VENICE FAMILY CLINIC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- VENICE FAMILY CLINIC (EIN 95-2769432)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-04-21
- IRS object ID
- 202241119349301414
- Schema version
- 2020v4.2
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-04-21T17:15:29-05:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 951777440 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GREEN HASSON & JANKS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 700 SOUTH FLOWER STREET SUITE 3300 | AddressLine1Txt |
| City | LOS ANGELES | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90017 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 952769432 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VENICE FAMILY CLINIC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | VENI | BusinessNameControlTxt |
| Phone | 3103928630 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 604 ROSE AVENUE | AddressLine1Txt |
| City | VENICE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90291 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ELIZABETH B FORER | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 3103928630 | PhoneNum |
| Signature | 2022-04-20 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | ELIZABETH | PersonFirstNm |
| Person Last | FORER | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LIZBETH G NEVAREZ | PreparerPersonNm |
| PTIN | P01399868 | PTIN |
| Phone | 3108731600 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ELIZABETH B FORER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 604 ROSE AVENUE | AddressLine1Txt |
| City | VENICE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90291 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $64,178,050 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTP://WWW.VENICEFAMILYCLINIC.ORG/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1970 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE QUALITY PRIMARY HEALTH CARE TO PEOPLE IN NEED. | ActivityOrMissionDesc |
| Voting Members Governing Body | 21 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 21 | VotingMembersIndependentCnt |
| Total Employee | 435 | TotalEmployeeCnt |
| Total Volunteers | 937 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $29,438,260 | PYContributionsGrantsAmt |
| CY Contributions Grants | $33,915,091 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $29,017,288 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $28,694,912 | CYProgramServiceRevenueAmt |
| PY Investment Income | $152,080 | PYInvestmentIncomeAmt |
| CY Investment Income | $587,327 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $58,607,628 | PYTotalRevenueAmt |
| CY Total Revenue | $63,197,330 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $44,128,618 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $44,121,563 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $2,678,932 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $12,828,003 | PYOtherExpensesAmt |
| CY Other Expenses | $15,586,703 | CYOtherExpensesAmt |
| PY Total Expenses | $56,956,621 | PYTotalExpensesAmt |
| CY Total Expenses | $59,708,266 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,651,007 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,489,064 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $47,529,034 | TotalAssetsBOYAmt |
| Total Assets EOY | $54,664,856 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $8,125,950 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $11,283,840 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $39,403,084 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $43,381,016 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE QUALITY PRIMARY HEALTH CARE TO PEOPLE IN NEED. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $49,815,243 | ExpenseAmt |
| Revenue | $28,694,912 | RevenueAmt |
| Desc | VFC SERVES AS A MEDICAL HOME, PROVIDING COORDINATED AND COMPREHENSIVE PRIMARY CARE, SPECIALTY CARE, AND ENABLING SERVICES FOR LOW-INCOME, UNINSURED, AND HOMELESS FAMILIES AND INDIVIDUALS. IT SERVES EVERYONE FROM INFANTS, CHILDREN, AND TEENS TO ADULTS AND SENIORS. VFC OFFERS A VARIETY OF SERVICES INCLUDING: MEDICAL PRIMARY AND SPECIALTY CARE, DENTAL, INTEGRATIVE MEDICINE, VISION SERVICES, PHARMACY, SUBSTANCE USE SERVICES, BEHAVIORAL HEALTH AND FOOD PROGRAMMING. VFC ALSO PROVIDES TREATMENT AND COUNSELING SERVICES TO HIV PATIENTS THROUGH ITS COMMON GROUND PROGRAM. VFC PROVIDES HEALTH CARE ON SIX DAYS AND FOUR EVENINGS PER WEEK. VFC'S PRIMARY SERVICE AREA INCLUDES VENICE, SANTA MONICA, PALMS, MAR VISTA, INGLEWOOD, CULVER CITY AND WEST LOS ANGELES, ALL IN LOS ANGELES COUNTY. | Desc |
