2020-06-15T13:53:10-05:00 2019-06-30 221478099 COHNREZNICK LLP 350 CHURCH STREET 12TH FLOOR HARTFORD CT 06103 990 2018-07-01 223158253 GENERATIONS FAMILY HEALTH CENTER GENE 8604507471 40 MANSFIELD AVENUE WILLIMANTIC CT 06226 ARVIND SHAW CHIEF EXECUTIVE OFFICER 8604507471 2020-06-09 1 PAUL BALLASY P00852868 9592007000 2020-06-07 209.59.242.35 2020-06-09 13:41:39 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 7B2D57E24FF928F34CC26422BB7D172D2D226FE9 2018 2020-09-23 17:36:50Z ARVIND SHAW 40 MANSFIELD AVENUE WILLIMANTIC CT 06226 24540866 0 X WWW.GENHEALTH.ORG X 1991 CT 5 11 11 501 51 0 0 5997234 6642045 15274306 17721419 47299 8436 -8727146 19931 12591693 24391831 0 0 0 0 15841785 16441437 0 0 0 4895248 5707862 20737033 22149299 -8145340 2242532 22321946 24591560 10599939 10627021 11722007 13964539 TO PROVIDE QUALITY, AFFORDABLE HEALTH CARE TO MEDICALLY UNDERSERVED POPULATIONS WITHOUT DISCRIMINATION. 0 0 18354159 17856837 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 6/30/2019 WAS 87,150. 18354159 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 48 0 1 501 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 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 VICE CHAIRPERSON 1.00 X X 0 0 0 BRUNO GILBERT DIRECTOR 1.00 X 0 0 0 CHERIE POIRIER CHAIRPERSON 1.00 X X 0 0 0 JITENDRA SINHA DIRECTOR 1.00 X 0 0 0 JOHN SCHWENK SECRETARY 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 PASTOR LISA ANDERSON DIRECTOR 1.00 X 0 0 0 SELMA N WARD TREASURER 1.00 X X 0 0 0 ARVIND SHAW CEO 40.00 X 230253 0 32902 DEBRA SAVOIE CFO 40.00 X 166104 0 36146 MORTON GLASSER CHIEF MEDICAL OFFICER 35.00 X 283128 0 8417 CATHERINE SHAFTS PHYSICIAN 40.00 X 226466 0 8904 COLLEEN CASEY PHYSICIAN 40.00 X 221223 0 31843 DANA WISEMAN PHYSICIAN 40.00 X 207607 0 39769 JYOTHIRMAYEE KORIVI PHYSICIAN 40.00 X 199313 0 38670 NICOLE TAYLOR PHYSICIAN 40.00 X 188731 0 12178 1722825 0 208829 27 0 1 0 GREENWAY HEALTH LLC PO BOX 203658 DALLAS TX 75320 ELECTRONIC HEALTH RECORD SERVICES 303306 1 143061 4340052 2158932 247224 6642045 MEDICAID 621400 9090107 9090107 PHARMACY REVENUE 621400 4428742 4428742 MEDICARE 621400 1695380 1695380 OTHER THIRD PARTY 621400 1450773 1450773 SELF-PAY 621400 1056417 1056417 17721419 8436 8436 33548 143061 149035 -115487 -115487 CHFA BONDING 900099 74895 74895 PATIENT RECORDS FEES 900099 18124 18124 42399 42399 135418 24391831 17856837 0 -107051 770097 180835 589262 12128693 10578240 1550453 271683 240043 31640 2282857 1943261 339596 988107 827850 160257 17044 17044 68729 68729 384993 256323 128670 55793 44408 11385 479263 273253 206010 69031 54132 14899 250240 250240 609094 474241 134853 123849 75657 48192 MEDICAL AND DENTAL SUPP 2473295 2366109 107186 PROVISION FOR UNCOLLECT 476998 476998 EQUIPMENT RENTAL & MAIN 318360 278795 39565 STAFF TRAINING AND RECR 157925 106385 51540 223248 177629 45619 22149299 18354159 3795140 0 1960 