2025-05-14T13:23:41-05:00 2024-06-30 333709623 COHNREZNICK ADVISORY LLC 350 CHURCH STREET 12TH FLOOR HARTFORD CT 06103 990 2023-07-01 060883545 FAIR HAVEN COMMUNITY HEALTH CLINIC INC FAIR 2037777411 374 GRAND AVENUE NEW HAVEN CT 06513 SUZANNE LAGARDE MD MBA FACP CEO 2037777411 2025-05-12 1 1 LORI ROTHE YOKOBOSKY P01273422 9592007000 2025-05-08 2023 2025-03-06 01:10:19Z SUZANNE LAGARDE MD MBA F 374 GRAND AVENUE NEW HAVEN CT 06513 73054165 0 X WWW.FHCHC.ORG X 1971 CT NON-PROFIT PRIMARY HEALTH CARE ORGANIZATION SERVING THE GREATER FAIR HAVEN COMMUNITY SINCE 1971. OUR MISSION IS TO PROVIDE EXCELLENT, ACCESSIBLE CARE TO THE MEDICALLY UNDER-SERVED, REGARDLESS OF THEIR ABILITY TO PAY. 13 13 359 14 0 0 20013491 25598407 29435265 40235684 -1272407 801162 143017 359083 48319366 66994336 2375914 1333975 0 0 23248384 27005911 0 0 161856 15969312 21266115 41593610 49606001 6725756 17388335 58336591 68195497 30872693 23330931 27463898 44864566 NON-PROFIT PRIMARY HEALTH CARE ORGANIZATION SERVING THE GREATER FAIR HAVEN COMMUNITY SINCE 1971. OUR MISSION IS TO PROVIDE EXCELLENT, ACCESSIBLE CARE TO THE MEDICALLY UNDER-SERVED, REGARDLESS OF THEIR ABILITY TO PAY. 0 0 37596125 0 40587840 THE CLINIC EXPERIENCED 115,035 MEDICAL RELATED PATIENT VISITS, 21,948 MENTAL HEALTH RELATED VISITS, AND 5,620 DENTAL VISITS FOR THE FISCAL YEAR JUNE 30, 2024. 1333975 1333975 WIC PROGRAM PROVIDED NUTRITION EDUCATION AND FOOD BENEFITS FOR PREGNANT AND LACTATING WOMEN, INFANTS, AND CHILDREN UNDER THE AGE OF FIVE. APPROXIMATELY 8,157 PEOPLE BENEFITED FROM THIS PROGRAM. 38930100 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 60 0 1 359 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X SUZANNE LAGARDE MD MBA FACP 2037777411 374 GRAND AVENUE NEW HAVEN CT 06513 ANDREA SIMMONS VICE PRESIDENT 1.00 X X 0 0 0 CARLA WEIL BOARD MEMBER 1.00 1.00 X 0 0 0 ENRIQUE JUNCADELLA BOARD MEMBER 1.00 X 0 0 0 EVELYN BARNUM OUTGOING BOARD MEMBER 1.00 X 0 0 0 JOHN DESTEFANO JR BOARD MEMBER 1.00 X 0 0 0 LUIS LUNA BOARD MEMBER 1.00 X 0 0 0 MAGDA ANA NATAL SECRETARY 1.00 X X 0 0 0 MALWIN DAVILA BOARD MEMBER 1.00 X 0 0 0 MARIBEL MARTINEZ PRESIDENT 1.00 1.00 X X 0 0 0 MARTA MORET BOARD MEMBER 1.00 X 0 0 0 NITZA DIAZ BOARD MEMBER 1.00 X 0 0 0 RUTH RODRIGUEZ BOARD MEMBER 1.00 X 0 0 0 TOM CANDRICK ESQ TREASURER 1.00 X X 0 0 0 WILLIAM MORICO BOARD MEMBER 1.00 X 0 0 0 AMY TRIMANI CHIEF FINANCIAL OFFICER 39.00 1.00 X 206962 0 3620 SUZANNE LAGARDE CHIEF EXECUTIVE OFFICER 39.00 1.00 X 310138 0 1612 ABIGAIL PAINE VP PROGRAMS 40.00 X 199900 0 3892 BENJAMIN OLDFIELD VP CLINICAL AFFAIRS 40.00 X 331432 0 16448 S DOMINIC SERAPHIN VP BUSINESS DEVELOPMENT 40.00 X 210369 0 34988 THERESE MARROCCO VP ADMINISTRATIVE SERVICES 40.00 X 203384 0 28439 MANAN DAVE COMPLIANCE OFFICER 1.00 X 169411 0 3205 JAMES SEELY MD 40.00 X 238374 0 12993 JOHN MCDONAGH MD 40.00 X 241431 0 38002 KARLA TEJADA ARIAS MD 40.00 X 227499 0 28978 KYLE ELLIGERS MD 36.00 X 217488 0 12321 MARIO OCHOA PRIETO