2023-05-04T17:36:50-05:00 2022-06-30 951777440 GREEN HASSON & JANKS LLP 700 SOUTH FLOWER STREET SUITE 3300 LOS ANGELES CA 90017 990 2021-07-01 952769432 VENICE FAMILY CLINIC VENI 3103928630 604 ROSE AVENUE VENICE CA 90291 MITESH POPAT CEO 3103928630 2023-05-01 1 MITESH POPAT 999009999 LIZBETH G NEVAREZ P01399868 3108731600 2023-05-01 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z MITESH POPAT 604 ROSE AVENUE VENICE CA 90291 84960127 0 X HTTP://WWW.VENICEFAMILYCLINIC.ORG/ X 1970 CA TO PROVIDE QUALITY PRIMARY HEALTH CARE TO PEOPLE IN NEED. 20 20 592 796 0 0 33915091 52051945 28694912 32179621 587327 524308 0 0 63197330 84755874 0 0 0 0 44121563 54869663 0 0 2976138 15586703 17830231 59708266 72699894 3489064 12055980 54664856 68788827 11283840 15313182 43381016 53475645 TO PROVIDE QUALITY PRIMARY HEALTH CARE TO PEOPLE IN NEED. 0 0 60255197 32179621 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. 60255197 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 97 0 1 592 1 0 0 0 0 0 0 0 0 0 0 0 0 X 20 20 0 0 1 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 40.00 1.00 X 308359 0 93901 KAREN C LAMP SENIOR PHYSICIAN 40.00 0.00 X 290954 0 89364 BLANCA ANDRES SENIOR PHYSICIAN 40.00 0.00 X 268030 0 80481 MARGARITA LOEZA STAFF PHYSICIAN 40.00 0.00 X 264454 0 76394 JOHN ARTHUR ROOHAN CLINICAL SITE DIRECTOR 40.00 0.00 X 263902 0 79332 ANITA MARIA ZAMORA DEPUTY DIR/CHIEF OPERATIONS OFFICER 40.00 0.00 X 246648 0 75339 COLEY MARVIN KING STAFF PHYSICIAN 40.00 0.00 X 244553 0 53863 NAVEENA PONNUSAMY CHIEF DEVELOPMENT OFFICER 40.00 0.00 X 244056 0 75176 ANDREA B BLACKBIRD CHIEF FINANCIAL OFFICER 40.00 1.00 X 241991 0 75431 GILMORE SEISOON CHUNG STAFF PHYSICIAN 40.00 0.00 X 233063 0 54344 MICHELLE I AGUILAR ASSOCIATE PHYSICIAN DIPLOMATE 40.00 0.00 X 212899 0 49096 ALEXANDER L PAPPAS ASSOCIATE PHYSICIAN DIPLOMATE 40.00 0.00 X 205034 0 47099 SHARON NG DIRECTOR OF PHARMACY SVCS 40.00 0.00 X 196710 0 57432 STACEY ANN SCARBOROUGH DIR. OF HUMAN RESOURCES & HEAD START 40.00 0.00 X 184014 0 58305 JASON VU HUA CHIEF INFORMATION OFFICER 40.00 0.00 X 179892 0 54303 JOAN HERMAN BOARD CHAIR 2.00 2.00 X X 0 0 0 JOHN GERESI IMMEDIATE PAST BOARD CHAIR 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 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 SUSAN FLEISCHMAN BOARD MEMBER 2.00 2.00 X 0 0 0 WILLIAM FLUMENBAUM BOARD MEMBER 2.00 2.00 X 0 0 0 MARK GAVENS BOARD MEMBER 2.00 2.00 X 0 0 0 SHARON GELFAND BOARD MEMBER 2.00 0.00 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 MITCH DEL MONICO 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 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 3584559 0 1019860 24 0 1 0 BROTHERS MAINTENANCE SERVICES PO BOX 3283 WHITTIER CA 90605 MAINTENANCE SERVICES 639690 HOUSTONTYNER ARCHITECTS 2630 SEPULVEDA BLVD TORRANCE CA 90505 ARCHITECTURE 599641 NEXTGEN HEALTHCARE INC PO BOX 511449 LOS ANGELES CA 90051 IT SOLUTIONS 361973 TIME WARNER CABLE PO BOX 223085 PITTSBURGH PA 15251 INTERNET 262721 DRIVER SPG 468 N ROSEMEAD BLVD PASADENA CA 91107 CONSTRUCTION 259248 31 3000000 27916272 21135673 1844972 52051945 THIRD PARTY REIMBURSEMENT 621400 27380554 27380554 MEDI-CAL PHARMACY 900099 4799067 4799067 32179621 258588 258588 469973 204253 265720 265720 265720 84755874 32179621 0 524308 3253524 2750965 356009 146550 36833814 31125471 4033391 1674952 5168615 4378835 564218 225562 9613710 8144706 1049455 419549 176947 176947 126073 126073 126377 126377 2212346 1627822 492287 92237 61159 9570 39530 12059 1121394 707448 371158 42788 1396689 854996 452198 89495 3413563 2672642 573706 167215 62263 44711 17318 234 70281 50453 19543 285 80779 80779 951526 696339 241807 13380 345486 243981 89897 11608 PHARMACEUTICAL SUPPLIES 2632203 2632193 10 0 DONATED FOOD 1774994 1774994 0 0 PARTICIPANT SUPPLIES/AC 824660 819020 4349 1291 MED SUP & WASTE