CAPE COD HEALTHCARE INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: CAPE COD HEALTHCARE INC (EIN 22-2600704)
Tax period: 2018-10-01 to 2019-09-30
Filed: 2020-08-17
IRS object ID: 202042309349301984
Schema version: 2018v3.3
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule C
Schedule D
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-08-17T11:39:34-05:00	ReturnTs
Tax Period End	2019-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

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

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

Filer Filer

Field	Value	IRS element (for citing)
EIN	222600704	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

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

Preparer Person PreparerPersonGrp

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

Filing Security Information FilingSecurityInformation

IP Address IPAddress

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

Field	Value	IRS element (for citing)
Federal Original Submission Id	04363820202305000036	FederalOriginalSubmissionId
Federal Original Submission Id	2020-08-17	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	AA0A6C04CDAB1A066FD7E5F646BC57F63DD96309	AtSubmissionCreationDeviceId
At Submission Filing Device Id	F0B88FBBB3C0F8725084F2D7C7BBF09C882F2265	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-09-23 17:36:50Z	BuildTS

Form 990 IRS990

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$113,859,108	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CAPECODHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1984	FormationYr
Legal Domicile State	MA	LegalDomicileStateCd
Activity Or Mission	SEE SCHEDULE O	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	302	TotalEmployeeCnt
Total Volunteers	17	TotalVolunteersCnt
Total Gross UBI	$625,509	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$267,123	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$286,192	PYContributionsGrantsAmt
CY Contributions Grants	$0	CYContributionsGrantsAmt
PY Program Service Revenue	$80,915,461	PYProgramServiceRevenueAmt
CY Program Service Revenue	$106,030,118	CYProgramServiceRevenueAmt
PY Investment Income	$39,046,563	PYInvestmentIncomeAmt
CY Investment Income	$7,828,990	CYInvestmentIncomeAmt
PY Other Revenue	$0	PYOtherRevenueAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$120,248,216	PYTotalRevenueAmt
CY Total Revenue	$113,859,108	CYTotalRevenueAmt
PY Grants And Similar Paid	$348,922	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$531,678	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$29,637,289	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$34,210,616	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$875	CYTotalFundraisingExpenseAmt
PY Other Expenses	$51,525,314	PYOtherExpensesAmt
CY Other Expenses	$71,814,458	CYOtherExpensesAmt
PY Total Expenses	$81,511,525	PYTotalExpensesAmt
CY Total Expenses	$106,556,752	CYTotalExpensesAmt
PY Revenues Less Expenses	$38,736,691	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$7,302,356	CYRevenuesLessExpensesAmt
Total Assets BOY	$397,483,660	TotalAssetsBOYAmt
Total Assets EOY	$403,786,407	TotalAssetsEOYAmt
Total Liabilities BOY	$161,872,878	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$176,334,104	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$235,610,782	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$227,452,303	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	$81,510,382	ExpenseAmt
Grant	$531,678	GrantAmt
Revenue	$106,030,118	RevenueAmt
Desc	ORGANIZE AND MANAGE HEALTH CARE RELATED ACTIVITIES FOR THE EXCLUSIVE BENEFIT OF CAPE COD HOSPITAL, FALMOUTH HOSPITAL ASSOCIATION, INC. AND ITS OTHER AFFILIATES. ALSO SEE SCHEDULE O.	Desc
Total Program Service Expenses	$81,510,382	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	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	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	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	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
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	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	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	442	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	302	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	Yes (true)	ForeignFinancialAccountInd
Foreign Country	BD	ForeignCountryCd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	17	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	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	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	MA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

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

US Address USAddress

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

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

Form990 Part VII Section A Form990PartVIISectionAGrp (36 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
DEWITT DAVENPORT
CHAIRMAN	2.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
ROBERT BIRMINGHAM
VICE CHAIRMAN (AS OF 9/19)	2.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
GARY VACON
VICE CHAIR/TRUSTEE (UNTIL 9/19	2.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
BRUCE JOHNSTON
TREASURER	2.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
MICHAEL K LAUF
PRESIDENT/CEO/TRUSTEE	5.0	55.0	Yes (X)	Yes (X)	$1,624,399	$0	$287,478
WILLIAM AGEL MD
TRUSTEE	2.0	40.0	Yes (X)		$0	$503,554	$42,937
RAMANI AYER
TRUSTEE	2.0	2.0	Yes (X)		$0	$0	$0
THEODORE CALIANOS MD
TRUSTEE	2.0	40.0	Yes (X)		$0	$374,116	$40,895
LAWRENCE CAPODILUPO
TRUSTEE (AS OF 5/19)	2.0	2.0	Yes (X)		$0	$0	$0
DIANE COLETTI
TRUSTEE	2.0	2.0	Yes (X)		$0	$0	$0
JOEL CROWELL
TRUSTEE (UNTIL 5/19)	2.0	2.0	Yes (X)		$0	$0	$0
SUZANNE FAY GLYNN ESQ
TRUSTEE (UNTIL 5/19)	2.0	2.0	Yes (X)		$0	$0	$0
PAUL HOULE MD
TRUSTEE	2.0	40.0	Yes (X)		$0	$1,115,006	$63,425
SHARON KENNEDY
TRUSTEE (AS OF 9/19)	2.0	2.0	Yes (X)		$0	$0	$0
E JAMES MULCAHY JR
TRUSTEE	2.0	2.0	Yes (X)		$0	$0	$0
NATE RUDMAN MD
TRUSTEE	2.0	2.0	Yes (X)		$12,800	$0	$0
ROBERT TALERMAN
TRUSTEE	2.0	2.0	Yes (X)		$0	$0	$0
SUMNER B TILTON JR
TRUSTEE	2.0	2.0	Yes (X)		$0	$0	$0
ROBERT WILSTERMAN MD
TRUSTEE	2.0	40.0	Yes (X)		$0	$698,956	$58,766
WILLIAM ZAMMER
TRUSTEE (UNTIL 5/19)	2.0	2.0	Yes (X)		$0	$0	$0
MICHAEL L CONNORS
SENIOR VP FINANCE/CFO	5.0	55.0		Yes (X)	$564,220	$0	$98,642
MICHAEL G JONES ESQ
Sr VP & Chief Legal Off/Clerk	5.0	55.0		Yes (X)	$427,390	$0	$77,085
CHRISTIAN BROWN
SR. VP MANAGED CARE	5.0	45.0			$408,806	$0	$77,197	Yes (X)
PATRICK J KANE
SVP OF MRKTG,COMMUN AND DEVLP	5.0	45.0			$413,493	$0	$43,334	Yes (X)
THERESA M AHERN
SVP, STRAT, COMMUNITY/GOV REL.	5.0	45.0			$381,591	$0	$56,236	Yes (X)
EMILY SCHORER
SR VP HUMAN RESOURCES	5.0	45.0			$348,995	$0	$56,162	Yes (X)
KEVIN RALPH
SVP DEVELOPMENT (until 4/18)	5.0	45.0			$194,282	$0	$19,287	Yes (X)
NOELENE CERVIN
VP BUDGETING & OPER. SUPPORT	5.0	45.0			$263,292	$0	$58,685	Yes (X)
JEFFREY S DYKENS
VP OF FINANCE & OPERATIONS	5.0	45.0			$301,438	$0	$64,536	Yes (X)
JOHN PAUL SOLVERSON
CHIEF INFORMATION OFFICER	5.0	45.0			$522,603	$0	$35,313	Yes (X)
DONALD GUADAGNOLI MD
CMO CAPE COD HOSPITAL	5.0	45.0			$538,512	$0	$89,760		Yes (X)
ALEXANDER HEARD MD
CMO - Falmouth Hospital	5.0	45.0			$494,260	$84,330	$91,392		Yes (X)
MICHAEL N BUNDY
COO (UNTIL 1/19)	5.0	45.0			$487,067	$0	$60,786		Yes (X)
KEVIN J MULROY
SVP CHIEF QUALITY & SAFETY OFF	5.0	45.0			$481,743	$0	$80,126		Yes (X)
LORI E JEWETT
CEO FH	5.0	45.0			$301,367	$0	$46,764		Yes (X)
JEANNE FALLON
Former SR VP/CIO	0.0	0.0			$143,042	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,909,300	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,775,962	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,448,806	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	82	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/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
CAPE COD EMERGENCY ASSOCIATES
220 WEST MAIN STREET	HYANNIS	MA	02601	MEDICAL SERVICES	$16,724,451
DELOITTE CONSULTING LLP
PO BOX 844717	DALLAS	TX	752844717	CONSULTING	$5,240,323
EDWARDS LIFESCIENCES LLC
ONE EDWARDS WAY	IRVINE	CA	92614	MEDICAL DEVICES	$5,134,720
BRIGHAM WOMENS PHYSICIANS ORGANIZ
PO BOX 3684	BOSTON	MA	022413684	MEDICAL SERVICES	$4,899,854
RUBICON BUILDERS
800 S MAIN STREET	MANSFIELD	MA	02048	CONSTRUCTION	$4,235,756

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	73	CntrctRcvdGreaterThan100KCnt
Total Contributions	$0	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
HOME OFFICE COSTS	900099	$71,001,007	$71,001,007
PHYSICIAN ORG ADM SUPPORT REV	900099	$5,118,613	$5,118,613
PROGRAM RELATED RENTAL INCOME	900099	$902,981	$902,981
RETAIL PHARMACY	900099	$28,215,839	$27,890,199	$325,640
OTHER PROGRAM SERVICE REVENUE	900099	$791,678	$557,886	$233,792

Field	Value	IRS element (for citing)
Total Program Service Revenue	$106,030,118	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,228,550	TotalRevenueColumnAmt
Unrelated Business Revenue	$14,079	UnrelatedBusinessRevenueAmt
Exclusion	$4,214,471	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	$3,600,440	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$3,600,440	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,600,440	TotalRevenueColumnAmt
Unrelated Business Revenue	$51,998	UnrelatedBusinessRevenueAmt
Exclusion	$3,548,442	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

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

Net Income From Gaming NetIncomeFromGamingGrp

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

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

Net Income Or Loss NetIncomeOrLossGrp

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

Field	Value	IRS element (for citing)
Other Revenue Total	$0	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$113,859,108	TotalRevenueColumnAmt
Related Or Exempt Func Income	$105,470,686	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$625,509	UnrelatedBusinessRevenueAmt
Exclusion	$7,762,913	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$531,678	TotalAmt
Program Services	$531,678	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$6,102,179	TotalAmt
Management And General	$6,102,179	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$21,601,260	TotalAmt
Program Services	$17,377,785	ProgramServicesAmt
Management And General	$4,223,475	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$907,101	TotalAmt
Program Services	$494,075	ProgramServicesAmt
Management And General	$413,026	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$3,760,399	TotalAmt
Program Services	$2,358,819	ProgramServicesAmt
Management And General	$1,401,580	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,839,677	TotalAmt
Program Services	$1,049,764	ProgramServicesAmt
Management And General	$789,913	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$556,521	TotalAmt
Management And General	$556,521	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$9,770	TotalAmt
Management And General	$9,770	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$173,001	TotalAmt
Program Services	$138,401	ProgramServicesAmt
Management And General	$34,600	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$204,824	TotalAmt
Management And General	$204,824	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$3,121,635	TotalAmt
Program Services	$42,994	ProgramServicesAmt
Management And General	$3,078,641	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,015,979	TotalAmt
Program Services	$1,612,783	ProgramServicesAmt
Management And General	$403,196	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,463,810	TotalAmt
Program Services	$1,171,048	ProgramServicesAmt
Management And General	$292,762	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$11,715,644	TotalAmt
Program Services	$9,372,515	ProgramServicesAmt
Management And General	$2,343,129	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,396,573	TotalAmt
Program Services	$1,917,258	ProgramServicesAmt
Management And General	$479,315	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$518,050	TotalAmt
Program Services	$414,440	ProgramServicesAmt
Management And General	$103,610	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	$694,022	TotalAmt
Program Services	$555,218	ProgramServicesAmt
Management And General	$138,804	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$10,620,370	TotalAmt
Program Services	$8,496,296	ProgramServicesAmt
Management And General	$2,124,074	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$303,276	TotalAmt
Program Services	$242,621	ProgramServicesAmt
Management And General	$60,655	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	FundraisingFundraisingAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$26,011,822	$26,011,822	$0
PURCHASED SERVICES	$7,602,771	$6,082,217	$0	$1,520,554
REPAIRS & MAINTENANCE	$2,464,178	$1,971,342	$0	$492,836
COMMUNITY BENEFITS	$1,112,675	$1,112,675	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$829,537	TotalAmt
Program Services	$556,631	ProgramServicesAmt
Management And General	$272,031	ManagementAndGeneralAmt
Fundraising	$875	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$106,556,752	TotalAmt
Program Services	$81,510,382	ProgramServicesAmt
Management And General	$25,045,495	ManagementAndGeneralAmt
Fundraising	$875	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$11,648,824	BOYAmt
EOY	$5,829,851	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

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

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$27	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	$16,087,872	BOYAmt
EOY	$14,472,066	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,808,921	BOYAmt
EOY	$1,324,974	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,694,178	BOYAmt
EOY	$7,797,934	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$98,171,619	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$37,112,975	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$65,027,935	BOYAmt
EOY	$61,058,644	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	$208,650,968	BOYAmt
EOY	$200,588,548	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$5,884,751	BOYAmt
EOY	$6,023,729	EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$83,680,211	BOYAmt
EOY	$106,690,634	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$397,483,660	BOYAmt
EOY	$403,786,407	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$52,111,944	BOYAmt
EOY	$54,089,200	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	$176,009	BOYAmt
EOY	$153,370	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	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	$4,027,213	BOYAmt
EOY	$4,091,964	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	$105,557,712	BOYAmt
EOY	$117,999,570	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$161,872,878	BOYAmt
EOY	$176,334,104	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$185,846,370	BOYAmt
EOY	$179,609,617	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$15,680,483	BOYAmt
EOY	$12,910,559	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$34,083,929	BOYAmt
EOY	$34,932,127	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$235,610,782	BOYAmt
EOY	$227,452,303	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$397,483,660	BOYAmt
EOY	$403,786,407	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$7,302,356	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$8,570,039	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$6,890,796	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)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$127,250	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$286,192	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$413,442	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$45,017,881	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$59,790,580	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$71,484,837	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$80,915,461	CurrentTaxYearMinus1YearAmt
Current Tax Year	$106,030,118	CurrentTaxYearAmt
Total	$363,238,877	TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

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

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

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

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

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

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$45,017,881	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$59,790,580	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$71,612,087	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$81,201,653	CurrentTaxYearMinus1YearAmt
Current Tax Year	$106,030,118	CurrentTaxYearAmt
Total	$363,652,319	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

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

Substantial Contributors Amt SubstantialContributorsAmtGrp

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

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

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

Field	Value	IRS element (for citing)
Public Support Total509	$363,652,319	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$4,186,009	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$2,666,046	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,873,769	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$3,637,942	CurrentTaxYearMinus1YearAmt
Current Tax Year	$4,214,471	CurrentTaxYearAmt
Total	$17,578,237	TotalAmt

Post1975 UBTI Post1975UBTIGrp

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

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$4,186,009	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$2,666,046	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,873,769	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$3,637,942	CurrentTaxYearMinus1YearAmt
Current Tax Year	$4,214,471	CurrentTaxYearAmt
Total	$17,578,237	TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$127,879	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$103,278	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$146,807	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$327,193	CurrentTaxYearMinus1YearAmt
Current Tax Year	$267,123	CurrentTaxYearAmt
Total	$972,280	TotalAmt

Other Income509 OtherIncome509Grp

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

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$49,331,769	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$62,559,904	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$74,632,663	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$85,166,788	CurrentTaxYearMinus1YearAmt
Current Tax Year	$110,511,712	CurrentTaxYearAmt
Total	$382,202,836	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.95146	PublicSupportCY509Pct
Public Support PY509	0.95118	PublicSupportPY509Pct
Investment Income CY	0.04599	InvestmentIncomeCYPct
Investment Income PY	0.04667	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Organization Belongs Afflt Grp	Yes (X)	OrganizationBelongsAffltGrpInd
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	$205,333	OtherActivitiesAmt
Total Lobbying Expenditures	$205,333	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1I	FormAndLineReferenceDesc
Explanation	A. CAPE COD HEALTHCARE, INC. MADE PAYMENTS TO SMITH & RAUSCHENBACH OF $60,000, LAW OFFICES OF O'NEILL, ATHY AND CASEY OF $120,482 AND MCDERMOTT, WILL & EMERY OF $7,500 FOR LOBBYING AND PUBLIC POLICY CONSULTING SERVICES SUCH AS MONITORING THE FEDERAL AND MASSACHUSETTS LEGISLATURES FOR MATTERS RELATING TO HEALTHCARE REFORM AND INFORMING CAPE COD HEALTHCARE INC. ON CHANGES THAT COULD EFFECT THE CAPE COD HEALTHCARE, INC. B. CAPE COD HEALTHCARE, INC. PAID MEMBERSHIP DUES TO THE AMERICAN HOSPITAL ASSOCIATION, WHICH AHA DETERMINED WAS 23.32% ENGAGED IN LOBBYING ACTIVITIES OR $17,351 OF THE $74,406 DUES PAID.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,871,385	OtherCostOrOtherBasisAmt
Book Value	$4,871,385	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,997,506	OtherCostOrOtherBasisAmt
Depreciation	$889,789	DepreciationAmt
Book Value	$10,107,717	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,440,984	OtherCostOrOtherBasisAmt
Depreciation	$2,105,855	DepreciationAmt
Book Value	$6,335,129	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$73,861,744	OtherCostOrOtherBasisAmt
Depreciation	$34,117,331	DepreciationAmt
Book Value	$39,744,413	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$0	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$0	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$61,058,644	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (7 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
LONG TERM INVESTMENTS	$130,557,448	F
BENEFICIAL INTEREST IN TRUSTS	$21,188,546	F
PERM RESTRICTED INVESTMENTS	$13,551,170	F
FUNDS HELD UNDER BOND INDENTUR	$11,295,994	F
TEMP RESTRICTED INVESTMENTS	$10,954,145	F
SHORT TERM INVESTMENTS	$10,787,589	F
INVESTMENT - 457 PLANS	$2,253,656	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$200,588,548	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES	$61,290,347
INSURANCE RECOVERY RECEIVABLE	$27,722,639
EPIC IMPLEMENTATION PROJECT	$15,735,943
HEALTH INS DEPOSIT RECEIVABLE	$1,286,012
SHARES OF HBCS STOCK	$299,313
PERPETUAL CRUT	$192,411
BENEFICIAL INTEREST	$163,969

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$106,690,634	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
DUE TO AFFILIATES	$66,777,411
OTHER CURRENT LIABILITIES	$27,722,639
DEFERRED COMP - 457B	$12,010,724
OTHER LONG-TERM LIABILITIES	$8,439,298
CURRENT PORTION LT LIABILITY - EPIC LICENSE (12 MONTHS)	$2,108,448
SERP LIABILITY	$928,510
ABANDONED PROPERTY	$12,540

Field	Value	IRS element (for citing)
Total Liability	$117,999,570	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE D, PART X, LINE 2	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION DOES NOT HAVE A FIN 48 FOOTNOTE AS ANY UNCERTAIN TAX POSITIONS WERE DEEMED IMMATERIAL.	ExplanationTxt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (15 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc	Purpose Of GrantPurposeOfGrantTxt
BARNSTABLE COUNTY SHERIFF'S OFFICE
6000 SHERIFFS PL	BOURNE	MA	02532	046002284	GOV'T	$160,500	FMV	N/A	Access to Healthcare
CAPE COD COUNCIL OF CHURCHES INC
PO Box 758	Hyannis	MA	02601	042382479	501(c)(3)	$40,243	FMV	N/A	BEHAVIORAL HEALTH
Cape and Islands United Way
PO BOX 367	CENTERVILLE	MA	02632	042271714	501(c)(3)	$33,000	FMV	N/A	Prevention & Wellness
FALMOUTH ROAD RACE INC
155 KL BATES RD	Falmouth	MA	02541	042676136	501(c)(3)	$30,000	FMV	N/A	Prevention & Wellness
PASTORAL MINISTRY TO THE SICK
786 DARTMOUTH ST	DARTMOUTH	MA	02748	043096332	501(c)(3)	$30,000	FMV	N/A	BEHAVIORAL HEALTH
CAPE COD BASEBALL LEAGUE INC
14 Elishas Pond Rd	Yarmouthport	MA	02675	042687718	501(c)(3)	$25,000	FMV	N/A	Youth
NAMI CAPE COD INC
5 MARK LANE	HYANNIS	MA	02601	042785229	501(c)(3)	$25,000	FMV	N/A	BEHAVIORAL HEALTH
AMERICAN CANCER SOCIETY MASS DIV
30 SPEEN ST	FRAMINGHAM	MA	01701	131788491	501(c)(3)	$20,000	FMV	N/A	Prevention & Wellness
CAPE COD YOUNG PROFESSIONALS INC
PO BOX 634	BARNSTABLE	MA	02630	300455198	501(c)(3)	$13,925	FMV	N/A	Access to Healthcare
HOUSING ASSISTANCE CORPORATION
460 W MAIN ST	HYANNIS	MA	02601	237431255	501(c)(3)	$11,000	FMV	N/A	Housing
CAPE WELLNESS COLLABORATIVE
11 Potter Ave	Hyannis	MA	02601	472360979	501(c)(3)	$10,315	FMV	N/A	Chronic Disease
PHYSICIAN HEALTH SERVICES INC
860 WINTER STREET	WALTHAM	MA	02451	223234975	501(c)(3)	$10,000	FMV	N/A	BEHAVIORAL HEALTH
CAPE ARTS & ENTERTAINMENT INC
1060 FALMOUTH RD	HYANNIS	MA	02601	046297436	501(c)(3)	$7,500	FMV	N/A	General Support
CAPE COD CANAL REGION CHAMBER
70 MAIN ST	BUZZARDS BAY	MA	02532	042667169	501(C)(3)	$6,000	FMV	N/A	General Support
RIVERVIEW SCHOOL INC
551 ROUTE 6A	E SANDWICH	MA	02537	042240919	501(C)(3)	$6,000	FMV	N/A	Youth

