2015-04-14T15:18:10-05:00 2014-06-30 464016990 THE PUN GROUP LLP 200 EAST SANDPOINTE AVENUE SUITE 600 SANTA ANA CA 92707 990 2013-07-01 952833205 FAMILY HEALTH CENTERS OF SAN DIEGO INC FAMI 6195152300 823 GATEWAY CENTER WAY SAN DIEGO CA 92102 RICARDO ROMAN CFO 6195152300 2015-04-14 1 KENNETH H PUN P01443751 9497778800 2013 2016-02-25 16:41:14Z RICARDO ROMAN 823 GATEWAY CENTER WAY SAN DIEGO CA 92102 125699246 0 X WWW.FHCSD.ORG X 1970 CA PROVIDING QUALITY HEALTH CARE SERVICES TO THE UNINSURED AND UNDERINSURED 15 15 1330 0 99713 90025 47979614 36002460 62641476 88344907 0 0 360133 1171599 110981223 125518966 0 0 0 0 61210674 70830190 0 0 638678 31584198 34971305 92794872 105801495 18186351 19717471 108409988 127136555 23532049 22541145 84877939 104595410 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 80830935 89416793 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. 80830935 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 1 0 0 0 0 1 1 1 0 0 1 29 0 1 1330 1 1 1 0 0 0 0 0 0 0 X 15 15 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 WAYNE R ANDERSON MD CHAIR, CLINICAL REVIEW COMMITTEE 2.00 X 0 0 0 MARGARITA I CARMONA MARKET PLANNING COMMITTEE MEMBER 2.00 X 0 0 0 BARBARA CARR BOARD CHAIRPERSON/CHAIR, MARKET PLANNING COMMITTEE 2.00 X 0 0 0 JOSE R DE LA GARZA AUDIT COMMITTEE MEMBER 2.00 X 0 0 0 FRANK ESPINOZA BOARD 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 DANIEL GUILLEN AUDIT COMMITTEE MEMBER 2.00 X 0 0 0 SEAN MATHEWS BOARD MEMBER 2.00 X 0 0 0 STEVEN OLSON AUDIT COMMITTEE MEMBER 2.00 X 0 0 0 STEPHANIE PEREZ MARKET PLANNING COMMITTEE MEMBER 2.00 X 0 0 0 WALTER SCOTT BOARD VICE-CHAIR/CHAIR, BOARD DEVELOPMENT & NOMINA 2.00 X 0 0 0 MARY SESSOM BOARD MEMBER 2.00 X 0 0 0 CESAR A SOLIS BOARD DEVELOPMENT & NOMINATING COMMITTEE MEMBER 2.00 X 0 0 0 VENUS THOMAS BOARD SECRETARY & TREASURER/CHAIR, AUDIT COMMITTEE 2.00 X 0 0 0 FRAN BUTLER-COHEN PRESIDENT/CEO 40.00 X 577075 0 26028 RICARDO ROMAN CHIEF FINANCIAL OFFICER 40.00 X 252708 0 14691 ALAN ZIEG PHYSICIAN/CHIEF OF OB-GYN 40.00 X 405079 0 13567 IBRAHIM SAWAYA DENTAL DIRECTOR 40.00 X 317810 0 11343 FACIKA TAFARA MEDICAL DIRECTOR/LAB DIRECTOR 40.00 X 286221 0 29202 ANDRES GUTIERREZ CHIEF INFORMATION OFFICER 40.00 X 202245 0 4569 JANET ADAMIAN REGIONAL DIRECTOR 40.00 X 150289 0 5061 CABREJOS CLAUDIO ASST MED DIR - PSYCHIATRY 40.00 X 316447 0 12839 TONG GARRICK MED DIR-ASST-CHILD PSYCHIATRY 40.00 X 270459 0 12839 DAVIS TRACIE PHYSICIAN - OB GYN 40.00 X 246607 0 16745 VOCE JOHN PHYSICIAN - OB GYN 40.00 X 246849 0 8724 DI ROCCO GREGORY PHYSICIAN - OB GYN 40.00 X 231254 0 3839 3503043 0 159447 82 0 1 0 NUERA CONTRACTING AND CONSULTING LP 12975 BROOKPRINTER PLACE SUITE 160 POWAY CA 92064 CONSTRUCTION SERVICES 725912 MERCY ASSOC PEDIATRIC SUB SPECIALISTS PO BOX 33855 SAN DIEGO CA 92163 MEDICAL SERVICES 159595 SCRIPPS WHITTIER DIABETES INSTITUTE 10140 CAMPUS POINT DRIVE 200 SAN DIEGO CA 92121 MEDICAL SERVICES 152400 3 180418 33396379 2425663 2425663 36002460 PATIENT SERVICE REVENUE 621110 73411838 73411838 PHARMACY INCOME 621110 14933069 14933069 88344907 226742 127029 99713 99713 99713 53251 180418 53251 0 OTHER REVENUE 624100 1071886 1071886 1071886 125518966 89416793 99713 0 3503043 2471015 1032028 61935509 50161403 11195228 578878 1404068 1404068 3987570 