2021-05-14T19:16:22-05:00 2020-06-30 464016990 THE PUN GROUP LLP 200 EAST SANDPOINTE AVENUE SUITE 600 SANTA ANA CA 92707 990 2019-07-01 952833205 FAMILY HEALTH CENTERS OF SAN DIEGO INC FAMI 6195152300 823 GATEWAY CENTER WAY SAN DIEGO CA 92102 RICARDO ROMAN CFO 6195152300 2021-05-14 1 FRANCES KUO P02057020 9497778800 2019 2022-09-23 18:48:47Z RICARDO ROMAN 823 GATEWAY CENTER WAY SAN DIEGO CA 92102 276301938 0 X WWW.FHCSD.ORG X 1970 CA PROVIDING QUALITY HEALTH CARE SERVICES TO THE UNINSURED AND UNDERINSURED 10 10 2316 224 69530 68531 40875876 50700402 170958813 221011087 1293095 993960 1314620 3588460 214442404 276293909 0 0 0 0 133575122 146935523 0 0 50509 62642814 70565557 196217936 217501080 18224468 58792829 301767075 352477068 69975212 62210420 231791863 290266648 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 163449093 225523977 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. 163449093 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 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 85 0 1 2316 1 1 1 0 0 0 0 0 0 0 0 0 X 10 10 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 BERTHA GARCIA MARKET PLANNING COMMITTEE 2.00 X 0 0 0 DANIEL GUILLEN AUDIT COMMITTEE CHAIR 2.00 X 0 0 0 FRANK ESPINOZA BOARD MEMBER 2.00 X 0 0 0 JOSE R DE LA GARZA AUDIT COMMITTEE MEMBER 2.00 X 0 0 0 MELANIE MOOMJIAN BOARD MEMBER 2.00 X 0 0 0 SEAN MATHEWS CHAIR, MARKET PLANNING COM 2.00 X 0 0 0 VENUS THOMAS BOARD SECRETARY/TREASURER/ 2.00 X 0 0 0 WALTER SCOTT BOARD VICE CHAIR 2.00 X 0 0 0 WAYNE R ANDERSON MD CHAIR, CLINICAL REVIEW COM 2.00 X 0 0 0 FRAN BUTLER-COHEN PRESIDENT/CEO 40.00 X 763687 0 54279 RICARDO ROMAN CHIEF FINANCIAL OFFICER 40.00 X 389623 0 39994 ALAN ZIEG PHYSICIAN - CHIEF OF OB GY 40.00 X 561803 0 45488 ANDRES GUTIERREZ CHIEF INFORMATION OFFICER 40.00 X 296943 0 23688 CHRISTOPHER GORDON CHIEF MEDICAL OFFICER & CO 40.00 X 410505 0 20928 DAVID WHISENHUNT VP - PHYSICAL FACILITIES 40.00 X 195858 0 41257 DONNA BAKER SRVP - ADMINISTRATION 40.00 X 294208 0 69029 IBRAHIM SAWAYA DENTAL DIRECTOR 40.00 X 357043 0 29578 JANET ADAMIAN VP OF PROGRAMS AND SYSTEM 40.00 X 197638 0 40032 JEFFREY GERING VP OF PLANNING & SUPPORT S 40.00 X 255720 0 23688 KHAWLA SULEIMAN-QAFITI CHIEF OF PEDIATRICS 40.00 X 275607 0 25000 LISA DUNCAN VP OF NURSING & COMPLIANCE 40.00 X 154503 0 29119 NARAYANADAS C VAKAMUDI CHIEF TECHNOLOGY OFFICER 40.00 X 218746 0 27800 SAMIR RANJAN CIO 40.00 X 209929 0 19000 BAHGHI KEFLEZIGHI MEDICAL DIRECTOR ASSISTANT 40.00 X 277405 0 39811 CLAUDIO CABREJOS MED DIR-ASST-PSYCHIATRY 40.00 X 401424 0 58215 GARRICK TONG MED DIR-ASST-CHILD PSYCHI 40.00 X 357206 0 57811 SANDRA CERVANTES MED DIR-ASST-OBGYN 40.00 X 346884 0 12935 UYEN-THAO TRAN ASSOCIATE DIR-FM RESIDENCY 