2025-08-15T09:30:15-05:00 2024-09-30 PwC US Tax LLP 101 SEAPORT BLVD SUITE 500 BOSTON MA 02210 990 2023-10-01 222600704 CAPE COD HEALTHCARE INC % JEAN BUTLER CAPE 5087711800 297 NORTH ST BLDG 3 HYANNIS MA 02601 JEAN BUTLER SVP AND INTERIM CFO 5088625979 2025-08-14 true true ERICA R MCREYNOLDS P00977806 6175305000 2025-08-13 2023 2025-03-06 01:10:19Z MICHAEL K LAUF 88 LEWIS BAY ROAD HYANNIS MA 02601 162733699 false X WWW.CAPECODHEALTH.ORG X 1984 MA SEE SCHEDULE O 16 11 390 12 6957926 0 1114674 385326 140224223 150335142 6244415 12013231 0 0 147583312 162733699 457600 413443 0 0 43854903 49799786 0 0 0 97424707 101773466 141737210 151986695 5846102 10747004 463459033 515131694 213515050 222012489 249943983 293119205 X SEE SCHEDULE O false false 124801785 413443 150335142 SEE SCHEDULE O. 124801785 true true false true false false false false false false true true false true true false false true false false true false false false false false false true true true false false false false false false true false false false false false false true true true false false true 390 0 true 390 true true true true BD CJ false false false false false false false false true false X 16 11 true false false false true true true true true false false true true true true true true true true true true MA X JEAN BUTLER 5088625979 297 NORTH STREET BLDG 3 HYANNIS MA 02601 X MICHAEL K LAUF PRESIDENT/CEO/TRUSTEE 5.0 55.0 X X 1821543 0 -186604 ALEXANDER ADDUCI MD TRUSTEE 2.0 40.0 X 0 1233592 47346 LORI JEWETT CHIEF OPERATING OFFICER 5.0 45.0 X 649685 0 75636 RICHARD SILVERIA SVP FINANCE/CFO 5.0 55.0 X 621401 0 66667 JOHN HOSTETTER MD TRUSTEE 2.0 40.0 X 0 629181 48196 WILLIAM AGEL MD CHIEF MEDICAL OFFICER 5.0 45.0 X 583471 0 63978 JOHN PAUL SOLVERSON SVP/CHIEF INFORMATION OFFICER 5.0 45.0 X 546119 0 63867 MICHAEL G JONES ESQ SVP/CLO/CO-CLERK 5.0 55.0 X 517829 0 71962 BENJAMIN LEVIN MD PHYSICIAN 0.0 40.0 X 0 469435 45236 JEAN BUTLER SVP FINANCE 5.0 45.0 X 413144 0 52037 CHRISTOPHER M LAWSON SVP/CHIEF DEVELOPMENT OFFICER 5.0 45.0 X 393224 0 61069 MICHELLE SKARBEK VP HUMAN RESOURCES 5.0 45.0 X 365840 0 59545 CARTER HUNT CHIEF OPERATING OFFICER FH 5.0 45.0 X 340025 0 62590 CHRISTIAN BROWN SVP MANAGED CARE (UNTIL 5/24) 4.0 36.0 X 355402 0 45346 ELIZABETH DUNTON VP EMPLOYED PHYSICIAN GROUP 5.0 45.0 X 354934 0 26523 MICHAEL BACHSTEIN VP FACILITIES MANAGEMENT 5.0 45.0 X 341157 0 26603 KUMARA D SIDHARTHA SEE SCHEDULE O 5.0 45.0 X 341207 0 26078 JOSEPH GERGYES MD TRUSTEE (UNTIL 1/24) 2.0 40.0 X 947 295718 41003 C JEFFREY SIEGERT MD TRUSTEE (AS OF 1/24) 2.0 2.0 X 176750 104866 63 STEPHEN BROOKS MD TRUSTEE (AS OF 8/24) 2.0 2.0 X 87463 0 0 BRUCE JOHNSTON SEE SCHEDULE O 5.0 5.0 X X 0 0 0 RAMANI AYER TREASURER (UNTIL 5/24)/TRUSTEE 5.0 5.0 X X 0 0 0 LAWRENCE CAPODILUPO TRUSTEE 2.0 2.0 X 0 0 0 SHARON KENNEDY TRUSTEE 2.0 2.0 X 0 0 0 E JAMES MULCAHY JR TRUSTEE (UNTIL 5/24) 2.0 2.0 X 0 0 0 NATHAN RUDMAN MD TRUSTEE 2.0 2.0 X 0 0 0 ROBERT TALERMAN SEE SCHEDULE O 2.0 2.0 X X 0 0 0 ROBERT WILSTERMAN MD TRUSTEE 2.0 2.0 X 0 0 0 KEVIN VILSAINT MD TRUSTEE 2.0 2.0 X 0 0 0 ROBIN DEVEREUX SEE SCHEDULE O 2.0 2.0 X X 0 0 0 LINDA TILTON GIBSON TRUSTEE 2.0 2.0 X 0 0 0 GARY SHEEHAN TRUSTEE (AS OF 5/24) 2.0 2.0 X 0 0 0 7910141 2732792 697141 168 true true