2023-05-11T16:58:30-05:00 2022-06-30 221478099 COHNREZNICK LLP 350 CHURCH STREET 12TH FLOOR HARTFORD CT 06103 990 2021-07-01 223158253 GENERATIONS FAMILY HEALTH CENTER GENE 8604507471 40 MANSFIELD AVENUE WILLIMANTIC CT 06226 MELISSA MEYERS CHIEF EXECUTIVE OFFICER 8604507471 2023-05-11 1 MELISSA MEYERS 999009999 LORI ROTHE YOKOBOSKY CPA P01273422 9592007000 2023-05-09 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z MELISSA MEYERS 40 MANSFIELD AVENUE WILLIMANTIC CT 06226 26596508 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. 13 13 298 30 0 0 12851233 8830918 18371627 17696612 -84025 -630 43875 66625 31182710 26593525 0 0 0 0 18835670 19730362 0 0 0 6374372 6036779 25210042 25767141 5972668 826384 29199266 29655102 10036389 9665841 19162877 19989261 TO PROVIDE QUALITY, AFFORDABLE HEALTH CARE TO MEDICALLY UNDERSERVED POPULATIONS WITHOUT DISCRIMINATION. 0 0 20123232 17763237 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 6/30/2022 WAS 91,400. 20123232 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 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 0 0 0 0 1 53 0 1 298 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 CT X MELISSA MEYERS 8604507471 40 MANSFIELD AVE WILLIMANTIC CT 06226 APRIL BURKE DIRECTOR 1.00 X 0 0 0 ARGENTINA PEREZ DIRECTOR 1.00 X 0 0 0 BETH OBER DIRECTOR 1.00 X 0 0 0 BRUNO GILBERT TREASURER 1.00 X X 0 0 0 CHERIE POIRIER DIRECTOR 1.00 X 0 0 0 DINA DUFORT DIRECTOR 1.00 X 0 0 0 EMMANUEL PEREZ DEAYALA VICE CHAIRPERSON 1.00 X X 0 0 0 GISELLE LOPEZ DIRECTOR 1.00 X 0 0 0 JOAN MARSHALL 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 NELSON C WALKER II MD SECRETARY 1.00 X X 0 0 0 SELMA N WARD CHAIRPERSON 1.00 X X 0 0 0 ARVIND SHAW CEO 40.00 X 245653 0 34127 DEBRA SAVOIE CFO 40.00 X 191982 0 36696 MELISSA MEYERS COO 40.00 X 179203 0 34479 MORTON GLASSER CHIEF MEDICAL OFFICER 35.00 X 313157 0 11502 CATHERINE SHAFTS PHYSICIAN 40.00 X 268713 0 13146 COLLEEN CASEY PHYSICIAN 40.00 X 268676 0 30528 MARCEL BAVOUX PHYSICIAN 40.00 X 232631 0 29483 HEIDI M DEGRAW PHYSICIAN 40.00 X 240147 0 27008 JYOTHIRMAYEE KORIVI PHYSICIAN 40.00 X 245286 0 33689 2185448 0 250658 9 0 1 0 GREENWAY HEALTH LLC PO BOX 203658 DALLAS TX 75320 ELECTRONIC HEALTH RECORD SOFTWARE 536967 1 8196658 634260 251268 8830918 MEDICAID 621400 9838398 9838398 340B PHARMACY REVENUE 621400 3996293 3996293 OTHER THIRD PARTY 621400 1853534 1853534 MEDICARE 621400 1369939 1369939 SELF-PAY 621400 638448 638448 17696612 2353 2353 2983 -2983 -2983 -2983 PATIENT RECORDS FEES 900099 14432 14432 52193 52193 66625 26593525 17763237 0 -630 1064501 200869 863632 14450885 12084368 2366517 343679 280227 63452 2540506 1961962 578544 1330791 1003402 327389 29159 29159 48074 48074 705631 589069 116562 9128 568 8560 64767 51185 13582 512043 304107 207936 20654 12567 8087 232989 232989 649153 505431 143722 156265 39061 117204 CONSUMABLE SUPPLIES 2426420 2283120 143300 EQUIPMENT RENTAL & MAIN 659654 520952 138702 CLIENT EXPENSES 162335 99391 62944 STAFF TRAINING & RECREA 120887 84553 36334 239620 102400 137220 25767141 20123232 5643909 