Outer Cape Health Services
Outer Cape Health Services is a nonprofit Federally Qualified Health Center operating three health center and pharmacy sites on Lower and Outer Cape Cod, serving ~20,000 residents and visitors annually with integrated primary, behavioral, recovery, and pharmacy care regardless of ability to pay.
- Company typePrivate
- Founded1987
- HeadquartersHarwich Port, United States
- Headcount101–250
- GTM typeB2C
- OfferingServices
What Outer Cape Health Services does
Outer Cape Health Services (OCHS) is a private 501(c)(3) nonprofit and federally qualified community health center (FQHC) founded in 1987 through the merger of Health Associates of Provincetown and AIM Medical Center in Wellfleet. It operates three co-located health center and pharmacy sites across the Lower and Outer Cape Cod region (Harwich Port, Wellfleet, and Provincetown) plus the AIM Wellness Center, serving approximately 18,000-20,000 residents and visitors annually across the 10 outermost Cape Cod towns. OCHS delivers an integrated care offering under a Patient-Centered Medical Home model — primary care, behavioral health, recovery services (including the only SOAP program on the Lower/Outer Cape), pharmacy, Quest Diagnostics on-site labs, women's health, pediatrics, optometry, radiology, and a walk-in clinic — regardless of ability to pay, supported by a sliding fee scale for patients at or below 200% of federal poverty. Core technology is the OCHIN Epic EHR with the MyChart patient portal and a telehealth platform the organization is scaling from 10% to a targeted 40-50% of primary care delivery by end of 2026 to mitigate rural staffing constraints.
The business model blends four revenue streams: patient services billed to MassHealth/Medicaid, Health Safety Net, and commercial plans (plus sliding-fee self-pay); federal FQHC funding through HRSA's 330 Program; the 340B Drug Pricing Program, which alone funds roughly half of the organization's ~$35 million annual revenue; and community donations and philanthropy. The model carries significant regulatory and payer-side concentration: the 340B program faces a rebate-pilot reform effective January 2026 with potential $10M annual revenue impact by 2029, and a new federal compliance mandate effective October 2025 restricts certain clinical services for under-19 patients. Leadership transitioned in December 2023 with Dr. Damian K. L. Archer succeeding Patricia A. Nadle as CEO and CFO Manny Pineiro expanding to a CFO-COO role. OCHS holds FTCA deemed status, Joint Commission accreditation, and 2025 MHQP Patient Experience Award recognition.
Outer Cape Health Services firmographics
Firmographics- Name
- Outer Cape Health Services
- Legal name
- Outer Cape Health Services, Inc.
- Website
- https://outercape.org
- Company type
- Private
- Founded year
- 1987
- Operating status
- Operating
- Headcount range
- 101–250 employees
- Short description
- Outer Cape Health Services is a nonprofit Federally Qualified Health Center operating three health center and pharmacy sites on Lower and Outer Cape Cod, serving ~20,000 residents and visitors annually with integrated primary, behavioral, recovery, and pharmacy care regardless of ability to pay.
- Ownership category
- akta.pro rank
Outer Cape Health Services industry classification
Industry- Product category
- Community Health Services (Federally Qualified Health Center)
- NAICS
- Ambulatory Health Care Services (621), Outpatient Care Centers (6214)
- SIC
- Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Health Services (8000)
- akta.pro primary industry
- Primary Care for Underserved Populations (e.g., migrant, homeless, refugee clinics) (HLAFAGAN)
- akta.pro secondary industries
- Hospitals, Clinics & Charitable Healthcare Providers (BPAGACAB), Primary Care & General Medicine Virtual Care (HLALAAAA)
Keywords
Where Outer Cape Health Services is headquartered
LocationHeadquarters
- HQ city
- Harwich Port
- HQ country
- United States
- HQ region
- North America
Offices5 records
Markets served
Outer Cape Health Services business model
Business model- GTM type
- B2C
- Offering type
- Services
- Cost components
- Personnel, Operations, Supply Chain, Infrastructure, Technology or R&D, Marketing or Sales
Revenue model
- 340B Drug Pricing Program: The 340B program provides approximately half of the organization's $35 million annual revenue. OCHS uses savings from the program to fund critical services and provide affordable medications to patients. Proposed changes to the 340B program could result in up to $10 million annual losses by 2029.
- Patient Services Revenue: Revenue from patient services billed to insurance (MassHealth/Medicaid, Health Safety Net, commercial plans) and direct patient payments. Accepts sliding fee scale for uninsured patients.
- Federal CHC Funding: Federally Qualified Health Center (FQHC) funding through HRSA. Congress approved $4.6 billion increase in Community Health Center Fund, representing the largest funding increase in a decade.
- Donations and Philanthropy: Donations from community members through the organization's giving programs
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Hybrid | Pay-as-you-go | Sliding Fee Scale |
| Subscription | Per visit | Standard Insurance Billing |
Go-to-market motion1 record
Distribution channels4 records
Marketing channels6 records
Outer Cape Health Services product offering
Product offeringCore offering
Outer Cape Health Services is a Federally Qualified Health Center that delivers integrated community-based healthcare, including primary care, behavioral health, recovery services (SOAP and OBOT), pharmacy, radiology, optometry, pediatrics, and women's health, across three health center locations and the AIM Wellness Center on Cape Cod. It supplements in-person care with a telehealth platform and Epic-based MyChart patient portal, and operates a sliding fee discount program for uninsured patients at or below 200% of federal poverty level.
