Civic Intelligence

Outer Cape Health Services Inc.

990 • Fiscal year 2017 • EIN 04-2509828

Jul 01, 2016 to Jun 30, 2017 • Filed on May 15, 2018

PO Box 598Harwich Port, MA 02646

(508) 240-0208

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

83rd percentile

0.72x

Higher debt load relative to assets than 83% of similar nonprofits.

2017 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2017

Liabilities / Revenue

58th percentile

0.33x

Higher debt load relative to revenue than 58% of similar nonprofits.

2017 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2017

Net Margin

35th percentile

-0.1%

Higher net margin than 35% of similar nonprofits.

2017 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2017

Top Officer Pay

67th percentile

$234,063

Higher top officer pay than 67% of similar nonprofits.

Top officer pay equals 1.1% of source-year revenue.

2017 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2017

Asset Growth

21st percentile

-2.5%

Faster asset growth than 21% of similar nonprofits.

2017 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2016 to 2017

Revenue Growth

45th percentile

3.1%

Faster revenue growth than 45% of similar nonprofits.

2017 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2016 to 2017

Assets

Down

$9,551,900

Down $243,328 (-2.5%) from 2016

Net Assets

Down

$2,687,615

Down $17,299 (-0.6%) from 2016

Liabilities

Down

$6,864,285

Down $226,029 (-3.2%) from 2016

Revenue

Up

$21,044,863

Up $628,447 (+3.1%) from 2016

Expenses

Down

$21,062,162

Down $198,635 (-0.9%) from 2016

Net Income

Up

-$17,299

Up $827,082 (+98%) from 2016

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$30M$20M$10M$0Assets 2010: $2,958,836Liabilities 2010: $1,692,407Net Assets 2010: $1,266,4292010Assets 2011: $3,907,058Liabilities 2011: $2,866,651Net Assets 2011: $1,040,4072011Assets 2012: $7,128,023Liabilities 2012: $3,909,674Net Assets 2012: $3,218,3492012Assets 2013: $8,166,364Liabilities 2013: $4,442,011Net Assets 2013: $3,724,3532013Assets 2014: $8,456,889Liabilities 2014: $4,452,642Net Assets 2014: $4,004,2472014Assets 2015: $11,153,748Liabilities 2015: $7,203,084Net Assets 2015: $3,950,6642015Assets 2016: $9,795,228Liabilities 2016: $7,090,314Net Assets 2016: $2,704,9142016Assets 2017: $9,551,900Liabilities 2017: $6,864,285Net Assets 2017: $2,687,6152017Assets 2018: $10,311,412Liabilities 2018: $7,516,067Net Assets 2018: $2,795,3452018Assets 2019: $18,130,156Liabilities 2019: $12,238,313Net Assets 2019: $5,891,8432019Assets 2020: $20,977,699Liabilities 2020: $14,776,358Net Assets 2020: $6,201,3412020Assets 2021: $20,040,570Liabilities 2021: $12,680,781Net Assets 2021: $7,359,7892021Assets 2022: $21,297,877Liabilities 2022: $10,620,792Net Assets 2022: $10,677,0852022Assets 2023: $20,561,615Liabilities 2023: $11,902,297Net Assets 2023: $8,659,3182023Assets 2024: $19,702,582Liabilities 2024: $13,051,093Net Assets 2024: $6,651,4892024

Highlighted filing

2017

Assets$9,551,900
Liabilities$6,864,285
Net Assets$2,687,615

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$60M$40M$20M$0-$20MExpenses 2010: $6,963,8692010Expenses 2011: $9,172,5422011Expenses 2012: $11,483,4592012Revenue 2013: $13,908,640Expenses 2013: $13,402,636Net Income 2013: $506,0042013Revenue 2014: $16,233,718Expenses 2014: $15,953,824Net Income 2014: $279,8942014Revenue 2015: $18,640,033Expenses 2015: $18,693,616Net Income 2015: -$53,5832015Revenue 2016: $20,416,416Expenses 2016: $21,260,797Net Income 2016: -$844,3812016Revenue 2017: $21,044,863Expenses 2017: $21,062,162Net Income 2017: -$17,2992017Revenue 2018: $21,565,947Expenses 2018: $21,458,217Net Income 2018: $107,7302018Revenue 2019: $25,813,326Expenses 2019: $22,716,828Net Income 2019: $3,096,4982019Revenue 2020: $25,195,785Expenses 2020: $24,886,287Net Income 2020: $309,4982020Revenue 2021: $26,981,754Expenses 2021: $25,896,168Net Income 2021: $1,085,5862021Revenue 2022: $33,845,998Expenses 2022: $30,453,642Net Income 2022: $3,392,3562022Revenue 2023: $31,971,471Expenses 2023: $34,007,137Net Income 2023: -$2,035,6662023Revenue 2024: $38,964,542Expenses 2024: $40,936,714Net Income 2024: -$1,972,1722024

