Form 990 for tax year 2023

Revenue

Part VIII, the statement of revenue.

• 1c · Fundraising events

  $195,386

• 1e · Government grants (contributions)

  $765,191

• 1f · All other contributions, gifts and grants

  $15,478,428

• 1g · Noncash contributions included above

  $1,953,715

• 2a · Program service revenue: PATIENT SERVICE REVENUE

  total $1,033,669,212 · related or exempt $1,033,437,326 · unrelated business $231,886

• 2b · Program service revenue: SPECIMEN COLLECTION SERVICES

  total $5,760,869 · related or exempt $0 · unrelated business $5,760,869

• 2c · Program service revenue: PROGRAM RELATED RENTAL INCOME

  total $3,267,780 · related or exempt $3,267,780

• 2d · Program service revenue: JOINT VENTURE REVENUE

  total $2,418,445 · related or exempt $2,418,445

• 2e · Program service revenue: QUALITY EARNED PAYMENTS

  total $24,756,030 · related or exempt $24,756,030

• 2f · All other program service revenue

  total $5,372,841 · related or exempt $5,372,841

• 3 · Investment income

  total $12,449,747 · excluded $12,449,747

• 4 · Income from investment of tax-exempt bond proceeds

  total $0

• 5 · Royalties

  total $0

• 6c · Rental income or loss

  real property $0 · personal property $0

• 6d · Net rental income or loss

  total $0

• 7a · Gross sales of assets other than inventory

  securities $11,753,372

• 7c · Gain or loss

  securities $11,753,372

• 7d · Net gain or loss

  total $11,753,372 · excluded $11,753,372

• 8a · Fundraising events: gross income

  $420,143

• 8a · Fundraising events: contributions included on line 1c

  $195,386

• 8b · Fundraising events: direct expenses

  $93,572

• 8c · Net income from fundraising events

  total $326,571 · excluded $326,571

• 9a · Gaming: gross income

  $0

• 9b · Gaming: direct expenses

  $0

• 9c · Net income from gaming

  total $0

• 10a · Gross sales of inventory

  $0

• 10b · Cost of goods sold

  $0

• 10c · Net income from sales of inventory

  total $0

• 11a · Other revenue: CAFETERIA INCOME

  total $664,943 · excluded $664,943

• 11b · Other revenue: THRIFT SHOP INCOME

  total $264,735 · excluded $264,735

• 11c · Other revenue: MEDICAL RECORDS

  total $71,175 · excluded $71,175

• 11e · Other revenue, total

  $1,000,853

Functional expenses

Part IX, the statement of functional expenses.

• 1 · Grants to domestic organizations and governments

  total $933,654 · program services $933,654

• 2 · Grants to domestic individuals

  total $58,966 · program services $58,966

• 3 · Grants to foreign organizations and individuals

  total $0

• 4 · Benefits paid to or for members

  total $0

• 5 · Compensation of officers, directors and key employees

  total $3,732,120 · program services $3,732,120 · fundraising $0

• 6 · Compensation of disqualified persons

  total $1,650,632 · program services $1,650,632 · fundraising $0

• 7 · Other salaries and wages

  total $482,242,544 · program services $444,407,685 · management and general $36,374,825 · fundraising $1,460,034

• 8 · Pension plan contributions

  total $13,129,083 · program services $11,615,689 · management and general $1,454,993 · fundraising $58,401

• 9 · Other employee benefits

  total $64,840,637 · program services $59,753,343 · management and general $4,863,958 · fundraising $223,336

• 10 · Payroll taxes

  total $29,287,736 · program services $26,244,448 · management and general $2,935,448 · fundraising $107,840

• 11a · Fees: management

  total $8,659,912 · program services $4,824,948 · management and general $3,833,585 · fundraising $1,379

• 11b · Fees: legal

  total -$6,068 · management and general -$6,068

• 11c · Fees: accounting

  total $829,802 · management and general $829,802

• 11d · Fees: lobbying

  total $0

• 11e · Fees: professional fundraising services

  total $34,985 · fundraising $34,985

• 11f · Fees: investment management

  total $796,864 · program services $68,828 · management and general $728,036

• 11g · Fees: other

  total $63,597,657 · program services $62,843,021 · management and general $754,636 · fundraising $0

