CAPE COD HEALTHCARE INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
CAPE COD HEALTHCARE INC (EIN 90-0054984)
Tax period
2019-10-01 to 2020-09-30
Filed
2021-08-16
IRS object ID
202132289349303933
Schema version
2019v5.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2021-08-16T16:14:46-05:00ReturnTs
Tax Period End2020-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PricewaterhouseCoopers LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1101 SEAPORT BLVD SUITE 500AddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02210ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN900054984EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CAPE COD HEALTHCARE INC & AFFILIATESBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% LAURA RANZINGERInCareOfNm
Business Name ControlCAPEBusinessNameControlTxt
Phone5087711800PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1297 NORTH ST Suite BLDG 3AddressLine1Txt
CityHYANNISCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02601ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLAURA RANZINGERPersonNm
Person TitleVP FINANCE&TREASURYPersonTitleTxt
Signature2021-07-30SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonGWEN SPENCERPreparerPersonNm
PTINP00641463PTIN
Phone6175305000PhoneNum
Preparation2021-07-27PreparationDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMICHAEL K LAUFPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line188 LEWIS BAY ROADAddressLine1Txt
CityHYANNISCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02601ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$942,736,501GrossReceiptsAmt
Group Return For AffiliatesYes (true)GroupReturnForAffiliatesInd
All Affiliates IncludedYes (true)AllAffiliatesIncludedInd
Group Exemption3901GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CAPECODHEALTH.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Activity Or MissionSEE SCHEDULE OActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee6131TotalEmployeeCnt
Total Volunteers516TotalVolunteersCnt
Total Gross UBI$320,050TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$91,180NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$18,471,535PYContributionsGrantsAmt
CY Contributions Grants$69,840,468CYContributionsGrantsAmt
PY Program Service Revenue$946,855,987PYProgramServiceRevenueAmt
CY Program Service Revenue$856,644,181CYProgramServiceRevenueAmt
PY Investment Income$19,832,534PYInvestmentIncomeAmt
CY Investment Income$14,606,621CYInvestmentIncomeAmt
PY Other Revenue$2,175,510PYOtherRevenueAmt
CY Other Revenue$1,567,803CYOtherRevenueAmt
PY Total Revenue$987,335,566PYTotalRevenueAmt
CY Total Revenue$942,659,073CYTotalRevenueAmt
PY Grants And Similar Paid$1,006,781PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,008,026CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$513,672,399PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$512,925,879CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$70,431PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$59,071CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$3,597,855CYTotalFundraisingExpenseAmt
PY Other Expenses$418,938,620PYOtherExpensesAmt
CY Other Expenses$415,810,545CYOtherExpensesAmt
PY Total Expenses$933,688,231PYTotalExpensesAmt
CY Total Expenses$929,803,521CYTotalExpensesAmt
PY Revenues Less Expenses$53,647,335PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$12,855,552CYRevenuesLessExpensesAmt
Total Assets BOY$1,056,059,478TotalAssetsBOYAmt
Total Assets EOY$1,248,997,758TotalAssetsEOYAmt
Total Liabilities BOY$275,779,649TotalLiabilitiesBOYAmt
Total Liabilities EOY$443,904,319TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$780,279,829NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$805,093,439NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE OMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$846,101,010ExpenseAmt
Grant$1,008,026GrantAmt
Revenue$856,644,181RevenueAmt
DescPATIENT SERVICES - SEE SCHEDULES H AND ODesc
Total Program Service Expenses$846,101,010TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficeYes (true)ForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingYes (true)ProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document67IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee6131EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonLAURA RANZINGERPersonNm
Phone7744705537PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1297 NORTH STREET BLDG 3AddressLine1Txt
CityHYANNISCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02601ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (46 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndKey EmployeeKeyEmployeeInd
MICHAEL K LAUF
PRESIDENT/CEO/TRUSTEE55.05.0Yes (X)Yes (X)$0$1,667,455$264,792
RICHARD B ZELMAN MD
PHYSICIAN40.00.0$1,682,890$0$43,868Yes (X)
PAUL HOULE MD
TRUSTEE (UNTIL 1/20)40.02.0Yes (X)$1,070,875$0$45,020
GORDON NAKATA MD
PHYSICIAN40.00.0$1,049,325$0$45,020Yes (X)
ACHILLES PAPAVASILIOU MD
PHYSICIAN40.00.0$1,049,125$0$45,170Yes (X)
NICHOLAS COPPA MD
PHYSICIAN40.00.0$1,051,539$0$42,210Yes (X)
KARL B COYNER MD
PHYSICIAN40.00.0$1,017,584$0$22,990Yes (X)
ROBERT WILSTERMAN MD
TRUSTEE (UNTIL 1/20)40.02.0Yes (X)$694,083$0$42,381
MICHAEL L CONNORS
SENIOR VP FINANCE/CFO55.05.0Yes (X)$0$566,015$73,488
DONALD A GUADAGNOLI MD
Senior VP & CMO45.05.0$0$541,968$64,452Yes (X)
MOLLY SULLIVAN MD
TRUSTEE (AS OF 1/20)40.02.0Yes (X)$538,195$0$42,392
JOHN PAUL SOLVERSON
SR VP & CIO45.05.0$0$525,027$52,186Yes (X)
KEVIN MULROY
SVP CHIEF QUALITY & SAFETY OFF45.05.0$0$487,621$67,566Yes (X)
WILLIAM AGEL MD
TRUSTEE (UNTIL 04/2020)40.02.0Yes (X)$504,701$0$42,392
CHRISTIAN BROWN
SR VP MANAGED CARE45.05.0$0$439,640$61,410Yes (X)
MICHAEL G JONES ESQ
SEE SCHEDULE O55.05.0Yes (X)$0$427,594$64,733
ALEXANDER HEARD MD
CMO FALMOUTH HOSPITAL45.05.0$216,393$204,529$64,283Yes (X)
PATRICK J KANE
SVP OF MRKTG,COMMUN AND DEVLP45.05.0$0$424,663$45,107Yes (X)
THEODORE CALIANOS MD
TRUSTEE40.05.0Yes (X)$372,357$0$42,221
EMILY SCHORER
SVP HUMAN RESOURCES45.05.0$0$354,522$58,064Yes (X)
JEFFREY S DYKENS
VP FINANCE45.05.0$0$356,971$50,640Yes (X)
SHERYL DECILIO
SEE SCHEDULE O45.05.0$0$345,307$9,076Yes (X)
JUDITH C QUINN
VP OF PATIENT CARE45.05.0$0$313,110$33,499Yes (X)
CHRISTOPHER M LAWSON
SVP DEVELOPMENT45.05.0$0$306,516$39,044Yes (X)
LORI JEWETT
CEO - FH45.05.0$0$308,592$24,742Yes (X)
JEAN BUTLER
SVP EMPLYD PHY GRP(AS OF 4/19)45.05.0$0$285,844$36,871Yes (X)
NOELENE CERVIN
VP BUDGETING AND OPER. SUPPORT45.05.0$0$269,775$47,205Yes (X)
ANNE MARIE PECKHAM
PRESIDENT VNA45.05.0$0$273,658$32,200Yes (X)
DEBRA ROBINSON
ASSOC VP OF NRSNG45.05.0$249,709$0$33,289Yes (X)
CARTER HUNT
ADMIN SPEC&HOSP BASED CARE45.05.0$0$225,084$53,335Yes (X)
CYNTHIA MARLIN
VP PERIOPERATIVE & SURGICAL SV45.05.0$0$228,069$44,010Yes (X)
ELIZABETH DUNTON
COO EMPLOYED PHYSICIAN SVCS45.05.0$0$232,927$21,041Yes (X)
THERESA M AHERN
SVP STRATEGY & GOVT AFFAIRS45.05.0$0$234,105$15,369Yes (X)
NATHAN RUDMAN MD
TRUSTEE5.05.0Yes (X)$0$21,120$0
LAWRENCE CAPODILUPO
TRUSTEE2.02.0Yes (X)$0$0$0
SHARON KENNEDY
TRUSTEE2.02.0Yes (X)$0$0$0
DEWITT DAVENPORT
CHAIRMAN (UNTIL 5/20)2.02.0Yes (X)Yes (X)$0$0$0
DIANE COLETTI
TRUSTEE2.02.0Yes (X)$0$0$0
SUMNER B TILTON JR
TRUSTEE2.02.0Yes (X)$0$0$0
E JAMES MULCAHY JR
TRUSTEE2.02.0Yes (X)$0$0$0
ROBERT TALERMAN
SEE SCHEDULE O2.02.0Yes (X)Yes (X)$0$0$0
ROBERT BIRMINGHAM
VICE CHAIR/TRUST (UNTIL 11/19)2.02.0Yes (X)Yes (X)$0$0$0
RAMANI AYER
SEE SCHEDULE O5.05.0Yes (X)Yes (X)$0$0$0
BRUCE JOHNSTON
SEE SCHEDULE O5.05.0Yes (X)Yes (X)$0$0$0
CYNTHIA A HINES MD
TRUSTEE (AS OF 01/20)2.02.0Yes (X)$0$0$0
KEVIN VILSAINT MD
TRUSTEE (AS OF 9/20)2.02.0Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$9,247,067TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$7,269,530TotReportableCompRltdOrgAmt
Total Other Compensation$1,386,746TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K987IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CAPE COD HEALTHCARE INC
297 NORTH STREET BLDG 3HYANNISMA02601PURCHASED SERVICES$70,060,946
CMG CIT ACQUISITION LLC
655 SOUTH WILLOW ST STE 128MANCHESTERNH03103EMPLYMENT/STAFF SVCS$788,014
BOURNE MANOR
146 MACARTHUR BLVDBOURNEMA02532HOSPICE ROOM & BOARD$168,097
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Fundraising$76,176FundraisingAmt
Government Grants$52,776,530GovernmentGrantsAmt
All Other Contributions$16,987,762AllOtherContributionsAmt
Noncash Contributions$1,816,257NoncashContributionsAmt
Total Contributions$69,840,468TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE900099$827,050,609$827,050,609
LABORATORY SERVICES621500$6,374,932$6,054,882$320,050
PROGRAM RELATED RENTAL INCOME900099$3,190,300$3,190,300
JOINT VENTURE REVENUE900099$2,807,616$2,807,616
QUALITY EARNED PAYMENTS900099$13,205,322$13,205,322

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,015,402TotalRevenueColumnAmt
Related Or Exempt Func Income$4,015,402RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$856,644,181TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,025,505TotalRevenueColumnAmt
Exclusion$8,025,505ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$6,581,116SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$6,581,116SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,581,116TotalRevenueColumnAmt
Exclusion$6,581,116ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$123,459FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$76,176ContriRptFundraisingEventAmt
Fundraising Direct Expenses$77,428FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$46,031TotalRevenueColumnAmt
Exclusion$46,031ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
CAFETERIA INCOME900099$1,414,445$1,414,445
MEDICAL RECORDS900099$107,327$107,327
FieldValueIRS element (for citing)
Other Revenue Total$1,521,772OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$942,659,073TotalRevenueColumnAmt
Related Or Exempt Func Income$856,324,131RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$320,050UnrelatedBusinessRevenueAmt
Exclusion$16,174,424ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,008,026TotalAmt
Program Services$1,008,026ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,469,864TotalAmt
Program Services$3,469,864ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$481,565TotalAmt
Program Services$481,565ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$402,397,123TotalAmt
Program Services$364,702,549ProgramServicesAmt
Management And General$35,996,447ManagementAndGeneralAmt
Fundraising$1,698,127FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$12,570,605TotalAmt
Program Services$11,062,822ProgramServicesAmt
Management And General$1,439,858ManagementAndGeneralAmt
Fundraising$67,925FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$68,201,507TotalAmt
Program Services$61,756,676ProgramServicesAmt
Management And General$6,137,277ManagementAndGeneralAmt
Fundraising$307,554FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$25,805,215TotalAmt
Program Services$22,933,020ProgramServicesAmt
Management And General$2,753,728ManagementAndGeneralAmt
Fundraising$118,467FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$6,767,398TotalAmt
Program Services$3,087,069ProgramServicesAmt
Management And General$3,680,329ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,056,899TotalAmt
Program Services$22,204ProgramServicesAmt
Management And General$1,029,695ManagementAndGeneralAmt
Fundraising$5,000FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$990,859TotalAmt
Program Services$216,303ProgramServicesAmt
Management And General$774,556ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$59,071TotalAmt
Fundraising$59,071FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$550,932TotalAmt
Program Services$42,797ProgramServicesAmt
Management And General$508,135ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$33,916,811TotalAmt
Program Services$33,755,300ProgramServicesAmt
Management And General$161,511ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$834,615TotalAmt
Program Services$759,351ProgramServicesAmt
Management And General$64,960ManagementAndGeneralAmt
Fundraising$10,304FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,266,087TotalAmt
Program Services$3,968,203ProgramServicesAmt
Management And General$264,568ManagementAndGeneralAmt
Fundraising$33,316FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$4,578,023TotalAmt
Program Services$4,335,040ProgramServicesAmt
Management And General$165,664ManagementAndGeneralAmt
Fundraising$77,319FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$14,294,702TotalAmt
Program Services$13,436,389ProgramServicesAmt
Management And General$733,977ManagementAndGeneralAmt
Fundraising$124,336FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$5,486,935TotalAmt
Program Services$5,031,676ProgramServicesAmt
Management And General$406,350ManagementAndGeneralAmt
Fundraising$48,909FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$5,874,408TotalAmt
Program Services$5,289,107ProgramServicesAmt
Management And General$564,155ManagementAndGeneralAmt
Fundraising$21,146FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$45,800,020TotalAmt
Program Services$41,641,462ProgramServicesAmt
Management And General$4,151,876ManagementAndGeneralAmt
Fundraising$6,682FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$5,962,892TotalAmt
Program Services$5,564,937ProgramServicesAmt
Management And General$397,955ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES$136,520,814$136,520,814
ADMIN OFFICE OVERHEAD$69,626,420$52,734,972$16,358,839$532,609
PURCHASED SERVICES$35,407,413$32,993,110$2,292,962$121,341
BAD DEBTS$16,525,789$16,525,789

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$27,349,528TotalAmt
Program Services$24,761,965ProgramServicesAmt
Management And General$2,221,814ManagementAndGeneralAmt
Fundraising$365,749FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$929,803,521TotalAmt
Program Services$846,101,010ProgramServicesAmt
Management And General$80,104,656ManagementAndGeneralAmt
Fundraising$3,597,855FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$31,950,245BOYAmt
EOY$47,772,011EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,423,924BOYAmt
EOY$1,428,120EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$8,121,530BOYAmt
EOY$12,528,497EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$98,822,894BOYAmt
EOY$80,313,108EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$9,298,125BOYAmt
EOY$14,560,536EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$12,942,908BOYAmt
EOY$13,978,076EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,300,556BOYAmt
EOY$2,858,696EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$711,231,599LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$406,410,663LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$324,571,834BOYAmt
EOY$304,820,936EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$495,557,462BOYAmt
EOY$664,591,293EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$254,265BOYAmt
EOY$289,008EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$23,710,077BOYAmt
EOY$21,989,350EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$46,105,658BOYAmt
EOY$83,868,127EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,056,059,478BOYAmt
EOY$1,248,997,758EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$72,326,715BOYAmt
EOY$72,068,541EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$351,577BOYAmt
EOY$1,255,770EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$122,580,260BOYAmt
EOY$112,816,029EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$19,479,163BOYAmt
EOY$17,937,868EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$61,041,934BOYAmt
EOY$239,826,111EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$275,779,649BOYAmt
EOY$443,904,319EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$710,386,474BOYAmt
EOY$729,454,739EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$69,893,355BOYAmt
EOY$75,638,700EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$780,279,829BOYAmt
EOY$805,093,439EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,056,059,478BOYAmt
EOY$1,248,997,758EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$12,855,552ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$1,647,831NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments$13,279,200PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$326,689OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,584,232CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,341,766CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,447,109CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$18,471,535CurrentTaxYearMinus1YearAmt
Current Tax Year$69,840,468CurrentTaxYearAmt
Total$132,685,110TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,584,232CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,341,766CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,447,109CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$18,471,535CurrentTaxYearMinus1YearAmt
Current Tax Year$69,840,468CurrentTaxYearAmt
Total$132,685,110TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$1,210,386SubstantialContributorsTotAmt
Public Support Total170$131,474,724PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,368,273CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,985,405CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,272,965CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,133,036CurrentTaxYearMinus1YearAmt
Current Tax Year$8,025,505CurrentTaxYearAmt
Total$40,785,184TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$798,057CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$408CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years-$544,982CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year-$986,182CurrentTaxYearMinus1YearAmt
Current Tax Year-$91,180CurrentTaxYearAmt
Total-$823,879TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,353,977CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,422,397CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,647,341CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,299,730CurrentTaxYearMinus1YearAmt
Current Tax Year$1,645,231CurrentTaxYearAmt
Total$11,368,676TotalAmt
FieldValueIRS element (for citing)
Total Support$184,015,091TotalSupportAmt
Gross Receipts Rltd Activities$4,346,185,646GrossReceiptsRltdActivitiesAmt
Public Support CY1700.71448PublicSupportCY170Pct
Public Support PY1700.57341PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir TrstfalsePowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt OrgfalseOperateBenefitNonSuprtOrgInd

Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp

FieldValueIRS element (for citing)
Timely Provided DocumentsfalseTimelyProvidedDocumentsInd
Officers Close RelationshipfalseOfficersCloseRelationshipInd
Supported Org Voice InvestmentfalseSupportedOrgVoiceInvestmentInd

Adjusted Net Income AdjustedNetIncomeGrp

Net ST Capital Gain Adj Net Incm NetSTCapitalGainAdjNetIncmGrp

FieldValueIRS element (for citing)
Prior Year$0PriorYearAmt

Recoveries PY Distributions RecoveriesPYDistributionsGrp

FieldValueIRS element (for citing)
Prior Year$0PriorYearAmt

Other Gross Income OtherGrossIncomeGrp

FieldValueIRS element (for citing)
Prior Year$0PriorYearAmt

Adjusted Gross Income AdjustedGrossIncomeGrp

FieldValueIRS element (for citing)
Prior Year$0PriorYearAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Prior Year$0PriorYearAmt

Production Income ProductionIncomeGrp

FieldValueIRS element (for citing)
Prior Year$0PriorYearAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
Prior Year$0PriorYearAmt

Total Adjusted Net Income TotalAdjustedNetIncomeGrp

FieldValueIRS element (for citing)
Prior Year$0PriorYearAmt

Minimum Asset Amount MinimumAssetAmountGrp

Average Monthly FMV Of Sec AverageMonthlyFMVOfSecGrp

FieldValueIRS element (for citing)
Prior Year$0PriorYearAmt

Average Monthly Cash Balances AverageMonthlyCashBalancesGrp

FieldValueIRS element (for citing)
Prior Year$0PriorYearAmt

FMV Other Non Exempt Use Asset FMVOtherNonExemptUseAssetGrp

FieldValueIRS element (for citing)
Prior Year$0PriorYearAmt

Total FMV Of Non Exempt Use Asset TotalFMVOfNonExemptUseAssetGrp

FieldValueIRS element (for citing)
Prior Year$0PriorYearAmt
FieldValueIRS element (for citing)
Discount Claimed$0DiscountClaimedAmt

Acquisition Indebtedness AcquisitionIndebtednessGrp

FieldValueIRS element (for citing)
Prior Year$0PriorYearAmt

Adjusted FMV Less Indebtedness AdjustedFMVLessIndebtednessGrp

FieldValueIRS element (for citing)
Prior Year$0PriorYearAmt

Cash Deemed Charitable CashDeemedCharitableGrp

FieldValueIRS element (for citing)
Prior Year$0PriorYearAmt

Net Vl Non Exempt Use Assets NetVlNonExemptUseAssetsGrp

FieldValueIRS element (for citing)
Prior Year$0PriorYearAmt

Pct Of Net Vl Non Exempt Use Ast PctOfNetVlNonExemptUseAstGrp

FieldValueIRS element (for citing)
Prior Year$0PriorYearAmt

Recoveries PY Distri Min Asset RecoveriesPYDistriMinAssetGrp

FieldValueIRS element (for citing)
Prior Year$0PriorYearAmt

Total Minimum Asset TotalMinimumAssetGrp

FieldValueIRS element (for citing)
Prior Year$0PriorYearAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
CY Adj Net Income Distributable$0CYAdjNetIncomeDistributableAmt
CY Pct85 Adjusted Net Income$0CYPct85AdjustedNetIncomeAmt
CY Total Min Ast Distributable$0CYTotalMinAstDistributableAmt
CY Greater Adjusted Minimum$0CYGreaterAdjustedMinimumAmt
CY Income Tax Imposed PY$0CYIncomeTaxImposedPYAmt
CY Distributable As Adjusted$0CYDistributableAsAdjustedAmt

Distributions DistributionsGrp

FieldValueIRS element (for citing)
CY Paid Accomplish Exempt Prps$0CYPaidAccomplishExemptPrpsAmt
CY Pd In Excess Income Activity$0CYPdInExcessIncomeActivityAmt
CY Administrative Expense Paid$0CYAdministrativeExpensePaidAmt
Exempt Use Assets Acquis Paid$0ExemptUseAssetsAcquisPaidAmt
Qualified Set Aside$0QualifiedSetAsideAmt
CY Other Distributions$0CYOtherDistributionsAmt
CY Total Annual Distributions$0CYTotalAnnualDistributionsAmt
CY Distri Attentive Suprt Org$0CYDistriAttentiveSuprtOrgAmt
CY Distributable As Adjusted$0CYDistributableAsAdjustedAmt
CY Distribution Yr0CYDistributionYrRt