REMOVAL 702285 701361 786 138 1751206 1019690 652721 78795 72699894 60255197 9468559 2976138 1402 1931298 5699296 8120468 12389942 15357639 6990962 5648148 271857 242454 284261 368357 35004835 15288616 7843278 19716219 6217380 5562218 12616587 11661116 2349891 180910 54664856 68788827 1535912 1842284 3075828 1324435 6672100 7051571 0 5094892 11283840 15313182 X 23500388 26535429 19880628 26940216 43381016 53475645 54664856 68788827 X 12055980 -1937779 -23572 X 0 1 X 1 1 1 X 15571302 17845497 29438260 33915091 52051945 148822095 15571302 17845497 29438260 33915091 52051945 148822095 9923811 138898284 125905 409836 222133 255120 258588 1271582 150093677 151839306 0.92540 0.91580 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 0 0 1 20508 0 0 20508 0 PART II-B, LINE 1: DURING THE 2021-2022 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 THE IMPORTANCE OF CONTINUED COMMUNITY HEALTH CENTER FUNDING ALONG WITH FUNDING FOR COVID VACCINES TO ENSURE EQUITABLE DISTRIBUTION AND ACCESS. ON THE STATE LEVEL, VENICE FAMILY CLINIC PARTICIPATED IN ADVOCACY WITH COMMUNITY CLINIC ASSOCIATION OF LOS ANGELES COUNTY AND CALIFORNIA PRIMARY CARE ASSOCIATION ON THE IMPORTANCE OF AUDIO VISITS BEING INCLUDED AS PART OF TELEHEALTH FOR MEDI-CAL PATIENTS. WE ALSO ADVOCATED FOR ASSOCIATE CLINICAL SOCIAL WORKERS AND ASSOCIATE MARRIAGE AND FAMILY THERAPISTS TO BE INCLUDED AS BILLABLE PROVIDERS BEYOND THE DECLARED PUBLIC HEALTH EMERGENCY. 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 7283350 50000 -769746 -274212 6289392 5667486 50000 1868129 -302265 7283350 5918387 50000 -7100 -293801 5667486 6184965 50000 180189 -496765 5918387 5816199 50000 560879 -242113 6184965 0.00000 0.82230 0.17770 0 0 2416512 2416512 17864613 6036590 11828023 10223821 6437862 3785959 4363460 2793045 1570415 136429 21119 115310 19716219 UCLA EIP FUND 6289392 F UCLA STIP FUND 5371724 F 11661116 DUE TO AFFILIATE VFCF 1107770 DUE TO THIRD PARTY PAYORS (NET) 3987122 5094892 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, 2022, 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 308359 0 0 0 0 0 51808 0 42093 0 402260 0 0 0 KAREN C LAMP SENIOR PHYSICIAN 290954 0 0 0 0 0 49305 0 40059 0 380318 0 0 0 BLANCA ANDRES SENIOR PHYSICIAN 268030 0 0 0 0 0 44404 0 36077 0 348511 0 0 0 MARGARITA LOEZA STAFF PHYSICIAN 264454 0 0 0 0 0 42149 0 34245 0 340848 0 0 0 JOHN ARTHUR ROOHAN CLINICAL SITE DIRECTOR 263902 0 0 0 0 0 43770 0 35562 0 343234 0 0 0 ANITA MARIA ZAMORA DEPUTY DIR/CHIEF OPERATIONS OFFICER 246648 0 0 0 0 0 41567 0 33772 0 321987 0 0 0 COLEY MARVIN KING STAFF PHYSICIAN 244553 0 0 0 0 0 29718 0 24145 0 298416 0 0 0 NAVEENA PONNUSAMY CHIEF DEVELOPMENT OFFICER 244056 0 0 0 0 0 41477 0 33699 0 319232 0 0 0 ANDREA B BLACKBIRD CHIEF FINANCIAL OFFICER 241991 0 0 0 0 0 41618 0 33813 0 317422 0 0 0 GILMORE SEISOON CHUNG STAFF PHYSICIAN 233063 0 0 0 0 0 29983 0 24361 0 287407 0 0 0 MICHELLE I AGUILAR ASSOCIATE PHYSICIAN DIPLOMATE 212899 0 0 0 0 0 27088 0 22008 0 261995 0 0 0 ALEXANDER L PAPPAS ASSOCIATE PHYSICIAN DIPLOMATE 205034 0 0 0 0 0 25986 0 21113 0 252133 0 0 0 SHARON NG DIRECTOR OF PHARMACY SVCS 196710 0 0 0 0 0 31687 0 25745 0 254142 0 0 0 STACEY ANN SCARBOROUGH DIR. OF HUMAN RESOURCES & HEAD START 184014 0 0 0 0 0 32169 0 26136 0 242319 0 0 0 JASON VU HUA CHIEF INFORMATION OFFICER 179892 0 0 0 0 0 29961 0 24342 0 234195 0 0 0 X 1 1774994 ESTIMATE X 1 69978 FMV 0 1 0 PART I, COLUMN (B): NONCASH CONTRIBUTIONS ARE LISTED BY NUMBER OF CONTRIBUTORS. FORM 990, PART VI, SECTION A, LINE 4 VFC MERGED WITH SOUTH BAY FAMILY HEALTH CENTER ON NOVEMBER 1, 2021. 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 XI, LINE 9: CHANGE IN VALUE IN BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUSTS -23,572. 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 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0