2017-05-15T09:08:56-05:00 2016-06-30 221478099 COHNREZNICK LLP 350 CHURCH STREET 12TH FLOOR HARTFORD CT 06103 990 2015-07-01 060986747 CHARTER OAK HEALTH CENTER INC CHAR 8605507500 21 GRAND STREET HARTFORD CT 06106 NICHELLE A MULLINS CHIEF EXECUTIVE OFFICER 8605507500 2017-05-08 1 PAUL BALLASY P00852868 9592007000 2015 2021-01-29 14:40:06Z NICHELLE A MULLINS 21 GRAND STREET HARTFORD CT 06106 17709049 0 X WWW.THECHARTEROAK.ORG X 1978 CT TO PROMOTE HEALTHIER COMMUNITIES BY PROVIDING QUALITY, SAFE, PATIENT-CENTERED HEALTH CARE SERVICES IN MEDICALLY UNDERSERVED AREAS, REGARDLESS OF ABILITY TO PAY. 17 17 222 12 0 0 6048656 7919570 10760071 9773554 30350 15925 0 0 16839077 17709049 0 0 0 0 11979572 10678843 0 0 0 6718083 6738325 18697655 17417168 -1858578 291881 20722652 20413341 13157077 12682965 7565575 7730376 TO PROVIDE COMPREHENSIVE PREVENTIVE AND PRIMARY HEALTH CARE SERVICES TO THE CITIZENS OF THE GREATER HARTFORD AREA. 0 0 11404731 7524783 PROVIDE PRIMARY HEALTH CARE TO AREA RESIDENTS REGARDLESS OF THEIR CURRENT PERSONAL FINANCIAL SITUATION AND ABILITY TO REPAY BENEFITS PROVIDED TO THEM. 1333202 915716 PROVIDE PRIMARY MENTAL HEALTH CARE & COUNSELING SERVICES, AS WELL AS PROVIDE PRESCRIPTION MEDICATIONS TO THE RESIDENTS OF THE SURROUNDING AREA. 1463604 1333055 PROVIDE PRIMARY DENTAL CARE TO THE RESIDENTS OF THE SURROUNDING AREA. 14201537 1 1 0 1 0 0 0 0 0 0 1 0 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 0 1 0 0 0 0 1 1 0 0 0 1 47 0 1 222 1 0 0 0 0 0 0 0 0 0 0 X 17 17 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X NICHELLE A MULLINS 8605507500 21 GRAND STREET HARTFORD CT 06106 ADRIAN RICARDO WOOD PHD VICE CHAIRPERSON 3.00 X X 0 0 0 ANGEL MUNIZ JR DIRECTOR 3.00 X 0 0 0 BETTY HARDY CHAIRPERSON 3.00 X X 0 0 0 BRENDA BRADLEY DIRECTOR 3.00 3.00 X 0 0 0 CARLOS VALINHO VICE TREASURER 3.00 1.00 X X 0 0 0 DR KELSON ETIENNE-MODESTE DIRECTOR 3.00 X 0 0 0 EILEEN ALVARADO DIRECTOR 3.00 X 0 0 0 JOAN CRUZ DIRECTOR 3.00 X 0 0 0 JOEL CRUZ JR DIRECTOR 3.00 X 0 0 0 KENDRA SHAKIR IMMEDIATE PAST CHAIRPERSON 3.00 X X 0 0 0 LESLIE ARROYO DIRECTOR 3.00 X 0 0 0 LOURDES RIVERA DIRECTOR 3.00 X 0 0 0 LUIS A VALDEZ JD MBA DIRECTOR 3.00 X 0 0 0 MARTIN JOHN TREASURER 3.00 X X 0 0 0 REV ANDRE L MCGUIRE DIRECTOR 3.00 X 0 0 0 REV JAYSON HUGHES SECRETARY 3.00 X X 0 0 0 THOMAS J DEMBINSKI ESQ DIRECTOR 3.00 3.00 X 0 0 0 NICHELLE A MULLINS PRESIDENT/CEO 40.00 1.00 X 202787 0 0 SHANNON DONAHUE INTERIM CFO 40.00 X 47281 0 541 STEWART JOSLIN CHIEF FINANCIAL OFFICER 5/16 40.00 X 0 0 0 BRIMAL PATEL INTERIM CMO 8/15 40.00 X 157970 0 17693 JOHN MCDONAGH CMO THRU 7/15 40.00 X 162182 0 15097 JODY NAVITSKY PHYSICIAN 40.00 X 177734 0 25886 LILLIAN QUESADA DENTIST 40.00 X 129884 0 0 NIEVES HORNBECK PHYSICIAN 40.00 X 156145 0 5586 RAYMOND CASTRO PHYSICIAN 40.00 X 150270 0 0 STEPHENIE C THURBUR PHYSICIAN 40.00 X 145361 0 8247 1329614 0 73050 23 0 1 0 LOCUMTENENSCOM LLC 2655 NORTHWINDS PARKWAY ALPHARETTA GA 30009 STAFFING AGENCY 282970 SHIPMAN AND GOODWIN ONE CONSTITUTION PLAZA HARTFORD CT 061031919 LEGAL COUNSELORS AT LAW 170940 2 7189612 729958 292858 7919570 SERVICE FEES 621400 9106866 9106866 PHARMACY REVENUE 621400 666688 666688 9773554 15925 15925 17709049 9773554 0 15925 X 619666 490930 128736 8419083 6670011 1749072 914534 724539 189995 725560 574824 150736 178338 178338 66250 66250 60000 60000 2196392 2100206 96186 14083 2253 11830 230858 175988 54870 585657 481048 104609 14808 3456 11352 2394 2394 71837 14903 56934 1138128 1087169 50959 69269 41756 27513 PROVISION FOR UNCOLLECT 667933 667933 MEDICAL SUPPLIES 