2024-04-12T01:15:33-05:00 2023-05-31 221478099 COHNREZNICK LLP 14 SYLVAN WAY PARSIPPANY NJ 070543801 990 2022-06-01 581233448 THE FAMILY HEALTH CENTERS OF GEORGIA INC FAMI 4047568732 868 YORK AVENUE ATLANTA GA 30310 MICHAEL BROOKS MD PRESIDENT & CEO 4047568732 2024-04-11 1 MICHAEL BROOKS MD 999009999 0 LORI ROTHE YOKOBOSKY CPA P01273422 9732283500 2024-04-11 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z MICHAEL BROOKS MD 868 YORK AVENUE ATLANTA GA 30310 25536789 0 X WWW.FHCGA.ORG X 1977 GA TO PROVIDE COMPREHENSIVE, HIGH QUALITY, PATIENT-CENTERED HEALTHCARE TO THE COMMUNITIES WE SERVE, WITH A COMMITMENT TO EXCELLENCE. 10 10 132 10 0 0 15946777 16403995 9428325 8492684 26164 0 -102309 482068 25298957 25378747 0 0 0 0 9373676 9911713 0 0 0 15723334 15386886 25097010 25298599 201947 80148 11223312 11676666 6486158 6859364 4737154 4817302 TO PROVIDE COMPREHENSIVE, HIGH QUALITY, PATIENT-CENTERED HEALTHCARE TO THE COMMUNITIES WE SERVE, WITH A COMMITMENT TO EXCELLENCE. 0 0 22361965 9007794 THE ORGANIZATION OPERATED A COMMUNITY BASED CLINIC WHICH HAD 42,249 VISITS FOR THE YEAR ENDED MAY 31, 2023. 22361965 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 69 0 1 132 1 0 0 0 0 0 1 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 1 1 1 0 GA X WILLIAM BLEDSOE 4047568743 868 YORK AVENUE ATLANTA GA 30310 DONNA L HUBBARD BOARD MEMBER 1.00 X 0 0 0 JAN J WILLIAMS BOARD MEMBER 1.00 X 0 0 0 JANICE ANDREWS CHAIR 1.00 X X 0 0 0 LAMONT MCINTOSH TREASURER 1.00 X X 0 0 0 LAYLA S JAFFREEMD BOARD MEMBER 1.00 X 0 0 0 REGINALD MEBANE VICE CHAIRPERSON 1.00 X X 0 0 0 RITA BENTON GIBSON SECRETARY 1.00 X X 0 0 0 STEPHANIE J SMITH MD BOARD MEMBER 1.00 X 0 0 0 TRACY E DILLON DDS BOARD MEMBER 1.00 X 0 0 0 UWONDA CARTER BOARD MEMBER 1.00 X 0 0 0 MICHAEL W BROOKS MD MBA PRESIDENT/CEO 40.00 X 644326 0 100244 WILLIAM T BLEDSOE MBA CPA SR VICE PRESIDENT/CFO 40.00 X 405599 0 77914 KEILA BROWN MEDICAL DIRECTOR/OB/GYN 40.00 X 278795 0 32000 LINDA ABBOTT VP OPERATIONS/HR 40.00 X 370416 0 60616 CATHERINE BURLEY INTERNIST 40.00 X 179181 0 23729 DALE ROBERTSON OB/GYN 40.00 X 180702 0 20211 DANA HARRIS-ECHOLS CHIEF OF DENTAL SERVICES 40.00 X 156311 0 44190 KEISHAUN PROCTOR PEDIATRICIAN 40.00 X 178756 0 23792 RICHARD BLALOCK INTERNIST 40.00 X 174394 0 16996 2568480 0 399692 9 0 1 0 ACE HEALTH CONSULTANTS 1015 STELLA VARA DRLUTZ LUTZ FL 33548 MEDICAL BILLINGS & PHARMACY MANAGMENT 1324669 COHNREZNICK 1301 AVE OF THE AMERICAS NEW YORK NY 10019 AUDIT & TAX SERVICES 126709 OUTFRONT PO BOX 33074 NEWARK NJ 07118 BILL BOARDS 112320 BARA CONCEPTS 601 LONDON WAY LITHIA SPRINGS GA 30122 VIDEOGRAPHER 109025 GLORIA PINCKNEY 6050 ROSWELL RD APT 208 ATLANTA GA 30328 IT CONSULTANT 105950 5 96133 16045501 262361 16403995 MEDICAID 621400 3878679 3878679 340B PHARMACY 621400 3186608 3186608 OTHER THIRD-PARTY 621400 1103654 1103654 MEDICARE 621400 239429 239429 SELF-PAY 621400 84314 84314 8492684 125000 96133 158042 -33042 -33042 SETTLEMENT 900099 250000 250000 INCENTIVES 900099 199094 199094 MEDICARE COST REPORT SETTLEMENT 900099 44318 44318 21698 21698 515110 25378747 9007794 0 -33042 X 1986434 1747826 238608 6466420 5694358 772062 19138 16754 2384 908192 795061 113131 531529 465318 66211 43389 43389 292085 292085 7974716 7851228 123488 761690 761690 306061 142371 163690 202541 80216 122325 669770 457169 212601 178049 61456 116593 306006 105621 200385 81757 9348 72409 532140 482056 50084 139667 112721 26946 CONSUMABLE SUPPLIES 2811517 2611607 199910 EQUIPMENT MAINTENANCE 602918 400063 202855 DUES AND SUBSCRIPTIONS 154566 51293 103273 EQUIPMENT RENTAL 114383 75898 38485 215631 147826 67805 25298599 22361965 2936634 0 1016390 1032108 1147496 1123110 1406184 57299 82706 780272 803447 14713263 9668268 5204679 5044995 1292309 1513800 601757 120475 1672951 11223312 11676666 2026658 1582871 163033 567220 1494584 1602237 2801883 3107036 6486158 6859364 X 4737154 4817302 4737154 4817302 11223312 11676666 80148 0 X 0 1 X 1 1 1 X 13895444 14774932 15795332 15946777 16403995 76816480 13895444 14774932 15795332 15946777 16403995 76816480 76816480 150233 73832 127224 26164 377453 91073 13393 75022 73038 515110 767636 77961569 37199523 0.98530 0.98320 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: ADMIN FEE - 2018 AMOUNT: $ 91,073. 2019 AMOUNT: $ 13,393. 2020 AMOUNT: $ 75,022. 2021 AMOUNT: $ 29,478. 2022 AMOUNT: $ 21,698. INCENTIVES - 2021 AMOUNT: $ 43,560. 2022 AMOUNT: $ 199,094. SETTLEMENT - 2022 AMOUNT: $ 250,000. MEDICARE COST REPORT SETTLEMENT - 2022 AMOUNT: $ 44,318. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 787944 787944 6205493 3592296 2613197 7256123 6039028 1217095 463703 36944 426759 5044995 DEFERRED COMPENSATION 1513800 DUE TO THIRD PARTIES 560964 FINANCE LEASE OBLIGATION 82109 OPERATING LEASE LIABILITIES 950163 3107036 X 25647156 110367 110367 25536789 -158042 -158042 25378747 25567008 110367 158042 268409 25298599 0 25298599 PART X, LINE 2: MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE CENTER AND HAS CONCLUDED THAT, AS OF MAY 31, 2023, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR AN ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE CENTER'S FEDERAL AND STATE INCOME TAX RETURNS PRIOR TO FISCAL YEAR 2020 ARE CLOSED, AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES -158,042. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 158,042. SOUNDS OF GOOD MEDICINE 221133 96133 125000 114198 43844 221133 96133 125000 114198 43844 158042 -33042 X X X X 0 1 0 0 0 0 0 1 0 MICHAEL W BROOKS MD MBA PRESIDENT/CEO 528873 0 111453 0 4000 0 80900 0 19344 0 744570 0 0 0 WILLIAM T BLEDSOE MBA CPA SR VICE PRESIDENT/CFO 350656 0 50143 0 4800 0 59212 0 18702 0 483513 0 0 0 LINDA ABBOTT VP OPERATIONS/HR 321790 0 43826 0 4800 0 41915 0 18701 0 431032 0 0 0 KEILA BROWN MEDICAL DIRECTOR/OB/GYN 267800 0 10995 0 0 0 32000 0 0 0 310795 0 0 0 CATHERINE BURLEY INTERNIST 178674 0 507 0 0 0 5134 0 18595 0 202910 0 0 0 KEISHAUN PROCTOR PEDIATRICIAN 178249 0 507 0 0 0 5090 0 18702 0 202548 0 0 0 DALE ROBERTSON OB/GYN 180195 0 507 0 0 0 3360 0 16851 0 200913 0 0 0 DANA HARRIS-ECHOLS CHIEF OF DENTAL SERVICES 155770 0 541 0 0 0 4985 0 39205 0 200501 0 0 0 RICHARD BLALOCK INTERNIST 173887 0 507 0 0 0 0 0 16996 0 191390 0 0 0 PART I, LINE 4B THE FOLLOWING INDIVIDUALS PARTICPATE IN 457(F) SUPPLEMENTAL RETIREMENT PLAN: 1. MICHAEL W. BROOKS, MD, MBA, PRESIDENT/CEO 2. WILLIAM T. BLEDSOE MBA, CPA, SR VICE PRESIDENT/CFO 3. KEILA BROWN, MEDICAL DIRECTOR/OB/GYN 4. LINDA ABBOTT, VP OPERATIONS/HR NO AMOUNTS WERE PAID IN 2022. PART I, LINE 7 INCLUDED ON SCHEDULE J, PART II COLUMN B(II) ARE AMOUNTS REPRESENTING BONUS COMPENSATION PAYMENTS. THESE AMOUNTS WERE APPROVED BY THE BOARD AND INCLUDED IN THE INDIVIDUAL'S 2022 W-2. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE MEMBERS OF THE FINANCE COMMITTEE AT THEIR MEETING. THE CHAIR OF THE FINANCE COMMITTEE REPORT AT THE FULL BOARD MEETINGS. FORM 990, PART VI, SECTION B, LINE 12C THE CORPORATE COMPLIANCE OFFICER CONSISTENTLY MONITORS AND AUDITS REGULATORY AND RELATED REQUIREMENTS. THE OFFICER HAS DUAL REPORTING RESPONSIBILITY, TO THE CEO AND THE BOARD OF DIRECTORS THE OFFICER REPORTS MONTHLY AT THE BOARD OF DIRECTORS' MEETINGS. FORM 990, PART VI, SECTION B, LINE 15 SEVERAL FACTORS ARE CONSIDERED IN DETERMINING THE COMPENSATION FOR THE PRESIDENT AND CEO COMPENSATION IS BASED ON EXPERIENCE, EDUCATIONAL LEVEL, SALARY SURVEY CONDUCTED BY THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS, FAIR MARKET VALUE FOR OTHER CEO'S, ANNUAL EVALUATION CONDUCTED BY THE BOARD CHAIRPERSON AND FINANCIAL STABILITY OF THE AGENCY. THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS MUST APPROVE THE COMPENSATION FOR THE PRESIDENT AND CEO. FORM 990, PART VI, SECTION C, LINE 19 THE FAMILY HEALTH CENTERS OF GEORGIA MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER CONSULTANTS: PROGRAM SERVICE EXPENSES 1,339,063. MANAGEMENT AND GENERAL EXPENSES 123,488. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,462,551. LAB CONSULTANTS: PROGRAM SERVICE EXPENSES 167,418. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 167,418. PATIENT BILLING CONSULTANTS: PROGRAM SERVICE EXPENSES 440,054. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 440,054. PHARMACY CONSULTANTS: PROGRAM SERVICE EXPENSES 646,068. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 646,068. MEDICAL CONSULTANTS: PROGRAM SERVICE EXPENSES 5,258,625. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,258,625.