2013-12-20T11:48:39-07:00 2013-06-30 202707086 TCA Partners LLP 1111 E Herndon Avenue Suite 211 Fresno CA 93720 990 2012-07-01 942525145 Family Healthcare Network FAMI 5597374700 305 East Center Avenue Visalia CA 93291 Kerry Hydash 5597374700 2013-10-30 1 Jeremy Ware P00642659 5594317708 2013-10-30 2012 2015-11-30 17:44:51Z Kerry Hydash 305 E Center Ave Visalia CA 93291 72138969 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 10 944 0 0 0 8654492 8140009 54326875 62586602 8733 32239 4526009 1380119 67516109 72138969 0 0 0 0 46113444 51792791 0 0 0 20135708 18917220 66249152 70710011 1266957 1428958 44731134 49248262 28770437 32786558 15960697 16461704 To provide health care services to socially and economically depressed sectors of the southern San Joaquin Valley in California. 0 0 47657447 0 72138969 FAMILY 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. 0 0 0 47657447 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 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 1 0 0 0 0 0 0 0 0 1 73 0 1 944 1 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 5597374907 305 East Center Avenue Visalia CA 93291 John Zapalac 1 0 X 0 0 0 Emzy Cope 1 0 X 0 0 0 Olivia Gamboa 1 0 X 0 0 0 Paul Curtis 1 0 X 0 0 0 Michael Botello 1 0 X 0 0 0 Minnetta Costa 1 0 X 0 0 0 Teresa De La Rosa 1 0 X 0 0 0 Maria Gonzalez 1 0 X 0 0 0 Steven Kabot 1 0 X 0 0 0 Susan Manuel 1 0 X 0 0 0 Kerry Hydash 40 0 X 147845 0 1680 Henry Cisneros Jr 40 0 X 201515 0 1680 Jay Kelley 40 0 X 135958 0 1680 Norma Verduzco 40 0 X 100670 0 1680 Chad Vawter 40 0 X 83101 0 625 Brandon Foster 40 0 X 209389 0 300 Maria Hernandez 40 0 X 337226 0 1680 Reynaldo Garcia 40 0 X 340520 0 1680 Robert Ayers 40 0 X 360826 0 1680 Christopher Bencomo 40 0 X 385606 0 1680 David Cryns 40 0 X 445422 0 1680 2748078 0 16045 87 0 1 0 Quest Diagnostics PO Box 515002 Sacramento CA 95851 Laboratory 1097037 Office Pride 5901 W Robin Ave Visalia CA 93291 Housekeeping services 431173 Comphealth Inc PO Box 972651 Dallas TX 75397 Locum Tenens Service 365717 RICHARD FAIR MD 30502 PASEO DEL VALLE Laguna Niguel CA 92677 LOCUM TENENS SERVICES 276940 BJ PERCH CONSTRUCTION INC 7034 W PERSHING CT VISALIA CA 93291 CONSTRUCTION and REPAIRS 3766059 5 0 0 0 0 7977984 162025 0 8140009 Net Patient Service Revenue 621400 59196160 59196160 0 0 3390442 3390442 0 0 62586602 32239 32239 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Meaningful Use Incentive 621400 860667 860667 0 0 519452 519452 0 0 1380119 72138969 63998960 0 0 1777497 758918 1018579 40140957 33605465 6535492 2192456 1176432 1016024 4620242 3444359 1175883 3061639 2340117 721522 104879 104879 259941 259941 32874 32874 3868418 2196023 1672395 362483 362483 358426 225582 132844 3038563 378573 2659990 351887 80938 270949 142507 142507 897482 897482 2414725 2414725 262071 262071 Supplies 4329604 3451040 878564 0 Professional Fees 302986 0 302986 0 Postage and shipping 113972 0 113972 0 Equipment rental and maintenance 1072504 0 1072504 0 1003898 1003898 70710011 47657447 23052564 0 6509433 8192296 470149 1469888 5757164 5897420 365887 670690 35951435 15250126 16347347 20701309 15281154 12316659 44731134 49248262 6588192 6937614 0 136989 16943185 18118480 5239060 7593475 0 28770437 32786558 X 15927044 16461704 33653 0 0 0 15960697 16461704 44731134 49248262 1428958 0 0 0 -927951 0 X 0 1 X 1 1 1 X 8176222 10145611 7686048 8654492 8140009 42802382 8176222 10145611 7686048 8654492 8140009 42802382 42802382 70608 20036 37572 8733 32239 169188 42971570 0.99606 0.8309 X 0 1610501 1610501 0 17682735 6354952 11327783 0 218538 153361 65177 0 15221363 8741813 6479550 0 1218298 0 1218298 20701309 Assets limited as to use 12316659 12316659 0 0 X 72138969 0 0 0 0 0 72138969 0 0 0 72138969 70710011 0 0 0 0 0 70710011 0 0 0 70710011 SchD_P10_S00_L02 Schedule D, Part X, Line 2 The 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. X X 0 0 0 0 0 0 0 0 0 Henry Cisneros Jr 201515 0 0 0 0 0 0 0 1680 0 203195 0 0 0 Brandon Foster 209389 0 0 0 0 0 17000 0 300 0 226689 0 0 0 Maria Hernandez 337226 0 0 0 0 0 16500 0 1680 0 355406 0 0 0 Reynaldo Garcia 340520 0 0 0 0 0 12000 0 1680 0 354200 0 0 0 Robert Ayers 360826 0 0 0 0 0 0 0 1680 0 362506 0 0 0 Christopher Bencomo 385606 0 0 0 0 0 22000 0 1680 0 409286 0 0 0 David Cryns 445422 0 0 0 0 0 22500 0 1680 0 469602 0 0 0 A CALIFORNIA MUNICIPAL FINANCE AUTHORITY INSURED REVENUE BONDS 201563466 13048TDE0 2008-04-03 5845000 REFINANCE DEBT FINANCE CERTAIN CAPITAL PROJECTS 0 0 0 B CALIFORNIA MUNICIPAL FINANCE AUTHORITY 201563466 13048TMC4 2011-11-30 5000000 FINANCE CAPITAL PROJECTS 0 0 0 C CALIFORNIA MUNICIPAL FINANCE AUTHORITY 201563466 13048TMU4 2011-11-30 6225000 FINANCE CAPITAL PROJECTS 0 0 0 A 0 0 4981380 408551 1681723 0 116706 0 0 2277675 0 0 2008 0 0 0 1 B 0 0 5000000 345507 0 0 463921 0 0 876371 0 0 2013 0 0 0 1 C 0 0 6225000 429908 0 0 110699 0 0 1071119 0 0 2013 0 0 0 1 A 0 0 0 0 0 0 0 0 0 1 B 0 0 0 0 0 0 0 0 0 1 C 0 0 0 0 0 0 0 0 0 1 A 0 0 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 0 0 A 1 B 1 C 1 X 2 67390 FMV 0 0 1 0 F990_P06_S0B_L11b Form 990, Part VI, Section B, Line 11b The 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_L12c Form 990, Part VI, Section B, Line 12c FHCN 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_L15 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. 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_L19 Form 990, Part VI, Section C, Line 19 Available upon request.