Field	Value	IRS element (for citing)
Total501c3 Org	15	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART II	FormAndLineReferenceDesc
Explanation	Cape Cod Healthcare monitors the use of grant funds it provides to other organizations through documentation and measurement requirements and metric reporting. The recipient organization agrees to submit an Annual Summary & Outcomes Report to Cape Cod Healthcare for inclusion in Cape Cod Healthcare's Community Benefits State Attorney General's reporting. An outline of specific reporting requirements is included as an attachment in each agreement and a reporting template is provided to each organization. The recipient organization agrees to send a completed template to Cape Cod Healthcare by October 31st of the year the grant is awarded (CCHC grant program schedules run from January 1 - September 30). Additionally, Cape Cod Healthcare may request an Annual Summary & Outcomes Report or documentation of outcomes related to services outlined in the agreement at any time during the duration of the grant.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
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 (21 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MICHAEL K LAUF
PRESIDENT/CEO/TRUSTEE	$997,055	$0	$400,000	$0	$227,344	$0	$250,847	$0	$36,631	$0	$1,911,877	$0	$163,550	$0
WILLIAM AGEL MD
TRUSTEE	$0	$441,320	$0	$46,028	$0	$16,206	$0	$11,367	$0	$31,570	$0	$546,491	$0	$0
THEODORE CALIANOS MD
TRUSTEE	$0	$370,702	$0	$1,608	$0	$1,806	$0	$11,288	$0	$29,607	$0	$415,011	$0	$0
PAUL HOULE MD
TRUSTEE	$0	$932,440	$0	$160,000	$0	$22,566	$0	$31,813	$0	$31,612	$0	$1,178,431	$0	$0
ROBERT WILSTERMAN MD
TRUSTEE	$0	$691,441	$0	$4,743	$0	$2,772	$0	$26,154	$0	$32,612	$0	$757,722	$0	$0
MICHAEL L CONNORS
SENIOR VP FINANCE/CFO	$431,439	$0	$97,350	$0	$35,431	$0	$64,490	$0	$34,152	$0	$662,862	$0	$18,275	$0
MICHAEL G JONES ESQ
Sr VP & Chief Legal Off/Clerk	$328,038	$0	$77,119	$0	$22,233	$0	$44,533	$0	$32,552	$0	$504,475	$0	$15,219	$0
CHRISTIAN BROWN
SR. VP MANAGED CARE	$313,201	$0	$75,913	$0	$19,692	$0	$46,980	$0	$30,217	$0	$486,003	$0	$14,125	$0
PATRICK J KANE
SVP OF MRKTG,COMMUN AND DEVLP	$312,048	$0	$79,213	$0	$22,232	$0	$28,782	$0	$14,552	$0	$456,827	$0	$15,514	$0
THERESA M AHERN
SVP, STRAT, COMMUNITY/GOV REL.	$295,913	$0	$66,375	$0	$19,303	$0	$44,764	$0	$11,472	$0	$437,827	$0	$12,000	$0
EMILY SCHORER
SR VP HUMAN RESOURCES	$267,249	$0	$65,280	$0	$16,466	$0	$25,820	$0	$30,342	$0	$405,157	$0	$12,950	$0
KEVIN RALPH
SVP DEVELOPMENT (until 4/18)	$78,028	$0	$0	$0	$116,254	$0	$7,382	$0	$11,905	$0	$213,569	$0	$9,896	$0
NOELENE CERVIN
VP BUDGETING & OPER. SUPPORT	$216,289	$0	$40,000	$0	$7,003	$0	$29,383	$0	$29,302	$0	$321,977	$0	$0	$0
JEFFREY S DYKENS
VP OF FINANCE & OPERATIONS	$246,289	$0	$0	$0	$55,149	$0	$31,526	$0	$33,010	$0	$365,974	$0	$13,250	$0
JOHN PAUL SOLVERSON
CHIEF INFORMATION OFFICER	$420,766	$0	$100,031	$0	$1,806	$0	$20,789	$0	$14,524	$0	$557,916	$0	$0	$0
DONALD GUADAGNOLI MD
CMO CAPE COD HOSPITAL	$412,496	$0	$92,925	$0	$33,091	$0	$62,853	$0	$26,907	$0	$628,272	$0	$19,957	$0
ALEXANDER HEARD MD
CMO - Falmouth Hospital	$352,395	$84,330	$134,312	$0	$7,553	$0	$58,669	$0	$32,723	$0	$585,652	$84,330	$0	$0
MICHAEL N BUNDY
COO (UNTIL 1/19)	$396,437	$0	$90,000	$0	$630	$0	$35,478	$0	$25,308	$0	$547,853	$0	$0	$0
KEVIN J MULROY
SVP CHIEF QUALITY & SAFETY OFF	$367,439	$0	$86,269	$0	$28,035	$0	$46,974	$0	$33,152	$0	$561,869	$0	$18,750	$0
LORI E JEWETT
CEO FH	$249,221	$0	$42,000	$0	$10,146	$0	$45,210	$0	$1,554	$0	$348,131	$0	$10,375	$0
JEANNE FALLON
Former SR VP/CIO	$0	$0	$0	$0	$143,042	$0	$0	$0	$0	$0	$143,042	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 4A	JEANNE FALLON, SR. VP AND CIO UNTIL 4/11/17, RECEIVED SEVERANCE PAYMENTS OF $143,042 DURING CALENDAR YEAR 2018. THE ARRANGEMENT PROVIDES FOR CONTINUED PAYMENT OF THE INDIVIDUAL'S SALARY FOR A PERIOD OF FIFTEEN MONTHS. KEVIN RALPH, SVP OF DEVELOPMENT UNTIL 4/18, RECEIVED SEVERANCE PAYMENTS OF $86,539 DURING CALENDAR YEAR 2018. THE ARRANGEMENT PROVIDES FOR CONTINUED PAYMENT OF THE INDIVIDUAL'S SALARY AND BENEFITS FOR A PERIOD OF TWELVE MONTHS, INCLUDING MEDICAL AND DENTAL INSURANCE COVERAGE.
SCHEDULE J, PART I, LINE 4B - 457(F)	CAPE COD HEALTHCARE, INC. AND AFFILIATES SPONSORS A 457(F) VOLUNTARY PERSONAL DEFERRAL PLAN ("THE PLAN") FOR KEY EXECUTIVES. VESTING IS DEFERRED FOR AT LEAST TWO YEARS FROM THE DATE OF THE AWARD. THE PLAN OFFERS PARTICIPATING EMPLOYEES AN ANNUAL DEFERRAL OF CASH COMPENSATION. AMOUNTS DEFERRED UNDER THE PLAN ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C) AND AMOUNTS PAID UNDER THE PLAN DURING CALENDAR YEAR 2018 WERE AS FOLLOWS: MICHAEL K. LAUF - $87,514 MICHAEL G. JONES - $20,427 MICHAEL L. CONNORS - $24,198 CHRISTIAN BROWN - $16,920 PATRICK KANE - $19,460 THERESA AHERN - $16,531 EMILY SCHORER - $15,836 LORI E. JEWETT - $9,516 DONALD GUADAGNOLI MD - $22,241 KEVIN MULROY - $19,857 JEFFREY S. DYKENS - $45,007 KEVIN RALPH - $12,698 CAPE COD HEALTHCARE, INC. AND AFFILIATES ALSO SPONSOR A NONQUALIFIED PENSION RESTORATION ACCOUNT PLAN FOR KEY EXECUTIVES. THE ORGANIZATION MAKES CONTRIBUTIONS OF TWO PERCENT OF THE INDIVIDUAL'S ANNUAL SALARY (INCLUDING BONUS) AS OF THE BEGINNING OF THE PLAN YEAR. AMOUNTS DEFERRED ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C) AND UNDER THE PLAN, PARTICIPANTS ARE ENTITLED TO CERTAIN BENEFITS UPON RETIREMENT, TERMINATION, OR DEATH. DURING CALENDAR YEAR 2018, MICHAEL LAUF ALSO PARTICIPATED IN A SECTION 457(F) PLAN. TWELVE PERCENT OF HIS BASE SALARY WAS CONTRIBUTED AND EACH CONTRIBUTION IS SUBJECT TO A THREE YEAR VESTING SCHEDULE. THE AMOUNT DEFERRED IN CALENDAR YEAR 2018 WAS $120,000 AND IS INCLUDED IN SCHEDULE J, PART II, COLUMN (C). IN ADDITION, $120,000 WAS PAID OUT FROM HIS CEO SUPPLEMENTAL PLAN, AND IS INCLUDED IN SCHEDULE J, PART II, COLUMN B(III).
SCHEDULE J, PART I, LINE 7	DISCRETIONARY BONUSES ARE AWARDED ANNUALLY BASED UPON BOTH THE PERFORMANCE OF THE ORGANIZATION AND THE INDIVIDUAL. BONUSES ARE REFLECTED IN SCHEDULE J, PART II, COLUMN B(II).

