2022-06-08T09:50:43-05:00 2021-12-31 161131146 BONADIO & CO LLP 100 CORPORATE PARKWAY SUITE 200 AMHERST NY 14226 990 2021-01-01 273512018 THE CHAUTAUQUA CENTER INC CHAU 7163636050 319 CENTRAL AVENUE DUNKIRK NY 14048 MICHAEL PEASE EXECUTIVE DIRECTOR 7163636050 2022-06-07 1 MICHAEL PEASE XXX-XX-XXXX JUSTIN N REID P01321869 7162506600 2022-06-07 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z MICHAEL PEASE 319 CENTRAL AVENUE DUNKIRK NY 14048 24308006 0 X WWW.TCCHEALTH.ORG X 2013 NY TO PROVIDE HEALTH CARE SERVICES BY OPERATING DIAGNOSTIC AND TREATMENT FACILITIES PURSUANT TO ARTICLE 28 OF THE PUBLIC HEALTH LAW OF NEW YORK STATE. THE CENTER OPERATES THREE CLINICS IN DUNKIRK, NEW YORK AND ONE CLINIC IN JAMESTOWN, NEW YORK. THE CENTER PROVIDES THESE AMBULATORY HEALTH CARE, WELLNESS, AND RELATED SERVICES TO ANYONE, REGARDLESS OF ABILITY TO PAY, RESIDING IN UNDER-SERVED AND OTHER DESIGNATED COMMUNITIES IN THE CHAUTAUQUA AND SURROUNDING REGION. 11 11 225 4 0 0 4149686 8453891 10817827 15785409 4022 3297 23833 65409 14995368 24308006 0 0 0 0 8078493 9585802 0 0 0 4857622 5737262 12936115 15323064 2059253 8984942 23067167 29196493 12248336 9392720 10818831 19803773 X TO PROVIDE HIGH QUALITY AND LOW COST HEALTH CARE SERVICES BY OPERATING DIAGNOSTIC AND TREATMENT FACILITIES PURSUANT TO ARTICLE 28 OF THE PUBLIC HEALTH LAW OF NY STATE. THE CENTER OPERATES ONE CLINIC IN JAMESTOWN, NEW YORK, AND THREE CLINICS IN DUNKIRK, NEW YORK. THE CENTER PROVIDES THESE AMBULATORY HEALTH CARE, WELLNESS AND RELATED SERVICES TO ANYONE, REGARDLESS OF ABILITY TO PAY WHICH PROVIDE A BROAD RANGE OF MEDICAL, DENTAL, BEHAVIORAL HEALTH, NUTRITIONAL AND OTHER SERVICES TO A LARGE MEDICALLY UNDERSERVED POPULATION, REGARDLESS OF THEIR ABILITY TO PAY. 0 0 12309319 15854115 IN 2021, THE CHAUTAUQUA CENTER SERVED 12,203 INDIVIDUALS IN THE CHAUTAUQUA COUNTY REGION AREA. THE CENTER IMPROVED COMMUNITY HEALTH BY PROVIDING ACCESS TO QUALITY CARE AT AN AFFORDABLE PRICE, THROUGH THE PROMOTION OF HEALTHY LIFESTYLES AND HEALTH EDUCATION IN ORDER TO ACHIEVE HEALTH EQUITY. SCHEDULED OUTREACH IN THE COMMUNITY PROVIDES INDIVIDUALS AWARENESS OF THE SERVICES AVAILABLE AND SUPPORT WITH OBTAINING INSURANCE COVERAGE OF SLIDING FEE SCALE ARRANGEMENTS. THE CENTER HONORS RELATIONSHIPS WITH THOSE WE SERVE, THE STAFF, PROVIDERS, BOARD MEMBERS, VOLUNTEERS, OUR MANY COMMUNITY PARTNERS AND FRIENDS AS THEY ARE THE VEHICLE BY WHICH THE MISSION IS MAINTAINED. DURING THE YEAR, THE CENTER SERVICED OVER 53,000 VISITS. 