CAPE COD HEALTHCARE INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: CAPE COD HEALTHCARE INC (EIN 90-0054984)
Tax period: 2013-10-01 to 2014-09-30
Filed: 2015-08-14
IRS object ID: 201532269349302388
Schema version: 2013v4.0
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 J
Schedule K
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R
Affiliate Listing

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-08-14T13:21:38-05:00	ReturnTs
Tax Period End	2014-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	125 High Street	AddressLine1
City	Boston	City
State	MA	State
ZIP Code	02110	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-10-01	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	BusinessNameLine1

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	25 COMMUNICATION WAY	AddressLine1
Address Line2	Suite	AddressLine2
City	HYANNIS	City
State	MA	State
ZIP Code	02601	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MICHAEL L CONNORS	PersonNm
Person Title	SR VP FINANCE/CFO	PersonTitleTxt
Phone	5087711800	PhoneNum
Signature	2015-08-10	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	5087711800	PhoneNum

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2016-04-25 22:37:26Z	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	25 COMMUNICATION WAY	AddressLine1
City	HYANNIS	City
State	MA	State
ZIP Code	02601	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$752,058,739	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	16	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	5135	TotalEmployeeCnt
Total Volunteers	871	TotalVolunteersCnt
Total Gross UBI	$3,779,069	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$1,059,076	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$17,223,613	PYContributionsGrantsAmt
CY Contributions Grants	$9,458,675	CYContributionsGrantsAmt
PY Program Service Revenue	$698,271,349	PYProgramServiceRevenueAmt
CY Program Service Revenue	$730,482,375	CYProgramServiceRevenueAmt
PY Investment Income	$6,961,356	PYInvestmentIncomeAmt
CY Investment Income	$9,927,971	CYInvestmentIncomeAmt
PY Other Revenue	$2,111,122	PYOtherRevenueAmt
CY Other Revenue	$2,138,383	CYOtherRevenueAmt
PY Total Revenue	$724,567,440	PYTotalRevenueAmt
CY Total Revenue	$752,007,404	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$409,611,935	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$390,464,660	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$81,984	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$3,195,948	CYTotalFundraisingExpenseAmt
PY Other Expenses	$269,695,585	PYOtherExpensesAmt
CY Other Expenses	$323,213,210	CYOtherExpensesAmt
PY Total Expenses	$679,307,520	PYTotalExpensesAmt
CY Total Expenses	$713,759,854	CYTotalExpensesAmt
PY Revenues Less Expenses	$45,259,920	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$38,247,550	CYRevenuesLessExpensesAmt
Total Assets BOY	$777,546,154	TotalAssetsBOYAmt
Total Assets EOY	$840,539,548	TotalAssetsEOYAmt
Total Liabilities BOY	$273,721,096	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$294,045,499	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$503,825,058	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$546,494,049	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	$643,557,734	ExpenseAmt
Revenue	$730,482,375	RevenueAmt
Desc	PATIENT SERVICES - SEE SCHEDULES H AND O	Desc
Prog Srvc Accom Acty2		ProgSrvcAccomActy2Grp
Total Program Service Expenses	$643,557,734	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	false	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	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	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	129	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	5135	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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	GoverningBodyVotingMembersCnt
Independent Voting Member	9	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	Yes (true)	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	5089578540	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	25 COMMUNICATION WAY	AddressLine1
City	HYANNIS	City
State	MA	State
ZIP Code	02601	ZIPCode

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

Form990 Part VII Section A Form990PartVIISectionAGrp (39 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
ROBERT BIRMINGHAM
TRUSTEE	2.0	2.0	Yes (X)
ELEANOR CLAUS
TRUSTEE	2.0	2.0	Yes (X)
HOWARD CROW JR
TRUSTEE	2.0	2.0	Yes (X)
PHILIP MCLOUGHLIN
TRUSTEE	2.0	2.0	Yes (X)
MICHAEL K LAUF
PRESIDENT/CEO/TRUSTEE	55.0	5.0	Yes (X)	Yes (X)	$0	$1,075,126	$225,138
GROVER BAXLEY MD
TRUSTEE - SEE SCH J, PART III	40.0	2.0	Yes (X)		$295,248	$0	$12,171
NATE RUDMAN MD
TRUSTEE	2.0	2.0	Yes (X)
JOEL CROWELL
TRUSTEE	2.0	2.0	Yes (X)
SUZANNE FAY GLYNN ESQ
TRUSTEE	2.0	2.0	Yes (X)
PATRICK M FLYNN MD
TRUSTEE FROM 2/14	2.0	2.0	Yes (X)		$110,158	$0	$0
DEWITT DAVENPORT
TRUSTEE/VICE CHAIR FROM 5/14	2.0	2.0	Yes (X)	Yes (X)
DIANE COLETTI
TRUSTEE	2.0	2.0	Yes (X)
WILLIAM AGEL MD
TRUSTEE - SEE SCH J, PT III	40.0	2.0	Yes (X)		$483,444	$0	$44,538
DOUGLAS MANN MD
TRUSTEE UNTL 1/14 SCH J PT III	2.0	2.0	Yes (X)		$32,400	$0	$0
THOMAS WROE JR
CHAIRMAN/TRUSTEE	2.0	2.0	Yes (X)	Yes (X)
WILLIAM ZAMMER
SEE SCHEDULE O FOR TITLE	2.0	2.0	Yes (X)	Yes (X)
SUMNER B TILTON JR
TRUSTEE/TREASURER	2.0	2.0	Yes (X)	Yes (X)
MICHAEL G JONES
Sr VP Chief Legal Off/Clerk	55.0	5.0		Yes (X)	$0	$419,610	$75,386
MICHAEL L CONNORS
SENIOR VP FINANCE/CFO	55.0	5.0		Yes (X)	$0	$487,113	$82,835
CHRISTOPHER O'CONNOR
SVP DEVELOPMENT (UNTIL 3/13)	45.0	5.0			$0	$97,102	$18,836	Yes (X)
DIANNE C KOLB
President VNA	45.0	5.0			$0	$277,287	$61,550	Yes (X)
SUSAN M WING
INTERIM COO FAL 8/13-12/13	45.0	5.0			$0	$110,724	$19,649	Yes (X)
DAVID RYAN
VP of HR (until 2/13)	45.0	5.0			$0	$272,217	$14,241	Yes (X)
JEANNE FALLON
SR VP & CIO	45.0	5.0			$0	$299,580	$65,686	Yes (X)
ROBERT KLEINBAUER
President - MACC	45.0	5.0			$0	$223,565	$54,805	Yes (X)
JEFFREY S DYKENS
VP FI-12/13,COO FAL HOSPITAL	45.0	5.0			$0	$248,201	$57,824	Yes (X)
Patrick Kane
SVP OF MRKTG,COMMUN AND DEVLP	45.0	5.0			$0	$380,534	$55,040	Yes (X)
ARTHUR MOMBOURQUETTE
COO	45.0	5.0			$0	$472,874	$48,272	Yes (X)
THERESA M AHERN
SVP, STRAT, COMMUNITY/GOV REL.	45.0	5.0			$0	$257,035	$43,871	Yes (X)
JAMES BUTTERICK
CMO FAL HOSP 11/13-8/14	45.0	5.0			$0	$162,637	$31,071	Yes (X)
VICTOR OLIVEIRA
VP OF PATIENT SERVICES	45.0	5.0			$0	$277,425	$59,941	Yes (X)
JOHN LIPOMI
SR VP OF MANAGED CARE	45.0	5.0			$0	$429,345	$73,306	Yes (X)
DONALD GUADAGNOLI
CMO CAPE COD HOSPITAL	45.0	5.0			$0	$507,192	$90,340	Yes (X)
EMILY TIERNEY MD
PHYSICIAN	40.0				$1,440,608	$0	$36,462		Yes (X)
RICHARD B ZELMAN MD
PHYSICIAN	40.0				$1,364,900	$0	$44,538		Yes (X)
ACHILLE PAPAVASILIOU MD
PHYSICIAN	40.0				$984,676	$0	$61,374		Yes (X)
PAUL HOULE MD
PHYSICIAN	40.0				$919,788	$0	$59,077		Yes (X)
GORDON NAKATA MD
PHYSICIAN	40.0				$853,167	$0	$62,528		Yes (X)
RICHARD F SALLUZZO MD
FORMER PRESIDENT/CEO					$0	$407,371	$10,856			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,484,389	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$6,404,938	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,409,335	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	561	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 (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
CAPE COD EMERGENCY ASSOC
C/O DEPAOLA BEGG ASSOC 220 W MA	HYANNIS	MA	02601	PHYSICIAN SERVICES	$11,775,945
SWITCH GEARS
DEPARTMENT 3004 PO BOX 4110	WOBURN	MA	018884110	RENTAL SERVICES	$472,849
MCKESSON
PO BOX 630693	CINCINNATI	OH	452630693	MEDICAL SUPPLIES	$398,195
ENCLARA HEALTH
1480 IMPERIAL WAY	WEST DEPTFORD	NJ	08066	MEDICINE	$304,904
DELTA HEALTH TECHNOLOGIES
400 LAKEMONT PARK BLVD	ALTOON	PA	16602	BILLING SOFTWARE	$255,450

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	12	CntrctRcvdGreaterThan100KCnt
Fundraising	$18,900	FundraisingAmt
Government Grants	$1,352,560	GovernmentGrantsAmt
All Other Contributions	$8,087,215	AllOtherContributionsAmt
Noncash Contributions	$3,600,008	NoncashContributionsAmt
Total Contributions	$9,458,675	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE	900099	$703,410,779	$703,410,779
LABORATORY SERVICES	621500	$10,632,288	$7,190,769	$3,441,519
QUALITY EARNED PAYMENTS	900099	$4,719,306	$4,719,306
PROGRAM RELATED RENTAL INCOME	900099	$3,366,942	$3,029,392	$337,550
MEANINGFUL USE	900099	$3,932,228	$3,932,228

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,420,832	TotalRevenueColumnAmt
Related Or Exempt Func Income	$4,420,832	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$730,482,375	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,486,933	TotalRevenueColumnAmt
Exclusion	$3,486,933	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	$6,748,167	SecuritiesAmt
Other	-$307,129	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$6,748,167	SecuritiesAmt
Other	-$307,129	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,441,038	TotalRevenueColumnAmt
Exclusion	$6,441,038	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$101,475	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$18,900	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$51,335	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$50,140	TotalRevenueColumnAmt
Exclusion	$50,140	ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

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

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	$1,658,979	$1,658,979
MEDICAL RECORDS	900099	$166,021	$166,021
EMPLOYEE PHARMACY	900099	$263,243	$263,243

Field	Value	IRS element (for citing)
Other Revenue Total	$2,088,243	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$752,007,404	TotalRevenueColumnAmt
Related Or Exempt Func Income	$726,703,306	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,779,069	UnrelatedBusinessRevenueAmt
Exclusion	$12,066,354	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

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

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	$835,850	TotalAmt
Program Services	$835,850	ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$213,943	TotalAmt
Program Services	$213,943	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$299,176,528	TotalAmt
Program Services	$267,799,648	ProgramServicesAmt
Management And General	$30,524,412	ManagementAndGeneralAmt
Fundraising	$852,468	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$9,161,104	TotalAmt
Program Services	$7,906,029	ProgramServicesAmt
Management And General	$1,220,976	ManagementAndGeneralAmt
Fundraising	$34,099	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$60,898,125	TotalAmt
Program Services	$54,374,738	ProgramServicesAmt
Management And General	$6,360,624	ManagementAndGeneralAmt
Fundraising	$162,763	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$20,179,110	TotalAmt
Program Services	$17,778,779	ProgramServicesAmt
Management And General	$2,335,117	ManagementAndGeneralAmt
Fundraising	$65,214	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$5,404,201	TotalAmt
Program Services	$3,588,743	ProgramServicesAmt
Management And General	$1,815,458	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$165,510	TotalAmt
Program Services	$19,475	ProgramServicesAmt
Management And General	$146,035	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$720,475	TotalAmt
Program Services	$185,971	ProgramServicesAmt
Management And General	$534,504	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	$81,984	TotalAmt
Fundraising	$81,984	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,115,750	TotalAmt
Program Services	$97,454	ProgramServicesAmt
Management And General	$1,018,296	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$31,023,271	TotalAmt
Program Services	$31,023,271	ProgramServicesAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$751,128	TotalAmt
Program Services	$698,865	ProgramServicesAmt
Management And General	$52,263	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,530,524	TotalAmt
Program Services	$4,228,085	ProgramServicesAmt
Management And General	$275,281	ManagementAndGeneralAmt
Fundraising	$27,158	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$7,330,709	TotalAmt
Program Services	$6,638,808	ProgramServicesAmt
Management And General	$691,901	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$17,119,176	TotalAmt
Program Services	$15,869,630	ProgramServicesAmt
Management And General	$1,168,100	ManagementAndGeneralAmt
Fundraising	$81,446	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$3,899,701	TotalAmt
Program Services	$3,730,291	ProgramServicesAmt
Management And General	$169,410	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	$8,924,551	TotalAmt
Program Services	$8,048,462	ProgramServicesAmt
Management And General	$876,089	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$25,068,691	TotalAmt
Program Services	$22,740,045	ProgramServicesAmt
Management And General	$2,323,673	ManagementAndGeneralAmt
Fundraising	$4,973	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,065,731	TotalAmt
Program Services	$3,754,235	ProgramServicesAmt
Management And General	$307,842	ManagementAndGeneralAmt
Fundraising	$3,654	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$86,723,026	$86,723,026
ADMINISTRATION OFFICE	$51,485,344	$38,846,340	$12,147,552	$491,452
PURCHASED SERVICES	$41,986,094	$38,804,571	$3,125,639	$55,884
REPAIRS AND MAINTENANCE	$12,167,465	$11,048,102	$1,119,363

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$20,731,863	TotalAmt
Program Services	$18,603,373	ProgramServicesAmt
Management And General	$793,637	ManagementAndGeneralAmt
Fundraising	$1,334,853	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$713,759,854	TotalAmt
Program Services	$643,557,734	ProgramServicesAmt
Management And General	$67,006,172	ManagementAndGeneralAmt
Fundraising	$3,195,948	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$10,221,189	BOYAmt
EOY	$44,261,570	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$30,111,315	BOYAmt
EOY	$1,396,733	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$14,386,280	BOYAmt
EOY	$12,191,245	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$73,140,358	BOYAmt
EOY	$74,024,491	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	$5,572,180	BOYAmt
EOY	$8,717,855	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$9,381,662	BOYAmt
EOY	$9,739,041	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$6,397,099	BOYAmt
EOY	$7,338,565	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$633,005,253	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$351,340,130	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$269,928,790	BOYAmt
EOY	$281,665,123	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	$329,538,422	BOYAmt
EOY	$366,416,821	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$521,500	BOYAmt
EOY	$15,263,755	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$9,157,829	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$28,347,359	BOYAmt
EOY	$10,366,520	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$777,546,154	BOYAmt
EOY	$840,539,548	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$62,867,476	BOYAmt
EOY	$65,776,832	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	$426,495	BOYAmt
EOY	$483,185	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$177,437,324	BOYAmt
EOY	$193,474,770	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	$0	BOYAmt
EOY	$0	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	$32,989,801	BOYAmt
EOY	$34,310,712	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$273,721,096	BOYAmt
EOY	$294,045,499	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$423,316,971	BOYAmt
EOY	$461,827,422	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$51,783,242	BOYAmt
EOY	$53,273,519	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$28,724,845	BOYAmt
EOY	$31,393,108	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$503,825,058	BOYAmt
EOY	$546,494,049	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$777,546,154	BOYAmt
EOY	$840,539,548	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$38,247,550	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$4,403,962	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$17,479	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	$15,478,190	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$19,646,382	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$13,524,136	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$17,223,613	CurrentTaxYearMinus1YearAmt
Current Tax Year	$9,458,675	CurrentTaxYearAmt
Total	$75,330,996	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	$15,478,190	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$19,646,382	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$13,524,136	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$17,223,613	CurrentTaxYearMinus1YearAmt
Current Tax Year	$9,458,675	CurrentTaxYearAmt
Total	$75,330,996	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$2,081,564	SubstantialContributorsTotAmt
Public Support Total170	$73,249,432	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	-$5,020,229	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,811,992	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,203,229	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$680,260	CurrentTaxYearMinus1YearAmt
Current Tax Year	$3,486,933	CurrentTaxYearAmt
Total	$3,162,185	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,124,726	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$824,627	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$814,019	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$187,290	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,039,230	CurrentTaxYearAmt
Total	$3,989,892	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,898,552	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,879,867	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,261,728	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$2,163,050	CurrentTaxYearMinus1YearAmt
Current Tax Year	$2,088,243	CurrentTaxYearAmt
Total	$10,291,440	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$92,774,513	TotalSupportAmt
Gross Receipts Rltd Activities	$3,387,565,516	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.78954	PublicSupportCY170Pct
Public Support PY170	0.00000	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

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	$1	OtherActivitiesAmt
Total Lobbying Expenditures	$1	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	FALMOUTH HOSPITAL ASSOCIATION, INC. AND CAPE COD HOSPITAL PAY MEMBERSHIP DUES TO THE AMERICAN HOSPITAL ASSOCIATION AND MASSACHUSETTS HOSPITAL ASSOCIATION WHICH MAY ENGAGE IN LOBBYING ACTIVITIES. THEREFORE, A PORTION OF THE DUES MAY BE ATTRIBUTABLE TO LOBBYING ACTIVITIES.	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	$36,060,986	BeginningYearBalanceAmt
Contributions	$1,925,651	ContributionsAmt
Investment Earnings Or Losses	$1,613,999	InvestmentEarningsOrLossesAmt
Other Expenditures	$728,633	OtherExpendituresAmt
End Year Balance	$38,872,003	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$35,475,473	BeginningYearBalanceAmt
Contributions	$60,508	ContributionsAmt
Investment Earnings Or Losses	$1,238,094	InvestmentEarningsOrLossesAmt
Other Expenditures	$713,089	OtherExpendituresAmt
End Year Balance	$36,060,986	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$32,638,639	BeginningYearBalanceAmt
Contributions	$435,091	ContributionsAmt
Investment Earnings Or Losses	$3,092,757	InvestmentEarningsOrLossesAmt
Other Expenditures	$691,014	OtherExpendituresAmt
End Year Balance	$35,475,473	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$34,043,109	BeginningYearBalanceAmt
Contributions	$361,842	ContributionsAmt
Investment Earnings Or Losses	-$1,080,437	InvestmentEarningsOrLossesAmt
Other Expenditures	$685,875	OtherExpendituresAmt
End Year Balance	$32,638,639	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$31,383,995	BeginningYearBalanceAmt
Contributions	$1,110,670	ContributionsAmt
Investment Earnings Or Losses	$2,116,186	InvestmentEarningsOrLossesAmt
Other Expenditures	$567,742	OtherExpendituresAmt
End Year Balance	$34,043,109	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
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	$22,540,423	OtherCostOrOtherBasisAmt
Book Value	$22,540,423	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$359,453,254	OtherCostOrOtherBasisAmt
Depreciation	$143,423,763	DepreciationAmt
Book Value	$216,029,491	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,147,822	OtherCostOrOtherBasisAmt
Depreciation	$2,580,688	DepreciationAmt
Book Value	$567,134	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$244,834,458	OtherCostOrOtherBasisAmt
Depreciation	$204,671,313	DepreciationAmt
Book Value	$40,163,145	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,029,296	OtherCostOrOtherBasisAmt
Depreciation	$664,366	DepreciationAmt
Book Value	$2,364,930	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$281,665,123	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (5 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
LONG-TERM INVESTMENTS	$270,226,428	F
AGREEMENT / INDENTURE	$25,445,519	F
TEMP RESTRICTED INVESTMENTS	$36,360,153	F
PERM RESTRICTED INVESTMENTS	$31,313,108	F
SHORT TERM INVESTMENTS - FDN	$3,071,613	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$366,416,821	TotalBookValueSecuritiesAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
DUE TO AFFILIATES	$14,904,133
EST. SETTLEMENTS W 3RD PARTIES	$16,762,521
OTHER LONG-TERM LIABILITIES	$2,585,149
ABANDONED PROPERTY	$58,909

Field	Value	IRS element (for citing)
Total Liability	$34,310,712	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	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
Type Of Activities Conducted	Program Services	TypeOfActivitiesConductedTxt
Specific Services Provided	CAPTIVE INSURANCE	SpecificServicesProvidedTxt
Region Total Expenditures	$3,475,656	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	1	SubtotalOfficesCnt
Total Office	1	TotalOfficeCnt
Subtotal Spent	$3,475,656	SubtotalSpentAmt
Total Spent	$3,475,656	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
Phone Solicitations	Yes (X)	PhoneSolicitationsInd
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

Field	Value	IRS element (for citing)
Person	VDMBorns Group	PersonNm
Activity	DIRECT MAIL Solicitatio	ActivityTxt
Fundraiser Control Of Funds	false	FundraiserControlOfFundsInd
Gross Receipts	$312,357	GrossReceiptsAmt
Retained By Contractor	$81,984	RetainedByContractorAmt
Net To Organization	$230,373	NetToOrganizationAmt