40.00 X 274032 0 52581 FACIKA TAFARA FORMER LAB DIRECTOR 40.00 X 175932 0 14075 6414696 0 724308 20 1 1 0 COMPHEALTH MEDICAL STAFFING PO BOX 972670 DALLAS TX 75397 STAFFING AGENCY 2533614 DAVIS AND ADAMS CONSTRUCTION INC 7848 CONVOY CT SAN DIEGO CA 92111 CONSTRUCTION 1111473 JACKSON & COKER HOLDINGS LLC PO BOX 277638 ATLANTA GA 30384 STAFFING AGENCY 848630 NETLIMS NJ LLC 65 CHALLENGER RD STE 125 RIDGEFIELD PARK NJ 07660 LABORATORY INFORMATION 493831 TERRACE CAPITAL LP 8525 GIBBS DR STE 200 SAN DIEGO CA 92123 INVESTMENTS 474170 11 127428 42826769 7746205 50700402 PATIENT SERVICE REVENUE 621110 189358107 189358107 PHARMACY INCOME 621110 31652980 31652980 221011087 993960 993960 69530 0 69530 69530 69530 8029 127428 8029 0 OTHER REVENUE 621110 3518930 3518930 3518930 276293909 225523977 69530 0 5070693 3823110 1247583 141840515 107328249 34512266 24315 24315 10293762 7521374 2772388 1056018 225955 830063 6727479 1855421 4872058 950754 950754 6584976 672592 5912384 833864 105838 728026 MEDICAL AND PHARM SUPPL 30329848 29827419 502429 OTHER EXPENSES 9772399 9749039 23360 MINOR EQUIPMENT 2416341 1404491 1011850 OFFICE SUPPLIES 1600116 935605 661677 2834 217501080 163449093 54001478 50509 107371589 137942014 4912667 6010849 22694590 40199942 79652 535358 28555325 21906829 497939 1716397 1621460 3085122 184533064 50625025 128400792 133908039 1243940 933303 6389121 6239215 301767075 352477068 21759761 25521495 2164865 1233374 46005586 35455551 45000 0 69975212 62210420 X 230358473 288591546 1433390 1675102 231791863 290266648 301767075 352477068 58792829 -318044 0 X X 0 1 X 1 1 1 X 33848830 39195768 40398537 40875876 50700402 205019413 33848830 39195768 40398537 40875876 50700402 205019413 205019413 321597 252440 140310 714347 2991976 1561318 1362607 1706703 3270416 10893020 216626780 0.94640 0.95110 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 42766513 42766513 113764582 32146277 81618305 9572718 3573478 5999240 12329716 9264335 3065381 6099535 5640935 458600 133908039 X 275975865 -318044 -318044 276293909 0 276293909 217501080 0 217501080 0 217501080 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, 2020 AND 2019, 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, 2020, 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, 2020. 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 2018, 2019, AND 2020 REMAIN OPEN AND SUBJECT TO EXAMINATION BY THE APPROPRIATE GOVERNMENTAL AGENCIES IN THE UNITED STATES. SPIRIT OF THE BARRIO 135457 127428 8029 2200 4684 1145 135457 127428 8029 2200 4684 1145 8029 0 X 0 0 0 0 0 0 0 0 0 FRAN BUTLER-COHEN PRESIDENT/CEO 593804 0 154283 0 15600 0 39155 0 15124 0 817966 0 0 0 RICARDO ROMAN CHIEF FINANCIAL OFFICER 378314 0 11309 0 