VENICE FAMILY CLINIC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
VENICE FAMILY CLINIC (EIN 95-2769432)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-05-15
IRS object ID
201841359349308429
Schema version
2016v3.0
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)
Return2018-05-15T14:09:56-05:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

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 Line110990 Wilshire Blvd 16th FloorAddressLine1Txt
CityLos AngelesCityNm
State AbbreviationCAStateAbbreviationCd
ZIP900243929ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN952769432EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1VENICE FAMILY CLINICBusinessNameLine1Txt
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)
PersonElizabeth B ForerPersonNm
Person TitleCEOPersonTitleTxt
Phone3103928630PhoneNum
Signature2018-05-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLizbeth G NevarezPreparerPersonNm
PTINP01399868PTIN
Phone3108731600PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address38.186.35.254IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-05-14IPDt
IP Tm14:13:08IPTm
IP TimezonePDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdF9C10BE61D25E315D3C70BCF97B7FFDFBFC33783AtSubmissionCreationDeviceId
At Submission Filing Device IdE2029FBCA1BC56D940BBE3EBD2C246F8BE1416D0AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerElizabeth B ForerPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1604 Rose AvenueAddressLine1Txt
CityVeniceCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90291ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$48,968,530GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresshttp://www.venicefamilyclinic.org/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1970FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTo provide quality primary health care to people in need.ActivityOrMissionDesc
Voting Members Governing Body19VotingMembersGoverningBodyCnt
Voting Members Independent19VotingMembersIndependentCnt
Total Employee333TotalEmployeeCnt
Total Volunteers916TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$21,188,376PYContributionsGrantsAmt
CY Contributions Grants$18,705,895CYContributionsGrantsAmt
PY Program Service Revenue$22,401,482PYProgramServiceRevenueAmt
CY Program Service Revenue$27,868,154CYProgramServiceRevenueAmt
PY Investment Income$68,032PYInvestmentIncomeAmt
CY Investment Income$235,414CYInvestmentIncomeAmt
PY Other Revenue-$16,380PYOtherRevenueAmt
CY Other Revenue-$22,850CYOtherRevenueAmt
PY Total Revenue$43,641,510PYTotalRevenueAmt
CY Total Revenue$46,786,613CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$25,747,841PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$29,467,145CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$1,793,906CYTotalFundraisingExpenseAmt
PY Other Expenses$10,144,563PYOtherExpensesAmt
CY Other Expenses$9,436,546CYOtherExpensesAmt
PY Total Expenses$35,892,404PYTotalExpensesAmt
CY Total Expenses$38,903,691CYTotalExpensesAmt
PY Revenues Less Expenses$7,749,106PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$7,882,922CYRevenuesLessExpensesAmt
Total Assets BOY$28,243,419TotalAssetsBOYAmt
Total Assets EOY$36,652,136TotalAssetsEOYAmt
Total Liabilities BOY$1,185,629TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,572,148TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$27,057,790NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$35,079,988NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTo provide quality primary health care to people in need.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$31,810,862ExpenseAmt
Revenue$27,868,154RevenueAmt
DescVFC SERVES AS A MEDICAL HOME, PROVIDING COORDINATED AND COMPREHENSIVE MEDICAL, DENTAL AND MENTAL HEALTH SERVICES THAT INCLUDE PEDIATRICS, GENERAL ADULT MEDICINE, WOMEN'S, SENIOR, HOMELESS AND CHRONIC CARE SERVICES, PRENATAL CARE, SPECIALTY CLINICS IN CARDIOLOGY, DERMATOLOGY, EAR, NOSE AND THROAT, GASTROENTEROLOGY, GYNECOLOGY, NEUROLOGY, OPHTHALMOLOGY, OPTOMETRY, ORTHOPEDICS AND PODIATRY, behavioral health and substance abuse services. 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 PROVIDES SERVICES PRIMARILY TO PEOPLE OF LOW INCOME, UNEMPLOYED AND HOMELESS. VFC'S PRIMARY SERVICE AREA INCLUDES VENICE, SANTA MONICA, PALMS, MAR VISTA, INGLEWOOD, CULVER CITY AND WEST LOS ANGELES, ALL IN LOS ANGELES COUNTY. VFC TRAINS MEDICAL RESIDENTS FROM ELEVEN RESIDENCY PROGRAMS. APPROXIMATELY 916 PEOPLE VOLUNTEERED IN FISCAL YEAR 2017, INCLUDING APPROXIMATELY 243 PHYSICIANS. THE CLINIC ESTIMATES THAT IT RECEIVED 61,614 TOTAL VOLUNTEER HOURS, INCLUDING 3,493 GENERAL AND ADMINISTRATIVE VOLUNTEER HOURS; SUCH GENERAL AND ADMINISTRATIVE HOURS ARE NOT REPRESENTED IN THE FINANCIAL STATEMENTS IN ACCORDANCE WITH ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA.Desc
