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FAMILY HEALTHCARE NETWORK: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
FAMILY HEALTHCARE NETWORK (EIN 94-2525145)
Tax period
2012-07-01 to 2013-06-30
Filed
2013-12-20
IRS object ID
201323579349300337
Schema version
2012v2.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-12-20T11:48:39-07:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN202707086EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1TCA Partners LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11111 E Herndon Avenue Suite 211AddressLine1
CityFresnoCity
StateCAState
ZIP Code93720ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN942525145EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Family Healthcare NetworkBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlFAMINameControl
Phone5597374700Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1305 East Center AvenueAddressLine1
CityVisaliaCity
StateCAState
ZIP Code93291ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKerry HydashName
TitlePresident and CEOTitle
Phone5597374700Phone
Date Signed2013-10-30DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJeremy WareName
PTINP00642659PTIN
Phone5594317708Phone
Date Prepared2013-10-30DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKerry HydashNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1305 E Center AveAddressLine1
CityVisaliaCity
StateCAState
ZIP Code93291ZIPCode
FieldValueIRS element (for citing)
Gross Receipts72138969GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.fhcn.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1976YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionTo provide health care services to socially and economically depressed sectors of the southern San Joaquin Valley in California.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees944TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year8654492ContributionsGrantsPriorYear
Contributions Grants Current Year8140009ContributionsGrantsCurrentYear
Program Service Revenue Prior Year54326875ProgramServiceRevenuePriorYear
Program Service Revenue CY62586602ProgramServiceRevenueCY
Investment Income Prior Year8733InvestmentIncomePriorYear
Investment Income Current Year32239InvestmentIncomeCurrentYear
Other Revenue Prior Year4526009OtherRevenuePriorYear
Other Revenue Current Year1380119OtherRevenueCurrentYear
Total Revenue Prior Year67516109TotalRevenuePriorYear
Total Revenue Current Year72138969TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year46113444SalariesEtcPriorYear
Salaries Etc Current Year51792791SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year20135708OtherExpensePriorYear
Other Expenses Current Year18917220OtherExpensesCurrentYear
Total Expenses Prior Year66249152TotalExpensesPriorYear
Total Expenses Current Year70710011TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1266957RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1428958RevenuesLessExpensesCY
Total Assets BOY44731134TotalAssetsBOY
Total Assets EOY49248262TotalAssetsEOY
Total Liabilities BOY28770437TotalLiabilitiesBOY
Total Liabilities EOY32786558TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY15960697NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY16461704NetAssetsOrFundBalancesEOY
Mission DescriptionTo provide health care services to socially and economically depressed sectors of the southern San Joaquin Valley in California.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense47657447Expense
Grants0Grants
Revenue72138969Revenue
DescriptionFAMILY HEALTHCARE NETWORK (FHCN) PROVIDES MEDICAL SERVICES, DENTAL SERVICES AND VARIOUS COMMUNITY OUTREACH SERVICES. FOR FISCAL YEAR END JUNE 30, 2013 FHCN HAD 523,490 MEDICAL AND DENTAL VISITS.Description
Total Of Other Program Service Exp0TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev0TotalOfOtherProgramServiceRev
Total Program Service Expense47657447TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109673NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees944NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonChad VawterNamePerson
Telephone Number5597374907TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1305 East Center AvenueAddressLine1
CityVisaliaCity
StateCAState
ZIP Code93291ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
John Zapalac
Chair10X000
Emzy Cope
Vice Chair10X000
Olivia Gamboa
Secretary10X000
Paul Curtis
Board Member10X000
Michael Botello
Board member10X000
Minnetta Costa
Board Member10X000
Teresa De La Rosa
Board Member10X000
Maria Gonzalez
Board Member10X000
Steven Kabot
Treasurer10X000
Susan Manuel
Board Member10X000
Kerry Hydash
CEO40014784501680X
Henry Cisneros Jr
Chief Clinical Officer40020151501680X
Jay Kelley
Chief Information Officer40013595801680X
Norma Verduzco
Chief Operations Officer40010067001680X
Chad Vawter
Chief Financial Officer400831010625X
Brandon Foster
Chief Quality Officer4002093890300X
Maria Hernandez
OB GYN40033722601680X
Reynaldo Garcia
Family Practioner40034052001680X
Robert Ayers
OB GYN Practioner40036082601680X
Christopher Bencomo
OB GYN Practioner40038560601680X
David Cryns
OB GYN Practioner40044542201680X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2748078TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation16045TotalOtherCompensation
Number Individuals GT100 K87NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Quest Diagnostics
PO Box 515002SacramentoCA95851Laboratory1097037
Office Pride
5901 W Robin AveVisaliaCA93291Housekeeping services431173
Comphealth Inc
PO Box 972651DallasTX75397Locum Tenens Service365717
RICHARD FAIR MD
30502 PASEO DEL VALLELaguna NiguelCA92677LOCUM TENENS SERVICES276940
BJ PERCH CONSTRUCTION INC
7034 W PERSHING CTVISALIACA93291CONSTRUCTION and REPAIRS3766059
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Federated Campaigns0FederatedCampaigns
Membership Dues0MembershipDues
Fundraising Events0FundraisingEvents
Related Organizations0RelatedOrganizations
Government Grants7977984GovernmentGrants
All Other Contributions162025AllOtherContributions
Noncash Contributions0NoncashContributions
Total Contributions8140009TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNet Patient Service RevenueDescription
Business Code621400BusinessCode
Total Revenue Column59196160TotalRevenueColumn
Related Or Exempt Function Income59196160RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column3390442TotalRevenueColumn
Related Or Exempt Function Income3390442RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue62586602TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column32239TotalRevenueColumn
Related Or Exempt Function Income32239RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other0Other
FieldValueIRS element (for citing)
Cntrbtns Rprtd Fundraising Events0CntrbtnsRprtdFundraisingEvents

