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      <Desc>THE PROVISION OF PRIMARY AND ANCILLARY HEALTH CARE SERVICES TO THE COMMUNITIES COMPRISING THE TEN OUTERMOST TOWNS OF CAPE COD, MASSACHUSETTS, FROM YARMOUTH TO PROVINCETOWN. THE HEALTH CENTER PROVIDED NEARLY 70,000 SERVICE ENCOUNTERS FOR THE FISCAL YEAR ENDED JUNE 30, 2025. OUTER CAPE HEALTH SERVICES PROVIDES COMPREHENSIVE PRIMARY, URGENT, AND SPECIALTY CARE, ALONG WITH A RANGE OF SUPPORTIVE SERVICES TO RESIDENTS, WORKERS, AND VISITORS OF THE TEN OUTERMOST TOWNS OF CAPE COD. OUTER CAPE HEALTH SERVICES IS A LICENSED MEDICAL CLINIC OF THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH AND A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) DESIGNATED BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA). OUTER CAPE HEALTH SERVICES IS ALSO RECOGNIZED BY HRSA AND THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS AS AN OUTSTANDING COMMUNITY HEALTHCARE ORGANIZATION. THE PROVINCETOWN, WELLFLEET, AND HARWICH PORT HEALTH CENTERS OPERATED BY OUTER CAPE HEALTH SERVICES OFFER COMPREHENSIVE SERVICES INCLUDING: -PRIMARY CARE -INTERNAL MEDICINE -BEHAVIORAL HEALTH -PHARMACY -WOMEN'S HEALTH -FAMILY PRACTICE -PEDIATRICS -SENIOR CARE -SUBSTANCE USE DISORDER TREATMENT -INSURANCE ENROLLMENT ASSISTANCE -LABORATORY SERVICES PROVIDED BY QUEST -URGENT CARE, RADIOLOGY, DERMATOLOGY, AND OPTOMETRY (PROVINCETOWN ONLY) -SOCIAL WORK -PATIENT NAVIGATION IN ADDITION, OUTER CAPE HEALTH SERVICES PROVIDES EXTENSIVE OUTREACH AND SUPPORT SERVICES THROUGH THE WIC (WOMEN, INFANTS &amp; CHILDREN) NUTRITION PROGRAM AND OUR HEALTHY CONNECTIONS PROGRAM, HELPING UNINSURED INDIVIDUALS WITH PUBLIC AND PRIVATE HEALTH INSURANCE ELIGIBILITY, ENROLLMENT, AND SOCIAL SERVICE PROGRAMS. WE ARE PROUD OF OUR MISSION TO PROVIDE A FULL RANGE OF HEALTHCARE AND SUPPORTIVE SOCIAL SERVICES THAT PROMOTE THE HEALTH AND WELL-BEING OF ALL WHO LIVE IN OR VISIT THE TEN OUTERMOST TOWNS OF CAPE COD. EVERY YEAR, APPROXIMATELY 20,000 INDIVIDUALS AND FAMILIES 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 CARE - OUTER CAPE HEALTH SERVICES OFFERS EXCELLENT OPTIONS FOR 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, INCLUDING REGULAR CHECKUPS, INOCULATIONS, BLOOD PRESSURE SCREENINGS, NUTRITIONAL COUNSELING, AND WELL-BABY/CHILD CARE. URGENT CARE - THIS SERVICE IS OFFERED AT OUR PROVINCETOWN HEALTH CENTER AS IT IS LOCATED 60 TO 90 MINUTES (IN SUMMER TRAFFIC) FROM THE NEAREST HOSPITAL LOCATED IN HYANNIS. SPECIALTY CARE WOMEN'S HEALTH - OUTER CAPE HEALTH SERVICES RECOGNIZES THAT WOMEN FACE A WIDE RANGE OF UNIQUE MEDICAL ISSUES SUCH AS BREAST CANCER, MENOPAUSE, AND OSTEOPOROSIS. AS SUCH, WE OFFER PRIMARY, PREVENTIVE, GYNECOLOGICAL, AND FAMILY PLANNING CARE SERVICES. INFECTIOUS DISEASE - OUTER CAPE HEALTH SERVICES IS COMMITTED TO HELPING PEOPLE WITH HIV AND INFECTIOUS DISEASES SUCH AS HEPATITIS C AND STDS TO MAINTAIN AND IMPROVE THEIR HEALTH. WE OFFER CASE MANAGEMENT, CLINICAL AND FINANCIAL SOCIAL SERVICES, AND HIV/STI PREVENTION, EDUCATION, COUNSELING, AND TESTING. WIC PROGRAM - OUTER CAPE HEALTH SERVICES IS CONTRACTED TO OPERATE THE OUTER CAPE WOMEN, INFANTS, &amp; CHILDREN (WIC) PROGRAM FOR THE LOWER AND OUTER CAPE. WIC IS A FEDERALLY FUNDED PROGRAM FOR PREGNANT AND POSTPARTUM WOMEN, INFANTS, AND CHILDREN UNDER FIVE YEARS OF AGE. THE PROGRAM PROVIDES FREE FOOD, NUTRITIONAL INFORMATION, AND ADDITIONAL SUPPORTIVE SERVICES. PHARMACY - THE PHARMACY PROGRAM OF OUTER CAPE HEALTH SERVICES OPENED IN 2011. THERE ARE PHARMACIES LOCATED INSIDE THE PROVINCETOWN AND HARWICH PORT HEALTH CENTERS AND NEAR THE WELLFLEET HEALTH CENTER. THE PROGRAM FEATURES 340B PHARMACY PRESCRIPTION DISCOUNTS FOR QUALIFYING INDIVIDUALS. PATIENTS AND THE GENERAL PUBLIC ALIKE ARE ABLE TO FILL PRESCRIPTIONS AT ANY OF OUR SITES.</Desc>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PATTI HARSTFIELD</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PETER EPSTEIN</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SIDNEY SELIGMAN</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ANDREW JORGENSEN</PersonNm>
        <TitleTxt>CMO (THRU 01/2024)</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DAMIAN ARCHER</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARIANNE DEMO HARRIS</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARIE ANDRINE CARMELLE CONSTANT MD</PersonNm>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PAUL GERRY</PersonNm>
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        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KATE CHAN SWANSON</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KELLY KING</PersonNm>
        <TitleTxt>MD</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>1262</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MATTTHEW BURDETTE</PersonNm>
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        <ReportableCompFromOrgAmt>206265</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>2000</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROMY NEHME</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM SHAY</PersonNm>
        <TitleTxt>MD - DIR OF HIV PRIMARY CARE</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>2000</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>2089211</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>5262</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>42</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CPA MEDICAL BILLING LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>100 S SHORE DR 200</AddressLine1Txt>
            <CityNm>EAST HAVEN</CityNm>
            <StateAbbreviationCd>CT</StateAbbreviationCd>
            <ZIPCd>06512</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL BILLING</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>BDO USA</BusinessNameLine1Txt>
          </BusinessName>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>ONE INTERNATIONAL PLACE</AddressLine1Txt>
