2024-08-13T15:07:16-05:00 2023-09-30 PwC US Tax LLP 101 SEAPORT BLVD SUITE 500 BOSTON MA 02210 990 2022-10-01 222600704 CAPE COD HEALTHCARE INC % RICHARD SILVERIA CAPE 5087711800 297 NORTH ST BLDG 3 HYANNIS MA 02601 RICHARD SILVERIA SVP FINANCE & CFO 7744705537 2024-08-13 true ERICA R MCREYNOLDS P00977806 6175305000 2022 2024-08-08 14:25:15Z MICHAEL K LAUF 88 LEWIS BAY ROAD HYANNIS MA 02601 147583312 false X WWW.CAPECODHEALTH.ORG X 1984 MA SEE SCHEDULE O 15 11 328 11 4889065 44828 1247 1114674 128032852 140224223 8455504 6244415 0 0 136489603 147583312 296343 457600 0 0 43429370 43854903 0 0 0 84616352 97424707 128342065 141737210 8147538 5846102 423418157 463459033 194543802 213515050 228874355 249943983 X SEE SCHEDULE O false false 109920858 457600 140224223 SEE SCHEDULE O. 109920858 true true false true false false false false false false true true false true true false false true false false false false false false false false false true true true false false false false false false false false false false false false false true true true false false true 374 0 true 328 true true true true BD CJ false false false false false false false false true false X 15 11 true false false false true true true true true false false true true true true true true true true true true MA X RICHARD SILVERIA 7744705537 297 NORTH STREET BLDG 3 HYANNIS MA 02601 X MICHAEL K LAUF PRESIDENT/CEO/TRUSTEE 5.0 55.0 X X 1695289 0 638570 ALEXANDER ADDUCI MD TRUSTEE (AS OF 5/23) 2.0 40.0 X 0 878219 46346 MOLLY SULLIVAN MD TRUSTEE (UNTIL 1/23) 2.0 40.0 X 0 645028 44346 RICHARD W SILVERIA SVP FINANCE/CFO 5.0 55.0 X 617651 0 52102 WILLIAM AGEL MD CHIEF MEDICAL OFFICER 5.0 45.0 X 569446 0 63334 JOHN PAUL SOLVERSON SVP/CHIEF INFORMATION OFFICER 5.0 45.0 X 547526 0 61842 JOHN HOSTETTER MD TRUSTEE (AS OF 5/23) 2.0 40.0 X 0 552220 47096 LORI JEWETT CHIEF OPERATING OFFICER 5.0 45.0 X 528956 0 68136 MICHAEL G JONES ESQ SVP/CLO/CO-CLERK 5.0 55.0 X 477807 0 67417 BENJAMIN LEVIN MD SEE SCHEDULE O 5.0 45.0 X 389886 57198 46484 CHRISTIAN BROWN SVP MANAGED CARE 5.0 45.0 X 429802 0 44346 JEAN BUTLER SEE SCHEDULE O 5.0 45.0 X 415070 0 51337 THEODORE CALIANOS MD TRUSTEE (UNTIL 5/23) 2.0 40.0 X 0 404844 44346 PATRICK J KANE SEE SCHEDULE O 5.0 45.0 X 418565 0 24209 CHRISTOPHER M LAWSON SVP/ CHIEF DEVELOPMENT OFFICER 5.0 45.0 X 368524 0 58723 MICHELLE SKARBEK VP HUMAN RESOURCES 5.0 45.0 X 299821 0 56348 KUMARA D SIDHARTHA SEE SCHEDULE O 5.0 45.0 X 312127 0 23742 MICHAEL BACHSTEIN VP FACILITIES MANAGEMENT 5.0 45.0 X 308660 0 25297 LAURA RANZINGER VP FINANCE/TREAS (UNTIL 3/22) 5.0 45.0 X 283763 0 5866 JOSEPH GERGYES MD TRUSTEE 2.0 40.0 X 0 239731 38294 NOELENE CERVIN SEE SCHEDULE O 5.0 45.0 X 101490 0 9464 BRUCE JOHNSTON CHAIR/TRUSTEE 5.0 5.0 X X 0 0 0 RAMANI AYER TREASURER/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 2.0 2.0 X 0 0 0 NATHAN RUDMAN MD TRUSTEE 2.0 2.0 X 0 0 0 ROBERT TALERMAN CLERK/TRUSTEE 5.0 5.0 X X 0 0 0 ROBERT WILSTERMAN MD SEE SCHEDULE O 2.0 2.0 X 0 0 0 KEVIN VILSAINT MD TRUSTEE 2.0 2.0 X 0 0 0 ROBIN DEVEREUX VICE CHAIR/TRUSTEE 2.0 2.0 X X 0 0 0 LINDA TILTON GIBSON TRUSTEE 2.0 2.0 X 0 0 0 7764383 2777240 1517645 117 true true false CAPE COD EMERGENCY ASSOCIATES LLC 220 WEST MAIN STREET HYANNIS MA 02601 MEDICAL SERVICES 19817095 OPTUM360 LLC 1100 OPTUM CIRCLE EDEN PRAIRIE MN 55344 CONSULTING 5991140 CAPE COD ANESTHESIA ASSOCIATES INC 1342 BELMONT STREET SUITE 205 BROCKTON MA 02301 MEDICAL SERVICES 3917500 HOSPITAL BILLING COLLECTION SVC 118 LUKENS DR NEW CASTLE DE 19720 CONSULTING 2908924 BRIGHAM WOMENS PHYSICIANS ORGANIZ PO BOX 3684 BOSTON MA 022413684 MEDICAL SERVICES 2231844 69 1114674 0 1114674 HOME OFFICE COSTS 620000 89490796 89490796 PHYSICIAN ORG ADM SUPPORT REV 620000 4817795 4817795 PROGRAM RELATED RENTAL INCOME 620000 2027002 2027002 RETAIL PHARMACY 620000 43151652 38263751 4887901 OTHER PROGRAM SERVICE REVENUE 620000 736978 736978 140224223 6422663 1164 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423418157 463459033 57110764 72121866 0 0 120573 121759 0 0 0 0 0 0 3250667 2942584 0 0 134061798 138328841 194543802 213515050 X 185677817 203302097 43196538 46641886 228874355 249943983 423418157 463459033 X 5846102 15819516 -595990 X false true X true true true X 0 9102 14122 1247 1114674 1139145 106030118 106756089 126847579 128032852 140224223 607890861 0 0 0 106030118 106765191 126861701 128034099 141338897 609030006 0 0 0 609030006 4214471 4212434 3452161 4717554 6421499 23018119 0 4214471 4212434 3452161 4717554 6421499 23018119 267123 24358 43021 249718 44828 629048 0 110511712 111001983 130356883 133001371 147805224 632677173 0.96262 0.96290 0.03638 0.03550 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X false false false false false false false false true 214192 214192 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 $120,050; AND MCDERMOTT WILL & EMERY, LLP OF $9,250 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 32.00% ENGAGED IN LOBBYING ACTIVITIES OR $24,892 OF THE $77,788 DUES PAID. 6670052 6670052 17006754 3186256 13820498 12832295 5642039 7190256 54167648 45064493 9103155 33430234 17141275 16288959 53072920 UNRESTRICTED INVESTMENTS 165506768 F TEMP RESTRICTED INVESTMENTS 8674781 F PERM RESTRICTED INVESTMENTS 15390391 F PERPETUAL TRUST 22064074 F 457 PLAN INVESTMENTS 18328126 F ANNUITIES & POOLED INCOME FUND 866263 F 230830403 EPIC IMPLEMENTATION PROJECT 47597595 INSURANCE RECOVERY RECEIVABLE 36786066 DUE FROM AFFILIATES 41718119 ROU ASSETS - OPERATING LEASES 13640613 MISC OTHER ASSETS 1879588 141621981 0 DUE TO AFFILIATES 66777411 PROFESSIONAL LIABILITY CLAIMS 36786066 DEFERRED COMP 457 PLANS 15691133 OPERATING LEASES 16618712 MISC OTHER LIABILITIES 2455519 138328841 SCHEDULE D, PART X, LINE 2 THE ORGANIZATION DOES NOT HAVE A FIN 48 FOOTNOTE AS ANY UNCERTAIN TAX POSITIONS WERE DEEMED IMMATERIAL. true BARNSTABLE COUNTY SHERIFF'S OFFICE 6000 SHERIFFS PL BOURNE MA 02532 046002284 GOV'T 158000 FMV N/A CMED SERVICES CAMP HARBOR VIEW FOUNDATION INC 200 CLARENDON ST 60TH FL BOSTON MA 02116 753235491 501(C)(3) 30000 FMV N/A EVENT SPONSORSHIP CAPE COD BASEBALL LEAGUE INC 59 DOVETAIL LANE COTUIT MA 02635 042687718 501(C)(3) 25000 FMV N/A 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 RIVERVIEW SCHOOL INC 551 ROUTE 6A E SANDWICH MA 02537 042240919 501(C)(3) 15000 FMV N/A EVENT SPONSORSHIP CAPE KIDS MEALS INC PO BOX 36 FORESTDATE MA 02644 832070464 501(C)(3) 10000 FMV N/A EVENT SPONSORSHIP CAPE WELLNESS COLLABORATIVE INC 11 POTTER AVE HYANNIS MA 02601 472360979 501(C)(3) 10000 FMV N/A EVENT SPONSORSHIP CULTURAL CENTER OF CAPE COD INC 307 OLD MAIN ST S YARMOUTH MA 02664 043553295 501(C)(3) 10000 FMV N/A EVENT SPONSORSHIP PHYSICIAN HEALTH SERVICES INC 860 WINTER STREET WALTHAM MA 02451 223234975 501(C)(3) 10000 FMV N/A CONTRIBUTION CAPE ARTS & ENTERTAINMENT INC 2235 IYANNOUGH RD W BARNSTABLE MA 02668 046297436 501(C)(3) 7500 FMV N/A EVENT SPONSORSHIP FALMOUTH CHAMBER OF COMMERCE 20 ACADEMY LANE FALMOUTH MA 02540 042323418 501(C)(6) 6000 FMV N/A EVENT SPONSORSHIP MASSACHUSETTS LAWYERS WEEKLY BRIDGETOWER OPCO LL 10 MILK ST STE 1000 BOSTON MA 02108 5200 FMV N/A EVENT SPONSORSHIP 10 2 CCHC EMLOYEE HARDSHIP FUND 19 67300 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 true true false false false false false true false MICHAEL K LAUF PRESIDENT/CEO/TRUSTEE 978730 0 410000 0 306559 0 606424 0 32146 0 2333859 0 200000 0 THEODORE CALIANOS MD TRUSTEE (UNTIL 5/23) 0 370384 0 31688 0 2772 0 12200 0 32146 0 449190 0 0 MOLLY SULLIVAN MD TRUSTEE (UNTIL 1/23) 0 593216 0 28540 0 23272 0 12200 0 32146 0 689374 0 0 JOSEPH GERGYES MD TRUSTEE 0 199069 0 18356 0 22306 0 9901 0 28393 0 278025 0 0 ALEXANDER ADDUCI MD TRUSTEE (AS OF 5/23) 0 672883 0 183870 0 21466 0 12200 0 34146 0 924565 0 0 JOHN HOSTETTER MD TRUSTEE (AS OF 5/23) 0 442633 0 108621 0 966 0 12200 0 34896 0 599316 0 0 MICHAEL G JONES ESQ SVP/CLO/CO-CLERK 339745 0 85050 0 53012 0 32981 0 34436 0 545224 0 17375 0 RICHARD W SILVERIA SVP FINANCE/CFO 476254 0 118125 0 23272 0 29098 0 23004 0 669753 0 0 0 CHRISTIAN BROWN SVP MANAGED CARE 314883 0 70125 0 44794 0 12200 0 32146 0 474148 0 0 0 PATRICK J KANE SEE SCHEDULE O 307902 0 66363 0 44300 0 12192 0 12017 0 442774 0 0 0 NOELENE CERVIN SEE SCHEDULE O 52424 0 0 0 49066 0 3290 0 6174 0 110954 0 11000 0 JOHN PAUL SOLVERSON SVP/CHIEF INFORMATION OFFICER 420754 0 95625 0 31147 0 37838 0 24004 0 609368 0 21250 0 CHRISTOPHER M LAWSON SVP/ CHIEF DEVELOPMENT OFFICER 275044 0 66150 0 27330 0 26577 0 32146 0 427247 0 10216 0 JEAN BUTLER SEE SCHEDULE O 296691 0 72200 0 46179 0 29744 0 21593 0 466407 0 13385 0 LAURA RANZINGER VP FINANCE/TREAS (UNTIL 3/22) 24101 0 0 0 259662 0 3135 0 2731 0 289629 0 2604 0 MICHELLE SKARBEK VP HUMAN RESOURCES 253229 0 45626 0 966 0 24202 0 32146 0 356169 0 0 0 WILLIAM AGEL MD CHIEF MEDICAL OFFICER 456754 0 108675 0 4017 0 40330 0 23004 0 632780 0 1917 0 LORI JEWETT CHIEF OPERATING OFFICER 397960 0 94500 0 36496 0 35990 0 32146 0 597092 0 7084 0 BENJAMIN LEVIN MD SEE SCHEDULE O 329748 57133 59500 0 638 65 12900 17000 12250 4334 415036 78532 0 0 KUMARA D SIDHARTHA SEE SCHEDULE O 267621 0 43876 0 630 0 12200 0 11542 0 335869 0 0 0 MICHAEL BACHSTEIN VP FACILITIES MANAGEMENT 242973 0 44712 0 20975 0 23931 0 1366 0 333957 0 8010 0 SCHEDULE J, PART I, LINE 4A - SEVERANCE LAURA RANZINGER (VP FINANCE/TREASURER) RECEIVED SEVERANCE PAYMENTS OF $201,923 DURING CALENDAR YEAR 2022. THE ARRANGEMENT PROVIDES FOR CONTINUED PAYMENT OF THE INDIVIDUAL'S SALARY AND BENEFITS FOR A PERIOD OF TWELVE MONTHS. 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 2022 WERE AS FOLLOWS: - MICHAEL K. LAUF - $92,977 - WILLIAM AGEL, M.D. - 2,211 - JOHN PAUL SOLVERSON - $28,375 - LORI JEWETT - $7,338 - CHRISTIAN BROWN - $17,026 - MICHAEL G. JONES, ESQ - $22,817 - PATRICK J. KANE - $16,517 - JEAN BUTLER - $16,753 - CHRISTOPHER M. LAWSON - $15,186 - MICHAEL BACHSTEIN - $10,123 - LAURA RANZINGER - $3,052 - NOELENE CERVIN - 13,956 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 2022 WERE AS FOLLOWS: - CHRISTIAN BROWN - $1,934 - PATRICK KANE - $1,949 DURING CALENDAR YEAR 2022, 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 2022 WAS $118,800 AND IS INCLUDED IN SCHEDULE J, PART II, COLUMN (C). IN ADDITION, $168,116 WAS PAID OUT FROM HIS CEO SUPPLEMENTAL PLAN, AND IS INCLUDED IN SCHEDULE J, PART II, COLUMN B(III). ALSO, DURING CALENDAR YEAR 2022, MICHAEL LAUF PARTICIPATED IN LONG-TERM INCENTIVE PLANS. THE PLANS PROVIDE FOR MERIT-BASED COMPENSATION BASED UPON CERTAIN QUALITY AND FINANCIAL METRICS OF THE ORGANIZATION. $375,000 OF ACCRUED FUNDS RELATING TO THE LONG-TERM INVESTMENT PLAN ARE INCLUDED AS PART OF SCHEDULE J, PART II, COLUMN C. NO AMOUNT WAS PAID OUT DURING CALENDAR YEAR 2022. 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). 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 500 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 FY23, THE TWO HOSPITALS HAD 22,133 ADMISSIONS, 621,100 OUTPATIENT VISITS, 937 BIRTHS, 14,385 SURGERIES, AND 110,606 EMERGENCY ROOM VISITS. THE URGENT CARE CENTERS HAD 124,707 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 10/1/2022 - 9/30/2023, 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 40 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 (FY23) REPRESENTED OUR FIRST YEAR OF OUR CURRENT CHNA. CAPE COD HOSPITAL AND FALMOUTH HOSPITAL'S 2023-2025 COMMUNITY HEALTH NEEDS ASSESSMENT WAS THE FIRST CHNA THAT COLLECTED DATA POST-PANDEMIC. WHILE THERE WERE SIMILARITIES IN THE NEEDS THAT WERE IDENTIFIED IN PRIOR CHNAS, THERE ARE ALSO SOME COMMUNITY NEEDS IDENTIFIED THAT WERE EXASPERATED BY THE COVID-19 PANDEMIC. 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. TO FOCUS WORK FOR THE NEXT THREE YEARS, CCHC'S COMMUNITY HEALTH COMMITTEE ENGAGED IN A FACILITATED PRIORITIZATION PROCESS AND SELECTED THE FOLLOWING PRIORITIES FOR PLANNING PURPOSES: BEHAVIORAL HEALTH, HEALTHCARE ACCESS, AND HOUSING; WITH CROSS-CUTTING THEMES OF HEALTH EQUITY AND ECONOMIC STRESS AND INSTABILITY. ONE OF THE KEY ACCOMPLISHMENTS OF THIS REPORTING YEAR IS THE ESTABLISHMENT OF A CHIEF HEALTH EQUITY AND WELLNESS OFFICER. THIS POSITION IS RESPONSIBLE FOR DEVELOPING, IMPLEMENTING AND MANAGING CCHC'S OVERARCHING STRATEGY FOR PROVIDING EQUITABLE HEALTH, INCLUDING: - IDENTIFYING AND ADDRESSING HEALTH DISPARITIES IN BARNSTABLE COUNTY - DEVELOPING CULTURALLY SPECIFIC AND RESPONSIVE POLICIES IN CARE DELIVERY - SUPPORTING ALL CCHC PROGRAMS IN BUILDING THEIR EQUITY PRACTICE AND CULTURE - USING THE LENS OF DIVERSITY AND INCLUSION TO ENHANCE POLICIES RELATED TO OUR COMMUNITY ENGAGEMENT AND PARTNERSHIPS - BUILDING CCHC'S QUALITY MEASURES AROUND DISPARITIES AND ANALYZING HOW WE COLLECT DATA TO REFLECT BEST PRACTICES - SCREENING FOR SOCIAL DETERMINATES OF HEALTH IN THE EPIC EMR - ESTABLISHING A HEALTH EQUITY COMMITTEE FOR CCHC OTHER KEY ACCOMPLISHMENTS INCLUDE PROVIDING OVER $19 MILLION 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 FY23 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 ROBERT WILSTERMAN, M.D. IS INTERIM TRUSTEE (UNTIL 5/23), TRUSTEE (AS OF 5/23) THE FULL TITLE FOR NOELENE CERVIN IS VP BUDGETING AND OPER. SUPPORT (UNTIL 7/22) THE FULL TITLE FOR JEAN BUTLER IS SVP EMPLOYED PHYSICIAN GROUP (UNTIL 9/22), SVP FINANCE (AS OF 9/22) THE FULL TITLE FOR BENJAMIN LEVIN, M.D. IS VP QUALITY (UNTIL 11/22), PHYSICIAN (AS OF 11/22) THE FULL TITLE FOR KUMARA D. SIDHARTHA IS MEDICAL DIRECTOR PHO (UNTIL 5/23), CHIEF HEALTH EQUITY & WELLNESS OFFICER (AS OF 5/23) THE FULL TITLE FOR PATRICK J. KANE IS SVP OF MARKETING, COMMUNICATIONS AND BUSINESS DEVELOPMENT (UNTIL 12/22) FORM 990, PART VII, SECTION B WITH THE EXCEPTION OF REPORTING FOR VISITING NURSE ASSOCIATION OF CAPE COD, INC., 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 ET ASSETS OR FUND BALANCES CHANGE IN VALUE SPLITS INTEREST AGREEMENTS $ 244,586 CHANGE IN PERPETUAL TRUSTS $ 1,469,153 TRANSFERS TO/FROM AFFILIATES $(1,305,865) NET ASSETS RELEASED FROM RESTRICTIONS $ 759,162 457B&F EXPENSES $(1,763,026) ------------- OTHER CHANGES IN NET ASSETS $ (595,990) _____________ CAPE & ISLANDS ENDOSCOPY CENTER 700 ATTUCKS LANE HYANNIS MA 02169 263910955 ENDOSCOPY CENTER MA NA RELATED 762837 453252 false 0 false 0.49000 CAPE HEALTH INSURANCE COMPANY PO BOX 1051GT GRAND CAYMAN CJ 981230418 INSURANCE CJ NA C CORP 1144714 49893651 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 true false false true true false false false false true true false false true true false true true true CAPE COD HOSPITAL Q 418180679 FMV FALMOUTH HOSPITAL ASSOCIATION INC Q 96474109 FMV CAPE AND ISLANDS HEALTH SERVICES II INC Q 1529537 FMV VISITING NURSE ASSOCIATION OF CAPE COD INC Q 18395233 FMV CAPE COD HUMAN SERVICES INC Q 952200 FMV FALMOUTH ASSISTED LIVING INC Q 2636627 FMV JML CARE CENTER INC Q 7680823 FMV CAPE COD HEALTHCARE FOUNDATION INC Q 1155421 FMV MEDICAL AFFILIATES OF CAPE COD INC Q 53145264 FMV CAPE COD HOSPITAL S 62997018 FMV FALMOUTH HOSPITAL ASSOCIATION INC S 20999006 FMV VISITING NURSE ASSOCIATION OF CAPE COD INC S 2368978 FMV CAPE COD HUMAN SERVICES INC S 234016 FMV FALMOUTH ASSISTED LIVING INC S 87760 FMV JML CARE CENTER INC S 87760 FMV MEDICAL AFFILIATES OF CAPE COD INC S 2701272 FMV CAPE COD HOSPITAL A 595177 FMV FALMOUTH HOSPITAL ASSOCIATION INC A 421717 FMV MEDICAL AFFILIATES OF CAPE COD INC A 982248 FMV CAPE COD HEALTHCARE FOUNDATION INC A 24860 FMV