VENICE FAMILY CLINIC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
VENICE FAMILY CLINIC (EIN 95-2769432)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-03-22
IRS object ID
201300819349300740
Schema version
2011v1.5
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)
Timestamp2013-03-22T18:21:14-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

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 Date2011-07-01TaxPeriodBeginDate

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 Signed2013-03-18DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameNANAZ BENYAMININame
PTINP00666808PTIN
Phone3104773924Phone
Date Prepared2013-03-18DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

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 Receipts37526061GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteHTTP://VENICEFAMILYCLINIC.ORG/WebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1970YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionVENICE FAMILY CLINIC IS A PRIVATE, NONPROFIT, COMMUNITY- BASED FREE CLINIC. FOUNDED IN 1970 TO MEET THE HEALTH CARE NEEDS OF THE LOW-INCOME RESIDENTS OF VENICE AND THE SURROUNDING COMMUNITY, THE CLINIC'S MISSION IS TO PROVIDE FREE, QUALITY HEALTH CARE TO PEOPLE IN NEED.ActivityOrMissionDescription
Nbr Voting Members Governing Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members18NbrIndependentVotingMembers
Total Nbr Employees268TotalNbrEmployees
Total Nbr Volunteers1955TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year29119560ContributionsGrantsPriorYear
Contributions Grants Current Year26310106ContributionsGrantsCurrentYear
Program Service Revenue Prior Year9689336ProgramServiceRevenuePriorYear
Program Service Revenue CY9303267ProgramServiceRevenueCY
Investment Income Prior Year190578InvestmentIncomePriorYear
Investment Income Current Year702351InvestmentIncomeCurrentYear
Other Revenue Prior Year54190OtherRevenuePriorYear
Other Revenue Current Year64740OtherRevenueCurrentYear
Total Revenue Prior Year39053664TotalRevenuePriorYear
Total Revenue Current Year36380464TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year432536GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY7463GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year17355743SalariesEtcPriorYear
Salaries Etc Current Year18562730SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year229678TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY121750TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year1074462TotalFundrsngExpCurrentYear
Other Expense Prior Year19452466OtherExpensePriorYear
Other Expenses Current Year19422592OtherExpensesCurrentYear
Total Expenses Prior Year37470423TotalExpensesPriorYear
Total Expenses Current Year38114535TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1583241RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1734071RevenuesLessExpensesCY
Total Assets BOY23596088TotalAssetsBOY
Total Assets EOY22564245TotalAssetsEOY
Total Liabilities BOY3022093TotalLiabilitiesBOY
Total Liabilities EOY3946259TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY20573995NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY18617986NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE VENICE FAMILY CLINIC WAS FOUNDED IN 1970 BY PHILIP ROSSMAN, MD AND CO-FOUNDER MAYER B. DAVIDSON, MD. 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. TODAY, THE SMALL CLINIC THAT THEY BEGAN IN A TINY STOREFRONT HAS GROWN INTO AMODEL OF CARE AND THE LARGEST FREE CLINIC IN THE UNITED STATES. ALTHOUGH WE WERE FOUNDED AS A "TEMPORARY, STOP-GAP MEASURE," WE ARE STILL HERE AFTER 41 YEARS BECAUSE THE NUMBER OF UNINSURED CHILDREN AND ADULTS CONTINUES TO GROW, AND NO OTHER SOLUTION FOR HOW BEST TO PROVIDE (AND PAY FOR) HEALTH CARE TO THE UNINSURED HAS EMERGED. FOR OUR PATIENTS, THE VENICE FAMILY CLINIC IS A BEACON OF HOPE AND HEALING. TO THE LARGER COMMUNITY, THE CLINIC HAS PROVEN ITSELF TO BE AN INNOVATIVE, EFFICIENT AND VIABLE RESPONSE TO THE NEED FOR PRIMARY HEALTH CARESERVICES FOR THE WORKING POOR OF LOS ANGELES COUNTY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense33520822Expense
Grants7463Grants
Revenue9303267Revenue
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 79,154 PRIMARY HEALTH CARE VISITS, 7,160 SPECIALTY CARE VISITS, 4,464 DENTAL VISITS, 7,509 MENTAL HEALTH CARE VISITS AND 7,982 HEALTH EDUCATION VISITS PROVIDED DURING THE YEAR ENDED JUNE 30, 2012.VENICE FAMILY CLINIC'S 23,802 PATIENTS IN YEAR ENDED JUNE 30, 2012 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 Expense33520822TotalProgramServiceExpense
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 Liabilities1ReportOtherLiabilities
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 Fundraising1ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
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
Transaction Related Entity0TransactionRelatedEntity
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 Employees268NumberOfEmployees
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 Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members18NumberIndependentVotingMembers
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