0 1500 1800 9537028 9936544 475110 546084 1911183 2255723 307668 395168 24208851 8005375 16709721 16203476 83333 83333 173723 232974 29199266 29655102 1746211 1713542 2002160 1715407 6122151 6011773 165867 225119 10036389 9665841 X 19162877 19989261 19162877 19989261 29199266 29655102 826384 0 X X 0 1 X 1 0 X 5997234 6642045 6518818 12851233 8830918 40840248 5997234 6642045 6518818 12851233 8830918 40840248 40840248 47299 8436 3935 2220 2353 64243 785205 168966 168326 43875 66625 1232997 42137488 85938641 0.96920 0.95520 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2017 AMOUNT: $ 163,457. 2018 AMOUNT: $ 42,399. 2019 AMOUNT: $ 150,334. 2020 AMOUNT: $ 26,536. 2021 AMOUNT: $ 52,193. MEANINGFUL USE INCENTIVE - 2017 AMOUNT: $ 599,250. PATIENT RECORDS FEES - 2017 AMOUNT: $ 22,498. 2018 AMOUNT: $ 18,124. 2019 AMOUNT: $ 17,992. 2020 AMOUNT: $ 17,339. 2021 AMOUNT: $ 14,432. CHFA BONDING - 2018 AMOUNT: $ 74,895. FUNDRAISING - 2018 AMOUNT: $ 33,548. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1424260 1424260 16653923 5422034 11231889 3752293 636536 3115757 2319023 1946805 372218 59352 59352 16203476 DEFERRED COMPENSATION 225119 225119 X 26593525 0 26593525 0 26593525 25767141 0 25767141 0 25767141 PART X, LINE 2: THE CENTER HAS NO UNRECOGNIZED TAX BENEFITS AT JUNE 30, 2022 AND 2021. THE CENTER'S FEDERAL AND STATE INFORMATION RETURNS PRIOR TO FISCAL YEAR 2019 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. X X X 0 0 0 0 0 0 0 1 0 MORTON GLASSER CHIEF MEDICAL OFFICER 309058 0 2443 0 1656 0 11502 0 0 0 324659 0 0 0 COLLEEN CASEY PHYSICIAN 260678 0 7459 0 539 0 7926 0 22602 0 299204 0 0 0 CATHERINE SHAFTS PHYSICIAN 265218 0 2959 0 536 0 10560 0 2586 0 281859 0 0 0 ARVIND SHAW CEO 245147 0 0 0 506 0 10275 0 23852 0 279780 0 0 0 JYOTHIRMAYEE KORIVI PHYSICIAN 241169 0 3600 0 517 0 5610 0 28079 0 278975 0 0 0 HEIDI M DEGRAW PHYSICIAN 235180 0 4459 0 508 0 5905 0 21103 0 267155 0 0 0 MARCEL BAVOUX PHYSICIAN 226288 0 5850 0 493 0 6050 0 23433 0 262114 0 0 0 DEBRA SAVOIE CFO 189135 0 2390 0 457 0 7917 0 28779 0 228678 0 0 0 MELISSA MEYERS COO 176371 0 2390 0 442 0 6900 0 27579 0 213682 0 0 0 PART I, LINE 7 BONUS - AMOUNTS INCLUDED IN COL B (II) WERE BONUS AMOUNTS PAID AND INCLUDED IN THE INDIVIDUAL'S 2021 W2'S. THE PERFORMANCE-BASED BONUS PLAN IS APPROVED BY THE BOARD. X 2 251268 FAIR VALUE 0 1 0 PART I, COLUMN (B): COLUMN B REPRESENTS TOTAL NUMBER OF CONTRIBUTORS. FORM 990, PART VI, SECTION B, LINE 11B 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 12C QUESTIONNAIRES ARE GIVEN TO THE DIRECTORS WHEN THEY ARE VOTED ONTO THE BOARD. AT LEAST ANNUALLY, DIRECTORS, OFFICERS, EMPLOYEES AND AGENTS, ARE REQUIRED TO DISCLOSE IN WRITING ALL INTERESTS THAT MAY CREATE ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. PERIODIC REVIEWS ARE CONDUCTED BY THE CORPORATE COMPLIANCE OFFICER AND CHIEF FINANCIAL OFFICER AS APPLICABLE AND ARE PRESENTED TO THE BOARD OF DIRECTORS. 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 XII, LINE 2C: THERE HAVE BEEN NO CHANGES IN THE OVERSIGHT OR SELECTION PROCESS DURING THE TAX YEAR