2025-04-09T13:36:46-05:00 2024-12-31 550621482 GRAY GRIFFITH & MAYS AC 707 VIRGINIA STREETEASTSUITE 400 CHARLESTON WV 253012711 990 2024-01-01 222432409 CHAUTAUQUA HOSPICE AND PALLIATIVE CARE CHAU 7163380033 20 W FAIRMOUNT AVE LAKEWOOD NY 14750 MIKE TESTA PRESIDENT/CEO 7163380033 2025-04-08 1 1 J RYAN LINDSAY P01835061 3043459400 2024 2025-03-06 01:10:19Z MIKE TESTA 20 W FAIRMOUNT AVE LAKEWOOD NY 14750 6737462 0 X WWW.CHPC.CARE X 1981 NY CHPC'S MISSION IS TO PROVIDE COMPREHENSIVE PALLIATIVE/END-OF-LIFE CARE AND EDUCATION. 14 14 69 33 81035 4349 324885 470226 4577869 4361780 73166 142214 -15424 88353 4960496 5062573 0 0 0 0 3674269 3445091 0 0 71319 1699904 1705126 5374173 5150217 -413677 -87644 5753598 5686784 414542 366670 5339056 5320114 CHPC'S MISSION IS TO PROVIDE COMPREHENSIVE PALLIATIVE/END-OF-LIFE CARE AND EDUCATION. 0 0 3603891 4364730 HOSPICE PROGRAM: CHPC PROVIDES COMPASSIONATE, EXPERT END-OF-LIFE CARE TO RESIDENTS OF CHAUTAUQUA COUNTY, NEW YORK. HOSPICE SERVICES ARE AVAILABLE TO PATIENTS WHEREVER THEY CALL HOME, INCLUDING THEIR OWN HOME, AN ASSISTED LIVING FACILITY, A NURSING HOME, OR HOSPITAL 44203 BEREAVEMENT SERVICES: CHPC PROVIDES BEREAVEMENT SERVICES THROUGH HOSPICE BEREAVEMENT SUPPORT, COMMUNITY BEREAVEMENT SUPPORT, AND GRIEF SUPPORT GROUPS. 87715 5067 PALLIATIVE CARE: CHPC OFFERS COMMUNITY BASED PALLIATIVE CARE TO INDIVIDUALS WITH SERIOUS ILLNESS FOCUSING ON PAIN MANAGEMENT AND SYMPTOM CONTROL. THE FOCUS IS TO KEEP THE PATIENT COMFORTABLE, AT HOME AND IN CONTROL WHILE REDUCING HOSPITALIZATIONS AND EMERGENCY DEPARTMENT VISITS. 3735809 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 18 0 69 0 1 1 0 0 0 0 1 1 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X THE ORGANIZATION 7163380033 20 W FAIRMOUNT AVE LAKEWOOD NY 14750 JANESE BERKHOUSE SECRETARY 2.00 X X 0 0 0 DAVID DENGLER BOARD CHAIR 2.00 X X 0 0 0 CARMEN HLOSTA VICE CHAIR 2.00 X X 0 0 0 ELLEN LUCZKOWIAK TREASURER 2.00 X X 0 0 0 SHAM BAHGAT DIRECTOR 2.00 X 0 0 0 JOY BILHARZ DIRECTOR 2.00 X 0 0 0 KATHIE CRACIUM-WRIGHT DIRECTOR 2.00 X 0 0 0 ANN ECKMAN DIRECTOR 2.00 X 0 0 0 JUDITH HOROWITZ DIRECTOR 2.00 X 0 0 0 GARY KINDBERG DIRECTOR 2.00 X 0 0 0 SUSAN SOSINSKI DIRECTOR 2.00 X 0 0 0 LORI THIERFELDT DIRECTOR 2.00 X 0 0 0 MATTHEW WEHR DIRECTOR 2.00 X 0 0 0 MICHAEL WHITE DIRETOR 2.00 X 0 0 0 DR THOMAS PUTNAM MEDICAL DIRECTOR 37.50 X 148160 0 6518 MIKE TESTA CEO 37.50 X 163053 0 16740 311213 0 23258 2 0 1 0 0 42754 8074 419398 470226 HOSPICE / HOME CARE 621610 3380196 3380196 ROOM AND BOARD 621610 976517 976517 PALLIATIVE CARE 621610 5067 5067 4361780 37769 37769 1639297 1534852 104445 104445 104445 21913 42754 22612 -699 -699 198460 117425 81035 81035 MISCELLANEOUS OTHER INCOME 900099 7857 7857 MISCELLANEOUS 900099 160 160 8017 5062573 4369797 81035 141515 311213 203175 108038 2572109 1679200 833154 59755 285999 184855 95106 6038 275770 183211 87033 5526 14081 14081 160637 149733 10904 52795 34467 18328 40072 26161 13911 130353 85101 45252 17000 11098 5902 109522 101701 7821 20341 13431 6910 376 245 131 90777 59264 31513 29911 19527 10384 NURSING HOME CONTRACT 586999 586999 DRUGS 138490 138490 MEDICAL EQUIPMENT AND S 116440 116440 BUILDING MAINTENANCE AN 84599 57140 27459 112733 85571 27162 5150217 3735809 1343089 71319 769290 598055 86780 178545 24010 0 423710 350831 33238 78650 3335278 527967 2881390 2807311 1450320 1639298 84860 34094 5753598 5686784 346505 350562 68037 16108 414542 366670 X 5339056 5320114 5339056 5320114 5753598 5686784 -87644 68702 0 X X 0 1 X 1 0 X 1734382 1326334 329649 324885 470226 4185476 5969343 5654480 4588846 4577869 4421780 25212318 7703725 6980814 4918495 4902754 4892006 29397794 0 0 0 29397794 73382 31492 138980 73166 142214 459234 73382 31492 138980 73166 142214 459234 1615 594 1720 770 8018 12717 7778722 7012900 5059195 4976690 5042238 29869745 0.98420 0.98830 0.01540 0.01160 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 973 973 0 PART II-B, LINE 1: THE ORGANIZATION PAYS DUES TO HOSPICE & PALLIATIVE CARE ASSOCIATION OF NYS. HPCANYS PARTICIPATES IN LOBBYING ACTIVITIES AND THE AMOUNT REPORTED ABOVE REPRESENTS THE PORTION OF DUES ALLOCATED FOR LOBBYING ACTIVITIES 160040 160040 3016520 414197 2602323 158718 113770 44948 2807311 LEASE LIABILITY 16108 16108 X 5257232 68702 140038 208740 5048492 14081 14081 5062573 5276174 140038 140038 5136136 14081 14081 5150217 PART X, LINE 2: THE AGENCY IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND FORM NEW YORK STATE INCOME TAXES UNDER ARTICLE 7-A OF THE EXECUTIVE LAW. THEREFORE, NO PROVISION HAS BEEN MADE FOR FEDERAL OR NEW YORK STATE INCOME TAXES IN THE FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: DIRECT COST OF FUNDRAISING EVENTS NETTED AGAINST REVENUE ON 990 140,038. PART XII, LINE 2D - OTHER ADJUSTMENTS: DIRECT COST OF FUNDRAISING EVENTS NETTED AGAINST REVENUE ON 990 140,038. DBB 21800 8757 13043 12671 12 42867 33997 8870 9941 64667 42754 21913 22612 22612 -699 X X X 0 0 0 0 0 0 0 0 0 MIKE TESTA CEO 163053 0 0 0 0 0 0 0 0 0 163053 0 0 0 PART I, LINE 3 THE COMPENSATION COMMITTEE IS MADE UP OF THE EXECUTIVE COMMITTEE MEMBERS OF THE BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE UTILIZES A WRITTEN ANALYSIS WHICH INCLUDES DATA ON SALARY RANGES AND AVERAGE PERFORMANCE INCREASES OF SIMILARLY QUALIFIED PERSONS IN COMPARABLE POSITIONS AT SIMILAR ORGANIZATIONS. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT COPY OF THE 990 IS DISTRIBUTED AND PRESENTED TO THE BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C INDIVIDUALS ARE TO COMMUNICATE CONFLICTS AS THEY OCCUR AND ABSTAIN FROM VOTES AS APPROPRIATE FORM 990, PART VI, SECTION B, LINE 15 THE WAGE AND COMPENSATION SUB COMMITTEE SHALL CONSIST OF BOARD REPRESENTATION, THE PRESIDENT/CEO, VP OF CLINICAL SERVICES, VP OF FINANCE AND HUMAN RESOURCES. THIS COMMITTEE WILL MEET BIANNUALLY OR AS INDICATED TO REVIEW WAGES AND COMPENSATION. THE COMMITTEE WILL REPORT RECOMMENDATIONS TO THE FINANCE COMMITTEE, EXECUTIVE COMMITTEE, AND BOARD FOR REVIEW AND FOLLOW UP. FORM 990, PART VI, SECTION C, LINE 18 THE IRS FORM 990 IS MADE AVAILABLE UPON REQUEST FORM 990, PART VI, SECTION C, LINE 19 THE DOCUMENTS ARE MADE AVAILABLE UPON REQUEST AT THE MAIN OFFICE OF THE ORGANIZATION. PART XII, LINE 2C THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESONSIBILITY FOR OVERSIGHT OF THE AUDIT.