2013-04-03T17:01:44-05:00 2012-06-30 111986323 MARCUM LLP 101 MONTGOMERY STREET 1900 SAN FRANCISCO CA 94104 990 2011-07-01 942525145 FAMILY HEALTHCARE NETWORK FAMI 5597374700 305 EAST CENTER AVE VISALIA CA 93291 HARRY FOSTER 5597374700 2013-04-03 1 SANDRA VAN KEUREN P00128543 4159819400 2011 2016-02-25 16:41:14Z X HARRY FOSTER 305 E CENTER AVE VISALIA CA 93291 67516109 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 10 815 20 0 0 7686048 8654492 54131966 54326875 37572 8733 2138101 4526009 63993687 67516109 0 0 0 0 44014448 46113444 0 0 0 16471347 20135708 60485795 66249152 3507892 1266957 29055793 44731134 14362053 28770437 14693740 15960697 TO PROVIDE HEALTH CARE SERVICES TO SOCIALLY AND ECONOMICALLY DEPRESSED SECTORS OF THE SOUTHERN SAN JOAQUIN VALLEY IN CALIFORNIA. 0 0 44759558 58852884 FAMILY HEALTHCARE NETWORK PROVIDES THE FOLLOWING SERVICES: FAMILY MEDICINE, INTERNAL MEDICINE, OB/GYN, PEDIATRIC, BEHAVIORAL HEALTH, COMPLEMENTARY & ALTERNATIVE MEDICINE, RADIOLOGY/MAMMOGRAPHY/ULTRASOUND, NUTRITION AND HEALTH EDUCATION, COMMUNITY OUTREACH, TRANSPORTATION, AND DENTAL SERVICES. 44759558 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 0 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 0 1 56 0 1 815 1 0 0 0 0 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 0 1 1 0 CA X CHAD VAWTER 5917374907 305 EAST CENTER AVENUE VISALIA CA 932916331 JOHN ZAPALAC 0.00 X 0 0 0 EMZY COPE 0.00 X 0 0 0 OLIVIA GAMBOA 0.00 X 0 0 0 PAUL CURTIS 0.00 X 0 0 0 MICHAEL BOTELLO 0.00 X 0 0 0 MINNETTA COSTA 0.00 X 0 0 0 TERESA DE LA ROSA 0.00 X 0 0 0 MARIA GONZALEZ 0.00 X 0 0 0 STEVEN KABOT 0.00 X 0 0 0 SUSAN MANUEL 0.00 X 0 0 0 RUBEN CHAVEZ 40.00 X 163334 0 1680 HENRY CAMILO CISNEROR JR 40.00 X 193250 0 1680 MARTIN JAMES SOY 40.00 X 119458 0 1680 STEVEN PALMER 40.00 X 279607 0 22178 HARRY FOSTER 40.00 X 428898 0 23680 KERRY L HYDASH 40.00 X 130703 0 8880 JAY S KELLEY 40.00 X 129723 0 1880 MARIA S HERNANDEZ 40.00 X 352739 0 18180 CHRISTOPHER DANIEL BENCOMO 40.00 X 360133 0 18180 TALAKSOON KHADEMI 40.00 X 378825 0 1680 DAVID FRANCIS CRYNS 40.00 X 380387 0 1680 DAVID BORGE 40.00 X 421427 0 23680 PETER STEPHEN CABALLES 40.00 X 136413 0 1670 DAVID LARIOS 40.00 X 139832 0 1560 ENOTH DOUGWON KIM 40.00 X 140320 0 1680 ROBERT BRIAN CARDENAS 40.00 X 140502 0 6480 PARAMVIR SINGH SIDHU 40.00 X 144056 0 560 TONY WEBER 0.00 X 145558 0 9380 CHRISTOPHER RODARTE 0.00 X 182612 0 5320 LAURIE HAGOPIAN-DRESSER 0.00 X 101378 0 3947 4469155 0 155655 104 1 1 0 QUEST DIAGNOSTICS PO BOX 281923 ATLANTA GA 30384 LABORATORY 774286 OFFICE PRIDE 5901 W ROBIN AVE VISALIA CA 93291 HOUSEKEEPING SERVICES 513469 COMPHEALTH INC PO BOX 972651 DALLAS TX 753972651 LOCUM TENENS SERVICE 469040 MED3000 PO BOX 1236 BUTLER PA 160031236 ELECTRONIC HEALTH RECORD SYSTEM 403131 STERICYCLE INC PO BOX 6578 CAROL STREAM IL 601976578 MEDICAL WASTE DISPOSAL 315738 9 7320058 1334434 8654492 NET PATIENT SERVICES 621300 54326875 54326875 54326875 8733 8733 MANAGED CARE RISK 621300 2563366 2563366 VARIOUS OTHER 621300 1962643 1962643 4526009 67516109 58852884 0 8733 4624810 3570348 1054462 32126101 24801316 7324785 2293185 1770336 522849 4179758 3226769 952989 2889590 2230760 658830 77959 48075 29884 346199 213490 132709 36000 22200 13800 4231780 2609610 1622170 415473 93266 322207 354813 282662 72151 3214827 3214827 546348 142499 403849 354321 354321 1915489 1915489 624605 276543 348062 SUPPLIES AND DRUG 2912551 