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      <Desc>THE PROVISION OF PRIMARY AND ANCILLARY HEALTHCARE SERVICES TO THE COMMUNITIES COMPRISING THE OUTER CAPE COD OF MASSACHUSETTS. THE HEALTH CENTER PROVIDED 77,561 SERVICE ENCOUNTERS FOR THE YEAR ENDED JUNE 30, 2018. OUTER CAPE HEALTH SERVICES PROVIDES COMPREHENSIVE PRIMARY, URGENT AND SPECIALTY CARE, ALONG WITH A RANGE OF SUPPORTIVE SERVICES, TO OUTER CAPE COD RESIDENTS, WORKERS, AND VISITORS. IN 2001, OUTER CAPE HEALTH SERVICES WAS AWARDED ACCREDTATION WITH HIGH MARKS FROM THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS (JCAHO). SIGNIFICANTLY, OUTER CAPE IS THE ONLY COMPREHENSIVE PRIMARY CARE PROVIDER ON CAPE COD WITH THIS SPECIAL JCAHO ACCREDITATION. THE PROVINCETOWN AND WELLFLEET HEALTH CENTERS OFFER COMPREHENSIVE SERVICES INCLUDING: * PRIMARY CARE * FAMILY PRACTICE * INTERNAL MEDICINE * PEDIATRICS * SENIOR CARE * WOMEN'S SERVICES * FAMILY PLANNING * MINOR SURGERY * NUTRITIONAL COUSNELING * IN HOUSE LABORATORY SERVICES PROVIDED BY QUEST * DIAGNOSTICS DIGITAL RADIOLOGY SERVICES, PROVINCETOWN HEALTH CENTER * SOCIAL WORK * DENTAL SERVICES IN ADDITION, OUTER CAPE HEALTH SERVICES PROVIDES EXTENSIVE OUTREACH AND SUPPORT SERVICES THROUGH THE WIC (WOMEN, INFANTS &amp; CHILDREN) NUTRITION PROGRAM AND THROUGH HEALTHY CONNECTIONS, WITH HELPS UNINSURED PEOPLE WITH PUBLICLY FUNDED HEALTH INSURANCE AND SOCIAL SERVICE PROGRAMS. WE ARE PROUD OF OUR VITAL AND FULFILLING MISSION TO PROVIDE CAPABLE, COMPASSIONATE HEALTHCARE TO THOSE WHO LIVE IN AND VISIT THE EIGHT TOWNS OF THE LOWER AND OUTER CAPE. EVERY YEAR, APPROXIMATELY 20,000 PEOPLE TURN TO US FOR CARE AND, REGARDLESS OF THEIR ABILITY TO PAY, WE MEED THEIR PRIMARY, PREVENTIVE AND URGENT HEALTHCARE NEEDS. *DIRECT ACCESS CARE* PRIMARY CARE - OUTER CAPE HEALTH SERVICES OFFERS EXCELLENT OPTOINS FOR RECEIVING COMPREHENSIVE PRIMARY CARE IN A NUMBER OF FIELDS, INCLUDING INTERNAL MEDICINE, FAMILY MEDICINE, PEDIATRICS AND OSTEOPATHY. OUR HIGHLY QUALIFIED TEAM OF PRIMARY CARE PROVIDERS ENCOURAGES PREVENTIVE SCREENINGS, SUCH AS REGULAR CHECK UPS, INNOCULATIONS, BLOOD PRESSURE SCREENINGS, NUTRIIONAL COUNSELING AND WELL BABY/CHILD CARE. URGENT CARE - FOR URGENT CARE, VISITING US IN OUR PROVINCETOWN OR WELLFLEET HEALTH CENTER MAY SAVE YOU A LENGTHY TRIP TO HYANNIS. DENTAL CARE - OUTER CAPE GIVES OUTER CAPE RESIDENTS, WORKERS, AND VISITORS LOCAL ACCESS TO PRIMARY AND SPECIALTY ORAL HEALTH CARE, INCLUDING ENDODONTICS, ORGAL HYGIENE, ORGAL SURGERY, PEDIATRIC DENTISTRY, PERIODONTICS, PREVENTIVE CARE, PROSTHODONTICS AND RESTORATIVE DENTISTRY. REFERRALS TO MEDICAL CARE AND SUPPORTIVE SOCIAL SERVICES ARE PROVIDED AS NEEDED. OUR DENTAL SERVICES OFFICE IS LOCATED AT 86 HARRY KEMP WAY IN PROVINCETOWN. *SPECIALTY CARE* WOMEN'S HEALTH - OUTER CAPE HEALTH SERVICES RECOGNIZES THAT WOMEN FACE A WIDE RANGE OF UNIQUE MEDICAL ISSUES SUCH AS BREAST CANCER, MENOPAUSE, AND OSTEOPOROSIS. WE OFFER PRIMARY, PREVENTITIVE, GYNECOLOGICAL AND FAMILY PLANNING CARE SERVICES, INCLUDING PREGNANCY TESTING AND BIRTH CONTROL. ACUPUNCTURE, INFECTIOUS DISEASE, INCLUDING HIVE ADN HEPATITIS C, MINOR SURGERY FOR DERMATOLOGY, NUTRITION, OFFICE-BASED ORTHOPEDICS, PODIATRY, PULMONARY MEDICINE, SOCIAL WORK. *HEALTH PROGRAMS* HIV SCREENING AND CASE MANAGEMENT - OCHS IS COMMITTED TO HELPING PEOPLE WITH HIV MAINTAIN AND IMPROVE THEIR HEALTH. WE OFFER CASE MANAGEMENT, CLINICAL AND FINANCIAL SOCIAL SERVICES, AND HIV/STI PREVENTION, EDUCATION, COUNSELING AND TESTING. TEEN CLINIC - WE RECOGNIZE THAT ADOLESCENT NEEDS ARE UNIQUE, AND THAT TEENS OFTEN HAVE CONCERNS ABOUT THEIR BODIES, SOCIAL DEVELOPMENT, PHYSICAL AND MENTAL HEALTH. OFFERED EVERY FRIDAY AT OUR WELLFLEET HEALTH CENTER, THE TEEN CLINIC IS A SAFE PLACE WHERE ADOLESCENTS CAN GET ANSWERS TO QUESTIONS AND MAKE INFORMED DECISIONS ABOUT THEIR HEALTH. TRAVEL CLINIC - PLANS TO TRAVEL ABROAD CAN GENERATE MANY HEALTH-RELATED QUESTIONS AND CONCERNS, PARTICULARLY FOR THOSE HEADED TO REMOTE OR EXOTIC LOCATIONS. STARTING IN THE SPRING OF 2011, THE OCHS TRAVEL CLINIC HAS HELPED TRAVELERS OBTAIN NECESSARY VACCINATIONS AND LEARN ABOUT POTENTIAL HEALTH RISKS BEFORE THEY LEAVE THE U.S. AND ALSO TO ADDRESS ANY HEALTH CONCERNS UPON THEIR RETURN. WIC (WOMEN, INFANTS, &amp; CHILDREN) NUTRITION PROGRAM - 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. HEALTHY WEIGHT CLINIC FOR CHILDREN OFFICE BASED OPIOID TREATMENT (OBOT) PROGRAM ORAL HEALTH INITIATIVE *ADDITIONAL HEALTHY CONNECTIONS, FINANCIAL/INSURANCE ASSISTANCE - HEALTH CONNECTIONS IS A FREE AND CONFIDENTIAL SERVICE THAT CONNECTS THOSE WHO