false CAPE COD EMERGENCY ASSOCIATES LLP 27 PARK STREET HYANNIS MA 02601 MEDICAL SERVICES 22522517 CAPE COD ANESTHESIA ASSOCIATES INC 1342 BELMONT STREET SUITE 205 BROCKTON MA 02301 MEDICAL SERVICES 7540102 OPTUM360 LLC 1100 OPTUM CIRCLE EDEN PRAIRIE MN 55344 CONSULTING 6391503 HOSPITAL BILLING COLLECTION SVC 118 LUKENS DR NEW CASTLE DE 19720 CONSULTING 3759499 CHOATE HALL STEWART LLP TWO INTERNATIONAL PLACE BOSTON MA 02110 LEGAL FEES 2490212 69 385326 0 385326 HOME OFFICE COSTS 620000 93178274 93178274 PHYSICIAN ORG ADM SUPPORT REV 620000 4543809 4543809 PROGRAM RELATED RENTAL INCOME 620000 2331479 2331479 RETAIL PHARMACY 620000 49625427 42668019 6957408 OTHER PROGRAM SERVICE REVENUE 620000 654472 654472 1681 1681 150335142 6827262 518 6826744 0 0 0 0 0 5185969 0 5185969 5185969 5185969 0 0 0 0 0 0 0 0 0 0 162733699 143377734 6957926 12012713 357025 357025 56418 56418 0 0 6164067 0 6164067 0 162617 162617 33098703 26446439 6652264 0 1450977 1088233 362744 0 5791595 4343696 1447899 0 3131827 2348870 782957 0 5966 0 5966 0 2315847 0 2315847 0 63584 0 63584 0 192500 154000 38500 0 0 347663 0 347663 0 2119736 1695789 423947 0 956550 765240 191310 0 2936565 2349252 587313 0 12775634 10220507 2555127 0 0 4453354 3562683 890671 0 302594 242075 60519 0 0 0 289578 231662 57916 0 0 11292591 9034073 2258518 0 933510 746808 186702 0 MEDICAL SUPPLIES 48155033 48155033 0 0 PURCHASED SERVICES 10224762 8179810 2044952 0 REPAIRS & MAINTENANCE 1603675 1282940 320735 0 COMMUNITY BENEFITS 1038647 1038647 0 0 1765677 1408714 356963 151986695 123870531 28116164 0 11270346 12789797 0 0 0 0 707 0 0 0 0 0 10644943 14784842 1175750 1181428 8309523 8127408 128242486 78341194 53072920 49901292 0 0 230830403 278983559 6532460 6986739 0 0 141621981 142376629 463459033 515131694 72121866 84490860 0 0 121759 58288 0 0 0 0 0 0 2942584 2597077 0 0 138328841 134866264 213515050 222012489 X 203302097 239011607 46641886 54107598 249943983 293119205 463459033 515131694 X 10747004 34319004 -1890786 X false true X true true true X 9102 14122 1247 1114674 385326 1524471 106756089 126847579 128032852 140224223 150335142 652195885 0 0 0 106765191 126861701 128034099 141338897 150720468 653720356 0 0 0 653720356 4212434 3452161 4717554 6421499 6826744 25630392 0 4212434 3452161 4717554 6421499 6826744 25630392 24358 43021 249718 44828 0 361925 0 111001983 130356883 133001371 147805224 157547212 679712673 0.96176 0.96262 0.03771 0.03638 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X false false false false false false false false true 223748 223748 false SCHEDULE C, PART II-B, LINE 1I A. CAPE COD HEALTHCARE, INC. MADE PAYMENTS TO SMITH & RAUSCHENBACH OF $60,000; LAW OFFICES OF O'NEILL, ATHY AND CASEY, PC OF $120,000; AND MCDERMOTT WILL & EMERY, LLP OF $12,500 FOR LOBBYING AND PUBLIC POLICY CONSULTING SERVICES SUCH AS MONITORING THE FEDERAL AND MASSACHUSETTS LEGISLATURES FOR MATTERS RELATING TO HEALTHCARE REFORM AND INFORMING CAPE COD HEALTHCARE INC. ON CHANGES THAT COULD EFFECT THE CAPE COD HEALTHCARE, INC. B. CAPE COD HEALTHCARE, INC. PAID MEMBERSHIP DUES OF AMERICAN HOSPITAL ASSOCIATION, WHICH AHA DETERMINED WAS 39.00% ENGAGED IN LOBBYING ACTIVITIES OR $31,248 OF THE $80,122 DUES PAID. 6670052 6670052 17020268 3880997 13139271 