2011-11-15T11:04:56-06:00 2011-06-30 ALEXANDER ARONSON FINNING & CO PC 21 EAST MAIN STREET WESTBORO MA 01581 990 2010-07-01 043370560 COMMUNITY HEALTH CENTER OF CAPE COD INC COMM 5084777090 107 COMMERCIAL STREET MASHPEE MA 02649 KAREN GARDNER 5084777090 2011-11-10 1 MATTHEW HUTT CPA 5083669100 2010 2016-02-24 21:20:13Z KAREN GARDNER 107 COMMERCIAL STREET MASHPEE MA 02649 8501785 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 12 138 4 0 0 3293145 2480132 4451482 5914725 3634 8539 103096 53739 7851357 8457135 0 0 0 0 5993241 6949987 0 0 328469 1379045 1413981 7372286 8363968 479071 93167 6805836 7094276 370800 566073 6435036 6528203 TO PROVIDE COMPREHENSIVE, HIGH QUALITY, PASSIONATE HEALTH CARE TO CONSUMERS, REGARDLESS OF ABILITY TO PAY. 0 0 6618078 5943614 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 55,000 PATIENT SERVICE VISITS. 6618078 1 1 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 0 1 10 0 138 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 MICHAEL BIHARI MD 1.00 X 0 0 0 LEVI C ADAMS 1.00 X X 0 0 0 RUDOLPH R HUNTER 1.00 X X 0 0 0 DAVE PETERSON 1.00 X X 0 0 0 ANTHONY ROSS 1.00 X X 0 0 0 ANITA M THACKER 1.00 X 0 0 0 NANCY BARNETT MD 1.00 X 0 0 0 JILL COLLINS 1.00 X 0 0 0 BRENDA SWITHENBANK 1.00 X 0 0 0 ELLYN DENT 1.00 X 0 0 0 GARY DELLAPOSTA 1.00 X 0 0 0 PATRICIA AVILA 1.00 X 0 0 0 KAREN GARDNER 40.00 X 152386 0 18050 PAUL CHIZEK 40.00 X 112389 0 16736 STEPHANIE PRIOR 40.00 X 132669 0 17432 DAVID TAGER 40.00 X 160522 0 18425 ROBERT COHEN 40.00 X 148525 0 17589 KAREN BISSONNETTE 40.00 X 128949 0 17346 DALE WELDON 40.00 X 143974 0 5746 979414 0 111324 7 0 1 0 STANTEC ARCHITECTURE INC 141 PORTLAND STREET BOSTON MA 02114 DEVELOPER- FEDERAL EXPANSION 231991 1 58575 1543460 878097 10439 2480132 NET PATIENT SERVICE RE 621110 5914725 5914725 5914725 8539 8539 69500 58575 44650 24850 24850 OTHER REVENUE 900099 28889 28889 28889 8457135 5943614 0 33389 509420 193425 315995 5178285 4396227 547416 234642 89228 70986 11088 7154 694739 518368 141449 34922 478315 398854 60316 19145 13961 10223 3738 39038 39038 71096 45596 23128 2372 170490 98072 62710 9708 406407 245866 142446 18095 15257 11901 3356 64954 48460 14796 1698 210530 192442 17926 162 16555 16555 MEDICAL SUPPLIES AND SE 351712 351712 BAD DEBTS 35001 35001 MISCELLANEOUS 18980 945 17464 571 8363968 6618078 1417421 328469 99169 33396 1049619 1305215 670567 299306 1343487 1589033 42054 70119 4512576 715369 3600940 3797207 6805836 7094276 370800 566073 370800 566073 X 5069149 5575407 1191471 778380 174416 174416 6435036 6528203 6805836 7094276 93167 0 X 0 1 1 X 1 1 X 3442862 2049345 2797372 3264641 2469693 14023913 3442862 2049345 2797372 3264641 2469693 14023913 392670 13631243 60110 55949 7858 3634 8539 136090 1565 1765 9151 8916 28889 50286 14210289 50286 0.95930 0.94210 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 174416 174416 159416 15000 174416 159416 159416 1.00000 0 0 2801676 330838 2470838 302710 72333 230377 391919 199865 192054 1016271 112333 903938 3797207 8457135 8363968 93167 0 93167 8687419 230284 230284 8457135 0 8457135 8594252 230284 230284 8363968 0 8363968 PART 5, LINE 4- THE ENDOWMENT FUNDS SUPPORT THE GENERAL OPERATIONS OF THE HEALTH CENTER. THE HEALTH CENTER FOLLOWS THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES STANDARD WHICH REQUIRES THE HEALTH CENTER 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, 2011, THE HEALTH CENTER DETERMINED THAT THERE ARE NO MATERIAL UNRECOGNIZED TAX BENEFITS TO REPORT. SUMMER BY THE SEA 77045 22075 54970 24495 GOLF TOURNAMENT 51030 36500 14530 20155 128075 58575 69500 44650 44650 24850 X X 0 0 0 0 0 0 0 0 0 KAREN GARDNER 152386 0 0 0 0 0 0 0 18050 0 170436 0 0 0 STEPHANIE PRIOR 132669 0 0 0 0 0 0 0 17432 0 150101 0 0 0 DAVID TAGER 160522 0 0 0 0 0 0 0 18425 0 178947 0 0 0 ROBERT COHEN 148525 0 0 0 0 0 0 0 17589 0 166114 0 0 0 X 3 60548 FAIR MARKET VALUE X MEDICAL SUPPLIES 1 10439 FAIR MARKET VALUE 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.