2016-05-12T14:32:52-05:00 2015-06-30 042571780 ALEXANDER ARONSON FINNING & CO PC 21 EAST MAIN STREET WESTBORO MA 01581 990 2014-07-01 043370560 COMMUNITY HEALTH CENTER OF CAPE COD INC COMM 5084777090 107 COMMERCIAL STREET MASHPEE MA 02649 ANN-MARIE RICHARD CFO 5084777090 2016-05-09 1 MATTHEW R HUTT CPA P01584755 5083669100 2016-05-09 2014 2016-08-17 19:52:53Z ANN-MARIE RICHARD 107 COMMERCIAL STREET MASHPEE MA 02649 12561308 0 X WWW.CHCOFCAPECOD.ORG X 1997 MA THE HEALTH CENTER PROVIDES HEALTH CARE FOR UNINSURED AND UNDER INSURED RESIDENTS OF THE CAPE COD AND SOUTHEASTERN AREAS OF MASSACHUSETTS. 12 12 217 9 0 0 3312992 3619217 8723954 8801266 1741 2693 70869 102736 12109556 12525912 0 0 0 0 8855732 9803940 0 0 388235 2863003 3373138 11718735 13177078 390821 -651166 14779187 14335951 715708 923638 14063479 13412313 TO PROVIDE COMPREHENSIVE, HIGH QUALITY, PASSIONATE HEALTH CARE TO CONSUMERS, REGARDLESS OF ABILITY TO PAY. 0 0 11761276 8889363 COMPREHENSIVE AND INTEGRATED PRIMARY CARE, BEHAVIORAL HEALTH AND DENTAL SERVICES, INCLUDING ACCESS TO PREVENTIVE HEALTH CARE, EPISODIC TREATMENT FOR ACUTE MEDICAL CONDITIONS, CHRONIC DISEASE MANAGEMENT, SPECIALTY REFERRALS, AND A 340B PHARMACY, REGARDLESS OF ABILITY TO PAY. THE HEALTH CENTER PROVIDED APROXIMATELY 70,000 PATIENT SERVICE VISITS. 11761276 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 10 0 1 217 1 0 0 0 0 0 1 1 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 MA X KAREN GARDNER CEO 5084777090 107 COMMERCIAL STREET MASHPEE MA 02649 NANCY BARNETT MD CLERK 1.00 X X 0 0 0 MADELEINE WING ADLER DIRECTOR 1.00 X 0 0 0 RALPH SEWALL DIRECTOR 1.00 X 0 0 0 GINA HOTTON DIRECTOR 1.00 X 0 0 0 BRENDA SWITHENBANK DIRECTOR 1.00 X 0 0 0 MATTHEW WATERBURY OD DIRECTOR 1.00 X 0 0 0 BEVERLY JACOBSON DIRECTOR 1.00 X 0 0 0 ANITA THACKER DIRECTOR 1.00 X 0 0 0 PAUL SMITH DIRECTOR 1.00 X 0 0 0 DAVID PETERSON PRESIDENT 1.00 X X 0 0 0 GARY DELLAPOSTA TREASURER 1.00 X X 0 0 0 RUDOLPH HUNTER VICE PRESIDENT 1.00 X X 0 0 0 KAREN GARDNER CEO 40.00 X 183824 0 19898 ANN-MARIE RICHARD CFO 40.00 X 119094 0 17956 DAVID TAGER MD CHIEF MEDICAL OFFICER 40.00 X 191108 0 20116 KAREN BISSONNETTE CDO 40.00 X 125072 0 18063 DAWN WEST DIRECTOR OF DENTAL SERVICE 40.00 X 171617 0 18327 KENNETH TERKELSEN PHYSICIAN 40.00 X 179390 0 19765 SUZANNE ROBBINS RN - CLINICAL DIRECTOR 40.00 X 103916 0 17500 LAURA JETT PHYSICIAN 40.00 X 181526 0 19829 1255547 0 151454 8 0 1 0 TIMBERLINE CONSTRUCTION CORPORATION 300 PINE STREET CANTON MA 02021 OPTOMETRY SITE CONSTRUCTION 140545 1 60171 1550441 2008605 113144 3619217 NET PATIENT SERVICE REVENUE 621110 8801266 8801266 8801266 2693 2693 50035 60171 35396 14639 14639 OTHER REVENUE 900099 88097 88097 88097 12525912 8889363 0 17332 722598 222371 357092 143135 7406950 7043933 215708 147309 119806 111690 5874 2242 926010 861304 46707 17999 628576 555828 50864 21884 46007 46007 285868 187116 83842 14910 237859 181477 45470 10912 924439 860510 43511 20418 22717 12619 10098 70297 52937 16304 1056 8 8 752171 714432 30657 7082 29065 780 28285 MEDICAL SUPPLIES AND SE 812190 808515 3675 SUBCONTRACTED DIRECT CA 83990 83990 MISCELLANEOUS 65241 20488 43465 1288 BAD DEBTS 43286 43286 13177078 11761276 1027567 388235 1207455 1001044 657460 560040 166001 191677 1235219 1106203 83315 113191 71775 182077 13916796 2735077 11357962 11181719 14779187 14335951 702158 865300 13550 58338 715708 923638 X 13502617 12645569 385362 591244 175500 175500 14063479 13412313 14779187 14335951 -651166 0 X X 0 1 X 1 1 1 X 2469693 7104603 5643851 3312992 3619217 22150356 2469693 7104603 5643851 3312992 3619217 22150356 197248 21953108 8539 6247 3848 1741 2693 23068 28889 153921 62293 62161 88097 395361 22568785 36950153 0.97270 0.97570 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 175500 175500 175500 175500 174416 1084 175500 174416 174416 174416 174416 1.00000 0 0 10148901 1261293 8887608 327545 207354 120191 2472308 1018466 1453842 968042 247964 720078 11181719 X 12775229 213921 35396 249317 12525912 0 12525912 13426395 213921 35396 249317 13177078 0 13177078 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 STATEMENT 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, 2015 AND 2014. THE HEALTH CENTER INFORMATION RETURNS ARE SUBJECT TO EXAMINATION BY THE FEDERAL AND STATE JURISDICTIONS AND GENERALLY REMAIN OPEN FOR THE MOST RECENT THREE YEARS. PART XI, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENTS EXPENSE 35,396. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSE 35,396. PART 5, LINE 4 THE ENDOWMENT FUNDS SUPPORT THE GENERAL OPERATIONS OF THE HEALTH CENTER. GALA 49405 23990 25415 16400 GOLF TOURNAMENT 46080 26900 19180 13063 1 14721 9281 5440 5933 110206 60171 50035 35396 35396 14639 X X 0 0 0 0 0 0 0 0 0 KAREN GARDNER CEO 183824 0 0 0 0 0 5515 0 14383 0 203722 0 0 0 DAVID TAGER MD CHIEF MEDICAL OFFICER 191108 0 0 0 0 0 5733 0 14383 0 211224 0 0 0 DAWN WEST DIRECTOR OF DENTAL SERVICE 171617 0 0 0 0 0 5149 0 13178 0 189944 0 0 0 KENNETH TERKELSEN PHYSICIAN 179390 0 0 0 0 0 5382 0 14383 0 199155 0 0 0 LAURA JETT PHYSICIAN 181526 0 0 0 0 0 5446 0 14383 0 201355 0 0 0 X 7 113144 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 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.