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CHARTER OAK HEALTH CENTER INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
CHARTER OAK HEALTH CENTER INC (EIN 06-0986747)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-05-15
IRS object ID
201811359349310281
Schema version
2016v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-05-15T15:25:13-05:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN221478099PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1COHNREZNICK LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1350 CHURCH STREET 12TH FLOORAddressLine1Txt
CityHARTFORDCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06103ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN060986747EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Charter Oak Health Center IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCHARBusinessNameControlTxt
Phone8605507500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line121 GRAND STREETAddressLine1Txt
CityHARTFORDCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06106ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonNICHELLE A MULLINSPersonNm
Person TitleCHIEF EXECUTIVE OFFICERPersonTitleTxt
Phone8605507500PhoneNum
Signature2018-05-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonPAUL BALLASYPreparerPersonNm
PTINP00852868PTIN
Phone9592007000PhoneNum
Preparation2018-05-14PreparationDt
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerNICHELLE A MULLINSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line121 GRAND STREETAddressLine1Txt
CityHARTFORDCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06106ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$19,759,161GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.THECHARTEROAK.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1978FormationYr
Legal Domicile StateCTLegalDomicileStateCd
Activity Or MissionTO PROMOTE HEALTHIER COMMUNITIES BY PROVIDING QUALITY, SAFE, PATIENT-CENTERED HEALTH CARE SERVICES IN MEDICALLY UNDERSERVED AREAS, REGARDLESS OF ABILITY TO PAY.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee215TotalEmployeeCnt
Total Volunteers12TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$7,919,570PYContributionsGrantsAmt
CY Contributions Grants$7,780,656CYContributionsGrantsAmt
PY Program Service Revenue$9,773,554PYProgramServiceRevenueAmt
CY Program Service Revenue$11,963,061CYProgramServiceRevenueAmt
PY Investment Income$15,925PYInvestmentIncomeAmt
CY Investment Income$15,444CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$17,709,049PYTotalRevenueAmt
CY Total Revenue$19,759,161CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$10,678,843PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$10,872,437CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$6,738,325PYOtherExpensesAmt
CY Other Expenses$7,496,863CYOtherExpensesAmt
PY Total Expenses$17,417,168PYTotalExpensesAmt
CY Total Expenses$18,369,300CYTotalExpensesAmt
PY Revenues Less Expenses$291,881PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,389,861CYRevenuesLessExpensesAmt
Total Assets BOY$20,413,341TotalAssetsBOYAmt
Total Assets EOY$21,176,541TotalAssetsEOYAmt
Total Liabilities BOY$12,682,965TotalLiabilitiesBOYAmt
Total Liabilities EOY$12,183,380TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$7,730,376NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$8,993,161NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE COMPREHENSIVE PREVENTIVE AND PRIMARY HEALTH CARE SERVICES TO THE CITIZENS OF THE GREATER HARTFORD AREA.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$11,655,798ExpenseAmt
Revenue$9,776,592RevenueAmt
DescPROVIDE PRIMARY HEALTH CARE TO AREA RESIDENTS REGARDLESS OF THEIR CURRENT PERSONAL FINANCIAL SITUATION AND ABILITY TO REPAY BENEFITS PROVIDED TO THEM.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,091,198ExpenseAmt
Revenue$717,955RevenueAmt
DescPROVIDE PRIMARY MENTAL HEALTH CARE & COUNSELING SERVICES, AS WELL AS PROVIDE PRESCRIPTION MEDICATIONS TO THE RESIDENTS OF THE SURROUNDING AREA.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$1,827,957ExpenseAmt
Revenue$1,468,514RevenueAmt
DescPROVIDE PRIMARY DENTAL CARE TO THE RESIDENTS OF THE SURROUNDING AREA.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$14,574,953TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document36IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee215EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonNICHELLE A MULLINSPersonNm
Phone8605507500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line121 GRAND STREETAddressLine1Txt
CityHARTFORDCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06106ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
ADRIAN RICARDO WOOD PHD
vice chairperson3.00Yes (X)Yes (X)$0$0$0
Angel Muniz Jr
outgoing DIRECTOR3.00Yes (X)$0$0$0
BETTY HARDY
chairperson3.00Yes (X)Yes (X)$0$0$0
Brenda Bradley
DIRECTOR3.00Yes (X)$0$0$03.00
CARLOS VALINHO
VICE TREASURER3.00Yes (X)Yes (X)$0$0$01.00
DR KELSON ETIENNE-MODESTE
outgoing DIRECTOR3.00Yes (X)$0$0$0
Eileen Alvarado
DIRECTOR3.00Yes (X)$0$0$0
Joan Cruz
DIRECTOR3.00Yes (X)$0$0$0
JOEL CRUZ JR
DIRECTOR3.00Yes (X)$0$0$0
KENDRA SHAKIR
immediate past chairperson3.00Yes (X)Yes (X)$0$0$0
leslie arroyo
director3.00Yes (X)$0$0$0
Lourdes Rivera
DIRECTOR3.00Yes (X)$0$0$0
Luis A Valdez JD MBA
outgoing DIRECTOR3.00Yes (X)$0$0$0
MARTIN JOHN
TREASURER3.00Yes (X)Yes (X)$0$0$0
Rev Andre L McGuire
DIRECTOR3.00Yes (X)$0$0$0
REV JAYSON HUGHES
secretary3.00Yes (X)Yes (X)$0$0$0
Thomas J Dembinski Esq
outgoing DIRECTOR3.00Yes (X)$0$0$03.00
Nichelle A Mullins
President/CEO40.00Yes (X)$244,642$0$01.00
STEWART JOSLIN
CHIEF FINANCIAL OFFICER40.00Yes (X)$101,350$0$7,2251.00
Brimal Patel
Interim CMO40.00$257,340$0$10,020Yes (X)
japheth mongare
physician40.00$145,048$0$0Yes (X)
laurie bayer
physician40.00$140,493$0$19,995Yes (X)
Nieves Hornbeck
Physician40.00$206,869$0$6,751Yes (X)
Raymond Castro
Physician40.00$151,394$0$0Yes (X)
Stephenie C Thurber
