Form 990 for tax year 2023
Filed by OUTER CAPE HEALTH SERVICES INC.
Totals
- Total revenue
- $38,964,542
- Total expenses
- $40,936,714
- Contributions and grants received
- $6,907,210
- Grants paid
- $0
- Program service revenue
- $31,618,494
- Investment income
- $200,648
- Other revenue
- $238,190
- Total assets, end of year
- $19,702,582
- Total liabilities, end of year
- $13,051,093
- Net assets or fund balances, end of year
- $6,651,489
- Program services expenses (Part IX)
- $37,213,860
- Management and general expenses
- $3,268,173
- Fundraising expenses
- $454,681
- Program service expenses (Part III)
- $37,213,860
Program services were 90.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
1c · Fundraising events
$32,792
-
1e · Government grants (contributions)
$3,955,608
-
1f · All other contributions, gifts and grants
$2,918,810
-
2a · Program service revenue: PATIENT SERVICE REVENUE
total $30,603,168 · related or exempt $30,603,168
-
2b · Program service revenue: HMO MANAGEMENT FEE REVENUE
total $1,015,326 · related or exempt $1,015,326
-
3 · Investment income
total $137,284 · excluded $137,284
-
4 · Income from investment of tax-exempt bond proceeds
total $0
-
5 · Royalties
total $0
-
6a · Gross rents
real property $20,661
-
6b · Less rental expenses
real property $10,811
-
6c · Rental income or loss
real property $9,850 · personal property $0
-
6d · Net rental income or loss
total $9,850 · unrelated business $9,850
-
7a · Gross sales of assets other than inventory
securities $643,375
-
7b · Less cost or other basis and sales expenses
securities $580,011
-
7c · Gain or loss
securities $63,364
-
7d · Net gain or loss
total $63,364 · excluded $63,364
-
8a · Fundraising events: gross income
$102,462
-
8a · Fundraising events: contributions included on line 1c
$32,792
-
8b · Fundraising events: direct expenses
$30,120
-
8c · Net income from fundraising events
total $72,342 · excluded $72,342
-
9a · Gaming: gross income
$0
-
9b · Gaming: direct expenses
$0
-
9c · Net income from gaming
total $0
-
10a · Gross sales of inventory
$0
-
10b · Cost of goods sold
$0
-
10c · Net income from sales of inventory
total $0
-
11a · Other revenue: MISCELLANEOUS INCOME
total $155,998 · related or exempt $155,998
-
11e · Other revenue, total
$155,998
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $0
-
2 · Grants to domestic individuals
total $0
-
3 · Grants to foreign organizations and individuals
total $0
-
4 · Benefits paid to or for members
total $0
-
5 · Compensation of officers, directors and key employees
total $1,119,896 · management and general $1,119,896
-
6 · Compensation of disqualified persons
total $0
-
7 · Other salaries and wages
total $16,559,058 · program services $15,970,849 · management and general $339,058 · fundraising $249,151
-
8 · Pension plan contributions
total $131,273 · program services $129,123 · management and general $825 · fundraising $1,325
-
9 · Other employee benefits
total $2,939,693 · program services $2,764,799 · management and general $146,517 · fundraising $28,377
-
10 · Payroll taxes
total $1,510,506 · program services $1,390,665 · management and general $105,568 · fundraising $14,273
-
11a · Fees: management
total $0
-
11b · Fees: legal
total $0
-
11c · Fees: accounting
total $268,381 · management and general $268,381
-
11d · Fees: lobbying
total $0
-
11e · Fees: professional fundraising services
total $0
-
11f · Fees: investment management
total $0
-
11g · Fees: other
total $1,205,509 · program services $900,995 · management and general $231,696 · fundraising $72,818
-
12 · Advertising and promotion
total $31,692 · program services $30,002 · management and general $1,506 · fundraising $184
-
13 · Office expenses
total $194,009 · program services $183,666 · management and general $9,217 · fundraising $1,126
-
14 · Information technology
total $391,460 · program services $370,591 · management and general $18,597 · fundraising $2,272
-
15 · Royalties
total $0
-
16 · Occupancy
total $917,649 · program services $662,252 · management and general $254,397 · fundraising $1,000
-
17 · Travel
total $76,442 · program services $72,366 · management and general $3,632 · fundraising $444
-
18 · Travel or entertainment for public officials
total $0
-
19 · Conferences, conventions and meetings
total $30,715 · program services $29,078 · management and general $1,459 · fundraising $178
-
20 · Interest
total $292,026 · program services $228,740 · management and general $63,286
-
21 · Payments to affiliates
total $0
-
22 · Depreciation, depletion and amortization