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 1 AND PART III, LINE 1	WE WILL BE THE HEALTH SERVICE PROVIDER OF CHOICE FOR CAPE COD RESIDENTS BY ACHIEVING AND MAINTAINING THE HIGHEST STANDARDS IN HEALTH CARE DELIVERY AND SERVICE QUALITY. TO DO SO, WE WILL PARTNER WITH OTHER HEALTH AND HUMAN SERVICE PROVIDERS AS WELL AS INVEST IN NEEDED MEDICAL TECHNOLOGIES, HUMAN RESOURCES AND CLINICAL SERVICES. ABOVE ALL, WE WILL HELP IDENTIFY AND RESPOND TO THE NEEDS OF OUR COMMUNITY. COMMUNITY BENEFITS MISSION STATEMENT CAPE COD HEALTHCARE, INC., (CCHC) THROUGH ITS COMMUNITY BENEFITS INITIATIVES, IS COMMITTED TO ENHANCING THE QUALITY OF AND ACCESS TO COMPREHENSIVE HEALTH CARE SERVICES FOR ALL RESIDENTS OF CAPE COD. THROUGH CONTINUOUS ASSESSMENT OF COMMUNITY NEEDS, COORDINATED PLANNING AND THE ALLOCATION OF RESOURCES, THIS COMMITMENT INCLUDES A SPECIAL FOCUS ON THE UNMET NEEDS OF THE FINANCIALLY DISADVANTAGED AND UNDERSERVED POPULATIONS. WE WILL TAKE A LEADERSHIP ROLE IN COLLABORATIVE EFFORTS JOINING OUR RESOURCES, TALENT, AND COMMITMENT WITH THAT OF OTHER PROVIDERS, ORGANIZATIONS AND COMMUNITY MEMBERS. THE COMMUNITY BENEFITS MISSION STATEMENT WAS AFFIRMED BY THE CCHC COMMUNITY HEALTH COMMITTEE AND THE BOARD OF TRUSTEES IN 2000 AND REMAINS IN EFFECT. TARGET POPULATIONS 1. NAME OF TARGET POPULATION: INDIVIDUALS MANAGING OR AT RISK OF DEVELOPING CHRONIC AND INFECTIOUS DISEASES SUCH AS CANCER, CARDIOVASCULAR DISEASE, ALZHEIMER'S DISEASE AND DEMENTIA, HEPATITIS C, DIABETES AND TICK-BORNE DISEASES. BASIS FOR SELECTION: ALIGNED WITH STATE AND NATIONAL HEALTH PRIORITIES, BARNSTABLE COUNTY RESIDENTS MANAGING CHRONIC DISEASES ARE AT THE GREATEST RISK OF DECLINED HEALTH AND DEATH. CANCER, CARDIOVASCULAR DISEASE, ALZHEIMER'S DISEASE/DEMENTIA, HEPATITIS C, DIABETES AND TICK-BORNE DISEASES WERE IDENTIFIED IN THE 2017-2019 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AS DISEASES OF CONCERN FOR THE REGION. 2. NAME OF TARGET POPULATION: RESIDENTS FACING BARRIERS TO CARE DUE TO LANGUAGE, COST, OR AGE, INCLUDING THOSE WHO ARE UNINSURED OR UNDER-INSURED. BASIS FOR SELECTION: THE 2017-2019 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT IDENTIFIED SPECIFIC TARGET POPULATIONS THAT ENCOUNTER BARRIERS TO CARE OR GAPS IN COVERAGE DESPITE HIGH RATES OF INSURED RESIDENTS IN BARNSTABLE COUNTY. THE REPORT SPECIFICALLY IDENTIFIED CHILDREN AGES 0-17 YEARS, INDIVIDUALS LACKING YEAR-ROUND EMPLOYMENT, SENIORS LIVING ON A FIXED INCOME, SEASONAL WORKERS, AND FOREIGN-BORN RESIDENTS WHO DO NOT MEET ELIGIBILITY CRITERIA FOR MASS HEALTH ENROLLMENT. 3. NAME OF TARGET POPULATION: INDIVIDUALS WITH MENTAL HEALTH DISORDERS, SUBSTANCE USE DISORDERS AND CO-OCCURRING DISORDERS. BASIS FOR SELECTION: ACCESS TO, AND AVAILABILITY OF, COMMUNITY-BASED BEHAVIORAL HEALTH CARE IN BARNSTABLE COUNTY IS AN AREA OF CONCERN. THIS IS EVIDENCED BY HIGH RATES OF PATIENTS PRESENTING WITH MENTAL HEALTH AND SUBSTANCE USE DISORDERS IN HOSPITAL EMERGENCY DEPARTMENTS. SPECIFIC CHALLENGES REPORTED BY THE COMMUNITY AND INCLUDED IN THE 2017-2019 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT INCLUDE A SHORTAGE OF PSYCHIATRIC PROVIDERS, WAIT TIMES FOR OUTPATIENT APPOINTMENTS, LIMITED INPATIENT TREATMENT OPTIONS FOR SUBSTANCE USE, AND INSURANCE BARRIERS TO CARE. 4. NAME OF TARGET POPULATION: SENIOR POPULATION, AGES 65 AND OLDER. BASIS FOR SELECTION: ACCORDING TO THE U.S. CENSUS BUREAU, AMERICAN COMMUNITY SURVEY FIVE-YEAR POPULATION ESTIMATES (2012-2016), NEARLY 28% OF THE YEARROUND POPULATION IN BARNSTABLE COUNTY IS OVER THE AGE OF 65. INCREASING CONSUMPTION OF AND NEED FOR HEALTH CARE SERVICES, CONCERNS OF SOCIAL ISOLATION, AVAILABILITY OF APPROPRIATE HOUSING AND TRANSPORTATION, AND ACCESS TO HEALTHY AND ADEQUATE FOOD WERE SPECIFIC CHALLENGES IDENTIFIED IN THE 2017-2019 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT FOR RESIDENTS OVER THE AGE OF 65. 5. NAME OF TARGET POPULATION: YOUTH AND YOUNG ADULTS, AGES 15 TO 24 YEARS OLD. BASIS FOR SELECTION: YOUTH AND YOUNG ADULTS, AGES 15-24 YEARS OLD, WERE IDENTIFIED IN THE 2017-2019 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AS A SPECIFIC AT-RISK POPULATION DUE TO INCREASING RATES OF SUBSTANCE USE TREATMENT ADMISSIONS AND CONCERNING HEALTH RISK BEHAVIORS. PUBLICATION OF TARGET POPULATIONS MARKETING COLLATERAL, WEBSITE COMMUNITY HEALTH NEEDS ASSESSMENT DATE LAST ASSESSMENT COMPLETED CHNA REPORT 20-22 PUBLISHED TO CCHC CARING COMMUNITIES WEBSITE DATA SOURCES COMMUNITY FOCUS GROUPS, HOSPITAL, INTERVIEWS, OTHER, SURVEYS, CHNA DOCUMENT CCHC CHNA REPORT_2017-2019.PDF IMPLEMENTATION STRATEGY IMPLEMENTATION STRATEGY DOCUMENT: NOT SPECIFIED KEY ACCOMPLISHMENTS OF REPORTING YEAR 1) CCHC COMMUNITY BENEFITS PROVIDED FINANCIAL AND SERVICE SUPPORT TO HEALTH AND HUMAN SERVICES ORGANIZATIONS AND HOSPITAL BASED PROGRAMS AND SERVICES THAT WERE ALIGNED WITH CHNA 17-19. WE ADDRESSED OUR OWN INSTITUTIONAL AND COMMUNITY WIDE SYSTEMS BARRIERS BY ADDING NEW FORMS OF EDUCATORS AND SUPPORTIVE CONNECTORS IN THE CONTINUUM OF CARE. EXAMPLES: ALZHEIMER'S SUPPORT GROUPS, RECOVERY COACHES, COMMUNITY NAVIGATORS, CHRONIC DISEASE OUTREACH, INTEGRATIVE THERAPIES AND TRANSPORTATION SOLUTIONS. 