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      <Description>the provision of primary and ancillary health care services to the communities comprising the outer cape cod area of massachusetts. the health center provided 33,522 service encounters in fiscal year 2010.Outer Cape Health Services provides comprehensive primary, urgent and specialty care, along with a range of supportive services, to Outer Cape residents, workers and visitors. In 2001, Outer Cape Health was awarded accreditation with high marks from the Joint Commission on Accreditation of Healthcare Organizations (JCAHO). Significantly, we are the only comprehensive primary care provider on Cape Cod with this special JCAHO accreditation.The Provincetown and Wellfleet health centers offer comprehensive services including:**Primary care **Family practice **Internal medicine **Pediatrics **Senior care **Women's services **Teen clinic **HIV-related services **Family planning **Minor surgery **Nutritional counseling **In house laboratory services provided by Quest **Diagnostics Digital Radiology services in the Provincetown Health Center **Social work **Limited dentalIn addition, Outer Cape Health provides extensive outreach and support services through the WIC (Women, Infants, Children) nutrition program and through Healthy Connections, which helps uninsured people with publicly funded health insurance and social services programs.We are proud of our vital and fulfilling mission to provide capable, compassionate healthcare to those who live in and visit the eight towns of the Lower and Outer Cape. Every year approximately 10,000 people turn to us for care and, regardless of their ability to pay, we meet their primary, preventive and urgent healthcare needs. Direct Access Care:Primary CareOuter Cape Health Services offers excellent options for receiving comprehensive primary care in a number of fields, including internal medicine, family medicine, pediatrics and osteopathy. Our highly-qualified team of primary care providers encourages preventive screenings, such as regular check-ups, inoculations, blood pressure screenings, nutritional counseling and well baby/child care.Urgent CareFor Urgent Care, visiting us in our Provincetown or Wellfleet Health Center may save you a lengthy trip to Hyannis. Dental CareOCHS gives Outer Cape residents, workers and visitors local access to excellent, affordable dental care. Our highly-qualified team provides primary and specialty oral health care, including endodontics, oral hygiene, oral surgery, pediatric dentistry, periodontics, preventive care, prosthodontics and restorative dentistry. Referrals to medical care and supportive social services are provided as needed. Our dental services office is located at 86 Harry Kemp Way in Provincetown. Specialty Care:Women's HealthOuter Cape Health Services recognizes that women face a wide range of unique medical issues, such as breast cancer, menopause and osteoporosis. We offer primary, preventive, gynecological and family planning care services, including pregnancy testing and birth control. Contact your OCHS Primary Care Provider for more information. AcupunctureInfectious Disease, Including HIV and Hepatitis CMinor Surgery for DermatologyNutritionOffice-Based OrthopedicsPodiatryPulmonary MedicineSocial WorkHealth Programs:HIV Screening and Case ManagementOCHS is committed to helping people with HIV maintain and improve their health. We offer case management, clinical and financial social services and HIV/STI prevention, education counseling and testing. Teen ClinicWe recognize that adolescent needs are unique, and that teens often have concerns about their bodies, social development, physical and mental health. Offered every Friday at our Wellfleet Health Center, the Teen Clinic is a safe place where adolescents can get answers to questions and make informed decisions about their health. Travel ClinicPlans to travel abroad can generate many health-related questions and concerns, particularly for those headed to remote or exotic locations. Starting in the spring of 2011, the OCHS Travel Clinic will help travelers to obtain necessary vaccinations and learn about potential health risks before they leave the US, and also to address any health concerns upon their return. WIC (Women Infants and Children) Nutrition ProgramWIC is a federally funded program for pregnant and postpartum women, infants and children under age five. The program provides free food, nutritional information and additional supportive services. Healthy Weight Clinic for ChildrenOffice-Based Opioid Treatment (OBOT) ProgramOral Health InitiativeAdditional Services:Healthy Connections: Financial/Insurance AssistanceHealthy Connections is a free and confidential service that connects those who are eligible to publicly-funded health insurance programs and other social services. PharmacySlated to open this spring at the Doc Callis Courtyard, 2700 Route 6 in Wellfleet, our 340B Pharmacy will offer a convenient, local place for filling prescriptions. As part of the federal government's 340B program, OCHS will receive significant savings on pharmaceuticals -- savings which we'll pass on to our patients. Not an OCHS patient? Not to worry. All members of the public will be able to fill any legitimate prescription at the new pharmacy, which means no more driving 20 minutes or more to access important medications.Computed RadiologyOCHS is the only community health center on Cape cod offering computed radiology. This state-of-the-art technology is faster, safer and more efficient than film-based radiology systems, allowing patients to receive timely diagnosis for ailments ranging from bone fractures to pneumonia. X-ray images are taken on site at the OCHS Provincetown Medical Center and read remotely by radiologists at Beth Israel Deaconess Medical Center in Boston. Quest Diagnostics Clinic LaboratorySpecialty Testing</Description>
