2020-04-23T17:26:58-05:00 2019-06-30 464016990 THE PUN GROUP LLP 200 EAST SANDPOINTE AVENUE SUITE 600 SANTA ANA CA 92707 990 2018-07-01 952833205 FAMILY HEALTH CENTERS OF SAN DIEGO INC FAMI 6195152300 823 GATEWAY CENTER WAY SAN DIEGO CA 92102 RICARDO ROMAN CFO 6195152300 2020-04-23 1 FRANCES KUO P02057020 9497778800 173.254.195.178 2020-04-23 15:32:27 PD P 25B5B3B0ABC4A1E493D45DDD4D0B3EFF5838B6E3 089241E3D8188DE0DE5C5F1B054BEDFB629F785F 2018 2020-11-19 02:30:22Z RICARDO ROMAN 823 GATEWAY CENTER WAY SAN DIEGO CA 92102 214463121 0 X WWW.FHCSD.ORG X 1970 CA PROVIDING QUALITY HEALTH CARE SERVICES TO THE UNINSURED AND UNDERINSURED 12 12 2173 84 77384 76384 40398537 40875876 157382094 170958813 714133 1293095 1203804 1314620 199698568 214442404 0 0 0 0 125240993 133575122 0 0 72757 52698340 62642814 177939333 196217936 21759235 18224468 278227242 301767075 65051930 69975212 213175312 231791863 FHCSD'S PRIMARY MISSION IS TO PROVIDE COMPREHENSIVE, ACCESSIBLE AND QUALITY HEALTH CARE SERVICES TO ALL INCOME LEVELS WITH A SPECIAL COMMITTMENT TO LOW INCOME MEDICALLY UNDERSERVED INDIVIDUALS. 0 0 147627916 173489144 PRIMARY AND DENTAL CARE SERVICES AND AIDS PREVENTION -THROUGH US HEALTH AND HUMAN SERVICES WITH THE ASSISTANCE OF GRANT FUNDING. PRIMARY CARE AND DENTAL CARE ARE PROVIDED TO THE SOCIALLY DISADVANTAGED. ALSO, THROUGH US HEALTH AND HUMAN SERVICES, AIDS EDUCATION AND INSTRUCTION ON PREVENTATIVE MEASURES ARE PROVIDED. 147627916 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 61 0 1 2173 1 1 1 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 CA X RICARDO ROMAN CFO 6199064603 823 GATEWAY CENTER WAY SAN DIEGO CA 92102 BARBARA CARR BOARD CHAIRPERSON 2.00 X 0 0 0 WALTER SCOTT BOARD VICE CHAIR 2.00 X 0 0 0 VENUS THOMAS BOARD SECRETARY/TREASURER/ 2.00 X 0 0 0 DANIEL GUILLEN AUDIT COMMITTEE CHAIR 2.00 X 0 0 0 MARGARITA I CARMONA MARKET PLANNING COMMITTEE 2.00 X 0 0 0 BERTHA GARCIA MARKET PLANNING COMMITTEE 2.00 X 0 0 0 WAYNE R ANDERSON MD CHAIR, CLINICAL REVIEW COM 2.00 X 0 0 0 JOSE R DE LA GARZA AUDIT COMMITTEE MEMBER 2.00 X 0 0 0 MARTHA EUGENIA ESCOBAR BOARD MEMBER 2.00 X 0 0 0 FRANK ESPINOZA BOARD MEMBER 2.00 X 0 0 0 SEAN MATHEWS CHAIR, MARKET PLANNING COM 2.00 X 0 0 0 STEPHANIE PEREZ MARKET PLANNING COMMITTEE 2.00 X 0 0 0 THE HONORABLE MAYOR MARY SESSOM BOARD MEMBER 2.00 X 0 0 0 FRAN BUTLER-COHEN PRESIDENT/CEO 40.00 X 893372 0 52306 RICARDO ROMAN CHIEF FINANCIAL OFFICER 40.00 X 392042 0 30814 ANDRES GUTIERREZ CHIEF INFORMATION OFFICER 40.00 X 288791 0 24513 IBRAHIM SAWAYA DENTAL DIRECTOR 40.00 X 368341 0 28182 FACIKA TAFARA LAB DIRECTOR 40.00 X 173371 0 13870 ALAN ZIEG PHYSICIAN - CHIEF OF OB GY 40.00 X 672443 0 46821 JANET ADAMIAN VP OF PROGRAMS AND SYSTEM 40.00 X 191516 