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 MEMBER1.00X000
LUIS GALVEZ
BOARD MEMBER1.00X000
REVEREND LYNDA D GRAY
BOARD MEMBER1.00X000
CRISPIN JIMENEZ
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 CHAIR4.00X000X
YVONNE ASHLEY JOHNSON
SECRETARY2.00X000X
JEFFREY E SINAIKO
TREASURER2.00X000X
ELIZABETH B FORER
CHIEF EXECUTIVE OFFICER40.00176230042582X
FREDERICK W HORNBECK
CHIEF INFORMATION OFFICER40.00130885035794X
CARMEN M IBARRA
CHIEF OPERATING OFFICER40.00128233021099X
LORETO S MELO
CHIEF FINANCE OFFICER40.00148479038083X
KAREN C LAMP
MEDICAL DIRECTOR40.00176033043339X
BLANCA ANDRES
ASST. MEDICAL DIRECTOR36.00131428022775X
CATHERINE A CHAROUHAS
NURSE PRACTITIONER36.00135933028772X
SAKURA LING KUO
PHARMACIST40.00150914034935X
MARGARITA LOEZA
CHIEF MEDICAL INFO. OFFICER40.00139020033417X
SHARON NG
DIR. PHARMACY40.00157192041147X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1474347TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation341943TotalOtherCompensation
Number Individuals GT100 K10NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
NEXTGEN HEALTHCARE INFORMATION SYSTEMS
PO BOX 511449LOS ANGELESCA900518004TECHNOLOGY SERVICES310716
WILLIAM L JONES
640 N SWEETZER AVENUE 11LOS ANGELESCA90048FUNDRAISING CONSULTANT234000
JENSENZIGMAN CONSTRUCTION CO INC
10020 NATIONAL BOULEVARDLOS ANGELESCA90034CONSTRUCTION/DEVELOPMENT189416
OCEAN PARK COMMUNITY CENTER
1453 16TH STREETSANTA MONICACA904042715HOMELESS SERVICES131853
WEISS FAMILY LIMITED PARTNERSHIP INC
904 SILVER SPUR ROAD 422ROLLING HILLS ESTATECA90274RENTAL OF COMMERCIAL BUILDING101780
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Fundraising Events1054704FundraisingEvents
Related Organizations210000RelatedOrganizations
Government Grants5180344GovernmentGrants
All Other Contributions19865058AllOtherContributions
Noncash Contributions14217335NoncashContributions
Total Contributions26310106TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionMEDICARE/MEDICAID PYMTDescription
Business Code621400BusinessCode
Total Revenue Column9303267TotalRevenueColumn
Related Or Exempt Function Income9303267RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue9303267TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column213009TotalRevenueColumn
Exclusion$213,009ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other1430459Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities104725Securities
Other836392Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-104725Securities
Other594067Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column489342TotalRevenueColumn
Exclusion$489,342ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events204480GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events1054704CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses204480FundraisingDirectExpenses