Field	Value	IRS element (for citing)
Total Gross Receipts	$312,357	TotalGrossReceiptsAmt
Total Retained By Contractors	$81,984	TotalRetainedByContractorsAmt
Total Net To Organization	$230,373	TotalNetToOrganizationAmt
Licensed States	CT	LicensedStatesCd
Licensed States	FL	LicensedStatesCd
Licensed States	ME	LicensedStatesCd
Licensed States	SC	LicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Name Of Event1	GALA EVENT	NameOfEvent1Amt
Gross Receipts Event1	$120,375	GrossReceiptsEvent1Amt
Charitable Contri Event1	$18,900	CharitableContriEvent1Amt
Gross Revenue Event1	$101,475	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$3,000	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$36,835	FoodAndBeverageEvent1Amt
Entertainment Event1	$7,500	EntertainmentEvent1Amt
Other Direct Expenses Event1	$4,000	OtherDirectExpensesEvent1Amt
Other Events Total	0	OtherEventsTotalCnt
Gross Receipts Total	$120,375	GrossReceiptsTotalAmt
Charitable Contributions Tot	$18,900	CharitableContributionsTotAmt
Gross Revenue Total Events	$101,475	GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events	$3,000	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$36,835	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$7,500	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$4,000	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$51,335	DirectExpenseSummaryEventsAmt
Net Income Summary	$50,140	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	$7,725,346	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,507,849	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,217,497	NetCommunityBenefitExpnsAmt
Total Expense	0.00600	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$70,948,643	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$50,434,113	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,514,530	NetCommunityBenefitExpnsAmt
Total Expense	0.02910	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,945,171	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,033,976	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,911,195	NetCommunityBenefitExpnsAmt
Total Expense	0.00840	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$99,619,160	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$68,975,938	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$30,643,222	NetCommunityBenefitExpnsAmt
Total Expense	0.04350	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,549,898	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,549,898	NetCommunityBenefitExpnsAmt
Total Expense	0.00360	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$922,940	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$176,875	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$764,065	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$107,654,347	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$91,947,844	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,706,503	NetCommunityBenefitExpnsAmt
Total Expense	0.02230	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,413,028	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,413,028	NetCommunityBenefitExpnsAmt
Total Expense	0.00200	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$112,540,213	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$92,124,719	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,433,494	NetCommunityBenefitExpnsAmt
Total Expense	0.02900	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$212,159,373	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$161,100,657	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$51,076,716	NetCommunityBenefitExpnsAmt
Total Expense	0.07250	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$841,449	TotalCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$841,449	TotalCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$8,504,340	BadDebtExpenseAmt
Bad Debt Expense Attributable	$4,253,147	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$264,001,093	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$258,264,245	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$5,736,848	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/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	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	BusinessNameLine1

Field	Value	IRS element (for citing)
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
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Rpt Available Upon Request	Yes (X)	RptAvailableUponRequestInd
Adopt Implementation Strategy	Yes (X)	AdoptImplementationStrategyInd
Exec Implementation Strategy	Yes (X)	ExecImplementationStrategyInd
Include Operational Plan	Yes (X)	IncludeOperationalPlanInd
Adopt Budget	Yes (X)	AdoptBudgetInd
Prioritize Health Needs	Yes (X)	PrioritizeHealthNeedsInd
Prioritize Services	Yes (X)	PrioritizeServicesInd
All Needs Addressed	false	AllNeedsAddressedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Used Deter Elig Free Care	Yes (true)	FPGUsedDeterEligFreeCareInd
FPG Used Determ Elig Dscnt Care	Yes (true)	FPGUsedDetermEligDscntCareInd
Explained Basis	Yes (true)	ExplainedBasisInd
Income Level	Yes (X)	IncomeLevelInd
Medical Indigency	Yes (X)	MedicalIndigencyInd
Insurance Status	Yes (X)	InsuranceStatusInd
Uninsured Discount	Yes (X)	UninsuredDiscountInd
State Regulation	Yes (X)	StateRegulationInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
Attached To Invoice	Yes (X)	AttachedToInvoiceInd
Posted In Emergency Room	Yes (X)	PostedInEmergencyRoomInd
Posted In Admission Office	Yes (X)	PostedInAdmissionOfficeInd
Available On Request	Yes (X)	AvailableOnRequestInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Collection Activities	false	CollectionActivitiesInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp

Field	Value	IRS element (for citing)
Form And Line Reference	PART V, SECTION A	FormAndLineReferenceDesc
Explanation	WEBSITES PART V, SECTION A, LINE 1 - CAPE COD HOSPITAL WWW.CAPECODHEALTH.ORG/LOCATIONS/CAPECOD-HOSPITAL PART V, SECTION A, LINE 2 - FALMOUTH HOSPITAL WWW.CAPECODHEALTH.ORG/LOCATIONS/FALMOUTH-HOSPITAL PART V, SECTION B, LINE 5A WWW.CAPECODHEALTH.ORG/ABOUT/CARING-FOR-OUR-COMMUNITY PART V, SECTION B, LINE 3 Cape Cod Hospital and Falmouth Hospital followed proposed and pending IRS regulations and MA Attorney General Guidelines to conduct the most recent community health needs assessment of populations living in the service area of Barnstable County. Input from persons who represent the broad interests of the community was collected from over 80 community organizations that participated in the community health needs assessment process through focus groups, key informant interviews and community input forums. Five focus groups were held in three locations across the service area. Preliminary health status data for Barnstable County and priorities set by previous community health needs assessments were reviewed to determine focus group topics and discussion guides. Focus group discussions focused on the issues of youth, mental health, substance abuse, vulnerable populations, barriers to access of health care services and emerging public health needs. Participants were recruited to focus groups based on their areas of expertise concerning the topics, their broad knowledge of the community or the populations that they represented which included the medically underserved, low-income, minority and vulnerable populations. In addition to focus groups, key informant interviews were conducted with individuals involved in non-profit organizations, public health, law enforcement, health care and social services. The discussion guide prepared for the focus groups was utilized for the interview in order to maintain uniformity in qualitative responses. In addition, two community input forums were hosted to present the identified significant community health needs, receive feedback from community leaders, public health experts and those representing the broad interests of the community, and provide an opportunity for input on the prioritization of identified needs via a post-forum electronic survey. Representatives from the following community organizations participated in focus groups, key informant interviews and community input forums: AIDS Support Group of Cape Cod American Cancer Society Barnstable County Human Rights Commission Barnstable County Human Services Barnstable County Public Health Nurse Barnstable School System Big Brothers Big Sisters of Cape Cod and the Islands Bourne Council on Aging Boys & Girls Club of Cape Cod Cape & Islands Emergency Medical Services System Cape & Islands United Way Cape and Islands Suicide Prevention Coalition Cape Cod Center for Women Cape Cod Community College Cape Cod Council of Churches Cape Disability Network Cape Cod District Attorney's Office Cape Cod Foundation Cape Cod Healthcare Diabetes Center Cape Cod Healthcare Infectious Disease Services Cape Cod Healthcare Regional Cancer Network Cape Cod Healthy Families Cape Cod Immigrant Center Cape Cod Justice for Youth Collaborative Cape Cod Justice for Youth Board Cape Cod Medical Reserve Corps Cape Cod Neighborhood Support Coalition Cape Cod WIC Cape& Islands Gay Straight Youth Alliance CCH Patient and Family Advisory Committee Champ Homes Child and Family Services Children's Study Home COAST (COA's Serving Together) Community Health Center of Cape Cod County Network of Cape Cod Duffy Health Center Elder Services of Cape Cod and the Islands Emerald Physicians Falmouth Housing Authority Falmouth Human Services Falmouth Police Department Falmouth Prevention Partnership Falmouth Service Center Freedom from Addiction Network Gosnold on Cape Cod Health Imperatives Health Imperatives - Hyannis Family Planning Helping Our Women HOPE Dementia and Alzheimer's Services of Cape Cod Hope Health Hyannis Youth and Community Center Kennedy Donovan Center Lower Cape Outreach Council Lyme Awareness of Cape Cod MA Department of Mental Health - Cape Cod Mashpee Council on Aging Mashpee Housing Authority Maternal Depression Task Force National Multiple Sclerosis Society Oral Health Excellence Collaborative Parish Nurse Ministries of Cape Cod Provincetown Council on Aging Reaching Elders with Additional Community Help (REACH) Samaritans on Cape Cod and Islands Sandwich Council on Aging Sandwich Housing Authority Serving the Health Information Needs of Others (SHINE) South Bay Mental Health Specialty Network for the Uninsured St. John's Episcopal Project Truro Council on Aging Veterans Outreach Council Visiting Nurse Association of Cape Cod Women and Adolescent Health at Community Health Center of Cape Cod YMCA of Cape Cod Youth Suicide Prevention Project PART V, SECTION B, LINE 4 The community health needs assessment was conducted jointly by Cape Cod Hospital and Falmouth Hospital. PART V, SECTION B, LINE 7 Certain needs identified through the most recently conducted community health needs assessment that fall outside of the core competencies of Cape Cod Hospital and Falmouth Hospital. The identified needs included a lack of transportation, homelessness, unemployment, domestic violence and sexual assault. These needs, while quite important to the community, are outside the scope of significant health needs which the Hospitals can reasonably address. Cape Cod Hospital and Falmouth Hospital rely on other organizations to address these challenges. Outlined below are the specific organizations identified in the community that are working to address these important issues. Transportation Barriers: While transportation was identified as a barrier to obtaining health care services, solving systemic transportation issues requires the skills of organizations such as the Cape Cod Regional Transit Authority (CCRTA) and the Cape Cod Commission who are leading regional efforts to improve transportation in our region. Homelessness: Cape Cod Hospital and Falmouth Hospital are committed to serving homeless individuals/families in need of acute, primary, specialty, or behavioral health services. Organizations such as Housing Assistance Corporation, Duffy Health Center, Lower Cape Outreach Council, Regional Network to End Homelessness, and regional/town housing authorities lead key efforts to help eliminate housing barriers in the service area. Employment Status: Experiencing unemployment or vulnerability related to job status was identified as a need. The skills needed to solve systemic employment issues are better aligned with organizations such as Career Opportunities, and Job Training and Employment Corporation. These agencies will lead efforts to remove barriers to sustainable employment. Domestic Violence and Sexual Assault: As frontline community health providers, the staff at Cape Cod Hospital and Falmouth Hospital plays a vital role in responding to the emergency health needs of victims of domestic violence and sexual assault, in partnership with public safety officials and community-based service providers. The Hospitals rely on the expertise of agencies such as the Cape Cod Center for Women, Children's Cove, and Independence House to provide community leadership on issues related to the education, intervention and prevention of domestic violence and sexual assault. PART V, SECTION B, LINE 20D THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE IS 110% OF THE MEDICARE FEE SCHEDULE. THIS APPLIES TO BOTH CAPE COD HOSPITAL AND FALMOUTH HOSPITAL.	ExplanationTxt

Field	Value	IRS element (for citing)
Facility	70	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (70 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	FacilityFacilityTxt
Visiting Nurse Association of Cape Cod
255 Independence Drive	Hyannis	MA	02601	home health
CAPE COD HEALTHCARE CORP
88 LEWIS BAY RD	HYANNIS	MA	02601	ADMINISTRATIVE
Dermatology and Skin Surgery of Cape Cod
35 Gonsalves Rd Suite A	Hyannis	MA	02601	medical group practice
Fontaine Medical Center
525 Long Pond Drive	HARWICH	MA	02645	medical group practice
BOURNE INTERNAL MEDICINE
1 Trowbridge Road Suite 100	BOURNE	MA	02532	medical group practice
Harris Scott MD
1 Trowbridge Road	Bourne	MA	02532	medical group practice
Bramblebush Medical Group
21 Bramblebush Park	FALMOUTH	MA	02540	medical group practice
Koehler & Feuer
130 North Street	HYANNIS	MA	02601	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
Elmer David B MD
60 Park Street	HYANNIS	MA	02601	medical group practice
Fontaine OUTPATIENT CENTER
525 Long Pond Drive	Harwich	MA	02645	medical group practice
Hass Family Medicine
130 North Street	Hyannis	MA	02601	medical group practice
Guo X Y David MD PhD
37 Edgerton Drive	North Falmouth	MA	02556	medical group practice
BAYSIDE INTERNAL MEDICINE
2 Jan Sebastian Way	Sandwich	MA	02563	medical group practice
Shapiro Gary MD
One Lynxholm Court	Hyannis	MA	02601	medical group practice
Cape Cod Family Medicine
5 Industrial Drive Rte 28 Suite 2	Mashpee	MA	02649	medical group practice
Ferley - Neurology
40 Quinlan Way 2nd Fl Suite 206	HYANNIS	MA	02601	medical group practice
Charles V Casale MD
37 Edgerton Drive	North Falmouth	MA	02556	medical group practice
Theodore A Calianos II MD
5 Industrial Drive Suite 107	MASHPEE	MA	02649	medical group practice
Surgical Associates of Falmouth
90 Ter Heun Drive 3rd Fl	Falmouth	MA	02540	medical group practice
Yarmouth Internists
257 Station Avenue	SOUTH YARMOUTH	MA	02664	medical group practice
Chatham Medical Group
1629 Main Street	Chatham	MA	02633	medical group practice
Endocrine Center of Cape Cod
40 Quinlan Way 2nd Fl Suite 206	Hyannis	MA	02601	medical group practice
Malaquias Stephen MD
257 Station Avenue	South Yarmouth	MA	02664	medical group practice
Rymzo Walter T Jr MD
171 Main Street	HYANNIS	MA	02601	medical group practice
Clark Practice
40 Quinlan Way 2nd Fl Suite 206	Hyannis	MA	02601	medical group practice
Fal Primary CareSpecialty Care Practice
90 Ter Heun Drive Suite 2300	Falmouth	MA	02540	medical group practice
MACC NEUROLOGY - CCHC
46 North Street	Hyannis	MA	02601	medical group practice
Cape Cod Pediatrics
55 Route 130	Forestdale	MA	02644	medical group practice
Nauset Family Practice
81 Old Colony Way STE D	ORLEANS	MA	02653	medical group practice
Barnett Practice
348 Gifford Street	Falmouth	MA	02540	medical group practice
JAMES O'Connor MD Practice
107 County Road	North Falmouth	MA	02556	medical group practice
Devin McManus Medical Practice
10 BrambleBush Drive	FALMOUTH	MA	02540	medical group practice
Baxley Practice
51A Ocean Avenue	Cataumet	MA	02534	medical group practice
ARTHUR Crago MD Practice
315 Palmer Avenue	Falmouth	MA	02540	medical group practice
Cape Health Insurance Company - FOREIGN
C/O CCHC 25 COMMUNICATION WAY	HYANNIS	MA	02601	administrative
Healthcare Foundation
One Financial Place 297 North Stre	Hyannis	MA	02601	administrative
Healthcare Foundation
Homeport 348C Gifford Street	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
Cape & Islands Health Services II
30 Shankpainter Road	PROVINCETOWN	MA	02657	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 Hallett Road	W Yarmouth	MA	02673	Medical Group Practice
Cape Cod Rheumatology Center
40 Quinlan Way 2nd Fl Suite 206	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
Neurology Center of Cape Cod
40 Quinlan Way 2nd Fl Suite 206	HYANNIS	MA	02601	MEDICAL GROUP PRACTICE
Park Street Primary Care
62 Park Street	HYANNIS	MA	02601	MEDICAL GROUP PRACTICE
William Pegg MD--ObsGyn Practice
60 Park Street	HYANNIS	MA	02601	MEDICAL GROUP PRACTICE
Sandwich Medical Group
STONEHMAN OUTPATIENT2 Jan Sebastia	SANDWICH	MA	02563	MEDICAL GROUP PRACTICE
Sandwich Primary Care
441 Rt 130	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
All Cape Urology Practice
20 Gleason Street	HYANNIS	MA	02601	MEDICAL GROUP PRACTICE

