CAPE COD HEALTHCARE INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: CAPE COD HEALTHCARE INC (EIN 90-0054984)
Tax period: 2018-10-01 to 2019-09-30
Filed: 2020-08-17
IRS object ID: 202032309349301338
Schema version: 2018v3.3
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-08-17T10:55:50-05:00	ReturnTs
Tax Period End	2019-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	PricewaterhouseCoopers LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	101 SEAPORT BLVD SUITE 500	AddressLine1Txt
City	BOSTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02210	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	900054984	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CAPE COD HEALTHCARE INC & AFFILIATES	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% MICHAEL L CONNORS	InCareOfNm
Business Name Control	CAPE	BusinessNameControlTxt
Phone	5087711800	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	297 NORTH ST Suite BLDG 3	AddressLine1Txt
City	HYANNIS	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02601	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MICHAEL L CONNORS	PersonNm
Person Title	SR VP FINANCE/ CFO	PersonTitleTxt
Signature	2020-08-03	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	GWEN SPENCER	PreparerPersonNm
PTIN	P00641463	PTIN
Phone	6175305000	PhoneNum
Preparation	2020-07-16	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	52.173.198.38	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	04363820202305000033	FederalOriginalSubmissionId
Federal Original Submission Id	2020-08-17	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	AA0A6C04CDAB1A066FD7E5F646BC57F63DD96309	AtSubmissionCreationDeviceId
At Submission Filing Device Id	F0B88FBBB3C0F8725084F2D7C7BBF09C882F2265	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-11-06 18:47:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	MICHAEL K LAUF	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	88 LEWIS BAY ROAD	AddressLine1Txt
City	HYANNIS	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02601	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$987,459,786	GrossReceiptsAmt
Group Return For Affiliates	Yes (true)	GroupReturnForAffiliatesInd
All Affiliates Included	Yes (true)	AllAffiliatesIncludedInd
Group Exemption	3901	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CAPECODHEALTH.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Activity Or Mission	SEE SCHEDULE O	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	5761	TotalEmployeeCnt
Total Volunteers	720	TotalVolunteersCnt
Total Gross UBI	$54,342	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$986,182	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$15,447,109	PYContributionsGrantsAmt
CY Contributions Grants	$18,471,535	CYContributionsGrantsAmt
PY Program Service Revenue	$884,728,875	PYProgramServiceRevenueAmt
CY Program Service Revenue	$946,855,987	CYProgramServiceRevenueAmt
PY Investment Income	$13,029,571	PYInvestmentIncomeAmt
CY Investment Income	$19,832,534	CYInvestmentIncomeAmt
PY Other Revenue	$2,414,588	PYOtherRevenueAmt
CY Other Revenue	$2,175,510	CYOtherRevenueAmt
PY Total Revenue	$915,620,143	PYTotalRevenueAmt
CY Total Revenue	$987,335,566	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,094,878	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,006,781	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$476,686,163	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$513,672,399	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$68,237	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$70,431	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$4,222,199	CYTotalFundraisingExpenseAmt
PY Other Expenses	$391,316,079	PYOtherExpensesAmt
CY Other Expenses	$418,938,620	CYOtherExpensesAmt
PY Total Expenses	$869,165,357	PYTotalExpensesAmt
CY Total Expenses	$933,688,231	CYTotalExpensesAmt
PY Revenues Less Expenses	$46,454,786	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$53,647,335	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,023,990,733	TotalAssetsBOYAmt
Total Assets EOY	$1,056,059,478	TotalAssetsEOYAmt
Total Liabilities BOY	$269,099,333	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$275,779,649	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$754,891,400	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$780,279,829	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SEE SCHEDULE O	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$849,467,916	ExpenseAmt
Grant	$1,006,781	GrantAmt
Revenue	$946,855,987	RevenueAmt
Desc	PATIENT SERVICES - SEE SCHEDULES H AND O	Desc
Total Program Service Expenses	$849,467,916	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	Yes (true)	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	Yes (true)	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	67	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	5761	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	17	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	MA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	MICHAEL L CONNORS	PersonNm
Phone	7744705537	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	297 NORTH STREET BLDG 3	AddressLine1Txt
City	HYANNIS	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02601	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (48 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MICHAEL K LAUF
PRESIDENT/CEO/TRUSTEE	55.0	5.0	Yes (X)	Yes (X)	$0	$1,624,399	$287,478
NATE RUDMAN MD
TRUSTEE	2.0	2.0	Yes (X)		$0	$12,800	$0
JOEL CROWELL
TRUSTEE (UNTIL 5/19)	2.0	2.0	Yes (X)		$0	$0	$0
SUZANNE FAY GLYNN ESQ
TRUSTEE (UNTIL 5/19)	2.0	2.0	Yes (X)		$0	$0	$0
WILLIAM ZAMMER
TRUSTEE (UNTIL 5/19)	2.0	2.0	Yes (X)		$0	$0	$0
LAWRENCE CAPODILUPO
TRUSTEE (AS OF 5/19)	2.0	2.0	Yes (X)		$0	$0	$0
SHARON KENNEDY
TRUSTEE (AS OF 9/19)	2.0	2.0	Yes (X)		$0	$0	$0
DEWITT DAVENPORT
CHAIRMAN	2.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
DIANE COLETTI
TRUSTEE	2.0	2.0	Yes (X)		$0	$0	$0
SUMNER B TILTON JR
TRUSTEE	2.0	2.0	Yes (X)		$0	$0	$0
E JAMES MULCAHY JR
TRUSTEE	2.0	2.0	Yes (X)		$0	$0	$0
ROBERT TALERMAN
TRUSTEE	2.0	2.0	Yes (X)		$0	$0	$0
ROBERT BIRMINGHAM
VICE CHAIRMAN (AS OF 9/19)	2.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
GARY VACON
VICE CHAIR/TRUSTEE (UNTIL 9/19	2.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
ROBERT WILSTERMAN MD
TRUSTEE	40.0	2.0	Yes (X)		$698,956	$0	$58,766
WILLIAM AGEL MD
TRUSTEE	40.0	2.0	Yes (X)		$503,554	$0	$42,937
RAMANI AYER
TRUSTEE	2.0	2.0	Yes (X)		$0	$0	$0
THEODORE CALIANOS MD
TRUSTEE	40.0	2.0	Yes (X)		$374,116	$0	$40,895
PAUL HOULE MD
TRUSTEE	40.0	2.0	Yes (X)		$1,115,006	$0	$63,425
BRUCE JOHNSTON
TRUSTEE/TREASURER	2.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
MICHAEL L CONNORS
SENIOR VP FINANCE/CFO	55.0	5.0		Yes (X)	$0	$564,220	$98,642
MICHAEL G JONES ESQ
Sr VP & Chief Legal Off/Clerk	55.0	5.0		Yes (X)	$0	$427,390	$77,085
MICHAEL BUNDY
COO (UNTIL 1/19)	45.0	5.0			$0	$487,067	$60,786	Yes (X)
DONALD A GUADAGNOLI MD
CMO CAPE COD HOSPITAL	45.0	5.0			$0	$538,512	$89,760	Yes (X)
ALEXANDER HEARD MD
CMO FALMOUTH HOSPITAL	45.0	5.0			$84,330	$494,260	$91,392	Yes (X)
PATRICK J KANE
SVP OF MRKTG,COMMUN AND DEVLP	45.0	5.0			$0	$413,493	$43,334	Yes (X)
CHRISTIAN BROWN
SR VP MANAGED CARE	45.0	5.0			$0	$408,806	$77,197	Yes (X)
EMILY SCHORER
SVP HUMAN RESOURCES	45.0	5.0			$0	$348,995	$56,162	Yes (X)
KEVIN RALPH
SVP DEVELOPMENT (UNTIL 4/18)	45.0	5.0			$0	$194,282	$19,287	Yes (X)
THERESA M AHERN
SVP STRAT, COMMUNITY/GOV REL.	45.0	5.0			$0	$381,591	$56,236	Yes (X)
KEVIN J MULROY
SVP CHIEF QUALITY & SAFETY OFF	45.0	5.0			$0	$481,743	$80,126	Yes (X)
JOHN PAUL SOLVERSON
SR VP & CIO	45.0	5.0			$0	$522,603	$35,313	Yes (X)
JEFFREY S DYKENS
VP FINANCE & OPERATIONS	45.0	5.0			$0	$301,438	$64,536	Yes (X)
NOELENE CERVIN
VP BUDGETING AND OPER. SUPPORT	45.0	5.0			$0	$263,292	$58,685	Yes (X)
LORI JEWETT
CEO - FH	45.0	5.0			$0	$301,367	$46,764	Yes (X)
ANNE MARIE PECKHAM
PRESIDENT VNA	45.0	5.0			$0	$243,689	$42,036	Yes (X)
CARTER HUNT
ADMIN SPEC&HOSP BASED CARE	45.0	5.0			$0	$220,439	$69,954	Yes (X)
REBECCA FRANCE
SEE SCHEDULE O	45.0	5.0			$0	$272,625	$7,499	Yes (X)
JUDITH C QUINN
VP OF PATIENT CARE	45.0	5.0			$0	$278,758	$62,434	Yes (X)
DEBRA ROBINSON
ASSOCIATE VP OF NURSING	45.0	5.0			$238,217	$0	$0	Yes (X)
CYNTHIA MARLIN
VP PERIOPERATIVE & SURGICAL SV	45.0	5.0			$0	$231,373	$40,917	Yes (X)
ELIZABETH DUNTON
ADMIN PRIMARY CARE PRACTICE	45.0	5.0			$0	$225,596	$16,791	Yes (X)
RICHARD B ZELMAN MD
PHYSICIAN	40.0	0.0			$1,666,806	$0	$48,548		Yes (X)
NICHOLAS COPPA MD
PHYSICIAN	40.0	0.0			$1,095,670	$0	$60,606		Yes (X)
ACHILLES PAPAVASILIOU MD
PHYSICIAN	40.0	0.0			$1,093,070	$0	$63,416		Yes (X)
GORDON NAKATA MD
PHYSICIAN	40.0	0.0			$1,093,070	$0	$63,416		Yes (X)
PHILLIP J DOMBROWSKI MD
PHYSICIAN	40.0	0.0			$929,471	$0	$55,728		Yes (X)
JEANNE FALLON
Former SR VP/CIO	0.0	0.0			$0	$143,042	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,892,266	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$9,381,780	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,980,151	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	860	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
CAPE COD HEALTHCARE INC
297 NORTH STREET BLDG 3	HYANNIS	MA	02601	PURCHASED SERVICES	$70,437,741
CMG CIT ACQUISITION LLC
655 SOUTH WILLOW ST STE 128	MANCHESTER	NH	03103	NURSING SVCS	$788,014
BOURNE MANOR
146 MACARTHUR BLVD	BOURNE	MA	02532	HOSPICE ROOM & BOARD	$168,097

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	3	CntrctRcvdGreaterThan100KCnt
Fundraising	$254,505	FundraisingAmt
Government Grants	$695,946	GovernmentGrantsAmt
All Other Contributions	$17,521,084	AllOtherContributionsAmt
Noncash Contributions	$3,176,038	NoncashContributionsAmt
Total Contributions	$18,471,535	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE	900099	$919,592,059	$919,592,059
LABORATORY SERVICES	621500	$6,604,296	$6,038,691	$565,605
PROGRAM RELATED RENTAL INCOME	900099	$3,401,153	$3,401,153
JOINT VENTURE REVENUE	900099	$2,650,071	$2,650,071
QUALITY EARNED PAYMENTS	900099	$10,077,242	$10,077,242

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,531,166	TotalRevenueColumnAmt
Related Or Exempt Func Income	$4,531,166	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$946,855,987	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,489,503	TotalRevenueColumnAmt
Unrelated Business Revenue	-$4,643,533	UnrelatedBusinessRevenueAmt
Exclusion	$14,133,036	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$10,343,031	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$10,343,031	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,343,031	TotalRevenueColumnAmt
Unrelated Business Revenue	$4,132,270	UnrelatedBusinessRevenueAmt
Exclusion	$6,210,761	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$372,855	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$254,505	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$124,220	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$248,635	TotalRevenueColumnAmt
Exclusion	$248,635	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA INCOME	900099	$1,819,366	$1,819,366
MEDICAL RECORDS	900099	$107,461	$107,461
EMPLOYEE PHARMACY	900099	$48	$48

Field	Value	IRS element (for citing)
Other Revenue Total	$1,926,875	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$987,335,566	TotalRevenueColumnAmt
Related Or Exempt Func Income	$946,290,382	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$54,342	UnrelatedBusinessRevenueAmt
Exclusion	$22,519,307	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,006,781	TotalAmt
Program Services	$1,006,781	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,737,248	TotalAmt
Program Services	$1,737,248	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$196,864	TotalAmt
Program Services	$196,864	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$409,442,549	TotalAmt
Program Services	$371,292,121	ProgramServicesAmt
Management And General	$36,493,949	ManagementAndGeneralAmt
Fundraising	$1,656,479	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$11,979,005	TotalAmt
Program Services	$10,452,988	ProgramServicesAmt
Management And General	$1,459,758	ManagementAndGeneralAmt
Fundraising	$66,259	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$64,098,639	TotalAmt
Program Services	$58,127,670	ProgramServicesAmt
Management And General	$5,772,017	ManagementAndGeneralAmt
Fundraising	$198,952	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$26,218,094	TotalAmt
Program Services	$23,299,586	ProgramServicesAmt
Management And General	$2,791,787	ManagementAndGeneralAmt
Fundraising	$126,721	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$6,416,989	TotalAmt
Program Services	$3,342,133	ProgramServicesAmt
Management And General	$3,074,856	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$173,468	TotalAmt
Program Services	$15,056	ProgramServicesAmt
Management And General	$158,412	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$778,298	TotalAmt
Program Services	$209,585	ProgramServicesAmt
Management And General	$568,713	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$70,431	TotalAmt
Fundraising	$70,431	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$541,196	TotalAmt
Program Services	$22,016	ProgramServicesAmt
Management And General	$519,180	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$35,728,781	TotalAmt
Program Services	$34,402,896	ProgramServicesAmt
Management And General	$1,325,885	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,143,970	TotalAmt
Program Services	$1,048,027	ProgramServicesAmt
Management And General	$95,943	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,417,951	TotalAmt
Program Services	$4,105,857	ProgramServicesAmt
Management And General	$280,266	ManagementAndGeneralAmt
Fundraising	$31,828	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$4,017,409	TotalAmt
Program Services	$3,866,086	ProgramServicesAmt
Management And General	$151,323	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$14,146,150	TotalAmt
Program Services	$13,221,084	ProgramServicesAmt
Management And General	$785,935	ManagementAndGeneralAmt
Fundraising	$139,131	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$6,815,791	TotalAmt
Program Services	$6,324,400	ProgramServicesAmt
Management And General	$491,391	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$6,218,897	TotalAmt
Program Services	$5,615,006	ProgramServicesAmt
Management And General	$603,891	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$31,293,424	TotalAmt
Program Services	$28,368,246	ProgramServicesAmt
Management And General	$2,917,252	ManagementAndGeneralAmt
Fundraising	$7,926	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$5,609,159	TotalAmt
Program Services	$5,184,822	ProgramServicesAmt
Management And General	$420,931	ManagementAndGeneralAmt
Fundraising	$3,406	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$139,978,043	$139,978,043	$0	$0
ADMIN OFFICE OVERHEAD	$70,970,349	$53,428,644	$17,009,096	$532,609
PURCHASED SERVICES	$38,475,697	$35,961,680	$2,345,715	$168,302
BAD DEBTS	$20,267,078	$20,267,078

