Civic Intelligence

Community Health Center of Cape Cod Inc.

EIN 04-3370560 • 501(c)3 • Mashpee, MA

Pub. 78 Eligible

View Organization Page

Profile

To improve the health of our community through the provision of equitable, patient centered, high quality, compassionate care to all, regardless of ability to pay.

107 Commercial StreetMashpee, MA 02649

www.chcofcapecod.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

58th percentile

0.29x

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

501(c)3 • $25M-$50M nonprofits • Source year 2025

Liabilities / Revenue

53rd percentile

0.30x

Higher debt load relative to revenue than 53% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2025

Net Margin

41st percentile

1.5%

Higher net margin than 41% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2025

Top Officer Pay

73rd percentile

$385,005

Higher top officer pay than 73% of similar nonprofits.

Top officer pay equals 1.3% of source-year revenue.

501(c)3 • $25M-$50M nonprofits • Source year 2025

Asset Growth

28th percentile

-0.4%

Faster asset growth than 28% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2024 to 2025

Revenue Growth

45th percentile

5.6%

Faster revenue growth than 45% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2024 to 2025

Balance Sheet
Liabilities / Assets58th percentile

Assets

Down

$30,797,124

Down $130,365 (-0.4%) from 2024

Liabilities

Down

$9,071,754

Down $624,079 (-6.4%) from 2024

Net Assets

Up

$21,725,370

Up $493,714 (+2.3%) from 2024

Operations
Liabilities / Revenue53rd percentileNet Margin41st percentile

Revenue

Up

$29,774,182

Up $1,573,633 (+5.6%) from 2024

Expenses

Up

$29,316,988

Up $1,937,080 (+7.1%) from 2024

Net Income

Down

$457,194

Down $363,447 (-44%) from 2024

Trend Graphs

Balance Sheet Trend

Asset Growth28th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$40M$30M$20M$10M$0Assets 2011: $7,094,276Liabilities 2011: $566,073Net Assets 2011: $6,528,2032011Assets 2012: $13,076,712Liabilities 2012: $2,105,018Net Assets 2012: $10,971,6942012Assets 2013: $14,982,937Liabilities 2013: $1,310,279Net Assets 2013: $13,672,6582013Assets 2014: $14,779,187Liabilities 2014: $715,708Net Assets 2014: $14,063,4792014Assets 2015: $14,335,951Liabilities 2015: $923,638Net Assets 2015: $13,412,3132015Assets 2016: $15,517,060Liabilities 2016: $710,220Net Assets 2016: $14,806,8402016Assets 2017: $17,046,579Liabilities 2017: $942,365Net Assets 2017: $16,104,2142017Assets 2018: $16,100,012Liabilities 2018: $695,569Net Assets 2018: $15,404,4432018Assets 2019: $16,250,635Liabilities 2019: $1,417,831Net Assets 2019: $14,832,8042019Assets 2020: $18,908,636Liabilities 2020: $2,764,090Net Assets 2020: $16,144,5462020Assets 2021: $19,804,494Liabilities 2021: $1,867,839Net Assets 2021: $17,936,6552021Assets 2022: $21,338,506Liabilities 2022: $1,350,415Net Assets 2022: $19,988,0912022Assets 2023: $24,184,440Liabilities 2023: $3,806,869Net Assets 2023: $20,377,5712023Assets 2024: $30,927,489Liabilities 2024: $9,695,833Net Assets 2024: $21,231,6562024Assets 2025: $30,797,124Liabilities 2025: $9,071,754Net Assets 2025: $21,725,3702025

Highlighted filing

2025

Assets$30,797,124
Liabilities$9,071,754
Net Assets$21,725,370
Open 2025 Filing

Operations Trend

Revenue Growth45th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$30M$20M$10M$0-$10MExpenses 2011: $8,363,9682011Expenses 2012: $8,759,8562012Revenue 2013: $12,911,595Expenses 2013: $10,210,631Net Income 2013: $2,700,9642013Revenue 2014: $12,109,556Expenses 2014: $11,718,735Net Income 2014: $390,8212014Revenue 2015: $12,525,912Expenses 2015: $13,177,078Net Income 2015: -$651,1662015Revenue 2016: $15,456,999Expenses 2016: $14,062,472Net Income 2016: $1,394,5272016Revenue 2017: $16,767,011Expenses 2017: $15,469,637Net Income 2017: $1,297,3742017Revenue 2018: $15,903,031Expenses 2018: $16,602,802Net Income 2018: -$699,7712018Revenue 2019: $18,489,738Expenses 2019: $19,061,377Net Income 2019: -$571,6392019Revenue 2020: $20,126,644Expenses 2020: $18,814,902Net Income 2020: $1,311,7422020Revenue 2021: $23,036,351Expenses 2021: $21,244,242Net Income 2021: $1,792,1092021Revenue 2022: $26,757,690Expenses 2022: $24,650,027Net Income 2022: $2,107,6632022Revenue 2023: $29,614,140Expenses 2023: $29,235,300Net Income 2023: $378,8402023Revenue 2024: $28,200,549Expenses 2024: $27,379,908Net Income 2024: $820,6412024Revenue 2025: $29,774,182Expenses 2025: $29,316,988Net Income 2025: $457,1942025

