2016-05-12T14:59:20-05:00 2015-06-30 221478099 COHNREZNICK LLP 350 CHURCH STREET 12TH FLOOR HARTFORD CT 06103 990 2014-07-01 223158253 GENERATIONS FAMILY HEALTH CENTER GENE 8604507471 40 MANSFIELD AVENUE WILLIMANTIC CT 06226 ARVIND SHAW CHIEF EXECUTIVE OFFICER 8604507471 2016-05-09 1 PAUL BALLASY P00852868 9592007000 2014 2016-08-17 19:52:53Z ARVIND SHAW 40 MANSFIELD AVENUE WILLIMANTIC CT 06226 18922084 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 BECAUSE THEY ARE UNABLE TO PAY. 12 12 252 12 0 0 5888300 5403465 12445228 12798765 385405 385750 325500 333712 19044433 18921692 0 0 0 0 12996786 13663472 0 0 0 4670417 5026450 17667203 18689922 1377230 231770 19149805 18789894 10654966 10395605 8494839 8394289 TO PROVIDE QUALITY, AFFORDABLE HEALTH CARE TO MEDICALLY UNDERSERVED POPULATIONS WITHOUT DISCRIMINATION. 0 0 15083032 13132477 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 6/30/2015 WAS 94,278. 15083032 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 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 42 0 1 252 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 1 1 0 0 1 1 1 0 0 CT X ARVIND SHAW 8604507471 40 MANSFIELD AVE WILLIMANTIC CT 06226 BETH OBER VICE CHAIRPERSON 1.00 X X 0 0 0 BRIAN PARKHURST DIRECTOR 1.00 X 0 0 0 BRUNO GILBERT DIRECTOR 1.00 X 0 0 0 CHERIE POIRIER DIRECTOR 1.00 X 0 0 0 DOUGLAS CUTLER TREASURER 1.00 X X 0 0 0 JOHN SCHWENK SECRETARY 1.00 X X 0 0 0 LOURDES MONTALVO DIRECTOR 1.00 X 0 0 0 LYNNE IDE CHAIRPERSON 1.00 X X 0 0 0 MARITZA BOND 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 SALLY TIMMONS DIRECTOR 1.00 X 0 0 0 ARVIND SHAW CEO 40.00 X 210876 0 22403 DEBRA SAVOIE CFO 40.00 X 132915 0 24883 MORTON GLASSER CHIEF MEDICAL OFFICER 27.00 X 190739 0 1873 CAROL LEVITT PHYSICIAN 40.00 X 175582 0 24747 CATHERINE SHAFTS PHYSICIAN 40.00 X 189108 0 3480 COLLEEN CASEY PHYSICIAN 40.00 X 185736 0 25822 DANA WISEMAN PHYSICIAN 40.00 X 171903 0 24311 JYOTHIRMAYEE KORIVI PHYSICIAN 40.00 X 170054 0 26151 1426913 0 153670 15 0 1 0 NAEK CONSTRUCTION COMPANY INC 27 NAEK ROAD VERNON CT 06066 CONSTRUCTION 255458 LOCUM TENENSCOM PO BOX 405547 ATLANTA GA 303845547 LOCUM PSYCHIATRIST - PUTNAM BEHAVIORAL H 229172 COMPHEALTH ASSOCIATES INC PO BOX 972625 DALLAS TX 75397 TEMP PHYSICIAN SERVICES 206320 COVERALL OF SOUTHERN NEW ENGLAND 35 COLLEGE HILL ROAD WARWICK RI 02886 CLEANING SERVICES 131718 GREENWAY HEALTH LLC PO BOX 203658 DALLAS TX 75320 EHR SOLUTIONS & INTEGRATED CLINICAL 130578 8 5403465 213166 5403465 MEDICAID 621400 9993617 9993617 MEDICARE 621400 1053560 1053560 OTHER THIRD PARTY 621400 1014380 1014380 SELF-PAY 621400 737208 737208 12798765 386142 386142 392 -392 -392 -392 MISCELLANEOUS REVENUE 900099 161260 161260 MEANINGFUL USE INCENTIVE 900099 151148 151148 DEVELOPER FEES 900099 21304 21304 333712 18921692 13132477 0 385750 583409 116013 467396 10138700 8759967 1378733 152856 130637 22219 2020058 1758856 261202 768449 667929 100520 15456 15456 38700 38700 869339 776652 92687 73167 41201 31966 108579 80705 27874 315057 235550 79507 1230124 592804 637320 58263 42350 15913 259669 440 