Highlighted filing

2017

Revenue$21,044,863
Expenses$21,062,162
Net Income-$17,299
Jump To
Filing Snapshot
Filing Period
Jul 1, 2016 to Jun 30, 2017
Signed
May 15, 2018
Return Version
2016v3.1
Gross Receipts
$21,106,908
Mission and Program Overview

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.

Outer cape health services provides comprehensive primary care, urgent care and specialty care along with a range of supportive services, to outer cape residents,

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$6,477,943$6,500,273▲ $22,330
Accounts Receivable$1,406,668$1,364,080▼ $42,588
Savings and Temporary Cash Investments$835,780$747,868▼ $87,912
Inventories for Sale or Use$354,321$399,221▲ $44,900
Pledges and Grants Receivable$285,995$213,572▼ $72,423
Cash and Non-Interest-Bearing Accounts$98,891$154,138▲ $55,247
Prepaid Expenses and Deferred Charges$72,521$31,410▼ $41,111
Other Notes and Loans Receivable, Net$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Intangible Assets$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$9,795,228$9,551,900▼ $243,328
Other Assets Total$263,109$141,338▼ $121,771
Liabilities
Mortgage Notes Payable Secured by Investment Property$4,785,716$4,770,644▼ $15,072
Accounts Payable and Accrued Expenses$2,304,598$2,093,641▼ $210,957
Grants Payable$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Other Liabilities$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$7,090,314$6,864,285▼ $226,029
Net Assets / Fund Balance
Unrestricted Net Assets$1,869,935$1,941,269▲ $71,334
Temporarily Rstr Net Assets$834,979$746,346▼ $88,633
Permanently Rstr Net Assets$0$0→ $0
Total Net Assets Fund Balance$2,704,914$2,687,615▼ $17,299
Total Liabilities and Net Assets / Fund Balance$9,795,228$9,551,900▼ $243,328

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$2,867,045$3,697,453$6,564,498
Equipment$694,816$1,917,226$2,612,042
Land$2,070,504-$2,070,504
Other Land Buildings$867,908-$867,908
Leasehold Improvements$0$166,128$76,903
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
William ShayPhysicianFT$226,105$7,958$234,063
Barbara K PrazakMedical DirectorFT$213,562$18,447$232,009
Andrew JorgensenPhysicianFT$198,936$13,572$212,508
Matthew LibbyPhysicianFT$193,097$19,130$212,227
Kalpna ThuraisamyPhysicianFT$201,349$7,966$209,315
Patricia NadleCEOFT$157,025$21,910$178,935
Jean CallumCITPT$112,536$8,423$120,959
Terry CoteCFOPT$106,874$5,950$112,824

Board Members and Trustees

NameTitle
Pamela FrenchPresident
Ed Mcmanus1st Vice President
Mary Grace Smith2nd Vice President
Donna Roehn WardDirector
Jayne Cervelli-sheehanDirector
Penelope KeylDirector
Stephen RoehmDirector
Susan SpearDirector
Christopher DuffClerk
Robin ReidClerk
Fred GaechterEmeritus
Nancy HowardTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Barton AssociatesLocum AgencyPO BOX 417844, Boston, MA 02241$512,360
Dbvw ArchitectsArchitects111 CHESTNUT STREET, Providence, RI 02903$129,515
Eclinical WorksEmr ConsultantPO BOX 847950, Boston, MA 02284$102,273
Revenue and Support

Revenue Composition

Contributions and Grants
$3,483,489
Program Service Revenue
$17,167,832
Investment Income
$-992
Other Revenue
$394,534
All Other Contributions
$861,037
Change in Net Assets
$-17,299