2) CCHC COMMUNITY BENEFITS EMPOWERED THE COMMUNITY THROUGH A COLLABORATIVE ENGAGEMENT PROCESS TO PRODUCE THE FY20-22 COMMUNITY HEALTH NEEDS ASSESSMENT, A GUIDING DOCUMENT FOR ALL OF CAPE COD. 3) CCHC COMMUNITY BENEFITS EXPANDED CROSS-SECTOR COMMUNITY PARTNERSHIPS AND LEADERSHIP WITHIN AND THROUGHOUT THE CAPE COD NON-PROFIT HEALTH AND HUMAN SERVICE SYSTEM. THE 2017-2019 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IMPLEMENTATION PLAN SERVED AS THE FOUNDATION FOR CCHC'S FY19 COMMUNITY BENEFITS PROGRAM. CCHC'S COMMUNITY BENEFITS ACTIVITIES FOCUSED ON THE FOUR HEALTH PRIORITIES IDENTIFIED IN THE REPORT: CHRONIC AND INFECTIOUS DISEASE, BEHAVIORAL HEALTH, ACCESS TO CARE, AND DISEASE PREVENTION AND WELLNESS. NEW AND EXPANDED HOSPITAL PROGRAMS WERE DEVELOPED IN ALIGNMENT WITH IMPLEMENTATION GOALS, OBJECTIVES AND STRATEGIES FOR EACH PRIORITY. CCHC SUPPORTED PARTNERSHIPS WITH OVER 50 LOCAL NONPROFIT HEALTH AND HUMAN SERVICE ORGANIZATIONS, AND A NETWORK OF FEDERALLY QUALIFIED HEALTH CENTERS THROUGH PROJECT SUPPORT AND GRANT INVESTMENTS TO IMPROVE THE HEALTH OF BARNSTABLE COUNTY RESIDENTS. HOSPITAL STAFF DEDICATED TIME AND EXPERTISE TO STRATEGIC PARTNERSHIPS, COALITIONS, AND TASK FORCE EFFORTS LOCALLY, REGIONALLY, AND ACROSS MASSACHUSETTS.
CHRONIC AND INFECTIOUS DISEASE	PREVENTION, SCREENING, DETECTION, AND MANAGEMENT OF CHRONIC AND INFECTIOUS DISEASES WERE SUPPORTED THROUGH A VARIETY OF CCHC COMMUNITY BENEFITS ACTIVITIES. HOSPITAL CANCER SUPPORT SERVICES INCLUDING COUNSELING, SUPPORT GROUPS, AND SURVIVORSHIP ACTIVITIES FOR PATIENTS AND CAREGIVERS WERE COMPLIMENTED WITH A NEW ONCOLOGY NUTRITION PROGRAM. THE SUCCESSFUL LIVING FIT FOR YOU! CANCER WELLNESS PROGRAM PROVIDES FREE OF CHARGE REHABILITATION, WELLNESS CONSULTATIONS, EXERCISE, AND EDUCATION SERVICES TO HELP ADULTS UNDERGOING CANCER TREATMENT MANAGE FATIGUE, DE-CONDITIONING AND LOSS OF PHYSICAL FUNCTION. CCHC COMMUNITY BENEFITS ALSO PROVIDED GRANTS TO THE CAPE WELLNESS COLLABORATIVE AND YMCA CAPE COD LIVESTRONG PROGRAM TO ENSURE THAT PATIENTS UNDERGOING AND RECOVERING FROM CANCER TREATMENT HAD ACCESS TO COMMUNITY-BASED WELLNESS PROGRAMS AND COMPLEMENTARY SERVICES SUCH AS MASSAGE, ACUPUNCTURE, YOGA AND NUTRITIONAL COUNSELING. THE CCHC INTEGRATED CANCER COMMITTEE, COMPRISED OF PHYSICIANS, NURSES AND SUPPORT STAFF, CONDUCTED EDUCATIONAL CAMPAIGNS AND COMMUNITY OUTREACH EVENTS. THESE EVENTS INFORMED YOUTH ABOUT THE RISKS OF TOBACCO USE AND THE PUBLIC ABOUT SKIN CANCER PREVENTION, INCLUDING HIGH-RISK SCREENING OPPORTUNITIES. CCHC CLINICAL TEAMS PROVIDED DISEASE EDUCATION, REHABILITATION AND PATHWAYS TO CHRONIC DISEASE SELF- MANAGEMENT FOR INDIVIDUALS LIVING WITH CONGESTIVE HEART FAILURE, CHRONIC PULMONARY DISEASES, AND DIABETES. A COMMUNITY BENEFITS GRANT TO THE CAPE COD TIMES NEEDY FUND HELPED WITH BASIC NEEDS SUCH AS HOUSING AND UTILITY PAYMENTS, TRANSPORTATION, ADAPTIVE MEDICAL EQUIPMENT, AND CHILD CARE SPECIFICALLY FOR INDIVIDUALS MANAGING A CHRONIC DISEASE. A CCHC COMMUNITY BENEFITS GRANT SUPPORTED THE ALZHEIMER'S FAMILY CAREGIVER SUPPORT CENTER'S EXPANDING FREE COUNSELING FOR FAMILIES AND CAREGIVERS IN OUTPOSTS ACROSS THE OUTER, LOWER, MID, AND UPPER REGIONS OF CAPE COD. IN ADDITION, THE ORGANIZATION NOW HOSTS CONCURRENT WEEKLY SUPPORT GROUP MEETINGS FOR INDIVIDUALS WITH ALZHEIMER'S DISEASE AND THEIR CAREGIVERS AT CAPE COD HOSPITAL. THROUGH A PARTNERSHIP WITH THE UMASS LABORATORY OF MEDICAL ZOOLOGY, CCHC WAS THE ONLY HEALTHCARE SYSTEM IN MA TO SUBSIDIZE TICK TESTING FOR RESIDENTS WITHIN A HOSPITAL SERVICE AREA. CCHC ALSO PARTNERED WITH THE CAPE COD COOPERATIVE EXTENSION TO PRODUCE A 10-PART ONLINE VIDEO SERIES TITLED "TICKOLOGY" TO PROVIDE EASILY ACCESSIBLE COMMUNITY EDUCATION ON TICK DISEASE PREVENTION. CCHC INFECTIOUS DISEASE CLINICAL SERVICES IS THE RECIPIENT OF FEDERAL AND STATE RYAN WHITE GRANT FUNDING TO SUPPORT COMPREHENSIVE PRIMARY MEDICAL CARE AND MEDICAL CASE MANAGEMENT FOR INDIVIDUALS WITH HIV/AIDS LIVING IN BARNSTABLE COUNTY. CCHC, THROUGH PARTNERSHIPS WITH