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CHARTER OAK HEALTH CENTER INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
CHARTER OAK HEALTH CENTER INC (EIN 06-0986747)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-10
IRS object ID
201341309349303079
Schema version
2011v1.5
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)
Timestamp2013-05-10T16:28:40-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN061533253EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1SASLOW LUFKIN & BUGGY LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1TEN TOWER LANEAddressLine1
CityAVONCity
StateCTState
ZIP Code06001ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN060986747EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CHARTER OAK HEALTH CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCHARNameControl
Phone8605507500Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line121 GRAND STREETAddressLine1
CityHARTFORDCity
StateCTState
ZIP Code06106ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOSEPH SAVIDGEName
TitleCFOTitle
Phone8605507500Phone
Date Signed2013-05-07DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSTEVEN J STRANIERIName
PTINP00348090PTIN
Phone8606789200Phone
Date Prepared2013-05-07DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJOSEPH SAVIDGENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line121 GRAND STREETAddressLine1
CityHARTFORDCity
StateCTState
ZIP Code06106ZIPCode
FieldValueIRS element (for citing)
Gross Receipts19917419GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.THECHARTEROAK.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1978YearFormation
State Legal DomicileCTStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HIGH QUALITY, SAFE, CULTURALLY APPROPRIATE, FINANCIALLY AND PHYSICALLY ACCESSIBLE HEALTH SERVICES TO THE MEDICALLY UNDERSERVED AND PERSONS OF ALL AGES WHO COME TO US FOR CARE.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees182TotalNbrEmployees
Total Nbr Volunteers15TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year16916689ContributionsGrantsPriorYear
Contributions Grants Current Year7983718ContributionsGrantsCurrentYear
Program Service Revenue Prior Year12305859ProgramServiceRevenuePriorYear
Program Service Revenue CY11884182ProgramServiceRevenueCY
Investment Income Prior Year81304InvestmentIncomePriorYear
Investment Income Current Year49519InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year29303852TotalRevenuePriorYear
Total Revenue Current Year19917419TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year12852073SalariesEtcPriorYear
Salaries Etc Current Year13680039SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year7461060OtherExpensePriorYear
Other Expenses Current Year11596325OtherExpensesCurrentYear
Total Expenses Prior Year20313133TotalExpensesPriorYear
Total Expenses Current Year25276364TotalExpensesCurrentYear
Revenues Less Expenses Prior Year8990719RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-5358945RevenuesLessExpensesCY
Total Assets BOY27838355TotalAssetsBOY
Total Assets EOY24973221TotalAssetsEOY
Total Liabilities BOY1794330TotalLiabilitiesBOY
Total Liabilities EOY10849949TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY26044025NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY14123272NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO PROVIDE COMPREHENSIVE PREVENTIVE AND PRIMARY HEALTH CARE SERVICES TO THE CITIZENS OF THE GREATER HARTFORD AREA.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense12212670Expense
Revenue8262714Revenue
DescriptionPROVIDE PRIMARY HEALTH CARE TO AREA RESIDENTS REGARDLESS OF THEIR CURRENT PERSONAL FINANCIAL SITUATION AND ABILITY TO REPAY BENEFITS PROVIDED TO THEM.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense2598437Expense
Revenue2739728Revenue
DescriptionPROVIDE PRIMARY MENTAL HEALTH CARE & COUNSELING SERVICES, AS WELL AS PROVIDE PRESCRIPTION MEDICATIONS TO THE RESIDENTS OF THE SURROUNDING AREA.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense1430203Expense
Revenue881740Revenue
DescriptionPROVIDE PRIMARY DENTAL CARE TO THE RESIDENTS OF THE SURROUNDING AREA.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense586144Expense
DescriptionPROVIDE PRIMARY CARE TO THE HOMELESS INDIVIDUALS LIVING IN THE SURROUNDING AREA.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp586144TotalOfOtherProgramServiceExp
Total Program Service Expense16827454TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109641NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees182NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1CHARTER OAK HEALTH CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8605507500TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line121 GRAND STREETAddressLine1
CityHARTFORDCity
StateCTState
ZIP Code06106ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
BETTY HARDY
CHAIRPERSON3.00XX000
GARY HUSMER
TREASURER3.00XX000
KENDRA SHAKIR
VICE CHAIRPERSON3.00XX000
ETHEL BAGWELL
SECRETARY3.00XX000
JAYSON HUGHES
DIRECTOR3.00X000
DR KELSON ETIENNE-MODESTE
DIRECTOR3.00X000
CHERYL THOMAS
DIRECTOR3.00X000
LILIANA SANCHEZ
DIRECTOR3.00X000
ELLIS G SIMPSON JR
DIRECTOR3.00X000
L RAQUEL RIVERA
DIRECTOR3.00X000
JAHAIRA CARRILLO
DIRECTOR3.00X000
GEORGE MICHNA
DIRECTOR3.00X000
ALFREDA TURNER
PRESIDENT & CEO40.00X284508015936
JOHN MCDONAGH
MD40.00177683017712X
THOMAS MORRISON
SR VP OF FINANCE40.0016276807126X
CRISTINA ELENA DINICU
OBGYN40.00179858017370X
DEBORA MIHALE-SOBELMAN
PEDIATRITIAN40.00153847016845X
DOREEN COBURN
EXECUTIVE40.0012471102117X
MAYBELLE MERCADO-MARTINEZ
BH DIRECTOR40.00110900014585X
CHARLENE BROWN
FAMILY DOCTOR40.0011756707222X
TOSHA WHITFIELD
DENTIST40.0012446008825X
LILLIAN QUESADA
DENTIST40.0012256502197X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1558867TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation109935TotalOtherCompensation
Number Individuals GT100 K12NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ENTERPRISE BUILDERS INC
46 SHEPARD DRIVENEWINGTONCT06111CONSTRUCTION8223537
CONNECTICUT CHILDRENS SPECIALTY GROUP
282 WASHINGTON STREETHARTFORDCT061063322COHC AT CCMC2799590
CARDINAL HEALTH PHARMACEUTICAL DISTRIBUT
11 CENTENNIAL DRIVEPEABODYMA01960PHARMACY MEDICATION706192
STIRLING BENEFITS - MEHIP
20 ARMONY LANEMILFORDCT06460MEDICAL INSURANCE672457
HENRY SCHEIN INC
PO BOX 371952PITTSBURGHPA15250DENTAL AND MEDICAL SUPPLIES375448
FieldValueIRS element (for citing)
Number Of Contractors GT100 K21NumberOfContractorsGT100K
Government Grants7151634GovernmentGrants
All Other Contributions832084AllOtherContributions
Noncash Contributions1531757NoncashContributions
Total Contributions7983718TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionSERVICE FEESDescription
Business Code621400BusinessCode
Total Revenue Column11884182TotalRevenueColumn
Related Or Exempt Function Income11884182RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue11884182TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column49519TotalRevenueColumn
Exclusion$49,519ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column19917419TotalRevenueColumn
Related Or Exempt Function Income11884182RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$49,519ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total669188Total
Management And General669188ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total10675214Total
Program Services10074721ProgramServices
Management And General600493ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2335637Total
Program Services1610840ProgramServices
Management And General724797ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1098111Total
Management And General1098111ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total445177Total
Management And General445177ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1670276Total
Program Services1095896ProgramServices
Management And General574380ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total37589Total
Program Services25121ProgramServices
Management And General12468ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total336292Total
Program Services223469ProgramServices
Management And General112823ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1324468Total
Program Services959339ProgramServices
Management And General365129ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total21735Total
Program Services16115ProgramServices
Management And General5620ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total86918Total
Program Services23524ProgramServices
Management And General63394ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total56617Total
Management And General56617ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1957972Total
Program Services56000ProgramServices
Management And General1901972ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total152672Total
Program Services108919ProgramServices
Management And General43753ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES25478242547824
BAD DEBTS17322561732256
DUES & SUBSCRIPTIONS614843884522639
TRAINING & EDUCATION44393398444549

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total22541Total
Program Services6997ProgramServices
Management And General15544ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total25276364Total
Program Services16827454ProgramServices
Management And General8448910ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY7051489BOY
EOY754061EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY1712739EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY34294BOY
EOY38385EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1014959BOY
EOY926112EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY13786EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY124215BOY
EOY126099EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY22211BOY
EOY354076EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis25517107LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec5626265LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY17460900BOY
EOY19890842EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY2130287BOY
EOY1157121EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY27838355BOY
EOY24973221EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1651518BOY
EOY2481301EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY688648EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY7680000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY142812BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1794330BOY
EOY10849949EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY21241491BOY
EOY9490971EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY4802534BOY
EOY4632301EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY26044025BOY
EOY14123272EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY27838355BOY
EOY24973221EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-5358945ReconcilationRevenueExpenses
Reconcilation Other Changes-6561808ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4488851CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6709559CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7361283CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16916689CurrentTaxYearMinus1Year
Current Tax Year7983718CurrentTaxYear
Total43460100Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4488851CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6709559CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7361283CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16916689CurrentTaxYearMinus1Year
Current Tax Year7983718CurrentTaxYear
Total43460100Total
FieldValueIRS element (for citing)
Public Support Total17043460100PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years294143CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years115673CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years65332CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year81304CurrentTaxYearMinus1Year
Current Tax Year49519CurrentTaxYear
Total605971Total
FieldValueIRS element (for citing)
Total Support44066071TotalSupport
Gross Receipts From Admissions Etc57002988GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.98620PublicSupportPertcentage170
Public Support Pertcent Prior Year0.95970PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis121000OtherCostOrOtherBasis
Book Value121000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis20124472OtherCostOrOtherBasis
Depreciation3628302Depreciation
Book Value16496170BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis5271635OtherCostOrOtherBasis
Depreciation1997963Depreciation
Book Value3273672BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings19890842TotalOfBookValueLandBuildings
Total Revenue19917419TotalRevenue
Total Expenses25276364TotalExpenses
Excess Or Deficit For Year-5358945ExcessOrDeficitForYear
Prior Period Adjustments-648349PriorPeriodAdjustments
Other-$5,913,459OtherAmount
Total Adjustments-6561808TotalAdjustments
Excess Or Deficit Per FS-11920753ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt19917419TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal19917419RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99019917419TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt25276364TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal25276364ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99025276364TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:THE CENTER AND CHARTER OAK REALTY ACCOUNT FOR INCOME TAXES IN ACCORDANCE WITH CERTAIN PROVISIONS OF FASB ASC 740, "INCOME TAXES", WHICH PROVIDES A FRAMEWORK FOR HOW COMPANIES SHOULD RECOGNIZE, MEASURE, PRESENT AND DISCLOSE UNCERTAIN TAX POSITIONS IN THEIR FINANCIAL STATEMENTS. UNDER FASB ASC 740, THE CENTER AND CHARTER OAK REALTY MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS FROM SUCH POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE CENTER AND CHARTER OAK REALTY DO NOT HAVE ANY UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2012 AND 2011. AS OF JUNE 30, 2012 AND 2011, THE CENTER AND CHARTER OAK REALTY DID NOT RECORD ANY PENALTIES OR INTEREST ASSOCIATED WITH UNCERTAIN TAX POSITIONS. ALL TAX YEARS FROM 2008 FORWARD ARE OPEN AND SUBJECT TO EXAMINATION FOR THE CENTER. IN ADDITION, ALL TAX YEARS FROM 2011 FORWARD ARE OPEN AND SUBJECT TO EXAMINATION FOR CHARTER OAK REALTY.
PART XI, LINE 8 - OTHER ADJUSTMENTS:DEPRECIATION OF PERMANENTLY RESTRICTED ASSETS -170,233. EQUITY TRANSFER TO CHARTER OAK HEALTH CENTER REALTY CORP. -5,743,226. TOTAL TO SCHEDULE D, PART XI, LINE 8: -5,913,459.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ALFREDA TURNER
284508000008553073830300444000
JOHN MCDONAGH
1776830000049220127900195395000
THOMAS MORRISON
162768000005022021040169894000
CRISTINA ELENA DINICU
1798580000045890127810197228000
DEBORA MIHALE-SOBELMAN
1538470000043460124990170692000

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
ALFREDA TURNER
PRESIDENT & CEO111596THE CENTER'S PRESIDENT AND CHIEF EXECUTIVE OFFICER SERVES ON THE BOARD OF DIRECTORS OF THE COMMUNITY HEALTH CENTER ASSOCIATION OF CONNECTICUT (CHCACT), WHOSE BOARD OF DIRECTORS IS COMPOSED OF THE CHIEF EXECUTIVES FROM CERTAIN CONNECTICUT COMMUNITY HEALTH CENTERS. GRANT AND CONTRACT REVENUE PROVIDED BY CHCACT TO THE ORGANIZATION TOTALED $111,596 FOR THE YEAR ENDED JUNE 30, 2012.0
ALFREDA TURNER
PRESIDENT & CEO1541179THE CENTER'S PRESIDENT AND CHIEF EXECUTIVE OFFICER ALSO SERVES ON THE BOARD OF DIRECTORS OF COMMUNITY HEALTH NETWORK OF CT, INC. (CHN). THE CENTER HAS AN INVESTMENT IN CHN, WHICH TOTALED $83,333 AS OF JUNE 30, 2012. CONTRACT REVENUE PROVIDED BY CHN TO THE CENTER TOTALED $1,541,179 FOR THE YEAR ENDED JUNE 30, 2012. AMOUNTS DUE FROM CHN AMOUNTED TO APPROXIMATELY $144,200 AS OF JUNE 30, 2012.0

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions33810NumberOfContributions
Noncash Contribs Rptd F9901531757NoncashContribsRptdF990
Method Of Determining RevenuesREPORT FROM DPHMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE ORGANIZATION'S FORM 990 IS REVIEWED BY THE CFO AFTER IT HAS BEEN PREPARED BY AN OUTSIDE CPA FIRM.
