2023-03-09T01:30:07-06:00 2022-06-30 221478099 COHNREZNICK LLP 350 CHURCH STREET 12TH FLOOR HARTFORD CT 06103 990 2021-07-01 060986747 CHARTER OAK HEALTH CENTER INC CHAR 8605507500 21 GRAND STREET HARTFORD CT 06106 NICHELLE A MULLINS CHIEF EXECUTIVE OFFICER 8605507500 2023-03-02 1 NICHELLE MULLINS 999009999 LORI ROTHE YOKOBOSKY CPA P01273422 9592007000 2023-02-20 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z NICHELLE A MULLINS 21 GRAND STREET HARTFORD CT 06106 22445095 0 X WWW.THECHARTEROAK.ORG X 1978 CT TO PROMOTE HEALTHIER COMMUNITIES BY PROVIDING QUALITY, SAFE, PATIENT-CENTERED HEALTH CARE SERVICES IN MEDICALLY UNDERSERVED AREAS, REGARDLESS OF ABILITY TO PAY. 11 11 235 0 0 0 14494812 11125863 12092728 11240214 11529 14469 38079 64549 26637148 22445095 0 0 0 0 13883093 13785905 0 0 0 8230886 8137973 22113979 21923878 4523169 521217 28788098 28914563 3716684 3321932 25071414 25592631 TO PROVIDE COMPREHENSIVE PREVENTIVE AND PRIMARY HEALTH CARE SERVICES TO THE CITIZENS OF THE GREATER HARTFORD AREA. 0 0 14691645 9678040 PROVIDE PRIMARY HEALTH CARE TO AREA RESIDENTS REGARDLESS OF THEIR CURRENT PERSONAL FINANCIAL SITUATION AND ABILITY TO REPAY BENEFITS PROVIDED TO THEM. 982961 772958 PROVIDE PRIMARY MENTAL HEALTH CARE & COUNSELING SERVICES, AS WELL AS PROVIDE PRESCRIPTION MEDICATIONS TO THE RESIDENTS OF THE SURROUNDING AREA. 1515976 853765 PROVIDE PRIMARY DENTAL CARE TO THE RESIDENTS OF THE SURROUNDING AREA. 17190582 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 31 0 1 235 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CT X NICHELLE A MULLINS 8605507500 21 GRAND STREET HARTFORD CT 06106 ADRIAN RICARDO WOOD PHD CHAIRPERSON 3.00 X X 0 0 0 BETTY HARDY IMMEDIATE PAST CHAIR 3.00 X X 0 0 0 BRENDA BRADLEY DIRECTOR 3.00 3.00 X 0 0 0 CLADIUS MCNISH DIRECTOR 3.00 X 0 0 0 EILEEN ALVARADO DIRECTOR 3.00 X 0 0 0 JOAN CRUZ DIRECTOR 3.00 X X 0 0 0 JOEL CRUZ JR VICE CHARIPERSON 3.00 X X 0 0 0 LESLIE ARROYO DIRECTOR 3.00 X 0 0 0 LOLITA YOUNG DIRECTOR 3.00 X 0 0 0 LOURDES RIVERA DIRECTOR 3.00 X 0 0 0 MARTIN JOHN TREASURER 3.00 X X 0 0 0 KATHLEEN HALLAHAN CHIEF FINANCIAL OFFICER 40.00 X 171900 0 12815 NICHELLE A MULLINS PRESIDENT/CEO 40.00 1.00 X 413222 0 0 RASHAD COLLINS CHIEF OPERATING OFFICER 40.00 X 204922 0 12055 SUNIL D'CUNHA CMO 40.00 X 264665 0 25186 VALERIA CALDWELL-GAINES EVP - GENERAL COUNSEL 40.00 X 200643 0 81 FRED DONKOH PEDIATRICIAN 40.00 X 208525 0 11701 JAPHETH MONGARE PODIATRIST 40.00 X 172186 0 595 NIEVES HORNBECK PHYSICIAN 40.00 X 182990 0 9871 RAYMOND CASTRO URGNET CARE MD 40.00 X 170805 0 0 ANN PATTERSON CHIEF OF QUALITY 40.00 X 149856 0 12055 2139714 0 84359 30 0 1 0 ECLINICAL WORKS LLC 2 TECHNOLOGY DRIVE WESTBOROUGH MA 01581 EMR - EPM BILLING SYSTEM 762650 HARTFORD HEALTHY CHIROPRACTIC LLC 24 LEWIS STREET HARTFORD CT 06103 CONTRACTED PROVIDER 241540 2 10474268 