Civic Intelligence

Cape Cod Healthcare Inc.

990 • Fiscal year 2021 • EIN 22-2600704

Oct 01, 2020 to Sep 30, 2021 • Filed on Aug 03, 2022

297 NORTH STREET Suite BLDG 3Hyannis, MA 02601

(508) 771-1800

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

62nd percentile

0.42x

Higher debt load relative to assets than 62% of similar nonprofits.

2021 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2021

Liabilities / Revenue

81st percentile

1.31x

Higher debt load relative to revenue than 81% of similar nonprofits.

2021 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2021

Net Margin

54th percentile

10%

Higher net margin than 54% of similar nonprofits.

2021 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2021

Top Officer Pay

80th percentile

$1,727,477

Higher top officer pay than 80% of similar nonprofits.

Top officer pay equals 1.2% of source-year revenue.

2021 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2021

Asset Growth

27th percentile

5.4%

Faster asset growth than 27% of similar nonprofits.

2021 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2020 to 2021

Revenue Growth

72nd percentile

22%

Faster revenue growth than 72% of similar nonprofits.

2021 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2020 to 2021

Assets

Flat

$447,036,647

Flat from 2021

Net Assets

Flat

$261,135,041

Flat from 2021

Liabilities

Flat

$185,901,606

Flat from 2021

Revenue

Flat

$141,942,221

Flat from 2021

Expenses

Flat

$127,164,508

Flat from 2021

Net Income

Flat

$14,777,713

Flat from 2021

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$600M$400M$200M$0Assets 2010: $145,892,352Liabilities 2010: $54,795,134Net Assets 2010: $91,097,2182010Assets 2011: $145,495,235Liabilities 2011: $33,070,091Net Assets 2011: $112,425,1442011Assets 2012: $194,680,808Liabilities 2012: $56,766,977Net Assets 2012: $137,913,8312012Assets 2013: $204,220,000Liabilities 2013: $58,776,722Net Assets 2013: $145,443,2782013Assets 2014: $228,783,560Liabilities 2014: $67,380,167Net Assets 2014: $161,403,3932014Assets 2015: $249,657,904Liabilities 2015: $91,111,116Net Assets 2015: $158,546,7882015Assets 2016: $273,712,011Liabilities 2016: $100,595,297Net Assets 2016: $173,116,7142016Assets 2017: $346,544,186Liabilities 2017: $133,803,032Net Assets 2017: $212,741,1542017Assets 2018: $397,483,660Liabilities 2018: $161,872,878Net Assets 2018: $235,610,7822018Assets 2019: $403,786,407Liabilities 2019: $176,334,104Net Assets 2019: $227,452,3032019Assets 2020: $424,302,862Liabilities 2020: $188,854,573Net Assets 2020: $235,448,2892020Assets 2021: $447,036,647Liabilities 2021: $185,901,606Net Assets 2021: $261,135,0412021Assets 2021: $447,036,647Liabilities 2021: $185,901,606Net Assets 2021: $261,135,0412021Assets 2022: $423,418,157Liabilities 2022: $194,543,802Net Assets 2022: $228,874,3552022Assets 2023: $463,459,033Liabilities 2023: $213,515,050Net Assets 2023: $249,943,9832023Assets 2024: $515,131,694Liabilities 2024: $222,012,489Net Assets 2024: $293,119,2052024

Highlighted filing

2021

Assets$447,036,647
Liabilities$185,901,606
Net Assets$261,135,041

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$200M$150M$100M$50M$0Expenses 2010: $29,824,8102010Expenses 2011: $31,907,6812011Expenses 2012: $35,575,3992012Expenses 2013: $30,802,7382013Revenue 2014: $58,593,159Expenses 2014: $54,515,433Net Income 2014: $4,077,7262014Revenue 2015: $48,736,000Expenses 2015: $45,394,028Net Income 2015: $3,341,9722015Revenue 2016: $64,296,495Expenses 2016: $60,249,509Net Income 2016: $4,046,9862016Revenue 2017: $77,403,271Expenses 2017: $72,066,117Net Income 2017: $5,337,1542017Revenue 2018: $120,248,216Expenses 2018: $81,511,525Net Income 2018: $38,736,6912018Revenue 2019: $113,859,108Expenses 2019: $106,556,752Net Income 2019: $7,302,3562019Revenue 2020: $116,473,308Expenses 2020: $107,085,940Net Income 2020: $9,387,3682020Revenue 2021: $141,942,221Expenses 2021: $127,164,508Net Income 2021: $14,777,7132021Revenue 2021: $141,942,221Expenses 2021: $127,164,508Net Income 2021: $14,777,7132021Revenue 2022: $136,489,603Expenses 2022: $128,342,065Net Income 2022: $8,147,5382022Revenue 2023: $147,583,312Expenses 2023: $141,737,210Net Income 2023: $5,846,1022023Revenue 2024: $162,733,699Expenses 2024: $151,986,695Net Income 2024: $10,747,0042024

Highlighted filing

2021

Revenue$141,942,221
Expenses$127,164,508
Net Income$14,777,713
Jump To
Filing Snapshot
Filing Period
Oct 1, 2020 to Sep 30, 2021
Signed
Aug 3, 2022
Return Version
2020v4.1
Gross Receipts
$141,942,221
Mission and Program Overview