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$31,945,970	TotalAmt
Program Services	$27,993,999	ProgramServicesAmt
Management And General	$2,731,816	ManagementAndGeneralAmt
Fundraising	$1,220,155	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$933,688,231	TotalAmt
Program Services	$849,467,916	ProgramServicesAmt
Management And General	$79,998,116	ManagementAndGeneralAmt
Fundraising	$4,222,199	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$28,046,133	BOYAmt
EOY	$31,950,245	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,418,491	BOYAmt
EOY	$1,423,924	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$11,232,170	BOYAmt
EOY	$8,121,530	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$92,397,934	BOYAmt
EOY	$98,822,894	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$5,999,843	BOYAmt
EOY	$9,298,125	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$11,471,320	BOYAmt
EOY	$12,942,908	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,889,655	BOYAmt
EOY	$3,300,556	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$700,827,563	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$376,255,729	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$298,441,854	BOYAmt
EOY	$324,571,834	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$505,577,304	BOYAmt
EOY	$495,557,462	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	-$562,504	BOYAmt
EOY	$254,265	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$10,089,047	BOYAmt
EOY	$23,710,077	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$54,989,486	BOYAmt
EOY	$46,105,658	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,023,990,733	BOYAmt
EOY	$1,056,059,478	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$67,602,305	BOYAmt
EOY	$72,326,715	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$387,349	BOYAmt
EOY	$351,577	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$132,147,783	BOYAmt
EOY	$122,580,260	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$20,887,363	BOYAmt
EOY	$19,479,163	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$48,074,533	BOYAmt
EOY	$61,041,934	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$269,099,333	BOYAmt
EOY	$275,779,649	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$681,649,081	BOYAmt
EOY	$710,386,474	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$39,258,698	BOYAmt
EOY	$34,805,231	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$33,983,621	BOYAmt
EOY	$35,088,124	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$754,891,400	BOYAmt
EOY	$780,279,829	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,023,990,733	BOYAmt
EOY	$1,056,059,478	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$53,647,335	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$22,250,047	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$6,008,859	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$15,572,146	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$13,584,232	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$15,341,766	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$15,447,109	CurrentTaxYearMinus1YearAmt
Current Tax Year	$18,471,535	CurrentTaxYearAmt
Total	$78,416,788	TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$15,572,146	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$13,584,232	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$15,341,766	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$15,447,109	CurrentTaxYearMinus1YearAmt
Current Tax Year	$18,471,535	CurrentTaxYearAmt
Total	$78,416,788	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$4,797,416	SubstantialContributorsTotAmt
Public Support Total170	$73,619,372	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$4,951,534	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$5,368,273	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$5,985,405	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$7,272,965	CurrentTaxYearMinus1YearAmt
Current Tax Year	$14,133,036	CurrentTaxYearAmt
Total	$37,711,213	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,000,152	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$798,057	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$408	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	-$544,982	CurrentTaxYearMinus1YearAmt
Current Tax Year	-$986,182	CurrentTaxYearAmt
Total	$267,453	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$2,271,023	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$2,353,977	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,422,397	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$2,647,341	CurrentTaxYearMinus1YearAmt
Current Tax Year	$2,299,730	CurrentTaxYearAmt
Total	$11,994,468	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$128,389,922	TotalSupportAmt
Gross Receipts Rltd Activities	$4,256,192,478	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.57341	PublicSupportCY170Pct
Public Support PY170	0.60165	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

Field	Value	IRS element (for citing)
Power Appoint Majority Dir Trst	false	PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org	false	OperateBenefitNonSuprtOrgInd

Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp

Field	Value	IRS element (for citing)
Timely Provided Documents	false	TimelyProvidedDocumentsInd
Officers Close Relationship	false	OfficersCloseRelationshipInd
Supported Org Voice Investment	false	SupportedOrgVoiceInvestmentInd

Adjusted Net Income AdjustedNetIncomeGrp

Net ST Capital Gain Adj Net Incm NetSTCapitalGainAdjNetIncmGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Recoveries PY Distributions RecoveriesPYDistributionsGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Other Gross Income OtherGrossIncomeGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Adjusted Gross Income AdjustedGrossIncomeGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Production Income ProductionIncomeGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Other Expenses OtherExpensesGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Total Adjusted Net Income TotalAdjustedNetIncomeGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Minimum Asset Amount MinimumAssetAmountGrp

Average Monthly FMV Of Sec AverageMonthlyFMVOfSecGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Average Monthly Cash Balances AverageMonthlyCashBalancesGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

FMV Other Non Exempt Use Asset FMVOtherNonExemptUseAssetGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Total FMV Of Non Exempt Use Asset TotalFMVOfNonExemptUseAssetGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Field	Value	IRS element (for citing)
Discount Claimed	$0	DiscountClaimedAmt

Acquisition Indebtedness AcquisitionIndebtednessGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Adjusted FMV Less Indebtedness AdjustedFMVLessIndebtednessGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Cash Deemed Charitable CashDeemedCharitableGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Net Vl Non Exempt Use Assets NetVlNonExemptUseAssetsGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Pct Of Net Vl Non Exempt Use Ast PctOfNetVlNonExemptUseAstGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Recoveries PY Distri Min Asset RecoveriesPYDistriMinAssetGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Total Minimum Asset TotalMinimumAssetGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Distributable Amount DistributableAmountGrp

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

Distributions DistributionsGrp

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

Distribution Allocations DistributionAllocationsGrp

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$151,245	OtherActivitiesAmt
Total Lobbying Expenditures	$151,245	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1I	FormAndLineReferenceDesc
Explanation	CAPE 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, 44.47% OF DUES PAID SHOULD BE ALLOCATED TO LOBBYING ACTIVITY.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$37,495,620	BeginningYearBalanceAmt
Contributions	$57,261	ContributionsAmt
Investment Earnings Or Losses	$2,000,285	InvestmentEarningsOrLossesAmt
Other Expenditures	$744,077	OtherExpendituresAmt
End Year Balance	$38,809,089	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$38,872,003	BeginningYearBalanceAmt
Contributions	$1,523,222	ContributionsAmt
Investment Earnings Or Losses	-$2,217,064	InvestmentEarningsOrLossesAmt
Other Expenditures	$682,541	OtherExpendituresAmt
End Year Balance	$37,495,620	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.83060	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.16940	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$23,635,112	OtherCostOrOtherBasisAmt
Book Value	$23,635,112	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$438,807,830	OtherCostOrOtherBasisAmt
Depreciation	$195,911,960	DepreciationAmt
Book Value	$242,895,870	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,032,244	OtherCostOrOtherBasisAmt
Depreciation	$2,271,740	DepreciationAmt
Book Value	$2,760,504	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$229,299,083	OtherCostOrOtherBasisAmt
Depreciation	$176,610,566	DepreciationAmt
Book Value	$52,688,517	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,053,294	OtherCostOrOtherBasisAmt
Depreciation	$1,461,463	DepreciationAmt
Book Value	$2,591,831	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$324,571,834	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (5 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
LONG-TERM INVESTMENTS	$412,367,257	F
TEMP RESTRICTED INVESTMENTS	$17,417,237	F
PERM RESTRICTED INVESTMENTS	$34,939,545	F
SHORT TERM INVESTMENTS - FDN	$25,246,048	F
INVESTMENT IN 457 PLANS	$5,587,375	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$495,557,462	TotalBookValueSecuritiesAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
DUE TO AFFILIATES	$40,615,845
EST. SETTLEMENTS W 3RD PARTIES	$18,393,568
OTHER CURRENT LIABILITIES	$1,109,683
ABANDONED PROPERTY	$142,096
INTEREST RATE SWAPS	$780,742

Field	Value	IRS element (for citing)
Total Liability	$61,041,934	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

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

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Offices	1	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	Program Services	TypeOfActivitiesConductedTxt
Specific Services Provided	CAPTIVE INSURANCE	SpecificServicesProvidedTxt
Region Total Expenditures	$6,512,209	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	1	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Total Office	1	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$6,512,209	SubtotalSpentAmt
Total Spent	$6,512,209	TotalSpentAmt
Transfer To Foreign Corp	false	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	false	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE F, PART I, COLUMN F	FormAndLineReferenceDesc
Explanation	EXPENSES ARE CODED IN THE GENERAL LEDGER TO THE CAPTIVE INSURANCE COMPANY.	ExplanationTxt

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	Yes (X)	MailSolicitationsInd
Email Solicitations	Yes (X)	EmailSolicitationsInd
In Person Solicitations	Yes (X)	InPersonSolicitationsInd
Solicitation Of Non Govt Grants	Yes (X)	SolicitationOfNonGovtGrantsInd
Special Fundraising Events	Yes (X)	SpecialFundraisingEventsInd
Agrmt Prof Fundraising Acty	Yes (true)	AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	ActivityActivityTxt	Fundraiser Control Of FundsFundraiserControlOfFundsInd	Gross ReceiptsGrossReceiptsAmt	Retained By ContractorRetainedByContractorAmt	Net To OrganizationNetToOrganizationAmt
Borns GroupVDM
503 BROWN COUNTY 19N	ABERDEEN	SD	57401	DIRECT MAIL	false	$221,719	$56,538	$165,181
Five Maples
78 RIVER ROAD SOUTH	PUTNEY	VT	05346	Direct Mail	false	$27,465	$13,893	$13,572

Field	Value	IRS element (for citing)
Total Gross Receipts	$249,184	TotalGrossReceiptsAmt
Total Retained By Contractors	$70,431	TotalRetainedByContractorsAmt
Total Net To Organization	$178,753	TotalNetToOrganizationAmt
Licensed States	CA	LicensedStatesCd
Licensed States	CT	LicensedStatesCd
Licensed States	FL	LicensedStatesCd
Licensed States	IL	LicensedStatesCd
Licensed States	KS	LicensedStatesCd
Licensed States	MA	LicensedStatesCd
Licensed States	MI	LicensedStatesCd
Licensed States	MO	LicensedStatesCd
Licensed States	NH	LicensedStatesCd
Licensed States	NJ	LicensedStatesCd
Licensed States	NY	LicensedStatesCd
Licensed States	NC	LicensedStatesCd
Licensed States	PA	LicensedStatesCd
Licensed States	RI	LicensedStatesCd
Licensed States	SC	LicensedStatesCd
Licensed States	WI	LicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	Sunday Summer	Event1Nm
Gross Receipts Event1	$253,950	GrossReceiptsEvent1Amt
Charitable Contri Event1	$122,030	CharitableContriEvent1Amt
Gross Revenue Event1	$131,920	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$4,000	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$29,011	FoodAndBeverageEvent1Amt
Entertainment Event1	$2,300	EntertainmentEvent1Amt
Other Direct Expenses Event1	$26,964	OtherDirectExpensesEvent1Amt
Event2	Celebrate Summe	Event2Nm
Gross Receipts Event2	$158,000	GrossReceiptsEvent2Amt
Charitable Contri Event2	$61,500	CharitableContriEvent2Amt
Gross Revenue Event2	$96,500	GrossRevenueEvent2Amt
Entertainment Event2	$1,900	EntertainmentEvent2Amt
Other Direct Expenses Event2	$8,800	OtherDirectExpensesEvent2Amt
Other Events Total	1	OtherEventsTotalCnt
Gross Receipts Other Events	$215,410	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$70,975	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$144,435	GrossRevenueOtherEventsAmt
Rent Fclty Costs Other Events	$2,500	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$34,798	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$1,600	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$12,347	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$627,360	GrossReceiptsTotalAmt
Charitable Contributions Tot	$254,505	CharitableContributionsTotAmt
Gross Revenue Total Events	$372,855	GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events	$6,500	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$63,809	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$5,800	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$48,111	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$124,220	DirectExpenseSummaryEventsAmt
Net Income Summary	$248,635	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,603,418	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,004,805	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,598,613	NetCommunityBenefitExpnsAmt
Total Expense	0.00500	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$109,049,023	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$89,915,768	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,133,255	NetCommunityBenefitExpnsAmt
Total Expense	0.02090	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,735,728	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,633,068	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,102,660	NetCommunityBenefitExpnsAmt
Total Expense	0.00230	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$126,388,169	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$100,553,641	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$25,834,528	NetCommunityBenefitExpnsAmt
Total Expense	0.02820	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,832,150	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,832,150	NetCommunityBenefitExpnsAmt
Total Expense	0.00200	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,492,372	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$85,481	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,406,891	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$345,865,909	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$307,593,351	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$38,272,558	NetCommunityBenefitExpnsAmt
Total Expense	0.04190	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,689,336	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,689,336	NetCommunityBenefitExpnsAmt
Total Expense	0.00180	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$350,879,767	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$307,678,832	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$43,200,935	NetCommunityBenefitExpnsAmt
Total Expense	0.04720	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$477,267,936	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$408,232,473	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$69,035,463	NetCommunityBenefitExpnsAmt
Total Expense	0.07540	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$36,936	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$36,936	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,042,582	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,042,582	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,079,518	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,079,518	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$20,267,078	BadDebtExpenseAmt
Bad Debt Expense Attributable	$11,071,739	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$301,242,986	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$265,664,249	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$35,578,737	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
CAPE COD HOSPITAL
1	27 PARK STREET	HYANNIS	MA	02601	SEE PART V, SECTION C	2135	Yes (X)	Yes (X)	Yes (X)	A
FALMOUTH HOSPITAL ASSOCIATION INC
2	100 TER HEUN DRIVE	FALMOUTH	MA	02540	SEE PART V, SECTION C	2289	Yes (X)	Yes (X)	Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
None Made	Yes (X)	NoneMadeInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION A	WEBSITES PART V, SECTION A, LINE 1 - CAPE COD HOSPITAL WWW.CAPECODHEALTH.ORG/LOCATIONS/CAPE-COD-HOSPITAL
PART V, SECTION A, LINE 2 - FALMOUTH HOSPITAL	WWW.CAPECODHEALTH.ORG/LOCATIONS/FALMOUTH-HOSPITAL
PART V, SECTION B, LINE 5	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. 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 11	In 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/

