Board of Selectmen - 69 (02/02/2022)

UNITED
COMMUNITY 
& FAMILY
SERVICES
BUDGET REQUEST
FY2023

TOWN OF WATERFORD
15 Rope Ferry Road
Waterford, CT 06385
860-442-0553
United Community & Family Services
ORGANIZATION NAME:
REQUEST DATE (FISCAL YEAR): 
FY2023
REQUESTED AMOUNT: 
$8,000
BENEFIT STATEMENT (Describe how these funds will be used)
Many of the people that UCFS serves have nowhere else to turn for the essential
professional care they need and deserve. UCFS provides services regardless of
ability to pay, accepts all insurance types, including Medicaid and Medicare, and
provides an income-based sliding fee scale for low-income uninsured and underinsured clients.
This amount will be used to support our programs in the following ways: $2,000 for Dental Services,
$2,000 for Primary Care Medical Services, $1,000 for Women's Health Services and $3,000 for
Behavioral Health Services.
Per Town of Waterford Budget Guidelines: please attach a certified audit report of all funds
appropriated during the last completed fiscal year to your funding request. 
,
DECLARATION
|, the requester, understand that | am requesting public funds from the Town of Waterford.
| declare that this request does not pose any potential conflict with the Town of Waterford
and I will provide any documentation requested by the Town of Waterford to authorize
funding this request or review the appropriateness of the request.
i 
f 
12/6/21
Signature 
Date
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C4 UCFS Healthca re 
Healthcare that begins with you
34 East Town Street
Norwich, Connecticut 06360-3509
telephone (860) 889-2375
fax (860) 889-3450
www.ucfs.org
December 6, 2021
Board of Selectmen
Town of Waterford
15 Rope Ferry Road
Waterford, CT 06385
Dear Board of Selectmen:
On behalf of Waterford residents in need, United Community and Family Services, Inc. (UCFS) is
requesting that the Town of Waterford include $8,000 in its FY 2022-2023 budget to help subsidize
the services we will provide to Waterford residents.
During the fiscal year ending June 30, 2021, UCFS provided dental, medical, and behavioral health
to 217 unduplicated Waterford residents at a total cost of $319,979. UCFS provided:
e 
64 dental visits to 35 Waterford residents at a cost of $23,552
e 
172 primary care medical visits to 76 Waterford residents at a cost of $46,428
e 
15 women’s health visits to 13 Waterford residents at a cost of $2,874
e 
1,772 behavioral health visits to 93 Waterford residents at a cost of $247,125
Based on conservative growth projections, we anticipate the cost to provide services to Waterford
residents to be approximately $381,379 for the fiscal year ending June 30, 2023. UCFS’
commitment to the Waterford community is further evidenced in the two new school-based health
centers we opened at Clark Lane Middle School and Waterford High School in 2021.
On average, the amount of uncompensated care provided to our clients is 10% of our total costs to
provide these services. Annually we request the cities and towns we serve to assist us in paying for
uncompensated care provided to their residents. For the fiscal year ending June 30, 2023,
Waterford residents’ amount is projected to be $38,138. Based on prior conversations with
members of the Board, we are limiting our request to $8,000. This amount will be used to support
our programs in the following ways:
Q 
$2,000 for Dental Services
a 
$2,000 for Primary Care Medical Services
a 
$1,000 for Women’s Health Services
a 
$3,000 for Behavioral Health Services
Many of the people that UCFS serves have nowhere else to turn for the essential professional care
they need and deserve. UCFS provides services regardless of ability to pay, accepts all insurance
types, including Medicaid and Medicare, and provides an income-based sliding fee scale for low-
th 
fe 
United 
Has
aR se 
& Be

income uninsured and underinsured clients. UCFS was awarded $334,058 from the United Way
for FY 2022, which represents 1% of the total agency budget.
UCFS employs 400 staff for a total preliminary FY2023 budget amount of $31,806,016 inclusive of
benefits.
To support our request, you will find the following:
e 
List of municipalities who support UCFS and the amount of funding they provide
FY23 and FY22 Budget
FY22 Year to date Actual as compared to budget
FY20 Audit Report
FY21 Annual Report
Please note that our proposed FY23 budget is only a rough estimate at this stage since the budget
will not be completed until June 2023.
Waterford’s continued support is critical to ensuring that care is available to Waterford residents
who would otherwise be unable to afford its full cost. With Waterford as an ongoing partner, UCFS
will continue to make a positive impact on the lives of your residents in need.
If you require any additional information, please feel free to contact me at (860) 822-4143. Thank
you for your past support and your consideration of this request.
Sincerely,
Jennifer Granger
President & CEO

oom
Services Provided to Waterford Residents During FY 2021
Detail of FY23 Funding Request
Dental Program:
64 patient visits
Subsidy Requested: $2,000
This funding will be used to provide 15 dental visits during FY 2023 to 11 Waterford clients who do
not have the ability to pay for these services.
Medical Program:
172 patient visits
Subsidy Requested: $2,000
This funding will be used to provide 14 medical visits during FY 2023 to Waterford clients who do
not have the ability to pay for these services.
Women’s Health Program:
15 patient visits
Subsidy Requested: $1,000
This funding will be used to provide 7 women’s health visits during FY 2023 to Waterford clients
who do not have the ability to pay for these services.
Behavioral Health Services:
1,772 sessions of direct professional care
Subsidy Requested: $3,000
This funding will be used to provide 24 behavioral health visits during FY 2023 to Waterford clients
who do not have the ability to pay for these services.

