2013-05-10T16:28:40-05:00 2012-06-30 061533253 SASLOW LUFKIN & BUGGY LLP TEN TOWER LANE AVON CT 06001 990 2011-07-01 060986747 CHARTER OAK HEALTH CENTER INC CHAR 8605507500 21 GRAND STREET HARTFORD CT 06106 JOSEPH SAVIDGE 8605507500 2013-05-07 1 STEVEN J STRANIERI P00348090 8606789200 2013-05-07 2011 2016-02-24 21:20:13Z JOSEPH SAVIDGE 21 GRAND STREET HARTFORD CT 06106 19917419 0 X WWW.THECHARTEROAK.ORG X 1978 CT TO 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. 12 12 182 15 0 0 16916689 7983718 12305859 11884182 81304 49519 0 0 29303852 19917419 0 0 0 0 12852073 13680039 0 0 0 7461060 11596325 20313133 25276364 8990719 -5358945 27838355 24973221 1794330 10849949 26044025 14123272 X TO PROVIDE COMPREHENSIVE PREVENTIVE AND PRIMARY HEALTH CARE SERVICES TO THE CITIZENS OF THE GREATER HARTFORD AREA. 0 0 12212670 8262714 PROVIDE PRIMARY HEALTH CARE TO AREA RESIDENTS REGARDLESS OF THEIR CURRENT PERSONAL FINANCIAL SITUATION AND ABILITY TO REPAY BENEFITS PROVIDED TO THEM. 2598437 2739728 PROVIDE PRIMARY MENTAL HEALTH CARE & COUNSELING SERVICES, AS WELL AS PROVIDE PRESCRIPTION MEDICATIONS TO THE RESIDENTS OF THE SURROUNDING AREA. 1430203 881740 PROVIDE PRIMARY DENTAL CARE TO THE RESIDENTS OF THE SURROUNDING AREA. 586144 PROVIDE PRIMARY CARE TO THE HOMELESS INDIVIDUALS LIVING IN THE SURROUNDING AREA. 586144 16827454 1 1 0 0 0 0 0 0 0 0 1 1 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 1 1 0 0 0 0 1 0 0 0 0 1 41 0 1 182 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 0 1 1 1 1 1 1 1 0 X X CHARTER OAK HEALTH CENTER INC 8605507500 21 GRAND STREET HARTFORD CT 06106 BETTY HARDY 3.00 X X 0 0 0 GARY HUSMER 3.00 X X 0 0 0 KENDRA SHAKIR 3.00 X X 0 0 0 ETHEL BAGWELL 3.00 X X 0 0 0 JAYSON HUGHES 3.00 X 0 0 0 DR KELSON ETIENNE-MODESTE 3.00 X 0 0 0 CHERYL THOMAS 3.00 X 0 0 0 LILIANA SANCHEZ 3.00 X 0 0 0 ELLIS G SIMPSON JR 3.00 X 0 0 0 L RAQUEL RIVERA 3.00 X 0 0 0 JAHAIRA CARRILLO 3.00 X 0 0 0 GEORGE MICHNA 3.00 X 0 0 0 ALFREDA TURNER 40.00 X 284508 0 15936 JOHN MCDONAGH 40.00 X 177683 0 17712 THOMAS MORRISON 40.00 X 162768 0 7126 CRISTINA ELENA DINICU 40.00 X 179858 0 17370 DEBORA MIHALE-SOBELMAN 40.00 X 153847 0 16845 DOREEN COBURN 40.00 X 124711 0 2117 MAYBELLE MERCADO-MARTINEZ 40.00 X 110900 0 14585 CHARLENE BROWN 40.00 X 117567 0 7222 TOSHA WHITFIELD 40.00 X 124460 0 8825 LILLIAN QUESADA 40.00 X 122565 0 2197 1558867 0 109935 12 0 1 0 ENTERPRISE BUILDERS INC 46 SHEPARD DRIVE NEWINGTON CT 06111 CONSTRUCTION 8223537 CONNECTICUT CHILDRENS SPECIALTY GROUP 282 WASHINGTON STREET HARTFORD CT 061063322 COHC AT CCMC 2799590 CARDINAL HEALTH PHARMACEUTICAL DISTRIBUT 11 CENTENNIAL DRIVE PEABODY MA 01960 PHARMACY MEDICATION 706192 STIRLING BENEFITS - MEHIP 20 ARMONY LANE MILFORD CT 06460 MEDICAL INSURANCE 672457 HENRY SCHEIN INC PO BOX 371952 PITTSBURGH PA 15250 DENTAL AND MEDICAL SUPPLIES 375448 21 7151634 832084 1531757 7983718 SERVICE FEES 621400 11884182 11884182 11884182 49519 49519 19917419 11884182 0 49519 669188 669188 10675214 10074721 600493 2335637 1610840 724797 1098111 1098111 445177 445177 1670276 1095896 574380 37589 25121 12468 336292 223469 112823 1324468 959339 365129 21735 16115 5620 86918 23524 63394 56617 56617 1957972 56000 1901972 152672 108919 43753 MEDICAL SUPPLIES 2547824 2547824 BAD DEBTS 1732256 1732256 DUES & SUBSCRIPTIONS 61484 38845 22639 TRAINING & EDUCATION 44393 39844 4549 22541 6997 15544 25276364 16827454 8448910 0 7051489 754061 1712739 34294 38385 1014959 926112 0 13786 124215 126099 22211 354076 25517107 5626265 17460900 19890842 2130287 1157121 27838355 24973221 1651518 2481301 0 688648 0 7680000 142812 0 1794330 10849949 X 21241491 9490971 4802534 4632301 26044025 14123272 27838355 24973221 X -5358945 -6561808 X X 0 1 1 X 1 1 X 4488851 6709559 7361283 16916689 7983718 43460100 4488851 6709559 7361283 16916689 7983718 43460100 43460100 294143 115673 65332 81304 49519 605971 44066071 57002988 0.98620 0.95970 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 121000 121000 20124472 3628302 16496170 5271635 1997963 3273672 19890842 19917419 25276364 -5358945 -648349 -5913459 -6561808 -11920753 19917419 0 19917419 0 19917419 25276364 0 25276364 0 25276364 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. X X X 0 0 0 0 0 0 0 0 0 ALFREDA TURNER 284508 0 0 0 0 0 8553 0 7383 0 300444 0 0 0 JOHN MCDONAGH 177683 0 0 0 0 0 4922 0 12790 0 195395 0 0 0 THOMAS MORRISON 162768 0 0 0 0 0 5022 0 2104 0 169894 0 0 0 CRISTINA ELENA DINICU 179858 0 0 0 0 0 4589 0 12781 0 197228 0 0 0 DEBORA MIHALE-SOBELMAN 153847 0 0 0 0 0 4346 0 12499 0 170692 0 0 0 ALFREDA TURNER PRESIDENT & CEO 111596 THE 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 & CEO 1541179 THE 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 X 33810 1531757 REPORT FROM DPH 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE 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 12C ANY 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 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 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 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: 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. FORM 990, PART XII, LINE 2C THE 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. CHARTER OAK HEALTH CENTER REALTY CORPORATION 21 GRAND STREET HARTFORD CT 06106 274896758 TO HANDLE REAL ESTATE ISSUES ON BEHALF OF CHARTER OAK HEALTH CENTER, INC. CT 501(C)(3) LINE 11 N/A 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 CHARTER OAK HEALTH CENTER REALTY CORP B 5743226 ACTUAL COST