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        <Total>397317</Total>
        <ProgramServices>397317</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>CLIENT/CAREGIVER STIPENDS</Description>
        <Total>91364</Total>
        <ProgramServices>91364</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>PROGRAM SUPPORT</Description>
        <Total>77201</Total>
        <ProgramServices>77002</ProgramServices>
        <Fundraising>199</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>PROGRAM SUPPLIES</Description>
        <Total>46913</Total>
        <ProgramServices>46913</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>OTHER</Description>
        <Total>37301</Total>
        <ProgramServices>14</ProgramServices>
        <ManagementAndGeneral>37287</ManagementAndGeneral>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>21446</Total>
        <ProgramServices>20464</ProgramServices>
        <ManagementAndGeneral>982</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>10769973</Total>
        <ProgramServices>10401153</ProgramServices>
        <ManagementAndGeneral>368621</ManagementAndGeneral>
        <Fundraising>199</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>81182</BOY>
        <EOY>19018</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>34766</BOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <BOY>698115</BOY>
        <EOY>1071862</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>19380</BOY>
        <EOY>33763</EOY>
      </AccountsReceivable>
      <PrepaidExpensesDeferredCharges>
        <BOY>13325</BOY>
        <EOY>5112</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>397916</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>351046</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>53519</BOY>
        <EOY>46870</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>2000</BOY>
      </InvestmentsPubTradedSecurities>
      <OtherAssetsTotal>
        <BOY>3430</BOY>
        <EOY>3430</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>905717</BOY>
        <EOY>1180055</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>648777</BOY>
        <EOY>981026</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>55023</BOY>
        <EOY>75644</EOY>
      </DeferredRevenue>
      <MortNotesPyblSecuredInvestProp>
        <BOY>150000</BOY>
        <EOY>100000</EOY>
      </MortNotesPyblSecuredInvestProp>
      <TotalLiabilities>
        <BOY>853800</BOY>
        <EOY>1156670</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>51917</BOY>
        <EOY>23385</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>51917</BOY>
        <EOY>23385</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>905717</BOY>
        <EOY>1180055</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>true</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1">
      <PubliclySupportedOrg170b1Avi>X</PubliclySupportedOrg170b1Avi>
      <GiftsGrantsContribReceived170>
        <CurrentTaxYearMinus4Years>1201896</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>1432213</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>1065219</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>262446</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>1266835</CurrentTaxYear>
        <Total>5228609</Total>
      </GiftsGrantsContribReceived170>
      <Total170>
        <CurrentTaxYearMinus4Years>1201896</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>1432213</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>1065219</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>262446</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>1266835</CurrentTaxYear>
        <Total>5228609</Total>
      </Total170>
      <PublicSupportTotal170>5228609</PublicSupportTotal170>
      <GrossInvestmentIncome170>
        <CurrentTaxYearMinus4Years>2395</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>3777</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>1453</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>2174</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>655</CurrentTaxYear>
        <Total>10454</Total>
      </GrossInvestmentIncome170>
      <OtherIncome170>
        <CurrentTaxYearMinus4Years>112760</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>106265</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>104119</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>125898</CurrentTaxYearMinus1Year>
        <Total>449042</Total>
      </OtherIncome170>
      <TotalSupport>5688105</TotalSupport>
      <GrossReceiptsFromAdmissionsEtc>42985901</GrossReceiptsFromAdmissionsEtc>
      <PublicSupportPertcentage170>0.91920</PublicSupportPertcentage170>
      <PublicSupportPertcentPriorYear>0.89680</PublicSupportPertcentPriorYear>
      <ThirtyThreePercntTestsCY170>X</ThirtyThreePercntTestsCY170>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc2">
      <DisclosedOrgsLegalControl>false</DisclosedOrgsLegalControl>
      <DisclosedForCharitablePurposes>false</DisclosedForCharitablePurposes>
      <WrittenPolicyMonitoring>false</WrittenPolicyMonitoring>
      <Sect170hRequirementsSatisfied>false</Sect170hRequirementsSatisfied>
      <SolicitedAssetsForSale>false</SolicitedAssetsForSale>
      <AgentTrusteeEtc>false</AgentTrusteeEtc>