Highlighted filing

2025

Revenue$29,774,182
Expenses$29,316,988
Net Income$457,194
Open 2025 Filing

Filings

Most recent year

2025 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$30,797,124
Liabilities
$9,071,754
Net assets
$21,725,370
Revenue
$29,774,182
Expenses
$29,316,988
Net income
$457,194
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Detailed filing. Detailed filing data is available for this year.$30.8$9.07$21.7$29.8$29.3$0.46
2024Detailed filing. Detailed filing data is available for this year.$30.9$9.70$21.2$28.2$27.4$0.82
2023Detailed filing. Detailed filing data is available for this year.$24.2$3.81$20.4$29.6$29.2$0.38
2022Detailed filing. Detailed filing data is available for this year.$21.3$1.35$20.0$26.8$24.7$2.11
2021Detailed filing. Detailed filing data is available for this year.$19.8$1.87$17.9$23.0$21.2$1.79
2020Detailed filing. Detailed filing data is available for this year.$18.9$2.76$16.1$20.1$18.8$1.31
2019Detailed filing. Detailed filing data is available for this year.$16.3$1.42$14.8$18.5$19.1$0.57
2018Detailed filing. Detailed filing data is available for this year.$16.1$0.70$15.4$15.9$16.6$0.70
2017Detailed filing. Detailed filing data is available for this year.$17.0$0.94$16.1$16.8$15.5$1.30
2016Detailed filing. Detailed filing data is available for this year.$15.5$0.71$14.8$15.5$14.1$1.39
2015Detailed filing. Detailed filing data is available for this year.$14.3$0.92$13.4$12.5$13.2$0.65
2014Detailed filing. Detailed filing data is available for this year.$14.8$0.72$14.1$12.1$11.7$0.39
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$15.0$1.31$13.7$12.9$10.2$2.70
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$13.1$2.11$11.0$8.76
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.09$0.57$6.53$8.36
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2024 to Jun 30, 2025
Signed
Feb 9, 2026
Return Version
2024v5.5
Gross Receipts
$34,995,813
Mission and Program Overview

Mission

To improve the health of our community through the provision of equitable, patient centered, high quality, compassionate care to all, regardless of ability to pay.

The health center provides equitable, patient centered, high quality, compassionate care to all, regardless of ability to pay.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$9,784,583$10,893,630▲ $1,109,047
Cash and Non-Interest-Bearing Accounts$5,313,823$10,729,239▲ $5,415,416
Accounts Receivable$5,241,293$4,218,098▼ $1,023,195
Savings and Temporary Cash Investments$7,517,967$2,558,038▼ $4,959,929
Investments Other Securities$777,264$832,878▲ $55,614
Prepaid Expenses and Deferred Charges$236,288$588,622▲ $352,334
Inventories for Sale or Use$416,966$384,716▼ $32,250
Pledges and Grants Receivable$359,708$314,120▼ $45,588
Total Assets$30,927,489$30,797,124▼ $130,365
Other Assets Total$1,279,597$277,783▼ $1,001,814
Liabilities
Other Liabilities$7,290,471$6,287,737▼ $1,002,734
Accounts Payable and Accrued Expenses$2,386,462$2,739,315▲ $352,853
Deferred Revenue$18,900$44,702▲ $25,802
Total Liabilities$9,695,833$9,071,754▼ $624,079
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$21,056,156$21,549,870▲ $493,714
Net Assets With Donor Restrictions$175,500$175,500→ $0
Total Net Assets Fund Balance$21,231,656$21,725,370▲ $493,714
Total Liabilities and Net Assets / Fund Balance$30,927,489$30,797,124▼ $130,365

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$7,463,075$4,228,750$11,691,825
Equipment$978,818$3,457,451$4,436,269
Leasehold Improvements$1,897,660$1,579,293$3,476,953
Other Land Buildings$554,077$725,457$1,279,534

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2024$210,554---$210,554
2023$210,554---$210,554
2022$210,554---$210,554
2021$175,500$35,054--$210,554
2020$175,500---$175,500
Compensation and Service Providers
Top Officer Pay73rd percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Karen GardnerCEOFT$300,954$84,051$385,005
Arshiya SethChief Medical OfficerFT$318,039$40,350$358,389
Munir AhmedChief Transformation OfficerFT$307,504$46,368$353,872
David Tager MdChief Medical Officer (until 8/2025)FT$297,080$44,068$341,148
Samuel KothalankaPsychiatristFT$292,692$8,935$301,627
Ryan Paul GoldenPhysicianFT$251,522$21,885$273,407
Fanny Vanessa Giron GaleanoPhysicianFT$249,794$18,318$268,112
Karoline Sieracki RedePhysicianFT$243,432$21,687$265,119
Ann-marie RichardCFO (until 5/2025)FT$182,944$32,130$215,074

Board Members and Trustees

NameTitle
David PetersonPresident
John DawleyVice President
Beth Bullock-mcgrailDirector
Beth SuerethDirector
Dana Mock-munoz De LunaDirector
Denese PalmerDirector
Gina HottonDirector
Jeannette DoyleDirector
Jenny Ly SheehanDirector
Bruce DonoffClerk
Paul SmithMember at Large
Rudolph R HunterTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Bowdoin ConstructionConstruction220-1 RESERVOIR STREET, Needham Heights, MA 02494$360,271
Dellbrook JksConstruction15 RESEARCH ROAD, East Falmouth, MA 02536$271,459
Asa Janitorial SolutionsCleaningPO BOX 675, Marstons Mills, MA 02648-0675$126,291
Revenue and Support

Revenue Composition

Contributions and Grants
$6,556,669
Program Service Revenue
$19,018,805
Investment Income
$366,734
Other Revenue
$3,831,974
All Other Contributions
$2,312,924
Change in Net Assets
$457,194

Audited Revenue Reconciliation

Revenue per Audited Statements
$34,995,813
Revenue Not Reported on Financial Statements
$-5,221,631
Revenue Not Reported on Form 990
$221,916
Other Revenue Adjustments
$-5,221,631
Total Revenue per Audited Statements
$35,217,729
Total Revenue per Form 990
$29,774,182
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$22,548,921
Other Expenses$6,768,067
Total Fundraising Expense$260,444
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$16,021,774$1,099,848$127,422$17,249,044
Occupancy$2,499,492$68,264$6,599$2,574,355
Other Employee Benefits$1,825,004$237,667$18,228$2,080,899
Payroll Taxes$1,317,125$159,772$14,434$1,491,331
Current Officers, Directors, Trustees, and Key Employees$1,053,856$232,407$39,847$1,326,110
Depreciation Depletion$666,077$35,868$6,950$708,895
Fees for Services Other$303,739$138,049$18,725$460,513
Office Expenses$374,402$81,831$2,167$458,400
Pension Plan Contributions$387,519$11,240$2,778$401,537
Fees for Services Accounting$98,429$197,313-$295,742
Insurance$1,520$122,554-$124,074
Conferences and Meetings$67,601$40,802$953$109,356
Fees for Services Legal-$65,075-$65,075
Other Expenses$98,067$93,185$19,065$19,065
Travel$8,691$5,246$123$14,060
Total Functional Expenses$26,467,060$2,589,484$260,444$29,316,988

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$34,724,015
Expenses per Audited Statements$34,538,619
Total Expenses per Form 990$29,316,988
Expenses Not Reported on Form 990$185,396
Expenses Not Reported on Financial Statements$-5,221,631
Other Expense Adjustments$-5,221,631
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$37,146
Fundraising Direct Expenses$31,680
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Golf Tournament$98,352$37,146$5,425$31,721
Total Events$98,352$37,146$31,680$5,466
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Conditional Grant Advance$6,003,333
Operating Lease Liabilities$284,404
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 35% controlled entity
No
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 11B

“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.”

Filing and Contact Details

Filer

Filer Name
Community Health Center of Cape Cod
EIN
04-3370560
Phone
5084777090
Address
107 COMMERCIAL STREET, MASHPEE, MA 02649
Doing Business As
Community Health Center

Signing Officer

Name
Karen Gardner
Title
CEO
Phone
5084777090
Signed
2026-02-09
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Karen Gardner
Formed
1997
Legal Domicile
Ma
Voting Board Members
12
Independent Board Members
12
Employees
293
Volunteers
47

Preparer

Firm
Aafcpas Inc
Address
50 WASHINGTON STREET, WESTBOROUGH, MA 01581
Preparer
Caitlin Limoges CPA
Phone
5083669100
Supplemental Narrative

Additional Explanations

FORM 990, PART XII, LINE 2C:

“The organization has an audit committee which oversees the audit process. This process has not changed from the prior year.”

Financial Statement Notes

PART X, LINE 2:

“The health center accounts for uncertainty in income taxes in accordance with asc topic, income taxes. This standard clarifies the accounting for uncertainty in tax positions and prescribes a recognition threshold and measurement attribute for the financial statements regarding a tax position taken or expected to be taken in a tax return. The health center has determined that there are no uncertain tax positions which qualify for either recognition or disclosure in the financial statements at june 30, 2025. The health center's information returns are subject to examination by the federal and state jurisdictions.”

PART XI, LINE 4B - OTHER ADJUSTMENTS:

“Special events expense -31,680. Pharmacy cost of goods sold -5,189,951.”

PART XII, LINE 4B - OTHER ADJUSTMENTS:

“Special events expense -31,680. Pharmacy cost of goods sold -5,189,951.”

Part 5, Line 4

“The endowment funds support the general operations of the health center.”

Raw XML AppendixShowing 400 of 802 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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