total $666,492 · program services $640,254 · management and general $25,760 · fundraising $478
-
23 · Insurance
total $455,723 · program services $432,846 · management and general $20,223 · fundraising $2,654
-
24a · Other expenses: MEDICAL/PHARMACY SUPPLIES
total $11,625,740 · program services $11,005,958 · management and general $552,311 · fundraising $67,471
-
24b · Other expenses: EQUIPMENT
total $1,290,111 · program services $1,221,334 · management and general $61,290 · fundraising $7,487
-
24c · Other expenses: REPAIRS & MAINTENANCE
total $451,711 · program services $427,629 · management and general $21,460 · fundraising $2,622
-
24d · Other expenses: MEDICAL SERVICES
total $292,521 · program services $292,521 · management and general $0 · fundraising $0
-
24e · All other expenses
total $486,107 · program services $460,192 · management and general $23,094 · fundraising $2,821
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $0 · end of year $0
-
2 · Savings and temporary cash investments
beginning of year $5,681,882 · end of year $3,250,324
-
3 · Pledges and grants receivable
beginning of year $223,188 · end of year $259,643
-
4 · Accounts receivable
beginning of year $2,101,536 · end of year $2,945,199
-
5 · Loans and receivables from officers and key people
beginning of year $0 · end of year $0
-
6 · Loans and receivables from disqualified persons
beginning of year $0 · end of year $0
-
7 · Other notes and loans receivable
beginning of year $0 · end of year $0
-
8 · Inventories for sale or use
beginning of year $474,875 · end of year $703,126
-
9 · Prepaid expenses and deferred charges
beginning of year $25,417 · end of year $44,580
-
10a · Land, buildings and equipment: cost or other basis
$23,620,709
-
10b · Land, buildings and equipment: accumulated depreciation
$12,052,769
-
10c · Land, buildings and equipment, net
beginning of year $10,113,062 · end of year $11,567,940
-
11 · Investments: publicly traded securities
beginning of year $0 · end of year $0
-
12 · Investments: other securities
beginning of year $615,668 · end of year $0
-
13 · Investments: program-related
beginning of year $0 · end of year $0
-
14 · Intangible assets
beginning of year $0 · end of year $0
-
15 · Other assets
beginning of year $1,325,987 · end of year $931,770
-
17 · Accounts payable and accrued expenses
beginning of year $2,585,638 · end of year $4,329,136
-
18 · Grants payable
beginning of year $0 · end of year $0
-
19 · Deferred revenue
beginning of year $0 · end of year $0
-
20 · Tax-exempt bond liabilities
beginning of year $0 · end of year $0
-
21 · Escrow or custodial account liability
beginning of year $0 · end of year $0
-
22 · Loans and payables to officers and key people
beginning of year $0 · end of year $0
-
23 · Secured mortgages and notes payable
beginning of year $7,964,121 · end of year $7,765,436
-
24 · Unsecured notes and loans payable
beginning of year $1,352,538 · end of year $956,521
-
25 · Other liabilities
beginning of year $0 · end of year $0
-
27 · Net assets without donor restrictions
beginning of year $5,835,095 · end of year $4,266,889
-
28 · Net assets with donor restrictions
beginning of year $2,824,223 · end of year $2,384,600
Mission and programs · 2023
Mission
OUTER CAPE HEALTH SERVICES, INC.'S MISSION IS 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.
Activities or mission (Part I)
SEE SCHEDULE O
-
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, 2024. 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 FOR BEING 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 & CHILDREN) NUTRITION PROGRAM AND OUR HEALTHY CONNECTIONS PROGRAM, HELPING UNINSURED INDIVIDUALS WITH PUBLIC AND PRIVATE HEALTH INSURANCE ELIGIBILITY AND ENROLLMENT AND SOCIAL SERVICE PROGRAMS. WE ARE PROUD OF MISSION TO PROVIDE A FULL RANGE OF HEALTHCARE AND SUPPORTIVE SOCIAL SERVICES THAT PROMOTE THE HEALTH AND WELL-BING 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, PREVENTATIVE 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 PREVENTATIVE SCREENINGS, INCLUDING REGULAR CHECK UPS, 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 6O 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, PREVENTATIVE, 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, & 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 OF THE PROVINCETOWN AND HARWICH PORT HEALTH CENTERS AND NEARBY THE WELLFLEET HEALTH CENTER. THE PROGRAM FEATURES 340B PHARMACY PRESCRIPTION DISCOUNTS TO QUALIFYING INDIVIDUALS. PATIENTS AND THE GENERAL PUBLIC ALIKE ARE ABLE TO FILL PRESCRIPTIONS AT ANY OF OUR SITES.
