Cape Cod Healthcare INC

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501(c)(3) charity; gifts are tax-deductible.
81¢ of each $1 spent went to programs.
Run by 12 volunteers and 402 employees.
Status: IRS Pub. 78 · Programs: Part IX · People: Part I, lines 5–6

Before you give

FY2025 · Form 990Independent: from IRS data, not the org
Download 990
IRS status
501(c)(3)
not on the IRS revocation list
Looks good: listed by the IRS and not on the revocation list.
IRS BMF · Auto-Revocation List
Tax-deductible gifts
Yes
Donations are tax-deductible
Looks good: the IRS lists gifts to it as deductible.
IRS Pub. 78 · IRS BMF
Latest return
FY2025
latest Form 990
Looks good: the latest return is for FY2025, 1 tax year back; within 2 tax years.
IRS e-file · Filing history
Surplus or deficit
6 of 6
filings with a surplus
Average surplus $10.5M a year · 7% of revenue · last 6 filings
Looks good: a surplus in 6 of the last 6 filings.
Pt I · Ln 19 · 6 filings
Spent on programs
81%
of spending
Looks good: 81% of spending went to programs; 75% or more.
Pt IX · Ln 25 · col B
Pay to officers and key staff
$7.5M
to officers and key staff · 4% of spending
Looks good: pay to officers and key staff is 4% of spending; 15% or less.
Pt VII · Sec A
<1 mo
of spending, in cash
Plus $315.1M in investments, Pt X · Ln 11–13
Fine: 0.2 months of spending in cash, plus $315.1M in investments.
Pt X · Ln 1–2 · Pt I · Ln 18
Named funders
2
named funders · $32K
Fine: 2 funders name it on their filings; under 3.
Funders’ Sch. I, 990-PF
Liabilities
$227.2M
42% of total assets
Looks good: liabilities are 42% of assets; 50% or less.
Pt X · Ln 26
Independent board members
10
of 15 voting members
Looks good: 10 of 15 voting members are independent, a majority.
Pt VI · Ln 1a–1b
Looks goodFineWorth a lookConcernNo data yetTap a box for the reason.
Revenue
$220.6M
+36% vs prior year
Spent
$206.6M
To programs
81%
Net assets
$318.1M
By yearFY2020–FY2025
Revenue
$220.6M
FY2025▲ +36%
Tap a bar for its year
Revenue by fiscal year
FY2020$116.5M
FY2021$141.9M
FY2022$136.5M
FY2023$147.6M
FY2024$162.7M
FY2025$220.6M
Expenses
$206.6M
FY2025▲ +36%
Tap a bar for its year
Expenses by fiscal year
FY2020$107.1M
FY2021$127.2M
FY2022$128.3M
FY2023$141.7M
FY2024$152.0M
FY2025$206.6M
Net assets
$318.1M
FY2025▲ +9%
Tap a bar for its year
Net assets by fiscal year
FY2020$235.4M
FY2021$261.1M
FY2022$228.9M
FY2023$249.9M
FY2024$293.1M
FY2025$318.1M

From the FY2025 Form 990 (year ending September 2025) · figures checked against the IRS filing · see the original

Give Claim

Is it real?

Yes. Never revoked by the IRS. Latest filing on record: FY2025. IRS ruling in Dec 1985.

IRS Pub. 78 · IRS Auto-Revocation List · IRS Business Master File

Where the money goes

81 cents of each dollar spent went to programs.

Program services 81% · $167.3M Management & general 19% · $39.3M

Form 990 Part IX, line 25, columns B–D. Every line is in By the numbers.

Something off? Claim to add context

Who runs it and what they're paid

30 people listed on the 990; $7.5M paid to officers and key staff.

Part VII, Section A · reportable compensation · most recent filed roster (FY2024); the FY2025 filing did not itemize Part VII
President/CEO/Trustee
$1,739,230Pt VII · Sec A
Chief Operating Officer
$655,102Pt VII · Sec A
SVP Finance/CFO (until 4/25)
$631,477Pt VII · Sec A
Chief Medical Officer
$598,540Pt VII · Sec A
SVP/Chief Information Officer
$543,861Pt VII · Sec A
SVP/Clo/Co-Clerk
$457,916Pt VII · Sec A
SVP/Chief Development Officer
$449,783Pt VII · Sec A
See Schedule O
$396,338Pt VII · Sec A

Michael K Lauf’s $1.7M as President/CEO/Trustee is at the 78th percentile of top reported officer pay among 1747 $100M+ health care nonprofits. Peer set: organizations in the same NTEE major field of work and revenue-size band, compared on each org’s own highest-paid officer/key-employee, from Form 990 Part VII / 990-PF Part VIII. Descriptive placement, not a verdict on whether the pay is appropriate.

Compensation history total reportable pay by year · 8 named individuals · Part VII

NameFY2025FY2024FY2023FY2022FY2021FY2020
Michael K Lauf$1,739,230$1,821,543$1,695,289$2,743,919$1,180,363$1,667,455
Lori Jewett$655,102$649,685$528,956———
Richard Silveria$631,477$621,401—$144,209——
Richard W Silveria——$617,651———
William Agel MD$598,540$583,471$569,446———
Michael L Connors———$305,327$471,847$566,015
William O Agel———$560,035——
John Paul Solverson$543,861$546,119$547,526$545,496$428,470$525,027

Total reportable compensation (Form 990 Part VII column D / Schedule J column E) by filing year, matched by name within this organization. The Schedule J base / bonus / deferred breakdown is not parsed into this dataset.

See Cape Cod Healthcare INC executive salaries →

Questions the 990 asks

The form asks each of these directly. These are the filed answers.

  • Family or business ties among officersPt VI · Ln 2Yes
  • Top official's pay set by an independent reviewPt VI · Ln 15aYes

Programs and updates

Provides healthcare services to Cape Cod residents.

Questions for Cape Cod Healthcare INC

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Your first name shows with your question. Cape Cod Healthcare INC answers here, for everyone.

1 program · $167.3M · in their own filed words · FY2024
01

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…

$167.3Mprogram expense

Funders

Who pays for it.

From grant filings on record. Receipts are incomplete: individual donors are never listed.

Grants

Schedule I · received and paid
Grants received · FY2024
Total grants receivedfrom 2 funders$32K
Grants paid · 46 grants · $1.9M · 2019–2024
Barnstable County Sheriff's OfficeFY2024$158,000
Unitemized GrantFY2024$25,908
Cape Cod Baseball League INCMA · FY2024$25,000
National Conference of State LegislaturesFY2024$25,000
Roman Catholic Bishop at Fall River - Corp SoleFY2024$20,000
Riverview School INCMA · FY2024$10,000
Cape Kid Meals INCMA · FY2024$10,000
Barnstable County Sheriff's OfficeFY2023$158,000
Unitemized GrantFY2023$56,418
Cape Cod Chamber of CommerceMA · FY2023$50,000
NAMI Cape Cod INCMA · FY2023$25,000
Cape Cod Baseball League INCMA · FY2023$25,000
Cape Kid Meals INCMA · FY2023$10,000
Barnstable County Sheriff's OfficeFY2022$158,000
Unitemized GrantFY2022$67,300
See all 46 grants →

Federal money

Single Audit · Federal Audit Clearinghouse · money spent from federal programs
Year ending Sep 2024 · $13.4M federal money spent
Provider Relief Fund and American Rescue Plan (arp) Rural DistributionDepartment of Health and Human Services · ALN 93.498 · Direct$11.6M
Disaster Grants - Public Assistance (presidentially Declared Disasters)Department of Homeland Security · ALN 97.036 · Direct$1.0M
Grants to Provide Outpatient Early Intervention Services with Respect to HIV DiseaseDepartment of Health and Human Services · ALN 93.918 · Direct$491K
HIV Care Formula GrantsDepartment of Health and Human Services · ALN 93.917 · Through Commonwealth of Massachusetts$195K
Congressional DirectivesDepartment of Health and Human Services · ALN 93.493 · Direct$120K

The auditor reported no findings.

Year ending Sep 2023 · $18.1M federal money spent
Disaster Grants - Public Assistance (presidentially Declared Disasters)Department of Homeland Security · ALN 97.036 · Direct$14.7M
Congressional DirectivesDepartment of Health and Human Services · ALN 93.493 · Direct$1.4M
Provider Relief FundDepartment of Health and Human Services · ALN 93.498 · Direct$1.4M
Grants to Provide Outpatient Early Intervention Services with Respect to HIV DiseaseDepartment of Health and Human Services · ALN 93.918 · Direct$475K
HIV Care Formula GrantsDepartment of Health and Human Services · ALN 93.917 · Through Commonwealth of Massachusetts$190K

The auditor reported no findings.

