2026-03-30T19:38:18-05:00 2025-12-31 550621482 GRAY GRIFFITH & MAYS AC 707 VIRGINIA STREETEASTSUITE 400 CHARLESTON WV 253012711 990 2025-01-01 222432409 CHAUTAUQUA HOSPICE AND PALLIATIVE CARE CHAU 7163380033 20 W FAIRMOUNT AVE LAKEWOOD NY 14750 MIKE TESTA PRESIDENT/CEO 7163380033 2026-03-30 1 J RYAN LINDSAY P01835061 3043459400 2025 2025-03-06 01:10:19Z MIKE TESTA 20 W FAIRMOUNT AVE LAKEWOOD NY 14750 6709299 0 X WWW.CHPC.CARE X 1981 NY CHPC'S MISSION IS TO PROVIDE COMPREHENSIVE PALLIATIVE/END-OF-LIFE CARE AND EDUCATION. 12 12 65 37 19555 0 470226 392724 4361780 4564967 142214 154608 88353 25146 5062573 5137445 0 0 0 0 3445091 3118653 0 0 66861 1705126 1491000 5150217 4609653 -87644 527792 5686784 6151338 366670 254707 5320114 5896631 CHPC'S MISSION IS TO PROVIDE COMPREHENSIVE PALLIATIVE/END-OF-LIFE CARE AND EDUCATION. 0 0 3664235 4502333 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 10941 BEREAVEMENT SERVICES: CHPC PROVIDES BEREAVEMENT SERVICES THROUGH HOSPICE BEREAVEMENT SUPPORT, COMMUNITY BEREAVEMENT SUPPORT, AND GRIEF SUPPORT GROUPS. 20307 9632 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. 3695483 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 13 0 1 65 1 1 1 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 SHAM BAHGAT DIRECTOR 2.00 X 0 0 0 JOY BILHARZ DIRECTOR 2.00 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 JUDITH HOROWITZ DIRECTOR 2.00 X 0 0 0 GARY KINDBERG DIRECTOR 2.00 X 0 0 0 ELLEN LUCZKOWIAK TREASURER 2.00 X 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 DR THOMAS PUTNAM MEDICAL DIRECTOR 37.50 X 125427 0 6526 MIKE TESTA CEO 37.50 X 167717 0 18058 293144 0 24584 2 0 1 0 0 31847 125381 235496 392724 HOSPICE / HOME CARE 621610 3689326 3689326 ROOM AND BOARD 621610 866009 866009 PALLIATIVE CARE 621610 9632 9632 4564967 46506 46506 1591498 1483396 108102 108102 108102 8310 31847 4717 3593 3593 103296 83741 19555 19555 MISCELLANEOUS OTHER INCOME 900099 1716 1716 MISCELLANEOUS 900099 282 282 1998 5137445 4566965 19555 158201 293143 221277 71866 2323689 1754017 513558 56114 245256 185450 54575 5231 256565 193503 57546 5516 14881 14881 142718 134892 7826 25336 19125 6211 30600 23098 7502 137470 103768 33702 8800 6643 2157 115691 107457 8234 20160 15619 4541 155 117 38 97959 73944 24015 31276 23608 7668 NURSING HOME CONTRACT 463466 463466 MEDICAL EQUIPMENT AND S 120637 120637 DRUGS 120479 120479 BUILDING MAINTENANCE AN 86564 65342 21222 74808 63041 11767 4609653 3695483 847309 66861 598055 470537 178545 287849 125381 350831 514068 78650 61014 3701602 625924 2807311 3075678 1639298 1591498 34094 25313 5686784 6151338 350562 248984 16108 5723 366670 254707 X 5320114 5896631 5320114 5896631 5686784 6151338 527792 48725 0 X X 0 1 X 1 0 X 1326334 329649 324885 470226 360877 2811971 5654480 4588846 4577869 4421780 4509967 23752942 6980814 4918495 4902754 4892006 4870844 26564913 0 0 0 26564913 31492 138980 73166 142214 154606 540458 31492 138980 73166 142214 154606 540458 594 1720 770 8018 2000 13102 7012900 5059195 4976690 5042238 5027450 27118473 0.97960 0.98420 0.01990 0.01540 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 822 822 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 3379288 499333 2879955 162274 126591 35683 3075678 LEASE LIABILITY 5723 5723 X 5259747 48725 88458 137183 5122564 14881 14881 5137445 4683230 88458 88458 4594772 14881 14881 4609653 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 88,458. PART XII, LINE 2D - OTHER ADJUSTMENTS: DIRECT COST OF FUNDRAISING EVENTS NETTED AGAINST REVENUE ON 990 88,458. DBB 4701 5974 -1273 -1273 6 35456 25873 9583 9583 40157 31847 8310 8310 8310 0 X X X 0 0 0 0 0 0 0 0 0 MIKE TESTA CEO 167717 0 0 0 0 0 0 0 18058 0 185775 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. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT.