VENICE FAMILY CLINIC FOUNDATION: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
VENICE FAMILY CLINIC FOUNDATION (EIN 27-3484548)
Tax period
2022-07-01 to 2023-06-30
Filed
2024-05-15
IRS object ID
202421369349306602
Schema version
2022v5.0
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)
Return2024-05-15T10:57:30-05:00ReturnTs
Tax Period End2023-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN951777440PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1GREEN HASSON & JANKS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1700 S FLOWER STREET SUITE 3300AddressLine1Txt
CityLOS ANGELESCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90017ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN273484548EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1VENICE FAMILY CLINIC FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlVENIBusinessNameControlTxt
Phone3103928630PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1604 ROSE AVENUEAddressLine1Txt
CityVENICECityNm
State AbbreviationCAStateAbbreviationCd
ZIP90291ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMITESH POPATPersonNm
Person TitleCEOPersonTitleTxt
Phone3103928630PhoneNum
Signature2024-03-21SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMITESHPersonFirstNm
Person LastPOPATPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLIZBETH G NEVAREZPreparerPersonNm
PTINP01399868PTIN
Phone3108731600PhoneNum
Preparation2024-03-21PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMITESH POPATPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1604 ROSE AVENUEAddressLine1Txt
CityVENICECityNm
State AbbreviationCAStateAbbreviationCd
ZIP90291ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$4,190,003GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTP://WWW.VENICEFAMILYCLINIC.ORG/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2010FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTO SUPPORT THE MISSION OF THE VENICE FAMILY CLINIC, TO PROVIDE QUALITY PRIMARY HEALTHCARE TO PEOPLE IN NEED.ActivityOrMissionDesc
Voting Members Governing Body34VotingMembersGoverningBodyCnt
Voting Members Independent34VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers35TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,269,648PYContributionsGrantsAmt
CY Contributions Grants$3,516,452CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$3,803PYInvestmentIncomeAmt
CY Investment Income$212,345CYInvestmentIncomeAmt
PY Other Revenue$193,435PYOtherRevenueAmt
CY Other Revenue$72,710CYOtherRevenueAmt
PY Total Revenue$4,466,886PYTotalRevenueAmt
CY Total Revenue$3,801,507CYTotalRevenueAmt
PY Grants And Similar Paid$3,000,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$355,563CYTotalFundraisingExpenseAmt
PY Other Expenses$73,684PYOtherExpensesAmt
CY Other Expenses$366,551CYOtherExpensesAmt
PY Total Expenses$3,073,684PYTotalExpensesAmt
CY Total Expenses$366,551CYTotalExpensesAmt
PY Revenues Less Expenses$1,393,202PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,434,956CYRevenuesLessExpensesAmt
Total Assets BOY$10,283,231TotalAssetsBOYAmt
Total Assets EOY$13,755,252TotalAssetsEOYAmt
Total Liabilities BOY$20,376TotalLiabilitiesBOYAmt
Total Liabilities EOY$12,284TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$10,262,855NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$13,742,968NetAssetsOrFundBalancesEOYAmt
MissionTHE FOUNDATION'S SPECIFIC PURPOSE IS TO SUPPORT THE MISSION OF THE VENICE FAMILY CLINIC, TO PROVIDE QUALITY PRIMARY HEALTHCARE TO PEOPLE IN NEED.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
DescSUPPORTING THE EFFORTS OF THE VENICE FAMILY CLINIC.Desc
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members34GoverningBodyVotingMembersCnt
Independent Voting Member34IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ANDREA BLACKBIRDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3106647941PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1604 ROSE AVENUEAddressLine1Txt
CityVENICECityNm
State AbbreviationCAStateAbbreviationCd
ZIP90291ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (38 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
ELIZABETH B FORER
CHIEF EXECUTIVE OFFICER (LEFT 12/22)1.0040.00Yes (X)$0$318,948$94,572
ANDREA B BLACKBIRD
CHIEF FINANCIAL OFFICER1.0040.00Yes (X)$0$254,161$76,788
MITESH POPAT
CHIEF EXECUTIVE OFFICER (AS OF 12/22)1.0040.00Yes (X)$0$1,724$554
JOAN E HERMAN
CHAIR2.002.00Yes (X)$0$0$0Yes (X)
MARK GAVENS
CHAIR ELECT2.002.00Yes (X)$0$0$0Yes (X)
FRANK MATRICARDI DR PH
TREASURER2.000.00Yes (X)$0$0$0Yes (X)
FERN SEIZER
SECRETARY2.000.00Yes (X)$0$0$0Yes (X)
CAROL L ARCHIE MD
BOARD MEMBER2.000.00$0$0$0Yes (X)
JOANNE BOURNE
BOARD MEMBER2.002.00$0$0$0Yes (X)
LOWELL C BROWN ESQ
BOARD MEMBER2.000.00$0$0$0Yes (X)
SCOTT F BURNS
BOARD MEMBER2.000.00$0$0$0Yes (X)
MAYER B DAVIDSON MD
BOARD MEMBER2.002.00$0$0$0Yes (X)
SUSAN FLEISCHMAN MD
BOARD MEMBER2.002.00$0$0$0Yes (X)
WILLIAM FLUMENBAUM
BOARD MEMBER2.000.00$0$0$0Yes (X)
MARK R GAVENS
BOARD MEMBER2.000.00$0$0$0Yes (X)
JOHN R GERESI
BOARD MEMBER2.002.00$0$0$0Yes (X)
CHESTER F GRIFFITHS MD
BOARD MEMBER2.000.00$0$0$0Yes (X)
ALLAN GORDON
BOARD MEMBER2.002.00$0$0$0Yes (X)
ELLEN GORDON
BOARD MEMBER2.000.00$0$0$0Yes (X)
JIMMY H HARA MD
BOARD MEMBER2.000.00$0$0$0Yes (X)
JOY O HIGA
BOARD MEMBER2.000.00$0$0$0Yes (X)
HENRY A HORTON
BOARD MEMBER2.000.00$0$0$0Yes (X)
BARSAM KASRAVI MD MBA MPH
BOARD MEMBER2.000.00$0$0$0Yes (X)
DEBORAH LAUB
BOARD MEMBER2.000.00$0$0$0Yes (X)
BRYAN LEWITT
BOARD MEMBER2.000.00$0$0$0Yes (X)
HARLEY LIKER MD MBA
BOARD MEMBER2.000.00$0$0$0Yes (X)
TRACEY LOEB
BOARD MEMBER (LEFT 6/23)2.000.00$0$0$0Yes (X)
VIREN MEHTA
BOARD MEMBER2.000.00$0$0$0Yes (X)
WENDY SMITH MEYER PHD LCSW
BOARD MEMBER2.000.00$0$0$0Yes (X)
ETAN CHAIM MILGROM MD MS
BOARD MEMBER2.000.00$0$0$0Yes (X)
WILLIAM D PARENTE
BOARD MEMBER2.000.00$0$0$0Yes (X)
NEIL H PARKER MD
BOARD MEMBER2.002.00$0$0$0Yes (X)
JEFFREY E SINAIKO
BOARD MEMBER2.002.00$0$0$0Yes (X)
JOHNESE SPISSO MPA
BOARD MEMBER2.000.00$0$0$0Yes (X)
SUSAN TICK
BOARD MEMBER2.000.00$0$0$0Yes (X)
ERIC STERN
BOARD MEMBER2.000.00$0$0$0Yes (X)
RUSSEL TYNER AIA
BOARD MEMBER2.000.00$0$0$0Yes (X)
MICHAEL S WILKES MD PHD
BOARD MEMBER2.000.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$574,833TotReportableCompRltdOrgAmt
Total Other Compensation$171,914TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$104,318FundraisingAmt
All Other Contributions$3,412,134AllOtherContributionsAmt
Noncash Contributions$39,799NoncashContributionsAmt
Total Contributions$3,516,452TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$212,345TotalRevenueColumnAmt
Exclusion$212,345ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$461,206FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$104,318ContriRptFundraisingEventAmt
Fundraising Direct Expenses$388,496FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$72,710TotalRevenueColumnAmt
Exclusion$72,710ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,801,507TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$285,055ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$3,500TotalAmt
Management And General$3,500ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$88,711TotalAmt
Management And General$2,875ManagementAndGeneralAmt
Fundraising$85,836FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$69,019TotalAmt
Management And General$385ManagementAndGeneralAmt
Fundraising$68,634FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,253TotalAmt
Fundraising$2,253FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$879TotalAmt
Management And General$879ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
SPECIAL EVENTS$174,962$3,149$171,813
LICENSES, FEES, AND DUE$26,862$200$26,662
EQUIPMENT LEASES & RENT$365$365

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$366,551TotalAmt
Program Services$0ProgramServicesAmt
Management And General$10,988ManagementAndGeneralAmt
Fundraising$355,563FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,040,501BOYAmt
EOY$298,875EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$8,085,686BOYAmt
EOY$13,259,979EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,500BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$45,895BOYAmt
EOY$74,719EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$879BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,107,770BOYAmt
EOY$121,679EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$10,283,231BOYAmt
EOY$13,755,252EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$20,376BOYAmt
EOY$12,284EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$20,376BOYAmt
EOY$12,284EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$10,262,855BOYAmt
EOY$13,742,968EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,262,855BOYAmt
EOY$13,742,968EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,283,231BOYAmt
EOY$13,755,252EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$3,434,956ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$45,157NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

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$3,322,937CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,693,715CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,197,868CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,269,648CurrentTaxYearMinus1YearAmt
Current Tax Year$3,516,452CurrentTaxYearAmt
Total$23,000,620TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,322,937CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,693,715CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,197,868CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,269,648CurrentTaxYearMinus1YearAmt
Current Tax Year$3,516,452CurrentTaxYearAmt
Total$23,000,620TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$2,757,277SubstantialContributorsTotAmt
Public Support Total170$20,243,343PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,460CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$33,742CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,263CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,320CurrentTaxYearMinus1YearAmt
Current Tax Year$212,345CurrentTaxYearAmt
Total$263,130TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$40,710CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$191,437CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus1 Year$193,435CurrentTaxYearMinus1YearAmt
Current Tax Year$72,710CurrentTaxYearAmt
Total$498,292TotalAmt
FieldValueIRS element (for citing)
Total Support$23,762,042TotalSupportAmt
Public Support CY1700.85190PublicSupportCY170Pct
Public Support PY1700.85010PublicSupportPY170Pct
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

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE VENICE FAMILY CLINIC FOUNDATION RECOGNIZES THE IMPACT OF TAX POSITIONS IN THE CONSOLIDATED FINANCIAL STATEMENTS IF THAT POSITION IS MORE LIKELY THAN NOT TO BE SUSTAINED ON AUDIT, BASED ON THE TECHNICAL MERITS OF THE POSITION. DURING THE YEAR ENDED JUNE 30, 2023, THE VENICE FAMILY CLINIC FOUNDATION PERFORMED AN EVALUATION OF UNCERTAIN TAX POSITIONS AND DID NOT IDENTIFY ANY MATTERS THAT WOULD REQUIRE RECOGNITION IN THE CONSOLIDATED FINANCIAL STATEMENTS OR WHICH MIGHT HAVE AN EFFECT ON ITS TAX-EXEMPT STATUS.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1ART WALKEvent1Nm
Gross Receipts Event1$565,524GrossReceiptsEvent1Amt
