2025-03-17T09:57:47-05:00 2024-04-30 580692043 MAULDIN & JENKINS LLC 200 GALLERIA PKWY SE STE 1700 ATLANTA GA 303395946 990 2023-05-01 205870972 FOUR CORNERS PRIMARY CARE CENTERS INC FOUR 7702793141 5300 OAKBROOK PKWY BLDG 100 103 NORCROSS GA 30093 DR BRIAN WILLIAMS CEO 7702793141 2025-03-14 1 1 MELISSA SEWARD P02145103 7709558600 2025-03-14 2023 2025-03-06 01:10:19Z DR BRIAN WILLIAMS 5300 OAKBROOK PKWY BLDG 100 103 NORCROSS GA 30093 7049042 0 X WWW.FCPCHEALTH.COM X 2007 GA A COMMUNITY BASED FEDERALLY QUALIFIED HEALTH CARE CENTER THAT PROVIDES CULTURALLY COMPETENT, QUALITY, AFFORDABLE AND COMPREHENSIVE HEALTHCARE SERVICES. 8 8 73 10 0 0 3793145 3712569 2720531 3336473 0 0 0 0 6513676 7049042 0 0 0 0 3334871 3684502 0 0 0 2898709 3558710 6233580 7243212 280096 -194170 4258120 3800999 3668555 3405604 589565 395395 A COMMUNITY BASED FEDERALLY QUALIFIED HEALTH CARE CENTER THAT PROVIDES CULTURALLY COMPETENT, QUALITY, AFFORDABLE AND COMPREHENSIVE HEALTHCARE SERVICES. 0 0 5417844 3336473 A COMMUNITY BASED FEDERALLY QUALIFIED HEALTH CARE CENTER THAT PROVIDES CULTURALLY COMPETENT, QUALITY, AFFORDABLE AND COMPREHENSIVE HEALTHCARE SERVICES. 5417844 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 19 0 1 73 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 GA X DR BRIAN WILLIAMS 7702793141 5300 OAKBROOK PARKWAY BLDG 100 STE NORCROSS GA 30093 MARTY PINOVER CHAIRPERSON 1.00 X X 0 0 0 ANTONIO QUINONES ACTING CHAIRPERSON 1.00 X X 0 0 0 ROSSANA MANGUAL DIRECTOR 1.00 X 0 0 0 BALARAMI VALLURU DIRECTOR 1.00 X 0 0 0 GEORGE TREAMON ANDREWS DIRECTOR 1.00 X 0 0 0 ANGELA FARRIS WATKINS PHD DIRECTOR 1.00 X 0 0 0 ANGEL AMARO DIRECTOR 1.00 X 0 0 0 DR VANESSA ROBINSON-DOOLEY LCWS DIRECTOR 1.00 X 0 0 0 GARRY PRESSLEY DIRECTOR 1.00 X 0 0 0 JULIE CROSBY-SAN MIGUEL DIRECTOR 1.00 X 0 0 0 DR BRIAN WILLIAMS CEO 50.00 X 183402 0 15266 MICHAEL BEKELE CFO 40.00 X 103815 0 29365 TONY LOYE INTERIM CFO 16.00 X 87013 0 0 MANISHA SHARMA PHYSICIAN 40.00 X 182739 0 24180 NORA ROMERO PHYSICIAN 40.00 X 189755 0 20265 ECHILINE FRANCOIS NURSE PRACTITIONER 40.00 X 119689 0 8759 866413 0 97835 6 0 1 0 SEAGARS GROUP LLC 5955 SHILOH RD EAST SUITE 100 ALPHARETTA GA 30005 CONSTRUCTION CONTRACTOR 1078941 ACE PHARMACY 1015 STELLA VARA DR LUTZ FL 33548 PHARMACY OPERATIONS 350729 DOCTOME 518 33RD AVE NW GIG HARBOR WA 98352 BILLING & COLLECTIONS, E.H.R. 209001 PAL CONSULTANT LLC 11089 SUNDRIFT DRIVE TAMPA FL 33647 OFFSITE OPERATOR, WEBSITE MAINTENANCE 155690 ANKORY CONSTRUCTION PO BOX 190 OXFORD GA 30054 CONSTRUCTION CONTRACTOR 134689 5 3712569 3712569 PATIENT REVENUE 621400 3336473 3336473 3336473 7049042 3336473 0 0 X 406729 292608 114121 2662091 1986483 675608 64250 46646 17604 319613 152066 167547 231819 172535 59284 29036 29036 1305355 890448 414907 185767 130475 55292 10240 3495 6745 694720 620304 74416 19546 9102 10444 48997 