Mission

SEE SCHEDULE O

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments Other Securities$208,369,472$243,065,060▲ $34,695,588
Land, Buildings, and Equipment, Net$54,275,561$49,055,390▼ $5,220,171
Other Notes and Loans Receivable, Net$14,628,634$15,808,030▲ $1,179,396
Prepaid Expenses and Deferred Charges$5,825,047$7,814,193▲ $1,989,146
Investments Program Related$7,586,484$6,016,995▼ $1,569,489
Cash and Non-Interest-Bearing Accounts$24,416,214$5,146,771▼ $19,269,443
Inventories for Sale or Use$918,517$827,479▼ $91,038
Savings and Temporary Cash Investments$0$0→ $0
Accounts Receivable$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Intangible Assets$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$424,302,862$447,036,647▲ $22,733,785
Other Assets Total$108,282,933$119,302,729▲ $11,019,796
Liabilities
Other Liabilities$119,247,619$134,669,485▲ $15,421,866
Accounts Payable and Accrued Expenses$65,662,677$47,567,153▼ $18,095,524
Mortgage Notes Payable Secured by Investment Property$3,824,601$3,544,395▼ $280,206
Deferred Revenue$119,676$120,573▲ $897
Grants Payable$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$188,854,573$185,901,606▼ $2,952,967
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$187,101,031$207,629,671▲ $20,528,640
Net Assets With Donor Restrictions$48,347,258$53,505,370▲ $5,158,112
Total Net Assets Fund Balance$235,448,289$261,135,041▲ $25,686,752
Total Liabilities and Net Assets / Fund Balance$424,302,862$447,036,647▲ $22,733,785

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$9,908,195$38,976,467$48,884,662
Other Land Buildings$18,558,236$12,915,413$31,473,649
Buildings$9,553,697$1,913,674$11,467,371
Leasehold Improvements$4,650,670$3,790,314$8,440,984
Land$6,384,592-$6,384,592
Other Assets Org$2,185,544--
Other Securities$1,298,537--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Michael K LaufPresident/CEO/trusteePT$912,838$814,639$1,727,477
Michael L ConnorsSVP Finance/CFO (until 7/21)PT$407,185$139,440$546,625
Kevin MulroySVP Chief Quality & Safety OffPT$381,244$106,982$488,226
John Paul SolversonSVP & CIOPT$416,485$64,810$481,295
Christian BrownSVP Managed CarePT$312,614$143,650$456,264
Michael G Jones EsqSVP, CLO, Co-clerkPT$332,303$107,844$440,147
Patrick J KaneSVP of Mrktg,commun and DevlpPT$322,398$67,057$389,455
Donald a Guadagnoli MdSee Schedule OPT$244,832$127,265$372,097
Lori E JewettCEO,fh Unt 1/20 COO as of 3/20PT$287,730$84,087$371,817
Jean ButlerSVP Employed Physician GroupPT$294,614$74,328$368,942
Sheryl DecilioVP Patient Fin Svc & Rev CyclePT$287,000$28,223$315,223
Christopher M LawsonSVP DevelopmentPT$251,921$57,500$309,421
Noelene CervinVP Budgeting and Oper SupportPT$245,268$59,986$305,254
Jeffrey S DykensVP Finance (until 2/20)PT$28,212$273,794$302,006
Laura RanzingerVP Finance & Treas(as of 2/20)PT$221,036$68,164$289,200
Paul J NiedzwieckiSVP STR GOV'T AFF (UNTIL 8/20)PT$165,740$123,185$288,925
Michelle SkarbekVP Hr (as of 11/20)PT$190,450$40,409$230,859
Emily SchorerSVP Hr (until 4/20)PT$86,844$73,596$160,440

Board Members and Trustees

NameTitle
Bruce JohnstonChair/trustee
Ramani AyerVice Chair & Treas/trustee
Robert TalermanClerk/Trustee
Cynthia a Hines MdTrustee
E James Mulcahy JrTrustee
Kevin Vilsaint MdTrustee
Lawrence CapodilupoTrustee
Molly Sullivan MdTrustee
Nathan Rudman MdTrustee
Sharon KennedyTrustee
Theodore Calianos MdTrustee
Robin DevereuxTrustee (as of 5/21)
Diane ColettiTrustee (until 5/21)
Sumner B Tilton JrTrustee (until 5/21)
Richard SilveriaSVP Finance/CFO (as of 9/21)

Highest Paid Contractors

ContractorServicesLocationCompensation
Cape Cod Emergency Associates LLCMedical Services220 WEST MAIN STREET, Hyannis, MA 02601$15,970,573
Deloitte Consulting LLPConsulting555 MISSION ST, San Francisco, CA 94105-0920$6,436,264
Edwards LifesciencesMedical DevicesONE EDWARD WAY, Irvine, CA 92614$5,409,625
Optum360 LLCConsulting1100 OPTUM CIRCLE, Eden Prairie, MN 55344$5,318,843
Brigham Womens Physicians OrganizMedical ServicesPO BOX 3684, Boston, MA 02241-3684$3,849,427
Revenue and Support