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      <TotalReportableCompFrmRltdOrgs>0</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>0</TotalOtherCompensation>
      <NumberIndividualsGT100K>3</NumberIndividualsGT100K>
      <FormersListed>1</FormersListed>
      <TotalCompGT150K>0</TotalCompGT150K>
      <CompensationFromOtherSources>0</CompensationFromOtherSources>
      <NumberOfContractorsGT100K>0</NumberOfContractorsGT100K>
      <GovernmentGrants>2177250</GovernmentGrants>
      <AllOtherContributions>233438</AllOtherContributions>
      <TotalContributions>2410688</TotalContributions>
      <ProgramServiceRevenue>
        <Description>NET PATIENT SERVICE RE</Description>
        <BusinessCode>621400</BusinessCode>
        <TotalRevenueColumn>4419973</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>4419973</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>MANAGED CARE FEES</Description>
        <BusinessCode>621400</BusinessCode>
        <TotalRevenueColumn>42297</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>42297</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>4462270</TotalProgramServiceRevenue>
      <OtherRevenueMisc>
        <Description>other</Description>
        <BusinessCode>621400</BusinessCode>
        <TotalRevenueColumn>6275</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>6275</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <TotalOtherRevenue>6275</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>6879233</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>4468545</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </TotalRevenue>
      <CompCurrentOfficersDirectors>
        <Total>366453</Total>
        <ManagementAndGeneral>366453</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <OtherSalariesAndWages>
        <Total>3598706</Total>
        <ProgramServices>2932962</ProgramServices>
        <ManagementAndGeneral>616393</ManagementAndGeneral>
        <Fundraising>49351</Fundraising>
      </OtherSalariesAndWages>
      <OtherEmployeeBenefits>
        <Total>623537</Total>
        <ProgramServices>488799</ProgramServices>
        <ManagementAndGeneral>120126</ManagementAndGeneral>
        <Fundraising>14612</Fundraising>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>260196</Total>
        <ProgramServices>196035</ProgramServices>
        <ManagementAndGeneral>60304</ManagementAndGeneral>
        <Fundraising>3857</Fundraising>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>629515</Total>
        <ProgramServices>245045</ProgramServices>
        <ManagementAndGeneral>384470</ManagementAndGeneral>
      </FeesForServicesManagement>
      <FeesForServicesAccounting>
        <Total>88299</Total>
        <ProgramServices>43925</ProgramServices>
        <ManagementAndGeneral>44374</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesProfFundraising>
        <Total>1209</Total>
        <Fundraising>1209</Fundraising>
      </FeesForServicesProfFundraising>
      <Advertising>
        <Total>20890</Total>
        <ProgramServices>3188</ProgramServices>
        <ManagementAndGeneral>16904</ManagementAndGeneral>
        <Fundraising>798</Fundraising>
      </Advertising>
      <OfficeExpenses>
        <Total>5793</Total>
        <ManagementAndGeneral>5793</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>80585</Total>
        <ProgramServices>3710</ProgramServices>
        <ManagementAndGeneral>76875</ManagementAndGeneral>
      </InformationTechnology>
      <Occupancy>
        <Total>299616</Total>
        <ProgramServices>187415</ProgramServices>
        <ManagementAndGeneral>112201</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>27719</Total>
        <ProgramServices>27139</ProgramServices>
        <Fundraising>580</Fundraising>
      </Travel>
      <ConferencesMeetings>
        <Total>76004</Total>
        <ProgramServices>13860</ProgramServices>
        <ManagementAndGeneral>62058</ManagementAndGeneral>
        <Fundraising>86</Fundraising>
      </ConferencesMeetings>
      <Interest>
        <Total>18397</Total>
        <ProgramServices>3780</ProgramServices>
        <ManagementAndGeneral>14617</ManagementAndGeneral>
      </Interest>
      <DepreciationDepletion>
        <Total>148553</Total>
        <ProgramServices>76029</ProgramServices>
        <ManagementAndGeneral>72524</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>21459</Total>
        <ProgramServices>10529</ProgramServices>
        <ManagementAndGeneral>10930</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>supplies</Description>
        <Total>213010</Total>