Distribution Allocations DistributionAllocationsGrp

FieldValueIRS element (for citing)
CY Distributable As Adjusted$0CYDistributableAsAdjustedAmt
Underdistributions$0UnderdistributionsAmt
Excess Distribution Cyov Yr5$0ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$0ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$0ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$0ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$0ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Cyov Applied Underdistri PY$0CyovAppliedUnderdistriPYAmt
Cyov Applied Underdistr CPY$0CyovAppliedUnderdistrCPYAmt
Carryover PY Not Applied$0CarryoverPYNotAppliedAmt
Excess Distribution Cyov$0ExcessDistributionCyovAmt
CY Total Annual Distributions$0CYTotalAnnualDistributionsAmt
CY Distrib App Underdistri PY$0CYDistribAppUnderdistriPYAmt
Excess Distribution$0ExcessDistributionAmt
Remaining Underdistri PY$0RemainingUnderdistriPYAmt
Remaining Underdistri CY$0RemainingUnderdistriCYAmt
Excess Distri Cyov To Next Yr$0ExcessDistriCyovToNextYrAmt
Excess From Year5$0ExcessFromYear5Amt
Excess From Year4$0ExcessFromYear4Amt
Excess From Year3$0ExcessFromYear3Amt
Excess From Year2$0ExcessFromYear2Amt
Excess From Year1$0ExcessFromYear1Amt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$37,408OtherActivitiesAmt
Total Lobbying Expenditures$37,408TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1IFormAndLineReferenceDesc
ExplanationCAPE 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, 11.08% OF DUES PAID SHOULD BE ALLOCATED TO LOBBYING ACTIVITY.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$42,236,761BeginningYearBalanceAmt
Contributions$846,322ContributionsAmt
Investment Earnings Or Losses$1,612,515InvestmentEarningsOrLossesAmt
Other Expenditures$1,074,167OtherExpendituresAmt
End Year Balance$43,621,431EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$42,450,666BeginningYearBalanceAmt
Contributions$1,510,214ContributionsAmt
Investment Earnings Or Losses-$670,422InvestmentEarningsOrLossesAmt
Other Expenditures$1,053,697OtherExpendituresAmt
End Year Balance$42,236,761EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$41,606,730BeginningYearBalanceAmt
Contributions$504,886ContributionsAmt
Investment Earnings Or Losses$1,353,728InvestmentEarningsOrLossesAmt
Other Expenditures$1,014,678OtherExpendituresAmt
End Year Balance$42,450,666EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$38,809,089BeginningYearBalanceAmt
Contributions$30,699ContributionsAmt
Investment Earnings Or Losses$3,061,173InvestmentEarningsOrLossesAmt
Other Expenditures$759,148OtherExpendituresAmt
Administrative Expenses-$464,917AdministrativeExpensesAmt
End Year Balance$41,606,730EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$37,495,620BeginningYearBalanceAmt
Contributions$57,261ContributionsAmt
Investment Earnings Or Losses$2,000,285InvestmentEarningsOrLossesAmt
Other Expenditures$744,077OtherExpendituresAmt
End Year Balance$38,809,089EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.83360PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.16640TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$23,635,113OtherCostOrOtherBasisAmt
Book Value$23,635,113BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$421,002,311OtherCostOrOtherBasisAmt
Depreciation$201,692,248DepreciationAmt
Book Value$219,310,063BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,032,242OtherCostOrOtherBasisAmt
Depreciation$2,691,660DepreciationAmt
Book Value$2,340,582BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$231,449,167OtherCostOrOtherBasisAmt
Depreciation$186,056,052DepreciationAmt
Book Value$45,393,115BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$30,112,766OtherCostOrOtherBasisAmt
Depreciation$15,970,703DepreciationAmt
Book Value$14,142,063BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$304,820,936TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (9 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
INVESTMENTS SHORT TERM$163,636,519F
RESTRICTED CASH - ST$2,159,963F
SERIES 2013 CURRENT$848,530F
SERIES 2012A CURRENT$2,195,837F
INVESTMENTS LT$299,439,453F
INTERESTS IN FDN - UNRESTRICTD$144,525,728F
RESTRICTED CASH - LT$225,684F
INTEREST IN FDN - TEMP$17,180,887F
INTEREST IN FDN - PERM$34,378,692F
FieldValueIRS element (for citing)
Total Book Value Securities$664,591,293TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescDUE FROM AFFILIATESDesc
Book Value$83,868,127BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$83,868,127TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
DUE TO AFFILIATES$43,095,745
OTHER CURRENT LIABILITIES$25,796,677
ABANDONED PROPERTY$139,469
INTEREST RATE SWAPS$665,048
COVID19 ADVANCED PAYMENTS$170,129,172
FieldValueIRS element (for citing)
Total Liability$239,826,111TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4THE 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 2THE ORGANIZATION DOES NOT HAVE A FIN 48 FOOTNOTE AS ANY UNCERTAIN TAX POSITIONS WERE DEEMED IMMATERIAL.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegionTxt
Offices1OfficesCnt
Employee0EmployeeCnt
Type Of Activities ConductedProgram ServicesTypeOfActivitiesConductedTxt
Specific Services ProvidedCAPTIVE INSURANCESpecificServicesProvidedTxt
Region Total Expenditures$6,520,553RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices1SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Total Office1TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$6,520,553SubtotalSpentAmt
Total Spent$6,520,553TotalSpentAmt
Transfer To Foreign CorpfalseTransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipfalseForeignCorpOwnershipInd
Passive Foreign Investmest CofalsePassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE F, PART I, COLUMN FFormAndLineReferenceDesc
ExplanationEXPENSES ARE CODED IN THE GENERAL LEDGER TO THE CAPTIVE INSURANCE COMPANY.ExplanationTxt

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsYes (X)MailSolicitationsInd
Email SolicitationsYes (X)EmailSolicitationsInd
In Person SolicitationsYes (X)InPersonSolicitationsInd
Solicitation Of Non Govt GrantsYes (X)SolicitationOfNonGovtGrantsInd
Special Fundraising EventsYes (X)SpecialFundraisingEventsInd
Agrmt Prof Fundraising ActyYes (true)AgrmtProfFundraisingActyInd
Fundraiser Activity InfoFundraiserActivityInfoGrp

Fundraiser Activity Info FundraiserActivityInfoGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdActivityActivityTxtFundraiser Control Of FundsFundraiserControlOfFundsIndGross ReceiptsGrossReceiptsAmtRetained By ContractorRetainedByContractorAmtNet To OrganizationNetToOrganizationAmt
(no name)
Five Maples
78 RIVER ROAD SOUTHPUTNEYVT05346Direct Mailfalse$332,553$59,071$273,483
FieldValueIRS element (for citing)
Total Gross Receipts$332,553TotalGrossReceiptsAmt
Total Retained By Contractors$59,071TotalRetainedByContractorsAmt
Total Net To Organization$273,483TotalNetToOrganizationAmt
Licensed StatesCALicensedStatesCd
Licensed StatesCTLicensedStatesCd
Licensed StatesFLLicensedStatesCd
Licensed StatesILLicensedStatesCd
Licensed StatesKSLicensedStatesCd
Licensed StatesMALicensedStatesCd
Licensed StatesMILicensedStatesCd
Licensed StatesMOLicensedStatesCd
Licensed StatesNHLicensedStatesCd
Licensed StatesNJLicensedStatesCd
Licensed StatesNYLicensedStatesCd
Licensed StatesNCLicensedStatesCd
Licensed StatesPALicensedStatesCd
Licensed StatesRILicensedStatesCd
Licensed StatesSCLicensedStatesCd
Licensed StatesWILicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Soiree on the BEvent1Nm
Gross Receipts Event1$199,635GrossReceiptsEvent1Amt
Charitable Contri Event1$76,176CharitableContriEvent1Amt
Gross Revenue Event1$123,459GrossRevenueEvent1Amt
Rent Facility Costs Event1$2,500RentFacilityCostsEvent1Amt
Food And Beverage Event1$36,042FoodAndBeverageEvent1Amt
Entertainment Event1$1,600EntertainmentEvent1Amt
Other Direct Expenses Event1$37,286OtherDirectExpensesEvent1Amt
Other Events Total0OtherEventsTotalCnt
Gross Receipts Total$199,635GrossReceiptsTotalAmt
Charitable Contributions Tot$76,176CharitableContributionsTotAmt
Gross Revenue Total Events$123,459GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$2,500RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$36,042FoodAndBeverageTotalEventsAmt
Entertainment Total Events$1,600EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$37,286OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$77,428DirectExpenseSummaryEventsAmt
Net Income Summary$46,031NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,298,606TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,091,727DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,206,879NetCommunityBenefitExpnsAmt
Total Expense0.00460TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$108,380,550TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$93,794,021DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,586,529NetCommunityBenefitExpnsAmt
Total Expense0.01600TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$14,163,698TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,223,688DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,940,010NetCommunityBenefitExpnsAmt
Total Expense0.00210TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$128,842,854TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$108,109,436DirectOffsettingRevenueAmt
Net Community Benefit Expns$20,733,418NetCommunityBenefitExpnsAmt
Total Expense0.02270TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,545,987TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,545,987NetCommunityBenefitExpnsAmt
Total Expense0.00280TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$723,321TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$232,379DirectOffsettingRevenueAmt
Net Community Benefit Expns$490,942NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$631,810,894TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$571,945,811DirectOffsettingRevenueAmt
Net Community Benefit Expns$59,865,083NetCommunityBenefitExpnsAmt
Total Expense0.06550TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,194,262TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,194,262NetCommunityBenefitExpnsAmt
Total Expense0.00130TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$636,274,464TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$572,178,190DirectOffsettingRevenueAmt
Net Community Benefit Expns$64,096,274NetCommunityBenefitExpnsAmt
Total Expense0.07010TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$765,117,318TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$680,287,626DirectOffsettingRevenueAmt
Net Community Benefit Expns$84,829,692NetCommunityBenefitExpnsAmt
Total Expense0.09280TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$100,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$100,000NetCommunityBenefitExpnsAmt

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$25,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$25,000NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,750TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$11,750NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$16,973TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$16,973NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$153,723TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$153,723NetCommunityBenefitExpnsAmt
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$16,525,789BadDebtExpenseAmt
Bad Debt Expense Attributable$9,390,456BadDebtExpenseAttributableAmt
Reimbursed By Medicare$100,299,613ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$48,846,764CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$51,452,849MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCd
CAPE COD HOSPITAL
127 PARK STREETHYANNISMA02601SEE PART V, SECTION C2135Yes (X)Yes (X)Yes (X)A
FALMOUTH HOSPITAL ASSOCIATION INC
2100 TER HEUN DRIVEFALMOUTHMA02540SEE PART V, SECTION C2289Yes (X)Yes (X)Yes (X)A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ABusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt18ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, SECTION CStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
None MadeYes (X)NoneMadeInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION AWEBSITES PART V, SECTION A, LINE 1 - CAPE COD HOSPITAL WWW.CAPECODHEALTH.ORG/LOCATIONS/CAPE-COD-HOSPITAL
PART V, SECTION A, LINE 2 - FALMOUTH HOSPITALWWW.CAPECODHEALTH.ORG/LOCATIONS/FALMOUTH-HOSPITAL
PART V, SECTION B, LINE 5Many sources and data collection methodologies were used to obtain a comprehensive view of the health and health care 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, health care 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. The data sources and methodologies included: 1. Secondary Data. A comprehensive review of existing data drawn from national, state, and local sources was conducted. Data sources included, but were not limited to, the U.S. Census Bureau, the Centers for Disease Control and Prevention, the Massachusetts Department of Public Health, among others. Types of data included demographics, vital statistics, public health surveillance, as well as self-report of select health behaviors from large, population-based surveys such as the Massachusetts Behavioral Risk Factor Surveillance Survey (BRFSS). 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. 2. Community Stakeholder Dialogues. Two facilitated "stakeholder dialogues" were held with staff from a broad array of agencies and organizations actively working in the health and human services sectors of Barnstable County. Approximately 70 people attended these sessions. 3. Key Informant Interviews. Key informant interviews were conducted via phone with 25 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. Discussions focused on health 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. 4. Focus Groups. Two focus groups, one conducted in Spanish and one in Portuguese, were held with residents to gather information about the community, health challenges and needs, existing services, and suggestions for the future. One focus group of Portuguese-speaking residents was conducted at IPR Cape Cod Church and involved 14 participants. The other involved six Spanish speaking participants and was held at the Immigration Resource Center at Community Action Committee of Cape Cod. 5. Community Survey. A community survey asking about community and individual health and health care needs was developed and made available on-line and on paper to residents of Barnstable County. The survey was conducted in English, Spanish, and Portuguese and was completed by 2,011 total residents.
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/9327/community-health-needs -assessment-2020-2022.pdf
PART V, SECTION B, LINE 10(A)https://www.capecodhealth.org/app/files/public/9327/community-health-needs -assessment-2020-2022.pdf
PART V, SECTION B, LINE 11In early February 2019, HRiA led a facilitated process with leadership from Cape Cod Healthcare and community stakeholders including Barnstable County Human Services and behavioral health and infectious disease representatives from CCHC, to identify the priorities, goals and objectives for the Strategic Implementation Plan (SIP). HRiA presented the key health issues identified in the FY2020-FY2022 community health needs assessment (CHNA) project, including the magnitude and severity of these issues and their impact on priority populations. The following key health issues emerged most frequently from a review of the available data and community input and were considered in the selection of the Strategic Implementation Plan (SIP) health priorities: Housing, Transportation, Seasonal Economy and Employment Variation, Behavioral Health (including Substance Use and Mental Health), Aging Population, Physical Health Conditions, Healthcare Access. To address these needs, CCHC collaborates with community partners across the region to assess community needs, identifies promising programs, and implements strategies to improve people's health. Through an open and competitive Annual Strategic Grants program, CCHC funds projects addressing a variety of health needs. Additionally, CCHC has invested in new and expanded hospital programs in areas such as cancer support, chronic disease self-management, case management for individuals living with HIV/AIDS, suicide prevention, and support for new families, among others. CCHC community benefits' funding also supports medical interpreter services for limited English-speaking patients, hospital social workers and case managers, and financial counselors. Finally, CCHC plays a leadership role through participation in, among others, the Barnstable County Economic Development Council, the Barnstable County Human Services Advisory Council, the Barnstable County Regional Substance Use Council, the Cape Cod Chamber of Commerce, and the Cape and Islands Community Health Area Network (CHNA 27) Steering Committee. Regarding Seasonal Economy & Employment Variation: CCHC is best positioned to support and collaborate on initiatives that aim to develop the regional healthcare workforce as part of this SIP. In this way, CCHC is hoping to have a positive influence on the economy and employment opportunities in Barnstable County. Addressing the complex challenges created by a seasonal economy and employment variation in the region in industries outside of healthcare is beyond the core competencies of CCHC and our mission.
PART V, SECTION B, LINE 13(B)IN SOME CASES, THE MASSACHUSETTS HEALTHCONNECTOR CALCULATOR OR MODIFIED ADJUSTED GROSS INCOME IS USED TO DETERMINE FINANCIAL ASSISTANCE ELIGIBILITY.
PART V, SECTION B, LINE 13(H)STATE REGULATIONS
PART V, SECTION B, LINE 16(A), 16(B), 16(C)HTTPS://WWW.CAPECODHEALTH.ORG/PATIENTS-VISITORS/PAYING-FOR-CARE/FINANCIAL- ASSISTANCE/
FieldValueIRS element (for citing)
Facility87FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (87 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
Visiting Nurse Association of Cape Cod
255 Independence DriveHyannisMA02601home health
CAPE COD HEALTHCARE INC
297 NORTH STREET BLDG 3HYANNISMA02601ADMINISTRATIVE
Fontaine Primary Care
525 Long Pond DriveHARWICHMA02645medical group practice
CCHC Neurosurgery
46 NORTH ST STE 4HYANNISMA02601medical group practice
Bramblebush Medical Group
21 Bramblebush ParkFALMOUTHMA02540medical group practice
Seaside Pediatrics
150 Ansel Hallet RoadWest YarmouthMA02673medical group practice
Fontaine OUTPATIENT CENTER
525 Long Pond DriveHarwichMA02645medical group practice
Guo X Y David MD PhD-GASTROENTEROLOGY
90 TER HEUN DRIVE STE 302FalmouthMA02540medical group practice
CCHC Stoneman Primary Care
2 Jan Sebastian Way Suite 100SandwichMA02563medical group practice
CCHC Gastroenterology - Hyannis
700 ATTUCKS LANE STE 1EHyannisMA02601medical group practice
CCHC Plastic Surgery
160 Falmouth Road Suite BMASHPEEMA02649medical group practice
CAPE COD OBSTETRICS & GYNECOLOGY
90 Ter Heun Drive SUITE 100FalmouthMA02540medical group practice
Endocrine Center of Cape Cod - Hyannis
1030 FALMOUTH RD STE 201HyannisMA02601medical group practice
Fal Specialty Care Practice
90 Ter Heun Drive Suite 302FalmouthMA02540medical group practice
NEUROLOGISTS OF CAPE COD
46 North Street SUITE 7HyannisMA02601medical group practice
Nauset Family Practice
81 Old Colony Way STE DORLEANSMA02653medical group practice
Cape Health Insurance Company - FOREIGN
297 NORTH ST 3HYANNISMA02601administrative
Healthcare Foundation
32 MAIN STREETHyannisMA02601administrative
Healthcare Foundation
348 GIFFORD ST STE 4FALMOUTHMA02540ADMINISTRATIVE
JML Care Center
184 Ter Heun DrivefalmouthMA02540skilled nur & rehab
Cape & Islands Health Services II Inc
14 Yellow Brick RoadHYANNISMA02601COLLECTION CENTER
Cape & Islands Health Services II
5 Industrial Drive Suite 102MASHPEEMA02649COLLECTION CENTER
Cape & Islands Health Services II
525 Long Pond DriveHARWICHMA02645COLLECTION CENTER
Cape & Islands Health Services II
81 Old Colony WayORLEANSMA02653COLLECTION CENTER
Cape & Islands Health Services II
2 Jan Sebastian Way Route 130SANDWICHMA02563COLLECTION CENTER
Cape & Islands Health Services II
860 Route 134 Unit 2South DennisMA02660COLLECTION CENTER
Cape & Islands Health Services II
1 Trowbridge RoadBourneMA02532COLLECTION CENTER
Cape & Islands Health Services II
1629 MAIN STREETCHATHAMMA02633COLLECTION CENTER
Cape & Islands Health Services II
27 PARK STREETHYANNISMA02601COLLECTION CENTER
Heritage at Falmouth
140 Ter Heun DriveFALMOUTHMA02540ASSISTED LIVING
Cape Cod Human Services
460 West Main StreetHYANNISMA02601outpatient clinic
Cape Cod Human Services
525 Long Pond DriveHARWICHMA02645outpatient clinic
Cape Cod Medical Office Building Inc
20 Gleason StreetHYANNISMA02601administrative
Orleans Medical CENTER
204 Main StreetOrleansMA02653Medical Group Practice
CAPE COD Dermatology
134 Ansel Halet RoadW YarmouthMA02673Medical Group Practice
Cape Cod Rheumatology Center - Falmouth
1030 FALMOUTH RD STE 201HYANNISMA02601MEDICAL GROUP PRACTICE
CCHC Cardiovascular Center - Hyannis
25 Main StreetHYANNISMA02601MEDICAL GROUP PRACTICE
Endocrine Center of Cape Cod - Harwich
525 Long Pond DriveHARWICHMA02645MEDICAL GROUP PRACTICE
Fontaine Urgent Care Center
525 Long Pond DriveHARWICHMA02645MEDICAL GROUP PRACTICE
Park Street Primary Care
62 Park StreetHYANNISMA02601MEDICAL GROUP PRACTICE
Stoneman Primary Care
2 JAN SEBASTIAN WAY SUITE 100SANDWICHMA02563MEDICAL GROUP PRACTICE
Vascular & Vein Center Of Cape Cod - FAL
90 Ter Heun Drive 3RD Fl MOB STEFalmouthMA02540Medical Group Practice
CCHC General & Specialty Surgery
105 Park StreetHyannisMA02601Medical Group Practice
Cape Cod Sports Medicine
360 Gifford Street Unit 2BFalmouthMA02540Medical Group Practice
CARDIOVASCULAR CENTER - FALMOUTH
90 TER HEUN DRIVE SUITE 300FALMOUTHMA02540Medical Group Practice
GASTROENTEROLOGY HYANNIS - PARK STREET
105 PARK STREETHYANNISMA02601Medical Group Practice
STONEMAN OUTPATIENT CENTER - URGENT CARE
2 JAN SEBASTIAN DRIVE SUITE 101SANDWICHMA02563Medical Group Practice
MASHPEE SURGICAL CENTER
160 FALMOUTH ROAD SUITE AMASHPEEMA02649MEDICAL GROUP PRACTICE
SOUTHEASTERN SURGICAL ASSOCIATES
100 CAMP STREETHYANNISMA02601MEIDCAL GROUP PRACTICE
FALMOUTH URGENT CARE
273 TEATICKET HIGHWAYFALMOUTHMA02536MEDICAL GROUP PRACTICE
URGI CENTER MEDICAL GROUP - HYANNIS
1220 IYANNOUGH ROADHYANNISMA02601MEDICAL GROUP PRACTICE
UPPER CAPE EAR NOSE THROAT
200 A JONES ROADFALMOUTHMA02540MEDICAL GROUP PRACTICE
Orthopedic Specialists Falmouth
5 BRAMBLEBUSH PARKFALMOUTHMA02540Medical group practice
CCHC DEMENTIA&ALZHEIMER'S CAREGIVER SUPP
4 BAYVIEW STWEST YARMOUTHMA02673ADMINISTRATIVE
CCHC PODIATRIC MEDICINE & FOOT SURGERY
1030 FALMOUTH RD RTE 28 SUITE 20HYANNISMA02601MEDICAL GROUP PRACTICE
IDCS-INFECTIOUS DISEASE CLINICAL SERV
34 PARK STHYANNISMA02601MEDICAL GROUP PRACTICE
CCH OBGYN SATELLITE
60A PARK STHYANNISMA02601MEDICAL GROUP PRACTICE
MACCMSSP REFERRAL DEPT
25 COMMUNICATION WAYHYANNISMA02601ADMINISTRATIVE
DIABETIC EDUCATION
1010 FALMOUTH ROADHYANNISMA02601EDUCATIONAL
DIABETIC EDUCATION
1629 MAIN STCHATHAMMA02633EDUCATIONAL
VNA of Cape Cod - Harwich
1 AUSTON RD FHARWICHMA02645HOME HEALTH
VNA OF CAPE COD - EASTHAM
3960 STATE HWY RD 6 2EASTHAMMA02642HOME HEALTH
VNA OF CAPE COD - FALMOUTH
67 TER HEUN DRFALMOUTHMA02540HOME HEALTH
VNA OF CAPE COD - MARTHA'S VINEYARD
49 STATE RDVINEYARD HAVENMA02568HOME HEALTH
VNA OF CAPE COD - NANTUCKET
40 Sherburne Commons Sherburne HouNANTUCKETMA02554HOME HEALTH
VNA OF CAPE COD - PROVINCETOWN
26 ALDEN STPROVINCETOWNMA02657HOME HEALTH
VNA OF CAPE COD - SOUTH DENNIS
434 ROUTE 134 BLDG D 3SOUTH DENNISMA02660HOME HEALTH
CAPE & ISLANDS HEALTH SERVICES II
35 WILKENS LANEHYANNISMA02601COLLECTION CENTER
ORLEANS MEDICAL CENTER
204 MAIN STORLEANSMA02653OUTPATIENT CLINIC
CAPE COD RESEARCH INSTITUTE
27 PARK STHYANNISMA02601RESEARCH
North Falmouth Primary Care
33 Edgerton DriveFalmouthMA02556MEDICAL GROUP PRACTICE
North Street Primary Care
130 North StreetHyannisMA02601MEDICAL GROUP PRACTICE
Cape Cod Ear Nose and Throat Specialist
65 Cedar StreetHyannisMA02601MEDICAL GROUP PRACTICE
CCH Pulmonary Medicine
51 Bayview StreetHyannisMA02601MEDICAL GROUP PRACTICE
VNA of Cape Cod - Sagamore Beach
110 State Road Unit 3Sagamore BeachMA02562Home Health
William J Manning Jr MD
700 Attucks Lane Suite 1AHyannisMA02601Medical Group Practice
CAPE & ISLANDS HEALTH SERVICES II
200 JONES ROADFALMOUTHMA02540COLLECTION CENTER
CAPE & ISLANDS HEALTH SERVICES II
68B ROUTE 6ASANDWICHMA02563COLLECTION CENTER
Orthopedic Specialists North Falmouth
26 Edgerton Drive Suite CNorth FalmouthMA02556Medical group practice
CAPE COD RHEUMATOLOGY CENTER - FALMOUTH
90 TER HEUN DRIVE SUITE 302 3RDFALMOUTHMA02540MEDICAL GROUP PRACTICE
FALMOUTH PRIMARY CARE
90 TER HEUN DRIVE SUITE 2300FALMOUTHMA02540MEDICAL GROUP PRACTICE
MASHPEE PRIMARY CARE
5 INDUSTRIAL DRIVE SUITE 205MASHPEEMA02649MEDICAL GROUP PRACTICE
OSTERVILLE PRIMARY CARE
770 MAIN STREETOSTERVILLEMA02655MEDICAL GROUP PRACTICE
STRAWBERRY HILL PRIMARY CARE
1030 FALMOUTH ROAD 1ST FLOOR STEHYANNISMA02601MEDICAL GROUP PRACTICE
TOTAL ORTHOPEDIC CARE
360 GIFFORD STREETFALMOUTHMA02540MEDICAL GROUP PRACTICE
YARMOUTH PRIMARY CARE
495 STATION AVESOUTH YARMOUTHMA02664MEDICAL GROUP PRACTICE
OPPENHEIMIN CHATHAM
1629 Main StCHATHAMMA02633REHABILITATION

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3CN/A
PART I, LINE 6AN/A
PART I, LINE 7, COLUMN FTHE AMOUNT OF BAD DEBT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN LINE 7, COLUMN F WAS $ 16,525,789. THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING THE RATIO OF PATIENT CARE COST TO CHARGES AND BY FOLLOWING THE FORM 990, SCHEDULE H INSTRUCTIONS. 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, 4, 6 AND 8COALITION BUILDING ACTIVITIES CCHC CLINICAL, COMMUNITY BENEFITS AND SUPPORT STAFF PARTICIPATED IN A VARIETY OF COALITION BUILDING ACTIVITIES TO ADDRESS AND IMPROVE CARE RELATED TO BEHAVIORAL HEALTH, CARE COORDINATION DISEASE PREVENTION, HOMELESSNESS 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. WORKFORCE DEVELOPMENT CCHC'S PHYSICAL 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 RESIDENTS OF CAPE COD. PHYSICAL IMPROVEMENTS & HOUSING CCHC PARTNERED WITH THE HOUSING ASSISTANCE CORPORATION (HAC) AND OUTER CAPE HEALTH SERVICES ON THE HOUSING FOR HEALTH PARTNERSHIP TO PROVIDE HOUSING FUNDING TO PATIENTS WHOSE HEALTH MAY BE IMPACTED BY HOUSING INSTABILITY AND MAY NOT MEET ELIGIBILITY CRITERIA FOR EXISTING SERVICES. SINCE THE START OF THE PANDEMIC, HAC HAS SEEN A 400% INCREASE IN REQUESTS FOR FINANCIAL ASSISTANCE FOR HOUSING. WITHOUT A STABLE PLACE TO LIVE, PATIENTS HAVE DIFFICULTY IN ADHERING TO MEDICAL TREATMENT AND DISCHARGE PLANS. LACK OF STABLE HOUSING HAS ALSO BEEN DEMONSTRATED TO DRAMATICALLY INCREASE THE RISKS OF MENTAL HEALTH AND SUBSTANCE USE DISORDERS. PROVIDING PATIENTS WITH A SOURCE OF FUNDS TO STABILIZE THEIR HOUSING PROVIDES A STRONG FOUNDATION FOR PATIENTS TO MORE EFFECTIVELY PARTICIPATE IN THEIR HEALTH TREATMENT PLAN AND IMPROVE THEIR MEDICAL AND BEHAVIORAL HEALTH. ENVIRONMENTAL IMPROVEMENTS CCHC PARTNERED WITH THE ASSOCIATION TO PRESERVE CAPE COD ON THE POND HEALTH PROGRAM TO EXPAND MONITORING AND INCREASE PUBLIC AWARENESS OF THE HEALTH RISKS OF CYANOTOXIN EXPOSURE IN LOCAL PONDS THAT ARE POPULAR FOR RECREATION. CYANOTOXIN EXPOSURE IS LINKED TO ALZHEIMER'S DISEASE AND OTHER NEUROLOGICAL CONDITIONS.
PART III, LINES 2-3THE ORGANIZATION IS REPORTING $9,390,456 OF BAD DEBT EXPENSE THAT MEETS ITS FINANCIAL ASSISTANCE POLICY. THIS AMOUNT IS RELATED TO BAD DEBT FROM BOTH HOSPITALS DURING FY20 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 4THE AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE RELATED TO BAD DEBT OR ALLOWANCE FOR DOUBTFUL ACCOUNTS.
PART III LINE 9(B)HOSPITAL FINANCIAL ASSISTANCE PROGRAMS PATIENTS WHO ARE ELIGIBLE FOR ENROLLMENT IN A STATE PUBLIC ASSISTANCE PROGRAM, LIKE THE MASSACHUSETTS MASSHEALTH OR HEALTH SAFETY NET PROGRAMS, ARE DEEMED ENROLLED IN A FINANCIAL ASSISTANCE PROGRAM. FOR ALL PATIENTS THAT ARE ENROLLED IN THESE STATE PUBLIC ASSISTANCE PROGRAMS, THE HOSPITAL MAY ONLY BILL THOSE PATIENTS FOR THE SPECIFIC CO-PAYMENT, CO-INSURANCE, OR DEDUCTIBLE THAT IS OUTLINED IN THE APPLICABLE STATE REGULATIONS AND WHICH MAY FURTHER BE INDICATED ON THE STATE MEDICAID MANAGEMENT INFORMATION SYSTEM.THE HOSPITAL WILL SEEK A SPECIFIED PAYMENT FOR THOSE PATIENTS THAT DO NOT QUALIFY FOR ENROLLMENT IN A MASSACHUSETTS STATE PUBLIC ASSISTANCE SUCH AS OUT-OF-STATE RESIDENTS, BUT WHO MAY OTHERWISE MEET THE GENERAL FINANCIAL ELIGIBILITY CATEGORIES OF A STATE PUBLIC ASSISTANCE PROGRAM. FOR THESE PATIENTS, THE PAYMENT AMOUNT WILL BE SET AT THE HOSPITAL, WHEN REQUESTED BY THE PATIENT AND BASED ON AN INTERNAL REVIEW OF EACH PATIENT'S FINANCIAL STATUS, MAY OFFER A PATIENT AN ADDITIONAL DISCOUNT ON AN UNPAID BILL. ANY SUCH REVIEW SHALL BE PART OF A SEPARATE HOSPITAL FINANCIAL ASSISTANCE PROGRAM THAT IS APPLIED ON A UNIFORM BASIS TO PATIENTS, AND WHICH TAKES INTO CONSIDERATION THE PATIENT'S DOCUMENTED FINANCIAL SITUATION AND THE PATIENT'S INABILITY TO MAKE A PAYMENT AFTER REASONABLE COLLECTION ACTIONS. ANY DISCOUNT THAT IS PROVIDED BY THE HOSPITAL IS CONSISTENT WITH FEDERAL AND STATE REQUIREMENTS, AND DOES NOT INFLUENCE A PATIENT TO RECEIVE SERVICES FROM THE HOSPITAL. POPULATIONS EXEMPT FROM COLLECTION ACTIVITIES: THERE ARE SEVERAL SITUATIONS WHERE A PATIENT CAN BE EXEMPTED FROM FURTHER BILLING AND COLLECTION PROCEDURES ONCE THE DETERMINATION IS MADE THAT THE PATIENT IS EXEMPT PURSUANT TO STATE REGULATIONS: A) PATIENTS ENROLLED IN A PUBLIC HEALTH INSURANCE PROGRAM, INCLUDING BUT NOT LIMITED TO, MASSHEALTH, EMERGENCY AID TO THE ELDERLY, DISABLED AND CHILDREN, HEALTHY START, CHILDREN'S MEDICAL SECURITY PLAN, OR DESIGNATED A "LOW INCOME PATIENT" BY THE OFFICE OF MEDICAID, SUBJECT TO THE FOLLOWING EXCEPTIONS: (I) THE HOSPITAL MAY SEEK TO BILL AND COLLECT THE CO-PAYMENTS AND DEDUCTIBLES THAT ARE SET FORTH BY EACH SPECIFIC PROGRAM. (II) THE HOSPITAL MAY ALSO INITIATE BILLING AND COLLECTION EFFORTS FOR A PATIENT WHO ALLEGES THAT HE OR SHE IS A PARTICIPANT IN A FINANCIAL ASSISTANCE PROGRAM THAT COVERS THE COSTS OF THE HOSPITAL SERVICES, BUT FAILS TO PROVIDE PROOF OF SUCH PARTICIPATION. UPON RECEIPT OF SATISFACTORY PROOF THAT A PATIENT IS A PARTICIPANT IN A FINANCIAL ASSISTANCE PROGRAM, (INCLUDING RECEIPT OR VERIFICATION OF THE SIGNED APPLICATION) THE HOSPITAL SHALL CEASE ITS BILLING AND COLLECTION ACTIVITIES. (III) THE HOSPITAL WILL NOT CONTINUE COLLECTION ACTION ON ANY LOW INCOME PATIENT FOR SERVICES RENDERED BY THE HOSPITAL DURING THE PERIOD FOR WHICH HE OR SHE HAS BEEN DETERMINED TO BE A LOW INCOME PATIENT BY THE OFFICE OF MEDICAID. HOWEVER, THE HOSPITAL MAY CONTINUE COLLECTION ACTION ON A LOW INCOME PATIENT FOR SERVICES RENDERED PRIOR TO THE LOW INCOME PATIENT DETERMINATION, PROVIDED THAT THE CURRENT LOW INCOME PATIENT STATUS HAS BEEN TERMINATED, EXPIRED, OR NOT OTHERWISE IDENTIFIED ON THE STATE'S VIRTUAL GATEWAY OR RECIPIENT ELIGIBILITY VERIFICATION SYSTEM. ONCE A LOW INCOME PATIENT IS DETERMINED ELIGIBLE AND ENROLLED IN THE HEALTH SAFETY NET, MASSHEALTH, OR CERTAIN COMMONWEALTH CARE PROGRAMS, THE HOSPITAL WILL CEASE ITS BILLING AND COLLECTION EFFORTS FOR SERVICES PROVIDED PRIOR TO THE BEGINNING OF THEIR ELIGIBILITY. (IV) THE HOSPITALS MAY SEEK COLLECTION ACTION AGAINST ANY OF THE PATIENTS PARTICIPATING IN THE PROGRAMS LISTED ABOVE FOR NON-COVERED SERVICES THAT THE PATIENT HAS AGREED TO BE RESPONSIBLE FOR, PROVIDED THAT THE HOSPITAL OBTAINED THE PATIENT'S PRIOR WRITTEN CONSENT TO BE BILLED FOR THE SERVICE.
PART VI, LINE 2NEEDS ASSESSMENT: THE 2020-2022 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT (CHNA REPORT) AND IMPLEMENTATION PLAN WAS RELEASED AND MADE WIDELY AVAILABLE TO THE PUBLIC IN SEPTEMBER, 2019. THE GOALS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT PROJECT ARE TO MONITOR REGIONAL HEALTH DATA, ENGAGE HOSPITAL STAKEHOLDERS, PROMOTE PARTNERSHIPS BETWEEN THE HOSPITALS AND COMMUNITY ORGANIZATIONS AND DEVELOP MULTI-YEAR IMPLEMENTATION STRATEGIES TO GUIDE HOSPITAL INITIATIVES TO IMPROVE THE HEALTH OF BARNSTABLE COUNTY RESIDENTS. Many sources and data collection methodologies were used to obtain a comprehensive view of the health and health care 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, health care 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. 1. Secondary Data. A comprehensive review of existing data drawn from national, state, and local sources was conducted. Data sources included, but were not limited to, the U.S. Census Bureau, the Centers for Disease Control and Prevention, the Massachusetts Department of Public Health, among others. Types of data included demographics, vital statistics, public health surveillance, as well as self-report of select health behaviors from large, population-based surveys such as the Massachusetts Behavioral Risk Factor Surveillance Survey (BRFSS). 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. 2. Community Stakeholder Dialogues. Two facilitated "stakeholder dialogues" were held with staff from a broad array of agencies and organizations actively working in the health and human services sectors of Barnstable County. Approximately 70 people attended these sessions. 3. Key Informant Interviews. Key informant interviews were conducted via phone with 25 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. Discussions focused on health 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. 4. Focus Groups. Two focus groups, one conducted in Spanish and one in Portuguese, were held with residents to gather information about the community, health challenges and needs, existing services, and suggestions for the future. One focus group of Portuguese-speaking residents was conducted at IPR Cape Cod Church and involved 14 participants. The other involved six Spanishspeaking participants and was held at the Immigration Resource Center at Community Action Committee of Cape Cod. 5. Community Survey. A community survey asking about community and individual health and health care needs was developed and made available on-line and on paper to residents of Barnstable County. The survey was conducted in English, Spanish, and Portuguese and was completed by 2,011 total residents.
PART VI, LINE 3PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: FOR THOSE PATIENTS THAT ARE UNINSURED OR UNDERINSURED, THE HOSPITAL WILL WORK WITH THEM TO ASSIST WITH APPLYING FOR AVAILABLE FINANCIAL ASSISTANCE PROGRAMS THAT MAY COVER THEIR UNPAID HOSPITAL BILLS. IN ORDER TO ASSIST UNINSURED AND UNDERINSURED PATIENTS IN FINDING AVAILABLE AND APPROPRIATE FINANCIAL ASSISTANCE PROGRAMS, THE HOSPITAL WILL PROVIDE ALL PATIENTS WITH A GENERAL NOTICE OF THE AVAILABILITY OF PROGRAMS IN BOTH THE INITIAL BILL THAT IS SENT TO PATIENTS AS WELL AS IN GENERAL NOTICES POSTED THROUGHOUT THE HOSPITAL. THE GOAL OF THESE NOTICES IS TO INFORM PATIENTS THAT THEY MAY BE ELIGIBLE TO APPLY FOR COVERAGE WITHIN A FINANCIAL ASSISTANCE PROGRAM, SUCH AS, BUT NOT LIMITED TO, MASSHEALTH, COMMONWEALTH CARE, CHILDREN'S MEDICAL SECURITY PLAN, HEALTHY START, HEALTH SAFETY NET, OR MEDICAL HARDSHIP THROUGH THE HEALTH SAFETY NET. THE HOSPITAL WILL PROVIDE, UPON REQUEST, SPECIFIC INFORMATION ABOUT THE ELIGIBILITY PROCESS TO BE DESIGNATED A LOW INCOME PATIENT UNDER EITHER THE STATE HEALTH SAFETY NET PROGRAM OR THROUGH THE HOSPITAL'S OWN INTERNAL CHARITY CARE PROGRAM. THE HOSPITAL WILL ALSO NOTIFY THE PATIENT ABOUT PAYMENT PLANS THAT MAY BE AVAILABLE TO HIM OR HER BASED ON THE SIZE OF HIS OR HER FAMILY AND FAMILY INCOME.
PART VI, LINE 4DEMOGRAPHICS OF THE SERVICE AREA 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 hosts a year-round population of 214,703 residents. Barnstable County consists of 15 towns that vary in population size from about 45,000 residents (Barnstable) to slightly more than 1,500 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, by one estimate, is equivalent to about seven million visitors and residents on Cape Cod in a given summer season. Population Demographic Trends 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 (Harwich, Brewster, Chatham, and Orleans) and outer cape (Eastham, Wellfleet, Truro, and Provincetown), many of which are considered rural. Between 2011 and 2016, the overall population of Barnstable County remained stable with a slight decrease of -0.9%. In comparison, the state population grew by 3.5% during that time period. The overall population of Barnstable County and the islands of Nantucket and Martha's Vineyard is projected to decline in coming decades (an estimated -13.0% between 2010 and 2035), attributed to outmigration of younger residents and to the fact that deaths currently outnumber births. Consistent with the previous CHNA, the population of Barnstable County is older than for the state overall. The median age in Barnstable County is 51.8 years compared to 39. years for the state overall. Proportionally, residents age 65 years and older comprise 27.8% of the population in Barnstable County, compared to the state at 15.1%. In contrast, the proportion of residents under 18 years is lower in Barnstable County than in the state at 15.9% vs. 20.6%, respectively. Similarly, the proportion of residents between 18 and 24 years is lower in Barnstable County than in the state at 7.3% vs. 10.4%, respectively. Several towns on the lower and outer cape have a notably higher proportions of residents age 65 years and older, including Chatham (38.9%), Orleans (38.7%), and Wellfleet (38.0%), compared to the County average. More detailed data on the age of residents reveal that Barnstable County also has a higher proportion of residents who are within the 'oldest' age categories compared to Massachusetts overall, including those age 75 to 84 (8.8% vs. 4.4%, respectively) and those age 85 years and older (3.9% vs. 2.3%, respectively). Concern about meeting the needs of an aging population was a prominent theme in key informant interviews, stakeholder dialogues, and the community survey. 'Aging health concerns' was the most frequently identified health concern for the community by survey respondents (72.6%) with 'health care services focused on seniors'support to older adults to maintain independent living' ranking among the most frequently selected health and social service priorities by survey respondents. Key informant interviewees also noted that the population in the region is older and aging, which affects and will continue to affect the health and social service infrastructure. One phenomenon discussed by key informant interviewees and substantiated by existing data is the large and growing number of seniors who are caring for grandchildren. Between 2011 and 2016, the proportion of grandchildren residing with their grandparents, who are responsible for them, declined in Massachusetts from 29.8% to 28.0%, while it increased substantially in Barnstable County from 27.0% to 42.8%. This increase occurred in parallel timing with the inception of the opioid epidemic in 2012, which has disproportionally impacted Barnstable County. While grandparents' homes can provide stability and support when parents are unable to care for their children, caring for grandchildren can be physically and emotionally demanding for seniors, create financial challenges, and strain social and family relationships. These all contribute to poorer mental and physical health among grandparents. Related in part to the older age of the population, Barnstable County has a larger proportion of veterans and residents with disabilities than the state overall. Eleven percent (11.0%) of county residents identified as veterans compared to 6.4% for the state overall. The largest proportion of veterans residing in Barnstable County is of the Vietnam era (36.2%). Approximately 14% of residents in Barnstable have a disability, compared to 11.6% for the state. Between about 5% to 7% of Barnstable County residents have a hearing, cognitive, ambulatory, or independent living disability. In terms of race and ethnicity, the population of Barnstable County is less diverse than the state overall. Ninety percent (90.6%) of Barnstable County residents identify as White, non-Hispanic compared to 73.7% in the state overall. Though comprising a small proportion of the overall population, approximately 20,000 Barnstable County residents identify as a racial or ethnic minority. Similarly, smaller proportions (7.8%) of Barnstable County residents speak a language other than English compared to the state overall (22.7%). While language minorities comprise a small portion of the county's population, Spanish and Portuguese-speaking focus group participants shared those language barriers are a substantial barrier to economic advancement and the ability to access some health and social services. Focus group participants further reported that limited spaces in English as a Second Language (ESL) classes make it difficult for immigrants to learn English.
PART VI, LINE 5PROMOTION OF COMMUNITY HEALTH: CAPE COD HEALTHCARE, INC., (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. THE FOLLOWING IS A LIST OF FY 20 TARGET POPULATIONS: - RESIDENTS ACROSS BARNSTABLE COUNTY WITH FOCUS ON SPECIFIC REGIONS OF THE CAPE MOST ACUTELY IMPACTED BY GEOGRAPHIC ISOLATION, ACCESS TO SERVICES, TRANSPORTATION BARRIERS, AND ECONOMIC OPPORTUNITY. - POPULATIONS MANAGING MENTAL HEALTH AND/OR BEHAVIORAL HEALTH DISORDERS. - RESIDENTS OVER THE AGE OF 65. - TRANSITIONAL-AGED YOUTH (18-24 YEARS OLD). - LOW-INCOME INDIVIDUALS AND FAMILIES. KEY ACCOMPLISHMENTS OF REPORTING YEAR CCHC COMMUNITY BENEFITS PROVIDED FINANCIAL AND SERVICE SUPPORT TO HEALTH AND HUMAN SERVICES ORGANIZATIONS AND HOSPITAL-BASED PROGRAMS AND SERVICES THAT WERE ALIGNED WITH THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) 2020-2022. WE ADDRESSED BARRIERS TO CARE BY ADDING SUPPORTIVE CONNECTORS IN THE CONTINUUM OF CARE. EXAMPLES: ALZHEIMER'S SUPPORT GROUPS, RECOVERY COACHES, COMMUNITY NAVIGATORS, OUTREACH, INTEGRATIVE THERAPIES AND TRANSPORTATION SOLUTIONS. CCHC COMMUNITY BENEFITS EXPANDED CROSS-SECTOR COMMUNITY PARTNERSHIPS AND LEADERSHIP WITHIN AND THROUGHOUT THE CAPE COD NON-PROFIT HEALTH AND HUMAN SERVICE SYSTEM. THE MAJOR ACCOMPLISHMENT THIS YEAR WAS THE PUBLICATION OF THE 2020-2022 CCH AND FH CHNA AND IMPLEMENTATION PLAN. THIS PLAN SERVED AS THE FOUNDATION FOR CCHC'S FY20 COMMUNITY BENEFITS PROGRAM, WHICH FOCUSED ON THESE 5 PRIORITIES: PHYSICAL HEALTH CONDITIONS, BEHAVIORAL HEALTH, TRANSPORTATION, HOUSING, AND WORKFORCE DEVELOPMENT. NEW AND EXPANDED HOSPITAL PROGRAMS WERE DELIVERED IN ALIGNMENT WITH IMPLEMENTATION GOALS, OBJECTIVES AND STRATEGIES FOR EACH PRIORITY. CCHC SUPPORTED PARTNERSHIPS WITH OVER 50 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. A SECOND MAJOR ACCOMPLISHMENT OF THIS YEAR IS THE ORGANIZATION'S RESPONSE TO OUR COMMUNITY NEEDS STEMMING FROM COVID-19. OUR HOSPITALS CONTINUED TO PROVIDE MEDICAL CARE, WHILE PROVIDING NEW SERVICES TO FIGHT COVID IN OUR COMMUNITY. IN 2020, CCHC: - EXPANDED ICU CAPACITIES AT BOTH HOSPITALS TO HANDLE AN INCREASE IN COVID PATIENTS - BUILT TRIAGE TENTS AT BOTH HOSPITALS - ESTABLISHED 3 TESTING SITES ACROSS THE REGION - UTILIZED THE EXPERTISE OF THE VNA TO LEAD THE COMMUNITY'S CONTACT TRACING PROGRAM - HELPED TO HOUSE HOMELESS PEOPLE WHO NEEDED TO BE QUARANTINED - CREATED A COVID-19 HOTLINE FOR THE COMMUNITY - SET UP A FIELD HOSPITAL AT JOINT BASE CAPE COD - ADMINISTERED COVID-19 VACCINES TO THE COMMUNITY.
PART VI, LINE 7ALL STATES WHERE ORGANIZATION FILES A COMMUNITY BENEFITS REPORT: MA

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (26 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescPurpose Of GrantPurposeOfGrantTxtAddress Line2USAddress/AddressLine2Txt
Harbor Health Center
1135 MORTON STMATTAPANMA02126237100550501(c)(3)$100,000FMVN/AAccess to Care
Duffy Health Center Inc
94 MAIN STHYANNISMA02452043373741501(c)(3)$70,000FMVN/AAccess to Care
Outer Cape Health Services
PO Box 1413WellfleetMA02667042509828501(c)(3)$123,000FMVN/AAccess to Care
Alzheimer's Family Caregiver Support Center Inc
309 Waverly Oaks RdWalthamMA02452133039601501(c)(3)$30,000FMVN/APrevention & Wellness
Cape Cod Commercial Fisherman's Alliance
1566 Main StChathamMA02633043138784501(c)(3)$30,000FMVN/APrevention & Wellness
Cape Wellness Collaborative
11 Potter AveHyannisMA02601472360979501(c)(3)$30,000FMVN/AChronic & Infectious Disease
The Family Pantry of Cape Cod
133 Queen Anne RdHarwichMA02645223079904501(c)(3)$30,000FMVN/APrevention & Wellness
YMCA Cape Cod
12245 IYANNOUGH RDW BARNSTABLEMA02668042394925501(c)(3)$30,000FMVN/AChronic & Infectious Disease
Cape Cod Times Needy Fund Inc
PO BOX 804HYANNISMA02601222480332501(c)(3)$30,000FMVN/AAccess to Care
Stratus Video LLC
33 N Garden AveClearwaterFL33755472949558$12,444FMVN/AAccess to CareSTE 100
Barnstable County Sheriff's Office
6000 Sheriffs PLBourneMA02532046002284GOV'T$30,000FMVN/AAccess to Care
HEALTH IMPERATIVES INC
942 W CHESTNUT STBROCKTONMA02301042609177501(c)(3)$30,000FMVN/APrevention & Wellness
Team Maureen
PO Box 422 NFalmouthMA02556452473500501(c)(3)$27,776FMVN/AChronic & Infectious Disease
Samaritans on Cape Cod & the Islands
PO BOX 65falmouthMA02541042738811501(c)(3)$15,831FMVN/ABehavioral Health
Boston Cancer Support Org Inc
831 Beacon StNewtonMA02459300863587501(c)(3)$20,000FMVN/AChronic & Infectious Disease
NAMI Cape Cod Inc
5 MARK LANEHYANNISMA02601042785229501(c)(3)$25,000FMVN/ABehavioral Health
LC CREATIVE INC
62 Old Stone Ch RdLittle ComptonRI02837037507635$7,415FMVN/AAccess To Care
Housing Assistance Corporation
460 W Main StreetHyannisMA02601237431255501(C)(3)$100,000FMVN/ASDOH
Cape & Islands Plastic Surgery
26 Gleason StreetHyannisMA02601452182632501(C)(3)$64,047FMVN/AAccess to Care
Association To Preserve Cape Cod
482 Main Street Route 6ADennisMA02638042462788501(C)(3)$25,000FMVN/ASDOH - Built Environment
Town of Barnstable
367 Main StreetHyannisMA02601046001079GOV'T$25,000FMVN/AAccess to Care
Barnstable County
PO Box 427BarnstableMA02630046001419GOV'T$25,000FMVN/AAccess to Care
Helping Our Women
34 Conwell StProvincetownMA02657043179955501 (C)(3)$23,200FMVN/AChronic & Infectious Disease
Cape Cod Literacy Council
PO Box 550HyannisMA02601223098035501(C)(3)$14,399FMVN/APrevention & Wellness
PASTORAL MINISTRY
786 DARTMOUTH STDARTMOUTHMA02748043096332501(C)(3)$30,000BEHAVIORAL HEALTH
FAMILY TO FAMILY
500 MAIN STREETHYANNISMA02601274058389501(C)(3)$5,500PREVENTION AND WELLNESS
FieldValueIRS element (for citing)
Total501c3 Org24Total501c3OrgCnt
Total Other Org2TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, LINE 2FormAndLineReferenceDesc
ExplanationCape Cod Healthcare monitors the use of grant funds it provides to other organizations through documentation and measurement requirements and metric reporting. The recipient organization agrees to submit an Annual Summary & 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 and a reporting template is provided to each organization. The recipient organization agrees to send a completed template to Cape Cod Healthcare by October 31st 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.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (33 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MICHAEL K LAUF
PRESIDENT/CEO/TRUSTEE$0$977,346$0$450,000$0$240,109$0$233,600$0$31,192$0$1,932,247$0$182,000
ROBERT WILSTERMAN MD
TRUSTEE (UNTIL 1/20)$672,311$0$0$0$21,772$0$7,561$0$34,820$0$736,464$0$0$0
WILLIAM AGEL MD
TRUSTEE (UNTIL 04/2020)$441,169$0$47,326$0$16,206$0$11,200$0$31,192$0$547,093$0$0$0
THEODORE CALIANOS MD
TRUSTEE$370,551$0$0$0$1,806$0$11,200$0$31,021$0$414,578$0$0$0
PAUL HOULE MD
TRUSTEE (UNTIL 1/20)$914,309$0$116,000$0$40,566$0$11,200$0$33,820$0$1,115,895$0$0$0
MICHAEL L CONNORS
SENIOR VP FINANCE/CFO$0$412,159$0$101,200$0$52,656$0$38,347$0$35,141$0$639,503$0$19,250
MICHAEL G JONES ESQ
SEE SCHEDULE O$0$312,542$0$80,400$0$34,652$0$30,592$0$34,141$0$492,327$0$15,219
DONALD A GUADAGNOLI MD
Senior VP & CMO$0$393,304$0$96,600$0$52,064$0$36,860$0$27,592$0$606,420$0$19,957
ALEXANDER HEARD MD
CMO FALMOUTH HOSPITAL$179,971$160,048$33,300$0$3,122$44,481$5,657$24,656$17,174$16,796$239,224$245,981$0$0
PATRICK J KANE
SVP OF MRKTG,COMMUN AND DEVLP$0$325,733$0$79,600$0$19,330$0$30,284$0$14,823$0$469,770$0$15,514
CHRISTIAN BROWN
SR VP MANAGED CARE$0$316,357$0$79,200$0$44,083$0$30,218$0$31,192$0$501,050$0$15,250
EMILY SCHORER
SVP HUMAN RESOURCES$0$263,136$0$66,960$0$24,426$0$25,923$0$32,141$0$412,586$0$12,950
THERESA M AHERN
SVP STRATEGY & GOVT AFFAIRS$0$205,482$0$0$0$28,623$0$9,927$0$5,442$0$249,474$0$12,000
KEVIN MULROY
SVP CHIEF QUALITY & SAFETY OFF$0$361,610$0$90,500$0$35,511$0$33,575$0$33,991$0$555,187$0$18,750
JOHN PAUL SOLVERSON
SR VP & CIO$0$420,721$0$102,500$0$1,806$0$37,351$0$14,835$0$577,213$0$0
JEFFREY S DYKENS
VP FINANCE$0$242,242$0$84,126$0$30,603$0$23,983$0$26,657$0$407,611$0$13,500
NOELENE CERVIN
VP BUDGETING AND OPER. SUPPORT$0$216,812$0$44,700$0$8,263$0$21,419$0$25,786$0$316,980$0$5,500
LORI JEWETT
CEO - FH$0$220,990$0$51,400$0$36,202$0$23,217$0$1,525$0$333,334$0$12,375
ANNE MARIE PECKHAM
PRESIDENT VNA$0$201,227$0$37,087$0$35,344$0$9,806$0$22,394$0$305,858$0$10,963
CARTER HUNT
ADMIN SPEC&HOSP BASED CARE$0$178,158$0$22,551$0$24,375$0$19,194$0$34,141$0$278,419$0$828
JUDITH C QUINN
VP OF PATIENT CARE$0$197,990$0$46,835$0$68,285$0$9,607$0$23,892$0$346,609$0$27,625
DEBRA ROBINSON
ASSOC VP OF NRSNG$168,045$0$39,310$0$42,354$0$8,759$0$24,530$0$282,998$0$11,137$0
CYNTHIA MARLIN
VP PERIOPERATIVE & SURGICAL SV$0$190,323$0$36,460$0$1,286$0$19,098$0$24,912$0$272,079$0$358
ELIZABETH DUNTON
COO EMPLOYED PHYSICIAN SVCS$0$205,001$0$26,651$0$1,275$0$19,516$0$1,525$0$253,968$0$828
JEAN BUTLER
SVP EMPLYD PHY GRP(AS OF 4/19)$0$188,563$0$77,100$0$20,181$0$22,749$0$14,122$0$322,715$0$1,438
CHRISTOPHER M LAWSON
SVP DEVELOPMENT$0$245,550$0$60,000$0$966$0$7,933$0$31,111$0$345,560$0$0
SHERYL DECILIO
SEE SCHEDULE O$0$264,923$0$79,530$0$854$0$7,727$0$1,349$0$354,383$0$0
RICHARD B ZELMAN MD
PHYSICIAN$1,466,656$0$100,000$0$116,234$0$11,200$0$32,668$0$1,726,758$0$0$0
NICHOLAS COPPA MD
PHYSICIAN$916,119$0$116,000$0$19,420$0$11,200$0$31,010$0$1,093,749$0$0$0
ACHILLES PAPAVASILIOU MD
PHYSICIAN$913,159$0$116,000$0$19,966$0$11,200$0$33,970$0$1,094,295$0$0$0
GORDON NAKATA MD
PHYSICIAN$914,309$0$116,050$0$18,966$0$11,200$0$33,820$0$1,094,345$0$0$0
KARL B COYNER MD
PHYSICIAN$671,237$0$324,575$0$21,772$0$11,200$0$11,790$0$1,040,574$0$0$0
MOLLY SULLIVAN MD
TRUSTEE (AS OF 1/20)$496,550$0$20,839$0$20,806$0$11,200$0$31,192$0$580,587$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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. 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 2019 WERE AS FOLLOWS: - MICHAEL K. LAUF - $82,576 - MICHAEL G. JONES - $17,269 - MICHAEL L. CONNORS - $22,423 - JEFFREY S. DYKENS - $16,021 - PATRICK KANE - $16,558 - THERESA AHERN - $13,409 - DONALD GUADAGNOLI MD - $22,215 - EMILY SCHORER - $13,735 - KEVIN MULROY - $19,834 - CHRISTIAN BROWN - $15,965 - LORI JEWETT - $11,621 - JUDITH C. QUINN - $39,701 - NOELENE CERVIN - $5,490 - ANNE MARIE PECKHAM - $22,314 - ELIZABETH DUNTON - $855 - CARTER HUNT - $803 - CYNTHIA MARLIN - $339 - DEBRA ROBINSON - $11,969 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) 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 RETIREMENT, TERMINATION, OR DEATH. DURING CALENDAR YEAR 2019, MICHAEL LAUF ALSO PARTICIPATED IN A SECTION 457(F) 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 2019 WAS $120,000 AND IS INCLUDED IN SCHEDULE J, PART II, COLUMN (C). IN ADDITION, $118,703 WAS PAID OUT FROM HIS CEO SUPPLEMENTAL PLAN, AND IS INCLUDED IN SCHEDULE J, PART II, COLUMN B(III).
SCHEDULE J, PART I, LINE 7DISCRETIONARY 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.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
MHEFA REVENUE BONDS SERIES E
A0424560110000000002012-01-12$29,440,000REISSUE SER E (6/18/08 & 2/12/09)falsefalsefalse
MHEFA REVENUE BONDS SERIES 2012A
B0434318140000000002012-02-24$25,800,000REFUND SER B(8/15/98)& C(11/15/01)falsefalsefalse
MDFA REVENUE BONDS SERIES 2013
C04343181457584VAH82013-07-11$50,831,729REFUND SER C(10/9/01) & CAP.IMPR.falsefalsefalse
MDFA REVENUE BONDS SERIES 2014
D0434318140000000002014-09-29$24,000,000RENOVATION & REAL ESTATE PURCHASEfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$25,514,666$0$29,440,000$0$0$0$0$0$0$0$29,440,000$02012Yes (true)falseYes (true)Yes (true)
B$20,640,000$0$25,800,000$0$0$0$336,100$0$0$0$25,463,900$02012Yes (true)falseYes (true)Yes (true)
C$0$0$50,834,109$0$1,295,804$0$803,269$0$0$27,999,813$20,735,223$02014Yes (true)falseYes (true)Yes (true)
D$3,400,000$0$24,001,267$0$0$0$0$241,456$0$0$23,759,811$02015falsefalseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdPrivate Bus Use By OthersPrivateBusUseByOthersPctProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdIndOwning Bond Financed PropertyOwningBondFinancedPropertyIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenInd
A0Yes (true)
B0Yes (true)
C0Yes (true)falsefalsefalsefalsefalsefalse
D0Yes (true)falsefalsefalsefalsefalsefalse

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
AfalsefalseYes (true)Yes (true)Yes (true)falsefalse0falseYes (true)
0
BfalsefalseYes (true)Yes (true)falsefalsefalse0falseYes (true)
0
CfalsefalseYes (true)Yes (true)falsefalsefalse0falseYes (true)
0
DfalsefalsefalseYes (true)falsefalsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)
DYes (true)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART IV, LINE 2(C)FormAndLineReferenceDesc
ExplanationTHE DATE THE REBATE COMPUTATIONS WERE LAST PERFORMED FOR EACH BOND ARE BELOW: MDFA, REVENUE BONDS, SERIES E - 07/12/2012 MDFA, REVENUE BONDS, SERIES 2012A - 06/30/2016 MDFA, REVENUE BONDS, SERIES 2013 - 06/30/2018 MDFA, REVENUE BONDS, SERIES 2014 - 08/31/2015 MDFA, REVENUE BONDS, SERIES 2017 - 11/15/2019 SINCE THE BOND PROCEEDS HAVE BEEN SPENT FOR EACH BOND AND THE DEBT SERVICE FUND WAS OPERATED ON A BONA FIDE BASIS, NO FURTHER REBATE CALCULATIONS ARE NECESSARY.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1MDFA REVENUE BONDS SERIES 2017BusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN043431814BondIssuerEIN
CUSIP000000000CUSIPNum
Bond Issued2017-02-01BondIssuedDt
Issue Price$52,315,359IssuePriceAmt
PurposeREFUND SERIES D(2/16/2010)PurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$8,893,203RetiredAmt
Bond Defeased$0BondDefeasedAmt
Total Proceeds$54,216,669TotalProceedsAmt
In Reserve Fund$0InReserveFundAmt
Capitalized Interest$0CapitalizedInterestAmt
Refunding Escrow$0RefundingEscrowAmt
Issuance Costs From Proceeds$302,138IssuanceCostsFromProceedsAmt
Credit Enhancement$0CreditEnhancementAmt
Working Capital Expenditures$0WorkingCapitalExpendituresAmt
Capital Expenditures$106,973CapitalExpendituresAmt
Other Spent Proceeds$0OtherSpentProceedsAmt
Unspent$53,807,558UnspentAmt
Substantial Completion2017SubstantialCompletionYr
Refunding Tax Exempt BondsfalseRefundingTaxExemptBondsInd
Refunding Taxable BondsYes (true)RefundingTaxableBondsInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Mgmt Contract Bond Fincd PropfalseMgmtContractBondFincdPropInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Private Bus Use By Others0PrivateBusUseByOthersPct
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Remedial Action TakenfalseRemedialActionTakenInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetfalseRebateNotDueYetInd
Exception To RebatefalseExceptionToRebateInd
No Rebate DueYes (true)NoRebateDueInd
Variable Rate IssueYes (true)VariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1Txt
FieldValueIRS element (for citing)
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1Txt
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (true)ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
DR KATHRYN RUDMAN
SPOUSE OF TRUSTEE$321,010MACC EMPLOYEEfalse
Sarah K Guadagnoli RN
DAUGHTER OF KEY EMPLOYEE$75,660CCH EMPLOYEEfalse
KIRA JONES
SPOUSE OF OFFICER$84,895FH EMPLOYEEfalse

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArtGrp
Art Historical TreasuresArtHistoricalTreasuresGrp
Art Fractional InterestArtFractionalInterestGrp
Books And PublicationsBooksAndPublicationsGrp
Clothing And Household GoodsClothingAndHouseholdGoodsGrp
Cars And Other VehiclesCarsAndOtherVehiclesGrp
Boats And PlanesBoatsAndPlanesGrp
Intellectual PropertyIntellectualPropertyGrp

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution14ContributionCnt
Noncash Contributions Rpt F990$1,816,257NoncashContributionsRptF990Amt
Method Of Determining RevenuesVALUE OF STOCK REC'DMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Securities Closely Held StockSecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust IntrstsSecurPrtnrshpTrustIntrstsGrp
Securities MiscellaneousSecuritiesMiscellaneousGrp
Qualified Contrib Hist StructQualifiedContribHistStructGrp
Qualified Contrib OtherQualifiedContribOtherGrp
Real Estate ResidentialRealEstateResidentialGrp
Real Estate CommercialRealEstateCommercialGrp
Real Estate OtherRealEstateOtherGrp
CollectiblesCollectiblesGrp
Food InventoryFoodInventoryGrp
Drugs And Medical SuppliesDrugsAndMedicalSuppliesGrp
TaxidermyTaxidermyGrp
Historical ArtifactsHistoricalArtifactsGrp
Scientific SpecimensScientificSpecimensGrp
Archaeological ArtifactsArchaeologicalArtifactsGrp
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedYes (true)ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE M, PART I, COLUMN (B)FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION IS REPORTING THE NUMBER OF ITEMS RECEIVED. SCHEDULE M, PART I, LINE 32(A) ON OCCASION THE ORGANIZATION UTILIZES A BROKER TO DISPOSE OF NONCASH CONTRIBUTIONS (OTHER THAN PUBLICLY TRADED SECURITIES).ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (19 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 1 AND PART III, LINE 1WE WILL BE THE HEALTH SERVICE PROVIDER OF CHOICE FOR CAPE COD RESIDENTS BY ACHIEVING AND MAINTAINING THE HIGHEST STANDARDS IN HEALTH CARE DELIVERY AND SERVICE QUALITY. TO DO SO, WE WILL PARTNER WITH OTHER HEALTH AND HUMAN SERVICE PROVIDERS AS WELL AS INVEST IN NEEDED MEDICAL TECHNOLOGIES, HUMAN RESOURCES AND CLINICAL SERVICES. ABOVE ALL, WE WILL HELP IDENTIFY AND RESPOND TO THE NEEDS OF OUR COMMUNITY. COMMUNITY BENEFITS MISSION STATEMENT CAPE COD HEALTHCARE, INC., (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. TARGET POPULATIONS 1. NAME OF TARGET POPULATION: RESIDENTS ACROSS BARNSTABLE COUNTY WITH FOCUS ON SPECIFIC REGIONS OF THE CAPE MOST ACUTELY IMPACTED BY GEOGRAPHIC ISOLATION, ACCESS TO SERVICES, TRANSPORTATION BARRIERS, AND ECONOMIC OPPORTUNITY. BASIS FOR SELECTION: CCHC'S PRIMARY SERVICE AREA IS BARNSTABLE COUNTY, WHICH IS A GEOGRAPHICALLY ISOLATED REGION LOCATED ON THE EASTERN SEABOARD OF MASSACHUSETTS AND IS MADE UP OF 15 TOWNS. NEARLY HALF THE POPULATION OF BARNSTABLE COUNTY RESIDE IN THE THREE LARGEST TOWNS. POPULATION SIZE BECOMES INCREASINGLY SMALLER IN TOWNS OF THE LOWER AND OUTER CAPE, AND MANY OF THESE TOWNS ARE CONSIDERED RURAL. LACK OF ACCESS TO HEALTHCARE AND OTHER SUPPORTIVE SERVICES IS A MAJOR BARRIER TO HEALTH FOR RESIDENTS OF THESE TOWNS. 2. NAME OF TARGET POPULATION: POPULATIONS MANAGING MENTAL HEALTH AND/OR BEHAVIORAL HEALTH DISORDERS. BASIS FOR SELECTION: ACCESS TO, AND AVAILABILITY OF, COMMUNITY-BASED BEHAVIORAL HEALTH CARE IN BARNSTABLE COUNTY IS AN AREA OF CONCERN. THIS IS EVIDENCED BY HIGH RATES OF PATIENTS PRESENTING WITH MENTAL HEALTH AND SUBSTANCE USE DISORDERS IN HOSPITAL EMERGENCY DEPARTMENTS. SPECIFIC CHALLENGES REPORTED BY THE COMMUNITY AND INCLUDED IN THE 2020-2022 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT INCLUDE ACCESS TO SERVICES, LACK OF MENTAL HEALTH SERVICES, SUBSTANCE USE, LACK OF PREVENTATIVE SERVICES AND STIGMA. 3. NAME OF TARGET POPULATION: RESIDENTS OVER THE AGE OF 65. BASIS FOR SELECTION: CONSISTENT WITH THE PREVIOUS CHNA, THE POPULATION OF BARNSTABLE COUNTY IS OLDER THAN FOR THE STATE OVERALL (27.8% VS. 15.1%). BARNSTABLE COUNTY ALSO HAS A HIGHER PROPORTION OF RESIDENTS WHO ARE WITHIN THE "OLDEST" AGE CATEGORIES COMPARED TO MASSACHUSETTS OVERALL, INCLUDING THOSE AGE 75-84 (8.8% VS. 4.4%) AND THOSE AGE 85 AND OLDER (3.9% VS. 2.3%). "AGING HEALTH CONCERNS" WAS THE MOST FREQUENTLY IDENTIFIED HEALTH CONCERN FOR THE COMMUNITY BY SURVEY RESPONDENTS, WITH "HEALTH CARE SERVICES FOCUSED ON SENIORS"SUPPORT TO OLDER ADULTS TO MAINTAIN INDEPENDENT LIVING" RANKING AMONG THE MOST FREQUENTLY SELECTED HEALTH AND SOCIAL SERVICE PRIORITIES BY SURVEY RESPONDENTS. 4. NAME OF TARGET POPULATION: TRANSITIONAL-AGED YOUTH (18-24 YEARS OLD). BASIS FOR SELECTION: THE PROPORTION OF RESIDENTS OF BARNSTABLE COUNTY BETWEEN 18 AND 24 IS LOWER THAN IN THE STATE (7.3% VS. 10.4%). TRANSITIONAL-AGED YOUTH WERE IDENTIFIED IN THE 2020-2022 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AS A SPECIFIC AT-RISK POPULATION DUE TO INCREASING RATES OF SUBSTANCE USE TREATMENT ADMISSIONS AND CONCERNING HEALTH RISK BEHAVIORS. THE CHNA ALSO IDENTIFIED THE FOLLOWING NEEDS THAT IMPACT THIS POPULATION: WORKFORCE DEVELOPMENT, EMPLOYMENT, EDUCATION AND ECONOMIC OPPORTUNITIES. 5. NAME OF TARGET POPULATION: LOW-INCOME INDIVIDUALS AND FAMILIES. BASIS FOR SELECTION: ONE THIRD OF COMMUNITY SURVEY RESPONDENTS IDENTIFIED POVERTY AS ONE OF THEIR TOP SOCIAL CONCERNS. THE OVERALL MEDIAN HOUSEHOLD INCOME FOR BARNSTABLE COUNTY IS SLIGHTLY BELOW THE STATE ($65,382 VS. $70,954), AND GENERALLY MUCH LOWER IN NON-FAMILY AND RENTER-OCCUPIED HOUSEHOLDS. THE INDIVIDUAL POVERTY RATE FOR BARNSTABLE COUNTY IS LOWER THAN FOR THE STATE (5.4% VS. 9%). HOWEVER, THERE IS VARIABILITY BETWEEN TOWNS, WITH PROVINCETOWN (13.2%) AND CHATHAM (12.7%) HAVING HIGHER RATES OF POVERTY THAN THE STATE. PUBLICATION OF TARGET POPULATIONS MARKETING COLLATERAL, WEBSITE COMMUNITY HEALTH NEEDS ASSESSMENT DATE LAST ASSESSMENT COMPLETED CHNA REPORT 2020-2022 PUBLISHED TO CCHC CARING COMMUNITIES WEBSITE SEPTEMBER 2020. DATA SOURCES COMMUNITY FOCUS GROUPS, HOSPITAL, INTERVIEWS, OTHER, SURVEYS, CHNA DOCUMENT COMMUNITY-HEALTH-NEEDS-ASSESSMENT-2020-2022.PDF IMPLEMENTATION STRATEGY IMPLEMENTATION STRATEGY DOCUMENT: FY20_SIP.PDF KEY ACCOMPLISHMENTS OF REPORTING YEAR CCHC COMMUNITY BENEFITS PROVIDED FINANCIAL AND SERVICE SUPPORT TO HEALTH AND HUMAN SERVICES ORGANIZATIONS AND HOSPITAL-BASED PROGRAMS AND SERVICES THAT WERE ALIGNED WITH THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) 2020-2022. WE ADDRESSED BARRIERS TO CARE BY ADDING SUPPORTIVE CONNECTORS IN THE CONTINUUM OF CARE. EXAMPLES: ALZHEIMER'S SUPPORT GROUPS, RECOVERY COACHES, COMMUNITY NAVIGATORS, OUTREACH, INTEGRATIVE THERAPIES AND TRANSPORTATION SOLUTIONS. CCHC COMMUNITY BENEFITS EXPANDED CROSS-SECTOR COMMUNITY PARTNERSHIPS AND LEADERSHIP WITHIN AND THROUGHOUT THE CAPE COD NON-PROFIT HEALTH AND HUMAN SERVICE SYSTEM. THE MAJOR ACCOMPLISHMENT THIS YEAR WAS THE PUBLICATION OF THE 2020-2022 CCH AND FH CHNA AND IMPLEMENTATION PLAN. THIS PLAN SERVED AS THE FOUNDATION FOR CCHC'S FY20 COMMUNITY BENEFITS PROGRAM, WHICH FOCUSED ON THESE 5 PRIORITIES: PHYSICAL HEALTH CONDITIONS, BEHAVIORAL HEALTH, TRANSPORTATION, HOUSING, AND WORKFORCE DEVELOPMENT. NEW AND EXPANDED HOSPITAL PROGRAMS WERE DELIVERED IN ALIGNMENT WITH IMPLEMENTATION GOALS, OBJECTIVES AND STRATEGIES FOR EACH PRIORITY. CCHC SUPPORTED PARTNERSHIPS WITH OVER 50 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. A SECOND MAJOR ACCOMPLISHMENT OF THIS YEAR IS THE ORGANIZATION'S RESPONSE TO OUR COMMUNITY NEEDS STEMMING FROM COVID-19. OUR HOSPITALS CONTINUED TO PROVIDE MEDICAL CARE, WHILE PROVIDING NEW SERVICES TO FIGHT COVID IN OUR COMMUNITY. IN 2020, CCHC: . EXPANDED ICU CAPACITIES AT BOTH HOSPITALS TO HANDLE AN INCREASE IN COVID PATIENTS . BUILT TRIAGE TENTS AT BOTH HOSPITALS . ESTABLISHED 3 TESTING SITES ACROSS THE REGION . UTILIZED THE EXPERTISE OF THE VNA TO LEAD THE COMMUNITY'S CONTACT TRACING PROGRAM . HELPED TO HOUSE HOMELESS PEOPLE WHO NEEDED TO BE QUARANTINED . CREATED A COVID-19 HOTLINE FOR THE COMMUNITY . SET UP A FIELD HOSPITAL AT JOINT BASE CAPE COD . ADMINISTERED COVID-19 VACCINES TO THE COMMUNITY.
PLANS FOR NEXT REPORTING YEARIN FY21, CCHC COMMUNITY BENEFITS WILL FOLLOW THE CHNA 2020-2022 GOALS AND STRATEGIC IMPLEMENTATION PLAN. THIS PLAN WAS PUT TOGETHER WITH CCHC LEADERSHIP AND OTHER COMMUNITY STAKEHOLDERS INCLUDING BARNSTABLE COUNTY HUMAN SERVICES AND BEHAVIORAL HEALTH AND INFECTIOUS DISEASE EXPERTS. IT IDENTIFIES THE PRIORITIES, POTENTIAL PARTNERS, AND GOALS AND OBJECTIVES FOR THE IMPLEMENTATION PLAN, WHICH WILL BE FOLLOWED FOR OUR NEXT REPORTING YEAR. THE PRIORITY AREAS AND GOALS FOR THE IMPLEMENTATION PLAN ARE: 1) PHYSICAL HEALTH CONDITIONS - REDUCE AND PREVENT THE OCCURRENCE AND SEVERITY OF CHRONIC AND INFECTIOUS DISEASE IN BARNSTABLE COUNTY THROUGH COLLABORATIVE APPROACHES. 2) BEHAVIORAL HEALTH - BE A LEADING PARTNER IN PROVIDING COMPREHENSIVE REGIONAL HEALTH SERVICES AND COMMUNITY RESOURCES FOR INDIVIDUALS WITH MENTAL HEALTH CONDITIONS AND SUBSTANCE USE DISORDERS. 3) SOCIAL DETERMINANTS OF HEALTH: TRANSPORTATION - WORK WITH REGIONAL TRANSPORTATION SYSTEMS TO INCREASE ACCESS TO HEALTH CARE AND OTHER HEALTH RELATED SERVICES IN BARNSTABLE COUNTY. HOUSING - WORK WITH REGIONAL PARTNERS TO ENSURE THAT VULNERABLE POPULATIONS SHOW IMPROVED HEALTH INDICATORS THROUGH ACCESS TO STABLE AND QUALITY HOUSING. HEALTHCARE WORKFORCE DEVELOPMENT - WORK WITH REGIONAL PARTNERS TO ENSURE OUR COMMUNITY IS SERVED BY A STRONG, ADEQUATE HEALTHCARE WORKFORCE. FOOD/NUTRITION - FOSTER REGIONAL PARTNERS TO DEVELOP OF FOOD SECURITY ASSESSMENT PROCESS. SELF-ASSESSMENT FORM: HOSPITAL SELF-ASSESSMENT UPDATE FORM - YEARS 2 AND 3 COMMUNITY BENEFITS PROGRAMS ANNUAL STRATEGIC GRANTS PROGRAM: CHRONIC AND INFECTIOUS DISEASE AND PREVENTION AND WELLNESS PROJECTS . PROGRAM TYPE: COMMUNITY-CLINICAL LINKAGES. . PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: YES . PROGRAM DESCRIPTIONS: THE FY20 ANNUAL STRATEGIC GRANTS PROGRAM WAS A COMPETITIVE GRANT INITIATIVE WITH THE OBJECTIVE TO SUPPORT COMMUNITY-BASED CHRONIC AND INFECTIOUS DISEASE AND PREVENTION AND WELLNESS PROJECTS ALIGNED WITH THE HEALTH PRIORITIES IDENTIFIED IN THE 2020-2022 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IMPLEMENTATION PLAN. GRANTS WERE AWARDED TO ORGANIZATIONS WITH PROJECTS THAT REACHED VULNERABLE POPULATIONS, MAXIMIZED PARTNERSHIP COLLABORATION AND FEATURED EVIDENCE-BASED PROGRAMS OR PROMISING PRACTICES WITH THE OBJECTIVE TO IMPROVE THE HEALTH OF BARNSTABLE COUNTY RESIDENTS. . PROGRAM HASHTAGS: COMMUNITY EDUCATION, HEALTH SCREENING, PREVENTION, SUPPORT GROUP . EOHHS FOCUS ISSUE(S) (OPTIONAL): CHRONIC DISEASE WITH FOCUS ON CANCER, HEART DISEASE, AND DIABETES, HOUSING STABILITY/HOMELESSNESS, MENTAL ILLNESS AND MENTAL HEALTH, SUBSTANCE USE DISORDERS, . DON HEALTH PRIORITIES (OPTIONAL): BUILT ENVIRONMENT, EDUCATION, HOUSING, SOCIAL ENVIRONMENT. . HEALTH ISSUES: CANCER-BREAST, CANCER-CERVICAL, CANCER-COLORECTAL, CANCER-LUNG, CANCER-MULTIPLE MYELOMA, CANCER-OTHER, CANCER-OVARIAN, CANCER-PROSTATE, CANCER-SKIN, CHRONIC DISEASE-ALZHEIMER'S DISEASE, CHRONIC DISEASE-ARTHRITIS, CHRONIC DISEASE-CARDIAC DISEASE, CHRONIC DISEASE-DIABETES, CHRONIC DISEASE-HYPERTENSION, HEALTH BEHAVIORS/MENTAL HEALTH-DEPRESSION, HEALTH BEHAVIORS/MENTAL HEALTH-MENTAL HEALTH, HEALTH BEHAVIORS/MENTAL HEALTH-RESPONSIBLE SEXUAL BEHAVIOR, INFECTIOUS DISEASE-HEPATITIS, INFECTIOUS DISEASE-LYME DISEASE, INJURY-AUTO/PASSENGER INJURIES, MATERNAL/CHILD HEALTH-CHILD CARE, MATERNAL/CHILD HEALTH-REPRODUCTIVE AND MATERNAL HEALTH, OTHER-SENIOR HEALTH CHALLENGES/CARE COORDINATION, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO HEALTH CARE, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO HEALTHY FOOD, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO TRANSPORTATION, SOCIAL DETERMINANTS OF HEALTH-AFFORDABLE HOUSING, SOCIAL DETERMINANTS OF HEALTH-EDUCATION/LEARNING, SOCIAL DETERMINANTS OF HEALTH-ENVIRONMENTAL QUALITY, SOCIAL DETERMINANTS OF HEALTH-HOMELESSNESS, SOCIAL DETERMINANTS OF HEALTH-INCOME AND POVERTY, SOCIAL DETERMINANTS OF HEALTH-LANGUAGE/LITERACY, SOCIAL DETERMINANTS OF HEALTH-NUTRITION, SOCIAL DETERMINANTS OF HEALTH-PUBLIC SAFETY, SUBSTANCE ADDICTION-ALCOHOL USE, SUBSTANCE ADDICTION-OPIOID USE, SUBSTANCE ADDICTION-SUBSTANCE USE . TARGET POPULATION: REGIONS SERVED: COUNTY-BARNSTABLE - ENVIRONMENTS SERVED: ALL GENDER: ALL AGE GROUP: ALL RACE/ETHNICITY: ALL LANGUAGE: ALL - ADDITIONAL TARGET POPULATION STATUS: INCARCERATION HISTORY, LGBT STATUS GOAL DESCRIPTION GRANT AWARDS TO LOCAL NON-PROFIT ORGANIZATIONS OPERATING QUALITY PROGRAMS WITH ANTICIPATED OUTCOMES ALIGNED WITH CAPE COD HOSPITAL AND FALMOUTH HOSPITAL IMPLEMENTATION STRATEGIES RELATED TO CHRONIC AND INFECTIOUS DISEASES AND PREVENTION AND WELLNESS. GOAL STATUS EXECUTION OF AWARDING GRANTS AND EVALUATING PROGRAMS COMPLETED AS SCHEDULED. PARTNERS PARTNER NAME, DESCRIPTION AND WEB ADDRESS ALZHEIMER'S FAMILY CAREGIVER SUPPORT CENTER - FREE IN-HOME CARE CONSULTATIONS FOR FAMILIES LIVING WITH ALZHEIMER'S AND DEMENTIA DISEASE - WWW.ALZHEIMERSCAPECOD.ORG A BABY CENTER - BABY BOXES AND CAR SEATS FOR LOW INCOME FAMILIES- WWW.ABABYCENTER.ORG CAPE COD TIMES NEEDY FUND - BASIC NEEDS SAFETY NET FOR INDIVIDUALS WITH CHRONIC AND INFECTIOUS DISEASES - WWW.NEEDYFUND.ORG HOUSING ASSISTANCE CORPORATION ON CAPE COD - OUTER CAPE HEALTH SERVICES HOUSING FOR HEALTH PARTNERSHIP - WWW.HACONCAPECOD.ORG CAPE WELLNESS COLLABORATIVE - WELLNESS CARDS FOR INTEGRATIVE SERVICES- WWW.CAPEWELLNESS.ORG TEAM MAUREEN - HPV PREVENTION THROUGH CAPE - WIDE EDUCATION - WWW.TEAMMAUREEN.ORG NATIONAL ALLIANCE ON MENTAL ILLNESS CAPE COD - MENTAL WELLNESS IN THE PORTUGUESE COMMUNITY- WWW.NAMICAPECOD.ORG SAMARITANS ON CAPE COD & THE ISLANDS - ELDER SUICIDE OUTREACH PREVENTION PROGRAM- WWW.CAPESAMARITANS.ORG YMCA CAPE COD - CHRONIC DISEASE PROGRAM COORDINATOR- WWW.YMCACAPECOD.ORG BOSTON CANCER SUPPORT - TREATMENT TRANSPORT PROGRAM - WWW.BOSTONCANCERSUPPORT.ORG CAPE COD COMMERCIAL FISHERMAN'S ALLIANCE - FISH FOR FAMILIES - WWW.CAPECODFISHERMEN.ORG THE FAMILY PANTRY OF CAPE COD - HEALTHY MEALS IN MOTION - WWW.THEFAMILYPANTRY.COM BARNSTABLE COUNTY SHERIFF - EDUCATIONAL INTERVENTIONS FOR CORRECTIONS - WWW.BSHERIFF.NET HEALTH IMPERATIVES - IMPROVING ACCESS TO WIC NUTRITION SERVICES - WWW.HEALTHIMPERATIVES.ORG ASSOCIATION TO PRESERVE CAPE COD - POND HEALTH PROGRAM - WWW.APCC.ORG HELPING OUR WOMEN - ACCESS AND EQUITY FOR OUTER CAPE WOMEN - HTTP://WWW.HELPINGOURWOMEN.ORG BRAIN INJURY ASSOCIATION OF MA - ANNUAL CERE-BRATION - HTTP://WWW.BIAMA.ORG ST. PETER THE APOSTLE CHURCH - ALZHEIMER'S AND DEMENTIA TRAINING FOR FIRST RESPONDERS AND COMMUNITY MEMBERS. - HTTP://WWW.STPETERS-PTOWN.ORG ROAR - RIDE FOR OPIOID ADDICTION RECOVERY - HTTP://WWW.ROARCAPECOD.COM CAPE COD LITERACY COUNCIL - HEALTH LITERACY - HTTP://WWW.CAPECODLITERACYCOUNCIL.ORG BARNSTABLE COUNTY SCHOOL DISTRICT - MEALS PROGRAM - HTTP://WWW.BARNSTABLE.K12.MA.US CAPE COD NATIONAL SEASHORE - HEALTHY PARKS HEALTHY PEOPLE EVENT CAPE COD HEALTHCARE COLLABORATED WITH THE CAPE COD NATIONAL SEASHORE AND THE NATIONAL PARK SERVICES TO PROMOTE COMMUNITY OPEN SPACE FOR WELLNESS, EXERCISE AND PHYSICAL ACTIVITY TO IMPROVE THE HEALTH OF CAPE COD RESIDENTS AND VISITORS. - HTTPS://WWW.NPS.GOV/CACO/INDEX.HTM DETAILED DESCRIPTION THE FY20 ANNUAL STRATEGIC GRANTS PROGRAM WAS A COMPETITIVE GRANT INITIATIVE WITH THE OBJECTIVE TO SUPPORT COMMUNITY-BASED CHRONIC AND INFECTIOUS DISEASE AND PREVENTION AND WELLNESS PROJECTS ALIGNED WITH THE HEALTH PRIORITIES IDENTIFIED IN THE 2020-2022 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IMPLEMENTATION PLAN. GRANTS WERE AWARDED TO ORGANIZATIONS WITH PROJECTS THAT REACHED VULNERABLE POPULATIONS, MAXIMIZED PARTNERSHIP COLLABORATION AND FEATURED EVIDENCE-BASED PROGRAMS OR PROMISING PRACTICES WITH THE OBJECTIVE TO IMPROVE THE HEALTH OF BARNSTABLE COUNTY RESIDENTS. SUBSTANCE USE DISORDER PROGRAMS INCLUDING RECOVERY SPECIALIST PROGRAM IN THE EMERGENCY DEPARTMENTS AT CAPE COD HOSPITAL AND FALMOUTH HOSPITAL . PROGRAM TYPE: COMMUNITY-CLINICAL LINKAGES . PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: YES . PROGRAM HASHTAGS: COMMUNITY HEALTH CENTER PARTNERSHIP, MENTORSHIP/CAREER TRAINING/INTERNSHIP, PREVENTION . EOHHS FOCUS ISSUE(S) (OPTIONAL): MENTAL ILLNESS AND MENTAL HEALTH, SUBSTANCE USE DISORDERS. . DON HEALTH PRIORITIES (OPTIONAL): BUILT ENVIRONMENT, EDUCATION, SOCIAL ENVIRONMENT. . HEALTH ISSUES: HEALTH BEHAVIORS/MENTAL HEALTH-MENTAL HEALTH, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO HEALTH CARE, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO TRANSPORTATION, SOCIAL DETERMINANTS OF HEALTH-EDUCATION/LEARNING, SUBSTANCE ADDICTION-ALCOHOL USE, SUBSTANCE ADDICTION-OPIOID USE, SUBSTANCE ADDICTION-SUBSTANCE USE. . TARGET POPULATION: REGIONS SERVED: COUNTY-BARNSTABLE - ENVIRONMENTS SERVED: ALL - GENDER: ALL - RACE/ETHNICITY: ALL - LANGUAGE: ALL - ADDITIONAL TARGET POPULATION STATUS: NOT SPECIFIED
GOAL DESCRIPTIONENGAGE AND CONSULT WITH AT LEAST 250 PATIENTS WITH SUBSTANCE USE DISORDERS TREATED IN THE EMERGENCY DEPARTMENTS AT CAPE COD HOSPITAL AND FALMOUTH HOSPITAL. GOAL STATUS EXCEEDED GOAL GOAL DESCRIPTION MOTIVATE AND ASSIST 40% OF PATIENTS WHO RECEIVE A CONSULTATION FROM THE RECOVERY SPECIALIST TO ACCEPT A TRANSFER TO TREATMENT OR DIRECT REFERRAL TO TREATMENT PRIOR TO DISCHARGE FROM THE EMERGENCY DEPARTMENT. GOAL STATUS EXCEEDED GOAL GOAL DESCRIPTION OFFER POST - DISCHARGE FOLLOW-UP AND ASSISTANCE TO PATIENTS WITH SUBSTANCE USE DISORDERS WHO REFUSED SERVICES WHILE IN THE EMERGENCY DEPARTMENTS. GOAL STATUS ONGOING GOAL DESCRIPTION RAISE AWARENESS: SUD IS PART OF MENTAL HEALTH AND MENTAL HEALTH ISSUES IN OUR BEHAVIORAL HEALTH PROGRAMS. GOAL STATUS ONGOING GOAL DESCRIPTION PROVIDE SUPPORT FOR SAFE OPPORTUNITIES FOR YOUTH IN BARNSTABLE COUNTY TO ENGAGE IN MEANINGFUL ACTIVITIES INCLUDING PHYSICAL ACTIVITIES AND MENTORSHIP. GOAL STATUS ONGOING GOAL DESCRIPTION PROVIDE SUPPORT FOR RECOVERY SERVICES IN THE COMMUNITY FOR PATIENTS WITH SUBSTANCE USE DISORDERS. GOAL STATUS ONGOING PARTNER NAME, DESCRIPTION AND WEB ADDRESS GOSNOLD, INC. - RECOVERY SPECIALISTS - WWW.GOSNOLD.ORG BARNSTABLE COUNTY REGIONAL SUBSTANCE USE COUNCIL - WWW.BCHUMANSERVICES.NET/INITIATIVES/REGIONAL-SUBSTANCE-USE-COUNCIL/ OUTER CAPE HEALTH SERVICES - OFFICE BASED ADDICTION TREATMENT - WWW.OUTERCAPE.ORG DUFFY HEALTH CENTER - RECOVERY COACH / NAVIGATOR PROGRAM - WWW.DUFFYHEALTHCENTER.ORG BIG BROTHERS BIG SISTERS - MENTORING PROGRAM FOR CHILDREN AT RISK FOR SUBSTANCE USE DISORDER - HTTPS://EMASSBIGS.ORG/CAPE-COD/ PAUSE A WHILE - PROVIDING ACCESS TO LONG TERM TREATMENT FOR SUD AS A COMPONENT OF THE TREATMENT FOR AND ITS RELATED IMPACT ON PHYSICAL WELLNESS - HTTPS://PAUSEAWHILE.ORG/ PROGRAM DESCRIPTION - CAPE COD HEALTHCARE HAS IDENTIFIED A SIGNIFICANT NEED FOR SUBSTANCE USE DISORDER PREVENTION AND TREATMENT IN OUR COMMUNITY. THROUGH A VARIETY OF PROGRAMS AND PARTNERSHIPS, CCHC HAS MADE A COMMITMENT TO DIRECT RESOURCES TOWARDS THIS COMMUNITY HEALTH ISSUE. PROGRAMS INCLUDE: - CAPE COD HOSPITAL AND FALMOUTH HOSPITAL PARTNERED WITH GOSNOLD, INC. TO PROVIDE PEER-LED RECOVERY SPECIALIST SERVICES IN THE EMERGENCY DEPARTMENTS AT BOTH HOSPITALS. RECOVERY SPECIALISTS HAVE THE LIVED EXPERIENCE OF ADDICTION AND RECOVERY AND ENGAGE PATIENTS WITH SUBSTANCE USE DISORDERS PRIOR TO DISCHARGE FROM THE EMERGENCY DEPARTMENTS. RECOVERY SPECIALISTS WORK AS PART OF THE HOSPITAL CARE TEAM WITH THE OBJECTIVE TO MOTIVATE PATIENTS TO ACCEPT TREATMENT FOR SUBSTANCE USE DISORDERS THROUGH A TRANSFER TO AN INPATIENT TREATMENT PROGRAM OR DIRECT REFERRALS TO OUTPATIENT TREATMENT PROGRAMS. - INVESTMENTS IN PREVENTION PROGRAMS INCLUDING MENTORING FOR AT RISK YOUTH - INNOVATIVE TREATMENTS INCLUDING OFFICE BASED ADDICTION TREATMENT - SUPPORT SERVICES TO MEET COMMUNITY MEMBERS WHERE THEY ARE, INCLUDING MATERNITY DEPARTMENT TOURS FOR MOTHERS EXPERIENCING SUBSTANCE USE DISORDER. SUPPORT TO FEDERALLY QUALIFIED HEALTH CENTERS . PROGRAM TYPE: ACCESS/COVERAGE SUPPORTS. . PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: YES . PROGRAM HASHTAGS: COMMUNITY HEALTH CENTER PARTNERSHIP . EOHHS FOCUS ISSUE(S) (OPTIONAL): MENTAL ILLNESS AND MENTAL HEALTH. . DON HEALTH PRIORITIES (OPTIONAL): BUILT ENVIRONMENT, SOCIAL ENVIRONMENT. . HEALTH ISSUES: HEALTH BEHAVIORS/MENTAL HEALTH-MENTAL HEALTH, INFECTIOUS DISEASES, COVID-19, OTHER-DENTAL HEALTH, OTHER-SENIOR HEALTH CHALLENGES/CARE COORDINATION, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO HEALTH CARE, SOCIAL DETERMINANTS OF HEALTH-HOMELESSNESS, SOCIAL DETERMINANTS OF HEALTH-UNINSURED/UNDERINSURED, SUBSTANCE ADDICTION-SUBSTANCE USE. . TARGET POPULATION: REGIONS SERVED: BARNSTABLE - ENVIRONMENTS SERVED: ALL GENDER: ALL AGE GROUP: ALL RACE/ETHNICITY: ALL LANGUAGE: ALL - ADDITIONAL TARGET POPULATION STATUS: NOT SPECIFIED GOAL DESCRIPTION PROVIDE FUNDING SUPPORT TO THE FEDERALLY QUALIFIED HEALTH CENTERS PER PROPOSALS AND PRIORITIES SET BY EACH OF THE FOUR ENTITIES ON CAPE COD IN ALIGNMENT WITH CHNA 2020-2022. GOAL STATUS COMPLETE. CCHC WILL CONTINUE TO SUPPORT FQHCS IN BARNSTABLE COUNTY TO EXPAND THE CONTINUUM OF CARE AND INCREASE ACCESS TO SERVICES. PARTNER NAME, DESCRIPTION AND WEB ADDRESS HARBOR - JONES DENTAL - HTTPS://WWW.HHSI.US/LOCATIONS/HARBOR-COMMUNITY-HEALTHCENTER-HYANNIS/ DUFFY - NAVIGATORS AND BEHAVIORAL HEALTH - HTTPS://WWW.DUFFYHEALTHCENTER.ORG/ OUTERCAPE HEALTH SERVICES - COMMUNITY NAVIGATORS - HTTPS://OUTERCAPE.ORG/ PROGRAM DESCRIPTION - CAPE COD HEALTHCARE COMMUNITY BENEFITS PROVIDES SUPPORT TO FEDERALLY QUALIFIED HEALTH CENTERS ON CAPE COD TO INCREASE HEALTHCARE ACCESS TO THOSE WHO ARE UN- OR UNDERINSURED. PROGRAMS ALIGN WITH THE PRIORITIES IDENTIFIED IN THE 2020-2022 CHNA. CCHC CANCER SUPPORT SERVICES AND SURVIVORSHIP ACTIVITIES . PROGRAM TYPE: DIRECT CLINICAL SERVICES. . PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: YES . PROGRAM HASHTAGS: COMMUNITY EDUCATION, HEALTH SCREENING, PREVENTION, SUPPORT GROUP. . EOHHS FOCUS ISSUE(S) (OPTIONAL): CHRONIC DISEASE WITH FOCUS ON CANCER, HEART DISEASE, AND DIABETES. . DON HEALTH PRIORITIES (OPTIONAL): EDUCATION, SOCIAL ENVIRONMENT. . HEALTH ISSUES: CANCER-BREAST, CANCER-CERVICAL, CANCER-COLORECTAL, CANCER-LUNG, CANCER-MULTIPLE MYELOMA, CANCER-OTHER, CANCER-OVARIAN, CANCER-PROSTATE, CANCER-SKIN, HEALTH BEHAVIORS/MENTAL HEALTH-DEPRESSION, OTHER-HOSPICE, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO HEALTH CARE, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO HEALTHY FOOD, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO TRANSPORTATION, SOCIAL DETERMINANTS OF HEALTH-EDUCATION/LEARNING, SOCIAL DETERMINANTS OF HEALTH-NUTRITION, SOCIAL DETERMINANTS OF HEALTH-UNINSURED/UNDERINSURED. . TARGET POPULATION: REGIONS SERVED: COUNTY-BARNSTABLE - ENVIRONMENTS SERVED: ALL GENDER: ALL AGE GROUP: ALL RACE/ETHNICITY: ALL LANGUAGE: ALL - ADDITIONAL TARGET POPULATION STATUS: NOT SPECIFIED GOAL DESCRIPTION ONCOLOGY SOCIAL WORKERS WILL PROVIDE PSYCHO-SOCIAL SUPPORT TO OVER 3,000 PATIENTS. TIMEFRAME: YEAR 1 OF 3 GOAL STATUS EXCEEDED GOAL. GOAL DESCRIPTION SUPPORT GROUPS WILL BE PROVIDED TO PATIENTS AND FAMILIES. TIMEFRAME: YEAR 1 OF 3 GOAL STATUS ALTHOUGH COVID IMPACTED NUMBERS, THIS GOAL WAS MET. GOAL DESCRIPTION CCHC WILL OFFER AN ONCOLOGY NUTRITION PROGRAM TO IMPROVE PATIENTS' QUALITY OF LIFE AND OUTCOMES. TIMEFRAME: YEAR 1 OF 3 GOAL STATUS GOAL ACHIEVED. PARTNER NAME, DESCRIPTION AND WEB ADDRESS AMERICAN CANCER SOCIETY - WWW.CANCER.ORG/ABOUT-US/LOCAL/MASSACHUSETTS.HTML YMCA CAPE COD LIVESTRONG - WWW.YMCACAPECOD.ORG/PROGRAMS/HEALTH-WELLBEING/LIVESTRONG/ CAPE WELLNESS COLLABORATIVE - WWW.CAPEWELLNESS.ORG/ VISITING NURSE ASSOCIATION OF CAPE COD - WWW.VNACAPECOD.ORG TEAM MAUREEN - WWW.TEAMMAUREEN.ORG BOSTON CANCER SUPPORT - WWW.BOSTONCANCERSUPPORT.ORG PROGRAM DESCRIPTION - CCHC CANCER SUPPORT SERVICES PROVIDES ONCOLOGY PATIENTS AND THEIR FAMILIES' PSYCHOLOGICAL AND SOCIAL SUPPORT DURING THEIR TREATMENT JOURNEY. A TEAM OF ONCOLOGY SOCIAL WORKERS PROVIDE ONGOING COUNSELING AND SUPPORT GROUPS AND DIRECT REFERRALS TO SERVICES SUCH AS TRANSPORTATION, HOME CARE, AND COMMUNITY-BASED WELLNESS SERVICES SUCH AS REIKI, ACUPUNCTURE AND MASSAGE. SERVICES INCLUDE AN ONCOLOGY NUTRITION PROGRAM AND THE LIVING FIT FOR YOU! CANCER WELLNESS PROGRAM. CANCER SURVIVORSHIP IS CELEBRATED, SUPPORTED AND RECOGNIZED WITHIN HOSPITAL DEPARTMENTS AND IN THE COMMUNITY. CCHC ALSO OFFERS SPECIAL FINANCIAL NAVIGATORS IN THE CANCER CENTERS SPECIALLY TRAINED IN CANCER TREATMENT EXPENSES.
HEALTH EDUCATION. PROGRAM TYPE: TOTAL POPULATION OR COMMUNITY-WIDE INTERVENTIONS. . PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: NO . PROGRAM HASHTAGS: COMMUNITY EDUCATION, PREVENTION. . EOHHS FOCUS ISSUE(S) (OPTIONAL): CHRONIC DISEASE WITH FOCUS ON CANCER, HEART DISEASE, AND DIABETES, MENTAL ILLNESS AND MENTAL HEALTH. . DON HEALTH PRIORITIES (OPTIONAL): EDUCATION. . HEALTH ISSUES: CANCER-BREAST, CANCER-CERVICAL, CANCER-COLORECTAL, CANCER-LUNG, CANCER-MULTIPLE MYELOMA, CANCER-OTHER, CANCER-OVARIAN, CANCER-PROSTATE, CANCER-SKIN, CHRONIC DISEASE-ALZHEIMER'S DISEASE, CHRONIC DISEASE-CARDIAC DISEASE, CHRONIC DISEASE-DIABETES, CHRONIC DISEASE-HYPERTENSION, CHRONIC DISEASE-OVERWEIGHT AND OBESITY, CHRONIC DISEASE-PULMONARY DISEASE, CHRONIC DISEASE-STROKE, HEALTH BEHAVIORS/MENTAL HEALTH-BEREAVEMENT, HEALTH BEHAVIORS/MENTAL HEALTH-DEPRESSION, HEALTH BEHAVIORS/MENTAL HEALTH-IMMUNIZATION, HEALTH BEHAVIORS/MENTAL HEALTH-MENTAL HEALTH, HEALTH BEHAVIORS/MENTAL HEALTH-PHYSICAL ACTIVITY, HEALTH BEHAVIORS/MENTAL HEALTH-STRESS MANAGEMENT, INFECTIOUS DISEASES, COVID-19, INJURY-HOME INJURIES, MATERNAL/CHILD HEALTH-PARENTING SKILLS, MATERNAL/CHILD HEALTH-REPRODUCTIVE AND MATERNAL HEALTH, OTHER-SENIOR HEALTH CHALLENGES/CARE COORDINATION, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO HEALTH CARE, SOCIAL DETERMINANTS OF HEALTH-EDUCATION/LEARNING. . TARGET POPULATION: REGIONS SERVED: BARNSTABLE - ENVIRONMENTS SERVED: ALL GENDER: ALL AGE GROUP: ALL RACE/ETHNICITY: ALL LANGUAGE: ALL - ADDITIONAL TARGET POPULATION STATUS: NOT SPECIFIED GOAL DESCRIPTION AT CAPE COD HOSPITAL AND FALMOUTH HOSPITAL, HEALTH EDUCATION AND OUTREACH ACTIVITIES ARE OFFERED TO THE COMMUNITY ACROSS A NUMBER OF DIFFERENT HEALTH AREAS. FROM MATERNITY DEPARTMENT TOURS AND NEW PARENTING CLASSES, TO COMMUNITY-BASED DIABETES AND STROKE EDUCATION, FALL PREVENTION CLASSES, AND ADVANCE CARE PLANNING PRESENTATIONS, THE HOSPITALS DEDICATE CLINICAL STAFF AND RESOURCES TO SUPPORT THE EDUCATION AND HEALTH LITERACY OF BARNSTABLE COUNTY RESIDENTS. TIMEFRAME: YEAR 1 OF 3 GOAL STATUS EDUCATIONAL OFFERINGS ARE ONGOING. DUE TO COVID-RELATED RESTRICTIONS, MANY OFFERINGS PIVOTED TO VIRTUAL EVENTS. STAFF IS READY TO CONTINUE WITH IN-PERSON OFFERINGS WHEN APPROPRIATE. PARTNER NAME, DESCRIPTION AND WEB ADDRESS AMERICAN CANCER SOCIETY - WWW.CANCER.ORG VISITING NURSES ASSOCIATION OF CAPE COD - WWW.VNACAPECOD.ORG PROGRAM DESCRIPTION - AT CAPE COD HOSPITAL AND FALMOUTH HOSPITAL, HEALTH EDUCATION AND OUTREACH ACTIVITIES ARE OFFERED TO THE COMMUNITY ACROSS A NUMBER OF DIFFERENT HEALTH AREAS. FROM MATERNITY DEPARTMENT TOURS, BREASTFEEDING AND NEW PARENTING CLASSES, TO COMMUNITY-BASED DIABETES, AND STROKE EDUCATION, THE HOSPITALS DEDICATE CLINICAL STAFF AND RESOURCES TO SUPPORT THE EDUCATION AND HEALTH LITERACY OF BARNSTABLE COUNTY RESIDENTS. THIS YEAR WE ALSO ENGAGED IN AWARENESS CAMPAIGNS ON ISSUES RELATED TO WOMEN'S HEALTH, HEART HEALTH, AND COVID-19. POPULAR PROGRAMS THIS YEAR INCLUDED AN ADVANCED CARE PLANNING PRESENTATION, COMMUNITY EDUCATION ON GENETIC TESTING AND CANCER SCREENINGS AND VARIOUS BEHAVIORAL HEALTH COMMUNITY EDUCATION EVENTS. COMMUNITY-BASED INTERPRETER SERVICES . PROGRAM TYPE: ACCESS/COVERAGE SUPPORTS. . PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: YES . PROGRAM HASHTAGS: HEALTH PROFESSIONAL/STAFF TRAINING. . EOHHS FOCUS ISSUE(S) (OPTIONAL): CHRONIC DISEASE WITH FOCUS ON CANCER, HEART DISEASE, AND DIABETES, HOUSING STABILITY/HOMELESSNESS, MENTAL ILLNESS AND MENTAL HEALTH, SUBSTANCE USE DISORDERS,. . DON HEALTH PRIORITIES (OPTIONAL): BUILT ENVIRONMENT, SOCIAL ENVIRONMENT. . HEALTH ISSUES: CANCER-BREAST, CANCER-CERVICAL, CANCER-COLORECTAL, CANCER-LUNG, CANCER-MULTIPLE MYELOMA, CANCER-OTHER, CANCER-OVARIAN, CANCER-PROSTATE, CANCER-SKIN, CHRONIC DISEASE-ALZHEIMER'S DISEASE, CHRONIC DISEASE-ARTHRITIS, CHRONIC DISEASE-ASTHMA/ALLERGIES, CHRONIC DISEASE-CARDIAC DISEASE, CHRONIC DISEASE-CHRONIC PAIN, CHRONIC DISEASE-COLITIS/CROHN'S DISEASE, CHRONIC DISEASE-DIABETES, CHRONIC DISEASE-HYPERTENSION, CHRONIC DISEASE-OSTEOPOROSIS, CHRONIC DISEASE-OVERWEIGHT AND OBESITY, CHRONIC DISEASE-PULMONARY DISEASE, CHRONIC DISEASE-SICKLE CELL DISEASE, CHRONIC DISEASE-STROKE, HEALTH BEHAVIORS/MENTAL HEALTH-BEREAVEMENT, HEALTH BEHAVIORS/MENTAL HEALTH-DEPRESSION, HEALTH BEHAVIORS/MENTAL HEALTH-IMMUNIZATION, HEALTH BEHAVIORS/MENTAL HEALTH-MENTAL HEALTH, HEALTH BEHAVIORS/MENTAL HEALTH-PHYSICAL ACTIVITY, HEALTH BEHAVIORS/MENTAL HEALTH-RESPONSIBLE SEXUAL BEHAVIOR, HEALTH BEHAVIORS/MENTAL HEALTH-STRESS MANAGEMENT, INFECTIOUS DISEASE-HEPATITIS, INFECTIOUS DISEASE-HIV/AIDS, INFECTIOUS DISEASE-LYME DISEASE, INFECTIOUS DISEASE-SEXUALLY TRANSMITTED DISEASES, INFECTIOUS DISEASE-TUBERCULOSIS, INJURY-AUTO/PASSENGER INJURIES, INJURY-FIRST AID/ACLS/CPR, INJURY-HOME INJURIES, INJURY-OTHER, INJURY-SPORTS INJURIES, MATERNAL/CHILD HEALTH-CHILD CARE, MATERNAL/CHILD HEALTH-FAMILY PLANNING, MATERNAL/CHILD HEALTH-MENOPAUSE, MATERNAL/CHILD HEALTH-PARENTING SKILLS, MATERNAL/CHILD HEALTH-REPRODUCTIVE AND MATERNAL HEALTH, OTHER-CULTURAL COMPETENCY, OTHER-DENTAL HEALTH, OTHER-EMERGENCY PREPAREDNESS, OTHER-HEARING, OTHER-HOSPICE, OTHER-SENIOR HEALTH CHALLENGES/CARE COORDINATION, OTHER-VISION, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO HEALTH CARE, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO HEALTHY FOOD, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO TRANSPORTATION, SOCIAL DETERMINANTS OF HEALTH-AFFORDABLE HOUSING, SOCIAL DETERMINANTS OF HEALTH-DOMESTIC VIOLENCE, SOCIAL DETERMINANTS OF HEALTH-EDUCATION/LEARNING, SOCIAL DETERMINANTS OF HEALTH-ENVIRONMENTAL QUALITY, SOCIAL DETERMINANTS OF HEALTH-HOMELESSNESS, SOCIAL DETERMINANTS OF HEALTH-INCOME AND POVERTY, SOCIAL DETERMINANTS OF HEALTH-LANGUAGE/LITERACY, SOCIAL DETERMINANTS OF HEALTH-NUTRITION, SOCIAL DETERMINANTS OF HEALTH-PUBLIC SAFETY, SOCIAL DETERMINANTS OF HEALTH-RACISM AND DISCRIMINATION, SOCIAL DETERMINANTS OF HEALTH-UNINSURED/UNDERINSURED, SOCIAL DETERMINANTS OF HEALTH-VIOLENCE AND TRAUMA, SUBSTANCE ADDICTION-ALCOHOL USE, SUBSTANCE ADDICTION-DRIVING UNDER THE INFLUENCE, SUBSTANCE ADDICTION-OPIOID USE, SUBSTANCE ADDICTION-SMOKING/TOBACCO USE, SUBSTANCE ADDICTION-SUBSTANCE USE. . TARGET POPULATION: REGIONS SERVED: COUNTY-BARNSTABLE - ENVIRONMENTS SERVED: ALL GENDER: ALL AGE GROUP: ALL RACE/ETHNICITY: ALL LANGUAGE: ALL - ADDITIONAL TARGET POPULATION STATUS: NOT SPECIFIED.
GOAL DESCRIPTIONASSIST MORE THAN 800 INDIVIDUALS WITH FREE MEDICAL INTERPRETERS IN COMMUNITY-BASED PRIMARY CARE AND SPECIALTY CARE SETTINGS. GOAL STATUS WE CONTINUED TO ASSIST INDIVIDUALS WITH FREE INTERPRETER SERVICES, ALTHOUGH NUMBERS ARE DOWN THIS YEAR DUE TO COVID. GOAL DESCRIPTION ANALYZE PROGRAM UTILIZATION DATA TO ASSESS REGIONAL MEDICAL INTERPRETATION NEEDS FOR PROGRAM EVALUATION. GOAL STATUS COMPLETED. GOAL DESCRIPTION REACH MORE AREAS THROUGHOUT THE CAPE BY IMPLEMENTING A VIDEO INTERPRETER PROGRAM GOAL STATUS COMPLETED: IMPLEMENTED 10 VIDEO REMOTE UNITS TO ENSURE THAT LIMITED SPEAKING PATIENTS HAVE BETTER ACCESS FOR AN INTERPRETER PARTNER NAME, DESCRIPTION AND WEB ADDRESS COMMUNITY BASED MEDICAL OFFICES ON CAPE COD - VARIOUS HARBOR COMMUNITY HEALTH CENTER HYANNIS - WWW.HHSI.US/CAPE-COD/HARBOR-COMMUNITY-HEALTH-CENTERHYANNIS/ COMMUNITY BASED MEDICAL OFFICES ON CAPE COD - VARIOUS OFFICE OF MULTICULTURAL AFFAIRS - DPH - HTTPS://WWW.MASS.GOV/OREI PROGRAM DESCRIPTION - CCHC PROVIDES FREE MEDICAL LANGUAGE INTERPRETERS TO COMMUNITY-BASED PHYSICIAN OFFICES AND HOSPITALS TO ASSIST LIMITED AND NON-ENGLISH SPEAKING PATIENTS AND THEIR FAMILIES. THE AVAILABILITY OF PROFICIENT AND PROFESSIONAL INTERPRETER SERVICES ENSURES THE DELIVERY OF SAFE, QUALITY HEALTH CARE AND POSITIVE CLINICAL OUTCOMES. CHILDREN'S COVE PARTNERSHIP . PROGRAM TYPE: DIRECT CLINICAL SERVICES. . PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: NO . PROGRAM HASHTAGS: HEALTH PROFESSIONAL/STAFF TRAINING. . EOHHS FOCUS ISSUE(S) (OPTIONAL): VIOLENCE. . DON HEALTH PRIORITIES (OPTIONAL): HEALTH BEHAVIORS/MENTAL HEALTH-DEPRESSION, HEALTH BEHAVIORS/MENTAL HEALTH-MENTAL HEALTH, INJURY-HOME INJURIES, SOCIAL DETERMINANTS OF HEALTH-VIOLENCE AND TRAUMA,. . TARGET POPULATION: REGIONS SERVED: BARNSTABLE - ENVIRONMENTS SERVED: ALL GENDER: ALL AGE GROUP: CHILDREN, INFANTS, TEENAGERS RACE/ETHNICITY: ALL, HYANNIS LANGUAGE: ALL - ADDITIONAL TARGET POPULATION STATUS: DOMESTIC VIOLENCE HISTORY GOAL DESCRIPTION THE NURSE PRACTITIONER WILL: PROVIDE AN ONSITE VISUAL MEDICAL EXAM IN A CHILD-FRIENDLY SETTING ENSURE THE HEALTH AND SAFETY OF CHILD THROUGH A NON-INVASIVE EXAM "USING A DO NO HARM APPROACH" IDENTIFY, EDUCATE AND PROVIDE REFERRALS FOR INSTANCES OF SEXUALLY TRANSMITTED INFECTIONS AND/OR PREGNANCY PHOTO-DOCUMENT AND COLLECT EVIDENCE IF INDICATED. SUPPORT THE CHILD IN THEIR WELLNESS. GOAL STATUS ALL MEDICAL EXAMS ARE COMPLETED PRIVATELY AT CHILDREN'S COVE AND WITH PARENTAL PERMISSION. CHILDREN ARE ALWAYS TREATED WITH DIGNITY AND RESPECT, AND THE FOCUS OF THE EXAM IS TO SUPPORT THE CHILD IN THEIR WELLNESS. DURING THE EXAM, THE NURSE PRACTITIONER DOES NOT: USE ANY INVASIVE TOOLS CAUSE ANY PAIN INTERVIEW THE CHILD SPECULATE IF ANYTHING DID OR DID NOT HAPPEN. PARTNER NAME, DESCRIPTION AND WEB ADDRESS CHILDREN'S COVE - HTTP://WWW.CHILDRENSCOVE.ORG PROGRAM DESCRIPTION - FUNDING FOR A SPECIALTY TRAINED NURSE PRACTITIONER TO PROVIDE A NON-INVASIVE PHYSICAL EXAM TO CHILD VICTIMS OF ABUSE AND SEXUAL ASSAULT. AFTER A CHILD HAS MADE THE BRAVE CHOICE TO DISCLOSE THEIR ABUSE THERE IS OFTEN THE QUESTION "IS MY BODY OK?" WE WANT TO ALLEVIATE SOME OF THE STRESS FROM A CHILD AND CAREGIVERS MIND. BECAUSE OF THAT WE HAVE PARTNERED WITH CHILDREN'S COVE AND THE MASSACHUSETTS PEDIATRIC SEXUAL ASSAULT NURSE EXAMINER PROGRAM (PEDISANE) TO HAVE A SPECIALLY TRAINED NURSE PRACTITIONER ON STAFF TO ENSURE THE BEST HEALTH AND WELFARE OF THE CHILD. ALSO INCLUDED IS THE COST OF LAB TESTING SERVICES FOR THESE PATIENTS. MENTAL HEALTH SERVICES IN THE COMMUNITY . PROGRAM TYPE: DIRECT CLINICAL SERVICES. . PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: NO . PROGRAM HASHTAGS: COMMUNITY EDUCATION, COMMUNITY HEALTH CENTER PARTNERSHIP, HEALTH PROFESSIONAL/STAFF TRAINING. . EOHHS FOCUS ISSUE(S) (OPTIONAL): MENTAL ILLNESS AND MENTAL HEALTH. . DON HEALTH PRIORITIES (OPTIONAL): SOCIAL ENVIRONMENT. . HEALTH ISSUES: HEALTH BEHAVIORS/MENTAL HEALTH-BEREAVEMENT, HEALTH BEHAVIORS/MENTAL HEALTH-DEPRESSION, HEALTH BEHAVIORS/MENTAL HEALTH-MENTAL HEALTH, HEALTH BEHAVIORS/MENTAL HEALTH-STRESS MANAGEMENT. . TARGET POPULATION: REGIONS SERVED: BARNSTABLE - ENVIRONMENTS SERVED: ALL GENDER: ALL AGE GROUP: ADULTS, CHILDREN, ELDERLY, TEENAGERS, RACE/ETHNICITY: ALL LANGUAGE: ALL - ADDITIONAL TARGET POPULATION STATUS: NOT SPECIFIED. GOAL DESCRIPTION 90% OF PATIENTS SEEN BY THE DUFFY TEAM AT CAPE COD HOSPITAL CONNECT TO DUFFY SERVICES POST-DISCHARGE. GOAL STATUS ACHIEVED. PARTNER NAME, DESCRIPTION AND WEB ADDRESS DUFFY HEALTH CENTER - BRIDGE CLINIC PROGRAM - HTTPS://WWW.DUFFYHEALTHCENTER.ORG PROGRAM DESCRIPTION - CAPE COD HEALTHCARE BEHAVIORAL HEALTH PHYSICIANS AND CLINICIANS PROVIDE COMMUNITY-BASED MENTAL HEALTH SERVICES IN OUR REGION. THIS INCLUDES PSYCHIATRIC CONSULTS TO FIRST RESPONDERS, SERVING AS THE ON-CALL PSYCHIATRIST TO THE COMMUNITY, A BEHAVIORAL HEALTH COMMUNITY HELPLINE, AND THE BRIDGE CLINIC, WHICH CONNECTS PATIENTS IN INPATIENT TREATMENT WITH COMMUNITY SERVICES. SHINE PROGRAM . PROGRAM TYPE: ACCESS/COVERAGE SUPPORTS. . PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: YES . PROGRAM HASHTAGS: COMMUNITY EDUCATION, HEALTH PROFESSIONAL/STAFF TRAINING. . EOHHS FOCUS ISSUE(S) (OPTIONAL): N/A. . DON HEALTH PRIORITIES (OPTIONAL): N/A. . HEALTH ISSUES: SOCIAL DETERMINANTS OF HEALTH-ACCESS TO HEALTH CARE. . TARGET POPULATION: REGIONS SERVED: BARNSTABLE - ENVIRONMENTS SERVED: ALL GENDER: ALL AGE GROUP: ELDERLY RACE/ETHNICITY: ALL, HYANNIS LANGUAGE: ALL - ADDITIONAL TARGET POPULATION STATUS: NOT SPECIFIED. GOAL DESCRIPTION PROVIDE OVER 5,000 COUNSELING SESSIONS TO CAPE & ISLAND RESIDENTS. TIMEFRAME: YEAR 1 OF 3. GOAL STATUS EXCEEDED GOAL: IN FY20 SHINE PROVIDED 6,197 COUNSELING SESSIONS RESULTING IN 4,513 COUNSELING HOURS. GOAL DESCRIPTION REACH 1500 RESIDENTS THROUGH COMMUNITY TRAININGS AND PRESENTATIONS. TIMEFRAME: YEAR 1 OF 3. GOAL STATUS EXCEEDED GOAL. PARTNER NAME, DESCRIPTION AND WEB ADDRESS BARNSTABLE COUNTY DEPARTMENT OF HEALTH & HUMAN SERVICES - HTTPS://WWW.BARNSTABLECOUNTYHEALTH.ORG/ PROGRAM DESCRIPTION - SHINE (SERVING THE HEALTH INSURANCE NEEDS OF EVERYONE) PROVIDES FREE HEALTH INSURANCE INFORMATION, COUNSELING AND ASSISTANCE TO MEDICARE BENEFICIARIES. THESE COMMUNITY BENEFITS FUNDS ARE SPECIFICALLY TARGETED TO HIRING PART TIME PROGRAM STAFF TO ASSIST THE PROGRAM MANAGER IN HANDLING THE INCREASING NUMBER OF SENIORS SEEKING ASSISTANCE WITH MEDICARE ENROLLMENT, ESPECIALLY DURING THE SEVEN WEEKS OF OPEN ENROLLMENT (OCTOBER 15 -DECEMBER 7). SHINE ASSISTS HUNDREDS OF ADDITIONAL MEDICARE BENEFICIARIES IN BARNSTABLE COUNTY.
ASSISTANCE PROGRAM FOR VULNERABLE POPULATIONS. PROGRAM TYPE: ACCESS/COVERAGE SUPPORTS. . PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: YES . PROGRAM HASHTAGS: HEALTH SCREENING, PREVENTION. . EOHHS FOCUS ISSUE(S) (OPTIONAL): CHRONIC DISEASE WITH FOCUS ON CANCER, HEART DISEASE, AND DIABETES, HOUSING STABILITY/HOMELESSNESS, MENTAL ILLNESS AND MENTAL HEALTH, . DON HEALTH PRIORITIES (OPTIONAL): SOCIAL DETERMINANTS OF HEALTH-ACCESS TO HEALTH CARE, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO TRANSPORTATION, SOCIAL DETERMINANTS OF HEALTH-INCOME AND POVERTY. . TARGET POPULATION: REGIONS SERVED: BARNSTABLE - ENVIRONMENTS SERVED: ALL GENDER: ALL AGE GROUP: ALL RACE/ETHNICITY: ALL LANGUAGE: ALL - ADDITIONAL TARGET POPULATION STATUS: NOT SPECIFIED. GOAL DESCRIPTION ASSIST PATIENTS WHO ARE UNABLE TO AFFORD OR ACCESS TRANSPORTATION TO ENSURE COMPLIANCE WITH THEIR DISCHARGE PLAN. TIMEFRAME: YEAR 1 OF 3. GOAL STATUS ACUITY/LYFT AND VOUCHERS FOR LOCAL TAXI SERVICE USED AT BOTH HOSPITALS. GOAL DESCRIPTION ASSIST RESIDENTS WHO ARE UNABLE TO AFFORD MEDICATIONS TO ENSURE COMPLIANCE WITH HOSPITAL DISCHARGE PLANNING. TIMEFRAME: YEAR 1 OF 3. GOAL STATUS ONGOING ASSISTANCE OCCURS THROUGH PHARMACIES AT BOTH HOSPITALS GOAL DESCRIPTION ASSIST PATIENTS IN NEED WITH THEIR FINANCIAL QUESTIONS AND NEEDS. TIMEFRAME: YEAR 1 OF 3. GOAL STATUS FINANCIAL COUNSELORS ARE AVAILABLE AT BOTH HOSPITALS. COUNSELORS ARE TRAINED IN THE SPECIFIC NEEDS OF THEIR DEPARTMENTS (EX. CANCER TREATMENT EXPENSES) PARTNER NAME, DESCRIPTION AND WEB ADDRESS CAPE COD HEALTHCARE PHARMACIES AT CAPE COD HOSPITAL AND FALMOUTH HOSPITAL - HTTPS://WWW.CAPECODHEALTH.ORG/MEDICAL-SERVICES/PHARMACY/ ACUITY/LYFT - SCHEDULING & TRANSPORTATION - HTTPS://WWW.LYFT.COM/BLOG/POSTS/RESEARCH-IMPROVING-ACCESS-TO-CARE-MEDICAID AMERICAN CANCER SOCIETY - HTTP://WWW.CANCER.ORG PROGRAM DESCRIPTION - IN AN EFFORT TO ASSIST LOW-INCOME AND VULNERABLE POPULATIONS, CAPE COD HOSPITAL AND FALMOUTH HOSPITAL PROVIDED VARIOUS SERVICES TO INCREASE ACCESS TO HEALTHCARE. THIS INCLUDES: - ACCESS TO TRANSPORTATION UPON DISCHARGE TO THOSE PATIENTS WITHOUT RESOURCES FOR TRANSPORTATION. - THE PRESCRIPTION ASSISTANCE PROGRAM: AN INITIATIVE OF CAPE COD HOSPITAL AND FALMOUTH HOSPITAL EMERGENCY, BEHAVIORAL HEALTH AND PHARMACY DEPARTMENTS AS A COMMUNITY BENEFIT ASSISTING UNINSURED, UNDER-INSURED AND FINANCIALLY DISADVANTAGED PATIENTS WITH NO OTHER VIABLE MEANS TO PAY FOR MEDICATIONS UPON DISCHARGE FROM HOSPITAL FACILITIES. THE ASSISTANCE PROGRAM FOR VULNERABLE POPULATIONS IS HIGHLY UTILIZED IN THE BEHAVIORAL HEALTH CENTER, THE CANCER CENTERS, AND THE EMERGENCY DEPARTMENTS. - FINANCIAL COUNSELORS ASSIST PATIENTS WITH COMPLICATED MEDICAL BILLS AND CONNECT THOSE IN NEED TO COMMUNITY RESOURCES. WORKFORCE AND CAREER DEVELOPMENT INITIATIVES . PROGRAM TYPE: TOTAL POPULATION OR COMMUNITY-WIDE INTERVENTIONS. . PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: NO . PROGRAM HASHTAGS: HEALTH PROFESSIONAL/STAFF TRAINING, MENTORSHIP/CAREER TRAINING/INTERNSHIP, PHYSICIAN/PROVIDER DIVERSITY, . EOHHS FOCUS ISSUE(S) (OPTIONAL): N/A. . DON HEALTH PRIORITIES (OPTIONAL): EDUCATION, EMPLOYMENT, SOCIAL ENVIRONMENT. . HEALTH ISSUES: SOCIAL DETERMINANTS OF HEALTH-ACCESS TO HEALTH CARE, SOCIAL DETERMINANTS OF HEALTH-EDUCATION/LEARNING, SOCIAL DETERMINANTS OF HEALTH-INCOME AND POVERTY. . TARGET POPULATION: REGIONS SERVED: BARNSTABLE - ENVIRONMENTS SERVED: ALL GENDER: ALL AGE GROUP: ADULTS, TEENAGERS, RACE/ETHNICITY: ALL LANGUAGE: ALL - ADDITIONAL TARGET POPULATION STATUS: DISABILITY STATUS. GOAL DESCRIPTION CCHC STAFF IN VARIOUS DEPARTMENTS WILL PROVIDE CLINICAL OVERSIGHT AND SUPERVISION TO STUDENTS ENGAGED IN ALLIED HEALTH PROGRAMS AND VARIOUS JOB TRAINING INITIATIVES IN THE REGION. TIMEFRAME: YEAR 1 OF 3. GOAL STATUS COVID-19 RESTRICTIONS LIMITED STUDENT SUPERVISION OPPORTUNITIES THIS YEAR. GOAL DESCRIPTION CCHC WILL OFFER HIGH QUALITY AND DIVERSE TRAINING OPPORTUNITIES TO CLINICAL STAFF SERVING RESIDENTS OF BARNSTABLE COUNTY TO ENSURE RESIDENTS RECEIVE THE HIGHEST QUALITY HEALTHCARE. GOAL STATUS ALTHOUGH COVID-19 RESTRICTIONS REDUCED THE NUMBER OF IN-PERSON TRAINING OPPORTUNITIES, TRAINING PROGRAMS PIVOTED TO VIRTUAL OFFERINGS WHEN APPROPRIATE. PARTNER NAME, DESCRIPTION AND WEB ADDRESS THE RIVERVIEW SCHOOL - WWW.RIVERVIEWSCHOOL.ORG UPPER CAPE REGIONAL TECHNICAL SCHOOL - WWW.UPPERCAPETECH.COM/ CAPE COD COMMUNITY COLLEGE - HTTPS://WWW.CAPECOD.EDU/ DUFFY HEALTH CENTER - HTTP://WWW.DUFFYHEALTHCENTER.ORG OUTER CAPE HEALTH - HTTP://WWW.OUTERCAPE.ORG HARBOR HEALTH CENTER - HTTPS://WWW.HHSI.US/LOCATION/CAPE-COD-SOUTH-SHORE-HEALTH-CENTERS/ COMMUNITY HEALTH CENTER OF CAPE COD - HTTPS://CHCOFCAPECOD.ORG/ PROGRAM DESCRIPTION - CCHC INVESTS IN PARTNERSHIPS WITH LOCAL HIGH SCHOOLS, VOCATIONAL SCHOOLS, COMMUNITY COLLEGES, AND ALLIED HEALTH PROGRAMS FOR JOB TRAINING AND SHADOWING AND INTERNSHIPS WITH HEALTH CARE PROVIDERS IN VARIOUS HOSPITAL DEPARTMENTS INCLUDING, BUT NOT LIMITED TO, PHLEBOTOMY, RADIOLOGY, BEHAVIORAL HEALTH, AND MATERIALS MANAGEMENT. OUR EFFORTS CONTRIBUTED TO REGIONAL ECONOMIC DEVELOPMENT EFFORTS TO INCREASE OPPORTUNITY FOR EDUCATIONAL ATTAINMENT AND PROVIDE EXPERIENCE FOR INDIVIDUALS TO OBTAIN STABLE, QUALITY, AND WELL-COMPENSATED JOBS IN OUR REGION. CCHC ALSO INVESTS IN TRAININGS FOR CLINICAL STAFF PRACTICING IN BARNSTABLE COUNTY. EXAMPLES INCLUDE CREDENTIALING FOR BARNSTABLE COUNTY'S FQHC MEDICAL STAFF, SPECIALTY TRAININGS SUCH AS "AGE SPECIFIC CONSIDERATIONS IN CARING FOR THE CANCER PATIENT,TECHNICAL TRAININGS SUCH AS "INTRA-AORTIC BALLOON COUNTERPULSATION THERAPY." ADDITIONALLY, CCHC ENGAGES IN RECRUITMENT OF PROVIDERS FOR BARNSTABLE COUNTY'S FQHCS, WHICH INCREASES ACCESS TO HEALTHCARE BY INCREASING THE NUMBER OF PROVIDERS AVAILABLE IN THE REGION. COMMUNITY LEADERSHIP IN HEALTHCARE . PROGRAM TYPE: COMMUNITY-CLINICAL LINKAGES. . PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: NO . PROGRAM HASHTAGS: COMMUNITY EDUCATION, HEALTH PROFESSIONAL/STAFF TRAINING. . EOHHS FOCUS ISSUE(S) (OPTIONAL): CHRONIC DISEASE WITH FOCUS ON CANCER, HEART DISEASE, AND DIABETES, HOUSING STABILITY/HOMELESSNESS, MENTAL ILLNESS AND MENTAL HEALTH, SUBSTANCE USE DISORDERS. . DON HEALTH PRIORITIES (OPTIONAL): N/A. . HEALTH ISSUES: CANCER-BREAST, CANCER-CERVICAL, CANCER-COLORECTAL, CANCER-LUNG, CANCER-MULTIPLE MYELOMA, CANCER-OTHER, CANCER-OVARIAN, CANCER-PROSTATE, CANCER-SKIN, CHRONIC DISEASE-ALZHEIMER'S DISEASE, HEALTH BEHAVIORS/MENTAL HEALTH-BEREAVEMENT, HEALTH BEHAVIORS/MENTAL HEALTH-DEPRESSION, HEALTH BEHAVIORS/MENTAL HEALTH-IMMUNIZATION, HEALTH BEHAVIORS/MENTAL HEALTH-MENTAL HEALTH, HEALTH BEHAVIORS/MENTAL HEALTH-PHYSICAL ACTIVITY, HEALTH BEHAVIORS/MENTAL HEALTH-RESPONSIBLE SEXUAL BEHAVIOR, HEALTH BEHAVIORS/MENTAL HEALTH-STRESS MANAGEMENT, INFECTIOUS DISEASE?"COVID-19, INJURY-HOME INJURIES, INJURY-OTHER, MATERNAL/CHILD HEALTH-CHILD CARE, MATERNAL/CHILD HEALTH-FAMILY PLANNING, MATERNAL/CHILD HEALTH-PARENTING SKILLS, MATERNAL/CHILD HEALTH-REPRODUCTIVE AND MATERNAL HEALTH, OTHER-SENIOR HEALTH CHALLENGES/CARE COORDINATION, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO HEALTH CARE, SOCIAL DETERMINANTS OF HEALTH-AFFORDABLE HOUSING, SOCIAL DETERMINANTS OF HEALTH-HOMELESSNESS, SOCIAL DETERMINANTS OF HEALTH-UNINSURED/UNDERINSURED, SOCIAL DETERMINANTS OF HEALTH-VIOLENCE AND TRAUMA, SUBSTANCE ADDICTION-ALCOHOL USE, SUBSTANCE ADDICTION-OPIOID USE, SUBSTANCE ADDICTION-SUBSTANCE USE. . TARGET POPULATION: REGIONS SERVED: BARNSTABLE, ENVIRONMENTS SERVED: ALL GENDER: ALL - AGE GROUP: ALL - RACE/ETHNICITY: ALL LANGUAGE: ALL - ADDITIONAL TARGET POPULATION STATUS: NOT SPECIFIED.
GOAL DESCRIPTIONCCHC STAFF WILL SERVE AS LEADERS FOR COMMUNITY COALITIONS AND INITIATIVES THAT ADDRESS NEEDS IDENTIFIED IN THE 2020-2022 CHNA. TIMEFRAME: YEAR 1 OF 3. GOAL STATUS ALTHOUGH SOME COALITIONS PAUSED OPERATIONS DURING THE COVID-19 CRISIS, MANY CONTINUED TO WORK VIRTUALLY. CCHC STAFF CONTINUED IN THEIR ROLES ON VARIOUS BOARDS AND COALITIONS IN THE COMMUNITY. PARTNER NAME, DESCRIPTION AND WEB ADDRESS ZERO SUICIDE INITIATIVE - HTTPS://ZEROSUICIDE.EDC.ORG/ JML CARE CENTER - SKILLED NURSING FACILITY COORDINATION - HTTPS://WWW.CAPECODHEALTH.ORG/LOCATIONS/PROFILE/JML-CARE-CENTER/ PROGRAM DESCRIPTION - CCHC STAFF ARE LEADERS IN OUR REGION ON ISSUES RELATED TO COMMUNITY HEALTH AND WELLNESS. STAFF SERVE IN LEADERSHIP POSITIONS ON A VARIETY OF COALITIONS AND INITIATIVES INCLUDING: THE ZERO SUICIDE INITIATIVE; VARIOUS COALITIONS WORKING ON MENTAL HEALTH, WELLNESS AND SUBSTANCE USE; COUNTY-LEVEL BOARD AND COMMITTEE POSITIONS; REGIONAL NETWORK ON HOMELESSNESS; POSTPARTUM DEPRESSION TASK FORCE; AND COORDINATION BETWEEN SKILLED NURSING FACILITIES IN OUR AREA. CCHC STAFF ARE INSTRUMENTAL IN CREATING POLICY AND PROGRAMS TO SERVE THE HEALTH AND WELLNESS OF OUR COMMUNITY. SUPPORT GROUPS AND COMMUNITY RESOURCES FOR WELLNESS . PROGRAM TYPE: DIRECT CLINICAL SERVICES. . PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: NO . PROGRAM HASHTAGS: COMMUNITY EDUCATION, SUPPORT GROUP. . EOHHS FOCUS ISSUE(S) (OPTIONAL): CHRONIC DISEASE WITH FOCUS ON CANCER, HEART DISEASE, AND DIABETES, MENTAL ILLNESS AND MENTAL HEALTH. . DON HEALTH PRIORITIES (OPTIONAL): BUILT ENVIRONMENT, EDUCATION, SOCIAL ENVIRONMENT. . HEALTH ISSUES: CANCER-BREAST, CHRONIC DISEASE-ALZHEIMER'S DISEASE, CHRONIC DISEASE-CARDIAC DISEASE, CHRONIC DISEASE-DIABETES, HEALTH BEHAVIORS/MENTAL HEALTH-BEREAVEMENT, HEALTH BEHAVIORS/MENTAL HEALTH-DEPRESSION, HEALTH BEHAVIORS/MENTAL HEALTH-MENTAL HEALTH, HEALTH BEHAVIORS/MENTAL HEALTH-STRESS MANAGEMENT, MATERNAL/CHILD HEALTH-CHILD CARE, MATERNAL/CHILD HEALTH-FAMILY PLANNING, MATERNAL/CHILD HEALTH-PARENTING SKILLS, MATERNAL/CHILD HEALTH-REPRODUCTIVE AND MATERNAL HEALTH, OTHER-SENIOR HEALTH CHALLENGES/CARE COORDINATION,. . TARGET POPULATION: REGIONS SERVED: BARNSTABLE, ENVIRONMENTS SERVED: ALL GENDER: ALL - AGE GROUP: ALL - RACE/ETHNICITY: ALL LANGUAGE: ALL - ADDITIONAL TARGET POPULATION STATUS: NOT SPECIFIED. GOAL DESCRIPTION WORK WITH COMMUNITY STAKEHOLDERS AND PROVIDERS TO DETERMINE NEEDS FOR SUPPORT GROUPS AND MENTAL HEALTH WELLNESS SERVICES AND IMPLEMENT SERVICES IN A WAY THAT MAKES THEM ACCESSIBLE TO THE ENTIRE COMMUNITY. TIMEFRAME: YEAR 1 OF 3. GOAL STATUS SUPPORT GROUPS WERE IMPLEMENTED BASED ON FINDINGS FROM THE CHNA. GROUPS WERE ABLE TO PIVOT TO CONTINUE TO OFFER SERVICES DESPITE THE COVID-19 CRISIS. PARTNER NAME, DESCRIPTION AND WEB ADDRESS VISITING NURSE ASSOCIATION OF CAPE COD - VNA -HTTPS://WWW.CAPECODHEALTH.ORG/ABOUT/VNA/ PROGRAM DESCRIPTION - CAPE COD HEALTHCARE OFFERS A VARIETY OF SUPPORT GROUPS AND OTHER RESOURCES FOR MENTAL HEALTH AND WELLNESS IN OUR COMMUNITY. THESE INCLUDE HELPLINES FOR BEHAVIORAL HEALTH AND BREASTFEEDING HELP, VARIOUS SUPPORT GROUPS FOR NEW PARENTS, SUPPORT GROUPS FOR VARIOUS DISEASES AND PHYSICAL CONDITIONS, AND BEREAVEMENT SUPPORT GROUPS. THESE SERVICES NOT ONLY PROVIDE A SOCIAL SUPPORT SYSTEM THAT ENCOURAGES SHARING SIMILAR EXPERIENCES WITH THE GROUP, BUT ALSO ACTS AS A PLACE TO MEET PATIENTS WHERE THEY ARE AND REFER THEM TO ANY COMMUNITY SERVICES THEY MAY NEED. CONGESTIVE HEART FAILURE CLINIC . PROGRAM TYPE: DIRECT CLINICAL SERVICES. . PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: NO . PROGRAM HASHTAGS: COMMUNITY EDUCATION, PREVENTION,. . EOHHS FOCUS ISSUE(S) (OPTIONAL): CHRONIC DISEASE WITH FOCUS ON CANCER, HEART DISEASE, AND DIABETES. . DON HEALTH PRIORITIES (OPTIONAL): BUILT ENVIRONMENT, EDUCATION. . HEALTH ISSUES: CHRONIC DISEASE-CARDIAC DISEASE,. . TARGET POPULATION: REGIONS SERVED: BARNSTABLE, ENVIRONMENTS SERVED: ALL GENDER: ALL - AGE GROUP: ADULTS, ELDERLY, - RACE/ETHNICITY: ALL, HYANNIS LANGUAGE: ALL - ADDITIONAL TARGET POPULATION STATUS: NOT SPECIFIED. GOAL DESCRIPTION PROVIDE THE NECESSARY MATERIALS FOR THIS DEPARTMENT TO BE COMPLIANT WITH THE PROPER PROCEDURES AND DISPOSAL OF SHARPS TO PATIENTS IN THE CONGESTIVE HEART FAILURE CLINIC. TIMEFRAME: YEAR 1 OF 3. GOAL STATUS ONGOING. GOAL DESCRIPTION KEEP HEART FAILURE PATIENTS OUT OF THE HOSPITAL. TIMEFRAME: YEAR 1 OF 3. GOAL STATUS ONGOING. GOAL DESCRIPTION MODIFY PATIENTS' RISK FACTORS FOR HEART FAILURE SYMPTOMS AND CHANGE THE COURSE OF THEIR DISEASE. TIMEFRAME: YEAR 1 OF 3. GOAL STATUS ONGOING. PARTNER NAME, DESCRIPTION AND WEB ADDRESS CAPE COD HEALTHCARE HEART FAILURE CLINIC - HTTPS://WWW.CAPECODHEALTH.ORG/MEDICAL-SERVICES/HEART-VASCULAR-CARE/CARDIOL OGY/HEART-FAILURE-CLINIC/ PROGRAM DESCRIPTION - CAPE COD HEALTHCARE HELPS THOSE DIAGNOSED WITH HEART FAILURE STAY ACTIVE AND AVOID HOSPITALIZATION THROUGH THE HEART FAILURE CLINIC. THE COMMUNITY-BASED HEART FAILURE CLINIC AT THE CARDIOVASCULAR CENTER IN HYANNIS, UNDER THE DIRECTION OF CARDIOLOGIST ELISSA THOMPSON, MD, IS A RESOURCE DESIGNED TO EDUCATE AND HELP PATIENTS MAINTAIN THE BEST POSSIBLE QUALITY OF LIFE AND MANAGE THEIR SYMPTOMS. THE HEART FAILURE CLINIC PROVIDES ACCESS TO A MULTIDISCIPLINARY TEAM THAT INCLUDES A CARDIOLOGIST, NURSE PRACTITIONER, NUTRITIONIST, VISITING NURSE AND PHARMACIST TO TREAT AND EDUCATE PATIENTS. ONCE REFERRED TO THE CLINIC BY THEIR PRIMARY CARE PHYSICIAN, CARDIOLOGIST OR OTHER SPECIALIST, PATIENTS ARE OFFERED SAME-DAY OR NEXT-DAY APPOINTMENTS, AS WELL AS SCHEDULED VISITS, TO MANAGE THE SYMPTOMS OF HEART FAILURE. THE CLINIC WORKS WITH PATIENTS AS WELL AS FAMILIES AND TEACHES THEM HOW TO LIVE WITH THEIR ILLNESS. PATIENTS HAVE ONE-STOP ACCESS TO THE MULTIDISCIPLINARY TEAM. COMMUNITY BENEFITS ALSO PROVIDED FUNDING FOR SHARPS COMPLIANCE TRAINING AND MATERIALS TO CAPE COD HEALTHCARE'S CONGESTIVE HEART FAILURE CLINIC. CONTACT INFORMATION JENNIFER CUMMINGS 32 MAIN ST. HYANNIS, MA 02601 PHONE: 508-862-7849
FUNCTIONAL EXPENSE NOTEFORM 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 6CAPE COD HEALTHCARE, INC.'S VOLUNTEERS INCLUDE ITS TRUSTEES.
FORM 990, PART VI, LINE 2TRUSTEES AND OFFICERS SIT ON THE BOARDS OF THE FOLLOWING: CAPE HEALTH INSURANCE COMPANY: MICHAEL K LAUF MICHAEL L CONNORS MICHAEL G JONES BRUCE JOHNSTON 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 ONE OF THE MAJOR AFFILIATES OF THE ORGANIZATION.
FORM 990, PART VI, LINE 11BTHE 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 12THE 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") DIRECTOR OF CLINICAL AND RESEARCH COMPLIANCE WHO PREPARES A SUMMARY FOR CCHC'S COMPLIANCE OFFICER. 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 DIRECTOR OF CLINICAL AND RESEARCH COMPLIANCE. 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 15THE 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 FURNISHED BY A DISINTERESTED COMPENSATION CONSULTANT, AND A REVIEW OF JOB PERFORMANCE. THE CEO'S DETERMINATION OF SUCH COMPENSATION WILL BE SUBJECT TO THE APPROVAL OF THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. THE PROCESS AND CONCLUSIONS ARE DOCUMENTED IN THE MEETING MINUTES.
FORM 990, PART VI, LINE 19THE ORGANIZATION MAKES ITS BYLAWS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON 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 THE FULL TITLE FOR BRUCE JOHNSTON IS TRUSTEE/TREASURER (UNTIL 5/20) AND TRUSTEE/CHAIR (AS OF 5/20) THE FULL TITLE FOR SHERYL DECILIO IS VICE PRESIDENT OF PATIENT FINANCIAL SERVICES & REVENUE CYCLE (AS OF 1/19) THE FULL TITLE FOR MICHAEL G. JONES, ESQ IS CLERK (UNTIL 5/20) AND SR VP & CHIEF LEGAL OFFICER THE FULL TITLE FOR ROBERT TALERMAN IS TRUSTEE (UNTIL 5/20), CLERK (AS OF 5/20) THE FULL TITLE FOR RAMANI AYER IS TRUSTEE (UNTIL 5/20), VICE CHAIR & TREASURER (AS OF 5/20)
FORM 990, PART VII, SECTION BWITH THE EXCEPTION OF REPORTING FOR VISITING NURSE ASSOCIATION OF CAPE COD, INC, 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 9CHANGE IN VALUE SPLIT INTEREST AGREEMENT $ 85,752 CHANGE IN PERPETUAL TRUSTS $ 428,194 TRANSFERS TO/FROM AFFILIATES $ (50,329) NET ASSETS RELEASED FROM RESTRICTIONS $ (122,347) OTHER $ (14,581) ------------- OTHER CHANGES IN NET ASSETS $ 326,689 =============