Field	Value	IRS element (for citing)
Facility	89	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (89 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
Visiting Nurse Association of Cape Cod
255 Independence Drive	Hyannis	MA	02601	home health
CAPE COD HEALTHCARE INC
297 NORTH STREET BLDG 3	HYANNIS	MA	02601	ADMINISTRATIVE
Fontaine Medical Center
525 Long Pond Drive	HARWICH	MA	02645	medical group practice
CAPE COD HEALTHCARE NEUROSURGER
46 NORTH ST STE 4	HYANNIS	MA	02601	medical group practice
Bramblebush Medical Group
21 Bramblebush Park	FALMOUTH	MA	02540	medical group practice
Seaside Pediatrics
150 Ansel Hallet Road	West Yarmouth	MA	02673	medical group practice
Manning Jr William J MD
700 Attucks Lane Suite 1A	HYANNIS	MA	02601	medical group practice
Fontaine OUTPATIENT CENTER
525 Long Pond Drive	Harwich	MA	02645	medical group practice
Guo X Y David MD PhD-GASTROENTEROLOGY
90 TER HEUN DRIVE STE 302	Falmouth	MA	02540	medical group practice
BAYSIDE INTERNAL MEDICINE
2 Jan Sebastian Way Suite 100	Sandwich	MA	02563	medical group practice
SHAPIRO GARY& YAMIN JUSTIN MD-GASTRO
700 ATTUCKS LANE STE 1C	Hyannis	MA	02601	medical group practice
Theodore A Calianos II MD-PL&RECON
160 Falmouth Road Suite B	MASHPEE	MA	02649	medical group practice
CAPE COD OBSTETRICS & GYNECOLOGY
90 Ter Heun Drive SUITE 100	Falmouth	MA	02540	medical group practice
Chatham Medical Group
1629 Main Street	Chatham	MA	02633	medical group practice
Endocrine Center of Cape Cod
1030 FALMOUTH RD STE 201	Hyannis	MA	02601	medical group practice
Fal Specialty Care Practice
90 Ter Heun Drive Suite 302	Falmouth	MA	02540	medical group practice
NEUROLOGISTS OF CAPE COD
46 North Street SUITE 7	Hyannis	MA	02601	medical group practice
Nauset Family Practice
81 Old Colony Way STE D	ORLEANS	MA	02653	medical group practice
Devin McManus Medical Practice
10 BrambleBush Drive	FALMOUTH	MA	02540	medical group practice
Cape Health Insurance Company - FOREIGN
297 NORTH ST 3	HYANNIS	MA	02601	administrative
Healthcare Foundation
32 MAIN STREET	Hyannis	MA	02601	administrative
Healthcare Foundation
348 GIFFORD ST STE 4	FALMOUTH	MA	02540	ADMINISTRATIVE
JML Care Center
184 Ter Heun Drive	falmouth	MA	02540	skilled nur & rehab
Cape & Islands Health Services II
14 Yellow Brick Road	HYANNIS	MA	02601	COLLECTION CENTER
Cape & Islands Health Services II
5 Industrial Drive Suite 102	MASHPEE	MA	02649	COLLECTION CENTER
Cape & Islands Health Services II
200 Jones Road	FALMOUTH	MA	02540	COLLECTION CENTER
Cape & Islands Health Services II
525 Long Pond Drive	HARWICH	MA	02645	COLLECTION CENTER
Cape & Islands Health Services II
81 Old Colony Way	ORLEANS	MA	02653	COLLECTION CENTER
Cape & Islands Health Services II
2 Jan Sebastian Way Route 130	SANDWICH	MA	02563	COLLECTION CENTER
Cape & Islands Health Services II
860 Route 134 Unit 2	South Dennis	MA	02660	COLLECTION CENTER
Cape & Islands Health Services II
1 Trowbridge Road	Bourne	MA	02532	COLLECTION CENTER
Cape & Islands Health Services II
68B Route 6A	SANDWICH	MA	02563	COLLECTION CENTER
Cape & Islands Health Services II
1629 MAIN STREET	CHATHAM	MA	02633	COLLECTION CENTER
Cape & Islands Health Services II
27 PARK STREET	HYANNIS	MA	02601	COLLECTION CENTER
Heritage at Falmouth
140 Ter Heun Drive	FALMOUTH	MA	02540	ASSISTED LIVING
Cape Cod Human Services
460 West Main Street	HYANNIS	MA	02601	outpatient clinic
Cape Cod Human Services
525 Long Pond Drive	HARWICH	MA	02645	outpatient clinic
Cape Cod Medical Office Building Inc
20 Gleason Street	HYANNIS	MA	02601	administrative
Orleans Medical CENTER
204 Main Street	Orleans	MA	02653	Medical Group Practice
CAPE COD Dermatology
134 Ansel Hallet Road	W Yarmouth	MA	02673	Medical Group Practice
Cape Cod Rheumatology Center
1030 FALMOUTH RD STE 201	HYANNIS	MA	02601	MEDICAL GROUP PRACTICE
CCHC Cardiovascular Center
25 Main Street	HYANNIS	MA	02601	MEDICAL GROUP PRACTICE
Ziad Farah MD-Fontaine Medical Center
525 Long Pond Drive	HARWICH	MA	02645	MEDICAL GROUP PRACTICE
Fontaine Urgent Care Center
525 Long Pond Drive	HARWICH	MA	02645	MEDICAL GROUP PRACTICE
Park Street Primary Care
62 Park Street	HYANNIS	MA	02601	MEDICAL GROUP PRACTICE
Sandwich Medical Group
STONEMAN OUTPATIENT2 Jan Sebastian	SANDWICH	MA	02563	MEDICAL GROUP PRACTICE
Sandwich Primary Care
2 JAN SEBASTIAN WAY SUITE 202	SANDWICH	MA	02563	MEDICAL GROUP PRACTICE
Upper Cape Orthopedics
26 Edgerton Drive Suite C	NORTH FALMOUTH	MA	02556	MEDICAL GROUP PRACTICE
Michael Barnett MD Practice
348 Gifford Street	FALMOUTH	MA	02540	MEDICAL GROUP PRACTICE
Vascular And Vein Center Of Cape Cod
90 Ter Heun Drive 3RD Fl MOB STE	Falmouth	MA	02540	Medical Group Practice
CCHC General & Specialty Surgery
105 Park Street	Hyannis	MA	02601	Medical Group Practice
Cape Cod Sports Medicine
360 Gifford Street Unit 2B	Falmouth	MA	02540	Medical Group Practice
CARDIOVASCULAR CENTER - FALMOUTH
90 TER HEUN DRIVE SUITE 300	FALMOUTH	MA	02540	Medical Group Practice
GASTROENTEROLOGY HYANNIS - PARK STREET
105 PARK STREET	HYANNIS	MA	02601	Medical Group Practice
STONEMAN OUTPATIENT CENTER - URGENT CARE
2 JAN SEBASTIAN DRIVE SUITE 101	SANDWICH	MA	02563	Medical Group Practice
MASHPEE SURGICAL CENTER
160 FALMOUTH ROAD	MASHPEE	MA	02649	MEDICAL GROUP PRACTICE
SOUTHEASTERN SURGICAL ASSOCIATES
100 CAMP STREET	HYANNIS	MA	02601	MEIDCAL GROUP PRACTICE
FALMOUTH URGENT CARE
273 TEATICKET HIGHWAY	FALMOUTH	MA	02536	MEDICAL GROUP PRACTICE
HYANNIS URGENT CARE
1220 IYANNOUGH ROAD	HYANNIS	MA	02601	MEDICAL GROUP PRACTICE
UPPER CAPE EAR NOSE THROAT
200 A JONES ROAD	FALMOUTH	MA	02540	MEDICAL GROUP PRACTICE
ORTHOPEDIC SPECIALISTS
5 BRAMBLEBUSH DRIVE	FALMOUTH	MA	02540	MEDICAL GROUP PRACTICE
CCHC DEMENTIA&ALZHEIMER'S CAREGIVER SUPP
4 BAYVIEW ST	WEST YARMOUTH	MA	02673	ADMINISTRATIVE
CCHC PODIATRIC MEDICINE & FOOT SURGERY
1030 FALMOUTH RD 202	HYANNIS	MA	02601	MEDICAL GROUP PRACTICE
IDCS-INFECTIOUS DISEASE CLINICAL SERV
34 PARK ST	HYANNIS	MA	02601	MEDICAL GROUP PRACTICE
CCH OBGYN SATELLITE
60A PARK ST	HYANNIS	MA	02601	MEDICAL GROUP PRACTICE
MACCMSSP REFERRAL DEPT
25 COMMUNICATION WAY	HYANNIS	MA	02601	ADMINISTRATIVE
DIABETIC EDUCATION
22 LEWIS BAY RD STE 102	HYANNIS	MA	02601	EDUCATIONAL
DIABETIC EDUCATION
1629 MAIN ST	CHATHAM	MA	02633	EDUCATIONAL
TRADEWINDS ADULT DAY HEALTH OF VNA OF CC
290 ROUTE 130	SANDWICH	MA	02563	ADULT DAY HEALTH
COMPASS ADULT DAY HEALTH
1 AUSTON RD F	HARWICH	MA	02645	ADULT DAY HEALTH
VNA OF CAPE COD - EASTHAM
3960 STATE HWY RD 6 2	EASTHAM	MA	02642	HOME HEALTH
VNA OF CAPE COD - FALMOUTH
67 TER HEUN DR	FALMOUTH	MA	02540	HOME HEALTH
VNA OF CAPE COD - MARTHA'S VINEYARD
49 STATE RD	VINEYARD HAVEN	MA	02568	HOME HEALTH
VNA OF CAPE COD - NANTUCKET
2 SANFORD RD 2	NANTUCKET	MA	02554	HOME HEALTH
VNA OF CAPE COD -PLYMOUTH
57 OBERY ST U3	PLYMOUTH	MA	02360	HOME HEALTH
VNA OF CAPE COD - PROVINCETOWN
26 ALDEN ST	PROVINCETOWN	MA	02657	HOME HEALTH
VNA OF CAPE COD - SOUTH DENNIS
434 ROUTE 134 BLDG D 3	SOUTH DENNIS	MA	02660	HOME HEALTH
VNA OF CAPE COD - WAREHAM
185 MAIN ST	WAREHAM	MA	02571	HOME HEALTH
VNA THRIFTIQUE
1074 RTE 28	SOUTH YARMOUTH	MA	02664	THRIFT STORE
CCH THRIFT STORE
690 MAIN ST	HYANNIS	MA	02601	THRIFT STORE
CAPE & ISLANDS HEALTH SERVICES II
35 WILKENS LANE	HYANNIS	MA	02601	COLLECTION CENTER
ORLEANS MEDICAL CENTER
204 MAIN ST	ORLEANS	MA	02653	OUTPATIENT CLINIC
CAPE COD RESEARCH INSTITUTE
27 PARK ST	HYANNIS	MA	02601	RESEARCH
Cotuit Primary Care
3880 Falmouth Road	Cotuit	MA	02635	MEDICAL GROUP PRACTICE
Harwich Primary Care
1421 Orleans Road	Harwich	MA	02645	MEDICAL GROUP PRACTICE
North Falmouth Primary Care
33 Edgerton Drive	Falmouth	MA	02556	MEDICAL GROUP PRACTICE
North Street Primary Care
130 North Street	Hyannis	MA	02601	MEDICAL GROUP PRACTICE
Cape Cod Ear Nose and Throat Specialist
65 Cedar Street	Hyannis	MA	02601	MEDICAL GROUP PRACTICE
CCHC Pulmonary Medicine
51 Bayview Street	Hyannis	MA	02601	MEDICAL GROUP PRACTICE

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C	N/A
PART I, LINE 6A	N/A
PART I, LINE 7, COLUMN F	THE AMOUNT OF BAD DEBT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN LINE 7, COLUMN F WAS $ 20,267,078. 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 LINE 6 AND LINE 8	COALITION BUILDING CAPE COD HEALTHCARE CLINICAL, COMMUNITY BENEFITS AND SUPPORT STAFF PARTICIPATED IN A VARIETY OF COALITION BUILDING ACTIVITIES WITHIN THE SERVICE AREA TO ADDRESS AND IMPROVE CARE RELATED TO WOMEN'S HEALTH, BEHAVIORAL HEALTH, CHRONIC AND INFECTIOUS DISEASE PREVENTION AND MANAGEMENT AND SUBSTANCE USE AND MISUSE IN THE REGION. REGIONAL COALITIONS SERVE AS ALLIANCES FOR COMBINED AND COORDINATED ACTION TO IMPROVE KEY HEALTH ISSUES. COALITION ACTIVITIES RANGED FROM IMPLEMENTATION OF NEW PROGRAMS TO OFFERING COMMUNITY TRAININGS AND EDUCATIONAL ON IMPORTANT HEALTH TOPICS TO THE DEVELOPMENT OF MULTI-SECTOR PARTNERSHIPS. WORKFORCE DEVELOPMENT CAPE COD HEALTHCARE'S PHYSICIAN 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.
PART III, LINES 2-3	THE ORGANIZATION IS REPORTING $11,071,739 OF BAD DEBT EXPENSE THAT MEETS ITS FINANCIAL ASSISTANCE POLICY. THIS AMOUNT IS RELATED TO BAD DEBT FROM BOTH HOSPITALS DURING FY19 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 4	THE 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 2	NEEDS 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 3	PATIENT 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 4	DEMOGRAPHICS 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 5	PROMOTION 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 19 TARGET POPULATIONS: - INDIVIDUALS MANAGING OR AT RISK OF DEVELOPING CHRONIC AND INFECTIOUS DISEASES SUCH AS CANCER, CARDIOVASCULAR DISEASE, ALZHEIMER'S DISEASE AND DEMENTIA, HEPATITIS C, AND TICK-BORNE DISEASES. - RESIDENTS FACING BARRIERS TO CARE DUE TO LANGUAGE, COST, OR AGE, INCLUDING THOSE WHO ARE UNINSURED OR UNDER-INSURED. - INDIVIDUALS WITH MENTAL HEALTH DISORDERS, SUBSTANCE USE DISORDERS, AND CO-OCCURRING DISORDERS. - SENIOR POPULATION, AGES 65 AND OLDER. - YOUTH AND YOUNG ADULTS, AGES 15 TO 24 YEARS OLD. 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 CHNA 17-19. We addressed our own institutional and community wide systems barriers by adding new forms of educators and supportive connectors in the continuum of care. Examples: Alzheimer's Support Groups, Recovery Coaches, Community Navigators, Chronic Disease Outreach, integrative therapies and transportation solutions. CCHC Community Benefits empowered the community through a collaborative engagement process to produce the FY20-22 Community Health Needs Assessment, a guiding document for all of Cape Cod. CCHC Community Benefits expanded cross-sector community partnerships and leadership within and throughout the Cape Cod non-profit health and human service system. The 2017-2019 Cape Cod Hospital and Falmouth Hospital Community Health Needs Assessment Report and Implementation Plan served as the foundation for CCHC's FY19 Community Benefits program. CCHC's Community Benefits activities focused on the four health priorities identified in the report: chronic and infectious disease, behavioral health, access to care, and disease prevention and wellness. New and expanded hospital programs were developed 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. Chronic and Infectious Disease Prevention, screening, detection, and management of chronic and infectious diseases were supported through a variety of CCHC Community Benefits activities. Hospital cancer support services including counseling, support groups, and survivorship activities for patients and caregivers were complimented with a new Oncology Nutrition program. The successful Living Fit for You! Cancer Wellness Program provides free of charge rehabilitation, wellness consultations, exercise, and education services to help adults undergoing cancer treatment manage fatigue, de-conditioning and loss of physical function. CCHC Community Benefits also provided grants to the Cape Wellness Collaborative and YMCA Cape Cod LIVESTRONG program to ensure that patients undergoing and recovering from cancer treatment had access to community-based wellness programs and complementary services such as massage, acupuncture, yoga and nutritional counseling. The CCHC Integrated Cancer Committee, comprised of physicians, nurses and support staff, conducted educational campaigns and community outreach events. These events informed youth about the risks of tobacco use and the public about skin cancer prevention, including high-risk screening opportunities. CCHC clinical teams provided disease education, rehabilitation and pathways to chronic disease self- management for individuals living with congestive heart failure, chronic pulmonary diseases, and diabetes. A Community Benefits grant to the Cape Cod Times Needy Fund helped with basic needs such as housing and utility payments, transportation, adaptive medical equipment, and child care specifically for individuals managing a chronic disease. A CCHC Community Benefits grant supported the Alzheimer's Family Caregiver Support Center's expanding free counseling for families and caregivers in outposts across the Outer, Lower, Mid, and Upper regions of Cape Cod. In addition, the organization now hosts concurrent weekly support group meetings for individuals with Alzheimer's disease and their caregivers at Cape Cod Hospital. Through a partnership with the UMASS Laboratory of Medical Zoology, CCHC was the only healthcare system in MA to subsidize tick testing for residents within a hospital service area. CCHC also partnered with the Cape Cod Cooperative Extension to produce a 10-part online video series titled "Tickology" to provide easily accessible community education on tick disease prevention. CCHC Infectious Disease Clinical Services is the recipient of federal and state Ryan White grant funding to support comprehensive primary medical care and medical case management for individuals with HIV/AIDS living in Barnstable County. CCHC, through partnerships with other local organizations, aligned local efforts to meet National HIV/AIDS Strategy and the Massachusetts Integrated HIV Prevention and Care Plan to reduce the number of new HIV infections, increase access to care, improve health outcomes for individuals living with HIV/AIDS, and reduce HIV-related health inequities and disparities. Behavioral Health CCHC Community Benefits expanded hospital-based services and collaborations with local federally qualified health centers and behavioral health providers to strengthen regional services and community resources for individuals with mental health and substance use disorders. CCHC's Centers for Behavioral Health joined the MA Department of Public Health and MA Department of Mental Health on the Zero Suicide Initiative to increase suicide prevention and reduce suicide deaths on Cape Cod. CCHC also provides a Community Crisis Line, staffed by clinicians, offering free and confidential emotional support and referral assistance for individuals in crisis and their families. CCHC Community Benefits funded a community wide Mental Health education program through National Alliance on Mental Illness (NAMI) Cape Cod, targeting the Portuguese population. CCHC Community Benefits provided grants to three federally qualified health centers on Cape Cod. Duffy Health Center, Harbor Community Health Center- Hyannis, and Outer Cape Health Services received grants supporting integrated behavioral health services, establishing an Office Based Addiction Treatment program and continuation of a community navigator program that assists individuals most at risk in our region. Through a partnership with, and grant to Gosnold, Inc., CCHC Community Benefits expanded the Recovery Specialist program in the emergency departments at Cape Cod Hospital and Falmouth Hospital. The program provides peer-led recovery engagement services for patients with Substance Use Disorders. Recovery Specialists work as part of the emergency departments' care teams to motivate patients to accept treatment upon discharge from the emergency departments. Additional funding to Gosnold, Inc. provided Recovery Coaching scholarships for 30 individuals who completed treatment for their Substance Use Disorder. Recovery Coaches assist individuals with building recovery support systems and improving outcomes related to employment, housing, legal and life skills.
ACCESS TO CARE	In FY19, CCHC continued to invest, significantly, in expanding access to care for vulnerable and medically underserved populations in Barnstable County. CCHC Community Benefits continued its grant support of the Specialty Network for the Uninsured (SNU) program in Barnstable County. The SNU program coordinates appointments and follow-up care with local medical specialists for uninsured and under-insured patients in our region, reducing barriers to local access and addressing gaps in specialty services not offered by local community health centers. Through the Community Based Interpreters program, CCHC Community Benefits funding provided free medical interpreter services for limited-English speaking patients in community based primary and specialty care offices across the region. In partnership with the Cape and Islands Emergency Medical Services System, CCHC expanded the impact of medical interpreter services to pre-hospital settings. CCHC provides training and funding for phone-based interpreter services that connect paramedics and first responders to interpreters via cell phones in ambulances to improve communication with limited-English speaking patients during transport to a hospital. Hospital social workers and case managers assisted low-income and vulnerable patients in need through direct referrals to community services, prescription pharmacy assistance, and transportation vouchers upon discharge. Financial counselors at Cape Cod Hospital and Falmouth Hospital were available to all Barnstable County residents to assist with health insurance questions and needs including Mass Health and Medicare coverage applications and renewal assistance. CCHC has been at the forefront of establishing strategic relationships ensuring a strong and skilled future allied health workforce in our region. Cape Cod Community College and Cape Cod Healthcare Nursing Education Collaborative is a program that expands opportunities for education, clinical training, and employment, as well as RN student debt relief and career exploration pathways for high school students. In several clinical departments including behavioral health, radiology, and laboratory services across both hospitals, clinicians provide supervision, training, and job shadowing for students from UMASS Medical School, regional community colleges, and local vocational and technical schools. Disease Prevention and Wellness In FY19, Cape Cod Healthcare efforts focused on building partnerships and support for community-based prevention and wellness initiatives impacting residents across the lifespan from infants to seniors. CCHC Community Benefits expanded efforts supporting new families. Expanded efforts included prenatal and parenting classes in English and Portuguese, support groups for new mothers, fatherhood initiatives, and a breastfeeding 'warm line' that provided families with phone support for questions related to breastfeeding. CCHC also partnered with a local Early Intervention program to provide pre-discharge meetings with Early Intervention staff. Early Intervention staff educated parents about services and supports available to infants, young children and their families through the program. Through a partnership with the Cape & Islands United Way, CCHC Community Benefits supported the Strong from the Start Initiative aimed at improving the social, emotional and developmental outcomes for children ages 0-3 years in Barnstable County. The objectives of Strong from the Start are to strengthen families, reduce achievement and word gaps and provide children with the social, emotional and language skills to thrive in school and in life. CCHC Community Benefits built a coalition of more than 50 community organizations to support the Quality of Life Initiative. The initiative provided guest speakers, materials and helpful tools to educate the community about the importance of advance care planning. In addition, CCHC Community Benefits joined a coalition of more than 30 organizations called Healthy Aging Cape Cod. Led by Barnstable County Department of Human Services, the purpose of the coalition is to undertake regional planning that supports our aging demographic and their families through conversations projects that align local efforts with statewide efforts to build an Age and Dementia-friendly Massachusetts. Healthy Parks, Healthy People, a program supported through a collaboration between Cape Cod Healthcare, the US National Park Service, and the Cape Cod National Seashore, continued with its focus on promoting open space for physical activity and wellness. Activities included educational events by CCHC physicians and physical therapists, a walking program, and a 5K walk/run for residents and visitors of Cape Cod. CCHC Community Benefits grants supported elder suicide prevention trainings through the Samaritans of Cape Cod, HPV vaccination and cervical cancer education for providers, parents and youth by Team Maureen and chronic disease and mindfulness programs at local family homeless shelters by Housing Assistance Corporation on Cape Cod.
PART VI, LINE 7	ALL STATES WHERE ORGANIZATION FILES A COMMUNITY BENEFITS REPORT: MA