3987570 49589 49589 73250 1500 71750 7039182 5823728 1213230 2224 255650 205491 14577 35582 2175730 1221642 949067 5021 2607441 432647 2168370 6424 283680 176588 105112 1980 150718 112687 37788 243 153766 153766 2967711 403210 2563817 684 345862 345862 SUPPLIES 15335914 14930839 404096 979 OTHER EXPENSES 1451466 4229325 -2780252 2393 EQUIPMENT RENTAL & MAIN 1082640 477090 605550 TELEPHONE 733512 130359 598883 4270 265194 53411 211783 105801495 80830935 24331882 638678 21217118 29953933 9812727 889071 4455922 4669473 11484080 12870185 6197000 6197000 206797 209438 1522972 1204741 88172288 17962212 53316753 70210076 591568 196619 341070 108409988 127136555 8186204 9742886 35661 943875 15280184 11849384 30000 5000 23532049 22541145 X 83564183 103460552 1313756 1134858 84877939 104595410 108409988 127136555 19717471 0 X X 0 1 X 1 1 1 X 6853786 29078586 31701038 34969171 36002460 138605041 6853786 29078586 31701038 34969171 36002460 138605041 138605041 12971 43511 86314 118471 20932 282199 646662 1198083 2390107 1097665 1150667 6483184 145370424 251826451 0.95350 X PARAGRAPH II, LINE 10, OTHER INCOME: MEDICAL RECORD INCOME AND OTHER INCOME FROM OPERATING THE HEALTH CENTERS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 19288739 19288739 54043481 12169063 41874418 713579 207031 506548 6892044 4183754 2708290 7234445 1402364 5832081 70210076 ACCRUED TAX LIABILITIES 5000 5000 X 125518966 0 125518966 0 125518966 105801495 0 105801495 0 105801495 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, 2013 AND 2012, 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, 2014, 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, 2014. 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 2011, 2012 AND 2013 REMAIN OPEN AND SUBJECT TO EXAMINATION BY THE APPROPRIATE GOVERNMENTAL AGENCIES IN THE UNITED STATES. SPIRIT OF THE BARRIO 126925 109546 17379 6332 3395 7652 HOME AND HEALTHY FOR THE HOLDAYS 78719 52836 25883 12565 12500 818 3 28025 18036 9989 9989 233669 180418 53251 18897 15895 18459 53251 0 X 0 0 0 0 0 0 0 0 0 FRAN BUTLER-COHEN PRESIDENT/CEO 459547 0 117528 0 0 0 0 0 26028 0 603103 0 0 0 RICARDO ROMAN CHIEF FINANCIAL OFFICER 240863 0 11845 0 0 0 0 0 14691 0 267399 0 0 0 ALAN ZIEG PHYSICIAN/CHIEF OF OB-GYN 393234 0 11845 0 0 0 0 0 13567 0 418646 0 0 0 IBRAHIM SAWAYA DENTAL DIRECTOR 250283 0 67527 0 0 0 0 0 11343 0 329153 0 0 0 FACIKA TAFARA MEDICAL DIRECTOR/LAB DIRECTOR 268552 0 17669 0 0 0 0 0 29202 0 315423 0 0 0 ANDRES GUTIERREZ CHIEF INFORMATION OFFICER 202245 0 0 0 0 0 0 0 4569 0 206814 0 0 0 JANET ADAMIAN REGIONAL DIRECTOR 147369 0 2920 0 0 0 0 0 5061 0 155350 0 0 0 CABREJOS CLAUDIO ASST MED DIR - PSYCHIATRY 304602 0 11845 0 0 0 0 0 12839 0 329286 0 0 0 TONG GARRICK MED DIR-ASST-CHILD PSYCHIATRY 258614 0 11845 0 0 0 0 0 12839 0 283298 0 0 0 DAVIS TRACIE PHYSICIAN - OB GYN 234262 0 12345 0 0 0 0 0 16745 0 263352 0 0 0 VOCE JOHN PHYSICIAN - OB GYN 235004 0 11845 0 0 0 0 0 8724 0 255573 0 0 0 DI ROCCO GREGORY PHYSICIAN - OB GYN 231254 0 0 0 0 0 0 0 3839 0 235093 0 0 0 X 1 302345 FAIR MARKET VALUE 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 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 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 FHCSD COMMUNITY SERVICES INC C 1185439 AUDITED FINANCIAL STATEMENTS