12844233 6878944 5965289 56099339 48021997 8077342 35608594 19559256 16049338 49901292 UNRESTRICTED INVESTMENTS 201288279 F TEMP RESTRICTED INVESTMENTS 12107289 F PERM RESTRICTED INVESTMENTS 15541608 F PERPETUAL TRUST 26022105 F 457 PLAN INVESTMENTS 23358510 F ANNUITIES & POOLED INCOME FUND 665768 F 278983559 EPIC IMPLEMENTATION PROJECT 43610991 INSURANCE RECOVERY RECEIVABLE 32985515 DUE FROM AFFILIATES 53816961 ROU ASSETS - OPERATING LEASES 10197853 MISC OTHER ASSETS 1765309 142376629 0 DUE TO AFFILIATES 66777411 PROFESSIONAL LIABILITY CLAIMS 32985515 DEFERRED COMP 457 PLANS 19982260 OPERATING LEASES 13927436 MISC OTHER LIABILITIES 1193642 134866264 SCHEDULE D, PART X, LINE 2 THE ORGANIZATION DOES NOT HAVE A FIN 48 FOOTNOTE AS ANY UNCERTAIN TAX POSITIONS WERE DEEMED IMMATERIAL. Central America and the Caribbean 0 0 Program Services Captive Insurance 20980 0 0 0 0 20980 20980 true false true false true false true BARNSTABLE COUNTY SHERIFF'S OFFICE 6000 SHERIFFS PL BOURNE MA 02532 046002284 GOV'T 158000 FMV N/A CMED SERVICES CAPE COD CHAMBER OF COMMERCE 5 PATTI PAGE WAY CENTERVILLE MA 02632 041148920 501(C)(6) 50000 FMV N/A CONTRIBUTION CAPE COD BASEBALL LEAGUE INC 59 DOVETAIL LANE COTUIT MA 02635 042687718 501(C)(3) 25000 FMV N/A MARKETING EVENT SPONSORSHIP NAMI CAPE COD INC (NATIONAL ALLIANCE ON MENTAL HE 5 MARK LANE HYANNIS MA 02601 042785229 501(C)(3) 25000 FMV N/A EVENT SPONSORSHIP CAPE KIDS MEALS INC PO BOX 36 FORESTDALE MA 02644 832070464 501(C)(3) 10000 FMV N/A MARKETING EVENT SPONSORSHIP PHYSICIAN HEALTH SERVICES INC 860 WINTER STREET WALTHAM MA 02451 223234975 501(C)(3) 10000 FMV N/A CONTRIBUTION FALMOUTH CHAMBER OF COMMERCE 20 ACADEMY LANE FALMOUTH MA 02540 042323418 501(C)(6) 6000 FMV N/A MARKETING EVENT SPONSORSHIP 5 2 CCHC EMPLOYEE HARDSHIP FUND 16 56418 FMV N/A SCHEDULE I, PART II CAPE COD HEALTHCARE MONITORS THE USE OF GRANT FUNDS IT PROVIDES TO OTHER ORGANIZATIONS THROUGH DOCUMENTATION AND MEASUREMENT REQUIREMENTS AND METRIC REPORTING. THE RECIPIENT ORGANIZATION AGREES TO SUBMIT AN ANNUAL SUMMARY & OUTCOMES REPORT TO CAPE COD HEALTHCARE FOR INCLUSION IN CAPE COD HEALTHCARE'S COMMUNITY BENEFITS STATE ATTORNEY GENERAL'S REPORTING. AN OUTLINE OF SPECIFIC REPORTING REQUIREMENTS IS INCLUDED AS AN ATTACHMENT IN EACH AGREEMENT. THE RECIPIENT ORGANIZATION AGREES TO SEND A COMPLETED REPORT TO CAPE COD HEALTHCARE BY NOVEMBER 1ST OF THE YEAR THE GRANT IS AWARDED (CCHC GRANT PROGRAM SCHEDULES RUN FROM JANUARY 1 - SEPTEMBER 30). ADDITIONALLY, CAPE COD HEALTHCARE MAY REQUEST AN ANNUAL SUMMARY & OUTCOMES REPORT OR DOCUMENTATION OF OUTCOMES RELATED TO SERVICES OUTLINED IN THE AGREEMENT AT ANY TIME DURING THE DURATION OF THE GRANT. A FUND REVIEW COMMITTEE IS RESPONSIBLE FOR THE MANAGEMENT OF THE EMPLOYEE HARDSHIP FUND. THE COMMITTEE CONDUCTS AN ASSESSMENT OF NEEDS BY CAREFULLY REVIEWING EACH APPLICATION AND ANY CORRESPONDING SUPPORT DOCUMENTATION. THE COMMITTEE MAINTAINS APPROPRIATE RECORDS TO SHOW THAT PAYMENTS FURTHER THE FUND'S CHARITABLE PURPOSE AND THAT THE PERSONS SERVED ARE NEEDY OR DISTRESSED AS DESCRIBED IN THE FUND'S POLICY STATEMENT. X X X X X false true false false false false false true false MICHAEL K LAUF PRESIDENT/CEO/TRUSTEE 1030960 0 525000 0 265583 0 -218750 0 32146 0 1634939 0 199200 0 JOSEPH GERGYES MD TRUSTEE (UNTIL 1/24) 947 246066 0 25346 0 24306 0 12159 0 28844 947 336721 0 0 ALEXANDER ADDUCI MD TRUSTEE 0 716716 0 493410 0 23466 0 13200 0 34146 0 1280938 0 0 JOHN HOSTETTER MD TRUSTEE 0 468109 0 160106 0 966 0 13200 0 34996 0 677377 0 0 C JEFFREY SIEGERT MD TRUSTEE (AS OF 1/24) 176750 104769 0 0 0 97 0 0 0 63 176750 104929 0 0 MICHAEL G JONES ESQ SVP/CLO/CO-CLERK 367290 0 99500 0 51039 0 36301 0 35661 0 589791 0 18000 0 RICHARD SILVERIA SVP FINANCE/CFO 474254 0 121875 0 25272 0 43663 0 23004 0 688068 0 0 0 CHRISTIAN BROWN SVP MANAGED CARE (UNTIL 5/24) 268691 0 67434 0 19277 0 13200 0 32146 0 400748 0 0 0 JOHN PAUL SOLVERSON SVP/CHIEF INFORMATION OFFICER 419154 0 103594 0 23371 0 38263 0 25604 0 609986 0 21250 0 CHRISTOPHER M LAWSON SVP/CHIEF DEVELOPMENT OFFICER 290073 0 77125 0 26026 0 28923 0 32146 0 454293 0 13250 0 JEAN BUTLER SVP FINANCE 294691 0 78000 0 40453 0 30444 0 21593 0 465181 0 16000 0 MICHELLE SKARBEK VP HUMAN RESOURCES 299652 0 61651 0 4537 0 27399 0 32146 0 425385 0 4167 0 KUMARA D SIDHARTHA SEE SCHEDULE O 287237 0 53004 0 966 0 14354 0 11724 0 367285 0 0 0 WILLIAM AGEL MD CHIEF MEDICAL OFFICER 456754 0 112125 0 14592 0 40974 0 23004 0 647449 0 13417 0 LORI JEWETT CHIEF OPERATING OFFICER 472883 0 125875 0 50927 0 43490 0 32146 0 725321 0 17084 0 MICHAEL BACHSTEIN VP FACILITIES MANAGEMENT 263564 0 54669 0 22924 0 25237 0 1366 0 367760 0 12250 0 CARTER HUNT CHIEF OPERATING OFFICER FH 247264 0 52500 0 40261 0 26904 0 35686 0 402615 0 12000 0 BENJAMIN LEVIN MD PHYSICIAN 0 409015 0 60000 0 420 0 13200 0 32036 0 514671 0 0 ELIZABETH DUNTON VP EMPLOYED PHYSICIAN GROUP 278268 0 56264 0 20402 0 25157 0 1366 0 381457 0 10250 0 SCHEDULE J, PART I, LINE 4B - 457(F) CAPE COD HEALTHCARE, INC. AND AFFILIATES SPONSORS A 457(F) VOLUNTARY PERSONAL DEFERRAL PLAN ("THE PLAN") FOR KEY EXECUTIVES. VESTING IS DEFERRED FOR AT LEAST TWO YEARS FROM THE DATE OF THE AWARD, AND ALSO WHEN THE PARTICIPANTS REACH AGE 65. THE PLAN OFFERS PARTICIPATING EMPLOYEES AN ANNUAL DEFERRAL OF CASH COMPENSATION. AMOUNTS DEFERRED UNDER THE PLAN ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C) AND AMOUNTS PAID UNDER THE PLAN DURING CALENDAR YEAR 2023 WERE AS FOLLOWS: - MICHAEL K. LAUF - $80,205 - WILLIAM AGEL, M.D. - $ 11,820 - JOHN PAUL SOLVERSON - $ 20,599 - LORI JEWETT - $ 17,846 - CHRISTIAN BROWN - $ 13,699 - MICHAEL G. JONES, ESQ - $ 18,074 - JEAN BUTLER - $ 15,181 - CHRISTOPHER M. LAWSON - $ 13,141 - ELIZABETH DUNTON - $ 10,750 - MICHAEL BACHSTEIN - $ 11,701 - MICHELLE SKARBEK - $ 3,571 - CARTER HUNT - $11,411 CAPE COD HEALTHCARE, INC. AND AFFILIATES ALSO SPONSOR A NONQUALIFIED PENSION RESTORATION ACCOUNT PLAN FOR KEY EXECUTIVES. THE ORGANIZATION MAKES CONTRIBUTIONS OF TWO PERCENT OF THE INDIVIDUAL'S ANNUAL SALARY (INCLUDING BONUS) ABOVE THE HIGHLY COMPENSATED LIMITS AS DEFINED BY THE IRS THROUGHOUT THE PLAN YEAR. AMOUNTS DEFERRED ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C) AND UNDER THE PLAN, PARTICIPANTS ARE ENTITLED TO CERTAIN BENEFITS UPON REACHING AGE 65, RETIREMENT, TERMINATION, OR DEATH. AMOUNTS PAID UNDER THE PLAN DURING CALENDAR YEAR 2023 WERE AS FOLLOWS: - CHRISTIAN BROWN - $ 244 DURING CALENDAR YEAR 2023, MICHAEL LAUF ALSO PARTICIPATED IN A SECTION 