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (24 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc	Purpose Of GrantPurposeOfGrantTxt
Cape Cod Foundation Inc
261 WHITES PATH	YARMOUTH	MA	02664	510140462	501(c)(3)	$214,600	FMV	N/A	Prevention & Wellness
Harbor Health Center
1135 MORTON ST	MATTAPAN	MA	02126	237100550	501(c)(3)	$100,000	FMV	N/A	Access to Care
Duffy Health Center Inc
94 MAIN ST	HYANNIS	MA	02452	043373741	501(c)(3)	$89,000	FMV	N/A	Access to Care
Outer Cape Health Services
PO Box 1413	Wellfleet	MA	02667	042509828	501(c)(3)	$66,500	FMV	N/A	Access to Care
Alzheimer's Family Caregiver Support Center Inc
309 Waverly Oaks Rd	Waltham	MA	02452	133039601	501(c)(3)	$40,000	FMV	N/A	Prevention & Wellness
Cape Cod Commercial Fisherman's Alliance
1566 Main St	Chatham	MA	02633	043138784	501(c)(3)	$31,500	FMV	N/A	Prevention & Wellness
Cape Wellness Collaborative
11 Potter Ave	Hyannis	MA	02601	472360979	501(c)(3)	$30,000	FMV	N/A	Chronic & Infectious Disease
The Family Pantry of Cape Cod
133 Queen Anne Rd	Harwich	MA	02645	223079904	501(c)(3)	$30,000	FMV	N/A	Prevention & Wellness
Wellstrong Inc
385 Welliott Rd	Centerville	MA	02632	811935657	501(c)(3)	$30,000	FMV	N/A	Behavioral Health
YMCA Cape Cod
12245 IYANNOUGH RD	W BARNSTABLE	MA	02668	042394925	501(c)(3)	$30,000	FMV	N/A	Chronic & Infectious Disease
AIDS Support Group of Cape Cod Inc
PO BOX 1522	PROVINCETOWN	MA	02657	042908722	501(c)(3)	$29,724	FMV	N/A	Chronic & Infectious Disease
Cape Cod Times Needy Fund Inc
PO BOX 804	HYANNIS	MA	02601	222480332	501(c)(3)	$25,000	FMV	N/A	Access to Care
UMASS Lab of Medical Zoology
333 South St Ste 450	Shrewsbury	MA	01545	043167352	501(c)(3)	$22,500	FMV	N/A	Chronic & Infectious Disease
Barnstable Public Schools
367 MAIN ST	HYANNIS	MA	02601	046001079	GOV'T	$22,000	FMV	N/A	SDOH
HEALTH IMPERATIVES INC
942 W CHESTNUT ST	BROCKTON	MA	02301	042609177	501(c)(3)	$22,000	FMV	N/A	Prevention & Wellness
Housing Assistance Corporation
460 W MAIN ST	HYANNIS	MA	02601	237431255	501(c)(3)	$21,000	FMV	N/A	SDOH
Team Maureen
PO Box 422 N	Falmouth	MA	02556	452473500	501(c)(3)	$19,530	FMV	N/A	Chronic & Infectious Disease
Cape Cod Child Development Inc
83 Pearl St	Hyannis	MA	02601	237324732	501(c)(3)	$17,410	FMV	N/A	Prevention & Wellness
Samaritans on Cape Cod & the Islands
PO BOX 65	falmouth	MA	02541	042738811	501(c)(3)	$16,223	FMV	N/A	Behavioral Health
Boston Cancer Support Org Inc
831 Beacon St	Newton	MA	02459	300863587	501(c)(3)	$15,000	FMV	N/A	Chronic & Infectious Disease
Cape Cod Literacy Council
319 Main Street	Hyannis	MA	02601	223098035	501(c)(3)	$15,000	FMV	N/A	Prevention & Wellness
Cape Abilities
895 Mary Dunn Rd	Hyannis	MA	02664	042453166	501(C)(3)	$10,500	FMV	N/A	Chronic & Infectious Disease
NAMI Cape Cod Inc
5 MARK LANE	HYANNIS	MA	02601	042785229	501(c)(3)	$10,000	FMV	N/A	Behavioral Health
Friends of Yarmouth Council on Aging
528 Forest Rd	West Yarmouth	MA	02673	043330127	501(C)(3)	$5,310	FMV	N/A	SDOH - Transportation

Field	Value	IRS element (for citing)
Total501c3 Org	24	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	Cape 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

Field	Value	IRS element (for citing)
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (33 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MICHAEL K LAUF
PRESIDENT/CEO/TRUSTEE	$0	$997,055	$0	$400,000	$0	$227,344	$0	$250,847	$0	$36,631	$0	$1,911,877	$0	$163,550
ROBERT WILSTERMAN MD
TRUSTEE	$691,441	$0	$4,743	$0	$2,772	$0	$26,154	$0	$32,612	$0	$757,722	$0	$0	$0
WILLIAM AGEL MD
TRUSTEE	$441,320	$0	$46,028	$0	$16,206	$0	$11,367	$0	$31,570	$0	$546,491	$0	$0	$0
THEODORE CALIANOS MD
TRUSTEE	$370,702	$0	$1,608	$0	$1,806	$0	$11,288	$0	$29,607	$0	$415,011	$0	$0	$0
PAUL HOULE MD
TRUSTEE	$932,440	$0	$160,000	$0	$22,566	$0	$31,813	$0	$31,612	$0	$1,178,431	$0	$0	$0
MICHAEL L CONNORS
SENIOR VP FINANCE/CFO	$0	$431,439	$0	$97,350	$0	$35,431	$0	$64,490	$0	$34,152	$0	$662,862	$0	$18,275
MICHAEL G JONES ESQ
Sr VP & Chief Legal Off/Clerk	$0	$328,038	$0	$77,119	$0	$22,233	$0	$44,533	$0	$32,552	$0	$504,475	$0	$15,219
MICHAEL BUNDY
COO (UNTIL 1/19)	$0	$396,437	$0	$90,000	$0	$630	$0	$35,478	$0	$25,308	$0	$547,853	$0	$0
DONALD A GUADAGNOLI MD
CMO CAPE COD HOSPITAL	$0	$412,496	$0	$92,925	$0	$33,091	$0	$62,853	$0	$26,907	$0	$628,272	$0	$19,957
ALEXANDER HEARD MD
CMO FALMOUTH HOSPITAL	$84,330	$352,395	$0	$134,312	$0	$7,553	$0	$58,669	$0	$32,723	$84,330	$585,652	$0	$0
PATRICK J KANE
SVP OF MRKTG,COMMUN AND DEVLP	$0	$312,048	$0	$79,213	$0	$22,232	$0	$28,782	$0	$14,552	$0	$456,827	$0	$15,514
CHRISTIAN BROWN
SR VP MANAGED CARE	$0	$313,201	$0	$75,913	$0	$19,692	$0	$46,980	$0	$30,217	$0	$486,003	$0	$14,125
EMILY SCHORER
SVP HUMAN RESOURCES	$0	$267,249	$0	$65,280	$0	$16,466	$0	$25,820	$0	$30,342	$0	$405,157	$0	$12,950
KEVIN RALPH
SVP DEVELOPMENT (UNTIL 4/18)	$0	$78,028	$0	$0	$0	$116,254	$0	$7,382	$0	$11,905	$0	$213,569	$0	$9,896
THERESA M AHERN
SVP STRAT, COMMUNITY/GOV REL.	$0	$295,913	$0	$66,375	$0	$19,303	$0	$44,764	$0	$11,472	$0	$437,827	$0	$12,000
KEVIN J MULROY
SVP CHIEF QUALITY & SAFETY OFF	$0	$367,439	$0	$86,269	$0	$28,035	$0	$46,974	$0	$33,152	$0	$561,869	$0	$18,750
JOHN PAUL SOLVERSON
SR VP & CIO	$0	$420,766	$0	$100,031	$0	$1,806	$0	$20,789	$0	$14,524	$0	$557,916	$0	$0
JEFFREY S DYKENS
VP FINANCE & OPERATIONS	$0	$246,289	$0	$0	$0	$55,149	$0	$31,526	$0	$33,010	$0	$365,974	$0	$13,250
NOELENE CERVIN
VP BUDGETING AND OPER. SUPPORT	$0	$216,289	$0	$40,000	$0	$7,003	$0	$29,383	$0	$29,302	$0	$321,977	$0	$0
LORI JEWETT
CEO - FH	$0	$249,221	$0	$42,000	$0	$10,146	$0	$45,210	$0	$1,554	$0	$348,131	$0	$10,375
ANNE MARIE PECKHAM
PRESIDENT VNA	$0	$197,826	$0	$35,889	$0	$9,974	$0	$20,321	$0	$21,715	$0	$285,725	$0	$0
CARTER HUNT
ADMIN SPEC&HOSP BASED CARE	$0	$197,544	$0	$20,688	$0	$2,207	$0	$36,908	$0	$33,046	$0	$290,393	$0	$0
REBECCA FRANCE
SEE SCHEDULE O	$0	$119,911	$0	$15,000	$0	$137,714	$0	$2,083	$0	$5,416	$0	$280,124	$0	$0
JUDITH C QUINN
VP OF PATIENT CARE	$0	$217,082	$0	$42,543	$0	$19,133	$0	$39,127	$0	$23,307	$0	$341,192	$0	$10,875
DEBRA ROBINSON
ASSOCIATE VP OF NURSING	$191,755	$0	$36,913	$0	$9,549	$0	$0	$0	$0	$0	$238,217	$0	$0	$0
CYNTHIA MARLIN
VP PERIOPERATIVE & SURGICAL SV	$0	$190,373	$0	$36,010	$0	$4,990	$0	$19,231	$0	$21,686	$0	$272,290	$0	$0
ELIZABETH DUNTON
ADMIN PRIMARY CARE PRACTICE	$0	$205,168	$0	$20,050	$0	$378	$0	$15,237	$0	$1,554	$0	$242,387	$0	$0
RICHARD B ZELMAN MD
PHYSICIAN	$1,564,034	$0	$100,000	$0	$2,772	$0	$12,077	$0	$36,471	$0	$1,715,354	$0	$0	$0
NICHOLAS COPPA MD
PHYSICIAN	$935,250	$0	$160,000	$0	$420	$0	$31,804	$0	$28,802	$0	$1,156,276	$0	$0	$0
ACHILLES PAPAVASILIOU MD
PHYSICIAN	$932,440	$0	$160,000	$0	$630	$0	$31,804	$0	$31,612	$0	$1,156,486	$0	$0	$0
GORDON NAKATA MD
PHYSICIAN	$932,440	$0	$160,000	$0	$630	$0	$31,804	$0	$31,612	$0	$1,156,486	$0	$0	$0
PHILLIP J DOMBROWSKI MD
PHYSICIAN	$835,032	$0	$66,667	$0	$27,772	$0	$34,273	$0	$21,455	$0	$985,199	$0	$0	$0
JEANNE FALLON
Former SR VP/CIO	$0	$0	$0	$0	$0	$143,042	$0	$0	$0	$0	$0	$143,042	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 4A	JEANNE FALLON, FORMER SR. VP AND CIO, RECEIVED SEVERANCE PAYMENTS OF $143,042 DURING CALENDAR YEAR 2018. THE ARRANGEMENT PROVIDES FOR CONTINUED PAYMENT OF THE INDIVIDUAL'S SALARY FOR A PERIOD OF FIFTEEN MONTHS. KEVIN RALPH, SVP OF DEVELOPMENT UNTIL 4/18, RECEIVED SEVERANCE PAYMENTS OF $86,539 DURING CALENDAR YEAR 2018. THE ARRANGEMENT PROVIDES FOR CONTINUED PAYMENT OF THE INDIVIDUAL'S SALARY AND BENEFITS FOR A PERIOD OF TWELVE MONTHS, INCLUDING MEDICAL AND DENTAL INSURANCE COVERAGE. REBECCA FRANCE, VP PATIENT FINANCIAL SERVICES & REVENUE CYCLE UNTIL 6/12/18, RECEIVED SEVERANCE PAYMENTS OF $125,500 DURING CALENDAR YEAR 2018. THE ARRANGEMENT PROVIDES FOR CONTINUED PAYMENT OF THE INDIVIDUAL'S SALARY AND BENEFITS FOR A PERIOD OF TWELVE MONTHS, INCLUDING MEDICAL AND DENTAL INSURANCE COVERAGE.
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 2018 WERE AS FOLLOWS: - MICHAEL K. LAUF - $87,514 - MICHAEL G. JONES - $20,427 - MICHAEL L. CONNORS - $24,198 - JEFFREY S. DYKENS - $45,007 - PATRICK KANE - $19,460 - THERESA AHERN - $16,531 - DONALD GUADAGNOLI MD - $22,241 - EMILY SCHORER - $15,836 - KEVIN MULROY - $19,857 - CHRISTIAN BROWN - $16,920 - LORI JEWETT - $9,516 - JUDITH C. QUINN - $11,515 - KEVIN RALPH - $12,698 - REBECCA FRANCE - $2,094 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 2018, 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 2018 WAS $120,000 AND IS INCLUDED IN SCHEDULE J, PART II, COLUMN (C). IN ADDITION, $120,000 WAS PAID OUT FROM HIS CEO SUPPLEMENTAL PLAN, AND IS INCLUDED IN SCHEDULE J, PART II, COLUMN B(III).
SCHEDULE J, PART I, LINE 7	DISCRETIONARY BONUSES ARE AWARDED ANNUALLY BASED UPON BOTH THE PERFORMANCE OF THE ORGANIZATION AND THE INDIVIDUAL. BONUSES ARE REFLECTED IN SCHEDULE J, PART II, COLUMN B(II).THE INDIVIDUALS REPORTED IN SCHEDULE J, PART II REPORTED AS BEING PAID FROM A RELATED ORGANIZATION WERE EMPLOYEES OF, AND COMPENSATED BY CAPE COD HEALTHCARE, INC., THE PARENT CORPORATION.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
MHEFA REVENUE BONDS SERIES E
A	042456011	000000000	2012-01-12	$29,440,000	REISSUE SER E (6/18/08 & 2/12/09)	false	false	false
MHEFA REVENUE BONDS SERIES 2012A
B	043431814	000000000	2012-02-24	$25,800,000	REFUND SER B(8/15/98)& C(11/15/01)	false	false	false
MDFA REVENUE BONDS SERIES 2013
C	043431814	57584VAH8	2013-07-11	$50,831,729	REFUND SER C(10/9/01) & CAP.IMPR.	false	false	false
MDFA REVENUE BONDS SERIES 2014
D	043431814	000000000	2014-09-29	$24,000,000	RENOVATION & REAL ESTATE PURCHASE	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$22,570,666	$0	$29,440,000	$0	$0	$0	$0	$0	$0	$0	$29,440,000	$0	2012	Yes (true)	false	Yes (true)	Yes (true)
B	$18,060,000	$0	$25,800,000	$0	$0	$0	$336,100	$0	$0	$0	$25,463,900	$0	2012	Yes (true)	false	Yes (true)	Yes (true)
C	$0	$0	$50,834,109	$0	$1,295,804	$0	$803,269	$0	$0	$27,999,812	$20,735,224	$0	2014	Yes (true)	false	Yes (true)	Yes (true)
D	$2,300,000	$0	$24,001,267	$0	$0	$0	$0	$241,456	$0	$0	$23,759,811	$0	2015	false	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd
A	Yes (true)
B	Yes (true)
C	Yes (true)	false	false	false	false	false	false
D	Yes (true)	false	false	false	false	false	false