651595 289592 11125863 MEDICAID 621400 6953580 6953580 PHARMACY REVENUE 621400 2461087 2461087 THIRD-PARTY PAYOR 621400 1020898 1020898 MEDICARE 621400 525450 525450 SELF-PAY PATIENTS 621400 279199 279199 11240214 14469 14469 INCENTIVE PAYMENTS 900099 46871 46871 MISC. INCOME 900099 10665 10665 ELECTRONIC MED RECORDS 900099 7013 7013 64549 22445095 11304763 0 14469 X 1276417 1022410 254007 10570847 8467248 2103599 101000 80901 20099 888873 711987 176886 948768 759963 188805 76797 76797 75796 75796 60000 60000 2722062 2153323 568739 88490 49673 38817 353927 266548 87379 791760 608506 183254 41659 33369 8290 99796 79937 19859 1167712 879495 288217 151367 113525 37842 MEDICAL SUPPLIES 794044 794044 REPAIRS AND MAINTENANCE 780388 585430 194958 IN-KIND VACCINES 289592 289592 SPECIAL EVENTS 182128 45532 136596 462455 249099 213356 21923878 17190582 4733296 0 11622262 12225531 729868 731770 1051604 1552812 40061 38979 250693 209357 31573975 17766808 14766221 13807167 83333 83333 244056 265614 28788098 28914563 2278678 2041867 237124 406696 508775 370018 692107 503351 3716684 3321932 X 25071414 25592631 25071414 25592631 28788098 28914563 521217 0 X X 0 1 X 1 1 1 X 7936224 8693942 9775921 14494812 11125863 52026762 7936224 8693942 9775921 14494812 11125863 52026762 52026762 22769 23858 9739 11529 14469 82364 1938124 38079 64549 2040752 54149878 64054208 0.96080 0.95940 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: GAIN ON NEW MARKET TAX CREDIT - 2018 AMOUNT: $ 1,936,774. FUNDRAISING - 2018 AMOUNT: $ 1,350. INCENTIVE PAYMENTS - 2020 AMOUNT: $ 24,993. 2021 AMOUNT: $ 46,871. ELECTRONIC MED RECORDS - 2020 AMOUNT: $ 11,700. 2021 AMOUNT: $ 7,013. REBATE PAYMENT - 2020 AMOUNT: $ 1,386. MISC INCOME - 2021 AMOUNT: $ 10,665. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 60000 0 0 60000 0 PART II-B, LINE 1: LOBBYING EXPENSES PAID TO CAMILLIERE, CLOUD AND KENNEDY. 303469 303469 24580812 11764045 12816767 1544253 1330682 213571 5096225 4672081 424144 49216 49216 13807167 DEFERRED GAIN ON RESTRUCTURED PAYABLE TO CCMC 503351 503351 X 22445095 0 22445095 0 22445095 21950384 26506 26506 21923878 0 21923878 PART X, LINE 2: THE CENTER AND CHARTER OAK REALTY HAVE NO UNRECOGNIZED TAX BENEFITS AT JUNE 30, 2022 AND 2021. THE CENTER AND CHARTER OAK REALTY'S FEDERAL AND STATE INFORMATION RETURNS PRIOR TO FISCAL YEAR 2019 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. IF THE CENTER AND CHARTER OAK REALTY HAVE UNRELATED BUSINESS INCOME TAXES, THE ENTITIES WILL RECOGNIZE INTEREST AND PENALTIES ASSOCIATED WITH UNCERTAIN TAX POSITIONS AS PART OF THE INCOME TAX PROVISION AND INCLUDE ACCRUED INTEREST AND PENALTIES WITH THE RELATED TAX LIABILITY IN THE CONSOLIDATED STATEMENTS OF FINANCIAL POSITION. PART XII, LINE 2D - OTHER ADJUSTMENTS: RELATED ORGANIZATION EXPENSES 26,506. X X X 0 0 0 0 0 0 0 1 0 