SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
FOUR CORNERS PRIMARY CARE CENTERS INC
 
Employer identification number

20-5870972
Return Reference Explanation
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 367,731. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 367,731. GENERAL CONTRACTORS: PROGRAM SERVICE EXPENSES 48,171. MANAGEMENT AND GENERAL EXPENSES 93,309. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 141,480. PAYROLL PROCESSING: PROGRAM SERVICE EXPENSES 12,911. MANAGEMENT AND GENERAL EXPENSES 28,092. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 41,003.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2019


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