        <ProgramServices>192160</ProgramServices>
        <ManagementAndGeneral>20666</ManagementAndGeneral>
        <Fundraising>184</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>bad debt</Description>
        <Total>194709</Total>
        <ProgramServices>194709</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>telephone</Description>
        <Total>135337</Total>
        <ProgramServices>54067</ProgramServices>
        <ManagementAndGeneral>81270</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>miscellaneous</Description>
        <Total>43655</Total>
        <ProgramServices>1284</ProgramServices>
        <ManagementAndGeneral>42371</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>licenses &amp; fees</Description>
        <Total>38222</Total>
        <ProgramServices>23923</ProgramServices>
        <ManagementAndGeneral>14299</ManagementAndGeneral>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>72005</Total>
        <ProgramServices>31619</ProgramServices>
        <ManagementAndGeneral>35526</ManagementAndGeneral>
        <Fundraising>4860</Fundraising>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>6963869</Total>
        <ProgramServices>4730178</ProgramServices>
        <ManagementAndGeneral>2158154</ManagementAndGeneral>
        <Fundraising>75537</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>240264</BOY>
        <EOY>609100</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>394978</BOY>
        <EOY>21744</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <BOY>235765</BOY>
        <EOY>300442</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>451656</BOY>
        <EOY>544763</EOY>
      </AccountsReceivable>
      <OtherNotesLoansReceivableNet>
        <EOY>19436</EOY>
      </OtherNotesLoansReceivableNet>
      <PrepaidExpensesDeferredCharges>
        <BOY>28516</BOY>
        <EOY>96851</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>2568232</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>1556026</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>783109</BOY>
        <EOY>1012206</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsOtherSecurities>
        <BOY>135350</BOY>
        <EOY>135350</EOY>
      </InvestmentsOtherSecurities>
      <OtherAssetsTotal>
        <BOY>55089</BOY>
        <EOY>218944</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>2324727</BOY>
        <EOY>2958836</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>501631</BOY>
        <EOY>837761</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>15375</BOY>
        <EOY>60706</EOY>
      </DeferredRevenue>
      <MortNotesPyblSecuredInvestProp>
        <BOY>256656</BOY>
        <EOY>541440</EOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>200000</BOY>
        <EOY>252500</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>973662</BOY>
        <EOY>1692407</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>804909</BOY>
        <EOY>761708</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>546156</BOY>
        <EOY>504721</EOY>
      </TemporarilyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>1351065</BOY>
        <EOY>1266429</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>2324727</BOY>
        <EOY>2958836</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>1</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>1</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1039900001">
      <ArtPublicExhibitionAmts>
        <AssetsInPartX>135350</AssetsInPartX>
      </ArtPublicExhibitionAmts>
      <CollectUsedForPublicExhibition>X</CollectUsedForPublicExhibition>
      <SolicitedAssetsForSale>0</SolicitedAssetsForSale>
      <Land>
        <OtherCostOrOtherBasis>105666</OtherCostOrOtherBasis>
        <BookValue>105666</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>1348023</OtherCostOrOtherBasis>
        <Depreciation>943177</Depreciation>
        <BookValue>404846</BookValue>
      </Buildings>
      <Equipment>
        <OtherCostOrOtherBasis>1114543</OtherCostOrOtherBasis>
        <Depreciation>612849</Depreciation>
        <BookValue>501694</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>1012206</TotalOfBookValueLandBuildings>
      <OtherSecurities>
        <Description>artwork held for investment</Description>
        <BookValue>135350</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <TotalOfBookValueSecurities>135350</TotalOfBookValueSecurities>
      <OtherAssets>
        <Description>CONSTRUCTION IN PROGRESS</Description>
        <BookValue>218944</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>218944</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>NOTE PAYABLE TO A BANK</Description>
        <Amount>252500</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>252500</TotalOfAmounts>
      <TotalRevenue>6879233</TotalRevenue>
      <TotalExpenses>6963869</TotalExpenses>
      <ExcessOrDeficitForYear>-84636</ExcessOrDeficitForYear>
      <TotalAdjustments>0</TotalAdjustments>
      <ExcessOrDeficitPerFS>-84636</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>6879233</TotRevenueEtcAuditedFinclStmt>
      <RevenueNotRptdF990>0</RevenueNotRptdF990>
      <RevenueSubtotal>6879233</RevenueSubtotal>
