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A Federally Qualified Non-Profit Community Health Center on Cape Cod
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Founded in 1987 through the merger of Health Associates of Provincetown (established in 1972) and the AIM Medical Center in Wellfleet (established in 1966), Outer Cape Health has a long history of successful growth and expansion in pursuit of this mission. In 1996, Outer Cape Health signed a non-exclusive affiliation agreement with the Beth Israel Deaconess Medical Center, a teaching hospital of Harvard Medical School.

Outer Cape Health Services, Inc. (OCHS) is governed by a Board of Directors representative of its community. All board members live on Cape Cod and the majority are OCHS patients. Their backgrounds include finance, community affairs, medicine, human resources, law, computer engineering, and business management.

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. In 2015, approximately 16,500 people turned to us for care and, regardless of their ability to pay, we meet their primary, preventive and urgent healthcare needs.


Contact Us

Outer Cape Health Services, Inc.
PO Box 1413
Wellfleet, MA 02667

Phone: 508-905-2800
Fax: 508-240-0499





Outer Cape Health Services is proud to be a Cape and Islands United Way funded partner.


Non Discrimination Statement 

The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the bases of race, color, national origin, age, disability, and where applicable, sex, marital status, familial status, parental status, religion, sexual orientation, genetic information, political beliefs, reprisal, or because all or part of an individual’s income is derived from any public assistance program. (Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative means for communication of program information (Braille, large print, audiotape, etc.) should contact the USDA’s TARGET Center at 202/720-2600 (voice and TDD).

To file a complaint of discrimination, write to USDA, Director, Office of Civil Rights, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, or call (800) 795-3272 (voice) or (202) 720-6382 (TDD).

OCHS is an equal opportunity provider and employer.

The Federally Supported Health Centers Assistance Acts (FSHCAA) of 1992 (Pub. L. 102-501) and 1995 (Pub. L. 104-73) extend Federal Tort Claims Act (FTCA) protections under 28 U.S.C. 1346(b), 2401(b), and 2679-81 to eligible Federally Qualified Health Centers (FQHC) receiving funding through a Health Resources and Services Administration (HRSA) 330 Program grant. FTCA, which is also known as the Health Center FTCA Medical Malpractice Program, extends medical malpractice coverage to eligible Deemed Health Centers. Outer Cape Health Services is a FTCA Deemed facility.

Click here for our OCHS Credit and Collection Policy.


Senior Management Team


Patricia Nadle, BSN, MEd
Chief Executive Officer

Jean Callum, MHA
Chief Information & Technology Officer
Director of Radiology

Terry Cote, CPA

Chief Financial Officer

Andrew Jorgensen, MD

Chief Medical Officer

Kathleen Weiner, CFRE

Chief Development Officer

Cheryl Andrews, DMD
Director of Dental Services

Meredith Goff, MS, CNM
Director of Prenatal Care Program & WIC

Marta "Dikke" Hansen, LICSW
Director of Behavioral Health

Patti Hartsfield, MN
Director of OCHS-Harwich & Director of Nursing

James Hood, MBA, MSW
Director of OCHS-Wellfleet

Alexis Keeler, MBA
Director of Quality & Compliance

Robert LaFrance
Director of Facilities

Cynthia Levangie, BS, RD
Director of WIC Program

Andy Lowe

Director of Program Resources Management


Jayne Lowe, BS
Director of Patient Revenue Cycle
and Healthy Connections

Mary McNair
Director of OCHS-Provincetown

Jeffrey Onyeokoro, RPh
Director of Pharmacy Services

Denise Parker-Bridges, RHA, MHA

Director of Dental Health Programs

Paul Schofield, CPA, MBA
Director of Accounting
Auditing and Budgeting

Ron Spinks, BS
Director of Human Resources - Interim

Ann Marie Trombi
Director of Clinical Applications

Eve Horwitz, JD
General Counsel
Outer Cape Health Services Archstone Law Group, P.C.


Board of Directors


pam French web photo width= Pamela French, MD, MPH, DTMH


Dr. French is a specialist in Infectious Diseases and an antibiotic development consultant. Her career has included academics, public health and clinical research. Locally, Dr. French has served as an officer of the Board of Directors of Helping Our Women and is an active volunteer at IFAW Marine Mammal Rescue and the Provincetown Center for Coastal Studies. Dr. French joined the OCHS Board in April, 2008. Dr. French is also recognized as an acclaimed photographer of whales.


Ed McManus
First Vice President

McManus received his bachelor of arts in Physical Geography from the University of California, Berkeley and a master in planning from Antioch University. He is currently the owner and principal of McManus Renovation Services, which has its offices in Albany, CA and Harwich, MA. McManus has held various political offices and currently is a Selectman for the Town of Harwich and holds the Harwich seat on the Barnstable County Assembly of Delegates. His community service includes his role as President of the Harwich Cranberry Festival Committee and Treasurer of the Board of WOMR Community Radio.  He is an avid reader, cyclist, gardener and potter.