457(F) SUPPLEMENTAL PLAN. TWELVE PERCENT OF HIS BASE SALARY WAS CONTRIBUTED AND EACH CONTRIBUTION IS SUBJECT TO A THREE YEAR VESTING SCHEDULE. THE AMOUNT DEFERRED IN CALENDAR YEAR 2023 WAS $130,200 AND IS INCLUDED IN SCHEDULE J, PART II, COLUMN (C). IN ADDITION, $137,913 WAS PAID OUT FROM HIS CEO SUPPLEMENTAL PLAN, AND IS INCLUDED IN SCHEDULE J, PART II, COLUMN B(III). MICHAEL LAUF PREVIOUSLY PARTICIPATED IN A LONG-TERM INCENTIVE PLAN. THE PLAN PROVIDED FOR MERIT-BASED COMPENSATION. IN CALENDAR YEARS 2022 AND 2021, $375,000 AND $93,750 WAS ACCRUED RELATED TO THIS PLAN. THESE AMOUNTS WERE INCLUDED IN PREVIOUSLY FILED FORMS 990 IN SCHEDULE J, PART II, COLUMN (C). NO AMOUNTS WERE PAID OUT AND THE REVERSAL OF PREVIOUSLY ACCRUED AMOUNTS IS INCLUDED IN SCHEDULE J, PART II, COLUMN (C) BECAUSE MICHAEL LAUF IS NO LONGER ELIGIBLE FOR THE INCENTIVE. SCHEDULE J, PART I, LINE 7 DISCRETIONARY BONUSES ARE AWARDED ANNUALLY BASED UPON BOTH THE PERFORMANCE OF THE ORGANIZATION AND THE INDIVIDUAL. PAID BONUSES ARE REFLECTED IN SCHEDULE J, PART II, COLUMN B(II). ARMAND PIMENTEL SON IN LAW OF KEY EMPLOYEE 162617 CAPE COD HEALTHCARE EMPLOYEE false FORM 990, PART I, LINE 1 AND PART III, LINE 1 CAPE COD HEALTHCARE, THE LEADING PROVIDER OF HEALTHCARE SERVICES ON CAPE COD, COORDINATES AND DELIVERS THE HIGHEST QUALITY, ACCESSIBLE HEALTH SERVICES WHICH ENHANCE THE HEALTH OF ALL CAPE COD RESIDENTS AND VISITORS. THE MISSION OF CAPE COD HEALTHCARE IS TO COORDINATE AND DELIVER THE HIGHEST QUALITY, ACCESSIBLE HEALTH SERVICES, WHICH ENHANCE THE HEALTH OF ALL CAPE COD RESIDENTS AND VISITORS. FORM 990, PART III, LINE 4A CAPE COD HEALTHCARE (CCHC) IS THE LEADING PROVIDER OF HEALTHCARE SERVICES FOR RESIDENTS AND VISITORS OF CAPE COD. WITH MORE THAN 550 PHYSICIANS, NEARLY 5,000 EMPLOYEES AND 300 VOLUNTEERS, CAPE COD HEALTHCARE HAS TWO ACUTE CARE HOSPITALS, CAPE COD HOSPITAL AND FALMOUTH HOSPITAL; VNA OF CAPE COD, THE CAPE'S LEADING PROVIDER OF HOMECARE AND HOSPICE SERVICES; SIX URGENT CARE CENTERS; A PRIMARY AND SPECIALTY CARE NETWORK; A SKILLED NURSING AND REHABILITATION FACILITY (JML CARE CENTER); AN ASSISTED LIVING FACILITY (HERITAGE AT FALMOUTH); AND NUMEROUS HEALTH SERVICES AND PROGRAMS. MAJOR SERVICE AREAS INCLUDE CARDIOVASCULAR SERVICES WITH INTERVENTIONAL CARDIOLOGY SUITES FOR EMERGENCY AND ELECTIVE ANGIOPLASTY, ELECTROPHYSIOLOGY AND CARDIAC REHABILITATION; INPATIENT AND OUTPATIENT SURGERY INCLUDING CARDIAC, ORTHOPEDIC AND NEUROSURGERY; CANCER SERVICES - MEDICAL ONCOLOGY AND RADIATION THERAPY; WOMEN'S HEALTH SERVICES, INCLUDING IMAGING, MATERNITY, BREAST HEALTH AND GYNECOLOGICAL CARE; ADVANCED DIAGNOSTIC IMAGING SERVICES, INCLUDING MRI, LOW-DOSE CT, DIGITAL X-RAY, PET, ULTRASOUND AND NUCLEAR MEDICINE; A BEHAVIORAL HEALTH CENTER WITH INPATIENT AND OUTPATIENT MENTAL HEALTH AND BEHAVIORAL HEALTH SERVICES; INFECTIOUS DISEASE CLINICAL SERVICES; PHYSICAL AND OCCUPATIONAL REHABILITATION PROGRAMS THAT FEATURE CARDIAC AND PULMONARY REHABILITATION PROGRAMS. IN FY24, THE TWO HOSPITALS HAD 23,551 ADMISSIONS, 659,603 OUTPATIENT VISITS, 958 BIRTHS, 15,019 SURGERIES, AND 112,716 EMERGENCY ROOM VISITS. THE URGENT CARE CENTERS HAD 127,810 VISITS OVER THE SAME PERIOD. THROUGH ITS COMMUNITY BENEFITS INITIATIVE, CCHC IS COMMITTED TO ENHANCING