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      <Desc>THE PROVISION OF PRIMARY AND ANCILLARY HEALTH CARE SERVICES TO THE COMMUNITIES COMPRISING THE TEN OUTERMOST TOWNS OF CAPE COD MASSACHUSETTS, FROM YARMOUTH TO PROVINCETOWN., THE HEALTH CENTER PROVIDED NEARLY 70,000 SERVICE ENCOUNTERS FOR THE FISCAL YEAR ENDED JUNE 30, 2019. OUTER CAPE HEALTH SERVICES PROVIDES COMPREHENSIVE PRIMARY, URGENT AND SPECIALTY CARE, ALONG WITH A RANGE OF SUPPORTIVE SERVICES TO RESIDENTS, WORKERS AND VISITORS OF THE TEN OUTERMOST TOWNS OF CAPE COD. OUTER CAPE HEALTH SERVICES IS A LICENSED MEDICAL CLINIC OF THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH AND A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) DESIGNATED BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA). OUTER CAPE HEALTH SERVICES IS ALSO RECOGNIZED BY HRSA AND THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS FOR BEING AN OUTSTANDING COMMUNITY HEALTHCARE ORGANIZATION. THE PROVINCETOWN, WELLFLEET AND HARWICH PORT HEALTH CENTERS OPERATED BY OUTER CAPE HEALTH SERVICES OFFER COMPREHENSIVE SERVICES INCLUDING: -PRIMARY CARE -INTERNAL MEDICINE -BEHAVIORAL HEALTH -PHARMACY -WOMENS HEALTH -FAMILY PRACTICE -PEDIATRICS -SENIOR CARE -SUBSTANCE USE DISORDER TREATMENT -INSURANCE ENROLLMENT ASSISTANCE -LABORATORY SERVICES PROVIDED BY QUEST -URGENT CARE, RADIOLOGY, DERMATOLOGY AND OPTOMETRY (PROVINCETOWN ONLY) -SOCIAL WORK -PATIENT NAVIGATION IN ADDITION, OUTER CAPE HEALTH SERVICES PROVIDES EXTENSIVE OUTREACH AND SUPPORT SERVICES THROUGH THE WIC (WOMEN, INFANTS &amp; CHILDREN) NUTRITION PROGRAM AND OUR HEALTHY CONNECTIONS PROGRAM, HELPING UNINSURED INDIVIDUALS WITH PUBLIC AND PRIVATE HEALTH INSURANCE ELIGIBILITY AND ENROLLMENT AND SOCIAL SERVICE PROGRAMS. WE ARE PROUD OF MISSION TO PROVIDE A FULL RANGE OF HEALTHCARE AND SUPPORTIVE SOCIAL SERVICES THAT PROMOTE THE HEALTH AND WELL-BING OF ALL WHO LIVE IN OR VISIT THE TEN OUTERMOST TOWNS OF CAPE COD. EVERY YEAR, APPROXIMATELY 20,000 INDIVIDUALS AND FAMILIES TURN TO US FOR CARE, AND REGARDLESS OF THEIR ABILITY TO PAY, WE MEET THEIR PRIMARY, PREVENTATIVE AND URGENT HEALTHCARE NEEDS. *DIRECT ACCESS CARE* PRIMARY CARE OUTER CAPE HEALTH SERVICES OFFERS EXCELLENT OPTIONS FOR COMPREHESIVE PRIMARY CARE IN A NUMBER OF FIELDS, INCLUDING INTERNAL MEDICINE, FAMILY MEDICINE, PEDIATRICS AND OSTEOPATHY. OUR HIGHLY QUALIFIED TEAM OF PRIMARY CARE PROVIDERS ENCOURAGES PREVENTATIVE SCREENINGS, INCLUDING REGULAR CHECK UPS, INNOCULATIONS, BLOOD PRESSURE SCREENINGS, NUTRITIONAL COUNSELING AND WELL BABY/CHILD CARE. URGENT CARE THIS SERVICE IS OFFERED AT OUR PROVINCETOWN HEALTH CENTER AS IT IS LOCATED 6O TO 90 MINUTES (IN SUMMER TRAFFIC) FROM THE NEAREST HOSPITAL LOCATED IN HYANNIS. *SPECIALTY CARE* WOMENS HEALTH OUTER CAPE HEALTH SERVICES RECOGNIZES THAT WOMEN FACE A WIDE RANGE OF UNIQUE MEDICAL ISSUES SUCH AS BREAST CANCER, MENOPAUSE, AND OSTEOPOROSIS. AS SUCH, WE OFFER PRIMARY, PREVENTATIVE, GYNECOLOGICAL AND FAMILY PLANNING CARE SERVICES. INFECTIOUS DISEASE OUTER CAPE HEALTH SERVICES IS COMMITTED TO HELPING PEOPLE WITH HIV AND INFECTIOUS DISEASES SUCH AS HEPATITIS C AND STDs, TO MAINTAIN AND IMPROVE THEIR HEALTH. WE OFFER CASE MANAGEMENT, CLINICAL AND FINANCIAL SOCIAL SERVICES, AND HIV/STI PREVENTION, EDUCATION, COUNSELING AND TESTING. WIC PROGRAM OUTER CAPE HEALTH SERVICES IS CONTRACTED TO OPERATE THE OUTER CAPE WOMEN, INFANTS, &amp; CHILDREN (WIC) PROGRAM FOR THE LOWER AND OUTER CAPE. WIC IS A FEDERALLY-FUNDED PROGRAM FOR PREGNANT AND POSTPARTUM WOMEN, INFANTS AND CHILDREN UNDER FIVE YEARS OF AGE. THE PROGRAM PROVIDES FREE FOOD, NUTRITIONAL INFORMATION AND ADDITIONAL SUPPORTIVE SERVICES. PHARMACY THE PHARMACY PROGRAM OF OUTER CAPE HEALTH SERVICES OPENED IN 2011. THERE ARE PHARMACIES LOCATED INSIDE OF THE PROVINCETOWN AND HARWICH PORT HEALTH CENTERS AND NEARBY THE WELLFLEET HEALTH CENTER. THE PROGRAM FEATURES 340B PHARMACY PRESCRIPTION DISCOUNTS TO QUALIFYING INDIVIDUALS. PATIENTS AND THE GENERAL PUBLIC ALIKE ARE ABLE TO FILL PRESCRIPTIONS AT ANY OF OUR SITES. ARE ABLE TO FILL PRESCRIPTIONS AT ANY OF OUR SITES.</Desc>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Terry Cote</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Jean Callum</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Robert Ebersole</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Andrew Jorgensen MD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>William Shay MD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Kalpna Thuraisamy DO</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Matthew Libby DO</PersonNm>
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        <PersonNm>Daniel Wyatt MD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Peter Gherardi MD</PersonNm>
