VENICE FAMILY CLINIC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
VENICE FAMILY CLINIC (EIN 95-2769432)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-04-11
IRS object ID
201231029349300243
Schema version
2010v3.4
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)
Timestamp2012-04-11T19:29:34-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2010-07-01TaxPeriodBeginDate

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 Signed2012-03-27DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLIOR TEMKINName
Phone3104773924Phone
Date Prepared2012-03-27DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts39510840GrossReceipts
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 Body20NbrVotingMembersGoverningBody
Nbr Independent Voting Members20NbrIndependentVotingMembers
Total Nbr Employees268TotalNbrEmployees
Total Nbr Volunteers1706TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year26260250ContributionsGrantsPriorYear
Contributions Grants Current Year29119560ContributionsGrantsCurrentYear
Program Service Revenue Prior Year9052847ProgramServiceRevenuePriorYear
Program Service Revenue CY9689336ProgramServiceRevenueCY
Investment Income Prior Year387705InvestmentIncomePriorYear
Investment Income Current Year190578InvestmentIncomeCurrentYear
Other Revenue Prior Year84160OtherRevenuePriorYear
Other Revenue Current Year54190OtherRevenueCurrentYear
Total Revenue Prior Year35784962TotalRevenuePriorYear
Total Revenue Current Year39053664TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY432536GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year16291349SalariesEtcPriorYear
Salaries Etc Current Year17355743SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year230802TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY229678TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year1012023TotalFundrsngExpCurrentYear
Other Expense Prior Year16309321OtherExpensePriorYear
Other Expenses Current Year19452466OtherExpensesCurrentYear
Total Expenses Prior Year32831472TotalExpensesPriorYear
Total Expenses Current Year37470423TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2953490RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1583241RevenuesLessExpensesCY
Total Assets BOY20951691TotalAssetsBOY
Total Assets EOY23596088TotalAssetsEOY
Total Liabilities BOY2438304TotalLiabilitiesBOY
Total Liabilities EOY3022093TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY18513387NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY20573995NetAssetsOrFundBalancesEOY
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
Expense32845615Expense
Grants432536Grants
Revenue9689336Revenue
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 81,407 PRIMARY HEALTH CARE VISITS, 7,315 SPECIALTY CARE VISITS, 3,251 DENTAL VISITS, 7,511 MENTAL HEALTH CARE VISITS AND 7,862 HEALTH EDUCATION VISITS PROVIDED DURING THE YEAR ENDED JUNE 30, 2011.VENICE FAMILY CLINIC'S 25,321 PATIENTS IN YEAR ENDED JUNE 30, 2011 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 Expense32845615TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
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 With1096121NumberFormsTransmittedWith1096
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 Members20NbrVotingGoverningBodyMembers
Number Independent Voting Members20NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs1ChangesToOrganizingDocs
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 (30 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
SUSAN ADELMAN
BOARD MEMBER1.00X000
MAYER B DAVIDSON MD
BOARD MEMBER1.00X000
PAULA DAVIS
BOARD MEMBER1.00X000
RICHARD DEARMOND MSW
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
STEWART SERADSKY
BOARD MEMBER1.00X000
FLORA SANTACRUZ
BOARD MEMBER1.00X000
LOURDES SERVIN
BOARD MEMBER1.00X000
MARSHA TEMPLE ESQ
BOARD MEMBER1.00X000
CARMEN THOMAS-PARIS
BOARD MEMBER1.00X000
BRIAN D KAN MD
BOARD CHAIR1.00X000X
YVONNE ASHLEY JOHNSON
SECRETARY1.00X000X
JEFFREY E SINAIKO
TREASURER1.00X000X
ELIZABETH B FORER
CHIEF EXECUTIVE OFFICER40.00166750035424X
FREDERICK W HORNBECK
CHIEF INFORMATION OFFICER40.00123786028291X
CARMEN M IBARRA
CHIEF OPERATING OFFICER40.00116929016952X
LORETO S MELO
CHIEF FINANCIAL OFFICER40.00125429033145X
KAREN C LAMP
MEDICAL DIRECTOR40.00166563036472X
CATHERINE A CHAROUHAS
NURSE PRACTITIONER36.00131844024426X
BARBARA F GROTTS
NURSE PRACTITIONER36.00131198033280X
SAKURA LING KUO
PHARMACIST40.00141122029216X
SHARON NG
DIR. PHARMACY40.00145549034462X
NORMA ROSALES
PHYSICIAN40.00139533027944X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1388703TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation299612TotalOtherCompensation
Number Individuals GT100 K24NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
JENSEN ZIGMAN CONSTRUCTION CO INC
10020 NATIONAL BLVDLOS ANGELESCA90034CONSTRUCTION & DEVELOPMENT279875
WILLIAM L JONES
640 N SWEETZER AVENUE 11LOS ANGELESCA90048CONSULTANT/DEVELOPMENT231790
OCEAN PARK COMMUNITY CENTER
1453 16TH STREETSANTA MONICACA904042715HOMELESS SERVICES125752
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Fundraising Events901999FundraisingEvents
Related Organizations150000RelatedOrganizations
Government Grants6386061GovernmentGrants
All Other Contributions21681500AllOtherContributions
Noncash Contributions14123326NoncashContributions
Total Contributions29119560TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionMEDICARE/MEDICAID PYMTDescription
Business Code621400BusinessCode
Total Revenue Column9689336TotalRevenueColumn
Related Or Exempt Function Income9689336RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue9689336TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column213493TotalRevenueColumn
Exclusion$213,493ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other700Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities23615Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-23615Securities
Other700Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-22915TotalRevenueColumn
Exclusion-$22,915ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events433561GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events901999CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses433561FundraisingDirectExpenses