THE QUALITY OF AND ACCESS TO COMPREHENSIVE HEALTHCARE SERVICES FOR ALL CAPE COD RESIDENTS. THROUGH CONTINUOUS ASSESSMENT OF COMMUNITY NEEDS, COORDINATED PLANNING AND THE ALLOCATION OF RESOURCES, THIS COMMITMENT INCLUDES A SPECIAL FOCUS ON THE UNMET NEEDS OF THE FINANCIALLY DISADVANTAGED AND UNDERSERVED POPULATIONS ON CAPE COD. FROM THE PERIOD 10/1/2023 - 9/30/2024, CCHC COMMUNITY BENEFITS PROVIDED SUPPORT TO HEALTH AND HUMAN SERVICES ORGANIZATIONS AND ADDRESSED BARRIERS TO CARE BY ADDING SUPPORTIVE CONNECTORS IN THE CONTINUUM OF CARE. WE CONTINUED TO IMPLEMENT PROGRAMS AND PARTNER WITH COMMUNITY-BASED ORGANIZATIONS TO ADDRESS THE KEY THEMES AND PRIORITIES LISTED IN THE CURRENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). CCHC SUPPORTED PARTNERSHIPS WITH OVER 60 LOCAL NONPROFIT HEALTH AND HUMAN SERVICE ORGANIZATIONS AND A NETWORK OF FEDERALLY QUALIFIED HEALTH CENTERS THROUGH PROJECT SUPPORT AND GRANT INVESTMENTS TO IMPROVE THE HEALTH OF BARNSTABLE COUNTY RESIDENTS. HOSPITAL STAFF DEDICATED TIME AND EXPERTISE TO STRATEGIC PARTNERSHIPS, COALITIONS, AND TASK FORCE EFFORTS LOCALLY, REGIONALLY AND ACROSS MASSACHUSETTS. THIS YEAR (FY24) REPRESENTED THE MID-WAY POINT OF OUR CURRENT CHNA. THE KEY THEMES IDENTIFIED IN THE 2023-2025 CHNA INCLUDE HEALTHCARE ACCESS, HOUSING, BEHAVIORAL HEALTH, HEALTH EQUITY, ECONOMIC STRESS AND INSTABILITY, FOOD ACCESS, TRANSPORTATION, AGING, CHRONIC DISEASE, AND COVID IMPACT. AT THE HALFWAY MARK IN THE CURRENT CHNA, CCHC HAS TARGETED MANY OF THESE NEEDS. ONE OF THE KEY ACCOMPLISHMENTS OF THIS YEAR IS SETTING AND MEETING HEALTH EQUITY COMMUNITY BENEFITS INVESTMENT GOALS. CCHC COMMUNITY BENEFITS HAS BENCHMARKS IN PLACE TO HIT EACH YEAR TO ENSURE THE FINANCIAL INVESTMENTS WE MAKE IN THE COMMUNITY ALIGN WITH THE PERCENTAGE OF THE COUNTY'S POPULATION THAT IDENTIFY AS THE FOLLOWING HISTORICALLY UNDERINVESTED GROUPS: BLACK, BRAZILIAN/HISPANIC, LGBTQ+, PEOPLE WITH DISABILITIES, AND NON-ENGLISH SPEAKING AND/OR MIGRANT INDIVIDUALS. OTHER KEY ACCOMPLISHMENTS INCLUDE PROVIDING MILLIONS OF DOLLARS IN CHARITY CARE TO THE CAPE COD COMMUNITY, AS WELL AS INCREASING THE DIVERSITY OF OUR PROGRAMS AND PARTNERSHIPS TO ENSURE WE WORK WITH A BROAD RANGE OF ORGANIZATIONS AND PARTNERS THAT ARE INCLUSIVE ALONG THE LINES OF GEOGRAPHY, SERVICE LINE, RACE AND ETHNICITY, ORGANIZATION TYPE, ETC. THESE KEY ACCOMPLISHMENTS, AS WELL AS THE MANY OTHER COMMUNITY BENEFITS ACTIVITIES CCHC CONDUCTED THIS YEAR, WERE GUIDED BY THE FY24 STRATEGIC IMPLEMENTATION PLAN (SIP). EACH YEAR, THE SIP IS PUT TOGETHER WITH INPUT AND GUIDANCE FROM CCHC LEADERSHIP, THE COMMUNITY HEALTH COMMITTEE, AND OTHER COMMUNITY STAKEHOLDERS INCLUDING BARNSTABLE COUNTY HUMAN SERVICES AND BEHAVIORAL HEALTH SPECIALISTS. IT IDENTIFIES THE PRIORITIES, POTENTIAL PARTNERS, AND GOALS AND OBJECTIVES FOR THE IMPLEMENTATION PLAN WHICH WILL BE FOLLOWED IN THE NEXT REPORTING YEAR. THE PROVISION OF COMMUNITY BENEFITS IS AN IMPORTANT COMPONENT OF CCHC'S CHARITABLE ACTIVITIES TO ENSURE CCHC REMAINS STEADFAST TO THE MISSION AND REMAINS A STEWARD OF THE VALUABLE COMMUNITY. FORM 990 PART I AND PART IX FUNDRAISING IS CONDUCTED ON BEHALF OF CAPE COD HEALTHCARE, INC. BY CAPE COD HEALTHCARE FOUNDATION, INC. CERTAIN OFFICERS ARE COMPENSATED BY CAPE