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1CAPE COD HEALTHCARE INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1297 NORTH STREET BLDG 3AddressLine1Txt
CityHYANNISCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02601ZIPCd
FieldValueIRS element (for citing)
EIN222600704EIN
Primary ActivitiesPARENT CORPPrimaryActivitiesTxt
Legal Domicile StateMALegalDomicileStateCd
Exempt Code Section501(c) (3)ExemptCodeSectionTxt
Public Charity Status10PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (true)ControlledOrganizationInd

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1CAPE AND ISLAND ENDOSCOPY CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1700 ATTUCKS LANEAddressLine1Txt
CityHYANNISCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02601ZIPCd
FieldValueIRS element (for citing)
Primary ActivitiesENDOSCOPY CENTERPrimaryActivitiesTxt
Legal Domicile StateMALegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtControlled OrganizationControlledOrganizationIndAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdLegal Domicile StateLegalDomicileStateCdOwnershipOwnershipPct
CAPE HEALTH INSURANCE COMPANY
PO BOX 1051GTGRAND CAYMANCJ981230418INSURANCECJCAPE COD HLTHCRC CORP$0$0false
CAPE COD MEDICAL OFFICE BUILDING INC
042423073RENTAL SRVCENAC CORP$0$15,000false27 PARK STREETHYANNISMA02601MA1.00000
POOLED INCOME FUNDS (2)
SUPPORTNAfalseMA
CHARITABLE REMAINDER TRUSTS (20)
SUPPORTNAfalseMA
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1CAPE HEALTH INSURANCE COMPANYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeRTransactionTypeTxt
Involved$6,520,553InvolvedAmt
Method Of Amount DeterminationFMVMethodOfAmountDeterminationTxt

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.