| Total Program Service Expenses | $49,815,243 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | Yes (1) | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 72 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 435 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 21 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 21 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANDREA BLACKBIRD | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3106647941 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 604 ROSE AVENUE | AddressLine1Txt |
| City | VENICE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90291 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|---|
| ELIZABETH B FORER | |||||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | 1.00 | Yes (X) | $302,834 | $0 | $92,183 | |||
| DESPINA G KAYICHIAN | |||||||||
| CHIEF MEDICAL OFFICER | 40.00 | 0.00 | $298,700 | $0 | $97,550 | Yes (X) | |||
| KAREN C LAMP | |||||||||
| SENIOR PHYSICIAN | 38.00 | 0.00 | $260,985 | $0 | $82,316 | Yes (X) | |||
| MARGARITA LOEZA | |||||||||
| STAFF PHYSICIAN | 40.00 | 0.00 | $260,541 | $0 | $78,921 | Yes (X) | |||
| JOHN ARTHUR ROOHAN | |||||||||
| CLINICAL SITE DIRECTOR | 40.00 | 0.00 | $260,000 | $0 | $81,832 | Yes (X) | |||
| ANITA MARIA ZAMORA | |||||||||
| DEPUTY DIR/CHIEF OPERATIONS OFFICER | 40.00 | 0.00 | $243,000 | $0 | $77,101 | Yes (X) | |||
| COLEY MARVIN KING | |||||||||
| STAFF PHYSICIAN | 40.00 | 0.00 | $240,934 | $0 | $47,203 | Yes (X) | |||
| BLANCA ANDRES | |||||||||
| SENIOR PHYSICIAN | 40.00 | 0.00 | $240,621 | $0 | $77,228 | Yes (X) | |||
| NAVEENA PONNUSAMY | |||||||||
| CHIEF DEVELOPMENT OFFICER | 40.00 | 0.00 | $240,444 | $0 | $75,972 | Yes (X) | |||
| CHARLES Q HUYNH | |||||||||
| ASSOCIATE PHYSICIAN DIPLOMATE | 40.00 | 0.00 | $239,995 | $0 | $50,023 | Yes (X) | |||
| ANDREA B BLACKBIRD | |||||||||
| CHIEF FINANCIAL OFFICER | 40.00 | 1.00 | Yes (X) | $238,413 | $0 | $78,692 | |||
| GILMORE SEISOON CHUNG | |||||||||
| STAFF PHYSICIAN | 40.00 | 0.00 | $229,617 | $0 | $49,336 | Yes (X) | |||
| RIAN WELLINGTON RUTHERFORD | |||||||||
| CLINICAL SITE DIRECTOR | 40.00 | 0.00 | $228,657 | $0 | $46,118 | Yes (X) | |||
| SHARON NG | |||||||||
| DIRECTOR OF PHARMACY SVCS | 40.00 | 0.00 | $193,800 | $0 | $61,111 | Yes (X) | |||
| JASON VU HUA | |||||||||
| CHIEF INFORMATION OFFICER | 40.00 | 0.00 | $177,228 | $0 | $56,224 | Yes (X) | |||
| STACEY ANN SCARBOROUGH | |||||||||
| DIR. OF HUMAN RESOURCES & HEAD START | 40.00 | 0.00 | $172,536 | $0 | $56,069 | Yes (X) | |||
| JOAN HERMAN | |||||||||
| BOARD CHAIR | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| JOHN GERESI | |||||||||
| IMMEDIATE PAST BOARD CHAIR | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| JEFFREY E SINAIKO | |||||||||
| TREASURER | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| MICHAEL ST PIERRE | |||||||||
| SECRETARY | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| KEN BASCOM | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| OLGA CARRASCO | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| DIANA CARSOLA | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| MAYER B DAVIDSON MD | |||||||||
| BOARD MEMBER | 2.00 | 2.00 | $0 | $0 | $0 | Yes (X) | |||
| SYLVIA FIGUEROA | |||||||||
| BOARD MEMBER | 2.00 | 2.00 | $0 | $0 | $0 | Yes (X) | |||
| SUSAN FLEISCHMAN | |||||||||
| BOARD MEMBER | 2.00 | 2.00 | $0 | $0 | $0 | Yes (X) | |||
| WILLIAM FLUMENBAUM | |||||||||
| BOARD MEMBER | 2.00 | 2.00 | $0 | $0 | $0 | Yes (X) | |||
| MARK GAVENS | |||||||||
| BOARD MEMBER | 2.00 | 2.00 | $0 | $0 | $0 | Yes (X) | |||
| SHARON GELFAND | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| ALLAN GORDON | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| TARYN KEANE | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| CAROLINA MONGE | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| MITCH DEL MONICO | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| NEIL H PARKER MD | |||||||||
| BOARD MEMBER | 2.00 | 2.00 | $0 | $0 | $0 | Yes (X) | |||
| PATRICIA RAMIREZ | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| NADIA SHAHEEN | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| CARMEN THOMAS-PARIS | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,828,305 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,107,879 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 25 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| RANDSTAD US LP | |||||
