2022-04-07T15:05:21-05:00 2021-06-30 221478099 COHNREZNICK LLP 350 CHURCH STREET 12TH FLOOR HARTFORD CT 06103 990 2020-07-01 060986747 CHARTER OAK HEALTH CENTER INC CHAR 8605507500 21 GRAND STREET HARTFORD CT 06106 NICHELLE A MULLINS CHIEF EXECUTIVE OFFICER 8605507500 2022-04-07 1 NICHELLE MULLINS 999009999 LORI ROTHE YOKOBOSKY CPA P01273422 9592007000 2022-03-28 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z NICHELLE A MULLINS 21 GRAND STREET HARTFORD CT 06106 26637148 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 11 226 0 0 0 9775921 14494812 12960026 12092728 9739 11529 0 38079 22745686 26637148 0 0 0 0 13179148 13883093 0 0 0 8444380 8230886 21623528 22113979 1122158 4523169 26296928 28788098 5748683 3716684 20548245 25071414 TO PROVIDE COMPREHENSIVE PREVENTIVE AND PRIMARY HEALTH CARE SERVICES TO THE CITIZENS OF THE GREATER HARTFORD AREA. 0 0 14412495 10696933 PROVIDE PRIMARY HEALTH CARE TO AREA RESIDENTS REGARDLESS OF THEIR CURRENT PERSONAL FINANCIAL SITUATION AND ABILITY TO REPAY BENEFITS PROVIDED TO THEM. 1206424 927363 PROVIDE PRIMARY MENTAL HEALTH CARE & COUNSELING SERVICES, AS WELL AS PROVIDE PRESCRIPTION MEDICATIONS TO THE RESIDENTS OF THE SURROUNDING AREA. 1775351 506511 PROVIDE PRIMARY DENTAL CARE TO THE RESIDENTS OF THE SURROUNDING AREA. 17394270 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 38 0 1 226 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 SECRETARY 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 140711 0 9018 NICHELLE A MULLINS PRESIDENT/CEO 40.00 1.00 X 353693 0 0 RASHAD COLLINS COO 40.00 X 188947 0 7679 SUNIL D'CUNHA CMO 40.00 X 246277 0 0 VALERIA CALDWELL-GAINES LEGAL COUNSEL 40.00 X 180466 0 0 FRED DONKOH PEDIATRICIAN 40.00 X 210558 0 7678 JAPHETH MONGARE PODIATRIST 40.00 X 174448 0 0 NIEVES HORNBECK PHYSICIAN 40.00 X 249836 0 7679 RAYMOND CASTRO URGNET CARE MD 40.00 X 176307 0 0 SHAUN BIGGERS PHYSICIAN 40.00 X 173244 0 0 2094487 0 32054 32 0 1 0 ECLINICAL WORKS LLC 2 TECHNOLOGY DRIVE WESTBOROUGH MA 01581 EMR - EPM BILLING SYSTEM 903333 HARTFORD HEALTHY CHIROPRACTIC LLC 24 LEWIS STREET HARTFORD CT 06103 CONTRACTED PROVIDER 239240 2 13656400 838412 325041 14494812 MEDICAID 621400 6919170 6919170 PHARMACY REVENUE 621400 2740297 2740297 THIRD-PARTY PAYOR 621400 1441836 1441836 MEDICARE 621400 745161 745161 SELF-PAY PATIENTS 621400 246264 246264 12092728 11529 11529 INCENTIVE PAYMENTS 900099 24993 24993 ELECTRONIC MED RECORDS 900099 11700 11700 REBATE PAYMENT 900099 1386 1386 38079 26637148 12130807 0 11529 X 1129567 904783 224784 11038750 8842039 2196711 92750 74293 18457 773636 619682 153954 848390 679560 168830 72474 72474 60000 60000 2879448 2296538 582910 45000 45000 458287 346077 112210 14931 11198 3733 708446 527600 180846 15001 12016 2985 9267 7423 1844 1189323 890876 298447 125121 93841 31280 MEDICAL SUPPLIES 956272 956272 REPAIRS AND MAINTENANCE 783572 587528 196044 IN-KIND VACCINES 325041 325041 DUES AND SUBSCRIPTIONS 233522 233522 355181 219503 135678 22113979 17394270 4719709 0 8818110 11622262 537081 729868 860251 1051604 38005 40061 186575 250693 31365318 16599097 15552096 14766221 83333 83333 221477 244056 26296928 28788098 2110382 2278678 855085 237124 647532 508775 1254820 880864 692107 5748683 3716684 X 20548245 25071414 20548245 25071414 26296928 28788098 4523169 0 X X 0 1 X 1 1 1 X 7780656 7936224 8693942 9775921 14494812 48681555 7780656 7936224 8693942 9775921 14494812 48681555 48681555 15444 22769 23858 9739 11529 83339 1938124 38079 1976203 50741097 64777055 0.95940 0.95410 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. ELECTRONIC MED RECORDS - 2020 AMOUNT: $ 11,700. REBATE PAYMENT - 2020 AMOUNT: $ 1,386. 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 24489170 10868849 13620321 1536623 1323131 213492 5036056 4407117 628939 14766221 DEFERRED GAIN ON RESTRUCTURED PAYABLE TO CCMC 692107 692107 X 26637348 200 200 26637148 0 26637148 22135724 21745 21745 22113979 0 22113979 PART X, LINE 2: THE CENTER AND CHARTER OAK REALTY HAVE NO UNRECOGNIZED TAX BENEFITS AT JUNE 30, 2021 AND 2020. THE CENTER AND CHARTER OAK REALTY'S FEDERAL AND STATE INFORMATION RETURNS PRIOR TO FISCAL YEAR 2018 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 XI, LINE 2D - OTHER ADJUSTMENTS: RELATED ORGANIZATION REVENUE 200. PART XII, LINE 2D - OTHER ADJUSTMENTS: RELATED ORGANIZATION EXPENSES 21,745. X X X 0 0 0 0 0 0 0 1 0 NICHELLE A MULLINS PRESIDENT/CEO 303693 0 50000 0 0 0 0 0 0 0 353693 0 0 0 NIEVES HORNBECK PHYSICIAN 249320 0 516 0 0 0 0 0 7679 0 257515 0 0 0 SUNIL D'CUNHA CMO 246277 0 0 0 0 0 0 0 0 0 246277 0 0 0 FRED DONKOH PEDIATRICIAN 208498 0 2060 0 0 0 0 0 7678 0 218236 0 0 0 RASHAD COLLINS COO 188188 0 759 0 0 0 0 0 7679 0 196626 0 0 0 VALERIA CALDWELL-GAINES LEGAL COUNSEL 178007 0 2459 0 0 0 0 0 0 0 180466 0 0 0 RAYMOND CASTRO URGNET CARE MD 176202 0 105 0 0 0 0 0 0 0 176307 0 0 0 JAPHETH MONGARE PODIATRIST 173941 0 507 0 0 0 0 0 0 0 174448 0 0 0 SHAUN BIGGERS PHYSICIAN 173139 0 105 0 0 0 0 0 0 0 173244 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 2020 W-2 AND APPROVED BY THE BOARD. X 1 325041 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 2,296,538. MANAGEMENT AND GENERAL EXPENSES 582,910. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,879,448. 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 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0