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	false	Yes (true)	Yes (true)	Yes (true)	false	false	0	false	Yes (true)
0
B	false	false	Yes (true)	Yes (true)	false	false	false	0	false	Yes (true)
0
C	false	false	Yes (true)	Yes (true)	false	false	false	0	false	Yes (true)
0
D	false	false	false	Yes (true)	false	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART IV, LINE 2(C)	FormAndLineReferenceDesc
Explanation	THE 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 - 06/30/2018 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

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	MDFA REVENUE BONDS SERIES 2017	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	043431814	BondIssuerEIN
CUSIP	000000000	CUSIPNum
Bond Issued	2017-02-01	BondIssuedDt
Issue Price	$52,315,359	IssuePriceAmt
Purpose	REFUND SERIES D(2/16/2010)	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$5,853,332	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$54,137,393	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$45,002,536	RefundingEscrowAmt
Issuance Costs From Proceeds	$302,138	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$106,973	CapitalExpendituresAmt
Other Spent Proceeds	$8,725,746	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Substantial Completion	2017	SubstantialCompletionYr
Refunding Tax Exempt Bonds	false	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	Yes (true)	RefundingTaxableBondsInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Mgmt Contract Bond Fincd Prop	false	MgmtContractBondFincdPropInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0	PrivateBusUseByOthersPct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	Yes (true)	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	false	NoRebateDueInd
Variable Rate Issue	Yes (true)	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
DR KATIE RUDMAN
SPOUSE OF TRUSTEE	$110,248	MACC EMPLOYEE	false
Sarah K Guadagnoli RN
DAUGHTER OF KEY EMPLOYEE	$76,524	CCH EMPLOYEE	false
KIRA JONES
SPOUSE OF OFFICER	$86,616	FH EMPLOYEE	false

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArtGrp
Art Historical Treasures		ArtHistoricalTreasuresGrp
Art Fractional Interest		ArtFractionalInterestGrp
Books And Publications		BooksAndPublicationsGrp
Clothing And Household Goods		ClothingAndHouseholdGoodsGrp
Cars And Other Vehicles		CarsAndOtherVehiclesGrp
Boats And Planes		BoatsAndPlanesGrp
Intellectual Property		IntellectualPropertyGrp