Physician40.00$161,115$0$8,484Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,408,251TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$52,475TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K15IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
la rosa building group llc
163 research parkwaymeridenCT06450Builder$292,454
eclinical works llc
2 technology drivewestboroughMA01581emr - epm billing system$291,368
LocumTenenscom LLC
2655 Northwinds ParkwayAlpharettaGA30009Staffing Agency$236,150
Cohnreznick llc
350 church streethartfordCT06103Accounting/tax$100,990
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Government Grants$6,903,497GovernmentGrantsAmt
All Other Contributions$877,159AllOtherContributionsAmt
Noncash Contributions$274,671NoncashContributionsAmt
Total Contributions$7,780,656TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Medicaid621400$7,991,805$7,991,805
PHARMACY REVENUE621400$1,648,315$1,648,315
Medicare621400$1,136,796$1,136,796
Third-party payors621400$810,480$810,480
Self-pay patients621400$375,665$375,665
FieldValueIRS element (for citing)
Total Program Service Revenue$11,963,061TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,444TotalRevenueColumnAmt
Exclusion$15,444ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$19,759,161TotalRevenueColumnAmt
Related Or Exempt Func Income$11,963,061RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$15,444ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$728,606TotalAmt
Program Services$545,681ProgramServicesAmt
Management And General$182,925ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$8,565,371TotalAmt
Program Services$6,414,933ProgramServicesAmt
Management And General$2,150,438ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$88,523TotalAmt
Program Services$66,298ProgramServicesAmt
Management And General$22,225ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$629,370TotalAmt
Program Services$471,359ProgramServicesAmt
Management And General$158,011ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$860,567TotalAmt
Program Services$644,511ProgramServicesAmt
Management And General$216,056ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$27,941TotalAmt
Management And General$27,941ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$66,200TotalAmt
Management And General$66,200ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$60,000TotalAmt
Management And General$60,000ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,019,628TotalAmt
Program Services$1,936,062ProgramServicesAmt
Management And General$83,566ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$6,165TotalAmt
Program Services$925ProgramServicesAmt
Management And General$5,240ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$282,695TotalAmt
Program Services$202,330ProgramServicesAmt
Management And General$80,365ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$66,880TotalAmt
Program Services$65,118ProgramServicesAmt
Management And General$1,762ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$575,842TotalAmt
Program Services$495,372ProgramServicesAmt
Management And General$80,470ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$20,971TotalAmt
Program Services$4,178ProgramServicesAmt
Management And General$16,793ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$2,643TotalAmt
Program Services$2,643ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$115,298TotalAmt
Program Services$9,214ProgramServicesAmt
Management And General$106,084ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$337,926TotalAmt
Program Services$337,926ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,155,712TotalAmt
Program Services$1,104,167ProgramServicesAmt
Management And General$51,545ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$71,856TotalAmt
Program Services$47,587ProgramServicesAmt
Management And General$24,269ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
medical supplies$796,719$796,719
repairs and maintenance$581,877$422,611$159,266
provision for uncollect$575,028$575,028
in-kind vaccines$274,671$274,671

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$458,811TotalAmt
Program Services$157,620ProgramServicesAmt
Management And General$301,191ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$18,369,300TotalAmt
Program Services$14,574,953ProgramServicesAmt
Management And General$3,794,347ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,157,667BOYAmt
EOY$3,451,174EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$235,827BOYAmt
EOY$270,842EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$873,900BOYAmt
EOY$1,183,319EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$69,924BOYAmt
EOY$124,408EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$82,939BOYAmt
EOY$20,448EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$27,867,812LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$11,874,279LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$16,564,248BOYAmt
EOY$15,993,533EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$329,872BOYAmt
EOY$83,333EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$98,964BOYAmt
EOY$49,484EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$20,413,341BOYAmt
EOY$21,176,541EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,397,363BOYAmt
EOY$1,572,444EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$257,152BOYAmt
EOY$150,000EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$9,392,559BOYAmt
EOY$9,013,802EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,635,891BOYAmt
EOY$1,447,134EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$12,682,965BOYAmt
EOY$12,183,380EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,606,379BOYAmt
EOY$4,996,240EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,123,997BOYAmt
EOY$3,996,921EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,730,376BOYAmt
EOY$8,993,161EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$20,413,341BOYAmt
