2022-05-09T13:10:02-05:00 2021-06-30 221478099 COHNREZNICK LLP 350 CHURCH STREET 12TH FLOOR HARTFORD CT 06103 990 2020-07-01 223158253 GENERATIONS FAMILY HEALTH CENTER GENE 8604507471 40 MANSFIELD AVENUE WILLIMANTIC CT 06226 ARVIND SHAW CHIEF EXECUTIVE OFFICER 8604507471 2022-05-06 1 ARVIND SHAW 999009999 LORI ROTHE YOKOBOSKY CPA P01273422 9592007000 2022-04-03 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z ARVIND SHAW 40 MANSFIELD AVENUE WILLIMANTIC CT 06226 31268955 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. 10 10 279 30 0 0 6518818 12851233 16874677 18371627 -7527 -84025 168326 43875 23554294 31182710 0 0 0 0 18252017 18835670 0 0 0 6076607 6374372 24328624 25210042 -774330 5972668 26951138 29199266 13760929 10036389 13190209 19162877 TO PROVIDE QUALITY, AFFORDABLE HEALTH CARE TO MEDICALLY UNDERSERVED POPULATIONS WITHOUT DISCRIMINATION. 0 0 20248398 18415502 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 6/30/2021 WAS 102,193. 20248398 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 56 0 1 279 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 CT X ARVIND SHAW 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 0 0 0 CHERIE POIRIER DIRECTOR 1.00 X X 0 0 0 EMMANUEL PEREZ DEAYALA VICE CHAIRPERSON 1.00 X 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 238936 0 36252 DEBRA SAVOIE CFO 40.00 X 185833 0 39660 MELISSA MEYERS COO 40.00 X 173467 0 36390 MORTON GLASSER CHIEF MEDICAL OFFICER 35.00 X 300344 0 11320 CATHERINE SHAFTS PHYSICIAN 40.00 X 256031 0 12089 COLLEEN CASEY PHYSICIAN 40.00 X 261261 0 32678 DANA WISEMAN PHYSICIAN 36.00 X 211493 0 43198 HEIDI M DEGRAW PHYSICIAN 40.00 X 226984 0 25966 JYOTHIRMAYEE KORIVI PHYSICIAN 40.00 X 235672 0 37839 2090021 0 275392 9 0 1 0 GREENWAY HEALTH LLC PO BOX 203658 DALLAS TX 75320 ELECTRONIC HEALTH RECORD SOFTWARE 533329 LOCUM TENENSCOM PO BOX 405547 ATLANTA GA 303845547 CONTRACTED CLINICAL SERVICES - PHYSICIAN 111565 2 12432046 419187 218161 12851233 MEDICAID 621400 11139378 11139378 PHARMACY REVENUE 621400 3965585 3965585 MEDICARE 621400 1572273 1572273 OTHER THIRD PARTY 621400 1386076 1386076 SELF-PAY 621400 308315 308315 18371627 2220 2220 86245 -86245 -86245 -86245 MISCELLANEOUS INCOME 900099 26536 26536 PATIENT RECORDS FEES 900099 17339 17339 43875 31182710 18415502 0 -84025 1033806 193003 840803 13978698 12217016 1761682 349293 290380 58913 2182627 1744721 437906 1291246 998969 292277 78547 78547 74971 74971 1111191 983448 127743 17543 17543 71071 60548 10523 570320 340006 230314 29300 20215 9085 241170 241170 654412 509525 144887 128528 74469 54059 CONSUMABLE SUPPLIES 2515116 2267395 247721 EQUIPMENT RENTAL & MAIN 305581 184145 121436 CLIENT EXPENSES 229341 137556 91785 STAFF TRAINING & RECREA 103913 82752 21161 243368 144250 99118 25210042 20248398 4961644 0 1700 1500 7140774 9537028 378002 475110 1816781 1911183 266729 307668 24126957 7417236 17223861 16709721 83333 83333 39958 173723 26951138 29199266 1246577 1746211 3225877 2002160 6228472 6122151 3025900 34103 165867 13760929 10036389 X 13190209 19162877 13190209 19162877 26951138 29199266 5972668 0 X X 0 1 X 1 1 1 X 6100938 5997234 6642045 6518818 12851233 38110268 6100938 5997234 6642045 6518818 12851233 38110268 38110268 387145 47299 8436 3935 2220 449035 170724 785205 168966 168326 43875 1337096 39896399 82811070 0.95520 0.93070 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2016 AMOUNT: $ 12,541. 2017 AMOUNT: $ 163,457. 2018 AMOUNT: $ 42,399. 2019 AMOUNT: $ 150,334. 2020 AMOUNT: $ 26,536. MEANINGFUL USE INCENTIVE - 2016 AMOUNT: $ 138,143. 2017 AMOUNT: $ 599,250. PATIENT RECORDS FEES - 2016 AMOUNT: $ 20,040. 2017 AMOUNT: $ 22,498. 2018 AMOUNT: $ 18,124. 2019 AMOUNT: $ 17,992. 2020 AMOUNT: $ 17,339. CHFA BONDING - 2018 AMOUNT: $ 74,895. FUNDRAISING - 2018 AMOUNT: $ 33,548. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1424260 1424260 16660573 5522678 11137895 3752293 55867 3696426 2289831 1838691 451140 16709721 DEFERRED COMPENSATION 165867 165867 X 31182710 0 31182710 0 31182710 25210042 0 25210042 0 25210042 PART X, LINE 2: THE CENTER HAS NO UNRECOGNIZED TAX BENEFITS AT JUNE 30, 2021 AND 2020. THE CENTER'S FEDERAL AND STATE INFORMATION RETURNS PRIOR TO FISCAL YEAR 2018 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. IF THE CENTER 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 STATEMENTS OF FINANCIAL POSITION. X X X 0 0 0 0 0 0 0 1 0 MORTON GLASSER CHIEF MEDICAL OFFICER 298343 0 2001 0 0 0 11320 0 0 0 311664 0 0 0 COLLEEN CASEY PHYSICIAN 253912 0 7349 0 0 0 7762 0 24916 0 293939 0 0 0 ARVIND SHAW CEO 238936 0 0 0 0 0 9786 0 26466 0 275188 0 0 0 JYOTHIRMAYEE KORIVI PHYSICIAN 232967 0 2705 0 0 0 6376 0 31463 0 273511 0 0 0 CATHERINE SHAFTS PHYSICIAN 254009 0 2022 0 0 0 10171 0 1918 0 268120 0 0 0 DANA WISEMAN PHYSICIAN 207106 0 4387 0 0 0 8585 0 34613 0 254691 0 0 0 HEIDI M DEGRAW PHYSICIAN 225044 0 1940 0 0 0 1774 0 24192 0 252950 0 0 0 DEBRA SAVOIE CFO 182345 0 3488 0 0 0 7497 0 32163 0 225493 0 0 0 MELISSA MEYERS COO 169979 0 3488 0 0 0 5427 0 30963 0 209857 0 0 0 PART I, LINE 7 BONUS - AMOUNTS INCLUDED IN COL B (II) WERE BONUS AMOUNTS PAID AND INCLUDED IN THE INDIVIDUAL'S 2020 W2'S. THE PERFORMANCE-BASED BONUS PLAN IS APPROVED BY THE BOARD. X 3 218160 FAIR VALUE 0 0 0 PART I, COLUMN (B): COLUMN B REPRESENTS 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