Revenue Composition

Contributions and Grants
$14,122
Program Service Revenue
$126,847,579
Investment Income
$15,080,520
Other Revenue
$0
All Other Contributions
$0
Change in Net Assets
$14,777,713
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$90,379,292
Salaries, Compensation, and Employee Benefits$36,521,066
Grants and Similar Amounts Paid$264,150
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$18,496,286$4,624,071-$23,120,357
Information Technology$11,401,574$2,850,394-$14,251,968
Depreciation Depletion$10,981,400$2,745,350-$13,726,750
Current Officers, Directors, Trustees, and Key Employees$0$6,585,600-$6,585,600
Occupancy$3,017,714$754,429-$3,772,143
Other Employee Benefits$2,804,891$934,964-$3,739,855
Fees for Services Other$2,443,349$610,090-$3,053,439
Office Expenses$2,281,104$570,276-$2,851,380
All Other Expenses$2,042,322$230,777-$2,273,099
Payroll Taxes$1,570,626$493,833-$2,064,459
Advertising$1,107,625$276,906-$1,384,531
Other Expenses$847,890$211,972-$1,059,862
Pension Plan Contributions$758,096$252,699-$1,010,795
Fees for Services Legal-$970,300-$970,300
Insurance$338,714$84,679-$423,393
Interest$244,827$61,207-$306,034
Grants to Domestic Orgs$225,150--$225,150
Fees for Services Lobbying$167,045$41,761-$208,806
Fees for Service Investment Mgmnt Fees-$192,606-$192,606
Travel$99,267$24,817-$124,084
Grants to Domestic Individuals$39,000--$39,000
Fees for Services Accounting-$9,379-$9,379
Total Functional Expenses$100,880,372$26,284,136$0$127,164,508
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
BARNSTABLE COUNTY SHERIFF'S OFFICEBourne, MAGOV'TAccess to Healthcare$159,200
Physician Health Services IncWaltham, MA501(c)(3)Marketing Event Sponsorship$15,000
Cape Cod Young Professionals IncBarnstable, MA501(c)(3)Marketing Event Sponsorship$12,500
Riverview School IncE Sandwich, MA501(c)(3)Marketing Event Sponsorship$6,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$66,777,411
Professional Liability Claims$30,351,540
Deferred Comp 457 Plans$16,098,471
Operating Leases$14,338,149
Misc Other Liabilities$7,103,914
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 2

Trustees and officers sit on the boards of the following: cape health insurance company: michael k lauf michael l connors michael g jones bruce johnston the members of cape cod healthcare, inc.'s board also sit on the board of cape cod medical office building, inc., a for-profit related organization.

Form 990, Part VI, Lines 6 & 7(A)

The organization has members/incorporators who elect the organization's trustees.

Form 990, Part VI, Line 7(B)

The decisions of the governing body that need approval by its members/incorporators include approval of changes made to the corporation's bylaws and approval when there is a divesting of one of the major affiliates of the organization.

Form 990, Part VI, Line 11

The organization's form 990 is reviewed at several levels. The organization engages a public accounting firm to assist in the preparation and review of its form 990 and who signs as paid preparer. Senior management of the organization is responsible for the timely preparation of form 990. The completed form 990 is provided to the finance committee and the entire board in advance of the filing deadline.

Form 990, Part VI, Line 12

The organization maintains a conflict of interest policy and regularly and consistently monitors and enforces compliance with this policy. On an annual basis, each trustee, officer and employee at the senior management level completes a conflict of interest disclosure form. The forms are reviewed by cape cod healthcare, inc.'s ("cchc") director of clinical and research compliance who prepares a summary for cchc's compliance officer. Any material interests so disclosed are presented to the corporation's governance committee for review and resolution. All disclosure statements submitted by employees will be reviewed by human resources and/or cchc's director of clinical and research compliance. For any disclosure that is considered substantive the employee's area manager will be consulted to determine if the situation is generally acceptable, requires further examination and possible action or is generally not acceptable. Any action plan created to manage a conflict of interest will be monitored by the employee's area manager or supervisor.

Form 990, Part VI, Line 15

The annual process for determining compensation of the organization's ceo, officers, executives and key employees include the following: ceo - compensation will be determined by the compensation committee of the board of trustees, and will include consideration of relevant market data furnished by a disinterested compensation consultant, and a review of job performance. Officers, executives and key employees - officer, executive and key employee compensation will be determined by the ceo and will include consideration of recent relevant market data furnished by a disinterested compensation consultant, and a review of job performance. The ceo's determination of such compensation will be subject to the approval of the compensation committee of the board of trustees. The process and conclusions are documented in the meeting minutes.

Form 990, Part VI, Line 19

THE ORGANIZATION MAKES ITS BYLAWS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON APPROPRIATE REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE ALSO ATTACHED TO THE ANNUALLY FILED FORM PC, A PUBLICLY DISCLOSED TAX-EXEMPT ORGANIZATION FILING FOR THE STATE OF MASSACHUSETTS. FORM 990, PART VII, SECTION A THE FULL TITLE FOR DONALD A. GUADAGNOLI IS SVP, CMO (Until 4/20), CMO - FH (As of 4/20)

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.

Filing and Contact Details

Filer

Filer Name
Cape Cod Healthcare Inc
EIN
22-2600704
In Care Of
% RICHARD SILVERIA
Phone
5087711800
Address
297 NORTH STREET Suite BLDG 3, HYANNIS, MA 02601

Signing Officer

Name
Richard Silveria
Title
SVP Finance & CFO
Phone
7744705537
Signed
2022-08-03
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Michael K Lauf
Formed
1984
Legal Domicile
Ma
Voting Board Members
13
Independent Board Members
9
Employees
335
Volunteers
12

Preparer

Firm
PricewaterhouseCoopers LLP
Address
101 SEAPORT BLVD SUITE 500, BOSTON, MA 02210
Preparer
Michael Hoffman
Phone
6175305000
Supplemental Narrative

Additional Explanations

Form 990, Part I, Line 1 and Part III, Line 1

We will be the health service provider of choice for cape cod residents by achieving and maintaining the highest standards in health care delivery and service quality. To do so, we will partner with other health and human service providers as well as invest in needed medical technologies, human resources and clinical services. Above all, we will help identify and respond to the needs of our community. Community benefits mission statement cape cod healthcare, inc., (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. Target populations 1. Name of target population: residents across barnstable county with focus on specific regions of the cape most acutely impacted by geographic isolation, access to services, transportation barriers, and economic opportunity. Basis for selection: cchc's primary service area is barnstable county, which is a geographically isolated region located on the eastern seaboard of massachusetts and is made up of 15 towns. Nearly half the population of barnstable county reside in the three largest towns. Population size becomes increasingly smaller in towns of the lower and outer cape, and many of these towns are considered rural. Lack of access to healthcare and other supportive services is a major barrier to health for residents of these towns. 2. Name of target population: populations managing mental health and/or behavioral health disorders. Basis for selection: access to, and availability of, community-based behavioral health care in barnstable county is an area of concern. This is evidenced by high rates of patients presenting with mental health and substance use disorders in hospital emergency departments. Specific challenges reported by the community and included in the 2020-2022 cape cod hospital and falmouth hospital community health needs assessment report include access to services, lack of mental health services, substance use, lack of preventative services and stigma. 3. Name of target population: residents over the age of 65. Basis for selection: consistent with the previous chna, the population of barnstable county is older than for the state overall (27.8% vs. 15.1%). Barnstable county also has a higher proportion of residents who are within the "oldest" age categories compared to massachusetts overall, including those age 75-84 (8.8% vs. 4.4%) and those age 85 and older (3.9% vs. 2.3%). "aging health concerns" was the most frequently identified health concern for the community by survey respondents, with "health care services focused on seniors"support to older adults to maintain independent living" ranking among the most frequently selected health and social service priorities by survey respondents. 4. Name of target population: transitional-aged youth (18-24 years old). Basis for selection: the proportion of residents of barnstable county between 18 and 24 is lower than in the state (7.3% vs. 10.4%). Transitional-aged youth were identified in the 2020-2022 cape cod hospital and falmouth hospital community health needs assessment report as a specific at-risk population due to increasing rates of substance use treatment admissions and concerning health risk behaviors. The chna also identified the following needs that impact this population: workforce development, employment, education and economic opportunities. 5. Name of target populati

Plans for Next Reporting Year

In fy22, cchc community benefits will follow the 2020-2022 chna goals and strategic implementation plan. This plan was put together with 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 our next reporting year. We will also take a different approach with our annual strategic grant program. Historically we have kept the rfp for grant proposals specific, choosing just one priority from the chna to focus on. In order to make sure we are adequately addressing all identified priorities in the chna, and inviting as many diverse applicants as possible, we will expand the parameters of our grant making to accept all proposals that address any of our strategic priorities. We anticipate that this will draw new partnerships to address the myriad of issues facing our community, particularly those that were exacerbated by the pandemic. As next year (2022) is the final year for our current chna, we will ensure that every priority identified in the 2020-2022 chna has been adequately addressed. Self-assessment form: hospital self-assessment update form - years 2 and 3 community benefits programs supporting physical health . Program type: community-clinical linkages . Program is part of a grant or funding provided to an outside organization: yes . Program description: cchc invested in various programs that support physical health, including supporting community-based chronic and infectious disease treatment and prevention projects, as well as wellness projects aligned with the health priorities identified in the 2020-2022 chna. These initiatives focus on vulnerable populations and include: - health navigators - dental services - covid-19 prevention strategies including outdoor learning and a hotel program for people experiencing homelessness who need to isolate - disposal of unwanted medications - physical activity promotion - medical respite program for people experiencing homelessness - congestive heart failure clinic . Program hashtags: community health center partnership, health screening, prevention . Program contact information: jennifer cummings, 508-862-7849, 32 main st. Hyannis, ma 02601 . Eohhs focus issues: chronic disease with focus on cancer, heart disease, and diabetes, housing stability/homelessness . Don health priorities: built environment, education, housing, social environment . Health issues: chronic disease-alzheimer's disease, chronic disease-arthritis, chronic disease-asthma/ allergies, chronic disease-cardiac disease, chronic disease-chronic pain, chronic disease-colitis/crohn's disease, chronic disease-diabetes, chronic disease-hypertension, chronic disease-osteoporosis, chronic disease-overweight and obesity, chronic disease-pulmonary disease, chronic disease-sickle cell disease, chronic diseasestroke, infectious disease-hepatitis, infectious disease-hiv/aids, infectious disease-lyme disease, infectious disease-sexually transmitted diseases, infectious disease-tuberculosis, infectious disease-covid-19, other-dental health, other-senior health challenges/care coordination, social determinants of health-access to health care, social determinants of health-affordable housing, social determinants of health-homelessness, social determinants of health-income and poverty, social determinants of health-uninsured/underinsured . Target population: regions served: barnstable; environments served: rural, suburban; gender: all; age group: all; race/ethnicity: all; language: all; additional target population status: disability status, domestic violence history, incarceration history, lgbt status, refugee/immigrant status, veteran status goal description expand community navigator program to the town of provincetown. Community navigators meet weekly with cch staff to ensure a warm handoff for inpa

Community-based Mental Health Services

. Program type: direct clinical services . Program is part of a grant or funding provided to an outside organization: yes . Program description: cape cod healthcare behavioral health physicians and clinicians provide community-based mental health services throughout our region. This includes psychiatric consults to first responders, serving as the on-call psychiatrist to the community, a behavioral health community helpline, and the bridge clinic, which connects patients in inpatient treatment with community services. We also invest in community partners providing essential mental health services in our community including suicide prevention, older adult outreach, caregiver support services, and various support groups. Cchc clinicians also serve as subject matter experts on a variety of coalitions, committees and workgroups to shape policies and procedures for mental healthcare in our region. . Program hashtags: community education, community health center partnership, support group . Program contact information: jennifer cummings, 508-862-7849, 32 main st. Hyannis, ma 02601 . Eohhs focus issues: mental illness and mental health, substance use disorders . Don health priorities: built environment, social environment, violence . Health issues: health behaviors/mental health-bereavement, health behaviors/mental health-depression, health behaviors/mental health-immunization, health behaviors/mental health-mental health, health behaviors/mental health-stress management, social determinants of health-access to health care, social determinants of health-access to transportation, social determinants of health-domestic violence, social determinants of health-uninsured/underinsured, social determinants of health-violence and trauma, substance addiction-alcohol use, substance addiction-driving under the influence, substance addictionopioid use, substance addiction-substance use . Target population: regions served: barnstable; environments served: rural, suburban; gender: all; age group: all; race/ethnicity: all; language: all; additional target population status: disability status, domestic violence history, incarceration history, lgbt status, refugee/immigrant status, veteran status goal description support a psychiatric np at duffy health center to provide services for patients experiencing homelessness or at risk of homelessness. The psychiatric np provides client assessment, diagnosis, evaluation, medication management and counseling. This position also works on the bridge program that serves people transitioning out of inpatient mental health programs, as well as pathways to hope, a suicide prevention program. Goal status - total patients served - 283, or 1,579 patient encounters - bridge services program - 73 unique patients - pathways to hope program - 68 unique patients - social isolation is commonly experienced with pathways to hope participants, so a "connect" group was established via zoom this year. This group is social, not clinical, and patients really enjoy the group. Goal description provide support for caregivers of people experiencing alzheimer's /dementia through a partnership with the alzheimer's family support center of cape cod - offer 35 support groups - field 12 new calls for service per week. Goal status - expanded the number of support groups offered to 40 groups - increased the number of people accessing online and phone support services, fielding an average of 15 new calls for service per week - all other services of alzheimer's family support center of cape cod also increased this year. Goal description the senior outreach program of the samaritans on cape cod & the islands - increase awareness about crisis lines to elder population - increase participation in outgoing telephone outreach - reduce social isolation through one-on-one telephone outreach. Goal status - outreach to 1200 meals-on-wheels recipients - dramatic increase in number of seniors calling crisis lines from 1500 anticipated to 3621 actual cal

Substance Use Prevention

. Program type: community-clinical linkages . Program is part of a grant or funding provided to an outside organization: yes . Program description: cchc has identified a significant need for substance use disorder prevention and treatment in our community. Through a variety of programs and partnerships, cchc has made a commitment to direct resources towards this community health issue. Programs include: - peer-led recovery specialist services in the emergency departments at both cape cod and falmouth hospitals. Recovery specialists have the lived experience of addiction and recovery and engage patients with substance use disorders prior to discharge from the emergency departments. Recovery specialists work as part of the hospital care team with the objective to motivate patients to accept treatment for substance use disorders through a transfer to an inpatient treatment program or direct referrals to outpatient treatment programs. - recovery coaches in community based settings - school outreach programs - overdose outreach intervention - investments in prevention programs including mentoring for at risk youth - innovative treatments including office based addiction treatment - support services to meet community members where they are, including maternity department tours for mothers experiencing substance use disorder - wellness programs to support sober living - transportation to rehabilitation services for hospital patients . Program hashtags: community education, community health center partnership, prevention . Program contact information: jennifer cummings, 508-862-7849, 32 main st. Hyannis, ma 02601 . Eohhs focus issues: mental illness and mental health, substance use disorders . Don health priorities: built environment, education, social environment . Health issues: health behaviors/mental health-mental health, social determinants of health-access to health care, social determinants of health-access to transportation, social determinants of health-education/learning, substance addiction-alcohol use, substance addiction-opioid use, substance addiction-substance use . Target population: regions served: barnstable; environments served: rural, suburban; gender: all; age group: all; race/ethnicity: all; language: all; additional target population status: disability status, domestic violence history, incarceration history, lgbt status, refugee/immigrant status, veteran status goal description recovery specialists embedded in the cch and fh emergency departments. These specialists are imbedded and integrated into the hospital setting where they use an sbirt (screening, brief intervention, and referral to treatment) model to improve access and acceptance of sud treatment. They work with the patient while they are in the er and during the course of admittance to the medical floor if necessary, providing post discharge follow up services and direct referrals to inpatient and outpatient treatment settings. The program measures success in referring patients into substance use treatment settings; fy21 goal is 65%. Goal status - 715 referrals from cch and fh eds; 503 accepted treatment = 70% successful outcome rate. - 355 referrals from medical floors; 245 accepted treatment = 69% successful outcome rate. - 95% of participants reported satisfaction with the program. Goal description support an opioid outreach interventionist position to provide guidance, support and community- based recovery coaching for participants following a non-fatal overdose to help them access treatment and build community supports. The interventionist accompanies plain clothes police officers after a non-fatal overdose call and provides a short intervention with the goal of empowering participants to accept treatment. Goal is 65% acceptance rate. Goal status - program received 212 referrals, and 163 individuals (77%) accepted treatment, which includes inpatient, outpatient, and community based care - narcan distributed to 37 individuals. Goal description prov

Healthcare Access for Vulnerable Populations

. Program type: access/coverage supports . Program is part of a grant or funding provided to an outside organization: yes . Program description: in an effort to assist low-income and vulnerable populations, cch and fh provided various services to increase access to healthcare. The assistance program for vulnerable populations is highly utilized in the behavioral health center, the cancer centers, and the emergency departments. This includes: - access to transportation upon discharge to those patients without resources for transportation - transportation assistance to seniors for medical appointments - the prescription assistance program: an initiative of cch and fh emergency, behavioral health and pharmacy departments as a community benefit assisting uninsured, under-insured and financially disadvantaged patients with no other viable means to pay for medications upon discharge from hospital facilities - financial counselors assist patients with complicated medical bills and connect those in need to community resources. - shine (serving the health insurance needs of everyone) insurance assistance program provides free health insurance information, counseling and assistance to medicare beneficiaries. - providing technology to rural patients to access telehealth services - basic needs assistance and case management for people with chronic health conditions through a partnership with the cape cod times needy fund . Program hashtags: community education, health professional/staff training, prevention . Program contact information: jennifer cummings, 508-862-7849, 32 main st. Hyannis, ma 02601 . Eohhs focus issues: chronic disease with focus on cancer, heart disease, and diabetes, housing stability/homelessness, mental illness and mental health, substance use disorders . Don health priorities: built environment, education, housing, social environment . Health issues: other-senior health challenges/care coordination, social determinants of health-access to health care, social determinants of health-access to transportation, social determinants of health-income and poverty, social determinants of health-uninsured/underinsured . Target population: regions served: barnstable; environments served: rural, suburban; gender: all; age group: all; race/ethnicity: all; language: all; additional target population status: disability status, domestic violence history, incarceration history, lgbt status, refugee/immigrant status, veteran status goal description support the continued operation of shine (serving the health insurance needs of everyone) by providing factual information to medicare beneficiaries, as well as screening beneficiaries for assistance programs. Goal status - 5,692 medicare beneficiaries assisted by 51 shine counselors. This is a 8% decrease in volume over last year that is attributed to closings due to the pandemic. - trained 15 new counselors for fy22 - screened 100% of clients for assistance programs such as masshealth, prescription advantage, etc. Goal description partner with diverse community based organizations to positively impact social determinants of health and increase healthcare access in our community, particularly rural towns on the outer cape. Goal status - assisted 25 households with basic needs support through partnership with the cape cod times needy fund. 100% reported increased financial stability and 90% experienced increased family health. 71 % experienced improved access to care. - provided 12 months of internet access and a tablet to 120 households on the outer cape to ameliorate social isolation, access telehealth appointments and participate in virtual wellness programming - coordinated transportation to medical appointments for 262 women living with chronic health conditions in rural towns of barnstable county. Partners: barnstable county department of human services; cape & islands regional shine program - https://www.capecod.gov/departments/human-services/initiatives/shine/ cape cod times needy f

Workforce and Career Development Initiative

. Program type: total population or community-wide interventions . Program is part of a grant or funding provided to an outside organization: no . Program description: cchc invests in partnerships with local high schools, vocational schools, community colleges, universities, and allied health programs for job training, shadowing and internships with health care providers in various hospital departments including, but not limited to, phlebotomy, radiology, behavioral health, and materials management. Our efforts contributed to regional economic development efforts to increase opportunity for educational attainment and provide experience for individuals to obtain stable, quality, and well-compensated jobs in our region. Cchc also invests in trainings for clinical staff practicing in barnstable county. Examples include recruitment and credentialing for barnstable county's fqhc medical staff, specialty trainings such as "age specific considerations in caring for the cancer patient,technical trainings such as "intra-aortic balloon counterpulsation therapy." additionally, cchc engages in recruitment of providers for barnstable county's fqhcs, which increases access to healthcare by increasing the number of providers available in the region. . Program hashtags: health professional/staff training, mentorship/career training/internship, physician/provider diversity . Program contact information: jennifer cummings, 508-862-7849, 32 main st. Hyannis, ma 02601 . Eohhs focus issues: housing stability/homelessness . Don health priorities: education, employment . Health issues: social determinants of health-access to health care, social determinants of health-education/learning, social determinants of health-income and poverty, social determinants of health-language/literacy . Target population: regions served: barnstable; environments served: rural, suburban; gender: all; age group: adults, teenagers; race/ethnicity: all; language: all; additional target population status: disability status goal description partner with local high school systems to graduate licensed certified nurse assistants. Goal status 28 students graduated from barnstable public high school as newly licensed certified nurse assistants in june 2021. Goal description invest in the resiliency, empowerment, achievement, community and hope program, which aims to break the cycle of poverty by helping individuals achieve long-lasting self-sufficiency by assisting them in charting their path to success through midfulness practice, individualized coaching and goal setting. Goal status 40 individuals have graduated from the program, with 17 in the class of 2021. Goal description invest in the dental assistant training program at ellen jones community dental center. Goal status cchc community benefits provided funding for the first two students of harbor health's dental assistant trainee program. Goal description partner with riverview school on a job training program for students with complex language and learning needs. Goal status students engaged in on the job training in various departments in cch and fh including the emergency department, pharmacy and cafeteria. Partners: barnstable public schools - cna training program - www. Barnstable. K12. Ma .us homeless prevention council - reach program - www. Hpccapecod.org ellen jones community dental center - dental assistant training program - https://www. Hhsi.us/locations/ellen-jones-community-dental-center/ the institute for nonprofit practice community leadership course on cape cod - www. Nonprofitpractice.org riverview school - job training program for students with complex learning and language needs - www. Riverviewschool .org cancer prevention and cancer support services . Program type: direct clinical services . Program is part of a grant or funding provided to an outside organization: no . Program description: cchc cancer support services provides oncology patients and their families' psychological and social support dur

Maternal Child Health Initiatives

. Program type: community-clinical linkages . Program is part of a grant or funding provided to an outside organization: yes . Program description: as reported in the 2020-2022 chna, over one-quarter of people who gave birth in barnstable county were identified as having inadequate prenatal care, a proportion that is higher than the state (17%). Further the infant mortality rate for barnstable county is twice as high as the state rate (8.8 per 1,000 vs 4.3 per 1,000, respectively). To address these gaps in outcomes, cchc has invested in a myriad of maternal and child health programs. These include: - community based programs designed to build social networks for new mothers and reduce rates of postpartum depression - nourishing newborns together, a program to sign families up for wic benefits while in the hospital after giving birth - providing car seats to families who cannot afford them - breast feeding hotline and support groups - fatherhood initiative, providing support and education to fathers - children's cove partnership, which provides compassionate care to children who are victims of abuse - prenatal classes - various support groups - leadership on community coalitions and task forces including the maternal depression task force and the breastfeeding task force . Program hashtags: community education, support group . Program contact information: jennifer cummings, 508-862-7849, 32 main st. Hyannis, ma 02601 . Eohhs focus issues: mental illness and mental health, substance use disorders . Don health priorities: education, social environment . Health issues: cancer-breast, cancer-cervical, cancer-ovarian, health behaviors/mental health-depression, health behaviors/mental health-immunization, health behaviors/mental health-mental health, health behaviors/mental health-physical activity, health behaviors/mental health-responsible sexual behavior, health behaviors/mental health-stress management, injury-auto/passenger injuries, injury-first aid/acls/cpr, injury-home injuries, maternal/child health-child care, maternal/child health-family planning, maternal/child health-menopause, maternal/child health-parenting skills, maternal/child healthreproductive and maternal health, other-cultural competency, social determinants of health-access to health care, social determinants of health-access to healthy food, social determinants of health-access to transportation, social determinants of health-domestic violence, social determinants of healtheducation/learning, social determinants of health-environmental quality, social determinants of health- income and poverty, social determinants of health-nutrition, substance addiction-opioid use, substance addiction-substance use . Target population: regions served: barnstable; environments served: rural, suburban; gender: all; age group: adults, children, infants, teenagers; race/ethnicity: all; language: all; additional target population status: disability status, domestic violence history, incarceration history, lgbt status, refugee/immigrant status, veteran status goal description reduce the rates of postpartum depression in our community by investing in innovated community- based programs. Goal status the supporting new parents with postpartum depression program at cape cod children's place: - offered 19 breastfeeding support groups to 41 parents - 23 healing support groups to 45 parents - provided 139 home visits by a certified postpartum doula to 48 unique families - 120 baby bags distributed to families with information and resources the ymca moves of motherhood program served 15 moms and 20 babies/toddlers with services including swim classes, yoga and other wellness activities. Goal description insure postpartum mothers and newborns at cch receive appropriate, comprehensive and coordinated health care and social services, including wic benefits. Goal status - 210 mothers families enrolled in wic - provided 115 supportive referrals to families for medical or dental care, immunizati

Food Security Initiative

. Program type: community-clinical linkages . Program is part of a grant or funding provided to an outside organization: yes . Program description: access to affordable and healthy food was identified as a top social concern in the 2020-2022 chna. This need has been exasperated by the covid-19 pandemic. To address this need cchc made investments in local food pantries and other programs that address food security in our region. We also supported a mobile food pantry, public school meal program, and a vegetable prescription program. . Program hashtags: community education, community health center partnership, prevention . Program contact information: jennifer cummings, 508-862-7849, 32 main st. Hyannis, ma 02601 . Eohhs focus issues: chronic disease with focus on cancer, heart disease, and diabetes . Don health priorities: built environment, social environment . Health issues: social determinants of health-access to healthy food, social determinants of health-access to transportation, social determinants of health-income and poverty, social determinants of health-nutrition . Target population: regions served: barnstable; environments served: rural, suburban; gender: all; age group: all; race/ethnicity: all; l anguage: all; additional target population status: disability status, domestic violence history, incarceration history, lgbt status, refugee/immigrant status, veteran status goal description support barnstable public schools meal program. Goal status grant funding was used to purchase food carrier carts that were used to transport breakfast and lunch to each classroom at barnstable high school and barnstable intermediate school. Goal description provide access to healthy food for seniors and families on the lower cape who do not have access to a traditional bricks and mortar food pantry location through the healthy meals in motion mobile pantry, and increase the amount of produce provided by at least 30%. Goal status - served 272 households/465 individuals - distributed 6,244 bags/156,100 pounds of food - provided 130,083 meals - now distribute 35% of all foods as fresh fruits and vegetables. Goal description increase access to fruits and vegetables in a low income rural senior population with chronic cardiometabolic illness. Goal status cchc community benefits invested in a 12-week piolet program to increase access that included transportation assistance, education, food assistance and a social component. The program provided free, local produce to 25 participants and included a consultation with a nutritionist and blood pressure checks. Participants reported eating 350% more fruits and vegetables after participation. Partners: barnstable public schools - high school and intermediate school - www.barnstablek12.ma.us the family pantry of cape cod - healthy meals in motion mobile food pantry - www.thefamilypantry.com sustainable cape - increasing access to fruits and vegetables in a low income rural senior population with chronic cardiometabolic illness - www.sustainablecape.org health education . Program type: total population or community-wide interventions . Program is part of a grant or funding provided to an outside organization: no . Program description: at cape cod hospital and falmouth hospital, health education and outreach activities are offered to the community across a number of different health areas. From maternity department tours, breastfeeding and new parenting classes, to community-based diabetes and stroke education, the hospitals dedicate clinical staff and resources to support the education and health literacy of barnstable county residents. This year we also engaged in awareness campaigns on issues related to women's health, behavioral health, and covid-19. . Program hashtags: community education, health professional/staff training, prevention . Program contact information: jennifer cummings, 508-862-7849, 32 main st. Hyannis, ma 02601 . Eohhs focus issues: chronic disease with focus on cancer, heart d

Functional Expense Note

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 XI, Line 9

Other changes in net assets or fund balances change in value split interest agreement $ 226,172 change in perpetual trusts $ 3,409,968 transfers to/from affiliates $(1,009,071) net assets released from restrictions $(2,507,721) 457b&f expenses $(2,473,015) ------------- other changes in net assets $(2,353,667) =============

Financial Statement Notes

Schedule D, Part X, Line 2

The organization does not have a fin 48 footnote as any uncertain tax positions were deemed immaterial.

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IRS990/Form990PartVIISectionAGrp/TitleTxt1TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt2SVP FINANCE/CFO (UNTIL 7/21)
IRS990/Form990PartVIISectionAGrp/TitleTxt3SVP CHIEF QUALITY & SAFETY OFF
IRS990/Form990PartVIISectionAGrp/TitleTxt4SVP & CIO
IRS990/Form990PartVIISectionAGrp/TitleTxt5SVP MANAGED CARE
IRS990/Form990PartVIISectionAGrp/TitleTxt6SVP, CLO, CO-CLERK
IRS990/Form990PartVIISectionAGrp/TitleTxt7TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt8SVP OF MRKTG,COMMUN AND DEVLP
IRS990/Form990PartVIISectionAGrp/TitleTxt9SEE SCHEDULE O
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IRS990/Form990PartVIISectionAGrp/TitleTxt11SVP EMPLOYED PHYSICIAN GROUP
IRS990/Form990PartVIISectionAGrp/TitleTxt12VP PATIENT FIN SVC & REV CYCLE
IRS990/Form990PartVIISectionAGrp/TitleTxt13SVP DEVELOPMENT
IRS990/Form990PartVIISectionAGrp/TitleTxt14VP BUDGETING AND OPER SUPPORT
IRS990/Form990PartVIISectionAGrp/TitleTxt15VP FINANCE (UNTIL 2/20)
IRS990/Form990PartVIISectionAGrp/TitleTxt16VP FINANCE & TREAS(AS OF 2/20)
IRS990/Form990PartVIISectionAGrp/TitleTxt17SVP STR GOV'T AFF (UNTIL 8/20)
IRS990/Form990PartVIISectionAGrp/TitleTxt18VP HR (AS OF 11/20)
IRS990/Form990PartVIISectionAGrp/TitleTxt19SVP HR (UNTIL 4/20)
IRS990/Form990PartVIISectionAGrp/TitleTxt20TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt21TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt22TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt23TRUSTEE (UNTIL 5/21)

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$515$222$293$163$152$10.7
2023Summary only. Only limited summary data is available for this year.$463$214$250$148$142$5.85
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$423$195$229$136$128$8.15
2021Detailed filing. Detailed filing data is available for this year.$447$186$261$142$127$14.8
2021Summary only. Only limited summary data is available for this year.$447$186$261$142$127$14.8
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$424$189$235$116$107$9.39
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$404$176$227$114$107$7.30
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$397$162$236$120$81.5$38.7
2017Summary only. Only limited summary data is available for this year.$347$134$213$77.4$72.1$5.34
2016Detailed filing. Detailed filing data is available for this year.$274$101$173$64.3$60.2$4.05
2015Detailed filing. Detailed filing data is available for this year.$250$91.1$159$48.7$45.4$3.34
2014Detailed filing. Detailed filing data is available for this year.$229$67.4$161$58.6$54.5$4.08
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$204$58.8$145$30.8
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$195$56.8$138$35.6
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$145$33.1$112$31.9
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$146$54.8$91.1$29.8
Peer Organizations

Similar nonprofits based on the same Siviq industry and scale cohort. 2021 filings • 501(c)3 • $250M-$1B nonprofits