ARE ELIGIBLE TO PUBLICLY-FUNDED HEALTH INSURANCE PROGRAMS AND OTHER SOCIAL SERVICES. PHARMACY - THE PHARMACY PROGRAM, OPENED IN JULY 2011, IS A 340B PHARMACY OFFERING A CONVENIENCE, LOCAL PLACE FOR FILLING PRESCRIPTIONS. AS PART OF THE FEDERAL GOVERNMENT'S 340B PROGRAM, OCHS RECEIVES SIGNIFICANT SAVINGS ON PHARMACEUTICALS - SAVINGS WHICH ARE PASSED ON TO PATIENTS. ALL MEMBERS OF THE PUBLIC ARE ABLE TO FILL ANY LEGITIMATE PRESRIPTION AT THE NEW PHARMACY, WHICH MEANS NO MORE DRIVING 20 MINUTES OR MORE TO ACCESS IMPORTANT MEDICATIONS. COMPUTED RADIOLOGY - OCHS IS THE ONLY COMMUNITY HEALTH CENTER ON CAPE COD OFFERING COMPUTED RADIOLOGY. THIS STATE OF ART TECHNOLOGY IS FASTER, SAFER AND MORE EFFICIENT THAN FILM-BASED SYSTEMS, ALLOWING PATIENTS TO RECEIVE TIMELY DIAGNOSIS FOR AILMENTS RANGING FROM SOME FRACTURES TO PNEUMONIA. X-RAY IMAGES ARE TAKEN ON SITE AT THE OCHS PROVINCETOWN MEDICAL CENTER AND READ REMOTELY BY RADIOLOGISTS AT BETH ISRAEL DEACONNESS MEDICAL CENTER IN BOSTON. QUEST DIAGNOSTIC CLINICAL LABORATORY SPECIALTY TESTING</Desc>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PENEOLOPE M KEYL</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBIN REID</PersonNm>
        <TitleTxt>2ND VICE PRESIDENT</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PATRICIA NADLE</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
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        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>186870</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21097</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TERRY COTE</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>32.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>129761</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>7166</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JEAN CALLUM</PersonNm>
        <TitleTxt>CIT/COO</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANDREW JORGENSEN MD</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM SHAY MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <OtherCompensationAmt>10705</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KALPNA THURAISAMY DO</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <OtherCompensationAmt>9530</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PETER GHERARDI MD</PersonNm>
        <TitleTxt>PSYCHIATRIST</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15472</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MATTHEW LIBBY DO</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>196847</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22852</OtherCompensationAmt>
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      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>105630</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>28</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>BARTON ASSOCIATES</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 417844</AddressLine1Txt>
            <CityNm>BOSTON</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02241</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LOCUM AGENCY</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>DBVW ARCHITECTS</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>111 CHESTNUT STREET</AddressLine1Txt>
            <CityNm>PROVIDENCE</CityNm>
            <StateAbbreviationCd>RI</StateAbbreviationCd>
            <ZIPCd>02903</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ARCHITECTS</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>ECLINICAL WORKS</PersonNm>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 847950</AddressLine1Txt>
            <CityNm>BOSTON</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
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          </USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Delphi</PersonNm>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>130 Overland Road</AddressLine1Txt>
            <CityNm>WALTHAM</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02451</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Building Contractor</ServicesDesc>
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      <GovernmentGrantsAmt>2577355</GovernmentGrantsAmt>
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      <NoncashContributionsAmt>11838</NoncashContributionsAmt>
      <TotalContributionsAmt>3378837</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>17406763</TotalRevenueColumnAmt>
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      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>HMO MANAGEMENT FEE REVENUE</Desc>
