Liabilities / Assets
61st percentile
Higher debt load relative to assets than 61% of similar nonprofits.
EIN 94-2525145 • 501(c)3 • Visalia, CA
Profile
To provide health care services to socially and economically distressed sectors of the southern San Joaquin Valley in California.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
61st percentile
Higher debt load relative to assets than 61% of similar nonprofits.
Liabilities / Revenue
49th percentile
Higher debt load relative to revenue than 49% of similar nonprofits.
Net Margin
51st percentile
Higher net margin than 51% of similar nonprofits.
Top Officer Pay
57th percentile
Higher top officer pay than 57% of similar nonprofits.
Top officer pay equals 0.3% of source-year revenue.
Asset Growth
85th percentile
Faster asset growth than 85% of similar nonprofits.
Revenue Growth
43rd percentile
Faster revenue growth than 43% of similar nonprofits.
Assets
Up$349,902,898
Up $52,264,870 (+18%) from 2023
Liabilities
Up$141,398,862
Up $39,240,385 (+38%) from 2023
Net Assets
Up$208,504,036
Up $13,024,485 (+6.7%) from 2023
Revenue
Up$302,012,658
Up $19,398,861 (+6.9%) from 2023
Expenses
Up$288,988,173
Up $42,950,835 (+17%) from 2023
Net Income
Down$13,024,485
Down $23,551,974 (-64%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
To provide health care services to socially and economically depressed sectors of the southern San Joaquin Valley in California.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $127,549,426 | $154,302,966 | ▲ $26,753,540 |
| Savings and Temporary Cash Investments | $43,318,734 | $45,620,596 | ▲ $2,301,862 |
| Accounts Receivable | $24,147,509 | $36,459,044 | ▲ $12,311,535 |
| Cash and Non-Interest-Bearing Accounts | $33,778,138 | $33,549,257 | ▼ $228,881 |
| Pledges and Grants Receivable | $16,118,984 | $15,056,809 | ▼ $1,062,175 |
| Other Notes and Loans Receivable, Net | $22,131,779 | $13,695,618 | ▼ $8,436,161 |
| Investments in Publicly Traded Securities | $11,140,838 | $11,680,382 | ▲ $539,544 |
| Prepaid Expenses and Deferred Charges | $6,411,072 | $6,675,280 | ▲ $264,208 |
| Total Assets | $297,638,028 | $349,902,898 | ▲ $52,264,870 |
| Other Assets Total | $13,041,548 | $32,862,946 | ▲ $19,821,398 |
| Liabilities | |||
| Mortgage Notes Payable Secured by Investment Property | $35,143,890 | $73,850,035 | ▲ $38,706,145 |
| Accounts Payable and Accrued Expenses | $35,107,510 | $39,712,827 | ▲ $4,605,317 |
| Tax Exempt Bond Liabilities | $17,259,212 | $15,463,671 | ▼ $1,795,541 |
| Unsecured Notes Loans Payable | $12,567,300 | $12,148,392 | ▼ $418,908 |
| Deferred Revenue | $2,080,565 | $223,937 | ▼ $1,856,628 |
| Other Liabilities | $0 | $0 | → $0 |
| Total Liabilities | $102,158,477 | $141,398,862 | ▲ $39,240,385 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $195,414,922 | $208,448,620 | ▲ $13,033,698 |
| Net Assets With Donor Restrictions | $64,629 | $55,416 | ▼ $9,213 |
| Total Net Assets Fund Balance | $195,479,551 | $208,504,036 | ▲ $13,024,485 |
| Total Liabilities and Net Assets / Fund Balance | $297,638,028 | $349,902,898 | ▲ $52,264,870 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $95,275,712 | $0 | $95,275,712 |
| Other Land Buildings | $-9,609,166 | $75,610,345 | $66,001,179 |
| Equipment | $54,698,858 | $0 | $54,698,858 |
| Land | $13,937,562 | - | $13,937,562 |
| Leasehold Improvements | $0 | $0 | $0 |
| Other Assets Org | $32,862,946 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Kerry Hydash | President and CEO | FT | $742,027 | $248,616 | $990,643 |
| Christopher Bencomo | Physician | FT | $428,300 | $298,523 | $726,823 |
| Robert Ayers | Physician | FT | $430,291 | $289,506 | $719,797 |
| Sukumar Misra | Medical Director | FT | $330,674 | $308,651 | $639,325 |
| Niraj Patel | Medical Director | FT | $383,657 | $236,021 | $619,678 |
| Gerald Hoover | Physician | FT | $349,818 | $262,791 | $612,609 |
| Chad Vawter | Deputy CEO | FT | $464,046 | $61,432 | $525,478 |
| Name | Title |
|---|---|
| Minnetta Costa | Board Chair |
| John Zapalac | Vice Chair |
| Emzy Cope | Board Member |
| Maria Gonzalez | Board Member |
| Michelle Dewees | Board Member |
| Olivia Gamboa | Board Member |
| Teresa de la Rosa | Board Member |
| Vivian Del Toro | Board Member |
| Michael Botello | Secretary |
| Sandra Miller | Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| - | Contracted Services | 7034 W Pershing Court, Visalia, CA 93291 | $8,580,245 |
| Central California Faculty Medical Group | Medical Services | 2625 E Divisadero Street, Fresno, CA 93721 | $8,445,559 |
| BJ Perch Construction | Contracted services | 7034 Pershing Avenue, Visalia, CA 93291 | $5,310,140 |
| UC Regents | Medical services | 155 N Fresno Street, Fresno, CA 93701 | $4,341,002 |
| Office Pride Cleaning | Cleaning services | PO Box 7410408, Chicago, IL 60674 | $3,147,616 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $179,043,558 |
| Other Expenses | $109,944,615 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $138,104,532 | $5,368,632 | - | $143,473,164 |
| Fees for Services Other | $39,086,795 | $4,136,682 | - | $43,223,477 |
| Occupancy | $11,117,808 | $891,266 | - | $12,009,074 |
| Other Employee Benefits | $10,335,845 | $689,276 | - | $11,025,121 |
| Payroll Taxes | $8,989,620 | $649,321 | - | $9,638,941 |
| Depreciation Depletion | $7,983,428 | $1,507,095 | - | $9,490,523 |
| Pension Plan Contributions | $8,627,382 | $623,157 | - | $9,250,539 |
| Current Officers, Directors, Trustees, and Key Employees | $1,354,324 | $4,301,469 | - | $5,655,793 |
| All Other Expenses | $1,897,226 | $1,587,002 | - | $3,484,228 |
| Information Technology | $2,680,377 | $505,996 | - | $3,186,373 |
| Office Expenses | $2,304,340 | $560,807 | - | $2,865,147 |
| Fees for Services Legal | - | $2,195,433 | - | $2,195,433 |
| Insurance | $1,280,184 | $241,671 | - | $1,521,855 |
| Other Expenses | $1,289,918 | $0 | $0 | $1,289,918 |
| Interest | $1,040,815 | $196,483 | - | $1,237,298 |
| Advertising | $383,892 | $383,892 | - | $767,784 |
| Fees for Services Management | - | $317,519 | - | $317,519 |
| Travel | $71,395 | $107,092 | - | $178,487 |
| Fees for Services Accounting | - | $66,266 | - | $66,266 |
| Total Functional Expenses | $264,144,144 | $24,844,029 | $0 | $288,988,173 |
| Line Item | Amount |
|---|---|
| Expenses per Audited Statements | $288,988,173 |
| Total Expenses per Audited Statements | $288,988,173 |
| Total Expenses per Form 990 | $288,988,173 |
| Expenses Not Reported on Financial Statements | $0 |
| Expenses Not Reported on Form 990 | $0 |
| Other Expense Adjustments | $0 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Bond | Issuer | Issued | Issue Price | Purpose |
|---|---|---|---|---|
| C | CA Muni Finance Authority | 2023-07-01 | $40,000,000 | Capital Projects |
| A | California Municipal Finance Authority Insured Revenue Bonds | 2016-04-01 | $24,119,279 | Refinance debt finance certain capital projects |
| B | Certificates of Participation 2017 | 2017-01-27 | $7,806,770 | Capital improvements |
| Bond | Total Proceeds | Spent | Retired | Issuance Costs |
|---|---|---|---|---|
| A | $24,119,279 | $0 | $0 | $440,156 |
| B | $7,806,770 | $0 | $0 | $56,135 |
| C | $4,000,000 | $0 | $0 | $485,450 |
“The Form 990 is provided to and approved by the Board Treasurer before it is filed. It is reviewed in detail by the CFO prior to filing.”
“FHCN periodically evaluates the entity's conflict of interest policy. The conflict of interest policy is adequately communicated to all employees in the organization.”
“FHCN has a market driven compensation program. Compensation for the President and CEO is determined and approved by the Board of Directors annually. All key jobs are benchmarked to local, regional, and national data to develop and maintain salary ranges, job descriptions and grade chart and approved by the board as part of the compensation program. Annual performance reviews for key employees and non-key employees are conducted by their direct supervisors and establish salaries in the segments of the approved range consistent with performance. Current salaries are consistent with the compensation program.”
“Available upon request.”
“Updated Functional Expense groupings.”
“Professional and purchased services.”
“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. The Organization has determined that its major tax jurisdictions are the United States and California. The Organization's returns are subject to examination by federal and state taxing authorities generally for three years after they are filed.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | 0 |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 35107510 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 39712827 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 24147509 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 36459044 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | To provide health care services to socially and economically depressed sectors of the southern San Joaquin Valley in California. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 383892 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 383892 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 767784 |
| IRS990/AllOtherContributionsAmt | 0 | 11293808 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 1587002 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 1897226 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 3484228 |
| IRS990/AmendedReturnInd | 0 | X |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | Kerry Hydash |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 5597374700 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 305 East Center Avenue |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | Visalia |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | CA |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 93291 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 33778138 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 33549257 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 51 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 4301469 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 1354324 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 5655793 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 0 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 8445559 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 5310140 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 4341002 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 3147616 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 8580245 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 2625 E Divisadero Street |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 7034 Pershing Avenue |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 155 N Fresno Street |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | PO Box 7410408 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 7034 W Pershing Court |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | Fresno |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | Visalia |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | Fresno |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | Chicago |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | Visalia |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | CA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | CA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | CA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | IL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | CA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 93721 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 93291 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 93701 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 60674 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 93291 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | Central California Faculty Medical Group |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | BJ Perch Construction |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | UC Regents |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | Office Pride Cleaning |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 0 | Perch Construction Inc |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | Medical Services |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | Contracted services |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | Medical services |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | Cleaning services |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | Contracted Services |
| IRS990/ContriRptFundraisingEventAmt | 0 | 0 |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 28677276 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 3965627 |
| IRS990/CYOtherExpensesAmt | 0 | 109944615 |
| IRS990/CYOtherRevenueAmt | 0 | 190000 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 269179755 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 13024485 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 179043558 |
| IRS990/CYTotalExpensesAmt | 0 | 288988173 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 302012658 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 2080565 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 223937 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 1507095 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 7983428 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 9490523 |
| IRS990/Desc | 0 | FAMILY HEALTHCARE NETWORK (FHCN) PROVIDES MEDICAL SERVICES, DENTAL SERVICES, AND VARIOUS COMMUNITY OUTREACH SERVICES TO IMPROVE THE HEALTH STATUS OF FARMWORKER FAMILIES AND THE COMMUNITIES AT LARGE. FOR THE FISCAL YEAR END JUNE 30, 2024, FHCN HAD OVER 1,200,000 MEDICAL AND DENTAL VISITS. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 64629 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 55416 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 0 |
| IRS990/EmployeeCnt | 0 | 2229 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/EscrowAccountInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 264144144 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditPerformedInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 1 |
| IRS990/FederatedCampaignsAmt | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 66266 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 66266 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 2195433 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 2195433 |
| IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt | 0 | 317519 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 317519 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 4136682 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 39086795 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 43223477 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 40 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 40 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 40 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 40 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 40 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 40 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 40 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 1 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 1 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 1 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 1 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 1 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 1 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 69050 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 30500 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 30500 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 30500 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 30500 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 30500 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 30344 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | Kerry Hydash |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | Christopher Bencomo |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | Robert Ayers |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | Sukumar Misra |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | Niraj Patel |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | Gerald Hoover |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | Chad Vawter |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | Minnetta Costa |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | John Zapalac |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | Michael Botello |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | Sandra Miller |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | Emzy Cope |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | Michelle Dewees |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | Teresa de la Rosa |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | Vivian Del Toro |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | Olivia Gamboa |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | Maria Gonzalez |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 921593 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 696323 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 689297 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 608825 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 589178 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 582109 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 495134 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | President and CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Medical Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | Medical Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | Deputy CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | Board Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | Vice Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | Secretary |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | Treasurer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | Board Member |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1976 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/FundraisingAmt | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 0 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 10 |
| IRS990/GovernmentGrantsAmt | 0 | 17383468 |
| IRS990/GrantAmt | 0 | 0 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 302012658 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IncmFromInvestBondProceedsGrp/ExclusionAmt | 0 | 0 |
| IRS990/IncmFromInvestBondProceedsGrp/RelatedOrExemptFuncIncomeAmt | 0 | 0 |
| IRS990/IncmFromInvestBondProceedsGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/IncmFromInvestBondProceedsGrp/UnrelatedBusinessRevenueAmt | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 1 |
| IRS990/IndependentVotingMemberCnt | 0 | 10 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 388 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 505996 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 2680377 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 3186373 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 241671 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 1280184 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 1521855 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 196483 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 1040815 |
| IRS990/InterestGrp/TotalAmt | 0 | 1237298 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 3965627 |
| IRS990/InvestmentIncomeGrp/RelatedOrExemptFuncIncomeAmt | 0 | 0 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 3965627 |
| IRS990/InvestmentIncomeGrp/UnrelatedBusinessRevenueAmt | 0 | 0 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 11140838 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 11680382 |
| IRS990/InvestTaxExemptBondsInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 140 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 75610345 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 127549426 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 154302966 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 229913311 |
| IRS990/LegalDomicileStateCd | 0 | CA |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembershipDuesAmt | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 0 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MiscellaneousRevenueGrp/ExclusionAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 190000 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 190000 |
| IRS990/MiscellaneousRevenueGrp/UnrelatedBusinessRevenueAmt | 0 | 0 |
| IRS990/MissionDesc | 0 | To provide health care services to socially and economically distressed sectors of the southern San Joaquin Valley in California. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 35143890 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 73850035 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 195479551 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 208504036 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 195414922 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 208448620 |
| IRS990/NoncashContributionsAmt | 0 | 500 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 891266 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 11117808 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 12009074 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 560807 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 2304340 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 2865147 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OnBehalfOfIssuerInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 13041548 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 32862946 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 689276 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 10335845 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 11025121 |
| IRS990/OtherExpensesGrp/Desc | 0 | Supplies |
| IRS990/OtherExpensesGrp/Desc | 1 | Professional Fees |
| IRS990/OtherExpensesGrp/FundraisingAmt | 0 | 0 |
| IRS990/OtherExpensesGrp/FundraisingAmt | 1 | 0 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 514970 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 0 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 27596263 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 1289918 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 28111233 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 1289918 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 0 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 0 |
| IRS990/OtherRevenueTotalAmt | 0 | 190000 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 5368632 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 138104532 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 143473164 |
| IRS990/OthNotesLoansReceivableNetGrp/BOYAmt | 0 | 22131779 |
| IRS990/OthNotesLoansReceivableNetGrp/EOYAmt | 0 | 13695618 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 649321 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 8989620 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 9638941 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 623157 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 8627382 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 9250539 |
| IRS990/PledgesAndGrantsReceivableGrp/BOYAmt | 0 | 16118984 |
| IRS990/PledgesAndGrantsReceivableGrp/EOYAmt | 0 | 15056809 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 6411072 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 6675280 |
| IRS990/PrincipalOfficerNm | 0 | Kerry Hydash |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621400 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | Net patient service revenue |
| IRS990/ProgramServiceRevenueGrp/ExclusionAmt | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 251500304 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 251500304 |
| IRS990/ProgramServiceRevenueGrp/UnrelatedBusinessRevenueAmt | 0 | 0 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 38283575 |
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