| PO BOX 894217 | LOS ANGELES | CA | 90189 | STAFFING SERVICES | $552,375 |
| BROTHERS MAINTENANCE SERVICES | |||||
| PO BOX 3283 | WHITTIER | CA | 90605 | CLEANING SERVICE | $500,251 |
| PEOPLE 20 GLOBAL INC | |||||
| PO BOX 31001-1288 | PASADENA | CA | 91110 | STAFFING SERVICES | $280,892 |
| GIANT TECHNOLOGY | |||||
| 10366 CIRCULO DE JUAREZ | FOUNTAIN VALLEY | CA | 92708 | SQL PROGRAMMER | $128,400 |
| GREEN HASSON & JANKS LLP | |||||
| 700 S FLOWER STREET SUITE 3300 | LOS ANGELES | CA | 92129 | ACCOUNTING SERVICES | $105,100 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $2,500,000 | RelatedOrganizationsAmt |
| Government Grants | $17,227,792 | GovernmentGrantsAmt |
| All Other Contributions | $14,187,299 | AllOtherContributionsAmt |
| Noncash Contributions | $2,889,839 | NoncashContributionsAmt |
| Total Contributions | $33,915,091 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| THIRD PARTY REIMBURSEMENT | 621400 | $23,051,521 | $23,051,521 |
| MEDI-CAL PHARMACY | 900099 | $5,643,391 | $5,643,391 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $28,694,912 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $255,120 | TotalRevenueColumnAmt |
| Exclusion | $255,120 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,312,927 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $980,720 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $332,207 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $332,207 | TotalRevenueColumnAmt |
| Exclusion | $332,207 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $63,197,330 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $28,694,912 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $587,327 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,487,402 | TotalAmt |
| Program Services | $2,909,816 | ProgramServicesAmt |
| Management And General | $394,214 | ManagementAndGeneralAmt |
| Fundraising | $183,372 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,547,052 | TotalAmt |
| Program Services | $23,764,977 | ProgramServicesAmt |
| Management And General | $3,278,311 | ManagementAndGeneralAmt |
| Fundraising | $1,503,764 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,205,830 | TotalAmt |
| Program Services | $3,534,490 | ProgramServicesAmt |
| Management And General | $451,465 | ManagementAndGeneralAmt |
| Fundraising | $219,875 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,881,279 | TotalAmt |
| Program Services | $6,623,258 | ProgramServicesAmt |
| Management And General | $845,998 | ManagementAndGeneralAmt |
| Fundraising | $412,023 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,805 | TotalAmt |
| Management And General | $42,805 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,943 | TotalAmt |
| Management And General | $71,943 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $118,999 | TotalAmt |
| Management And General | $118,999 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,716,627 | TotalAmt |
| Program Services | $1,119,322 | ProgramServicesAmt |
| Management And General | $519,592 | ManagementAndGeneralAmt |
| Fundraising | $77,713 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,458 | TotalAmt |
| Program Services | $6,351 | ProgramServicesAmt |
| Management And General | $4,618 | ManagementAndGeneralAmt |
| Fundraising | $22,489 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,027,192 | TotalAmt |
| Program Services | $858,631 | ProgramServicesAmt |
| Management And General | $151,170 | ManagementAndGeneralAmt |
| Fundraising | $17,391 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,145,307 | TotalAmt |
| Program Services | $533,584 | ProgramServicesAmt |
| Management And General | $545,258 | ManagementAndGeneralAmt |
| Fundraising | $66,465 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,076,339 | TotalAmt |
| Program Services | $1,794,656 | ProgramServicesAmt |
| Management And General | $208,708 | ManagementAndGeneralAmt |
| Fundraising | $72,975 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,920 | TotalAmt |
| Program Services | $35,187 | ProgramServicesAmt |
| Management And General | $10,404 | ManagementAndGeneralAmt |
| Fundraising | $4,329 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,277 | TotalAmt |
| Program Services | $40,177 | ProgramServicesAmt |
| Management And General | $11,878 | ManagementAndGeneralAmt |
| Fundraising | $5,222 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,721 | TotalAmt |
| Management And General | $66,721 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $876,258 | TotalAmt |
