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COMMUNITY HEALTH CENTER OF CAPE COD INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY HEALTH CENTER OF CAPE COD INC (EIN 04-3370560)
Tax period
2012-07-01 to 2013-06-30
Filed
2013-12-04
IRS object ID
201303389349300905
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-12-04T10:39:24-06:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN042571780EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ALEXANDER ARONSON FINNING & CO PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line121 EAST MAIN STREETAddressLine1
CityWESTBOROCity
StateMAState
ZIP Code01581ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN043370560EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HEALTH CENTER OF CAPE COD INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCOMMNameControl
Phone5084777090Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1107 COMMERCIAL STREETAddressLine1
CityMASHPEECity
StateMAState
ZIP Code02649ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKAREN GARDNERName
TitleCEOTitle
Phone5084777090Phone
Date Signed2013-12-03DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMATTHEW R HUTT CPAName
PTINP01584755PTIN
Phone5083669100Phone
Date Prepared2013-12-02DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKAREN GARDNERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1107 COMMERCIAL STREETAddressLine1
CityMASHPEECity
StateMAState
ZIP Code02649ZIPCode
FieldValueIRS element (for citing)
Gross Receipts12948671GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CHCOFCAPECOD.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1997YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionTHE HEALTH CENTER PROVIDES HEALTH CARE FOR UNINSURED AND UNDER INSURED RESIDENTS OF THE CAPE COD AND SOUTHEASTERN AREAS OF MASSACHUSETTS.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees179TotalNbrEmployees
Total Nbr Volunteers12TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year7104603ContributionsGrantsPriorYear
Contributions Grants Current Year5643851ContributionsGrantsCurrentYear
Program Service Revenue Prior Year5946670ProgramServiceRevenuePriorYear
Program Service Revenue CY7168177ProgramServiceRevenueCY
Investment Income Prior Year6247InvestmentIncomePriorYear
Investment Income Current Year3848InvestmentIncomeCurrentYear
Other Revenue Prior Year145827OtherRevenuePriorYear
Other Revenue Current Year95719OtherRevenueCurrentYear
Total Revenue Prior Year13203347TotalRevenuePriorYear
Total Revenue Current Year12911595TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year7426531SalariesEtcPriorYear
Salaries Etc Current Year8029403SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year367865TotalFundrsngExpCurrentYear
Other Expense Prior Year1333325OtherExpensePriorYear
Other Expenses Current Year2181228OtherExpensesCurrentYear
Total Expenses Prior Year8759856TotalExpensesPriorYear
Total Expenses Current Year10210631TotalExpensesCurrentYear
Revenues Less Expenses Prior Year4443491RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2700964RevenuesLessExpensesCY
Total Assets BOY13076712TotalAssetsBOY
Total Assets EOY14982937TotalAssetsEOY
Total Liabilities BOY2105018TotalLiabilitiesBOY
Total Liabilities EOY1310279TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY10971694NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY13672658NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO PROVIDE COMPREHENSIVE, HIGH QUALITY, PASSIONATE HEALTH CARE TO CONSUMERS, REGARDLESS OF ABILITY TO PAY.MissionDescription
Significant New Program Services1SignificantNewProgramServices
Significant Change0SignificantChange
Expense8147594Expense
Revenue7230470Revenue
DescriptionCOMPREHENSIVE 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 63,000 PATIENT SERVICE VISITS.Description
Total Program Service Expense8147594TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109614NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees179NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1KAREN GARDNER CEOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5084777090TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1107 COMMERCIAL STREETAddressLine1
CityMASHPEECity
StateMAState
ZIP Code02649ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
DAVID PETERSON
PRESIDENT1.00XX000
RUDOLPH HUNTER
VICE PRESIDENT1.00XX000
GARY DELLAPOSTA
TREASURER1.00XX000
TONY ROSS
DIRECTOR1.00X000
MADELEINE WING ADLER
DIRECTOR1.00X000
NANCY BARNETT MD
CLERK1.00XX000
JOSEPH MINGOLELLI
DIRECTOR1.00X000
GINA HOTTON
DIRECTOR1.00X000
MICHAEL BIHARI MD
DIRECTOR1.00X000
BRENDA SWITHENBANK
DIRECTOR1.00X000
ANITA THACKER
DIRECTOR1.00X000
LOUIS TURNER
DIRECTOR1.00X000
DAVID TAGER MD
MEDICAL DIRECTOR40.00X172816018450
KAREN GARDNER
CEO40.00X171902017990
ANN-MARIE RICHARD
CFO40.00X5080806507
KAREN BISSONETTE
CDO40.00X136482020035
PAUL CHIZEK
FORMER CFO40.00X1802302740
KENNETH TERKELSEN
PHYSICIAN40.0018080506388X
DALE WELDON
PHYSICIAN40.0014376205829X
STEPHANIE PRIOR
PHYSICIAN40.00151104017963X
DAWN WEST
DIRECTOR OF DENTAL SERVICES40.00162731016297X
SAJID MEHMOOD
PHYSICIAN40.00143412017243X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1331845TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation129442TotalOtherCompensation
Number Individuals GT100 K8NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
JK SCANLAN
15 RESEARCH RDEAST FALMOUTHMA02536GENERAL CONTRACTOR6589646
GREENPAGES TECHNOLOGY SOLUTION
33 BADGERS ISLAND WESTKITTERYME03904IT SERVICES212000
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Fundraising Events65945FundraisingEvents
Government Grants4382262GovernmentGrants
All Other Contributions1195644AllOtherContributions
Noncash Contributions420900NoncashContributions
