2024-05-15T10:57:43-05:00 2023-06-30 951777440 GREEN HASSON & JANKS LLP 700 S FLOWER STREET SUITE 3300 LOS ANGELES CA 90017 990 2022-07-01 952769432 VENICE FAMILY CLINIC VENI 3103928630 604 ROSE AVENUE VENICE CA 90291 MITESH POPAT CEO 3103928630 2024-03-21 1 MITESH POPAT 999009999 1 LIZBETH G NEVAREZ P01399868 3108731600 2024-03-21 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z MITESH POPAT 604 ROSE AVENUE VENICE CA 90291 91855700 0 X HTTP://WWW.VENICEFAMILYCLINIC.ORG/ X 1970 CA TO PROVIDE QUALITY PRIMARY HEALTH CARE TO PEOPLE IN NEED. 21 21 649 492 0 0 52051945 42316742 32179621 48148640 524308 604411 0 0 84755874 91069793 0 0 0 0 54869663 63395527 0 0 3001434 17830231 20310872 72699894 83706399 12055980 7363394 68788827 89995639 15313182 28312916 53475645 61682723 TO PROVIDE QUALITY PRIMARY HEALTH CARE TO PEOPLE IN NEED. 0 0 69978850 48148640 FOR OVER 50 YEARS, VENICE FAMILY CLINIC HAS BEEN A LEADING COMMUNITY HEALTH CENTER IN LOS ANGELES COUNTY. WE VIEW CARE PROVISION THROUGH THE LENS OF PREVENTION, RECOGNIZING THAT WE HAVE A UNIQUE OPPORTUNITY TO HELP PEOPLE GET AND STAY WELL. OUR SERVICES INCLUDE: PRIMARY AND SPECIALTY MEDICAL CARE; CHRONIC DISEASE MANAGEMENT; DENTAL AND VISION CARE; MENTAL HEALTH CARE; SUBSTANCE USE TREATMENT SERVICES; OUR COMMON GROUND PROGRAM FOR HIV PREVENTION AND TREATMENT; HOMELESS HEALTH CARE AND STREET-BASED MEDICINE; OUR TEEN CLINIC; DOMESTIC VIOLENCE INTERVENTION; OUR CHILDREN FIRST EARLY HEAD START PROGRAM; CASE MANAGEMENT; HEALTH EDUCATION; INTEGRATIVE MEDICINE; LABORATORY AND PHARMACY SERVICES; HEALTH INSURANCE ENROLLMENT ASSISTANCE; AND MORE. 69978850 1 1 0 1 0 0 0 1 0 1 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 144 0 1 649 1 0 0 0 0 0 0 0 0 0 0 0 0 X 21 21 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 1 0 CA X X ANDREA BLACKBIRD 3106647941 604 ROSE AVENUE VENICE CA 90291 ELIZABETH B FORER CHIEF EXECUTIVE OFFICER (LEFT 12/ 22) 40.00 1.00 X 318948 0 94572 MARGARITA LOEZA STAFF PHYSICIAN 40.00 0.00 X 279450 0 68355 ANJALI MAHONEY CHIEF MEDICAL OFFICER 40.00 0.00 X 275000 0 86254 JOHN ARTHUR ROOHAN CLINICAL SITE DIRECTOR 40.00 0.00 X 273834 0 85466 BLANCA ANDRES STAFF PHYSICIAN 40.00 0.00 X 264902 0 73185 ANITA MARIA ZAMORA DEPUTY DIR/CHIEF OPERATIONS OFFICER 40.00 0.00 X 262810 0 79065 KAREN C LAMP STAFF PHYSICIAN 40.00 0.00 X 260465 0 75088 NAVEENA PONNUSAMY CHIEF DEVELOPMENT & COMMUNICATIONS OFFICER 40.00 0.00 X 256338 0 79096 COLEY MARVIN KING STAFF PHYSICIAN 40.00 0.00 X 255000 0 57563 ANDREA B BLACKBIRD CHIEF FINANCIAL OFFICER 40.00 1.00 X 254161 0 76788 JASON VU HUA CHIEF INFORMATION OFFICER 40.00 0.00 X 242554 0 70888 STACEY ANN SCARBOROUGH DIR. OF HUMAN RESOURCES & HEAD START 40.00 0.00 X 234632 0 74719 SHARON NG