Product overview
Outer Cape Health Services operates as a federally qualified community health center (FQHC) offering an integrated system of healthcare services across three physical locations (Harwich Port, Wellfleet, and Provincetown) plus the AIM Wellness Center. The organization provides primary care, behavioral health, recovery services, telehealth, pharmacy, and specialty services including radiology and optometry. Key service sites include the Harwich Port Health Center & Pharmacy, Wellfleet Health Center & Pharmacy, Provincetown Health Center & Pharmacy, and AIM Wellness Center. Digital offerings include MyChart Patient Portal for electronic health record access and Telehealth Services for virtual care delivery. Support services include the Healthy Connections Program for insurance enrollment assistance. The organization operates under a Patient-Centered Medical Home model, serving approximately 18,000-20,000 patients annually across the Lower and Outer Cape Cod region.
Differentiator
Problem solved
Functional benefit
Products and services
- Harwich Port Health Center & Pharmacy
- Wellfleet Health Center & Pharmacy Primary care health center and on-site pharmacy at 3130 Route 6, Wellfleet, MA 02667, providing family medicine, adult medicine, pediatrics, women's health, behavioral health, and pharmacy services for existing patients.
- Provincetown Health Center & Pharmacy Primary care health center and on-site pharmacy at 49 Harry Kemp Way, Provincetown, MA 02657, offering the Primary Care Walk-In Clinic, behavioral health, recovery services, optometry, and radiology services.
- AIM Wellness Center Behavioral health and recovery services center at 2700 State Highway, Route 6, Wellfleet, MA 02667, offering individual and group therapy, day treatment, recovery coaching, and community resource navigation.
- Telehealth Services Virtual care visits enabling remote delivery of primary care services, allowing patients to connect with clinicians via video for consultations, follow-ups, and ongoing care without traveling to physical locations.
- Healthy Connections Insurance Enrollment Assistance Program Insurance enrollment assistance program with certified application specialists available at all community health center locations to help patients apply for health insurance, MassHealth, and sliding fee discounts.
- Recovery Services (including SOAP and OBOT) Comprehensive substance use disorder treatment including Structured Outpatient Addiction Program (SOAP), Office-Based Opioid Treatment (OBOT) with medications such as Suboxone and Vivitrol, and recovery coaching services.
- Behavioral Health Services Mental health and behavioral health services including psychiatry, psychology, individual therapy, group therapy, and integration with primary care for whole-person treatment.
- Pharmacy Services On-site pharmacy services at Harwich Port, Wellfleet, and Provincetown locations offering competitive price matching, co-pay assistance, free prescription delivery, immunization services, and medication therapy management.
- Quest Diagnostics Lab Services On-site Quest Diagnostics laboratory services at all three health center locations providing comprehensive lab testing with independent operation from Outer Cape Health Services.
- Primary Care Walk-In Clinic (Provincetown) Walk-in care service for non-emergency conditions at the Provincetown Health Center, available to both OCHS patients and visitors. Consolidated to Provincetown only in late 2025.
Quantifiable outcome
- Planning to deliver 40-50% of primary care services remotely by end of 2026 (up from 10%)
- +1 more outcomes
Companies that use Outer Cape Health Services
Customer profileNamed customers2 records
Segments3 records
Ideal customer profiles2 records
Outer Cape Health Services technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature2 records
Outer Cape Health Services partnerships and signals
Strategic signalPartnerships
Nine partnerships are on record, tiered core and minor.
- GeBBs Healthcare SolutionscorePartnership for insurance pre-registration services ahead of patient appointments. GeBBs works closely with OCHS Billing Team to verify patient insurance information and resolve registration issues to prevent billing problems.
- Quest DiagnosticscoreQuest Diagnostics laboratories located within each OCHS health center providing lab services. Labs are independently operated from OCHS with same hours as health centers.
- Cape Cod HospitalcoreReferral partner for CT scans, ultrasounds, mammograms, and bone densities. OCHS Referral staff obtain authorizations required by insurance for Cape Cod Hospital Hi-Tech images.
- Shields MRIcoreReferral partner for MRI and PET scans as part of OCHS referral process for Hi-Tech imaging services.
- Beth Israel Deaconess Medical Center (BIDMC)minorSpecialist referral destination requiring patients to register directly with BIDMC before OCHS can send referral.
- Cape & Coast FoundationcoreFunder supporting OCHS telehealth access expansion efforts.
- Massachusetts League of Community Health CenterscoreOCHS is a member of the Massachusetts League of Community Health Centers, which coordinates advocacy efforts, shares resources, and advocates for CHC funding at state and federal levels.
- Community Care Cooperative (C3)minorC3 is a C3 member organization through which patients can file grievances with Member Advocates.
- North Shore Community HealthminorComparable Massachusetts health center cited as market leader delivering 35-40% of visits remotely; OCHS aims to emulate this model for telehealth expansion.