        <BusinessCd>621491</BusinessCd>
        <TotalRevenueColumnAmt>363564</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>363564</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>17770327</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>2992</TotalRevenueColumnAmt>
        <ExclusionAmt>2992</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </RoyaltiesRevenueGrp>
      <GrossRentsGrp>
        <RealAmt>30289</RealAmt>
      </GrossRentsGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>30289</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>30289</TotalRevenueColumnAmt>
        <ExclusionAmt>30289</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>122729</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>48350</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>56279</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>66450</TotalRevenueColumnAmt>
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      <GamingGrossIncomeAmt>0</GamingGrossIncomeAmt>
      <GamingDirectExpensesAmt>0</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeFromGamingGrp>
      <GrossSalesOfInventoryAmt>0</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>0</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS INCOME</Desc>
        <BusinessCd>621999</BusinessCd>
        <TotalRevenueColumnAmt>317052</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>317052</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>317052</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>18087379</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>33281</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
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      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
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      <ForeignGrantsGrp>
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      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>474703</TotalAmt>
        <ManagementAndGeneralAmt>474703</ManagementAndGeneralAmt>
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      <CompDisqualPersonsGrp>
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      <OtherSalariesAndWagesGrp>
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        <ProgramServicesAmt>8669143</ProgramServicesAmt>
        <ManagementAndGeneralAmt>807746</ManagementAndGeneralAmt>
        <FundraisingAmt>260537</FundraisingAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>1290827</ProgramServicesAmt>
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        <FundraisingAmt>20532</FundraisingAmt>
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      <FeesForServicesManagementGrp>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>69587</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>80477</TotalAmt>
        <ManagementAndGeneralAmt>80477</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
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      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>0</TotalAmt>
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      <FeesForSrvcInvstMgmntFeesGrp>
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        <ProgramServicesAmt>561765</ProgramServicesAmt>
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        <FundraisingAmt>97794</FundraisingAmt>
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      <AdvertisingGrp>
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        <ProgramServicesAmt>980</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2379</ManagementAndGeneralAmt>
        <FundraisingAmt>5164</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
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        <ProgramServicesAmt>53691</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7019</ManagementAndGeneralAmt>
        <FundraisingAmt>640</FundraisingAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>263338</TotalAmt>
        <ProgramServicesAmt>254096</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5076</ManagementAndGeneralAmt>
        <FundraisingAmt>4166</FundraisingAmt>
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        <ManagementAndGeneralAmt>432702</ManagementAndGeneralAmt>
        <FundraisingAmt>125</FundraisingAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>36774</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1343</ManagementAndGeneralAmt>
        <FundraisingAmt>1336</FundraisingAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
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      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>23645</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3326</ManagementAndGeneralAmt>
        <FundraisingAmt>737</FundraisingAmt>
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        <ProgramServicesAmt>31322</ProgramServicesAmt>
        <ManagementAndGeneralAmt>197984</ManagementAndGeneralAmt>
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      <PaymentsToAffiliatesGrp>
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        <FundraisingAmt>521</FundraisingAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>750</ProgramServicesAmt>
        <ManagementAndGeneralAmt>139087</ManagementAndGeneralAmt>
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        <Desc>IMPAIRMENT</Desc>
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        <ManagementAndGeneralAmt>385439</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>237073</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21417</ManagementAndGeneralAmt>
        <FundraisingAmt>485</FundraisingAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>4766590</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>LICENSES, FEES, DUES &amp; SUBSCRI</Desc>
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        <ProgramServicesAmt>54201</ProgramServicesAmt>
        <ManagementAndGeneralAmt>36510</ManagementAndGeneralAmt>
        <FundraisingAmt>4861</FundraisingAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>129397</ProgramServicesAmt>
        <ManagementAndGeneralAmt>107144</ManagementAndGeneralAmt>
        <FundraisingAmt>44764</FundraisingAmt>
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        <ProgramServicesAmt>17791493</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3196843</ManagementAndGeneralAmt>
        <FundraisingAmt>469881</FundraisingAmt>
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        <EOYAmt>462383</EOYAmt>
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        <EOYAmt>1186030</EOYAmt>
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        <EOYAmt>362486</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>954741</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>352234</EOYAmt>
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        <EOYAmt>52046</EOYAmt>
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        <EOYAmt>6802740</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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      <InvestmentsProgramRelatedGrp>
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        <EOYAmt>0</EOYAmt>
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      <IntangibleAssetsGrp>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>138752</EOYAmt>
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        <EOYAmt>10311412</EOYAmt>
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        <EOYAmt>2850971</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>55421</EOYAmt>
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      <TaxExemptBondLiabilitiesGrp>
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        <EOYAmt>0</EOYAmt>
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      <EscrowAccountLiabilityGrp>
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        <EOYAmt>0</EOYAmt>
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      <LoansFromOfficersDirectorsGrp>
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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>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 4B - Other Adjustments:</FormAndLineReferenceDesc>
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        <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, 2018 and 2017, there were no interest or penalties recorded or included in the statements of operations.</ExplanationTxt>
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      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
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        <FormAndLineReferenceDesc>FORM 990 PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>WORKERS AND VISITORS.</ExplanationTxt>
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      <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>
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      <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>
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</Return>