2017-05-12T13:05:57-05:00 2016-06-30 464016990 THE PUN GROUP LLP 200 EAST SANDPOINTE AVENUE SUITE 600 SANTA ANA CA 92707 990 2015-07-01 952833205 FAMILY HEALTH CENTERS OF SAN DIEGO INC FAMI 6195152300 823 GATEWAY CENTER WAY SAN DIEGO CA 92102 RICARDO ROMAN CFO 6195152300 2017-05-12 1 KENNETH H PUN P01443751 9497778800 2015 2021-01-29 14:40:06Z RICARDO ROMAN 823 GATEWAY CENTER WAY SAN DIEGO CA 92102 167253888 0 X WWW.FHCSD.ORG X 1970 CA PROVIDING QUALITY HEALTH CARE SERVICES TO THE UNINSURED AND UNDERINSURED 14 14 1716 156 321597 202387 32760750 33848830 113054923 129610302 23383 63924 1282605 3313573 147121661 166836629 0 0 0 0 80889903 93371235 0 0 223543 33935718 45795936 114825621 139167171 32296040 27669458 188021339 214115944 51171827 49659075 136849512 164456869 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 107349951 132666202 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. 107349951 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 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 36 0 1 1716 1 1 1 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X RICARDO ROMAN CFO 6195152465 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/AUDIT COMMITTEE MEMBER 2.00 X 0 0 0 FRANK ESPINOZA BOARD MEMBER 2.00 X 0 0 0 SEAN MATHEWS BOARD MEMBER 2.00 X 0 0 0 MARY SESSOM BOARD MEMBER 2.00 X 0 0 0 JOSE R DE LA GARZA AUDIT COMMITTEE MEMBER 2.00 X 0 0 0 DANIEL GUILLEN AUDIT COMMITTEE CHAIR 2.00 X 0 0 0 STEVEN OLSON AUDIT COMMITTEE MEMBER 2.00 X 0 0 0 WAYNE R ANDERSON CLINICAL REVIEW COMMITTEE CHAIR 2.00 X 0 0 0 MARGARITA I CARMONA MARKET PLANNING COMMITTEE MEMBER 2.00 X 0 0 0 BERTHA GARCIA MARKET PLANNING COMMITTEE MEMBER 2.00 X 0 0 0 JANICE GILMORE-SEE BOARD DEVELOPMENT & NOMINATING COMMITTEE MEMBER 2.00 X 0 0 0 STEPHANIE PEREZ MARKET PLANNING COMMITTEE MEMBER 2.00 X 0 0 0 FRAN BUTLER-COHEN PRESIDENT/CEO 40.00 X 631408 0 56076 RICARDO ROMAN CHIEF FINANCIAL OFFICER 40.00 X 332538 0 28129 ANDRES GUTIERREZ CHIEF INFORMATION OFFICER 40.00 X 246435 0 26679 IBRAHIM SAWAYA DENTAL DIRECTOR 40.00 X 285324 0 25763 FACIKA TAFARA MEDICAL DIRECTOR AND LAB DIR 40.00 X 307638 0 33219 ALAN ZIEG PHYSICIAN - CHIEF OF OB GYN 40.00 X 416875 0 44986 JANET ADAMIAN REGIONAL DIRECTOR 40.00 X 171686 0 24878 CHRIS GORDON DIR - FAMILY MED RESIDENCY PROG 40.00 X 242339 0 21679 DONNA BAKER SRVP - ADMINISTRATION 40.00 X 258688 0 61181 NARAYANADAS VAKAMUDI DIRECTOR OF PRODUCT DEVELOPMENT 40.00 X 165241 0 11051 CLAUDIO CABREJOS MED DIR-ASST-PSYCHIATRY 40.00 X 345317 0 56048 JOE SEPULVEDA PSYCHIATRIST 40.00 X 317841 0 39673 GARRICK TONG MED DIR-ASST-CHILD PSYCHIATRY 40.00 X 304931 0 51048 DEBORAH BIRNBAUM PSYCHIATRIST 40.00 X 294787 0 25763 MARK KNIGHT PSYCHIATRIST 40.00 X 294845 0 21673 THOMAS FOUNTAINE FORMER DIR ENGINE & SUPPLY CHAIN SERV 40.00 X 154673 0 24826 4770566 0 552672 120 1 1 0 MERCY ASSOC PEDIATRIC SUB SPECIALISTS PO BOX 33855 SAN DIEGO CA 92163 TEACHING & SUPERVISION 166616 1 109028 31709294 2030508 206 33848830 PATIENT SERVICE REVENUE 621110 114831794 114831794 PHARMACY INCOME 621110 14778508 14778508 129610302 63924 63924 715385 393788 321597 321597 321597 23471 109028 23471 0 OTHER REVENUE 624100 2991976 2991976 2991976 166836629 132666202 321597 0 3212845 2002464 1210381 90158390 68048032 21923124 187234 9063320 7613271 1450049 977377 252489 724094 794 4296406 1389325 2907081 555290 555290 5096318 907772 4188546 455213 706 454507 TAXES ON UNRELATED BUSI 86525 