2017-02-08T23:18:13-07:00 2016-06-30 472251777 CHW LLP 7797 N First Street Suite 15 Fresno CA 93720 990 2015-07-01 942525145 Family Healthcare Network FAMI 5597374700 305 East Center Avenue Visalia CA 93291 Kerry Hydash President and CEO 5597374700 2016-12-27 1 Jeremy Ware P00642659 5595495400 2016-12-27 2015 2021-01-29 14:40:06Z Kerry Hydash 305 East Center Avenue Visalia CA 93291 114597659 0 X www.fhcn.org X 1976 CA To provide health care services to socially and economically depressed sectors of the southern San Joaquin Valley in California. 11 11 1143 0 0 0 12654844 18941962 79853780 87530128 55606 172289 8350674 7953280 100914904 114597659 0 0 0 0 64404629 69811769 0 0 0 25665106 28394241 90069735 98206010 10845169 16391649 72397174 83480255 38030902 35238404 34366272 48241851 To provide health care services to socially and economically depressed sectors of the southern San Joaquin Valley in California. 0 0 66495775 0 87530128 FAMILY HEALTHCARE NETWORK (FHCN) PROVIDES MEDICAL SERVICES, DENTAL SERVICES AND VARIOUS COMMUNITY OUTREACH SERVICES TO IMPROVE THE HEALTH STATUS OF FARMWORKER FAMILIES AND THE COMMUNITIES AT LARGE. FOR FISCAL YEAR END JUNE 30, 2016, FHCN HAD 601,933 MEDICAL AND DENTAL VISITS. 0 0 0 66495775 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 85 0 1 1143 1 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X Chad Vawter 5597374907 305 East Center Avenue Visalia CA 93291 Steven Kabot Chair 1 0 X 0 0 0 John Zapalac Vice Chair 1 0 X 0 0 0 Minnetta Costa Secretary 1 0 X 0 0 0 Paul Curtis Treasurer 1 0 X 0 0 0 Olivia Gamboa Board Member 1 0 X 0 0 0 Michael Botello Board Member 1 0 X 0 0 0 Emzy Cope Board Member 1 0 X 0 0 0 Teresa De La Rosa Board Member 1 0 X 0 0 0 Maria Gonzalez Board Member 1 0 X 0 0 0 Sandi Miller Board Member 1 0 X 0 0 0 Michelle Cano Board Member 1 0 X 0 0 0 Kerry Hydash President and CEO 40 0 X 296010 0 37672 Henry Cisneros Jr Chief Clinical Officer 40 0 X 240401 0 13680 Jay Kelley Chief Information Officer 40 0 X 191640 0 7274 Norma Verduzco Chief Operations Officer 40 0 X 146569 0 8205 Chad Vawter Chief Financial Officer 40 0 X 158772 0 38615 Brandon Foster Chief Quality Officer 40 0 X 252266 0 36300 Maria Hernandez OB GYN 40 0 X 387206 0 16605 Reynaldo Garcia Family Practice Physician 40 0 X 398938 0 23652 Robert Ayers OB GYN Practioner 40 0 X 399915 0 9609 Christopher Bencomo OB GYN Practioner 40 0 X 392958 0 25920 David Cryns OB GYN Practioner 40 0 X 534679 0 44108 3399354 0 261640 140 0 1 0 BJ PERCH CONSTRUCTION INC 7034 W PERSHING CT VISALIA CA 93291 CONSTRUCTION and REPAIRS 2229594 Office Pride 5901 W Robin Ave Visalia CA 93291 Housekeeping services 898052 Comphealth Inc PO Box 972651 Dallas TX 75397 Locum Tenens Service 473916 Jim Tyler Construction 125 S F Street Exeter CA 93221 Construction 1228404 Valley Hospitalist Medical Group 501 S Watson Street Visalia CA 93277 Contracted Services 573727 5 0 0 0 0 18941962 0 0 18941962 Net Patient Service Revenue 621400 87530128 87530128 0 0 0 0 0 0 87530128 172289 0 0 172289 0 0 0 0 0 0 0 0 0 0 0 0 0 7953280 7953280 0 0 7953280 114597659 95483408 0 172289 3530211 1184105 2346106 53218060 43378931 9839129 3642253 2556433 1085820 5890646 4200542 1690104 3530599 2703483 827116 137314 380 136934 267100 267100 64775 0 64775 5112205 3826012 1286193 813960 813960 1099753 60897 1038856 4540285 3700 4536585 278163 56730 221433 103455 23209 80246 1004807 1004807 4396701 4396701 419957 419957 Professional Fees 368508 226486 142022 0 Supplies 8500163 7842047 658116 0 Loss on disposal of assets 22456 0 22456 0 1264639 432820 831819 98206010 66495775 31710235 0 17780028 23446329 7266497 3559039 2239495 9739564 8580291 1983123 5088295 1134267 1247789 60268678 25481763 31493192 34786915 6707961 824644 72397174 83480255 10012964 10798588 63815 86465 16999578 19667915 8689058 1752908 2265487 2932528 0 38030902 35238404 X 34366272 48241851 0 0 0 0 34366272 48241851 72397174 83480255 X 16391649 173484 0 0 0 -2689554 X 0 1 X 1 1 1 X 8654492 8140009 14765648 12654844 18941962 63156955 8654492 8140009 14765648 12654844 18941962 63156955 63156955 8733 32239 34607 55606 172289 303474 63460429 0.99522 0.99676 X 0 2237437 2237437 0 30228550 9643946 20584604 0 1459198 224848 1234350 0 23879140 15612969 8266171 0 2464353 0 2464353 34786915 0 X 114597659 0 0 0 0 0 114597659 0 0 0 114597659 98206010 0 0 0 0 0 98206010 0 0 0 98206010 Schedule D, Part X, Line 2 The Organization has been recognized by the Internal Revenue Service as a non-profit corporation as described in Sec. 501(c)(3) of the Internal Revenue Code (IRC) and is exempt from federal and state income taxes on related income pursuant to Sec 501(a) of the IRC and California Revenue and Taxation Code Sec 23701(d). The Organization files a United States federal tax return and a California state tax return. The Organization has determined that its major tax jurisdictions are the United States and California. The tax years of 2012 through 2014 remain open and subject to examination by the appropriate government agencies in the United States and California. X 0 0 0 0 0 0 0 0 0 Kerry Hydash President and CEO 279670 0 15990 0 350 0 35992 0 1680 0 333682 0 0 0 Brandon Foster Chief Quality Officer 231531 0 20735 0 0 0 36000 0 300 0 288566 0 0 0 David Cryns OB GYN Practioner 284634 0 182948 0 67097 0 42000 0 2108 0 578787 0 0 0 Christopher Bencomo OB GYN Practioner 323336 0 63400 0 6222 0 24000 0 1920 0 418878 0 0 0 Robert Ayers OB GYN Practioner 323191 0 76724 0 0 0 7929 0 1680 0 409524 0 0 0 Maria Hernandez OB GYN 313861 0 67214 0 6131 0 14925 0 1680 0 403811 0 0 0 A CALIFORNIA MUNICIPAL FINANCE AUTHORITY INSURED REVENUE BONDS 201563466 13048TDE0 2016-04-01 24119279 REFINANCE DEBT FINANCE CERTAIN CAPITAL PROJECTS 0 0 0 A 0 0 24119279 0 0 23679123 440156 0 0 0 0 0 0 0 1 1 A 0 0 0 0 0 0 0 0 0 1 A 0 0 0 0 0 0 0 0 0 A 1 Form 990, Part VI, Section B, Line 11b The Form 990 will be provided to the Board of Directors before it is filed. It will be reviewed in detail by the CFO prior to filing. Form 990, Part VI, Section B, Line 12c FHCN periodically evaluates the entity's conflict of interest policy. The conflict of interest policy is adequately communicated to all employees in the organization. Form 990, Part VI, Section B, Line 15 FHCN has a market driven compensation program. Compensation for the President and CEO is determined and approved by the Board of Directors annually. All key jobs are benchmarked to local, regional, and national data to develop and maintain salary ranges, job descriptions and grade chart and approved by the board as part of the compensation program. Annual performance reviews for key employees and non-key employees are conducted by their direct supervisors and establish salaries in the segments of the approved range consistent with performance. Current salaries are consistent with the compensation program. Form 990, Part VI, Section C, Line 19 Available upon request. Form 990, Part XI, Line 9 Extraordinary items.