0 31826 CHRISTOPHER GORDON CHIEF MEDICAL OFFICER & CO 40.00 X 405624 0 20336 DONNA BAKER SRVP - ADMINISTRATION 40.00 X 277126 0 65281 KHAWLA SULEIMAN-QAFITI CHIEF OF PEDIATRICS 40.00 X 160978 0 24500 CLAUDIO CABREJOS MED DIR-ASST-PSYCHIATRY 40.00 X 391586 0 59413 BAHGHI KEFLEZIGHI MEDICAL DIRECTOR ASSISTANT 40.00 X 275557 0 36914 CHRISTIAN RAMERS MEDICAL DIR-ASST-RESEARCH 40.00 X 270578 0 26940 JEFFREY GERING VP OF PLANNING & SUPPORT S 40.00 X 248756 0 22821 CHARLES SMOOT ASSISTANT MEDICAL DIRECTOR 40.00 X 271706 0 46509 DAVID WHISENHUNT VP - PHYSICAL FACILITIES 40.00 X 193181 0 37826 MARSHA SPITZER ASSISTANT MEDICAL DIRECTOR 40.00 X 274446 0 18500 GARRICK TONG MED DIR-ASST-CHILD PSYCHI 40.00 X 347557 0 54913 SANDRA CERVANTES MED DIR-ASST-OBGYN 40.00 X 434026 0 11014 UYEN-THAO TRAN ASSOCIATE DIR-FM RESIDENCY 40.00 X 292486 0 50314 NARAYANADAS C VAKAMUDI CHIEF TECHNOLOGY OFFICER 40.00 X 200603 0 24666 MARK KNIGHT PSYCHIATRIST 40.00 X 330203 0 23127 JOE SEPULVEDA PSYCHIATRIST 40.00 X 420843 0 40177 CHARLENE BUECHNER PHYSICIAN - OB/GYN 40.00 X 397478 0 51762 ALLISON LOEFFLER PHYSICIAN - OB/GYN 40.00 X 423572 0 9682 JENNIFER WINESBURG PHYSICIAN - OB/GYN 40.00 X 404915 0 91775 9001097 0 944802 212 0 1 0 JACKSON & COKER HOLDINGS LLC PO BOX 277638 ATLANTA GA 30384 STAFFING AGENCY 413410 CHRISTOPHER S BROYLES DBA BROYLES L 6333 RIVERDALE STREET SAN DIEGO CA 92120 LANDSCAPING 125855 2 112377 35981688 4781811 40875876 PATIENT SERVICE REVENUE 621110 145063957 145063957 PHARMACY INCOME 621110 25894856 25894856 170958813 1293095 1293095 78856 1472 77384 77384 77384 19245 112377 19245 0 OTHER REVENUE 624100 1237236 1237236 1237236 214442404 173489144 77384 0 7752366 6070528 1681838 125772775 97728612 28044163 49981 49981 8496995 6015093 2481902 962116 190770 771346 5802354 1209261 4593093 1036724 1036724 6274007 548211 5725796 674624 674624 TAXES ON UNRELATED BUSI 45000 45000 MEDICAL AND PHARM SUPPL 24790718 24781193 9525 OTHER EXPENSES 11309052 9400689 1886125 22238 MINOR EQUIPMENT 1760337 814228 945817 292 1490887 869331 621310 246 196217936 147627916 48517263 72757 97515532 107371589 3101030 4912667 20803833 22694590 79652 28323684 28555325 348796 497939 1527716 1621460 172936265 44535473 125409720 128400792 817001 1243940 379930 6389121 278227242 301767075 15842641 21759761 2436904 2164865 46772385 46005586 0 45000 65051930 69975212 X 211996211 230358473 1179101 1433390 213175312 231791863 278227242 301767075 18224468 392083 0 X X 0 1 X 1 1 1 X 32760750 33848830 39195768 40398537 40875876 187079761 32760750 33848830 39195768 40398537 40875876 187079761 187079761 123889 321597 252440 140310 0 838236 1158716 2991976 1561318 1362607 1706703 8781320 196699317 0.95110 0.95210 