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMeaningful Use IncentiveDescription
Business Code621400BusinessCode
Total Revenue Column860667TotalRevenueColumn
Related Or Exempt Function Income860667RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column519452TotalRevenueColumn
Related Or Exempt Function Income519452RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue1380119TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column72138969TotalRevenueColumn
Related Or Exempt Function Income63998960RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1777497Total
Program Services758918ProgramServices
Management And General1018579ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total40140957Total
Program Services33605465ProgramServices
Management And General6535492ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2192456Total
Program Services1176432ProgramServices
Management And General1016024ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total4620242Total
Program Services3444359ProgramServices
Management And General1175883ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3061639Total
Program Services2340117ProgramServices
Management And General721522ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total104879Total
Management And General104879ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total259941Total
Management And General259941ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total32874Total
Management And General32874ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3868418Total
Program Services2196023ProgramServices
Management And General1672395ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total362483Total
Management And General362483ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total358426Total
Program Services225582ProgramServices
Management And General132844ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3038563Total
Program Services378573ProgramServices
Management And General2659990ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total351887Total
Program Services80938ProgramServices
Management And General270949ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total142507Total
Management And General142507ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total897482Total
Management And General897482ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2414725Total
Management And General2414725ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total262071Total
Management And General262071ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Supplies432960434510408785640
Professional Fees30298603029860
Postage and shipping11397201139720
Equipment rental and maintenance1072504010725040

