2022-05-12T09:12:23-05:00 2021-06-30 042571780 AAFCPAS INC 50 WASHINGTON STREET WESTBOROUGH MA 01581 990 2020-07-01 043370560 COMMUNITY HEALTH CENTER OF CAPE COD INC COMM 5084777090 107 COMMERCIAL STREET MASHPEE MA 02649 ANN-MARIE RICHARD CFO 5084777090 2022-05-11 1 ANN-MARIE RICHARD XXX-XX-XXXX MICHAEL PRUELL CPA P01585061 5083669100 2022-05-11 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z COMMUNITY HEALTH CENTER ANN-MARIE RICHARD 107 COMMERCIAL STREET MASHPEE MA 02649 23036351 0 X WWW.CHCOFCAPECOD.ORG X 1997 MA THE HEALTH CENTER PROVIDES COMPREHENSIVE, HIGH QUALITY, COMPASSIONATE CARE TO OUR PATIENTS, REGARDLESS OF THE ABILITY TO PAY. 13 13 210 52 203968 0 6437740 7532801 13277087 14879906 2742 7417 409075 616227 20126644 23036351 0 0 0 0 13820213 15416743 0 0 292430 4994689 5827499 18814902 21244242 1311742 1792109 18908636 19804494 2764090 1867839 16144546 17936655 TO IMPROVE THE HEALTH OF OUR COMMUNITY THROUGH THE PROVISION OF COMPREHENSIVE, HIGH QUALITY, COMPASSIONATE HEALTH CARE TO ALL, REGARDLESS OF THE ABILITY TO PAY. 0 0 19114637 15292165 COMPREHENSIVE AND INTEGRATED PRIMARY CARE, BEHAVIORAL HEALTH, DENTAL AND OPTOMETRY SERVICES, INCLUDING ACCESS TO PREVENTIVE HEALTH CARE, EPISODIC TREATMENT FOR ACUTE MEDICAL CONDITIONS, CHRONIC CARE MANAGEMENT, SPECIALTY REFERRALS, SUBSTANCE USE DISORDERS AND PHARMACY SERVICES, REGARDLESS OF ABILITY TO PAY. THE HEALTH CENTER PROVIDED APROXIMATELY 86,000 PATIENT SERVICE VISITS. 19114637 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 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 6 0 1 210 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 MA X KAREN GARDNER CEO 5084777090 107 COMMERCIAL STREET MASHPEE MA 02649 MUNIR AHMED CHIEF TRANSFORMATION OFFICER 40.00 X 291361 0 24277 KAREN GARDNER CEO 40.00 X 290616 0 24277 DAVID TAGER MD CHIEF MEDICAL OFFICER 40.00 X 287885 0 24277 STEPHANIE PRIOR PROVIDER 40.00 X 186400 0 14980 THERESA GUANCI DENTAL DIRECTOR 40.00 X 180852 0 11009 ANN-MARIE RICHARD CFO 40.00 X 166985 0 20736 JAY STEARNS PSYCHIATRIST PD 40.00 X 160680 0 72 THOMAS ANDREA OPTOMETRIST 40.00 X 154927 0 72 DAVID PETERSON PRESIDENT 1.00 X X 0 0 0 PAUL SMITH SECOND VICE PRESIDENT 1.00 X X 0 0 0 OTIS M PORTER VICE PRESIDENT 1.00 X X 0 0 0 GINA HOTTON CLERK 1.00 X X 0 0 0 RUDOLPH R HUNTER TREASURER 1.00 X X 0 0 0 BEVERLY JACOBSON AT LARGE MEMBER 1.00 X 0 0 0 BRENDA SWITHENBANK DIRECTOR 1.00 X 0 0 0 BRUCE DONOFF DIRECTOR 1.00 X 0 0 0 MADELEINE WING ADLER PHD DIRECTOR 1.00 X 0 0 0 RALPH SEWALL DIRECTOR 1.00 X 0 0 0 BHAWANA CHITKARA DIRECTOR 1.00 X 0 0 0 JOHN DAWLEY DIRECTOR 1.00 X 0 0 0 REV WILLIAM MEBANE DIRECTOR 1.00 X 0 0 0 1719706 0 119700 35 0 1 0 MCKESSON DRUG COMPANY 9 AEGEAN DRIVE METHUEN MA 01844 DRUGS PURCHASED FOR PHARMACY 1264065 OCHIN INC 1881 SW NAITO PARKWAY PORTLAND OR 97201 SOFTWARE SYSTEM FOR MEDICAL PRACTICE 363180 HRC TOTAL SOLUTIONS 111 CHARLES STREET MANCHESTER NH 03101 PAYROLL SOLUTIONS 206984 PAESANO LEASING RT PO BOX 3139 POCASSET MA 02559 RENT 183710 PATTERSON DENTAL SUPPLY 1031 MENDOTA HEIGHTS RD SAINT PAUL MN 55120 MEDICAL SUPPLIES 161857 8 5851614 1681187 7532801 NET PATIENT SERVICE REVENUE 621498 14879906 14675938 203968 14879906 7417 7417 OTHER REVENUE 621498 616227 616227 616227 23036351 15292165 203968 7417 882299 636989 210263 35047 11937292 10941503 864341 131448 302850 284082 14739 4029 1320933 1170065 129661 21207 973369 864072 93378 15919 54489 54489 276004 173570 81378 21056 313298 231665 74422 7211 1769799 1685803 78124 5872 5315 2291 2743 281 107865 104024 3791 50 11043 11043 681683 560457 106146 15080 123599 42119 80860 620 MEDICAL SUPPLIES AND SE 2385548 2384414 1134 MISCELLANEOUS 64246 33583 30663 EVENT EXPENSES 34610 34610 21244242 19114637 1837175 292430 3697567 2588596 1910117 4489594 50000 1766008 1587284 208236 189923 169971 282406 17891727 7225036 11106737 10666691 18908636 19804494 953212 1318688 67845 549151 435505 1307528 0 2764090 1867839 X 15738535 17443383 406011 493272 16144546 17936655 18908636 19804494 1792109 0 X X 0 1 X 1 1 1 X 5394334 3773928 4201008 6437740 7560620 27367630 5394334 3773928 4201008 6437740 7560620 27367630 159097 27208533 8115 6601 2625 2742 7417 27500 27395130 66406323 0.99320 0.91060 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 175500 175500 175500 175500 175500 175500 175500 175500 175500 175500 1.00000 0 0 10263926 3119112 7144814 2830803 868229 1962574 3579625 2705344 874281 1217373 532351 685022 10666691 X 23249466 213115 213115 23036351 0 23036351 21457357 213115 213115 21244242 0 21244242 PART X, LINE 2: THE HEALTH CENTER ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES IN ACCORDANCE WITH ASC TOPIC, INCOME TAXES. THIS STANDARD CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN TAX POSITIONS AND PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENTS REGARDING A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE HEALTH CENTER HAS DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS WHICH QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS AT JUNE 30, 2021. THE HEALTH CENTER'S INFORMATION RETURNS ARE SUBJECT TO EXAMINATION BY THE FEDERAL AND STATE JURISDICTIONS. PART 5, LINE 4 THE ENDOWMENT FUNDS SUPPORT THE GENERAL OPERATIONS OF THE HEALTH CENTER. X X 0 0 0 0 0 0 0 0 0 MUNIR AHMED CHIEF TRANSFORMATION OFFICER 291361 0 0 0 0 0 8550 0 15727 0 315638 0 0 0 KAREN GARDNER CEO 290616 0 0 0 0 0 8550 0 15727 0 314893 0 0 0 DAVID TAGER MD CHIEF MEDICAL OFFICER 287885 0 0 0 0 0 8550 0 15727 0 312162 0 0 0 STEPHANIE PRIOR PROVIDER 186400 0 0 0 0 0 5594 0 9386 0 201380 0 0 0 THERESA GUANCI DENTAL DIRECTOR 180852 0 0 0 0 0 5425 0 5584 0 191861 0 0 0 ANN-MARIE RICHARD CFO 166985 0 0 0 0 0 5009 0 15727 0 187721 0 0 0 JAY STEARNS PSYCHIATRIST PD 160680 0 0 0 0 0 0 0 72 0 160752 0 0 0 THOMAS ANDREA OPTOMETRIST 154927 0 0 0 0 0 0 0 72 0 154999 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE 990 DRAFT WILL BE REVIEWED BY THE CEO AND CFO AND PRESENTED TO THE FINANCE COMMITTEE FOR REVIEW AND RECOMMENDATION TO THE FULL BOARD. THE CFO WILL PRESENT A 990 SUMMARY TO THE BOARD AND A FULL COPY OF THE 990 WILL BE MADE AVAILABLE TO THE FULL BOARD. THE FULL BOARD WILL VOTE TO APPROVE. FORM 990, PART VI, SECTION B, LINE 12C ALL NEW BOARD MEMBERS ARE PROVIDED A COPY OF THE CONFLICT OF INTEREST POLICY AND ASKED TO REVIEW AND SIGN. ANNUALLY, EACH BOARD MEMBER RECEIVES ANOTHER COPY OF THE POLICY FOR REVIEW AND SIGNATURE. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION OF THE OFFICERS AND KEY EMPLOYEES IS REVIEWED BY THE HUMAN RESOURCES COMMITTEE BASED ON THE MASSACHUSETTS LEAGUE OF COMMUNITY HEALTH CENTERS DATA. FORM 990, PART VI, SECTION C, LINE 19 BOARD DOCUMENTS SUCH AS MEETING MINUTES, FINANCIAL STATEMENTS, AND KEY ORGANIZATIONAL POLICIES AND DOCUMENTS ARE FILED CENTRALLY IN THE ADMINISTRATIVE SUITE. HARD COPIES ARE MAINTAINED FOR PUBLIC ACCESS, UPON REQUEST. PERSONNEL PRESENTING TO THE HEALTH CENTER, OR SUBMITTING A WRITTEN INQUIRY FOR PUBLIC INFORMATION ARE DIRECTED TO THE CHIEF EXECUTIVE OFFICER. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS AN AUDIT COMMITTEE WHICH OVERSEES THE AUDIT PROCESS. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.