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 39026679 39026679 107137751 27868930 79268821 8575353 2508318 6067035 12204774 8864637 3340137 5991708 5293588 698120 128400792 ACCRUED TAX LIABILITIES 45000 45000 X 214834487 392083 392083 214442404 0 214442404 196217936 0 196217936 0 196217936 PART X, LINE 2: THE HEALTH CENTER HAS BEEN RECOGNIZED AS A NOT-FOR-PROFIT ORGANIZATION UNDER INTERNAL REVENUE CODE SECTION 501(C)3 AND CALIFORNIA REVENUE CODE SECTION 23701(D) AND IS EXEMPT FROM FEDERAL AND CALIFORNIA INCOME TAXES ON RELATED INCOME. FOR THE YEARS ENDED JUNE 30, 2019 AND 2018, THE HEALTH CENTER GENERATED REVENUE FROM AN UNRELATED BUSINESS ACTIVITY AND WAS TAXED ACCORDINGLY. EFFECTIVE JULY 1, 2009, THE HEALTH CENTER ADOPTED NEWLY ISSUED GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. UNDER THIS NEW GUIDANCE, THE HEALTH CENTER UTILIZED A TWO-STEP APPROACH TO RECOGNIZING AND MEASURING UNCERTAIN TAX POSITIONS (TAX CONTINGENCIES). THE FIRST STEP IS TO EVALUATE THE TAX POSITION FOR RECOGNITION BY DETERMINING IF THE WEIGHT OF AVAILABLE EVIDENCE INDICATES IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED ON AUDIT, INCLUDING RESOLUTION OF RELATED APPEALS OR LITIGATION PROCESSES. THE SECOND STEP IS TO MEASURE THE TAX BENEFIT AS THE LARGEST AMOUNT, WHICH IS MORE THAN 50% LIKELY OF BEING REALIZED UPON ULTIMATE SETTLEMENT. AS A RESULT OF THE ADOPTION OF ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, THE HEALTH CENTER DID NOT RECOGNIZE AN INCREASE OR DECREASE IN THE LIABILITY FOR UNRECOGNIZED TAX BENEFITS RELATED TO TAX POSITIONS TAKEN IN PRIOR PERIODS; THEREFORE, THERE WAS NOT CORRESPONDING ADJUSTMENT TO UNRESTRICTED NET ASSETS. ADDITIONALLY, FOR THE YEAR ENDED JUNE 30, 2019, THERE WERE NO ADDITIONAL LIABILITIES RECORDED FOR UNRECOGNIZED TAX BENEFITS RELATED TO TAX POSITIONS TAKEN IN THE CURRENT YEAR. THE HEALTH CENTER CONSIDERS MANY FACTORS WHEN EVALUATING AND ESTIMATING IT'S TAX POSITIONS AND TAX BENEFITS, WHICH MAY REQUIRE PERIODIC ADJUSTMENTS AND WHICH MAY NOT ACCURATELY FORECAST ACTUAL OUTCOMES. THERE WERE NO ACCRUALS FOR INTEREST AND PENALTIES RELATED TO UNCERTAIN TAX POSITIONS AT THE INCEPTION DATE OR FOR THE YEAR ENDED JUNE 30, 2019. THE HEALTH CENTER HAS DETERMINED THAT IT'S MAJOR TAX JURISDICTIONS ARE THE STATE OF CALIFORNIA AND ALL OTHER STATES WITHIN THE UNITED STATES OF AMERICA. THE TAX YEARS OF 2017, 2018, AND 2019 REMAIN OPEN AND SUBJECT TO EXAMINATION BY THE APPROPRIATE GOVERNMENTAL AGENCIES IN THE UNITED STATES. 