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	13526	ContributionCnt
Noncash Contributions Rpt F990	$3,176,038	NoncashContributionsRptF990Amt
Method Of Determining Revenues	VALUE OF STOCK REC'D	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Securities Closely Held Stock		SecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp
Securities Miscellaneous		SecuritiesMiscellaneousGrp
Qualified Contrib Hist Struct		QualifiedContribHistStructGrp
Qualified Contrib Other		QualifiedContribOtherGrp
Real Estate Residential		RealEstateResidentialGrp
Real Estate Commercial		RealEstateCommercialGrp
Real Estate Other		RealEstateOtherGrp
Collectibles		CollectiblesGrp
Food Inventory		FoodInventoryGrp
Drugs And Medical Supplies		DrugsAndMedicalSuppliesGrp
Taxidermy		TaxidermyGrp
Historical Artifacts		HistoricalArtifactsGrp
Scientific Specimens		ScientificSpecimensGrp
Archaeological Artifacts		ArchaeologicalArtifactsGrp
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	Yes (true)	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE M, PART I, COLUMN (B)	FormAndLineReferenceDesc
Explanation	THE 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 ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 1 AND PART III, LINE 1	WE 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: INDIVIDUALS MANAGING OR AT RISK OF DEVELOPING CHRONIC AND INFECTIOUS DISEASES SUCH AS CANCER, CARDIOVASCULAR DISEASE, ALZHEIMER'S DISEASE AND DEMENTIA, HEPATITIS C, DIABETES AND TICK-BORNE DISEASES. BASIS FOR SELECTION: ALIGNED WITH STATE AND NATIONAL HEALTH PRIORITIES, BARNSTABLE COUNTY RESIDENTS MANAGING CHRONIC DISEASES ARE AT THE GREATEST RISK OF DECLINED HEALTH AND DEATH. CANCER, CARDIOVASCULAR DISEASE, ALZHEIMER'S DISEASE/DEMENTIA, HEPATITIS C, DIABETES AND TICK-BORNE DISEASES WERE IDENTIFIED IN THE 2017-2019 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AS DISEASES OF CONCERN FOR THE REGION. 2. NAME OF TARGET POPULATION: RESIDENTS FACING BARRIERS TO CARE DUE TO LANGUAGE, COST, OR AGE, INCLUDING THOSE WHO ARE UNINSURED OR UNDER-INSURED. BASIS FOR SELECTION: THE 2017-2019 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT IDENTIFIED SPECIFIC TARGET POPULATIONS THAT ENCOUNTER BARRIERS TO CARE OR GAPS IN COVERAGE DESPITE HIGH RATES OF INSURED RESIDENTS IN BARNSTABLE COUNTY. THE REPORT SPECIFICALLY IDENTIFIED CHILDREN AGES 0-17 YEARS, INDIVIDUALS LACKING YEAR-ROUND EMPLOYMENT, SENIORS LIVING ON A FIXED INCOME, SEASONAL WORKERS, AND FOREIGN-BORN RESIDENTS WHO DO NOT MEET ELIGIBILITY CRITERIA FOR MASS HEALTH ENROLLMENT. 3. NAME OF TARGET POPULATION: INDIVIDUALS WITH MENTAL HEALTH DISORDERS, SUBSTANCE USE DISORDERS AND CO-OCCURRING 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 2017-2019 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT INCLUDE A SHORTAGE OF PSYCHIATRIC PROVIDERS, WAIT TIMES FOR OUTPATIENT APPOINTMENTS, LIMITED INPATIENT TREATMENT OPTIONS FOR SUBSTANCE USE, AND INSURANCE BARRIERS TO CARE. 4. NAME OF TARGET POPULATION: SENIOR POPULATION, AGES 65 AND OLDER. BASIS FOR SELECTION: ACCORDING TO THE U.S. CENSUS BUREAU, AMERICAN COMMUNITY SURVEY FIVE-YEAR POPULATION ESTIMATES (2012-2016), NEARLY 28% OF THE YEARROUND POPULATION IN BARNSTABLE COUNTY IS OVER THE AGE OF 65. INCREASING CONSUMPTION OF AND NEED FOR HEALTH CARE SERVICES, CONCERNS OF SOCIAL ISOLATION, AVAILABILITY OF APPROPRIATE HOUSING AND TRANSPORTATION, AND ACCESS TO HEALTHY AND ADEQUATE FOOD WERE SPECIFIC CHALLENGES IDENTIFIED IN THE 2017-2019 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT FOR RESIDENTS OVER THE AGE OF 65. 5. NAME OF TARGET POPULATION: YOUTH AND YOUNG ADULTS, AGES 15 TO 24 YEARS OLD. BASIS FOR SELECTION: YOUTH AND YOUNG ADULTS, AGES 15-24 YEARS OLD, WERE IDENTIFIED IN THE 2017-2019 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. PUBLICATION OF TARGET POPULATIONS MARKETING COLLATERAL, WEBSITE COMMUNITY HEALTH NEEDS ASSESSMENT DATE LAST ASSESSMENT COMPLETED CHNA REPORT 20-22 PUBLISHED TO CCHC CARING COMMUNITIES WEBSITE DATA SOURCES COMMUNITY FOCUS GROUPS, HOSPITAL, INTERVIEWS, OTHER, SURVEYS, CHNA DOCUMENT CCHC CHNA REPORT_2017-2019.PDF IMPLEMENTATION STRATEGY IMPLEMENTATION STRATEGY DOCUMENT: NOT SPECIFIED KEY ACCOMPLISHMENTS OF REPORTING YEAR 1) CCHC COMMUNITY BENEFITS PROVIDED FINANCIAL AND SERVICE SUPPORT TO HEALTH AND HUMAN SERVICES ORGANIZATIONS AND HOSPITAL BASED PROGRAMS AND SERVICES THAT WERE ALIGNED WITH CHNA 17-19. WE ADDRESSED OUR OWN INSTITUTIONAL AND COMMUNITY WIDE SYSTEMS BARRIERS BY ADDING NEW FORMS OF EDUCATORS AND SUPPORTIVE CONNECTORS IN THE CONTINUUM OF CARE. EXAMPLES: ALZHEIMER'S SUPPORT GROUPS, RECOVERY COACHES, COMMUNITY NAVIGATORS, CHRONIC DISEASE OUTREACH, INTEGRATIVE THERAPIES AND TRANSPORTATION SOLUTIONS. 2) CCHC COMMUNITY BENEFITS EMPOWERED THE COMMUNITY THROUGH A COLLABORATIVE ENGAGEMENT PROCESS TO PRODUCE THE FY20-22 COMMUNITY HEALTH NEEDS ASSESSMENT, A GUIDING DOCUMENT FOR ALL OF CAPE COD. 3) CCHC COMMUNITY BENEFITS EXPANDED CROSS-SECTOR COMMUNITY PARTNERSHIPS AND LEADERSHIP WITHIN AND THROUGHOUT THE CAPE COD NON-PROFIT HEALTH AND HUMAN SERVICE SYSTEM. THE 2017-2019 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IMPLEMENTATION PLAN SERVED AS THE FOUNDATION FOR CCHC'S FY19 COMMUNITY BENEFITS PROGRAM. CCHC'S COMMUNITY BENEFITS ACTIVITIES FOCUSED ON THE FOUR HEALTH PRIORITIES IDENTIFIED IN THE REPORT: CHRONIC AND INFECTIOUS DISEASE, BEHAVIORAL HEALTH, ACCESS TO CARE, AND DISEASE PREVENTION AND WELLNESS. NEW AND EXPANDED HOSPITAL PROGRAMS WERE DEVELOPED 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.
CHRONIC AND INFECTIOUS DISEASE	PREVENTION, SCREENING, DETECTION, AND MANAGEMENT OF CHRONIC AND INFECTIOUS DISEASES WERE SUPPORTED THROUGH A VARIETY OF CCHC COMMUNITY BENEFITS ACTIVITIES. HOSPITAL CANCER SUPPORT SERVICES INCLUDING COUNSELING, SUPPORT GROUPS, AND SURVIVORSHIP ACTIVITIES FOR PATIENTS AND CAREGIVERS WERE COMPLIMENTED WITH A NEW ONCOLOGY NUTRITION PROGRAM. THE SUCCESSFUL LIVING FIT FOR YOU! CANCER WELLNESS PROGRAM PROVIDES FREE OF CHARGE REHABILITATION, WELLNESS CONSULTATIONS, EXERCISE, AND EDUCATION SERVICES TO HELP ADULTS UNDERGOING CANCER TREATMENT MANAGE FATIGUE, DE-CONDITIONING AND LOSS OF PHYSICAL FUNCTION. CCHC COMMUNITY BENEFITS ALSO PROVIDED GRANTS TO THE CAPE WELLNESS COLLABORATIVE AND YMCA CAPE COD LIVESTRONG PROGRAM TO ENSURE THAT PATIENTS UNDERGOING AND RECOVERING FROM CANCER TREATMENT HAD ACCESS TO COMMUNITY-BASED WELLNESS PROGRAMS AND COMPLEMENTARY SERVICES SUCH AS MASSAGE, ACUPUNCTURE, YOGA AND NUTRITIONAL COUNSELING. THE CCHC INTEGRATED CANCER COMMITTEE, COMPRISED OF PHYSICIANS, NURSES AND SUPPORT STAFF, CONDUCTED EDUCATIONAL CAMPAIGNS AND COMMUNITY OUTREACH EVENTS. THESE EVENTS INFORMED YOUTH ABOUT THE RISKS OF TOBACCO USE AND THE PUBLIC ABOUT SKIN CANCER PREVENTION, INCLUDING HIGH-RISK SCREENING OPPORTUNITIES. CCHC CLINICAL TEAMS PROVIDED DISEASE EDUCATION, REHABILITATION AND PATHWAYS TO CHRONIC DISEASE SELF- MANAGEMENT FOR INDIVIDUALS LIVING WITH CONGESTIVE HEART FAILURE, CHRONIC PULMONARY DISEASES, AND DIABETES. A COMMUNITY BENEFITS GRANT TO THE CAPE COD TIMES NEEDY FUND HELPED WITH BASIC NEEDS SUCH AS HOUSING AND UTILITY PAYMENTS, TRANSPORTATION, ADAPTIVE MEDICAL EQUIPMENT, AND CHILD CARE SPECIFICALLY FOR INDIVIDUALS MANAGING A CHRONIC DISEASE. A CCHC COMMUNITY BENEFITS GRANT SUPPORTED THE ALZHEIMER'S FAMILY CAREGIVER SUPPORT CENTER'S EXPANDING FREE COUNSELING FOR FAMILIES AND CAREGIVERS IN OUTPOSTS ACROSS THE OUTER, LOWER, MID, AND UPPER REGIONS OF CAPE COD. IN ADDITION, THE ORGANIZATION NOW HOSTS CONCURRENT WEEKLY SUPPORT GROUP MEETINGS FOR INDIVIDUALS WITH ALZHEIMER'S DISEASE AND THEIR CAREGIVERS AT CAPE COD HOSPITAL. THROUGH A PARTNERSHIP WITH THE UMASS LABORATORY OF MEDICAL ZOOLOGY, CCHC WAS THE ONLY HEALTHCARE SYSTEM IN MA TO SUBSIDIZE TICK TESTING FOR RESIDENTS WITHIN A HOSPITAL SERVICE AREA. CCHC ALSO PARTNERED WITH THE CAPE COD COOPERATIVE EXTENSION TO PRODUCE A 10-PART ONLINE VIDEO SERIES TITLED "TICKOLOGY" TO PROVIDE EASILY ACCESSIBLE COMMUNITY EDUCATION ON TICK DISEASE PREVENTION. CCHC INFECTIOUS DISEASE CLINICAL SERVICES IS THE RECIPIENT OF FEDERAL AND STATE RYAN WHITE GRANT FUNDING TO SUPPORT COMPREHENSIVE PRIMARY MEDICAL CARE AND MEDICAL CASE MANAGEMENT FOR INDIVIDUALS WITH HIV/AIDS LIVING IN BARNSTABLE COUNTY. CCHC, THROUGH PARTNERSHIPS WITH OTHER LOCAL ORGANIZATIONS, ALIGNED LOCAL EFFORTS TO MEET NATIONAL HIV/AIDS STRATEGY AND THE MASSACHUSETTS INTEGRATED HIV PREVENTION AND CARE PLAN TO REDUCE THE NUMBER OF NEW HIV INFECTIONS, INCREASE ACCESS TO CARE, IMPROVE HEALTH OUTCOMES FOR INDIVIDUALS LIVING WITH HIV/AIDS, AND REDUCE HIV-RELATED HEALTH INEQUITIES AND DISPARITIES. BEHAVIORAL HEALTH CCHC COMMUNITY BENEFITS EXPANDED HOSPITAL-BASED SERVICES AND COLLABORATIONS WITH LOCAL FEDERALLY QUALIFIED HEALTH CENTERS AND BEHAVIORAL HEALTH PROVIDERS TO STRENGTHEN REGIONAL SERVICES AND COMMUNITY RESOURCES FOR INDIVIDUALS WITH MENTAL HEALTH AND SUBSTANCE USE DISORDERS. CCHC'S CENTERS FOR BEHAVIORAL HEALTH JOINED THE MA DEPARTMENT OF PUBLIC HEALTH AND MA DEPARTMENT OF MENTAL HEALTH ON THE ZERO SUICIDE INITIATIVE TO INCREASE SUICIDE PREVENTION AND REDUCE SUICIDE DEATHS ON CAPE COD. CCHC ALSO PROVIDES A COMMUNITY CRISIS LINE, STAFFED BY CLINICIANS, OFFERING FREE AND CONFIDENTIAL EMOTIONAL SUPPORT AND REFERRAL ASSISTANCE FOR INDIVIDUALS IN CRISIS AND THEIR FAMILIES. CCHC COMMUNITY BENEFITS FUNDED A COMMUNITY WIDE MENTAL HEALTH EDUCATION PROGRAM THROUGH NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI) CAPE COD, TARGETING THE PORTUGUESE POPULATION. CCHC COMMUNITY BENEFITS PROVIDED GRANTS TO THREE FEDERALLY QUALIFIED HEALTH CENTERS ON CAPE COD. DUFFY HEALTH CENTER, HARBOR COMMUNITY HEALTH CENTER- HYANNIS, AND OUTER CAPE HEALTH SERVICES RECEIVED GRANTS SUPPORTING INTEGRATED BEHAVIORAL HEALTH SERVICES, ESTABLISHING AN OFFICE BASED ADDICTION TREATMENT PROGRAM AND CONTINUATION OF A COMMUNITY NAVIGATOR PROGRAM THAT ASSISTS INDIVIDUALS MOST AT RISK IN OUR REGION. THROUGH A PARTNERSHIP WITH, AND GRANT TO GOSNOLD, INC., CCHC COMMUNITY BENEFITS EXPANDED THE RECOVERY SPECIALIST PROGRAM IN THE EMERGENCY DEPARTMENTS AT CAPE COD HOSPITAL AND FALMOUTH HOSPITAL. THE PROGRAM PROVIDES PEER-LED RECOVERY ENGAGEMENT SERVICES FOR PATIENTS WITH SUBSTANCE USE DISORDERS. RECOVERY SPECIALISTS WORK AS PART OF THE EMERGENCY DEPARTMENTS' CARE TEAMS TO MOTIVATE PATIENTS TO ACCEPT TREATMENT UPON DISCHARGE FROM THE EMERGENCY DEPARTMENTS. ADDITIONAL FUNDING TO GOSNOLD, INC. PROVIDED RECOVERY COACHING SCHOLARSHIPS FOR 30 INDIVIDUALS WHO COMPLETED TREATMENT FOR THEIR SUBSTANCE USE DISORDER. RECOVERY COACHES ASSIST INDIVIDUALS WITH BUILDING RECOVERY SUPPORT SYSTEMS AND IMPROVING OUTCOMES RELATED TO EMPLOYMENT, HOUSING, LEGAL AND LIFE SKILLS. ACCESS TO CARE IN FY19, CCHC CONTINUED TO INVEST, SIGNIFICANTLY, IN EXPANDING ACCESS TO CARE FOR VULNERABLE AND MEDICALLY UNDERSERVED POPULATIONS IN BARNSTABLE COUNTY. CCHC COMMUNITY BENEFITS CONTINUED ITS GRANT SUPPORT OF THE SPECIALTY NETWORK FOR THE UNINSURED (SNU) PROGRAM IN BARNSTABLE COUNTY. THE SNU PROGRAM COORDINATES APPOINTMENTS AND FOLLOW-UP CARE WITH LOCAL MEDICAL SPECIALISTS FOR UNINSURED AND UNDER-INSURED PATIENTS IN OUR REGION, REDUCING BARRIERS TO LOCAL ACCESS AND ADDRESSING GAPS IN SPECIALTY SERVICES NOT OFFERED BY LOCAL COMMUNITY HEALTH CENTERS. THROUGH THE COMMUNITY BASED INTERPRETERS PROGRAM, CCHC COMMUNITY BENEFITS FUNDING PROVIDED FREE MEDICAL INTERPRETER SERVICES FOR LIMITED-ENGLISH SPEAKING PATIENTS IN COMMUNITY BASED PRIMARY AND SPECIALTY CARE OFFICES ACROSS THE REGION. IN PARTNERSHIP WITH THE CAPE AND ISLANDS EMERGENCY MEDICAL SERVICES SYSTEM, CCHC EXPANDED THE IMPACT OF MEDICAL INTERPRETER SERVICES TO PRE-HOSPITAL SETTINGS. CCHC PROVIDES TRAINING AND FUNDING FOR PHONE-BASED INTERPRETER SERVICES THAT CONNECT PARAMEDICS AND FIRST RESPONDERS TO INTERPRETERS VIA CELL PHONES IN AMBULANCES TO IMPROVE COMMUNICATION WITH LIMITED-ENGLISH SPEAKING PATIENTS DURING TRANSPORT TO A HOSPITAL. HOSPITAL SOCIAL WORKERS AND CASE MANAGERS ASSISTED LOW-INCOME AND VULNERABLE PATIENTS IN NEED THROUGH DIRECT REFERRALS TO COMMUNITY SERVICES, PRESCRIPTION PHARMACY ASSISTANCE, AND TRANSPORTATION VOUCHERS UPON DISCHARGE. FINANCIAL COUNSELORS AT CAPE COD HOSPITAL AND FALMOUTH HOSPITAL WERE AVAILABLE TO ALL BARNSTABLE COUNTY RESIDENTS TO ASSIST WITH HEALTH INSURANCE QUESTIONS AND NEEDS INCLUDING MASS HEALTH AND MEDICARE COVERAGE APPLICATIONS AND RENEWAL ASSISTANCE. CCHC HAS BEEN AT THE FOREFRONT OF ESTABLISHING STRATEGIC RELATIONSHIPS ENSURING A STRONG AND SKILLED FUTURE ALLIED HEALTH WORKFORCE IN OUR REGION. CAPE COD COMMUNITY COLLEGE AND CAPE COD HEALTHCARE NURSING EDUCATION COLLABORATIVE IS A PROGRAM THAT EXPANDS OPPORTUNITIES FOR EDUCATION, CLINICAL TRAINING, AND EMPLOYMENT, AS WELL AS RN STUDENT DEBT RELIEF AND CAREER EXPLORATION PATHWAYS FOR HIGH SCHOOL STUDENTS. IN SEVERAL CLINICAL DEPARTMENTS INCLUDING BEHAVIORAL HEALTH, RADIOLOGY, AND LABORATORY SERVICES ACROSS BOTH HOSPITALS, CLINICIANS PROVIDE SUPERVISION, TRAINING, AND JOB SHADOWING FOR STUDENTS FROM UMASS MEDICAL SCHOOL, REGIONAL COMMUNITY COLLEGES, AND LOCAL VOCATIONAL AND TECHNICAL SCHOOLS. DISEASE PREVENTION AND WELLNESS IN FY19, CAPE COD HEALTHCARE EFFORTS FOCUSED ON BUILDING PARTNERSHIPS AND SUPPORT FOR COMMUNITY-BASED PREVENTION AND WELLNESS INITIATIVES IMPACTING RESIDENTS ACROSS THE LIFESPAN FROM INFANTS TO SENIORS. CCHC COMMUNITY BENEFITS EXPANDED EFFORTS SUPPORTING NEW FAMILIES. EXPANDED EFFORTS INCLUDED PRENATAL AND PARENTING CLASSES IN ENGLISH AND PORTUGUESE, SUPPORT GROUPS FOR NEW MOTHERS, FATHERHOOD INITIATIVES, AND A BREASTFEEDING 'WARM LINE' THAT PROVIDED FAMILIES WITH PHONE SUPPORT FOR QUESTIONS RELATED TO BREASTFEEDING. CCHC ALSO PARTNERED WITH A LOCAL EARLY INTERVENTION PROGRAM TO PROVIDE PRE-DISCHARGE MEETINGS WITH EARLY INTERVENTION STAFF. EARLY INTERVENTION STAFF EDUCATED PARENTS ABOUT SERVICES AND SUPPORTS AVAILABLE TO INFANTS, YOUNG CHILDREN AND THEIR FAMILIES THROUGH THE PROGRAM. THROUGH A PARTNERSHIP WITH THE CAPE & ISLANDS UNITED WAY, CCHC COMMUNITY BENEFITS SUPPORTED THE STRONG FROM THE START INITIATIVE AIMED AT IMPROVING THE SOCIAL, EMOTIONAL AND DEVELOPMENTAL OUTCOMES FOR CHILDREN AGES 0-3 YEARS IN BARNSTABLE COUNTY. THE OBJECTIVES OF STRONG FROM THE START ARE TO STRENGTHEN FAMILIES, REDUCE ACHIEVEMENT AND WORD GAPS AND PROVIDE CHILDREN WITH THE SOCIAL, EMOTIONAL AND LANGUAGE SKILLS TO THRIVE IN SCHOOL AND IN LIFE.
CCHC COMMUNITY BENEFITS BUILT A COALITION OF MORE THAN 50	COMMUNITY ORGANIZATIONS TO SUPPORT THE QUALITY OF LIFE INITIATIVE. THE INITIATIVE PROVIDED GUEST SPEAKERS, MATERIALS AND HELPFUL TOOLS TO EDUCATE THE COMMUNITY ABOUT THE IMPORTANCE OF ADVANCE CARE PLANNING. IN ADDITION, CCHC COMMUNITY BENEFITS JOINED A COALITION OF MORE THAN 30 ORGANIZATIONS CALLED HEALTHY AGING CAPE COD. LED BY BARNSTABLE COUNTY DEPARTMENT OF HUMAN SERVICES, THE PURPOSE OF THE COALITION IS TO UNDERTAKE REGIONAL PLANNING THAT SUPPORTS OUR AGING DEMOGRAPHIC AND THEIR FAMILIES THROUGH CONVERSATIONS PROJECTS THAT ALIGN LOCAL EFFORTS WITH STATEWIDE EFFORTS TO BUILD AN AGE AND DEMENTIA-FRIENDLY MASSACHUSETTS. HEALTHY PARKS, HEALTHY PEOPLE, A PROGRAM SUPPORTED THROUGH A COLLABORATION BETWEEN CAPE COD HEALTHCARE, THE US NATIONAL PARK SERVICE, AND THE CAPE COD NATIONAL SEASHORE, CONTINUED WITH ITS FOCUS ON PROMOTING OPEN SPACE FOR PHYSICAL ACTIVITY AND WELLNESS. ACTIVITIES INCLUDED EDUCATIONAL EVENTS BY CCHC PHYSICIANS AND PHYSICAL THERAPISTS, A WALKING PROGRAM, AND A 5K WALK/RUN FOR RESIDENTS AND VISITORS OF CAPE COD. CCHC COMMUNITY BENEFITS GRANTS SUPPORTED ELDER SUICIDE PREVENTION TRAININGS THROUGH THE SAMARITANS OF CAPE COD, HPV VACCINATION AND CERVICAL CANCER EDUCATION FOR PROVIDERS, PARENTS AND YOUTH BY TEAM MAUREEN AND CHRONIC DISEASE AND MINDFULNESS PROGRAMS AT LOCAL FAMILY HOMELESS SHELTERS BY HOUSING ASSISTANCE CORPORATION ON CAPE COD. PLANS FOR NEXT REPORTING YEAR IN FY20, CCHC COMMUNITY BENEFITS WILL FOLLOW THE CHNA 20-22 GOALS AND STRATEGIC IMPLEMENTATION PLAN THE PRIORITY AREAS AND GOALS ARE STATED BELOW: 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 INSURE OUR COMMUNITY IS SERVED BY A STRONG, ADEQUATE HEALTHCARE WORKFORCE. FOOD/NUTRITION - FOSTER REGIONAL PARTNERSHIPS TO DEVELOP A FOOD SECURITY ASSESSMENT PROCESS. WORKPLAN ELEMENTS INTENDED TO SUPPORT ACHIEVEMENT OF THESE GOALS ARE AS FOLLOWS: 1) THE COMMUNITY ENGAGEMENT FOCUS IS ON INVOLVEMENT, COLLABORATION AND EMPOWERMENT. INTENTIONAL MODELING AND USE OF COMMON LANGUAGE AND DEFINITIONS, HEALTH INDICATORS, SMART MEASURES, BEST PRACTICES AND LEARNING/KNOWLEDGE SHARING WORKSHOPS AND EVENTS WILL BE INCORPORATED IN THE COMMUNITY BENEFITS PROCESSES. 2) THE EXPANSION OF LEADERSHIP TEAM(S) AND INTERSECTIONS WILL FOSTER INTERSECTIONALITY OF TRADITIONAL AND NON-TRADITIONAL STAKEHOLDERS. THE EXISTING COMMUNITY HEALTH COMMITTEE (CBAC) TEAM WILL INCLUDE MUNICIPAL GOVERNMENT AND PUBLIC HEALTH AGENT FOR A TOWN ON CAPE COD. A NEW INTERNAL PROGRAM COMMITTEE WILL BE DEVELOPED TO CROSS-POLLINATE THOUGHT AND COLLECTIVE LEADERSHIP FROM CCHC MIDDLE MANAGEMENT AND THE COMMUNITY HEALTH INITIATIVE COUNSEL WILL BE ASSEMBLED TO FOCUS ON SOCIAL DETERMINANTS OF HEALTH AND INSURE ALIGNMENT AND INTERSECTION WITH COMMUNITY HEALTH INITIATIVE AS IT RELATES TO DETERMINATION OF NEED AND COMMUNITY ENGAGEMENT. COMMUNITY BENEFITS PROGRAMS ANNUAL STRATEGIC GRANTS PROGRAM: CHRONIC AND INFECTIOUS DISEASE AND PREVENTION PROGRAM TYPE: COMMUNITY-CLINICAL LINKAGES. 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, HOUSING STABILITY/HOMELESSNESS, MENTAL ILLNESS AND MENTAL HEALTH, SUBSTANCE USE DISORDERS DON HEALTH PRIORITIES (OPTIONAL): BUILT ENVIRONMENT, 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-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, 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- INCOME AND POVERTY, 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, PORTUGUESE - ADDITIONAL TARGET POPULATION STATUS: DISABILITY 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 COMPLETED AS SCHEDULED. PARTNER NAME, DESCRIPTION AND WEB ADDRESS AIDS SUPPORT GROUP OF CAPE COD - PROVIDING HEPATITIS C EDUCATION AND TESTING OLDER CAPE COD RESIDENTS - WWW.ASGCC.ORG 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 UMASS & CAPE COD EXTENSION - TICK TESTING- WWW.CAPECODEXTENSION.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- WWW.HACONCAPECOD.ORG CAPE WELLNESS COLLABORATIVE - WELLNESS CARDS FOR INTEGRATIVE SERVICES- WWW.CAPEWELLNESS.ORG TEAM MAUREEN - HPV PREVENTION THROUGH CAPE - WIDE EDUCATION - YEAR 2- WWW.TEAMMAUREEN NATIONAL ALLIANCE ON MENTAL ILLNESS CAPE COD - MENTAL WELLNESS IN THE PORTUGUESE COMMUNITY- WWW.NAMICAPECOD SAMARITANS ON CAPE COD & THE ISLANDS - ELDER SUICIDE OUTREACH PREVENTION PROGRAM- WWW.CAPESAMARITANS.ORG YMCA CAPE COD - CHRONIC DISEASE PROGRAM COORDINATOR- WWW.YMCACAPECOD.ORG CAPE ABILITIES INC. - HEALTHY AGING INITIATIVE - WWW.CAPABILITIES.ORG CAPE COD CHILD DEVELOPMENT - FUN, FOOD AND FITNESS SCHOOL AGE PROGRAM - WWW.CCCDP.