Total Program Service Expenses$31,810,862TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of ArtYes (1)CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
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 Document66IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee333EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members19GoverningBodyVotingMembersCnt
Independent Voting Member19IndependentVotingMemberCnt
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 CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
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 (30 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
JEFFREY E SINAIKO
CHAIR2.002.00Yes (X)Yes (X)$0$0$0
WILLIAM FLUMENBAUM
IMMEDIATE PAST CHAIR2.002.00Yes (X)Yes (X)$0$0$0
STEWART SERADSKY
TREASURER2.000.00Yes (X)Yes (X)$0$0$0
JOHN GERESI
CHAIR ELECT2.002.00Yes (X)Yes (X)$0$0$0
Michael St Pierre
SECRETARY2.000.00Yes (X)Yes (X)$0$0$0
MAYER B DAVIDSON MD
BOARD MEMBER2.002.00Yes (X)$0$0$0
PAULA DAVIS
BOARD MEMBER2.000.00Yes (X)$0$0$0
JENIFER ANISMAN
BOARD MEMBER2.000.00Yes (X)$0$0$0
KEN BASCOM
BOARD MEMBER2.000.00Yes (X)$0$0$0
NEIL H PARKER MD
BOARD MEMBER2.002.00Yes (X)$0$0$0
PAUL SABEN
BOARD MEMBER2.000.00Yes (X)$0$0$0
OLGA CARRASCO
BOARD MEMBER2.000.00Yes (X)$0$0$0
NADIA SHAHEEN
BOARD MEMBER2.000.00Yes (X)$0$0$0
CARMEN THOMAS-PARIS
BOARD MEMBER2.000.00Yes (X)$0$0$0
LEISA WU
BOARD MEMBER2.002.00Yes (X)$0$0$0
DiAna Carsola
BOARD MEMBER2.000.00Yes (X)$0$0$0
LoEtte Loshak
BOARD MEMBER2.000.00Yes (X)$0$0$0
Edith J Madrid
BOARD MEMBER2.000.00Yes (X)$0$0$0
Edgar R Champney
BOARD MEMBER2.000.00Yes (X)$0$0$0
ELIZABETH B FORER
Chief Executive Officer40.001.00Yes (X)$197,811$0$64,128
ANDREA BLACKBIRD
Chief Financial Officer40.001.00Yes (X)$167,933$0$47,737
KAREN CLAMP
Associate Medical Director40.000.00$188,747$0$62,234Yes (X)
MARGARITA LOEZA
Chief Medical Information Officer40.000.00$165,418$0$59,280Yes (X)
BLANCA ANDRES
Associate Medical Director36.000.00$175,832$0$54,979Yes (X)
SHARON NG
Director of Pharmacy40.000.00$160,031$0$64,268Yes (X)
BARBARA F GROTTS
Nurse Practitioner46.000.00$176,966$0$57,335Yes (X)
ZARIN TEJANI
Physician40.000.00$169,831$0$50,552Yes (X)
JESSICA ANNE STROIK
Physician45.000.00$166,235$0$49,777Yes (X)
GILMORE SEISOON CHUNG
Physician47.000.00$161,997$0$52,587Yes (X)
GOLI MIRZAIE
Physician46.000.00$161,596$0$47,500Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,892,397TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$610,377TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K43IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Gluck Development Company Inc
26901 Agoura Rd Ste 100CalabasasCA91301Construction$790,587
Jensen Zigman Construction Co Inc
10020 National Blvdlos AngelesCA90034Construction$776,614
Brothers Maintenance Services
PO Box 3283WhittierCA90605Cleaning service$348,426
Randstad US LP
PO Box 894217Los AngelesCA90189Staffing Services$263,572
Houston Tyner Architects
2630 Sepulveda blvdtorranceCA90505Construction$195,539
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K7CntrctRcvdGreaterThan100KCnt
Fundraising$1,413,266FundraisingAmt
Government Grants$9,457,655GovernmentGrantsAmt
All Other Contributions$7,834,974AllOtherContributionsAmt
Noncash Contributions$887,583NoncashContributionsAmt
Total Contributions$18,705,895TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Third Party Reimbursement621400$19,634,273$19,634,273
Medi-Cal Pharmacy900099$8,233,881$8,233,881
FieldValueIRS element (for citing)
Total Program Service Revenue$27,868,154TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$104,279TotalRevenueColumnAmt
Exclusion$104,279ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,932,054SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,800,919SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$131,135SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$131,135TotalRevenueColumnAmt