Mary Grace Smith, BA, MA, ABD

Second Vice President

Mary Grace Smith is a technology and communications specialist whose career highlights include serving as Associate Director of the Office for Information Technology at Harvard University. Smith served as Principal of Northeast Consulting Resources, Inc., which offered planning, management, and communications consulting to businesses and non-profit organizations. She serves on the board of Wellfleet Preservation Hall, and she lives in Wellfleet.



Nancy Howard, MEd, MBA


Ms. Howard has had a home in Provincetown for over 13 years and also has a home in Boston. She has served on the Provincetown MacMillan Pier Corporation Board. Ms. Howard recently retired as COO of MassDevelopment, a quasi-governmental agency responsible for economic development across the Commonwealth, focusing on tax exempt bond financing, lending and real estate development. Prior to serving at MassDevelopment, Ms. Howard was the Group Executive for all Specialized Lending and a member of the Senior Credit Committee at Bank Boston.


Christopher Duff, MDiv


A policy and practice consultant in disability competent care, Mr. Duff works with health plans and provider systems across the country as they improve their services and supports through the Federal Accountable Care Act (ObamaCare). He was formerly Executive Director of the Disability Practice Institute, and President/CEO of AXIS Healthcare in MN. His professional background is in the field of rehabilitation, with licensure as a Clinical Independent Social Worker. Mr. Duff earned his Masters of Divinity in Clinical Pastoral Care in Health/Human Services from the United Theological Seminary and Advanced Certificates in Business Finance; Health Care Development and Strategic Communications from the University of St. Thomas and University of Minnesota. Chris lives in Provincetown.



Fred Gaechter
Board Member Emeritus, Immediate Past President of the Board of Directors

A veteran of the United States Air Force, Mr. Gaechter worked for over 40 years in telecommunications. In 2001, he retired as Executive Director of Telecordia, a renowned telecommunications firm with over 7,000 employees worldwide. Mr. Gaechter served as a Truro Selectman for six years (2004-2010), the first four of which were as the Board’s Chairman. Mr. Gaechter is also the current president of the Truro Conservation Trust. He lives with his wife Judy in Truro.


 Jeremy Gingras web photo

Jeremy Gingras, BBA

Mr. Gingras is currently the Executive Director of the Harwich Chamber of Commerce and the Harwich Chamber of Commerce Charitable Foundation.  Previously, he worked at the Cape Cod Five Cents Savings Bank in various banking positions. He has served on the Board, finance committee and budget committee of the Harwich Junior Theatre. He is currently serving as Chair of the Brooks Academy Museum Commission in Harwich. Mr. Gingras received his BS in Business Administration from Suffolk University, and lives in Harwich.


Penelope Keyl, MSc, PhD

Dr. Keyl is a retired Associate Professor at the Johns Hopkins University School of Medicine, and earned her PhD in Epidemiology at Johns Hopkins University. Dr. Keyl taught in the Department of Emergency Medicine, where she chaired the Research Committee for several years and mentored residents and junior faculty. She also taught in the Department of  Epidemiology at the Johns Hopkins School of Public Health, where she served on the school's IRB Committee. Dr. Keyl has served as principal or co-principal investigator on grants from the NIA, NIAAA, MCHB and several research foundations, and authored sixty peer-reviewed manuscripts.


Steve Roehm, MBA

Mr. Roehm spent five years as a US Navy officer and then joined IBM, where he worked for 35 years, holding middle and executive management positions in sales, marketing, finance, planning/strategy, information technology, and logistics before joining IBM’s Executive Business Institute as a Senior Consulting faculty member. Mr. Roehm retired from IBM and founded his own company - Strategic Innovation Insights, LLC - which continued his client work in these disciplines while allowing him to teach in executive education innovation programs and start-up entrepreneurship programs. Mr. Roehm was a member of the Board of the Frost Valley YMCA from 1993–2012, and he resides in Wellfleet with his wife.


Donna ward webphoto

Donna Roehn Ward, MBA

Ms. Ward is currently an entertainment consultant. She was a marketing analyst for many private companies in her career. She has served on several boards of private schools and theatre groups in New ork. She is currently Chair of the Mirror Repertory Theatre Board of Directors in New York City. Ms. Ward received her BA in Political Science & Economics from Wellesley College and her MBA from Harvard Business School. She lives in New York and North Truro.



Jayne Carvelli Sheehan, MSN, RNC

Ms. Sheehan is Senior Vice President for Ambulatory and Emergency Services at Beth Israel Deaconess Medical Center. An expert on the development and growth of ambulatory services, Ms. Sheehan speaks nationally on Ambulatory Care and Physician Practice operations, as well as space design and utilization, and productivity and service.


Susan spear webphoto

Susan Spear, MD

Dr. Spear is currently Senior Vice President for Medical Affairs at EHE International. She is also an Assistant Clinical Professor of Pediatrics at Columbia University College of Pediatrics. In addition to her work with the OCHS Board, Dr. Spear serves on the Board of Directors at Wellfleet’s Preservation Hall and is a volunteer event organizer. She has been involved with several non-profit boards in healthcare and education areas in New York City. Dr. Spearreceived her BA from Wellesley College and MD from Columbia University College of Physicians & Surgeons. She lives in New York and Wellfleet.

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