Expenses $37,213,860 · Revenue $31,774,492
As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
Patricia NadlePATRICIA NADLE
CEO (UNTIL 11/23)
- Total calculated
- $378,702
- From this org
- $354,382
- From related orgs
- $0
- Other
- $24,320
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $330,212
- Bonus
- $24,170
- Other
- $0
- Deferred
- $6,577
- Nontaxable benefits
- $17,743
- Filer's total
- $378,702
-
Andrew JorgensenANDREW JORGENSEN
CMO
- Total calculated
- $276,920
- From this org
- $255,490
- From related orgs
- $0
- Other
- $21,430
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $253,340
- Bonus
- $2,150
- Other
- $0
- Deferred
- $5,626
- Nontaxable benefits
- $15,804
- Filer's total
- $276,920
-
Peter GherardiPETER GHERARDI
MD - PSYCHIATRY (UNTIL 12/23)
- Total calculated
- $268,044
- From this org
- $248,172
- From related orgs
- $0
- Other
- $19,872
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $248,172
- Bonus
- $0
- Other
- $0
- Deferred
- $5,053
- Nontaxable benefits
- $14,819
- Filer's total
- $268,044
-
William ShayWILLIAM SHAY
MD - DIR OF HIV PRIMARY CARE
- Total calculated
- $236,870
- From this org
- $218,391
- From related orgs
- $0
- Other
- $18,479
- Hours/week
- 36
Schedule J breakdown matched by us
- Base
- $210,635
- Bonus
- $7,756
- Other
- $0
- Deferred
- $3,060
- Nontaxable benefits
- $15,419
- Filer's total
- $236,870
-
Manuel PineiroMANUEL PINEIRO
CFO
- Total calculated
- $234,963
- From this org
- $234,963
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $229,963
- Bonus
- $5,000
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $234,963
-
Mattthew BurdetteMATTTHEW BURDETTE
DO - WHC MEDICAL DIRECTOR
- Total calculated
- $231,844
- From this org
- $219,197
- From related orgs
- $0
- Other
- $12,647
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $211,584
- Bonus
- $7,613
- Other
- $0
- Deferred
- $5,059
- Nontaxable benefits
- $7,588
- Filer's total
- $231,844
-
Christopher CasaleCHRISTOPHER CASALE
DIRECTOR OF PHARMACY
- Total calculated
- $213,785
- From this org
- $200,455
- From related orgs
- $0
- Other
- $13,330
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $182,855
- Bonus
- $17,600
- Other
- $0
- Deferred
- $4,720
- Nontaxable benefits
- $8,610
- Filer's total
- $213,785
-
Paul FaderPAUL FADER
MD
- Total calculated
- $186,886
- From this org
- $178,542
- From related orgs
- $0
- Other
- $8,344
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $176,942
- Bonus
- $1,600
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $8,344
- Filer's total
- $186,886
-
Damian ArcherDAMIAN ARCHER
CEO (FROM 11/23)
- Total calculated
- $176,154
- From this org
- $176,154
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $166,154
- Bonus
- $10,000
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $176,154
-
Marianne Demeo HarrisMARIANNE DEMEO HARRIS
CCO
- Total calculated
- $13,269
- From this org
- $13,269
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Larry BallantineLARRY BALLANTINE
PRESIDENT
- Total calculated
- $0
- Hours/week
- 2
-
Patti StollPATTI STOLL
VICE PRESIDENT
- Total calculated
- $0
- Hours/week
- 2
-
Barry McLaughlinBARRY MCLAUGHLIN
TREASURER
- Total calculated
- $0
- Hours/week
- 2
-
Dikke HansenDIKKE HANSEN
QUALITY OFFICER
- Total calculated
- $0
- Hours/week
- 2
-
Angelina Raneo ChilakaANGELINA RANEO CHILAKA
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
Alton ChunALTON CHUN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
Peter EpsteinPETER EPSTEIN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
Kass GoodwinKASS GOODWIN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
Patti HarstfieldPATTI HARSTFIELD
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
Ginny PallazzoGINNY PALLAZZO
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
Barbara PennBARBARA PENN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
James RobertsonJAMES ROBERTSON
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
Sidney SeligmanSIDNEY SELIGMAN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
Michael SimonsMICHAEL SIMONS
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
Cyndi WilliamsCYNDI WILLIAMS
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
Michael PetersonMICHAEL PETERSON
CLERK
- Total calculated
- $0
- Hours/week
- 2
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 3 · Written employment contract
- 3 · Compensation survey or study
- 3 · Approval by the board or compensation committee
Answered no
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- SCHEDULE J, PART II:
- 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
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 13 May 2025
- IRS schema version
- 2023v6.0
- Source object
- 202541349349308439
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