| Program Services | $694,662 | ProgramServicesAmt |
| Management And General | $172,661 | ManagementAndGeneralAmt |
| Fundraising | $8,935 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $232,334 | TotalAmt |
| Program Services | $201,950 | ProgramServicesAmt |
| Management And General | $19,895 | ManagementAndGeneralAmt |
| Fundraising | $10,489 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PHARMACEUTICAL SUPPLIES | $2,395,300 | $2,395,300 | |
| PARTICIPANT SUPPLIES/AC | $2,311,476 | $2,309,049 | $2,427 |
| DONATED FOOD | $1,929,257 | $1,929,257 | |
| MED SUP & WASTE REMOVAL | $443,426 | $438,320 | $5,106 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $992,064 | TotalAmt |
| Program Services | $626,256 | ProgramServicesAmt |
| Management And General | $291,918 | ManagementAndGeneralAmt |
| Fundraising | $73,890 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,708,266 | TotalAmt |
| Program Services | $49,815,243 | ProgramServicesAmt |
| Management And General | $7,214,091 | ManagementAndGeneralAmt |
| Fundraising | $2,678,932 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,402 | BOYAmt |
| EOY | $1,402 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,706,071 | BOYAmt |
| EOY | $5,699,296 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,269,540 | BOYAmt |
| EOY | $12,389,942 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,377,654 | BOYAmt |
| EOY | $6,990,962 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $270,027 | BOYAmt |
| EOY | $271,857 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $260,870 | BOYAmt |
| EOY | $284,261 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $22,180,368 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $14,337,090 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,506,109 | BOYAmt |
| EOY | $7,843,278 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,984,274 | BOYAmt |
| EOY | $6,217,380 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,011,787 | BOYAmt |
| EOY | $12,616,587 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,141,300 | BOYAmt |
| EOY | $2,349,891 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,529,034 | BOYAmt |
| EOY | $54,664,856 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,453,850 | BOYAmt |
| EOY | $1,535,912 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $3,075,828 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,672,100 | BOYAmt |
| EOY | $6,672,100 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,125,950 | BOYAmt |
| EOY | $11,283,840 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,003,037 | BOYAmt |
| EOY | $23,500,388 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,400,047 | BOYAmt |
| EOY | $19,880,628 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,403,084 | BOYAmt |
| EOY | $43,381,016 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,529,034 | BOYAmt |
| EOY | $54,664,856 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $3,489,064 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $2,632,710 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | -$2,158,297 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $14,455 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $18,705,895 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $15,571,302 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $17,845,497 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $29,438,260 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $33,915,091 | CurrentTaxYearAmt |
| Total | $115,476,045 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $18,705,895 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $15,571,302 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $17,845,497 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $29,438,260 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $33,915,091 | CurrentTaxYearAmt |
| Total | $115,476,045 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $8,696,024 | SubstantialContributorsTotAmt |
| Public Support Total170 | $106,780,021 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $104,279 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $125,905 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $409,836 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $222,133 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $255,120 | CurrentTaxYearAmt |
| Total | $1,117,273 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $116,593,318 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $147,527,839 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.91580 | PublicSupportCY170Pct |