Audited Revenue Reconciliation

Revenue per Audited Statements
$21,106,908
Revenue Not Reported on Financial Statements
$-62,045
Other Revenue Adjustments
$-62,045
Total Revenue per Audited Statements
$21,106,908
Total Revenue per Form 990
$21,044,863
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$13,119,239
Other Expenses$7,942,923
Total Fundraising Expense$301,836
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$9,338,419$789,160$203,342$10,330,921
Other Employee Benefits$1,293,362$232,630$35,536$1,561,528
Fees for Services Other$901,477$18,161$36,249$955,887
Payroll Taxes$728,795$97,959$21,001$847,755
Depreciation Depletion$725,690$60,526$105$786,321
Occupancy$355,521$233,422$900$589,843
Current Officers, Directors, Trustees, and Key Employees-$379,035-$379,035
Interest$27,700$216,023-$243,723
Information Technology$225,692$8,085$1,761$235,538
All Other Expenses$84,038$148,562$-4,503$228,097
Insurance$321$122,182-$122,503
Fees for Services Accounting-$67,192-$67,192
Office Expenses$57,768$7,668$325$65,761
Fees for Services Legal$5,705$56,547-$62,252
Other Expenses$42,420$8,245$42$50,707
Travel$32,410$2,731$3,279$38,420
Conferences and Meetings$17,447$3,971$33$21,451
Advertising$5,275$180$1,593$7,048
Total Functional Expenses$18,256,891$2,503,435$301,836$21,062,162

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$21,124,207
Expenses per Audited Statements$21,062,162
Total Expenses per Form 990$21,062,162
Expenses Not Reported on Form 990$62,045
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$146,417
Fundraising Direct Expenses$62,045
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Lobsterfest$73,200$54,300$2,922$51,378
White Party$41,997$39,997$7,690$32,307
Total Events$182,317$146,417$62,045$84,372
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11

A copy of the form 990 is provided to the board of directors for review and approval prior to it's filing.

Form 990, Part VI, Section B, Line 12C

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 he policy during its board of directors meetings.

Form 990, Part VI, Section B, Line 15

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 performance of the employees.

Form 990, Part VI, Section C, Line 18

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.

Form 990, Part VI, Section C, Line 19

Outer cape health services makes it governing documents, conflict of interest policy and financial statements available to the public upon request.

Filing and Contact Details

Filer

Filer Name
Outer Cape Health Services Inc
EIN
04-2509828
In Care Of
% PATRICIA NADLE
Phone
5082400208
Address
PO BOX 598, HARWICH PORT, MA 02646

Signing Officer

Name
Patricia Nadle
Title
CEO
Phone
5082400208
Signed
2018-05-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Patricia Nadle
Formed
1972
Legal Domicile
Ma
Voting Board Members
12
Independent Board Members
12
Employees
223
Volunteers
0

Preparer

Firm
Bdo USA Llp
Address
ONE INTERNATIONAL PLACE, BOSTON, MA 02110
Preparer
Jeffrey Rogers
Phone
6174220700
Supplemental Narrative

Additional Explanations

Form 990 Part I, Line 1, Description of Organization Mission

WORKERS AND VISITORS.

Financial Statement Notes

Part III, Line 4:

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.

Part XI, Line 4B - Other Adjustments:

Fundraising Expenses -62,045

Part XII, Line 2D - Other Adjustments:

