CEO

2013-12-04T10:39:24-06:00 2013-06-30 042571780 ALEXANDER ARONSON FINNING & CO PC 21 EAST MAIN STREET WESTBORO MA 01581 990 2012-07-01 043370560 COMMUNITY HEALTH CENTER OF CAPE COD INC COMM 5084777090 107 COMMERCIAL STREET MASHPEE MA 02649 KAREN GARDNER CEO 5084777090 2013-12-03 1 MATTHEW R HUTT CPA P01584755 5083669100 2013-12-02 2012 2015-11-30 17:44:51Z KAREN GARDNER 107 COMMERCIAL STREET MASHPEE MA 02649 12948671 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 12 179 12 0 0 7104603 5643851 5946670 7168177 6247 3848 145827 95719 13203347 12911595 0 0 0 0 7426531 8029403 0 0 367865 1333325 2181228 8759856 10210631 4443491 2700964 13076712 14982937 2105018 1310279 10971694 13672658 X TO PROVIDE COMPREHENSIVE, HIGH QUALITY, PASSIONATE HEALTH CARE TO CONSUMERS, REGARDLESS OF ABILITY TO PAY. 1 0 8147594 7230470 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 63,000 PATIENT SERVICE VISITS. 8147594 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 14 0 179 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 X KAREN GARDNER CEO 5084777090 107 COMMERCIAL STREET MASHPEE MA 02649 DAVID PETERSON PRESIDENT 1.00 X X 0 0 0 RUDOLPH HUNTER VICE PRESIDENT 1.00 X X 0 0 0 GARY DELLAPOSTA TREASURER 1.00 X X 0 0 0 TONY ROSS DIRECTOR 1.00 X 0 0 0 MADELEINE WING ADLER DIRECTOR 1.00 X 0 0 0 NANCY BARNETT MD CLERK 1.00 X X 0 0 0 JOSEPH MINGOLELLI DIRECTOR 1.00 X 0 0 0 GINA HOTTON DIRECTOR 1.00 X 0 0 0 MICHAEL BIHARI MD DIRECTOR 1.00 X 0 0 0 BRENDA SWITHENBANK DIRECTOR 1.00 X 0 0 0 ANITA THACKER DIRECTOR 1.00 X 0 0 0 LOUIS TURNER DIRECTOR 1.00 X 0 0 0 DAVID TAGER MD MEDICAL DIRECTOR 40.00 X 172816 0 18450 KAREN GARDNER CEO 40.00 X 171902 0 17990 ANN-MARIE RICHARD CFO 40.00 X 50808 0 6507 KAREN BISSONETTE CDO 40.00 X 136482 0 20035 PAUL CHIZEK FORMER CFO 40.00 X 18023 0 2740 KENNETH TERKELSEN PHYSICIAN 40.00 X 180805 0 6388 DALE WELDON PHYSICIAN 40.00 X 143762 0 5829 STEPHANIE PRIOR PHYSICIAN 40.00 X 151104 0 17963 DAWN WEST DIRECTOR OF DENTAL SERVICES 40.00 X 162731 0 16297 SAJID MEHMOOD PHYSICIAN 40.00 X 143412 0 17243 1331845 0 129442 8 0 1 0 JK SCANLAN 15 RESEARCH RD EAST FALMOUTH MA 02536 GENERAL CONTRACTOR 6589646 GREENPAGES TECHNOLOGY SOLUTION 33 BADGERS ISLAND WEST KITTERY ME 03904 IT SERVICES 212000 2 65945 4382262 1195644 420900 5643851 NET PATIENT SERVICE RE 621110 7168177 7168177 7168177 3848 3848 70502 65945 37076 33426 33426 OTHER REVENUE 900099 62293 62293 62293 12911595 7230470 0 37274 675491 205944 304748 164799 5972847 5201262 662619 108966 93390 77685 13463 2242 722316 561207 137578 23531 565359 461666 82717 20976 4230 4230 34370 34370 115110 75112 36244 3754 200684 105834 87133 7717 563955 368878 174700 20377 14829 10911 3918 54353 6725 45400 2228 14594 14594 424027 377137 34525 12365 26867 26867 MEDICAL SUPPLIES AND SE 540252 540252 BAD DEBTS 148274 148274 MISCELLANEOUS 39683 6707 32066 910 10210631 8147594 1695172 367865 315773 235896 1943765 1315258 923917 447187 2216292 1096697 68923 72028 107722 13060415 1349161 7604937 11711254 13076712 14982937 2006653 700556 98365 11000 598723 2105018 1310279 X 9346910 13078878 1450368 418280 174416 175500 10971694 13672658 13076712 14982937 2700964 0 X 0 1 X 1 1 1 X 2797372 3264641 2469693 7104603 5643851 21280160 2797372 3264641 2469693 7104603 5643851 21280160 326144 20954016 7858 3634 8539 6247 3848 30126 9151 8916 28889 153921 62293 263170 21573456 263170 0.97130 0.95570 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 174416 1084 175500 174416 174416 174416 174416 159416 15000 174416 159416 159416 1.00000 0 0 10487358 553507 9933851 319660 147062 172598 1325310 479595 845715 928087 168997 759090 11711254 X 13188272 239601 37076 276677 12911595 0 12911595 10487308 239601 37076 276677 10210631 0 10210631 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. GALA 88140 29120 59020 26418 GOLF TOURNAMENT 48307 36825 11482 10658 136447 65945 70502 37076 37076 33426 X X 0 0 0 0 0 0 0 0 0 DAVID TAGER MD MEDICAL DIRECTOR 172816 0 0 0 0 0 5438 0 13012 0 191266 0 0 0 KAREN GARDNER CEO 171902 0 0 0 0 0 4978 0 13012 0 189892 0 0 0 KAREN BISSONETTE CDO 136482 0 0 0 0 0 7094 0 12941 0 156517 0 0 0 KENNETH TERKELSEN PHYSICIAN 180805 0 0 0 0 0 5422 0 966 0 187193 0 0 0 STEPHANIE PRIOR PHYSICIAN 151104 0 0 0 0 0 4951 0 13012 0 169067 0 0 0 DAWN WEST DIRECTOR OF DENTAL SERVICES 162731 0 0 0 0 0 4552 0 11745 0 179028 0 0 0 SAJID MEHMOOD PHYSICIAN 143412 0 0 0 0 0 4302 0 12941 0 160655 0 0 0 X 6 420900 0 0 0 NEW PROGRAM SERVICES FORM 990, PART III, LINE 2 THE HEALTH CENTER OPENED AN IN-HOUSE 340B PHARMACY DURING FISCAL YEAR 2013. 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.