Supplemental Information Detail SupplementalInformationDetail (9 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 THEPERCENTAGE IN LINE 7, COLUMN F WAS $ 8,504,340. 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 8	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 $4,253,147 of bad debt expense that meets its financial assistance policy. This amount is related to bad debt from both hospitals during FY 14 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	REFER TO PAGES 15-16 IN THE ATTACHED AUDITED FINANCIAL STATEMENTS FOR FOOTNOTES RELATED TO ALLOWANCE FOR DOUBTFUL ACCOUNTS AND BAD DEBT.
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 program, 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 patients 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 patients documented financial situation and the patients 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, Childrens 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 States 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 patients prior written consent to be billed for the service.
PART VI, LINE 2	NEEDS ASSESSMENT: The 2014 - 2016 Cape Cod Hospital and Falmouth Hospital Community Health Needs Assessment Report and Implementation Plan was released and made widely available to the public on September 27th, 2013. In an effort to assess the health care needs of their shared service area of Barnstable County, Cape Cod Hospital and Falmouth Hospital collected significant community input and data from national, state, regional and local sources. Special attention was given to vulnerable populations, statewide priorities were considered and the community assets available to meet needs were identified and assessed. An implementation plan related to the significant health needs of Barnstable County residents was developed with outlined goals, objectives, initiatives, resources and potential collaborators. The objectives of the community health needs assessment were to gather statistically valid information and accurate comparisons to state and national benchmarks of health and quality of life measures for residents of Barnstable County and to integrate research findings into community benefit and hospital planning activities that address significant community needs and vulnerable populations. Over 80 community organizations participated in the community health assessment through focus groups, key information interviews and community input forums. Data was collected through a household telephone survey of 464 residents of Barnstable County using a survey instrument adapted from the Centers for Disease Control and Prevention's Behavioral Risk Factor Surveillance System. Primary data collected through community input and the household telephone survey was heavily augmented with secondary data from national, state, and regional sources. The most current Barnstable County health data available was collected, analyzed, synthesized and compared to MA and US data as available. Data collection efforts focused on demographic characteristics, behavioral risk factors associated with health status, disease incidence and prevalence rates, access to care, health status indicators, morbidity/mortality rates and hospital utilization. The significant health needs identified through data collection and community input were distinguished and prioritized based on the frequency, urgency, scope, severity and magnitude of the identified issues. The significant health needs and associated target and vulnerable populations are the foundation for Community Benefits and hospital planning and program implementation spanning Fiscal Years 2014 - 2016. Key data sets featured in the community health needs assessment will be updated annually. Community Benefits and hospital planning activities will be further defined, updated and evaluated through ongoing and annual program evaluation and identification of emerging trends and needs. The following sources were utilized in the most recent community health needs assessments: - Cape Cod Hospital and Falmouth Hospital Utilization Data - Centers for Disease Control and Prevention: Behavioral Risk Factor Surveillance System (BRFSS), Youth Risk Behavioral Surveillance System (YRBSS), National Center for Health Statistics, National Program of Cancer Registries, CDC Wonder Database, Healthy People 2020 - Falmouth Prevention Partnership Community Profile on Youth Substance Abuse in Falmouth 2009 - Massachusetts Department of Elementary and Secondary Education - Massachusetts Department of Labor and Workforce Development - Massachusetts Department of Public Health: Bureau of Substance Abuse Services, MassCHIP (Massachusetts Community Health Information Profile) - Tri-County Collaborative for Oral Health Excellence - U.S. Census Bureau: US Census 2000, US Census 2010, American Community Survey - US Department of Veteran Affairs - Key Informant Interviews - Focus groups - Community forums - Telephone survey of Barnstable County residents - County Health and Human Services department and Local Health Agencies Cape Cod Hospital, Falmouth Hospital and Cape Cod Healthcare conduct formal community health needs assessments every three years. On an ongoing basis, community health needs and emerging trends are regularly assessed through annual community benefits planning and program evaluation, strategic planning, community input and participation in community health coalitions and projects across the service area. Cape Cod Healthcare plays an active role in community coalitions, various regional task force efforts, and health and human service organizations across Barnstable County including leadership participation with Barnstable County Human Services Advisory Council, Behavioral Health Provider Coalition of Cape Cod & the Islands, the Cape Cod Community Health Area Network (CHNA 27) Steering Committee, Cape & Islands Maternal Depression Task Force, My Life, My Health Coalition, Substance Abuse in Pregnancy Task Force, and the Women's Health Task Force. 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	COMMUNITY INFORMATION: Cape Cod Hospital, Falmouth Hospital and their parent organization, Cape Cod Healthcare, together share the service area of Barnstable County which comprises the geographically isolated region of Cape Cod, approximately 70 miles from Boston, MA. Barnstable County is comprised of 15 towns with a year-round population of 215,888. It is estimated that more than five million visitors come to the area each year, primarily in the summer and fall seasons. Cape Cod Hospital and Falmouth Hospital provide acute care and outpatient services to all communities of Barnstable County. The largest town in the service area is the Town of Barnstable which has over 45,000 year-round residents. The smallest town is Truro, which has 2,000 year-round residents. Current and historical demographic data from the US Census department clearly demonstrates a population skewed towards older adults. This population significantly increases the demand for and consumption of healthcare services. Overall, the population of Barnstable County is old and getting older. Seniors, over the age of 65, now represent 25% of the total population. In addition, middle-aged residents known as "baby boomers" (born between 1946 and 1964) represent another 25% of the Cape population. The County median age grew to 49.9 years in 2010 - a 12% increase from 2000. Comparatively, Barnstable County's median age is more than a decade older than the Massachusetts (MA) and the United States (US) median age averages. From 2000-2010, the number of residents in Barnstable County over the age of 65 grew by 5%. The most notable change occurred among residents over the age of 85, for which there was growth of 29%. Seniors relying on Social Security income is significantly higher in Barnstable County at 41% compared to 28% for the state and 28% nationally. As baby boomers age into retirement over the next decade, demands on the healthcare system will increase even further. Concurrently, younger residents have migrated out of the service area and birth rates have declined. Barnstable County's overall population declined by 3% from 2000 to 2010, primarily due to an 18% decrease in population of residents aged 0-44. Annual birth counts in Barnstable County demonstrated a slow but continuous decline between 2000 (1,992) and 2010 (1,711). However, due to earlier birth trends and relocations by families to the Cape during the 1990's, there has been a net positive increase in residents aged 15-24 over the past two decades. Residents of the Cape cross all economic boundaries, from affluent to economically challenged, vulnerable populations. Recent data estimates from the American Community Survey 2007-2011 indicate that the percentage of families living in poverty has increased by 1%, and the percentage of individuals living in poverty has increased by 2% since 2000. The most notable increase occurred in children under 18 years old living in poverty, which grew from 6% in 2000 to 12% in 2011. Despite growing rates of poverty among some segments, the median household income for Barnstable County increased overall by 32% from $45,933 in 2000 to $60,525 based on a five-year estimate from 2007-2011. The median household income for Barnstable County is somewhat greater than the United States ($52,762) but still less than Massachusetts ($65,981). The "Cape" is home to a broad mix of retirees, working people and the unemployed. Military veterans comprise 14% of the Cape population, versus 8% state-wide. There is a lack of racial and ethnic diversity in Barnstable County. The general race and ethnicity breakdown remains essentially unchanged. Barnstable County is still predominately white, comprising 95% of the total population in 2010, compared to 96% in 2000. There have been some incremental increases in minority representations, such as Hispanic and Asian populations. Linguistic challenges have increased over the past decade with more new residents for whom English is not a primary language.
PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH: Cape Cod Healthcare conducts a Community Health Needs Assessment every three years to determine the significant health care needs of the residents of Barnstable County. The objective of the assessment is to gather statistically valid information and accurate comparisons to state and national benchmarks of health and quality of life measures for residents of Barnstable County. The target populations, significant health needs and available resources to address those health needs are integrated into community benefit and hospital planning activities including direct clinical programs, health education, wellness promotion, financial support and community engagement activities. The following is a list of FY14 target populations: - Chronically ill residents afflicted with cancer, cardiovascular-related disease, diabetes and oral health issues or infectious diseases. - Community members facing barriers to care including those who are underserved, uninsured, underinsured, low income and those with health disparities. - Community members with mental health and substance use disorders. - Senior population ages 65 and older, especially those who are at risk and in isolated geographic areas. - Residents with emerging health issues including youth and young adults ages 15 - 24 years old. Cape Cod Healthcare and the Cape Cod Healthcare Community Benefits department supported the following programs in FY14: Community Based Interpreter Services Cape Cod Healthcare Community Benefits provides annual support to improve access to primary and specialty care for individuals that face barriers to care due to language through the Community Based Interpreter Services program. The program dispatches free medical language interpreters to community-based physician practices 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. Specialty Network for the Uninsured Cape Cod Healthcare Community Benefits provides annual grant support to increase access to specialty care for the uninsured and under-insured residents of Barnstable County through the Specialty Network for the Uninsured (SNU). The program is managed in collaboration with local community health centers to provide appointments with specialists who provide free or significantly reduced sliding-scale fees for office visits, procedures and continued care. The program also hosts cardiology, orthopedic and diabetic eye-exam clinics with services provided by volunteer physicians. Prescription Assistance Program The Prescription Assistance Program is an initiative of Cape Cod Hospital and Falmouth Hospital emergency, behavioral health and pharmacy departments as a Community Benefit to help uninsured, under-insured and financially disadvantaged patients who have no other viable means to pay for medications upon discharge from hospital facilities. Transportation Assistance Program In an effort to assist low-income and vulnerable populations, Cape Cod Hospital and Falmouth Hospital provide transportation upon discharge from emergency and behavioral health departments, to those patients without resources for transportation. Determination of Need: Support of Community Health Area Network (CHNA) 27 Total funding of $401,000 has been designated to address issues that eliminate health disparities, promote wellness, and prevent/manage chronic disease for individuals who are elderly and/or persons with disabilities. This population was identified through a community health needs assessment by Cape Cod Healthcare and endorsed by the Community Health Network Area 27 (Cape Cod and the Islands). This program was specified as part of Cape Cod Hospital's Determination of Need requirement for the Clark Cancer Center development and licensure. Health Insurance Enrollment Services: Community Action Committee of Cape Cod and the Islands In FY14, Cape Cod Healthcare Community Benefits provided a grant to support health insurance enrollment and re-enrollment services at the Community Action Committee of Cape Cod and the Islands, a community based organization that provides assistance in the navigation of health insurance options for residents of Barnstable County. Services include bi-lingual health care enrollment and re-enrollment services, linkages to primary care providers, consumer education workshops and counseling and outreach to low-income and immigrant residents. Supporting Behavioral Health Services for Homeless and At Risk Adults at the Duffy Health Center The Duffy Health Center provides primary care and behavioral health care to homeless adults and those at-risk for homelessness in Barnstable County. In FY14, Community Benefits funding from Cape Cod Healthcare supported the Duffy Health Centers behavioral health services including therapy, psychiatry and case management support of patients who are frequent consumers of emergency services in the community. Support Groups and Classes at Cape Cod Hospital and Falmouth Hospital Support groups for bereavement and cancer survivorship, and classes and counseling focused on breastfeeding, fatherhood and holistic services to complement traditional medical care are conducted on a regular basis and open to all members of the community. Classes are hosted at hospitals and in the community to provide access for all populations. Information and resources are available to individuals, families and friends and many include in-person meetings and contacts to offer support and reassurance through their specific disease/health care situation. Workforce Development Initiatives Cape Cod Healthcare recognizes the importance of workforce development and supports the opportunity for students from high school through graduate school to have a positive and professional experience through internships, job shadowing and training with health care providers in several hospital departments. By training and mentoring students for future employment, we hope to successfully engage individuals so they select health care as a viable and admirable vocation, thus decreasing the potential risk for predicted future shortages in the workplace. Helping Hands: In-Home Clinical Support for High Risk Patients This program offers clinical nurse case management and medication review by a pharmacist in the home for high-risk individuals with a chronic disease, complex medication regimen, or when high risk of falls has been identified. Patients and their caregivers are provided coaching on self-management of their chronic disease, medication management and evaluation for fall risk and home safety. One to One Mentoring for High-Risk Youth: Big Brothers Big Sisters of Cape Cod & the Islands In an effort to reduce the risk factors and increase the resiliency factors for youth at an elevated risk of substance use and abuse, Cape Cod Healthcare Community Benefits provided a grant to Big Brothers Big Sisters of Cape Cod & the Islands to expand mentoring opportunities on Cape Cod. Big Brothers Big Sisters focused specifically on recruiting children for mentoring who met a minimum of three of the following risk factors associated with childhood drug/alcohol abuse: low-income household, single-parent household, alcohol or drug abuse in the household, low self-esteem/minimal confidence and/or isolation from peers/few close friends. The SMILE Project: Oral Health Excellence Collaborative Cape Cod Healthcare Community Benefits provided grant support to the Oral Health Excellence Collaborative (OHEC) for efforts to educate low-income seniors about their oral health, hygiene routines and dental care resources. Program activities included placing volunteer oral health educators at each of the 15 Council on Aging offices across Cape Cod, providing one on one oral health surveys and education sessions with seniors, and removing barriers to dental care through strengthening education, information, coordination and referral between residents and oral health providers. Supporting Adolescent Health and Chronic Disease Management Initiatives at Harbor Community Health Center - Hyannis Cape Cod Healthcare Community Benefits provided a grant to Harbor Community Health Center-Hyannis (HCHC-H) to improve adolescent health education outreach and chronic disease management of patients. HCHC-H offered underage drinking and substance use/abuse prevention services to at-risk minority youth and risk reduction counseling related to the transmission of sexually transmitted diseases. In addition, the grant supported the efforts of HCHC-H to improve the care coordination of high-risk patients with diabetes, hypertension and pediatric asthma. Supporting Access to Care and Chronic Disease Management Initiatives at the Community Health Center of Cape Cod Cape Cod Healthcare provided Community Benefits funding to the Community Health Center of Cape Cod (CHC
PART VI, LINE 6	AFFILIATED HEALTH CARE SYSTEMS ROLES: THE HOSPITALS ARE PART OF AN AFFILIATED HEALTHCARE SYSTEM AND THEIR RESPECTIVE ROLES ARE: CAPE COD HOSPITAL - A NOT-FOR-PROFIT ACUTE CARE HOSPITAL LOCATED IN HYANNIS, MASSACHUSETTS FALMOUTH HOSPITAL ASSOCIATION, INC. - A NOT-FOR-PROFIT ACUTE CARE HOSPITAL LOCATED IN FALMOUTH, MASSACHUSETTS CAPE COD HEALTHCARE, INC. - A NOT-FOR-PROFIT CORPORATION THAT SERVES AS THE PARENT COMPANY OF VARIOUS ENTITIES PROVIDING HEALTH CARE SERVICES TO THE POPULATION OF CAPE COD, MASSACHUSETTS CAPE COD HEALTHCARE FOUNDATION, INC. - A NOT-FOR-PROFIT CORPORATION ORGANIZED TO PROVIDE DEVELOPMENT AND FUNDRAISING SUPPORT TO CAPE COD HEALTHCARE CAPE AND ISLANDS HEALTH SERVICES II, INC. - A NOT-FOR-PROFIT CORPORATION ORGANIZED TO PROVIDE VARIOUS NONHOSPITAL HEALTH CARE SERVICES MEDICAL AFFILIATES OF CAPE COD, INC. - A NOT-FOR-PROFIT MEDICAL GROUP PRACTICE VISITING NURSE ASSOCIATION OF CAPE COD - A NOT-FOR-PROFIT PROVIDER OF HOME HEALTH SERVICES CAPE COD HUMAN SERVICES, INC. - A NOT-FOR-PROFIT PROVIDER OF OUTPATIENT MENTAL HEALTH SERVICES FALMOUTH ASSISTED LIVING, INC., D/B/A HERITAGE AT FALMOUTH - A NOT-FOR-PROFIT CORPORATION THAT OWNS AN ASSISTED LIVING FACILITY JML CARE CENTER, INC. - A NOT-FOR-PROFIT SKILLED NURSING AND REHABILITATION FACILITY CAPE HEALTH INSURANCE COMPANY - A CAPTIVE INSURANCE COMPANY THAT PROVIDES MEDICAL PROFESSIONAL AND GENERAL LIABILITY INSURANCE TO CAPE COD HEALTHCARE CAPE COD HOSPITAL MEDICAL OFFICE BUILDING - A PROVIDER OF LEASED AND SUBLEASED SPACE TO CAPE COD HOSPITAL AND RELATED AFFILIATIONS PART VI, LINE 7 ALL STATES WHERE ORGANIZATION FILES A COMMUNITY BENEFITS REPORT: MA

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 (23 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	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	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount
DIANNE C KOLB
President VNA	$0	$205,082	$45,087	$27,118	$0	$36,807	$0	$24,743	$0	$338,837	$0	$21,784
MICHAEL G JONES
Sr VP Chief Legal Off/Clerk	$0	$313,055	$77,106	$29,449	$0	$41,491	$0	$33,895	$0	$494,996	$0	$28,483
MICHAEL K LAUF
PRESIDENT/CEO/TRUSTEE	$0	$726,780	$267,000	$81,346	$0	$184,878	$0	$40,260	$0	$1,300,264	$0	$52,468
GROVER BAXLEY MD
TRUSTEE - SEE SCH J, PART III	$258,414	$0			$10,200	$0	$1,971	$0	$307,419	$0	$0	$0	$36,834
MICHAEL L CONNORS
SENIOR VP FINANCE/CFO	$0	$375,213	$71,060	$40,840	$0	$50,915	$0	$31,920	$0	$569,948	$0	$31,760
EMILY TIERNEY MD
PHYSICIAN	$448,540	$0			$23,292	$0	$13,170	$0	$1,477,070	$0	$0	$0	$378	$991,690
DAVID RYAN
VP of HR (until 2/13)	$0	$41,532		$230,685	$0	$6,716	$0	$7,525	$0	$286,458	$0	$29,745
JEANNE FALLON
SR VP & CIO	$0	$237,266	$56,925	$5,389	$0	$39,191	$0	$26,495	$0	$365,266	$0	$0
ROBERT KLEINBAUER
President - MACC	$0	$220,793		$2,772	$0	$20,467	$0	$34,338	$0	$278,370	$0	$0
JEFFREY S DYKENS
VP FI-12/13,COO FAL HOSPITAL	$0	$198,370	$25,000	$24,831	$0	$22,196	$0	$35,628	$0	$306,025	$0	$18,212
WILLIAM AGEL MD
TRUSTEE - SEE SCH J, PT III	$450,278	$0			$10,200	$0	$34,338	$0	$527,982	$0	$0	$0	$14,166	$19,000
RICHARD B ZELMAN MD
PHYSICIAN	$1,095,786	$0			$10,200	$0	$34,338	$0	$1,409,438	$0	$0	$0	$44,114	$225,000
ACHILLE PAPAVASILIOU MD
PHYSICIAN	$591,297	$0			$25,004	$0	$36,370	$0	$1,046,050	$0	$0	$0	$630	$392,749
PAUL HOULE MD
PHYSICIAN	$596,372	$0			$26,157	$0	$32,920	$0	$978,865	$0	$0	$0	$630	$322,786
GORDON NAKATA MD
PHYSICIAN	$591,297	$0			$26,158	$0	$36,370	$0	$915,695	$0	$0	$0	$630	$261,240
RICHARD F SALLUZZO MD
FORMER PRESIDENT/CEO	$0	$0		$407,371	$0	$0	$0	$10,856	$0	$418,227	$0	$0
Patrick Kane
SVP OF MRKTG,COMMUN AND DEVLP	$0	$306,013	$72,715	$1,806	$0	$23,120	$0	$31,920	$0	$435,574	$0	$0
ARTHUR MOMBOURQUETTE
COO	$0	$396,068	$65,000	$11,806	$0	$15,482	$0	$32,790	$0	$521,146	$0	$0
THERESA M AHERN
SVP, STRAT, COMMUNITY/GOV REL.	$0	$201,694	$53,700	$1,641	$0	$19,286	$0	$24,585	$0	$300,906	$0	$0
JAMES BUTTERICK
CMO FAL HOSP 11/13-8/14	$0	$133,694		$28,943	$0	$5,556	$0	$25,515	$0	$193,708	$0	$24,875
VICTOR OLIVEIRA
VP OF PATIENT SERVICES	$0	$214,102	$40,119	$23,204	$0	$25,633	$0	$34,308	$0	$337,366	$0	$18,439
JOHN LIPOMI
SR VP OF MANAGED CARE	$0	$341,429	$82,582	$5,334	$0	$47,913	$0	$25,393	$0	$502,651	$0	$0
DONALD GUADAGNOLI
CMO CAPE COD HOSPITAL	$0	$415,406	$81,903	$9,883	$0	$52,970	$0	$37,370	$0	$597,532	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

FORM 990, PART VII

Grover Baxley, MD, DOUGLAS MANN, MD, WILLIAM AGEL, MD, AND PATRICK M. FLYNN, MD wERE compensated in THEIR capacity as physicianS, not as trusteeS. PART I, LINE 4A: SEVERANCE PAYMENTS DAVID RYAN, VP OF HUMAN RESOURCES, RECEIVED SEVERANCE PAYMENTS OF $176,374 DURING CALENDAR YEAR 2013. 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. RICHARD SALUZZO, MD, FORMER PRESIDENT/CEO, RECEIVED SEVERANCE PAYMENTS OF $407,371 DURING CALENDAR YEAR 2013. THE SEVERANCE ARRANGEMENT PROVIDES FOR 32 PAYMENTS EQUAL TO 1/12 OF THE BASE SALARY IN EFFECT ON THE DATE HIS EMPLOYMENT TERMINATED. THERE WERE 7 PAYMENTS MADE IN CALENDAR YEAR 2013. THE ARRANGEMENT ALSO PROVIDES FOR PARTICIPATION OF HIMSELF AND HIS DEPENDENTS IN THE COMPANY'S GROUP MEDICAL AND DENTAL PLANS FOR THIRTY-SIX MONTHS. SCHEDULE J, PART I, LINE 4B: 457(F) CAPE COD HEALTHCARE, INC. AND AFFILIATES SPONSORS A 457(F) VOLUNTARY PERSONAL DEFERRAL PLAN ("THE PLAN") FOR KEY EXECUTIVES. VESTING IS DEFERRED FOR AT LEAST TWO YEARS FROM THE DATE OF THE AWARD. THE PLAN OFFERS PARTICIPATING EMPLOYEES AN ANNUAL DEFERRAL OF CASH COMPENSATION. AMOUNTS PAID UNDER THE PLAN DURING CALENDAR YEAR 2013 WERE AS FOLLOWS: - MICHAEL K. LAUF - $52,468 - MICHAEL L. CONNORS - $31,760 - MICHAEL G. JONES - $28,483 - VICTOR OLIVEIRA - $18,439 - DAVID RYAN - $29,745 - JAMES BUTTERICK - $24,875 - JEFFREY S. DYKENS - $18,212 - DIANNE C. KOLB - $21,784 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 AS OF THE BEGINNING OF THE PLAN YEAR. AMOUNTS DEFERRED ARE INCLUDED IN SCHEDULE J, COLUMN (C) AND UNDER THE PLAN, PARTICIPANTS ARE ENTITLED TO CERTAIN BENEFITS UPON RETIREMENT OR DEATH. During calendar year 2013, 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 2013 was $87,720 and is included in Schedule J, Part II, Column (C).

SCHEDULE J, PART I, LINE 7

Discretionary bonuses are awarded annually based upon both the performance of the organization and the individual. Bonuses are reflected in Schedule J, Part II, Column B(ii). THE INDIVIDUALS REPORTED IN SCHEDULE J, PART II REPORTED AS BEING PAID FROM A RELATED ORGANIZATION WERE EMPLOYEES OF, AND COMPENSATED BY CAPE COD HEALTHCARE, INC., THE PARENT CORPORATION.

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 D
A	042456011	57586erm5	2010-02-16	$63,314,516	REISSUE OF SER. D (2004)	false	false	false
MHEFA REVENUE BONDS SERIES E
B	042456011	57586C7V1	2008-06-18	$36,710,000	REF. OF 93 SER. A&C AND 94 SER.	false	false	false
MDFA REVENUE BONDS SERIES 2012A
C	043431814		2012-02-24	$25,800,000	REFUND SER. B / PART OF SER. C	false	false	false
MDFA REVENUE BONDS SERIES 2013
D	043431814	57584VAH8	2013-07-11	$50,831,729	REFUND 2001 SERIES C / CAP. IMP.	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	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Substantial CompletionSubstantialCompletionYr
A	$6,784,516	$0	$63,314,516	$0	$0	$0	$914,516	$0	$0	$0	$62,400,000	$0	Yes (true)	false	Yes (true)	Yes (true)
B	$15,120,667	$0	$36,710,000	$0	$0	$0	$266,112	$0	$0	$0	$36,443,888	$0	Yes (true)	false	Yes (true)	Yes (true)
C	$5,160,000	$0	$25,800,000	$0	$0	$0	$336,100	$0	$0	$0	$25,463,900	$0	Yes (true)	false	Yes (true)	Yes (true)
D	$831,279	$0	$50,831,729	$0	$1,295,804	$0	$805,701	$0	$0	$27,995,000	$20,735,223	$0	Yes (true)	false	false	Yes (true)	2014

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropPct	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	0.00000	0.00000	0.00000	false	false	0.00000	false	Yes (true)
B					0							Yes (true)
C					0							Yes (true)
D	false	false	false	false	0			false	false		false	Yes (true)

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/BusinessNameLine1	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	false	false	Yes (true)	false	false	false	0	false	Yes (true)
0
B	false	false	false	Yes (true)	Yes (true)	false	false	0	false	Yes (true)
0
C	false	Yes (true)	false	false	false	false	false	0	false	Yes (true)
0
D	false	Yes (true)	false	false	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	MHEFA, REVENUE BONDS, SERIES D - THE DATE THE REBATE COMPUTATION WAS LAST PERFORMED WAS 6/30/2014. MHEFA, REVENUE BONDS, SERIES E - THE DATE THE REBATE COMPUTATION WAS LAST PERFORMED WAS 7/12/2012.	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 2014	BusinessNameLine1

Field	Value	IRS element (for citing)
Bond Issuer EIN	043431814	BondIssuerEIN
Bond Issued	2014-09-29	BondIssuedDt
Issue Price	$24,000,000	IssuePriceAmt
Purpose	RENOVATION & REAL ESTATE PURCHASE	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	$0	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$24,000,000	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$300,000	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$8,228,670	CapitalExpendituresAmt
Other Spent Proceeds	$0	OtherSpentProceedsAmt
Unspent	$15,471,330	UnspentAmt
Current Refunding	false	CurrentRefundingInd
Advance Refunding	false	AdvanceRefundingInd
Final Allocation Made	false	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
Any Lease Arrangements	false	AnyLeaseArrangementsInd
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	false	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1

