VENICE FAMILY CLINIC FOUNDATION: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
VENICE FAMILY CLINIC FOUNDATION (EIN 27-3484548)
Tax period
2021-07-01 to 2022-06-30
Filed
2023-05-04
IRS object ID
202341249349302964
Schema version
2021v4.2
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

FieldValueIRS element (for citing)
Return2023-05-04T17:37:08-05:00ReturnTs
Tax Period End2022-06-30TaxPeriodEndDt

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 SOUTH FLOWER STREET SUITE 3300AddressLine1Txt
CityLOS ANGELESCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90017ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-07-01TaxPeriodBeginDt

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
Signature2023-05-01SignatureDt
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

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLIZBETH G NEVAREZPreparerPersonNm
PTINP01399868PTIN
Phone3108731600PhoneNum
Preparation2023-05-01PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
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$4,809,562GrossReceiptsAmt
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 Body33VotingMembersGoverningBodyCnt
Voting Members Independent33VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers39TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$6,197,868PYContributionsGrantsAmt
CY Contributions Grants$4,269,648CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$8,001PYInvestmentIncomeAmt
CY Investment Income$3,803CYInvestmentIncomeAmt
PY Other Revenue-$288,010PYOtherRevenueAmt
CY Other Revenue$193,435CYOtherRevenueAmt
PY Total Revenue$5,917,859PYTotalRevenueAmt
CY Total Revenue$4,466,886CYTotalRevenueAmt
PY Grants And Similar Paid$2,500,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$3,000,000CYGrantsAndSimilarPaidAmt
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$67,497CYTotalFundraisingExpenseAmt
PY Other Expenses$211,361PYOtherExpensesAmt
CY Other Expenses$73,684CYOtherExpensesAmt
PY Total Expenses$2,711,361PYTotalExpensesAmt
CY Total Expenses$3,073,684CYTotalExpensesAmt
PY Revenues Less Expenses$3,206,498PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,393,202CYRevenuesLessExpensesAmt
Total Assets BOY$11,082,153TotalAssetsBOYAmt
Total Assets EOY$10,283,231TotalAssetsEOYAmt
Total Liabilities BOY$2,212,500TotalLiabilitiesBOYAmt
Total Liabilities EOY$20,376TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$8,869,653NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$10,262,855NetAssetsOrFundBalancesEOYAmt
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
Expense$3,000,000ExpenseAmt
Grant$3,000,000GrantAmt
DescSUPPORTING THE EFFORTS OF THE VENICE FAMILY CLINIC.Desc
Total Program Service Expenses$3,000,000TotalProgramServiceExpensesAmt
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 AssetsYes (1)ReportOtherAssetsInd
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 OrganizationsYes (1)GrantsToOrganizationsInd
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 Members33GoverningBodyVotingMembersCnt
Independent Voting Member33IndependentVotingMemberCnt
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 (35 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
JOAN E HERMAN
CHAIR2.002.00Yes (X)Yes (X)$0$0$0
FRANK MATRICARDI DR PH
TREASURER2.000.00Yes (X)Yes (X)$0$0$0
FERN SEIZER
SECRETARY2.002.00Yes (X)Yes (X)$0$0$0
CAROL L ARCHIE MD
BOARD MEMBER2.000.00Yes (X)$0$0$0
JOANNE BOURNE
BOARD MEMBER2.000.00Yes (X)$0$0$0
LOWELL C BROWN ESQ
BOARD MEMBER2.000.00Yes (X)$0$0$0
SCOTT F BURNS
BOARD MEMBER2.000.00Yes (X)$0$0$0
MAYER B DAVIDSON MD
BOARD MEMBER2.002.00Yes (X)$0$0$0
SUSAN FLEISCHMAN MD
BOARD MEMBER2.002.00Yes (X)$0$0$0
WILLIAM FLUMENBAUM
BOARD MEMBER2.002.00Yes (X)$0$0$0
MARK R GAVENS
BOARD MEMBER2.002.00Yes (X)$0$0$0
JOHN R GERESI
BOARD MEMBER2.002.00Yes (X)$0$0$0
CHESTER F GRIFFITHS MD
BOARD MEMBER2.000.00Yes (X)$0$0$0
JIMMY H HARA MD
BOARD MEMBER2.000.00Yes (X)$0$0$0
JOY O HIGA
BOARD MEMBER2.000.00Yes (X)$0$0$0
HENRY A HORTON
BOARD MEMBER2.000.00Yes (X)$0$0$0
BARSAM KASRAVI MD MBA MPH
BOARD MEMBER2.000.00Yes (X)$0$0$0
DEBORAH LAUB
BOARD MEMBER2.000.00Yes (X)$0$0$0
BRYAN LEWITT
BOARD MEMBER2.000.00Yes (X)$0$0$0
HARLEY LIKER MD MBA
BOARD MEMBER2.000.00Yes (X)$0$0$0
TRACEY LOEB
BOARD MEMBER2.000.00Yes (X)$0$0$0
VIREN MEHTA
BOARD MEMBER2.000.00Yes (X)$0$0$0
WENDY SMITH MEYER PHD LCSW
BOARD MEMBER2.000.00Yes (X)$0$0$0
ETAN CHAIM MILGROM MD MS
BOARD MEMBER2.000.00Yes (X)$0$0$0
WILLIAM D PARENTE
BOARD MEMBER2.000.00Yes (X)$0$0$0
NEIL H PARKER MD
BOARD MEMBER2.002.00Yes (X)$0$0$0
ANDREW J RITTER
BOARD MEMBER2.000.00Yes (X)$0$0$0
ALAN SIEROTY
BOARD MEMBER2.000.00Yes (X)$0$0$0
JEFFREY E SINAIKO
BOARD MEMBER2.002.00Yes (X)$0$0$0
JOHNESE SPISSO MPA
BOARD MEMBER2.000.00Yes (X)$0$0$0
SUSAN TICK
BOARD MEMBER2.000.00Yes (X)$0$0$0
RUSSEL TYNER AIA
BOARD MEMBER2.000.00Yes (X)$0$0$0
MICHAEL S WILKES MD PHD
BOARD MEMBER2.000.00Yes (X)$0$0$0
ELIZABETH B FORER
CHIEF EXECUTIVE OFFICER1.0040.00Yes (X)$0$308,359$93,901
ANDREA B BLACKBIRD
CHIEF FINANCIAL OFFICER1.0040.00Yes (X)$0$241,991$75,431
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$550,350TotReportableCompRltdOrgAmt
Total Other Compensation$169,332TotalOtherCompensationAmt
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$132,129FundraisingAmt
All Other Contributions$4,137,519AllOtherContributionsAmt
Noncash Contributions$184,834NoncashContributionsAmt
Total Contributions$4,269,648TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,320TotalRevenueColumnAmt
Exclusion$3,320ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$483SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$483SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$483TotalRevenueColumnAmt
Exclusion$483ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$536,111FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$132,129ContriRptFundraisingEventAmt
Fundraising Direct Expenses$342,676FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$193,435TotalRevenueColumnAmt
Exclusion$193,435ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,466,886TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$197,238ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$3,000,000TotalAmt
Program Services$3,000,000ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$3,250TotalAmt
Management And General$3,250ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$35TotalAmt
Management And General$35ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,300TotalAmt
Fundraising$3,300FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$11,786TotalAmt
Fundraising$11,786FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$34,129TotalAmt
Fundraising$34,129FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$19TotalAmt
Fundraising$19FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,502TotalAmt
Management And General$2,502ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
LICENSES, FEES, AND DUE$18,147$400$17,747
EQUIPMENT LEASES & RENT$516$0$516