1950 3116317 4304708 56176 55989 2358723 2593439 273059 321844 23556164 6326722 16430723 17229442 83333 83333 1655 855 22321946 24591560 1108329 1111251 3071479 3193718 6420131 6322052 10599939 10627021 X 11722007 13964539 11722007 13964539 22321946 24591560 2242532 0 X X 0 1 X 1 1 1 X 5403465 5820684 6100938 5997234 6642045 29964366 5403465 5820684 6100938 5997234 6642045 29964366 29964366 386142 385638 387145 47299 8436 1214660 333712 188194 170724 785205 168966 1646801 32825827 74730718 0.91280 0.89590 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2014 AMOUNT: $ 161,260. 2015 AMOUNT: $ 84,832. 2016 AMOUNT: $ 12,541. 2017 AMOUNT: $ 163,457. 2018 AMOUNT: $ 42,399. MEANINGFUL USE INCENTIVE - 2014 AMOUNT: $ 151,148. 2015 AMOUNT: $ 80,460. 2016 AMOUNT: $ 138,143. 2017 AMOUNT: $ 599,250. OTHER FEES - 2014 AMOUNT: $ 21,304. 2015 AMOUNT: $ 22,902. 2016 AMOUNT: $ 20,040. 2017 AMOUNT: $ 22,498. 2018 AMOUNT: $ 18,124. CHFA BONDING - 2018 AMOUNT: $ 74,895. FUNDRAISING - 2018 AMOUNT: $ 33,548. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1322380 1322380 16660573 4468371 12192202 3452204 55867 3396337 2109757 1802484 307273 11250 11250 17229442 X 24063868 -476998 -476998 24540866 -149035 -149035 24391831 21821336 149035 149035 21672301 476998 476998 22149299 PART X, LINE 2: THE ORGANIZATION HAS NO UNRECOGNIZED TAX BENEFITS AT JUNE 30, 2019 AND 2018. THE ORGANIZATION'S FEDERAL AND STATE TAX RETURNS PRIOR TO FISCAL YEAR 2016 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. PART XI, LINE 2D - OTHER ADJUSTMENTS: PROVISION FOR UNCOLLECTIBLE ACCOUNTS -476,998. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES -149,035. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 149,035. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR UNCOLLECTIBLE ACCOUNTS 476,998. MUSIC FOR THE GENERATIONS 176609 143061 33548 230 8947 30000 109858 176609 143061 33548 230 8947 30000 109858 149035 -115487 X X X 0 0 0 0 0 0 0 1 0 ARVIND SHAW CEO 229997 0 0 0 256 0 7133 0 25769 0 263155 0 0 0 DEBRA SAVOIE CFO 162922 0 2998 0 184 0 5050 0 31096 0 202250 0 0 0 MORTON GLASSER CHIEF MEDICAL OFFICER 280554 0 2574 0 0 0 8417 0 0 0 291545 0 0 0 CATHERINE SHAFTS PHYSICIAN 222739 0 3487 0 240 0 6763 0 2141 0 235370 0 0 0 COLLEEN CASEY PHYSICIAN 218014 0 2968 0 241 0 6698 0 25145 0 253066 0 0 0 DANA WISEMAN PHYSICIAN 205217 0 2221 0 169 0 6378 0 33391 0 247376 0 0 0 JYOTHIRMAYEE KORIVI PHYSICIAN 195855 0 3242 0 216 0 6074 0 32596 0 237983 0 0 0 NICOLE TAYLOR PHYSICIAN 187042 0 1655 0 34 0 5709 0 6469 0 200909 0 0 0 PART I, LINE 7 BONUS - AMOUNTS INCLUDED IN COL B (II) WERE BONUS AMOUNTS PAID AND INCLUDED IN THE INDIVIDUAL'S 2018 W2'S. THE PERFORMANCE-BASED BONUS PLAN IS APPROVED BY THE BOARD. X 1 247224 FAIR VALUE 0 0 0 PART I, COLUMN (B): THE AMOUNT IN COLUMN B REPRESENTS THE NUMBER OF CONTIBUTORS. 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