2013-02-05T11:34:39-06:00 2012-06-30 042571780 ALEXANDER ARONSON FINNING & CO PC 21 EAST MAIN STREET WESTBORO MA 01581 990 2011-07-01 043370560 COMMUNITY HEALTH CENTER OF CAPE COD INC COMM 5084777090 107 COMMERCIAL STREET MASHPEE MA 02649 KAREN GARDNER 5084777090 2013-01-31 1 MATTHEW R HUTT CPA P01070603 5083669100 2013-01-30 2011 2016-02-25 16:41:14Z KAREN GARDNER 107 COMMERCIAL STREET MASHPEE MA 02649 13245573 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 12 161 3 0 0 2480132 7104603 5914725 5946670 8539 6247 53739 145827 8457135 13203347 0 0 0 0 6949987 7426531 0 0 298196 1413981 1333325 8363968 8759856 93167 4443491 7094276 13076712 566073 2105018 6528203 10971694 TO PROVIDE COMPREHENSIVE, HIGH QUALITY, PASSIONATE HEALTH CARE TO CONSUMERS, REGARDLESS OF ABILITY TO PAY. 0 0 7053449 6100591 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. 7053449 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 0 0 0 0 0 0 0 0 0 0 1 16 0 161 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 1.00 X X 0 0 0 RUDOLPH HUNTER 1.00 X X 0 0 0 GARY DELLAPOSTA 1.00 X X 0 0 0 TONY ROSS 1.00 X X 0 0 0 LEVI ADAMS 1.00 X 0 0 0 NANCY BARNETT MD 1.00 X 0 0 0 ELLYN DENT 1.00 X 0 0 0 GINA HOTTON 1.00 X 0 0 0 KENNETH QUICKEL 1.00 X 0 0 0 BRENDA SWITHENBANK 1.00 X 0 0 0 ANITA THACKER 1.00 X 0 0 0 LOUIS TURNER 1.00 X 0 0 0 DAVID TAGER 40.00 X 166208 0 18239 KAREN GARDNER 40.00 X 157345 0 26096 PAUL CHIZEK 40.00 X 113784 0 16480 KENNETH TERKELSEN 40.00 X 157770 0 5670 DALE WELDON 40.00 X 144883 0 599 STEPHANIE PRIOR 40.00 X 136392 0 17305 ROBERT COHEN 40.00 X 144623 0 16770 SAJID MEHMOOD 40.00 X 136071 0 17222 1157076 0 118381 8 0 1 0 0 68580 4910877 2125146 5257 7104603 NET PATIENT SERVICE RE 621110 5946670 5946670 5946670 6247 6247 34132 68580 42226 -8094 -8094 OTHER REVENUE 900099 153921 153921 153921 13203347 6100591 0 -1847 475727 194653 281074 5612404 4807748 592243 212413 91655 74105 11600 5950 738506 567278 139069 32159 508239 414600 77153 16486 2169 2169 37465 37465 44230 14836 26724 2670 157650 87351 63523 6776 390748 276724 95918 18106 15960 10519 5441 32173 15409 14484 2280 209765 192279 17324 162 17746 17746 MEDICAL SUPPLIES AND SE 323541 323541 BAD DEBTS 73437 73437 MISCELLANEOUS 28441 969 26278 1194 8759856 7053449 1408211 298196 33396 315773 1305215 1943765 299306 923917 1589033 2216292 70119 72028 8530071 925134 3797207 7604937 7094276 13076712 566073 2006653 98365 566073 2105018 X 5575407 9346910 778380 1450368 174416 174416 6528203 10971694 7094276 13076712 4443491 0 X 0 1 1 X 1 1 X 2049345 2797372 3264641 2469693 7104603 17685654 2049345 2797372 3264641 2469693 7104603 17685654 510352 17175302 55949 7858 3634 8539 6247 82227 1765 9151 8916 28889 153921 202642 17970523 202642 0.95570 0.95930 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 174416 174416 174416 174416 159416 15000 174416 159416 159416 1.00000 0 0 7102210 669824 6432386 314360 65023 249337 460511 129345 331166 652990 60942 592048 7604937 13203347 8759856 4443491 4443491 13490344 244771 42226 286997 13203347 0 13203347 9046853 244771 42226 286997 8759856 0 8759856 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. GALA - COME SAIL AWAY 64253 35530 28723 26964 GOLF TOURNAMENT 38459 33050 5409 15262 102712 68580 34132 42226 42226 -8094 X X 0 0 0 0 0 0 0 0 0 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 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.