CFO

2012-03-28T17:49:49-05:00 2011-06-30 MARCUM LLP 101 MONTGOMERY STREET 1900 SAN FRANCISCO CA 94104 990 2010-07-01 942525145 FAMILY HEALTHCARE NETWORK FAMI 5597817242 314 N MAIN PORTERVILLE CA 93257 MARTIN J SOY CFO 5597817242 2012-03-20 1 SANDRA VAN KEUREN 4159819400 2010 2016-02-24 21:20:13Z MARTIN J SOY 314 N MAIN PORTERVILLE CA 93257 63993687 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. 11 11 815 19 0 0 10145611 7686048 52655138 54131966 20036 37572 1013239 2138101 63834024 63993687 0 0 0 0 45474847 44014448 0 0 0 14947860 16471347 60422707 60485795 3411317 3507892 25518837 29055793 14228465 14362053 11290372 14693740 TO PROVIDE HEALTH CARE SERVICES TO SOCIALLY AND ECONOMICALLY DEPRESSED SECTORS OF THE SOUTHERN SAN JOAQUIN VALLEY IN CALIFORNIA. 0 0 40279091 56270067 FAMILY HEALTHCARE NETWORK PROVIDES THE FOLLOWING SERVICES: FAMILY MEDICINE, INTERNAL MEDICINE, OB/GYN, PEDIATRIC, BEHAVIORAL HEALTH, COMPLEMENTARY & ALTERNATIVE MEDICINE, RADIOLOGY/MAMMOGRPAHY/ULTRASOUND, NUTRITION AND HEALTH EDUCATION, COMMUNITY OUTREACH, TRANSPORTATION, AND DENTAL SERVICES. 40279091 1 1 0 0 0 0 0 0 0 1 0 0 1 0 0 1 1 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 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 1 1 0 CA X MARTIN J SOY 5597917030 314 N MAIN PORTERVILLE CA 93257 JOHN ZAPALAC CHAIR 0.00 X 0 0 0 EMZY COPE VICE CHAIR 0.00 X 0 0 0 OLIVIA GAMBOA SECRETARY 0.00 X 0 0 0 PAUL CURTIS TREASURER 0.00 X 0 0 0 MICHAEL BOTELLO BOARD MEMBER 0.00 X 0 0 0 STEVEN KABOT BOARD MEMBER 0.00 X 0 0 0 MINNETA COSTA BOARD MEMBER 0.00 X 0 0 0 TERESA DE LA ROSA BOARD MEMBER 0.00 X 0 0 0 MARIA GONZALEZ BOARD MEMBER 0.00 X 0 0 0 SUSAN MANUEL BOARD MEMBER 0.00 X 0 0 0 RUBEN CHAVEZ VP OF OPERATIONS 40.00 X 160947 0 1680 HENRY CAMILO CISNEROS JR CHIEF DENTAL OFFICER 40.00 X 190398 0 1680 STEVEN PALMER CHIEF MEDICAL DIRECTOR 40.00 X 274178 0 22178 HARRY FOSTER PRESIDENT/CEO 40.00 X 421141 0 23680 KERRY L HYDASH VP OF HUMAN RESOURCES 40.00 X 126821 0 8880 JAY S KELLEY VP OF INFO OFFICE SYSTEM 40.00 X 126000 0 1680 REYNALDO YCOY GARCIA FAMILY PRACTITIONER 40.00 X 291475 0 13680 BRANDON T FOSTER MEDICAL DIRECTOR 40.00 X 195790 0 8550 ROBERT CARDENAS PHYSICIAN ASSISTANT 40.00 X 135682 0 6480 GERALD SMYTHE PHYSICIAN ASSISTANT 40.00 X 137853 0 1680 TARA AMINI PHYSICIAN ASSISTANT 40.00 X 142636 0 1540 MIKE M HSU STAFF DENTIST 40.00 X 144997 0 13500 SUNG HYON SOHN SUPERVISING DENTIST 40.00 X 149549 0 300 TONY MARK WEBER FORMER VICE PRESIDENT FINANCE 40.00 X 194971 0 16080 CHRISTOPHER RODARTE MEDICAL DIRECTOR 40.00 X 265688 0 8880 2958126 0 130468 86 1 1 0 QUEST DIAGNOSTICS PO BOX 515002 SACRAMENTO CA 958515002 LABORATORY 824011 MED3000 PO BOX 1236 BUTLER PA 16003 ELECTRONIC HEALTH RECORD SYSTEM 454147 OFFICE PRIDE 5901 W ROBIN AVE VISALIA