Form990


Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
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MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
A For the 2021 calendar year, or tax year beginning 10-01-2022 , and ending 09-30-2023
BCheck if applicable:
CName of organization
CAPE COD HEALTHCARE INC & AFFILIATES
 
% RICHARD SILVERIA
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
297 NORTH ST BLDG 3
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
HYANNIS, MA02601
D Employer identification number

90-0054984
E Telephone number

G Gross receipts $ 1,089,200,144
F Name and address of principal officer:
MICHAEL K LAUF
88 LEWIS BAY ROAD
HYANNIS,MA02601
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.CAPECODHEALTH.org
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. See instructions.
H(c)
Group exemption number MediumBullet3901
K Form of organization:  
L Year of formation:  
M State of legal domicile:
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: SEE SCHEDULE O
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 15
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 11
5 Total number of individuals employed in calendar year 2021 (Part V, line 2a) ...... 5 5,384
6 Total number of volunteers (estimate if necessary) ............. 6 568
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 6,122,001
b Net unrelated business taxable income from Form 990-T, Part I, line 11 ......... 7b 118,807
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 39,547,726 27,202,526
9 Program service revenue (Part VIII, line 2g) ......... 977,630,258 1,048,957,423
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 18,876,005 12,096,222
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 720,012 901,744
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 1,036,774,001 1,089,157,915
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 992,847 1,007,359
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 552,969,463 581,141,956
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 30,260 42,806
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet3,048,872    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 466,321,674 476,664,242
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 1,020,314,244 1,058,856,363
19 Revenue less expenses. Subtract line 18 from line 12....... 16,459,757 30,301,552
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 1,033,096,809 1,088,584,236
21 Total liabilities (Part X, line 26)............. 246,053,478 233,671,669
22 Net assets or fund balances. Subtract line 21 from line 20..... 787,043,331 854,912,567
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
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Type or print name and title
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Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2021)
Form 990 (2021)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: SEE SCHEDULE O
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 975,520,547 including grants of $ 1,007,359 ) (Revenue $ 1,048,957,423 )
PATIENT SERVICES - SEE SCHEDULES H AND O
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet975,520,547
Form 990 (2021)
Form 990 (2021)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment
List of Attached Documents:
// Content
.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? See instructions. Click to see attachment
List of Attached Documents:
// Content
...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part IClick to see attachment
List of Attached Documents:
// Content
.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment
List of Attached Documents:
// Content
.........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Rev. Proc. 98-19? If "Yes," complete Schedule C, Part IIIClick to see attachment
List of Attached Documents:
// Content
..
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment
List of Attached Documents:
// Content
.........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment
List of Attached Documents:
// Content
....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D, Part IIIClick to see attachment
List of Attached Documents:
// Content
..............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment
List of Attached Documents:
// Content
..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part VClick to see attachment
List of Attached Documents:
// Content
......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X, as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D, Part VI. Click to see attachment
List of Attached Documents:
// Content
...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment
List of Attached Documents:
// Content
.......
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment
List of Attached Documents:
// Content
.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment
List of Attached Documents:
// Content
............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
List of Attached Documents:
// Content
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
List of Attached Documents:
// Content
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XIIClick to see attachment
List of Attached Documents:
// Content
......................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
List of Attached Documents:
// Content
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
Yes
 
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........Click to see attachment
List of Attached Documents:
// Content
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....Click to see attachment
List of Attached Documents:
// Content
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...Click to see attachment
List of Attached Documents:
// Content
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I. See instructions. ....Click to see attachment
List of Attached Documents:
// Content
17
Yes
 
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............ Click to see attachment
List of Attached Documents:
// Content
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................Click to see attachment
List of Attached Documents:
// Content
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....Click to see attachment
List of Attached Documents:
// Content
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see list of attachments
List of Attached Documents:
// Content
20b
Yes
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
List of Attached Documents:
// Content
21
Yes
 
Form 990 (2021)
Form 990 (2021)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........Click to see attachment
List of Attached Documents:
// Content
22
Yes
 
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
List of Attached Documents:
// Content
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............Click to see attachment
List of Attached Documents:
// Content
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
No
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I .... Click to see attachment
List of Attached Documents:
// Content
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................Click to see attachment
List of Attached Documents:
// Content
25b
 
No
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part IIClick to see attachment
List of Attached Documents:
// Content
...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part IIIClick to see attachment
List of Attached Documents:
// Content
.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see the Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................Click to see attachment
List of Attached Documents:
// Content
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....Click to see attachment
List of Attached Documents:
// Content
28b
Yes
 
c
A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If "Yes," complete Schedule L, Part IV..................... Click to see attachment
List of Attached Documents:
// Content
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..Click to see attachment
List of Attached Documents:
// Content
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................Click to see attachment
List of Attached Documents:
// Content
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............Click to see attachment
List of Attached Documents:
// Content
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
List of Attached Documents:
// Content
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...Click to see attachment
List of Attached Documents:
// Content
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
List of Attached Documents:
// Content
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
List of Attached Documents:
// Content
37
 
No
38
Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable ..
1a
7
b
Enter the number of Forms W-2G included on line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
Form 990 (2021)
Form 990 (2021)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
5,384
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. See instructions.
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
Yes
 
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see the instructions and file Form 4720, Schedule N.
15
 
No
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
17
Section 501(c)(21) organizations. Did the trust, any disqualified person, or mine operator engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? ..
If "Yes," complete Form 6069.
17
 
 
Form 990 (2021)
Form 990 (2021)
Page 6
Part VI
Governance, Management, and Disclosure. For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
15
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
11
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe on Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe on Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
 
No
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process on Schedule O. See instructions.
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filedMediumBullet
MA
18
Section 6104 requires an organization to make its Form 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletRICHARD SILVERIA297 NORTH STREET   HYANNIS,MA02601 (774) 470-5537
Form 990 (2021)
Form 990 (2021)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See the instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (box 5 of Form W-2, Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

See the instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) MICHAEL K LAUF......................................................................
PRESIDENT/CEO/TRUSTEE
 55.0
.................
5.0 		X   X       0 1,695,289 638,570
(2) ACHILLES PAPAVASILIOU MD......................................................................
PHYSICIAN
 40.0
.................
0.0 		        X   1,391,281 0 47,336
(3) RICHARD B ZELMAN MD......................................................................
PHYSICIAN (UNTIL 9/22)
 40.0
.................
0.0 		        X   1,242,361 31,500 24,071
(4) GORDON NAKATA MD......................................................................
PHYSICIAN
 40.0
.................
0.0 		        X   1,246,667 0 47,336
(5) PAUL HOULE MD......................................................................
PHYSICIAN
 40.0
.................
0.0 		        X   1,178,042 0 45,486
(6) NICHOLAS COPPA MD......................................................................
PHYSICIAN
 40.0
.................
0.0 		        X   1,158,087 0 47,436
(7) ALEXANDER ADDUCI MD......................................................................
TRUSTEE (AS OF 5/23)/PHYSICIAN
 40.0
.................
2.0 		X           878,219 0 46,346
(8) MOLLY SULLIVAN MD......................................................................
TRUSTEE (UNTIL 1/23)/PHYSICIAN
 40.0
.................
2.0 		X           645,028 0 44,346
(9) RICHARD SILVERIA......................................................................
SVP FINANCE/CFO
 55.0
.................
5.0 		    X       0 617,651 52,102
(10) WILLIAM AGEL MD......................................................................
CHIEF MEDICAL OFFICER
 45.0
.................
5.0 		      X     0 569,446 63,334
(11) JOHN PAUL SOLVERSON......................................................................
SVP/CHIEF INFORMATION OFFICER
 45.0
.................
5.0 		      X     0 547,526 61,842
(12) JOHN HOSTETTER MD......................................................................
TRUSTEE (AS OF 5/23)/PHYSICIAN
 40.0
.................
2.0 		X           552,220 0 47,096
(13) LORI JEWETT......................................................................
CHIEF OPERATING OFFICER
 45.0
.................
5.0 		      X     0 528,956 68,136
(14) MICHAEL G JONES ESQ......................................................................
SVP/CLO/CO-CLERK
 55.0
.................
5.0 		    X       0 477,807 67,417
(15) BENJAMIN LEVIN MD......................................................................
SEE SCHEDULE O
 45.0
.................
5.0 		      X     57,198 389,886 46,484
(16) CHRISTIAN BROWN......................................................................
SVP MANAGED CARE
 45.0
.................
5.0 		      X     0 429,802 44,346
(17) JEAN BUTLER......................................................................
SEE SCHEDULE O
 45.0
.................
5.0 		      X     0 415,070 51,337
Form 990 (2021)
Form 990 (2021)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) THEODORE CALIANOS MD........................................................................
TRUSTEE (UNTIL 5/23)
 40.0
.......................2.0 		X           404,844 0 44,346
(19) PATRICK J KANE........................................................................
SEE SCHEDULE O
 45.0
.......................5.0 		      X     0 418,565 24,209
(20) CHRISTOPHER M LAWSON........................................................................
SVP/CHIEF DEVELOPMENT OFFICER
 45.0
.......................5.0 		      X     0 368,524 58,723
(21) CARTER HUNT........................................................................
CHIEF OPERATING OFFICER FH
 45.0
.......................5.0 		      X     0 300,960 58,362
(22) MICHELLE SKARBEK........................................................................
VP HUMAN RESOURCES
 45.0
.......................5.0 		      X     0 299,821 56,348
(23) ANNE MARIE PECKHAM........................................................................
PRESIDENT VNA
 45.0
.......................5.0 		      X     0 300,909 34,292
(24) MICHAEL BACHSTEIN........................................................................
VP FACILITIES MANAGEMENT
 5.0
.......................45.0 		      X     0 308,660 25,297
(25) MARY CALLOE........................................................................
VP REVENUE CYCLE
 45.0
.......................5.0 		      X     0 302,215 22,804
(26) CYNTHIA MARLIN........................................................................
SEE SCHEDULE O
 45.0
.......................5.0 		      X     247,215 0 44,405
(27) ELIZABETH DUNTON........................................................................
SEE SCHEDULE O
 45.0
.......................5.0 		      X     0 268,406 21,808
(28) LAURA RANZINGER........................................................................
VP FINANCE/TREAS (UNTIL 3/22)
 45.0
.......................5.0 		      X     0 283,763 5,866
(29) MARY JOHNSON........................................................................
SEE SCHEDULE O
 45.0
.......................5.0 		      X     147,404 111,300 27,990
(30) JOSEPH GERGYES MD........................................................................
TRUSTEE/PHYSICIAN
 40.0
.......................2.0 		X           239,731 0 38,294
(31) DONALD A GUADAGNOLI MD........................................................................
CHIEF MEDICAL OFFICER FH
 45.0
.......................5.0 		      X     0 232,969 16,174
(32) KEVIN MULROY........................................................................
PHYSICIAN
 45.0
.......................5.0 		          X 219,900 0 8,796
(33) JUDITH C QUINN........................................................................
VP PATIENT CARE (UNTIL 7/22)
 45.0
.......................5.0 		      X     0 160,576 12,196
(34) NOELENE CERVIN........................................................................
SEE SCHEDULE O
 45.0
.......................5.0 		          X 0 101,490 9,464
(35) BRUCE JOHNSTON........................................................................
CHAIR/TRUSTEE
 5.0
.......................5.0 		X   X       0 0 0
(36) RAMANI AYER........................................................................
TREASURER/TRUSTEE
 5.0
.......................5.0 		X   X       0 0 0
(37) LAWRENCE CAPODILUPO........................................................................
TRUSTEE
 2.0
.......................2.0 		X           0 0 0
(38) SHARON KENNEDY........................................................................
TRUSTEE
 2.0
.......................2.0 		X           0 0 0
(39) E JAMES MULCAHY JR........................................................................
TRUSTEE
 2.0
.......................2.0 		X           0 0 0
(40) NATHAN RUDMAN MD........................................................................
TRUSTEE
 2.0
.......................2.0 		X           0 0 0
(41) ROBERT TALERMAN........................................................................
CLERK/TRUSTEE
 5.0
.......................5.0 		X   X       0 0 0
(42) ROBERT WILSTERMAN MD........................................................................
SEE SCHEDULE O
 2.0
.......................2.0 		X           0 0 0
(43) KEVIN VILSAINT MD........................................................................
TRUSTEE
 2.0
.......................2.0 		X           0 0 0
(44) ROBIN DEVEREUX........................................................................
VICE CHAIR/TRUSTEE
 5.0
.......................5.0 		X   X       0 0 0
(45) LINDA TILTON GIBSON........................................................................
TRUSTEE (AS OF 5/23)
 2.0
.......................2.0 		X           0 0 0
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 8,753,947 8,002,587 1,767,402
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet1,085
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
CAPE COD HEALTHCARE INC,
297 NORTH STREET BLDG 3
HYANNIS,MA02601 		PURCHASED SERVICES 89,475,809
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet1
Form 990 (2021)
Form 990 (2021)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, Grants, and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c 54,100
d Related organizations1d  
e Government grants (contributions)1e 9,147,918
f All other contributions, gifts, grants, and similar amounts not included above1f 18,000,508
g Noncash contributions included in lines 1a - 1f:$ 1g 401,040
h Total. Add lines 1a-1f.......MediumBullet 27,202,526
Program Service RevenueAmt Business Code
2a PATIENT SERVICE REVENUE 900099 1,012,004,628 1,011,722,154 282,474  
b SPECIMEN COLLECTION SERVICES 621500 5,839,527 0 5,839,527  
c PROGRAM RELATED RENTAL INCOME 900099 3,264,148 3,264,148    
d JOINT VENTURE REVENUE 900099 2,285,704 2,285,704    
e QUALITY EARNED PAYMENTS 900099 20,400,559 20,400,559    
f All other program service revenue. 5,162,857 5,162,857    
g Total. Add lines 2a–2f .....MediumBullet 1,048,957,423
OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 12,584,061     12,584,061
4 Income from investment of tax-exempt bond proceedsMediumBullet 0      
5 Royalties...........MediumBullet 0      
(ii) Personal (i) Real
6a Gross rents     6a
b Less: rental expenses     6b
c Rental income or (loss) 0 0 6c
d Net rental income or (loss).......MediumBullet 0      
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory   -487,839 7a
b Less: cost or other basis and sales expenses     7b
c Gain or (loss)   -487,839 7c
d Net gain or (loss).........MediumBullet -487,839     -487,839
8a Gross income from fundraising events (not including $ 54,100of contributions reported on line 1c). See Part IV, line 18 ....
8a 68,360
b Less: direct expenses ... 8b 42,229
c Net income or (loss) from fundraising events..MediumBullet 26,131   26,131
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a 0
b Less: direct expenses ... 9b 0
c Net income or (loss) from gaming activities..MediumBullet 0      
10a Gross sales of inventory, less
returns and allowances ..
10a 0
b Less: cost of goods sold .. 10b 0
c Net income or (loss) from sales of inventory..MediumBullet 0      
Business Code Miscellaneous Revenue
11a CAFETERIA INCOME 900099 609,252     609,252
b THRIFT SHOP INCOME 900099 171,287     171,287
c MEDICAL RECORDS 900099 95,074     95,074
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet 875,613
12 Total revenue. See instructions.....MediumBullet 1,089,157,915 1,042,835,422 6,122,001 12,997,966
Form 990 (2021)
Form 990 (2021)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising
expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 .... 938,429 938,429
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ........... 68,930 68,930
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. ............. 0  
4 Benefits paid to or for members ....... 0  
5 Compensation of current officers, directors, trustees, and key employees ........... 3,893,182 3,893,182   0
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ......... 550,000 550,000   0
7 Other salaries and wages........ 467,219,455 431,198,442 34,598,067 1,422,946
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 12,493,475 11,052,634 1,383,923 56,918
9 Other employee benefits ....... 69,641,752 64,242,028 5,173,609 226,115
10 Payroll taxes ........... 27,344,092 24,485,499 2,754,698 103,895
11 Fees for services (non-employees):        
a Management ...... 9,370,531 4,872,699 4,497,328 504
b Legal ......... 936,448 505,328 430,934 186
c Accounting ........... 835,079 139,259 695,820 0
d Lobbying ........... 0      
e Professional fundraising services. See Part IV, line 17 42,806 42,806
f Investment management fees ...... 500,109 38,017 462,092 0
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 64,464,486 63,579,023 885,463 0
12 Advertising and promotion .... 630,511 568,305 48,996 13,210
13 Office expenses ....... 4,246,798 3,914,520 281,026 51,252
14 Information technology ...... 2,813,120 2,567,952 182,702 62,466
15 Royalties .. 0      
16 Occupancy ........... 16,243,850 15,148,431 971,885 123,534
17 Travel ............ 2,388,814 2,222,769 127,223 38,822
18 Payments of travel or entertainment expenses for any federal, state, or local public officials . 0      
19 Conferences, conventions, and meetings .... 0      
20 Interest ........... 1,476,244 1,329,122 147,122 0
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization .. 25,795,797 23,432,461 2,356,654 6,682
23 Insurance ... 1,812,649 1,803,038 9,611 0
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a MEDICAL SUPPLIES 183,813,682 183,813,682 0 0
b ADMIN OFFICE OVERHEAD 88,930,374 67,668,270 20,729,495 532,609
c PURCHASED SERVICES 27,984,495 25,785,942 2,186,381 12,172
d REPAIRS AND MAINTENANCE 17,003,254 15,572,258 1,413,046 17,950
e All other expenses 27,418,001 26,130,327 950,869 336,805
25 Total functional expenses. Add lines 1 through 24e 1,058,856,363 975,520,547 80,286,944 3,048,872
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2021)
Form 990 (2021)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 39,688,160 1 35,938,361
2 Savings and temporary cash investments ......... 1,431,329 2 1,433,570
3 Pledges and grants receivable, net ...... 15,924,295 3 20,402,984
4 Accounts receivable, net ............. 86,869,561 4 101,616,565
5 Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
0 6 0
7 Notes and loans receivable, net ........... 7,476,995 7 3,859,195
8 Inventories for sale or use ............ 17,518,506 8 17,167,025
9 Prepaid expenses and deferred charges ...... 2,864,468 9 3,067,962
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 788,942,052
b Less: accumulated depreciation 10b 477,782,469 279,649,296 10c 311,159,583
11 Investments—publicly traded securities . 0 11 0
12 Investments—other securities. See Part IV, line 11 ..... 500,248,846 12 523,919,052
13 Investments—program-related. See Part IV, line 11 .. 515,853 13 411,000
14 Intangible assets ............... 0 14 0
15 Other assets. See Part IV, line 11 ........... 80,909,500 15 69,608,939
16 Total assets. Add lines 1 through 15 (must equal line 33)... 1,033,096,809 16 1,088,584,236
Liabilities 17 Accounts payable and accrued expenses ..... 73,731,803 17 78,812,775
18 Grants payable ... 0 18 0
19 Deferred revenue ......... 960,633 19 817,696
20 Tax-exempt bond liabilities ......... 52,615,237 20 89,724,227
21 Escrow or custodial account liability. Complete Part IV of Schedule D 0 21 0
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
0 22 0
23 Secured mortgages and notes payable to unrelated third parties .. 50,115,239 23 2,205,450
24 Unsecured notes and loans payable to unrelated third parties .. 0 24 0
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D 68,630,566 25 62,111,521
26 Total liabilities. Add lines 17 through 25.. 246,053,478 26 233,671,669
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here MediumBullet and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... 706,643,005 27 765,758,211
28 Net assets with donor restrictions ........... 80,400,326 28 89,154,356
Organizations that do not follow FASB ASC 958, check here MediumBullet and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds .....   29  
30 Paid-in or capital surplus, or land, building or equipment fund ...   30  
31 Retained earnings, endowment, accumulated income, or other funds   31  
32 Total net assets or fund balances ........... 787,043,331 32 854,912,567
33 Total liabilities and net assets/fund balances ........ 1,033,096,809 33 1,088,584,236
Form 990 (2021)
Form 990 (2021)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
1,089,157,915
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
1,058,856,363
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
30,301,552
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
787,043,331
5
Net unrealized gains (losses) on investments ...............
5
38,030,411
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-462,727
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
854,912,567
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain on
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2021)
Form 990 (2021)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2022
Open to Public
Inspection
Name of the organization
CAPE COD HEALTHCARE INC & AFFILIATES
 
Employer identification number

90-0054984
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)
1
2
3
4
5
6
7
8
9
10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................  
g
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 10 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
Total
 
   
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2018 (b) 2019 (c) 2020 (d) 2021 (e) 2022 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. 18,471,535 69,840,468 42,848,214 39,547,726 27,202,526 197,910,469
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....           0
3 The value of services or facilities furnished by a governmental unit to the organization without charge..           0
4 Total. Add lines 1 through 3 18,471,535 69,840,468 42,848,214 39,547,726 27,202,526 197,910,469
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) .. 922,225
6 Public support. Subtract line 5 from line 4. 196,988,244
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2018 (b) 2019 (c) 2020 (d) 2021 (e) 2022 (f) Total
7 Amounts from line 4.. 18,471,535 69,840,468 42,848,214 39,547,726 27,202,526 197,910,469
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... 14,133,036 8,025,505 6,691,992 8,089,012 12,584,061 49,523,606
9 Net income from unrelated business activities, whether or not the business is regularly carried on.. -986,182 -91,180 -133,849 1,110,219 47,918 -53,074
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. 2,299,730 1,645,231 835,990 782,806 943,973 6,507,730
11 Total support. Add lines 7 through 10 253,888,731
12
12
4,734,617,416
13
First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................right arrow
Section C. Computation of Public Support Percentage
14
14
77.588 %
15
15
78.008 %
16a
33 1/3% support test—2022. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization .......................right arrow
b
33 1/3% support test—2021. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow
17a
10%-facts-and-circumstances test—2022. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow
b
10%-facts-and-circumstances test—2021. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2018 (b) 2019 (c) 2020 (d) 2021 (e) 2022 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose            
3 Gross receipts from activities that are not an unrelated trade or business under section 513 .....            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge            
6 Total. Add lines 1 through 5            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support. (Subtract line 7c from line 6.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2018 (b) 2019 (c) 2020 (d) 2021 (e) 2022 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
33 1/3% support tests-2022. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow
b
33 1/3% support tests—2021. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow
20
Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.
3a
 
 
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.
4a
 
 
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).
8
 
 
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
 
b
Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
 
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
10a
 
 
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described on 11a above?
11b
 
 
c
A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.
11c
 
 
Section B. Type I Supporting Organizations
Yes
No
1
Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
No
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
No
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
No
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
No
3
By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
No
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer lines 2a and 2b below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer lines 3a and 3b below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1 0  
2 Recoveries of prior-year distributions 2 0  
3 Other gross income (see instructions) 3 0  
4 Add lines 1 through 3 4 0  
5 Depreciation and depletion 5 0  
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6 0  
7 Other expenses (see instructions) 7 0  
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8 0  
Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a 0  
b Average monthly cash balances 1b 0  
c Fair market value of other non-exempt-use assets 1c 0  
d Total (add lines 1a, 1b, and 1c) 1d 0  
e Discount claimed for blockage or other factors
(explain in detail in Part VI): 0
2 Acquisition indebtedness applicable to non-exempt use assets 2 0  
3 Subtract line 2 from line 1d 3 0  
4 Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). 4 0  
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5 0  
6 Multiply line 5 by 0.035 6 0  
7 Recoveries of prior-year distributions 7 0  
8 Minimum Asset Amount (add line 7 to line 6) 8 0  
Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1 0
2 Enter 85% of line 1 2 0
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3 0
4 Enter greater of line 2 or line 3 4 0
5 Income tax imposed in prior year 5 0
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6 0
7
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes 1 0
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity 		2 0
3 Administrative expenses paid to accomplish exempt purposes of supported organizations 3 0
4 Amounts paid to acquire exempt-use assets 4 0
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) 5 0
6 Other distributions (describe in Part VI). See instructions 6 0
7Total annual distributions. Add lines 1 through 6. 7 0
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions 		8 0
9 Distributable amount for 2022 from Section C, line 6 9 0
10 Line 8 amount divided by Line 9 amount 10 0 %
Section E - Distribution Allocations (see instructions) (i)
Excess Distributions 		(ii)
Underdistributions
Pre-2022 		(iii)
Distributable
Amount for 2022
1 Distributable amount for 2022 from Section C, line 6 0
2 Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI).
See instructions.		 0
3 Excess distributions carryover, if any, to 2022:
a From 2017.......0
b From 2018.......0
c From 2019.......0
d From 2020.......0
e From 2021.......0
fTotal of lines 3a through e 0
g Applied to underdistributions of prior years 0
h Applied to 2022 distributable amount 0
i Carryover from 2017 not applied (see
instructions) 		0
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. 0
4Distributions for 2022 from Section D, line 7:
$ 0
a Applied to underdistributions of prior years 0
b Applied to 2022 distributable amount  
c Remainder. Subtract lines 4a and 4b from line 4. 0
5 Remaining underdistributions for years prior to
2022, if any. Subtract lines 3g and 4a from line 2.
If the amount is greater than zero, explain in Part VI.
See instructions. 		0
6 Remaining underdistributions for 2022. Subtract
lines 3h and 4b from line 1. If the amount is greater
than zero, explain in Part VI. See instructions. 		0
7 Excess distributions carryover to 2023. Add lines
3j and 4c. 		0
8 Breakdown of line 7:
a Excess from 2018.....0
b Excess from 2019.....0
c Excess from 2020.....0
d Excess from 2021.....0
e Excess from 2022.....0
Schedule A (Form 990) (2022)

Schedule A (Form 990) 2022
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Schedule A (Form 990) 2022


Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2022
Name of the organization
CAPE COD HEALTHCARE INC & AFFILIATES
 
Employer identification number

90-0054984
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ






Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......... Arrow Bullet $  
Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990) (2022)
Schedule B (Form 990) (2022) Page 2
Name of organization
CAPE COD HEALTHCARE INC & AFFILIATES
  		Employer identification number
90-0054984
Part I
Contributors
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
 
 
 
 
  ,    

$ RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990) (2022)
Schedule B (Form 990) (2022)
Page 3
Name of organization
CAPE COD HEALTHCARE INC & AFFILIATES
  		Employer identification number

90-0054984
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
Schedule B (Form 990) (2022)
Schedule B (Form 990) (2022)
Page 4
Name of organization
CAPE COD HEALTHCARE INC & AFFILIATES
  		Employer identification number

90-0054984
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990) (2022)
Additional Data


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Software Version:  
SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet Complete if the organization is described below. SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd BulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
CAPE COD HEALTHCARE INC & AFFILIATES
 
Employer identification number

90-0054984
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

2
Political campaign activity expenditures. See instructions ....................................................................SchCMd Bullet
$  
3
Volunteer hours for political campaign activities. See instructions ..................................................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 ................................SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 .......................SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................
4a
Was a correction made? ......................................................................................................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b...........SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ...................................................................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6
For Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990) 2021

Schedule C (Form 990) 2021
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(b) Affiliated group totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................    
b Total lobbying expenditures to influence a legislative body (direct lobbying) ........................    
c Total lobbying expenditures (add lines 1a and 1b) ............................................................    
d Other exempt purpose expenditures ...............................................................................    
e Total exempt purpose expenditures (add lines 1c and 1d) ..................................................    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) .................................................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ...................................................................................................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in) 		(a) 2018 (b) 2019 (c) 2020 (d) 2021 (e) Total
2a Lobbying nontaxable amount          
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		 
c Total lobbying expenditures          
d Grassroots nontaxable amount          
e Grassroots ceiling amount
(150% of line 2d, column (e))		  
f Grassroots lobbying expenditures          
Schedule C (Form 990) 2021


Schedule C (Form 990) 2021
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
Yes|No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? ...........................................................................................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........
 
No
c
Media advertisements? ...................................................................................................
 
No
 
d
Mailings to members, legislators, or the public? .............................................................................
 
No
 
e
Publications, or published or broadcast statements? ...........................................................
 
No
 
f
Grants to other organizations for lobbying purposes? ..........................................................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? .......................
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
 
No
 
i
Other activities? ...................................................................................................................
Yes
 
52,272
j
Total. Add lines 1c through 1i ....................................................................................................
52,272
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 ...........................................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ...............................................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members ......................................................................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).
a
Current year .............................................................................................................................
2a
 
b
Carryover from last year ............................................................................................................
2b
 
c
Total ...........................................................................................................................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................
4
 
5
Taxable amount of lobbying and political expenditures. See Instructions .........................................
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
PART II-B, LINE 1I CAPE COD HOSPITAL AND FALMOUTH HOSPITAL ASSOCIATION, INC. PAY MEMBERSHIP DUES TO THE MASSACHUSETTS HOSPITAL ASSOCIATION WHICH ENGAGES IN LOBBYING PURPOSES AS DEFINED BY MEDICARE. PER THE MHA ADVISORY, 16.01% OF DUES PAID SHOULD BE ALLOCATED TO LOBBYING ACTIVITY.
Schedule C (Form 990) 2021


Additional Data


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SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet Attach to Form 990.
SchDMd Bullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
CAPE COD HEALTHCARE INC & AFFILIATES
 
Employer identification number

90-0054984
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ...................... 2a  
b Total acreage restricted by conservation easements .................... 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included on Form 990, Part VIII, line 1 .........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount
c Beginning balance ............................. 1c  
d Additions during the year ............................ 1d  
e Distributions during the year .......................... 1e  
f Ending balance ................................ 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....
Part V
Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.
(a) Current year (b) Prior year (c) Two years back (d) Three years back (e) Four years back
1a Beginning of year balance .... 41,204,632 50,134,744 43,621,531 42,236,761 42,450,666
b Contributions ... 75,430 384,054 1,039,075 846,322 1,510,214
c Net investment earnings, gains, and losses 3,581,952 -8,152,097 6,590,633 1,612,615 -670,422
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ... 		1,177,941 1,162,069 1,116,495 1,074,167 1,053,697
f Administrative expenses ....          
g End of year balance ...... 43,684,073 41,204,632 50,134,744 43,621,531 42,236,761
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet0 %
b
Permanent endowment SchDMd Bullet86.110 %
c
Term endowment SchDMd Bullet13.890 %
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) Unrelated organizations .................
3a(i)
 
No
(ii) Related organizations .................
3a(ii)
Yes
 
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
Yes
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis
(investment) 		(b) Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .....   15,885,159 15,885,159
b Buildings ....   427,979,068 242,160,460 185,818,608
c Leasehold improvements   9,522,928 4,362,060 5,160,868
d Equipment ....   248,818,915 213,435,386 35,383,529
e Other ..... 0 86,735,982 17,824,563 68,911,419
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 311,159,583
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
Page 3
Part VII
Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1) Financial derivatives.........    
(2) Closely-held equity interests........    
(3) Other
(A) UNRESTRICTED INVESTMENTS		 311,777,455 F

(B) TEMP RESTRICTED INVESTMENTS		 2,903,091 F

(C) INTEREST IN FDN UNRESTRICTED		 161,817,194 F

(D) INTEREST IN FDN TEMP RESTRCTD		 13,055,631 F

(E) INTEREST IN FDN PERM RESTRCTD		 34,365,681 F
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 523,919,052
Part VIII
Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1)DUE FROM AFFILIATES 65,454,949
(2)ROU ASSETS - OPERATING LEASES 3,486,853
(3)EPIC IMPLEMENTATION PROJECT 667,137
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 69,608,939
Part X
Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes 0
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 62,111,521
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1.................. 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b.................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities ......... 2a  
b Prior year adjustments ............ 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d.................... 2e  
3 Subtract line 2e from line 1................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b..................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
SCHEDULE D, PART V, LINE 4 THE INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS IS TO FURTHER THE HEALTHCARE MISSION OF CAPE COD HEALTHCARE AND ITS AFFILIATES.
SCHEDULE D, PART X, LINE 2 THE ORGANIZATION DOES NOT HAVE A FIN 48 FOOTNOTE AS ANY UNCERTAIN TAX POSITIONS WERE DEEMED IMMATERIAL.
Schedule D (Form 990) 2021


Additional Data


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Software Version:  




SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16.Right pointing arrow large image Attach to Form 990.Right pointing arrow large image Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2022
Open to Public Inspection
Name of the organization
CAPE COD HEALTHCARE INC & AFFILIATES
 
Employer identification number

90-0054984
Part I
General Information on Activities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of its grants and
other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used
to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in the region (d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in the region		 (f) Total expenditures
for and investments
in the region
Central America and the Caribbean 1 0 Program Services CAPTIVE INSURANCE 1,812,248
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total .... 1 0 1,812,248
b Total from continuation sheets to Part I ...      
c Totals (add lines 3a and 3b) 1 0 1,812,248
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2022
Schedule F (Form 990) 2022
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (c) Region (d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount
of noncash
assistance 		(h) Description
of noncash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2 Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......MediumBullet
 
3 Enter total number of other organizations or entities .......................MediumBullet
 
Schedule F (Form 990) 2022
Schedule F (Form 990) 2022Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 16.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant 		(e) Manner of cash
disbursement 		(f) Amount of
noncash
assistance 		(g) Description
of noncash
assistance 		(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2022
Schedule F (Form 990) 2022
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2 Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule F (Form 990) 2022
Schedule F (Form 990) 2022
Page 5
Part V
Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information. See instructions.
ReturnReference Explanation
SCHEDULE F, PART I, COLUMN F EXPENSES REPORTED IN THIS SECTION REPRESENT THOSE INCLUDED IN THE ORGANIZATION'S GENERAL LEDGER RELATED TO THE CAPTIVE INSURANCE COMPANY.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule F (Form 990) 2022
Additional Data


Software ID:  
Software Version:  



SCHEDULE G (Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" on Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrowAttach to Form 990 or Form 990-EZ.
right arrowGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2022
Open to Public Inspection
Name of the organization
CAPE COD HEALTHCARE INC & AFFILIATES
 
Employer identification number

90-0054984
Part I
Fundraising Activities.Complete if the organization answered "Yes" on Form 990, Part IV, line 17.
Form 990-EZ filers are not required to complete this part.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If "Yes," list the 10 highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.


(i) Name and address of individual
or entity (fundraiser) 		(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity 		(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i) 		(vi) Amount paid to
(or retained by)
organization
Yes No
FIVE MAPLES
78 RIVER ROAD SOUTH
 
PUTNEY, VT05346 		DIRECT MAIL   No 315,589 42,806 272,783
             
             
             
             
             
             
             
             
             
Total . . . . . . . . . . . . . . . . . . . . right arrow 315,589 42,806 272,783
3
List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.
CA, CT, FL, IL, KS, MA, MI, MO, NH, NJ, NY, NC, PA, RI, SC, WI
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50083H
Schedule G (Form 990) 2022
Schedule G (Form 990) 2022
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.









VerticalRevenue
(a) Event #1

SOIREE ON THE B
(event type) 		(b) Event #2

 
(event type) 		(c) Other events

0
(total number) 		(d) Total events
(add col. (a) through col. (c))

1
Gross receipts . . . . .
122,460
 
 
122,460

2
Less: Contributions . . . .
54,100
 
 
54,100
3 Gross income (line 1 minus
line 2) . . . . . .
68,360
 
 
68,360



VerticalDirectExpenses
4 Cash prizes . . . . .        
5 Noncash prizes . . . .        
6 Rent/facility costs . . . .        
7 Food and beverages . . . 17,550     17,550
8 Entertainment . . . .        
9 Other direct expenses . . . 24,679     24,679
10 Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . . right arrow 42,229
11 Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . . right arrow 26,131
Part III
Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue
(a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (add col.(a) through col.(c))

1
Gross revenue . . . . .
 
 
 
 
VerticalDirectExpenses

2
Cash prizes . . . . .
 
 
 
 

3
Noncash prizes . . . .
 
 
 
 

4
Rent/facility costs . . . .
 
 
 
 

5
Other direct expenses . . .
 
 
 
 


6

Volunteer labor . . . .
%
%
%


7
Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow
 

8
Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow
 

9
Enter the state(s) in which the organization conducts gaming activities:
a
Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .
b
If "No," explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .
b
If "Yes," explain:
 
Schedule G (Form 990) 2022
Schedule G (Form 990) 2022
Page 3
11
Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? . . . . . . . . . . . . . . . . .
13
Indicate the percentage of gaming activity conducted in:
a
The organization's facility . . . . . . . . . . . . . . . . . .
13a
%
b
An outside facility . . . . . . . . . . . . . . . . . . . .
13b
%
14
Enter the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? . . . . . . . . . . . . . . . . . . . . . . . .
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address of the third party:
Name right arrow
Address right arrow
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? . . . . . . . . . . . . . . . . . . .
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information. See instructions.
Return Reference Explanation
Schedule G (Form 990) 2022
Additional Data


Software ID:  
Software Version:  
SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2022
Open to Public Inspection
Name of the organization
CAPE COD HEALTHCARE INC & AFFILIATES
 
Employer identification number

90-0054984
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . . 		    6,945,469 1,154,847 5,790,622 0.550 %
b Medicaid (from Worksheet 3, column a) . . . . .     147,148,935 135,367,137 11,781,798 1.130 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .     16,757,391 13,838,198 2,919,193 0.280 %
d Total Financial Assistance and Means-Tested Government Programs . . . . .     170,851,795 150,360,182 20,491,613 1.960 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     4,568,809   4,568,809 0.440 %
f Health professions education (from Worksheet 5) . . .     3,042,321   3,042,321 0.290 %
g Subsidized health services (from Worksheet 6) . . . .     476,166,910 428,135,460 48,031,450 4.600 %
h Research (from Worksheet 7) .            
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     825,556   825,556 0.080 %
j Total. Other Benefits . .     484,603,596 428,135,460 56,468,136 5.410 %
k Total. Add lines 7d and 7j .     655,455,391 578,495,642 76,959,749 7.370 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing     71,000   71,000 0.010 %
2 Economic development     35,000   35,000  
3 Community support            
4 Environmental improvements     10,000   10,000  
5 Leadership development and
training for community members		            
6 Coalition building     79,461   79,461 0.010 %
7 Community health improvement advocacy     86,121   86,121 0.010 %
8 Workforce development     50,000   50,000  
9 Other            
10 Total     331,582   331,582 0.030 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
13,826,424
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
4,401,835
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
316,008,284
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
290,980,304
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
25,027,980
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?2Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		Licensed Hospital General Medical and Surgical Children's Hospital Teaching Hospital Critical Access Hospital Research Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 CAPE COD HOSPITAL
27 PARK STREET
HYANNIS,MA02601
SEE PART V, SECTION C
2135 		X X         X     A
2 FALMOUTH HOSPITAL ASSOCIATION INC
100 TER HEUN DRIVE
FALMOUTH,MA02540
SEE PART V, SECTION C
2289 		X X         X     A
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
A
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		 
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 21
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE PART V, SECTION C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
A
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE PART V, SECTION C
b
SEE PART V, SECTION C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 6
Part VFacility Information (continued)