12309319 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 2 0 1 225 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X AMY E WALTERS - CFO 7163636050 319 CENTRAL AVE DUNKIRK NY 14048 JENNIFER SWAN CHAIR 1.00 X X 0 0 0 JARROD JOHNSON VICE CHAIR 1.00 X X 0 0 0 CLARK POPPLETON TREASURER 1.00 X X 0 0 0 REBEKAH LAMOUNTAIN SECRETARY 1.00 X X 0 0 0 RITA CONFORA DIRECTOR 1.00 X 0 0 0 NANCY YORK DIRECTOR 1.00 X 0 0 0 ELOY BAUTISTA DIRECTOR 1.00 X 0 0 0 SHELLEY WILLIAMSON DIRECTOR 1.00 X 0 0 0 ELLEN LUCZKOWIAK DIRECTOR 1.00 X 0 0 0 LAURA KOEPKE DIRECTOR 1.00 X 0 0 0 DEBRA PACOS DIRECTOR 1.00 X 0 0 0 MICHAEL C PEASE EXECUTIVE DIRECTOR 40.00 X 189740 0 29348 TAT-SUM LEE MEDICAL DIRECTOR 20.00 X 85021 0 11365 AMY WALTERS CFO 40.00 X 91586 0 15223 REBECCA RUIZ COO 40.00 X 72797 0 6771 RAJIV PARIKH MD 40.00 X 280837 0 31139 CAILLEAN MCMAHON-TRONETTI DO 32.00 X 219152 0 16849 ELIZABETH KIDDER MD 40.00 X 221449 0 19240 RUDOLPH MUELLER MD 40.00 X 216946 0 19500 LESLIE MCNAUGHTAN MD 40.00 X 203096 0 11943 1580624 0 161378 17 0 1 0 KIRST CONSTRUCTION INC PO BOX 171 NORTH BOSTON NY 14110 GENERAL CONSTRUCTION 2459322 CARDINAL HEALTH 110 LLC 5303 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 HEALTHCARE AND PHARMACY 1475999 EHS INC 206 S ELMWOOD AVENUE BUFFALO NY 14201 HEALTHCARE AND PHARMACY 442381 ALLSCRIPTS HEALTHCARE LLC 24630 NETWORK PLACE CHICAGO IL 60693 HEALTHCARE MEDICAL RECORDS 136191 4 8101341 352550 8453891 PATIENT FEES 624110 11585825 11585825 PHARMACY REVENUE 624110 3982750 3982750 CONTRACT SERVICES 624110 216834 216834 15785409 3297 3297 MISCELLANEOUS 621300 65409 65409 65409 24308006 15854115 0 0 501851 15056 486795 7842605 6743954 1098651 45883 37165 8718 453499 367334 86165 741964 600991 140973 21908 1534 20374 39674 2777 36897 29164 29164 107103 62120 44983 336718 293273 43445 23558 13664 9894 15719 14469 1250 147649 147649 516124 402577 113547 79081 49030 30051 MEDICAL AND DENTAL SUPP 2513426 2513426 0 SERVICES 650403 45528 604875 MEDICINES AND VACCINES 472848 472848 0 BAD DEBT EXPENSE 317170 317170 0 466717 356403 110314 15323064 12309319 3013745 0 2689883 1823585 2419859 3105000 1476004 3742897 62436 182925 21598892 1334076 16361215 20264816 57770 77270 23067167 29196493 4024736 1980694 329970 6720000 6720000 1503600 362056 12248336 9392720 X 10818831 19803773 10818831 19803773 23067167 29196493 8984942 0 X X 0 1 X 1 1 1 X 3237338 3053057 7836002 4149686 8453891 26729974 4384295 6975585 10461199 10817827 16147465 48786371 7621633 10028642 18297201 14967513 24601356 75516345 0 0 0 75516345 3047 4613 5409 4022 3297 20388 3047 4613 5409 4022 3297 20388 7624680 10033255 18302610 14971535 24604653 75536733 0.99970 0.99960 0.00030 0.00040 X 19652043 930834 18721209 1805131 353933 1451198 141718 49309 92409 20264816 DUE TO THIRD PARTY PAYORS 362056 362056 24308006 0 24308006 0 24308006 15323064 0 15323064 0 15323064 X X X 0 0 0 0 0 0 0 0 0 RAJIV PARIKH MD 280837 0 0 0 0 0 25000 0 6139 0 311976 0 0 0 ELIZABETH KIDDER MD 221449 0 0 0 0 0 19240 0 0 0 240689 0 0 0 RUDOLPH MUELLER MD 216946 0 0 0 0 0 19500 0 0 0 236446 0 0 0 CAILLEAN MCMAHON-TRONETTI DO 219152 0 0 0 0 0 15307 0 1542 0 236001 0 0 0 MICHAEL C PEASE EXECUTIVE DIRECTOR 189740 0 0 0 0 0 19500 0 9848 0 219088 0 0 0 LESLIE MCNAUGHTAN MD 203096 0 0 0 0 0 8200 0 3743 0 215039 0 0 0 PART