Year ending Sep 2022 · $35.4M federal money spent
Provider Relief Fund and American Rescue Plan (arp) Rural DistributionDepartment of Health and Human Services · ALN 93.498 · Direct$31.3M
Disaster Grants - Public AssistanceDepartment of Homeland Security · ALN 97.036 · Direct$3.4M
Grants to Provide Outpatient Early Intervention Services with Respect to HIV DiseaseDepartment of Health and Human Services · ALN 93.918 · Direct$519K
HIV Care Formula GrantsDepartment of Health and Human Services · ALN 93.917 · Through Commonwealth of Massachusetts$199K

The auditor reported no findings.

Year ending Sep 2021 · $28.3M federal money spent
Provider Relief FundDepartment of Health and Human Services · ALN 93.498 · Direct$27.2M
Grants to Provide Outpatient Early Intervention Services with Respect to HIV DiseaseDepartment of Health and Human Services · ALN 93.918 · Direct$553K
Covid-19 Testing for the UninsuredDepartment of Health and Human Services · ALN 93.461 · Direct$397K
HIV Care Formula GrantsDepartment of Health and Human Services · ALN 93.917 · Through Commonwealth of Massachusetts$145K

The auditor reported no findings.

By the numbers

The FY2025 990, line by line.

1The main four
Money inPt VIII
$220.6M
Ln 12
Fees for servicesLn 2g$205.4M
Investment incomeLn 3$15.2M
Money outPt IX
$206.6M
Ln 25
Programscol B$167.3M
Managementcol C$39.3M
Owns and owesPt X
$318.1M
net assets · Ln 32
Cash and savingsLn 1–2$3.2M
Total assetsLn 16$545.3M
LiabilitiesLn 26$227.2M
PeoplePt VI, VII
30
listed · VII A
PaidVII A16
Voting boardVI 1a15
IndependentVI 1b10
2In more detail
Revenue in detailPt VIII
Fees for servicesLn 2g$205.4M
Investment incomeLn 3$15.2M
Gains on assetsLn 7$6.7M
Total revenueLn 12$220.6M
Assets in detailPt X, end of year
CashLn 1$3.2M
Cash and savings togetherLn 1–2$3.2M
Pledges and grants receivableLn 3$56K
Accounts receivableLn 4$14.9M
Inventories for sale or useLn 8$1.8M
Prepaid expenses and deferred chargesLn 9$8.6M
Land, buildings, equipmentLn 10c$50.7M
InvestmentsLn 11–13$315.1M
Other assetsLn 15$151.0M
Total assetsLn 16$545.3M
LiabilitiesLn 26$227.2M
Net assetsLn 32$318.1M
OperationsPt I, VI
EmployeesI 5402
VolunteersI 612
Fiscal year endsHeaderSeptember
Conflict-of-interest policyVI 12aYes
Whistleblower policyVI 13Yes
Records policyVI 14Yes
3Year over year
Balance sheet, start vs end of yearPt X · col A, B
LineStart FY25End FY25
Cash and savingsLn 1–2$12.8M$3.2M
InvestmentsLn 11–13$286.0M$315.1M
Land, buildings, equipmentLn 10c$49.9M$50.7M
Total assetsLn 16$515.1M$545.3M
LiabilitiesLn 26$222.0M$227.2M
Net assetsLn 32$293.1M$318.1M
4Every line
Statement of functional expensesPt IX · every line
LineTotalProgramsManagementFundraising
Grants to domestic organizationsLn 1$305K$305K
Grants to domestic individualsLn 2$26K$26K
Grants and assistance to foreign recipientsLn 3$0
Benefits paid to or for membersLn 4$0
Pay of current officers, directors and key staffLn 5$6.0M$0$6.0M$0
Pay of disqualified personsLn 6$192K$192K
Other salaries and wagesLn 7$59.6M$46.1M$13.5M$0
Pension plan contributionsLn 8$1.6M$842K$782K$0
Other employee benefitsLn 9$7.0M$4.9M$2.1M$0
Payroll taxesLn 10$3.5M$2.0M$1.6M$0
Management feesLn 11a$5K$0$5K$0
Legal feesLn 11b$3.5M$0$3.5M$0
Accounting feesLn 11c$80K$0$80K$0
Lobbying feesLn 11d$198K$158K$40K$0
Professional fundraising feesLn 11e$0
Investment management feesLn 11f$287K$0$287K$0
Other fees for servicesLn 11g$0
Advertising and promotionLn 12$1.6M$1.3M$317K$0
Office expensesLn 13$2.9M$2.3M$584K$0
Information technologyLn 14$14.1M$11.3M$2.8M$0
RoyaltiesLn 15$0
OccupancyLn 16$4.3M$3.4M$850K$0
TravelLn 17$185K$148K$37K$0
Travel and entertainment for public officialsLn 18$0
Conferences, conventions and meetingsLn 19$0
InterestLn 20$283K$226K$57K$0
Payments to affiliatesLn 21$0
Depreciation, depletion and amortizationLn 22$11.5M$9.2M$2.3M$0
InsuranceLn 23$972K$777K$194K$0
Other expenses (24a–d)Ln 24$86.5M$82.6M$3.9M$0
All other expensesLn 24e$1.9M$1.5M$387K$0
Total functional expensesLn 25$206.6M$167.3M$39.3M$0