UCFS
Cities and Towns Funding Requests
Fiscal Year 2022
Bozrah (incl. Gilman) 
$ 
22,232.00 
$0.00
Canterbury 
s 
34,094.00
Colchester 
S 
111,659.00 
$0.00
C. Lyme (incl. Niantic) 
S 
21,835.00 
$6,301.00
Franklin (incl. N. Franklin) 
S 
10,230.00 
$3,500.00
Griswold (incl. Jewett City) 
iS 
298,654.00 
$5,000.00
Groton (incl. Groton Long Pt., Noank) 
S 
4,000.00 
$4,000.00
Lebanon 
S 
21,211.00 
$5,116.00
Ledyard (incl. Gales Ferry) 
S 
56,697.00 
$0.00
Lisbon 
S 
30,479.00 
$20,000.00
Lyme (incl. Hadlyme, Old Lyme, S. Lyme) 
S 
4,555.00 
$4,555.00
Montville (incl. Uncasville, Oakdale) 
S 
119,642.00 
$1,500.00
New London 
S 
121,325.00 
$0.00
North Stonington 
S 
6,849.00 
$1,050.00
Norwich (incl. Taftville, Yiantic, Occum) 
S 
150,000.00 
$50,000.00
Plainfield (incl. Ctr. Village, Moosup, Wauregan) 
S 
197,570.00 
$0.00
Preston 
S 
37,570.00 
$27,621.00
Salem 
S 
17,007.00 
$0.00
Sprague (incl. Baltic, Hanover, Versailles) 
S 
42,389.00 
50.00
Voluntown 
S 
28,203.00 
$0.00
Waterford (incl. Quaker Hill) 
S 
8,000.00 
$7,200.00
$135,843.00

United Community and Family Services
Revenue & Expenses
As of September 30, 2021
YTD 
Budaet 
Variance 
YR Budaet
OutPatient Revenue 
4,476,013 
4,524,649 
-48,636 
19,675,840
Government Grant Revenue 
1,863,086 
1,810,922 
52,164 
7,243,688
HRSA 330 Grant Revenue 
445,125 
508,018 
-62,892 
2,032,070
Eldercare Fees 
345,765 
349,133 
-3,368 
1,396,531
340B Phamacy 
174,054 
175,625 
-1,570 
702,500
Contract Revenue 
168,339 
127,001 
41,337 
508,005
United Way 
82,864 
83,514 
-651 
334,058
Foundation Revenue 
417 
37,500 
-37,083 
150,000
Contributions 
73,743 
31,817 
41,925 
127,270
Cities & Towns Revenue 
31,604 
28,981 
2,624 
115,922
Special Events 
760 
1,875 
s1,115 
51,500
Rental Income 
49,316 
48,988 
328 
222,853
COVID Income 
288,171 
575,271 
-287,100 
2,226,401
Miscellaneous Income 
613 
1,577 
-964
Yale
1, UU,
6,750
Personnel Expense
Personnel Expense 
5,899,857 
6,147,107 
247,250 
24,313,493
Fringe Benefits 
1,362,296 
1,578,688 
216,392 
6,239,132
Total Salary Related Expenses 
7,262,154 
7,725,795 
463,641 
30,552,625
Other Expenses
Contracted Labor/Services/Equipment 
611,873 
580,426 
-31,447 
2,325,555
Equipment & Supplies 
180,650 
223,938 
43,289 
1,067,202
Occupancy 
138,866 
137,447 
-1,419 
549,790
Interest & Debt Service 
33,254 
34,500 
1,246 
138,000
Insurance 
101,548 
101,378 
-170 
405,511
Telephone/Communications Exps 
77,698 
80,250 
2,552 
321,001
Transportation - Client/Staff 
51,829 
50,602 
-1,227 
202,408
Staff Training & Meetings 
11,588 
47,590 
36,002 
190,361
Marketing & Fundraising 
16,836 
36,662 
19,826 
169,650
Advertising-Employment 
30,126 
7,750 
-22,376 
31,000
Staff & Volunteer Recognition 
1,352 
6,050 
4,698 
24,200
Client Support 
15,997 
8,664 
-7,333 
34,654
Miscellaneous Expenses 
22,007 
43,316 
21,310 
119,267
Total Other Expense 
1,293,625 
1,358,575 
64,950 
5,578,598
otal Labor 
and Other Exp
Allocated Administration 
0 
0 
0 
0
Surplus/Deficit after GA 
-555,910 
-779,500 
223,590 
-1,337,835
Non-Allow Allocation 
0 
0 
0 
0
Total Surplus/Deficit 
-555,910 
-779,500 
223,590 
-1,337,835

United Community and Family Services, Inc
Annual Operating Budget - Preliminary 2023
For the Fiscal Years Ending June 30, 2023 and 2022
2023 
2022
OutPatient Revenue 
21,996,820 
19,675,840
Government Grant Revenue 
7,643,688 
7,243,688
HRSA 330 Grant Revenue 
1,532,070 
2,032,070
Eldercare Fees 
1,496,531 
1,396,531
340B Phamacy 
702,500 
702,500
Contract Revenue 
558,005 
508,005
United Way 
334,058 
334,058
Foundation Revenue 
150,000 
150,000
Contributions 
127,270 
127,270
Cities & Towns Revenue 
115,922 
115,922
Special Events 
51,500 
51,500
Rental Income 
222,853 
222,853
COVID Income 
1,839,277 
2,226,401
Miscellaneous Income 
6,750 
6,750
otal Revenue
“Personnel Expense 
24,942,971 
24,313,493
Fringe Benefits 
6,863,045 
6,239,132
Total Salary Related Expenses 
31,806,016 
30,552,625
Contracted Labor/Services/Equipment 
2,172,066 
2,325,555
Equipment & Supplies 
888,546 
1,067,202
Occupancy 
560,786 
549,790
Interest & Debt Service 
140,760 
138,000
Insurance 
413,621 
405,511
Telephone/Communications Exps 
327,421 
321,001
Transportation - Client/Staff 
206,456 
202,408
Staff Training & Meetings 
194,168 
190,361
Marketing & Fundraising 
173,043 
169,650
Advertising-Employment 
31,620 
31,000
Staff & Volunteer Recognition 
24,684 
24,200
Client Support 
35,347 
34,654
Miscellaneous Expenses 
121,652 
119,267
Total Other Expense 
5,290,170 
5,578,599
Allocated Administration 
0 
0
Surplus/Deficit after GA 
-318,942 
-1,337,836
Non-Allow Allocation 
0 
it)
Total Surplus/Deficit 
-318,942 
-1,337,836

United Community & Family Services, Inc.
Federal Awards in
Accordance with the Uniform Guidance
and Independent Auditor's Reports
June 30, 2020
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United Community & Family Services, Inc.
Index
Page
Independent Auditor's Report on Internal Control over Financial Reporting and on Compliance
and Other Matters Based on an Audit of Financial Statements Performed in Accordance
with Government Auditing Standards 
2
Independent Auditor's Report on Compliance for Each Major Federal Program; Report on
Internal Control over Compliance; and Report on the Schedule of Expenditures of Federal
Awards Required by the Uniform Guidance 
4
Schedule of Expenditures of Federal Awards 
7
Notes to Schedule of Expenditures of Federal Awards 
8
Schedule of Findings and Questioned Costs 
9

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ADVISORY » ASSURANCE « TAX
Independent Auditor's Report on Internal Control over Financial Reporting and on
Compliance and Other Matters Based on an Audit of Financial Statements
Performed in Accordance with Government Auditing Standards
To the Board of Directors
United Community & Family Services, Inc.
We have audited, in accordance with the auditing standards generally accepted in the United States of
America and the standards applicable to financial audits contained in Government Auditing Standards
issued by the Comptroller General of the United States, the financial statements of United Community
& Family Services, Inc. (a nonprofit entity), which comprise the statement of financial position as of
June 30, 2020, and the related statements of activities, functional expenses and cash flows for the year
then ended, and the related notes to the financial statements, and have issued our report thereon dated
February 18, 2021.
Internal Control over Financial Reporting
In planning and performing our audit of the financial statements, we considered United Community &
Family Services, Inc.'s internal control over financial reporting (internal control) as a basis for designing
audit procedures that are appropriate in the circumstances for the purpose of expressing our opinion on
the financial statements, but not for the purpose of expressing an opinion on the effectiveness of United
Community & Family Services, Inc.'s internal control. Accordingly, we do not express an opinion on the
effectiveness of United Community & Family Services, Inc.'s internal control.
A deficiency in internal control exists when the design or operation of a control does not allow
management or employees, in the normal course of performing their assigned functions, to prevent, or
detect and correct, misstatements on a timely basis. A material weakness is a deficiency, or a
combination of deficiencies, in internal control, such that there is a reasonable possibility that a material
misstatement of the entity's financial statements will not be prevented, or detected and corrected on a
timely basis. A significant deficiency is a deficiency, or a combination of deficiencies, in internal control
that is less severe than a material weakness, yet important enough to merit attention by those charged
with governance.
Our consideration of internal control was for the limited purpose described in the first paragraph of this
section and was not designed to identify all deficiencies in internal control that might be material
weaknesses or significant deficiencies. Given these limitations, during our audit we did not identify any
deficiencies in internal control that we consider to be material weaknesses. However, material
weaknesses may exist that have not been identified.
Compliance and Other Matters
As part of obtaining reasonable assurance about whether United Community & Family Services, Inc.'s
financial statements are free from material misstatement, we performed tests of its compliance with
certain provisions of laws, regulations, contracts, and grant agreements, noncompliance with which
could have a direct and material effect on the financial statements. However, providing an opinion on
compliance with those provisions was not an objective of our audit and, accordingly, we do not express
such an opinion. The results of our tests disclosed no instances of noncompliance or other matters that
are required to be reported under Government Auditing Standards.

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Purpose of this Report
The purpose of this report is solely to describe the scope of our testing of internal control and
compliance and the results of that testing, and not to provide an opinion on the effectiveness of the
entity's internal control or on compliance. This report is an integral part of an audit performed in
accordance with Government Auditing Standards in considering the entity's internal control and
compliance. Accordingly, this communication is not suitable for any other purpose.
Hartford, Connecticut
February 18, 2021

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Independent Auditor's Report on Compliance for Each Major Federal Program;
Report on Internal Control over Compliance; and Report on the Schedule of
Expenditures of Federal Awards Required by the Uniform Guidance
To the Board of Directors
United Community & Family Services, Inc.
Report on Compliance for Each Major Federal Program
We have audited United Community & Family Services, Inc.'s compliance with the types of compliance
requirements described in the OMB Compliance Supplement that could have a direct and material
effect on each of United Community & Family Services, Inc.'s major federal programs for the year
ended June 30, 2020. United Community & Family Services, Inc.'s major federal programs are
identified in the summary of auditor's results section of the accompanying schedule of findings and
questioned costs.
Management's Responsibility
Management is responsible for compliance with federal statutes, regulations, and the terms and
conditions of its federal awards applicable to its federal programs.
Auditor's Responsibility
Our responsibility is to express an opinion on compliance for each of United Community & Family
Services, Inc.'s major federal programs based on our audit of the types of compliance requirements
referred to above. We conducted our audit of compliance in accordance with auditing standards
generally accepted in the United States of America; the standards applicable to financial audits
contained in Government Auditing Standards, issued by the Comptroller General of the United States;
and the audit requirements of Title 
2 
U.S. Code of Federal Regulations Part 200, 
Uniform
Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform
Guidance). Those standards and the Uniform Guidance require that we plan and perform the audit to
obtain reasonable assurance about whether noncompliance with the types of compliance requirements
referred to above that could have a direct and material effect on a major federal program occurred. An
audit includes examining, on a test basis, evidence about United Community & Family Services, Inc.'s
compliance with those requirements and performing such other procedures as we considered
necessary in the circumstances.
We believe that our audit provides a reasonable basis for our opinion on compliance for each major
federal program. However, our audit does not provide a legal determination of United Community &
Family Services, Inc.'s compliance.

