2021-10-29T10:15:27-05:00 2020-12-31 161131146 BONADIO & CO LLP 100 CORPORATE PARKWAY SUITE 200 AMHERST NY 14226 990 2020-01-01 273512018 THE CHAUTAUQUA CENTER INC CHAU 7163636050 319 CENTRAL AVENUE DUNKIRK NY 14048 MICHAEL PEASE EXECUTIVE DIRECTOR 7163636050 2021-10-27 1 MICHAEL PEASE XXX-XX-XXXX JUSTIN N REID P01321869 7162506600 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z MICHAEL PEASE 319 CENTRAL AVENUE DUNKIRK NY 14048 14995368 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. 12 12 184 0 0 0 7836002 4149686 10461199 10817827 5409 4022 41755 23833 18344365 14995368 0 0 0 0 6926155 8078493 0 0 0 9937994 4857622 16864149 12936115 1480216 2059253 20635507 23067167 11875929 12248336 8759578 10818831 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 10468957 10841660 IN 2020, THE CHAUTAUQUA CENTER SERVED 10,113 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 42,000 VISITS. 10468957 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 0 0 0 0 0 0 0 0 0 0 0 1 26 0 1 184 1 0 0 0 0 0 0 0 0 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 AMY E WALTERS - CFO 7163636050 319 CENTRAL AVE DUNKIRK NY 14048 DEBRA PACOS CHAIR 1.00 X X 0 0 0 ELOY BAUTISTA DIRECTOR 1.00 X 0 0 0 RITA CANFORA DIRECTOR 1.00 X 0 0 0 JARROD JOHNSON VICE CHAIR 1.00 X X 0 0 0 NANCY YORK DIRECTOR 1.00 X 0 0 0 REBEKAH LAMOUNTAIN SECRETARY 1.00 X X 0 0 0 ELLEN LUCZKOWIAK DIRECTOR 1.00 X 0 0 0 SHARON LAWSON DIRECTOR 1.00 X 0 0 0 CLARK POPPLETON DIRECTOR 1.00 X 0 0 0 LAURA KOEPKE DIRECTOR 1.00 X 0 0 0 JENNIFER CRESANTI SWAN TREASURER 1.00 X X 0 0 0 PHILLIP SEYMORE DIRECTOR 1.00 X 0 0 0 MICHAEL C PEASE EXECUTIVE DIRECTOR 40.00 X 142394 0 14696 TAT-SUM LEE MEDICAL DIRECTOR 20.00 X 40443 0 1647 AMY WALTERS CFO 40.00 X 81658 0 4307 REBECCA RUIZ COO 40.00 X 71554 0 3835 RAJIV PARIKH MD 40.00 X 278285 0 19139 CAILLEAN MCMAHON-TRONETTI DO 32.00 X 217209 0 7560 ELIZABETH KIDDER MD 40.00 X 213211 0 9571 ANUJA MANJU SABAPATHY MD 40.00 X 179327 0 10053 NEERU KAPUR DDS 40.00 X 185120 0 1000 1409201 0 71808 11 0 1 0 CARDINAL HEALTH 110 LLC 5303 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 HEALTHCARE SERVICES 1029118 KIRST CONSTRUCTION INC PO BOX 171 NORTH BOSTON NY 14110 GENERAL CONSTRUCTION 648399 EHS INC 206 S ELMWOOD AVENUE BUFFALO NY 14201 HEALTHCARE AND PHARMACY 452689 BPAS 6 RHOADS DRIVE SUITE 7 UTICA NY 13502 RETIREMENT PLANS 401873 CARMINA WOOD MORRIS ARCHITECTURE & ENGI 487 MAIN STREET SUITE 500 BUFFALO NY 14203 ACHITECTURE & ENGINEERING 255474 10 4063545 86141 4149686 PATIENT FEES 624110 7552094 7552094 PHARMACY REVENUE 624110 3141391 3141391 CONTRACT SERVICES 624110 124342 124342 10817827 4022 4022 MISCELLANEOUS 624110 23833 23833 23833 14995368 10841660 0 4022 336049 73931 262118 6510936 5677537 833399 233023 195739 37284 393156 330251 62905 605329 508476 96853 19235 769 18466 50111 2004 48107 27169 27169 81411 30936 50475 302682 237682 65000 21184 4449 16735 7160 6086 1074 208929 208929 474989 199495 275494 98016 55869 42147 MEDICAL AND DENTAL SUPP 1888646 1888646 BAD DEBT EXPENSE 405419 405419 SERVICES 357152 14286 342866 MEDICINES AND VACCINES 322704 322704 592815 514678 78137 12936115 10468957 2467158 0 2666909 2689883 1236599 2419859 813551 1476004 87568 62436 17191629 830414 15785610 16361215 45270 57770 20635507 23067167 5155929 4024736 6720000 6720000 0 1503600 11875929 12248336 X 8759578 10818831 8759578 10818831 20635507 23067167 2059253 0 X X 0 1 X 1 1 1 X 2558794 3237338 3053057 7836002 4149686 20834877 2073362 4384295 6975585 10461199 10817827 34712268 4632156 7621633 10028642 18297201 14967513 55547145 0 0 0 55547145 3355 3047 4613 5409 4022 20446 3355 3047 4613 5409 4022 20446 4635511 7624680 10033255 18302610 14971535 55567591 0.99960 0.99960 0.00040 0.00040 X 15864951 548649 15316302 1204216 247434 956782 122462 34331 88131 16361215 PAYCHECK PROTECTION PROGRAM LOAN 1503600 1503600 14995368 0 14995368 0 14995368 12936115 0 12936115 0 12936115 X X X 0 0 0 0 0 0 0 0 0 RAJIV PARIKH MD 278285 0 0 0 0 0 11400 0 7739 0 297424 0 0 0 CAILLEAN MCMAHON-TRONETTI DO 217209 0 0 0 0 0 6560 0 1000 0 224769 0 0 0 ELIZABETH KIDDER MD 213211 0 0 0 0 0 8571 0 1000 0 222782 0 0 0 ANUJA MANJU SABAPATHY MD 179327 0 0 0 0 0 7200 0 2853 0 189380 0 0 0 NEERU KAPUR DDS 185120 0 0 0 0 0 0 0 1000 0 186120 0 0 0 MICHAEL C PEASE EXECUTIVE DIRECTOR 141914 0 480 0 0 0 6077 0 8619 0 157090 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. 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. PART XII, LINE 2C EXPLANATION PROCESS HAS NOT CHANGED FROM PREVIOUS YEAR.