2014-05-12T13:03:45-05:00 2013-06-30 061354191 VISCONTI & ASSOCIATES PC 41 MIDDLETOWN AVENUE NORTH HAVEN CT 064733926 990 2012-07-01 060883545 FAIR HAVEN COMMUNITY HEALTH CLINIC INC FAIR 2037777411 374 GRAND AVENUE NEW HAVEN CT 06513 SUZANNE LAGARDE 2037777411 2014-05-12 1 JOHN J VISCONTI P00027180 2038652927 2014-05-12 2012 2015-11-30 17:44:51Z SUZANNE LAGARDE MD 374 GRAND AVENUE NEW HAVEN CT 06513 14628897 0 X FHCHC.ORG X 1971 CT TO PROVIDE HEALTH SERVICES TO THE MEDICALLY UNDERSERVED IN THE NEW HAVEN AREA. 11 11 246 0 0 0 8161631 8672941 7331836 5954712 1255 1244 0 0 15494722 14628897 0 0 0 0 9610720 10423221 0 0 17589 4897006 4768338 14507726 15191559 986996 -562662 7871045 7054440 4249387 3995444 3621658 3058996 TO PROVIDE HEALTH SERVICES TO THE MEDICALLY UNDERSERVED IN THE NEW HAVEN AREA. 0 0 10742516 5954712 THE GENERAL CLINIC SERVED APPROXIMATELY 15,000 PATIENTS AND HANDLED APPROXIMATELY 72,300 PATIENT VISITS FOR THE FISCAL YEAR ENDED JUNE 30, 2012. 1061234 WIC PROGRAM PROVIDES NUTRITION EDUCATION AND FOOD BENEFITS FOR PREGNANT AND LACTATING WOMEN, INFANTS, AND CHILDREN UNDER THE AGE OF FIVE. APPROXIMATELY 2,500 PEOPLE BENEFIT FROM THIS PROGRAM. 11803750 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 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 0 0 0 0 1 5 0 1 246 1 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 1 0 1 1 1 1 1 1 1 1 0 X X SUZANNE LAGARDE MD EXECUTIVE DIRECTOR 2037777411 374 GRAND AVENUE NEW HAVEN CT 06513 WILLIAM MORICO 1.00 X 0 0 0 GEORGINA LUCAS 1.00 X 0 0 0 NITZA DIAZ 1.00 X X 0 0 0 MAGDA ANA NATAL 1.00 X X 0 0 0 JOE RODRIGUEZ 1.00 X 0 0 0 DORETTA BOWMAN 1.00 X 0 0 0 ENRIQUE JUNCADELLA 1.00 X 0 0 0 THOMAS THETFORD 1.00 X X 0 0 0 TOM CANDRICK 1.00 X X 0 0 0 ELIZABETH CRUZ 1.00 X 0 0 0 DARCEY COBBS-LOMAX 1.00 X 0 0 0 LAURIE BRIDGER 35.00 X 163114 0 0 LAUREL SHADER 35.00 X 133434 0 0 SHARON ANDERSON 35.00 X 132595 0 0 ELIZABETH MAGENHEIMER 35.00 X 130122 0 0 JAMES EDWARD SEELY 35.00 X 126947 0 0 ANNE CAMP 35.00 X 125798 0 0 812010 0 0 9 0 1 0 BURCHMAN TERRIO GEBHARDT & QUIST LLC 80 BROAD STREET 15TH FL NEW YORK NY 10004 MEDICAL BILLING 307811 A TO Z PROPERTY PRESERVATION INC PO BOX 1882 WALLINGFORD CT 06492 CLEANING SERVICES 125783 LEADERS FOR TODAY LLC 50 RESNICK ROAD PLYMOUTH MA 02360 BUSINESS CONSULTANTS 113983 3 7785430 887511 1858894 8672941 PATIENT GENERATED FEES 621400 5954712 5954712 5954712 1244 1244 14628897 5954712 0 1244 8652922 6700016 1938562 14344 988352 765288 221426 1638 781947 599381 181225 1341 414179 321234 92945 12103 9387 2716 9745 7558 2187 52520 47668 4852 304255 235978 68277 32531 25231 7300 WIC FOOD BENEFITS 1061234 1061234 VACCINES 797660 797660 CONSULTANTS 660790 32025 628765 PROVISION FOR BAD DEBTS 466841 466841 956480 734249 221965 266 15191559 11803750 3370220 17589 986081 265854 630098 682082 1041368 882709 74627 117346 7750041 2754333 4917400 4995708 83333 83333 138138 27408 7871045 7054440 1386937 1733578 1762034 1936221 1100416 325645 4249387 3995444 X 3621658 3058996 3621658 3058996 7871045 7054440 -562662 0 X X 0 1 X 1 1 1 X 7091651 7956359 7643151 8161631 8672941 39525733 5728944 5371473 6095563 7331836 5954712 30482528 12820595 13327832 13738714 15493467 14627653 70008261 0 0 0 70008261 4244 1255 1244 6743 4244 1255 1244 6743 12820595 13332076 13738714 15494722 14628897 70015004 0.99990 0.99990 0.00010 0.00010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 212000 212000 5768347 1791319 3977028 1769694 963014 806680 4995708 DEFERRED INCOME 325645 325645 X 14851569 222672 222672 14628897 0 14628897 15414231 222672 222672 15191559 0 15191559 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE CLINIC ADOPTED ASC 740 INCOME TAXES. ASC 740 PROVIDES DETAILED GUIDANCE FOR THE FINANCIAL STATEMENT RECOGNITION, MEASUREMENT AND DISCLOSURE OF UNCERTAIN TAX POSITIONS RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. INCOME TAX POSITIONS MUST MEET A MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD AT THE EFFECTIVE DATE TO BE RECOGNIZED UPON ADOPTION OF ASC 740 AND IN SUBSEQUENT PERIODS. MANAGEMENT IS NOT AWARE OF ANY UNCERTAIN TAX POSITIONS TAKEN BY THE CLINIC AS OF THAT DATE. TAX YEARS ENDED JUNE 30, 2009 THROUGH JUNE 30, 2012 REMAIN SUBJECT TO EXAMINATION BY MAJOR TAX JURISDICTIONS. X 0 0 0 0 0 0 0 0 0 LAURIE BRIDGER 147425 0 15689 0 0 0 0 0 0 0 163114 0 0 0 X WIC FOOD BENEFITS 1061234 X VACCINES 797660 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE TAX RETURN 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. CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC FORM 990, PART VII WILLIAM MORICO - 176 BEAR PATH LANE, HAMDEN, CT 06514. GEORGINA LUCAS - 333 CEDAR STREET, NEW HAVEN, CT 06520. NITZA DIAZ - 112 PECK STREET, NEW HAVEN, CT 06513. MAGDA ANA NATAL - 195 CHURCH STREET, NEW HAVEN, CT 06510. JOE RODRIGUEZ - 221 NORTH HIGH STREET, EAST HAVEN, CT 06512. DORETTA BOWMAN - 202 CHATHAM STREET, NEW HAVEN, CT 06513. ENRIQUE JUNCADELLA - 62 CARDINAL DRIVE, GUILFORD, CT 06437. THOMAS THETFORD - 135 COLLEGE STREET, NEW HAVEN, CT 06510. TOM CANDRICK - 195 CHURCH STREET, NEW HAVEN, CT 06510. ELIZABETH CRUZ - 221 NORTH HIGH STREET, EAST HAVEN, CT 06512. PART XI, LINE 2C EXPLANATION THERE HAS BEEN NO CHANGE SINCE THE PRIOR YEAR.