0 86525 0 MEDICAL AND PHARM SUPPL 17570113 17570113 0 0 OTHER EXPENSES 4404251 7546802 -3173659 31108 MINOR EQUIPMENT 2192271 1426527 765366 378 1098852 592450 502373 4029 139167171 107349951 31593677 223543 53850562 61888229 889743 0 3255768 3941372 16585755 12774436 17175200 17164478 240460 706176 3180276 2629158 140694911 26379078 91928967 114315833 509485 448736 405123 247526 188021339 214115944 11897777 12389772 920585 878970 38326465 36307695 27000 82638 51171827 49659075 X 135821507 163497908 1028005 958961 136849512 164456869 188021339 214115944 27669458 -62101 0 X X 0 1 X 1 1 1 X 31701038 34969171 36002460 32760750 33848830 169282249 31701038 34969171 36002460 32760750 33848830 169282249 169282249 86314 118471 99713 123889 382598 810985 2390107 1097665 1150667 1158716 2930975 8728130 178821364 0.94670 0.95660 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 37110927 37110927 84931287 16882437 68048850 3398356 911215 2487141 9672058 6036458 3635600 5582283 2548968 3033315 114315833 ACCRUED TAX LIABILITIES 82638 82638 X 166774528 -62101 -62101 166836629 0 166836629 139167171 0 139167171 0 139167171 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, 2016 AND 2015, 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, 2016, 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, 2016. 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 2014, 2015 AND 2016 REMAIN OPEN AND SUBJECT TO EXAMINATION BY THE APPROPRIATE GOVERNMENTAL AGENCIES IN THE UNITED STATES. SPIRIT OF THE BARRIO 132499 109028 23471 6765 14231 2475 132499 109028 23471 6765 14231 2475 23471 0 X 0 0 0 0 0 0 0 0 0 FRAN BUTLER-COHEN PRESIDENT/CEO 488648 0 128360 0 14400 0 40500 0 15576 0 687484 0 0 0 RICARDO ROMAN CHIEF FINANCIAL OFFICER 320693 0 11845 0 0 0 17500 0 10629 0 360667 0 0 0 ANDRES GUTIERREZ CHIEF INFORMATION OFFICER 246435 0 0 0 0 0 23000 0 3679 0 273114 0 0 0 IBRAHIM SAWAYA DENTAL DIRECTOR 274415 0 10909 0 0 0 18000 0 7763 0 311087 0 0 0 FACIKA TAFARA MEDICAL DIRECTOR AND LAB DIR 293358 0 14280 0 0 0 18000 0 15219 0 340857 0 0 0 ALAN ZIEG PHYSICIAN - CHIEF OF OB GYN 383112 0 33763 0 0 0 41307 0 3679 0 461861 0 0 0 JANET ADAMIAN REGIONAL DIRECTOR 165122 0 6564 0 0 0 19700 0 5178 0 196564 0 0 0 CHRIS GORDON DIR - FAMILY MED RESIDENCY PROG 222500 0 19839 0 0 0 18000 0 3679 0 264018 0 0 0 DONNA BAKER SRVP - ADMINISTRATION 258688 0 0 0 0 0 41157 0 20024 0 319869 0 0 0 NARAYANADAS VAKAMUDI DIRECTOR OF PRODUCT DEVELOPMENT 165241 0 0 0 0 0 11051 0 0 0 176292 0 0 0 CLAUDIO CABREJOS MED DIR-ASST-PSYCHIATRY 333472 0 11845 0 0 0 41000 0 15048 0 401365 0 0 0 JOE SEPULVEDA PSYCHIATRIST 305496 0 12345 0 0 0 18000 0 21673 0 357514 0 0 0 GARRICK TONG MED DIR-ASST-CHILD PSYCHIATRY 292961 0 11970 0 0 0 36000 0 15048 0 355979 0 0 0 DEBORAH BIRNBAUM PSYCHIATRIST 282442 0 12345 0 0 0 18000 0 7763 0 320550 0 0 0 MARK KNIGHT PSYCHIATRIST 283000 0 11845 0 0 0 0 0 21673 0 316518 0 0 0 THOMAS FOUNTAINE FORMER DIR ENGINE & SUPPLY CHAIN SER 131760 0 22913 0 0 0 12286 0 12540 0 179499 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 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 15984723 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 0 1 0 1 1 0 0 0 0 FHCSD GROWTH FUND INC B 10 AUDITED FINANCIAL STATEMENTS FHCSD HITEC LLC B 76255 AUDITED FINANCIAL STATEMENTS FHCSD COMMUNITY SERVICES INC O 1048151 AUDITED FINANCIAL STATEMENTS FHCSD GROWTH FUND INC O 1048151 AUDITED FINANCIAL STATEMENTS