Cape Cod Healthcare Inc.

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

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

“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.”

“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.”

“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.”

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

“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.”

“The full title for jean butler is svp employed physician group (until 9/22), svp finance (as of 9/22) the full title for ramani ayer is vice chair (until 5/22), treasurer/trustee the full title for sheryl decilio is vp patient fin svc & rev cycle (until 4/21) the full title for noelene cervin is vp budgeting and oper. Support (until 7/22)”

“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.”

“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.”

“Cape cod healthcare (cchc) is the leading provider of healthcare services for residents and visitors of cape cod. With more than 450 physicians, 5,300 employees and 790 volunteers, cape cod healthcare has two acute care hospitals, cape cod hospital and falmouth hospital; vna of cape cod, the cape's leading provider of homecare and hospice services; a skilled nursing and rehabilitation facility (jml care center); an assisted living facility (heritage at falmouth); and numerous health programs. Major service areas include cardiovascular services with interventional cardiology suites for emergency and elective angioplasty, electrophysiology and cardiac rehabilitation; inpatient and outpatient surgery including cardiac, orthopedic and neurosurgery; cancer services - medical oncology and radiation therapy; women's health services, including imaging, maternity, breast health and gynecological care; advanced diagnostic imaging services, including mri, low-dose ct, digital x-ray, pet, ultrasound and nuclear medicine; a behavioral health center with inpatient and outpatient mental health and behavioral health services; infectious disease clinical services; physical and occupational rehabilitation programs that feature cardiac and pulmonary rehabilitation programs. During the year ended september 30, 2022 the two hospitals had 20,598 acute adult discharges, 126,950 outpatient visits, 990 births, 13,853 surgeries, and 105,583 emergency room visits. Through its community benefits initiative, cchc is committed to enhancing the quality of and access to comprehensive healthcare services for all cape cod residents. Through continuous assessment of community needs, coordinated planning and the allocation of resources, this commitment includes a special focus on the unmet needs of the financially disadvantaged and underserved populations on cape cod. From the period 10/1/2021 - 9/30/2022, cchc community benefits provided support to health and human services organizations and addressed barriers to care by adding supportive connectors in the continuum of care. Key accomplishments of the reporting year include: - continued to implement programs and partner with community-based organizations to address the five priorities outlined in cchc's 2020-2022 community health needs assessment (chna): physical health, behavioral health including substance use disorders, housing, transportation and workforce development. - supported partnerships with over 40 local nonprofit health and human service organizations and a network of federally qualified health centers through project support and grant investments to improve the health of barnstable county residents. - provided over $22 million in charity care to the cape cod community. - hospital staff dedicated time and expertise to strategic partnerships, coalitions, and task force efforts locally, regionally and across massachusetts. - continued to respond to the community's pandemic-related needs, including coordinating efforts to administer covid-19 vaccines and testing, as well as addressing the soaring need for behavioral health services in the community that stemmed from the pandemic. - conducted an extensive recruitment campaign to increase the diversity of our community health committee and added 10 new members in the beginning of 2022. The community health committee is comprised of members representing healthcare services on cape cod, community-based organizations, community advocacy groups and county government, as well as members of the board of trustees. - increased the diversity of our programs and partnerships to ensure we work with a broad range of organizations and partners that are diverse along the lines of geography, service line, race and ethnicity, organization type, etc. - partnered with the cape cod foundation and the cape & islands funders collaborative to increase the impact of cchc's financial support to a number of community-based organizations that address cchc's current chna prioriti”

“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.”

“Cape cod healthcare, inc.'s volunteers include its trustees.”

“Other changes in net assets or fund balances change in value split interest agreement $ (71,696) change in perpetual trusts $(5,204,609) transfers to/from affiliates $(1,186,411) net assets released from restrictions $(2,710,328) 457b&f expenses $ 2,696,482 ------------- other changes in net assets $(6,476,562) =============”