Scale indicators6 records
Recent moves9 records
Expansion highlights6 records
Outer Cape Health Services competitors and assessment
Company assessmentDirect peers
- East Boston Neighborhood Health Center: One of the largest Massachusetts FQHCs, providing primary care, behavioral health, pharmacy, and specialty services to an underserved urban population. Comparable FQHC business model and integrated service offering, though at materially larger scale.
- Harbor Health Services: Massachusetts FQHC operating multiple community health center sites (including on Cape Cod and the South Shore) with integrated primary care, dental, behavioral health, and pharmacy. Directly comparable FQHC model, scale, and payer mix.
- Fenway Health: Boston-based FQHC delivering primary care, behavioral health, and pharmacy with a strong community-mission orientation. Comparable FQHC structure and integrated care delivery model, with a distinctive specialty population focus.
- Lowell Community Health Center: Massachusetts FQHC providing primary care, behavioral health, and pharmacy to a diverse, underserved patient population. Closely comparable FQHC operating model, payer mix (heavy Medicaid/MassHealth), and community-board governance.
- North Shore Community Health: Massachusetts FQHC cited internally as OCHS's telehealth benchmark (delivering 35-40% of visits remotely). Operates multiple community health center sites with comparable primary care, behavioral health, and pharmacy services for underserved populations on the North Shore.
- Community Health Center of Cape Cod: FQHC serving Cape Cod with a comparable primary care, behavioral health, and pharmacy footprint. Most direct regional peer — competes for the same patient base and clinician pool in the Cape Cod market.
- Holyoke Health Center: Massachusetts FQHC offering primary care, dental, behavioral health, and pharmacy across multiple sites. Comparable FQHC structure serving a Medicaid-heavy, underserved population with a sliding-fee-scale model similar to OCHS.
Emerging players
- Boston Health Care for the Homeless Program: FQHC-style provider focused on a distinct underserved population (people experiencing homelessness). Operates within the same FQHC regulatory framework as OCHS and shares funding and advocacy channels via the Massachusetts League of Community Health Centers.
Broad incumbents
- Cambridge Health Alliance: Massachusetts public safety-net health system with FQHC-lookalike operations, primary care, behavioral health, and pharmacy. A broader incumbent that overlaps in care model and payer mix but at materially larger scale and scope than OCHS.
- Cape Cod Healthcare: Regional health system that is the primary hospital and specialty referral destination for OCHS patients. Not a direct competitor in primary care for the underserved, but the dominant incumbent in Cape Cod's broader healthcare market and a key OCHS referral partner.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks6 records
Key highlights7 records
Customer concentration
Outer Cape Health Services social profiles
Digital presenceOuter Cape Health Services compliance and trust
Trust signalCompliance3 records
Outer Cape Health Services financial estimates
Financial estimateRevenue estimate
Valuation estimate
Outer Cape Health Services leadership team
Management profileNumber of profiles
Profiles7 records
Outer Cape Health Services funding detail
Funding detailFunding overview
Funding rounds1 record
Investors1 record
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Outer Cape Health Services M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Outer Cape Health Services
What does Outer Cape Health Services do?
Outer Cape Health Services is a Federally Qualified Health Center that delivers integrated community-based healthcare, including primary care, behavioral health, recovery services (SOAP and OBOT), pharmacy, radiology, optometry, pediatrics, and women's health, across three health center locations and the AIM Wellness Center on Cape Cod. It supplements in-person care with a telehealth platform and Epic-based MyChart patient portal, and operates a sliding fee discount program for uninsured patients at or below 200% of federal poverty level.
Is Outer Cape Health Services a public or private company?
Outer Cape Health Services is a private company. It is classified as nonprofit foundation owned and is currently operating.
When was Outer Cape Health Services founded?
Outer Cape Health Services was founded in 1987. It employs 101 to 250 people.
Where is Outer Cape Health Services based?
Outer Cape Health Services is headquartered in Harwich Port, United States, in the North America region.
How does Outer Cape Health Services make money?
Four revenue lines are on record. 340B Drug Pricing Program is the primary driver. The others are patient Services Revenue, federal CHC Funding and donations and Philanthropy.
Who are Outer Cape Health Services's main competitors?
Direct peers on record are East Boston Neighborhood Health Center, Harbor Health Services, Fenway Health, Lowell Community Health Center, North Shore Community Health, Community Health Center of Cape Cod and Holyoke Health Center. Boston Health Care for the Homeless Program is listed as an emerging player. Broad incumbents are Cambridge Health Alliance and Cape Cod Healthcare.
Does Outer Cape Health Services have an API?
No public API is recorded for Outer Cape Health Services.
What industry is Outer Cape Health Services in?
Outer Cape Health Services's product category is Community Health Services (Federally Qualified Health Center). Its primary akta.pro industry code is HLAFAGAN, Primary Care for Underserved Populations (e.g., migrant, homeless, refugee clinics), with a secondary code of BPAGACAB, Hospitals, Clinics & Charitable Healthcare Providers. Its NAICS code is 621 and its SIC code is 8011.