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      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
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          <USAddress>
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      <ContractorCompensationGrp>
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          <USAddress>
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          <USAddress>
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      <ContractorCompensationGrp>
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          <USAddress>
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          <USAddress>
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        <BusinessCd>621400</BusinessCd>
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      <ProgramServiceRevenueGrp>
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      <RentalIncomeOrLossGrp>
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      <FundraisingDirectExpensesAmt>92632</FundraisingDirectExpensesAmt>
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      <GamingDirectExpensesAmt>0</GamingDirectExpensesAmt>
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        <EOYAmt>174032</EOYAmt>
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        <EOYAmt>55421</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        </ContributorBusinessName>
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          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
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          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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      <CYMinus4YrEndwmtFundGrp />
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      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
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        <DepreciationAmt>2260659</DepreciationAmt>
        <BookValueAmt>1178454</BookValueAmt>
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      <OtherLandBuildingsGrp>
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        <BookValueAmt>4769155</BookValueAmt>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>Outer Cape Health Services received collections of artwork by local artists in the Cape Cod area. The purpose of the donated artwork is to be displayed at the Provincetown Health Center.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 4B - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Fundraising Expenses</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, Line 2D - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Fundraising Expenses</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>Under ASC 740, an organization must recognize the financial statement effects of a tax position taken for tax return purposes when it is more likely than not that the position will not be sustained upon examination by a taxing authority. The Organization does not believe it has taken any material uncertain tax positions, and, accordingly, it has not recorded any liability for unrecognized tax benefits. The Organization has filed for and received income tax exemptions in the jurisdictions where it is required to do so. Additionally, the Organization has filed IRS Form 990 information returns, as required, and all other applicable returns in jurisdictions where so required. For the years ended June 30, 2019 and 2018, there were no interest or penalties recorded or included in the statements of operations.</ExplanationTxt>
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        <FoodAndBeverageEvent1Amt>25895</FoodAndBeverageEvent1Amt>
        <EntertainmentEvent1Amt>2000</EntertainmentEvent1Amt>
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        <Event2Nm>White Party</Event2Nm>
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        <GrossRevenueEvent2Amt>69240</GrossRevenueEvent2Amt>
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        <EntertainmentEvent2Amt>100</EntertainmentEvent2Amt>
        <OtherDirectExpensesEvent2Amt>8045</OtherDirectExpensesEvent2Amt>
        <OtherEventsTotalCnt>2</OtherEventsTotalCnt>
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        <FoodAndBeverageOtherEventsAmt>5950</FoodAndBeverageOtherEventsAmt>
        <EntertainmentOtherEventsAmt>7300</EntertainmentOtherEventsAmt>
        <OthDirectExpnssOtherEventsAmt>15794</OthDirectExpnssOtherEventsAmt>
        <GrossReceiptsTotalAmt>253063</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>50532</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>202531</GrossRevenueTotalEventsAmt>
