COMMUNITY HEALTH CENTER OF CAPE COD INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: COMMUNITY HEALTH CENTER OF CAPE COD INC (EIN 04-3370560)
Tax period: 2011-07-01 to 2012-06-30
Filed: 2013-02-05
IRS object ID: 201320369349300732
Schema version: 2011v1.2
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule J
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-02-05T11:34:39-06:00	Timestamp
Tax Period End Date	2012-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	042571780	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ALEXANDER ARONSON FINNING & CO PC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	21 EAST MAIN STREET	AddressLine1
City	WESTBORO	City
State	MA	State
ZIP Code	01581	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	043370560	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	COMMUNITY HEALTH CENTER OF CAPE COD INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	COMM	NameControl
Phone	5084777090	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	107 COMMERCIAL STREET	AddressLine1
City	MASHPEE	City
State	MA	State
ZIP Code	02649	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	KAREN GARDNER	Name
Title	CEO	Title
Phone	5084777090	Phone
Date Signed	2013-01-31	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	MATTHEW R HUTT CPA	Name
PTIN	P01070603	PTIN
Phone	5083669100	Phone
Date Prepared	2013-01-30	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	KAREN GARDNER	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	107 COMMERCIAL STREET	AddressLine1
City	MASHPEE	City
State	MA	State
ZIP Code	02649	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	13245573	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.CHCOFCAPECOD.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1997	YearFormation
State Legal Domicile	MA	StateLegalDomicile
Activity Or Mission Description	THE 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 Body	12	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	12	NbrIndependentVotingMembers
Total Nbr Employees	161	TotalNbrEmployees
Total Nbr Volunteers	3	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	2480132	ContributionsGrantsPriorYear
Contributions Grants Current Year	7104603	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	5914725	ProgramServiceRevenuePriorYear
Program Service Revenue CY	5946670	ProgramServiceRevenueCY
Investment Income Prior Year	8539	InvestmentIncomePriorYear
Investment Income Current Year	6247	InvestmentIncomeCurrentYear
Other Revenue Prior Year	53739	OtherRevenuePriorYear
Other Revenue Current Year	145827	OtherRevenueCurrentYear
Total Revenue Prior Year	8457135	TotalRevenuePriorYear
Total Revenue Current Year	13203347	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	6949987	SalariesEtcPriorYear
Salaries Etc Current Year	7426531	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	298196	TotalFundrsngExpCurrentYear
Other Expense Prior Year	1413981	OtherExpensePriorYear
Other Expenses Current Year	1333325	OtherExpensesCurrentYear
Total Expenses Prior Year	8363968	TotalExpensesPriorYear
Total Expenses Current Year	8759856	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	93167	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	4443491	RevenuesLessExpensesCY
Total Assets BOY	7094276	TotalAssetsBOY
Total Assets EOY	13076712	TotalAssetsEOY
Total Liabilities BOY	566073	TotalLiabilitiesBOY
Total Liabilities EOY	2105018	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	6528203	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	10971694	NetAssetsOrFundBalancesEOY
Mission Description	TO PROVIDE COMPREHENSIVE, HIGH QUALITY, PASSIONATE HEALTH CARE TO CONSUMERS, REGARDLESS OF ABILITY TO PAY.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	7053449	Expense
Revenue	6100591	Revenue
Description	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 MEDICATIONS, REGARDLESS OF ABILITY TO PAY. THE HEALTH CENTER PROVIDED APROXIMATELY 57,000 PATIENT SERVICE VISITS.	Description
Total Program Service Expense	7053449	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	0	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	0	Gaming
Hospital	0	Hospital
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	0	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	16	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	161	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	1	QuidProQuoContributions
Quid Pro Quo Disclosure	1	QuidProQuoDisclosure
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	12	NbrVotingGoverningBodyMembers
Number Independent Voting Members	12	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	MA	StatesWhereCopyOfReturnIsFiled
Other Website	X	OtherWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	KAREN GARDNER CEO	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	5084777090	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	107 COMMERCIAL STREET	AddressLine1
City	MASHPEE	City
State	MA	State
ZIP Code	02649	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee
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
CLERK	1.00	X	X	0	0	0
LEVI ADAMS
DIRECTOR	1.00	X		0	0	0
NANCY BARNETT MD
DIRECTOR	1.00	X		0	0	0
ELLYN DENT
DIRECTOR	1.00	X		0	0	0
GINA HOTTON
DIRECTOR	1.00	X		0	0	0
KENNETH QUICKEL
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
MEDICAL DIRECTOR	40.00		X	166208	0	18239
KAREN GARDNER
CEO	40.00		X	157345	0	26096
PAUL CHIZEK
CFO	40.00		X	113784	0	16480
KENNETH TERKELSEN
PHYSICIAN	40.00			157770	0	5670	X
DALE WELDON
PHYSICIAN	40.00			144883	0	599	X
STEPHANIE PRIOR
PHYSICIAN	40.00			136392	0	17305	X
ROBERT COHEN
PHYSICIAN	40.00			144623	0	16770	X
SAJID MEHMOOD
PHYSICIAN	40.00			136071	0	17222	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1157076	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	118381	TotalOtherCompensation
Number Individuals GT100 K	8	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources
Number Of Contractors GT100 K	0	NumberOfContractorsGT100K
Fundraising Events	68580	FundraisingEvents
Government Grants	4910877	GovernmentGrants
All Other Contributions	2125146	AllOtherContributions
Noncash Contributions	5257	NoncashContributions
Total Contributions	7104603	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	NET PATIENT SERVICE RE	Description
Business Code	621110	BusinessCode
Total Revenue Column	5946670	TotalRevenueColumn
Related Or Exempt Function Income	5946670	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	5946670	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	6247	TotalRevenueColumn
Exclusion	$6,247	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	34132	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	68580	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	42226	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	-8094	TotalRevenueColumn
Exclusion	-$8,094	ExclusionAmount