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Opinion on Each Major Federal Program
In our opinion, United Community & Family Services, Inc. complied, in all material respects, with the
types of compliance requirements referred to above that could have a direct and material effect on each
of its major federal programs for the year ended June 30, 2020.
Report on Internal Control over Compliance
Management of United Community & Family Services, Inc. is responsible for establishing and
maintaining effective internal control over compliance with the types of compliance requirements
referred to above. In planning and performing our audit of compliance, we considered United
Community & Family Services, Inc.'s internal control] over compliance with the types of requirements
that could have a direct and material effect on each major federal program to determine the auditing
procedures that are appropriate in the circumstances for the purpose of expressing an opinion on
compliance for each major federal program and to test and report on internal control over compliance in
accordance with the Uniform Guidance, but not for the purpose of expressing an opinion on the
effectiveness of internal control over compliance. Accordingly, we do not express an opinion on the
effectiveness of United Community & Family Services, Inc.'s internal control over compliance.
A deficiency in internal contro! over compliance exists when the design or operation of a control over
compliance does not allow management or employees, in the normal course of performing their
assigned functions, to prevent, or detect and correct, noncompliance with a type of compliance
requirement of a federal program on a timely basis. A material weakness in internal control over
compliance is a deficiency, or a combination of deficiencies, in internal control over compliance, such
that there is a reasonable possibility that material noncompliance with a type of compliance requirement
of a federal program will not be prevented, or detected and corrected, on a timely basis. A significant
deficiency in internal control over compliance is a deficiency, or a combination of deficiencies, in
internal control over compliance with a type of compliance requirement of a federal program that is less
severe than a material weakness in internal control over compliance, yet important enough to merit
attention by those charged with governance.
Our consideration of internal control over compliance was for the limited purpose described in the first
paragraph of this section and was not designed to identify all deficiencies in internal control over
compliance that might be material weaknesses or significant deficiencies. We did not identify any
deficiencies in internal control over compliance that we consider to be material weaknesses. However,
material weaknesses may exist that have not been identified.
The purpose of this report on interna! control over compliance is solely to describe the scope of our
testing of internal control over compliance and the results of that testing based on the requirements of
the Uniform Guidance. Accordingly, this report is not suitable for any other purpose.

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Report on the Schedule of Expenditures of Federal Awards Required by the Uniform Guidance
We have audited the financial statements of United Community & Family Services, Inc. as of and for
the year ended June 30, 2020, and have issued our report thereon dated February 18, 2021, which
contained an unmodified opinion on those financial statements. Our audit was conducted for the
purpose of forming an opinion on the financial statements as a whole. The accompanying schedule of
expenditures of federal awards is presented for purposes of additional analysis as required by the
Uniform Guidance and is not a required part of the financial statements. Such information is the
responsibility of management and was derived from and relates directly to the underlying accounting
and other records used to prepare the financial statements. The information has been subjected to the
auditing procedures applied in the audit of the financial statements and certain additional procedures,
including comparing and reconciling such information directly to the underlying accounting and other
records used to prepare the financial statements or to the financial statements themselves, and other
additional procedures in accordance with auditing standards generally accepted in the United States of
America. In our opinion, the schedule of expenditures of federal awards is fairly stated in all material
respects in relation to the financial statements as a whole.
Hartford, Connecticut
February 18, 2021

United Community & Family Services, Inc.
Schedule of Expenditures of Federal Awards
Year Ended June 30, 2020
Federal Grantor / Pass-Through
Federal CFDA
Pass-Through Entity
Passed Through
Total Federal
Grantor / Program or Cluster Title 
Number 
Identifying Number 
to Subrecipients 
Expenditures
U.S. Department of Health and Human Services
Health Center Program Cluster
Health Center Program 
93.224 
N/A 
$ 
- 
$ 
163,528
COVID-19 Health Center Program 
93.224 
N/A 
- 
63,751
Total CFDA 93.224 
- 
227,279
Grants for New and Expanded Services Under the Health
Center Program 
93.527 
N/A 
- 
1,563,873
Total Health Center Program Cluster 
- 
1,791,152
Passed through the State of Connecticut Department
of Public Health
Maternal and Child Health Services Block Grant to the States 
93.994 
2019-0206 
60,059 
99,064
Immunization Cooperative Agreements (Non-cash assistance) 
93.268 
Not available 
- 
265,384
Passed through Eastern Connecticut Area Agency on Aging
Aging Cluster
Special Programs for the Aging-Title Ill, Part B, Grants for
Supportive Services and Senior Centers 
93.044 
Not available 
- 
39,130
Total Aging Cluster 
- 
39,130
Passed through the Community Health Center
Association of Connecticut, Inc.
ACA - Transforming Clinical Practice Initiative:
Practice Transformation Networks (PTNs) 
93.638 
1L1CMS331459-04-00 
- 
33,528
Passed through the Office of Early Childhood
Maternal, Infant, and Early Childhood Home Visiting Grant 
93.870 
19O0ECMHV01UCF 
- 
450,563
Passed through the State of Connecticut Department of
Children and Families
Block Grants for Community Mental Health Services 
93.958 
46DCFO177AA 
- 
50,000
Substance Abuse and Mental Health Service Projects
of Regional and National Significance 
93.243 
16DCFO177AA 
- 
87,860
Care Coordination 
93.558 
16DCF0177AA 
- 
372,230
Early Childhood Development 
93.558 
16DCF0177AA 
173,340 
807,971
EMPS Early Mobile Pyschiatric Services 
93.558 
16DCFO177AA 
- 
855,640
Multidimensional Family Therapy (MDFT) 
93.558 
16DCFOI77AA 
- 
402,188
Total Temporary Assistance for Needy Families 
173,340 
2,438,029
Passed through the Child and Family Agency of
Southeastern Connecticut, Inc.
Temporary Assistance for Needy Families 
93.558 
Not available 
- 
540,973
Total CFDA 93.558 
173,340 
2,979,002
Total U.S. Department of Health and Human Services 
233,399 
5,795,683
U.S. Department of Agriculture
Passed through the State of Connecticut Department of Education
Child and Adult Care Food Program 
10.558 
Not available 
- 
14,099
Total U.S. Department of Agriculture 
- 
14,099
U.S. Department of Transportation
Passed through the State of Connecticut Department of Transportation
Transit Services Program Cluster
Enhanced Mobility of Seniors and Individuals with Disabilities 
20.513 
19DOTO49AA 
- 
46,353
Total Transit Services Program Cluster 
- 
46,353
Total U.S. Department of Transporation 
- 
46,353
Total Expenditures of Federal Awards 
$ 
233,399 
$ 
5,856,135
See Notes to Schedule of Expenditures of Federal Awards.
7

United Community & Family Services, Inc.
Notes to Schedule of Expenditures of Federal Awards
June 30, 2020
Note 1 - Basis of presentation
The accompanying schedule of expenditures of federal awards (the "Schedule") includes the
federal grant activity of United Community & Family Services, Inc. (the “Organization") under
programs of the federal government for the year ended June 30, 2020. The information in this
Schedule is presented in accordance with the requirements of Title 2 U.S. Code of Federal
Regulations 
Part 
200, 
Uniform 
Administrative 
Requirements, 
Cost Principles, 
and Audit
Requirements for Federal Awards ("Uniform Guidance"). Because the Schedule presents only a
selected portion of the operations of the Organization, it is not intended to and does not present the
financial position, changes in net assets, or cash flows of the Organization.
Note 2 - Summary of significant accounting policies
Expenditures reported on the Schedule are reported on the accrual basis of accounting. Such
expenditures are recognized following the cost principles contained in the Uniform Guidance,
wherein certain types of expenditures are not allowable or are limited as to reimbursement.
Negative amounts shown on the Schedule represent adjustments or credits made in the normal
course of business to amounts reported as expenditures in prior years. The Organization has
elected to use the 10-percent de minimis indirect cost rate for certain grants as allowed under the
Uniform Guidance. Pass-through entity identifying numbers are presented where available.
Note 3 - Donated personal protective equipment (unaudited)
During the year ended June 30, 2020, the Organization received donated personal protective
equipment with a fair market value of $172,892.

United Community & Family Services, Inc.
Schedule of Findings and Questioned Costs
Year Ended June 30, 2020
Summary of Auditor's Results
Financial Statements:
Type of auditor's report issued on whether the
financial statements were prepared in accordance with
GAAP: 
Unmodified opinion
Internal control over financial reporting:
Material weakness(es) identified? 
yes 
X 
no
Significant deficiencies(ies) identified? 
yes 
X_ 
none reported
Noncompliance material to financial statements
noted? 
yes 
X 
no
Federal Awards:
Internal control over major programs:
Material weakness(es) identified? 
yes 
X 
no
Significant deficiency(ies) identified? 
yes 
X 
none reported
Type of auditor's report issued on compliance for
major programs: 
Unmodified opinion
Any audit findings disclosed that are required to be
reported in accordance with 2 CFR Section
200.516(a)? 
yes 
X 
no
Identification of major programs:
CFDA Number(s) 
Name of Federal Program or Cluster
U.S. Department of Health and Human Services
Health Center Program Cluster
93.224 
Health Center Program
93.224 
COVID-19 Health Center Program
Grants for New and Expanded Services Under the
93.527 
Health Center Program
Dollar threshold used to distinguish between type A
and type B programs 
$750,000
Auditee qualified as low-risk auditee? 
X 
yes 
no
Findings - Financial Statement Audit
None
Findings and Questioned Costs - Major Federal Award Programs Audit
None

CohnReznick 7/)
ADVISORY * ASSURANCE * TAX
Independent Member of Nexia International
cohnreznick.com

2021
ANNUAL
REPORT
UCFS Healthcare
Well-Being Redefined.

TO THE COMMUNITY
WE SERVE
Nearly two years ago, we
understood that the incredible
challenges brought on by the
COVID-19 pandemic would
indeed define us - in the best
way possible. We honored the
opportunity and responsibility
to reassess Our resources, restate
our priorities, and lead our
community into a safer, stronger
future. As our pandemic-related
work remains ongoing, we now
take time to look back on all our
dedicated staff has accomplished
and all the exciting news we have to
share. In this report we are “Taking
Time” to reflect on all we’ve done,
and the work still ahead.
Enhanced protocols
mean that everyone
who visits 
a UCFS
site is safe.
TIME TO STRENGTHEN
OUR COMMUNITY
| am proud to announce
that UCFS is building a new,
leading-edge Comprehensive
Care Center in Norwich specifically
focused on our patients who cope
with anxiety and trauma. The
center will offer primary
care and behavioral health
appointments in a small,
calm, optimal environment.
The experience of going
to a doctor or therapist can
be overwhelming - which
regrettably deters those who
need these services most.
UCFS is dedicated to identifying
and removing these and other
barriers to health.
Take a moment to see the good « To remember the 
il
smiles e
lime has a
wonderful one
rug 
Crs.
Another milestone achievement
is our new pediatric walk-in care
center, which will be opening soon
in Norwich. Until this time, we've
offered walk-in medical care for
UCFS pediatric patients - now we
stand ready to bring this crucial
service to the entire community.
Unlike a hospital emergency room
or traditional urgent care center, the
clinic will be staffed with pediatric
specialists; and unlike other pediatric
practices, will be open outside of
normal business hours giving area
children specialized medical services
and their parents much-needed
peace of mind.
O
As we accelerate our capacity
to give families the care they
need - where they need it most - we
opened two new school-based clinics
in Waterford; at Clark Lane Middle
School and Waterford High School.
Schools in the region have reported
rising rates of anxiety and depression
among student populations and an
elevated need for behavioral health
services. These centers will ease the
stress and strain on working parents,
by providing essential services to
children in their school setting.
©
To remember the little things in life