6194 42803 118964 118964 80111 59822 20289 MEDICAL SUPPLIES 642140 642140 0 BAD DEBT 197210 197210 SMALL EQUIPMENT 85362 34182 51180 DUES & SUBSCRIPTIONS 71928 12019 59909 69334 43151 26183 7243212 5417844 1825368 0 48239 42790 446026 59841 363403 591893 26924 30713 2396077 402610 1882339 1993467 1491189 1082295 4258120 3800999 1259967 1239377 0 200000 2408588 1966227 3668555 3405604 X 589565 395395 589565 395395 4258120 3800999 -194170 0 X 0 1 X 0 1 1 X 2525658 3239866 3493208 3793145 3712569 16764446 2525658 3239866 3493208 3793145 3712569 16764446 16764446 4369 87071 91440 16855886 15076533 0.99460 0.99310 X SCHEDULE A, PART II THE ORGANIZATION FILED A SHORT YEAR RETURN FOR THE PERIOD ENDED 4.30.19. THE ORGANIZATION, UP TO THE PERIOD ENDING 12.31.2019, FILED FORM 990 ON A CALENDAR YEAR BASIS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2126341 223673 1902668 269736 178937 90799 1993467 RIGHT OF USE ASSET 1082295 1082295 DUE TO HRSA HIIP 564801 LEASE LIABILITY 1401426 1966227 X 6931020 79188 -197210 -118022 7049042 0 7049042 7125190 79188 79188 7046002 197210 197210 7243212 PART X, LINE 2: THE ORGANIZATION RECOGNIZES THE FINANCIAL STATEMENT EFFECTS FROM A TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. EXAMPLES OF TAX POSITIONS INCLUDE THE TAX-EXEMPT STATUS OF THE ORGANIZATION AND VARIOUS POSITIONS RELATED TO THE POTENTIAL SOURCES OF UNRELATED BUSINESS TAXABLE INCOME (UBIT). THE ASSESSMENT OF THE TECHNICAL MERITS OF A TAX POSITION IS A MATTER OF JUDMENT. THE ORGANIZATION BELIEVES THAT ALL ITS TAX POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED UPON EXAMINATION. PART XI, LINE 2D - OTHER ADJUSTMENTS: RECLASS OF BAD DEBTS TO EXPENSE -197,210. PART XII, LINE 4B - OTHER ADJUSTMENTS: RECLASS OF BAD DEBTS TO EXPENSE 197,210. X X 0 0 0 0 0 0 0 0 0 NORA ROMERO PHYSICIAN 164227 0 25528 0 0 0 5765 0 14500 0 210020 0 0 0 MANISHA SHARMA PHYSICIAN 182607 0 132 0 0 0 9130 0 15050 0 206919 0 0 0 DR BRIAN WILLIAMS CEO 176609 0 0 0 6793 0 0 0 15266 0 198668 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B ONCE THE 990 IS COMPLETED, IT IS FORWARDED TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY REQUIRES ANNUAL REVIEW AND MONITORING. FORM 990, PART VI, SECTION B, LINE 15A SALARY COMPARISONS ARE BASED ON SIMILAR ORGANIZATIONS AND SIMILAR POSITIONS. THE BOARD OF DIRECTORS APPROVES THE CHIEF EXECUTIVE OFFICER'S COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G GENERAL CONTRACTORS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 363,186. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 363,186. PAYROLL PROCESSING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 51,721. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 51,721. CLINICAL CONTRACTORS: PROGRAM SERVICE EXPENSES 890,448. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 890,448.