Exclusion$131,135ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$348,148FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$1,413,266ContriRptFundraisingEventAmt
Fundraising Direct Expenses$358,148FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$10,000TotalRevenueColumnAmt
Exclusion-$10,000ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$10,000GamingGrossIncomeAmt
Gaming Direct Expenses$22,850GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column-$12,850TotalRevenueColumnAmt
Exclusion-$12,850ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$46,786,613TotalRevenueColumnAmt
Related Or Exempt Func Income$27,868,154RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$212,564ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,742,198TotalAmt
Program Services$1,452,928ProgramServicesAmt
Management And General$198,036ManagementAndGeneralAmt
Fundraising$91,234FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$19,318,686TotalAmt
Program Services$15,919,461ProgramServicesAmt
Management And General$2,365,362ManagementAndGeneralAmt
Fundraising$1,033,863FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,720,228TotalAmt
Program Services$2,331,047ProgramServicesAmt
Management And General$253,968ManagementAndGeneralAmt
Fundraising$135,213FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,183,100TotalAmt
Program Services$3,584,626ProgramServicesAmt
Management And General$390,546ManagementAndGeneralAmt
Fundraising$207,928FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,502,933TotalAmt
Program Services$1,287,909ProgramServicesAmt
Management And General$140,318ManagementAndGeneralAmt
Fundraising$74,706FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$5,108TotalAmt
Management And General$5,108ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$76,900TotalAmt
Management And General$76,900ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$65,400TotalAmt
Management And General$65,400ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$965,121TotalAmt
Program Services$659,921ProgramServicesAmt
Management And General$287,252ManagementAndGeneralAmt
Fundraising$17,948FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,105TotalAmt
Program Services$194ProgramServicesAmt
Management And General$390ManagementAndGeneralAmt
Fundraising$521FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$445,542TotalAmt
Program Services$244,646ProgramServicesAmt
Management And General$126,600ManagementAndGeneralAmt
Fundraising$74,296FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$431,897TotalAmt
Program Services$259,350ProgramServicesAmt
Management And General$160,504ManagementAndGeneralAmt
Fundraising$12,043FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,588,012TotalAmt
Program Services$1,299,901ProgramServicesAmt
Management And General$267,987ManagementAndGeneralAmt
Fundraising$20,124FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$193,400TotalAmt
Program Services$147,618ProgramServicesAmt
Management And General$41,186ManagementAndGeneralAmt
Fundraising$4,596FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$31,945TotalAmt
Management And General$31,945ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$811,895TotalAmt
Program Services$668,789ProgramServicesAmt
Management And General$143,106ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$305,016TotalAmt
Program Services$275ProgramServicesAmt
Management And General$304,734ManagementAndGeneralAmt
Fundraising$7FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Pharmaceutical supplies$3,024,935$3,024,935
Licenses, Fees and Dues$469,401$96,779$313,029$59,593
Med Sup & waste removal$386,654$376,159$10,495$0
other program expenses$217,121$217,101$20

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$417,094TotalAmt
Program Services$239,223ProgramServicesAmt
Management And General$116,037ManagementAndGeneralAmt
Fundraising$61,834FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$38,903,691TotalAmt
Program Services$31,810,862ProgramServicesAmt
Management And General$5,298,923ManagementAndGeneralAmt
Fundraising$1,793,906FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$802BOYAmt
EOY$802EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,081,610BOYAmt
EOY$1,392,095EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,414,040BOYAmt
EOY$6,834,873EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,412,451BOYAmt
EOY$9,715,222EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$303,912BOYAmt