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	OTHER REVENUE	Description
Business Code	900099	BusinessCode
Total Revenue Column	153921	TotalRevenueColumn
Related Or Exempt Function Income	153921	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	153921	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	13203347	TotalRevenueColumn
Related Or Exempt Function Income	6100591	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	-$1,847	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	475727	Total
Program Services	194653	ProgramServices
Management And General	281074	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	5612404	Total
Program Services	4807748	ProgramServices
Management And General	592243	ManagementAndGeneral
Fundraising	212413	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	91655	Total
Program Services	74105	ProgramServices
Management And General	11600	ManagementAndGeneral
Fundraising	5950	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	738506	Total
Program Services	567278	ProgramServices
Management And General	139069	ManagementAndGeneral
Fundraising	32159	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	508239	Total
Program Services	414600	ProgramServices
Management And General	77153	ManagementAndGeneral
Fundraising	16486	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	2169	Total
Management And General	2169	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	37465	Total
Management And General	37465	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	44230	Total
Program Services	14836	ProgramServices
Management And General	26724	ManagementAndGeneral
Fundraising	2670	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	157650	Total
Program Services	87351	ProgramServices
Management And General	63523	ManagementAndGeneral
Fundraising	6776	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	390748	Total
Program Services	276724	ProgramServices
Management And General	95918	ManagementAndGeneral
Fundraising	18106	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	15960	Total
Program Services	10519	ProgramServices
Management And General	5441	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	32173	Total
Program Services	15409	ProgramServices
Management And General	14484	ManagementAndGeneral
Fundraising	2280	Fundraising

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	209765	Total
Program Services	192279	ProgramServices
Management And General	17324	ManagementAndGeneral
Fundraising	162	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	17746	Total
Management And General	17746	ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
MEDICAL SUPPLIES AND SE	323541	323541
BAD DEBTS	73437	73437
MISCELLANEOUS	28441	969	26278	1194

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	8759856	Total
Program Services	7053449	ProgramServices
Management And General	1408211	ManagementAndGeneral
Fundraising	298196	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	33396	BOY
EOY	315773	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	1305215	BOY
EOY	1943765	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	299306	BOY
EOY	923917	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	1589033	BOY
EOY	2216292	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	70119	BOY
EOY	72028	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	8530071	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	925134	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	3797207	BOY
EOY	7604937	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	7094276	BOY
EOY	13076712	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	566073	BOY
EOY	2006653	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
EOY	98365	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	566073	BOY
EOY	2105018	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	5575407	BOY
EOY	9346910	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	778380	BOY
EOY	1450368	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	174416	BOY
EOY	174416	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	6528203	BOY
EOY	10971694	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	7094276	BOY
EOY	13076712	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	4443491	ReconcilationRevenueExpenses
Reconcilation Other Changes	0	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org170b1 Avi	X	PubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2049345	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2797372	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3264641	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2469693	CurrentTaxYearMinus1Year
Current Tax Year	7104603	CurrentTaxYear
Total	17685654	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2049345	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2797372	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3264641	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2469693	CurrentTaxYearMinus1Year
Current Tax Year	7104603	CurrentTaxYear
Total	17685654	Total

