2023-08-14T19:09:13-05:00 2022-09-30 PwC US Tax LLP 101 SEAPORT BLVD SUITE 500 BOSTON MA 02210 990 2021-10-01 222600704 CAPE COD HEALTHCARE INC % RICHARD SILVERIA CAPE 5087711800 297 NORTH STREET BLDG 3 HYANNIS MA 02601 RICHARD SILVERIA SVP FINANCE & CFO 7744705537 2023-08-04 true RICHARD SILVERIA 999009999 MICHAEL HOFFMAN P01345551 6175305000 2023-08-02 2 2021 2023-04-26 12:10:37Z MICHAEL K LAUF 88 LEWIS BAY ROAD HYANNIS MA 02601 136489603 false X WWW.CAPECODHEALTH.ORG X 1984 MA SEE SCHEDULE O 14 8 325 11 3855222 249718 14122 1247 126847579 128032852 15080520 8455504 0 0 141942221 136489603 264150 296343 0 0 36521066 43429370 0 0 0 90379292 84616352 127164508 128342065 14777713 8147538 447036647 423418157 185901606 194543802 261135041 228874355 X SEE SCHEDULE O false false 103492642 296343 128032852 SEE SCHEDULE O. 103492642 true false 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 325 true true true true BD CJ false false false false false false false false true false X 14 8 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 2743919 0 349655 WILLIAM O AGEL CHIEF MEDICAL OFFICER 5.0 45.0 X 560035 0 59628 JOHN PAUL SOLVERSON SVP/CHIEF INFORMATION OFFICER 5.0 45.0 X 545496 0 50984 LORI E JEWETT CHIEF OPERATING OFFICER 5.0 45.0 X 498541 0 66105 MOLLY SULLIVAN MD TRUSTEE 2.0 40.0 X 0 517189 43905 MICHAEL G JONES ESQ SVP/CLO/CO-CLERK 5.0 55.0 X 458405 0 65595 PATRICK J KANE SVP OF MRKTG, COMMUN AND DEVLP 5.0 45.0 X 492839 0 26916 CHRISTIAN BROWN SVP MANAGED CARE 5.0 45.0 X 425154 0 43905 ROBERT WILSTERMAN MD INTERIM TRUSTEEE (AS OF 9/22) 2.0 40.0 X 0 436329 29423 THEODORE CALIANOS MD TRUSTEE 2.0 40.0 X 0 401060 43905 SHERYL DECILIO SEE SCHEDULE O 5.0 45.0 X 437743 0 4948 JEAN BUTLER SEE SCHEDULE O 5.0 45.0 X 388579 0 48967 CHRISTOPHER M LAWSON SVP/Chief Development Officer 5.0 45.0 X 353824 0 57905 LAURA RANZINGER VP FINANCE/TREAS (UNTIL 3/22) 5.0 45.0 X 322861 0 38305 NOELENE CERVIN SEE SCHEDULE O 5.0 45.0 X 312306 0 45544 DONALD A GUADAGNOLI MD CHIEF MEDICAL OFFICER - FH 5.0 45.0 X 314168 0 35160 MICHELLE SKARBEK VP HUMAN RESOURCES 5.0 45.0 X 291975 0 50666 MICHAEL L CONNORS FORMER SVP FINANCE/CFO 5.0 55.0 X 305327 0 32905 JOSEPH GERGYES MD TRUSTEE (AS OF 1/22) 2.0 40.0 X 0 292793 39510 PAUL J NIEDZWIECKI FORMER SVP STR & GOV'T AFFAIRS 0.0 0.0 X 174327 0 1045 RICHARD SILVERIA SVP FINANCE/CFO (AS OF 9/21) 5.0 55.0 X 144209 0 6011 BRUCE JOHNSTON CHAIR/TRUSTEE 5.0 5.0 X X 0 0 0 RAMANI AYER SEE SCHEDULE O 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 CYNTHIA A HINES MD TRUSTEE (UNTIL 1/22) 2.0 2.0 X 0 0 0 KEVIN VILSAINT MD TRUSTEE 2.0 2.0 X 0 0 0 ROBIN DEVEREUX VICE CHR (AS OF 5/22)/TRUSTEE 5.0 5.0 X X 0 0 0 8769708 1647371 1140987 97 true true false CAPE COD EMERGENCY ASSOCIATES LLC 220 WEST MAIN STREET HYANNIS MA 02601 MEDICAL SERVICES 18137733 OPTUM360 LLC 1100 OPTUM CIRCLE EDEN PRAIRIE MN 55344 CONSULTING 5992379 BRIGHAM WOMENS PHYSICIANS ORGANIZ PO BOX 3684 BOSTON MA 022413684 MEDICAL SERVICES 4782338 DELOITTE CONSULTING LLP 555 MISSION ST SAN FRANCISCO CA 941050920 CONSULTING 4011126 Cape Cod Anesthesia Associates Inc 1342 BELMONT STREET SUITE 205 BROCKTON MA 02301 MEDICAL SERVICES 3046784 60 1247 0 1247 HOME OFFICE COSTS 620000 84698093 84698093 PHYSICIAN ORG ADM SUPPORT REV 620000 4926638 4926638 PROGRAM RELATED RENTAL INCOME 620000 1948535 1948535 RETAIL PHARMACY 620000 36620788 32787317 3833471 OTHER PROGRAM SERVICE REVENUE 620000 -161202 -161202 128032852 4717554 21751 4695803 0 0 0 0 0 3737950 0 3737950 3737950 3737950 0 0 0 0 0 0 0 0 0 0 136489603 124199381 3855222 8433753 263343 263343 33000 33000 0 0 5965626 5965626 0 0 31044416 24835533 6208883 0 1012761 759571 253190 0 3256904 2442678 814226 0 2149663 1612247 537416 0 17 0 17 0 1035399 0 1035399 0 76350 0 76350 0 180000 144000 36000 0 0 179640 0 179640 0 1782134 1426517 355617 1231875 985500 246375 0 2545817 2036654 509163 0 13580754 10864603 2716151 0 0 3860440 3088352 772088 0 237591 190073 47518 0 0 0 301105 240884 60221 0 0 10615886 8492709 2123177 621834 497467 124367 MEDICAL SUPPLIES 33406270 33406270 0 0 PURCHASED SERVICES 10625167 8500134 2125033 0 REPAIRS & MAINTENANCE 1612610 1290088 322522 0 COMMUNITY BENEFITS 1021242 1021242 0 0 1702221 1361777 340444 128342065 103492642 24849423 0 5146771 8049392 0 0 0 0 0 0 0 0 0 0 15808030 6371480 827479 957655 7814193 7163497 114366899 64155454 49055390 50211445 0 0 243065060 208977145 6016995 5883922 0 0 119302729 135803621 447036647 423418157 47567153 57110764 0 0 120573 120573 0 0 0 0 0 0 3544395 3250667 0 0 134669485 134061798 185901606 194543802 X 207629671 185677817 53505370 43196538 261135041 228874355 447036647 423418157 X 8147538 -33931662 -6476562 X false true X true true true X 286192 0 9102 14122 1247 310663 80915461 106030118 106756089 126847579 128032852 548582099 0 0 0 81201653 106030118 106765191 126861701 128034099 548892762 0 0 0 548892762 3637942 4214471 4212434 3452161 4717554 20234562 0 3637942 4214471 4212434 3452161 4717554 20234562 327193 267123 24358 43021 249718 911413 0 85166788 110511712 111001983 130356883 133001371 570038737 0.96290 0.96248 0.03550 0.03594 X X false false false false false false false false true 201228 201228 false SCHEDULE C, PART II-B, LINE 1I A. CAPE COD HEALTHCARE, INC. MADE PAYMENTS TO SMITH & RAUSCHENBACH OF $60,000 AND LAW OFFICES OF O'NEILL, ATHY AND CASEY OF $120,000 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 AFFECT CAPE COD HEALTHCARE, INC. B. CAPE COD HEALTHCARE, INC. PAID MEMBERSHIP DUES TO THE AMERICAN HOSPITAL ASSOCIATION, WHICH AHA DETERMINED WAS 27.29% ENGAGED IN LOBBYING ACTIVITIES OR $21,228 OF THE $77,788 DUES PAID. 6670052 6670052 16038197 2506710 13531487 8440984 4623213 3817771 51185441 41945463 9239978 32032225 15080068 16952157 50211445 UNRESTRICTED INVESTMENTS 149816384 F TEMP RESTRICTED INVESTMENTS 6896285 F PERM RESTRICTED INVESTMENTS 15314962 F PERPETUAL TRUST 20594921 F 457 PLAN INVESTMENTS 15384546 F ANNUITIES & PIF 970047 F 208977145 EPIC IMPLEMENTATION PROJECT 51653778 INSURANCE RECOVERY RECEIVABLE 34858165 DUE FROM AFFILIATES 35189793 ROU ASSETS - OPERATING LEASES 12016761 MISC OTHER ASSETS 2085124 135803621 0 DUE TO AFFILIATES 66777411 PROFESSIONAL LIABILITY CLAIMS 34858165 DEFERRED COMP 457 PLANS 12879092 OPERATING LEASES 14737522 MISC OTHER LIABILITIES 4809608 134061798 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 159200 FMV N/A Access to Healthcare 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) 12000 FMV N/A EVENT SPONSORSHIP HOUSING ASSISTANCE CORPORATION 460 W MAIN ST HYANNIS MA 02601 237431255 501(c)(3) 10000 FMV N/A EVENT SPONSORSHIP GOSNOLD INC 200 TER HEUN DRIVE FALMOUTH MA 02540 042502970 501(c)(3) 7500 FMV N/A EVENT SPONSORSHIP 5 CCHC EMPLOYEES HARDSHIP FUND 14 33000 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 and a reporting template is provided to each organization. The recipient organization agrees to send a completed template to Cape Cod Healthcare by October 31st 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 965883 0 1501200 0 276836 0 317350 0 32305 0 3093574 0 1043750 0 WILLIAM O AGEL CHIEF MEDICAL OFFICER 456754 0 101475 0 1806 0 36708 0 22920 0 619663 0 0 0 JOHN PAUL SOLVERSON SVP/CHIEF INFORMATION OFFICER 419754 0 99407 0 26335 0 35550 0 15434 0 596480 0 18594 0 LORI E JEWETT CHIEF OPERATING OFFICER 375883 0 94500 0 28158 0 33800 0 32305 0 564646 0 0 0 PATRICK J KANE SVP OF MRKTG, COMMUN AND DEVLP 324771 0 72363 0 95705 0 11600 0 15316 0 519755 0 61017 0 MICHAEL G JONES ESQ SVP/CLO/CO-CLERK 331515 0 84050 0 42840 0 31000 0 34595 0 524000 0 16750 0 SHERYL DECILIO SEE SCHEDULE O 83232 0 0 0 354511 0 4479 0 469 0 442691 0 22077 0 CHRISTIAN BROWN SVP MANAGED CARE 315883 0 61525 0 47746 0 11600 0 32305 0 469059 0 4921 0 JEAN BUTLER SEE SCHEDULE O 297691 0 62200 0 28688 0 27215 0 21752 0 437546 0 5385 0 CHRISTOPHER M LAWSON SVP/Chief Development Officer 270431 0 66150 0 17243 0 25600 0 32305 0 411729 0 3967 0 LAURA RANZINGER VP FINANCE/TREAS (UNTIL 3/22) 226121 0 70626 0 26114 0 23839 0 14466 0 361166 0 0 0 DONALD A GUADAGNOLI MD CHIEF MEDICAL OFFICER - FH 163312 0 29250 0 121606 0 7808 0 27352 0 349328 0 90228 0 NOELENE CERVIN SEE SCHEDULE O 228322 0 43826 0 40158 0 23792 0 21752 0 357850 0 11000 0 MICHAEL L CONNORS FORMER SVP FINANCE/CFO 203208 0 0 0 102119 0 12669 0 20236 0 338232 0 22000 0 MICHELLE SKARBEK VP HUMAN RESOURCES 245383 0 45626 0 966 0 18361 0 32305 0 342641 0 0 0 PAUL J NIEDZWIECKI FORMER SVP STR & GOV'T AFFAIRS 0 0 0 0 174327 0 0 0 1045 0 175372 0 0 0 RICHARD SILVERIA SVP FINANCE/CFO (AS OF 9/21) 131241 0 0 0 12968 0 0 0 6011 0 150220 0 0 0 THEODORE CALIANOS MD TRUSTEE 0 320384 0 33037 0 47639 0 11600 0 32305 0 444965 0 0 ROBERT WILSTERMAN MD INTERIM TRUSTEEE (AS OF 9/22) 0 342576 0 0 0 93753 0 11600 0 17823 0 465752 0 0 MOLLY SULLIVAN MD TRUSTEE 0 495883 0 0 0 21306 0 11600 0 32305 0 561094 0 0 JOSEPH GERGYES MD TRUSTEE (AS OF 1/22) 0 246973 0 25620 0 20200 0 11058 0 28452 0 332303 0 0 SCHEDULE J, PART I, LINE 4A - SEVERANCE SHERYL DECILIO (VP PATIENT FIN SVC & REV CYCLE) RECEIVED SEVERANCE PAYMENTS OF $287,000 DURING CALENDAR YEAR 2021. THE ARRANGEMENT PROVIDES FOR CONTINUED PAYMENT OF THE INDIVIDUAL'S SALARY AND BENEFITS FOR A PERIOD OF TWELVE MONTHS. PAUL NIEDZWIECKI (FORMER SVP STRATEGY & GOVERNMENT AFFAIRS) RECEIVED SEVERANCE PAYMENTS OF $173,077 DURING CALENDAR YEAR 2021. 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 2021 WERE AS FOLLOWS: - MICHAEL K. LAUF - $88,537 - MICHAEL L. CONNORS - $21,895 - JOHN PAUL SOLVERSON - $23,563 - CHRISTIAN BROWN - $21,237 - MICHAEL G. JONES - $20,568 - PATRICK KANE - $61,738 - DONALD GUADAGNOLI, MD - $63,443 - NOELENE CERVIN - $13,709 - SHERYL DECILIO - $32,704 - JEAN BUTLER - $6,415 - CHRISTOPHER LAWSON - $5,100 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 2021 WERE AS FOLLOWS: - CHRISTIAN BROWN - $1,675 - PATRICK KANE - $28,633 - DONALD GUADAGNOLI, MD - $42,363 DURING CALENDAR YEAR 2021, 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 2021 WAS $118,800 AND IS INCLUDED IN SCHEDULE J, PART II, COLUMN (C). IN ADDITION, $143,833 WAS PAID OUT FROM HIS CEO SUPPLEMENTAL PLAN, AND IS INCLUDED IN SCHEDULE J, PART II, COLUMN B(III). ALSO, DURING CALENDAR YEAR 2021, 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. $1,125,000 WAS PAID OUT DURING CALENDAR YEAR 2021 AND IS INCLUDED IN SCHEDULE J, PART II, COLUMN B(II). $93,750 of accrued funds relating to the long-term investment plan are included as part of Schedule J, Part II, Column C. SCHEDULE J, PART I, LINE 7 DISCRETIONARY BONUSES ARE AWARDED ANNUALLY BASED UPON BOTH THE PERFORMANCE OF THE ORGANIZATION AND THE INDIVIDUAL. 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. 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 450 PHYSICIANS, 5,300 EMPLOYEES AND 790 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; A SKILLED NURSING AND REHABILITATION FACILITY (JML CARE CENTER); AN ASSISTED LIVING FACILITY (HERITAGE AT FALMOUTH); AND NUMEROUS HEALTH 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. DURING THE YEAR ENDED SEPTEMBER 30, 2022 THE TWO HOSPITALS HAD 20,598 ACUTE ADULT DISCHARGES, 126,950 OUTPATIENT VISITS, 990 BIRTHS, 13,853 SURGERIES, AND 105,583 EMERGENCY ROOM VISITS. 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 10/1/2021 - 9/30/2022, 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. KEY ACCOMPLISHMENTS OF THE REPORTING YEAR INCLUDE: - CONTINUED TO IMPLEMENT PROGRAMS AND PARTNER WITH COMMUNITY-BASED ORGANIZATIONS TO ADDRESS THE FIVE PRIORITIES OUTLINED IN CCHC'S 2020-2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA): PHYSICAL HEALTH, BEHAVIORAL HEALTH INCLUDING SUBSTANCE USE DISORDERS, HOUSING, TRANSPORTATION AND WORKFORCE DEVELOPMENT. - 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. - PROVIDED OVER $22 MILLION IN CHARITY CARE TO THE CAPE COD COMMUNITY. - HOSPITAL STAFF DEDICATED TIME AND EXPERTISE TO STRATEGIC PARTNERSHIPS, COALITIONS, AND TASK FORCE EFFORTS LOCALLY, REGIONALLY AND ACROSS MASSACHUSETTS. - CONTINUED TO RESPOND TO THE COMMUNITY'S PANDEMIC-RELATED NEEDS, INCLUDING COORDINATING EFFORTS TO ADMINISTER COVID-19 VACCINES AND TESTING, AS WELL AS ADDRESSING THE SOARING NEED FOR BEHAVIORAL HEALTH SERVICES IN THE COMMUNITY THAT STEMMED FROM THE PANDEMIC. - CONDUCTED AN EXTENSIVE RECRUITMENT CAMPAIGN TO INCREASE THE DIVERSITY OF OUR COMMUNITY HEALTH COMMITTEE AND ADDED 10 NEW MEMBERS IN THE BEGINNING OF 2022. THE COMMUNITY HEALTH COMMITTEE IS COMPRISED OF MEMBERS REPRESENTING HEALTHCARE SERVICES ON CAPE COD, COMMUNITY-BASED ORGANIZATIONS, COMMUNITY ADVOCACY GROUPS AND COUNTY GOVERNMENT, AS WELL AS MEMBERS OF THE BOARD OF TRUSTEES. - INCREASED THE DIVERSITY OF OUR PROGRAMS AND PARTNERSHIPS TO ENSURE WE WORK WITH A BROAD RANGE OF ORGANIZATIONS AND PARTNERS THAT ARE DIVERSE ALONG THE LINES OF GEOGRAPHY, SERVICE LINE, RACE AND ETHNICITY, ORGANIZATION TYPE, ETC. - PARTNERED WITH THE CAPE COD FOUNDATION AND THE CAPE & ISLANDS FUNDERS COLLABORATIVE TO INCREASE THE IMPACT OF CCHC'S FINANCIAL SUPPORT TO A NUMBER OF COMMUNITY-BASED ORGANIZATIONS THAT ADDRESS CCHC'S CURRENT CHNA PRIORITIES. - EXPANDED THE PARAMETERS OF CCHC'S ANNUAL STRATEGIC GRANT PROGRAM TO ACCEPT PROPOSALS THAT ADDRESSED ANY OF THE NEEDS AND PRIORITIES IDENTIFIED IN THE CHNA TO INCREASE EQUITY IN OUR GRANTMAKING AND ATTRACT NEW APPLICANTS. THE RESULT WAS A HISTORICALLY HIGH NUMBER OF RESPONSES TO THE RFP, FROM A DIVERSE GROUP OF ORGANIZATIONS. - COLLECTED DATA TO INFORM THE 2023-2025 COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH WAS PUBLISHED AND DISTRIBUTED TO THE COMMUNITY IN SEPTEMBER 2022. THESE KEY ACCOMPLISHMENTS, AS WELL AS THE MANY OTHER COMMUNITY BENEFITS ACTIVITIES CCHC CONDUCTED THIS YEAR, WERE GUIDED BY THE FY22 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 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 FURNISHED BY A DISINTERESTED COMPENSATION CONSULTANT, AND A REVIEW OF JOB PERFORMANCE. THE CEO'S DETERMINATION OF SUCH COMPENSATION FOR DISQUALIFIED PERSONS WILL BE SUBJECT TO THE APPROVAL OF THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. 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 JEAN BUTLER IS SVP EMPLOYED PHYSICIAN GROUP (UNTIL 9/22), SVP FINANCE (AS OF 9/22) THE FULL TITLE FOR RAMANI AYER IS VICE CHAIR (UNTIL 5/22), TREASURER/TRUSTEE THE FULL TITLE FOR SHERYL DECILIO IS VP PATIENT FIN SVC & REV CYCLE (UNTIL 4/21) THE FULL TITLE FOR NOELENE CERVIN IS VP BUDGETING AND OPER. SUPPORT (UNTIL 7/22) 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 NET ASSETS OR FUND BALANCES CHANGE IN VALUE SPLIT INTEREST AGREEMENT $ (71,696) CHANGE IN PERPETUAL TRUSTS $(5,204,609) TRANSFERS TO/FROM AFFILIATES $(1,186,411) NET ASSETS RELEASED FROM RESTRICTIONS $(2,710,328) 457B&F EXPENSES $ 2,696,482 ------------- OTHER CHANGES IN NET ASSETS $(6,476,562) ============= CAPE & ISLANDS ENDOSCOPY CENTER 700 ATTUCKS LANE HYANNIS MA 02169 263910955 ENDOSCOPY CENTER MA NA RELATED 1090246 486109 false 0 false 0.49000 CAPE HEALTH INSURANCE COMPANY PO BOX 1051GT GRAND CAYMAN CJ 981230418 INSURANCE CJ NA C CORP 1007710 42711949 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 372850839 FMV FALMOUTH HOSPITAL ASSOCIATION INC Q 86122393 FMV CAPE AND ISLANDS HEALTH SERVICES II INC Q 1596752 FMV VISITING NURSE ASSOCIATION OF CAPE COD INC Q 16440600 FMV CAPE COD HUMAN SERVICES INC Q 617473 FMV FALMOUTH ASSISTED LIVING INC Q 2555909 FMV JML CARE CENTER INC Q 8301268 FMV CAPE COD HEALTHCARE FOUNDATION INC Q 1340755 FMV MEDICAL AFFILIATES OF CAPE COD INC Q 51337821 FMV CAPE COD HOSPITAL S 58745266 FMV FALMOUTH HOSPITAL ASSOCIATION INC S 19581755 FMV VISITING NURSE ASSOCIATION INC S 3138388 FMV CAPE COD HUMAN SERVICES INC S 200000 FMV FALMOUTH ASSISTED LIVING INC S 75000 FMV JML CARE CENTER INC S 75000 FMV MEDICAL AFFILIATES OF CAPE COD INC S 2882684 FMV CAPE COD HEALTHCARE FOUNDATION INC A 25032 FMV CAPE COD HOSPITAL A 477329 FMV FALMOUTH HOSPITAL ASSOCIATION INC A 426634 FMV MEDICAL AFFILIATES OF CAPE COD INC A 1018915 FMV