| Public Support PY170 | 0.95510 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | Yes (1) | VolunteersInd |
| Paid Staff Or Management | Yes (1) | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $21,111 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $21,111 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | DURING THE 2020-2021 FISCAL YEAR, VENICE FAMILY CLINIC'S IN-HOUSE ADVOCACY TEAM AND ITS PUBLIC POLICY COMMITTEE, BOTH COMPRISED OF STAFF AND BOARD MEMBERS, ADDRESSED HEALTH CARE POLICY ISSUES AT THE LOCAL, STATE AND FEDERAL LEVELS. ON THE FEDERAL LEVEL, WE WORKED TO EDUCATE OUR ELECTED OFFICIALS ABOUT COVID SERVICE NEEDS INCLUDING PPE, TESTING, AND VACCINES ALONG WITH THE IMPORTANCE OF EQUITABLE DISTRIBUTION AND ACCESS. WE ALSO EDUCATED THEM ON COVID'S IMPACT ON HEALTH CARE SERVICES AND THE IMPORTANCE FOR FLEXIBILITY IN PROGRAMS LIKE MEDICAID/MEDICARE AND THE ABILITY TO MOVE IN-PERSON VISITS TO TELEHEALTH. ON THE STATE LEVEL, VENICE FAMILY CLINIC PARTICIPATED IN ADVOCACY WITH COMMUNITY CLINIC ASSOCIATION OF LOS ANGELES COUNTY AND CALIFORNIA PRIMARY CARE ASSOCIATION ON THE IMPORTANCE OF BOTH AUDIO AND VIDEO TELEHEALTH FOR MEDI-CAL PATIENTS. WE ALSO ADVOCATED FOR EQUITY IN COVID VACCINE DISTRIBUTION TO ENSURE ACCESS FOR LOWER INCOME COMMUNITIES. LOCALLY, OVER THE PAST YEAR, VENICE FAMILY CLINIC WORKED CLOSELY WITH THE MAYOR'S OFFICE, OUR LOCAL COUNCILMEMBER'S OFFICE, SEVERAL OF OUR LONGTIME COMMUNITY PARTNERS AND MEMBERS OF OUR COMMUNITY EXPERIENCING HOMELESSNESS TO ADDRESS ISSUES RELATED TO INCREASING RESOURCES FOR THE LARGE AND GROWING UNHOUSED POPULATION IN VENICE AND SURROUNDING COMMUNITIES. THE GOAL OF ALL OF VENICE FAMILY CLINIC'S ADVOCACY EFFORTS IS TO INCREASE ACCESS TO AND QUALITY OF CARE FOR THE MEDICALLY UNDERSERVED, THEREBY FURTHERING THE CLINIC'S MISSION TO PROVIDE QUALITY PRIMARY HEALTH CARE TO PEOPLE IN NEED. | ExplanationTxt |
Schedule D IRS990ScheduleD
Held Works Art HeldWorksArtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Assets Included | $21,000 | AssetsIncludedAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Solicited Assets Sale | 0 | SolicitedAssetsSaleInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,667,486 | BeginningYearBalanceAmt |
| Contributions | $50,000 | ContributionsAmt |
| Investment Earnings Or Losses | $1,868,129 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$302,265 | OtherExpendituresAmt |
| End Year Balance | $7,283,350 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,918,387 | BeginningYearBalanceAmt |
| Contributions | $50,000 | ContributionsAmt |
| Investment Earnings Or Losses | -$7,100 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$293,801 | OtherExpendituresAmt |
| End Year Balance | $5,667,486 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,184,965 | BeginningYearBalanceAmt |
| Contributions | $50,000 | ContributionsAmt |
| Investment Earnings Or Losses | $180,189 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$496,765 | OtherExpendituresAmt |
| End Year Balance | $5,918,387 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,816,199 | BeginningYearBalanceAmt |
| Contributions | $50,000 | ContributionsAmt |
| Investment Earnings Or Losses | $560,879 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$242,113 | OtherExpendituresAmt |
| End Year Balance | $6,184,965 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,240,862 | BeginningYearBalanceAmt |
| Contributions | $50,000 | ContributionsAmt |
| Investment Earnings Or Losses | $775,581 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$250,244 | OtherExpendituresAmt |
| End Year Balance | $5,816,199 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.70326 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.29674 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,116,512 | OtherCostOrOtherBasisAmt |
| Book Value | $1,116,512 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,768,386 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,867,700 | DepreciationAmt |
| Book Value | $2,900,686 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,091,315 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,942,762 | DepreciationAmt |
| Book Value | $3,148,553 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,204,155 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,526,628 | DepreciationAmt |
| Book Value | $677,527 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $7,843,278 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| UCLA EIP FUND | $7,283,350 | F |