Filing history

YearMoney inMoney outIn minus outNet assetsDownload
FY2025 Latest ViewingFiled with the IRS Aug 17, 2026 $220.6M$206.6M$14.0M$318.1M 990 PDF
FY2024Filed with the IRS Aug 15, 2025 $162.7M$152.0M$10.7M$293.1M 990 PDF
FY2023Filed with the IRS Aug 13, 2024 $147.6M$141.7M$5.8M$249.9M 990 PDF
FY2022Filed with the IRS Aug 14, 2023 $136.5M$128.3M$8.1M$228.9M 990 PDF
FY2021Filed with the IRS Aug 15, 2022 $141.9M$127.2M$14.8M$261.1M 990 PDF
FY2020Filed with the IRS Aug 16, 2021 $116.5M$107.1M$9.4M$235.4M 990 PDF

Schedules filed Part IV

III · Programs R · Related orgs G · Fundraising L · Interested persons I · Grants A · Public support J · Pay O · Explanations
See the full FY2025 990 (6 parts)
Part I · Summary $220,564,363 revenue, 12 lines filed
I-8 Contributions and grantsPrior year $385,326$0
I-9 Program service revenuePrior year $150,335,142$205,353,184
I-10 Investment incomePrior year $12,013,231$15,211,179
I-11 Other revenuePrior year $0$0
I-12 Total revenuePrior year $162,733,699$220,564,363
I-13 Grants and similar amounts paidPrior year $413,443$331,361
I-14 Benefits paid to membersPrior year $0$0
I-15 Salaries and benefitsPrior year $49,799,786$78,011,096
I-16a Professional fundraising feesPrior year $0$0
I-17 Other expensesPrior year $101,773,466$128,235,189
I-18 Total expensesPrior year $151,986,695$206,577,646
I-19 Revenue less expensesPrior year $10,747,004$13,986,717
Part VI · Governance 10 of 15 board members independent, 1 to look at
VI-1a Voting members of the governing body15
VI-1b Independent voting members10
VI-2 Family or business relationship among officers or directorsYes
VI-12a Written conflict of interest policyYes
VI-13 Written whistleblower policyYes
VI-14 Document retention and destruction policyYes
VI-15a Process for setting top official's payYes
Part VIII · Statement of revenue $220,564,363 across 8 lines filed
VIII-1h Total contributions, gifts and grants$0
VIII-2a-f Program service revenue, itemized rows (sum of 2a–2f as filed)Related to mission $195,937,060 · Unrelated business $9,416,124$205,353,184
VIII-3 Investment incomeUnrelated business −$253 · Excluded from tax $8,520,816$8,520,563
VIII-5 Royalties$0
VIII-6 Net rental income or loss$0
VIII-7 Net gain or loss on sales of assetsExcluded from tax $6,690,616$6,690,616
VIII-8 Net income from fundraising events$0
VIII-12 Total revenueRelated to mission $195,937,060 · Unrelated business $9,415,871 · Excluded from tax $15,211,432$220,564,363
Part IX · Statement of functional expenses $206,577,646 across 31 lines filed
IX-1 Grants to domestic organizationsPrograms $305,453$305,453
IX-2 Grants to domestic individualsPrograms $25,908$25,908
IX-3 Grants and assistance to foreign recipients$0
IX-4 Benefits paid to or for members$0
IX-5 Pay of current officers, directors and key staffPrograms $0 · Management $6,010,593 · Fundraising $0$6,010,593
IX-6 Pay of disqualified personsPrograms $191,930$191,930
IX-7 Other salaries and wagesPrograms $46,097,790 · Management $13,549,472 · Fundraising $0$59,647,262
IX-8 Pension plan contributionsPrograms $841,817 · Management $782,403 · Fundraising $0$1,624,220
IX-9 Other employee benefitsPrograms $4,925,068 · Management $2,081,124 · Fundraising $0$7,006,192
IX-10 Payroll taxesPrograms $1,952,402 · Management $1,578,497 · Fundraising $0$3,530,899
IX-11a Management feesPrograms $0 · Management $5,057 · Fundraising $0$5,057
IX-11b Legal feesPrograms $0 · Management $3,459,722 · Fundraising $0$3,459,722
IX-11c Accounting feesPrograms $0 · Management $80,200 · Fundraising $0$80,200
IX-11d Lobbying feesPrograms $158,000 · Management $39,500 · Fundraising $0$197,500