OTHER LOCAL ORGANIZATIONS, ALIGNED LOCAL EFFORTS TO MEET NATIONAL HIV/AIDS STRATEGY AND THE MASSACHUSETTS INTEGRATED HIV PREVENTION AND CARE PLAN TO REDUCE THE NUMBER OF NEW HIV INFECTIONS, INCREASE ACCESS TO CARE, IMPROVE HEALTH OUTCOMES FOR INDIVIDUALS LIVING WITH HIV/AIDS, AND REDUCE HIV-RELATED HEALTH INEQUITIES AND DISPARITIES. BEHAVIORAL HEALTH CCHC COMMUNITY BENEFITS EXPANDED HOSPITAL-BASED SERVICES AND COLLABORATIONS WITH LOCAL FEDERALLY QUALIFIED HEALTH CENTERS AND BEHAVIORAL HEALTH PROVIDERS TO STRENGTHEN REGIONAL SERVICES AND COMMUNITY RESOURCES FOR INDIVIDUALS WITH MENTAL HEALTH AND SUBSTANCE USE DISORDERS. CCHC'S CENTERS FOR BEHAVIORAL HEALTH JOINED THE MA DEPARTMENT OF PUBLIC HEALTH AND MA DEPARTMENT OF MENTAL HEALTH ON THE ZERO SUICIDE INITIATIVE TO INCREASE SUICIDE PREVENTION AND REDUCE SUICIDE DEATHS ON CAPE COD. CCHC ALSO PROVIDES A COMMUNITY CRISIS LINE, STAFFED BY CLINICIANS, OFFERING FREE AND CONFIDENTIAL EMOTIONAL SUPPORT AND REFERRAL ASSISTANCE FOR INDIVIDUALS IN CRISIS AND THEIR FAMILIES. CCHC COMMUNITY BENEFITS FUNDED A COMMUNITY WIDE MENTAL HEALTH EDUCATION PROGRAM THROUGH NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI) CAPE COD, TARGETING THE PORTUGUESE POPULATION. CCHC COMMUNITY BENEFITS PROVIDED GRANTS TO THREE FEDERALLY QUALIFIED HEALTH CENTERS ON CAPE COD. DUFFY HEALTH CENTER, HARBOR COMMUNITY HEALTH CENTER- HYANNIS, AND OUTER CAPE HEALTH SERVICES RECEIVED GRANTS SUPPORTING INTEGRATED BEHAVIORAL HEALTH SERVICES, ESTABLISHING AN OFFICE BASED ADDICTION TREATMENT PROGRAM AND CONTINUATION OF A COMMUNITY NAVIGATOR PROGRAM THAT ASSISTS INDIVIDUALS MOST AT RISK IN OUR REGION. THROUGH A PARTNERSHIP WITH, AND GRANT TO GOSNOLD, INC., CCHC COMMUNITY BENEFITS EXPANDED THE RECOVERY SPECIALIST PROGRAM IN THE EMERGENCY DEPARTMENTS AT CAPE COD HOSPITAL AND FALMOUTH HOSPITAL. THE PROGRAM PROVIDES PEER-LED RECOVERY ENGAGEMENT SERVICES FOR PATIENTS WITH SUBSTANCE USE DISORDERS. RECOVERY SPECIALISTS WORK AS PART OF THE EMERGENCY DEPARTMENTS' CARE TEAMS TO MOTIVATE PATIENTS TO ACCEPT TREATMENT UPON DISCHARGE FROM THE EMERGENCY DEPARTMENTS. ADDITIONAL FUNDING TO GOSNOLD, INC. PROVIDED RECOVERY COACHING SCHOLARSHIPS FOR 30 INDIVIDUALS WHO COMPLETED TREATMENT FOR THEIR SUBSTANCE USE DISORDER. RECOVERY COACHES ASSIST INDIVIDUALS WITH BUILDING RECOVERY SUPPORT SYSTEMS AND IMPROVING OUTCOMES RELATED TO EMPLOYMENT, HOUSING, LEGAL AND LIFE SKILLS. ACCESS TO CARE IN FY19, CCHC CONTINUED TO INVEST, SIGNIFICANTLY, IN EXPANDING ACCESS TO CARE FOR VULNERABLE AND MEDICALLY UNDERSERVED POPULATIONS IN BARNSTABLE COUNTY. CCHC COMMUNITY BENEFITS CONTINUED ITS GRANT SUPPORT OF THE SPECIALTY NETWORK FOR THE UNINSURED (SNU) PROGRAM IN BARNSTABLE COUNTY. THE SNU PROGRAM COORDINATES APPOINTMENTS AND FOLLOW-UP CARE WITH LOCAL MEDICAL SPECIALISTS FOR UNINSURED AND UNDER-INSURED PATIENTS IN OUR REGION, REDUCING BARRIERS TO LOCAL ACCESS AND ADDRESSING GAPS IN SPECIALTY SERVICES NOT OFFERED BY LOCAL COMMUNITY HEALTH CENTERS. THROUGH THE COMMUNITY BASED INTERPRETERS PROGRAM, CCHC COMMUNITY BENEFITS FUNDING PROVIDED FREE MEDICAL INTERPRETER SERVICES FOR LIMITED-ENGLISH SPEAKING PATIENTS IN COMMUNITY BASED PRIMARY AND SPECIALTY CARE OFFICES ACROSS THE REGION. IN PARTNERSHIP WITH THE CAPE AND ISLANDS EMERGENCY MEDICAL SERVICES SYSTEM, CCHC EXPANDED THE IMPACT OF MEDICAL INTERPRETER SERVICES TO PRE-HOSPITAL SETTINGS. CCHC PROVIDES TRAINING AND FUNDING FOR PHONE-BASED INTERPRETER SERVICES THAT CONNECT PARAMEDICS AND FIRST RESPONDERS TO INTERPRETERS VIA CELL PHONES IN AMBULANCES TO IMPROVE COMMUNICATION WITH LIMITED-ENGLISH SPEAKING PATIENTS DURING TRANSPORT TO A HOSPITAL. HOSPITAL SOCIAL WORKERS AND CASE MANAGERS ASSISTED LOW-INCOME AND VULNERABLE PATIENTS IN NEED THROUGH DIRECT REFERRALS TO COMMUNITY SERVICES, PRESCRIPTION PHARMACY ASSISTANCE, AND TRANSPORTATION VOUCHERS UPON DISCHARGE. FINANCIAL COUNSELORS AT CAPE COD HOSPITAL AND FALMOUTH HOSPITAL WERE AVAILABLE TO ALL BARNSTABLE COUNTY RESIDENTS TO ASSIST WITH HEALTH INSURANCE QUESTIONS AND NEEDS INCLUDING MASS HEALTH AND MEDICARE COVERAGE APPLICATIONS AND RENEWAL ASSISTANCE. CCHC HAS BEEN AT THE FOREFRONT OF ESTABLISHING STRATEGIC RELATIONSHIPS ENSURING A STRONG AND SKILLED FUTURE ALLIED HEALTH WORKFORCE IN OUR REGION. CAPE COD COMMUNITY COLLEGE AND CAPE COD HEALTHCARE NURSING EDUCATION COLLABORATIVE IS A PROGRAM THAT EXPANDS OPPORTUNITIES FOR EDUCATION, CLINICAL TRAINING, AND EMPLOYMENT, AS WELL AS RN STUDENT DEBT RELIEF AND CAREER EXPLORATION PATHWAYS FOR HIGH SCHOOL STUDENTS. IN SEVERAL CLINICAL DEPARTMENTS INCLUDING BEHAVIORAL HEALTH, RADIOLOGY, AND