NICHELLE A MULLINS PRESIDENT/CEO 302729 0 110417 0 76 0 0 0 0 0 413222 0 0 0 SUNIL D'CUNHA CMO 226954 0 0 0 37711 0 0 0 25186 0 289851 0 0 0 FRED DONKOH PEDIATRICIAN 207833 0 500 0 192 0 0 0 11701 0 220226 0 0 0 RASHAD COLLINS CHIEF OPERATING OFFICER 184876 0 20000 0 46 0 0 0 12055 0 216977 0 0 0 VALERIA CALDWELL-GAINES EVP - GENERAL COUNSEL 180450 0 20000 0 193 0 0 0 81 0 200724 0 0 0 NIEVES HORNBECK PHYSICIAN 176655 0 500 0 5835 0 0 0 9871 0 192861 0 0 0 KATHLEEN HALLAHAN CHIEF FINANCIAL OFFICER 150565 0 20000 0 1335 0 0 0 12815 0 184715 0 0 0 JAPHETH MONGARE PODIATRIST 171610 0 500 0 76 0 0 0 595 0 172781 0 0 0 RAYMOND CASTRO URGNET CARE MD 170305 0 500 0 0 0 0 0 0 0 170805 0 0 0 ANN PATTERSON CHIEF OF QUALITY 129739 0 20000 0 117 0 0 0 12055 0 161911 0 0 0 PART I, LINE 7 INCLUDED IN SCHEDULE J, PART II COLUMN B(II) ARE AMOUNTS REPRESENTING BONUSES. THESE AMOUNTS WERE INCLUDED IN THE INDIVIDUALS 2021 W-2 AND APPROVED BY THE BOARD. X 1 289595 FMV 0 0 0 PART I, COLUMN (B): THE AMOUNT IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTORS. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S FORM 990 IS REVIEWED BY THE CFO AFTER IT HAS BEEN PREPARED BY AN OUTSIDE CPA FIRM. IT IS THEN SHARED WITH THE FULL BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES ALL DIRECTORS AND OFFICERS TO DISCLOSE HIS OR HER MATERIAL FINANCIAL AND PERSONAL INTERESTS, AND TO EXECUTE A STATEMENT CONFIRMING, TO THE BEST OF HIS OR HER KNOWLEDGE, COMPLIANCE WITH THE POLICY. WRITTEN DISCLOSURE OF A POTENTIAL CONFLICT OF INTEREST SHALL BE MADE AT THE EARLIEST APPROPRIATE TIME, AND SPECIFICALLY, PRIOR TO COMMENCEMENT OF DUTIES. DIRECTORS AND OFFICERS HAVE AN OBLIGATION TO DISCLOSE POTENTIAL AND ACTUAL CONFLICTS OF INTEREST AS APPROPRIATE FOR THE REMAINDER OF THEIR PARTICIPATION ON THE BOARD THEREAFTER. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION UTILIZES THE SERVICES OF A COMPENSATION CONSULTING COMPANY TO REVIEW THE SALARY LEVELS OF THE EXECUTIVES OF THE ORGANIZATION. BY UTILIZING INDUSTRY STANDARDS THE SALARY RANGES FOR EMPLOYEES OF THE ORGANIZATION ARE DETERMINED BASED UPON INDUSTRY AVERAGES. COMPENSATION IS ADJUSTED ANNUALLY BASED UPON PERFORMANCE REVIEWS PREPARED BY SUPERVISORS AND REVIEWED BY THE CEO. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CONSULTANT & CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 2,153,323. MANAGEMENT AND GENERAL EXPENSES 568,739. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,722,062. FORM 990, PART XII, LINE 2C: THERE HAVE BEEN NO CHANGES MADE TO THE ORGANIZATION'S OVERSIGHT OR SELECTION PROCESS DURING THE TAX YEAR. CHARTER OAK HEALTH CENTER REALTY CORPORATION 21 GRAND STREET HARTFORD CT 06106 274896758 HANDLE REAL ESTATE ISSUES CT 501(C)(3) LINE 12B, II CHARTER OAK HEALTH CENTER INC 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0