS, 1 PC, 1 SCANNER, DONOR WALL | Description |
| Number Of Contributions | 2 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 7193 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of8283 Received | 0 | NumberOf8283Received |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 1 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Form990 Schedule M Part II Form990ScheduleMPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | NON REPORTING OF REVENUE: | Identifier |
| Return Reference | PART I, LINE 33: | ReturnReference |
| Explanation | DONATION OF SERVICES WERE NOT INCLUDED IN REVENUES. VOLUNTEERS IN MEDICINE - SAN FRANCISCO IS COMMITTED TO CREATING MEANINGFUL OPPORTUNITIES FOR CIVIC ENGAGEMENT AND AS SUCH, DONATED PROFESSIONALS SERVICES AND GOODS ARE CORE TO OUR OPERATIONS. DURING FISCAL YEAR 2010 - 2011, VOLUNTEER PHYSICIANS, NURSES, NURSE PRACTITIONERS, RECEPTIONISTS, INTERPRETERS AND OTHER DEDICATED COMMUNITY MEMBERS DONATED 3,852 HOURS IN SERVICES TO PROVIDE FREE HEALTH CARE TO LOW-INCOME WORKING UNINSURED ADULTS. THESE HOURS ARE VALUED AT $139,279. ADDITIONALLY, NEEDED ANCILLARY SERVICES (LAB AND RADIOLOGY) WERE DONATED, VALUED AT $23,212, AS WELL AS MEDICAL SUPPLIES ($5,825), MEDICATIONS ($5,243), AND MEDICAL EQUIPMENT ($5,388). THE OTHER LARGEST AREA OF DONATED SERVICES FOR THE ORGANIZATION IS IN THE AREA OF COMMUNITY OUTREACH AND PUBLIC RELATIONS, INCLUDING DONATED VIDEO PRODUCTION AND DONOR WALL DESIGN AND PRODUCTION ($14,852). ADDITIONAL MISCELLANEOUS GOODS AND SERVICES DONATED ARE VALUED AT $18,975 RESULTING IN A CUMULATIVE TOTAL OF $212,777 OF SERVICES DONATED TO VOLUNTEERS IN MEDICINE - SAN FRANCISCO DURING FISCAL YEAR 2010-2011. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE ORGANIZATION ENGAGED A PROFESSIONAL CPA FIRM TO PREPARE THE FORM 990, WHICH IS CLOSELY REVIEWED BY THE EXECUTIVE DIRECTOR. AN ELECTRONIC VERSION IS SUBMITTED TO ALL BOARD MEMBERS FOR COMMENT BEFORE FILING. | |
| ALL MEMBERS OF THE GOVERNING BOARD ARE REQUIRED TO REFRAIN FROM ENGAGING IN TRANSACTIONS THAT PRESENT A CONFLICT TO THE ORGANIZATION, AND MUST (AT LEAST ANNUALLY), PROVIDE A WRITTEN STATEMENT TO THE BOARD THAT NO SUCH CONFLICTS EXIST. | FORM 990, PART VI, SECTION B, LINE 12C | |
| 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, SECTION B, LINE 15A | |
| TAX RETURNS, CREATION AND GOVERNING DOCUMENTS ARE AVAILALBE UPON WRITTEN REQUEST. | FORM 990, PART VI, SECTION C, LINE 19 | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | PRIOR PERIOD ADJUSTMENTS: 17. | FORM 990, PART XI, LINE 5: |
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