IX-11f Investment management feesPrograms $0 · Management $286,847 · Fundraising $0$286,847
IX-12 Advertising and promotionPrograms $1,268,151 · Management $317,038 · Fundraising $0$1,585,189
IX-13 Office expensesPrograms $2,336,635 · Management $584,159 · Fundraising $0$2,920,794
IX-14 Information technologyPrograms $11,257,581 · Management $2,814,395 · Fundraising $0$14,071,976
IX-15 Royalties$0
IX-16 OccupancyPrograms $3,401,253 · Management $850,313 · Fundraising $0$4,251,566
IX-17 TravelPrograms $148,121 · Management $37,030 · Fundraising $0$185,151
IX-18 Travel and entertainment for public officials$0
IX-19 Conferences, conventions and meetings$0
IX-20 InterestPrograms $226,285 · Management $56,571 · Fundraising $0$282,856
IX-21 Payments to affiliates$0
IX-22 Depreciation, depletion and amortizationPrograms $9,231,238 · Management $2,307,809 · Fundraising $0$11,539,047
IX-23 InsurancePrograms $777,421 · Management $194,355 · Fundraising $0$971,776
IX-24 Other expenses (24a–d)Programs $82,588,451 · Management $3,873,191 · Fundraising $0$86,461,642
IX-24e All other expensesPrograms $1,548,882 · Management $386,984 · Fundraising $0$1,935,866
IX-25 Total functional expensesPrograms $167,282,386 · Management $39,295,260 · Fundraising $0$206,577,646
Part X · Balance sheet $545,307,072 assets, 30 lines filed
X-1 Cash, non-interest-bearingStart of year $12,789,797$3,176,408
X-2 Savings and temporary cash investmentsStart of year $0$0
X-3 Pledges and grants receivableStart of year $0$56,000
X-4 Accounts receivableStart of year $0$14,868,034
X-5 Loans to officers and key peopleStart of year $0$0
X-6 Loans to other insidersStart of year $0$0
X-7 Notes and loans receivableStart of year $14,784,842$0
X-8 Inventories for sale or useStart of year $1,181,428$1,816,605
X-9 Prepaid expenses and deferred chargesStart of year $8,127,408$8,569,502
X-10c Land, buildings and equipment, netStart of year $49,901,292$50,688,364
X-11 Publicly traded securitiesStart of year $0$0
X-12 Other securitiesStart of year $278,983,559$307,782,740
X-13 Program-related investmentsStart of year $6,986,739$7,309,493
X-14 Intangible assetsStart of year $0$0
X-15 Other assetsStart of year $142,376,629$151,039,926
X-16 Total assetsStart of year $515,131,694$545,307,072
X-17 Accounts payable and accrued expensesStart of year $84,490,860$77,207,525
X-18 Grants payableStart of year $0$0
X-19 Deferred revenueStart of year $58,288$22,400
X-20 Tax-exempt bond liabilitiesStart of year $0$0
X-21 Escrow or custodial accountsStart of year $0$0
X-22 Loans from officers and insidersStart of year $0$0
X-23 Secured mortgages and notes payableStart of year $2,597,077$2,528,642
X-24 Unsecured notes and loans payableStart of year $0$0
X-25 Other liabilitiesStart of year $134,866,264$147,473,099
X-26 Total liabilitiesStart of year $222,012,489$227,231,666
X-27 Net assets without donor restrictionsStart of year $239,011,607$260,753,495
X-28 Net assets with donor restrictionsStart of year $54,107,598$57,321,911
X-32 Total net assets or fund balancesStart of year $293,119,205$318,075,406
X-33 Total liabilities and net assetsStart of year $515,131,694$545,307,072
Part XI · Reconciliation of net assets $318,075,406 net assets at year end
XI-1 Total revenue$220,564,363
XI-2 Total expenses$206,577,646
XI-3 Revenue less expenses$13,986,717
XI-4 Net assets at start of year$293,119,205
XI-5 Net unrealized gains (losses) on investments$13,609,254
XI-9 Other changes in net assets−$2,639,770
XI-10 Net assets at end of year$318,075,406

Form 990 e-file (XML) FY2025 from the IRS · Classification, formation year and address from the IRS Business Master File

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