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	BusinessNameLine1

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 (7 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
DR KATIE RUDMAN
SPOUSE OF TRUSTEE	$118,575	MACC EMPLOYEE	false
DR DALE WELDON
SPOUSE OF OFFICER	$95,368	HOSPITAL EMPLOYEE	false
GROVER BAXLEY PC
TRUSTEE IS OWNER	$279,609	MEDICAL SERVICES	false
ASC SURGEONS OF CAPE COD
TRUSTEE IS PARTIAL OWNER	$246,948	MEDICAL SERVICES	false
CAPE COD SURGEONS
TRUSTEE IS PARTIAL OWNER	$106,120	RENTAL OF FACILITIES	false
CAPE COD EMERGENCY ASSOCIATES
TRUSTEE IS PARTIAL OWNER	$11,775,945	MEDICAL SERVICES	false
CAPE HEALTH INSURANCE COMPANY
TRUST/OFF ARE DIRECTORS	$3,475,656	PREMIUM PAYMENTS	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCHEDULE L, PART IV	FormAndLineReferenceDesc
Explanation	(6) The transaction amount disclosed for Cape Cod Emergency Associates is inclusive of a management fee of $275,004. The remaining transaction amount ($11,500,941) reflects actual payments for the professional medical services rendered by CCEAs physicians and other clinicians to patients within Cape Cod Hospital facilities during FY14.	ExplanationTxt