0 0 19000 0 20994 0 429617 0 0 0 ALAN ZIEG PHYSICIAN - CHIEF OF OB GY 443506 0 118297 0 0 0 40800 0 4688 0 607291 0 0 0 ANDRES GUTIERREZ CHIEF INFORMATION OFFICER 296943 0 0 0 0 0 19000 0 4688 0 320631 0 0 0 CHRISTOPHER GORDON CHIEF MEDICAL OFFICER & CO 388509 0 21996 0 0 0 16240 0 4688 0 431433 0 0 0 DAVID WHISENHUNT VP - PHYSICAL FACILITIES 195858 0 0 0 0 0 22600 0 18657 0 237115 0 0 0 DONNA BAKER SRVP - ADMINISTRATION 294208 0 0 0 0 0 42876 0 26153 0 363237 0 0 0 IBRAHIM SAWAYA DENTAL DIRECTOR 357043 0 0 0 0 0 19000 0 10578 0 386621 0 0 0 JANET ADAMIAN VP OF PROGRAMS AND SYSTEM 197638 0 0 0 0 0 24999 0 15033 0 237670 0 0 0 JEFFREY GERING VP OF PLANNING & SUPPORT S 255720 0 0 0 0 0 19000 0 4688 0 279408 0 0 0 KHAWLA SULEIMAN-QAFITI CHIEF OF PEDIATRICS 258048 0 17559 0 0 0 25000 0 0 0 300607 0 0 0 LISA DUNCAN VP OF NURSING & COMPLIANCE 154503 0 0 0 0 0 18541 0 10578 0 183622 0 0 0 NARAYANADAS C VAKAMUDI CHIEF TECHNOLOGY OFFICER 218746 0 0 0 0 0 19000 0 8800 0 246546 0 0 0 SAMIR RANJAN CIO 209929 0 0 0 0 0 19000 0 0 0 228929 0 0 0 BAHGHI KEFLEZIGHI MEDICAL DIRECTOR ASSISTANT 259046 0 18359 0 0 0 19000 0 20811 0 317216 0 0 0 CLAUDIO CABREJOS MED DIR-ASST-PSYCHIATRY 390115 0 11309 0 0 0 37404 0 20811 0 459639 0 0 0 GARRICK TONG MED DIR-ASST-CHILD PSYCHI 345897 0 11309 0 0 0 37000 0 20811 0 415017 0 0 0 SANDRA CERVANTES MED DIR-ASST-OBGYN 303042 0 43842 0 0 0 7253 0 5682 0 359819 0 0 0 UYEN-THAO TRAN ASSOCIATE DIR-FM RESIDENCY 258048 0 15984 0 0 0 38000 0 14581 0 326613 0 0 0 FACIKA TAFARA FORMER LAB DIRECTOR 175255 0 677 0 0 0 14075 0 0 0 190007 0 0 0 DR WINESBURG PHYSICIAN X 154641 42951 0 1 1 DR VALDIVIA PHYSICIAN X 97430 41444 0 1 1 DR KASANAPALLI PHYSICIAN X 14496 832 0 1 1 DR GONZALEZ PHYSICIAN X 60000 46573 0 1 1 DR ALIMONOS PHYSICIAN X 113929 71436 0 1 1 DR DEMIK PHYSICIAN X 157640 145775 0 1 1 DR NIAZI PHYSICIAN X 275000 177847 0 1 1 JOSE MORENO NURSE X 10000 8500 0 1 1 535358 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS SUBMITTED TO THE BOARD OF DIRECTORS AND MANAGEMENT FOR REVIEW. 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 14342238 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 7337376 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 9285607 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 COMMUNITY SERVICES INC B 6197000 AUDITED FINANCIAL STATEMENTS FHCSD GROWTH FUND INC O 1247583 AUDITED FINANCIAL STATEMENTS FHCSD FCC2 LLC O 1247583 AUDITED FINANCIAL STATEMENTS FHCSD EL CAJON LLC O 1247583 AUDITED FINANCIAL STATEMENTS FHCSD HITEC LLC O 1247583 AUDITED FINANCIAL STATEMENTS FHCSD COMMUNITY SERVICES INC K 110000 AGREEMENT FHCSD HITEC LLC K 678719 AGREEMENT FHCSD FCC2 LLC K 290956 AGREEMENT FHCSD EL CAJON LLC K 362912 AGREEMENT