Billing and Collections
A
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
A
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
PART V, SECTION A WEBSITES PART V, SECTION A, LINE 1 - CAPE COD HOSPITAL WWW.CAPECODHEALTH.ORG/LOCATIONS/CAPE-COD-HOSPITAL
PART V, SECTION A, LINE 2 - FALMOUTH HOSPITAL WWW.CAPECODHEALTH.ORG/LOCATIONS/FALMOUTH-HOSPITAL
PART V, SECTION B, LINE 5 MANY SOURCES AND DATA COLLECTION METHODOLOGIES WERE USED TO OBTAIN A COMPREHENSIVE VIEW OF THE HEALTH AND HEALTHCARE NEEDS OF THE REGION AND THE PEOPLE SERVED BY CCH AND FH. INPUT ON THE DESIGN OF DATA COLLECTION INSTRUMENTS WAS SOLICITED FROM PUBLIC HEALTH EXPERTS, HEALTHCARE CONSUMERS, AND PERSONS REPRESENTING VULNERABLE AND MEDICALLY UNDERSERVED POPULATIONS AND MINORITIES. CONSCIENTIOUS EFFORTS WERE MADE TO REACH A WIDE-RANGING POPULATION OF RESIDENTS DURING DATA COLLECTION TO ENSURE BROAD REPRESENTATION OF COMMUNITY INTERESTS AND PERSPECTIVES IN THE FOLLOWING WAYS. . SECONDARY DATA REVIEW. EXISTING DATA FROM NATIONAL, STATE, AND LOCAL SOURCES WERE REVIEWED. THE TYPES OF DATA COLLECTED INCLUDED DEMOGRAPHICS, VITAL STATISTICS, AND PUBLIC HEALTH SURVEILLANCE. THE SELECTION OF SECONDARY DATA POINTS WAS GENERALLY BASED ON THE PRIOR CHNAS TO ALLOW FOR EXAMINATION OF TRENDS OVER TIME. HOWEVER, ADDITIONAL SECONDARY DATA SOURCES WERE EXPLORED WHEN MAJOR THEMES OR ISSUES AROSE FROM QUALITATIVE DATA COLLECTION. WHEN AVAILABLE, DATA WERE STRATIFIED BY AGE GROUP OR BY INCOME/POVERTY LEVEL TO IDENTIFY AREAS OF DISPARITY. . KEY INFORMANT INTERVIEWS. TWENTY-FIVE VIRTUAL INTERVIEWS WERE CONDUCTED WITH COMMUNITY LEADERS FROM ORGANIZATIONS ACROSS ALL OF BARNSTABLE COUNTY, REPRESENTING HEALTH CENTERS, PUBLIC SAFETY ORGANIZATIONS, HOUSING ORGANIZATIONS, AND OTHER HUMAN SERVICE GROUPS. KEY INFORMANTS WERE IDENTIFIED FOR PARTICIPATION BASED ON THEIR IN-DEPTH KNOWLEDGE OF THE HEALTH NEEDS AND RESOURCES OF THE REGION AND DRAWN FROM THE BROADER LIST OF ORGANIZATIONS AND AGENCIES COLLABORATING WITH CCHC FOR THIS CHNA. DISCUSSIONS FOCUSED ON STRENGTHS AND NEEDS IN THE COMMUNITY AND OPPORTUNITIES AND CHALLENGES TO ADDRESSING COMMUNITY NEEDS. THEY WERE ALSO ASKED TO DESCRIBE ORGANIZATIONAL PARTNERSHIPS WITHIN BARNSTABLE COUNTY, PERCEPTION OF COMMUNITY SERVICES, AND PERCEPTIONS OF CCHC. THEY WERE ALSO ASKED TO DESCRIBE ORGANIZATIONAL PARTNERSHIPS WITHIN BARNSTABLE COUNTY, PERCEPTIONS OF COMMUNITY SERVICES, AND PERCEPTIONS OF CCHC. . COMMUNITY FOCUS GROUPS. FOUR VIRTUAL FOCUS GROUPS WERE HELD WITH RESIDENTS TO GATHER INFORMATION ABOUT THE COMMUNITY, HEALTH CHALLENGES AND NEEDS, AND EXISTING AND NEEDED SERVICES. THESE GROUPS WERE TARGETED BASED UPON INPUT OF CCHC'S COMMUNITY HEALTH COMMITTEE AND THE DATA COLLECTION GAPS IDENTIFIED IN THE PRIOR CHNA PROCESS. COMPLETED GROUPS INCLUDED RESIDENTS OF FALMOUTH, RESIDENTS OF THE OUTER CAPE, PARENTS AND/OR CAREGIVERS TO CHILDREN WITH BEHAVIORAL HEALTH CONCERNS, AND PORTUGUESE-SPEAKING RESIDENTS. A TOTAL OF 20 RESIDENTS PARTICIPATED ACROSS THE FOUR FOCUS GROUPS. . COMMUNITY SURVEY. A COMMUNITY SURVEY ASKING ABOUT COMMUNITY AND INDIVIDUAL HEALTH AND HEALTHCARE NEEDS WAS DEVELOPED AND MADE AVAILABLE ON-LINE AND ON PAPER TO RESIDENTS OF BARNSTABLE COUNTY. THE SURVEY INCLUDED QUESTIONS THAT FOCUSED ON RESIDENTS' PERCEPTIONS OF THEIR OWN HEALTH, THE HEALTH OF THEIR COMMUNITY, HEALTHCARE UTILIZATION, AND SOCIAL NEEDS IN THE COMMUNITY. THE SURVEY WAS AVAILABLE IN ENGLISH, SPANISH, HAITIAN CREOLE, AND PORTUGUESE AND WAS COMPLETED BY 1,096 TOTAL RESIDENTS. A LIST OF PARTICIPANTS AND DEMOGRAPHIC CHARACTERISTICS CAN BE FOUND IN APPENDIX A AND B OF THE 2023-2025 CHNA.
PART V, SECTION B, LINE 6 (A) CAPE COD HOSPITAL AND FALMOUTH HOSPITAL JOINTLY CONDUCTED THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT REPORT.
PART V, SECTION B, LINE 7(A) HTTPS://WWW.CAPECODHEALTH.ORG/APP/FILES/PUBLIC/93EED64B-658B-4677-A567-C29 4F1066683/2023-2025-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDF
PART V, SECTION B, LINE 10(A) https://www.capecodhealth.org/about/caring-for-our-community/
PART V, SECTION B, LINE 11 IN FALL 2022 THE CONSULTING FIRM HRIA LED A FACILITATED PROCESS WITH CCHC LEADERSHIP AND COMMUNITY STAKEHOLDERS TO IDENTIFY PRIORITIES, GOALS AND OBJECTIVES FOR CCHC'S STRATEGIC IMPLEMENTATION PLAN. THROUGH THOUGHTFUL CONSIDERATION OF THE DATA PRESENTED AND CONTAINED IN THE 2023-2025 COMMUNITY HEALTH NEEDS ASSESSMENT, THE PRIORITIZATION CRITERIA AND KNOWLEDGE OF THE EXISTING AND PLANNED PROGRAMS, ALREADY IN PLACE, PARTICIPANTS WERE POLLED TO IDENTIFY THE TOP THREE THEMES THEY WOULD SELECT AS A PRIORITY. FOLLOWING DISCUSSION OF THE POLLING RESULTS AND CONSIDERATION BY CCHC LEADERSHIP, THREE PRIORITIES WERE IDENTIFIED WITH TWO CROSS-CUTTING THEMES TO BE INCLUDED IN THE OBJECTIVES AND/OR STRATEGIES IN EACH OF THE PRIORITY AREAS. PRIORITIES: BEHAVIORAL HEALTH, HEALTHCARE ACCESS, HOUSING. CROSS-CUTTING THEMES: HEALTH EQUITY, ECONOMIC STRESS AND STABILITY. TO ADDRESS THESE NEEDS, CCHC COLLABORATES WITH COMMUNITY PARTNERS ACROSS THE REGION TO ASSESS COMMUNITY NEEDS, IDENTIFY PROMISING PROGRAMS AND IMPLEMENT STRATEGIES TO IMPROVE PEOPLE'S HEALTH. THROUGH AN OPEN AND COMPETITIVE ANNUAL STRATEGIC GRANT PROGRAM, CCHC FUNDS PROJECTS ADDRESSING A VARIETY OF HEALTH NEEDS, BASED ON THE PRIORITIES AND THEMES LISTED ABOVE. ADDITIONALLY, CCHC HAS INVESTED IN NEW AND EXPANDED HOSPITAL PROGRAMS IN AREAS SUCH AS CANCER SUPPORT, BEHAVIORAL HEALTH SUPPORT IN COMMUNITY-BASED SETTINGS, SUPPORT FOR NEW FAMILIES, AND MORE. CCHC'S COMMUNITY BENEFITS FUNDING ALSO SUPPORT MEDICAL INTERPRETER SERVICES FOR LIMITED ENGLISH-SPEAKING PATIENTS, HOSPITAL SOCIAL WORKERS AND CASE MANAGERS, AND FINANCIAL COUNSELORS. CCHC ALSO PLAYS A LEADERSHIP ROLE THROUGH PARTICIPATION IN, AMONG OTHERS, THE REGIONAL NETWORK ON HOMELESSNESS, THE BARNSTABLE COUNTY HUMAN SERVICES ADVISORY COUNCIL AND THE CAPE COD CHAMBER OF COMMERCE.
PART V, SECTION B, LINE 16(A), 16(B), 16(C) HTTPS://WWW.CAPECODHEALTH.ORG/PATIENTS-VISITORS/PAYING-FOR-CARE/FINANCIAL- ASSISTANCE/
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?94
Name and address Type of Facility (describe)
1 CAPE COD HEALTHCARE INC
297 NORTH STREET BLDG 3
HYANNIS,MA02601 		ADMINISTRATIVE
2 Fontaine Primary Care
525 Long Pond Drive
HARWICH,MA02645 		medical group practice
3 CCHC Neurosurgery
46 NORTH ST STE 4
HYANNIS,MA02601 		medical group practice
4 Bramblebush Medical Group
21 Bramblebush Park
FALMOUTH,MA02540 		medical group practice
5 Seaside Pediatrics
150 Ansel Hallet Road
West Yarmouth,MA02673 		medical group practice
6 Fontaine OUTPATIENT CENTER
525 Long Pond Drive
Harwich,MA02645 		medical group practice
7 Guo X Y David MD PhD-GASTROENTEROLOGY
90 TER HEUN DRIVE STE 302
Falmouth,MA02540 		medical group practice
8 CCHC Stoneman Primary Care
2 Jan Sebastian Way Suite 100
Sandwich,MA02563 		medical group practice
9 CCHC Gastroenterology - Hyannis
700 ATTUCKS LANE STE 1E
Hyannis,MA02601 		medical group practice
10 CCHC Plastic Surgery
160 Falmouth Road Suite B
MASHPEE,MA02649 		medical group practice
11 CAPE COD OBSTETRICS & GYNECOLOGY
90 Ter Heun Drive SUITE 100
Falmouth,MA02540 		medical group practice
12 Endocrine Center of Cape Cod - Hyannis
1030 FALMOUTH RD STE 201
Hyannis,MA02601 		medical group practice
13 CARDIOVASCULAR CENTER - FALMOUTH
90 Ter Heun Drive Suite 300
Falmouth,MA02540 		medical group practice
14 Nauset Family Practice
81 Old Colony Way STE D
ORLEANS,MA02653 		medical group practice
15 Cape Health Insurance Company - FOREIGN
297 NORTH ST 3
HYANNIS,MA02601 		administrative
16 JML Care Center
184 Ter Heun Drive
falmouth,MA02540 		skilled nur & rehab
17 Cape & Islands Health Services II Inc
14 Yellow Brick Road
HYANNIS,MA02601 		COLLECTION CENTER
18 Cape & Islands Health Services II
5 Industrial Drive Suite 102
MASHPEE,MA02649 		COLLECTION CENTER
19 Cape & Islands Health Services II
525 Long Pond Drive
HARWICH,MA02645 		COLLECTION CENTER
20 Cape & Islands Health Services II
81 Old Colony Way
ORLEANS,MA02653 		COLLECTION CENTER
21 Cape & Islands Health Services II
2 Jan Sebastian Way Route 130
SANDWICH,MA02563 		COLLECTION CENTER
22 Cape & Islands Health Services II
860 Route 134 Unit 2
South Dennis,MA02660 		COLLECTION CENTER
23 CAPE COD HEALTHCARE LAB SERVICES BOURNE
1 Trowbridge Place
Bourne,MA02532 		COLLECTION CENTER
24 Cape & Islands Health Services II
27 PARK STREET
HYANNIS,MA02601 		COLLECTION CENTER
25 Heritage at Falmouth
140 Ter Heun Drive
FALMOUTH,MA02540 		ASSISTED LIVING
26 Cape Cod Human Services
460 West Main Street
HYANNIS,MA02601 		outpatient clinic
27 Cape Cod Human Services
525 Long Pond Drive
HARWICH,MA02645 		outpatient clinic
28 Cape Cod Medical Office Building Inc
20 Gleason Street
HYANNIS,MA02601 		MEDICAL GROUP PRACTICE
29 CAPE COD Dermatology
134 Ansel Halet Road
W Yarmouth,MA02673 		Medical Group Practice
30 Cape Cod Rheumatology Center - Falmouth
1030 FALMOUTH RD STE 201
HYANNIS,MA02601 		MEDICAL GROUP PRACTICE
31 CCHC Cardiovascular Center - Hyannis
25 Main Street
HYANNIS,MA02601 		MEDICAL GROUP PRACTICE
32 Endocrine Center of Cape Cod - Harwich
525 Long Pond Drive
HARWICH,MA02645 		MEDICAL GROUP PRACTICE
33 Fontaine Urgent Care Center
525 Long Pond Drive
HARWICH,MA02645 		MEDICAL GROUP PRACTICE
34 Vascular & Vein Center Of Cape Cod - FAL
90 Ter Heun Drive 3RD Fl MOB STE
Falmouth,MA02540 		Medical Group Practice
35 CCHC General & Specialty Surgery
105 Park Street
Hyannis,MA02601 		Medical Group Practice
36 Cape Cod Sports Medicine
360 Gifford Street Unit 2B
Falmouth,MA02540 		Medical Group Practice
37 GASTROENTEROLOGY HYANNIS - PARK STREET
105 PARK STREET
HYANNIS,MA02601 		Medical Group Practice
38 STONEMAN OUTPATIENT CENTER - URGENT CARE
2 JAN SEBASTIAN DRIVE SUITE 101
SANDWICH,MA02563 		Medical Group Practice
39 MASHPEE SURGICAL CENTER
160 FALMOUTH ROAD SUITE A
MASHPEE,MA02649 		MEDICAL GROUP PRACTICE
40 SOUTHEASTERN SURGICAL ASSOCIATES
100 CAMP STREET
HYANNIS,MA02601 		MEIDCAL GROUP PRACTICE
41 UPPER CAPE EAR NOSE THROAT
200 A JONES ROAD
FALMOUTH,MA02540 		MEDICAL GROUP PRACTICE
42 CCHC PODIATRIC MEDICINE & FOOT SURGERY
1030 FALMOUTH RD RTE 28 SUITE 20
HYANNIS,MA02601 		MEDICAL GROUP PRACTICE
43 MACCMSSP REFERRAL DEPT
25 COMMUNICATION WAY
HYANNIS,MA02601 		ADMINISTRATIVE
44 VNA of Cape Cod - Harwich
1 AUSTON RD F
HARWICH,MA02645 		HOME HEALTH
45 VNA OF CAPE COD - EASTHAM
3960 STATE HWY RD 6 2
EASTHAM,MA02642 		HOME HEALTH
46 VNA OF CAPE COD - FALMOUTH
67 TER HEUN DR
FALMOUTH,MA02540 		HOME HEALTH
47 VNA OF CAPE COD - MARTHA'S VINEYARD
49 STATE RD
VINEYARD HAVEN,MA02568 		HOME HEALTH
48 VNA OF CAPE COD - NANTUCKET
40 Sherburne Commons Sherburne Hou
NANTUCKET,MA02554 		HOME HEALTH
49 VNA OF CAPE COD - PROVINCETOWN
26 ALDEN ST
PROVINCETOWN,MA02657 		HOME HEALTH
50 VNA OF CAPE COD - SOUTH DENNIS
434 ROUTE 134 BLDG D 3
SOUTH DENNIS,MA02660 		HOME HEALTH
51 CAPE & ISLANDS HEALTH SERVICES II
35 WILKENS LANE
HYANNIS,MA02601 		COLLECTION CENTER
52 North Falmouth Primary Care
33 Edgerton Drive
Falmouth,MA02556 		MEDICAL GROUP PRACTICE
53 Cape Cod Ear Nose and Throat Specialist
65 Cedar Street
Hyannis,MA02601 		MEDICAL GROUP PRACTICE
54 CCH Pulmonary Medicine
51 Bayview Street
Hyannis,MA02601 		MEDICAL GROUP PRACTICE
55 VNA of Cape Cod - Sagamore Beach
110 State Road Unit 3
Sagamore Beach,MA02562 		Home Health
56 CAPE COD RHEUMATOLOGY CENTER - FALMOUTH
90 TER HEUN DRIVE SUITE 302 3RD
FALMOUTH,MA02540 		MEDICAL GROUP PRACTICE
57 FALMOUTH PRIMARY CARE
90 TER HEUN DRIVE SUITE 2300
FALMOUTH,MA02540 		MEDICAL GROUP PRACTICE
58 MASHPEE PRIMARY CARE
5 INDUSTRIAL DRIVE SUITE 205
MASHPEE,MA02649 		MEDICAL GROUP PRACTICE
59 OSTERVILLE PRIMARY CARE
770 MAIN STREET
OSTERVILLE,MA02655 		MEDICAL GROUP PRACTICE
60 STRAWBERRY HILL PRIMARY CARE
1030 FALMOUTH ROAD 1ST FLOOR STE
HYANNIS,MA02601 		MEDICAL GROUP PRACTICE
61 TOTAL ORTHOPEDIC CARE
360 GIFFORD STREET
FALMOUTH,MA02540 		MEDICAL GROUP PRACTICE
62 YARMOUTH PRIMARY CARE
495 STATION AVE
SOUTH YARMOUTH,MA02664 		MEDICAL GROUP PRACTICE
63 OPPENHEIMIN CHATHAM
1629 Main St
CHATHAM,MA02633 		REHABILITATION
64 IMAGING & RADIOLOGY - URGENT CARE - FAL
273 Teaticket Highway
FALMOUTH,MA02540 		RADIOLOGY
65 CAPE COD DERMATOLOGY
1030 FALMOUTH ROAD
HYANNIS,MA02601 		DERMATOLOGY
66 IMAGING & RADIOLOGY URGENT CARE HYANNIS
1220 Iyannough Road
HYANNIS,MA02601 		RADIOLOGY
67 CCHC GENERAL & THORACIC SURGERY
130 NORTH STREET
HYANNIS,MA02601 		THORACIC SURGERY
68 CCHC - URGENT CARE - OSTERVILLE
770 Main Street
OSTERVILLE,MA02655 		URGENT CARE
69 CCHC - CARDIOVASCULAR CENTER - SANDWICH
2 Jan Sebastian Drive
SANDWICH,MA02563 		CARDIOVASCULAR CENTER
70 Neurologists of Cape Cod
2 Jan Sebastian Drive
SANDWICH,MA02563 		MEDICAL PRACTICE GROUP
71 SANDWICH PRIMARY CARE
2 Jan Sebastian Drive
SANDWICH,MA02563 		PRIMARY CARE
72 Bourne Primary Care
1 Trowbridge Place
Bourne,MA02532 		COLLECTION CENTER
73 Cape Obstetrics & Gynecology
1 Trowbridge Place
Bourne,MA02532 		MEDICAL GROUP PRACTICE
74 Cape Cod Healthcare Orthopedic Surgery
1220 Iyannough Road
Hyannis,MA02601 		MEDICAL GROUP PRACTICE
75 Cape Cod Healthcare Urgent Care -Orleans
42 Route 6A
Orleans,MA02653 		URGENT CARE
76 Falmouth Hospital Med Ctr - Bramblebush
5 Bramblebush Drive
Falmouth,MA02540 		MEDICAL GROUP PRACTICE
77 McCarthy Care Center
73 Service Road
East Sandwich,MA02537 		MEDICAL GROUP PRACTICE
78 Cape Cod Human Services
100 Ter Heun Drive
Falmouth,MA02540 		OUTPATIENT CLINIC
79 CAPE & ISLANDS HEALTH SERVICES II
100 Ter Heun Drive
Falmouth,MA02540 		COLLECTION CENTER
80 CAPE OBSTETRICS & GYNECOLOGY
2 JAN SEBASTIAN DRIVE
SANDWICH,MA02563 		MEDICAL GROUP PRACTICE
81 CAPE COD HEALTHCARE DEMENTIA & ALZHEIMER
1019 IYANNOUGH ROAD
HYANNIS,MA02601 		EDUCATIONAL
82 NEUROLOGISTS OF CAPE COD
1019 IYANNOUGH ROAD SUITE 1
HYANNIS,MA02601 		MEDICAL GROUP PRACTICE
83 FALMOUTH ORTHOPEDIC CENTER
2 JAN SEBASTIAN DRIVE SUITE 103
SANDWICH,MA02563 		MEDICAL GROUP PRACTICE