259229 439825 418742 21083 144357 103486 40871 MEDICAL AND DENTAL SUPP 609482 609482 STAFF TRAINING AND RECR 272315 207207 65108 EQUIPMENT RENTAL & MAIN 214233 211839 2394 PROVISION FOR UNCOLLECT 211370 211370 166514 117802 48712 18689922 15083032 3606890 0 1579 1700 1082492 1582250 282363 250192 876896 795579 9005125 9005125 236451 247563 8592988 2543091 6474326 6049897 1157992 825672 32581 31916 19149805 18789894 1125154 1349266 2569388 2273975 6960424 6772364 10654966 10395605 X 8494839 8394289 8494839 8394289 19149805 18789894 X 231770 -332320 X X 0 1 X 1 1 1 X 7212749 6760341 6152966 5888300 5403465 31417821 7212749 6760341 6152966 5888300 5403465 31417821 31417821 352189 382997 383925 385405 386142 1890658 1127411 1069004 871433 325500 333712 3727060 37035539 51544706 0.84830 0.86250 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2010 AMOUNT: $ 1,127,411. 2011 AMOUNT: $ 1,069,004. 2012 AMOUNT: $ 871,433. 2013 AMOUNT: $ 325,500. 2014 AMOUNT: $ 333,712. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 697380 697380 4941376 1139090 3802286 805772 78778 726994 2148460 1325223 823237 6049897 X PART X, LINE 2: THE ORGANIZATION HAS NO UNRECOGNIZED TAX BENEFITS AT JUNE 30, 2015. THE ORGANIZATION'S FEDERAL AND STATE TAX RETURNS PRIOR TO FISCAL YEAR 2012 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. X X X 0 0 0 0 0 0 0 1 0 ARVIND SHAW CEO 210876 0 0 0 0 0 2293 0 20551 0 233720 0 0 0 DEBRA SAVOIE CFO 129067 0 3848 0 0 0 1298 0 24002 0 158215 0 0 0 MORTON GLASSER CHIEF MEDICAL OFFICER 186125 0 4614 0 0 0 1873 0 0 0 192612 0 0 0 CAROL LEVITT PHYSICIAN 174217 0 1365 0 0 0 1762 0 23463 0 200807 0 0 0 CATHERINE SHAFTS PHYSICIAN 187483 0 1625 0 0 0 1873 0 2059 0 193040 0 0 0 COLLEEN CASEY PHYSICIAN 181760 0 3976 0 0 0 1837 0 24441 0 212014 0 0 0 DANA WISEMAN PHYSICIAN 164601 0 7302 0 0 0 767 0 24037 0 196707 0 0 0 JYOTHIRMAYEE KORIVI PHYSICIAN 163080 0 6974 0 0 0 1666 0 24938 0 196658 0 0 0 PART I, LINE 7 BONUS - AMOUNTS INCLUDED IN COL B (II) WERE BONUS AMOUNTS PAID AND INCLUDED IN THE INDIVIDUAL'S 2014 W-2. THE PERFORMANCE-BASED BONUS PLAN IS APPROVED BY THE BOARD. X 1 213166 FAIR VALUE 0 0 0 PART I, COLUMN (B): THE AMOUNT IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTORS. FORM 990, PART VI, SECTION B, LINE 11 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 12 QUESTIONNAIRES ARE GIVEN TO THE DIRECTORS WHEN THEY ARE VOTED ONTO THE BOARD. THEY ARE TO DISCLOSE ANY CONFLICTS AND IF ANY ARISE DURING THE COURSE OF THEIR TERM THEY ARE EXPECTED TO DISCLOSE AT THAT TIME AS WELL. 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 XI, LINE 9: CHANGE IN INVESTMENT IN LLC -332,320. FORM 990, PART XII, LINE 2C: THERE HAVE BEEN NO CHANGES IN THE OVERSIGHT OR SELECTION PROCESS DURING THE TAX YEAR. GENERATIONS WILLIMANTIC LLC 40 MANSFIELD AVE WILLIMANTIC CT 06226 OWNS AND MAINTAINS THE FACILITY FOR GENERATIONS FAMILY HEALTH CENTER CT GENERATIONS FAMILY HEALTH CENTER INTEREST INCOME -299088 11626324 0 1 0.90000 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 GENERATIONS WILLIMANTIC LLC K 424000 LEASE AGREEMENT