Fundraising Expenses -62,045

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IRS990/Desc0THE PROVISION OF PRIMARY AND ANCILLARY HEALTHCARE SERVICES TO THE COMMUNITIES COMPRISING THE OUTER CAPE COD OF MASSACHUSETTS. THE HEALTH CENTER PROVIDED 77,182 SERVICE ENCOUNTERS FOR THE YEAR ENDED JUNE 30, 2017. OUTER CAPE HEALTH SERVICES PROVIDES COMPREHENSIVE PRIMARY, URGENT AND SPECIALTY CARE, ALONG WITH A RANGE OF SUPPORTIVE SERVICES, TO OUTER CAPE COD RESIDENTS, WORKERS, AND VISITORS. IN 2001, OUTER CAPE HEALTH SERVICES WAS AWARDED ACCREDTATION WITH HIGH MARKS FROM THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS (JCAHO). SIGNIFICANTLY, OUTER CAPE IS 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 * FAMILY PLANNING * MINOR SURGERY * NUTRITIONAL COUSNELING * IN HOUSE LABORATORY SERVICES PROVIDED BY QUEST * DIAGNOSTICS DIGITAL RADIOLOGY SERVICES, PROVINCETOWN HEALTH CENTER * SOCIAL WORK * DENTAL SERVICES IN ADDITION, OUTER CAPE HEALTH SERVICES PROVIDES EXTENSIVE OUTREACH AND SUPPORT SERVICES THROUGH THE WIC (WOMEN, INFANTS & CHILDREN) NUTRITION PROGRAM AND THROUGH HEALTHY CONNECTIONS, WITH HELPS UNINSURED PEOPLE WITH PUBLICLY FUNDED HEALTH INSURANCE AND SOCIAL SERVICE 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 MEED THEIR PRIMARY, PREVENTIVE AND URGENT HEALTHCARE NEEDS. *DIRECT ACCESS CARE* PRIMARY CARE - OUTER CAPE HEALTH SERVICES OFFERS EXCELLENT OPTOINS 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, INNOCULATIONS, BLOOD PRESSURE SCREENINGS, NUTRIIONAL COUNSELING AND WELL BABY/CHILD CARE. URGENT CARE - FOR URGENT CARE, VISITING US IN OUR PROVINCETOWN OR WELLFLEET HEALTH CENTER MAY SAVE YOU A LENGTHY TRIP TO HYANNIS. DENTAL CARE - OUTER CAPE GIVES OUTER CAPE RESIDENTS, WORKERS, AND VISITORS LOCAL ACCESS TO PRIMARY AND SPECIALTY ORAL HEALTH CARE, INCLUDING ENDODONTICS, ORGAL HYGIENE, ORGAL 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 HEALTH - OUTER CAPE HEALTH SERVICES RECOGNIZES THAT WOMEN FACE A WIDE RANGE OF UNIQUE MEDICAL ISSUES SUCH AS BREAST CANCER, MENOPAUSE, AND OSTEOPOROSIS. WE OFFER PRIMARY, PREVENTITIVE, GYNECOLOGICAL AND FAMILY PLANNING CARE SERVICES, INCLUDING PREGNANCY TESTING AND BIRTH CONTROL. ACUPUNCTURE, INFECTIOUS DISEASE, INCLUDING HIVE ADN HEPATITIS C, MINOR SURGERY FOR DERMATOLOGY, NUTRITION, OFFICE-BASED ORTHOPEDICS, PODIATRY, PULMONARY MEDICINE, SOCIAL WORK. *HEALTH PROGRAMS* HIV SCREENING AND CASE MANAGEMENT - OCHS 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 CLINIC - WE 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 CLINIC - PLANS 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 HAS HELPED TRAVELERS OBTAIN
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Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$19.7$13.1$6.65$39.0$40.9$1.97
2023Detailed filing. Detailed filing data is available for this year.$20.6$11.9$8.66$32.0$34.0$2.04
2022Detailed filing. Detailed filing data is available for this year.$21.3$10.6$10.7$33.8$30.5$3.39
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$20.0$12.7$7.36$27.0$25.9$1.09
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$21.0$14.8$6.20$25.2$24.9$0.31
2019Detailed filing. Detailed filing data is available for this year.$18.1$12.2$5.89$25.8$22.7$3.10
2018Detailed filing. Detailed filing data is available for this year.$10.3$7.52$2.80$21.6$21.5$0.11
2017Detailed filing. Detailed filing data is available for this year.$9.55$6.86$2.69$21.0$21.1$0.02
2016Detailed filing. Detailed filing data is available for this year.$9.80$7.09$2.70$20.4$21.3$0.84
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$11.2$7.20$3.95$18.6$18.7$0.05
2014Detailed filing. Detailed filing data is available for this year.$8.46$4.45$4.00$16.2$16.0$0.28
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$8.17$4.44$3.72$13.9$13.4$0.51
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.13$3.91$3.22$11.5
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.91$2.87$1.04$9.17
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.96$1.69$1.27$6.96
Peer Organizations

Similar nonprofits based on the same Siviq industry and scale cohort. 2017 filings • 501(c)3 • $10M-$25M nonprofits