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 WELLSTRONG, INC - ARRIVING AND THRIVING AT WELLSTRONG IN RECOVERY - HTTP://WWW.WELLSTRONG.ORG/ CONTACT INFORMATION MARY PUMPHERY 297 NORTH STREET BUILDING 3, 3RD FLOOR HYANNIS, MA 02601 PHONE: 774-470-5506 DETAILED DESCRIPTION THE FY19 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 TWO OF THE FOUR HEALTH PRIORITIES IDENTIFIED IN THE FY17 - FY19 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 EDUCATION, COMMUNITY HEALTH CENTER PARTNERSHIP, HEALTH PROFESSIONAL/STAFF TRAINING, PREVENTION, SUPPORT GROUP EOHHS FOCUS ISSUE(S) (OPTIONAL): MENTAL ILLNESS AND MENTAL HEALTH, SUBSTANCE USE DISORDERS. DON HEALTH PRIORITIES (OPTIONAL): BUILT ENVIRONMENT, EDUCATION, SOCIAL ENVIRONMENT. HEALTH ISSUES: 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: DOMESTIC VIOLENCE HISTORY, INCARCERATION HISTORY, LGBT STATUS, REFUGEE/IMMIGRANT STATUS, VETERAN STATUS GOAL DESCRIPTION ENGAGE 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 UNDERWAY ALONG WITH EXTENDING SERVICE FOR INPATIENT GOAL DESCRIPTION RAISE AWARENESS: SUD IS PART OF MENTAL HEALTH AND MENTAL HEALTH ISSUES IN OUR BEHAVIORAL HEALTH PROGRAMS. GOAL STATUS ONGOING PARTNER NAME, DESCRIPTION AND WEB ADDRESS GOSNOLD, INC. - WWW.GOSNOLD.ORG BARNSTABLE COUNTY REGIONAL SUBSTANCE USE COUNCIL - WWW.BCHUMANSERVICES.NET/INITIATIVES/REGIONAL-SUBSTANCE-USE-COUNCIL/ OUTER CAPE HEALTH SERVICES - WWW.OUTERCAPE.ORG DUFFY HEALTH CENTER - WWW.DUFFYHEALTHCENTER.ORG COMMUNITY HEALTH CENTER OF CAPE COD - WWW.CHCOFCAPECOD.ORG HARBOR COMMUNITY HEALTH CENTER- HYANNIS - WWW.HHSI.US/LOCATIONS/HARBOR-COMMUNITY-HEALTH-CENTER-HYANNIS/ CONTACT INFORMATION: MARY PUMPHERY CAPE COD HEALTHCARE 297 NORTH STREET, BUILDING 3, 3RD FLOOR HYANNIS, MA, 02601 PHONE: 774-470-5506 PROGRAM DESCRIPTION - 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. SPECIALTY NETWORK FOR THE UNINSURED AND SUPPORT TO FEDERALLY QUALIFIED HEALTH CENTERS PROGRAM TYPE: COMMUNITY-CLINICAL LINKAGES. PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: YES PROGRAM HASHTAGS: COMMUNITY EDUCATION, COMMUNITY HEALTH CENTER PARTNERSHIP, PREVENTION. 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, SOCIAL ENVIRONMENT. HEALTH ISSUES: 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: NOT SPECIFIED - ENVIRONMENTS SERVED: ALL GENDER: ALL AGE GROUP: ALL RACE/ETHNICITY: ALL LANGUAGE: ALL - ADDITIONAL TARGET POPULATION STATUS: DISABILITY STATUS, DOMESTIC VIOLENCE HISTORY, INCARCERATION HISTORY, LGBT STATUS, REFUGEE/IMMIGRANT STATUS, VETERAN STATUS 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 17-19. GOAL STATUS SUPPORT FOR COMMUNITY NAVIGATORS, BEHAVIORAL HEALTH AND DENTAL EXPANSION HAS BENEFITTED THE CONTINUUM OF CARE. 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/ CONTACT INFORMATION: MARY PUMPHERY CAPE COD HEALTHCARE 297 NORTH STREET, BUILDING 3, 3RD FLOOR HYANNIS, MA, 02601 PHONE: 774-470-5506 PROGRAM DESCRIPTION - CAPE COD HEALTHCARE COMMUNITY BENEFITS PROVIDES ANNUAL GRANT SUPPORT TO HARBOR COMMUNITY HEALTH CENTER - HYANNIS TO COORDINATE THE SPECIALTY NETWORK FOR THE UNINSURED (SNU). THE SNU PROGRAM INCREASES ACCESS TO SPECIALTY CARE FOR UNINSURED AND UNDER-INSURED RESIDENTS OF BARNSTABLE COUNTY THROUGH MANAGING A NETWORK OF MEDICAL SPECIALISTS WHO PROVIDE OFFICE VISITS, PROCEDURES AND CONTINUED CARE OF UNINSURED AND UNDER-INSURED INDIVIDUALS. CCHC CANCER SUPPORT SERVICES AND SURVIVORSHIP ACTIVITIES PROGRAM TYPE: COMMUNITY-CLINICAL LINKAGES. 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): BUILT ENVIRONMENT, 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 PSYCHOSOCIAL SUPPORT TO OVER 3,000 PATIENTS. TIMEFRAME: YEAR 1 OF 3 GOAL STATUS AN ESTIMATED 5000 PATIENTS WERE SERVICED. GOAL DESCRIPTION SUPPORT GROUPS WILL BE PROVIDED TO PATIENTS AND FAMILIES. TIMEFRAME: YEAR 3 OF 3 GOAL STATUS SUPPORT GROUPS WERE PROVIDED TO PATIENTS AND FAMILIES GOAL DESCRIPTION HOST A CANCER SURVIVORSHIP DAY EVENT TO CELEBRATE SURVIVORS, INSPIRE THOSE RECENTLY DIAGNOSED AND SUPPORT FAMILIES AND CAREGIVERS. TIMEFRAME: YEAR 3 OF 3 GOAL STATUS CANCER SURVIVORSHIP DAY WAS ATTENDED BY 160 SURVIVORS AND 95 GUESTS. GOAL DESCRIPTION THROUGH A GRANT FROM THE AMERICAN CANCER SOCIETY, CCHC WILL OFFER AN ONCOLOGY NUTRITION PROGRAM TO IMPROVE PATIENTS' QUALITY OF LIFE AND OUTCOMES. TIMEFRAME: YEAR 3 OF 3 GOAL STATUS DIETICIAN WAS PROVIDED THREE DAYS PER WEEK. 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 CONTACT INFORMATION: MARY PUMPHERY CAPE COD HEALTHCARE 297 NORTH STREET, BUILDING 3, 3RD FLOOR HYANNIS, MA, 02601 PHONE: 774-470-5506 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. A NEW ONCOLOGY NUTRITION PROGRAM WAS STARTED IN FY18 AND CANCER SURVIVORSHIP IS CELEBRATED, SUPPORTED AND RECOGNIZED WITHIN HOSPITAL DEPARTMENTS AND IN THE COMMUNITY.
HEALTH EDUCATION AND SUPPORT SERVICES FOR WELLNESS AT CAPE COD	HOSPITAL AND FALMOUTH HOSPITAL 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. DON HEALTH PRIORITIES (OPTIONAL): EDUCATION, SOCIAL ENVIRONMENT. HEALTH ISSUES: CHRONIC DISEASE-DIABETES, CHRONIC DISEASE-HYPERTENSION, CHRONIC DISEASE-OSTEOPOROSIS, CHRONIC DISEASE-OVERWEIGHT AND OBESITY, CHRONIC DISEASE-PULMONARY DISEASE, CHRONIC DISEASE-STROKE, HEALTH BEHAVIORS/MENTAL HEALTH-BEREAVEMENT, HEALTH BEHAVIORS/MENTAL HEALTH-STRESS MANAGEMENT, 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-SENIOR HEALTH CHALLENGES/CARE COORDINATION, SOCIAL DETERMINANTS OF HEALTH-EDUCATION/LEARNING. 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 PROVIDE HEALTH EDUCATION AND SUPPORT ACTIVITIES FOR THE COMMUNITY ON A CONTINUUM OF ISSUES INCLUDING, BUT NOT LIMITED TO, CHRONIC DISEASE PREVENTION, SCREENING AND SELF-MANAGEMENT FOR CONDITIONS SUCH AS CANCER, HEART DISEASE, AND DIABETES, BREASTFEEDING AND PARENTING, BEHAVIORAL HEALTH, AND CULTURAL COMPETENCY IN CARE. TIMEFRAME: YEAR 3 OF 3 GOAL STATUS EDUCATION AND SUPPORT ACTIVITIES ARE ONGOING AND SUSTAINING AND UTILIZATION IS INCREASING. PARTNER NAME, DESCRIPTION AND WEB ADDRESS AMERICAN CANCER SOCIETY - WWW.CANCER.ORG VISITING NURSES ASSOCIATION OF CAPE COD - WWW.VNACAPECOD.ORG YMCA CAPE COD - WWW.YMCACAPECOD.ORG CONTACT INFORMATION: MARY PUMPHERY CAPE COD HEALTHCARE 297 NORTH STREET, BUILDING 3, 3RD FLOOR HYANNIS, MA, 02601 PHONE: 774-470-5506 PROGRAM DESCRIPTION AT CAPE COD HOSPITAL AND FALMOUTH HOSPITAL, HEALTH EDUCATION AND OUTREACH ACTIVITIES, CLASSES, SUPPORT GROUPS AND SERVICES TO INCREASE WELLNESS ARE OFFERED TO THE COMMUNITY ACROSS A FEW DIFFERENT HEALTH AREAS. FROM MATERNITY DEPARTMENT TOURS AND NEW PARENTING CLASSES, TO COMMUNITY-BASED DIABETES AND STROKE EDUCATION, FALL PREVENTION CLASSES, BEREAVEMENT SUPPORT GROUPS AND ADVANCE CARE PLANNING PRESENTATIONS, THE HOSPITALS DEDICATE CLINICAL STAFF AND RESOURCES TO SUPPORT THE WELLNESS OF BARNSTABLE COUNTY RESIDENTS. COMMUNITY-BASED INTERPRETER SERVICES PROGRAM TYPE: COMMUNITY-CLINICAL LINKAGES. PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: YES PROGRAM HASHTAGS: PREVENTION. 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: DISABILITY STATUS, DOMESTIC VIOLENCE HISTORY, INCARCERATION HISTORY, LGBT STATUS, REFUGEE/IMMIGRANT STATUS, VETERAN STATUS. GOAL DESCRIPTION ASSIST MORE THAN 800 INDIVIDUALS WITH FREE MEDICAL INTERPRETERS IN COMMUNITY-BASED PRIMARY CARE AND SPECIALTY CARE SETTINGS. GOAL STATUS 984 ASSISTED. GOAL DESCRIPTION ANALYZE PROGRAM UTILIZATION DATA TO ASSESS REGIONAL MEDICAL INTERPRETATION NEEDS FOR PROGRAM EVALUATION. GOAL STATUS COMPLETED. 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 HARBOR COMMUNITY HEALTH CENTER HYANNIS - WWW.HHSI.US/CAPE-COD/HARBOR-COMMUNITY-HEALTH-CENTERHYANNIS/ CONTACT INFORMATION: MARY PUMPHERY CAPE COD HEALTHCARE 297 NORTH STREET, BUILDING 3, 3RD FLOOR HYANNIS, MA, 02601 PHONE: 774-470-5506 PROGRAM DESCRIPTION CCHC PROVIDES FREE MEDICAL LANGUAGE INTERPRETERS TO COMMUNITY BASED PHYSICIAN OFFICES 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. HEALTHY PARKS, HEALTHY PEOPLE: A COLLABORATION BETWEEN CAPE COD HEALTHCARE AND THE CAPE COD NATIONAL SEASHORE PROGRAM TYPE: TOTAL POPULATION OR COMMUNITY-WIDE INTERVENTIONS. PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: YES PROGRAM HASHTAGS: COMMUNITY EDUCATION, PREVENTION. EOHHS FOCUS ISSUE(S) (OPTIONAL): N/A. DON HEALTH PRIORITIES (OPTIONAL): BUILT ENVIRONMENT, EDUCATION, SOCIAL ENVIRONMENT. HEALTH ISSUES: CHRONIC DISEASE-CARDIAC DISEASE, CHRONIC DISEASE-DIABETES, CHRONIC DISEASE-HYPERTENSION, CHRONIC DISEASE-OSTEOPOROSIS, CHRONIC DISEASE-OVERWEIGHT AND OBESITY, HEALTH BEHAVIORS/MENTAL HEALTH-DEPRESSION, HEALTH BEHAVIORS/MENTAL HEALTH-PHYSICAL ACTIVITY, HEALTH BEHAVIORS/MENTAL HEALTH-STRESS MANAGEMENT, SOCIAL DETERMINANTS OF HEALTH-EDUCATION/LEARNING,. 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 INCREASE THE NUMBER OF RESIDENTS PARTICIPATING IN THE HEALTH PARKS, HEALTHY PEOPLE SEASONAL WALKING PROGRAM AND 5K RUN/WALK AIMED AT IMPROVING HEALTH KNOWLEDGE AND AWARENESS OF FREE AND OPEN SPACES FOR PHYSICAL ACTIVITY. GOAL STATUS INCREASED PARTICIPATION BY 15 PEOPLE. PARTNER NAME, DESCRIPTION AND WEB ADDRESS NOT SPECIFIED NOT SPECIFIED CONTACT INFORMATION: MARY PUMPHERY CAPE COD HEALTHCARE 297 NORTH STREET, BUILDING 3, 3RD FLOOR HYANNIS, MA, 02601 PHONE: 774-470-5506 PROGRAM DESCRIPTION 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.
PRESCRIPTION ASSISTANCE PROGRAM FOR VULNERABLE POPULATIONS:	CAPE COD HOSPITAL AND FALMOUTH HOSPITAL PROGRAM TYPE: COMMUNITY-CLINICAL LINKAGES. PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: NO PROGRAM HASHTAGS: NOT SPECIFIED. EOHHS FOCUS ISSUE(S) (OPTIONAL): CHRONIC DISEASE WITH FOCUS ON CANCER, HEART DISEASE, AND DIABETES. DON HEALTH PRIORITIES (OPTIONAL): BUILT ENVIRONMENT. HEALTH ISSUES: SOCIAL DETERMINANTS OF HEALTH-ACCESS TO HEALTH CARE. TARGET POPULATION: REGIONS SERVED: COUNTY-BARNSTABLE - ENVIRONMENTS SERVED: ALL GENDER: ALL AGE GROUP: ALL RACE/ETHNICITY: ALL LANGUAGE: ALL - ADDITIONAL TARGET POPULATION STATUS: DISABILITY STATUS. GOAL DESCRIPTION ASSIST RESIDENTS WHO ARE UNABLE TO AFFORD MEDICATIONS TO ENSURE COMPLIANCE WITH HOSPITAL DISCHARGE PLANNING. GOAL STATUS ONGOING ASSISTANCE OCCURS THROUGH PHARMACIES AT CAPE COD HOSPITAL AND FALMOUTH HOSPITAL. PARTNER NAME, DESCRIPTION AND WEB ADDRESS CAPE COD HOSPITAL - WWW.CAPECODHEALTH.ORG FALMOUTH HOSPITAL - WWW.CAPECODHEALTH.ORG CONTACT INFORMATION: MARY PUMPHERY CAPE COD HEALTHCARE 297 NORTH STREET, BUILDING 3, 3RD FLOOR HYANNIS, MA, 02601 PHONE: 774-470-5506 PROGRAM DESCRIPTION - THE PRESCRIPTION ASSISTANCE PROGRAM IS 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. BARNSTABLE COUNTY TICK DISEASE TESTING AND EDUCATION PROJECT PROGRAM TYPE: TOTAL POPULATION OR COMMUNITY-WIDE INTERVENTIONS. PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: YES PROGRAM HASHTAGS: COMMUNITY EDUCATION, HEALTH SCREENING, PREVENTION. EOHHS FOCUS ISSUE(S) (OPTIONAL): N/A. DON HEALTH PRIORITIES (OPTIONAL): BUILT ENVIRONMENT, EDUCATION. HEALTH ISSUES: INFECTIOUS DISEASE-LYME DISEASE. 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 PROVIDE UP TO 1,500 SUBSIDIZED TICK TESTS FOR BARNSTABLE COUNTY RESIDENTS. TESTING TO INCLUDE: IDENTIFICATION OF TICK SPECIES AND LIFE STAGE, HIGH RESOLUTION MICROGRAPHS OF TICK, ASSESSMENT OF FEEDING STATUS, AND SECURE PRIVATE DELIVERY OF PATHOGEN TESTING RESULTS. TIMEFRAME: YEAR 3 OF 3. GOAL STATUS ACTUAL TICK TESTS 1,112. GOAL DESCRIPTION PROVIDE COUNTY-WIDE SURVEILLANCE DATA FOR USE BY MEDICAL PROVIDERS AND PUBLIC HEALTH OFFICIALS. THE DETECTION OF ONE OR MORE PATHOGENS IN TICKS WILL BE REPORTED. TIMEFRAME: YEAR 3 OF 3. GOAL STATUS PROVIDED. GOAL DESCRIPTION THE CAPE COD EXTENSION WILL DEVELOP, PRODUCE AND RELEASE AN ONLINE SERIES OF TICK DISEASE EDUCATION AND PREVENTION VIDEOS FOR THE PUBLIC FEATURING A LOCAL EPIDEMIOLOGIST. THE ONLINE VIDEOS WILL BE PROMOTED ACROSS THE COUNTY VIA PUBLIC LOCATIONS INCLUDING SCHOOLS, LIBRARIES, COUNCILS ON AGING AND OTHER CIVIC GATHERING LOCATIONS. TIMEFRAME: YEAR 3 OF 3. GOAL STATUS OUTREACH EDUCATION COMPLETED AS DESCRIBED. PARTNER NAME, DESCRIPTION AND WEB ADDRESS CAPE COD COOPERATIVE EXTENSION - WWW.CAPECODEXTENSION.ORG UMASS LABORATORY OF MEDICAL ZOOLOGY - WWW.TICKDISEASES.ORG CONTACT INFORMATION: MARY PUMPHERY CAPE COD HEALTHCARE 297 NORTH STREET, BUILDING 3, 3RD FLOOR HYANNIS, MA, 02601 PHONE: 774-470-5506 PROGRAM DESCRIPTION - CCHC COMMUNITY BENEFITS PROVIDED GRANT FUNDING TO SUBSIDIZE A TICK-BORNE PATHOGEN TESTING PROGRAM AND EXPANDED TICK-BORNE DISEASE PREVENTION EDUCATION FOR RESIDENTS OF BARNSTABLE COUNTY. TICK-TESTING AND REPORTING WAS CONDUCTED BY THE UMASS LABORATORY OF MEDICAL ZOOLOGY. THE CAPE COD COOPERATIVE EXTENSION DEVELOPED, PRODUCED AND RELEASED TO THE PUBLIC A 10-PART ONLINE VIDEO SERIES TITLED "TICKOLOGY" PROVIDING EASILY ACCESSIBLE COMMUNITY EDUCATION ON TICK DISEASE PREVENTION BY LOCAL EPIDEMIOLOGISTS. TRANSPORTATION ASSISTANCE PROGRAM FOR VULNERABLE POPULATIONS: CAPE COD HOSPITAL AND FALMOUTH HOSPITAL (SDOH) PROGRAM TYPE: COMMUNITY-CLINICAL LINKAGES. PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: YES PROGRAM HASHTAGS: COMMUNITY EDUCATION, 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, SUBSTANCE USE DISORDERS, DON HEALTH PRIORITIES (OPTIONAL): BUILT ENVIRONMENT, 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-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-STROKE, HEALTH BEHAVIORS/MENTAL HEALTH-DEPRESSION, HEALTH BEHAVIORS/MENTAL HEALTH-MENTAL HEALTH, OTHER-SENIOR HEALTH CHALLENGES/CARE COORDINATION, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO TRANSPORTATION, SUBSTANCE ADDICTION-ALCOHOL USE, SUBSTANCE ADDICTION-DRIVING UNDER THE INFLUENCE, 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: DISABILITY STATUS, DOMESTIC VIOLENCE HISTORY, INCARCERATION HISTORY, LGBT STATUS, REFUGEE/IMMIGRANT STATUS, VETERAN STATUS. GOAL DESCRIPTION ASSIST RESIDENTS WHO ARE UNABLE TO AFFORD OR ACCESS TRANSPORTATION TO ENSURE COMPLIANCE WITH THEIR DISCHARGE PLAN. TIMEFRAME: YEAR 1 OF 1. GOAL STATUS ACUITY/LYFT UTILIZED AT BOTH HOSPITALS IN ADDITION TO LOCAL TAXI VOUCHER SYSTEM. PARTNER NAME, DESCRIPTION AND WEB ADDRESS LOCAL TAXI COMPANIES - N/A ACUITY/LYFT - SCHEDULING & TRANSPORTATION - HTTPS://WWW.ACUITY-LINK.NET/PARTNERSHIP-LYFT-ACUITY-LINKNOW-OFFERS-FULL-SU ITE-MEDICAL-TRANSPORTATION-OPTIONSHEALTHCARE-PROVIDERS CONTACT INFORMATION: MARY PUMPHERY CAPE COD HEALTHCARE 297 NORTH STREET, BUILDING 3, 3RD FLOOR HYANNIS, MA, 02601 PHONE: 774-470-5506 PROGRAM DESCRIPTION - IN AN EFFORT TO ASSIST LOW-INCOME AND VULNERABLE POPULATIONS, CAPE COD HOSPITAL AND FALMOUTH HOSPITAL PROVIDED ACCESS TO TRANSPORTATION UPON DISCHARGE FROM EMERGENCY AND BEHAVIORAL HEALTH DEPARTMENTS, TO THOSE PATIENTS WITHOUT RESOURCES FOR TRANSPORTATION.
WORKFORCE AND CAREER DEVELOPMENT INITIATIVES:	CAPE COD HEALTHCARE (SDOH) PROGRAM TYPE: INFRASTRUCTURE TO SUPPORT CB COLLABORATION. PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: YES PROGRAM HASHTAGS: COMMUNITY EDUCATION, HEALTH PROFESSIONAL/STAFF TRAINING, MENTORSHIP/CAREER TRAINING/INTERNSHIP 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, EMPLOYMENT, SOCIAL ENVIRONMENT. HEALTH ISSUES: SOCIAL DETERMINANTS OF HEALTH-EDUCATION/LEARNING. TARGET POPULATION: REGIONS SERVED: COUNTY-BARNSTABLE - ENVIRONMENTS SERVED: ALL GENDER: ALL AGE GROUP: ALL RACE/ETHNICITY: ALL LANGUAGE: ALL - ADDITIONAL TARGET POPULATION STATUS: DISABILITY STATUS, LGBT STATUS, REFUGEE/IMMIGRANT STATUS, VETERAN 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 2 OF 3. GOAL STATUS WORKFORCE SHORTAGE HAS LIMITED EXPANSION OF STUDENT SUPERVISION. PARTNER NAME, DESCRIPTION AND WEB ADDRESS BARNSTABLE HIGH SCHOOL - WWW.BARNSTABLE.K12.MA.US CAPE COD COMMUNITY COLLEGE - WWW.CAPECOD.EDU/ CAPE COD REGIONAL TECHNICAL HIGH SCHOOL - WWW.CAPETECH.US MA COLLEGE OF PHARMACY AND HEALTH SCIENCES - WWW.MCPHS.EDU THE RIVERVIEW SCHOOL - WWW.RIVERVIEWSCHOOL.ORG UNIVERSITY OF MASSACHUSETTS - WWW.MASSACHUSETTS.EDU/ UPPER CAPE REGIONAL TECHNICAL SCHOOL - WWW.UPPERCAPETECH.COM/ CONTACT INFORMATION: MARY PUMPHERY CAPE COD HEALTHCARE 297 NORTH STREET, BUILDING 3, 3RD FLOOR HYANNIS, MA, 02601 PHONE: 774-470-5506 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. FOOD: FISH FOR FAMILIES (SDOH) PROGRAM TYPE: TOTAL POPULATION OR COMMUNITY-WIDE INTERVENTIONS. PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: YES PROGRAM HASHTAGS: COMMUNITY EDUCATION, HEALTH SCREENING, PREVENTION. EOHHS FOCUS ISSUE(S) (OPTIONAL): CHRONIC DISEASE WITH FOCUS ON CANCER, HEART DISEASE, AND DIABETES. DON HEALTH PRIORITIES (OPTIONAL): BUILT ENVIRONMENT, EDUCATION, SOCIAL ENVIRONMENT. HEALTH ISSUES: SOCIAL DETERMINANTS OF HEALTH-ACCESS TO HEALTHY FOOD, SOCIAL DETERMINANTS OF HEALTH-INCOME AND POVERTY, SOCIAL DETERMINANTS OF HEALTH-NUTRITION. TARGET POPULATION: REGIONS SERVED: BARNSTABLE, BOURNE, BREWSTER, CHATHAM, DENNIS, EASTHAM, FALMOUTH, HARWICH, MASHPEE, ORLEANS, PROVINCETOWN, SANDWICH, TRURO, WELLFLEET, YARMOUTH, ENVIRONMENTS SERVED: ALL GENDER: ALL - AGE GROUP: ALL, ELDERLY - RACE/ETHNICITY: ALL LANGUAGE: ALL, PORTUGUESE, SPANISH - ADDITIONAL TARGET POPULATION STATUS: DISABILITY STATUS, DOMESTIC VIOLENCE HISTORY, INCARCERATION HISTORY, LGBT STATUS, REFUGEE/IMMIGRANT STATUS, VETERAN STATUS. GOAL DESCRIPTION EXPAND THE FISH FOR FAMILIES OFFERINGS THROUGH FOUR DISTRIBUTIONS WITH THE CAPE COD HUNGER NETWORK AND THE FAMILY, PANTRY OF CAPE COD. TARGET IS FOUR DISTRIBUTION SITES. TIMEFRAME: YEAR 1 OF 1. GOAL STATUS ACHIEVED. GOAL DESCRIPTION PROVIDE AT LEAST 8000 POUNDS OF SEAFOOD AT NO COST TO ELDERLY AND ECONOMICALLY CHALLENGED CAPE COD RESIDENTS. TIMEFRAME: YEAR 1 OF 1. GOAL STATUS EXCEEDED. ACTUAL: 8720 POUNDS. GOAL DESCRIPTION CREATE CONNECTIONS BETWEEN FISHING COMMUNITY AND HUNGER NETWORK COMMUNITY; INCREASING SUPPORT FOR LOCAL SEAFOOD. TIMEFRAME: YEAR 1 OF 1. GOAL STATUS ACHIEVED. PARTNER NAME, DESCRIPTION AND WEB ADDRESS CAPE COD COMMERCIAL FISHERMAN'S ALLIANCE - HTTPS://CAPECODFISHERMEN.ORG/ THE FAMILY PANTRY OF CAPE COD - THE FAMILY PANTRY OF CAPE COD IS A NON-PROFIT, NONDENOMINATIONAL ACTIVITY DEDICATED TO SERVING THE NEEDS OF THE LESS FORTUNATE OF CAPE COD - HTTPS://WWW.THEFAMILYPANTRY.COM/ABOUT-US THE CAPE COD HUNGER NETWORK - HTTP://WWW.CAPECODHUNGERNETWORK.ORG/ CAPE COD COUNCILS ON AGING SERVING TOGETHER - COAST COUNCILS ON AGING DIRECTORS COUNCIL DEDICATED TO REGIONAL AND LOCAL SOLUTIONS - HTTPS://WWW.FACEBOOK.COM/CAPECODCOAST CONTACT INFORMATION: MARY PUMPHERY CAPE COD HEALTHCARE 297 NORTH STREET, BUILDING 3, 3RD FLOOR HYANNIS, MA, 02601 PHONE: 774-470-5506 PROGRAM DESCRIPTION - FISHERMEN PROVIDE FISH TO FLASH FREEZE FOR FOOD PANTRY DISTRIBUTION.
FUNCTIONAL EXPENSE NOTE	FORM 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 6	CAPE COD HEALTHCARE, INC.'S VOLUNTEERS INCLUDE ITS TRUSTEES.
FORM 990, PART VI, LINE 2	TRUSTEES AND OFFICERS SIT ON THE BOARDS OF THE FOLLOWING: CAPE HEALTH INSURANCE COMPANY: MICHAEL K LAUF MICHAEL L CONNORS MICHAEL G JONES BRUCE JOHNSTON ROBERT M BIRMINGHAM ACHILLES PAPAVASILIOU, MD THE MEMBERS OF CAPE COD HEALTHCARE, INC.'S BOARD ALSO SIT ON THE BOARD OF CAPE COD MEDICAL OFFICE BUILDING AND EMERALD PHYSICIAN SERVICES, LLC (THROUGH MAY 1, 2019), FOR-PROFIT RELATED ORGANIZATIONS. FOR-PROFIT RELATED ORGANIZATIONS.
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 11B	THE 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, WITH THE EXCEPTION OF AN ANONYMOUS DONOR, IS PROVIDED TO THE FINANCE COMMITTEE AND THE ENTIRE BOARD IN ADVANCE OF THE FILING DEADLINE.
FORM 990, PART VI, LINE 12	THE 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 15	THE 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 19	THE 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, SECTION A TITLE FOR REBECCA FRANCE: VP PATIENT FINANCIAL SERVICES & REVENUE CYCLE (UNTIL 6/12/18)
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 B	WITH 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 9	Net assets released from restriction: (6,148,283) Transfer to/from affiliates: (6,294,714) Change in value of split interest agreement: (27,045) Change in value beneficial interest: (399,866) Other changes to net assets: (2,269,418) Contributions Elimination: 9,130,467