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 Column64740TotalRevenueColumn
Exclusion$64,740ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue64740TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column36380464TotalRevenueColumn
Related Or Exempt Function Income9303267RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$767,091ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total7463Total
Program Services7463ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total888484Total
Program Services348972ProgramServices
Management And General539512ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total12760229Total
Program Services10697347ProgramServices
Management And General1453956ManagementAndGeneral
Fundraising608926Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total839490Total
Program Services714013ProgramServices
Management And General88648ManagementAndGeneral
Fundraising36829Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3144323Total
Program Services2667227ProgramServices
Management And General340775ManagementAndGeneral
Fundraising136321Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total930204Total
Program Services768858ProgramServices
Management And General122751ManagementAndGeneral
Fundraising38595Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2290Total
Management And General2290ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total83305Total
Management And General83305ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total121750Total
Fundraising121750Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total919872Total
Program Services884364ProgramServices
Management And General8833ManagementAndGeneral
Fundraising26675Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total403225Total
Program Services337880ProgramServices
Management And General56903ManagementAndGeneral
Fundraising8442Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total480542Total
Program Services403119ProgramServices
Management And General74274ManagementAndGeneral
Fundraising3149Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total152612Total
Program Services134090ProgramServices
Management And General17146ManagementAndGeneral
Fundraising1376Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total68037Total
Management And General68037ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total674872Total
Program Services614204ProgramServices
Management And General42527ManagementAndGeneral
Fundraising18141Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total207947Total
Program Services7048ProgramServices
Management And General200899ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
DONATED DRUGS AND PHARM1462873814628738
REPAIRS AND MAINTENANCE4791583821548657110433
MEDICAL SUP & REMOVAL270480270480
PHARMACEUTICAL AND LAB201300201300

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total850214Total
Program Services453565ProgramServices
Management And General332824ManagementAndGeneral
Fundraising63825Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total38114535Total
Program Services33520822ProgramServices
Management And General3519251ManagementAndGeneral
Fundraising1074462Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY902BOY
EOY802EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1483963BOY
EOY1413981EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY5353222BOY
EOY5664436EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2463210BOY
EOY2530237EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1206369BOY
EOY800707EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY114773BOY
EOY114959EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis14455544LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec7974236LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6846347BOY
EOY6481308EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY5770BOY
EOY3539EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY5602428BOY
EOY5080792EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY519104BOY
EOY473484EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY23596088BOY
EOY22564245EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY831776BOY
EOY188433EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2190317BOY
EOY3757826EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3022093BOY
EOY3946259EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY8011238BOY
EOY7239379EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY8338700BOY
EOY6104550EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY4224057BOY
EOY5274057EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY20573995BOY
EOY18617986EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY23596088BOY
EOY22564245EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-1734071ReconcilationRevenueExpenses
Reconcilation Other Changes-221938ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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 Years20501904CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years20031532CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years26260250CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year29119560CurrentTaxYearMinus1Year
Current Tax Year26310106CurrentTaxYear
Total122223352Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8198592CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9491046CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9052847CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9689336CurrentTaxYearMinus1Year
Current Tax Year9303267CurrentTaxYear
Total45735088Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years28700496CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years29522578CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years35313097CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year38808896CurrentTaxYearMinus1Year
Current Tax Year35613373CurrentTaxYear
Total167958440Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years676530CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years189764CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years369725CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year388782CurrentTaxYearMinus1Year
Current Tax Year375046CurrentTaxYear
Total1999847Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years676530CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years189764CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years369725CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year388782CurrentTaxYearMinus1Year
Current Tax Year375046CurrentTaxYear
Total1999847Total
FieldValueIRS element (for citing)
Public Support Total509165958593PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years274636CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years158565CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years123217CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year213493CurrentTaxYearMinus1Year
Current Tax Year213009CurrentTaxYear
Total982920Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years274636CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years158565CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years123217CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year213493CurrentTaxYearMinus1Year
Current Tax Year213009CurrentTaxYear
Total982920Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years120588CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years51789CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years84160CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year54190CurrentTaxYearMinus1Year
Current Tax Year64740CurrentTaxYear
Total375467Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years29095720CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years29732932CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years35520474CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year39076579CurrentTaxYearMinus1Year
Current Tax Year35891122CurrentTaxYear
Total169316827Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98020PublicSupportPercentage509
Prior Year Support Percentage0.57050PriorYearSupportPercentage
Investment Income Percentage0.00580InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00910PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: 2007 OTHER REVENUE: $120,588 2008 OTHER REVENUE: $51,789 2009 OTHER REVENUE: $84,160 2010 OTHER REVENUE: $54,190 2011 OTHER REVENUE: $64,740GeneralExplanation