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1003898Total
Management And General1003898ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total70710011Total
Program Services47657447ProgramServices
Management And General23052564ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY6509433BOY
EOY8192296EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY470149BOY
EOY1469888EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5757164BOY
EOY5897420EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY365887BOY
EOY670690EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis35951435LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec15250126LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY16347347BOY
EOY20701309EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY15281154BOY
EOY12316659EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY44731134BOY
EOY49248262EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY6588192BOY
EOY6937614EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY136989EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY16943185BOY
EOY18118480EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY5239060BOY
EOY7593475EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY28770437BOY
EOY32786558EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY15927044BOY
EOY16461704EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY33653BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY15960697BOY
EOY16461704EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY44731134BOY
EOY49248262EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses1428958ReconcilationRevenueExpenses
Reconciliation Unrealized Invest0ReconciliationUnrealizedInvest
Reconcilation Donated Services0ReconcilationDonatedServices
Reconcilation Invest Expenses0ReconcilationInvestExpenses
Reconcilation Prior Adjustment-927951ReconcilationPriorAdjustment
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8176222CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10145611CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7686048CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8654492CurrentTaxYearMinus1Year
Current Tax Year8140009CurrentTaxYear
Total42802382Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8176222CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10145611CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7686048CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8654492CurrentTaxYearMinus1Year
Current Tax Year8140009CurrentTaxYear
Total42802382Total
FieldValueIRS element (for citing)
Public Support Total17042802382PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years70608CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years20036CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years37572CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8733CurrentTaxYearMinus1Year
Current Tax Year32239CurrentTaxYear
Total169188Total
FieldValueIRS element (for citing)
Total Support42971570TotalSupport
Public Support Pertcentage1700.99606PublicSupportPertcentage170
Public Support Pertcent Prior Year0.8309PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis1610501OtherCostOrOtherBasis
Book Value1610501BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis17682735OtherCostOrOtherBasis
Depreciation6354952Depreciation
Book Value11327783BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis218538OtherCostOrOtherBasis
Depreciation153361Depreciation
Book Value65177BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis15221363OtherCostOrOtherBasis
Depreciation8741813Depreciation
Book Value6479550BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis1218298OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value1218298BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings20701309TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionAssets limited as to useDescription
Book Value12316659BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets12316659TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability
Total Of Amounts0TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt72138969TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments0NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities0DonatedSrvcAndUseOfFacilities
Recoveries Of Prior Year Grants0RecoveriesOfPriorYearGrants
Other Revenues0OtherRevenues
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal72138969RevenueSubtotal
Investment Expenses Not Included0InvestmentExpensesNotIncluded
Other Revenues Not Included0OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99072138969TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt70710011TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities0DonatedServicesUseOfFacilities
Prior Year Adjustments0PriorYearAdjustments
Losses Reported0LossesReported
Other Expenses Included0OtherExpensesIncluded
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal70710011ExpensesSubtotal
Investment Expenses Not Included20InvestmentExpensesNotIncluded2
Other Expenses Not Included0OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99070710011TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierSchD_P10_S00_L02Identifier
Return ReferenceSchedule D, Part X, Line 2ReturnReference
ExplanationThe Organization has been recognized by the Internal Revenue Service as a non-profit corporation as described in Sec. 501(c)(3) of the Internal Revenue Code (IRC) and is exempt from federal and state income taxes on related income pursuant to Sec 501(a) of the IRC and California Revenue and Taxation Code Sec 23701(d). The Organization files a United States federal tax return and a California state tax return. FHNC has determined that its major tax jurisdictions are the United States and California. The tax years of 2008 through 2011 remain open and subject to examination by the appropriate government agencies in the United States and California.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractXWrittenEmploymentContract
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Henry Cisneros Jr
Chief Clinical Officer201515000000016800203195000
Brandon Foster
Chief Quality Officer209389000001700003000226689000
Maria Hernandez
OB GYN3372260000016500016800355406000
Reynaldo Garcia
Family Practioner3405200000012000016800354200000
Robert Ayers
OB GYN Practioner360826000000016800362506000
Christopher Bencomo
OB GYN Practioner3856060000022000016800409286000
David Cryns
OB GYN Practioner4454220000022500016800469602000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
CALIFORNIA MUNICIPAL FINANCE AUTHORITY INSURED REVENUE BONDS
A20156346613048TDE02008-04-035845000REFINANCE DEBT FINANCE CERTAIN CAPITAL PROJECTS000
CALIFORNIA MUNICIPAL FINANCE AUTHORITY
B20156346613048TMC42011-11-305000000FINANCE CAPITAL PROJECTS000
CALIFORNIA MUNICIPAL FINANCE AUTHORITY
C20156346613048TMU42011-11-306225000FINANCE CAPITAL PROJECTS000

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A004981380408551168172301167060022776750020080001
B00500000034550700463921008763710020130001
C006225000429908001106990010711190020130001

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUseBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A0000000001
B0000000001
C0000000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
A000000000
B000000000
C000000000

Form990 Schedule K Part V Form990ScheduleKPartV (3 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A1
B1
C1

Schedule M IRS990ScheduleM

Cars And Other Vehicles CarsAndOtherVehicles

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions2NumberOfContributions
Noncash Contribs Rptd F99067390NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts1ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
F990_P06_S0B_L11bForm 990, Part VI, Section B, Line 11bThe Form 990 will be provided to the Board of Directors before it is filed. It will be reviewed in detail by the CFO prior to filing.
F990_P06_S0B_L12cForm 990, Part VI, Section B, Line 12cFHCN periodically evaluated the entity's conflict of interest policy. The conflict of interest policy is adequately communicated to all employees in the organization.
F990_P06_S0B_L15Form 990, Part VI, Section B, Line 15FHCN has a market driven compensation program. All key jobs are benchmarked to local, regional, and national data. When necessary, outside consultants are used to review salaries and adjustments to compensation are made as necessary to keep network jobs competitive.
F990_P06_S0C_L19Form 990, Part VI, Section C, Line 19Available upon request.