494407 494407 REPAIRS AND MAINTENANCE 377972 282368 95604 IN-KIND VACCINES 292858 292858 277141 94494 182647 17417168 14201537 3215631 0 1535243 2157667 165043 235827 971802 873900 69596 69924 28825 82939 27155738 10591490 17007167 16564248 633306 329872 311670 98964 20722652 20413341 1693642 1397363 257471 257152 9381316 9392559 1824648 1635891 13157077 12682965 X 3314502 3606379 4251073 4123997 7565575 7730376 20722652 20413341 X 291881 -127078 X X 0 1 X 1 1 1 X 7983718 8874605 6654991 6048656 7919570 37481540 7983718 8874605 6654991 6048656 7919570 37481540 37481540 49519 39829 35865 30350 15925 171488 37653028 57923984 0.99540 0.99490 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 60000 0 0 60000 0 PART I-A, LINE 1: LOBBYING EXPENSES PAID TO CAMILLIERE, CLOUD AND KENNEDY 121000 121000 22146340 7991770 14154570 1320984 351905 969079 3567414 2247815 1319599 16564248 DEFERRED GAIN ON RESTRUCTURED PAYABLE TO CCMC 1635891 1635891 X 17041116 -667933 -667933 17709049 0 17709049 16749235 0 16749235 667933 667933 17417168 PART X, LINE 2: THE CENTER AND CHARTER OAK REALTY HAVE NO UNRECOGNIZED TAX BENEFITS AT JUNE 30, 2016. THE CENTER AND CHARTER OAK REALTY'S FEDERAL AND STATE INFORMATION RETURNS PRIOR TO FISCAL YEAR 2013 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. IF THE CENTER AND CHARTER OAK REALTY HAVE UNRELATED BUSINESS INCOME TAXES, THE ENTITIES 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 -667,933. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR UNCOLLECTIBLE ACCOUNTS 667,933. X X X 0 0 0 0 0 0 0 0 0 NICHELLE A MULLINS PRESIDENT/CEO 202787 0 0 0 0 0 0 0 208 0 202995 0 0 0 BRIMAL PATEL INTERIM CMO 8/15 157970 0 0 0 0 0 0 0 17901 0 175871 0 0 0 JOHN MCDONAGH CMO THRU 7/15 162182 0 0 0 0 0 0 0 15235 0 177417 0 0 0 JODY NAVITSKY PHYSICIAN 177734 0 0 0 0 0 0 0 26094 0 203828 0 0 0 NIEVES HORNBECK PHYSICIAN 156145 0 0 0 0 0 0 0 5742 0 161887 0 0 0 RAYMOND CASTRO PHYSICIAN 150270 0 0 0 0 0 0 0 208 0 150478 0 0 0 STEPHENIE C THURBUR PHYSICIAN 145361 0 0 0 0 0 0 0 8455 0 153816 0 0 0 X 1 292858 FMV 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. IT IS THEN SHARED WITH THE FULL BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES ALL DIRECTORS AND OFFICERS TO DISCLOSE HIS OR HER MATERIAL FINANCIAL AND PERSONAL INTERESTS, AND TO EXECUTE A STATEMENT CONFIRMING, TO THE BEST OF HIS OR HER KNOWLEDGE, COMPLIANCE WITH THE POLICY. WRITTEN DISCLOSURE OF A POTENTIAL CONFLICT OF INTEREST SHALL BE MADE AT THE EARLIEST APPROPRIATE TIME, AND SPECIFICALLY, PRIOR TO COMMENCEMENT OF DUTIES. DIRECTORS AND OFFICERS HAVE AN OBLIGATION TO DISCLOSE POTENTIAL AND ACTUAL CONFLICTS OF INTEREST AS APPROPRIATE FOR THE REMAINDER OF THEIR PARTICIPATION ON THE BOARD THEREAFTER. 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 UPON PERFORMANCE REVIEWS PREPARED BY SUPERVISORS AND REVIEWED BY THE CEO. 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. FORM 990, PART IX, LINE 11G CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 2,100,206. MANAGEMENT AND GENERAL EXPENSES 96,186. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,196,392. FORM 990, PART XI, LINE 9: DEPRECIATION OF PERMANENTLY RESTRICTED FIXED ASSETS -127,078. FORM 990, PART XII, LINE 2C THERE HAVE BEEN NO CHANGES MADE TO THE ORGANIZATION'S OVERSIGHT OR SELECTION PROCESS DURING THE TAX YEAR. CHARTER OAK HEALTH CENTER REALTY CORPORATION 21 GRAND STREET HARTFORD CT 06106 274896758 HANDLE REAL ESTATE ISSUES CT 501(C)(3) LINE 11 CHARTER OAK HEALTH CENTER INC 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 1