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$938DirectContactLegislatorsAmount
Rallies Demonstrations1RalliesDemonstrations
Rallies Demonstrations$938RalliesDemonstrationsAmount
Other Activities0OtherActivities
Total Lobbying Expenditures IIB1876TotalLobbyingExpendituresIIB
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
ExplanationOVER THE PAST YEAR, VENICE FAMILY CLINIC'S IN-HOUSE ADVOCACY TEAM MET MONTHLY WITH THE BOARD COMMITTEE OVERSEEING ADVOCACY WORK, AND FOCUSED ON HEALTH CARE ISSUES AT THE LOCAL, STATE AND NATIONAL POLICY LEVELS. LOCALLY, WE WORKED WITH THE COUNTY DEPARTMENT OF HEALTH TO HELP IMPLEMENT A NEW PROGRAM THAT WILL PROVIDE COVERAGE TO THE LOWEST INCOME MEMBERS OF OUR COMMUNITY. AT THE STATE LEVEL, WE JOINED WITH THE CALIFORNIA PRIMARY CARE ASSOCIATION AND OTHER AGENCIES TO OPPOSE BUDGET CUTS TO HEALTH CARE AND SOCIAL SERVICE PROGRAMS IMPACTING THE POOR. AT THE NATIONAL LEVEL, WE ENLISTED STAFF, BOARD MEMBERS AND PATIENTS IN PHONE AND E-MAIL CAMPAIGNS TO ENCOURAGE MEMBERS OF CONGRESS TO CONTINUE FUNDING FOR 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 Balance4406652BeginningOfYearBalance
Contributions1050000Contributions
Investment Earnings Or Losses-74201InvestmentEarningsOrLosses
Other Expenditures203714OtherExpenditures
End Of Year Balance5178737EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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

Current Year Minus3 Years CurrentYearMinus3Years

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 Basis1363223OtherCostOrOtherBasis
Book Value1363223BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis6002656OtherCostOrOtherBasis
Depreciation3366079Depreciation
Book Value2636577BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis4842898OtherCostOrOtherBasis
Depreciation3483963Depreciation
Book Value1358935BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2246767OtherCostOrOtherBasis
Depreciation1124194Depreciation
Book Value1122573BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings6481308TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
UCLA EIP FUND3887491F
UCLA STIP FUND1193301F
FieldValueIRS element (for citing)
Total Of Book Value Securities5080792TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
LINE OF CREDIT$3,000,000
LONG-TERM LOAN$203,093
SHORT-TERM NOTES PAYABLE$554,733
FieldValueIRS element (for citing)
Total Of Amounts3757826TotalOfAmounts
Total Revenue36380464TotalRevenue
Total Expenses38114535TotalExpenses
Excess Or Deficit For Year-1734071ExcessOrDeficitForYear
Net Unrealized GL On Investments-221938NetUnrealizedGLOnInvestments
Total Adjustments-221938TotalAdjustments
Excess Or Deficit Per FS-1956009ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt41052317TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-221938NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities4154948DonatedSrvcAndUseOfFacilities
Other Revenues738843OtherRevenues
Revenue Not Rptd F9904671853RevenueNotRptdF990
Revenue Subtotal36380464RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99036380464TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt42866572TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities4154948DonatedServicesUseOfFacilities
Other Expenses Included597089OtherExpensesIncluded
Expenses Not Rptd F9904752037ExpensesNotRptdF990
Expenses Subtotal38114535ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99038114535TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (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: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, 2012, 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, 2009 WITH REGARD TO ALL TAX POSITIONS AND THE RESULTS REPORTED.
PART XII, LINE 2D - OTHER ADJUSTMENTS:AMOUNT REPORTED ON OTHER RETURN 534,363. SPECIAL EVENTS 204,480.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:AMOUNT REPORTED ON OTHER RETURN 392,609. SPECIAL EVENTS 204,480.