MD 40.00 X 226836 0 4432 2783224 0 188930 56 0 1 0 E4H ENVIRONMENTS FOR HEALTH LLC 185 TALCOTT DRIVE WILLISTON VT 05495 ARCHITECTS 758249 PROTECK LLC 85 WILLOW ST BLDG 3 FL 3 NEW HAVEN CT 06511 WASTE DISPOSAL 528441 PROPIO LANGUAGE SERVICE 10801 MASTIN ST STE 580 OVERLAND PARK KS 44210 INTERPRETATION SERVICES 224302 THE ANGELETTI GROUP 365 SOUTH ST STE 100 MORRISTOWN NJ 07960 FUNDRAISING CONSULTANTS 217000 CHAMPION MAINTENANCE & CONSTRUCTION 301 COMMERCE DRIVE FAIRFIELD CT 06825 CLEANING SERVICE 135265 8 22120453 3477954 4824867 25598407 MEDICAID 621400 26951269 26951269 340B PHARMACY REVENUE 621400 9703933 9703933 THIRD-PARTY PAYORS 621400 2492901 2492901 SELF-PAY 621400 766756 766756 MEDICARE 621400 320825 320825 40235684 792022 792022 6927 0 6927 6927 6927 6068969 6059829 9140 9140 9140 INCENTIVES 900099 281370 281370 70786 70786 352156 66994336 40587840 0 808089 1333975 1333975 1073837 776370 291171 6296 21514660 15552382 5836074 126204 223110 161693 60117 1300 2359271 1709820 635704 13747 1835033 1329893 494448 10692 87370 87370 104041 104041 20000 20000 4953502 4470514 482988 125760 122315 3445 266071 192046 73853 172 310377 223623 86754 1875454 1276217 599237 100424 97845 2579 41758 30364 11394 1302696 417130 885566 931324 614674 316650 169446 116918 52528 340B PRESCRIPTION PROGR 6496748 6496748 DONATED SUPPLIES 3490892 3490892 MEDICAL SUPPLIES 588476 588476 EQUIPMENT AND VEHICLE M 74042 15547 58495 327734 34973 292761 49606001 38930100 10514045 161856 10018885 13986920 6424105 3087232 1149909 2247482 2397313 9721493 27654100 27654100 196817 470028 133263 156198 19203948 9783136 8625970 9420812 83333 83333 1215562 1061282 437334 306617 58336591 68195497 5062200 4300601 197092 142583 24196306 17657681 1417095 1230066 30872693 23330931 X 27463898 44864566 27463898 44864566 58336591 68195497 17388335 12333 0 X 0 1 X 1 1 1 X 17655757 17118088 14679453 20013491 25598407 95065196 17655757 17118088 14679453 20013491 25598407 95065196 95065196 51894 35913 16863 139728 798949 1043347 66643 256119 255869 239951 352156 1170738 97279281 120533762 0.97720 0.98710 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2019 AMOUNT: $ 66,643. 2020 AMOUNT: $ 256,119. 2021 AMOUNT: $ 255,869. 2022 AMOUNT: $ 239,951. 2023 AMOUNT: $ 70,786. INCENTIVES - 2023 AMOUNT: $ 281,370. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 20000 20000 0 PART II-B, LINE 1: $20,000 WAS PAID TO A CONSULTING FIRM FOR LOBBYING SERVICES RELATED TO LEGISLATION THAT AFFECTS FEDERALLY QUALIFIED HEALTH CENTERS. 