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	33	ContributionCnt
Noncash Contributions Rpt F990	$3,600,008	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 (16 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., THROUGH ITS COMMUNITY BENEFITS INITIATIVE, IS COMMITTED TO ENHANCING THE QUALITY OF AND ACCESS TO COMPREHENSIVE HEALTH CARE SERVICES FOR ALL THE 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 THE TARGET POPULATION: INDIVIDUALS MANAGING OR AT RISK OF CHRONIC AND/OR INFECTIOUS DISEASES SUCH AS CANCER, CARDIOVASCULAR DISEASE, DIABETES, HIV/AIDS, HEPATITIS C OR DENTAL DISEASE.BASIS FOR SELECTION: ALIGNED WITH STATEWIDE HEALTH PRIORITIES AND NATIONAL STATISTICS, RESIDENTS MANAGING CHRONIC ILLNESS ARE AT THE GREATEST RISK OF DECLINED HEALTH AND DEATH. CANCER, CARDIOVASCULAR-RELATED DISEASE, DIABETES, INFECTIOUS DISEASES AND ORAL HEALTH ISSUES ARE HIGHLY REPRESENTED AMONG RESIDENTS OF BARNSTABLE COUNTY AS EVIDENCED THROUGH A RECENTLY COMPLETED COMMUNITY HEALTH NEEDS ASSESSMENT. THIS POPULATION IS SERVED THROUGH A NETWORK OF HEALTH CARE AND SOCIAL SERVICES PROVIDERS IN OUR REGION BUT UNMET NEEDS STILL EXIST. 2.NAME OF THE TARGET POPULATION: RESIDENTS FACING BARRIERS TO ACCESS TO CARE DUE TO LANGUAGE, COST, OR AGE, INCLUDING THOSE WHO ARE UNINSURED OR UNDER-INSURED. BASIS FOR SELECTION: NEARLY 93% OF RESIDENTS IN BARNSTABLE COUNTY HAVE HEALTH INSURANCE COVERAGE BUT SIGNIFICANT ISSUES RELATED TO ACCESS TO CARE STILL EXIST. THE COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED AVAILABILITY OF CERTAIN PROVIDERS, OUT-OF-POCKET COSTS, A LACK OF KNOWLEDGE OF AVAILABLE SERVICES AND LINGUISTIC CHALLENGES. 3.NAME OF THE TARGET POPULATION: COMMUNITY MEMBERS DEALING WITH MENTAL HEALTH ISSUES. BASIS FOR SELECTION: ACCESS TO ADEQUATE MENTAL HEALTH CARE IS AN AREA OF CONCERN IN BARNSTABLE COUNTY, AS EVIDENCED BY AN INCREASE IN SUICIDE RATES, AND THE HIGH NUMBER OF PATIENTS PRESENTING WITH MENTAL HEALTH DISORDERS IN HOSPITAL EMERGENCY CENTERS. POPULATIONS DEALING WITH MENTAL HEALTH ISSUES ARE SERVED THROUGH A NETWORK OF HEALTH CARE AND SOCIAL SERVICE PROVIDERS IN OUR REGION BUT UNMET NEEDS INCLUDING A SHORTAGE OF AVAILABLE PSYCHIATRIC PROVIDERS AND CHALLENGES NAVIGATING AVAILABLE SERVICES STILL EXIST. 4.NAME OF THE TARGET POPULATION: COMMUNITY MEMBERS DEALING WITH SUBSTANCE ABUSE. BASIS FOR SELECTION: THE ISSUE OF SUBSTANCE USE AND ABUSE IS A CRITICAL ISSUE FOR THE HEALTH SYSTEM AND COMMUNITY IN BARNSTABLE COUNTY. THE OVERALL RATES OF SUBSTANCE ABUSE ADMISSIONS ARE HIGHER IN BARNSTABLE COUNTY THAN MA, SPECIFICALLY FOR ALCOHOL AS A PRIMARY SUBSTANCE. IN ADDITION, TREATMENT ADMISSIONS FOR OPIATES AS A PRIMARY SUBSTANCE OF USE GREW FROM 11% IN 2007 TO 28% IN 2011. ALTHOUGH RESIDENTS WITH SUBSTANCE ABUSE ISSUES ARE SERVED THROUGH A NETWORK OF HEALTH CARE AND TREATMENT PROVIDERS IN OUR REGION, UNMET NEEDS SUCH AS AVAILABILITY OF DETOX AND TREATMENT OPTIONS AND NAVIGATION OF SERVICES STILL EXIST. 5.NAME OF TARGET POPULATION: SENIOR POPULATION AGES 65 AND OLDER. BASIS FOR SELECTION: ACCORDING TO THE 2010 U.S. CENSUS, THE POPULATION OF INDIVIDUALS AGE 65 AND OLDER REPRESENT OVER 25% OF THE YEAR ROUND POPULATION IN BARNSTABLE COUNTY WITH A SIGNIFICANT INCREASE OF RESIDENTS OVER THE AGE OF 85 BETWEEN 2000 AND 2010. NEARLY 40% OF ALL HOUSEHOLDS REPORT A RESIDENT OVER THE AGE OF 65. HIGH UTILIZATION OF THE HEALTH CARE SYSTEM, ACCESS TO CARE AND NAVIGATION OF RESOURCES HAVE BEEN PRESENTED AS CRITICAL ISSUES IN OUR REGION. THIS POPULATION IS SERVED THROUGH A NETWORK OF HEALTH CARE AND SOCIAL SERVICE PROVIDERS BUT UNMET NEEDS STILL EXIST. 6.NAME OF TARGET POPULATION: YOUTH AND YOUNG ADULTS AGES 15- 24 YEARS OLD. BASIS FOR SELECTION: YOUNG ADULTS AND YOUTH, AGES 15 - 24 YEARS OLD, WERE IDENTIFIED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT AS A SPECIFIC POPULATION AT RISK DUE TO INCREASING RATES OF SUBSTANCE ABUSE TREATMENT ADMISSIONS, SEXUALLY TRANSMITTED DISEASES AND MOTOR VEHICLE ACCIDENTS. THIS POPULATION IS SERVED THROUGH A NETWORK OF HEALTH CARE AND SOCIAL SERVICE PROVIDERS BUT UNMET NEEDS STILL EXIST. PUBLICATION OF TARGET POPULATIONS NOT SPECIFIED, OTHER- ATTORNEY GENERAL WEBSITE HOSPITAL/HMO WEB PAGE PUBLICIZING TARGET POP. HTTP://WWW.CAPECODHEALTH.ORG/COMMUNITY KEY ACCOMPLISHMENTS OF REPORTING YEAR IN 2014, THE CAPE COD HEALTHCARE (CCHC) COMMUNITY BENEFITS DEPARTMENT CONTINUED TO BUILD UPON SUCCESSFUL HOSPITAL BASED PROGRAMS AND COMMUNITY COLLABORATIONS AND LAUNCHED NEW INITIATIVES TO ADDRESS THE SIGNIFICANT HEALTH NEEDS AND VULNERABLE POPULATIONS OF BARNSTABLE COUNTY. HOSPITAL-BASED INITIATIVES FOCUSED ON THE MANAGEMENT AND PREVENTION OF CHRONIC AND INFECTIOUS DISEASES, ADDRESSING BEHAVIORAL HEALTH NEEDS IN THE ACUTE CARE ENVIRONMENT, IMPROVING ACCESS TO CARE FOR UNINSURED AND UNDER-INSURED RESIDENTS, AND BUILDING COALITIONS AND COLLABORATIONS TO ADDRESS THE IMPACT OF SUBSTANCE ABUSE IN OUR COMMUNITY. CLINICAL AND COMMUNITY-BASED INITIATIVES WERE LAUNCHED TO HELP INDIVIDUALS IMPROVE THEIR SELF-MANAGEMENT OF CHRONIC DISEASES SUCH AS CONGESTIVE HEART FAILURE AND DIABETES. UPON DISCHARGE FROM CAPE COD HOSPITAL AND FALMOUTH HOSPITAL, IN-HOME VISITS BY PHARMACISTS AND CLINICAL CARE MANAGERS WERE PROVIDED IN AN EFFORT TO SUPPORT INDIVIDUALS MANAGING CHRONIC DISEASE AND THEIR CARE-GIVERS. SUPPORT GROUPS AND COMMUNITY OUTREACH AND EDUCATION ACTIVITIES SUCH AS HEALTH FAIRS, PUBLIC ACCESS COMMUNITY TELEVISION AND SPEAKING ENGAGEMENTS BY PHYSICIANS AND CLINICAL EDUCATORS PROVIDED CRITICAL INFORMATION ABOUT DISEASE PREVENTION, DETECTION AND MANAGEMENT TO THE PUBLIC. GRANT-FUNDED INFECTIOUS DISEASE SCREENINGS AND OUTREACH PROGRAMS WERE MANAGED BY HOSPITAL-BASED INFECTIOUS DISEASE STAFF FOR THE REGION AND RECOGNIZED FOR ITS ACHIEVEMENTS. CAPE COD HEALTHCARE INFECTIOUS DISEASE CLINICAL SERVICES RECEIVED THE '2014 INSTITUTIONAL PARTNER AWARD' FROM THE MEDICAL ADVISORY COMMITTEE FOR THE ELIMINATION OF TUBERCULOSIS. FALMOUTH HOSPITAL WAS RECOGNIZED BY THE IMMUNIZATION ACTION COALITION FOR ACHIEVING ONE OF THE HIGHEST REPORTED RATES IN THE STATE FOR ITS WORK TO PROTECT NEWBORNS FROM HEPATITIS B INFECTION. PHYSICIAN LEADERS, CLINICIANS AND COMMUNITY LEADERS COLLABORATED THROUGH COALITIONS AND TASK FORCES TO ADDRESS CRITICAL ISSUES SUCH THE OPIATE USE AND ABUSE CRISIS, SUBSTANCE ABUSE DURING PREGNANCY AND SUBSTANCE EXPOSED NEWBORNS, MATERNAL DEPRESSION, AND COORDINATION BETWEEN MENTAL HEALTH PROVIDERS IN OUR REGION. FINANCIAL ASSISTANCE AND COUNSELING ACTIVITIES PROVIDED GUIDANCE TO UNINSURED AND UNDER-INSURED INDIVIDUALS AND FAMILIES SEEKING HELP NAVIGATING NEW STATE AND FEDERAL INSURANCE PLAN OPTIONS. RESIDENTS WERE PROVIDED TELEPHONE-BASED ACCESS ASSISTANCE AND ONLINE PHYSICIAN FINDER RESOURCES TO ASSIST IN THEIR SEARCH FOR AVAILABLE PRIMARY CARE AND SPECIALTY PROVIDERS IN BARNSTABLE COUNTY. FINANCIAL SUPPORT AND COLLABORATION WITH THE FOUR FEDERALLY QUALIFIED COMMUNITY HEALTH CENTERS OPERATING IN BARNSTABLE COUNTY FOCUSED EFFORTS TO DEVELOP COMPLEX CARE MANAGEMENT INITIATIVES AND EXPANDING ACCESS TO BEHAVIORAL HEALTH SERVICES. IN ADDITION, CCHC CONTINUED TO SUPPORT EFFORTS TO EXPAND ACCESS TO HEALTH CARE FOR VULNERABLE POPULATIONS THROUGH FUNDING INTERPRETER SERVICES FOR COMMUNITY-BASED PHYSICIAN OFFICES AND SUSTAINING A NETWORK OF SPECIALTY CARE PROVIDERS WHO OFFERED SIGNIFICANTLY REDUCED OR FREE CARE TO UNINSURED AND UNDERINSURED INDIVIDUALS IN BARNSTABLE COUNTY.
OVER 20 NON-PROFIT ORGANIZATIONS RECEIVED SUPPORT FROM CCHC THROUGH DIRECT	GRANT FUNDING AND A COMPETITIVE RFP GRANTS PROGRAM OPEN TO ALL COMMUNITY ORGANIZATIONS WITH PROGRAMS ALIGNED WITH COMMUNITY BENEFITS PRIORITIES. NEW PROGRAMS WERE LAUNCHED THROUGH COMMUNITY BENEFITS GRANT SUPPORT, INCLUDING A PILOT PROGRAM THAT INTEGRATED SUBSTANCE ABUSE COUNSELORS IN AN OBSTETRICS AND GYNECOLOGY OFFICE, THE LAUNCH OF REGIONAL NUTRITION WORKSHOPS FOR SENIORS, AND PLACEMENT OF CLINICIANS IN HEAD START CLASSROOMS TO ADDRESS EARLY-ONSET OF MENTAL HEALTH ISSUES. OTHER PROGRAMS WERE SUSTAINED OR EXPANDED THROUGH CCHC'S SUPPORT, INCLUDING A MENTORING PROGRAM FOR HIGH-RISK YOUTH, AN EDUCATION CAMPAIGN TO PREVENT LYME DISEASE AND A FISH PURCHASING PROGRAM TO IMPROVE THE NUTRITIONAL QUALITY OF FOOD DISTRIBUTED AT LOCAL FOOD PANTRIES. COMMUNITY BENEFITS AND HOSPITAL STAFF CONTINUED TO PLAY LEADERSHIP ROLES IN HEALTH AND HUMAN SERVICE ORGANIZATIONS AND COALITIONS ACROSS BARNSTABLE COUNTY INCLUDING CAPE COD COMMUNITY HEALTH AREA NETWORK (CHNA 27) STEERING COMMITTEE, BARNSTABLE COUNTY HUMAN SERVICES ADVISORY COUNCIL, BARNSTABLE COUNTY REGIONAL SUBSTANCE ABUSE COUNCIL, BEHAVIORAL HEALTH PROVIDER COALITION OF CAPE COD & THE ISLANDS AND THE SUBSTANCE ABUSE IN PREGNANCY TASK FORCE. PLANS FOR NEXT REPORTING YEAR ANNUAL COMMUNITY BENEFITS PLANS FOR CAPE COD HOSPITAL, FALMOUTH HOSPITAL AND CAPE COD HEALTHCARE ALIGN DIRECTLY WITH THE PRIORITIES, GOALS AND OBJECTIVES OF THE THREE-YEAR IMPLEMENTATION PLAN INCLUDED IN THE 2014 - 2016 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT. AN ELEVEN-MEMBER COMMUNITY HEALTH COMMITTEE, A SUBCOMMITTEE OF THE BOARD OF TRUSTEES OF CAPE COD HEALTHCARE, PROVIDES OVERSIGHT AND INPUT TO ANNUAL PLANNING AND IMPLEMENTATION OF KEY INITIATIVES. COMMUNITY BENEFITS STAFF ENSURES THAT ANNUAL PLANS, PRIORITIES, GOALS AND ACTIVITIES COMPLY WITH MASS ATTORNEY GENERAL (AG) GUIDELINES, MEDICARE GUIDELINES AND IRS REQUIREMENTS. GOALS FOR FY2015: 1. CHRONIC AND INFECTIOUS DISEASE: INVEST IN INITIATIVES, CLINICAL PROGRAMMING AND COMMUNITY EDUCATION AND OUTREACH AIMED AT THE MANAGEMENT AND PREVENTION OF CHRONIC AND INFECTIOUS DISEASE. 2. ACCESS TO CARE: IMPROVE ACCESS TO PRIMARY AND SPECIALTY CARE FOR CAPE COD'S UNDERSERVED AND VULNERABLE POPULATIONS THROUGH PARTNERSHIPS AND SUPPORT OF COMMUNITY HEALTH CENTERS, INTERPRETER SERVICES, AND HEALTH CARE ENROLLMENT EFFORTS. 3. MENTAL HEALTH: PROMOTE EDUCATION, COORDINATION, AND NAVIGATION OF SERVICES TARGETED AT INDIVIDUALS AND FAMILIES FACING MENTAL HEALTH ISSUES. 4. SUBSTANCE ABUSE: ENGAGE IN COLLABORATIVE EFFORTS TO SUPPORT COMMUNITY-BASED SUBSTANCE ABUSE PREVENTION AND EDUCATION EFFORTS. 5. YOUTH AND SENIOR HEALTH: SUPPORT INNOVATIVE AND PREVENTATIVE HEALTH INITIATIVES FOR THE COMMUNITY WITH A SPECIFIC FOCUS ON YOUTH AGES 15-24 YEARS OLD AND SENIORS OVER THE AGE OF 65. 6. SUPPORT REGIONAL HEALTH EFFORTS THROUGH DIRECT GRANT FUNDING AND A COMPETITIVE RFP GRANTS PROGRAM OPEN TO ALL COMMUNITY ORGANIZATIONS WITH PROGRAMS ALIGNED WITH COMMUNITY BENEFITS PRIORITIES. 7. MAINTAIN AND DEVELOP COMMUNITY LEADERSHIP OPPORTUNITIES TO IMPROVE THE HEALTH STATUS OF THE RESIDENTS OF BARNSTABLE COUNTY INCLUDING PARTICIPATION WITH THE COMMUNITY HEALTH AREA NETWORK (CHNA 27) STEERING COMMITTEE, BEHAVIORAL HEALTH PROVIDER COALITION OF CAPE COD & THE ISLANDS, THE BARNSTABLE COUNTY HUMAN SERVICES ADVISORY COUNCIL, AND THE BARNSTABLE COUNTY REGIONAL SUBSTANCE ABUSE COUNCIL. 8. ENGAGE PHYSICIANS, NURSES AND CLINICAL STAFF THROUGHOUT CCHC TO INFORM AND ADVISE COMMUNITY BENEFITS PLANNING AND PROGRAM DEVELOPMENT. COMMUNITY BENEFITS LEADERSHIP/TEAM CAPE COD HEALTHCARE, CAPE COD HOSPITAL AND FALMOUTH HOSPITAL, ALONG WITH OUR AFFILIATES, FULFILL THE CRITICAL ROLE OF SAFETY NET PROVIDERS TO THE RESIDENTS OF BARNSTABLE COUNTY AND VISITORS TO OUR REGION. THE DEVELOPMENT OF CAPE COD HEALTHCARE'S STRATEGIC INITIATIVES AND COMMUNITY COLLABORATIONS, INCLUDING THE COMMUNITY BENEFITS PROGRAM, IS LED BY MICHAEL K. LAUF, CHIEF EXECUTIVE OFFICER AND THERESA M. AHERN, SENIOR VICE PRESIDENT, STRATEGY AND GOVERNMENTAL AFFAIRS. MANAGEMENT OF THE PROGRAM IS THE RESPONSIBILITY OF LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS. THE COMMUNITY HEALTH COMMITTEE PROVIDES STRATEGIC OVERSIGHT TO THE COMMUNITY BENEFITS PROGRAM AS A DESIGNATED SUBCOMMITTEE OF THE BOARD OF TRUSTEES. THE COMMITTEE IS COMPRISED OF MEMBERS WHO WORK IN PUBLIC HEALTH ORGANIZATIONS, COMMUNITY-BASED ORGANIZATIONS, COMMUNITY ADVOCACY GROUPS AND COUNTY GOVERNMENT, AS WELL AS TWO CURRENT MEMBERS OF THE CCHC BOARD OF TRUSTEES. THE COMMITTEE DEVELOPS AND RECOMMENDS POLICIES TO THE CAPE COD HEALTHCARE BOARD OF TRUSTEES REGARDING COMMUNITY BENEFITS PROGRAMS, SETS PRIORITIES, AWARDS PRIORITY GRANT FUNDING, AND ADVISES ON COMMUNITY HEALTH ISSUES AND INITIATIVES. FY 14 COMMUNITY HEALTH COMMITTEE MEMBERS: ELEANOR CLAUS (CHAIR) CCHC BOARD MEMBER KINLIN GROVER REAL ESTATE 927 ROUTE 6A, YARMOUTHPORT, MA 02675 508.362.3000 X203 ECLAUS@KINLINGROVER.COM ELIZABETH ALBERT BARNSTABLE COUNTY HUMAN SERVICES P.O. BOX 427, BARNSTABLE, MA 02630 508.375.6626 BALBERT@BARNSTABLECOUNTY.ORG REPRESENTING: COMMUNITY AT LARGE & COUNTY DEPARTMENTS KAREN CARDEIRA FALMOUTH HUMAN SERVICES 65 TOWN HALL SQUARE, FALMOUTH, MA 02540 508.548.0533 KCARDEIRA@FALMOUTHHUMANSERVICES.ORG REPRESENTING: COMMUNITY AT LARGE & UPPER CAPE MARY DEVLIN PUBLIC HEALTH AND WELLNESS DIVISION, VISITING NURSE ASSOCIATION OF CAPE COD 255 INDEPENDENCE DRIVE, HYANNIS, MA 02601 508.957.7619 MDEVLIN@VNACAPECOD.ORG REPRESENTING: PROVINCETOWN TO PLYMOUTH WITH EMPHASIS ON CHRONIC DISEASE AND HEALTHY AGING OF THE SENIOR POPULATION GEORGIA CARVALHO CAPE COD COMMUNITY COLLEGE 2240 IYANNOUGH ROAD, WEST BARNSTABLE, MA 02668 508.362.2131 EXT. 4492 GCARVALHO@CAPECOD.EDU REPRESENTING: EDUCATION AND YOUNG ADULTS KAREN GARDNER COMMUNITY HEALTH CENTER OF CAPE COD 107 COMMERCIAL ST., MASHPEE, MA 02649 508.477.7090 KGARDNER@CHCOFCAPECOD.ORG REPRESENTING: COMMUNITY HEALTH CENTER NETWORK & UPPER CAPE SUZANNE FAY GLYNN, ESQ. CCHC BOARD MEMBER GLYNN LAW OFFICES 49 LOCUST STREET, FALMOUTH, MA 02540 508.548.8282 LJARVIS@GLYNNLAWOFFICES.COM REPRESENTING: CCHC BOARD OF TRUSTEES CARMEN LEBRON CAPE COD IMMIGRANT CENTER 624 OSTERVILLE WEST BARNSTABLE ROAD, UNIT E1 MARSTONS MILLS, MA 02648 508.428.0517 CLEBRON@CAPECOD.EDU REPRESENTING: COMMUNITY AT LARGE WITH FOCUS ON IMMIGRANT POPULATIONS, HEALTH DISPARITIES AND EMERGING HEALTH NEEDS HADLEY LUDDY BIG BROTHER BIG SISTERS 1934 FALMOUTH ROAD, CENTERVILLE, MA 02601 508-775-5150 HLUDDY@BBBSCCI.ORG REPRESENTING: YOUTH AND YOUNG ADULTS BRIAN O'MALLEY, MD 30 SHANK PAINTER ROAD, PROVINCETOWN, MA 02657 508-487-3505 BOMALLEY@CAPECODHEALTH.ORG REPRESENTING: COMMUNITY AT LARGE & OUTER CAPE CHRIS HOTTLE PROVINCETOWN COUNCIL ON AGING 26 ALDEN STREET, PROVINCETOWN, MA 02657 508-487-7080 CHOTTLE@PROVINCETOWN-MA.GOV REPRESENTING: SENIOR POPULATIONS & OUTER CAPE CAPE COD HEALTHCARE MEMBER: THERESA M. AHERN SENIOR VICE PRESIDENT, STRATEGY AND GOVERNMENTAL AFFAIRS CAPE COD HEALTHCARE 88 LEWIS BAY ROAD HYANNIS, MA 02601 508-862-5077 TAHERN@CAPECODHEALTH.ORG COMMUNITY BENEFITS TEAM MEETINGS THE COMMUNITY HEALTH COMMITTEE MEETING DATES FOR FY 2014 WERE: NOVEMBER 19, 2013 9:00 - 11:00 AM FEBRUARY 20, 2014 4:00-5:30 PM JUNE 19, 2014 4:00-5:30 PM JULY 17, 2014 4:00-5:30 PM
COMMUNITY PARTNERS	AIDS SUPPORT GROUP OF CAPE COD AMERICAN CANCER SOCIETY BARNSTABLE COUNTY CAPE COD COOPERATIVE EXTENSION SERVICES BARNSTABLE COUNTY HUMAN SERVICES BARNSTABLE SCHOOL SYSTEM BEHAVIORAL HEALTH PROVIDER COALITION OF CAPE COD & THE ISLANDS BIG BROTHERS BIG SISTERS OF CAPE COD & THE ISLANDS BOYS AND GIRLS CLUB OF CAPE COD CALMER CHOICE CAPE AND ISLANDS EMS SYSTEMS, INC CAPE AND ISLANDS UNITED WAY CAPE COD CHAMBER OF COMMERCE CAPE COD CHILD DEVELOPMENT CAPE COD FOUNDATION CAPE COD HUNGER NETWORK CHILDREN'S COVE COMMUNITY ACTION COMMITTEE OF CAPE COD & ISLANDS COMMUNITY DEVELOPMENT PARTNERSHIP COMMUNITY HEALTH CENTER OF CAPE COD COMMUNITY HEALTH NETWORK AREA 27 CAPE COD & ISLANDS (CHNA 27) DUFFY HEALTH CENTER ELDER SERVICES OF CAPE COD & THE ISLANDS HARBOR COMMUNITY HEALTH CENTER - HYANNIS HELPING OUR WOMEN HOPE HEALTH DEMENTIA & ALZHEIMER'S SERVICES GOSNOLD ON CAPE COD MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH MOTHERS AND INFANTS RECOVERY NETWORK NATIONAL ALLIANCE ON MENTAL ILLNESS CAPE COD ORAL HEALTH EXCELLENCE COLLABORATIVE OUTER CAPE HEALTH SERVICES PARKINSON SUPPORT NETWORK OF CAPE COD SIGHT LOSS SERVICES SPECIALTY NETWORK FOR THE UNINSURED COMMUNITY HEALTH NEEDS ASSESSMENT DATE LAST ASSESMENT COMPLETED AND CURRENT STATUS THE 2014 - 2016 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IMPLEMENTATION PLAN WAS RELEASED AND MADE WIDELY AVAILABLE TO THE PUBLIC ON SEPTEMBER 27TH, 2013. CAPE COD HOSPITAL AND FALMOUTH HOSPITAL FOLLOWED IRS REGULATIONS AND MA ATTORNEY GENERAL GUIDELINES TO CONDUCT THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT OF POPULATIONS LIVING IN THE SERVICE AREA OF BARNSTABLE COUNTY. SIGNIFICANT COMMUNITY INPUT WAS DOCUMENTED AND DATA WAS COLLECTED FROM NATIONAL, STATE, REGIONAL AND LOCAL SOURCES TO IDENTIFY THE SIGNIFICANT HEALTH NEEDS OF BARNSTABLE COUNTY. SPECIAL ATTENTION WAS GIVEN TO VULNERABLE POPULATIONS, STATEWIDE PRIORITIES WERE CONSIDERED AND THE COMMUNITY ASSETS AVAILABLE TO MEET NEEDS WERE IDENTIFIED AND ASSESSED. AN IMPLEMENTATION PLAN RELATED TO THE SIGNIFICANT HEALTH NEEDS OF BARNSTABLE COUNTY RESIDENTS WAS DEVELOPED WITH OUTLINED GOALS, OBJECTIVES, INITIATIVES, RESOURCES AND POTENTIAL COLLABORATORS. THE OBJECTIVES OF THE COMMUNITY HEALTH NEEDS ASSESSMENT WERE TO GATHER STATISTICALLY VALID INFORMATION AND ACCURATE COMPARISONS TO STATE AND NATIONAL BENCHMARKS OF HEALTH AND QUALITY OF LIFE MEASURES FOR RESIDENTS OF BARNSTABLE COUNTY AND TO INTEGRATE RESEARCH FINDINGS INTO COMMUNITY BENEFIT AND HOSPITAL PLANNING ACTIVITIES THAT ADDRESS SIGNIFICANT COMMUNITY NEEDS AND VULNERABLE POPULATIONS. OVER 80 COMMUNITY ORGANIZATIONS PARTICIPATED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THROUGH FOCUS GROUPS, KEY INFORMATION INTERVIEWS AND COMMUNITY INPUT FORUMS. DATA WAS COLLECTED THROUGH A HOUSEHOLD TELEPHONE SURVEY OF RESIDENTS OF BARNSTABLE COUNTY USING A SURVEY INSTRUMENT ADAPTED FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION'S BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM. PRIMARY DATA COLLECTED THROUGH COMMUNITY INPUT AND THE HOUSEHOLD TELEPHONE SURVEY WAS HEAVILY AUGMENTED WITH SECONDARY DATA FROM NATIONAL, STATE, AND REGIONAL SOURCES. THE MOST CURRENT BARNSTABLE COUNTY HEALTH DATA AVAILABLE WAS COLLECTED, ANALYZED, SYNTHESIZED AND COMPARED TO MA AND US DATA AS AVAILABLE. DATA COLLECTION EFFORTS FOCUSED ON DEMOGRAPHIC CHARACTERISTICS, BEHAVIORAL RISK FACTORS ASSOCIATED WITH HEALTH STATUS, DISEASE INCIDENCE AND PREVALENCE RATES, ACCESS TO CARE, HEALTH STATUS INDICATORS, MORBIDITY/MORTALITY RATES AND HOSPITAL UTILIZATION. THE SIGNIFICANT HEALTH NEEDS IDENTIFIED THROUGH DATA COLLECTION AND COMMUNITY INPUT WERE DISTINGUISHED AND PRIORITIZED BASED ON THE FREQUENCY, URGENCY, SCOPE, SEVERITY AND MAGNITUDE OF THE IDENTIFIED ISSUES. THE SIGNIFICANT HEALTH NEEDS AND ASSOCIATED TARGET AND VULNERABLE POPULATIONS ARE THE FOUNDATION FOR COMMUNITY BENEFITS AND HOSPITAL PLANNING AND PROGRAM IMPLEMENTATION SPANNING FISCAL YEARS 2014 - 2016. KEY DATA SETS FEATURED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT ARE UPDATED ON AN ONGOING BASIS. COMMUNITY BENEFITS AND HOSPITAL PLANNING ACTIVITIES WILL BE FURTHER DEFINED, UPDATED AND EVALUATED THROUGH ONGOING AND ANNUAL PROGRAM EVALUATION AND IDENTIFICATION OF EMERGING TRENDS AND NEEDS. THE FOLLOWING SOURCES WERE UTILIZED IN THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENTS: - CAPE COD HOSPITAL AND FALMOUTH HOSPITAL UTILIZATION DATA - CENTERS FOR DISEASE CONTROL AND PREVENTION: BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), YOUTH RISK BEHAVIORAL SURVEILLANCE SYSTEM (YRBSS), NATIONAL CENTER FOR HEALTH STATISTICS, NATIONAL PROGRAM OF CANCER REGISTRIES, CDC WONDER DATABASE, HEALTHY PEOPLE 2020 -FALMOUTH PREVENTION PARTNERSHIP COMMUNITY PROFILE ON YOUTH SUBSTANCE ABUSE IN FALMOUTH 2009 -MASSACHUSETTS DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION -MASSACHUSETTS DEPARTMENT OF LABOR AND WORKFORCE DEVELOPMENT - MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH: BUREAU OF SUBSTANCE ABUSE SERVICES, - MASSCHIP (MASSACHUSETTS COMMUNITY HEALTH INFORMATION PROFILE) - TRI-COUNTY COLLABORATIVE FOR ORAL HEALTH EXCELLENCE - U.S. CENSUS BUREAU: US CENSUS 2000, US CENSUS 2010, AMERICAN COMMUNITY SURVEY -US DEPARTMENT OF VETERAN AFFAIRS -KEY INFORMANT INTERVIEWS -FOCUS GROUPS -COMMUNITY FORUMS -TELEPHONE SURVEY OF BARNSTABLE COUNTY RESIDENTS - COUNTY HEALTH AND HUMAN SERVICES DEPARTMENT AND LOCAL HEALTH AGENCIES CONSULTANTS/OTHER ORGANIZATIONS AIDS SUPPORT GROUP OF CAPE COD AMERICAN CANCER SOCIETY BARNSTABLE COUNTY HUMAN RIGHTS COMMISSION BARNSTABLE COUNTY HUMAN SERVICES BARNSTABLE COUNTY PUBLIC HEALTH NURSE BARNSTABLE SCHOOL SYSTEM BIG BROTHERS BIG SISTERS OF CAPE COD AND THE ISLANDS BOURNE COUNCIL ON AGING BOYS & GIRLS CLUB OF CAPE COD CAPE & ISLANDS EMERGENCY MEDICAL SERVICES SYSTEM CAPE & ISLANDS UNITED WAY CAPE AND ISLANDS SUICIDE PREVENTION COALITION CAPE COD CENTER FOR WOMEN CAPE COD COMMUNITY COLLEGE CAPE COD COUNCIL OF CHURCHES CAPE DISABILITY NETWORK CAPE COD DISTRICT ATTORNEY'S OFFICE CAPE COD FOUNDATION CAPE COD HEALTHCARE DIABETES CENTER CAPE COD HEALTHCARE INFECTIOUS DISEASE SERVICES CAPE COD HEALTHCARE REGIONAL CANCER NETWORK CAPE COD HEALTHY FAMILIES CAPE COD IMMIGRANT CENTER CAPE COD JUSTICE FOR YOUTH COLLABORATIVE CAPE COD JUSTICE FOR YOUTH BOARD CAPE COD MEDICAL RESERVE CORPS CAPE COD NEIGHBORHOOD SUPPORT COALITION CAPE COD WIC CAPE& ISLANDS GAY STRAIGHT YOUTH ALLIANCE CCH PATIENT AND FAMILY ADVISORY COMMITTEE CHAMP HOMES CHILD AND FAMILY SERVICES CHILDREN'S STUDY HOME COAST (COA'S SERVING TOGETHER) COMMUNITY HEALTH CENTER OF CAPE COD COUNTY NETWORK OF CAPE COD DUFFY HEALTH CENTER ELDER SERVICES OF CAPE COD AND THE ISLANDS EMERALD PHYSICIANS FALMOUTH HOUSING AUTHORITY FALMOUTH HUMAN SERVICES FALMOUTH POLICE DEPARTMENT FALMOUTH PREVENTION PARTNERSHIP FALMOUTH SERVICE CENTER FREEDOM FROM ADDICTION NETWORK GOSNOLD ON CAPE COD HEALTH IMPERATIVES HEALTH IMPERATIVES - HYANNIS FAMILY PLANNING HELPING OUR WOMEN HOPE DEMENTIA AND ALZHEIMER'S SERVICES OF CAPE COD HOPE HEALTH HYANNIS YOUTH AND COMMUNITY CENTER KENNEDY DONOVAN CENTER LOWER CAPE OUTREACH COUNCIL LYME AWARENESS OF CAPE COD MA DEPARTMENT OF MENTAL HEALTH - CAPE COD MASHPEE COUNCIL ON AGING MASHPEE HOUSING AUTHORITY MATERNAL DEPRESSION TASK FORCE NATIONAL MULTIPLE SCLEROSIS SOCIETY ORAL HEALTH EXCELLENCE COLLABORATIVE PARISH NURSE MINISTRIES OF CAPE COD PROVINCETOWN COUNCIL ON AGING REACHING ELDERS WITH ADDITIONAL COMMUNITY HELP (REACH) SAMARITANS ON CAPE COD AND ISLANDS SANDWICH COUNCIL ON AGING SANDWICH HOUSING AUTHORITY SERVING THE HEALTH INFORMATION NEEDS OF OTHERS (SHINE) SOUTH BAY MENTAL HEALTH SPECIALTY NETWORK FOR THE UNINSURED ST. JOHN'S EPISCOPAL PROJECT TRURO COUNCIL ON AGING VETERANS OUTREACH COUNCIL VISITING NURSE ASSOCIATION OF CAPE COD WOMEN AND ADOLESCENT HEALTH AT COMMUNITY HEALTH CENTER OF CAPE COD YMCA OF CAPE COD YOUTH SUICIDE PREVENTION PROJECT
DATA SOURCES	COMMUNITY FOCUS GROUPS, HOSPITAL, CONSUMER GROUP, INTERVIEWS, MASSCHIP, PUBLIC HEALTH PERSONNEL, SURVEYS, CHNA COMMUNITY BENEFITS PROGRAMS COMMUNITY BASED INTERPRETER SERVICES PROGRAM TYPE: COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE, DIRECT SERVICES, GRANT/DONATION/FOUNDATION/SCHOLARSHIP, HEALTH COVERAGE SUBSIDIES OR ENROLLMENT, OUTREACH TO UNDERSERVED, PREVENTION STATEWIDE PRIORITY: ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY, SUPPORTING HEALTHCARE REFORM BRIEF DESCRIPTION OR OBJECTIVE: CAPE COD HEALTHCARE COMMUNITY BENEFITS PROVIDES ANNUAL SUPPORT TO IMPROVE ACCESS TO PRIMARY AND SPECIALTY CARE FOR INDIVIDUALS THAT FACE BARRIERS TO CARE DUE TO LANGUAGE THROUGH THE COMMUNITY BASED INTERPRETER SERVICES PROGRAM. THE PROGRAM DISPATCHES FREE MEDICAL LANGUAGE INTERPRETERS TO COMMUNITY-BASED PHYSICIAN PRACTICES 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. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, OTHER: UNINSURED/UNDERINSURED SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL GOALS GOAL DESCRIPTION: INCREASE ACCESS TO CARE BY PROVIDING MEDICAL INTERPRETATIONS IN COMMUNITY-BASED PRIMARY CARE AND SPECIALTY CARE SETTINGS. GOAL STATUS: COLLABORATION WITH HEALTH CENTERS AND PHYSICIAN OFFICES RESULTED IN 950 LANGUAGE INTERPRETATIONS IN FY14. APPROXIMATELY, 79% OF INTERPRETATIONS WERE FOR RESIDENTS SPEAKING PORTUGUESE AND 21% FOR RESIDENTS SPEAKING SPANISH. PROGRAM EFFORTS ARE ONGOING. PARTNERS PARTNER NAME, DESCRIPTION PARTNER WEB ADDRESS COMMUNITY HEALTH CENTER OF CAPE COD: THE SPECIALTY NETWORK FOR THE UNINSURED HTTP://WWW.CHCOFCAPECOD.ORG/ COMMUNITY-BASED MEDICAL OFFICES ON CAPE COD: VARIOUS HARBOR COMMUNITY HEALTH CENTER-HYANNIS HTTP://WWW.HHSI.US/CAPE-COD/HARBOR-COMMUNITY-HEALTH-CENTER-HYANNIS/ CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED SPECIALTY NETWORK FOR THE UNINSURED (SNU) PROGRAM TYPE: COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE, DIRECT SERVICES,GRANT/DONATION/FOUNDATION/SCHOLARSHIP,HEALTH COVERAGE SUBSIDIES OR ENROLLMENT,HEALTH SCREENING,OUTREACH TO UNDERSERVED,PREVENTION, SCHOOL/HEALTH CENTER PARTNERSHIP STATEWIDE PRIORITY: ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY, SUPPORTING HEALTHCARE REFORM BRIEF DESCRIPTION OR OBJECTIVE: CAPE COD HEALTHCARE COMMUNITY BENEFITS PROVIDES ANNUAL GRANT SUPPORT TO INCREASE ACCESS TO SPECIALTY CARE FOR THE UNINSURED AND UNDER-INSURED RESIDENTS OF BARNSTABLE COUNTY THROUGH THE SPECIALTY NETWORK FOR THE UNINSURED (SNU). THE PROGRAM IS MANAGED IN COLLABORATION WITH LOCAL COMMUNITY HEALTH CENTERS TO PROVIDE APPOINTMENTS WITH SPECIALISTS WHO PROVIDE FREE OR SIGNIFICANTLY REDUCED SLIDING-SCALE FEES FOR OFFICE VISITS, PROCEDURES AND CONTINUED CARE. THE PROGRAM ALSO HOSTS CARDIOLOGY, ORTHOPEDIC AND DIABETIC EYE-EXAM CLINICS WITH SERVICES PROVIDED BY VOLUNTEER PHYSICIANS. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR:ACCESS TO HEALTH CARE, IMMUNIZATION, OTHER: ALZHEIMER DISEASE, OTHER: ARTHRITIS, OTHER: ASTHMA/ALLERGIES, OTHER: CANCER, OTHER: CARDIAC DISEASE, OTHER: CHRONIC PAIN , OTHER: COLITIS/CROHN DISEASE, OTHER: CULTURAL COMPETENCY, OTHER: DIABETES, OTHER: HEPATITIS, OTHER: HIV/AIDS, OTHER: HYPERTENSION, OTHER: LYME DISEASE, OTHER: OSTEOPOROSIS/MENOPAUSE, OTHER: PARKINSON'S DISEASE, OTHER: PULMONARY DISEASE/TUBERCULOSIS, OTHER: STROKE, OTHER: UNINSURED/UNDERINSURED, OTHER: VISION , OVERWEIGHT AND OBESITY SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL GOAL DESCRIPTION: INCREASE ACCESS TO SPECIALTY CARE FOR LOW-INCOME, UNINSURED AND UNDER-INSURED INDIVIDUALS. GOAL STATUS: THE SNU PROGRAM PROVIDED 578 PATIENT APPOINTMENTS WITH SPECIALISTS IN FY14. PROGRAM EFFORTS ARE ONGOING. GOAL DESCRIPTION: PROVIDE ACCESS TO SPECIALISTS FOR UNINSURED OR UNDER-INSURED RESIDENTS WHO FACE LANGUAGE BARRIERS TO CARE. GOAL STATUS: SEVENTY-FOUR PERCENT (74%) OF PROGRAM PARTICIPANTS SPOKE PORTUGUESE, 20% SPOKE ENGLISH AND 6% SPOKE SPANISH AS THEIR PRIMARY SPOKEN LANGUAGE. PARTNERS PARTNER NAME, DESCRIPTION, PARTNER WEB ADDRESS COMMUNITY HEALTH CENTER OF CAPE COD HTTP://WWW.CHCOFCAPECOD.ORG/ HARBOR COMMUNITY HEALTH CENTER- HYANNIS WWW.HHSI.US DUFFY HEALTH CENTER WWW.DUFFYHEALTHCENTER.ORG NANTUCKET COTTAGE HOSPITAL WWW.NANTUCKETHOSPITAL.ORG ISLAND HEALTH CARE WWW.IHIMV.ORG CAPE COD HEALTHCARE WWW.CAPECODHEALTH.ORG CONTACT INFORMATION: LISA GUYON, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA, 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED
PRESCRIPTION ASSISTANCE PROGRAM: CAPE COD HOSPITAL AND FALMOUTH HOSPITAL	PROGRAM TYPE: DIRECT SERVICES,GRANT/DONATION/FOUNDATION/SCHOLARSHIP, HEALTH COVERAGE SUBSIDIES OR ENROLLMENT,OUTREACH TO UNDERSERVED STATEWIDE PRIORITY :ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY, SUPPORTING HEALTHCARE REFORM BRIEF DESCRIPTION OR OBJECTIVE: THE PRESCRIPTION ASSISTANCE PROGRAM IS AN INITIATIVE OF CAPE COD HOSPITAL AND FALMOUTH HOSPITAL EMERGENCY, BEHAVIORAL HEALTH AND PHARMACY DEPARTMENTS AS A COMMUNITY BENEFIT TO HELP UNINSURED, UNDER-INSURED AND FINANCIALLY DISADVANTAGED PATIENTS WHO HAVE NO OTHER VIABLE MEANS TO PAY FOR MEDICATIONS UPON DISCHARGE FROM HOSPITAL FACILITIES. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, OTHER: UNINSURED/UNDERINSURED SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL GOALS GOAL DESCRIPTION: ASSIST RESIDENTS WHO ARE UNABLE TO AFFORD MEDICATIONS TO ENSURE COMPLIANCE WITH THEIR HOSPITAL DISCHARGE PLANS. GOAL STATUS: CAPE COD HOSPITAL AND FALMOUTH HOSPITAL EMERGENCY AND BEHAVIORAL HEALTH DEPARTMENTS PROVIDED PRESCRIPTION ASSISTANCE TOTALING $22,300 FOR UNINSURED, UNDERINSURED OR FINANCIALLY CHALLENGED PATIENTS. PROGRAM EFFORTS ARE ONGOING. PARTNERS PARTNER NAME, DESCRIPTION AND PARTNER WEB ADDRESS LOCAL PHARMACIES N/A CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601 PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED TRANSPORTATION ASSISTANCE PROGRAM: CAPE COD HOSPITAL AND FALMOUTH HOSPITAL PROGRAM TYPE: COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE,DIRECT SERVICES,GRANT/DONATION/FOUNDATION/SCHOLARSHIP,OUTREACH TO UNDERSERVED STATEWIDE PRIORITY : ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY, SUPPORTING HEALTHCARE REFORM BRIEF DESCRIPTION OR OBJECTIVE: IN AN EFFORT TO ASSIST LOW-INCOME AND VULNERABLE POPULATIONS, CAPE COD HOSPITAL AND FALMOUTH HOSPITAL PROVIDE TRANSPORTATION UPON DISCHARGE FROM EMERGENCY AND BEHAVIORAL HEALTH DEPARTMENTS, TO THOSE PATIENTS WITHOUT RESOURCES FOR TRANSPORTATION. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, OTHER: SAFETY, OTHER: UNINSURED/UNDERINSURED SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL GOALS GOAL DESCRIPTION: ASSIST RESIDENTS WHO ARE UNABLE TO AFFORD OR ACCESS TRANSPORTATION TO ENSURE COMPLIANCE WITH THEIR DISCHARGE PLAN. GOAL STATUS: CAPE COD HOSPITAL AND FALMOUTH HOSPITAL EMERGENCY AND BEHAVIORAL HEALTH DEPARTMENTS PROVIDED TAXI VOUCHERS TOTALING $34,000 FOR FINANCIALLY DISADVANTAGED PATIENTS UPON DISCHARGE. PROGRAM EFFORTS ARE ONGOING. PARTNERS PARTNER NAME, DESCRIPTION AND PARTNER WEB ADDRESS LOCAL TAXI COMPANIES N/A CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA, 02601 PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED HEALTH INSURANCE ENROLLMENT SERVICES: COMMUNITY ACTION COMMITTEE OF CAPE COD AND THE ISLANDS PROGRAM TYPE: COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE,DIRECT SERVICES,GRANT/DONATION/FOUNDATION/SCHOLARSHIP,HEALTH COVERAGE SUBSIDIES OR ENROLLMENT,OUTREACH TO UNDERSERVED,PREVENTION,SCHOOL/HEALTH CENTER PARTNERSHIP STATEWIDE PRIORITY: ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY, SUPPORTING HEALTHCARE REFORM BRIEF DESCRIPTION OR OBJECTIVE: IN FY14, CAPE COD HEALTHCARE COMMUNITY BENEFITS PROVIDED A GRANT TO SUPPORT HEALTH INSURANCE ENROLLMENT AND RE-ENROLLMENT SERVICES AT COMMUNITY ACTION COMMITTEE OF CAPE COD AND THE ISLANDS, A COMMUNITY BASED ORGANIZATION THAT PROVIDES ASSISTANCE IN THE NAVIGATION OF HEALTH INSURANCE OPTIONS FOR RESIDENTS OF BARNSTABLE COUNTY. SERVICES INCLUDE BI-LINGUAL HEALTH CARE ENROLLMENT AND RE-ENROLLMENT SERVICES, LINKAGES TO PRIMARY CARE PROVIDERS, CONSUMER EDUCATION WORKSHOPS AND COUNSELING AND OUTREACH TO LOW-INCOME AND IMMIGRANT RESIDENTS. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, OTHER: CULTURAL COMPETENCY, OTHER: EDUCATION/LEARNING ISSUES, OTHER: ELDER CARE, OTHER: UNINSURED/UNDERINSURED SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL, PORTUGUESE, SPANISH GOALS GOAL DESCRIPTION: ASSIST INDIVIDUALS WITH ACCESS TO HEALTH INSURANCE AND ENROLLMENT/RE-ENROLLMENT SERVICES AND EDUCATION. GOAL STATUS: ASSISTED 2,566 INDIVIDUALS WITH HEALTH INSURANCE ENROLLMENT AND RE-ENROLLMENT SERVICES AND EDUCATION IN BARNSTABLE COUNTY. GOAL DESCRIPTION: PROVIDE "ACCESS TO CARE" CONSUMER EDUCATION SESSIONS TO THOSE SERVED. GOAL STATUS: OVER 685 INDIVIDUALS RECEIVED ONE ON ONE COUNSELING/EDUCATION OR ATTENDED CONSUMER EDUCATION WORKSHOPS. GOAL DESCRIPTION: LINK NEWLY INSURED INDIVIDUALS AND FAMILIES TO PRIMARY CARE PROVIDERS. GOAL STATUS: APPROXIMATELY 683 INDIVIDUALS RECEIVING ENROLLMENT SERVICES WERE LINKED TO PRIMARY CARE PROVIDERS. PARTNERS PARTNER NAME, DESCRIPTION AND PARTNER WEB ADDRESS BARNSTABLE HIGH SCHOOL WWW.BARNSTABLE.K12.MA.US/BHS/ FALMOUTH SERVICE CENTER WWW.FALMOUTHSERVICECENTER.ORG/ HEALTH IMPERATIVES - CAPE COD WIC WWW.HEALTHIMPERATIVES.ORG COMMUNITY ACTION COMMITTEE OF CAPE COD & ISLANDS WWW.CACCI.CC A BABY CENTER WWW.ABABYCENTER.ORG DUFFY HEALTH CENTER WWW.DUFFYHEALTHCENTER.ORG HARBOR COMMUNITY HEALTH CENTER-HYANNIS WWW.HHSI.US/CAPECOD MASSHEALTH TRAINING FORUMS WWW.MASSHEALTHMTF.ORG CAREER OPPORTUNITIES CENTER WWW.CAPEJOBS.COM CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED SUPPORTING BEHAVIORAL HEALTH SERVICES FOR HOMELESS AND AT RISK ADULTS AT THE DUFFY HEALTH CENTER PROGRAM TYPE: COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE, DIRECT SERVICES, GRANT/DONATION/FOUNDATION/SCHOLARSHIP, HEALTH COVERAGE SUBSIDIES OR ENROLLMENT, HEALTH SCREENING, OUTREACH TO UNDERSERVED, PREVENTION, SCHOOL/HEALTH CENTER PARTNERSHIP STATEWIDE PRIORITY : ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY, SUPPORTING HEALTHCARE REFORM BRIEF DESCRIPTION OR OBJECTIVE: THE DUFFY HEALTH CENTER PROVIDES PRIMARY CARE AND BEHAVIORAL HEALTH CARE TO HOMELESS ADULTS AND THOSE AT-RISK FOR HOMELESSNESS IN BARNSTABLE COUNTY. IN FY14, COMMUNITY BENEFITS FUNDING FROM CAPE COD HEALTHCARE SUPPORTED THE DUFFY HEALTH CENTERS BEHAVIORAL HEALTH SERVICES INCLUDING THERAPY, PSYCHIATRY AND CASE MANAGEMENT SUPPORT OF PATIENTS WHO ARE FREQUENT CONSUMERS OF EMERGENCY SERVICES IN THE COMMUNITY. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, MENTAL HEALTH, OTHER: ALCOHOL AND SUBSTANCE ABUSE, OTHER: ELDER CARE, OTHER: HOMELESSNESS, OTHER: STRESS MANAGEMENT, OTHER: UNINSURED/UNDERINSURED SEX: ALL AGE GROUP: ALL ADULTS ETHNIC GROUP: ALL LANGUAGE: ALL GOALS GOAL DESCRIPTION: DUFFY HEALTH CENTER WILL PROVIDE BEHAVIORAL HEALTH SERVICES TO 1,200 PATIENTS. GOAL STATUS: BEHAVIORAL HEALTH SERVICES WERE PROVIDED TO 1,820 INDIVIDUALS THROUGH 9,024 VISITS. GOAL DESCRIPTION: DUFFY HEALTH CENTER WILL PROVIDE PSYCHIATRIC SERVICES, PRIMARILY MEDICATION PRESCRIBING AND MONITORING, TO APPROXIMATELY 300 PATIENTS. GOAL STATUS: PSYCHIATRIC SERVICES, INCLUDING MEDICATION PRESCRIBING AND MONITORING, WERE PROVIDED TO 411 INDIVIDUALS THROUGH 1,894 VISITS. GOAL DESCRIPTION: ALL (100%) NEW DUFFY HEALTH CENTER PATIENTS WILL BE SCREENED FOR BEHAVIORAL HEALTH NEEDS. GOAL STATUS: ALL NEW DUFFY HEALTH CENTER PATIENTS WERE SCREENED FOR BEHAVIORAL HEALTH NEEDS USING THE PHQ-9 TOOL TO DETECT DEPRESSION AND ANXIETY. ANY PATIENTS MEETING A PARTICULAR SCORING THRESHOLD OF THE SCREENING TOOL WERE PROVIDED BEHAVIORAL HEALTH SERVICES. PARTNERS PARTNER NAME, DESCRIPTION AND PARTNER WEB ADDRESS VETERANS AFFAIRS: VARIOUS THE DUFFY HEALTH CENTER WWW.DUFFYHEALTHCENTER.ORG HOUSING ASSISTANCE CORPORATION WWW.HACONCAPECOD.ORG CAPE COD COMMUNITY COLLEGE WWW.CAPECOD.EDU CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED
SUPPORT GROUPS AND CLASSES AT CAPE COD HOSPITAL AND FALMOUTH HOSPITAL	PROGRAM TYPE: COMMUNITY EDUCATION,COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE,DIRECT SERVICES,GRANT/DONATION/FOUNDATION/ SCHOLARSHIP,OUTREACH TO UNDERSERVED,SUPPORT GROUP STATEWIDE PRIORITY :ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY, SUPPORTING HEALTHCARE REFORM BRIEF DESCRIPTION OR OBJECTIVE: SUPPORT GROUPS FOR BEREAVEMENT AND CANCER SURVIVORSHIP, AND CLASSES AND COUNSELING FOCUSED ON BREASTFEEDING, FATHERHOOD AND HOLISTIC SERVICES TO COMPLEMENT TRADITIONAL MEDICAL CARE ARE CONDUCTED ON A REGULAR BASIS AND OPEN TO ALL MEMBERS OF THE COMMUNITY. CLASSES ARE HOSTED AT HOSPITALS AND IN THE COMMUNITY TO PROVIDE ACCESS FOR ALL POPULATIONS. INFORMATION AND RESOURCES ARE AVAILABLE TO INDIVIDUALS, FAMILIES AND FRIENDS AND MANY INCLUDE IN-PERSON MEETINGS AND CONTACTS TO OFFER SUPPORT AND REASSURANCE THROUGH THEIR SPECIFIC DISEASE/HEALTH CARE SITUATION. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: OTHER: ARTHRITIS, OTHER: BEREAVEMENT, OTHER: CANCER, OTHER: CHILD CARE, OTHER: CHRONIC PAIN , OTHER: DIABETES, OTHER: HOSPICE, OTHER: HYPERTENSION, OTHER: NUTRITION, OTHER: PARENTING SKILLS, OTHER: PREGNANCY, OTHER: STRESS MANAGEMENT SEX: ALL AGE GROUP: ADULT, ADULT-ELDER, ADULT-YOUNG ETHNIC GROUP: ALL LANGUAGE: ALL GOALS GOAL DESCRIPTION:PROVIDE SUPPORT GROUPS FOR INDIVIDUALS, FAMILIES AND CAREGIVERS ON A CONTINUUM OF ISSUES INCLUDING CANCER SURVIVORSHIP, PRENATAL/NEW PARENTS, BEREAVEMENT AND CHRONIC DISEASE SELF MANAGEMENT. GOAL STATUS: IN FY14, OVER 2,800 HOURS OF SUPPORT GROUPS AND CLASSES WERE OFFERED AND FACILITATED FOR INDIVIDUALS AND FAMILIES. PROGRAM EFFORTS ARE ONGOING. PARTNERS PARTNER NAME, DESCRIPTION AND PARTNER WEB ADDRESS VISITING NURSES ASSOCIATION HTTP://WWW.VNACAPECOD.ORG AMERICAN CANCER SOCIETY WWW.CANCER.ORG YMCA CAPE COD HTTP://YMCACAPECOD.ORG/ CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED WORKFORCE DEVELOPMENT INITIATIVES PROGRAM TYPE: COMMUNITY EDUCATION,COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE,HEALTH PROFESSIONAL/STAFF TRAINING,MENTORSHIP/CAREER TRAINING/INTERNSHIP,OUTREACH TO UNDERSERVED,SCHOOL/HEALTH CENTER PARTNERSHIP STATEWIDE PRIORITY:ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY, SUPPORTING HEALTHCARE REFORM BRIEF DESCRIPTION OR OBJECTIVE: CAPE COD HEALTHCARE RECOGNIZES THE IMPORTANCE OF WORKFORCE DEVELOPMENT AND SUPPORTS THE OPPORTUNITY FOR STUDENTS FROM HIGH SCHOOL THROUGH GRADUATE SCHOOL TO HAVE A POSITIVE AND PROFESSIONAL EXPERIENCE THROUGH INTERNSHIPS, JOB SHADOWING AND TRAINING WITH HEALTH CARE PROVIDERS IN SEVERAL HOSPITAL DEPARTMENTS. BY TRAINING AND MENTORING STUDENTS FOR FUTURE EMPLOYMENT, WE HOPE TO SUCCESSFULLY ENGAGE INDIVIDUALS SO THEY SELECT HEALTH CARE AS A VIABLE AND ADMIRABLE VOCATION, THUS DECREASING THE POTENTIAL RISK FOR PREDICTED FUTURE SHORTAGES IN THE WORKPLACE. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL GOALS GOAL DESCRIPTION: INCREASE ACCESS TO SERVICES THROUGH WORKFORCE DEVELOPMENT PARTNERSHIPS. GOAL STATUS: IN FY14, OVER 10,800 HOURS OF WORKFORCE DEVELOPMENT EFFORTS TOOK PLACE INCLUDING STUDENT TRAINING, MENTORING AND JOB SHADOWING. PROGRAM EFFORTS ARE ONGOING IN FY15. PARTNERS PARTNER NAME, DESCRIPTION AND PARTNER WEB ADDRESS CAPE COD COMMUNITY COLLEGE WWW.CAPECOD.EDU/ UPPER CAPE REGIONAL TECHNICAL SCHOOL WWW.UPPERCAPETECH.COM/ CAPE COD REGIONAL TECHNICAL HIGH SCHOOL HTTP://WWW.CAPETECH.US/ MA COLLEGE OF PHARMACY AND HEALTH SCIENCES WWW.MCPHS.EDU UMASS DARTMOUTH WWW.UMASSD.EDU BOSTON COLLEGE WWW.BC.EDU BARNSTABLE HIGH SCHOOL WWW.BARNSTABLE.K12.MA.US ENDICOTT COLLEGE WWW.ENDICOTT.EDU QUINCY COLLEGE WWW.QUINCYCOLLEGE.EDU BRISTOL COMMUNITY COLLEGE WWW.BRISTOL.MASS.EDU CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED HELPING HANDS: IN-HOME CLINICAL SUPPORT FOR HIGH-RISK PATIENTS PROGRAM TYPE: DIRECT SERVICES, OUTREACH TO UNDERSERVED, PREVENTION STATEWIDE PRIORITY: ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY BRIEF DESCRIPTION OR OBJECTIVE: THIS PROGRAM OFFERS CLINICAL NURSE CASE MANAGEMENT AND MEDICATION REVIEW BY A PHARMACIST IN THE HOME FOR HIGH-RISK INDIVIDUALS WITH A CHRONIC DISEASE, COMPLEX MEDICATION REGIMEN, OR WHEN HIGH RISK OF FALLS HAS BEEN IDENTIFIED. PATIENTS AND THEIR CAREGIVERS ARE PROVIDED COACHING ON SELF-MANAGEMENT OF THEIR CHRONIC DISEASE, MEDICATION MANAGEMENT AND EVALUATION FOR FALL RISK AND HOME SAFETY. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: INJURY AND VIOLENCE, OTHER: CANCER, OTHER: CHRONIC PAIN, OTHER: DIABETES, OTHER: ELDER CARE, OTHER: HOMEBOUND, OTHER: HYPERTENSION, OTHER: NUTRITION, OTHER: PARKINSON'S DISEASE, OTHER: PULMONARY DISEASE/TUBERCULOSIS, OTHER: SAFETY - HOME SEX: ALL AGE GROUP: ADULT ETHNIC GROUP: ALL LANGUAGE: ALL GOAL DESCRIPTION: PROVIDE HIGH-RISK INDIVIDUALS WITH IN-HOME MEDICATION MANAGEMENT, CHRONIC DISEASE EDUCATION, CLINICAL CARE COORDINATION AND CAREGIVER SUPPORT. GOAL STATUS: IN FY14, 745 INDIVIDUALS RECEIVED FREE SERVICES TO IMPROVE THEIR HEALTH STATUS THROUGH THE PROGRAM. PROGRAM EFFORTS ARE ONGOING. PARTNERS PARTNER NAME, DESCRIPTION AND PARTNER WEB ADDRESS ELDER SERVICES OF CAPE COD AND THE ISLANDS WWW.ESCCI.ORG/ PHYSICIAN OFFICES ACROSS CAPE COD SKILLED NURSING FACILITIES - VARIOUS VISITING NURSE ASSOCIATION OF CAPE COD WWW.VNACAPECOD.ORG/ CONTACT INFORMATION: LISA GUYON, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA, 02601 PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED ONE TO ONE MENTORING FOR HIGH-RISK YOUTH: BIG BROTHERS BIG SISTERS OF CAPE COD & THE ISLANDS PROGRAM TYPE: COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE, DIRECT SERVICES,GRANT/DONATION/FOUNDATION/SCHOLARSHIP,OUTREACH TO UNDERSERVED,SCHOOL/HEALTH CENTER PARTNERSHIP STATEWIDE PRIORITY : PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY BRIEF DESCRIPTION OR OBJECTIVE: IN AN EFFORT TO REDUCE THE RISK FACTORS AND INCREASE THE RESILIENCY FACTORS FOR YOUTH AT AN ELEVATED RISK OF SUBSTANCE USE AND ABUSE, CAPE COD HEALTHCARE COMMUNITY BENEFITS PROVIDED A GRANT TO BIG BROTHERS BIG SISTERS OF CAPE COD & THE ISLANDS TO EXPAND MENTORING OPPORTUNITIES ON CAPE COD. BIG BROTHERS BIG SISTERS FOCUSED SPECIFICALLY ON RECRUITING CHILDREN FOR MENTORING WHO MET A MINIMUM OF THREE OF THE FOLLOWING RISK FACTORS ASSOCIATED WITH CHILDHOOD DRUG/ALCOHOL ABUSE: LOW-INCOME HOUSEHOLD, SINGLE-PARENT HOUSEHOLD, ALCOHOL OR DRUG ABUSE IN THE HOUSEHOLD, LOW SELF-ESTEEM/MINIMAL CONFIDENCE AND/OR ISOLATION FROM PEERS/FEW CLOSE FRIENDS. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: MENTAL HEALTH, OTHER: ALCOHOL AND SUBSTANCE ABUSE, OTHER: EDUCATION/LEARNING ISSUES, OTHER: SAFETY, SUBSTANCE ABUSE, TOBACCO USE SEX: ALL AGE GROUP: ADULT-YOUNG, CHILD-PRETEEN, CHILD-PRIMARY SCHOOL ETHNIC GROUP: ALL LANGUAGE: ALL GOALS GOAL DESCRIPTION: RECRUIT AND MATCH CHILDREN AT ELEVATED RISK FOR SUBSTANCE USE AND ABUSE. GOAL STATUS: IN FY14, 75 NEW MATCH RELATIONSHIPS WERE CREATED WITH 56% OF MATCHES MADE FOR YOUTH WITH ELEVATED RISKS FOR SUBSTANCE USE AND ABUSE. GOAL DESCRIPTION: RECRUIT A DIVERSE GROUP OF CHILDREN REPRESENTING DIFFERENT GENDERS, ETHNIC REPRESENTATION AND GEOGRAPHIC LOCATIONS IN BARNSTABLE COUNTY. GOAL STATUS: APPROXIMATELY 60% OF CHILDREN RECRUITED WERE MALE AND 40% WERE FEMALE, 53% WERE CAUCASIAN, 24% MULTI-RACIAL, 17% AFRICAN-AMERICAN AND 6% IDENTIFIED AS HISPANIC, ASIAN OR OTHER RACE. PARTNERS PARTNER NAME, DESCRIPTION AND PARTNER WEB ADDRESS BIG BROTHERS BIG SISTERS CAPE COD & THE ISLANDS HTTP://WWW.BBBSMB.ORG/SITE/C.9GKMJZMXF7LUG/B.8485091/K.84FA/ABOUT_MENTORIN G_ON_CAPE_COD.HTM CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA, 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED
SMILE: ORAL HEALTH EXCELLENCE COLLABORATIVE	PROGRAM TYPE: COMMUNITY EDUCATION,COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE,DIRECT SERVICES,GRANT/DONATION/FOUNDATION/SCHOLARSHIP, HEALTH COVERAGE SUBSIDIES OR ENROLLMENT,HEALTH PROFESSIONAL/STAFF TRAINING,HEALTH SCREENING,OUTREACH TO UNDERSERVED,PREVENTION,SCHOOL/HEALTH CENTER PARTNERSHIP STATEWIDE PRIORITY: ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY BRIEF DESCRIPTION OR OBJECTIVE: CAPE COD HEALTHCARE COMMUNITY BENEFITS PROVIDED GRANT SUPPORT TO THE ORAL HEALTH EXCELLENCE COLLABORATIVE (OHEC) FOR EFFORTS TO EDUCATE LOW-INCOME SENIORS ABOUT THEIR ORAL HEALTH, HYGIENE ROUTINES AND DENTAL CARE RESOURCES. PROGRAM ACTIVITIES INCLUDED PLACING VOLUNTEER ORAL HEALTH EDUCATORS AT EACH OF THE 15 COUNCIL ON AGING OFFICES ACROSS CAPE COD, PROVIDING ONE ON ONE ORAL HEALTH SURVEYS AND EDUCATION SESSIONS WITH SENIORS, AND REMOVING BARRIERS TO DENTAL CARE THROUGH STRENGTHENING EDUCATION, INFORMATION, COORDINATION AND REFERRAL BETWEEN RESIDENTS AND ORAL HEALTH PROVIDERS. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, OTHER: DENTAL HEALTH, OTHER: ELDER CARE, OTHER: UNINSURED/UNDERINSURED SEX: ALL AGE GROUP: ADULT-ELDER, ALL ETHNIC GROUP: ALL LANGUAGE: ALL GOALS GOAL DESCRIPTION: RECRUIT, TRAIN AND SECURE SMILE COUNSELORS IN EACH COUNCIL ON AGING ON CAPE COD. GOAL STATUS: VOLUNTEER SMILE COUNSELORS WERE TRAINED, MENTORED AND PLACED IN EACH OF THE 15 COUNCIL ON AGING OFFICES ACROSS CAPE COD. VOLUNTEERS INCLUDE RETIREES, DENTAL HYGIENISTS, HEALTH CARE PROFESSIONALS AND HEALTH EDUCATORS. GOAL DESCRIPTION: IMPROVE THE ORAL HYGIENE ROUTINES OF SENIORS THROUGH ONE ON ONE COUNSELING SESSIONS WITH SMILE COUNSELORS. FACILITATE ACCESS TO DENTAL CARE AND FOLLOW-UP SERVICES FOR SENIORS WITH UNTREATED DENTAL DISEASE. GOAL STATUS: OVER 203 LOW-INCOME RESIDENTS AGES 65+ RECEIVED ONE ON ONE DENTAL HYGIENE COUNSELING FROM A SMILE COUNSELOR. SEVENTY-FIVE (75) SENIORS WERE LINKED TO DENTAL CARE THROUGH SMILE COUNSELORS. PARTNERS PARTNER NAME, DESCRIPTION AND PARTNER WEB ADDRESS ORAL HEALTH EXCELLENCE COLLABORATIVE WWW.ORALHEALTHEXCELLENCE.NET CAPE COD DISTRICT DENTAL SOCIETY WWW.MASSDENTAL.ORG/CAPECOD COUNCILS ON AGING SERVING TOGETHER (COAST) WWW.CAPECOAST.TUMBLR.COM SERVING HEALTH INFORMATION NEEDS OF ELDERS WWW.CAPECODSENIORS.ORG ELDER SERVICES OF CAPE COD WWW.ESCCI.ORG CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED SUPPORTING ADOLESCENT HEALTH AND CHRONIC DISEASE MANAGEMENT INITIATIVES AT HARBOR COMMUNITY HEALTH CENTER - HYANNIS PROGRAM TYPE: COMMUNITY EDUCATION,COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE,DIRECT SERVICES,GRANT/DONATION/FOUNDATION/SCHOLARSHIP, HEALTH COVERAGE SUBSIDIES OR ENROLLMENT,HEALTH SCREENING,OUTREACH TO UNDERSERVED,PREVENTION,SCHOOL/HEALTH CENTER PARTNERSHIP STATEWIDE PRIORITY: ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY, SUPPORTING HEALTHCARE REFORM BRIEF DESCRIPTION OR OBJECTIVE: CAPE COD HEALTHCARE COMMUNITY BENEFITS PROVIDED A GRANT TO HARBOR COMMUNITY HEALTH CENTER-HYANNIS (HCHC-H) TO IMPROVE ADOLESCENT HEALTH EDUCATION OUTREACH AND CHRONIC DISEASE MANAGEMENT OF PATIENTS. HCHC-H OFFERED UNDERAGE DRINKING AND SUBSTANCE USE/ABUSE PREVENTION SERVICES TO AT-RISK MINORITY YOUTH AND RISK REDUCTION COUNSELING RELATED TO THE TRANSMISSION OF SEXUALLY TRANSMITTED DISEASES. IN ADDITION, THE GRANT SUPPORTED THE EFFORTS OF HCHC-H TO IMPROVE THE CARE COORDINATION OF HIGH-RISK PATIENTS WITH DIABETES, HYPERTENSION AND PEDIATRIC ASTHMA. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR:ACCESS TO HEALTH CARE, MENTAL HEALTH, OTHER: ALCOHOL AND SUBSTANCE ABUSE, OTHER: ASTHMA/ALLERGIES, OTHER: CULTURAL COMPETENCY, OTHER: DIABETES, OTHER: DRUNK DRIVING, OTHER: HEPATITIS, OTHER: HIV/AIDS, OTHER: HYPERTENSION, OTHER: LANGUAGE/LITERACY, OTHER: PREGNANCY, OTHER: PUBLIC SAFETY, OTHER: SAFETY, OTHER: SEXUALLY TRANSMITTED DISEASES, OTHER: SMOKING/TOBACCO, OTHER: STRESS MANAGEMENT, OTHER: STROKE, OTHER: UNINSURED/UNDERINSURED, RESPONSIBLE SEXUAL BEHAVIOR, SUBSTANCE ABUSE, TOBACCO USE SEX: ALL AGE GROUP: ADULT, ADULT-YOUNG, ALL ADULTS, CHILD-PRETEEN, CHILD-TEEN ETHNIC GROUP: ALL LANGUAGE: ALL GOALS GOAL DESCRIPTION: REACH 200 YOUTH THROUGH MOBILE OUTREACH AND HEALTH EDUCATION INITIATIVES. GOAL STATUS: HCHC-H SERVED 541 YOUTH UNDER THE AGE OF 19 YEARS DURING THE GRANT PERIOD. IN ADDITION TO COMMUNITY EDUCATION INITIATIVES, HCHC-H LAUNCHED A WALK-IN HIV AND HEPATITIS C VIRUS TESTING AND COUNSELING SITE FOR ADOLESCENTS. GOAL DESCRIPTION: DEVELOP CHRONIC DISEASE HIGH-RISK REGISTRIES TO IDENTIFY AND MONITOR PATIENTS IN NEED OF INCREASED CARE COORDINATION. GOAL STATUS: HCHC-H DEVELOPED A DIABETES REGISTRY WITH 130 PATIENTS AND A HYPERTENSION REGISTRY WITH 217 PATIENTS IDENTIFIED FOR MONITORING BY STAFF NURSES. A 'TOP PRIORITY' REGISTRY OF 43 PATIENTS WAS DEVELOPED TO MANAGE THE CARE OF HCHC-H'S MOST COMPLEX PATIENTS. PARTNERS PARTNER NAME, DESCRIPTION AND PARTNER WEB ADDRESS HARBOR COMMUNITY HEALTH CENTER - HYANNIS WWW.HHSI.US CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED SUPPORTING ACCESS TO CARE AND CHRONIC DISEASE MANAGEMENT INITIATIVES AT THE COMMUNITY HEALTH CENTER OF CAPE COD PROGRAM TYPE: COMMUNITY EDUCATION,COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE,DIRECT SERVICES,GRANT/DONATION/FOUNDATION/SCHOLARSHIP, HEALTH SCREENING,OUTREACH TO UNDERSERVED,PREVENTION,SCHOOL/HEALTH CENTER PARTNERSHIP STATEWIDE PRIORITY: ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY, SUPPORTING HEALTHCARE REFORM BRIEF DESCRIPTION OR OBJECTIVE: CAPE COD HEALTHCARE PROVIDED COMMUNITY BENEFITS FUNDING TO THE COMMUNITY HEALTH CENTER OF CAPE COD (CHCCC) TO SUPPORT EFFORTS TO ASSESS BARRIERS TO CARE SUCH AS TRANSPORTATION, MEDICATION ASSISTANCE, INSURANCE STATUS AND LITERACY FOR NEW PATIENTS AND TO EXPAND SCREENING AND CARE COORDINATION FOR HIGH RISK PATIENTS WITH CHRONIC DISEASE OR BEHAVIORAL HEALTH NEEDS. TARGET POPULATION REGIONS SERVED:COUNTY-BARNSTABLE HEALTH INDICATOR:ACCESS TO HEALTH CARE, MENTAL HEALTH, OTHER: ALCOHOL AND SUBSTANCE ABUSE, OTHER: ASTHMA/ALLERGIES, OTHER: CANCER, OTHER: CARDIAC DISEASE, OTHER: CHRONIC PAIN , OTHER: CULTURAL COMPETENCY, OTHER: DENTAL HEALTH, OTHER: DIABETES, OTHER: HOMELESSNESS, OTHER: HYPERTENSION, OTHER: NUTRITION, OTHER: SAFETY, OTHER: SMOKING/TOBACCO, OTHER: STRESS MANAGEMENT, OTHER: STROKE, OTHER: UNINSURED/UNDERINSURED, OTHER: VISION , SUBSTANCE ABUSE SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL GOALS GOAL DESCRIPTION: ASSESS BARRIERS TO CARE AND PROVIDE ORIENTATION WHICH INCLUDES AN OVERVIEW OF THE PRINCIPLES OF PATIENT CENTERED MEDICAL HOME MODELS AND ACCESSING CARE AFTER NORMAL BUSINESS HOURS FOR ALL NEW HEALTH CENTER PATIENTS. GOAL STATUS: CHCCC CONDUCTED BARRIER TO CARE ASSESSMENTS, INCLUDING ASSESSMENT OF INCOME STATUS, LANGUAGE, INSURANCE STATUS, HOUSING STATUS, TRANSPORTATION NEEDS, AND PRESCRIPTION ASSISTANCE FOR 100% OF THE CURRENT AND NEW PATIENTS REGISTERED. GOAL DESCRIPTION: EXPAND SCREENINGS AND TREATMENT FOR CHRONIC CONDITIONS OF DEPRESSION, DIABETES AND HYPERTENSION. GOAL STATUS: OVER 5,000 PATIENTS WERE SCREENED FOR DEPRESSION, ANXIETY, SUBSTANCE ABUSE AND SUICIDAL IDEATION. CHCCC ACHIEVED NEARLY 90% OF REQUIRED PREVENTATIVE TESTING FOR DIABETES AND NEARLY 100% OF PATIENTS RECEIVED BLOOD PRESSURE SCREENINGS. PARTNERS PARTNER NAME, DESCRIPTION AND PARTNER WEB ADDRESS FALMOUTH SERVICE CENTER WWW.FALMOUTHHUMANSERVICES.ORG BARNSTABLE COUNTY SHERIFFS DEPARTMENT WWW.BSHERIFF.NET VARIOUS SCHOOL SYSTEMS N/A COMMUNITY HEALTH CENTER OF CAPE COD HTTP://WWW.CHCOFCAPECOD.ORG/ SANDWICH SENIOR CENTER HTTP://WWW.SANDWICHMASS.ORG COMMUNITY ACTION COMMITTEE OF CAPE COD & THE ISLANDS WWW.CACCI.CC/ CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED SUPPORTING COMPLEX CARE MANAGEMENT AT OUTER CAPE HEALTH SERVICES PROGRAM TYPE: COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE, DIRECT SERVICES, GRANT/DONATION/FOUNDATION/SCHOLARSHIP, HEALTH COVERAGE SUBSIDIES OR ENROLLMENT, HEALTH SCREENING, OUTREACH TO UNDERSERVED, PREVENTION, SCHOOL/HEALTH CENTER PARTNERSHIP STATEWIDE PRIORITY: ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABL
MEDICAL TRANSPORTATION FOR THE CHRONICALLY ILL FROM THE OUTER CAPE:	HELPING OUR WOMEN PROGRAM TYPE: COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE, DIRECT SERVICES, GRANT/DONATION/FOUNDATION/SCHOLARSHIP, HEALTH COVERAGE SUBSIDIES OR ENROLLMENT, OUTREACH TO UNDERSERVED STATEWIDE PRIORITY: CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY, SUPPORTING HEALTHCARE REFORM. BRIEF DESCRIPTION OR OBJECTIVE: IN AN EFFORT TO REDUCE BARRIERS TO HEALTH CARE FOR RESIDENTS FROM THE MOST GEOGRAPHICALLY ISOLATED REGION, THE OUTER CAPE, CCHC COMMUNITY BENEFITS PROVIDED A GRANT IN FY14 TO HELPING OUR WOMEN. HELPING OUR WOMEN PROVIDES SAFE, RELIABLE AND FREE TRANSPORTATION TO MEDICAL, DIAGNOSTIC TESTING AND FOLLOW-UP APPOINTMENTS FOR WOMEN WITH CHRONIC, LIFE THREATENING OR DISABLING CONDITIONS WHO RESIDE FROM EASTHAM TO PROVINCETOWN. TARGET POPULATION REGIONS SERVED: EASTHAM, PROVINCETOWN, TRURO, WELLFLEET HEALTH INDICATOR: ACCESS TO HEALTH CARE, OTHER: CANCER, OTHER: CARDIAC DISEASE, OTHER: DIABETES, OTHER: ELDER CARE, OTHER: SAFETY - AUTO/PASSENGER, OTHER: STROKE SEX: ALL AGE GROUP: ADULT, ADULT-ELDER ETHNIC GROUP: ALL LANGUAGE: ALL GOALS GOAL DESCRIPTION: PROVIDE TRANSPORTATION TO MEDICAL APPOINTMENTS TO RESIDENTS FROM EASTHAM TO PROVINCETOWN. GOAL STATUS: IN FY14, 272 UNITS OF TRANSPORTATION WERE PROVIDED FOR 199 INDIVIDUALS FROM THE OUTER CAPE. CLIENTS FROM THE FOLLOWING TOWNS WERE ASSISTED: PROVINCETOWN (115), WELLFLEET (47), TRURO (22), AND EASTHAM (15). GOAL DESCRIPTION: ESTABLISH AND MAINTAIN RELATIONSHIPS WITH OTHER REGIONAL TRANSPORTATION ORGANIZATIONS TO DEVELOP A TRANSPORTATION SAFETY NET FOR RESIDENTS TO ACCESS HEALTH CARE. GOAL STATUS: RELATIONSHIPS ESTABLISHED OR MAINTAINED WITH CAPE COD REGIONAL TRANSPORTATION AUTHORITY, CAPE AIR, AND COMMUNITY-BASED VOLUNTEER TRANSPORTATION ORGANIZATIONS. PARTNERS PARTNER NAME, DESCRIPTION AND PARTNER WEB ADDRESS PROVINCETOWN COUNCIL ON AGING WWW.PROVINCETOWN-MA.GOV EASTHAM COUNCIL ON AGING WWW.EASTHAM-MA.GOV TRURO COUNCIL ON AGING WWW.TRURO-MA.GOV/COUNCIL-ON-AGING WELLFLEET COUNCIL ON AGING WWW.WELLFLEETMA.ORG CAPE COD REGIONAL TRANSIT AUTHORITY WWW.CAPECODTRANSIT.ORG CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED SCHOOL BASED EARLY INTERVENTION AND PREVENTION PROGRAM: GOSNOLD PROGRAM TYPE:COMMUNITY EDUCATION,GRANT/DONATION/FOUNDATION/SCHOLARSHIP, HEALTH SCREENING, OUTREACH TO UNDERSERVED,PREVENTION,SCHOOL/HEALTH CENTER PARTNERSHIP STATEWIDE PRIORITY : ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY, SUPPORTING HEALTHCARE REFORM BRIEF DESCRIPTION OR OBJECTIVE: IN AN EFFORT TO ADDRESS SUBSTANCE USE AND ABUSE BY YOUTH AND YOUNG ADULTS, CAPE COD HEALTHCARE COMMUNITY BENEFITS PROVIDED A FY14 GRANT TO GOSNOLD ON CAPE COD TO PILOT EARLY INTERVENTION AND PREVENTION SERVICES IN A HIGH SCHOOL SETTING. THE MODEL, DEVELOPED BY GOSNOLD ON CAPE COD, PROVIDED ONSITE ACCESS TO COUNSELING SERVICES, IDENTIFIED AND PROVIDED CLINICAL INTERVENTION WITH STUDENTS WHOSE LIVES ARE NEGATIVELY IMPACTED BY SUBSTANCE ABUSE AND ENCOURAGED AND SUPPORTED THE 'CLEAN AND SOBER' STUDENTS IN THE SCHOOL TO HELP BUILD A CULTURE TO FOSTER HEALTHY BEHAVIORS AMONGST PEERS. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, MENTAL HEALTH, OTHER: ALCOHOL AND SUBSTANCE ABUSE, OTHER: SAFETY, OTHER: STRESS MANAGEMENT, OTHER: UNINSURED/UNDERINSURED, SUBSTANCE ABUSE SEX: ALL AGE GROUP: ADULT-YOUNG, CHILD-PRETEEN, CHILD-TEEN ETHNIC GROUP: ALL LANGUAGE: ALL GOALS GOAL DESCRIPTION: PROVIDE ONSITE COUNSELING TO SUPPORT, ASSESS AND PROVIDE CLINICAL COUNSELING FOR STUDENTS IDENTIFIED AS ABUSING SUBSTANCES OR AT RISK FOR ABUSING SUBSTANCES. GOAL STATUS: THIRTY STUDENTS WERE REFERRED TO THE GOSNOLD CLINICIAN DURING THE SCHOOL YEAR. OF THOSE STUDENTS, TWENTY CONTINUED TO RECEIVE ONGOING COUNSELING AND ATTENDED MULTIPLE INDIVIDUAL SESSIONS. GOAL DESCRIPTION: PROVIDE ONSITE COUNSELING TO SUPPORT, ASSESS AND PROVIDE CLINICAL COUNSELING FOR STUDENTS IDENTIFIED AS ABUSING SUBSTANCES OR AT RISK FOR ABUSING SUBSTANCES. GOAL STATUS: FORTY PERCENT OF THE THIRTY STUDENTS SERVED WERE IN THE 11TH GRADE WITH AN EQUAL GENDER MIX. SIXTY PERCENT OF THE STUDENTS WERE REFERRED BY A GUIDANCE COUNSELOR AND THIRTEEN PERCENT OF THE STUDENTS WERE SELF-REFERRED. GOAL DESCRIPTION: ESTABLISH A CHAPTER OF PROJECT PURPLE AT THE SCHOOL IN AN EFFORT TO BUILD A CULTURE OF SOBRIETY AND PREVENTION OF ALCOHOL AND DRUG USE. GOAL STATUS: THE GOSNOLD CLINICIAN AND SCHOOL ADJUSTMENT COUNSELOR ESTABLISHED A PROJECT PURPLE CHAPTER AT THE SCHOOL AND 120 STUDENTS JOINED THE CHAPTER IN THE FIRST YEAR. PARTNERS PARTNER NAME, DESCRIPTION AND PARTNER WEB ADDRESS GOSNOLD ON CAPE COD WWW.GOSNOLD.ORG CAPE COD REGIONAL TECHNICAL HIGH SCHOOL WWW.CAPETECH.US PROJECT PURPLE WWW.GOPROJECTPURPLE.COM CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED
EVIDENCE-BASED PROGRAMS FOR SENIORS:	ELDER SERVICES OF CAPE COD & THE ISLANDS PROGRAM TYPE: COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE, DIRECT SERVICES, GRANT/DONATION/FOUNDATION/SCHOLARSHIP, OUTREACH TO UNDERSERVED, PREVENTION STATEWIDE PRIORITY : ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY, SUPPORTING HEALTHCARE REFORM BRIEF DESCRIPTION OR OBJECTIVE: CAPE COD HEALTHCARE COMMUNITY BENEFITS SUPPORTED THE EFFORTS OF ELDER SERVICES OF CAPE COD & THE ISLANDS TO OFFER TWO EVIDENCE-BASED PROGRAMS TO RESIDENTS OF BARNSTABLE COUNTY: HEALTH EATING FOR SUCCESSFUL LIVING AND POWERFUL TOOLS FOR CAREGIVERS. THESE PROGRAMS SUPPORT ELDERS AGES 60+ IN THE SELF MANAGEMENT OF THEIR NUTRITIONAL HEALTH AND TO PROVIDE CAREGIVERS THE TOOLS FOR SELF-CARE AND CAREGIVING. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: MENTAL HEALTH, OTHER: ALZHEIMER DISEASE, OTHER: CANCER, OTHER: ELDER CARE, OTHER: HOMEBOUND, OTHER: HOSPICE, OTHER: HYPERTENSION, OTHER: NUTRITION, OTHER: PARKINSON'S DISEASE, OTHER: SAFETY, OTHER: SAFETY - HOME, OTHER: STRESS MANAGEMENT SEX: ALL AGE GROUP: ADULT, ADULT-ELDER ETHNIC GROUP: ALL LANGUAGE: ALL GOALS GOAL DESCRIPTION: THIRTY INDIVIDUALS WILL PARTICIPATE IN THE HEALTH EATING FOR SUCCESSFUL LIVING PROGRAM AT ONE OF THE THREE PROGRAM SITES LOCATED IN THE MID-CAPE, LOWER CAPE AND UPPER CAPE REGIONS. GOAL STATUS: FOURTEEN INDIVIDUALS PARTICIPATED IN 2 PROGRAMS OFFERED ON THE MID AND UPPER CAPE. PROGRAM GOALS WERE ASSESSED AND MET ACCORDING TO PARTICIPANT SURVEY DATA. GOAL DESCRIPTION: THIRTY INDIVIDUALS WILL PARTICIPATE IN THE POWERFUL TOOLS FOR CAREGIVERS PROGRAM AT ONE OF THE THREE PROGRAM SITES LOCATED IN THE MID-CAPE, LOWER CAPE AND UPPER CAPE REGIONS. GOAL STATUS: THIRTY INDIVIDUALS PARTICIPATED IN THREE PROGRAMS OFFERED ON THE MID-CAPE, LOWER CAPE AND UPPER CAPE. PROGRAM GOALS WERE ASSESSED AND MET OR SURPASSED EXPECTATIONS ACCORDING TO SURVEY RESULTS. PARTNERS PARTNER NAME, DESCRIPTION AND PARTNER WEB ADDRESS ELDER SERVICES OF CAPE COD & THE ISLANDS WWW.ESCCI.ORG CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601. PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION:NOT SPECIFIED TRIPLE AIM OF HEALTHY PHYSICAL, MENTAL AND EMOTIONAL BEHAVIORS IN YOUTH: THE BOYS AND GIRLS CLUB OF CAPE COD PROGRAM TYPE: DIRECT SERVICES, GRANT/DONATION/FOUNDATION/SCHOLARSHIP, OUTREACH TO UNDERSERVED, PREVENTION STATEWIDE PRIORITY: CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY BRIEF DESCRIPTION OR OBJECTIVE: IN AN EFFORT TO INCREASE LOCAL PROGRAMS THAT EMPHASIZE GOOD HEALTH BEHAVIOR IN YOUTH, CAPE COD HEALTHCARE COMMUNITY BENEFITS PROVIDED A GRANT TO SUPPORT THE TRIPLE AIM PROGRAM AT THE BOYS AND GIRLS CLUB OF CAPE COD. TRIPLE AIM IS A HEALTH AND FITNESS PROGRAM THAT INCLUDES STRATEGIES THAT EMPHASIZE HEALTHY EATING AND EXERCISE AS WELL AS PREVENTING ALCOHOL AND DRUG USE. YOUTH, AGES 6 -18 YEARS OLD, ENGAGED IN HEALTHY EATING AND COOKING CLASSES, FITNESS CHALLENGES, ORGANIZED SPORTS LEAGUES, AND SMART MOVES, A DRUG AND ALCOHOL RESISTANCE PROGRAM. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: MENTAL HEALTH, OTHER: ALCOHOL AND SUBSTANCE ABUSE, OTHER: NUTRITION, OTHER: SAFETY, OTHER: SAFETY - SPORTS, PHYSICAL ACTIVITY SEX: ALL AGE GROUP: ADULT-YOUNG, CHILD-PRETEEN, CHILD-PRIMARY SCHOOL, CHILD-TEEN ETHNIC GROUP: ALL LANGUAGE: ALL GOALS GOAL DESCRIPTION: SERVE APPROXIMATELY 170 YOUTH PER DAY AND APPROXIMATELY 840 YOUTH PER YEAR. GOAL STATUS: DURING THE GRANT CYCLE, APPROXIMATELY 838 YOUTH WERE SERVED WITH AN AVERAGE OF 136 YOUTH IN ATTENDANCE DAILY. GOAL DESCRIPTION: OVER 100 YOUTH WILL PARTICIPATE IN THE SMART MOVES DRUG AND ALCOHOL RESISTANCE PROGRAM. GOAL STATUS: FIFTY-NINE YOUTH TOOK PART IN FORMAL SMART MOVES PROGRAM ACTIVITIES WITH ALL CLUB MEMBERS EXPOSED TO ACTIVITIES THROUGHOUT THE YEAR. GOAL DESCRIPTION: USE OF DRUGS AND ALCOHOL BY CAPE BOYS AND GIRLS CLUB MEMBERS WILL BE COMPARED TO NATIONAL STATISTICS VIA THE YOUTH AT RISK SURVEY. GOAL STATUS: SURVEY RESULTS INDICATE A HIGHER RATE OF SUBSTANCE USE AMONGST CAPE-BASED MEMBERS COMPARED TO NATIONAL STATISTICS. SEVENTY-FOUR PERCENT OF CAPE CLUB MEMBERS ABSTAINED FROM USING MARIJUANA COMPARED TO 91% NATIONAL ABSTENTION RATES. GOAL DESCRIPTION: OVER 90 YOUTH WILL PARTICIPATE IN THE HEALTHY HABITS EDUCATION AND COOKING PROGRAM. GOAL STATUS: ONE HUNDRED AND TWENTY ONE YOUTH PARTICIPATED IN THE HEALTH HABITS PROGRAM. GOAL DESCRIPTION: HEALTHY FOOD CONSUMPTION OF CAPE CLUB MEMBERS WILL BE MEASURED VIA THE YOUTH AT RISK SURVEY. GOAL STATUS: FORTY-EIGHT PERCENT OF CAPE-BASED CLUB MEMBERS SELF-REPORTED THAT THEY CONSUMED 3 OR MORE DAIRY PRODUCTS PER DAY COMPARED TO 39% NATIONWIDE. ALSO ONLY 36% OF MEMBERS ARE EATING MORE THAN 3 VEGETABLES PER DAY COMPARED TO NATIONAL NORM OF 39%. GOAL DESCRIPTION: OVER 200 YOUTH WILL PARTICIPATE IN DAILY FITNESS ACTIVITIES. GOAL STATUS: ONE HUNDRED AND EIGHTY-SEVEN YOUTH PARTICIPATED IN DAILY FITNESS CHALLENGES DURING THE SCHOOL YEAR AND 198 PARTICIPATED DURING THE SUMMER. GOAL DESCRIPTION: PHYSICAL ACTIVITY LEVELS OF CAPE CLUB MEMBERS WILL BE MEASURED VIA THE YOUTH AT RISK SURVEY. GOAL STATUS: SEVENTY PERCENT OF CAPE CLUB MEMBERS SELF REPORTED THAT THEY WERE PHYSICALLY ACTIVE 5+ DAYS PER WEEK, AS COMPARED TO A NATIONAL AVERAGE OF 63%. GOAL DESCRIPTION: APPROXIMATELY 270 YOUTH WILL PARTICIPATE IN ORGANIZED SPORTS LEAGUE ACTIVITIES. GOAL STATUS: TWO-HUNDRED AND SEVENTY-SIX YOUTH PARTICIPATED IN ORGANIZED SPORTS LEAGUE ACTIVITIES INCLUDING BASKETBALL LEAGUES AND FLAG FOOTBALL LEAGUES. PARTNERS PARTNER NAME, DESCRIPTION AND PARTNER WEB ADDRESS BOYS AND GIRLS CLUB OF CAPE COD HTTP://WWW.BOYSGIRLSCLUBCAPECOD.ORG CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601. PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED
MENTAL HEALTH CONSULTATION FOR CHILDREN IN DISTRESS:	CAPE COD CHILD DEVELOPMENT PROGRAM TYPE: COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE, GRANT/DONATION/FOUNDATION/SCHOLARSHIP, HEALTH SCREENING, OUTREACH TO UNDERSERVED, PREVENTION, SCHOOL/HEALTH CENTER PARTNERSHIP STATEWIDE PRIORITY : ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY, SUPPORTING HEALTHCARE REFORM BRIEF DESCRIPTION OR OBJECTIVE: CAPE COD HEALTHCARE COMMUNITY BENEFITS PROVIDED A GRANT TO CAPE COD CHILD DEVELOPMENT TO SUPPORT A 5-MONTH PILOT PROGRAM TO INTEGRATE AND ADOPT AN EARLY CHILDHOOD MENTAL HEALTH CONSULTATION MODEL INTO THE AGENCY'S PRESCHOOL AND HEAD START PROGRAMS. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, MENTAL HEALTH, OTHER: CHILD CARE, OTHER: CULTURAL COMPETENCY, OTHER: EDUCATION/LEARNING ISSUES, OTHER: PARENTING SKILLS, OTHER: SAFETY - HOME, OTHER: STRESS MANAGEMENT SEX: ALL AGE GROUP: ALL CHILDREN, CHILD-PRIMARY SCHOOL ETHNIC GROUP: ALL LANGUAGE: ALL GOALS GOAL DESCRIPTION: IDENTIFY SPECIFIC CHILDREN EXPERIENCING SIGNIFICANT BEHAVIORAL HEALTH ISSUES AND PROVIDE INDIVIDUAL TREATMENT PLANS THAT INCLUDE TEACHERS AND FAMILY MEMBERS. GOAL STATUS: THE MENTAL HEALTH CONSULTANT WORKED WITH 33 CHILDREN. TWELVE OF THE CHILDREN MET SCHOOL READINESS GOALS THROUGH THE HELP OF TEACHERS, THERAPISTS AND FAMILY MEMBERS WHO COLLECTIVELY WORKED TO ADDRESS AGGRESSION, ANXIETY, AND ENGAGEMENT OF THE CHILD. GOAL DESCRIPTION: PROVIDE CLASSROOM CONSULTATION AND STRENGTHEN SKILL SETS OF TEACHERS TO ADDRESS BEHAVIORAL HEALTH ISSUES OF YOUNG STUDENTS. GOAL STATUS: ALL HEAD START CLASSROOM STUDENTS (AGES 3-5) WERE OBSERVED AND ALL TEACHERS WERE PROVIDED CONSULTATION AND TRAINING IN IMPLEMENTING FRAMEWORKS, SKILLS AND CONCEPTS TO SUPPORT POSITIVE LEARNING AND TRAUMA-INFORMED CARE ENVIRONMENTS. PARTNERS PARTNER NAME, DESCRIPTION AND PARTNER WEB ADDRESS CAPE COD CHILD DEVELOPMENT WWW.CCCDP.ORG CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601. PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED SUPPORT OF CHNA 27 AND COMMUNITY-BASED AGENCIES: DETERMINATION OF NEED PROGRAM TYPE: COMMUNITY EDUCATION,COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE, DIRECT SERVICES, GRANT/DONATION/ FOUNDATION/SCHOLARSHIP, HEALTH COVERAGE SUBSIDIES OR ENROLLMENT, HEALTH PROFESSIONAL/STAFF TRAINING, HEALTH SCREENING, OUTREACH TO UNDERSERVED, PREVENTION, SCHOOL/HEALTH CENTER PARTNERSHIP, SUPPORT GROUP STATEWIDE PRIORITY:ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY, SUPPORTING HEALTHCARE REFORM BRIEF DESCRIPTION OR OBJECTIVE: TOTAL FUNDING OF $401,000 HAS BEEN DESIGNATED TO ADDRESS ISSUES THAT ELIMINATE HEALTH DISPARITIES, PROMOTE WELLNESS, AND PREVENT/MANAGE CHRONIC DISEASE FOR INDIVIDUALS WHO ARE ELDERLY AND OR PERSONS WITH DISABILITIES. THIS POPULATION WAS IDENTIFIED THROUGH A COMMUNITY HEALTH NEEDS ASSESSMENT BY CAPE COD HEALTHCARE AND ENDORSED BY THE COMMUNITY HEALTH NETWORK AREA27 (CAPE COD AND THE ISLANDS). THIS PROGRAM WAS SPECIFIED AS A PART OF THE DETERMINATION OF NEED REQUIREMENT FOR THE CLARK CANCER CENTER DEVELOPMENT AND LICENSURE. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, OTHER: ELDER CARE, OTHER: UNINSURED/UNDERINSURED SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL GOAL DESCRIPTION: ISSUE AN RFP SUPPORTING COLLABORATIVE, MEASURABLE AND EVIDENCE-BASED REGIONAL PROGRAMS FOR SENIORS AND/OR DISABLED INDIVIDUALS THAT PROVIDE AN IMPACT ON THE MOST URGENT NEEDS OF THE IDENTIFIED TARGET POPULATION. GOAL STATUS: GRANT AWARDS WERE MADE IN 2014 TO FOUR ORGANIZATIONS WHICH MET RFP CRITERIA. THE GRANT AWARDS RANGED FROM $15,000 TO $25,000 AND TOTALED $70,000. THE CAPE COD FOUNDATION MANAGED THE GRANT REVIEW AND SELECTION PROCESS. GOAL DESCRIPTION: EXPAND COMMUNITY CAPACITY BUILDING AND PROGRAM SUPPORT FOR COMMUNITY HEALTH NETWORK AREA 27. GOAL STATUS: DETERMINATION OF NEED FUNDS SUPPORTED A CHNA 27 PART-TIME COORDINATOR AND GRANTS MANAGER TO ADD CAPACITY AND PROCESS TO ONGOING EFFORTS. PARTNERS PARTNER NAME, DESCRIPTION AND PARTNER WEB ADDRESS CHNA 27 WWW.BCHUMANSERVICES.NET/COMMUNITY-HEALTH-NETWORK-AREA-CHNA/ CAPE COD FOUNDATION WWW.CAPECODFOUNDATION.ORG CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA, 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED
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 HEALTHCARE, 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 SIT ON THE BOARD OF THE FOLLOWING: EMERALD PHYSICIAN MEMBER TRUST: THOMAS WROE JR ROBERT BIRMINGHAM PHILIP MCLOUGHLIN JOEL CROWELL CAPE HEALTH INSURANCE COMPANY: MICHAEL K LAUF MICHAEL L CONNORS MICHAEL G JONES DOUGLAS G MANN, MD PATRICK J FLYNN, MD PHILIP MCLOUGHLIN SUMNER B TILTON, JR THE MEMBERS OF CAPE COD HEALTHCARE, INC.'S BOARD ALSO SIT ON THE BOARD OF CAPE COD MEDICAL OFFICE BUILDING, A FOR-PROFIT RELATED ORGANIZATION. FORM 990, PART VI, LINE 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 11 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 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, COLUMN (B)	THE INDIVIDUALS REPORTED AS RECEIVING COMPENSATION FROM A RELATED ORGANIZATION IN COLUMNS (E) AND (F) IN PART VII ARE EMPLOYEES AT CAPE COD HEALTHCARE, INC., A TAX-EXEMPT RELATED ORGANIZATION. FORM 990, PART VII, SECTION A WILLIAM ZAMMER Full title: Vice Chairman until 5/14, Chair from 5/14, Trustee 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	OTHER CHANGES IN NET ASSETS OR FUND BALANCES NET ASSETS RELEASED FROM RESTRICTION $176,300 TRANSFERS TO/FROM AFFILIATES (16,544,026) CHANGE IN VALUE OF SPLIT INTEREST AGREEMENT 1,332,389 CHANGE IN VALUE OF BENEFICIAL INTEREST 614,318 INVESTMENT IN AFFILIATE 14,500,499 OTHER CHANGES TO NET ASSETS (62,001) -------------- $17,479
AFFILIATES INCLUDED IN GROUP RETURN	CAPE COD HOSPITAL 04-2103600 CAPE COD HUMAN SERVICES, INC. 04-2323506 CAPE & ISLANDS HEALTH SERVICES II, INC. 04-3572408 FALMOUTH HOSPITAL ASSOCIATION, INC. 04-2220716 JML CARE CENTER, INC. 04-2995795 FALMOUTH ASSISTED LIVING, INC. 22-3379395 V.N.A. OF CAPE COD, INC. 0 4-2104159 CAPE COD HEALTHCARE FOUNDATION, INC. 04-3475950 MEDICAL AFFILIATES OF CAPE COD, INC. 04-3187299 ALL OF THE ABOVE ENTITIES CAN BE REACHED AT: 25 COMMUNICATION WAY HYANNIS, MA 02601

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	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	25 COMMUNICATION WAY	AddressLine1
City	HYANNIS	City
State	MA	State
ZIP Code	02601	ZIPCode

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	13b	PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

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

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

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1ForeignAddress/AddressLine1	CityForeignAddress/City	CountryForeignAddress/Country	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Legal Domicile StateLegalDomicileStateCd	OwnershipOwnershipPct
CAPE HEALTH INSURANCE COMPANY
PO BOX 1051GT	GRAND CAYMAN	CJ	INSURANCE	CJ	CAPE COD HLTHCR	C CORP	$0	$0	Yes (true)
CAPE COD MEDICAL OFFICE BUILDING INC
			RENTAL SRVCE		NA	C CORP	$15,000	$15,000	Yes (true)	27 PARK STREET	HYANNIS	MA	02601	042423073	MA	1.00000
POOLED INCOME FUNDS (2)
			SUPPORT		NA	T									MA
EMERALD PHYSICIAN SERVICES LLC
			PRIMARY CARE		EMERALD TRUST	S CORP	$27,558,024	$16,780,525	Yes (true)	433 WEST MAIN STREET	HYANNIS	MA	02601	043369730	MA	1.00000
EMERALD PHYSICIANS MEMBER TRUST
			EMRLD SHAREHOLDER		MACC	TRUST	$0	$0	Yes (true)	27 PARK STREET	HYANNIS	MA	02601	467220648	MA	1.00000

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	BusinessNameLine1

Field	Value	IRS element (for citing)
Transaction Type	R	TransactionTypeTxt
Involved	$3,475,656	InvolvedAmt
Method Of Amount Determination	FMV	MethodOfAmountDeterminationTxt

Affiliate Listing AffiliateListing

Affiliate Listing AffiliateListingGrp (9 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Business Name ControlBusinessNameControlTxt
CAPE COD HOSPITAL
25 COMMUNICATION WAY	HYANNIS	MA	02601	042103600	CAPE
VISITING NURSE ASSN OF CAPE COD INC
25 COMMUNICATION WAY	HYANNIS	MA	02601	042104159	CAPE
FALMOUTH HOSPITAL ASSOCIATION INC
25 COMMUNICATION WAY	HYANNIS	MA	02601	042220716	CAPE
CAPE COD HUMAN SERVICES INC
25 COMMUNICATION WAY	HYANNIS	MA	02601	042323506	CAPE
MEDICAL AFFILIATES OF CAPE COD INC
25 COMMUNICATION WAY	HYANNIS	MA	02601	043187299	CAPE
CAPE COD HEALTHCARE FOUNDATION INC
25 COMMUNICATION WAY	HYANNIS	MA	02601	043475950	CAPE
CAPE & ISLANDS HEALTH SERVICES II
25 COMMUNICATION WAY	HYANNIS	MA	02601	043572408	CAPE
FALMOUTH ASSISTED LIVING INC
25 COMMUNICATION WAY	HYANNIS	MA	02601	223379395	CAPE
JML CARE CENTER INC
25 COMMUNICATION WAY	HYANNIS	MA	02601	042995795	CAPE