2024-04-16T08:51:18-05:00 2023-12-31 550621482 GRAY GRIFFITH & MAYS AC 707 VIRGINIA STREETEASTSUITE 400 CHARLESTON WV 253012711 990 2023-01-01 222432409 CHAUTAUQUA HOSPICE AND PALLIATIVE CARE CHAU 7163380033 20 W FAIRMOUNT AVE LAKEWOOD NY 14750 MIKE TESTA PRESIDENT/CEO 7163380033 2024-04-01 1 MIKE TESTA 999009999 0 J RYAN LINDSAY P01835061 3043459400 2 AAL1 IAL1 2023 2023-04-26 12:10:37Z MIKE TESTA 20 W FAIRMOUNT AVE LAKEWOOD NY 14750 6240348 0 X WWW.CHPC.CARE X 1981 NY CHPC'S MISSION IS TO PROVIDE COMPREHENSIVE PALLIATIVE/END-OF-LIFE CARE AND EDUCATION. 12 12 79 32 0 0 358750 324885 4588846 4577869 138980 73166 -27381 -15424 5059195 4960496 0 0 0 0 3747443 3674269 0 0 67089 1859180 1699904 5606623 5374173 -547428 -413677 6102644 5753598 483291 414542 5619353 5339056 CHPC'S MISSION IS TO PROVIDE COMPREHENSIVE PALLIATIVE/END-OF-LIFE CARE AND EDUCATION. 0 0 3625882 4486578 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 46596 BEREAVEMENT SERVICES: CHPC PROVIDES BEREAVEMENT SERVICES THROUGH HOSPICE BEREAVEMENT SUPPORT, COMMUNITY BEREAVEMENT SUPPORT, AND GRIEF SUPPORT GROUPS. 283203 92060 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. 3955681 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 22 0 79 0 0 0 0 0 0 1 1 0 0 0 0 X 12 12 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 CHARLES RICE CHAIRMAN 2.00 X X 0 0 0 DAVID DENGLER VICE CHAIRMAN 2.00 X X 0 0 0 ELLEN LUCZKOWIAK TREASURER 2.00 X X 0 0 0 CARMEN HLOSTA SECRETARY 2.00 X X 0 0 0 KATHIE CRACIUM-WRIGHT DIRECTOR 2.00 X 0 0 0 JOY BILHARZ DIRECTOR 2.00 X 0 0 0 JANESE BERKHOUSE DIRECTOR 2.00 X 0 0 0 SHAM BAHGAT DIRECTOR 2.00 X 0 0 0 MICHAEL WHITE DIRECTOR 2.00 X 0 0 0 DR MATTHEW WEHR DIRECTOR 2.00 X 0 0 0 LORI THIERFELDT DIRECTOR 2.00 X 0 0 0 ANN ECKMAN DIRECTOR 2.00 X 0 0 0 MICHAEL TESTA PRESIDENT/CEO 37.50 X 155659 0 17623 DR THOMAS PUTNAM MEDICAL DIRECTOR 37.50 X 200511 0 5535 356170 0 23158 2 0 1 0 0 57294 38750 228841 324885 HOSPICE / HOME CARE 621610 3580530 3580530 ROOM AND BOARD 621610 905279 905279 PALLIATIVE CARE 621610 92060 92060 4577869 39680 39680 1263789 1230303 33486 33486 33486 33356 57294 49549 -16193 -16193 MISCELLANEOUS 900099 769 769 769 4960496 4578638 0 56973 356170 112644 243526 2699668 1937429 706209 56030 330970 233531 92011 5428 287461 186379 95451 5631 12180 12180 151990 141800 10190 70370 47209 23161 56570 37951 18619 123390 82779 40611 29400 19724 9676 127760 117200 10560 31950 21129 10821 1198 804 394 97970 65725 32245 27400 18382 9018 NURSING HOME CONTRACT 533259 533259 DRUGS 163300 163300 MEDICAL EQUIPMENT AND S 120110 120110 BUILDING MAINTENANCE AN 72350 55924 16426 80707 60402 20305 5374173 3955681 1351403 67089 1085582 769290 6181 86780 195852 24010 444693 423710 27167 33238 3318580 437190 2975829 2881390 1257720 1450320 84860 109620 6102644 5753598 389005 346505 94286 68037 483291 414542 X 5619353 5339056 5619353 5339056 6102644 5753598 -413677 133380 0 X 0 1 X 0 0 X 429529 1734382 1326334 329649 324885 4144779 5397283 5969343 5654480 4588846 4577869 26187821 5826812 7703725 6980814 4918495 4902754 30332600 0 0 0 30332600 38610 73382 31492 138980 73166 355630 38610 73382 31492 138980 73166 355630 1615 594 1720 770 4699 5865422 7778722 7012900 5059195 4976690 30692929 0.98830 0.98590 0.01160 0.01390 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1054 1054 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 330160 2686360 142020 107030 34990 2881390 LEASE LIABILITY 68037 68037 X 5131246 133380 49550 182930 4948316 12180 12180 4960496 5411543 49550 49550 5361993 12180 12180 5374173 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 49,550. PART XII, LINE 2D - OTHER ADJUSTMENTS: DIRECT COST OF FUNDRAISING EVENTS NETTED AGAINST REVENUE ON 990 49,550. DBB 17285 5369 11916 12833 GALA 32094 18285 13809 26605 11 41271 33640 7631 10111 90650 57294 33356 49549 49549 -16193 X X X 0 0 0 0 0 0 0 0 0 DR THOMAS PUTNAM MEDICAL DIRECTOR 200511 0 0 0 0 0 0 0 5535 0 206046 0 0 0 MICHAEL TESTA PRESIDENT/CEO 155659 0 0 0 0 0 0 0 17623 0 173282 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.