478454 478454 8571504 5243761 3327743 6484714 2807760 3676954 3476465 1731615 1744850 192811 192811 9420812 OPERATING LEASE LIABILITIES 1217434 SECURITY DEPOSITS 12632 1230066 X 68282146 12333 1272462 3015 1287810 66994336 0 66994336 51756011 1272462 877548 2150010 49606001 0 49606001 PART X, LINE 2: MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE CLINIC AND HAS CONCLUDED THAT, AS OF JUNE 30, 2024 AND 2023 THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE CLINIC'S FEDERAL AND STATE INFORMATION RETURNS PRIOR TO YEAR 2021 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. PART XI, LINE 2D - OTHER ADJUSTMENTS: RELATED ORGANIZATION REVENUE 3,015. PART XII, LINE 2D - OTHER ADJUSTMENTS: RELATED ORGANIZATION EXPENSES 877,548. X X X X X X 1 THE ANGELETTI GROUP 365 SOUTH ST STE 100 MORRISTOWN NJ 07960 CAPITAL CAMPAIGN FUNDRAISING CONSULTANTS 0 0 217000 0 217000 CT 1 WIC-FOOD VOUCHERS 8157 1333975 FMV FOOD VOUCHERS PART I, LINE 2: CONTRIBUTION ASSISTANCE TO ORGANIZATION, IS TO AN AFFILIATE. THEREFORE, THE BOARD IS ABLE TO MONITOR USE OF FUNDS. FOR THE WIC-FOOD VOUCHER ASSISTANCE PROGRAM THE ORGANIZATION VERIFIES ELIGIBILITY BASED ON INDIVIDUALS INCOME TO PARTICPATE IN THE PROGRAM. PROOF OF INCOME IS PROVIDED THROUGH ONE OF THE FOLLOWING WAYS: HUSKY A OR HUSKY B PRENATAL MEDICAID CARDS, APPROVAL/BUDGET LETTER FOR SNAP OR TFA (TEMPORARY FAMILY ASSISTANCE), 4 CURRENT PAY STUBS FOR ALL WORKING HOUSEHOLD MEMBERS (PAYSTUBS CANNOT BE GREATER THAN 60 DAYS). RECIPIENTS OF SNAP, TFA OR HUSKY A/B CLIENTS ARE AUTOMATICALLY ELIGIBLE AS THEY MUST MEET THE SAME INCOME REQUIREMENTS TO RECEIVE THOSE BENEFITS. X 0 0 0 0 0 0 0 0 0 BENJAMIN OLDFIELD VP CLINICAL AFFAIRS 331432 0 0 0 0 0 6457 0 9991 0 347880 0 0 0 SUZANNE LAGARDE CHIEF EXECUTIVE OFFICER 310138 0 0 0 0 0 1612 0 0 0 311750 0 0 0 JOHN MCDONAGH MD 241431 0 0 0 0 0 4786 0 33216 0 279433 0 0 0 KARLA TEJADA ARIAS MD 227499 0 0 0 0 0 4560 0 24418 0 256477 0 0 0 JAMES SEELY MD 238374 0 0 0 0 0 1574 0 11419 0 251367 0 0 0 S DOMINIC SERAPHIN VP BUSINESS DEVELOPMENT 210369 0 0 0 0 0 4338 0 30650 0 245357 0 0 0 THERESE MARROCCO VP ADMINISTRATIVE SERVICES 203384 0 0 0 0 0 4142 0 24297 0 231823 0 0 0 MARIO OCHOA PRIETO MD 226836 0 0 0 0 0 4432 0 0 0 231268 0 0 0 KYLE ELLIGERS MD 217488 0 0 0 0 0 0 0 12321 0 229809 0 0 0 AMY TRIMANI CHIEF FINANCIAL OFFICER 206962 0 0 0 0 0 3620 0 0 0 210582 0 0 0 ABIGAIL PAINE VP PROGRAMS 199900 0 0 0 0 0 3892 0 0 0 203792 0 0 0 MANAN DAVE COMPLIANCE OFFICER 169411 0 0 0 0 0 3205 0 0 0 172616 0 0 0 X 1 1333975 FMV X 2 3490892 FMV 0 0 0 PART I, COLUMN (B): COLUMN B REPRESENTS NUMBER OF CONTRIBUTORS. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS REVIEWED BY MANAGEMENT AND THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C ANY POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED AND RESOLVED BY THE BOARD. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE DIRECTOR'S COMPENSATION IS REVIEWED AND APPROVED BY THE BOARD. OTHER OFFICER AND KEY EMPLOYEE COMPENSATION IS REVIEWED AND APPROVED BY THE EXECUTIVE DIRECTOR. FORM 990, PART VI, SECTION C, LINE 19 THEY ARE MADE AVAILABLE UPON REQUEST. FHCHC SUPPORT CORPORATION 374 GRAND AVENUE NEW HAVEN CT 06513 922404114 SUPPORT FAIR HAVEN COMMUNITY HEALTH CLINIC, INC. CT 501(C)(3) LINE 12A, I FAIR HAVEN COMMUNITY HEALTH CLINIC INC 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 1 0 0