COD HEATHCARE, INC. FUNDS RAISED ARE REPORTED AT CAPE COD HEALTHCARE, INC. AND AFFILIATES. FORM 990, PART I, LINE 6 CAPE COD HEALTHCARE, INC.'S VOLUNTEERS INCLUDE ITS TRUSTEES. FORM 990, PART VI, LINE 2 TRUSTEES AND OFFICERS SIT ON THE BOARDS OF THE FOLLOWING: CAPE HEALTH INSURANCE COMPANY: MICHAEL K LAUF MICHAEL G JONES BRUCE JOHNSTON RICHARD SILVERIA ROBIN DEVEREUX THE MEMBERS OF CAPE COD HEALTHCARE, INC.'S BOARD ALSO SIT ON THE BOARD OF CAPE COD MEDICAL OFFICE BUILDING, INC., A FOR-PROFIT RELATED ORGANIZATION. FORM 990, PART VI, LINES 6 & 7(A) THE ORGANIZATION HAS MEMBERS/INCORPORATORS WHO ELECT THE ORGANIZATION'S TRUSTEES. FORM 990, PART VI, LINE 7(B) THE DECISIONS OF THE GOVERNING BODY THAT NEED APPROVAL BY ITS MEMBERS/INCORPORATORS INCLUDE APPROVAL OF CHANGES MADE TO THE CORPORATION'S BYLAWS AND APPROVAL WHEN THERE IS A DIVESTING OF ONE OF THE MAJOR AFFILIATES OF THE ORGANIZATION. FORM 990, PART VI, LINE 11 THE ORGANIZATION'S FORM 990 IS REVIEWED AT SEVERAL LEVELS. THE ORGANIZATION ENGAGES A PUBLIC ACCOUNTING FIRM TO ASSIST IN THE PREPARATION AND REVIEW OF ITS FORM 990 AND WHO SIGNS AS PAID PREPARER. SENIOR MANAGEMENT OF THE ORGANIZATION IS RESPONSIBLE FOR THE TIMELY PREPARATION OF FORM 990. THE COMPLETED FORM 990 IS PROVIDED TO THE FINANCE COMMITTEE AND THE ENTIRE BOARD IN ADVANCE OF THE FILING DEADLINE. FORM 990, PART VI, LINE 12 THE ORGANIZATION MAINTAINS A CONFLICT OF INTEREST POLICY AND REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THIS POLICY. ON AN ANNUAL BASIS, EACH TRUSTEE, OFFICER AND EMPLOYEE AT THE SENIOR MANAGEMENT LEVEL COMPLETES A CONFLICT OF INTEREST DISCLOSURE FORM. THE FORMS ARE REVIEWED BY CAPE COD HEALTHCARE, INC.'S ("CCHC") DIRECTOR OF CLINICAL AND RESEARCH COMPLIANCE WHO PREPARES A SUMMARY FOR CCHC'S COMPLIANCE OFFICER. ANY MATERIAL INTERESTS SO DISCLOSED ARE PRESENTED TO THE CORPORATION'S GOVERNANCE COMMITTEE FOR REVIEW AND RESOLUTION. ALL DISCLOSURE STATEMENTS SUBMITTED BY EMPLOYEES WILL BE REVIEWED BY HUMAN RESOURCES AND/OR CCHC'S DIRECTOR OF CLINICAL AND RESEARCH COMPLIANCE. FOR ANY DISCLOSURE THAT IS CONSIDERED SUBSTANTIVE THE EMPLOYEE'S AREA MANAGER WILL BE CONSULTED TO DETERMINE IF THE SITUATION IS GENERALLY ACCEPTABLE, REQUIRES FURTHER EXAMINATION AND POSSIBLE ACTION OR IS GENERALLY NOT ACCEPTABLE. ANY ACTION PLAN CREATED TO MANAGE A CONFLICT OF INTEREST WILL BE MONITORED BY THE EMPLOYEE'S AREA MANAGER OR SUPERVISOR. FORM 990, PART VI, LINE 15 THE ANNUAL PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO, OFFICERS, EXECUTIVES AND KEY EMPLOYEES INCLUDE THE FOLLOWING: CEO - COMPENSATION WILL BE DETERMINED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES, AND WILL INCLUDE CONSIDERATION OF RELEVANT MARKET DATA FURNISHED BY A DISINTERESTED COMPENSATION CONSULTANT, AND A REVIEW OF JOB PERFORMANCE. OFFICERS, EXECUTIVES AND KEY EMPLOYEES - OFFICER, EXECUTIVE AND KEY EMPLOYEE COMPENSATION WILL BE DETERMINED BY THE CEO AND WILL INCLUDE CONSIDERATION OF RECENT RELEVANT MARKET DATA, AND A REVIEW OF JOB PERFORMANCE. THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES WILL APPROVE ALL BONUS AND INCENTIVE RECOMMENDATIONS FOR DISQUALIFIED PERSONS. THE PROCESS AND CONCLUSIONS ARE DOCUMENTED IN THE MEETING MINUTES. FORM 990, PART VI, LINE 19 THE ORGANIZATION MAKES ITS BYLAWS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON APPROPRIATE REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE ALSO ATTACHED TO THE ANNUALLY FILED FORM PC, A PUBLICLY DISCLOSED TAX-EXEMPT ORGANIZATION FILING FOR THE STATE OF MASSACHUSETTS. FORM 990, PART VII, SECTION A & Schedule J, Part II THE FULL TITLE FOR BRUCE JOHNSTON IS CHAIR (UNTIL 5/24)/CLERK (AS OF 5/24)/TRUSTEE THE FULL TITLE FOR ROBERT TALERMAN IS CLERK (UNTIL 5/24)/VICE CHAIR & TREASURER (AS OF 5/24)/TRUSTEE THE FULL TITLE FOR ROBIN DEVEREUX IS VICE CHAIR (UNTIL 5/24)/CHAIR (AS OF 5/24)/TRUSTEE THE FULL TITLE FOR KUMARA SIDHARTHA IS MEDICAL DIRECTOR PHO (UNTIL 5/23), CHIEF HEALTH EQUITY & WELLNESS OFFICER (AS OF 5/23) FORM 990, PART VII, SECTION B CAPE COD HEALTHCARE, INC. PAYS INDEPENDENT CONTRACTORS ON BEHALF OF ITS AFFILIATES WHO FILE AS PART OF A GROUP FORM 990 AS CAPE COD HEALTHCARE, INC. AND AFFILIATES. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES CHANGE IN VALUE SPLITS INTEREST AGREEMENTS $ 46,536 CHANGE IN PERPETUAL TRUSTS $ 3,958,031 TRANSFERS TO/FROM AFFILIATES $(1,013,618) NET ASSETS RELEASED FROM RESTRICTIONS $ (832,113) 457B&F EXPENSES $(4,049,623) ------------- OTHER CHANGES IN NET ASSETS $(1,890,786) _____________ CAPE & ISLANDS ENDOSCOPY CENTER 700 ATTUCKS LANE HYANNIS MA 02169 263910955 ENDOSCOPY CENTER MA NA RELATED 901311 436311 false 0 true 0.49000 CAPE HEALTH INSURANCE COMPANY PO BOX 1051GT GRAND CAYMAN CJ 981230418 INSURANCE CJ NA C CORP 1151926 52547605 1.00000 true CAPE COD MEDICAL OFFICE BUILDING INC 27 PARK STREET HYANNIS MA 02601 042423073 RENTAL SVCS MA CAPE COD HSPTL C CORP 0 0 1.00000 true POOLED INCOME FUNDS (2) SUPPORT MA NA true CHARITABLE REMAINDER TRUSTS (8) SUPPORT MA NA true true false false true true false false false false true true false false true true false true true true CAPE COD HOSPITAL Q 474231513 FMV FALMOUTH HOSPITAL ASSOCIATION INC Q 94895932 FMV CAPE AND ISLANDS HEALTH SERVICES II INC Q 1853850 FMV VISITING NURSE ASSOCIATION OF CAPE COD INC Q 20825520 FMV CAPE COD HUMAN SERVICES INC Q 659572 FMV FALMOUTH ASSISTED LIVING INC Q 2767415 FMV JML CARE CENTER INC Q 8157223 FMV CAPE COD HEALTHCARE FOUNDATION INC Q 1111547 FMV MEDICAL AFFILIATES OF CAPE COD INC Q 57650399 FMV CAPE COD HOSPITAL S 65799865 FMV FALMOUTH HOSPITAL ASSOCIATION INC S 21933288 FMV VISITING NURSE ASSOCIATION OF CAPE COD INC S 2522724 FMV CAPE COD HUMAN SERVICES INC S 260177 FMV FALMOUTH ASSISTED LIVING INC S 97566 FMV JML CARE CENTER INC S 97566 FMV MEDICAL AFFILIATES OF CAPE COD INC S 2460584 FMV CAPE COD HOSPITAL A 688091 FMV FALMOUTH HOSPITAL ASSOCIATION INC A 424759 FMV MEDICAL AFFILIATES OF CAPE COD INC A 1192219 FMV CAPE COD HEALTHCARE FOUNDATION INC A 26160 FMV PART IV, LINE 4, COLUMN (C) THE LEGAL DOMICILES OF THE CHARITABLE REMAINDER TRUSTS INCLUDE: IN, MA, NJ, AND RI. PART V IN ADDITION TO ANY TRANSACTIONS DISCLOSED IN SCHEDULE R, PART V, CAPE COD HEALTHCARE, INC. AND AFFILIATES MAY SHARE USE OF ITS PAID EMPLOYEES, FACILITIES, EQUIPMENT, INVESTMENTS OR OTHER ASSETS WITH ITS TAX-EXEMPT AFFILIATES, THE VALUE OF WHICH ARE BOOKED AS INTERCOMPANY TRANSACTIONS AND ELIMINATING ENTRIES WITHIN THE AUDITED FINANCIAL STATEMENTS AND ARE NOT SEPARATELY QUANTIFIED.