Outer Cape Health Services Inc

What it reported doing in 2024

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 & 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, & 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.

Financial Efficiency

• Mission deployment rate: 84.1%; rating input score 84
• Program expense ratio: 90.5%; rating input score 91
• Fundraising efficiency: $65 raised per $1 spent on fundraising; rating input score 80; 80th percentile among comparable filings

Transparency & Controls

• Consistency checks: 93.8%; rating input score 94; 17th percentile among comparable filings
• Pay-setting controls: 3 of 6 controls in place; rating input score 50
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Pass
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: 62.5%; rating input score 62; 13th percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 100%; rating input score 100; 66th percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 7.2%; rating input score 60; 60th percentile among comparable filings
• Total-asset coverage ratio: 0.5; rating input score 16; 16th percentile among comparable filings
• Liabilities to assets ratio: 0.55; rating input score 25; 25th percentile among comparable filings
• Officer compensation ratio: 4.6%; rating input score 54; 54th percentile among comparable filings

Growth

• Program expense growth: 9.5% per year; rating input score 100; 68th percentile among comparable filings
• Revenue growth: 9.7% per year; rating input score 100; 73rd percentile among comparable filings
• Asset growth: 10.1% per year; rating input score 100; 65th percentile among comparable filings