Total Contributions5643851TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET PATIENT SERVICE REDescription
Business Code621110BusinessCode
Total Revenue Column7168177TotalRevenueColumn
Related Or Exempt Function Income7168177RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue7168177TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3848TotalRevenueColumn
Exclusion$3,848ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events70502GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events65945CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses37076FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column33426TotalRevenueColumn
Exclusion$33,426ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column62293TotalRevenueColumn
Related Or Exempt Function Income62293RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue62293TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column12911595TotalRevenueColumn
Related Or Exempt Function Income7230470RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$37,274ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total675491Total
Program Services205944ProgramServices
Management And General304748ManagementAndGeneral
Fundraising164799Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5972847Total
Program Services5201262ProgramServices
Management And General662619ManagementAndGeneral
Fundraising108966Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total93390Total
Program Services77685ProgramServices
Management And General13463ManagementAndGeneral
Fundraising2242Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total722316Total
Program Services561207ProgramServices
Management And General137578ManagementAndGeneral
Fundraising23531Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total565359Total
Program Services461666ProgramServices
Management And General82717ManagementAndGeneral
Fundraising20976Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total4230Total
Management And General4230ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total34370Total
Management And General34370ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total115110Total
Program Services75112ProgramServices
Management And General36244ManagementAndGeneral
Fundraising3754Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total200684Total
Program Services105834ProgramServices
Management And General87133ManagementAndGeneral
Fundraising7717Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total563955Total
Program Services368878ProgramServices
Management And General174700ManagementAndGeneral
Fundraising20377Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total14829Total
Program Services10911ProgramServices
Management And General3918ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total54353Total
Program Services6725ProgramServices
Management And General45400ManagementAndGeneral
Fundraising2228Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total14594Total
Management And General14594ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total424027Total
Program Services377137ProgramServices
Management And General34525ManagementAndGeneral
Fundraising12365Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total26867Total
Management And General26867ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
MEDICAL SUPPLIES AND SE540252540252
BAD DEBTS148274148274
MISCELLANEOUS39683670732066910

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total10210631Total
Program Services8147594ProgramServices
Management And General1695172ManagementAndGeneral
Fundraising367865Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY315773BOY
EOY235896EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1943765BOY
EOY1315258EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY923917BOY
EOY447187EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2216292BOY
EOY1096697EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY68923EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY72028BOY
EOY107722EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis13060415LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1349161LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY7604937BOY
EOY11711254EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY13076712BOY
EOY14982937EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2006653BOY
EOY700556EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY98365BOY
EOY11000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
EOY598723EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2105018BOY
EOY1310279EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY9346910BOY
EOY13078878EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1450368BOY
EOY418280EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY174416BOY
EOY175500EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10971694BOY
EOY13672658EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY13076712BOY
EOY14982937EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses2700964ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2797372CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3264641CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2469693CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7104603CurrentTaxYearMinus1Year
Current Tax Year5643851CurrentTaxYear
Total21280160Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2797372CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3264641CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2469693CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7104603CurrentTaxYearMinus1Year
Current Tax Year5643851CurrentTaxYear
Total21280160Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total326144AmountsSubstContributorsTotal