| UCLA STIP FUND | $5,333,237 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $12,616,587 | TotalBookValueSecuritiesAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | INTEREST/DIVIDEND INCOME FROM THE CLINIC'S ENDOWMENT FUNDS ARE USED TO PAY FOR THE SALARIES & BENEFITS OF PHYSICIANS AND OTHER PROVIDERS. |
| PART X, LINE 2: | THE VENICE FAMILY CLINIC 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, 2021, THE VENICE FAMILY CLINIC 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. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ELIZABETH B FORER | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $302,834 | $0 | $0 | $0 | $0 | $0 | $49,415 | $0 | $42,768 | $0 | $395,017 | $0 | $0 | $0 |
| DESPINA G KAYICHIAN | ||||||||||||||
| CHIEF MEDICAL OFFICER | $298,700 | $0 | $0 | $0 | $0 | $0 | $52,292 | $0 | $45,258 | $0 | $396,250 | $0 | $0 | $0 |
| KAREN C LAMP | ||||||||||||||
| SENIOR PHYSICIAN | $260,985 | $0 | $0 | $0 | $0 | $0 | $44,126 | $0 | $38,190 | $0 | $343,301 | $0 | $0 | $0 |
| MARGARITA LOEZA | ||||||||||||||
| STAFF PHYSICIAN | $260,541 | $0 | $0 | $0 | $0 | $0 | $42,306 | $0 | $36,615 | $0 | $339,462 | $0 | $0 | $0 |
| JOHN ARTHUR ROOHAN | ||||||||||||||
| CLINICAL SITE DIRECTOR | $260,000 | $0 | $0 | $0 | $0 | $0 | $43,866 | $0 | $37,966 | $0 | $341,832 | $0 | $0 | $0 |
| ANITA MARIA ZAMORA | ||||||||||||||
| DEPUTY DIR/CHIEF OPERATIONS OFFICER | $243,000 | $0 | $0 | $0 | $0 | $0 | $41,330 | $0 | $35,771 | $0 | $320,101 | $0 | $0 | $0 |
| COLEY MARVIN KING | ||||||||||||||
| STAFF PHYSICIAN | $240,934 | $0 | $0 | $0 | $0 | $0 | $25,303 | $0 | $21,900 | $0 | $288,137 | $0 | $0 | $0 |
| BLANCA ANDRES | ||||||||||||||
| SENIOR PHYSICIAN | $240,621 | $0 | $0 | $0 | $0 | $0 | $41,398 | $0 | $35,830 | $0 | $317,849 | $0 | $0 | $0 |
| NAVEENA PONNUSAMY | ||||||||||||||
| CHIEF DEVELOPMENT OFFICER | $240,444 | $0 | $0 | $0 | $0 | $0 | $40,725 | $0 | $35,247 | $0 | $316,416 | $0 | $0 | $0 |
| CHARLES Q HUYNH | ||||||||||||||
| ASSOCIATE PHYSICIAN DIPLOMATE | $239,995 | $0 | $0 | $0 | $0 | $0 | $26,815 | $0 | $23,208 | $0 | $290,018 | $0 | $0 | $0 |
| ANDREA B BLACKBIRD | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $238,413 | $0 | $0 | $0 | $0 | $0 | $42,183 | $0 | $36,509 | $0 | $317,105 | $0 | $0 | $0 |
| GILMORE SEISOON CHUNG | ||||||||||||||
| STAFF PHYSICIAN | $229,617 | $0 | $0 | $0 | $0 | $0 | $26,447 | $0 | $22,889 | $0 | $278,953 | $0 | $0 | $0 |
| RIAN WELLINGTON RUTHERFORD | ||||||||||||||
| CLINICAL SITE DIRECTOR | $228,657 | $0 | $0 | $0 | $0 | $0 | $24,722 | $0 | $21,396 | $0 | $274,775 | $0 | $0 | $0 |
| SHARON NG | ||||||||||||||
| DIRECTOR OF PHARMACY SVCS | $193,800 | $0 | $0 | $0 | $0 | $0 | $32,759 | $0 | $28,352 | $0 | $254,911 | $0 | $0 | $0 |
| JASON VU HUA | ||||||||||||||
| CHIEF INFORMATION OFFICER | $177,228 | $0 | $0 | $0 | $0 | $0 | $30,139 | $0 | $26,085 | $0 | $233,452 | $0 | $0 | $0 |
| STACEY ANN SCARBOROUGH | ||||||||||||||
| DIR. OF HUMAN RESOURCES & HEAD START | $172,536 | $0 | $0 | $0 | $0 | $0 | $30,056 | $0 | $26,013 | $0 | $228,605 | $0 | $0 | $0 |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $960,582 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
Food Inventory FoodInventoryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $1,929,257 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | ESTIMATE | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, COLUMN (B): | FormAndLineReferenceDesc |
| Explanation | NONCASH CONTRIBUTIONS ARE LISTED BY NUMBER OF CONTRIBUTORS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 8B | THIS 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 11B | THE 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 12C | ANNUAL 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 15 | 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 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | CHANGE IN VALUE IN BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUSTS 14,455. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VENICE FAMILY CLINIC FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 604 ROSE AVENUE | AddressLine1Txt |
| City | VENICE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90291 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 273484548 | EIN |
| Primary Activities | TO SUPPORT VENICE FAMILY CLINIC | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 7 | PublicCharityStatusTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
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