2026-05-04T17:42:09-05:00 2025-06-30 951777440 GREEN HASSON & JANKS LLP 700 S FLOWER STREET SUITE 3300 LOS ANGELES CA 90017 990 2024-07-01 952769432 VENICE FAMILY CLINIC VENI 3103928630 604 ROSE AVENUE VENICE CA 90291 MITESH POPAT CEO 3103928630 2026-05-01 1 1 LIZBETH G NEVAREZ P01399668 3108731600 2026-05-01 2024 2025-03-06 01:10:19Z MITESH POPAT 604 ROSE AVENUE VENICE CA 90291 99597304 0 X HTTP://WWW.VENICEFAMILYCLINIC.ORG/ X 1970 CA TO PROVIDE QUALITY PRIMARY HEALTH CARE TO PEOPLE IN NEED. 20 20 676 650 0 0 49397990 33542581 54322293 63520329 719757 1003556 0 180813 104440040 98247279 0 0 0 0 68980890 76336125 0 0 3019383 25866794 28641879 94847684 104978004 9592356 -6730725 101239258 102213972 28662322 35063769 72576936 67150203 TO PROVIDE QUALITY PRIMARY HEALTH CARE TO PEOPLE IN NEED. 0 0 86734833 63520329 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. 86734833 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 1 162 0 1 676 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 X 20 20 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 1 0 CA X X SERGIO BAUTISTA 3106647941 604 ROSE AVENUE VENICE CA 90291 MITESH GHANSHYAM POPAT CHIEF EXECUTIVE OFFICER 40.00 1.00 X 556405 0 159524 ANDREA B BLACKBIRD CHIEF FINANCIAL OFFICER 40.00 1.00 X 300327 0 103450 JOHN ARTHUR ROOHAN CLINICAL SITE DIRECTOR 40.00 0.00 X 298890 0 101374 JASON VU HUA CHIEF INFORMATION OFFICER 40.00 0.00 X 292608 0 95356 STACEY ANN SCARBOROUGH DIR. OF HUMAN RESOURCES & HEAD START 40.00 0.00 X 292608 0 104118 COLEY MARVIN KING STAFF PHYSICIAN 40.00 0.00 X 279816 0 64949 BLANCA ANDRES STAFF PHYSICIAN 40.00 0.00 X 279234 0 93149 CESAR L BARBA STAFF PHYSICIAN 40.00 0.00 X 276693 0 97732 GILMORE SEISOON CHUNG STAFF PHYSICIAN 40.00 0.00 X 275538 0 72177 NAVEENA PONNUSAMY CHIEF DEV & COMM OFFICER (LEFT 10/24) 40.00 0.00 X 269696 0 78747 FREDERICK DOLGIN CHIEF OPERATING OFFICER 40.00 0.00 X 165797 0 58714 MARK GAVENS BOARD CHAIR 2.00 2.00 X X 0 0 0 JOAN HERMAN 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 JENNIFER CAMPOS 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 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 YESENIA GALLEGOS BOARD MEMBER 2.00 0.00 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 JOY O HIGA BOARD MEMBER 2.00 0.00 X 0 0 0 TARYN KEANE BOARD MEMBER 2.00 0.00 X 0 0 0 MATTHEW KINNEY BOARD MEMBER 2.00 0.00 X 0 0 0 CAROLINA MONGE BOARD MEMBER 2.00 0.00 X 0 0 0 HILDA PENA BOARD MEMBER 2.00 0.00 X 0 0 0 JEFFREY E SINAIKO BOARD MEMBER 2.00 2.00 X 0 0 0 3287612 0 1029290 11 0 1 0 BROTHERS MAINTENANCE SERVICES PO BOX 3283 WHITTIER CA 90605 JANITORIAL SERVICES 932228 WIPFLI LLP PO BOX 3160 MILWAUKEE WI 53201 CONSULTANTS 486130 RANDSTAD US LP PO BOX 894217 LOS ANGELES CA 901894217 TEMPORARY STAFFING SERVICES 386575 GREEN HASSON AND JANKS LLP PO BOX 514670 LOS ANGELES CA 90051 ACCOUNTING SERVICES 157430 GIANT TECHNOLOGY 10366 CIRCULO DE JUAREZ FOUNTAIN VALLEY CA 92708 IT CONSULTING SERVICES 147000 9 24135435 9407146 1667122 33542581 THIRD PARTY REIMBURSEMENT 621400 52032688 52032688 MEDI-CAL PHARMACY 900099 11487641 11487641 63520329 556386 556386 1797195 1350025 447170 447170 447170 OTHER INCOME 900099 180813 180813 180813 98247279 63520329 0 1184369 2350299 2023015 262038 65246 51293483 44430331 5431147 1432005 8301927 7005654 1069855 226418 14390416 12143479 1854467 392470 35812 35812 231596 231596 196470 196470 3869273 2465327 992696 411250 5063 2007 3056 2110650 514440 1553122 43088 2236022 286944 1888112 60966 4875344 4210208 518291 146845 236032 166063 69215 754 43418 30547 12732 139 231746 16782 214964 1719637 1533462 186175 531958 471539 47323 13096 PHARMACEUTICAL SUPPLIES 7055516 7055516 DONATED FOOD 1667122 1667122 MED SUP & WASTE REMOVAL 991595 974489 17106 PARTICIPANT SUPPLIES/AC 786405 728149 58256 1818220 1009759 584411 224050 104978004 86734833 15223788 3019383 2902 2902 5949007 1668346 23600892 18859635 8745831 11152328 418016 467929 558284 313351 58480058 20186149 31769029 38293909 7137751 8005187 9726183 10506069 13118530 12733468 212833 210848 101239258 102213972 1905578 2914674 3020000 3020000 11957136 11627740 11779608 17501355 28662322 35063769 X 41060112 36142167 31516824 31008036 72576936 67150203 101239258 102213972 -6730725 1303992 0 X X 0 1 X 1 1 1 X 33915091 52051945 42316742 43397990 33542581 205224349 33915091 52051945 42316742 43397990 33542581 205224349 17913093 187311256 255120 258588 458536 485057 556386 2013687 180813 180813 207418849 226865794 0.90310 0.89550 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 0 0 1 82153 0 0 82153 0 PART II-B, LINE 1: DURING THE 2024-2025 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 LEGISLATION THAT WILL REDUCE FUNDING AND HARM COMMUNITY MEMBERS THAT DEPEND ON MEDICAID AND SNAP. ON THE STATE LEVEL, VENICE FAMILY CLINIC PARTICIPATED IN ADVOCACY WITH COMMUNITY CLINIC ASSOCIATION OF LOS ANGELES COUNTY AND CALIFORNIA PRIMARY CARE ASSOCIATION ON PRESCRIPTION DRUG PRICING, TELEHEALTH AND TO OPPOSE LEGISLATION THAT CREATED ADMINISTRATIVE AND REPORTING BURDENS. LOCALLY, OVER THE PAST YEAR, VENICE FAMILY CLINIC WORKED CLOSELY WITH THE BOARD OF SUPERVISORS REGARDING SYSTEMIC BARRIERS IN THE DEPARTMENT OF PUBLIC SOCIAL SERVICES FACING OUR COMMUNITY THAT DEPENDS ON MEDI-CAL FOR THEIR HEALTH CARE. 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 13842344 50000 1019572 309862 14602054 8437306 5050000 692006 -336968 13842344 6289392 2050000 385006 -287092 8437306 7283350 50000 -769746 -274212 6289392 5667486 50000 1868129 -302265 7283350 0.00000 0.85071 0.14929 0 0 5456366 5456366 27619028 7062368 20556660 13602808 8106501 5496307 10822166 4435164 6387002 979690 582116 397574 38293909 UCLA EIP FUND 10502054 F UCLA STIP FUND 4015 F 10506069 DUE TO AFFILIATE VFCF 12220811 DUE TO THIRD PARTY PAYORS (NET) 3178312 OPERATING LEASE LIABILITIES - SHORT TERM 2062452 CURRENT MATURITIES OF NOTE PAYABLE 39780 17501355 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, 2025, 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 1 0 MITESH GHANSHYAM POPAT CHIEF EXECUTIVE OFFICER 485797 0 70608 0 0 0 76412 0 83112 0 715929 0 0 0 ANDREA B BLACKBIRD CHIEF FINANCIAL OFFICER 300327 0 0 0 0 0 49552 0 53898 0 403777 0 0 0 JOHN ARTHUR ROOHAN CLINICAL SITE DIRECTOR 298890 0 0 0 0 0 48558 0 52816 0 400264 0 0 0 JASON VU HUA CHIEF INFORMATION OFFICER 292608 0 0 0 0 0 45675 0 49681 0 387964 0 0 0 STACEY ANN SCARBOROUGH DIR. OF HUMAN RESOURCES & HEAD START 292608 0 0 0 0 0 49872 0 54246 0 396726 0 0 0 COLEY MARVIN KING STAFF PHYSICIAN 279816 0 0 0 0 0 31110 0 33839 0 344765 0 0 0 BLANCA ANDRES STAFF PHYSICIAN 279234 0 0 0 0 0 44618 0 48531 0 372383 0 0 0 CESAR L BARBA STAFF PHYSICIAN 276693 0 0 0 0 0 46813 0 50919 0 374425 0 0 0 GILMORE SEISOON CHUNG STAFF PHYSICIAN 275538 0 0 0 0 0 34573 0 37604 0 347715 0 0 0 NAVEENA PONNUSAMY CHIEF DEV & COMM OFFICER (LEFT 10/24 269696 0 0 0 0 0 37720 0 41027 0 348443 0 0 0 FREDERICK DOLGIN CHIEF OPERATING OFFICER 165797 0 0 0 0 0 28124 0 30590 0 224511 0 0 0 PART I, LINE 7 THE CHIEF EXECUTIVE OFFICER IS ELIGIBLE FOR A BONUS OF UP TO 15% OF ANNUAL SALARY UNDER UCLA'S CLINICAL ENTERPRISE MANAGEMENT RECOGNITION PLAN (CEMRP). THIS PLAN PROVIDES AN AT-RISK OPPORTUNITY TO RECEIVE A NON-BASE-BUILDING CASH INCENTIVE BASED ON THE ACHIEVEMENT OF SPECIFIC ANNUAL QUALITY, PATIENT SATISFACTION, FINANCIAL, AND OTHER STRATEGIC OBJECTIVES RELATIVE TO THE MISSION AND GOALS OF THE CLINIC. BONUS CRITERIA ARE SET AND REVIEWED BY THE BOARD OF DIRECTORS BASED ON THE RECOMMENDATION OF THE BOARD'S CEO EVALUATION & LEADERSHIP DEVELOPMENT COMMITTEE. THESE ACTIONS ARE DOCUMENTED IN THE BOARD MINUTES AND INCLUDE THE BASIS FOR THE DETERMINATION, PERFORMANCE ACHIEVED AGAINST THE PRE-ESTABLISHED GOALS, MEMBERS IN ATTENDANCE, AND THE DECIDING VOTE. X 1 1667122 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