TIME TO STRENGTHEN PATIENT TIES
Enhancements to our electronic health records are improving engagement
and communication with patients and making registration far quicker and
more efficient. Patients can see their health information - including test results,
appointment history and other data, and launch telehealth appointments all
from the same convenient platform.
We are also building specific, impactful supports for patients with
life-threatening, chronic diseases like hypertension and diabetes. UCFS recently
secured federal funding to deploy home blood pressure monitoring devices
to 150 patients. These devices are connected to each person's electronic
health record; a powerful way to track progress or issues between doctor visits.
@yive TO REFLECT ON PAST 
We’re proud to provide a level of
—/ACHIEVEMENTS, AND A 
attention and care that exceeds
FUTURE FULL OF POSSIBILITY 
conventional models, and exemplifies
UCFS has a proud and unique lineage —_ what a truly comprehensive, patient
among other local organizations. 
centered, community-based agency
We've been here since 1877; 
should look like and do.
which means this was not our first
pandemic. Through thick and thin, 
TIME TO BE GRATEFUL
families have trusted our providers 
It would simply not be possible to
to keep them safe. Our history and 
do the magnitude of this work alone.
mission is built with an abiding 
We extend heartfelt gratitude to
respect for that trust. 
our supporters for all you have done
to promote the noble work of our
All of our services, whether eldercare, 
—_ exceptional staff. Your contributions
outpatient services, or community- 
inspire us and elevate our mission.
based behavioral health, target those 
We invite you to take a closer look
most in need financially, clinically, and 
at our achievements over the past
geographically. We actively review 
fiscal year, secure in the knowledge
and implement evidence-based 
that your support makes a critical
strategies that work to keep families 
difference in the lives of your
healthy and together. We analyze 
neighbors, and residents across
findings from state and federal 
our great region.
data and other nonprofits, conduct 
;
community needs assessments, and 
Kage
look at patient demographics when
Cpssisning our services. Being agile 
President/CEO 
-
and responsive is a continual part 
CFS Healthcare
of our operations.
ful in this world ¢ Take time ¢
. 
the wonder 
© love 
2
To be grateful « Take time to caeeeeneill 
ee 
_
_ 
To be thankful «

BOARD OF DIRECTORS/OFFICERS
Lee-Ann Gomes 
Connie Hilbert
Chair 
Secretary
Leo Chupaska
Treasurer
Abby Dolliver
Nicholas Caplanson
First Vice Chair
Deb Kievits
Second Vice Chair
BOARD MEMBERS
Irene Bessette
Brian Clinton 
Dr. Robert Strick
Caroline Fortin 
Irma Wilhelm
Patrick McCormack 
Jocelyn Williams
SENIOR MANAGEMENT
Jennifer Granger
President/CEO
Cara Westcott
Chief Operating Officer
William Rush
Chief Financial Officer
Dr. Ramindra Walia
Chief Medical Officer
Jan Davis (Retired 10/15/2021)
Vice President of Eldercare Services
Katherine Ramos
Vice President of Eldercare Services
Jennifer Bevacqua
Vice President of People
Wangdu (Will) Dorjee
Vice President, Information Technology
Deberey Hinchey
Vice President, Behavioral Health
Pamela Allen Kinder
Vice President, Business Development
Sharon Laliberte
Compliance Officer
Immediate Past Chair
Jacqueline Patenaude
take a moment to see the good e To remember the 
smil
° 
: 
smiles e
PROGRAMS & SERVICES
PRIMARY CARE AND SPECIALTY SERVICES
— Adult and Pediatric Primary Care
— Gynecology
— Geriatrics
DENTAL
— General and Pediatric Dentistry
— Special Smiles Dental Operatory
ELDERCARE SERVICES
— Sheltering Arms Residential Care
— Ross Adult Day Center
COMMUNITY OUTREACH SERVICES
— Access to Care Program
— The Eastern CT Medical Home Initiative
— Case Management
OUTPATIENT BEHAVIORAL
HEALTH SERVICES
— Counseling and Psychotherapy
— Bettor Choice Gambling Treatment Program
— Autism
— Medication Assisted Treatment
COMMUNITY-BASED BEHAVIORAL
HEALTH SERVICES
— Mobile Crisis Intervention Services
— Intensive Family Preservation
— Multidimensional Family Therapy
— Early Childhood Consultation Partnership
— Child First
— Caregiver Support Team
— Family - Based Recovery
— Care Coordination
To remember the little things in life

Financials 
OPERATIONAL REVENUE
FY 2021
ANNUAL REPORT
Unaudited-Fiscal Year
ended June 30, 2021
TOTAL OPERATIONAL
REVENUE
$35,162,600
©; OTAL OPERATIONAL
EXPENSES
$34,832,531
ANNUAL OPERATING SURPLUS
$330,069 
OPERATIONAL EXPENSES
DEPRECIATION EXPENSE
| 
-$1,286,862
{ 
PPP LOAN FORGIVENESS
| 
$6,339,100
In FY 20, we received Paycheck
Protection Program (PPP) monies
totaling $6.3 million that were used
to offset FY 20 and FY 21 expenses.
! 
The revenue was recognized
in FY 21 after the loan was
forgiven and resulted in the
" 
agency surplus of $5,382,307.
To be thankful « To be grateful « Take time to se° the wonderful in this wor 
etime to love 
4
Sez

TIME TO MOBILIZE,
TEST, AND VACCINATE
When news of an aggressive virus that causes
severe respiratory conditions began circulating in
early 2020, the medical team at UCFS knew they
were racing against time and began bracing for
something big.
“We were looking at the literature, reading the
reports and we realized what we were facing,”
shares Nancy Holte, RN, Director of Nursing
and Infection Control at UCFS. “| remember
meeting with a variety of community partners to
discuss roles and strategies and thinking, this is
the last time we’re all going to be around this
table for a while.”
- Nancy Holte
“Very early on, we made the decision that
UCFS would stay open for our patients and our
community. We mobilized with vital testing, then
vaccinating and more — every one of us, every
day, because every minute mattered.”
What did this mean? It meant dentists and dental
assistants became COVID testers. It meant
leading by example when Ramindra Walia,
MD, Chief Medical Officer at UCFS received
his vaccination in a milestone event that was
streamed on Facebook Live a few days before
Christmas. It meant immediate adaptation of
telehealth and other resources to keep patients
connected, healthy and informed.
take a moment to see the good + To remember the 
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The numbers speak for themselves —
In the 2020/2021 fiscal year, 13,287 Covid
tests were conducted and 8,777 vaccines
were administered.
“In addition to testing, vaccinating and
supporting our patients, we believed in
preventing the spread of COVID-19 — teaching
our patients the importance of infection control
as schools, workplaces and venues began to
return to pre-pandemic norms. We spent a
great deal of time learning about the disease,
the tests and the vaccines so we could be a
trusted resource of accurate information for
our community,” expressed Nancy. “Providing
trusted information became vitally important
as vaccine hesitancy, the delta variant and the
debate about vaccine boosters surfaced in late
summer and remains with us to this very day.
“Through it all and to this very moment the staff
demonstrated a compelling level of dedication
— we are in sync as a health network. At all of
our health centers, there is no job that is ‘not my
lane.’ Every person stepped up. Everyone took
on the roles that were needed,” shares Nancy
with pride. “We could count on each other.”
To remember the little things in lite
0