EOY$295,685EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$103,231BOYAmt
EOY$88,297EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$20,642,071LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$12,129,262LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,401,498BOYAmt
EOY$8,512,809EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$5,271,213BOYAmt
EOY$9,537,799EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$254,662BOYAmt
EOY$274,554EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$28,243,419BOYAmt
EOY$36,652,136EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$239,472BOYAmt
EOY$1,198,954EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$837,639BOYAmt
EOY$250,000EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$53,976BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$54,542BOYAmt
EOY$123,194EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,185,629BOYAmt
EOY$1,572,148EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$13,573,609BOYAmt
EOY$21,418,656EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$8,362,124BOYAmt
EOY$8,489,275EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,122,057BOYAmt
EOY$5,172,057EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$27,057,790BOYAmt
EOY$35,079,988EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$28,243,419BOYAmt
EOY$36,652,136EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$7,882,922ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$653,384NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$514,108OtherChangesInNetAssetsAmt
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 RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

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$23,659,163CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$20,472,644CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$20,726,494CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$21,188,376CurrentTaxYearMinus1YearAmt
Current Tax Year$18,705,895CurrentTaxYearAmt
Total$104,752,572TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$23,659,163CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$20,472,644CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$20,726,494CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$21,188,376CurrentTaxYearMinus1YearAmt
Current Tax Year$18,705,895CurrentTaxYearAmt
Total$104,752,572TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$10,599,838SubstantialContributorsTotAmt
Public Support Total170$94,152,734PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$264,442CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,351,155CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$238,595CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$53,304CurrentTaxYearMinus1YearAmt
Current Tax Year$104,279CurrentTaxYearAmt
Total$10,011,775TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$98,585CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$196,325CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$95,551CurrentTaxYearMinus2YearsAmt
Total$390,461TotalAmt
FieldValueIRS element (for citing)
Total Support$115,154,808TotalSupportAmt
Gross Receipts Rltd Activities$80,173,442GrossReceiptsRltdActivitiesAmt
Public Support CY1700.81760PublicSupportCY170Pct
Public Support PY1700.82030PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule A, Part IIFormAndLineReferenceDesc
ExplanationVenice Family Clinic is exempt under 509(a)(1) and 170(b)(1)(a)(iii). The organization has made an election to complete Schedule A, Part II, Section A. Public Support.ExplanationTxt

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 C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersYes (1)VolunteersInd
Paid Staff Or ManagementYes (1)PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$42,610DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$42,610TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationDuring the 2016-2017 Fiscal Year, Venice Family Clinic's Advocacy Team, comprised of staff, Board members and volunteers addressed health care policy issues at the local, state and national level. On the federal level we worked to educate our elected officials about the needs of the medically underserved and the providers treating them. We also worked to preserve the Affordable Care Act so that it would not be repealed and replaced as all of our patients rely on this law which provides insurance coverage to people with low incomes. We described to our legislators how the Affordable Care Act has dramatically improved access to care and the quality of care for the nation's most vulnerable people. In California, Venice Family Clinic participated in the California Primary Care Associations Day at the Capitol and visited elected officials in Sacramento, California. A key issue addressed this year was the possible loss of the 340B pharmaceutical program which provides low cost drugs for purchase to community health centers and allows our patients to receive their medicine at no or low cost. Venice Family Clinic also continued to participate in a group organized by the California Primary Care Association that focused on payment reform and moving to a system in which Medi-Cal payments will pay for value based care. Locally, Venice Family Clinic focused on working with the Community Clinic Association of Los Angeles County on specific county and city programs that will address the needs of our homeless patients. New city and county funding created by a bond measure and a parcel tax will provide more housing and supportive services for homeless people in Los Angeles. In addition, the Clinic continued to participate in Venice Forward and also an effort through a smaller community group to create restrooms for homeless people in Venice, working directly with Councilmember Mike Bonin on these efforts.ExplanationTxt

Schedule D IRS990ScheduleD

Held Works Art HeldWorksArtGrp

FieldValueIRS element (for citing)
Assets Included$21,000AssetsIncludedAmt
FieldValueIRS element (for citing)
Solicited Assets Sale0SolicitedAssetsSaleInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,240,862BeginningYearBalanceAmt
Contributions$50,000ContributionsAmt
Investment Earnings Or Losses$775,581InvestmentEarningsOrLossesAmt
Other Expenditures$250,244OtherExpendituresAmt
End Year Balance$5,816,199EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,731,858BeginningYearBalanceAmt
Contributions$50,000ContributionsAmt
Investment Earnings Or Losses-$262,704InvestmentEarningsOrLossesAmt
Other Expenditures$278,292OtherExpendituresAmt
End Year Balance$5,240,862EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,560,040BeginningYearBalanceAmt
Contributions$150,000ContributionsAmt
Investment Earnings Or Losses$288,739InvestmentEarningsOrLossesAmt
Other Expenditures$1,266,921OtherExpendituresAmt
End Year Balance$5,731,858EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,707,178BeginningYearBalanceAmt
Contributions$500,000ContributionsAmt
Investment Earnings Or Losses$625,509InvestmentEarningsOrLossesAmt
Other Expenditures$272,647OtherExpendituresAmt
End Year Balance$6,560,040EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,178,737BeginningYearBalanceAmt
Contributions$200,000ContributionsAmt
Investment Earnings Or Losses$544,036InvestmentEarningsOrLossesAmt
Other Expenditures$215,595OtherExpendituresAmt
End Year Balance$5,707,178EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.88930PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.11070TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,116,512OtherCostOrOtherBasisAmt
Book Value$1,116,512BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,689,840OtherCostOrOtherBasisAmt
Depreciation$5,208,732DepreciationAmt
Book Value$2,481,108BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,570,708OtherCostOrOtherBasisAmt
Depreciation$4,410,261DepreciationAmt
Book Value$4,160,447BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,265,011OtherCostOrOtherBasisAmt
Depreciation$2,510,269DepreciationAmt
Book Value$754,742BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$8,512,809TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
ucla eip fund$5,816,199F
ucla stip fund$3,721,600F
FieldValueIRS element (for citing)
Total Book Value Securities$9,537,799TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
Descdue to affiliate vfcfDesc
Amt$123,194Amt
FieldValueIRS element (for citing)
Total Liability$123,194TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart V, Line 4:FormAndLineReferenceDesc
ExplanationInterest/Dividend income from the Clinic's endowment funds are used to pay for the salaries & benefits of Physicians and other providers.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Silver CircleEvent1Nm
Gross Receipts Event1$1,599,061GrossReceiptsEvent1Amt
Charitable Contri Event1$1,270,088CharitableContriEvent1Amt