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 Column54190TotalRevenueColumn
Exclusion$54,190ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue54190TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column39053664TotalRevenueColumn
Related Or Exempt Function Income9689336RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$244,768ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total432536Total
Program Services432536ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total890841Total
Program Services349481ProgramServices
Management And General541360ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total11198182Total
Program Services9516256ProgramServices
Management And General1226457ManagementAndGeneral
Fundraising455469Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total492336Total
Program Services418389ProgramServices
Management And General53922ManagementAndGeneral
Fundraising20025Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3871482Total
Program Services3289842ProgramServices
Management And General439703ManagementAndGeneral
Fundraising141937Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total902902Total
Program Services736167ProgramServices
Management And General124816ManagementAndGeneral
Fundraising41919Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total14430Total
Management And General14430ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total94537Total
Management And General94537ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total229678Total
Fundraising229678Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1030683Total
Program Services913434ProgramServices
Management And General41202ManagementAndGeneral
Fundraising76047Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total298908Total
Program Services200561ProgramServices
Management And General95919ManagementAndGeneral
Fundraising2428Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total516661Total
Program Services434797ProgramServices
Management And General79082ManagementAndGeneral
Fundraising2782Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total155717Total
Program Services145464ProgramServices
Management And General7563ManagementAndGeneral
Fundraising2690Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total19789Total
Management And General19789ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total651771Total
Program Services380459ProgramServices
Management And General254168ManagementAndGeneral
Fundraising17144Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total190474Total
Program Services9328ProgramServices
Management And General181146ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
DONATED DRUGS AND PHARM1417150614171506
REPAIRS AND MAINTENANCE5419404324989466214780
MEDICAL SUP & REMOVAL36115436109262
PHARMACEUTICAL AND LAB317164317164
LICENSES, FEES AND DUES236225336691998242732

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total851507Total
Program Services702972ProgramServices
Management And General144143ManagementAndGeneral
Fundraising4392Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total37470423Total
Program Services32845615ProgramServices
Management And General3612785ManagementAndGeneral
Fundraising1012023Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY902BOY
EOY902EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1666928BOY
EOY1483963EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY3545671BOY
EOY5353222EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1014990BOY
EOY2463210EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1267165BOY
EOY1206369EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY112142BOY
EOY114773EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis14147979LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec7301632LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6731471BOY
EOY6846347EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY481252BOY
EOY5770EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY5694271BOY
EOY5602428EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY436899BOY
EOY519104EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY20951691BOY
EOY23596088EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1130658BOY
EOY831776EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1307646BOY
EOY2190317EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2438304BOY
EOY3022093EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY7843307BOY
EOY8011238EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY6446023BOY
EOY8338700EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY4224057BOY
EOY4224057EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY18513387BOY
EOY20573995EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY20951691BOY
EOY23596088EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1583241ReconcilationRevenueExpenses
Reconcilation Other Changes477367ReconcilationOtherChanges
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 Years19029468CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years20501904CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years20031532CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year26260250CurrentTaxYearMinus1Year
Current Tax Year29119560CurrentTaxYear
Total114942714Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years19029468CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years20501904CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years20031532CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year26260250CurrentTaxYearMinus1Year
Current Tax Year29119560CurrentTaxYear
Total114942714Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years616000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years676530CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years189764CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year369725CurrentTaxYearMinus1Year
Current Tax Year388782CurrentTaxYear
Total2240801Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8916427CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3170970CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9811834CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11712807CurrentTaxYearMinus1Year
Current Tax Year12682222CurrentTaxYear
Total46294260Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9532427CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3847500CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10001598CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12082532CurrentTaxYearMinus1Year
Current Tax Year13071004CurrentTaxYear
Total48535061Total
FieldValueIRS element (for citing)
Public Support Total50966407653PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years284407CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years274636CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years158565CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year123217CurrentTaxYearMinus1Year
Current Tax Year213493CurrentTaxYear
Total1054318Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years284407CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years274636CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years158565CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year123217CurrentTaxYearMinus1Year
Current Tax Year213493CurrentTaxYear
Total1054318Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years104948CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years120588CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years51789CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year84160CurrentTaxYearMinus1Year
Current Tax Year54190CurrentTaxYear
Total415675Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years19418823CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years20897128CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years20241886CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year26467627CurrentTaxYearMinus1Year
Current Tax Year29387243CurrentTaxYear
Total116412707Total
FieldValueIRS element (for citing)
Public Support Percentage5090.57050PublicSupportPercentage509
Prior Year Support Percentage0.63180PriorYearSupportPercentage
Investment Income Percentage0.00910InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01000PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: 2006 OTHER REVENUE: $104,948 2007 OTHER REVENUE: $120,588 2008 OTHER REVENUE: $51,789 2009 OTHER REVENUE: $84,160 2010 OTHER REVENUE: $54,190GeneralExplanation

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$3,682DirectContactLegislatorsAmount
Rallies Demonstrations1RalliesDemonstrations
Rallies Demonstrations$3,683RalliesDemonstrationsAmount
Other Activities0OtherActivities
Total Lobbying Expenditures IIB7365TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF OTHER LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1I: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 Balance4030445BeginningOfYearBalance
Investment Earnings Or Losses575967InvestmentEarningsOrLosses
Other Expenditures199760OtherExpenditures
End Of Year Balance4406652EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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 Balance0.99570PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00430TermEndowmentEOYBalance
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 Basis5991008OtherCostOrOtherBasis
Depreciation3351762Depreciation
Book Value2639246BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis4805276OtherCostOrOtherBasis
Depreciation3139888Depreciation
Book Value1665388BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1988472OtherCostOrOtherBasis
Depreciation809982Depreciation
Book Value1178490BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings6846347TotalOfBookValueLandBuildings

Other Securities OtherSecurities (3 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
DONATED PROPERTY1394040C
UCLA EIP FUND4017065C
UCLA STIP FUND191323C
FieldValueIRS element (for citing)
Total Of Book Value Securities5602428TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
PLEDGE LIABILITIES$557,646
LINE OF CREDIT$1,632,671
FieldValueIRS element (for citing)
Total Of Amounts2190317TotalOfAmounts
Total Revenue39053664TotalRevenue
Total Expenses37470423TotalExpenses
Excess Or Deficit For Year1583241ExcessOrDeficitForYear
Net Unrealized GL On Investments477367NetUnrealizedGLOnInvestments
Total Adjustments477367TotalAdjustments
Excess Or Deficit Per FS2060608ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt43743655TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments477367NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities3544937DonatedSrvcAndUseOfFacilities
Other Revenues667687OtherRevenues
Revenue Not Rptd F9904689991RevenueNotRptdF990
Revenue Subtotal39053664RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99039053664TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt41566095TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities3544937DonatedServicesUseOfFacilities
Other Expenses Included550735OtherExpensesIncluded
Expenses Not Rptd F9904095672ExpensesNotRptdF990
Expenses Subtotal37470423ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99037470423TotalExpensesPerForm990

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, 2011, THE CLINIC DID NOT RECOGNIZE ANY AMOUNT IN POTENTIAL INTEREST AND PENALTIES ASSOCIATED WITH UNCERTAIN TAX POSITIONS. VFC'S INCOME TAX RETURNS REMAIN SUBJECT TO EXAMINATION FOR ALL TAX YEARS ENDED ON OR AFTER JUNE 30, 2007 WITH REGARD TO ALL TAX POSITIONS AND THE RESULTS REPORTED. THE FOUNDATION'S INCOME TAX RETURN REMAINS SUBJECT TO EXAMINATION FOR THE TAX YEAR ENDED ON OR AFTER JUNE 30, 2011 WITH REGARD TO ALL TAX POSITIONS AND RESULTS REPORTED.
PART XII, LINE 2D - OTHER ADJUSTMENTS:AMOUNT REPORTED ON OTHER RETURN 463,803. SPECIAL EVENTS 203,884.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:AMOUNT REPORTED ON OTHER RETURN 346,851. SPECIAL EVENTS 203,884.

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
Email SolicitationsXEmailSolicitations
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 Receipts1335561GrossReceipts
Amount Retained By Contractor229678AmountRetainedByContractor
Net To Organization1105883NetToOrganization
FieldValueIRS element (for citing)
Total Gross Receipts1335561TotalGrossReceipts
Total Retained By Contractors229678TotalRetainedByContractors
Total Net To Organization1105883TotalNetToOrganization
Licensed StatesCALicensedStates

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1SILVER CIRCLENameOfEvent1
Gross Receipts Event11087387GrossReceiptsEvent1
Charitable Contributions Event1749093CharitableContributionsEvent1
Gross Revenue Event1338294GrossRevenueEvent1
Rent Facility Costs Event1114394RentFacilityCostsEvent1
Entertainment Event17500EntertainmentEvent1
Other Direct Expenses Event1216400OtherDirectExpensesEvent1
Name Of Event2HOLIDAY MOVIENameOfEvent2
Gross Receipts Event288859GrossReceiptsEvent2
Charitable Contributions Event265975CharitableContributionsEvent2
Gross Revenue Event222884GrossRevenueEvent2
Other Direct Expenses Event222883OtherDirectExpensesEvent2
Total Number Of Other Events2TotalNumberOfOtherEvents
Gross Receipts Other Events159314GrossReceiptsOtherEvents
Charitable Contrib Other Events86931CharitableContribOtherEvents
Gross Revenue Other Events72383GrossRevenueOtherEvents
Other Direct Expenses Other Events72384OtherDirectExpensesOtherEvents
Gross Receipts Total1335560GrossReceiptsTotal
Charitable Contributions Total901999CharitableContributionsTotal
Gross Revenue Total Events433561GrossRevenueTotalEvents
Rent Facility Costs Total Events114394RentFacilityCostsTotalEvents
Entertainment Total Events7500EntertainmentTotalEvents
Other Direct Expenses Total Events311667OtherDirectExpensesTotalEvents
Direct Expense Summary Events433561DirectExpenseSummaryEvents
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 Grant432536AmountOfCashGrant
Method Of ValuationFMVMethodOfValuation
Purpose Of GrantPROJECT FUNDINGPurposeOfGrant

