2017-05-08T15:29:12-05:00 2016-06-30 221478099 COHNREZNICK LLP 350 CHURCH STREET 12TH FLOOR HARTFORD CT 06103 990 2015-07-01 223158253 GENERATIONS FAMILY HEALTH CENTER GENE 8604507471 40 MANSFIELD AVENUE WILLIMANTIC CT 06226 ARVIND SHAW CHIEF EXECUTIVE OFFICER 8604507471 2017-04-28 1 PAUL BALLASY P00852868 9592007000 2015 2021-01-29 14:40:06Z Arvind Shaw 40 MANSFIELD AVENUE WILLIMANTIC CT 06226 20761703 0 X www.genhealth.org X 1991 CT GENERATIONS FAMILY HEALTH CENTER'S MISSION IS TO PROVIDE QUALITY, COMPASSIONATE AND PROFESSIONAL HEALTHCARE THAT IS AFFORDABLE, EASILY ACCESSIBLE AND WITHOUT DISCRIMINATION TO ALL MEMBERS OF THE COMMUNITY WE SERVE. WE WILL NOT TURN AWAY A PATIENT based on their ability TO PAY. 12 12 287 57 0 0 5403465 5820684 12798765 14367187 385750 385035 333712 188194 18921692 20761100 0 0 0 0 13663472 15133011 0 0 0 5026450 5415728 18689922 20548739 231770 212361 18789894 18621997 10395605 10102868 8394289 8519129 TO PROVIDE QUALITY, AFFORDABLE HEALTH CARE TO MEDICALLY UNDERSERVED POPULATIONS WITHOUT DISCRIMINATION. 0 0 16995185 14555381 Generations, a regional Federally Qualified Health Center, provides primary medical care, comprehensive dental care, and outpatient behavioral health services to residents in eastern Connecticut. Other services include chronic disease management, orthopedic consultation, care coordination and health prevention and education services. Special populations include uninsured and underinsured patients, pregnant women, migrant seasonal farm workers, homeless populations, children with special health care needs and people living with or at risk of HIV/ AIDS. Total visits for the Fiscal Year End 6/30/2016 was 98,848. 16995185 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 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 1 51 0 1 287 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 1 1 1 0 0 CT X ARVIND SHAW 8604507471 40 MANSFIELD AVE Willimantic CT 06226 abena edusei director 1.00 X 0 0 0 Beth Ober vice chairperson 1.00 X X 0 0 0 brian parkhurst director 1.00 X 0 0 0 bruno gilbert director 1.00 X 0 0 0 cherie poirier director 1.00 X 0 0 0 Douglas Cutler treasurer 1.00 X X 0 0 0 John Schwenk Secretary 1.00 X X 0 0 0 lourdes montalvo outgoing director 1.00 X 0 0 0 Lynne Ide chairperson 1.00 X X 0 0 0 Maritza Bond Director 1.00 X 0 0 0 Michael Bolton Director 1.00 X 0 0 0 Nancy Hinchey Director 1.00 X 0 0 0 sally timmons director 1.00 X 0 0 0 Arvind Shaw CEO 40.00 1.00 X 211915 0 25682 Debra Savoie CFO 40.00 1.00 X 152999 0 27146 Morton Glasser Chief Medical Officer 27.00 X 203842 0 4008 carol levitt physician 40.00 X 185835 0 27313 catherine shafts physician 40.00 X 202082 0 5763 Colleen Casey Physician 40.00 X 200927 0 29749 dana wiseman physician 40.00 X 186316 0 31446 jyothirmayee korivi physician 40.00 X 177962 0 29632 1521878 0 180739 26 0 1 0 Locum Tenenscom PO Box 405547 Atlanta GA 303845547 locum psychiatrist - putnam behavioral h 330113 PC CONNECTION SALES CORP PO BOX 536472 PITTSBURGH PA 15106 COMPUTER 260019 GREENWAY HEALTH LLC PO BOX 203658 DAllas TX 75320 EHR SOLUTIONS & INTEGRATED CLINICAL 205902 MCKESSON MEDICAL SURGICAL PO BOX 933027 ATLanta GA 31193 MEDICAL SUPPLIES 171169 coverall of southern new england 35 college hill road warwick RI 02886 cleaning services 124828 5 5494183 326501 238798 5820684 MEDICAID 621400 9934053 9934053 MEDICARE 621400 1737834 1737834 OTHER THIRD PARTY 621400 1225974 1225974 SELF-PAY 621400 947512 947512 pharmacy revenue 621400 521814 521814 14367187 385638 385638 603 -603 -603 -603 MISCELLANEOUS REVENUE 900099 84832 84832 MEANINGFUL USE INCENTIVE 900099 80460 80460 DEVELOPER FEES 900099 22902 22902 188194 20761100 14555381 0 385035 622590 519234 103356 11208308 9318762 1889546 158663 131857 26806 2277400 1970677 306723 866050 729334 136716 25373 25373 49900 49900 734202 620354 113848 120823 53639 67184 50590 38650 11940 595973 512537 83436 1173547 963922 209625 59960 44570 15390 254365 254365 441042 426587 14455 137981 92175 45806 MEDICAL AND DENTAL SUPP 795649 795649 provision for uncollect 339652 339652 