VENICE FAMILY CLINIC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
VENICE FAMILY CLINIC (EIN 95-2769432)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-03-22
IRS object ID
201120819349300807
Schema version
2009v1.7
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)
Timestamp2011-03-22T17:01:18-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

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 SUITE 700AddressLine1
CityLOS ANGELESCity
StateCAState
ZIP Code900243783ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

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 Signed2011-03-08DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLior TemkinName
Phone3104773924Phone
Date Prepared2011-03-08DatePrepared
FieldValueIRS element (for citing)
Tax Year2009TaxYear
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 Receipts36563582GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
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 Body42NbrVotingMembersGoverningBody
Nbr Independent Voting Members42NbrIndependentVotingMembers
Total Nbr Employees268TotalNbrEmployees
Total Nbr Volunteers2096TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year20031532ContributionsGrantsPriorYear
Contributions Grants Current Year26260250ContributionsGrantsCurrentYear
Program Service Revenue Prior Year9491046ProgramServiceRevenuePriorYear
Program Service Revenue CY9052847ProgramServiceRevenueCY
Investment Income Prior Year-109871InvestmentIncomePriorYear
Investment Income Current Year387705InvestmentIncomeCurrentYear
Other Revenue Prior Year51789OtherRevenuePriorYear
Other Revenue Current Year84160OtherRevenueCurrentYear
Total Revenue Prior Year29464496TotalRevenuePriorYear
Total Revenue Current Year35784962TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year16147444SalariesEtcPriorYear
Salaries Etc Current Year16291349SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year225554TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY230802TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year1151136TotalFundrsngExpCurrentYear
Other Expense Prior Year14069452OtherExpensePriorYear
Other Expenses Current Year16309321OtherExpensesCurrentYear
Total Expenses Prior Year30442450TotalExpensesPriorYear
Total Expenses Current Year32831472TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-977954RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2953490RevenuesLessExpensesCY
Total Assets BOY17101641TotalAssetsBOY
Total Assets EOY20951691TotalAssetsEOY
Total Liabilities BOY1605086TotalLiabilitiesBOY
Total Liabilities EOY2438304TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY15496555NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY18513387NetAssetsOrFundBalancesEOY
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 33 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
Expense28080952Expense
Revenue9052847Revenue
DescriptionThe Clinic serves as a family doctor, 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 80,290 primary health care visits, 8,550 specialty care visits, 2,296 dental visits and 8,188 mental health care visits, and 7,138 health education visits.The Clinic's 24,413 patients in 2010 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 Southern California.Description
Total Program Service Expense28080952TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising1ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109699NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of 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
Nbr Voting Governing Body Members42NbrVotingGoverningBodyMembers
Number Independent Voting Members42NumberIndependentVotingMembers
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
Other WebsiteXOtherWebsite
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 (53 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
JIMMY H HARA MD
Immediate Past Chair1.00X000
Ashley Johnson
Secretary1.00X000
Brian D Kan MD
CHAIR1.00X000
Jeffrey E Sinaiko
Treasurer1.00X000
Susan Adelman
Board Member1.00X000
Carol Archie MD
Board Member1.00X000
NEAL AXELROD
Board Member1.00X000
Neal Baer MD
Board Member1.00X000
Lowell C Brown Esq
Board Member1.00X000
RICK BRADLEY
Board Member1.00X000
Mayer B Davidson MD
Board Member1.00X000
AIME ESPINOSA
Board Member1.00X000
Mose J Firestone PhD LCSW
Board Member1.00X000
Susan Fleischman MD
Board Member1.00X000
William Flumenbaum
Board Member1.00X000
Chester Griffiths MD FACS
Board Member1.00X000
Joanne Jubelier PhD
Board Member1.00X000
Constance Lawton
Board Member1.00X000
Deborah Laub
Board Member1.00X000
Lou Lazatin
Board Member1.00X000
Harley Liker MD MBA
Board Member1.00X000
Tracey Loeb
Board Member1.00X000
Gail Margolis Esq
Board Member1.00X000
Frank Matricardi Dr PH
Board Member1.00X000
Viren Mehta
Board Member1.00X000
Wendy Smith Meyer PhD LCSW
Board Member1.00X000
William D Parente
Board Member1.00X000
HUTCH PARKER
Board Member1.00X000
Neil H Parker MD
Board Member1.00X000
Bill Resnick MD MBA
Board Member1.00X000
DAVID RUBENSON
Board Member1.00X000
Paul Saben
Board Member1.00X000
Fern Seizer
Board Member1.00X000
Alan Sieroty
Board Member1.00X000
MARSHA TEMPLE ESQ
Board Member1.00X000
Russel Tyner AIA
Board Member1.00X000
Michael S Wilkes MD PhD
Board Member1.00X000
LEISA WU
Board Member1.00X000
Ruth Bloom
Board Emeritus1.00X000
Daniel Hillman MD
Board Emeritus1.00X000
Karl A Keener Esq
Board Emeritus1.00X000
Ruth Moss
Board Emeritus1.00X000
ELIZABETH B FORER
Chief Executive Officer40.00163882028877X
FREDERICK W HORNBECK
chief information officer40.00123786023597X
CARMEN M IBARRA
chief operating officer40.00124191013210X
LORETO S MELO
Chief Financial Officer40.00125000025153X
MARY RICHERT-UNTIL 0510
GEN. OPERATIONS DIRECTOR40.0093124016274X
KAREN C LAMP
Medical Director40.00163698029190X
SAKURA LING KUO
PHARMACIST40.00140382023855X
MARGARITA LOEZA
PHYSICIAN40.00128782022765X
sharon ng
Dir. Pharmacy40.00145549027841X
NORMA ROSALES
PHYSICIAN40.00138494022658X
miriam padilla
PHYSICIAN40.00126463018872X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1473351TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation252292TotalOtherCompensation
Number Individuals GT100 K22NumberIndividualsGT100K
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 & development585984
WILLIAM L JONES
640 N SWEETZER AVENUE 11LOS ANGELESCA90048CONSULTANT/DEVELOPMENT221748
Ocean Park Community Center
1453 16th streetsanta monicaCA904042715homeless services149393
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Fundraising Events1279334FundraisingEvents
Government Grants5397317GovernmentGrants
All Other Contributions19583599AllOtherContributions
Noncash Contributions10915795NoncashContributions
Total Contributions26260250TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionMEDICARE/MEDICAID PAYMDescription
Business Code621400BusinessCode
Total Revenue Column9052847TotalRevenueColumn
Related Or Exempt Function Income9052847RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue9052847TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column123217TotalRevenueColumn
Exclusion$123,217ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities691685Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities422197Securities
Other5000Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities269488Securities
Other-5000Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column264488TotalRevenueColumn
Exclusion$264,488ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events351423GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events1279334CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses351423FundraisingDirectExpenses

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 Column84160TotalRevenueColumn
Exclusion$84,160ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue84160TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column35784962TotalRevenueColumn
Related Or Exempt Function Income9052847RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$471,865ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1728178Total
Program Services1137000ProgramServices
Management And General591178ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total10052449Total
Program Services8177675ProgramServices
Management And General1290147ManagementAndGeneral
Fundraising584627Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3629812Total
Program Services3019661ProgramServices
Management And General435481ManagementAndGeneral
Fundraising174670Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total880910Total
Program Services699840ProgramServices
Management And General136331ManagementAndGeneral
Fundraising44739Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total23756Total
Management And General23756ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total68696Total
Management And General68696ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total230802Total
Fundraising230802Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total940638Total
Program Services889083ProgramServices
Management And General46138ManagementAndGeneral
Fundraising5417Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total275261Total
Program Services178337ProgramServices
Management And General92535ManagementAndGeneral
Fundraising4389Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total485084Total
Program Services371707ProgramServices
Management And General110022ManagementAndGeneral
Fundraising3355Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total133407Total
Program Services119404ProgramServices
Management And General10380ManagementAndGeneral
Fundraising3623Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total28073Total
Management And General28073ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total642837Total
Program Services438515ProgramServices
Management And General185033ManagementAndGeneral
Fundraising19289Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total179280Total
Program Services8119ProgramServices
Management And General171161ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
DONATED DRUGS AND PHARM1131361211313612
Repairs and maintenance4192933211348572412435
MEDICAL SUPPLIES REMOVA315931315931
GRANT EQUIPMENT29432127854315006772
PHARMACEUTICAL AND LAB274318274318