By, the Vumhers:
PRIMARY CARE
30,649 client visits
10,020 unique clients seen 
ELDERCARE SERVICES
WOMEN’S HEALTH 
DURING FY 2021
2,440 client visits 
ROSS ADULT DAY CENTER
1,468 unique clients seen
© BEHAVIORAL HEALTH
91,603 client visits
4,542 unique clients seen
SHELTERING ARMS
RESIDENTIAL CARE
DENTAL
7,096 client visits
3,827 unique clients seen
COMMUNITY OUTREACH ANNUAL
REPORT FOR FY 2020 - 2021
ACCESS TO CARE 
TOTAL FOR ALL
1,133 unduplicated clients served 
OUTPATIENT SITES
903 screenings
1,478 applications for insurance and
other assistance programs
CASE MANAGEMENT
442 unduplicated families served
MEDICAL HOME
y 
226 Families served
(O
COMMUNITY BASED BEHAVIORAL HEALTH
Over 1,700 children and their families served
in 
this 
world « Take 
ti
Ww
nkful « To be grateful « Take time to — the -

2021 GOLF TOURNAMENT 
Major Sponsor 
Lunch Sponsor
JTK Management 
Robinson + Cole
Restaurants
UCFS held its 2021 Golf Tournament 
: 
Hole In One Sponsor
on Monday, June 21, 2021 at Stonington 
Golf Cart Sponsor 
Pequot Healthcare
: 
Foxwoods Resort
Country Club. Thank you to the businesses 
: 
.
Seales 
Casino 
Dinner Sponsor
and individuals who supported our 
Gees & Kieran, loc.
Golf Tournament! 
Golf Shirt Sponsor 
a subsidiary of NFP
Alera Group 
Insurance
RAFFLE DONORS
Foxwoods Resort Casino 
HOLE SPONSORS 
9
Lake of Isles
Mohegan Sun
Mystic Seaport
Norwich Golf Course
East Side Clinical Laboratory
Genoa Healthcare
Foxwoods Resort Casino
Mohegan Tribe/Mohegan Sun
UCFS Senior Management Team 
OB-GYN Services, P-C.
WR Allen Companies 
Winthrop Wealth
On Course 
“Fore” Sponsor
SUPPORTERS 
Refreshment Sponsors 
CCi Voice
CCi Voice
Foxwoods Resort Casino 
Tote Bag Sponsor 
Golf Bag Tag Sponsors
Dime Bank 
Cohn Reznick
Miranda Creative
Norwich Public Utilities 
Eastern CT Savings Bank
Golf Towel Sponsor
Charter Oak Credit Union
SAVE THE DATE
JUNE 20, 2022
for next year’s
Golf Tournament

For decades, our community has asked how they
can have the greatest impact on the health and
Thank you to our current
members of Caring in Action.
well-being of their friends and neighbors.
You wanted fewer galas and more opportunities
to be involved in making a meaningful impact
in the community. You wanted to know that
your donations are being directed to the most
effective programs.
(@ UCFS Healthcare has created an opportunity for
you to become part of the solution and have a
voice in where your dollars are invested.
— Caring in Action. Giving Redefined.
THE IDEA IS SIMPLE:
COMMIT
Make a commitment to contribute
a $200 donation twice a year.
ATTEND
Gather twice a year, where you will hear
presentations directly from staff that impact
the lives of our clients.
SELECT
Caring in Action members select where
the collective donation will be directed.
IMPACT
The more attendees who participate, the
larger the impact on improving the community.
SIMPLE - DIRECT - IMPACTFUL
MEMBERS
Anonymous
Carl & Bonnie Banks
Chelsea Groton Bank
Kevin Brolin
Leo & Christina Chupaska
CorePlus Credit Union
Jan Davis
Bill 
& Abby Dolliver
Melissa Banks
Frank & Connie Hilbert
Deberey Hinchey
Jennifer Granger
Michael & Charlene Jones
Chris & Pam Kinder
Marta Lachcik
Tom & Sharon Laliberte
Kathryn Lord
Melissa Miller
OB-GYN Services
Theodore Phillips, II
Robinson + Cole
Andrea Sullivan
Jeff & Cara Westcott
WR Allen Companies
Enrolling in Caring in Action is easy — simply send an email to Pam Kinder at pkinder@ucfs.org
indicating that you wish to become a member. You will be contacted with all the information you need.
To be thankful « To be grateful « Take time to see th. wonderful in this world « Take time to love 
8