2320286 592265 OTHER OPERATING EXPENSE 2605565 651620 1953945 PROVISION FOR BAD DEBTS 2499778 2499778 66249152 44759558 21489594 0 7387135 6509433 261653 470149 4724469 5757164 833078 365887 29571061 13223714 11715139 16347347 4134319 15281154 29055793 44731134 5916906 6588192 5845000 16943185 2600147 5239060 14362053 28770437 X 14549251 15927044 144489 33653 14693740 15960697 29055793 44731134 1266957 0 X 0 1 1 X 1 1 X 8182951 8176222 10145611 7686048 8654492 42845324 8182951 8176222 10145611 7686048 8654492 42845324 42845324 84977 70608 20036 37572 8733 221926 196482 621477 1013239 2138101 4526009 8495308 51562558 0.83090 0.90200 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 562080 562080 11318880 5573442 5745438 809081 493925 315156 10665389 7156347 3509042 6215631 6215631 16347347 RESTRICTED CASH AND CASH EQUIVALENT 1222608 DEFERRED CHARGES 1636330 ASSETS LIMITED TO USE 12359716 LONG-TERM DEBT 62500 15281154 67516109 66249152 1266957 1266957 65016330 -2499779 -2499779 67516109 0 67516109 63749373 0 63749373 2499779 2499779 66249152 PART XII, LINE 2D - OTHER ADJUSTMENTS: PROVISION FOR BAD DET, NET REVENUE -2,499,779. PART XIII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE, NET REVENUE 2,499,779. X X X 0 0 0 0 0 0 0 0 0 RUBEN CHAVEZ 163334 0 0 0 0 0 0 0 1680 0 165014 0 0 0 HENRY CAMILO CISNEROR JR 193250 0 0 0 0 0 0 0 1680 0 194930 0 0 0 STEVEN PALMER 279607 0 0 0 0 0 20498 0 1680 0 301785 0 0 0 HARRY FOSTER 318079 0 88500 0 22319 0 22000 0 1680 0 452578 0 0 0 MARIA S HERNANDEZ 254969 0 97770 0 0 0 16500 0 1680 0 370919 0 0 0 CHRISTOPHER DANIEL BENCOMO 277027 0 83106 0 0 0 16500 0 1680 0 378313 0 0 0 TALAKSOON KHADEMI 233291 0 145534 0 0 0 0 0 1680 0 380505 0 0 0 DAVID FRANCIS CRYNS 234181 0 86206 0 60000 0 0 0 1680 0 382067 0 0 0 DAVID BORGE 277314 0 144113 0 0 0 22000 0 1680 0 445107 0 0 0 TONY WEBER 115338 0 0 0 30220 0 8400 0 980 0 154938 0 0 0 CHRISTOPHER RODARTE 146803 0 11160 0 24649 0 4200 0 1120 0 187932 0 0 0 LAURIE HAGOPIAN-DRESSER 38450 0 20330 0 42598 0 3667 0 280 0 105325 0 0 0 CALIFORNIA MUNICIPAL FINANCE AUTH INSURED REVENUE BONDS 201563466 13048TDE0 2008-04-03 5845000 REFINANCE DEBT, FINANCE CERTAIN CAPITAL PROJECTS 0 0 0 CALIFORNIA MUNICIPAL FINANCE AUTHORITY 201563466 13048TMC4 2011-11-30 5000000 FINANCE CAPITAL PROJECTS 0 0 0 CALIFORNIA MUNICIPAL FINANCE AUTHORITY 201563466 13048TMU4 2011-11-30 6225000 FINANCE CAPITAL PROJECTS 0 0 0 4981380 408551 528270 2258203 2525087 124889 2008 0 0 0 0 5000000 345507 442684 231197 3980812 2012 0 0 0 0 6225000 429908 429293 574620 287840 4503339 2012 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 WILL BE PROVIDED TO THE BOARD OF DIRECTORS BEFORE IT IS FILED. IT WILL BE REVIEWED BY THE CFO BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C FHCN PERIODICALLY EVALUATES THE ENTITY'S CONFLICT OF INTEREST POLICY. THE POLICY FOR CONFLICTS OF INTEREST ARE ADEQUATELY COMMUNICATED TO ALL EMPLOYEES IN THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 15 FHCN HAS A MARKET DRIVEN COMPENSATION PROGRAM. ALL KEY JOBS ARE BENCHMARKED TO LOCAL, REGIONAL, AND NATIONAL DATA BASED ON JOB DUTIES. WHEN NECESSARY, OUTSIDE CONSULTANTS ARE USED TO REVIEW SALARIES. ADJUSTMENTS TO COMPENSATION ARE MADE AS NECESSARY TO KEEP NETWORK JOBS COMPETITIVE. FORM 990, PART VI, SECTION C, LINE 19 FHCN MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENT AVAILABLE TO THE PUBLIC UPON REQUEST.