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
Email SolicitationsXEmailSolicitations
Phone SolicitationsXPhoneSolicitations
In Person SolicitationsXInPersonSolicitations
Solicitation Of Non Govt GrantsXSolicitationOfNonGovtGrants
Solicitation Of Govt GrantsXSolicitationOfGovtGrants
Special Fundraising EventsXSpecialFundraisingEvents
Agreement Ref Fundraising1AgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation

FieldValueIRS element (for citing)
Name Of IndividualWILLIAM JONESNameOfIndividual

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1640 N SWEETZER AVE 11AddressLine1
CityLOS ANGELESCity
StateCAState
ZIP Code90048ZIPCode
FieldValueIRS element (for citing)
ActivityVARIOUSActivity
Fundraiser Control Of Funds0FundraiserControlOfFunds
Gross Receipts1259184GrossReceipts
Amount Retained By Contractor121750AmountRetainedByContractor
Net To Organization1137434NetToOrganization
FieldValueIRS element (for citing)
Total Gross Receipts1259184TotalGrossReceipts
Total Retained By Contractors121750TotalRetainedByContractors
Total Net To Organization1137434TotalNetToOrganization
Licensed StatesCALicensedStates

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1SILVER CIRCLENameOfEvent1
Gross Receipts Event11012558GrossReceiptsEvent1
Charitable Contributions Event1854934CharitableContributionsEvent1
Gross Revenue Event1157624GrossRevenueEvent1
Rent Facility Costs Event1111515RentFacilityCostsEvent1
Entertainment Event115325EntertainmentEvent1
Other Direct Expenses Event130784OtherDirectExpensesEvent1
Name Of Event2HOLIDAY MOVIENameOfEvent2
Gross Receipts Event284345GrossReceiptsEvent2
Charitable Contributions Event277028CharitableContributionsEvent2
Gross Revenue Event27317GrossRevenueEvent2
Other Direct Expenses Event27317OtherDirectExpensesEvent2
Total Number Of Other Events2TotalNumberOfOtherEvents
Gross Receipts Other Events162281GrossReceiptsOtherEvents
Charitable Contrib Other Events122742CharitableContribOtherEvents
Gross Revenue Other Events39539GrossRevenueOtherEvents
Other Direct Expenses Other Events39539OtherDirectExpensesOtherEvents
Gross Receipts Total1259184GrossReceiptsTotal
Charitable Contributions Total1054704CharitableContributionsTotal
Gross Revenue Total Events204480GrossRevenueTotalEvents
Rent Facility Costs Total Events111515RentFacilityCostsTotalEvents
Entertainment Total Events15325EntertainmentTotalEvents
Other Direct Expenses Total Events77640OtherDirectExpensesTotalEvents
Direct Expense Summary Events204480DirectExpenseSummaryEvents
Net Income Summary0NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained0RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1INSURE THE UNINSURED PROJECT (ITUP)BusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12444 WILSHIRE BLVDAddressLine1
CitySANTA MONICACity
StateCAState
ZIP Code90403ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient274159194EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant7463AmountOfCashGrant
Amount Of Non Cash Assistance0AmountOfNonCashAssistance
Method Of ValuationFMVMethodOfValuation
Purpose Of GrantPROJECT FUNDINGPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

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)

Base 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
1762300000097060328760218812000
FREDERICK W HORNBECK
1308850000071090286850166679000
LORETO S MELO
12161302686600067200313630186562000
KAREN C LAMP
1760330000096950336440219372000
BLANCA ANDRES
1314280000072380155370154203000
CATHERINE A CHAROUHAS
1359330000074990212730164705000
SAKURA LING KUO
1509140000083050266300185849000
MARGARITA LOEZA
1390200000076570257600172437000
SHARON NG
1571920000086460325010198339000

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions15NumberOfContributions
Noncash Contribs Rptd F99014217335NoncashContribsRptdF990
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)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
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.
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -221,938.CHANGES IN NET ASSETS OR FUND BALANCES:

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)509(A)(3) TYPE IIIN/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
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
C150000CASH

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