VENICE FAMILY CLINIC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
VENICE FAMILY CLINIC (EIN 95-2769432)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-15
IRS object ID
201431359349305208
Schema version
2012v2.1
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)
Timestamp2014-05-15T12:18:45-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN952302617EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1SINGERLEWAK LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line110960 WILSHIRE BLVD STE 700AddressLine1
CityLOS ANGELESCity
StateCAState
ZIP Code900243783ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN952769432EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1VENICE FAMILY CLINICBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlVENINameControl
Phone3103928630Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1604 ROSE AVENUEAddressLine1
CityVENICECity
StateCAState
ZIP Code90291ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameELIZABETH B FORERName
TitleCHIEF EXECUTIVE OFFICERTitle
Phone3103928630Phone
Date Signed2014-05-07DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLIOR TEMKINName
PTINP00748170PTIN
Phone3104773924Phone
Date Prepared2014-05-07DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonELIZABETH B FORERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1604 ROSE AVENUEAddressLine1
CityVENICECity
StateCAState
ZIP Code90291ZIPCode
FieldValueIRS element (for citing)
Gross Receipts34893915GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteHTTP://VENICEFAMILYCLINIC.ORG/WebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1970YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionTHE VENICE FAMILY CLINIC IS PRIVATE, NONPROFIT COMMUNITY HEALTH CENTER. FOUNDED IN 1970 TO MEET THE HEALTH CARE NEEDS OF THE LOW-INCOME RESIDENTS OF VENICE THE CLINIC HAS GROWN TO NINE LOCATIONS ACROSS THE WESTSIDE OF LOS ANGELES COUNTY. ITS MISSION IS TO PROVIDE QUALITY PRIMARY HEALTH CARE TO PEOPLE IN NEED.ActivityOrMissionDescription
Nbr Voting Members Governing Body17NbrVotingMembersGoverningBody
Nbr Independent Voting Members17NbrIndependentVotingMembers
Total Nbr Employees240TotalNbrEmployees
Total Nbr Volunteers1630TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year26310106ContributionsGrantsPriorYear
Contributions Grants Current Year23660784ContributionsGrantsCurrentYear
Program Service Revenue Prior Year9303267ProgramServiceRevenuePriorYear
Program Service Revenue CY8149722ProgramServiceRevenueCY
Investment Income Prior Year702351InvestmentIncomePriorYear
Investment Income Current Year1905478InvestmentIncomeCurrentYear
Other Revenue Prior Year64740OtherRevenuePriorYear
Other Revenue Current Year98585OtherRevenueCurrentYear
Total Revenue Prior Year36380464TotalRevenuePriorYear
Total Revenue Current Year33814569TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year7463GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year18562730SalariesEtcPriorYear
Salaries Etc Current Year18754602SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year121750TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year1195548TotalFundrsngExpCurrentYear
Other Expense Prior Year19422592OtherExpensePriorYear
Other Expenses Current Year15030384OtherExpensesCurrentYear
Total Expenses Prior Year38114535TotalExpensesPriorYear
Total Expenses Current Year33784986TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1734071RevenuesLessExpensesPriorYear
Revenues Less Expenses CY29583RevenuesLessExpensesCY
Total Assets BOY22564245TotalAssetsBOY
Total Assets EOY21512049TotalAssetsEOY
Total Liabilities BOY3946259TotalLiabilitiesBOY
Total Liabilities EOY2571627TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY18617986NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY18940422NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSEE SCHEDULE OMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense28884705Expense
Revenue8149722Revenue
DescriptionVENICE FAMILY CLINIC SERVES AS A PRIMARY CARE 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/THROAT, GASTROENTEROLOGY, GYNECOLOGY, NEUROLOGY, OPHTHALMOLOGY, OPTOMETRY, ORTHOPEDICS AND PODIATRY, PSYCHOLOGICAL SERVICES, DIAGNOSTIC TESTS AND MEDICATIONS. HEALTH CARE IS PROVIDED FIVE DAYS AND FOUR EVENINGS PER WEEK, WITH 72,906 PRIMARY HEALTH CARE VISITS, 4,317 SPECIALTY CARE VISITS, 5,153 DENTAL VISITS, 5,937 MENTAL HEALTH CARE VISITS AND 7,925 HEALTH EDUCATION VISITS PROVIDED DURING THE YEAR ENDED JUNE 30, 2013.VENICE FAMILY CLINIC'S 21,068 PATIENTS IN YEAR ENDED JUNE 30, 2013 ARE PRIMARILY THE UNINSURED WORKING POOR, UNEMPLOYED AND HOMELESS, THE VAST MAJORITY OF WHOM HAVE INCOMES BELOW THE POVERTY LEVEL AND NO HEALTH INSURANCE. A HIGH PROPORTION OF THE CLINIC'S CHILDREN AND ADULT PATIENTS ARE MINORITY GROUP MEMBERS. THE CLINIC'S PRIMARY SERVICE AREA INCLUDES VENICE, SANTA MONICA, PALMS, MAR VISTA, INGLEWOOD, CULVER CITY AND MIDTOWN, ALL IN LOS ANGELES COUNTY.Description
Total Program Service Expense28884705TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109699NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees240NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members17NbrVotingGoverningBodyMembers
Number Independent Voting Members17NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest
Other Explain In Sch OXOtherExplainInSchO

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1LORETO S MELOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3106647902TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1604 ROSE AVENUEAddressLine1
CityVENICECity
StateCAState
ZIP Code90291ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
MAYER B DAVIDSON MD
BOARD MEMBER1.00X000
PAULA DAVIS
BOARD MEMBER1.00X000
AIME ESPINOSA
BOARD MEMBER1.00X000
WILLIAM FLUMENBAUM
BOARD MEMBER2.00X000
LUIS GALVEZ
BOARD MEMBER1.00X000
REVEREND LYNDA D GRAY
BOARD MEMBER1.00X000
NEIL H PARKER MD
BOARD MEMBER1.00X000
BILL RESNICK MD
BOARD MEMBER1.00X000
PAUL M SABEN MBA
BOARD MEMBER1.00X000
FLORA SANTACRUZ
BOARD MEMBER1.00X000
LOURDES SERVIN
BOARD MEMBER1.00X000
STEWART SERADSKY
BOARD MEMBER1.00X000
CARMEN THOMAS-PARIS
BOARD MEMBER1.00X000
LEISA WU
BOARD MEMBER1.00X000
BRIAN D KAN MD
BOARD CHAIR2.00X000X
YVONNE ASHLEY JOHNSON
SECRETARY2.00X000X
JEFFREY E SINAIKO
TREASURER2.00X000X
ELIZABETH B FORER
CHIEF EXECUTIVE OFFICER40.00172679061568X
JASON VU HUA
CHIEF INFORMATION OFFICER40.00104139045340X
LORETO S MELO
CHIEF FINANCE OFFICER40.00138807061423X
ANITA M ZAMORA FROM 12013
CHIEF OPERATING OFFICER40.00000X
KAREN C LAMP
MEDICAL DIRECTOR40.00182810072140X
LANEY KAPGAN
CHIEF DEV. OFFICER40.00124526033453X
BLANCA ANDRES
ASST. MEDICAL DIRECTOR36.00140291045933X
CATHERINE A CHAROUHAS
NURSE PRACTITIONER40.00140272049373X
SAKURA LING KUO
PHARMACIST40.00147922050632X
MARGARITA LOEZA
CHIEF MEDICAL INFO. OFFICE40.00147712056327X
SHARON NG
DIR. PHARMACY40.00157192060569X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1456350TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation536758TotalOtherCompensation
Number Individuals GT100 K10NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1RANSTAD US LPBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line110940 WILSHIRE BLVDAddressLine1
CityLOS ANGELESCity
StateCAState
ZIP Code90024ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesEMPLOYMENTDescriptionOfServices
Compensation116375Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Fundraising Events1168346FundraisingEvents
Related Organizations310000RelatedOrganizations
Government Grants5981358GovernmentGrants
All Other Contributions16201080AllOtherContributions
Noncash Contributions11397645NoncashContributions
Total Contributions23660784TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionMEDICARE/MEDICAID PYMTDescription
Business Code621400BusinessCode
Total Revenue Column8149722TotalRevenueColumn
Related Or Exempt Function Income8149722RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue8149722TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column264442TotalRevenueColumn
Exclusion$264,442ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities614720Securities
Other1855103Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities582076Securities
Other246711Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities32644Securities
Other1608392Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1641036TotalRevenueColumn
Exclusion$1,641,036ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events250559GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events1168346CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses250559FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUS INCOMEDescription
Business Code900099BusinessCode
Total Revenue Column98585TotalRevenueColumn
Exclusion$98,585ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue98585TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column33814569TotalRevenueColumn
Related Or Exempt Function Income8149722RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$2,004,063ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1016713Total
Program Services438411ProgramServices
Management And General578302ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total12490562Total
Program Services10334359ProgramServices
Management And General1375696ManagementAndGeneral
Fundraising780507Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1167624Total
Program Services986360ProgramServices
Management And General122881ManagementAndGeneral
Fundraising58383Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3164598Total
Program Services2653611ProgramServices
Management And General356144ManagementAndGeneral
Fundraising154843Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total915105Total
Program Services748465ProgramServices
Management And General123896ManagementAndGeneral
Fundraising42744Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2877Total
Management And General2877ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total80758Total
Management And General80758ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total791176Total
Program Services717327ProgramServices
Management And General42918ManagementAndGeneral
Fundraising30931Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total145040Total
Program Services86622ProgramServices
Management And General52192ManagementAndGeneral
Fundraising6226Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total438547Total
Program Services362144ProgramServices
Management And General72460ManagementAndGeneral
Fundraising3943Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total103652Total
Program Services95093ProgramServices
Management And General6973ManagementAndGeneral
Fundraising1586Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total101009Total
Management And General101009ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total823927Total
Program Services664781ProgramServices
Management And General138086ManagementAndGeneral
Fundraising21060Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total208206Total
Program Services4563ProgramServices
Management And General203643ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
DONATED DRUGS AND PHARM1052302810523028
REPAIRS & MAINTENANCE47997836413610248813354
MEDICAL SUP & REMOVAL2113172113125
PHARMACEUTICAL AND LAB183982183982

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total936887Total
Program Services510511ProgramServices
Management And General344405ManagementAndGeneral
Fundraising81971Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total33784986Total
Program Services28884705ProgramServices
Management And General3704733ManagementAndGeneral
Fundraising1195548Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY802BOY
EOY702EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1413981BOY
EOY1851790EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY5664436BOY
EOY5143434EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2530237BOY
EOY977393EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY800707BOY
EOY975104EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY114959BOY
EOY115551EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis14263707LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec8797563LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6481308BOY
EOY5466144EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY3539BOY
EOY2534EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY5080792BOY
EOY6492589EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY473484BOY
EOY486808EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY22564245BOY
EOY21512049EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY188433BOY
EOY223641EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY3757826BOY
EOY2347986EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3946259BOY
EOY2571627EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY7239379BOY
EOY7277763EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY6104550BOY
EOY6188602EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY5274057BOY
EOY5474057EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY18617986BOY
EOY18940422EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY22564245BOY
EOY21512049EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses29583ReconcilationRevenueExpenses
Reconciliation Unrealized Invest292852ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years20031532CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years26260250CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years29119560CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year26310106CurrentTaxYearMinus1Year
Current Tax Year23659163CurrentTaxYear
Total125380611Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9491046CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9052847CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9689336CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9303267CurrentTaxYearMinus1Year
Current Tax Year8149722CurrentTaxYear
Total45686218Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years29522578CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years35313097CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years38808896CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year35613373CurrentTaxYearMinus1Year
Current Tax Year31808885CurrentTaxYear
Total171066829Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years189764CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years369725CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years388782CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year375046CurrentTaxYearMinus1Year
Current Tax Year317165CurrentTaxYear
Total1640482Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years189764CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years369725CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years388782CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year375046CurrentTaxYearMinus1Year
Current Tax Year317165CurrentTaxYear
Total1640482Total
FieldValueIRS element (for citing)
Public Support Total509169426347PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years158565CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years123217CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years213493CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year213009CurrentTaxYearMinus1Year
Current Tax Year264442CurrentTaxYear
Total972726Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years158565CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years123217CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years213493CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year213009CurrentTaxYearMinus1Year
Current Tax Year264442CurrentTaxYear
Total972726Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years51789CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years84160CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years54190CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year64740CurrentTaxYearMinus1Year
Current Tax Year98585CurrentTaxYear
Total353464Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years29732932CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years35520474CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years39076579CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year35891122CurrentTaxYearMinus1Year
Current Tax Year32171912CurrentTaxYear
Total172393019Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98280PublicSupportPercentage509
Prior Year Support Percentage0.98020PriorYearSupportPercentage
Investment Income Percentage0.00560InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00580PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: 2008 OTHER REVENUE 51789 2009 OTHER REVENUE 84160 2010 OTHER REVENUE 54190 2011 OTHER REVENUE 64740 2012 OTHER REVENUE 98585GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers1Volunteers
Paid Staff Or Management1PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$888DirectContactLegislatorsAmount
Rallies Demonstrations1RalliesDemonstrations
Rallies Demonstrations$888RalliesDemonstrationsAmount
Other Activities0OtherActivities
Total Lobbying Expenditures IIB1776TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationDURING THE 2012-2013 FISCAL YEAR, VENICE FAMILY CLINIC'S IN-HOUSE ADVOCACY TEAM MET ON A QUARTERLY BASIS WITH THE BOARD COMMITTEE OVERSEEING ADVOCACY WORK, AND ADDRESSED HEALTH CARE ISSUES AT THE LOCAL, STATE AND NATIONAL POLICY LEVELS. THE MAJORITY OF OUR ADVOCACY EFFORTS WERE FOCUSED ON PREPARING FOR THE ROLL OUT OF THE AFFORDABLE CARE ACT. LOCALLY, WE WORKED WITH THE COUNTY DEPARTMENT OF HEALTH TO ENROLL SEVERAL THOUSAND OF OUR PATIENTS INTO THE PROGRAM WHICH WILL TRANSITION TO THE PLANNED FEDERAL MEDICAID EXPANSION FOR THE LOWEST INCOME MEMBERS OF OUR COMMUNITY. AT THE STATE LEVEL, WE JOINED WITH THE CALIFORNIA PRIMARY CARE ASSOCIATION AND OTHER AGENCIES TO SUPPORT THE RETURN OF ADULT DENTAL MEDI-CAL COVERAGE. AT THE NATIONAL LEVEL, WE ENLISTED STAFF, BOARD MEMBERS AND PATIENTS IN PHONE AND E-MAIL CAMPAIGNS TO ENCOURAGE MEMBERS OF CONGRESS TO OPPOSE FEDERAL SEQUESTRATION CUTS TO SOCIAL SERVICE PROGRAMS (WHICH IMPACTED THE BUDGET FOR OUR CHILDREN FIRST EARLY HEAD START PROGRAM), AS WELL AS TO CONTINUE SUPPORT FOR FUNDING OF COMMUNITY HEALTH CENTERS AND MEDICAID/MEDICARE. IN ADDITION, SEVERAL ELECTED OFFICIALS ON THE STATE AND FEDERAL LEVELS WERE INVITED TO TOUR THE CLINIC AND LEARN MORE ABOUT THE NEEDS OF THE MEDICALLY UNDERSERVED AND THE PROVIDERS TREATING THEM.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance5178737BeginningOfYearBalance