Gross Revenue Event1$328,973GrossRevenueEvent1Amt
Non Cash Prizes Event1$71,400NonCashPrizesEvent1Amt
Rent Facility Costs Event1$45,755RentFacilityCostsEvent1Amt
Food And Beverage Event1$111,878FoodAndBeverageEvent1Amt
Entertainment Event1$1,482EntertainmentEvent1Amt
Other Direct Expenses Event1$108,458OtherDirectExpensesEvent1Amt
Event2Holiday MovieEvent2Nm
Gross Receipts Event2$162,353GrossReceiptsEvent2Amt
Charitable Contri Event2$143,178CharitableContriEvent2Amt
Gross Revenue Event2$19,175GrossRevenueEvent2Amt
Food And Beverage Event2$790FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$18,385OtherDirectExpensesEvent2Amt
Gross Receipts Total$1,761,414GrossReceiptsTotalAmt
Charitable Contributions Tot$1,413,266CharitableContributionsTotAmt
Gross Revenue Total Events$348,148GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$71,400NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$45,755RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$112,668FoodAndBeverageTotalEventsAmt
Entertainment Total Events$1,482EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$126,843OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$358,148DirectExpenseSummaryEventsAmt
Net Income Summary-$10,000NetIncomeSummaryAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
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 (11 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$197,811$0$0$0$0$0$27,694$0$36,434$0$261,939$0$0$0
ANDREA BLACKBIRD
Chief Financial Officer$167,933$0$0$0$0$0$23,511$0$24,226$0$215,670$0$0$0
KAREN CLAMP
Associate Medical Director$188,747$0$0$0$0$0$26,425$0$35,809$0$250,981$0$0$0
MARGARITA LOEZA
Chief Medical Information Officer$165,418$0$0$0$0$0$23,159$0$36,121$0$224,698$0$0$0
BLANCA ANDRES
Associate Medical Director$175,832$0$0$0$0$0$24,617$0$30,362$0$230,811$0$0$0
SHARON NG
Director of Pharmacy$160,031$0$0$0$0$0$22,404$0$41,864$0$224,299$0$0$0
BARBARA F GROTTS
Nurse Practitioner$176,966$0$0$0$0$0$24,775$0$32,560$0$234,301$0$0$0
ZARIN TEJANI
Physician$169,831$0$0$0$0$0$23,776$0$26,776$0$220,383$0$0$0
JESSICA ANNE STROIK
Physician$166,235$0$0$0$0$0$23,273$0$26,504$0$216,012$0$0$0
GILMORE SEISOON CHUNG
Physician$161,997$0$0$0$0$0$22,680$0$29,907$0$214,584$0$0$0
GOLI MIRZAIE
Physician$161,596$0$0$0$0$0$22,623$0$24,877$0$209,096$0$0$0

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution9ContributionCnt
Noncash Contributions Rpt F990$634,865NoncashContributionsRptF990Amt
Method Of Determining RevenuesfmvMethodOfDeterminingRevenuesTxt

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution2ContributionCnt
Noncash Contributions Rpt F990$158,468NoncashContributionsRptF990Amt
Method Of Determining RevenuesfmvMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)auction items82$71,400sales price
Yes (X)Airline Tickets1$22,850FMV
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties UsedYes (1)ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Column (b):NON CASH DONATIONS ARE LISTED BY TOTAL NUMBER OF DONOR CONTRIBUTIONS.
Part I, Line 32b:Venice Family Clinic has an agreement in place GiveSmart, a mobile bidding and event management company to help facilitate the fundraising side of Silver Circle.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 8bThis question is not applicable to the filing organization. there is no committee with the authority to act on behalf of the governing body.
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 15THE 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. IT IS THEN REVIEWED AND APPROVED BY a COMPENSATION COMMITTEE.
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 XI, line 9:Change in Value on Beneficial Interest in Charitable Remainder Trusts 10,892. Bad debt expense -525,000.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1venice family clinic foundationBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1604 rose avenueAddressLine1Txt
CityveniceCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90291ZIPCd
FieldValueIRS element (for citing)
EIN273484548EIN
Primary Activitiesto support Venice Family clinicPrimaryActivitiesTxt
Legal Domicile StateCALegalDomicileStateCd
Exempt Code Section501(c)(3)ExemptCodeSectionTxt
Public Charity StatusLine 7PublicCharityStatusTxt
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 Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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