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
1667500000000354240202174000
FREDERICK W HORNBECK
1237860000000282910152077000
LORETO S MELO
1195070005922000331450158574000
KAREN C LAMP
1665630000000364720203035000
CATHERINE A CHAROUHAS
1318440000000244260156270000
BARBARA F GROTTS
1311980000000332800164478000
SAKURA LING KUO
1411220000000292160170338000
SHARON NG
1455490000000344620180011000
NORMA ROSALES
1395330000000279440167477000

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoods

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F9905000NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions17NumberOfContributions
Noncash Contribs Rptd F99014118326NoncashContribsRptdF990
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

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierNON REPORTING OF REVENUE:Identifier
Return ReferencePART I, LINE 33:ReturnReference
ExplanationCLOTHING GETS DONATED TO US AND WE IN TURN GIVE IT TO OUR HOMELESS PATIENTSExplanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 4THE VENICE FAMILY CLINIC BOARD OF DIRECTORS HELD A SPECIAL MEETING ON NOVEMBER 2, 2010 AT WHICH A NEW BOARD WAS SELECTED THAT WOULD BE IN COMPLIANCE WITH SECTION 330E COMMUNITY HEALTH CENTER BOARD REQUIREMENTS. AT THIS TIME, VENICE FAMILY CLINIC WAS IN THE PROCESS OF SUBMITTING AN APPLICATION FOR SECTION 330(E) COMMUNITY HEALTH CENTER FUNDING FROM THE FEDERAL GOVERNMENT. IN ORDER TO RECEIVE THIS FUNDING, THE CLINIC'S BOARD OF DIRECTORS NEEDED TO BE COMPLIANT WITH THE GOVERNANCE REQUIREMENTS FOR ORGANIZATIONS RECEIVING SECTION 330(E) FEDERAL FUNDING. THESE REQUIREMENTS INCLUDE THE FOLLOWING: -THE BOARD MUST HAVE A MINIMUM OF 9 AND A MAXIMUM OF 25 MEMBERS. -51% OF BOARD MEMBERS (AT LEAST A SIMPLE MAJORITY) MUST BE ACTIVE CONSUMERS (I.E. REGULAR PATIENTS) OF THE FUNDED ENTITY, MEANING THEY GET THEIR PRIMARY HEALTHCARE THERE. -CONSUMER BOARD MEMBERS MUST BE REPRESENTATIVE OF THE AGENCY'S PATIENT POPULATION AND BE RESIDENTS OF ITS SERVICE AREA. -NO MORE THAN HALF OF THE NON-CONSUMER MEMBERS MAY EARN MORE THAN 10% OF THEIR INCOME FROM THE HEALTH CARE INDUSTRY. (THE HEALTH CARE INDUSTRY IS EXTREMELY BROADLY DEFINED FOR PURPOSES OF THIS REGULATION.) -THE COMMUNITY HEALTH CENTER BOARD MUST HOLD MONTHLY MEETINGS. IN ADDITION TO RESTRUCTURING THE CLINIC'S BOARD, A SEPARATE 501(C)(3) ENTITY, THE VENICE FAMILY CLINIC FOUNDATION, WAS CREATED. THE FOUNDATION HAS A SEPARATE BOARD AND ITS MISSION "IS TO SUPPORT, THROUGH FINANCIAL AND IN-KIND CONTRIBUTIONS, PROVISION OF SERVICES AND COMMUNITY OUTREACH, THE MISSION OF VENICE FAMILY CLINIC."
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.
IF 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 12C
THE 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 B, LINE 15
THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE TO THE PUBLIC UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 18
THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 477,367.FORM 990, PART XI, LINE 5:

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)(II)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
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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