• 12 · Advertising and promotion

  total $610,512 · program services $556,914 · management and general $48,132 · fundraising $5,466

• 13 · Office expenses

  total $3,871,822 · program services $3,573,101 · management and general $249,623 · fundraising $49,098

• 14 · Information technology

  total $2,720,095 · program services $2,472,001 · management and general $194,546 · fundraising $53,548

• 15 · Royalties

  total $0

• 16 · Occupancy

  total $17,361,615 · program services $16,248,189 · management and general $1,063,526 · fundraising $49,900

• 17 · Travel

  total $1,929,991 · program services $1,782,788 · management and general $90,070 · fundraising $57,133

• 18 · Travel or entertainment for public officials

  total $0

• 19 · Conferences, conventions and meetings

  total $0

• 20 · Interest

  total $497,079 · program services $447,642 · management and general $49,437 · fundraising $0

• 21 · Payments to affiliates

  total $0

• 22 · Depreciation, depletion and amortization

  total $26,151,682 · program services $23,741,095 · management and general $2,403,905 · fundraising $6,682

• 23 · Insurance

  total $4,804,145 · program services $4,531,434 · management and general $272,711 · fundraising $0

• 24a · Other expenses: MEDICAL SUPPLIES

  total $185,150,903 · program services $185,150,903 · management and general $0 · fundraising $0

• 24b · Other expenses: ADMIN OFFICE OVERHEAD

  total $92,665,730 · program services $70,459,494 · management and general $21,673,627 · fundraising $532,609

• 24c · Other expenses: PURCHASED SERVICES

  total $27,028,411 · program services $24,947,812 · management and general $2,075,022 · fundraising $5,577

• 24d · Other expenses: REPAIRS AND MAINTENANCE

  total $17,246,511 · program services $15,803,290 · management and general $1,421,253 · fundraising $21,968

• 24e · All other expenses

  total $42,423,301 · program services $30,619,240 · management and general $11,482,825 · fundraising $321,236

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $35,938,361 · end of year $13,475,206

• 2 · Savings and temporary cash investments

  beginning of year $1,433,570 · end of year $16,576,530

• 3 · Pledges and grants receivable

  beginning of year $20,402,984 · end of year $17,352,768

• 4 · Accounts receivable

  beginning of year $101,616,565 · end of year $105,526,798

• 5 · Loans and receivables from officers and key people

  beginning of year $0 · end of year $0

• 6 · Loans and receivables from disqualified persons

  beginning of year $0 · end of year $0

• 7 · Other notes and loans receivable

  beginning of year $3,859,195 · end of year $6,485,446

• 8 · Inventories for sale or use

  beginning of year $17,167,025 · end of year $17,355,969

• 9 · Prepaid expenses and deferred charges

  beginning of year $3,067,962 · end of year $3,481,569

• 10a · Land, buildings and equipment: cost or other basis

  $912,138,887

• 10b · Land, buildings and equipment: accumulated depreciation

  $503,708,221

• 10c · Land, buildings and equipment, net

  beginning of year $311,159,583 · end of year $408,430,666

• 11 · Investments: publicly traded securities

  beginning of year $0 · end of year $0

• 12 · Investments: other securities

  beginning of year $523,919,052 · end of year $554,640,688

• 13 · Investments: program-related

  beginning of year $411,000 · end of year $127,000

• 14 · Intangible assets

  beginning of year $0 · end of year $0

• 15 · Other assets

  beginning of year $69,608,939 · end of year $117,499,602

• 17 · Accounts payable and accrued expenses

  beginning of year $78,812,775 · end of year $77,224,740

• 18 · Grants payable

  beginning of year $0 · end of year $0

• 19 · Deferred revenue

  beginning of year $817,696 · end of year $450,308

• 20 · Tax-exempt bond liabilities

  beginning of year $89,724,227 · end of year $80,633,210

• 21 · Escrow or custodial account liability

  beginning of year $0 · end of year $0

• 22 · Loans and payables to officers and key people

  beginning of year $0 · end of year $0

• 23 · Secured mortgages and notes payable

  beginning of year $2,205,450 · end of year $467,952

• 24 · Unsecured notes and loans payable

  beginning of year $0 · end of year $0

• 25 · Other liabilities

  beginning of year $62,111,521 · end of year $147,932,506

• 27 · Net assets without donor restrictions

  beginning of year $765,758,211 · end of year $857,894,668

• 28 · Net assets with donor restrictions

  beginning of year $89,154,356 · end of year $96,348,858

The filer's explanations (Part III)

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 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 2023 WERE AS FOLLOWS: - MICHAEL K. LAUF - $80,205 - WILLIAM AGEL, M.D. - $11,820 - JOHN PAUL SOLVERSON - $20,599 - LORI JEWETT - $17,846 - CHRISTIAN BROWN - $13,699 - MICHAEL G. JONES, ESQ - $18,074 - JEAN BUTLER - $15,181 - CHRISTOPHER M. LAWSON - $13,141 - MICHELLE SKARBEK - $3,571 - CARTER HUNT - $11,411 - ANN MARIE PECKHAM - $12,124 - ELIZABETH DUNTON - $10,750 - DONALD A. GUADAGNOLI, M.D. - $9,034 - MICHAEL BACHSTEIN - $11,701 - MARY JOHNSON - $8,370 CAPE COD HEALTHCARE, INC. AND AFFILIATES ALSO SPONSOR A NONQUALIFIED PENSION RESTORATION ACCOUNT PLAN FOR KEY EXECUTIVES. THE ORGANIZATION MAKES CONTRIBUTIONS OF TWO PERCENT OF THE INDIVIDUAL'S ANNUAL SALARY (INCLUDING BONUS) ABOVE THE HIGHLY COMPENSATED LIMITS AS DEFINED BY THE IRS THROUGHOUT THE PLAN YEAR. AMOUNTS DEFERRED ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C) AND UNDER THE PLAN, PARTICIPANTS ARE ENTITLED TO CERTAIN BENEFITS UPON REACHING AGE 65, RETIREMENT, TERMINATION, OR DEATH. AMOUNTS PAID UNDER THE PLAN DURING CALENDAR YEAR 2023 WERE AS FOLLOWS: - CHRISTIAN BROWN - $244 DURING CALENDAR YEAR 2023, 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 2023 WAS $130,200 AND IS INCLUDED IN SCHEDULE J, PART II, COLUMN (C). IN ADDITION, $137,913 WAS PAID OUT FROM HIS CEO SUPPLEMENTAL PLAN, AND IS INCLUDED IN SCHEDULE J, PART II, COLUMN B(III). MICHAEL LAUF PREVIOUSLY PARTICIPATED IN A LONG-TERM INCENTIVE PLAN. THE PLAN PROVIDED FOR MERIT-BASED COMPENSATION. IN CALENDAR YEARS 2022 AND 2021, $375,000 AND $93,750 WAS ACCRUED RELATED TO THIS PLAN. THESE AMOUNTS WERE INCLUDED IN PREVIOUSLY FILED FORMS 990 IN SCHEDULE J, PART II, COLUMN (C). NO AMOUNTS WERE PAID OUT AND THE REVERSAL OF PREVIOUSLY ACCRUED AMOUNTS IS INCLUDED IN SCHEDULE J, PART II, COLUMN (C) BECAUSE MICHAEL LAUF IS NO LONGER ELIGIBLE FOR THE INCENTIVE.

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.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

• CAPE AND ISLAND ENDOSCOPY CENTER

  ENDOSCOPY CENTER · MA

  Directly controlled by NA

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

• CAPE HEALTH INSURANCE COMPANY

  C CORP · INSURANCE · CJ · share of income $0 · share of assets $0 · controlled entity

  Directly controlled by CAPE COD HLTHCR

• CAPE COD MEDICAL OFFICE BUILDING INC

  C CORP · RENTAL SRVCE · MA · 100% owned · share of income $0 · share of assets $15,000 · controlled entity

  Directly controlled by NA

• POOLED INCOME FUNDS (2)

  SUPPORT · MA · controlled entity

  Directly controlled by NA

• CHARITABLE REMAINDER TRUSTS (8)

  SUPPORT · MA · controlled entity

  Directly controlled by NA