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UPON FINAL APPROVAL, THE FORM IS FINALIZED AND SUBMITTED TO THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C FHCSD MONITORS AND ENFORCES COMPLIANCE WITH THE FHCSD'S CONFLICT OF INTEREST POLICY BY HAVING A CORPORATE COMPLIANCE COMMITTEE ACTIVELY AND PERIODICALLY PERFORMING AUDITS TO ENSURE COMPLIANCE. STAFF ARE TRAINED ANNUALLY TO REMIND THEM OF THEIR ONGOING OBLIGATION TO REPORT ANY INCIDENT OF FRAUD OR CONFLICT OF INTEREST. THERE IS A HOTLINE TO CALL WHERE THEY CAN REMAIN ANONYMOUS. FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS OF DETERMING COMPENSATION FOR THE FHCSD'S TOP MANAGEMENT AND KEY EMPLOYEES INVOLVES OUR HUMAN RESOURCES DEPARTMENT. IT IS BASED ON A NUMBER OF CONSIDERATIONS SUCH AS THE NATURE AND SCOPE OF INDIVIDUAL DUTIES, BACKGROUND, EXPERTISE, SIZE, COMPLEXITY OF ORGANIZATION, AND AMOUNT PAID BY SIMILAR ORGANIZATIONS OF SIMILAR SIZE AND TYPE. HUMAN RESOURCES ROUTINELY CONDUCTS SALARY SURVEYS AND PERFORMS ASSESSMENTS OF THE JOB MARKET. THE FINAL DECISION RESTS WITH THE GOVERNING BOARD WHEN THE ANNUAL CORPORATE BUDGET IS REVIEWED AND APPROVED FOR ADOPTION. FORM 990, PART VI, SECTION C, LINE 19 FAMILY HEALTH CENTERS OF SAN DIEGO'S GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 1C: ALL REVIEW AND PROCESS FOR THE OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT AUDITOR REMAINS CONSISTENT BETWEEN YEARS. FHCSD HITEC LLC 823 GATEWAY CENTER WAY SAN DIEGO CA 92102 471993025 TO ACQUIRE AND CONSTRUCT PROPERTY TO BE USE AS TRAINING FACILITY AND FQHC CA 14398869 FAMILY HEATH CENTERS OF SAN DIEGO INC FHCSD FCC2 LLC 823 GATEWAY CENTER WAY SAN DIEGO CA 92102 813946372 TO FACILITATE FINANCING, DEVELOPMENT, AND CONSTRUCTION OF HEALTH CENTER CA 7429482 FAMILY HEATH CENTERS OF SAN DIEGO INC FHCSD EL CAJON LLC 823 GATEWAY CENTER WAY SAN DIEGO CA 92102 813684543 TO FACILITATE FINANCING, DEVELOPMENT, AND CONSTRUCTION OF HEALTH CENTER CA 9249270 FAMILY HEATH CENTERS OF SAN DIEGO INC FHCSD COMMUNITY SERVICES INC 823 GATEWAY CENTER WAY SAN DIEGO CA 92102 461579623 SUPPORT THE CHARITABLE & EDUCATIONAL ACTIVITIES OF FHCSD CA 501 ACTIVE (GOOD STANDIN FAMILY HEATH CENTERS OF SAN DIEGO INC 1 FHCSD GROWTH FUND INC 823 GATEWAY CENTER WAY SAN DIEGO CA 92102 300841451 SUPPORT THE CHARITABLE & EDUCATIONAL ACTIVITIES OF FHCSD CA 501 ACTIVE (GOOD STANDIN FAMILY HEATH CENTERS OF SAN DIEGO INC 1 0 1 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0 FHCSD HITEC LLC B 60509 AUDITED FINANCIAL STATEMENTS FHCSD COMMUNITY SERVICES INC O 1368534 AUDITED FINANCIAL STATEMENTS FHCSD GROWTH FUND INC O 1368534 AUDITED FINANCIAL STATEMENTS FHCSD FCC2 LLC O 1368534 AUDITED FINANCIAL STATEMENTS FHCSD EL CAJON LLC O 1368534 AUDITED FINANCIAL STATEMENTS FHCSD HITEC LLC O 1368534 AUDITED FINANCIAL STATEMENTS FHCSD COMMUNITY SERVICES INC K 110001 AGREEMENT FHCSD HITEC LLC K 649722 AGREEMENT FHCSD FCC2 LLC K 365867 AGREEMENT FHCSD EL CAJON LLC K 362912 AGREEMENT