Field	Value	IRS element (for citing)
Amounts Subst Contributors Total	510352	AmountsSubstContributorsTotal
Public Support Total170	17175302	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	55949	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	7858	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3634	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	8539	CurrentTaxYearMinus1Year
Current Tax Year	6247	CurrentTaxYear
Total	82227	Total

Other Income170 OtherIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1765	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	9151	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	8916	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	28889	CurrentTaxYearMinus1Year
Current Tax Year	153921	CurrentTaxYear
Total	202642	Total

Field	Value	IRS element (for citing)
Total Support	17970523	TotalSupport
Gross Receipts From Admissions Etc	202642	GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage170	0.95570	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.95930	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	174416	BeginningOfYearBalance
End Of Year Balance	174416	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	174416	BeginningOfYearBalance
End Of Year Balance	174416	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	159416	BeginningOfYearBalance
Contributions	15000	Contributions
End Of Year Balance	174416	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Contributions	159416	Contributions
End Of Year Balance	159416	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	1.00000	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	7102210	OtherCostOrOtherBasis
Depreciation	669824	Depreciation
Book Value	6432386	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	314360	OtherCostOrOtherBasis
Depreciation	65023	Depreciation
Book Value	249337	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	460511	OtherCostOrOtherBasis
Depreciation	129345	Depreciation
Book Value	331166	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	652990	OtherCostOrOtherBasis
Depreciation	60942	Depreciation
Book Value	592048	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	7604937	TotalOfBookValueLandBuildings
Total Revenue	13203347	TotalRevenue
Total Expenses	8759856	TotalExpenses
Excess Or Deficit For Year	4443491	ExcessOrDeficitForYear
Excess Or Deficit Per FS	4443491	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	13490344	TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities	244771	DonatedSrvcAndUseOfFacilities
Other Revenues	42226	OtherRevenues
Revenue Not Rptd F990	286997	RevenueNotRptdF990
Revenue Subtotal	13203347	RevenueSubtotal
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	13203347	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	9046853	TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities	244771	DonatedServicesUseOfFacilities
Other Expenses Included	42226	OtherExpensesIncluded
Expenses Not Rptd F990	286997	ExpensesNotRptdF990
Expenses Subtotal	8759856	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	8759856	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X:	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, 2012, 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 5, LINE 4- THE ENDOWMENT FUNDS SUPPORT THE GENERAL OPERATIONS OF THE HEALTH CENTER.
		PART XII AND PART XIII LINE 2D: THESE ARE SPECIAL EVENT EXPENSES THAT NET WITH REVENUES ON THE 990 STATEMENT OF REVENUE.

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	GALA - COME SAIL AWAY	NameOfEvent1
Gross Receipts Event1	64253	GrossReceiptsEvent1
Charitable Contributions Event1	35530	CharitableContributionsEvent1
Gross Revenue Event1	28723	GrossRevenueEvent1
Other Direct Expenses Event1	26964	OtherDirectExpensesEvent1
Name Of Event2	GOLF TOURNAMENT	NameOfEvent2
Gross Receipts Event2	38459	GrossReceiptsEvent2
Charitable Contributions Event2	33050	CharitableContributionsEvent2
Gross Revenue Event2	5409	GrossRevenueEvent2
Other Direct Expenses Event2	15262	OtherDirectExpensesEvent2
Gross Receipts Total	102712	GrossReceiptsTotal
Charitable Contributions Total	68580	CharitableContributionsTotal
Gross Revenue Total Events	34132	GrossRevenueTotalEvents
Other Direct Expenses Total Events	42226	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	42226	DirectExpenseSummaryEvents
Net Income Summary	-8094	NetIncomeSummary

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Compensation Survey	X	CompensationSurvey
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	0	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DAVID TAGER
166208	0	0	0	0	0	5155	0	13084	0	184447	0	0	0
KAREN GARDNER
157345	0	0	0	0	0	13012	0	13084	0	183441	0	0	0
KENNETH TERKELSEN
157770	0	0	0	0	0	4640	0	1030	0	163440	0	0	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

Return ReferenceReturnReference	ExplanationExplanation
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.