2019-05-06T14:12:02-07:00 2018-06-30 472251777 CHW LLP 7797 N First Street Suite 15 Fresno CA 93720 990 2017-07-01 942525145 Family Healthcare Network FAMI 5597374700 305 East Center Avenue Visalia CA 93291 Kerry Hydash President and CEO 5597374700 2019-01-10 1 Jeremy Ware P00642659 5595495400 2018-12-31 108.240.247.227 2017 2019-02-21 02:37:17Z Kerry Hydash 305 East Center Avenue Visalia CA 93291 140876344 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 1236 0 0 0 17500441 19353797 96924846 110931195 387318 594938 12311745 9996414 127124350 140876344 0 0 0 0 76882749 89756722 0 0 0 31336103 37259031 108218852 127015753 18905498 13860591 110244659 127553669 43359516 47323769 66885143 80229900 To provide health care services to socially and economically depressed sectors of the southern San Joaquin Valley in California. 0 0 88169883 0 110931195 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, 2018, FHCN HAD 746,995 MEDICAL AND DENTAL VISITS. 0 0 0 88169883 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 1 104 0 1 1236 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 John Zapalac Chair 1 0 X X 0 0 0 Sandi Miller Vice Chair 1 0 X X 0 0 0 Michael Botello Secretary 1 0 X X 0 0 0 Paul Curtis Treasurer 1 0 X X 0 0 0 Minnetta Costa Board Member 1 0 X 0 0 0 Olivia Gamboa 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 Michelle Cano Board Member 1 0 X 0 0 0 Kerry Hydash President and CEO 40 0 X 398965 0 37672 Chad Vawter CFO 40 0 X 212111 0 40113 Minh Tang OB GYN 4 0 X 432982 0 20080 Niraj Patel Med Director 40 0 X 419877 0 19680 Robert Ayers OB GYN Practioner 40 0 X 486109 0 19680 Christopher Bencomo OB GYN Practioner 40 0 X 493994 0 44160 David Cryns OB GYN Practioner 40 0 X 571432 0 45735 Henry Cisneros Jr Chief Clinical Officer 40 0 X 447512 0 24360 3462982 0 251480 164 1 1 0 Jim Tyler Construction 125 S F Street Exeter CA 93221 Construction 1485526 BJ PERCH CONSTRUCTION INC 7034 W PERSHING CT VISALIA CA 93291 CONSTRUCTION and REPAIRS 9776065 Office Pride 5901 W Robin Ave Visalia CA 93291 Housekeeping services 1063714 Comphealth Inc PO Box 972651 Dallas TX 75397 Locum Tenens Service 785733 Valley Hospitalist Medical Group 501 S Watson Street Visalia CA 93277 Contracted Services 406352 68 0 0 0 0 19353797 0 0 19353797 Net patient service revenue 621400 110931195 110931195 0 0 0 0 0 0 110931195 594938 0 0 594938 0 0 0 0 0 0 0 0 0 0 0 0 0 Meaningful Use and other Revenues 621400 9984457 9984457 0 0 11957 11957 0 0 9996414 140876344 120927609 0 594938 2870730 12005 2858725 69785198 56557771 13227427 4498565 3109193 1389372 7992142 5400059 2592083 4610087 3504177 1105910 125525 125525 309451 309451 73778 73778 10476364 8354893 2121471 882374 882374 2002929 485174 1517755 4939972 27526 4912446 396858 66725 330133 886465 262140 624325 766587 766587 4754661 521985 4232676 469363 469363 Supplies 10471539 9614410 857129 0 Professional Fees 405853 236475 169378 0 297312 17350 279962 127015753 88169883 38845870 0 24170753 19580865 7227276 16129839 4898128 3669824 10839746 13273468 5355006 8542573 3387403 3865136 86631184 31792797 42076027 54838387 4428718 4517207 7861602 3136370 110244659 127553669 12871546 16487547 94611 208252 26807643 24885883 423583 616232 3162133 5125855 0 0 43359516 47323769 X 66885143 80229900 0 0 0 0 66885143 80229900 110244659 127553669 13860591 -515834 0 0 0 0 X 0 1 X 1 1 1 X 14765648 12654844 18941962 17500441 1935379 65798274 14765648 12654844 18941962 17500441 1935379 65798274 65798274 34607 55606 172289 387318 594938 1244758 67043032 0.98143 0.99062 X 0 2545634 2545634 0 45650611 12660728 32989883 0 1713470 548544 1164926 0 30240285 18583525 11656760 0 6481184 0 6481184 54838387 0 X 140876344 0 0 0 0 0 140876344 0 0 0 140876344 127015753 0 0 0 0 0 127015753 0 0 0 127015753 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 Organization's returns are subject to examination by federal and state taxing authorities generally for three years after they are filed. X X 0 0 0 0 0 0 0 0 0 David Cryns OB GYN Practioner 260633 0 139629 0 125435 0 3735 0 42000 0 571432 0 0 0 Kerry Hydash President and CEO 325062 0 22449 0 13781 0 1680 0 35992 0 398964 0 0 0 Chad Vawter CFO 162801 0 9197 0 0 0 4113 0 36000 0 212111 0 0 0 Minh Tang OB GYN 220525 0 108507 0 83870 0 2080 0 18000 0 432982 0 0 0 Niraj Patel Med Director 235628 0 36664 0 127905 0 1680 0 18000 0 419877 0 0 0 Robert Ayers OB GYN Practioner 311617 0 127761 0 27051 0 1680 0 18000 0 486109 0 0 0 Christopher Bencomo OB GYN Practioner 287368 0 141172 0 21294 0 2160 0 42000 0 493994 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 B Certificates of Participation 2017 946000345 2017-01-27 7806770 Capital improvements 0 0 0 A 0 0 24119279 0 0 23679123 440156 0 0 0 0 0 0 0 1 1 B 0 0 7806770 0 0 0 156135 0 0 7650635 0 0 2017 0 0 1 1 A 0 0 0 0 0 0 0 0 0 1 B 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 Form 990, Part VI, Section B, Line 11b The Form 990 is provided to the full Board of Directors before it is filed. It is 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.