84 FALMOUTH ORTHOPEDIC CENTER
770 MAIN STREET
OSTERVILLE,MA02655 		MEDICAL GROUP PRACTICE
85 CAPE COD EAR NOSE AND THROAT SPECIALIST
20 INDIAN HILL ROAD
WEST TISBURY,MA02575 		MEDICAL GROUP PRACTICE
86 CAPE COD EAR NOSE AND THROAT SPECIALIST
5 INDUSTRIAL DRIVE SUITE 107
MASHPEE,MA02649 		MEDICAL GROUP PRACTICE
87 VNA OF CAPE COD - HYANNIS
25 COMMUNICATION WAY
HYANNIS,MA02601 		HOME HEALTH
88 ORLEANS PRIMARY CARE
42 ROUTE 6A UNIT 2
ORLEANS,MA02653 		PRIMARY CARE
89 CCHC GOLF PERFORMANCE CENTER
46 NORTH STREET SUITE 5
HYANNIS,MA02601 		REHABILITATION
90 CAPE COD HEALTHCARE VASCULAR AND VEIN CE
46 NORTH STREET UNIT 7
HYANNIS,MA02601 		MEDICAL GROUP PRACTICE
91 HEALTHCARE FOUNDATION
4 BAYVIEW
WEST YARMOUTH,MA02673 		ADMINISTRATIVE
92 FALMOUTH BREAST CARE CENTER AT CCHC
90 TER HEUN DRIVE SUITE 302
FALMOUTH,MA02540 		MEDICAL GROUP PRACTICE
93 CAPE COD HEALTHCARE CARDIOVASCULAR CENTE
1629 MAIN STREET
CHATHAM,MA02633 		MEDICAL GROUP PRACTICE
94 DIABETIC EDUCATION
22 LEWIS BAY ROAD
HYANNIS,MA02601 		EDUCATIONAL
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
PART I, LINE 3C N/A
PART I, LINE 6A N/A
PART I, LINE 7, COLUMN F THE AMOUNT OF BAD DEBT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN LINE 7, COLUMN F WAS $13,826,424. THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING THE RATIO OF PATIENT CARE COST TO CHARGES AND BY FOLLOWING THE FORM 990, SCHEDULE H INSTRUCTIONS. THE TOTAL PERCENTAGE OF CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST IN THE TABLE WAS CALCULATED ON A GROUP RETURN BASIS AS REQUIRED BY THE FORM 990 INSTRUCTIONS, AND NOT ON A HOSPITAL-ONLY BASIS.
PART II LINES 1, 4, 5, 6, 7 AND 8 PHYSICAL IMPROVEMENTS AND HOUSING CCHC HAS PARTNERED WITH SEVERAL LOCAL ORGANIZATIONS THAT ARE WORKING TO ADDRESS THE HOUSING CRISIS ON CAPE COD. THESE INCLUDE: BELONGING TO EACH OTHER'S TEMPORARY WINTER HOUSING PROGRAM, HABITAT FOR HUMANITY, AND DUFFY HEALTH CENTER'S IN FROM THE STREETS PROGRAM. CCHC ALSO SUPPORTED THE PLAYGROUND PROJECT SANDWICH TO IMPROVE OUTDOOR SPACES AS PART OF A NEIGHBORHOOD REVITALIZATION PROJECT. ECONOMIC DEVELOPMENT CCHC SUPPORTS THE CAPE COD COMMERCIAL FISHERMAN'S HEALTHY SEAFOOD AND A HEALTHY SEAFOOD INDUSTRY, WHICH PAYS LOCAL FISHERMEN A FAIR, PREDICTABLE PRICE FOR PRODUCT WHILE ALSO SUPPORTING COMMUNITIES FACING FOOD INSECURITY. THE CHOWDER AND STEW THAT IS PRODUCED FROM THIS PROGRAM IS DISTRIBUTED TO FOOD BANKS, ASSISTED LIVING FACILITIES, NURSING HOMES, ETC. CCHC also supports Amplify POC Cape Cod, and WE CAN on their economic stability and empowerment programs. Amplify POC serves people of color on Cape Cod, and WE CAN serves women experiencing transition on Cape Cod. ENVIRONMENTAL IMPROVEMENTS CCHC PARTNERED WITH THE ASSOCIATION TO PRESERVE CAPE COD ON THEIR POND HEALTH PROGRAM and Satellite Imagery Network TO EXPAND MONITORING AND INCREASE PUBLIC AWARENESS OF THE HEALTH RISKS OF CYANOTOXIN EXPOSURE IN LOCAL PONDS THAT ARE POPULAR FOR RECREATION. CYANOTOXIN EXPOSURE IS LINKED TO ALZHEIMER'S DISEASE AND OTHER NEUROLOGICAL CONDITIONS. COALITION BUILDING CCHC CLINICAL STAFF, COMMUNITY BENEFITS STAFF AND OTHER SUPPORT STAFF PARTICIPATED IN A VARIETY OF COALITION BUILDING ACTIVITIES TO ADDRESS AND IMPROVE CARE RELATED TO BEHAVIORAL HEALTH, CARE COORDINATION, DISEASE PREVENTION, MATERNAL CHILD HEALTH, HOUSING AND SUBSTANCE USE. REGIONAL COALITIONS SERVE AS ALLIANCES FOR COMBINED AND COORDINATED ACTION TO IMPROVE KEY HEALTH ISSUES. COALITION ACTIVITIES RANGED FROM IMPLEMENTATION OF NEW PROGRAMS TO PROVIDER COORDINATION TO THE DEVELOPMENT OF MULTI-SECTOR PARTNERSHIPS. COMMUNITY HEALTH IMPROVEMENT ADVOCACY LEADERSHIP FROM CCHC'S BEHAVIORAL HEALTH DEPARTMENT SERVE ON THE MA DEPARTMENT OF MENTAL HEALTH'S EXPEDITED PSYCHIATRIC INPATIENT ADMISSIONS POLICY AND WORKGROUP, WHICH IS A STATEWIDE INITIATIVE TO ADDRESS EMERGENCY DEPARTMENT BOARDING OF PATIENTS NEEDING INPATIENT PSYCHIATRIC CARE. WORKFORCE DEVELOPMENT CCHC ENGAGES IN WORKFORCE DEVELOPMENT IN A VARIETY OF WAYS. CCHC PHYSICIAN RECRUITMENT PROGRAM STRIVES TO IDENTIFY AREAS OF UNMET NEED AND IMPROVE ACCESS TO PRIMARY AND SPECIALTY CARE FOR VULNERABLE POPULATIONS, ESPECIALLY THOSE OVER 65 WITH PUBLIC HEALTH INSURANCE COVERAGE. THROUGH RIGOROUS EFFORTS, HIGHLY QUALIFIED PHYSICIANS AND PHYSICIAN EXTENDERS ARE RECRUITED AND RETAINED TO MEET THE HEALTH CARE NEEDS OF OUR COMMUNITY. CCHC ALSO HAS PARTNERSHIPS WITH LOCAL ORGANIZATIONS TO DEVELOP THE WORKFORCE IN OUR AREA, INCLUDING WITH BARNSTABLE HIGH SCHOOL ON THEIR CERTIFIED NURSING ASSISTANT PROGRAM AND WITH THE YMCA OF CAPE COD ON THEIR CHILDCARE WORKFORCE DEVELOPMENT PROGRAM.
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
PART III, LINE 4 THE AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE RELATED TO BAD DEBT OR ALLOWANCE FOR DOUBTFUL ACCOUNTS.
PART III LINE 9(B) THE HOSPITAL PROVIDES PATIENTS WITH INFORMATION ABOUT THE AVAILABILITY FOR FINANCIAL ASSISTANCE PROGRAMS THAT ARE AVAILABLE THROUGH THE COMMONWEALTH OF MASSACHUSETTS AND THROUGH THE HOSPITAL'S OWN FINANCIAL ASSISTANCE PROGRAM, WHICH MAY COVER ALL OR A PORTION OF THEIR HOSPITAL BILL. WHEN APPLICABLE THE HOSPITAL MAY ALSO ASSIST PATIENTS IN APPLYING FOR COVERAGE OF SERVICES SUCH AS MEDICAL HARDSHIP BASED ON THE PATIENT'S DOCUMENTED INCOME AND ALLOWABLE MEDICAL EXPENSES.
PART VI, LINE 2 NEEDS ASSESSMENT: THE 2023-2025 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT (CHNA) WAS RELEASED AND MADE WIDELY AVAILABLE TO THE PUBLIC IN SEPTEMBER 2022. THE PURPOSE OF THE CHNA IS TO UNDERTAKE A DATA-DRIVEN AND COMMUNITY-LED PROCESS THAT IDENTIFIES AND PRIORITIZES THE HEALTH NEEDS OF RESIDENTS OF THE REGION BASED ON THE FREQUENCY, SIZE, SCOPE, AND MAGNITUDE OF THE ISSUES. IN ADDITION, THE CHNA PROCESS PROVIDES CCH AND FH THE OPPORTUNITY TO: . IDENTIFY VULNERABLE, DISADVANTAGED, AND MEDICALLY UNDERSERVED TARGET POPULATIONS . IDENTIFY KEY AREAS OF SIGNIFICANT COMMUNITY NEED AND VULNERABLE POPULATIONS . EXAMINE THE IMPACT AND ROLE OF SOCIAL DETERMINANTS OF HEALTH IN THE COMMUNITY . MONITOR REGIONAL HEALTH DATA AND MAINTAIN AN INVENTORY OF AVAILABLE RESOURCES . FACILITATE THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES TO GUIDE HOSPITAL COMMUNITY HEALTH INITIATIVES AND COMMUNITY INVESTMENTS TO IMPROVE HEALTH . PROMOTE PARTNERSHIP AND DIALOGUE BETWEEN THE HOSPITALS AND COMMUNITY ORGANIZATIONS IN ADDITION TO THE CHNA, CCHC WORKS CLOSELY WITH THE COMMUNITY HEALTH COMMITTEE. THIS 25-MEMBER ADVISORY GROUP REPRESENTS THE DIVERSITY OF THE CAPE COD COMMUNITY AND MEMBERS INCLUDE PHYSICIANS, PUBLIC HEALTH EXPERTS, COMMUNITY ORGANIZATIONS AND PATIENTS. THIS COMMITTEE HELPS TO INFORM CCHC STAFF ABOUT CURRENT HEALTH CARE NEEDS OF OUR COMMUNITY AND PROVIDES GUIDANCE ON COMMUNITY BENEFIT PROGRAMS.
PART VI, LINE 3 FOR THOSE INDIVIDUALS WHO ARE UNINSURED OR UNDERINSURED THE HOSPITAL WILL WORK WITH PATIENTS TO ASSIST THEM IN APPLYING FOR PUBLIC ASSISTANCE AND/OR HOSPITAL FINANCIAL ASSISTANCE PROGRAMS THAT MAY COVER SOME OR ALL OF THEIR UNPAID HOSPITAL BILLS. IN ORDER TO HELP UNINSURED AND UNDERINSURED INDIVIDUALS FIND AVAILABLE OPTIONS, THE HOSPITAL WILL PROVIDE ALL INDIVIDUALS WITH A GENERAL NOTICE OF THE AVAILABILITY OF PUBLIC ASSISTANCE AND FINANCIAL ASSISTANCE PROGRAMS DURING THE PATIENT'S INITIAL IN-PERSON REGISTRATION AT A HOSPITAL LOCATION FOR SERVICE, IN BILLING INVOICES THAT ARE SENT TO A PATIENT OR GUARANTOR AND WHEN THE PROVIDER IS NOTIFIED OR THROUGH ITS OWN DUE DILIGENCE BECOMES AWARE OF A CHANGE IN THE PATIENT'S ELIGIBILITY STATUS FOR PUBLIC OR PRIVATE INSURANCE COVERAGE.
PART VI, LINE 4 DEMOGRAPHICS OF THE SERVICE AREA CCHC'S PRIMARY SERVICE AREA IS BARNSTABLE COUNTY. BARNSTABLE COUNTY IS A GEOGRAPHICALLY ISOLATED REGION LOCATED ON THE EASTERN SEABOARD OF MASSACHUSETTS. THE NARROW PENINSULA SPANS OVER 70 MILES IN LENGTH AND NOW HOSTS A YEAR-ROUND POPULATION OF 228,996 RESIDENTS. BARNSTABLE COUNTY CONSISTS OF 15 TOWNS THAT VARY IN THEIR CURRENT POPULATION SIZE FROM ABOUT 49,000 RESIDENTS (BARNSTABLE) TO SLIGHTLY MORE THAN 2,500 RESIDENTS (TRURO). IN ADDITION TO SERVING YEAR-ROUND RESIDENTS, THE REGIONAL COMMUNITY INFRASTRUCTURE, INCLUDING CCH AND FH, MUST MEET THE DEMANDS OF A SIGNIFICANT INFLUX OF SEASONAL RESIDENTS AND VISITORS EACH YEAR, WHICH HAS HISTORICALLY BEEN ESTIMATED TO INCLUDE ABOUT SEVEN MILLION VISITORS AND RESIDENTS ON CAPE COD IN THE SUMMER SEASON. NEARLY HALF OF THE TOTAL POPULATION OF BARNSTABLE COUNTY RESIDE IN THE THREE LARGEST TOWNS (BARNSTABLE, FALMOUTH, AND YARMOUTH) AND POPULATION SIZE BECOMES INCREASINGLY SMALLER IN TOWNS OF THE LOWER CAPE (HARWICH, BREWSTER, CHATHAM, AND ORLEANS) AND OUTER CAPE (EASTHAM, WELLFLEET, TRURO, AND PROVINCETOWN), MANY OF WHICH ARE CONSIDERED RURAL. BETWEEN 2010 AND 2020, THE OVERALL POPULATION OF BARNSTABLE COUNTY HAS INCREASED BY 6.1%. IN COMPARISON, THE STATE POPULATION GREW BY 7.4% DURING THAT TIME. THESE FINDINGS ARE IN CONTRAST TO THE PRIOR CHNA, WHICH SHOWED LITTLE TO NO POPULATION GROWTH BETWEEN 2011 AND 2016. THE POPULATION OF BARNSTABLE COUNTY IS OLDER THAN THE STATE OVERALL. THE OVERALL MEDIAN AGE IN BARNSTABLE COUNTY IS 53.7 YEARS COMPARED TO 39.6 YEARS AT THE STATE LEVEL. ALL TOWNS WITHIN BARNSTABLE COUNTY HAVE SMALLER PERCENTAGES OF RESIDENTS IN THE UNDER 18 AND 18- TO 24- YEAR-OLD AGE GROUPS THAN THE STATE OVERALL AND LARGER PERCENTAGES OF RESIDENTS IN THE 65 YEARS AND OLDER AGE GROUP. PUBLIC SCHOOL ENROLLMENT DATA FROM 2014 TO 2022 INDICATES THAT THE SIZE OF THE YOUTH POPULATION IN GRADES 1 THROUGH 8 IN BARNSTABLE COUNTY HAS DECLINED BY 15% OVER THE PAST 8 YEARS. THE LARGEST DECREASES IN THIS AGE GROUP WERE SEEN IN ON THE UPPER CAPE (SANDWICH, BOURNE, MASHPEE & FALMOUTH) WITH MOST DISTRICTS LOSING CLOSE TO 20% OF THEIR GRADES 1-8 POPULATION. THE ONLY DISTRICT WITH A MEASURABLE GAIN IN YOUTH OVER THIS TIME (AND NOT ATTRIBUTED TO REDISTRICTING) WAS PROVINCETOWN. BARNSTABLE COUNTY, WHEN COMPARED TO THE STATE, HAS A HIGHER PERCENTAGE OF RESIDENTS WHO ARE WITHIN THE 'OLDEST' AGE CATEGORIES, INCLUDING THOSE AGE 75 TO 84 (8.8% VS. 4.4%, RESPECTIVELY) AND THOSE AGE 85 YEARS AND OLDER (3.9% VS. 2.3%, RESPECTIVELY). SEVERAL TOWNS HAVE NOTABLY LARGE PERCENTAGES OF THEIR POPULATION IN THESE OLDER AGE GROUPS, SPECIFICALLY EASTHAM, ORLEANS, AND CHATHAM. RELATED IN PART TO THE OLDER AGE OF THE POPULATION, BARNSTABLE COUNTY ALSO HAS LARGER PERCENTAGES OF VETERANS AND RESIDENTS WITH DISABILITIES THAN THE STATE OVERALL. NEARLY NINE PERCENT (8.8%) OF COUNTY RESIDENTS IDENTIFIED AS VETERANS COMPARED TO 5.3% FOR THE STATE. APPROXIMATELY 13% OF RESIDENTS IN BARNSTABLE HAVE AT LEAST ONE DISABILITY, COMPARED TO 12% FOR THE STATE -- THIS PERCENTAGE DOES INCREASE WITH AGE, 20.5% OF RESIDENTS AGED 65 TO 74 YEARS AND 38.5% OF RESIDENTS AGED 75 YEARS AND OLDER HAVING AT LEAST ONE DISABILITY. BASED ON SELF-IDENTIFIED RACE AND ETHNICITY, THE POPULATION OF BARNSTABLE COUNTY IS LESS DIVERSE THAN THE STATE OVERALL. EIGHTY-EIGHT PERCENT (88.3%) OF BARNSTABLE COUNTY RESIDENTS IDENTIFY AS WHITE, NON-HISPANIC COMPARED TO 70.8% IN THE STATE OVERALL. THOUGH COMPRISING A SMALL PROPORTION OF THE OVERALL POPULATION, APPROXIMATELY 25,000 BARNSTABLE COUNTY RESIDENTS IDENTIFY AS A RACIAL OR ETHNIC MINORITY. WHEN EXAMINED GEOGRAPHICALLY, THE MAJORITY OF RESIDENTS IDENTIFYING AS A RACIAL OR ETHNIC MINORITY RESIDE WITHIN THE TOWNS OF THE UPPER CAPE (BOURNE, FALMOUTH, MASHPEE, AND SANDWICH) AND THE MID CAPE (BARNSTABLE, DENNIS, AND YARMOUTH). THE PERCENT OF BARNSTABLE COUNTY RESIDENTS WHO ARE FOREIGN-BORN IS CURRENTLY ESTIMATED TO BE 8.4%, ABOUT HALF THAT IN THE STATE OVERALL (16.9%), HOWEVER, THIS PERCENTAGE DOES REFLECT AN INCREASE SINCE 2016. WHEN EXAMINED BY TOWN, BARNSTABLE (15.3%), PROVINCETOWN (11.7%), AND YARMOUTH (11.0%) ALL HAD PERCENTAGES OF FOREIGN-BORN RESIDENTS THAT WERE LARGER THAN THE COUNTY AS A WHOLE. BRAZIL IS THE COUNTRY OF ORIGIN FOR THE LARGEST PERCENTAGE OF FOREIGN-BORN RESIDENTS ACROSS BARNSTABLE COUNTY (21%) FOLLOWED BY JAMAICA (10.9%), CANADA (4.9%), AND ECUADOR (4.5%). A SMALLER PERCENTAGE (9.4%) OF BARNSTABLE COUNTY RESIDENTS SPEAK A LANGUAGE OTHER THAN ENGLISH COMPARED TO THE STATE OVERALL (23.9%), THOUGH INCREASES WERE ALSO OBSERVED SINCE 2016. WHEN EXAMINED BY TOWN, BARNSTABLE (17.4%), WELLFLEET (13.2%), YARMOUTH (13.2%), AND PROVINCETOWN (10.6%) HAD PERCENTAGES OF NON-ENGLISH SPEAKERS THAT WERE LARGER THAN THE COUNTY. SPANISH IS SPOKEN BY THE LARGEST PERCENTAGE OF NON-ENGLISH SPEAKERS ACROSS BARNSTABLE COUNTY (22%) FOLLOWED BY FRENCH/HAITIAN (10%), AND RUSSIAN/POLISH/OTHER SLAVIC LANGUAGE (9%). PORTUGUESE, WHILE NOT SINGLED OUT IN THE US CENSUS LANGUAGE CATEGORIES, IS A KNOWN LANGUAGE GROUP WITHIN BARNSTABLE COUNTY. THIS FALLS WITHIN THE GROUPING 'OTHER INDO-EUROPEAN LANGUAGES' WHICH ACCOUNTS FOR ANOTHER 39% OF NON-ENGLISH SPEAKERS ALONG WITH ITALIAN, PERSIAN, GUJARATI, HINDI, AND A NUMBER OF SLAVIC LANGUAGES. ABOUT 3% OF NON-ENGLISH SPEAKERS ACROSS BARNSTABLE COUNTY ARE ESTIMATED TO LACK PROFICIENCY IN ENGLISH.
PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: CCHC, THROUGH ITS COMMUNITY BENEFITS INITIATIVES, IS COMMITTED TO ENHANCING THE QUALITY OF AND ACCESS TO COMPREHENSIVE HEALTH CARE SERVICES FOR ALL RESIDENTS OF CAPE COD 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. WE WILL TAKE A LEADERSHIP ROLE IN COLLABORATIVE EFFORTS JOINING OUR RESOURCES, TALENT, AND COMMITMENT WITH THAT OF OTHER PROVIDERS, ORGANIZATIONS AND COMMUNITY MEMBERS. THE COMMUNITY BENEFITS MISSION STATEMENT WAS AFFIRMED BY THE CCHC COMMUNITY HEALTH COMMITTEE AND THE BOARD OF TRUSTEES IN 2000 AND REMAINS IN EFFECT.
PART VI, LINE 7 ALL STATES WHERE ORGANIZATION FILES A COMMUNITY BENEFITS REPORT: MA
Schedule H (Form 990) 2022
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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2022
Open to Public
Inspection
Name of the organization
CAPE COD HEALTHCARE INC & AFFILIATES
 
Employer identification number
90-0054984
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC section
(if applicable)		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
noncash assistance		 (h) Purpose of grant
or assistance
(1) CAPE COD FOUNDATION INC
261 WHITES PATH UNIT 2
S YARMOUTH,MA02664 		51-0140462 501(C)(3) 150,000       SUBSTANCE USE PREVENTION
(2) OUTER CAPE HEALTH SERVICES INC
PO BOX 1413
WELLFLEET,MA02667 		04-2509828 501(C)(3) 125,000       SPECIALTY HEALTH NAVIGATORS
(3) DUFFY HEALTH CENTER INC
94 MAIN ST
HYANNIS,MA02601 		04-3373741 501(C)(3) 125,000       HEALTH CARE FOR THE HOMELESS
(4) TOWN OF BARNSTABLE
367 MAIN STREET
HYANNIS,MA02601 		04-6001079 GOV'T 35,000       TRAINING PROGRAM
(5) BARNSTABLE COUNTY
RESOURCE DEV OFFICE
PO BOX 427
BARNSTABLE,MA02630 		04-6001419 GOV'T 30,000       HEALTH INSURANCE ACCESS
(6) HEALTH IMPERATIVES INC
942 W CHESTNUT ST
BROCKTON,MA02301 		04-2609177 501(C)(3) 30,000       WIC SERVICES IN HOSPITALS
(7) BIG BROTHERS BIG SISTERS OF MASSACHUSETTS BAY
184 HIGH ST
BOSTON,MA02110 		04-2074462 501(C)(3) 30,000       MENTORING PROGRAM
(8) THE FAMILY PANTRY OF CAPE COD CORP
133 QUEEN ANNE RD
HARWICH,MA02645 		22-3079904 501(C)(3) 28,000       FOOD ACCESS
(9) HELPING OUR WOMEN INC
34 CONWELL ST
PROVINCETOWN,MA02657 		04-3179955 501(C)(3) 25,000       TELEHEALTH ACCESS
(10) CAPE COD CHILDRENS PLACE INC
10 BALLWICK RD
N EASTHAM,MA02651 		04-3265972 501(C)(3) 25,000       POST PARTUM DEPRESSION PREVENTION
(11) BEHAVIORAL HEALTH INNOVATORS INC
90 MORTNO RD
S CHATHAM,MA02659 		81-0755250 501(C)(3) 24,754       ALTERNATIVE PEER GROUPS
(12) HOMELESS PREVENTION COUNCIL INC
PO BOX 828
ORLEANS,MA02653 		04-3104858 501(C)(3) 20,000       HOMELESS PREVENTION PROGRAM
(13) LOWER CAPE OUTREACH COUNCIL INC
19 BREWSTER CROSS RD
ORLEANS,MA02653 		04-2864255 501(C)(3) 20,000       FOOD PANTRY
(14) TEAM MAUREEN INC
PO BOX 422
N FALMOUTH,MA02556 		45-2473500 501(C)(3) 19,675       CANCER PREVENTION
(15) CAPE COD COMMERCIAL FISHERMENS ALLIANCE INC
1566 MAIN ST
CHATHAM,MA02633 		04-3138784 501(C)(3) 15,000       HEALTHY SEAFOOD INDUSTRY PROGRAM
(16) SUSTAINABLE CAPE-CENTER FOR AGRICULTURAL PRESERVAT
8 TRURO CENTER RD
TRURO,MA02666 		45-2029981 501(C)(3) 15,000       FOOD AS MEDICINE PROGRAM
(17) YMCA CAPE COD INC (CAPE COD YOUNG MENS CHRISTIAN
2245 IYANNOUGH RD
W BARNSTABLE,MA02668 		04-2394925 501(C)(3) 15,000       CHILDCARE EMPLOYMENT INITIATIVE
(18) WE CAN CORPORATION
783 ROUTE 28
HARWICHPORT,MA02646 		31-1777179 501(C)(3) 10,000       ECONOMIC EMPOWERMENT FOR WOMEN
(19) ALZHEIMERS FAMILY CAREGIVER SUPPORT CENTER INC
2095 MAIN ST
BREWSTER,MA02631 		45-5545397 501(C)(3) 10,000       CAREGIVER SUPPORT SERVICES
(20) HABITAT FOR HUMANITY OF CAPE COD INC
411 MAIN ST STE 6
YARMOUTH PORT,MA02675 		22-2900430 501(C)(3) 10,000       HOUSING DEVELOPMENT
(21) AIDS SUPPORT GROUP OF CAPE COD INC
PO BOX 1522
PROVINCETOWN,MA02657 		04-2908722 501(C)(3) 10,000       MENTAL HEALTH SERVICES
(22) B FREE WELLNESS INC
326 MAIN ST
HYANNIS,MA02601 		86-1531893 501(C)(3) 10,000       WELLNESS PROGRAMMING
(23) CAPE ABILITIES INC
895 MARY DUNN RD
HYANNIS,MA02601 		04-2453166 501(C)(3) 10,000       FOOD ACCESS
(24) CAPE COD VILLAGE CENTER FOR DEVELOPMENTAL DISABILI
19 CHILDS HOMESTEAD RD
ORLEANS,MA02653 		83-4585951 501(C)(3) 10,000       SERVICES FOR PEOPLE WITH DISABILITIES
(25) COMMUNITY ACTION COMMITTEE OF CAPE COD & ISLANDS
88 NORTH ST
HYANNIS,MA02601 		04-2396835 501(C)(3) 10,000       HEALTHCARE ACCESS
(26) ASSOCIATION TO PRESERVE CAPE COD INC
482 MAIN STREET ROUTE 6A
DENNIS,MA02638 		04-2462788 501(C)(3) 10,000       POND HEALTH
(27) BELONGING TO EACH OTHER INC
101 TOWN HALL SQ
FALMOUTH,MA02541 		81-3692267 501(C)(3) 10,000       EMERGENCY HOUSING
(28) SHARING KINDNESS INC
20 GESNER RD
ORLEANS,MA02653 		38-4038215 501(C)(3) 10,000       SUICIDE RESPONSE AND PREVENTION
(29) CAPE WELLNESS COLLABORATIVE INC
11 POTTER AVE
HYANNIS,MA02601 		47-2360979 501(C)(3) 10,000       CANCER TREATMENT AND WELLNESS
(30) FALMOUTH SERVICE CENTER INC
PO BOX 208
FALMOUTH,MA02541 		22-2509781 501(C)(3) 10,000       FOOD PANTRY
(31) YARMOUTH FOOD PANTRY INC
845 RTE 28 UNITS 14-16
SO YRMTH,MA02664 		27-3070689 501(C)(3) 10,000       FOOD PANTRY
(32) HEROES IN TRANSITION INC
22 BATES RD STE 135
MASHPEE,MA02649 		27-1981637 501(C)(3) 10,000       FOOD ACCESS
(33) TOWN OF WELLFLEET
300 MAIN ST
WELLFLEET,MA02667 		04-6001345 GOV'T 10,000       OUTER CAPE COMMUNITY SOLUTIONS
(34) SANDWICH FOOD PANTRY INC
331 COTUIT RD UNIT 8-9
SANDWICH,MA02563 		22-3451604 501(C)(3) 10,000       FOOD PANTRY
(35) CAPE COD COUNCIL OF CHURCHES INC
320 MAIN ST
HYANNIS,MA02601 		04-2382479 501(C)(3) 10,000       CAR SEAT PROGRAM
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
35
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2022

Schedule I (Form 990) 2022
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients		 (c) Amount of
cash grant		 (d) Amount of
noncash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of noncash assistance
(1) MEDICAL SERVICES 17   54,991 FMV INDIVIDUAL SUPPORT
(2) TRANSPORTATION SERVICES 119   11,432 FMV INDIVIDUAL SUPPORT
(3) INTERPRETER SERVICES 170   2,507 FMV INDIVIDUAL SUPPORT
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
SCHEDULE I, PART I, LINE 2 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. CAPE COD HEALTHCARE IS COMMITTED TO PROVIDE NEED-BASED ASSISTANCE TO INDIVIDUALS ON BEHALF OF THE INDIVIDUALS AND THEIR FAMILIES BY PROCURING SERVICES THAT IMPROVE COMMUNICATION, CARE DELIVERY AND ENSURE SAFE DISCHARGE. THE SOCIAL WORKERS AND CASE MANAGEMENT STAFF IS RESPONSIBLE FOR DETERMINING PATIENT ELIGIBILITY FOR THE ASSISTANCE.
Schedule I (Form 990) 2022



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Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2022
Open to Public Inspection
Name of the organization
CAPE COD HEALTHCARE INC & AFFILIATES
 
Employer identification number

90-0054984
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? .............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2022

Schedule J (Form 990) 2022
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation in column (B) reported as deferred on prior Form 990
(i) Base
compensation 		(ii) Bonus & incentive
compensation 		(iii) Other reportable compensation
1MICHAEL K LAUF
PRESIDENT/CEO/TRUSTEE 		(i)

(ii)		 0
-------------
978,730 		0
-------------
410,000 		0
-------------
306,559 		0
-------------
606,424 		0
-------------
32,146 		0
-------------
2,333,859 		0
-------------
200,000
2THEODORE CALIANOS MD
TRUSTEE (UNTIL 5/23) 		(i)

(ii)		 370,384
-------------
0 		31,688
-------------
0 		2,772
-------------
0 		12,200
-------------
0 		32,146
-------------
0 		449,190
-------------
0 		0
-------------
0
3MOLLY SULLIVAN MD
TRUSTEE (UNTIL 1/23)/PHYSICIAN 		(i)

(ii)		 593,216
-------------
0 		28,540
-------------
0 		23,272
-------------
0 		12,200
-------------
0 		32,146
-------------
0 		689,374
-------------
0 		0
-------------
0
4JOSEPH GERGYES MD
TRUSTEE/PHYSICIAN 		(i)

(ii)		 199,069
-------------
0 		18,356
-------------
0 		22,306
-------------
0 		9,901
-------------
0 		28,393
-------------
0 		278,025
-------------
0 		0
-------------
0
5ALEXANDER ADDUCI MD
TRUSTEE (AS OF 5/23)/PHYSICIAN 		(i)

(ii)		 672,883
-------------
0 		183,870
-------------
0 		21,466
-------------
0 		12,200
-------------
0 		34,146
-------------
0 		924,565
-------------
0 		0
-------------
0
6JOHN HOSTETTER MD
TRUSTEE (AS OF 5/23)/PHYSICIAN 		(i)

(ii)		 442,633
-------------
0 		108,621
-------------
0 		966
-------------
0 		12,200
-------------
0 		34,896
-------------
0 		599,316
-------------
0 		0
-------------
0
7MICHAEL G JONES ESQ
SVP/CLO/CO-CLERK 		(i)

(ii)		 0
-------------
339,745 		0
-------------
85,050 		0
-------------
53,012 		0
-------------
32,981 		0
-------------
34,436 		0
-------------
545,224 		0
-------------
17,375
8RICHARD SILVERIA
SVP FINANCE/CFO 		(i)

(ii)		 0
-------------
476,254 		0
-------------
118,125 		0
-------------
23,272 		0
-------------
29,098 		0
-------------
23,004 		0
-------------
669,753 		0
-------------
0
9WILLIAM AGEL MD
CHIEF MEDICAL OFFICER 		(i)

(ii)		 0
-------------
456,754 		0
-------------
108,675 		0
-------------
4,017 		0
-------------
40,330 		0
-------------
23,004 		0
-------------
632,780 		0
-------------
1,917
10DONALD A GUADAGNOLI MD
CHIEF MEDICAL OFFICER FH 		(i)

(ii)		 0
-------------
173,439 		0
-------------
39,150 		0
-------------
20,380 		0
-------------
6,250 		0
-------------
9,924 		0
-------------
249,143 		0
-------------
0
11PATRICK J KANE
SEE SCHEDULE O 		(i)

(ii)		 0
-------------
307,902 		0
-------------
66,363 		0
-------------
44,300 		0
-------------
12,192 		0
-------------
12,017 		0
-------------
442,774 		0
-------------
0
12CHRISTIAN BROWN
SVP MANAGED CARE 		(i)

(ii)		 0
-------------
314,883 		0
-------------
70,125 		0
-------------
44,794 		0
-------------
12,200 		0
-------------
32,146 		0
-------------
474,148 		0
-------------
0
13KEVIN MULROY
PHYSICIAN 		(i)

(ii)		 219,900
-------------
0 		0
-------------
0 		0
-------------
0 		8,796
-------------
0 		0
-------------
0 		228,696
-------------
0 		0
-------------
0
14JOHN PAUL SOLVERSON
SVP/CHIEF INFORMATION OFFICER 		(i)

(ii)		 0
-------------
420,754 		0
-------------
95,625 		0
-------------
31,147 		0
-------------
37,838 		0
-------------
24,004 		0
-------------
609,368 		0
-------------
21,250
15NOELENE CERVIN
SEE SCHEDULE O 		(i)

(ii)		 0
-------------
52,424 		0
-------------
0 		0
-------------
49,066 		0
-------------
3,290 		0
-------------
6,174 		0
-------------
110,954 		0
-------------
11,000
16LORI JEWETT
CHIEF OPERATING OFFICER 		(i)

(ii)		 0
-------------
397,960 		0
-------------
94,500 		0
-------------
36,496 		0
-------------
35,990 		0
-------------
32,146 		0
-------------
597,092 		0
-------------
7,084
17ANNE MARIE PECKHAM
PRESIDENT VNA 		(i)

(ii)		 0
-------------
232,508 		0
-------------
42,200 		0
-------------
26,201 		0
-------------
11,288 		0
-------------
23,004 		0
-------------
335,201 		0
-------------
0
18CARTER HUNT
CHIEF OPERATING OFFICER FH 		(i)

(ii)		 0
-------------
219,045 		0
-------------
42,200 		0
-------------
39,715 		0
-------------
23,226 		0
-------------
35,136 		0
-------------
359,322 		0
-------------
11,125
19JUDITH C QUINN
VP PATIENT CARE (UNTIL 7/22) 		(i)

(ii)		 0
-------------
96,626 		0
-------------
0 		0
-------------
63,950 		0
-------------
5,950 		0
-------------
6,246 		0
-------------
172,772 		0
-------------
0
20CYNTHIA MARLIN
SEE SCHEDULE O 		(i)

(ii)		 191,613
-------------
0 		34,330
-------------
0 		21,272
-------------
0 		19,216
-------------
0 		25,189
-------------
0 		291,620
-------------
0 		9,800
-------------
0
21ELIZABETH DUNTON
SEE SCHEDULE O 		(i)

(ii)		 0
-------------
216,670 		0
-------------
35,962 		0
-------------
15,774 		0
-------------
20,442 		0
-------------
1,366 		0
-------------
290,214 		0
-------------
10,250
22JEAN BUTLER
SEE SCHEDULE O 		(i)

(ii)		 0
-------------
296,691 		0
-------------
72,200 		0
-------------
46,179 		0
-------------
29,744 		0
-------------
21,593 		0
-------------
466,407 		0
-------------
13,385
23CHRISTOPHER M LAWSON
SVP/CHIEF DEVELOPMENT OFFICER 		(i)

(ii)		 0
-------------
275,044 		0
-------------
66,150 		0
-------------
27,330 		0
-------------
26,577 		0
-------------
32,146 		0
-------------
427,247 		0
-------------
10,216
24LAURA RANZINGER
VP FINANCE/TREAS (UNTIL 3/22) 		(i)

(ii)		 0
-------------
24,101 		0
-------------
0 		0
-------------
259,662 		0
-------------
3,135 		0
-------------
2,731 		0
-------------
289,629 		0
-------------
2,604
25MARY CALLOE
VP REVENUE CYCLE 		(i)

(ii)		 0
-------------
270,920 		0
-------------
26,185 		0
-------------
5,110 		0
-------------
8,221 		0
-------------
14,583 		0
-------------
325,019 		0
-------------
0
26MARY JOHNSON
SEE SCHEDULE O 		(i)

(ii)		 123,022
-------------
69,985 		0
-------------
35,500 		24,382
-------------
5,815 		10,494
-------------
3,327 		10,028
-------------
4,141 		167,926
-------------
118,768 		8,250
-------------
0
27BENJAMIN LEVIN MD
SEE SCHEDULE O 		(i)

(ii)		 57,133
-------------
329,748 		0
-------------
59,500 		65
-------------
638 		17,000
-------------
12,900 		4,334
-------------
12,250 		78,532
-------------
415,036 		0
-------------
0
28PAUL HOULE MD
PHYSICIAN 		(i)

(ii)		 996,665
-------------
0 		159,071
-------------
0 		22,306
-------------
0 		12,200
-------------
0 		33,286
-------------
0 		1,223,528
-------------
0 		0
-------------
0
29RICHARD B ZELMAN MD
PHYSICIAN (UNTIL 9/22) 		(i)

(ii)		 1,124,882
-------------
0 		0
-------------
0 		117,479
-------------
31,500 		12,200
-------------
0 		11,871
-------------
0 		1,266,432
-------------
31,500 		0
-------------
0
30NICHOLAS COPPA MD
PHYSICIAN 		(i)

(ii)		 994,715
-------------
0 		142,242
-------------
0 		21,130
-------------
0 		12,200
-------------
0 		35,236
-------------
0 		1,205,523
-------------
0 		0
-------------
0
31ACHILLES PAPAVASILIOU MD
PHYSICIAN 		(i)

(ii)		 994,815
-------------
0 		375,000
-------------
0 		21,466
-------------
0 		12,200
-------------
0 		35,136
-------------
0 		1,438,617
-------------
0 		0
-------------
0
32GORDON NAKATA MD
PHYSICIAN 		(i)

(ii)		 994,815
-------------
0 		230,386
-------------
0 		21,466
-------------
0 		12,200
-------------
0 		35,136
-------------
0 		1,294,003
-------------
0 		0
-------------
0
33MICHELLE SKARBEK
VP HUMAN RESOURCES 		(i)

(ii)		 0
-------------
253,229 		0
-------------
45,626 		0
-------------
966 		0
-------------
24,202 		0
-------------
32,146 		0
-------------
356,169 		0
-------------
0
34MICHAEL BACHSTEIN
VP FACILITIES MANAGEMENT 		(i)

(ii)		 0
-------------
242,973 		0
-------------
44,712 		0
-------------
20,975 		0
-------------
23,931 		0
-------------
1,366 		0
-------------
333,957 		0
-------------
8,010
Schedule J (Form 990) 2022

Schedule J (Form 990) 2022
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
SCHEDULE J, PART I, LINE 3 THE ORGANIZATION'S CEO IS PAID THROUGH ITS PARENT ORGANIZATION, CAPE COD HEALTHCARE INC. THE PARENT ORGANIZATION ESTABLISHES COMPENSATION OF THE ORGANIZATION'S CEO THROUGH THE USE OF A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, THE FORM 990 OF OTHER ORGANIZATIONS, A COMPENSATION SURVEY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. 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 - $28,374 - 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 - CARTER HUNT - $13,633 - ANN MARIE PECKHAM - $12,005 - LAURA RAZINGER - $3,052 - JUDITH C. QUINN - $5,530 - ELIZABETH DUNTON - $10,813 - DONALD A. GUADAGNOLI, M.D. - $9,009 - NOELENE CERVIN - $13,956 - MICHAEL BACHSTEIN - $10,123 - CYNTHIA MARLIN - $13,086 - MARY JOHNSON - $10,143 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). THE INDIVIDUALS REPORTED IN SCHEDULE J, PART II REPORTED AS BEING PAID FROM A RELATED ORGANIZATION WERE EMPLOYEES OF, AND COMPENSATED BY CAPE COD HEALTHCARE, INC., THE PARENT CORPORATION.
Schedule J (Form 990) 2022

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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet Attach to Form 990.
SchKMediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
CAPE COD HEALTHCARE INC & AFFILIATES
 
Employer identification number
90-0054984
Part Ⅰ
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer		 (i) Pool
financing
Yes No Yes No Yes No
A MDFA REVENUE BONDS SERIES 2017
  		04-3431814 000000000 02-01-2017 52,315,359 REFUND SERIES D (2/16/2010)   X   X   X
B MDFA REFUNDING REVENUE BONDS SERIES 2021B
  		04-3431814 000000000 05-07-2021 19,400,000 REFUND SERIES 2014 (09/29/2014)   X   X   X
C MDFA REFUNDING REVENUE BOND SERIES 2021A-2
  		04-3431814 000000000 08-18-2023 43,614,000 REFUND TAXABLE SERIES 2021A-1 (5/7   X   X   X
Part Ⅱ
Proceeds
A B C D
1 Amount of bonds retired .................. 18,512,298 6,285,643 240,689  
2 Amount of bonds legally defeased .............. 0 0 0  
3 Total proceeds of issue .................. 54,216,669 19,400,000 43,614,000  
4 Gross proceeds in reserve funds ............. 0 0 0  
5 Capitalized interest from proceeds ............. 0 0 0  
6 Proceeds in refunding escrows ............... 0 0 0  
7 Issuance costs from proceeds ............... 302,138 0 0  
8 Credit enhancement from proceeds ............. 0 0 0  
9 Working capital expenditures from proceeds ............. 0 0 0  
10 Capital expenditures from proceeds ............. 106,973 0 0  
11 Other spent proceeds ............. 53,807,558 19,400,000 43,614,000  
12 Other unspent proceeds ............. 0 0 0  
13 Year of substantial completion ............. 2017 2021 2023
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2020, a current refunding issue)? ........ 		  X X     X    
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2020, an advance refunding issue)? ........ 		X     X X      
16 Has the final allocation of proceeds been made? .......... X   X   X      
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X      
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 2
Part Ⅲ
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X   X   X    
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............                
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............   X   X   X    
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?                
c Are there any research agreements that may result in private business use of bond-financed property? .............   X   X   X    
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet 0 % 0 % 0 %  
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet        
6 Total of lines 4 and 5 .............        
7 Does the bond issue meet the private security or payment test? ...   X   X   X    
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X   X   X    
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............   X   X   X    
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........ 		X   X   X      
Part Ⅳ
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X   X    
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......   X   X X      
b Exception to rebate? ........   X X   X      
c No rebate due? ......... X   X     X    
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? ..... X   X   X      
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 3
Part Ⅳ
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X    
b Name of provider .......... 0
  		0
  		0
  		 
 
c Term of hedge .........        
d Was the hedge superintegrated? ......                
e Was the hedge terminated? ........                
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X    
b Name of provider .......... 0
  		0
  		0
  		 
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X    
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X      
Part Ⅴ
Procedures To Undertake Corrective Action
--------------------------------------------------------------------------------------------------------------- A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X      
Part Ⅵ
Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).
Return Reference Explanation
PART II, LINE 3 THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS.
PART IV, LINE 2(C) THE DATE THE REBATE COMPUTATIONS WERE LAST PERFORMED FOR EACH BOND ARE BELOW: MDFA, REVENUE BONDS, SERIES 2017 - 11/15/2019 MDFA REFUNDING, REVENUE BONDS SERIES 2021B - 11/7/2021 SINCE THE BOND PROCEEDS HAVE BEEN SPENT AND THE DEBT SERVICE FUND WAS OPERATED ON A BONA FIDE BASIS, NO FURTHER REBATE CALCULATIONS ARE NECESSARY.
Schedule K (Form 990) 2021

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Schedule L
(Form 990)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ.
MediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
CAPE COD HEALTHCARE INC & AFFILIATES
 
Employer identification number

90-0054984
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No
2
Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e) Original principal amount (f) Balance due (g) In default? (h) Approved by board or committee? (i) Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990) 2021
Schedule L (Form 990) 2021
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) KIRA JONES SPOUSE OF OFFICER 107,579 FH EMPLOYEE   No
(2) ARMAND PIMENTEL SON IN LAW OF KEY EMPLOYEE 84,030 FH EMPLOYEE   No
(3) STACY HOSTETTER WIFE OF KEY EMPLOYEE 40,803 FH EMPLOYEE   No
(4) MICHAELA PIMENTEL DAUGHTER OF KEY EMPLOYEE 34,188 CCH EMPLOYEE   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L (Form 990) 2021


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SCHEDULE M
(Form 990)

Department of the Treasury
Internal Revenue Service
Noncash Contributions
Right pointing arrow large image Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
Right pointing arrow large image Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2022
Open to Public Inspection
Name of the organization
CAPE COD HEALTHCARE INC & AFFILIATES
 
Employer identification number

90-0054984
Part I
Types of Property
(a)
Check if applicable 		(b)
Number of contributions or items contributed 		(c)
Noncash contribution amounts reported on
Form 990, Part VIII, line 1g 		(d)
Method of determining
noncash contribution amounts
1 Art—Works of art ....        
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods ....... 		     
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded . X 14 401,040 VALUE OF STOCK REC'D
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests .... 		       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures ..... 		       
14 Qualified conservation
contribution—Other ... 		       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ...        
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( )
26 Other Right pointing arrow large image ( )
27 Other Right pointing arrow large image ( )
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement
29
 
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which isn't required to be used for exempt purposes for the entire holding period? ...................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
contributions? ..........................
32a
Yes
 
b
If "Yes," describe in Part II.
33
If the organization didn't report an amount in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) (2022)
Schedule M (Form 990) (2022)
Page 2
Part IISupplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.
Return Reference Explanation
SCHEDULE M, PART I, COLUMN (B) THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. SCHEDULE M, PART I, LINE 32(A) ON OCCASION THE ORGANIZATION UTILIZES A BROKER TO DISPOSE OF NONCASH CONTRIBUTIONS (OTHER THAN PUBLICLY TRADED SECURITIES).
Schedule M (Form 990) (2022)

Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
CAPE COD HEALTHCARE INC & AFFILIATES
 
Employer identification number

90-0054984
Return Reference Explanation
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 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(B) 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, COLUMN (B) THE INDIVIDUALS REPORTED AS RECEIVING COMPENSATION FROM A RELATED ORGANIZATION IN COLUMNS (E) AND (F) IN PART VII ARE EMPLOYEES AT CAPE COD HEALTHCARE, INC., A TAX-EXEMPT RELATED ORGANIZATION.
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 CYNTHIA MARLIN IS VP NURSING PERIOPERATIVE & SURGICAL SVCS FH (UNTIL 12/22) THE FULL TITLE FOR ELIZABETH DUNTON IS COO EMPLOYED PHYSICIAN SVCS (UNTIL 9/22) AND VP EMPLOYED PHYSICIAN GROUP (AS OF 9/22) THE FULL TITLE FOR JEAN BUTLER IS SVP EMPLOYED PHYSICIAN GROUP (UNTIL 9/22), SVP FINANCE (AS OF 9/22) THE FULL TITLE FOR MARY JOHNSON IS ASSOCIATE VP NURSING - CCH (UNTIL 3/22), EXECUTIVE DIRECTOR OF EMERGENCY SERVICES (AS OF 3/22, UNTIL 9/22) CNO, VP PATIENT CARE (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 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 CHANGE IN VALUE SPLIT INTEREST AGREEMENT $ 244,586 CHANGE IN PERPETUAL TRUSTS $ 1,469,153 TRANSFER TO/FROM AFFILIATE $ 177,040 NET ASSETS RELEASED FROM RESTRICTIONS $ (2,353,506) ------------- OTHER CHANGES IN NET ASSETS $ (462,727) =============
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2021


Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
CAPE COD HEALTHCARE INC & AFFILIATES
 
Employer identification number

90-0054984
Part I
Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity










Part II
Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1)CAPE COD HEALTHCARE INC
297 NORTH STREET BLDG 3

HYANNIS,MA02601
22-2600704 		PARENT CORP MA 501(c)(3) 10 NA
 
Yes
 












For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) CAPE AND ISLAND ENDOSCOPY CENTER

700 ATTUCKS LANE
HYANNIS,MA02601
 ENDOSCOPY CENTER MA NA
  		                 












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) CAPE HEALTH INSURANCE COMPANY

PO BOX 1051GT
GRAND CAYMAN    
CJ
98-1230418 		INSURANCE CJ CAPE COD HLTHCR
  		C CORP 0 0     No
(2) CAPE COD MEDICAL OFFICE BUILDING INC

27 PARK STREET
HYANNIS,MA02601
04-2423073 		RENTAL SRVCE MA NA
  		C CORP 0 15,000 100.000 %   No
(3) POOLED INCOME FUNDS (2)

 
 
SUPPORT MA NA
  		          No
(4) CHARITABLE REMAINDER TRUSTS (15)

 
 
SUPPORT MA NA
  		          No






Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 3
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
 
No
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
Yes
 
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
 
No
r Other transfer of cash or property to related organization(s) ............................
1r
Yes
 
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) CAPE HEALTH INSURANCE COMPANY

 R 1,812,248 FMV





Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. See instructions.
Return Reference Explanation
Schedule R (Form 990) 2021

Additional Data


Software ID:  
Software Version: