2021-04-30T08:17:27-05:00 2020-06-30 221478099 COHNREZNICK LLP 350 CHURCH STREET 12TH FLOOR HARTFORD CT 06103 990 2019-07-01 060986747 CHARTER OAK HEALTH CENTER INC CHAR 8605507500 21 GRAND STREET HARTFORD CT 06106 NICHELLE A MULLINS CHIEF EXECUTIVE OFFICER 8605507500 2021-04-28 1 LORI ROTHE YOKOBOSKY CPA P01273422 9592007000 2021-04-20 2019 2022-09-23 18:48:47Z NICHELLE A MULLINS 21 GRAND STREET HARTFORD CT 06106 22745686 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 11 231 0 0 0 8693942 9775921 14232563 12960026 23858 9739 1910050 0 24860413 22745686 0 0 0 0 12325981 13179148 0 0 0 9333123 8444380 21659104 21623528 3201309 1122158 22986392 26296928 3760439 5748683 19225953 20548245 TO PROVIDE COMPREHENSIVE PREVENTIVE AND PRIMARY HEALTH CARE SERVICES TO THE CITIZENS OF THE GREATER HARTFORD AREA. 0 0 13665904 8305554 PROVIDE PRIMARY HEALTH CARE TO AREA RESIDENTS REGARDLESS OF THEIR CURRENT PERSONAL FINANCIAL SITUATION AND ABILITY TO REPAY BENEFITS PROVIDED TO THEM. 1682664 3699233 PROVIDE PRIMARY MENTAL HEALTH CARE & COUNSELING SERVICES, AS WELL AS PROVIDE PRESCRIPTION MEDICATIONS TO THE RESIDENTS OF THE SURROUNDING AREA. 1795159 955239 PROVIDE PRIMARY DENTAL CARE TO THE RESIDENTS OF THE SURROUNDING AREA. 17143727 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 45 0 1 231 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 21468 0 1420 NICHELLE A MULLINS PRESIDENT/CEO 40.00 1.00 X 319009 0 0 RASHAD COLLINS COO 40.00 X 174563 0 2119 SUNIL D'CUNHA CMO 40.00 X 227646 0 0 VALERIA CALDWELL-GAINES GEN COUNSEL 40.00 X 152931 0 0 FRED DONKOH PEDIATRICIAN 40.00 X 195103 0 2157 JAPHETH MONGARE PODIATRIST 40.00 X 163404 0 0 LAURIE BAYER PEDIATRICIAN 40.00 X 190997 0 16383 RAYMOND CASTRO URGNET CARE MD 40.00 X 170106 0 0 STEPHANIE THURBER PHYSICIAN 40.00 X 156977 0 3141 1772204 0 25220 25 0 1 0 COMMUNITY HEALTH RESOURCES 995 DAY HILL ROAD WINDSOR CT 06095 CONTRACTOR 1811608 ECLINICAL WORKS LLC 2 TECHNOLOGY DRIVE WESTBOROUGH MA 01581 EMR - EPM BILLING SYSTEM 914658 HARTFORD HEALTHY CHIROPRACTIC LLC 24 LEWIS STREET HARTFORD CT 06103 CONTRACTED PROVIDER 243320 3 8304705 1471216 340162 9775921 MEDICAID 621400 8020483 8020483 PHARMACY REVENUE 621400 2413654 2413654 THIRD-PARTY PAYORS 621400 1665823 1665823 MEDICARE 621400 803657 803657 SELF-PAY PATIENTS 621400 56409 56409 12960026 9739 9739 22745686 12960026 0 9739 X 1003130 803507 199623 10457429 8376400 2081029 849803 680693 169110 868786 695897 172889 35480 35480 70441 70441 60000 60000 3152833 2489158 663675 20000 20000 329332 242953 86379 28028 21021 7007 680482 506531 173951 18724 14998 3726 36102 28918 7184 1248961 935605 313356 121579 91184 30395 MEDICAL SUPPLIES 853146 853146 REPAIRS AND MAINTENANCE 728914 546250 182664 BAD DEBTS 344196 344196 IN-KIND VACCINES 340162 340162 376000 173108 202892 21623528 17143727 4479801 0 5364092 8818110 1238215 537081 1138047 860251 54417 38005 107868 186575 30965591 15413495 15000420 15552096 83333 83333 0 221477 22986392 26296928 1844913 2110382 59616 855085 786289 647532 1254820 1069621 880864 3760439 5748683 X 19225953 20548245 19225953 20548245 22986392 26296928 1122158 200134 0 X X 0 1 X 1 1 1 X 7919570 7780656 7936224 8693942 9775921 42106313 7919570 7780656 7936224 8693942 9775921 42106313 42106313 15925 15444 22769 23858 9739 87735 1938124 1938124 44132172 62457881 0.95410 0.94940 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. 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 24206534 11041289 13165245 1612069 351905 1260164 4747434 3972258 775176 96085 48043 48042 15552096 DEFERRED GAIN ON RESTRUCTURED PAYABLE TO CCMC 880864 880864 X 22745686 0 22745686 0 22745686 21646786 23258 23258 21623528 0 21623528 PART X, LINE 2: THE CENTER AND CHARTER OAK REALTY HAVE NO UNRECOGNIZED TAX BENEFITS AT JUNE 30, 2020 AND 2019. THE CENTER AND CHARTER OAK REALTY'S FEDERAL AND STATE INFORMATION RETURNS PRIOR TO FISCAL YEAR 2017 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 PARTY EXPENSES 23,258. X X X 0 0 0 0 0 0 0 1 0 NICHELLE A MULLINS PRESIDENT/CEO 294009 0 25000 0 0 0 0 0 0 0 319009 0 0 0 RASHAD COLLINS COO 174563 0 0 0 0 0 0 0 2119 0 176682 0 0 0 SUNIL D'CUNHA CMO 227646 0 0 0 0 0 0 0 0 0 227646 0 0 0 VALERIA CALDWELL-GAINES GEN COUNSEL 152931 0 0 0 0 0 0 0 0 0 152931 0 0 0 FRED DONKOH PEDIATRICIAN 195103 0 0 0 0 0 0 0 2157 0 197260 0 0 0 JAPHETH MONGARE PODIATRIST 163404 0 0 0 0 0 0 0 0 0 163404 0 0 0 LAURIE BAYER PEDIATRICIAN 185997 0 5000 0 0 0 0 0 16383 0 207380 0 0 0 RAYMOND CASTRO URGNET CARE MD 162606 0 7500 0 0 0 0 0 0 0 170106 0 0 0 STEPHANIE THURBER PHYSICIAN 156977 0 0 0 0 0 0 0 3141 0 160118 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 2019 W-2 AND APPROVED BY THE BOARD. X 1 340162 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 2,489,158. MANAGEMENT AND GENERAL EXPENSES 663,675. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,152,833. 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