Public Support Total17020954016PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7858CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3634CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8539CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6247CurrentTaxYearMinus1Year
Current Tax Year3848CurrentTaxYear
Total30126Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9151CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8916CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years28889CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year153921CurrentTaxYearMinus1Year
Current Tax Year62293CurrentTaxYear
Total263170Total
FieldValueIRS element (for citing)
Total Support21573456TotalSupport
Gross Receipts From Admissions Etc263170GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.97130PublicSupportPertcentage170
Public Support Pertcent Prior Year0.95570PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance174416BeginningOfYearBalance
Contributions1084Contributions
End Of Year Balance175500EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance174416BeginningOfYearBalance
End Of Year Balance174416EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance174416BeginningOfYearBalance
End Of Year Balance174416EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance159416BeginningOfYearBalance
Contributions15000Contributions
End Of Year Balance174416EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Contributions159416Contributions
End Of Year Balance159416EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis10487358OtherCostOrOtherBasis
Depreciation553507Depreciation
Book Value9933851BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis319660OtherCostOrOtherBasis
Depreciation147062Depreciation
Book Value172598BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1325310OtherCostOrOtherBasis
Depreciation479595Depreciation
Book Value845715BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis928087OtherCostOrOtherBasis
Depreciation168997Depreciation
Book Value759090BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings11711254TotalOfBookValueLandBuildings
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt13188272TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities239601DonatedSrvcAndUseOfFacilities
Other Revenues37076OtherRevenues
Revenue Not Rptd F990276677RevenueNotRptdF990
Revenue Subtotal12911595RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99012911595TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt10487308TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities239601DonatedServicesUseOfFacilities
Other Expenses Included37076OtherExpensesIncluded
Expenses Not Rptd F990276677ExpensesNotRptdF990
Expenses Subtotal10210631ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99010210631TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:THE COMMUNITY HEALH CENTER OF CAPE COD FOLLOWS THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES STANDARD WHICH REQUIRES THE COMMUNITY HEALTH CENTER OF CAPE COD TO REPORT UNCERTAIN TAX POSITIONS, RELATED INTEREST AND PENALTIES, AND TO ADJUST ITS ASSETS AND LIABILITIES RELATED TO UNRECOGNIZED TAX BENEFITS AND ACCRUED INTEREST AND PENALTIES ACCORDINGLY. AS OF JUNE 30, 2013, THE COMMUNITY HEALTH CENTER OF CAPE COD DETERMINED THAT THERE ARE NO MATERIAL UNRECOGNIZED TAX BENEFITS TO REPORT. INFORMATION RETURNS FILED FOR THE PRIOR THREE YEARS REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE AND MASSACHUSETTS. THE COMMUNITY HEALH CENTER OF CAPE COD DOES NOT EXPECT THAT THE AMOUNTS OF UNRECOGNIZED TAX BENEFITS WILL CHANGE SIGNIFICANTLY WITHIN THE NEXT TWELVE MONTHS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:SPECIAL EVENTS EXPENSE
PART XII, LINE 2D - OTHER ADJUSTMENTS:SPECIAL EVENT EXPENSE
PART 5, LINE 4- THE ENDOWMENT FUNDS SUPPORT THE GENERAL OPERATIONS OF THE HEALTH CENTER.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GALANameOfEvent1
Gross Receipts Event188140GrossReceiptsEvent1
Charitable Contributions Event129120CharitableContributionsEvent1
Gross Revenue Event159020GrossRevenueEvent1
Other Direct Expenses Event126418OtherDirectExpensesEvent1
Name Of Event2GOLF TOURNAMENTNameOfEvent2
Gross Receipts Event248307GrossReceiptsEvent2
Charitable Contributions Event236825CharitableContributionsEvent2
Gross Revenue Event211482GrossRevenueEvent2
Other Direct Expenses Event210658OtherDirectExpensesEvent2
Gross Receipts Total136447GrossReceiptsTotal
Charitable Contributions Total65945CharitableContributionsTotal
Gross Revenue Total Events70502GrossRevenueTotalEvents
Other Direct Expenses Total Events37076OtherDirectExpensesTotalEvents
Direct Expense Summary Events37076DirectExpenseSummaryEvents
Net Income Summary33426NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Compensation SurveyXCompensationSurvey
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DAVID TAGER MD
MEDICAL DIRECTOR1728160000054380130120191266000
KAREN GARDNER
CEO1719020000049780130120189892000
KAREN BISSONETTE
CDO1364820000070940129410156517000
KENNETH TERKELSEN
PHYSICIAN18080500000542209660187193000
STEPHANIE PRIOR
PHYSICIAN1511040000049510130120169067000
DAWN WEST
DIRECTOR OF DENTAL SERVICES1627310000045520117450179028000
SAJID MEHMOOD
PHYSICIAN1434120000043020129410160655000

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions6NumberOfContributions
Noncash Contribs Rptd F990420900NoncashContribsRptdF990
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
NEW PROGRAM SERVICESFORM 990, PART III, LINE 2THE HEALTH CENTER OPENED AN IN-HOUSE 340B PHARMACY DURING FISCAL YEAR 2013.
FORM 990, PART VI, SECTION B, LINE 11THE 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 12CALL 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 15COMPENSATION 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 19BOARD 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.