OTHER EXPENSES 306726 160044 146682 EQUIPMENT RENTAL & MAIN 182135 178063 4072 147810 99479 48331 20548739 16995185 3553554 0 1700 1450 1582250 1445788 250192 527319 795579 954134 9005125 9005125 247563 276060 8635486 2961516 6049897 5673970 825672 738151 31916 0 18789894 18621997 1349266 997639 2273975 2426492 6772364 6678737 10395605 10102868 X 8394289 8519129 8394289 8519129 18789894 18621997 X 212361 -87521 X X 0 1 X 1 1 1 X 6760341 6152966 5888300 5403465 5820684 30025756 6760341 6152966 5888300 5403465 5820684 30025756 30025756 382997 383925 385405 386142 385638 1924107 1069004 871433 325500 333712 188194 2787843 34737706 58668817 0.86440 0.84830 X Schedule A, Part II, Line 10, Explanation of Other Income: MISCELLANEOUS INCOME - 2011 Amount: $ 1,069,004. 2012 Amount: $ 871,433. 2013 Amount: $ 325,500. 2014 Amount: $ 333,712. 2015 Amount: $ 188,194. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 697380 697380 4941376 1290709 3650667 805772 120549 685223 2190958 1550258 640700 5673970 X Part X, Line 2: The Organization has no unrecognized tax benefits at June 30, 2016. The Organization's Federal and state tax returns prior to fiscal year 2013 are closed and management continually evaluates expiring statutes of limitations, audits, proposed settlements, changes in tax law and new authoritative rulings. If the Organization has unrelated business income taxes, they 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. X X X 0 0 0 0 0 0 0 1 0 Arvind Shaw CEO 211804 0 0 0 111 0 4340 0 21672 0 237927 0 0 0 Debra Savoie CFO 147161 0 5751 0 87 0 3024 0 24452 0 180475 0 0 0 Morton Glasser Chief Medical Officer 200395 0 3447 0 0 0 4008 0 0 0 207850 0 0 0 carol levitt physician 181398 0 4289 0 148 0 2791 0 24852 0 213478 0 0 0 catherine shafts physician 200932 0 1028 0 122 0 4027 0 2066 0 208175 0 0 0 Colleen Casey Physician 196670 0 4128 0 129 0 4027 0 26052 0 231006 0 0 0 dana wiseman physician 182504 0 3649 0 163 0 3783 0 27993 0 218092 0 0 0 jyothirmayee korivi physician 175530 0 2309 0 123 0 3610 0 26352 0 207924 0 0 0 Part I, Line 7 Bonus - Amounts included in col B (ii) were bonus amounts paid and included in the individual's 2015 w-2. The performance-based bonus plan is approved by the board. X 1 238798 Fair Value 0 0 0 Part I, Column (b): the amount in column b represents the number of contributors. Form 990, Part VI, Section B, line 11 MANAGEMENT REVIEWS THE FORM 990 PREPARED BY THE INDEPENDENT AUDITORS WITH THE BOARD OF DIRECTORS AND FINANCE COMMITTEE PRIOR TO FILING. AFTER IT IS FILED WITH THE IRS, IT IS MADE AVAILABLE TO THE BOARD OF DIRECTORS AND OTHERS UPON REQUEST. Form 990, Part VI, Section B, line 12 Questionnaires are given to the Directors when they are voted onto the board. They are to disclose any conflicts and if any arise during the course of their term they are expected to disclose at that time as well. Form 990, Part VI, Section B, line 15a COMPENSATION IS DETERMINED THROUGH THE USE OF INDUSTRY MARKET DATA FOR KEY EMPLOYEES INCLUDING MANAGEMENT AND CLINICAL PROVIDERS. MANAGEMENT SALARIES ARE DETERMINED BY THE CEO, AND CLINICAL PROVIDER SALARIES ARE DETERMINED BY THE ORGANIZATIONS SALARY STRUCTURE. THE CEO SALARY IS DETERMINED BY THE BOARD OF DIRECTORS. Form 990, Part VI, Section C, line 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. Form 990, Part XI, line 9: CHANGE IN INVESTMENT IN LLC -87,521. Form 990, Part XII, Line 2c: There have been no changes in the oversight or selection process during the tax year. generations holdings inc 40 mansfield ave willimantic CT 06226 473273828 owns and maintains the facility for generations family health center CT 501(c)(3) Line 9 GENERATIONS FAMILY HEALTH CENTER 1 GENERATIONS willimantic llc 40 MANSFIELD AVE WILLIMANTIC CT 06226 272891778 OWNS & MAINTAINS FACILITY FOR GFCH. OPERATIONS TRANSFERRED TO GHI 9/30/15. CT GENERATIONS FAMILY HEALTH CENTER INTEREST INCOME -69595 0 1 0.90000 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 GENERATIONS WILLIMANTIC LLC K 112500 LEASE AGREEMENT generations holdings inc K 337500 lEASE AGREEMENT