EOY$21,176,541EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,389,861ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$127,076OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,874,605CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,654,991CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,048,656CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,919,570CurrentTaxYearMinus1YearAmt
Current Tax Year$7,780,656CurrentTaxYearAmt
Total$37,278,478TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,874,605CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,654,991CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,048,656CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,919,570CurrentTaxYearMinus1YearAmt
Current Tax Year$7,780,656CurrentTaxYearAmt
Total$37,278,478TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$37,278,478PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$39,829CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$35,865CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$30,350CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,925CurrentTaxYearMinus1YearAmt
Current Tax Year$15,444CurrentTaxYearAmt
Total$137,413TotalAmt
FieldValueIRS element (for citing)
Total Support$37,415,891TotalSupportAmt
Gross Receipts Rltd Activities$58,002,863GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99630PublicSupportCY170Pct
Public Support PY1700.99540PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$60,000DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$60,000TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I-A, Line 1:FormAndLineReferenceDesc
Explanationlobbying expenses paid to camilliere, cloud and kennedyExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$121,000OtherCostOrOtherBasisAmt
Book Value$121,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$22,257,114OtherCostOrOtherBasisAmt
Depreciation$9,274,559DepreciationAmt
Book Value$12,982,555BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,320,984OtherCostOrOtherBasisAmt
Depreciation$351,905DepreciationAmt
Book Value$969,079BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,168,714OtherCostOrOtherBasisAmt
Depreciation$2,247,815DepreciationAmt
Book Value$1,920,899BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$15,993,533TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDEFERRED GAIN ON RESTRUCTURED PAYABLE TO CCMCDesc
Amt$1,447,134Amt
FieldValueIRS element (for citing)
Total Liability$1,447,134TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$19,184,133TotalRevEtcAuditedFinclStmtAmt
Other Revenue-$575,028OtherRevenueAmt
Revenue Not Reported-$575,028RevenueNotReportedAmt
Revenue Subtotal$19,759,161RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$19,759,161TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$17,552,212TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$95,866OtherExpensesIncludedAmt
Expenses Not Reported$95,866ExpensesNotReportedAmt
Expenses Subtotal$17,456,346ExpensesSubtotalAmt
Other Expenses Not Included$912,954OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$912,954ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$18,369,300TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part X, Line 2:The Center and Charter Oak Realty have no unrecognized tax benefits at June 30, 2017. The Center and Charter Oak Realty's Federal and state information returns prior to fiscal year 2014 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 statement of financial position.
Part XI, Line 2d - Other Adjustments:PROVISION FOR UNCOLLECTIBLE ACCOUNTS -575,028.
Part XII, Line 2d - Other Adjustments:related party expenses 95,866.
Part XII, Line 4b - Other Adjustments:PROVISION FOR UNCOLLECTIBLE ACCOUNTS 575,028. Payment to affiliates 337,926.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Nichelle A Mullins
President/CEO$244,642$0$0$0$0$0$0$0$173$0$244,815$0$0$0
Brimal Patel
Interim CMO$257,340$0$0$0$0$0$0$0$10,193$0$267,533$0$0$0
laurie bayer
physician$140,493$0$0$0$0$0$0$0$20,168$0$160,661$0$0$0
Nieves Hornbeck
Physician$206,869$0$0$0$0$0$0$0$6,924$0$213,793$0$0$0
Raymond Castro
Physician$151,394$0$0$0$0$0$0$0$173$0$151,567$0$0$0
Stephenie C Thurber
Physician$161,115$0$0$0$0$0$0$0$8,657$0$169,772$0$0$0

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$274,671NoncashContributionsRptF990Amt
Method Of Determining RevenuesfmvMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Column (b):FormAndLineReferenceDesc
Explanationthe amount in column B represents the number of contributors.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, line 11bTHE 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 12cTHE 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 15THE 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 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
Form 990, Part IX, line 11gconsultant & contracted services: Program service expenses 1,935,589. Management and general expenses 80,451. Fundraising expenses 0. Total expenses 2,016,040. other fee : Program service expenses 473. Management and general expenses 3,115. Fundraising expenses 0. Total expenses 3,588.
Form 990, Part XI, line 9:depreciation of permanently restricted fixed assets -127,076.
form 990, part xii, line 2cThere have been no changes made to the organization's oversight or selection process during the tax year.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1CHARTER OAK HEALTH CENTER REALTY CORPORATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line121 GRAND STREETAddressLine1Txt
CityHARTFORDCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06106ZIPCd
FieldValueIRS element (for citing)
EIN274896758EIN
Primary ActivitiesHANDLE REAL ESTATE ISSUESPrimaryActivitiesTxt
Legal Domicile StateCTLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLine 12b, IIPublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CHARTER OAK HEALTH CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd