2026-08-17T13:03:48-05:00 2025-09-30 PwC US Tax LLP 101 SEAPORT BLVD SUITE 500 BOSTON MA 02210 990 2024-10-01 900054984 CAPE COD HEALTHCARE INC & AFFILIATES % KEVIN HAND CAPE 5087711800 297 NORTH ST BLDG 3 HYANNIS MA 02601 KEVIN HAND CFO 7744705542 2026-08-11 true true ERICA R MCREYNOLDS P00977806 6175305000 2026-08-06 2024 2025-03-06 01:10:19Z MICHAEL K LAUF 88 LEWIS BAY ROAD HYANNIS MA 02601 1190938110 true true 3901 X WWW.CAPECODHEALTH.org X SEE SCHEDULE O 15 10 5376 365 5974189 247355 16439005 19107108 1075245177 1140031434 24203119 30267619 1327424 1390250 1117214725 1190796411 992620 1071227 0 0 594882752 604400862 34985 0 3010062 496339964 532333003 1092250321 1137805092 24964404 52991319 1260952242 1388197702 306708716 353752461 954243526 1034445241 X SEE SCHEDULE O false false 1051030172 1071227 1140031434 CAPE COD HEALTHCARE (CCHC) IS THE LEADING PROVIDER OF HEALTHCARE SERVICES FOR RESIDENTS AND VISITORS OF CAPE COD. WITH MORE THAN 600 PHYSICIANS, OVER 5,000 EMPLOYEES AND 300 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 FY25, THE TWO HOSPITALS HAD 23,189 ADMISSIONS, 688,320 OUTPATIENT VISITS, 909 BIRTHS, 14,524 SURGERIES, AND 113,294 EMERGENCY ROOM VISITS. THE URGENT CARE CENTERS HAD 128,027 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 10/1/2024- 9/30/2025 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 60 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 (FY25) REPRESENTED THE FINAL YEAR OF OUR CURRENT CHNA. 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. IN THE FINAL YEAR OF THE CURRENT CHNA, CCHC HAS TARGETED MANY OF THESE NEEDS. ONE OF THE KEY ACCOMPLISHMENTS OF THIS YEAR IS SETTING AND MEETING HEALTH EQUITY COMMUNITY BENEFITS INVESTMENT GOALS. CCHC COMMUNITY BENEFITS HAS BENCHMARKS IN PLACE TO HIT EACH YEAR TO ENSURE THE FINANCIAL INVESTMENTS WE MAKE IN THE COMMUNITY ALIGN WITH THE PERCENTAGE OF THE COUNTY'S POPULATION THAT IDENTIFY AS THE FOLLOWING HISTORICALLY UNDERINVESTED GROUPS: BLACK, BRAZILIAN/HISPANIC, LGBTQ+, PEOPLE WITH DISABILITIES, AND NON-ENGLISH SPEAKING AND/OR MIGRANT INDIVIDUALS. OTHER KEY ACCOMPLISHMENTS INCLUDE PROVIDING MILLIONS OF DOLLARS 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 FY25 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. 1051030172 true true false true false false false false false true true true false true true false false true false false true false false false true false true true true true true true false false false false false false false false true false true false false false false true true true false false true 6 0 true 5376 true true true false false false false true true false false false false false false X 15 10 true false false false true true true true true false false true true true true true true false true true true MA X KEVIN HAND 7744705542 297 NORTH STREET HYANNIS MA 02601 X MICHAEL K LAUF PRESIDENT/CEO/TRUSTEE 55.0 5.0 X X 0 1739230 290689 ACHILLES PAPAVASILIOU MD PHYSICIAN 40.0 0.0 X 1424793 0 53143 GORDON NAKATA MD PHYSICIAN 40.0 0.0 X 1214496 0 53143 NICHOLAS COPPA MD PHYSICIAN 40.0 0.0 X 1201937 0 51243 PAUL HOULE MD PHYSICIAN 40.0 0.0 X 1142379 0 50443 MICHAEL O'BOYLE MD PHYSICIAN 40.0 0.0 X 1035785 0 52243 JOHN HOSTETTER MD TRUSTEE/PHYSICIAN 40.0 2.0 X 696357 0 51439 LORI JEWETT CHIEF OPERATING OFFICER 45.0 5.0 X 0 655102 79006 RICHARD SILVERIA SVP FINANCE/CFO (UNTIL 4/25) 55.0 5.0 X 0 631477 69053 WILLIAM AGEL MD CHIEF MEDICAL OFFICER 45.0 5.0 X 0 598540 66058 JOHN PAUL SOLVERSON SVP/CHIEF INFORMATION OFFICER 45.0 5.0 X 0 543861 66488 THEODORE CALIANOS MD SEE SCHEDULE O 45.0 5.0 X 271511 211909 50191 MICHAEL G JONES ESQ SVP/CLO/CO-CLERK 55.0 5.0 X 0 457916 74646 BENJAMIN LEVIN MD PHYSICIAN 40.0 0.0 X 464838 0 52143 CHRISTOPHER M LAWSON SVP/CHIEF DEVELOPMENT OFFICER 45.0 5.0 X 0 449783 66843 C JEFFREY SIEGERT MD TRUSTEE/PHYSICIAN 40.0 2.0 X 460630 46875 3181 MICHELLE SKARBEK SEE SCHEDULE O 45.0 5.0 X 0 396338 64772 CARTER HUNT CHIEF OPERATING OFFICER FH 45.0 5.0 X 0 338855 65587 ELIZABETH DUNTON VP EMPLOYED PHYSICIAN GROUP 45.0 5.0 X 0 371873 30356 KUMARA D SIDHARTHA CHF HLTH EQTY & WELL OFFICER 45.0 5.0 X 0 356997 41099 STEPHEN BROOKS MD TRUSTEE/PHYSICIAN 40.0 2.0 X 364792 17830 4488 JEAN BUTLER SEE SCHEDULE O 55.0 5.0 X 0 335738 44474 MICHAEL BACHSTEIN VP FACILITIES MANAGEMENT 45.0 5.0 X 0 345192 27774 KEVIN MULROY PHYSICIAN 40.0 0.0 X 335700 0 13428 MARY JOHNSON VP PATIENT CARE, CNO 45.0 5.0 X 0 303904 39512 ANNE MARIE PECKHAM PRESIDENT VNA 45.0 5.0 X 0 294257 38733 REBECCA DAYTON VP REVENUE CYCLE (AS OF 1/24) 45.0 5.0 X 18024 258946 43876 REBEKAH DAY CHIEF NURSING OFFICER FH 45.0 5.0 X 235828 0 53470 CHRISTIAN BROWN SVP MANAGED CARE (UNTIL 5/24) 27.0 3.0 X 0 151675 21447 MARY CALLOE VP REVENUE CYCLE (UNTIL 1/24) 45.0 5.0 X 0 113604 2336 BRUCE JOHNSTON CLERK (UNTIL 5/25)/TRUSTEE 5.0 5.0 X X 0 0 0 NATHAN RUDMAN MD SEE SCHEDULE O 5.0 5.0 X X 0 0 0 RAMANI AYER TREASURER (AS OF 5/25)/TRUSTEE 5.0 5.0 X X 0 0 0 ROBERT TALERMAN SEE SCHEDULE O 5.0 5.0 X X 0 0 0 ROBIN DEVEREUX CHAIRPERSON/TRUSTEE 5.0 5.0 X X 0 0 0 DAVID LANG TRUSTEE (AS OF 7/25) 2.0 2.0 X 0 0 0 GARY SHEEHAN TRUSTEE 2.0 2.0 X 0 0 0 KEVIN VILSAINT MD TRUSTEE 2.0 2.0 X 0 0 0 LAWRENCE CAPODILUPO TRUSTEE 2.0 2.0 X 0 0 0 LINDA TILTON GIBSON TRUSTEE 2.0 2.0 X 0 0 0 ROBERT WILSTERMAN MD TRUSTEE 2.0 2.0 X 0 0 0 SHARON KENNEDY TRUSTEE 2.0 2.0 X 0 0 0 8613218 7801420 1461442 1276 true true false CAPE COD HEALTHCARE INC 297 NORTH STREET BLDG 3 HYANNIS MA 02601 CENTRALIZED SERVICES 128654292 1 259023 5725713 13122372 285424 19107108 PATIENT SERVICE REVENUE 900099 1101215104 1100995542 219562 SPECIMEN COLLECTION SERVICES 621500 5754627 0 5754627 PROGRAM RELATED RENTAL INCOME 900099 3402891 3402891 JOINT VENTURE REVENUE 900099 2661666 2661666 QUALITY EARNED PAYMENTS 900099 22785408 22785408 4211738 4211738 1140031434 14757137 14757137 0 0 0 0 0 15510482 15510482 15510482 15510482 448654 259023 141699 306955 306955 0 0 0 0 0 0 CAFETERIA INCOME 900099 739739 739739 THRIFT SHOP INCOME 900099 256550 256550 MEDICAL RECORDS 900099 87006 87006 1083295 1190796411 1134057245 5974189 31657869 968620 968620 102607 102607 0 0 2306592 2306592 0 1908365 1908365 0 486097918 454768817 29903997 1425104 13682270 12429106 1196160 57004 69285688 64319575 4748139 217974 31120029 28599801 2413253 106975 8295113 4943180 3350556 1377 283012 7254 275758 823131 0 823131 0 0 624376 57001 567375 53020386 53020386 423069 387114 29519 6436 3690116 3384544 251196 54376 2475390 2239705 180899 54786 0 19592154 18298042 1244633 49479 1649060 1527924 75812 45324 0 0 1048382 943591 104791 0 30602903 27733939 2862282 6682 10673911 9822787 851124 DRUG & MEDICAL SUPPLIES 189192547 189192547 0 0 ADMIN OFFICE OVERHEAD 128116131 97058062 30525460 532609 PURCHASED SERVICES 31344204 29418859 1923220 2125 BAD DEBTS 19941374 19941374 0 0 30537744 27650380 2437553 449811 1137805092 1051030172 83764858 3010062 13475206 22800945 16576530 27035927 17352768 15848901 105526798 116039708 0 0 0 0 6485446 0 17355969 18235484 3481569 2864585 995533839 534029785 408430666 461504054 0 0 554640688 590674451 127000 192000 0 0 117499602 133001647 1260952242 1388197702 77224740 83424030 0 0 450308 1445034 80633210 118976404 0 0 0 0 467952 6044729 0 0 147932506 143862264 306708716 353752461 X 857894668 946560937 96348858 87884304 954243526 1034445241 1260952242 1388197702 X 52991319 25998823 1211573 X false true X true true true X 42848214 39547726 27202526 16439005 19107108 145144579 0 0 42848214 39547726 27202526 16439005 19107108 145144579 5888112 139256467 6691992 8089012 12584061 12449747 14757137 54571949 -133849 1110219 47918 21390 144285 1189963 835990 782806 943973 1420996 1531949 5515714 206422205 5146393859 0.67462 0.77060 X false false false false false 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 69529 69529 false 0 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, $55,017, WHICH IS 15.85% OF DUES PAID SHOULD BE ALLOCATED TO LOBBYING ACTIVITY. CAPE COD HEALTHCARE, INC. AND AFFILIATES ALSO PAID MEMBERSHIP DUES TO VARIOUS HEALTHCARE-RELATED NOT-FOR-PROFIT ASSOCIATIONS OF WHICH $14,512 AMOUNT IS CONSIDERED LOBBYING. 51123610 80000 4218402 1176093 54245919 43684073 45000 8560438 1165901 51123610 41204632 75430 3581952 1177941 43684073 50134744 384054 -8152097 1162069 41204632 43621531 1039075 6590633 1116495 50134744 0.00000 0.80020 0.19980 false true true 15885159 15885159 568189193 271236967 296952226 9639775 5512023 4127752 307495603 236427848 71067755 94324109 20852947 73471162 461504054 UNRESTRICTED INVESTMENTS 313934386 F TEMP RESTRICTED INVESTMENTS 2645565 F INTEREST IN FDN UNRESTRICTED 216345200 F INTEREST IN FDN TEMP RESTRCTD 17678262 F INTEREST IN FDN PERM RESTRCTD 40071038 F 590674451 DUE FROM AFFILIATES 127075201 ROU ASSETS - OPERATING LEASES 4270454 EPIC IMPLEMENTATION PROJECT 1655992 133001647 0 DUE TO AFFILIATES 117899634 THIRD PARTY RESERVES 11312814 DETERMINATION OF NEED 5379084 OPERATING LEASES 4291450 COVID-19 GRANT RESERVE 4122658 MISC OTHER LIABILITIES 856624 143862264 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. Central America and the Caribbean Program Services CAPTIVE INSURANCE 10615891 10615891 10615891 false false false false false false 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. AZ DE FL ID IL IN IA MA MI MT NE NH NJ NY NC PA SC SD UT VT WI WY CUMMAQUID GOLF 255109 21941 233168 11275 24007 EASTWARD HO BEN 185200 114819 70381 9491 2065 11972 2 267368 122263 145105 63865 19024 707677 259023 448654 84631 2065 55003 141699 306955 true true X true X true X true true false true true 11734387 3007971 8726416 0.00780 105475197 93671185 11804012 0.01060 18683146 12660304 6022842 0.00540 135892730 109339460 26553270 0.02380 5689686 5689686 0.00510 3230982 3230982 0.00290 477913545 422409268 55504277 0.04970 645723 645723 0.00060 487479936 422409268 65070668 0.05830 623372666 531748728 91623938 0.08210 108910 108910 15000 15000 51751 51751 32995 32995 130730 130730 35000 35000 374386 374386 true 19941374 7519622 383125159 339089966 44035193 X true true 2 1 CAPE COD HOSPITAL 27 PARK STREET HYANNIS MA 02601 SEE PART V, SECTION C 2135 X X X A 2 FALMOUTH HOSPITAL ASSOCIATION INC 100 TER HEUN DRIVE FALMOUTH MA 02540 SEE PART V, SECTION C 2289 X X X A A 12 false false true X X X X X X X X X 24 true true false true X SEE PART V, SECTION C X true 24 true SEE PART V, SECTION C false true X 200. 300. X X X true true X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X true X false false PART V, SECTION A WEBSITES PART V, SECTION A, LINE 1 - CAPE COD HOSPITAL WWW.CAPECODHEALTH.ORG/LOCATIONS-AND-DIRECTIONS/PROFILE/CAPE-COD-HOSPITAL/ PART V, SECTION A, LINE 2 - FALMOUTH HOSPITAL WWW.CAPECODHEALTH.ORG/LOCATIONS-AND-DIRECTIONS/PROFILE/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-ONE 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, PERCEPTIONS OF COMMUNITY SERVICES, AND PERCEPTIONS OF CCHC. . COMMUNITY FOCUS GROUPS. THREE 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 HAITIAN -CREOLE-SPEAKING RESIDENTS, PORTUGUESE-SPEAKING RESIDENTS AND SPANISH-SPEAKING RESIDENTS. A TOTAL OF 23 RESIDENTS PARTICIPATED ACROSS THE THREE 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 1,418 TOTAL RESIDENTS. A LIST OF PARTICIPANTS AND DEMOGRAPHIC CHARACTERISTICS CAN BE FOUND IN APPENDIX A AND B OF THE 2026-2028 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/1b8bd95a-e2d6-420c-845b-76d f6883d2c4/2026-2028%20Community%20Health%20Needs%20Assessment%20PP_2025120 3.pdf PART V, SECTION B, LINE 10(A) HTTPS://WWW.CAPECODHEALTH.ORG/APP/FILES/PUBLIC/106BF708-7699-4642-BAA4-5E7 2C1DF3944/FY26%20SIP%20FINAL.PDF PART V, SECTION B, LINE 11 IN JANUARY 2025 CCHC COMMUNITY BENEFITS STAFF, CCHC LEADERSHIP AND COMMUNITY STAKEHOLDERS BEGAN 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/APP/FILES/PUBLIC/C6B6F858-73EF-445C-BFB0-86F F23F2F68D/FINANCIAL-ASSISTANCE-POLICY-ENGLISH-MAY25.PDF 92 CAPE COD HEALTHCARE INC 297 NORTH STREET BLDG 3 HYANNIS MA 02601 ADMINISTRATIVE Fontaine Primary Care 525 Long Pond Drive HARWICH MA 02645 medical group practice CCHC Neurosurgery 46 NORTH ST STE 4 HYANNIS MA 02601 medical group practice Fal Hosp Medical Center at Bramblebush 21 Bramblebush Park FALMOUTH MA 02540 medical group practice Seaside Pediatrics 150 Ansel Hallet Road West Yarmouth MA 02673 medical group practice Guo X Y David MD PhD-GASTROENTEROLOGY 90 TER HEUN DRIVE STE 302 Falmouth MA 02540 medical group practice CCHC Stoneman Primary Care 2 Jan Sebastian Way Suite 100 Sandwich MA 02563 medical group practice CCHC Gastroenterology - Hyannis 700 ATTUCKS LANE STE 1E Hyannis MA 02601 medical group practice CCHC Plastic Surgery 160 Falmouth Road Suite B MASHPEE MA 02649 medical group practice CAPE COD OBSTETRICS & GYNECOLOGY 90 Ter Heun Drive SUITE 100 Falmouth MA 02540 medical group practice Endocrine Center of Cape Cod - Hyannis 1030 FALMOUTH RD STE 201 Hyannis MA 02601 medical group practice CARDIOVASCULAR CENTER - FALMOUTH 90 Ter Heun Drive Suite 300 Falmouth MA 02540 medical group practice Nauset Family Practice 81 Old Colony Way STE D ORLEANS MA 02653 medical group practice Cape Health Insurance Company - FOREIGN 297 NORTH ST 3 HYANNIS MA 02601 administrative JML Care Center 184 Ter Heun Drive falmouth MA 02540 skilled nur & rehab Cape & Islands Health Services II Inc 14 Yellow Brick Road HYANNIS MA 02601 COLLECTION CENTER Cape & Islands Health Services II 5 Industrial Drive Suite 102 MASHPEE MA 02649 COLLECTION CENTER Cape & Islands Health Services II 525 Long Pond Drive HARWICH MA 02645 COLLECTION CENTER Cape & Islands Health Services II 81 Old Colony Way ORLEANS MA 02653 COLLECTION CENTER Cape & Islands Health Services II 2 Jan Sebastian Way Route 130 SANDWICH MA 02563 COLLECTION CENTER Cape & Islands Health Services II 860 Route 134 Unit 2 South Dennis MA 02660 COLLECTION CENTER Cape Cod Healthcare Lab Services 1 Trowbridge Place Bourne MA 02532 COLLECTION CENTER Cape & Islands Health Services II 27 PARK STREET HYANNIS MA 02601 COLLECTION CENTER Heritage at Falmouth 140 Ter Heun Drive FALMOUTH MA 02540 ASSISTED LIVING Cape Cod Human Services 460 West Main Street HYANNIS MA 02601 outpatient clinic Cape Cod Human Services 525 Long Pond Drive HARWICH MA 02645 outpatient clinic Cape Cod Medical Office Building Inc 20 Gleason Street HYANNIS MA 02601 MEDICAL GROUP PRACTICE CAPE COD Dermatology 134 Ansel Halet Road W Yarmouth MA 02673 Medical Group Practice Cape Cod Rheumatology Center - Hyannis 1030 FALMOUTH RD STE 201 HYANNIS MA 02601 MEDICAL GROUP PRACTICE CCHC Cardiovascular Center - Hyannis 25 Main Street HYANNIS MA 02601 MEDICAL GROUP PRACTICE Endocrine Center of Cape Cod - Harwich 525 Long Pond Drive HARWICH MA 02645 MEDICAL GROUP PRACTICE Fontaine Urgent Care Center 525 Long Pond Drive HARWICH MA 02645 MEDICAL GROUP PRACTICE Vascular & Vein Center Of Cape Cod - FAL 90 Ter Heun Drive 3RD Fl MOB STE Falmouth MA 02540 Medical Group Practice CCHC General & Specialty Surgery 105 Park Street Hyannis MA 02601 Medical Group Practice GASTROENTEROLOGY HYANNIS - PARK STREET 105 PARK STREET HYANNIS MA 02601 Medical Group Practice STONEMAN OUTPATIENT CENTER - URGENT CARE 2 JAN SEBASTIAN DRIVE SUITE 101 SANDWICH MA 02563 Medical Group Practice MASHPEE SURGICAL CENTER 160 FALMOUTH ROAD SUITE A MASHPEE MA 02649 MEDICAL GROUP PRACTICE CCHC PODIATRIC MEDICINE & FOOT SURGERY 1030 FALMOUTH RD RTE 28 SUITE 20 HYANNIS MA 02601 MEDICAL GROUP PRACTICE VNA of Cape Cod - Harwich 1 AUSTON RD F HARWICH MA 02645 HOME HEALTH VNA OF CAPE COD - EASTHAM 3960 STATE HWY RD 6 2 EASTHAM MA 02642 HOME HEALTH VNA OF CAPE COD - FALMOUTH 67 TER HEUN DR FALMOUTH MA 02540 HOME HEALTH VNA OF CAPE COD - MARTHA'S VINEYARD 49 STATE RD VINEYARD HAVEN MA 02568 HOME HEALTH VNA OF CAPE COD - NANTUCKET 40 Sherburne Commons Sherburne Hou NANTUCKET MA 02554 HOME HEALTH VNA OF CAPE COD - PROVINCETOWN 26 ALDEN ST PROVINCETOWN MA 02657 HOME HEALTH VNA OF CAPE COD - SOUTH DENNIS 434 ROUTE 134 BLDG D 3 SOUTH DENNIS MA 02660 HOME HEALTH CAPE & ISLANDS HEALTH SERVICES II 35 WILKENS LANE HYANNIS MA 02601 COLLECTION CENTER North Falmouth Primary Care 33 Edgerton Drive Falmouth MA 02556 MEDICAL GROUP PRACTICE Cape Cod Ear Nose and Throat Specialist 65 Cedar Street Hyannis MA 02601 MEDICAL GROUP PRACTICE Cape Cod Pulmonary Medicine 46 North Street Unit 7 Hyannis MA 02601 Medical Group Practice VNA of Cape Cod - Sagamore Beach 110 State Road Unit 3 Sagamore Beach MA 02562 Home Health CAPE COD RHEUMATOLOGY CENTER - FALMOUTH 90 TER HEUN DRIVE SUITE 302 3RD FALMOUTH MA 02540 MEDICAL GROUP PRACTICE FALMOUTH PRIMARY CARE 90 TER HEUN DRIVE SUITE 2300 FALMOUTH MA 02540 MEDICAL GROUP PRACTICE MASHPEE PRIMARY CARE 5 INDUSTRIAL DRIVE SUITE 205 MASHPEE MA 02649 MEDICAL GROUP PRACTICE OSTERVILLE PRIMARY CARE 770 MAIN STREET OSTERVILLE MA 02655 MEDICAL GROUP PRACTICE STRAWBERRY HILL PRIMARY CARE 1030 FALMOUTH ROAD 1ST FLOOR STE HYANNIS MA 02601 MEDICAL GROUP PRACTICE FALMOUTH ORTHOPEDIC CARE 360 GIFFORD STREET FALMOUTH MA 02540 MEDICAL GROUP PRACTICE YARMOUTH PRIMARY CARE 495 STATION AVE SOUTH YARMOUTH MA 02664 MEDICAL GROUP PRACTICE CAPE COD HEALTHCARE LAB SERVICES CHATHAM 1629 Main St CHATHAM MA 02633 REHABILITATION IMAGING & RADIOLOGY - URGENT CARE - FAL 273 Teaticket Highway FALMOUTH MA 02540 RADIOLOGY STRAWBERRY HILL DERMATOLOGY 1030 FALMOUTH ROAD HYANNIS MA 02601 DERMATOLOGY IMAGING & RADIOLOGY URGENT CARE HYANNIS 1220 Iyannough Road HYANNIS MA 02601 RADIOLOGY CCHC GENERAL & THORACIC SURGERY 130 NORTH STREET HYANNIS MA 02601 THORACIC SURGERY CCHC - URGENT CARE - OSTERVILLE 770 Main Street OSTERVILLE MA 02655 URGENT CARE CCHC - CARDIOVASCULAR CENTER - SANDWICH 2 Jan Sebastian Drive SANDWICH MA 02563 CARDIOVASCULAR CENTER Neurologists of Cape Cod 2 Jan Sebastian Drive SANDWICH MA 02563 MEDICAL PRACTICE GROUP SANDWICH PRIMARY CARE 2 Jan Sebastian Drive SANDWICH MA 02563 PRIMARY CARE Bourne Primary Care 1 Trowbridge Place Bourne MA 02532 COLLECTION CENTER Cape Obstetrics & Gynecology 1 Trowbridge Place Bourne MA 02532 MEDICAL GROUP PRACTICE Cape Cod Healthcare Orthopedic Surgery 1220 Iyannough Road Hyannis MA 02601 MEDICAL GROUP PRACTICE Cape Cod Healthcare Urgent Care -Orleans 42 Route 6A Orleans MA 02653 URGENT CARE Falmouth Hospital Med Ctr - Bramblebush 5 Bramblebush Drive Falmouth MA 02540 MEDICAL GROUP PRACTICE McCarthy Care Center 73 Service Road East Sandwich MA 02537 MEDICAL GROUP PRACTICE CAPE & ISLANDS HEALTH SERVICES II 100 Ter Heun Drive Falmouth MA 02540 COLLECTION CENTER CAPE OBSTETRICS & GYNECOLOGY 2 JAN SEBASTIAN DRIVE SANDWICH MA 02563 MEDICAL GROUP PRACTICE CAPE COD HEALTHCARE DEMENTIA & ALZHEIMER 1019 IYANNOUGH ROAD HYANNIS MA 02601 EDUCATIONAL NEUROLOGISTS OF CAPE COD 1019 IYANNOUGH ROAD SUITE 1 HYANNIS MA 02601 MEDICAL GROUP PRACTICE FALMOUTH ORTHOPEDIC CENTER 2 JAN SEBASTIAN DRIVE SUITE 103 SANDWICH MA 02563 MEDICAL GROUP PRACTICE FALMOUTH ORTHOPEDIC CENTER 770 MAIN STREET OSTERVILLE MA 02655 MEDICAL GROUP PRACTICE CAPE COD EAR NOSE AND THROAT SPECIALIST 20 INDIAN HILL ROAD VINEYARD HAVEN MA 02568 MEDICAL GROUP PRACTICE CAPE COD EAR NOSE AND THROAT SPECIALIST 5 INDUSTRIAL DRIVE SUITE 107 MASHPEE MA 02649 MEDICAL GROUP PRACTICE VNA OF CAPE COD - HYANNIS 25 COMMUNICATION WAY HYANNIS MA 02601 HOME HEALTH ORLEANS PRIMARY CARE 42 ROUTE 6A UNIT 2 ORLEANS MA 02653 PRIMARY CARE CCHC GOLF PERFORMANCE CENTER 46 NORTH STREET SUITE 5 HYANNIS MA 02601 REHABILITATION HEALTHCARE FOUNDATION 4 BAYVIEW WEST YARMOUTH MA 02673 ADMINISTRATIVE FALMOUTH BREAST CARE CENTER AT CCHC 90 TER HEUN DRIVE SUITE 302 FALMOUTH MA 02540 MEDICAL GROUP PRACTICE CAPE COD HEALTHCARE CARDIOVASCULAR CTR 1629 MAIN STREET CHATHAM MA 02633 MEDICAL GROUP PRACTICE PTDIETICIANS 22 LEWIS BAY ROAD HYANNIS MA 02601 EDUCATIONAL CCHC GENERAL & VASCULAR SURGERY 6 Main Street Bldg B HYANNIS MA 02601 Medical Group Practice SEASIDE PEDIATRICS 42 Route 6A ORLEANS MA 02653 Medical Group Practice CAPE COD HEALTHCARE URGENT CARE-THE PINE 5 VILLAGE GREEN SOUTH PLYMOUTH MA 02360 URGENT CARE FALMOUTH GENERAL SURGERY 90 TER HEUN DRIVE STE 23008 FALMOUTH MA 02540 MEDICAL GROUP PRACTICE CAPE COD HEALTHCARE CARDIOVASCULAR CTR 60A PARK STREET HYANNIS MA 02601 MEDICAL GROUP PRACTICE 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 $19,941,374. THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED FOLLOWING THE FORM 990, SCHEDULE H INSTRUCTIONS, AND USED THE RATIO OF PATIENT CARE COST TO CHARGES FOR LINES 7(A), (B), (C) AND (G), AND USED ACTUAL EXPENSES FOR LINES 7(E), (F) AND (I). 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, 2, 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, CHAMP HOMES, DUFFY HEALTH CENTER'S IN FROM THE STREETS PROGRAM, LOWER CAPE COD COMMUNITY DEVELOPMENT CORP., AND LOWER CAPE OUTREACH COUNCIL. WE ALSO PARTNERED WITH CAPE COD VILLAGE CENTER FOR DEVELOPMENTAL DISABILITIES ON AN ADAPTIVE FITNESS COURSE. ECONOMIC DEVELOPMENT: WE CAN ON THEIR ECONOMIC STABILITY AND EMPOWERMENT PROGRAMS. WE CAN SERVES WOMEN EXPERIENCING TRANSITION ON CAPE COD. COMMUNITY SUPPORT: BARNSTABLE COUNTY SHERIFF'S OFFICE SUMMER CAMP THAT EMPOWERS INDIVIDUALS, FAMILIES AND COMMUNITIES TO STOP VIOLENCE, SUBSTANCE ABUSE, DELINQUENCY, AND CRIME. BIG BROTHERS BIG SISTERS OF CAPE COD & ISLANDS WHO SUPPORT CHILDREN IN UNDER-RESOURCED FAMILIES IN THE CAPE COD AND THE ISLANDS COMMUNITY TO THRIVE BY PROVIDING ONE-TO-ONE TRANSFORMATIONAL RELATIONSHIPS WITH CARING ADULT MENTORS. COALITION BUILDING: CCHC CLINICAL 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: CCHC PARTNERED WITH SEVERAL LOCAL ORGANIZATIONS TO HELP BARNSTABLE COUNTY RESIDENTS GAIN ACCESS TO HEALTH INSURANCE AND ESSENTIAL HEALTHCARE SERVICES, INCLUDING FREE MEDICAL TRANSPORTATION AND FREE MEDICAL CLINICS. PARTNER ORGANIZATIONS INCLUDED THE COMMUNITY ACTION COMMITTEE OF THE CAPE AND ISLANDS, THE CAPE AND ISLANDS VETERANS OUTREACH CENTER, AND HEALTH MINISTRY. TO FURTHER SUPPORT PUBLIC HEALTH, CCHC ALSO COLLABORATED WITH EIGHT TOWNS ACROSS THE LOWER AND OUTER CAPE TO EXPAND ACCESS TO MENTAL WELL BEING RESOURCES AND SERVICES. 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, RIVERVIEW SCHOOL ON THEIR JOB TRAINING PROGRAM. PART III, LINES 2-3 THE ORGANIZATION IS REPORTING $7,519,622 OF BAD DEBT EXPENSE THAT MEETS ITS FINANCIAL ASSISTANCE POLICY. THIS AMOUNT IS RELATED TO BAD DEBT FROM BOTH HOSPITALS DURING FY25 OF UNINSURED PATIENTS WHO WERE SEEN IN THE ER AND RECEIVED MEDICALLY NECESSARY SERVICES. CAPE COD HEALTHCARE RECEIVES PAYMENTS FOR SERVICES RENDERED FROM FEDERAL AND STATE AGENCIES (UNDER THE MEDICARE AND MEDICAID PROGRAMS), MANAGED CARE PAYORS, COMMERCIAL INSURANCE COMPANIES, AND PATIENTS. PATIENT ACCOUNTS RECEIVABLE ARE REPORTED NET OF CONTRACTUAL ALLOWANCES AND RESERVES FOR DENIALS, UNCOMPENSATED CARE, AND DOUBTFUL ACCOUNTS. THE LEVEL OF RESERVES IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN FEDERAL AND STATE GOVERNMENTAL AND PRIVATE EMPLOYER HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS. IF A PATIENT IS INELIGIBLE FOR CHARITY CARE BECAUSE HIS OR HER INCOME EXCEEDS THE ELIGIBILITY GUIDELINES, ANY UNCOLLECTIBLE ACCOUNTS RECEIVABLE BALANCE IS WRITTEN OFF TO BAD DEBT AS REPORTED IN PART III, LINE 2. 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 THE 2026-2028 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT (CHNA) WAS RELEASED AND MADE WIDELY AVAILABLE TO THE PUBLIC IN SEPTEMBER 2025. 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 21-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 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 231,735 RESIDENTS. BARNSTABLE COUNTY CONSISTS OF 15 TOWNS THAT VARY IN THEIR CURRENT POPULATION SIZE FROM ABOUT 49,000 RESIDENTS (BARNSTABLE) TO SLIGHTLY MORE THAN 2,400 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. THE POPULATION OF BARNSTABLE COUNTY IS OLDER THAN THE STATE OVERALL. THE OVERALL MEDIAN AGE IN BARNSTABLE COUNTY IS 56.3 YEARS COMPARED TO 40.3 YEARS AT THE STATE LEVEL. 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 (11.6% VS. 5.7%, RESPECTIVELY) AND THOSE AGE 85 YEARS AND OLDER (3.5% VS. 2.0%, 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 SEVEN PERCENT (6.8%) OF COUNTY RESIDENTS IDENTIFIED AS VETERANS COMPARED TO 4.1% FOR THE STATE. APPROXIMATELY 15% OF RESIDENTS IN BARNSTABLE HAVE AT LEAST ONE DISABILITY, COMPARED TO 12.8% FOR THE STATE -- THIS PERCENTAGE DOES INCREASE WITH AGE, 28.3% OF RESIDENTS AGED 65 AND OLDER HAVE AT LEAST ONE DISABILITY. BASED ON SELF-IDENTIFIED RACE AND ETHNICITY, THE POPULATION OF BARNSTABLE COUNTY IS LESS DIVERSE THAN THE STATE OVERALL. EIGHTY-SEVEN PERCENT (86.6%) OF BARNSTABLE COUNTY RESIDENTS IDENTIFY AS WHITE, NON-HISPANIC COMPARED TO 67.9% IN THE STATE OVERALL. THOUGH COMPRISING A SMALL PROPORTION OF THE OVERALL POPULATION, APPROXIMATELY 28,000 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 PERCENTAGE OF BARNSTABLE COUNTY RESIDENTS WHO ARE NON-US-BORN IS CURRENTLY ESTIMATED TO BE 10%, ABOUT HALF THAT IN THE STATE OVERALL (18%). HOWEVER, THIS PERCENTAGE DOES REFLECT AN INCREASE SINCE 2016. A SMALLER PERCENTAGE (10.9%) OF BARNSTABLE COUNTY RESIDENTS SPEAK A LANGUAGE OTHER THAN ENGLISH COMPARED TO THE STATE OVERALL (25.3%), THOUGH INCREASES WERE ALSO OBSERVED SINCE 2016. HOWEVER, IN THE TOWN OF BARNSTABLE, THE PERCENTAGE IS HIGHER AT 19%, INDICATING A MORE DIVERSE LANDSCAPE COMPARED TO THE BROADER COUNTY. ABOUT 3.73% OF NON-ENGLISH SPEAKERS ACROSS BARNSTABLE COUNTY ARE ESTIMATED TO LACK PROFICIENCY IN ENGLISH, COMPARED WITH 9.75 STATEWIDE. THIS INDICATOR IS RELEVANT BECAUSE AN INABILITY TO SPEAK ENGLISH WELL CREATES BARRIERS TO HEALTHCARE ACCESS, PROVIDER COMMUNICATIONS, AND HEALTH LITERACY/EDUCATION. THE LANGUAGES OTHER THAN ENGLISH SPOKEN MOST OFTEN AT CAPE COD HOSPITAL AND FALMOUTH HOSPITAL ARE HAITIAN-CREOLE, PORTUGUESE, AND SPANISH. AT CAPE COD HOSPITAL, THE NUMBER OF PATIENTS WITH HAITIAN-CREOLE INTERPRETER ROSE OVER 2,000% SINCE 2021 AND 80% FROM 2023-2024. SIMILARLY, ALTHOUGH NOT AS DRAMATICALLY, NUMBERS HAVE ALSO RISEN WITH PORTUGUESE AND SPANISH INTERPRETERS. 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 6 AS AN INDEPENDENT HEALTH SYSTEM, CAPE COD HEALTHCARE IS NOT PART OF AN AFFILIATED SYSTEM. HOWEVER, CCHC DOES COOPERATE IN PROVIDING HEALTH CARE SERVICES TO OUR COMMUNITY THROUGH OUR COMMUNITY BENEFITS PROGRAM AND THROUGH THE VISITING NURSING ASSOCIATION (VNA) WHICH IS PART OF CCHC. THE VNA ACTS AS HEALTH AGENT FOR 14 OUT OF THE 15 TOWNS ON CAPE COD. ALSO, THROUGH THE COMMUNITY BENEFITS PROGRAM, CCHC PROVIDES FINANCIAL SUPPORT TO DOZENS OF AREA NON-PROFIT ORGANIZATIONS THAT DO WORK IN THE COMMUNITY THAT ALIGNS WITH OUR ORGANIZATION'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) THAT IS PUBLISHED EVERY THREE YEARS. PART VI, LINE 7 ALL STATES WHERE ORGANIZATION FILES A COMMUNITY BENEFITS REPORT: MA true CAPE COD FOUNDATION INC 261 WHITES PATH UNIT 2 S YARMOUTH MA 02664 510140462 501(c)(3) 153152 SUBSTANCE USE PREVENTION FUND DUFFY HEALTH CENTER INC 94 MAIN ST HYANNIS MA 02601 043373741 501(c)(3) 125000 PSYCH NP AND EMERGENCY SHELTER HOMELESS OUTER CAPE HEALTH SERVICES INC PO BOX 1413 Wellfleet MA 02667 042509828 501(c)(3) 100000 SPECIALTY HEALTH NAVIGATORS NAMI CAPE COD INC 248 STEVENS ST 2ND FL HYANNIS MA 02601 042785229 501(c)(3) 50000 MENTAL HEALTH TOWN OF BARNSTABLE 367 MAIN STREET HYANNIS MA 02601 046001079 Gov't 35000 SCHOOL BASED C.N.A. TRAINING PROGRAM HEALTH IMPERATIVES INC 942 W CHESTNUT ST BROCKTON MA 02301 042609177 501(c)(3) 30000 WIC SERVICES IN HOSPITALS BARNSTABLE COUNTY RESOURCE DEVELOPMENT OFFICE PO BO BARNSTABLE MA 02630 046001419 Gov't 27500 HEALTH INSURANCE ACCESS BARNSTABLE COUNTY SHERIFF'S OFFICE 6000 SHERIFFS PL BOURNE MA 02532 046002284 Gov't 26751 SUMMER CHILDREN'S PROGRAM BIG BROTHERS BIG SISTERS OF MASSACHUSETTS BAY 184 HIGH ST BOSTON MA 02110 042074462 501(c)(3) 25000 MENTORING YOUTH PROGRAM TEAM MAUREEN INC PO BOX 422 N FALMOUTH MA 02556 452473500 501(c)(3) 20000 CANCER PREVENTION CAPE COD CHILDRENS PLACE INC 10 BALLWICK RD N EASTHAM MA 02651 043265972 501(c)(3) 20000 SOCIAL AND EMOTIONAL DEVELOPMENT OF CHILDREN CAPE COD COUNCIL OF CHURCHES INC 320 MAIN ST HYANNIS MA 02601 042382479 501(c)(3) 20000 PROVIDE TANGIBLE GOODS FOR LOW-INCOME PARENTS WITH VISITING NURSE ASSOCIATION OF CAPE COD INC 297 NORTH ST BLDG 3 HYANNIS MA 02601 042104159 501(c)(3) 20000 HOME VISITS TO SUPPORT PARENTS AND NEWBORNS ACROSS ACROSS CAPE COD BEHAVIORAL HEALTH INNOVATORS INC 90 MORTNO RD S CHATHAM MA 02659 810755250 501(c)(3) 17474 ALTERNATIVE PEER GROUPS HELPING OUR WOMEN INC 34 CONWELL ST PROVINCETOWN MA 02657 043179955 501(c)(3) 15000 TRANSPORTATION AND TECHNOLOGY/INTERNET ACCESS LOWER CAPE OUTREACH COUNCIL INC 19 BREWSTER CROSS RD ORLEANS MA 02653 042864255 501(c)(3) 15000 HOUSING INITIATIVES WE CAN CORPORATION 783 ROUTE 28 HARWICHPORT MA 02646 311777179 501(c)(3) 15000 WOMEN'S FINANCIAL EMPOWERMENT HEALTH MINISTRY INC 769 RTE 28 SO YARMOUTH MA 02664 843802421 501(c)(3) 11000 PROGRAM SUPPORT AND HEALTH CLINIC BELONGING TO EACH OTHER INC 101 TOWN HALL SQ FALMOUTH MA 02541 813692267 501(c)(3) 10000 EMERGENCY HOUSING CHAMP HOMES INC 82 SCHOOL ST HYANNIS MA 02601 043006010 501(c)(3) 10000 YOUTH HOMELESS SERVICES LOWER CAPE COD COMMUNITY DEVELOPMENT CORPORATION 130 CRANBERRY HIGHWAY UNIT 5 ORLEANS MA 02653 223191450 501(c)(3) 10000 HOUSING INITIATIVES SHARING KINDNESS INC 940 MAIN ST SO HARWICH MA 02653 384038215 501(c)(3) 10000 MENTAL HEALTH/GRIEF SUPPORT YMCA CAPE COD INC (CAPE COD YOUNG MENS CHRISTIAN 2245 IYANNOUGH RD W BARNSTABLE MA 02668 042394925 501(c)(3) 10000 BEHAVIORAL HEALTH SUPPORT FOR YMCA EARLY ED. CENTE HEROES IN TRANSITION INC 22 BATES RD STE 135 MASHPEE MA 02649 271981637 501(c)(3) 10000 MENTAL HEALTH THE CORDIAL EYE GALLERY & ARTIST SPACE INC 110 RASPBERRY LANE MARSTONS MILLS MA 02648 843685165 501(c)(3) 10000 PEER SUPPORT GROUP - SUD AIDS SUPPORT GROUP OF CAPE COD PO BOX 1522 PROVINCETOWN MA 02657 042908722 501(c)(3) 10000 OVERDOSE AWARENESS, PREVENTION AND NARCAN RESPONSE CAPE AND ISLANDS VETERANS OUTREACH CTR 247 STEVENS ST STE E HYANNIS MA 02601 222747295 501(c)(3) 10000 VETERAN TRANSPORTATION TO MEDICAL APPTS. ELDER SERVICES OF CAPE COD AND THE 68 ROUTE 134 S DENNIS MA 02660 042523904 501(c)(3) 10000 DIGITAL INCLUSION PROGRAMMING CAPE COD VILLAGE CENTER FOR 19 CHILDS HOMESTEAD RD ORLEANS MA 02653 834585951 501(c)(3) 10000 OUTDOOR ADAPTIVE FITNESS COURSE HOPEFUL OUTREACH OF CAPE COD 52 MAIN ST SANDWICH MA 02563 991576815 501(c)(3) 10000 OUTREACH TO HOMELESS POPULATION ON THE CAPE MA MOM ADVOCATES 786 STONY BROOK RD BREWSTER MA 02631 881910690 501(c)(3) 10000 MATERNAL HEALTH COMMUNITY ACTION COMMITTEE OF CAPE COD & ISLANDS 88 NORTH ST HYANNIS MA 02601 042396835 501(c)(3) 10000 HEALTHCARE ACCESS CAPE ORGANIZATION FOR RIGHTS OF THE DISABLED INC 765 ATTUCK LN HYANNIS MA 02601 042901347 501(c)(3) 6000 PROGRAM SUPPORT - DISABILITIES CAPE COD CHALLENGER CLUB INC 418 BUMPS RIVER RD OSTERVILLE MA 02655 542180163 501(c)(3) 6000 PROGRAM SUPPORT - DISABILITIES MEDICAL SERVICE 418 BUMPS RIVER RD OSTERVILLE MA 02655 542180163 501(c)(3) 20125 FMV INDIVIDUAL SUPPORT INDIVIDUAL SUPPORT 34 0 BREAST CANCER RECON FUND 10 51669 FMV INDIVIDUAL SUPPORT MEDICAL SERVICE 620 20125 FMV INDIVIDUAL SUPPORT TRANSPORTATION SERVICES 118 21667 FMV INDIVIDUAL SUPPORT INTERPRETER SERVICES 671 5996 FMV INDIVIDUAL SUPPORT SCHEDULE I, PART I, LINE 2 CAPE COD HEALTHCARE MONITORS THE USE OF GRANT FUNDS IT PROVIDES TO OTHER ORGANIZATIONS THROUGH DOCUMENTATION, MEASUREMENT REQUIREMENTS, AND METRIC REPORTING. THE RECIPIENT ORGANIZATION AGREES TO SUBMIT AN ANNUAL SUMMARY, AND OUTCOMES REPORT TO CAPE COD HEALTHCARE FOR INCLUSION IN CAPE COD HEALTHCARE'S COMMUNITY BENEFITS STATE ATTORNEY GENERAL'S REPORTING. AN OUTLINE OF SPECIFIC REPORTING REQUIREMENTS IS INCLUDED AS AN ATTACHMENT IN EACH AGREEMENT. THE RECIPIENT ORGANIZATION AGREES TO SEND A COMPLETED REPORT TO CAPE COD HEALTHCARE BY NOVEMBER 1ST OF THE YEAR THE GRANT IS AWARDED (CCHC GRANT PROGRAM SCHEDULES RUN FROM JANUARY 1 - SEPTEMBER 30). ADDITIONALLY, CAPE COD HEALTHCARE MAY REQUEST AN ANNUAL SUMMARY & OUTCOMES REPORT OR DOCUMENTATION OF OUTCOMES RELATED TO SERVICES OUTLINED IN THE AGREEMENT AT ANY TIME DURING THE DURATION OF THE GRANT. A FUND REVIEW COMMITTEE IS RESPONSIBLE FOR THE MANAGEMENT OF THE EMPLOYEE HARDSHIP FUND. THE COMMITTEE CONDUCTS AN ASSESSMENT OF NEEDS BY CAREFULLY REVIEWING EACH APPLICATION AND ANY CORRESPONDING SUPPORT DOCUMENTATION. THE COMMITTEE MAINTAINS APPROPRIATE RECORDS TO SHOW THAT PAYMENTS FURTHER THE FUND'S CHARITABLE PURPOSE AND THAT THE PERSONS SERVED ARE NEEDY OR DISTRESSED AS DESCRIBED IN THE FUND'S POLICY STATEMENT. THE ORGANIZATION PROVIDES SPONSORSHIPS AND CHARITABLE CONTRIBUTIONS TO COMMUNITY NONPROFIT ORGANIZATIONS IN SUPPORT OF PROGRAMS, EVENTS, AND INITIATIVES THAT FURTHER ITS EXEMPT PURPOSE AND COMMUNITY BENEFIT OBJECTIVES. THE ORGANIZATION MAINTAINS DOCUMENTATION TO SUBSTANTIATE THE AMOUNT OF EACH PAYMENT, THE RECIPIENT'S IDENTITY AND STATUS, AND THE PURPOSE OF THE AWARD. PAYMENTS ARE SUBJECT TO INTERNAL REVIEW AND APPROVAL BASED ON ESTABLISHED CRITERIA, INCLUDING MISSION ALIGNMENT, COMMUNITY BENEFIT, AND THE INTENDED USE OF FUNDS. true true false false false false false true false ACHILLES PAPAVASILIOU MD PHYSICIAN 1066874 0 333113 0 24806 0 13800 0 39343 0 1477936 0 0 0 ANNE MARIE PECKHAM PRESIDENT VNA 0 232257 0 36200 0 25800 0 14048 0 24685 0 332990 0 0 BENJAMIN LEVIN MD PHYSICIAN 388998 0 68360 0 7480 0 13800 0 38343 0 516981 0 6375 0 C JEFFREY SIEGERT MD TRUSTEE/PHYSICIAN 460000 46875 0 0 630 0 2445 0 736 0 463811 46875 0 0 CARTER HUNT CHIEF OPERATING OFFICER FH 0 245999 0 51100 0 41756 0 27244 0 38343 0 404442 0 12000 CHRISTIAN BROWN SVP MANAGED CARE (UNTIL 5/24) 0 103158 0 0 0 48517 0 5775 0 15672 0 173122 0 0 CHRISTOPHER M LAWSON SVP/CHIEF DEVELOPMENT OFFICER 0 333946 0 80688 0 35149 0 32254 0 34589 0 516626 0 14000 ELIZABETH DUNTON VP EMPLOYED PHYSICIAN GROUP 0 294699 0 54750 0 22424 0 28990 0 1366 0 402229 0 10250 GORDON NAKATA MD PHYSICIAN 1066873 0 122817 0 24806 0 13800 0 39343 0 1267639 0 0 0 JEAN BUTLER SEE SCHEDULE O 0 244409 0 49500 0 41829 0 21302 0 23172 0 380212 0 16000 JOHN HOSTETTER MD TRUSTEE/PHYSICIAN 616966 0 78425 0 966 0 13800 0 37639 0 747796 0 0 0 JOHN PAUL SOLVERSON SVP/CHIEF INFORMATION OFFICER 0 418448 0 100407 0 25006 0 38722 0 27766 0 610349 0 21250 KEVIN MULROY PHYSICIAN 335700 0 0 0 0 0 13428 0 0 0 349128 0 0 0 KUMARA D SIDHARTHA CHF HLTH EQTY & WELL OFFICER 0 292211 0 52750 0 12036 0 28960 0 12139 0 398096 0 0 LORI JEWETT CHIEF OPERATING OFFICER 0 472016 0 118125 0 64961 0 44417 0 34589 0 734108 0 20000 MARY CALLOE VP REVENUE CYCLE (UNTIL 1/24) 0 3801 0 0 0 109803 0 1734 0 602 0 115940 0 4111 MARY JOHNSON VP PATIENT CARE, CNO 0 222412 0 45626 0 35866 0 24325 0 15187 0 343416 0 7274 MICHAEL G JONES ESQ SVP/CLO/CO-CLERK 0 366474 0 46500 0 44942 0 36778 0 37868 0 532562 0 18000 MICHAEL K LAUF PRESIDENT/CEO/TRUSTEE 0 1057017 0 412300 0 269913 0 256100 0 34589 0 2029919 0 198000 MICHAEL O'BOYLE MD PHYSICIAN 1010013 0 0 0 25772 0 13800 0 38443 0 1088028 0 0 0 MICHAEL BACHSTEIN VP FACILITIES MANAGEMENT 0 270140 0 50188 0 24864 0 26408 0 1366 0 372966 0 12250 MICHELLE SKARBEK SEE SCHEDULE O 0 310017 0 74419 0 11902 0 30183 0 34589 0 461110 0 10417 NICHOLAS COPPA MD PHYSICIAN 1068773 0 109534 0 23630 0 13800 0 37443 0 1253180 0 0 0 PAUL HOULE MD PHYSICIAN 1069573 0 48000 0 24806 0 13800 0 36643 0 1192822 0 0 0 REBECCA DAYTON VP REVENUE CYCLE (AS OF 1/24) 17978 230189 0 27676 46 1081 735 8557 2656 31928 21415 299431 0 0 REBEKAH DAY CHIEF NURSING OFFICER FH 191482 0 36000 0 8346 0 19440 0 34030 0 289298 0 0 0 RICHARD SILVERIA SVP FINANCE/CFO (UNTIL 4/25) 0 473498 0 111125 0 46854 0 44337 0 24716 0 700530 0 10417 STEPHEN BROOKS MD TRUSTEE/PHYSICIAN 322294 17830 39010 0 3488 0 0 0 4488 0 369280 17830 0 0 THEODORE CALIANOS MD SEE SCHEDULE O 270551 135684 0 74412 960 1813 9550 6089 11973 22579 293034 240577 0 0 WILLIAM AGEL MD CHIEF MEDICAL OFFICER 0 465728 0 105800 0 27012 0 41342 0 24716 0 664598 0 23000 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 MARY CALLOE (VP REVENUE CYCLE (UNTIL 1/24)) RECEIVED SEVERANCE PAYMENTS OF $65,769 DURING CALENDAR YEAR 2024 IN THE FORM OF CONTINUED PAYMENT OF THE INDIVIDUAL'S SALARY AND BENEFITS FOR A PERIOD OF FOUR 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 2024 WERE AS FOLLOWS: - MICHAEL K. LAUF - 85,395 - WILLIAM AGEL, M.D. - $24,240 - JOHN PAUL SOLVERSON - $22,234 - LORI JEWETT - $20,924 - CHRISTIAN BROWN - $3,064 - MICHAEL G. JONES, ESQ - $19,170 - JEAN BUTLER - $16,706 - CHRISTOPHER M. LAWSON - $15,541 - MICHELLE SKARBEK - $10,936 - CARTER HUNT - $12,406 - ANN MARIE PECKHAM - $9,052 - ELIZABETH DUNTON - $10,723 - MICHAEL BACHSTEIN - $12,910 - MARY JOHNSON - $7,429 - MARY CALLOE - $4,600 - BENJAMIN LEVIN, M.D. - $7,060 - RICHARD SILVERIA - $11,467 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. NO AMOUNTS WERE PAID UNDER THE PLAN DURING CALENDAR YEAR 2024. DURING CALENDAR YEAR 2024, 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 2024 WAS $130,200 AND IS INCLUDED IN SCHEDULE J, PART II, COLUMN (C). IN ADDITION, $136,553 WAS PAID OUT FROM HIS CEO SUPPLEMENTAL PLAN, AND IS INCLUDED IN SCHEDULE J, PART II, COLUMN B(III). 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. A MDFA REVENUE BONDS SERIES 2017 043431814 000000000 2017-02-01 52315359 REFUND SERIES D (2/16/2010) false false false B MDFA REFUNDING REVENUE BONDS SERIES 2021B 043431814 000000000 2021-05-07 19400000 REFUND SERIES 2014 (09/29/2014) false false false C MDFA REFUNDING REVENUE BOND SERIES 2021A-2 043431814 000000000 2023-08-18 43614000 REFUND TAXABLE SERIES 2021A-1 (5/7 false false false D MDFA REVENUE BONDS SERIES 2025 043431814 57585BFZ6 2025-02-11 50001223 NEW PROJECT FUNDING false false false A 25353254 0 54216669 0 0 0 302138 0 0 106973 53807558 0 2017 false true true true B 11814167 0 19400000 0 0 0 0 0 0 0 19400000 0 2021 true false true true C 6369829 0 43614000 0 0 0 0 0 0 0 43614000 0 2023 false true true true D 1961157 0 50001223 0 0 0 0 0 0 50000000 1223 0 2025 false false true true A false false false false 0 false false false true B false false false false 0 false false false true C false false false false 0 false false false true D false false false false 0 false false false true A false false false true true false 0 false 0 false true B false false true true true false 0 false 0 false true C false true true true false 0 false 0 false true D false true true false false 0 false 0 false true A true B true C true D true PART II, LINE 3 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 ISSUE ARE: A: SERIES 2017 BONDS: 11/15/2019 B: SERIES 2021B BONDS: 11/7/2021 FOR BOTH ISSUES, ALL BOND PROCEEDS HAVE BEEN SPENT AND DEBT SERVICE FUNDS OPERATE ON A BONA FIDE BASIS; THEREFORE, NO FURTHER REBATE CALCULATIONS ARE NEEDED. KIRA JONES SPOUSE OF OFFICER 121243 FH EMPLOYEE false STACY HOSTETTER SPOUSE OF TRUSTEE 40311 FH EMPLOYEE false MICHAELA PIMENTEL DAUGHTER OF OFFICER 113119 CCH EMPLOYEE false MEGAN TITAS SPOUSE OF TRUSTEE 536662 MACC EMPLOYEE false KAREN SKARBEK SISTER IN LAW OF KEY EMPLOYEE 38866 CCH EMPLOYEE false KERRY LAWSON SPOUSE OF KEY EMPLOYEE 51584 CCH EMPLOYEE false MARLA KAYE BROOKS SPOUSE OF TRUSTEE 66275 MACC EMPLOYEE false DEIRDRE DAYTON DAUGHTER OF KEY EMPLOYEE 54054 FH EMPLOYEE false WILSTERCON LLC ENTITY OWNED >35% BY TRUSTEE 529000 SALE OF PROPERTY false X 18 285424 SEE PART II 18 false true true SCHEDULE M, PART I, COLUMN (B) THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. SCHEDULE M, PART I, LINE 32(A) THE ORGANIZATION UTILIZES A THIRD-PARTY BROKERAGE FIRM TO FACILITATE THE RECEIPT AND LIQUIDATION OF PUBLICLY TRADED SECURITIES CONTRIBUTED BY DONORS. CONTRIBUTED SECURITIES ARE RECORDED AT FAIR MARKET VALUE BASED ON THE MEAN BETWEEN THE HIGH AND LOW TRADING PRICES ON THE DATE THE SECURITIES ARE RECEIVED AND ARE SOLD UPON RECEIPT IN ACCORDANCE WITH THE ORGANIZATION'S GIFT ACCEPTANCE POLICY. SCHEDULE M, PART II, LINE 9, COLUMN (D) THE METHOD OF DETERMINING NONCASH CONTRIBUTION AMOUNTS IS THE MEAN OF HIGH/LOW PRICE ON DATE OF RECEIPT. 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 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 NATHAN RUDMAN 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 CERTAIN 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") CHIEF LEGAL OFFICER WHO PREPARES A SUMMARY. 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 CHIEF LEGAL OFFICER. 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 THEODORE CALIANOS, M.D. IS CHIEF MEDICAL OFFICER FH (AS OF 5/24)/PHYSICIAN THE FULL TITLE FOR MICHELLE SKARBEK IS VP HUMAN RESOURCES (UNTIL 2/24), SVP HUMAN RESOURCES (AS OF 3/24) THE FULL TITLE FOR JEAN BUTLER IS CHIEF OF STAFF (UNTIL 3/25), SVP & INTERIM CFO (AS OF 4/25) THE FULL TITLE FOR NATHAN RUDMAN, M.D. IS VICE CHAIRPERSON & CLERK(AS OF 5/25)/TRUSTEE THE FULL TITLE FOR ROBERT TALERMAN IS VICE CHAIRPERSON & TREASURER (UNTIL 5/25)/TRUSTEE (UNTIL 5/25) FORM 990, PART VII, SECTION B 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 $ 2,195 CHANGE IN PERPETUAL TRUSTS $ 1,663,462 TRANSFER TO/FROM AFFILIATE $ 17,726 NET ASSETS RELEASED FROM RESTRICTIONS $ (471,809) ------------- OTHER CHANGES IN NET ASSETS $ 1,211,573 ============= CAPE COD HEALTHCARE INC 297 NORTH STREET BLDG 3 HYANNIS MA 02601 222600704 PARENT CORP MA 501(c)(3) 10 NA true CAPE AND ISLAND ENDOSCOPY CENTER 700 ATTUCKS LANE HYANNIS MA 02601 ENDOSCOPY CEN MA NA CAPE HEALTH INSURANCE COMPANY PO BOX 1051GT GRAND CAYMAN CJ 981230418 INSURANCE CJ CAPE COD HLTHCR C CORP 0 0 true CAPE COD MEDICAL OFFICE BUILDING INC 27 PARK STREET HYANNIS MA 02601 042423073 RENTAL SRVCE MA NA C CORP 0 15000 1.00000 true POOLED INCOME FUNDS (2) SUPPORT MA NA true CHARITABLE REMAINDER TRUSTS (7) SUPPORT MA NA true false false false true true false false false false true true false false true true true true true true CAPE HEALTH INSURANCE COMPANY R 10615891 FMV PART IV, LINE 4, COLUMN (C) THE LEGAL DOMICILES OF THE CHARITABLE REMAINDER TRUSTS INCLUDE: IN, MA, NJ, AND RI. PART V IN ADDITION TO ANY TRANSACTIONS DISCLOSED IN SCHEDULE R, PART V, CAPE COD HEALTHCARE, INC. AND AFFILIATES MAY SHARE USE OF ITS PAID EMPLOYEES, FACILITIES, EQUIPMENT, INVESTMENTS OR OTHER ASSETS WITH ITS TAX-EXEMPT AFFILIATES, THE VALUE OF WHICH ARE BOOKED AS INTERCOMPANY TRANSACTIONS AND ELIMINATING ENTRIES WITHIN THE AUDITED FINANCIAL STATEMENTS AND ARE NOT SEPARATELY QUANTIFIED.