2015-12-17T15:24:03-07:00 2015-06-30 472251777 CHW LLP 7797 North First Street Fresno CA 93720 990 2014-07-01 942525145 Family Healthcare Network FAMI 5597374700 305 East Center Avenue Visalia CA 93291 Kerry Hydash President and CEO 5597374700 2015-12-01 1 Jeremy Ware P00642659 5595495400 2015-11-30 2014 2016-04-25 22:37:26Z Kerry Hydash 305 East Center Avenue Visalia CA 93291 100914904 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. 10 10 1042 0 0 0 14765648 12654844 66550375 79853780 34607 55606 1589821 8350674 82940451 100914904 0 0 0 0 55417585 64404629 0 0 0 20282569 25665106 75700154 90069735 7240297 10845169 60466588 72397174 36764587 38030902 23702001 34366272 X To provide health care services to socially and economically depressed sectors of the southern San Joaquin Valley in California. 1 0 60481007 0 100914904 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, 2015, FHCN HAD 601,933 MEDICAL AND DENTAL VISITS. 0 0 0 60481007 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 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 96 0 1 1042 1 0 0 0 0 0 0 X 10 10 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 Olivia Gamboa Treasurer 1 0 X 0 0 0 Michael Botello Secretary 1 0 X 0 0 0 Emzy Cope Board Member 1 0 X 0 0 0 Paul Curtis Board Member 1 0 X 0 0 0 Minnetta Costa 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 Kerry Hydash President and CEO 40 0 X 316973 0 18880 Henry Cisneros Jr Chief Clinical Officer 40 0 X 233947 0 4027 Jay Kelley Chief Information Officer 40 0 X 206396 0 3745 Norma Verduzco Chief Operations Officer 40 0 X 163442 0 19180 Chad Vawter Chief Financial Officer 40 0 X 142602 0 18131 Brandon Foster Chief Quality Officer 40 0 X 282279 0 35300 Maria Hernandez OB GYN 40 0 X 353934 0 18180 Reynaldo Garcia Family Practioner 40 0 X 513413 0 23304 Robert Ayers OB GYN Practioner 40 0 X 424683 0 5929 Christopher Bencomo OB GYN Practioner 40 0 X 417621 0 24680 David Cryns OB GYN Practioner 40 0 X 472799 0 44318 3528089 0 215674 112 0 1 0 BJ PERCH CONSTRUCTION INC 7034 W PERSHING CT VISALIA CA 93291 CONSTRUCTION and REPAIRS 4911893 Office Pride 5901 W Robin Ave Visalia CA 93291 Housekeeping services 765976 Comphealth Inc PO Box 972651 Dallas TX 75397 Locum Tenens Service 797731 ADP One Post Street San Francisco CA 94106 Payroll Services 264216 StaffCare Inc 5001 Statesman Drive Irving TX 75063 LOCUM TENENS SERVICES 188666 5 0 0 0 0 12229908 424936 0 12654844 Net Patient Service Revenue 621400 79853780 79853780 0 0 0 0 0 0 79853780 55606 0 0 55606 0 0 0 0 0 0 0 0 0 0 0 0 0 MU and Incentive Revenues 621400 7832992 7832992 0 0 517682 517682 0 0 8350674 100914904 88204454 0 55606 3372064 1042798 2329266 47873532 39133127 8740405 3421996 2276504 1145492 6415687 4557935 1857752 3321350 2520959 800391 105508 105508 225875 225875 41500 41500 0 4979858 3785796 1194062 841100 841100 1006554 82724 923830 4379177 11566 4367611 298620 67947 230673 105845 28601 77244 1098740 1098740 3794005 3794005 325313 325313 Supplies 7065356 6361980 703376 0 Professional Fees 153845 69425 84420 0 1243810 541645 702165 90069735 60481007 29588728 0 10677656 17780028 1839304 3559039 8273470 9739564 1983123 920906 1134267 52680417 21187225 29703393 31493192 9051859 6707961 60466588 72397174 8517887 10012964 96649 63815 17457055 16999578 10692996 8689058 2265487 0 36764587 38030902 X 23702001 34366272 0 0 0 0 23702001 34366272 60466588 72397174 X 10845169 0 0 0 0 -180898 X 0 1 X 1 1 1 X 7686048 8654492 8140009 14765648 12654844 51901041 7686048 8654492 8140009 14765648 12654844 51901041 51901041 37572 8733 32239 34607 55606 168757 52069798 0.99676 0.99731 X 0 2109371 2109371 0 27742206 8351292 19390914 0 286675 85163 201512 0 21195505 12750770 8444735 0 1346660 0 1346660 31493192 Bond Issuance Costs 1547863 Assets limited as to use 5160098 6707961 100914904 0 0 0 0 0 100914904 0 0 0 100914904 89888837 0 0 0 -180898 -180898 90069735 0 0 0 90069735 Schedule D, Part XII, Line 2d Loss on disposal of assets. X X 0 0 0 0 0 0 0 0 0 Reynaldo Garcia Family Practioner 252524 0 161950 0 98938 0 17500 0 5804 0 536716 0 0 David Cryns OB GYN Practioner 271298 0 130294 0 71208 0 40500 0 3818 0 517118 0 0 0 Robert Ayers OB GYN Practioner 315478 0 46740 0 62465 0 4249 0 1680 0 430612 0 0 0 Christopher Bencomo OB GYN Practioner 310272 0 55621 0 51728 0 23000 0 1680 0 442301 0 0 0 Maria Hernandez OB GYN 289984 0 51441 0 12509 0 16500 0 1680 0 372114 0 0 0 Kerry Hydash President and CEO 250058 0 0 0 66915 0 17200 0 1680 0 335853 0 0 0 Henry Cisneros Jr Chief Clinical Officer 229219 0 180 0 4548 0 2347 0 1680 0 237974 0 0 0 A CALIFORNIA MUNICIPAL FINANCE AUTHORITY INSURED REVENUE BONDS 201563466 13048TDE0 2008-04-03 5845000 REFINANCE DEBT FINANCE CERTAIN CAPITAL PROJECTS 0 0 0 B CALIFORNIA MUNICIPAL FINANCE AUTHORITY 201563466 13048TMC4 2011-11-30 5000000 FINANCE CAPITAL PROJECTS 0 0 0 C CALIFORNIA MUNICIPAL FINANCE AUTHORITY 201563466 13048TMU4 2011-11-30 6225000 FINANCE CAPITAL PROJECTS 0 0 0 A 0 0 5845000 408551 0 1681723 455070 0 0 3299656 0 0 2008 0 0 1 1 B 0 0 5000000 345507 442684 0 16116 0 0 3225099 0 940793 2013 0 0 0 1 C 0 0 6225000 429908 429293 0 574620 0 0 3641321 0 1149859 2013 0 0 0 1 A 0 0 0 0 0 0 0 0 0 1 B 0 0 0 0 0 0 0 0 0 1 C 0 0 0 0 0 0 0 0 0 1 A 0 0 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 0 0 Form 990, Part III, Line 2 During the fiscal year, Family Healthcare Network added hospitalist services. They provide FHCN patients access to inpatient services outside the clinics such as hospital visits, initial visits and discharge exams. 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 Loss on disposal of assets.