      <RevenueNotRptdOnFinStmt>0</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>6879233</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>6963869</TotExpensesEtcAuditedFinclStmt>
      <ExpensesNotRptdF990>0</ExpensesNotRptdF990>
      <ExpensesSubtotal>6963869</ExpensesSubtotal>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>6963869</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>Part III, Line 4:</Identifier>
        <Explanation>Outer Cape Health Services received collections of artwork by local artists in the Cape Cod area. The purpose of the donated artwork is to be displayed at the Provincetown health center.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part X:</Identifier>
        <ReturnReference>Description of Uncertain Tax Positions Under FIN 48:</ReturnReference>
        <Explanation>The Health Center accounts for the effect of any uncertain tax positions based on a "more likely than not" threshold to the recognition of the tax positions being sustained based on the technical merits of the position under scrutiny by the applicable taxing authority. If a tax position or positions are deemed to result in uncertainties of those positions, the unrecognized tax benefit is estimated based on a "cumulative probability assessment" that aggregates the estimated tax liability for all uncertain tax positions. The Health Center has identified its tax status as a tax exempt entity as a tax position; however, the Health Center has determined that such tax position does not result in an uncertainty requiring recognition. The Health Center is not currently under examination by any taxing jurisdictions. The Health Centers Federal and state tax returns are generally open for examination for three years following the date filed.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Explanation>part iii, line 4: outer cape health services received collections of artwork by a local artist in the cape cod area. the purpose of the donated artwork is to be displayed at the provincetown health center.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <Form990OfOtherOrganizations>X</Form990OfOtherOrganizations>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>1</SeverancePayment>
      <SupplementalNonqualRetirePlan>0</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>0</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>0</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>david hale former</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>64600</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>64600</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>steven lacy former</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>60153</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>60153</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>roberta berrien former</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>140673</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>140673</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 4a</ReturnReference>
        <Explanation>david hale, former chief financial officer received a severance payment of $64,600 following the termination of employment.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 8b</Identifier>
        <Explanation>The finance committee of the board of directors does not keep minutes during their meetings.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <Explanation>a copy of the form 990 is provided to the board of directors for review and approval prior to it being filed.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 12c</Identifier>
        <Explanation>outer cape health services utilizes the board of directors to monitor and enforce compliance with its conflict of interest policy by reviewing employees' compliance with the policy during the board of directors meetings.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 15</Identifier>
        <Explanation>outer cape health services utilizes the board of directors to determine compensation of top management by comparing compensation amounts to other comparable health centers and evaluating the perfomance of the employees.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section C, line 18</Identifier>
        <Explanation>Our Forms 990 (current and prior three years) are available on the Official Website of the Attorney General of Massachusetts at www.charities.ago.state.ma.us and GuideStar at www2.guidestar.org. We also make our Form 990, and Form 990-T available to the public upon request.Our audited financial statements are also available on the Official Website of the Attorney General of Massachusetts at www.charities.ago.state.ma.us.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section C, line 19</Identifier>
        <Explanation>outer cape makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>form 990, page 12, part xi, line 2c:</Identifier>
        <ReturnReference>LINE 2C-DOES ORGANIZATION HAVE A COMMITTEE THAT ASSUMES OVERSIGHT OF AUDIT?</ReturnReference>
        <Explanation>outer cape utilizes the board of directors to oversee the audit and select the independent auditor. THERE HAVE BEEN NO CHANGES IN THE COMMITTEE'S RESPONSIBILTY FOR THE OVERSIGHT OF THE AUDIT.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>