            <CityNm>BOSTON</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02110</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>KATE SWANSON</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>11 BYORS ROAD</AddressLine1Txt>
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            <StateAbbreviationCd>MA</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MANAGEMENT CONSULTANT</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>GRAY GRAY &amp; GRAY LLP</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>150 ROYALL STREET</AddressLine1Txt>
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            <CityNm>CANTON</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>020211054</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>INTRASYSTEM LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>35 BRAINTREE HILL PARK</AddressLine1Txt>
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            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>021848748</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>5975864</GovernmentGrantsAmt>
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      <TotalContributionsAmt>8322961</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>621400</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>39306328</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>HMO MANAGEMENT FEE REVENUE</Desc>
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        <RelatedOrExemptFuncIncomeAmt>815769</RelatedOrExemptFuncIncomeAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
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        <ExclusionAmt>407262</ExclusionAmt>
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        <RealAmt>104498</RealAmt>
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        <RealAmt>9346</RealAmt>
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        <UnrelatedBusinessRevenueAmt>14451</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>80701</ExclusionAmt>
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        <BusinessCd>900099</BusinessCd>
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      <GrantsToDomesticOrgsGrp>
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        <ProgramServicesAmt>16000</ProgramServicesAmt>
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        <ProgramServicesAmt>35362</ProgramServicesAmt>
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        <ProgramServicesAmt>14896567</ProgramServicesAmt>
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        <ProgramServicesAmt>2637141</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>646086</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>32890</ProgramServicesAmt>
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        <ProgramServicesAmt>638773</ProgramServicesAmt>
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      <OtherExpensesGrp>
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      <OtherExpensesGrp>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>654508</ProgramServicesAmt>
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        <FundraisingAmt>128042</FundraisingAmt>
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        <EOYAmt>4000317</EOYAmt>
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        <EOYAmt>629417</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>4183667</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>1050432</EOYAmt>
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        <EOYAmt>67710</EOYAmt>
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        <EOYAmt>11132538</EOYAmt>
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      <InvestmentsProgramRelatedGrp>
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        <EOYAmt>475051</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>22709703</EOYAmt>
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        <EOYAmt>4574683</EOYAmt>
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      <LoansFromOfficersDirectorsGrp>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>7353158</EOYAmt>
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      <UnsecuredNotesLoansPayableGrp>
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        <EOYAmt>98000</EOYAmt>
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        <EOYAmt>469770</EOYAmt>
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        <EOYAmt>12495611</EOYAmt>
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        <ExplanationTxt>THE ORGANIZATION OFFERS THE FOLLOWING RETIREMENT AND DEFERRED COMPENSATION PLANS: - 457 PLAN - 403B PLAN - ROTH PLAN THE ORGANIZATION OFFERS THE FOLLOWING NONTAXABLE BENEFITS: - MEDICAL - DENTAL - VISION - LIFE - FSA - HSA</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>NAME - PAUL GERRY, COMPENSATION FROM UNRELATED ORGANIZATION - 186329, NAME OF UNRELATED ORGANIZATION - GRAY, GRAY &amp; GRAY LLP, TYPE OF COMPENSATION - COMPENSATION</ExplanationTxt>
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        <ExplanationTxt>THE CURRENT AND PRIOR YEAR FORM 990 FILINGS ARE AVAILABLE ON THE OFFICIAL WEBSITE OF THE COMMONWEALTH OF MASSACHUSETTS ATTORNEY GENERAL AND ON THE GUIDESTAR WEBSITE. OCHS ALSO MAKES ITS FORM 990 AVAILABLE TO THE PUBLIC UPON REQUEST. AUDITED FINANCIAL STATEMENTS ARE ALSO AVAILABLE ON THE MASSACHUSETTS ATTORNEY GENERAL WEBSITE AND ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>OUTER CAPE HEALTH SERVICES UTILIZES THE BOARD OF DIRECTORS TO MONITOR AND ENFORCE COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY BY REVIEWING OFFICER, DIRECTOR AND EMPLOYEE COMPLIANCE WITH THE POLICY DURING ITS BOARD OF DIRECTORS MEETINGS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>OUTER CAPE HEALTH SERVICES MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>