TY 2021 Form 990 Schedule J

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1MICHAEL K LAUF PRESIDENT/CEO/TRUSTEE	(i) (ii)	0 ------------- 965,883	0 ------------- 1,501,200	0 ------------- 276,836	0 ------------- 317,350	0 ------------- 32,305	0 ------------- 3,093,574	0 ------------- 1,043,750
2WILLIAM AGEL MD Chief Medical Officer	(i) (ii)	0 ------------- 456,754	0 ------------- 101,475	0 ------------- 1,806	0 ------------- 36,708	0 ------------- 22,920	0 ------------- 619,663	0 ------------- 0
3JOHN PAUL SOLVERSON SVP/CHIEF INFORMATION OFFICER	(i) (ii)	0 ------------- 419,754	0 ------------- 99,407	0 ------------- 26,335	0 ------------- 35,550	0 ------------- 15,434	0 ------------- 596,480	0 ------------- 18,594
4LORI JEWETT Chief Operating Officer	(i) (ii)	0 ------------- 375,883	0 ------------- 94,500	0 ------------- 28,158	0 ------------- 33,800	0 ------------- 32,305	0 ------------- 564,646	0 ------------- 0
5PATRICK J KANE SVP OF MRKTG, COMMUN AND DEVLP	(i) (ii)	0 ------------- 324,771	0 ------------- 72,363	0 ------------- 95,705	0 ------------- 11,600	0 ------------- 15,316	0 ------------- 519,755	0 ------------- 61,017
6MICHAEL G JONES ESQ SVP/CLO/CO-CLERK	(i) (ii)	0 ------------- 331,515	0 ------------- 84,050	0 ------------- 42,840	0 ------------- 31,000	0 ------------- 34,595	0 ------------- 524,000	0 ------------- 16,750
7CHRISTOPHER M LAWSON SVP/Chief Development Officer	(i) (ii)	0 ------------- 270,431	0 ------------- 66,150	0 ------------- 17,243	0 ------------- 25,600	0 ------------- 32,305	0 ------------- 411,729	0 ------------- 3,967
8CHRISTIAN BROWN SVP MANAGED CARE	(i) (ii)	0 ------------- 315,883	0 ------------- 61,525	0 ------------- 47,746	0 ------------- 11,600	0 ------------- 32,305	0 ------------- 469,059	0 ------------- 4,921
9JEAN BUTLER SEE SCHEDULE O	(i) (ii)	0 ------------- 297,691	0 ------------- 62,200	0 ------------- 28,688	0 ------------- 27,215	0 ------------- 21,752	0 ------------- 437,546	0 ------------- 5,385
10LAURA RANZINGER VP FINANCE/TREAS (UNTIL 3/22)	(i) (ii)	0 ------------- 226,121	0 ------------- 70,626	0 ------------- 26,114	0 ------------- 23,839	0 ------------- 14,466	0 ------------- 361,166	0 ------------- 0
11DONALD A GUADAGNOLI MD Chief Medical Officer FH	(i) (ii)	0 ------------- 163,312	0 ------------- 29,250	0 ------------- 121,606	0 ------------- 7,808	0 ------------- 27,352	0 ------------- 349,328	0 ------------- 90,228
12NOELENE CERVIN SEE SCHEDULE O	(i) (ii)	0 ------------- 228,322	0 ------------- 43,826	0 ------------- 40,158	0 ------------- 23,792	0 ------------- 21,752	0 ------------- 357,850	0 ------------- 11,000
13MICHAEL L CONNORS FORMER SVP FINANCE/CFO	(i) (ii)	0 ------------- 203,208	0 ------------- 0	0 ------------- 102,119	0 ------------- 12,669	0 ------------- 20,236	0 ------------- 338,232	0 ------------- 22,000
14CARTER HUNT CHIEF EXECUTIVE OFFICER FH	(i) (ii)	0 ------------- 210,814	0 ------------- 42,000	0 ------------- 37,627	0 ------------- 22,886	0 ------------- 35,295	0 ------------- 348,622	0 ------------- 10,250
15ANNE MARIE PECKHAM President VNA	(i) (ii)	0 ------------- 208,499	0 ------------- 43,800	0 ------------- 26,012	0 ------------- 10,369	0 ------------- 23,163	0 ------------- 311,843	0 ------------- 2,601
16JUDITH C QUINN CNO, VP Pat. Care (UNTIL 7/22)	(i) (ii)	0 ------------- 194,691	0 ------------- 38,742	0 ------------- 42,912	0 ------------- 10,035	0 ------------- 19,142	0 ------------- 305,522	0 ------------- 2,763
17ELIZABETH DUNTON SEE SCHEDULE O	(i) (ii)	0 ------------- 201,374	0 ------------- 34,962	0 ------------- 18,830	0 ------------- 19,848	0 ------------- 1,525	0 ------------- 276,539	0 ------------- 10,250
18KEVIN MULROY SEE SCHEDULE O	(i) (ii)	38,100 ------------- 161,466	0 ------------- 0	0 ------------- 69,441	1,524 ------------- 13,787	0 ------------- 14,265	39,624 ------------- 258,959	0 ------------- 18,750
19BENJAMIN LEVIN MD SEE SCHEDULE O	(i) (ii)	142,408 ------------- 180,446	0 ------------- 7,276	7,194 ------------- 1,210	5,976 ------------- 5,624	564 ------------- 746	156,142 ------------- 195,302	0 ------------- 0
20PAUL NIEDZWIECKI FORMER SVP STR & GOV'T AFFAIRS	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 174,327	0 ------------- 0	0 ------------- 1,045	0 ------------- 175,372	0 ------------- 0
21RICHARD W SILVERIA SVP FINANCE/CFO (AS OF 9/21)	(i) (ii)	0 ------------- 131,241	0 ------------- 0	0 ------------- 12,968	0 ------------- 0	0 ------------- 6,011	0 ------------- 150,220	0 ------------- 0
22RICHARD B ZELMAN MD PHYSICIAN	(i) (ii)	1,467,451 ------------- 0	100,000 ------------- 0	97,796 ------------- 0	11,600 ------------- 0	25,869 ------------- 0	1,702,716 ------------- 0	0 ------------- 0
23MOLLY SULLIVAN MD TRUSTEE	(i) (ii)	495,883 ------------- 0	0 ------------- 0	21,306 ------------- 0	11,600 ------------- 0	32,305 ------------- 0	561,094 ------------- 0	0 ------------- 0
24MICHELLE SKARBEK VP HUMAN RESOURCES	(i) (ii)	0 ------------- 245,383	0 ------------- 45,626	0 ------------- 966	0 ------------- 18,361	0 ------------- 32,305	0 ------------- 342,641	0 ------------- 0
25JOSEPH GERGYES MD TRUSTEE (AS OF 1/22)	(i) (ii)	246,973 ------------- 0	25,620 ------------- 0	20,200 ------------- 0	11,058 ------------- 0	28,452 ------------- 0	332,303 ------------- 0	0 ------------- 0
26CYNTHIA MARLIN SEE SCHEDULE O	(i) (ii)	186,537 ------------- 0	34,300 ------------- 0	20,647 ------------- 0	19,012 ------------- 0	25,282 ------------- 0	285,778 ------------- 0	9,800 ------------- 0
27ACHILLES PAPAVASILIOU PHYSICIAN	(i) (ii)	1,070,431 ------------- 0	140,000 ------------- 0	20,466 ------------- 0	11,600 ------------- 0	35,295 ------------- 0	1,277,792 ------------- 0	0 ------------- 0
28PAUL HOULE MD PHYSICIAN	(i) (ii)	1,037,281 ------------- 0	130,000 ------------- 0	20,466 ------------- 0	11,600 ------------- 0	33,445 ------------- 0	1,232,792 ------------- 0	0 ------------- 0
29GORDON NAKATA MD PHYSICIAN	(i) (ii)	1,047,098 ------------- 0	100,000 ------------- 0	20,466 ------------- 0	11,600 ------------- 0	35,295 ------------- 0	1,214,459 ------------- 0	0 ------------- 0
30NICHOLAS COPPA MD PHYSICIAN	(i) (ii)	1,035,585 ------------- 0	100,000 ------------- 0	20,106 ------------- 0	11,600 ------------- 0	34,215 ------------- 0	1,201,506 ------------- 0	0 ------------- 0
31ROBERT B WILSTERMAN MD INTERIM TRUSTEEE (AS OF 9/22)	(i) (ii)	342,576 ------------- 0	0 ------------- 0	93,753 ------------- 0	11,600 ------------- 0	17,823 ------------- 0	465,752 ------------- 0	0 ------------- 0
32SHERYL DECILIO SEE SCHEDULE O	(i) (ii)	0 ------------- 83,232	0 ------------- 0	0 ------------- 354,511	0 ------------- 4,479	0 ------------- 469	0 ------------- 442,691	0 ------------- 22,077
33THEODORE CALIANOS MD TRUSTEE	(i) (ii)	320,384 ------------- 0	33,037 ------------- 0	47,639 ------------- 0	11,600 ------------- 0	32,305 ------------- 0	444,965 ------------- 0	0 ------------- 0
34MICHAEL BACHSTEIN VP FACILITIES MANAGEMENT	(i) (ii)	0 ------------- 240,667	0 ------------- 44,712	0 ------------- 13,090	0 ------------- 23,838	0 ------------- 1,525	0 ------------- 323,832	0 ------------- 1,885
35MARY JOHNSON SEE SCHEDULE O	(i) (ii)	171,282 ------------- 0	32,576 ------------- 0	26,468 ------------- 0	17,563 ------------- 0	14,241 ------------- 0	262,130 ------------- 0	6,531 ------------- 0

Schedule J (Form 990) 2021

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
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 - SEVERANCE SHERYL DECILIO (VP PATIENT FIN SVC & REV CYCLE) RECEIVED SEVERANCE PAYMENTS OF $287,000 DURING CALENDAR YEAR 2021. THE ARRANGEMENT PROVIDES FOR CONTINUED PAYMENT OF THE INDIVIDUAL'S SALARY AND BENEFITS FOR A PERIOD OF TWELVE MONTHS. PAUL NIEDZWIECKI (FORMER SVP STRATEGY & GOVERNMENT AFFAIRS) RECEIVED SEVERANCE PAYMENTS OF $173,077 DURING CALENDAR YEAR 2021. THE ARRANGEMENT PROVIDES FOR CONTINUED PAYMENT OF THE INDIVIDUAL'S SALARY AND BENEFITS FOR A PERIOD OF TWELVE MONTHS. FOR A PERIOD OF TWELVE 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 2021 WERE AS FOLLOWS: - MICHAEL K. LAUF - $88,537 - MICHAEL L. CONNORS - $21,895 - JOHN PAUL SOLVERSON - $23,563 - CHRISTIAN BROWN - $21,237 - MICHAEL G. JONES - $20,568 - PATRICK KANE - $61,738 - DONALD GUADAGNOLI, MD - $63,443 - NOELENE CERVIN - $13,709 - SHERYL DECILIO - $32,704 - JEAN BUTLER - $6,415 - CHRISTOPHER LAWSON - $5,100 - CARTER HUNT - $12,546 - ANNE MARIE PECKHAM - $12,997 - JUDITH C. QUINN - $13,828 - ELIZABETH DUNTON - $10,842 - KEVIN MULROY - $19,833 - MICHAEL BACHSTEIN - $2,239 - CYNTHIA MARLIN - $12,467 - MARY JOHNSON - $7,928 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 2021 WERE AS FOLLOWS: - CHRISTIAN BROWN - $1,675 - PATRICK KANE - $28,633 - DONALD GUADAGNOLI, MD - $42,363 DURING CALENDAR YEAR 2021, 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 2021 WAS $118,800 AND IS INCLUDED IN SCHEDULE J, PART II, COLUMN (C). IN ADDITION, $143,833 WAS PAID OUT FROM HIS CEO SUPPLEMENTAL PLAN, AND IS INCLUDED IN SCHEDULE J, PART II, COLUMN B(III). ALSO, DURING CALENDAR YEAR 2021, MICHAEL LAUF PARTICIPATED IN LONG-TERM INCENTIVE PLANS. THE PLANS PROVIDE FOR MERIT-BASED COMPENSATION BASED UPON CERTAIN QUALITY AND FINANCIAL METRICS OF THE ORGANIZATION. $1,125,000 WAS PAID OUT DURING CALENDAR YEAR 2021 AND IS INCLUDED IN SCHEDULE J, PART II, COLUMN B(II). $93,750 of accrued funds relating to the long-term investment plan are included as part of Schedule J, Part II, Column C.
SCHEDULE J, PART I, LINE 7	DISCRETIONARY BONUSES ARE AWARDED ANNUALLY BASED UPON BOTH THE PERFORMANCE OF THE ORGANIZATION AND THE INDIVIDUAL. 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.

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