FORM 990, PART VI, SECTION B, LINE 12CANY DIRECTOR OR OFFICER OF THE ORGANIZATION WHO HAS AN OWNERSHIP INTEREST IN AN ENTITY, OR WHO HAS FINANCIAL INTEREST IN A CONTRACT, THAT IS PRESENTED TO THE BOARD OR COMMITTEE THEREOF FOR AUTHORIZATION, APPROVAL OR RATIFICATION, SHALL DISCLOSE SUCH PERSON'S INTEREST TO THE BOARD OR COMMITTEE PRIOR TO ITS ACTING ON ANY MATTER INVOLVING SUCH ENTITY OR CONTRACT. SUCH DISCLOSURE SHALL INCLUDE ANY RELEVANT AND MATERIAL FACTS KNOWN TO SUCH PERSON ABOUT THE CONTRACT WHICH MIGHT REASONABLY BE CONSTRUED TO BE ADVERSE TO THE ORGANIZATION'S INTEREST. THE PERSON'S ABSTENTION FROM THE VOTE AND THE REASON FOR IT WILL BE RECORDED IN THE MINUTES OF ANY MEETING AT WHICH SUCH MATTERS ARE DISCUSSED. FURTHER, NO DIRECTOR OR OFFICER OF THE ORGANIZATION SHALL HAVE ANY OBLIGATIONS TO ANY EMPLOYER, OTHER PERSON OR ORGANIZATION THAT WILL INTERFERE WITH THE DIRECTOR'S OR OFFICER'S PERFORMANCE AS A MEMBER OF THE BOARD OF DIRECTORS OF THE ORGANIZATION OR WHICH WILL RESULT IN ANY CONFLICT OF INTEREST WITH THE ORGANIZATION'S INTEREST. WHILE SERVING AS A MEMBER OF THE BOARD OF DIRECTORS, DIRECTORS OR OFFICERS AGREE NOT TO ENGAGE IN ANY ACTIVITY INCONSISTENT WITH THE DIRECTOR'S OR OFFICER'S OBLIGATIONS TO THE BOARD.
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 ON PERFORMANCE REVIEWS PREPARED BY SUPERVISORS AND REVIEWED BY THE CEO. THE LAST PERFORMANCE REVIEW OCCURRED DURING THE SPRING OF 2010.
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 XI, LINE 5:PRIOR PERIOD ADJUSTMENTS: -648,349. DEPRECIATION OF PERMANENTLY RESTRICTED ASSETS -170,233. EQUITY TRANSFER TO CHARTER OAK HEALTH CENTER REALTY CORP. -5,743,226. TOTAL TO FORM 990, PART XI, LINE 5: -6,561,808.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2CTHE FINANCE COMMITTEE IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM PRIOR YEARS.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1CHARTER OAK HEALTH CENTER REALTY CORPORATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line121 GRAND STREETAddressLine1
CityHARTFORDCity
StateCTState
ZIP Code06106ZIPCode
FieldValueIRS element (for citing)
EIN274896758EIN
Primary ActivitiesTO HANDLE REAL ESTATE ISSUES ON BEHALF OF CHARTER OAK HEALTH CENTER, INC.PrimaryActivities
Legal Domicile StateCTLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity StatusLINE 11PublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1CHARTER OAK HEALTH CENTER REALTY CORPBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeBTransactionType
Amount Involved5743226AmountInvolved
Method Of Amt DeterminationACTUAL COSTMethodOfAmtDetermination