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$3,073,684TotalAmt
Program Services$3,000,000ProgramServicesAmt
Management And General$6,187ManagementAndGeneralAmt
Fundraising$67,497FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,388,055BOYAmt
EOY$1,040,501EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$9,616,145BOYAmt
EOY$8,085,686EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$11,334BOYAmt
EOY$2,500EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$65,875BOYAmt
EOY$45,895EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$744BOYAmt
EOY$879EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$1,107,770EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$11,082,153BOYAmt
EOY$10,283,231EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$21,902BOYAmt
EOY$20,376EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,190,598BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,212,500BOYAmt
EOY$20,376EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$8,869,653BOYAmt
EOY$10,262,855EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,869,653BOYAmt
EOY$10,262,855EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$11,082,153BOYAmt
EOY$10,283,231EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,393,202ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
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$1,857,144CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,322,937CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,693,715CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,197,868CurrentTaxYearMinus1YearAmt
Current Tax Year$4,269,648CurrentTaxYearAmt
Total$21,341,312TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,857,144CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,322,937CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,693,715CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,197,868CurrentTaxYearMinus1YearAmt
Current Tax Year$4,269,648CurrentTaxYearAmt
Total$21,341,312TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$2,793,973SubstantialContributorsTotAmt
Public Support Total170$18,547,339PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$8,460CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$33,742CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,263CurrentTaxYearMinus1YearAmt
Current Tax Year$3,320CurrentTaxYearAmt
Total$50,785TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$40,710CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$191,437CurrentTaxYearMinus2YearsAmt
Current Tax Year$193,435CurrentTaxYearAmt
Total$425,582TotalAmt
FieldValueIRS element (for citing)
Total Support$21,817,679TotalSupportAmt
Public Support CY1700.85010PublicSupportCY170Pct
Public Support PY1700.85570PublicSupportPY170Pct
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

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescRECEIVABLE FROM VENICE FAMILY CLINICDesc
Book Value$1,107,770BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$1,107,770TotalBookValueOtherAssetsAmt
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, 2022, 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$668,240GrossReceiptsEvent1Amt
Charitable Contri Event1$132,129CharitableContriEvent1Amt
Gross Revenue Event1$536,111GrossRevenueEvent1Amt
Other Direct Expenses Event1$342,676OtherDirectExpensesEvent1Amt
Gross Receipts Total$668,240GrossReceiptsTotalAmt
Charitable Contributions Tot$132,129CharitableContributionsTotAmt
Gross Revenue Total Events$536,111GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$342,676OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$342,676DirectExpenseSummaryEventsAmt
Net Income Summary$193,435NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

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)
Recipient EIN952769432RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$3,000,000CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Purpose Of GrantTO SUPPORT OPERATING ACTIVITIES OF THE VENICE FAMILY CLINIC.PurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION PROVIDES SUPPORT TO THE VENICE FAMILY CLINIC, WHICH IS A PUBLIC CHARITY THAT THE VENICE FAMILY CLINIC FOUNDATION IS CLOSELY ASSOCIATED WITH.ExplanationTxt

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$0$308,359$0$0$0$0$0$51,808$0$42,093$0$402,260$0$0
ANDREA B BLACKBIRD
CHIEF FINANCIAL OFFICER$0$241,991$0$0$0$0$0$41,618$0$33,813$0$317,422$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE J, PART IIFormAndLineReferenceDesc
ExplanationOFFICERS ELIZABETH B. FORER AND ANDREA B. BLACKBIRD 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$184,834NoncashContributionsRptF990Amt
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 (5 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 AND ANDREA B. BLACKBIRD 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.

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 OrgYes (1)GiftGrntOrCapContriToOthOrgInd
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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