      <IncludedOnFS>false</IncludedOnFS>
      <EndowmentsHeldByUnrelatedOrgs>false</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>false</EndowmentsHeldByRelatedOrgs>
      <AreRelatedOrgsListedScheduleR>false</AreRelatedOrgsListedScheduleR>
      <Equipment>
        <OtherCostOrOtherBasis>397916</OtherCostOrOtherBasis>
        <Depreciation>351046</Depreciation>
        <BookValue>46870</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>46870</TotalOfBookValueLandBuildings>
      <TotalRevenue>10741441</TotalRevenue>
      <TotalExpenses>10769973</TotalExpenses>
      <ExcessOrDeficitForYear>-28532</ExcessOrDeficitForYear>
      <ExcessOrDeficitPerFS>-28532</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>10741441</TotRevenueEtcAuditedFinclStmt>
      <RevenueSubtotal>10741441</RevenueSubtotal>
      <TotalRevenuePerForm990>10741441</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>10769973</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>10769973</ExpensesSubtotal>
      <TotalExpensesPerForm990>10769973</TotalExpensesPerForm990>
    </IRS990ScheduleD>
    <IRS990ScheduleL documentId="RetDoc4">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>ROYDEN RICHARDSON</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>PRESIDENT OF</Relationship>
        <AmountOfTransaction>30000</AmountOfTransaction>
        <DescriptionOfTransaction>FEES PAID BY CHIPS</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <Relationship>CHIPS HOUSE</Relationship>
        <DescriptionOfTransaction>HOUSE FOR BOOK-</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <DescriptionOfTransaction>KEEPING SERVICES</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc5">
      <GeneralExplanation>
        <Identifier>ORGANIZATION'S MISSION</Identifier>
        <ReturnReference>FORM 990 - ORGANIZATION'S MISSION</ReturnReference>
        <Explanation>THE ORGANIZATION IS COMMITTED TO PROVIDING SERVICES TO HELP EMPOWER AND IMPROVE THE LIVES OF LOW-INCOME RESIDENTS OF BARNSTABLE, DUKES, AND NANTUCKET COUNTIES BY PROVIDING RESOURCES AND SELF-ADVOCACY SKILLS TO ATTAIN AND SUPPORT SELF-SUFFICIENCY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ALL OTHER ACHIEVEMENTS DESCRIPTION</Identifier>
        <ReturnReference>FORM 990, PAGE 2, PART III, LINE 4D</ReturnReference>
        <Explanation>THE ORGANIZATION RUNS OTHER ANTI-POVERTY AND LOW INCOME ASSISTANCE PROGRAMS FOR THE WELFARE AND BENEFIT OF THE POOR AND ELDERLY, INCLUDING: TRANSITIONAL HOUSING; HOPE PROJECT; FINANCIAL LITERACY; AND CAPE UNITED ELDERS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ORGANIZATION'S PROCESS USED TO REVIEW FORM 990</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 11</ReturnReference>
        <Explanation>FORM 990 IS FIRST REVIEWED BY THE FISCAL DIRECTOR AND EXECUTIVE DIRECTOR. COMMUNICATION WITH THE OUTSIDE AUDITOR TAKES PLACE IF THERE IS NEED FOR CLARIFICATION ON ANY FINANCIAL RECONCILIATION/REPORTING. THE FISCAL DIRECTOR AND EXECUTIVE DIRECTOR MEET WITH THE BOARD OF DIRECTORS FINANCE COMMITTEE PRIOR TO THE NEXT SCHEDULED BOARD MEETING, AND AN IN-DEPTH REVIEW OF THE FORM OCCURS. TEN DAYS PRIOR TO THE NEXT SCHEDULED BOARD MEETING, ALL BOARD MEMBERS RECEIVE A DRAFT COPY OF THE FORM FOR REVIEW. DISCUSSION AND RATIFICATION TAKE PLACE AT THE BOARD MEETING, AND FORM 990 IS THEN FILED.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ENFORCEMENT OF CONFLICTS POLICY</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 12C</ReturnReference>
        <Explanation>THE ORGANIZATION'S BUSINESS OFFICE AND MANAGEMENT STAFF HAS REGULARLY SCHEDULED MEETINGS. ANY CONFLICTS, OR POTENTIAL CONFLICTS, ARE DISCUSSED AT THAT TIME. IN ORDER TO ASSURE THERE ARE NO CONFLICTS ON PURCHASES, ALL PURCHASES OVER 500 REQUIRE MULTIPLE BIDS AND WRITTEN ASSURANCE OF NO CONFLICTS. THE ORGANIZATION PROVIDES ANNUAL STAFF TRAINING, AND CONFLICT OF INTEREST POLICIES WILL BE ON FUTURE TRAINING AGENDAS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION PROCESS FOR TOP OFFICIAL</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 15A</ReturnReference>
        <Explanation>COMPENSATION OF THE ORGANIZATION'S EXECUTIVE DIRECTOR IS DETERMINED BY A COMMITTEE OF INTERNAL AND EXTERNAL STAKEHOLDERS. REVIEW INCLUDES ANALYSIS OF CEO COMPENSATION IN COMPARABLE AGENCIES AND GEOGRAPHIC AREAS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION PROCESS FOR OFFICERS</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 15B</ReturnReference>
        <Explanation>COMPENSATION OF KEY STAFF GOES THROUGH EXTENSIVE REVIEW, WITH BOTH FISCAL AND EXECUTIVE OFFICE INPUT.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>GOVERNING DOCUMENTS DISCLOSURE EXPLANATION</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION'S FILINGS ARE AVAILABLE UPON REQUEST. FEDERAL FORM 990 AND MA FORM PC ARE AVAILABLE ON THE MA ATTORNEY GENERAL'S WEBSITE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ADDITIONAL INFORMATION</Identifier>
        <ReturnReference>SCHEDULE O</ReturnReference>
        <Explanation>ROYDEN RICHARDSON IS BOTH A DIRECTOR OF CACCI AND THE PRESIDENT OF CHIPS HOUSE, AND CACCI PROVIDES BOOKKEEPING SERVICES TO CHIPS HOUSE. BOOKEEPING SERVICES TOTALING 30,000 WERE PROVIDED TO CHIPS HOUSE IN FY2010.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>