Contributions200000Contributions
Investment Earnings Or Losses544036InvestmentEarningsOrLosses
Other Expenditures215595OtherExpenditures
End Of Year Balance5707178EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance4406652BeginningOfYearBalance
Contributions1050000Contributions
Investment Earnings Or Losses-74201InvestmentEarningsOrLosses
Other Expenditures203714OtherExpenditures
End Of Year Balance5178737EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance4030445BeginningOfYearBalance
Investment Earnings Or Losses575967InvestmentEarningsOrLosses
Other Expenditures199760OtherExpenditures
End Of Year Balance4406652EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance3033757BeginningOfYearBalance
Contributions750000Contributions
Investment Earnings Or Losses372368InvestmentEarningsOrLosses
Other Expenditures125680OtherExpenditures
End Of Year Balance4030445EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance3824957BeginningOfYearBalance
Contributions10700Contributions
Investment Earnings Or Losses-657819InvestmentEarningsOrLosses
Other Expenditures144081OtherExpenditures
End Of Year Balance3033757EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1116512OtherCostOrOtherBasis
Book Value1116512BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis6002656OtherCostOrOtherBasis
Depreciation4770042Depreciation
Book Value1232614BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis4858838OtherCostOrOtherBasis
Depreciation2649041Depreciation
Book Value2209797BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2285701OtherCostOrOtherBasis
Depreciation1378480Depreciation
Book Value907221BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings5466144TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
UCLA EIP FUND4345627F
UCLA STIP FUND2146962F
FieldValueIRS element (for citing)
Total Of Book Value Securities6492589TotalOfBookValueSecurities
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt39138933TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments292852NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities4229749DonatedSrvcAndUseOfFacilities
Other Revenues801763OtherRevenues
Revenue Not Rptd F9905324364RevenueNotRptdF990
Revenue Subtotal33814569RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99033814569TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt38729649TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities4229749DonatedServicesUseOfFacilities
Other Expenses Included714915OtherExpensesIncluded
Expenses Not Rptd F9904944664ExpensesNotRptdF990
Expenses Subtotal33784985ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99033784985TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:INTEREST/DIVIDEND INCOME FROM THE CLINIC'S ENDOWMENT FUNDS ARE USED TO PAY FOR THE SALARIES AND BENEFITS OF PHYSICIANS, MENTAL HEALTH STAFF AND DOMESTIC VIOLENCE STAFF.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:EFFECTIVE JULY 1, 2009, THE CLINIC ADOPTED FASB ASC TOPIC NO. 740, "UNCERTAINTY IN INCOME TAXES" ("ASC 740"). IN ACCORDANCE WITH ASC 740, THE CLINIC RECOGNIZES THE IMPACT OF TAX POSITIONS IN THE FINANCIAL STATEMENTS IF THAT POSITION IS MORE LIKELY THAN NOT TO BE SUSTAINED ON AUDIT, BASED ON THE TECHNICAL MERITS OF THE POSITION. TO DATE, THE CLINIC HAS NOT RECORDED ANY UNCERTAIN TAX POSITIONS. THE CLINIC RECOGNIZES POTENTIAL ACCRUED INTEREST AND PENALTIES RELATED TO UNCERTAIN TAX POSITIONS IN INCOME TAX EXPENSE. DURING THE YEAR ENDED JUNE 30, 2013, THE CLINIC DID NOT RECOGNIZE ANY AMOUNT IN POTENTIAL INTEREST AND PENALTIES ASSOCIATED WITH UNCERTAIN TAX POSITIONS. THE CLINIC'S INCOME TAX RETURNS REMAIN SUBJECT TO EXAMINATION FOR ALL TAX YEARS ENDED ON OR AFTER JUNE 30, 2010 WITH REGARD TO ALL TAX POSITIONS AND THE RESULTS REPORTED.
PART XI, LINE 2D - OTHER ADJUSTMENTS:AMOUNT REPORTED ON OTHER RETURN 551,204. SPECIAL EVENTS 250,559.
PART XII, LINE 2D - OTHER ADJUSTMENTS:AMOUNT REPORTED ON OTHER RETURN 464,356. SPECIAL EVENTS 250,559.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1SILVER CIRCLENameOfEvent1
Gross Receipts Event11201385GrossReceiptsEvent1
Charitable Contributions Event11002183CharitableContributionsEvent1
Gross Revenue Event1199202GrossRevenueEvent1
Rent Facility Costs Event1138499RentFacilityCostsEvent1