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        <FoodAndBeverageTotalEventsAmt>32914</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>9400</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>41929</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>92632</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>109899</NetIncomeSummaryAmt>
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      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
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      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
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        <PersonNm>Patricia Nadle</PersonNm>
        <TitleTxt>CEO</TitleTxt>
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        <OtherCompensationFilingOrgAmt>7414</OtherCompensationFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>199844</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
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        <PersonNm>Jean Callum</PersonNm>
        <TitleTxt>COO</TitleTxt>
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        <TotalCompensationFilingOrgAmt>169399</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Andrew Jorgensen MD</PersonNm>
        <TitleTxt>Chief Medical Officer</TitleTxt>
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        <NontaxableBenefitsFilingOrgAmt>6648</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>233398</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>William Shay MD</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Kalpna Thuraisamy DO</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Matthew Libby DO</PersonNm>
        <TitleTxt>Physician</TitleTxt>
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        <BonusFilingOrganizationAmount>4887</BonusFilingOrganizationAmount>
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        <DeferredCompensationFlngOrgAmt>2000</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>8901</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>224870</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Daniel Wyatt MD</PersonNm>
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        <TotalCompensationFilingOrgAmt>182399</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Peter Gherardi MD</PersonNm>
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      <ArtHistoricalTreasuresGrp />
      <ArtFractionalInterestGrp />
      <BooksAndPublicationsGrp />
      <ClothingAndHouseholdGoodsGrp />
      <CarsAndOtherVehiclesGrp />
      <BoatsAndPlanesGrp />
      <IntellectualPropertyGrp />
      <SecuritiesPubliclyTradedGrp />
      <SecuritiesCloselyHeldStockGrp />
      <SecurPrtnrshpTrustIntrstsGrp />
      <SecuritiesMiscellaneousGrp />
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      <QualifiedContribOtherGrp />
      <RealEstateResidentialGrp />
      <RealEstateCommercialGrp />
      <RealEstateOtherGrp />
      <CollectiblesGrp />
      <FoodInventoryGrp />
      <DrugsAndMedicalSuppliesGrp />
      <TaxidermyGrp />
      <HistoricalArtifactsGrp />
      <ScientificSpecimensGrp />
      <ArchaeologicalArtifactsGrp />
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      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>WORKERS AND VISITORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL PRIOR TO IT'S FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>OUTER CAPE HEALTH SERVICES UTILIZES THE BOARD OF DIRECTORS TO MONITOR AND ENFORCE COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY BY REVIEWING OFFICER, DIRECTOR AND EMPLOYEE COMPLIANCE WITH HE POLICY DURING ITS BOARD OF DIRECTORS MEETINGS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>OUTER CAPE HEALTH SERVICES UTILIZES THE BOARD OF DIRECTORS TO DETERMINE COMPENSATION OF TOP MANAGEMENT BY COMPARING COMPENSATION AMOUNTS TO OTHER COMPARABLE HEALTH CENTERS AND EVALUATING THE PERFORMANCE OF THE EMPLOYEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 18</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CURRENT AND PRIOR YEAR FORM 990 FILINGS ARE AVAILABLE ON THE OFFICIAL WEBSITE OF THE COMMONWEALTH OF MASSACHUSETTS ATTORNEY GENERAL AND ON THE GUIDESTAR WEBSITE. OCHS ALSO MAKES ITS FORM 990 AVAILABLE TO THE PUBLIC UPON REQUEST. AUDITED FINANCIAL STATEMENTS ARE ALSO AVAILABLE ON THE MASSACHUSETTS ATTORNEY GENERAL WEBSITE AND ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>OUTER CAPE HEALTH SERVICES MAKES IT GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER CHANGES</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>