Cape Cod Healthcare

What it reported doing in 2024

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 m

Financial Efficiency

• Mission deployment rate: 75.1%; rating input score 75
• Program expense ratio: 81%; rating input score 81
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 93.3%; rating input score 93; 21st percentile among comparable filings
• Pay-setting controls: 5 of 6 controls in place; rating input score 83
  • Compensation committee: Pass
  • Independent consultant: Pass
  • Other Form 990s reviewed: Pass
  • Written employment contract: Missing
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Scored; rating input score 0
• Grant itemization coverage: 85.7%; rating input score 86; 19th percentile among comparable filings
• Major donor itemization: Limited
• Related-party transparency: Yes; rating input score 100

Accountability

• Independent voting board: 66.7%; rating input score 67; 19th percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 6.3%; rating input score 62; 62nd percentile among comparable filings
• Total-asset coverage ratio: 2.64; rating input score 72; 72nd percentile among comparable filings
• Liabilities to assets ratio: 0.42; rating input score 43; 43rd percentile among comparable filings
• Officer compensation ratio: 4.1%; rating input score 24; 24th percentile among comparable filings

Growth

• Program expense growth: 14% per year; rating input score 100; 85th percentile among comparable filings
• Revenue growth: 11.9% per year; rating input score 100; 83rd percentile among comparable filings
• Asset growth: 8.1% per year; rating input score 100; 59th percentile among comparable filings