2025-10-16T11:47:52-05:00 2023-04-30 580692043 MAULDIN & JENKINS LLC 200 GALLERIA PKWY SE STE 1700 ATLANTA GA 303395946 990 2022-05-01 205870972 FOUR CORNERS PRIMARY CARE CENTERS INC FOUR 7702793141 5300 OAKBROOK PKWY BLDG 100 103 NORCROSS GA 30093 DR BRIAN WILLIAMS CEO 7702793141 2025-10-16 1 1 MARY JO ALEXANDER P00002534 7709558600 2025-10-16 2022 2025-03-06 01:10:19Z X DR BRIAN WILLIAMS 5300 OAKBROOK PKWY BLDG 100 103 NORCROSS GA 30093 6513676 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. 9 9 74 10 0 0 3493208 3793145 2795184 2720531 0 0 0 0 6288392 6513676 0 0 0 0 3091158 3334871 0 0 0 2280635 2898709 5371793 6233580 916599 280096 1464673 4258120 1155204 3668555 309469 589565 A COMMUNITY BASED FEDERALLY QUALIFIED HEALTH CARE CENTER THAT PROVIDES CULTURALLY COMPETENT, QUALITY, AFFORDABLE AND COMPREHENSIVE HEALTHCARE SERVICES. 0 0 4574043 2720531 A COMMUNITY BASED FEDERALLY QUALIFIED HEALTH CARE CENTER THAT PROVIDES CULTURALLY COMPETENT, QUALITY, AFFORDABLE AND COMPREHENSIVE HEALTHCARE SERVICES. 4574043 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 74 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 GA X DR BRIAN WILLIAMS 7702793141 5300 OAKBROOK PARKWAY BLDG 100 STE NORCROSS GA 30093 NORA ROMERO PHYSICIAN 40.00 X 184048 0 17534 DR BRIAN WILLIAMS CHIEF EXECUTIVE OFFICER 50.00 X 183402 0 14057 MANISHA SHARMA PHYSICIAN 40.00 X 175734 0 21091 MICHAEL BEKELE CFO 40.00 X 150317 0 26206 WARDAH KHALID PHYSICIAN'S ASSISANT 40.00 X 119384 0 12609 CLAUDEA LEWIS FAMILY NURSE PRACTITIONER 40.00 X 105697 0 16452 MARTY PINOVER CHAIRPERSON 1.00 X X 0 0 0 CAPPEL SOOKDEO FINANCIAL COMMITTEE CHAIR 1.00 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 ANTONIO QUINONES 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 918582 0 107949 6 0 1 0 PAL CONSULTANTS LLC 11089 SUNDRIFT DRIVE TAMPA FL 33647 OFFSITE OPERATOR AND WEBSITE MAINATENANC 116490 1 3782888 10257 3793145 PATIENT REVENUE 621400 2720531 2720531 2720531 6513676 2720531 0 0 X 357241 244296 112945 2484644 1714867 769777 62001 42403 19598 220869 135149 85720 210116 142707 67409 30250 30250 956503 671690 284813 179069 136184 42885 11781 5522 6259 623304 553104 70200 39157 10016 29141 43567 43567 71892 53225 18667 MEDICAL SUPPLIES 531327 531327 BAD DEBT 208422 208422 SMALL EQUIPMENT 78161 30660 47501 TRAINING 39771 4683 35088 85505 46221 39284 6233580 4574043 1659537 0 657612 48239 50000 446026 142963 363403 36232 26924 2165985 283646 577866 1882339 0 1491189 1464673 4258120 590403 1259967 564801 2408588 1155204 3668555 X 309469 589565 309469 589565 1464673 4258120 280096 0 X 0 1 X 0 1 1 X 1666636 2525658 3239866 3493208 3793145 14718513 1666636 2525658 3239866 3493208 3793145 14718513 14718513 10401 4369 87071 101841 14820354 13764831 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 ITS FORM 990 ON A CALENDAR YEAR BASIS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 341331 139945 201386 245955 143701 102254 1578699 1578699 1882339 ROU ASSET 1491189 1491189 DUE TO HRSA HIIP 564801 LEASE LIABILITY 1843787 2408588 X 6382138 76884 -208422 -131538 6513676 0 6513676 6102042 76884 76884 6025158 208422 208422 6233580 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 -208,422. PART XII, LINE 4B - OTHER ADJUSTMENTS: RECLASS OF BAD DEBTS TO EXPENSE 208,422. X X 0 0 0 0 0 0 0 0 0 NORA ROMERO PHYSICIAN 160118 0 23930 0 0 0 5521 0 12013 0 201582 0 0 0 DR BRIAN WILLIAMS CHIEF EXECUTIVE OFFICER 176609 0 0 0 6793 0 0 0 14057 0 197459 0 0 0 MANISHA SHARMA PHYSICIAN 175564 0 170 0 0 0 8787 0 12304 0 196825 0 0 0 MICHAEL BEKELE CFO 150317 0 0 0 0 0 7516 0 18690 0 176523 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 C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G CLINICAL CONTRACTORS: PROGRAM SERVICE EXPENSES 671,690. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 671,690. GENERAL CONTRACTORS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 237,756. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 237,756. PAYROLL PROCESSING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 47,057. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 47,057. AMENDED FORM 990 SUBSEQUENT TO THE ORIGINAL FILING OF FOUR CORNERS PRIMARY CARE CENTERS, INC. 2022 FORM 990, THE AUDITED FINANCIAL STATEMENTS WERE MODIFIED WITH ADDITIONAL ADJUSTING ENTRIES RESULTING IN A NET DECREASE IN NET ASSETS OF $84,711. THESE ENTRIES IMPACTED THE AMOUNTS OF CAPITALIZED ASSETS, AND RELATED DEPRECIATION, AND THE AMOUNTS OF ACCOUNTS RECEIVABLE, CONTRIBUTIONS, PROGRAM REVENUE AND RELATED BAD DEBT EXPENSE. THESE CHANGES IMPACTED REPORTED AMOUNTS THROUGHOUT THE RETURN. SPECIFICALLY: FORM 990 PART I : AMOUNTS FOR CONTRIBUTIONS, PROGRAM REVENUE AND TOTAL TAX REVENUE, AMOUNTS FOR OTHER EXPENSES AND TOTAL TAX EXPENSE, AND NET ASSETS CHANGED WITH THE NET IMPACT BEING 87,711. FORM 990 PART III : AMOUNTS FOR PROGRAM REVENUE AND EXPENSE CHANGED FORM 990 PART VIII : THE AMOUNT OF PATIENT REVENUE WAS REDUCED BY $988,795 FORM 990 PART IX : THE AMOUNT OF BAD DEBT EXPENSE WAS REDUCED BY $955,468 TO A REVISED TOTAL OF $208,422. ALSO DEPRECIATION EXPENSE DECREASED BY $1901. FORM 990 PART X : ACCOUNTS RECEIVABLE DECREASED BY $33,327, NET FIXED ASSETS DECREASED BY $51,384. SCH B : UPDATED TO REFLECT THE AMOUNT OF GRANTS AND PASS THRUS FOR GRANTS FROM USDHHS. SCH D : UPDATED TO MATCH ALLOCATION OF FIXED ASSETS AND ASSOCIATED DEPRECIATION; UPDATED PART IV FOR RECONCILATION FROM AUDTED REVENUE AND EXPENSE TO TAX.