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	CAPE COD HEALTHCARE INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	297 NORTH STREET BLDG 3	AddressLine1Txt
City	HYANNIS	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02601	ZIPCd

Field	Value	IRS element (for citing)
EIN	222600704	EIN
Primary Activities	PARENT CORP	PrimaryActivitiesTxt
Legal Domicile State	MA	LegalDomicileStateCd
Exempt Code Section	501(c) (3)	ExemptCodeSectionTxt
Public Charity Status	10	PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Controlled Organization	Yes (true)	ControlledOrganizationInd

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	CAPE AND ISLAND ENDOSCOPY CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	700 ATTUCKS LANE	AddressLine1Txt
City	HYANNIS	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02601	ZIPCd

Field	Value	IRS element (for citing)
Primary Activities	ENDOSCOPY CEN	PrimaryActivitiesTxt
Legal Domicile State	MA	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1Txt

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Legal Domicile StateLegalDomicileStateCd	OwnershipOwnershipPct
CAPE HEALTH INSURANCE COMPANY
PO BOX 1051GT	GRAND CAYMAN	CJ	981230418	INSURANCE	CJ	CAPE COD HLTHCR	C CORP	$0	$0	Yes (true)
CAPE COD MEDICAL OFFICE BUILDING INC
			042423073	RENTAL SRVCE		NA	C CORP	$0	$15,000	Yes (true)	27 PARK STREET	HYANNIS	MA	02601	MA	1.00000
POOLED INCOME FUNDS (2)
				SUPPORT		NA				Yes (true)					MA
EMERALD PHYSICIAN SERVICES LLC
			043369730	PRIMARY CARE		EMERALD TRUST	S CORP	$11,075,323	$11,030,361	Yes (true)	25 COMMUNICATION WAY	HYANNIS	MA	02601	MA	1.00000
EMERALD PHYSICIANS MEMBER TRUST
			467220648	EMRLD SHAREHO		MACC	TRUST	$0	$0	Yes (true)	297 NORTH STREET BLDG 3	HYANNIS	MA	02601	MA	1.00000
CHARITABLE REMAINDER TRUSTS (20)
				SUPPORT		NA				Yes (true)					MA

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	CAPE HEALTH INSURANCE COMPANY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	R	TransactionTypeTxt
Involved	$6,512,209	InvolvedAmt
Method Of Amount Determination	FMV	MethodOfAmountDeterminationTxt