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total914814Total
Program Services538073ProgramServices
Management And General309723ManagementAndGeneral
Fundraising67018Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total32831472Total
Program Services28080952ProgramServices
Management And General3599384ManagementAndGeneral
Fundraising1151136Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1165BOY
EOY902EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1020723BOY
EOY1666928EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1625636BOY
EOY3545671EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY964353BOY
EOY1014990EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1656585BOY
EOY1267165EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY114549BOY
EOY112142EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis13727830LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec6996359LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6435841BOY
EOY6731471EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY480728BOY
EOY481252EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY4427797BOY
EOY5694271EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY374264BOY
EOY436899EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY17101641BOY
EOY20951691EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY547440BOY
EOY1130658EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1057646BOY
EOY1307646EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1605086BOY
EOY2438304EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY7184628BOY
EOY7843307EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY4837870BOY
EOY6446023EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3474057BOY
EOY4224057EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY15496555BOY
EOY18513387EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY17101641BOY
EOY20951691EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

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)
Political Expenditures0PoliticalExpenditures
Volunteer Hours0VolunteerHours
Volunteers1Volunteers
Paid Staff Or Management1PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$1,680DirectContactLegislatorsAmount
Rallies Demonstrations1RalliesDemonstrations
Rallies Demonstrations$1,680RalliesDemonstrationsAmount
Other Activities0OtherActivities
Total Lobbying Expenditures IIB3360TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part I-A, Line 1:Organizations Direct and Indirect Political Campaign Activities:Over the past year, Venice Family Clinic's advocacy work focused on health care issues at the local, state and nationaL policy levels. Locally, we advocated for increased accessibility to specialty and mental health care for our patients. 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. At the national level, we met with local congressional members and their staff, educating them on the needs of providers of primary health care for the uninsured and underserved populations and the patients themselves. We also worked to help promote national health care reform, including advising our elected officials on the proposed health care reform bill. In addition, we formed an in-house advocacy team, comprised of five staff members and several interns, that have been meeting monthly. To date this group has focused on voter registration and creating an advocacy database.
Part II-B, Line 1i:Explanation of Other Lobbying Activities:DURING THIS YEAR, THE CLINIC'S ADVOCACY EFFORTS FOCUSED ON HEALTH CARE ISSUES AT THE LOCAL, STATE AND FEDERAL POLICY LEVELS. AT ALL LEVELS OF GOVERNMENT, WE WORKED TO PROVIDE AND PRESERVE ACCESS TO HEALTH CARE SERVICES FOR THE LOWEST INCOME MEMBERS OF OUR COMMUNITY AS WELL AS TO EDUCATE OUR ELECTED OFFICIALS ABOUT THE PLIGHT OF THE MEDICALLY UNDERSERVED AND THE CHALLENGES FACING THOSE TREATING THEM. AT THE STATE LEVEL, WE MET WITH ELECTED REPRESENTATIVES IN THE STATE SENATE AND ASSEMBLY TO URGE THEM TO OPPOSE FURTHER CUTS TO HEALTH CARE SERVICES FOR THE STATE'S LOWEST INCOME RESIDENTS. AT THE NATIONAL LEVEL, WE WORKED WITH OUR ELECTED REPRESENTATIVES TO PASS HEALTH CARE REFORM AND TO BEGIN THE PROCESS OF IMPLEMENTING THE PROVISIONS CONTAINED IN THE HISTORIC AFFORDABLE CARE ACT LEGISLATION. WE ALSO FORMED AN ADVOCACY TEAM THAT HAS BEEN MEETING MONTHLY AND CONDUCTED A VOTER REGISTRATION DRIVE PRIOR TO THE NOVEMBER 2010 ELECTIONS.

Schedule D IRS990ScheduleD

Current Year CurrentYear

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

Current Year Minus1 Year CurrentYearMinus1Year

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 Basis5991008OtherCostOrOtherBasis
Depreciation3331732Depreciation
Book Value2659276BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis4418414OtherCostOrOtherBasis
Depreciation2717414Depreciation
Book Value1701000BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1955185OtherCostOrOtherBasis
Depreciation947213Depreciation
Book Value1007972BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings6731471TotalOfBookValueLandBuildings

Other Securities OtherSecurities (3 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
ucla stip fund755175C
ucla eip fund3545056C
donated property1394040C
FieldValueIRS element (for citing)
Total Of Book Value Securities5694271TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
PLEDGE LIABILITIES$557,646
LINE OF CREDIT$750,000
FieldValueIRS element (for citing)
Total Of Amounts1307646TotalOfAmounts
Total Revenue35784962TotalRevenue
Total Expenses32831472TotalExpenses
Excess Or Deficit For Year2953490ExcessOrDeficitForYear
Net Unrealized GL On Investments63342NetUnrealizedGLOnInvestments
Total Adjustments63342TotalAdjustments
Excess Or Deficit Per FS3016832ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt39099928TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments63342NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities2900201DonatedSrvcAndUseOfFacilities
Other Revenues351423OtherRevenues
Revenue Not Rptd F9903314966RevenueNotRptdF990
Revenue Subtotal35784962RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99035784962TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt36083096TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities2900201DonatedServicesUseOfFacilities
Other Expenses Included351423OtherExpensesIncluded
Expenses Not Rptd F9903251624ExpensesNotRptdF990
Expenses Subtotal32831472ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99032831472TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part V, Line 4:Description of Intended Use of Endowment Funds: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.
Part X:Description of Uncertain Tax Positions Under FIN 48: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, 2010, the Clinic did not recognize any amount in potential interest and penalties associated with uncertain tax positions.
Part XII, Line 2d - Other Adjustments:SPECIAL EVENTS: 351423.
Part XIII, Line 2d - Other Adjustments:SPECIAL EVENTS: 351423.

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
ActivityVARIOUSActivity
Fundraiser Control Of Funds0FundraiserControlOfFunds
Gross Receipts1861559GrossReceipts
Amount Retained By Contractor230802AmountRetainedByContractor
Net To Organization1630757NetToOrganization
FieldValueIRS element (for citing)
Total Gross Receipts1861559TotalGrossReceipts
Total Retained By Contractors230802TotalRetainedByContractors
Total Net To Organization1630757TotalNetToOrganization
Licensed StatesCALicensedStates