DIRECTOR OF PHARMACY SVCS 40.00 0.00 X 204114 0 60312 MITESH POPAT CHIEF EXECUTIVE OFFICER (AS OF 12/ 22) 40.00 1.00 X 1724 0 554 JOAN HERMAN BOARD CHAIR 2.00 2.00 X X 0 0 0 MARK GAVENS CHAIR ELECT 2.00 2.00 X X 0 0 0 JEFFREY E SINAIKO TREASURER 2.00 2.00 X X 0 0 0 MICHAEL ST PIERRE SECRETARY 2.00 0.00 X X 0 0 0 KEN BASCOM BOARD MEMBER 2.00 0.00 X 0 0 0 JOANN BOURNE BOARD MEMBER 2.00 2.00 X 0 0 0 OLGA CARRASCO BOARD MEMBER 2.00 0.00 X 0 0 0 DIANA CARSOLA BOARD MEMBER 2.00 0.00 X 0 0 0 MAYER B DAVIDSON MD BOARD MEMBER 2.00 2.00 X 0 0 0 MITCH DEL MONICO BOARD MEMBER 2.00 0.00 X 0 0 0 SUSAN FLEISCHMAN MD BOARD MEMBER 2.00 2.00 X 0 0 0 SHARON GELFAND BOARD MEMBER 2.00 0.00 X 0 0 0 JOHN GERESI BOARD MEMBER 2.00 2.00 X 0 0 0 ALLAN GORDON BOARD MEMBER 2.00 0.00 X 0 0 0 TARYN KEANE BOARD MEMBER 2.00 0.00 X 0 0 0 CAROLINA MONGE BOARD MEMBER 2.00 0.00 X 0 0 0 NEIL H PARKER MD BOARD MEMBER 2.00 2.00 X 0 0 0 PATRICIA RAMIREZ BOARD MEMBER (LEFT FEB 2023) 2.00 0.00 X 0 0 0 NADIA SHAHEEN BOARD MEMBER 2.00 0.00 X 0 0 0 CARMEN THOMAS-PARIS BOARD MEMBER 2.00 0.00 X 0 0 0 INGRID TOLEDO BOARD MEMBER 2.00 0.00 X 0 0 0 HILDA PENA BOARD MEMBER 2.00 0.00 X 0 0 0 3383932 0 981905 102 0 1 0 DRIVER SPG LLC 468 N ROSEMEAD BLVD PASADENA CA 91107 CONSTRUCTION 3495390 BROTHERS MAINTENANCE SERVICES PO BOX 3283 WHITTIER CA 90605 JANITORIAL & MAINTENANCE 827987 HOUSTONTYNER ARCHITECTS 2630 SEPULVEDA BLVD TORRANCE CA 90505 ARCHITECTUAL SERVICES 470945 RANDSTAD US LP PO BOX 894217 LOS ANGELES CA 90189 TEMPORARY PERSONNEL 298745 GLOBAL FORCE PROTECTIVE SERVICES INC 8117 W MANCHESTER AVE STE 317 PLAYA DEL REY CA 90293 SECURITY GUARD SERVICES 259544 13 31310094 11006648 1909767 42316742 THIRD PARTY REIMBURSEMENT 621400 42117306 42117306 MEDI-CAL PHARMACY 900099 6031334 6031334 48148640 458536 458536 931782 785907 145875 145875 145875 91069793 48148640 0 604411 3220739 2745392 345580 129767 42773199 36562149 4429291 1781759 5936473 5008703 718166 209604 11465116 9673313 1386994 404809 247416 247416 143620 143620 125416 125416 2688119 2148432 470028 69659 28031 4574 10263 13194 1355805 1086720 190311 78774 1750516 1017836 646460 86220 3993376 3208762 645712 138902 183933 157963 25256 714 68117 58356 9497 264 153958 153958 1265493 825980 417474 22039 393000 300373 80557 12070 PHARMACEUTICAL SUPPLIES 3046304 3046304 0 0 DONATED FOOD 1839861 1839861 0 0 MED SUP & WASTE REMOVAL 1217588 1152284 65304 0 PARTICIPANT SUPPLIES/AC 398214 384568 13066 580 1412105 757280 601746 53079 83706399 69978850 10726115 3001434 1931298 34908 8120468 7888251 15357639 15261234 5648148 9895855 242454 352790 368357 643479 46789288 16537171 19716219 30252117 5562218 6189117 11661116 8969283 10363667 180910 144938 68788827 89995639 1842284 3641715 