Entertainment Event120107EntertainmentEvent1
Other Direct Expenses Event140596OtherDirectExpensesEvent1
Name Of Event2HOLIDAY MOVIENameOfEvent2
Gross Receipts Event2116546GrossReceiptsEvent2
Charitable Contributions Event2105326CharitableContributionsEvent2
Gross Revenue Event211220GrossRevenueEvent2
Other Direct Expenses Event211220OtherDirectExpensesEvent2
Total Number Of Other Events2TotalNumberOfOtherEvents
Gross Receipts Other Events100974GrossReceiptsOtherEvents
Charitable Contrib Other Events60837CharitableContribOtherEvents
Gross Revenue Other Events40137GrossRevenueOtherEvents
Other Direct Expenses Other Events40137OtherDirectExpensesOtherEvents
Gross Receipts Total1418905GrossReceiptsTotal
Charitable Contributions Total1168346CharitableContributionsTotal
Gross Revenue Total Events250559GrossRevenueTotalEvents
Rent Facility Costs Total Events138499RentFacilityCostsTotalEvents
Entertainment Total Events20107EntertainmentTotalEvents
Other Direct Expenses Total Events91953OtherDirectExpensesTotalEvents
Direct Expense Summary Events250559DirectExpenseSummaryEvents
Net Income Summary0NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ELIZABETH B FORER
CHIEF EXECUTIVE OFFICER17267900000157500458180234247000
LORETO S MELO
CHIEF FINANCE OFFICER13880700000127130487100200230000
KAREN C LAMP
MEDICAL DIRECTOR18281000000168310553090254950000
LANEY KAPGAN
CHIEF DEV. OFFICER12452600000125000209530157979000
BLANCA ANDRES
ASST. MEDICAL DIRECTOR14029100000129710329620186224000
CATHERINE A CHAROUHAS
NURSE PRACTITIONER14027200000128130365600189645000
SAKURA LING KUO
PHARMACIST14792200000135000371320198554000
MARGARITA LOEZA
CHIEF MEDICAL INFO. OFFICE14771200000136480426790204039000
SHARON NG
DIR. PHARMACY15719200000143980461710217761000

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions7NumberOfContributions
Noncash Contribs Rptd F990703408NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions15NumberOfContributions
Noncash Contribs Rptd F99010694237NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts1ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION MISSION STATEMENTFORM 990, PART III, LINE 1THE VENICE FAMILY CLINIC'S MISSION IS TO PROVIDE QUALITY PRIMARY HEALTH CARE TO PEOPLE IN NEED. IT WAS FOUNDED IN 1970 BY DR. PHILLIP ROSSMAN AND CO-FOUNDER DR. MAYER B. DAVIDSON. THEY WERE ALARMED THAT EVEN THE MOST BASIC MEDICAL SERVICES SUCH AS IMMUNIZATIONS, ANTIBIOTICS AND PRENATAL CARE WERE UNAVAILABLE FOR THE LOW-INCOME FAMILIES OF VENICE. BEGINNING IN THE EARLY 1990'S THROUGH 2011, VENICE FAMILY CLINIC WAS THE LARGEST FREE CLINIC IN THE UNITED STATES AND VIEWED AS A MODEL OF CARE. IN 2012, AS PART OF ITS RESPONSE TO THE AFFORDABLE CARE ACT, VENICE FAMILY CLINIC BECAME A SECTION 330(E) COMMUNITY HEALTH CENTER AND RECEIVED ADDITIONAL FUNDING THROUGH THE FEDERAL GOVERNMENT'S DEPARTMENT OF HEALTH AND HUMAN SERVICES, HRSA- DIVISION OF PRIMARY HEALTH CARE SERVICES. THE VENICE FAMILY CLINIC IS A BEACON OF HOPE AND HEALING FOR PEOPLE WITH LOW INCOMES AND PEOPLE AT HIGH RISK SUCH AS HOMELESS PEOPLE AND PEOPLE WHO ARE HIV+. THE VENICE FAMILY CLINIC HAS PROVEN ITSELF TO BE AN INNOVATIVE, EFFICIENT AND VIABLE RESPONSE TO THE NEED FOR PRIMARY HEALTH CARE SERVICES FOR THE WORKING POOR OF LOS ANGELES COUNTY.
FORM 990, PART VI, SECTION B, LINE 11THE 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 12CIF ANY EMPLOYEE REASONABLY BELIEVES THAT SOME POLICY, PRACTICE, OR ACTIVITY OF VENICE FAMILY CLINIC IS IN VIOLATION OF LAW, A WRITTEN COMPLAINT MAY BE FILED BY THAT EMPLOYEE WITH THE CHIEF EXECUTIVE OFFICER AND/OR CHAIR OF THE AUDIT AND COMPLIANCE COMMITTEE.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD HIRES, OVERSEES, AND ANNUALLY EVALUATES THE PERFORMANCE OF THE CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, AND CONDUCTS SUCH AN EVALUATION PRIOR TO ANY CHANGE IN THAT OFFICER'S COMPENSATION, UNLESS THERE IS A MULTI-YEAR CONTRACT IN FORCE OR THE CHANGE CONSISTS SOLELY OF ROUTINE ADJUSTMENTS FOR INFLATION OR COST OF LIVING.
FORM 990, PART VI, SECTION C, LINE 18THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
UNIVERSITY OF CALIFORNIA LOS ANGELES
405 HILGARD AVELOS ANGELESCA90024956006143PUBLIC RESEARCH UNIVERSITYCA501(C)(3)170(B)(1) (A)(II)N/A0
VENICE FAMILY CLINIC FOUNDATION
604 ROSE AVENUEVENICECA90291273484548FUNDRAISING ACTIVITIESCA501(C)(3)170(B)(1) (A)(VI)N/A0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
UNIVERSITY OF CALIFORNIA LOS ANGELES
C60000CASH
VENICE FAMILY CLINIC FOUNDATION
C250000CASH

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