I, LINE 3 THE ORGANIZATION ESTABLISHED THE COMPENSATION OF THE EXECUTIVE DIRECTOR THROUGH A DECISION BY THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE REVIEWED AN ANNUAL COMPENSATION SURVEY FROM THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AND THEN THE COMPENSATION WAS APPROVED BY THE BOARD OF DIRECTORS. MICHAEL PEASE EXECUTIVE DIRECTOR 60000 MICHAEL PEASE IS THE EXECUTIVE DIRECTOR OF THE CHAUTAUQUA CENTER, INC. HIS SPOUSE, AMY PEASE, IS A QUALITY AND RISK MANAGER CONSULTANT FOR THE ORGANIZATION. MICHAEL PEASE WAS NOT PART OF THE SELECTION PROCESS FOR THIS POSITION, AND AMY REPORTS TO THE CMO AND CFO. 0 AMY WALTERS CHIEF FINANCIAL OFFICER 46800 AMY WALTERS IS THE CHIEF FINANCIAL OFFICER OF THE CHAUTAUQUA CENTER, INC. HER SPOUSE, MATTHEW WALTERS, IS CONTRACTED TO PROVIDE MONTHLY CLEANING SERVICES FOR THE ORGANIZATION. MATTHEW REPLIED TO A RFP THAT WAS SENT OUT BY THE COO, AND AMY WALTERS WAS NOT PART OF THE SELECTION PROCESS. 0 FORM 990, PART VI, SECTION B, LINE 11B THE RETURN IS DISTRIBUTED TO ALL MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO FILING. THE RETURN IS REVIEWED AND ANY QUESTIONS/CHANGES ARE BROUGHT TO THE ATTENTION OF MANAGEMENT. APPROPRIATE CHANGES, IF NECESSARY, ARE MADE PRIOR TO FILING RETURN. FORM 990, PART VI, SECTION B, LINE 12C ON ENTRY TO THE BOARD OF DIRECTORS AND ANNUALLY THEREAFTER, EACH DIRECTOR, PRINCIPAL OFFICER, AND MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS ANNUALLY REVIEWS THE BYLAWS INCLUDING THE CONFLICT OF INTEREST STATEMENT; AND THEN EACH MEMBER IS REQUIRED TO SIGN AND SUBMIT A CONFLICT OF INTEREST STATEMENT ANNUALLY; UNDERSTANDS THAT THE ORGANIZATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES; AND DISCLOSES ANY POTENTIAL CONFLICTS OF INTEREST IN WRITING. ON AN ANNUAL BASIS, ALL TRANSACTIONS DISCUSSED AND IDENTIFIED AS CONFLICTS OF INTEREST WILL BE EVALUATED BY THE DISINTERESTED PERSONS AS TO WHETHER THE TRANSACTION MEETS THE REQUIREMENTS OF A FAIR AND REASONABLE TRANSACTION IN ACCORDANCE WITH THE NYS ATTORNEY GENERAL GUIDANCE. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS REVIEWS THE EXECUTIVE DIRECTOR'S PERFORMANCE ANNUALLY. SALARY INCREASES ARE BASED ON THE RESULTS OF THAT REVIEW, ORGANIZATIONAL PERFORMANCE, AND COMPARATIVE ANALYSIS OF EXECUTIVE DIRECTOR COMPENSATION. THE ORGANIZATION PARTICIPATES IN AN ANNUAL COMPENSATION SURVEY FROM THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AND OBTAINS COMPENSATION DATA FOR DIRECTORS, MANAGERS, AND PROVIDERS THAT IS CATEGORIZED BY NATIONAL, REGIONAL, STATE, AND REVENUE VOLUME. THIS INFORMATION IS USED IN DETERMINING SALARY AND COMPENSATION RANGES FOR DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE CENTER MAINTAINS ELECTRONIC COPIES AND DISTRIBUTES THEM UPON REQUEST. ADDITIONALLY, THE FORM 990 IS A PUBLIC DOCUMENT. FORM 990, PART XII, LINE 2C THIS PROCESS HAS NOT CHANGED FROM THE PREVIOUS YEAR.