1324435 0 3020000 7051571 15857747 5094892 5793454 15313182 28312916 X 26535429 37439647 26940216 24243076 53475645 61682723 68788827 89995639 7363394 843684 0 X X 0 1 X 1 1 1 X 17845497 29438260 33915091 52051945 42316742 175567535 17845497 29438260 33915091 52051945 42316742 175567535 10801035 164766500 409836 222133 255120 258588 458536 1604213 177171748 169561567 0.93000 0.92540 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 0 0 1 210280 0 0 210280 0 PART II-B, LINE 1: DURING THE 2022-2023 FISCAL YEAR, VENICE FAMILY CLINIC'S IN-HOUSE ADVOCACY TEAM AND ITS PUBLIC POLICY COMMITTEE, BOTH COMPRISED OF STAFF AND BOARD MEMBERS, ADDRESSED HEALTH CARE POLICY ISSUES AT THE LOCAL, STATE, AND FEDERAL LEVELS. ON THE FEDERAL LEVEL, WE WORKED TO EDUCATE OUR ELECTED OFFICIALS ABOUT CONCERNS REGARDING THE UNWINDING OF THE PUBLIC HEALTH EMERGENCY AND THE IMPACT ON OUR PATIENTS ALONG WITH THE IMPORTANCE OF STREET MEDICINE FOR OUR PATIENTS EXPERIENCING HOMELESSNESS. ON THE STATE LEVEL, VENICE FAMILY CLINIC PARTICIPATED IN ADVOCACY WITH COMMUNITY CLINIC ASSOCIATION OF LOS ANGELES COUNTY AND CALIFORNIA PRIMARY CARE ASSOCIATION ON EQUITABLE REPORTING STANDARDS, CLINIC LICENSING IMPROVEMENTS, BALANCED SALARIES FOR ALL STAFF AND SAME DAY ACCESS TO MEDICAL AND BEHAVIORAL HEALTH VISITS. LOCALLY, OVER THE PAST YEAR, VENICE FAMILY CLINIC WORKED CLOSELY WITH THE MAYOR'S OFFICE, OUR LOCAL COUNCILMEMBER'S OFFICE, SEVERAL OF OUR LONGTIME COMMUNITY PARTNERS, AND MEMBERS OF OUR COMMUNITY EXPERIENCING HOMELESSNESS TO ADDRESS ISSUES RELATED TO INCREASING RESOURCES FOR THE LARGE AND GROWING UNHOUSED POPULATION IN VENICE AND SURROUNDING COMMUNITIES. THE GOAL OF ALL OF VENICE FAMILY CLINIC'S ADVOCACY EFFORTS IS TO INCREASE ACCESS TO AND QUALITY OF CARE FOR THE MEDICALLY UNDERSERVED, THEREBY FURTHERING THE CLINIC'S MISSION TO PROVIDE QUALITY PRIMARY HEALTH CARE TO PEOPLE IN NEED. 21000 0 6289392 2050000 385006 -287092 8437306 7283350 50000 -769746 -274212 6289392 5667486 50000 1868129 -302265 7283350 5918387 50000 -7100 -293801 5667486 6184965 50000 180189 -496765 5918387 0.00000 0.85597 0.14403 0 0 5456366 5456366 22532223 6314062 16218161 12532555 6952474 5580081 5848037 3184289 2663748 420107 86346 333761 30252117 UCLA EIP FUND 6437306 F UCLA STIP FUND 2531977 F 8969283 DUE TO AFFILIATE VFCF 121679 DUE TO THIRD PARTY PAYORS (NET) 3750923 OPERATING LEASE LIABILITIES - SHORT TERM 1884850 CURRENT MATURITIES OF NOTE PAYABLE 36002 5793454 X PART V, LINE 4: INTEREST/DIVIDEND INCOME FROM THE CLINIC'S ENDOWMENT FUNDS ARE USED TO PAY FOR THE SALARIES & BENEFITS OF PHYSICIANS AND OTHER PROVIDERS. PART X, LINE 2: THE VENICE FAMILY CLINIC RECOGNIZES THE IMPACT OF TAX POSITIONS IN THE CONSOLIDATED FINANCIAL STATEMENTS IF THAT POSITION IS MORE LIKELY THAN NOT TO BE SUSTAINED ON AUDIT, BASED ON THE TECHNICAL MERITS OF THE POSITION. DURING THE YEAR ENDED JUNE 30, 2023, THE VENICE FAMILY CLINIC PERFORMED AN EVALUATION OF UNCERTAIN TAX POSITIONS AND DID NOT IDENTIFY ANY MATTERS THAT WOULD REQUIRE RECOGNITION IN THE CONSOLIDATED FINANCIAL STATEMENTS OR WHICH MIGHT HAVE AN EFFECT ON ITS TAX-EXEMPT STATUS. X X 0 0 0 0 0 0 0 0 0 ELIZABETH B FORER CHIEF EXECUTIVE OFFICER (LEFT 12/ 22 318948 0 0 0 0 0 49743 0 44829 0 413520 0 0 0 MARGARITA LOEZA STAFF PHYSICIAN 279450 0 0 0 0 0 35954 0 32401 0 347805 0 0 0 ANJALI MAHONEY CHIEF MEDICAL OFFICER 275000 0 0 0 0 0 45368 0 40886 0 361254 0 0 0 JOHN ARTHUR ROOHAN CLINICAL SITE DIRECTOR 273834 0 0 0 0 0 44954 0 40512 0 359300 0 0 0 BLANCA ANDRES STAFF PHYSICIAN 264902 0 0 0 0 0 38494 0 34691 0 338087 0 0 0 ANITA MARIA ZAMORA DEPUTY DIR/CHIEF OPERATIONS OFFICER 262810 0 0 0 0 0 41587 0 37478 0 341875 0 0 0 KAREN C LAMP STAFF PHYSICIAN 260465 0 0 0 0 0 39495 0 35593 0 335553 0 0 0 NAVEENA PONNUSAMY CHIEF DEVELOPMENT & COMMUNICATIONS O 256338 0 0 0 0 0 41603 0 37493 0 335434 0 0 0 COLEY MARVIN KING STAFF PHYSICIAN 255000 0 0 0 0 0 30277 0 27286 0 312563 0 0 0 ANDREA B BLACKBIRD CHIEF FINANCIAL OFFICER 254161 0 0 0 0 0 40389 0 36399 0 330949 0 0 0 JASON VU HUA CHIEF INFORMATION OFFICER 242554 0 0 0 0 0 37286 0 33602 0 313442 0 0 0 STACEY ANN SCARBOROUGH DIR. OF HUMAN RESOURCES & HEAD START 234632 0 0 0 0 0 39301 0 35418 0 309351 0 0 0 SHARON NG DIRECTOR OF PHARMACY SVCS 204114 0 0 0 0 0 31723 0 28589 0 264426 0 0 0 X 1 1839861 ESTIMATE X 1 69906 FMV 0 1 0 PART I, COLUMN (B): NONCASH CONTRIBUTIONS ARE LISTED BY NUMBER OF CONTRIBUTORS. FORM 990, PART VI, SECTION A, LINE 8B THIS QUESTION IS NOT APPLICABLE AS THE ORGANIZATION DOES NOT HAVE A COMMITTEE WITH THE AUTHORITY TO ACT ON BEHALF OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE 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 12C ANNUAL QUESTIONNAIRES ARE GIVEN TO BOARD MEMBERS TO DISCLOSE ANY CONFLICTS. IF A CONFLICT IS DISCLOSED IN THE ANNUAL QUESTIONNAIRE, THE INDIVIDUAL WILL BE ASKED TO RECUSE THEMSELVES FROM ANY CONVERSATIONS PERTAINING TO THIS CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD HIRES, OVERSEES, AND ANNUALLY EVALUATES THE PERFORMANCE AND COMPENSATION OF THE CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION INDEPENDENTLY. THE CFO & OTHER KEY EMPLOYEES' COMPENSATION IS BASED UPON SKILL SET & MARKET RATE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: NO PROCESSES HAVE CHANGED FROM THE PRIOR YEAR. VENICE FAMILY CLINIC FOUNDATION 604 ROSE AVENUE VENICE CA 90291 273484548 TO SUPPORT VENICE FAMILY CLINIC CA 501(C)(3) LINE 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0