CA 93291 JANITORIAL 243379 COMPUGROUP MEDICAL PO BOX 203200 DALLAS TX 753203200 ELECTRONIC HEALTH RECORD SYSTEM 235723 COMPHEALTH INC PO BOX 972651 DALLAS TX 753972651 LOCUM TENENS SERVICE 180433 8 7686048 7686048 NET PATIENT SERVICES 621300 54131966 54131966 54131966 37572 37572 MANAGED CARE RISK 621300 1714636 1714636 VARIOUS OTHER 621300 423465 423465 2138101 63993687 56270067 0 37572 3088593 2341702 746891 31903183 24188279 7714904 3001650 2275784 725866 3413917 2588356 825561 2607105 1976649 630456 272326 64566 207760 259868 194760 65108 2984887 2984887 177108 50525 126583 375187 375187 1807372 1807372 588673 259225 329448 CONTRACTUAL SERVICES 3110006 1779598 1330408 SUPPLIES AND DRUG 2524576 1892060 632516 OTHER OPERATING EXPENSE 2233240 529483 1703757 PROVISION FOR BAD DEBTS 2138104 2138104 60485795 40279091 20206704 0 2678723 7387135 942069 261653 5840431 4724469 257328 833078 23023362 11308223 11890090 11715139 3910196 4134319 25518837 29055793 5241739 5916906 8986726 8445147 14228465 14362053 X 11041359 14549251 249013 144489 11290372 14693740 25518837 29055793 X 3507892 -104524 X 1 1 0 X 1 1 X 8132871 8182951 8176222 10145611 7686048 42323703 8132871 8182951 8176222 10145611 7686048 42323703 42323703 99611 84977 70608 20036 37572 312804 318337 196482 621477 1013239 2138101 4287636 46924143 0.90200 0.92940 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 562080 562080 11306048 5102026 6204022 803946 458739 345207 9749214 5747458 4001756 602074 602074 11715139 RESTRICTED CASH AND CASH EQUIVALENT 1221590 DEFERRED CHARGES 611444 ASSETS LIMITED TO USE 2238785 LONG-TERM DEBT 62500 4134319 63993687 60485795 3507892 -104524 -104524 3403368 63993687 0 63993687 0 63993687 60485795 0 60485795 0 60485795 PART XI, LINE 8 - OTHER ADJUSTMENTS: CHANGES IN TEMPORARILY RESTRICTED ASSETS -104,524. X X X X 0 0 0 0 0 0 0 0 0 RUBEN CHAVEZ 160947 0 0 0 0 0 0 0 1680 0 162627 0 0 0 HENRY CAMILO CISNEROS JR 190398 0 0 0 0 0 0 0 1680 0 192078 0 0 0 STEVEN PALMER 274178 0 0 0 0 0 20498 0 1680 0 296356 0 0 0 HARRY FOSTER 332641 0 88500 0 0 0 22000 0 1680 0 444821 0 0 0 REYNALDO YCOY GARCIA 291475 0 0 0 0 0 12000 0 1680 0 305155 0 0 0 BRANDON T FOSTER 195790 0 0 0 0 0 8250 0 300 0 204340 0 0 0 MIKE M HSU 144997 0 0 0 0 0 13200 0 300 0 158497 0 0 0 TONY MARK WEBER 194971 0 0 0 0 0 14400 0 1680 0 211051 0 0 0 CHRISTOPHER RODARTE 265688 0 0 0 0 0 7200 0 1680 0 274568 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 4981380 408551 528270 4981380 663686 2008 0 0 0 0 0 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 0 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 WILL NOT 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: CHANGES IN TEMPORARILY RESTRICTED ASSETS -104,524. TOTAL TO FORM 990, PART XI, LINE 5: -104,524.