Charitable Contri Event1$104,318CharitableContriEvent1Amt
Gross Revenue Event1$461,206GrossRevenueEvent1Amt
Rent Facility Costs Event1$26,261RentFacilityCostsEvent1Amt
Food And Beverage Event1$26,435FoodAndBeverageEvent1Amt
Entertainment Event1$2,425EntertainmentEvent1Amt
Other Direct Expenses Event1$333,375OtherDirectExpensesEvent1Amt
Gross Receipts Total$565,524GrossReceiptsTotalAmt
Charitable Contributions Tot$104,318CharitableContributionsTotAmt
Gross Revenue Total Events$461,206GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$26,261RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$26,435FoodAndBeverageTotalEventsAmt
Entertainment Total Events$2,425EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$333,375OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$388,496DirectExpenseSummaryEventsAmt
Net Income Summary$72,710NetIncomeSummaryAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ELIZABETH B FORER
CHIEF EXECUTIVE OFFICER (LEFT 12/22)$0$318,948$0$0$0$0$0$49,743$0$44,829$0$413,520$0$0
ANDREA B BLACKBIRD
CHIEF FINANCIAL OFFICER$0$254,161$0$0$0$0$0$40,389$0$36,399$0$330,949$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE J, PART IIFormAndLineReferenceDesc
ExplanationOFFICERS ELIZABETH B. FORER, ANDREA B. BLACKBIRD, AND MITESH POPAT ARE COMPENSATED BY THE RELATED ENTITY VENICE FAMILY CLINIC (VFC). THE BOARD HIRES, OVERSEES, AND ANNUALLY EVALUATES THE PERFORMANCE AND COMPENSATION OF THE CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION INDEPENDENTLY. THE CFO & OTHER KEY EMPLOYEES' COMPENSATION IS BASED UPON SKILL SET & MARKET RATE.ExplanationTxt

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution5ContributionCnt
Noncash Contributions Rpt F990$39,799NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, COLUMN (B):FormAndLineReferenceDesc
ExplanationNONCASH DONATIONS ARE LISTED BY TOTAL NUMBER OF DONOR CONTRIBUTORS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 8BTHIS QUESTION IS NOT APPLICABLE AS THE ORGANIZATION DOES NOT HAVE A COMMITTEE WITH THE AUTHORITY TO ACT ON BEHALF OF THE BOARD.
FORM 990, PART VI, SECTION B, LINE 11BTHE INFORMATIONAL RETURN IS PREPARED BY OUTSIDE ACCOUNTANTS AND IS REVIEWED BY THE AUDIT COMMITTEE. ONCE APPROVED BY THE AUDIT COMMITTEE, THE RETURN IS THEN REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS PRIOR TO ELECTRONIC FILING.
FORM 990, PART VI, SECTION B, LINE 12CANNUAL QUESTIONNAIRES ARE GIVEN TO BOARD MEMBERS TO DISCLOSE ANY CONFLICTS. IF A CONFLICT IS DISCLOSED IN THE ANNUAL QUESTIONNAIRE, THE INDIVIDUAL WILL BE ASKED TO RECUSE THEMSELVES FROM ANY CONVERSATIONS PERTAINING TO THIS CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15OFFICERS ELIZABETH B. FORER ,ANDREA B. BLACKBIRD, AND MITESH POPAT ARE COMPENSATED BY THE RELATED ENTITY VENICE FAMILY CLINIC (VFC). THE BOARD HIRES, OVERSEES, AND ANNUALLY EVALUATES THE PERFORMANCE AND COMPENSATION OF THE CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION INDEPENDENTLY, WITH THE CEO'S PARTICIPATION. THE CFO & OTHER KEY EMPLOYEES' COMPENSATION IS BASED UPON SKILL SET & MARKET RATE.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11GOTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,875. FUNDRAISING EXPENSES 85,836. TOTAL EXPENSES 88,711.
FORM 990, PART XII, LINE 2C:NO PROCESSES HAVE CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1VENICE FAMILY CLINICBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1604 ROSE AVENUEAddressLine1Txt
CityVENICECityNm
State AbbreviationCAStateAbbreviationCd
ZIP90291ZIPCd
FieldValueIRS element (for citing)
EIN952769432EIN
Primary ActivitiesHEALTH CAREPrimaryActivitiesTxt
Legal Domicile StateCALegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 7PublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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