TIME TO BAND TOGETHER
The eastern Connecticut community is
defined by its strong partnerships. “As
the pandemic ramped up, and when
variants made day-to-day operations
difficult to predict, we were able to draw on
established relationships,” shares Jennifer
Granger, President and CEO of UCFS.
“Whether government leaders, municipalities,
schools, other nonprofits or regional health
officials, we worked together to fill gaps
and meet needs.”
“The Uncas Health District and UCFS have a
shared fundamental goal of preventing illness
and promoting health throughout our service
areas,” agrees Patrick McCormack, Director
of Health for Uncas Health District. “As the
federally recognized health provider for
this region, we regularly partner
with the team at UCFS for
first-hand awareness of
community needs. We are
honored to offer services
that impact those that
are most at risk.”
From the broad
powers of the federal
government to the
grassroots team of
“Friends of UCFS” who
donated face shields,
masks for patients, food,
milk and school supplies,
when resources were
limited, UCFS paired
with others to be
more resourceful.
Patrick McCormack,
Uncas Health District
and Pam Kinder, UCFS
9 
Take a moment to see the good « To remember the smil
— 
Se 
miles «
TIME TO VALUE DIVERSITY
The past year has been a time of reflection
and awareness for many organizations. “Like
many entities, UCFS took a hard look at how
we are actively working to promote diversity,
equity and inclusion (DEI). I’m proud that our
leadership chose to do the hard work that DEI
entails, focusing on two communities: BIPOC
(Black, Indigenous, People of Color) and
LGBTQ+ (lesbian, gay, bisexual, transgender
and questioning),” outlines Jennifer Granger,
President and CEO of UCFS.
UCFS formed a DEI committee at the Board
of Directors’ level, hiring a consultant, and
developing a work plan to build awareness,
educate, create space for difficult conversations,
while reviewing policies and data. The agency
also established a task force on LGBTO+ services.
“All of this will allow us to evolve as an
organization and provide lasting institutional
change,” continues Jennifer. “It’s critical for
businesses to understand the role they play in
creating career opportunities for the BIPOC
and LGBTQ+ communities. First, we contribute
by breaking a cycle that has left entire
communities behind while lifting all people up
in the process. Second, our patients will see
providers who look like them, who have similar
experiences and culture, which we hope will
translate into greater patient retention and
healthier outcomes.”
“It's very exciting when you think about
the prospect of breaking the old cycle of
exclusion and illness, and creating a new cycle
of opportunity and health. It's something | 
—
look forward to and frankly, it’s about time,”
concludes Jennifer.
s in life
To remember the little thing

ELDERCARE— FROM
MAKING TIME TO FACETIME
When the pandemic hit, it quickly became
apparent that our elder citizens were most at
risk — first of being gravelly ill, and then suffering
loneliness and isolation in the quarantine that
was meant to protect them.
Thankfully, those anxious days have not
returned for those supported by the eldercare
services of UCFS — Sheltering Arms Residential
Care and Ross Adult Day Center both located
in Norwich. While time seemed to stand still
long days becoming weeks and then months
— as soon as safely possible, with all staff
members fully vaccinated in accordance with
state mandates, Jan Davis, Vice President of
Eldercare Services at UCFS activated services
and introduced new options.
Qur clients have spent a ljfetime
- Jan Davis,Vice President
of Eldercare Services
“We brought everything back — and then
some — because people needed it,” explains
Jan. “We remain cautious, of course, and made
sure everything is done according to guidelines.
But our community, both staff and clients are
really responding. Everyone absolutely loves the
activities, both familiar and new.” Residents of
Sheltering Arms and clients of the Ross Adult
Day Center have full access to vital resources
such as recreational and socialization programs.
’ The Center also offers nursing services,
homestyle meals, personal care assistance, social
supports, transportation, and has a library of
resources for caregivers.
& be thankful « To be grateful « Take time to
see the wonder
“Our clients deserve every resource,
experience and moments of joy that can be
provided,” continues Jan. Special moments
in time and celebrations included more outdoor
activities. “We have enjoyed having meals
outside under our tent,” explains Jan. Even
though pandemic restrictions have eased, we
are continuing to do more picnics, barbecues,
and outdoor entertainment.”
“Seeing 
a member of our community using
a tablet to communicate with friends and
loved ones on FaceTime is now an everyday
occurrence,” shares Jan. “With tablets donated
by our local Wireless Zone, what began as a way
to overcome isolation during the heart of the
pandemic, has now become a way to dispel any
feelings of loneliness or confusion.”
From online Zumba, Zoom sessions and
tablets that made being remote feel closer,
the passion and commitment of the eldercare
programs went the distance to remain close as
well. Home visits and meal delivery for clients
unable to make it to the Center gave our staff a
chance to interact, at a distance with clients.“In
spite of how horrible and stressful the past year
and a half has been, there have been some
positive developments,” concludes Jan. “It’s
made us think a lot more — opening the doors
to greater creativity — leading to better ways to
make use of our time and resources.”
10

TELEHEALTH + TECHNOLOGY
QUALITY CARE ANYTIME,
ANYWHERE
In March of 2020, as part of a series of executive
orders related to keeping care accessible
during the health crisis, Connecticut relaxed
restrictions on telehealth use for Medicaid
patients. As a result of effective adoption of
virtual appointments and continuing concerns
for consumer safety, a follow-up bill preserved
telehealth services through June 30, 2023.
“Tn Cifle 6 no time, we had
6 pwot in how we provided
services - [fh wasa signuficant
sasstapllclarsceat
- Cara Westcott, UCFS Chief
Operating Officer
“Once the state gave the OK, we were timely in
our response,” shares Jennifer Granger, President
and CEO of UCFS. “Keeping our community
healthy is our mission, and telehealth supports
this mission on many levels. We are not surprised
it is proving to be essential.”
Telehealth reaches people where they are and
on their own time easing the burdens of work
absences, arranging for child care, securing
transportation, and the many other obstacles
that can make it difficult for patients to keep
appointments for medical and behavioral health
needs. It also greatly reduces the rate of
transmission for all infectious diseases, allowing
the medically fragile to access their providers
in a safe and convenient way.
I] 
Take a moment to see the good « To remember the smil
— 
z 
ee 
miles 
e
“While we chose to locate our Health Centers
in the heart of the community we serve, making
health care accessible and convenient for all,
telehealth allows us to reach our patients in an
entirely new way,” continues Jennifer. “These
virtual visits offer a greater level of convenience,
accessibility and connection across a spectrum
of care.”
“Telehealth is