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1ART WALKNameOfEvent1
Gross Receipts Event1481291GrossReceiptsEvent1
Charitable Contributions Event1310281CharitableContributionsEvent1
Gross Revenue Event1171010GrossRevenueEvent1
Rent Facility Costs Event117087RentFacilityCostsEvent1
Other Direct Expenses Event1153923OtherDirectExpensesEvent1
Name Of Event2SILVER CIRCLENameOfEvent2
Gross Receipts Event2929346GrossReceiptsEvent2
Charitable Contributions Event2796633CharitableContributionsEvent2
Gross Revenue Event2132713GrossRevenueEvent2
Rent Facility Costs Event292635RentFacilityCostsEvent2
Other Direct Expenses Event240078OtherDirectExpensesEvent2
Total Number Of Other Events2TotalNumberOfOtherEvents
Gross Receipts Other Events220120GrossReceiptsOtherEvents
Charitable Contrib Other Events172420CharitableContribOtherEvents
Gross Revenue Other Events47700GrossRevenueOtherEvents
Other Direct Expenses Other Events47700OtherDirectExpensesOtherEvents
Gross Receipts Total1630757GrossReceiptsTotal
Charitable Contributions Total1279334CharitableContributionsTotal
Gross Revenue Total Events351423GrossRevenueTotalEvents
Rent Facility Costs Total Events109722RentFacilityCostsTotalEvents
Other Direct Expenses Total Events241701OtherDirectExpensesTotalEvents
Direct Expense Summary Events351423DirectExpenseSummaryEvents
Net Income Summary0NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy0CharityCarePolicy
Annual Community Benefit Report0AnnualCommunityBenefitReport
Bad Debt Expense Reported0BadDebtExpenseReported
Written Debt Collection Policy0WrittenDebtCollectionPolicy

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

FieldValueIRS element (for citing)
Business Name Line1VENICE FAMILY CLINICBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1604 ROSE AVENUEAddressLine1
CityVENICECity
StateCAState
ZIP Code90291ZIPCode
FieldValueIRS element (for citing)
General Medical And SurgicalXGeneralMedicalAndSurgical

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Number Of Facility Type ExplnPart V: The Clinic serves as a family doctor, 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 80,290 primary health care visits, 8,550 specialty care visits, 2,296 dental visits and 8,188 mental health care visits, and 7,138 health education visits.NumberOfFacilityTypeExpln
Needs AssessmentPart VI, Line 2: The Venice family clinic conducts a community needs assessment every 3-5 years in conjunction with its strategic planning efforts. As part of this assessment, Venice family clinic looks at health data, demographic data, educational data and income data to determine the specific needs of the community Venice family clinic servesNeedsAssessment
Patient Education AssistancePart VI, Line 3: Venice family clinic provides education through its health insurance enrollment program about a patient's potential eligibility for public health insurance and other types of federal, state and local programs that our clients may be eligible for.PatientEducationAssistance
Community InformationPart VI, Line 4: The Clinic's 24,413 patients in 2010 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 Southern California.CommunityInformation
Other InformationPart VI, Line 6: The Clinic serves as a family doctor, 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 80,290 primary health care visits, 8,550 specialty care visits, 2,296 dental visits and 8,188 mental health care visits, and 7,138 health education visits.The clinic is not considered to be a typical hospital, and therefore, many of the questions on schedule H that did not apply to the organization were not answered.OtherInformation

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 (7 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
1638820000000288770192759000
LORETO S MELO
1195070005493000251530150153000
KAREN C LAMP
1636980000000291900192888000
SAKURA LING KUO
1403820000000238550164237000
MARGARITA LOEZA
1287820000000227650151547000
sharon ng
1455490000000278410173390000
NORMA ROSALES
1384940000000226580161152000

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions22NumberOfContributions
Noncash Contribs Rptd F99010915795NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
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 them to our homeless patients.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanation
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 made available for the rest of the board 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 AND ON THE INTERNET AT www.guidestar.org.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1University of California Los AngelesBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1405 Hilgard AveAddressLine1
CityLOS ANGELESCity
StateCAState
ZIP Code90024ZIPCode
FieldValueIRS element (for citing)
EIN956006143EIN
Primary ActivitiesPublic Research UniversityPrimaryActivities
Legal Domicile StateCALegalDomicileState
Exempt Code Section501(c)(3)ExemptCodeSection
Public Charity Status170(b)(1) (A)(ii)PublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
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

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1University of California Los AngelesBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeCTransactionType
Amount Involved60000AmountInvolved

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