LABORATORY SERVICES ACROSS BOTH HOSPITALS, CLINICIANS PROVIDE SUPERVISION, TRAINING, AND JOB SHADOWING FOR STUDENTS FROM UMASS MEDICAL SCHOOL, REGIONAL COMMUNITY COLLEGES, AND LOCAL VOCATIONAL AND TECHNICAL SCHOOLS. DISEASE PREVENTION AND WELLNESS IN FY19, CAPE COD HEALTHCARE EFFORTS FOCUSED ON BUILDING PARTNERSHIPS AND SUPPORT FOR COMMUNITY-BASED PREVENTION AND WELLNESS INITIATIVES IMPACTING RESIDENTS ACROSS THE LIFESPAN FROM INFANTS TO SENIORS. CCHC COMMUNITY BENEFITS EXPANDED EFFORTS SUPPORTING NEW FAMILIES. EXPANDED EFFORTS INCLUDED PRENATAL AND PARENTING CLASSES IN ENGLISH AND PORTUGUESE, SUPPORT GROUPS FOR NEW MOTHERS, FATHERHOOD INITIATIVES, AND A BREASTFEEDING 'WARM LINE' THAT PROVIDED FAMILIES WITH PHONE SUPPORT FOR QUESTIONS RELATED TO BREASTFEEDING. CCHC ALSO PARTNERED WITH A LOCAL EARLY INTERVENTION PROGRAM TO PROVIDE PRE-DISCHARGE MEETINGS WITH EARLY INTERVENTION STAFF. EARLY INTERVENTION STAFF EDUCATED PARENTS ABOUT SERVICES AND SUPPORTS AVAILABLE TO INFANTS, YOUNG CHILDREN AND THEIR FAMILIES THROUGH THE PROGRAM. THROUGH A PARTNERSHIP WITH THE CAPE & ISLANDS UNITED WAY, CCHC COMMUNITY BENEFITS SUPPORTED THE STRONG FROM THE START INITIATIVE AIMED AT IMPROVING THE SOCIAL, EMOTIONAL AND DEVELOPMENTAL OUTCOMES FOR CHILDREN AGES 0-3 YEARS IN BARNSTABLE COUNTY. THE OBJECTIVES OF STRONG FROM THE START ARE TO STRENGTHEN FAMILIES, REDUCE ACHIEVEMENT AND WORD GAPS AND PROVIDE CHILDREN WITH THE SOCIAL, EMOTIONAL AND LANGUAGE SKILLS TO THRIVE IN SCHOOL AND IN LIFE.
CCHC COMMUNITY BENEFITS BUILT A COALITION OF MORE THAN 50	COMMUNITY ORGANIZATIONS TO SUPPORT THE QUALITY OF LIFE INITIATIVE. THE INITIATIVE PROVIDED GUEST SPEAKERS, MATERIALS AND HELPFUL TOOLS TO EDUCATE THE COMMUNITY ABOUT THE IMPORTANCE OF ADVANCE CARE PLANNING. IN ADDITION, CCHC COMMUNITY BENEFITS JOINED A COALITION OF MORE THAN 30 ORGANIZATIONS CALLED HEALTHY AGING CAPE COD. LED BY BARNSTABLE COUNTY DEPARTMENT OF HUMAN SERVICES, THE PURPOSE OF THE COALITION IS TO UNDERTAKE REGIONAL PLANNING THAT SUPPORTS OUR AGING DEMOGRAPHIC AND THEIR FAMILIES THROUGH CONVERSATIONS PROJECTS THAT ALIGN LOCAL EFFORTS WITH STATEWIDE EFFORTS TO BUILD AN AGE AND DEMENTIA-FRIENDLY MASSACHUSETTS. HEALTHY PARKS, HEALTHY PEOPLE, A PROGRAM SUPPORTED THROUGH A COLLABORATION BETWEEN CAPE COD HEALTHCARE, THE US NATIONAL PARK SERVICE, AND THE CAPE COD NATIONAL SEASHORE, CONTINUED WITH ITS FOCUS ON PROMOTING OPEN SPACE FOR PHYSICAL ACTIVITY AND WELLNESS. ACTIVITIES INCLUDED EDUCATIONAL EVENTS BY CCHC PHYSICIANS AND PHYSICAL THERAPISTS, A WALKING PROGRAM, AND A 5K WALK/RUN FOR RESIDENTS AND VISITORS OF CAPE COD. CCHC COMMUNITY BENEFITS GRANTS SUPPORTED ELDER SUICIDE PREVENTION TRAININGS THROUGH THE SAMARITANS OF CAPE COD, HPV VACCINATION AND CERVICAL CANCER EDUCATION FOR PROVIDERS, PARENTS AND YOUTH BY TEAM MAUREEN AND CHRONIC DISEASE AND MINDFULNESS PROGRAMS AT LOCAL FAMILY HOMELESS SHELTERS BY HOUSING ASSISTANCE CORPORATION ON CAPE COD. PLANS FOR NEXT REPORTING YEAR IN FY20, CCHC COMMUNITY BENEFITS WILL FOLLOW THE CHNA 20-22 GOALS AND STRATEGIC IMPLEMENTATION PLAN THE PRIORITY AREAS AND GOALS ARE STATED BELOW: 1. PHYSICAL HEALTH CONDITIONS - REDUCE AND PREVENT THE OCCURRENCE AND SEVERITY OF CHRONIC AND INFECTIOUS DISEASE IN BARNSTABLE COUNTY THROUGH COLLABORATIVE APPROACHES. 2. BEHAVIORAL HEALTH - BE A LEADING PARTNER IN PROVIDING COMPREHENSIVE REGIONAL HEALTH SERVICES AND COMMUNITY RESOURCES FOR INDIVIDUALS WITH MENTAL HEALTH CONDITIONS AND SUBSTANCE USE DISORDERS. 3. SOCIAL DETERMINANTS OF HEALTH: TRANSPORTATION - WORK WITH REGIONAL TRANSPORTATION SYSTEMS TO INCREASE ACCESS TO HEALTH CARE AND OTHER HEALTH RELATED SERVICES IN BARNSTABLE COUNTY. HOUSING - WORK WITH REGIONAL PARTNERS TO ENSURE THAT VULNERABLE POPULATIONS SHOW IMPROVED HEALTH INDICATORS THROUGH ACCESS TO STABLE AND QUALITY HOUSING. HEALTHCARE WORKFORCE DEVELOPMENT - WORK WITH REGIONAL PARTNERS TO INSURE OUR COMMUNITY IS SERVED BY A STRONG, ADEQUATE HEALTHCARE WORKFORCE. FOOD/NUTRITION - FOSTER REGIONAL PARTNERSHIPS TO DEVELOP A FOOD SECURITY ASSESSMENT PROCESS. WORKPLAN ELEMENTS INTENDED TO SUPPORT ACHIEVEMENT OF THESE GOALS ARE AS FOLLOWS: 1) THE COMMUNITY ENGAGEMENT FOCUS IS ON INVOLVEMENT, COLLABORATION AND EMPOWERMENT. INTENTIONAL MODELING AND USE OF COMMON LANGUAGE AND DEFINITIONS, HEALTH INDICATORS, SMART MEASURES, BEST PRACTICES AND LEARNING/KNOWLEDGE SHARING WORKSHOPS AND EVENTS WILL BE INCORPORATED IN THE COMMUNITY BENEFITS PROCESSES. 2) THE EXPANSION OF LEADERSHIP TEAM(S) AND INTERSECTIONS WILL FOSTER INTERSECTIONALITY OF TRADITIONAL AND NON-TRADITIONAL STAKEHOLDERS. THE EXISTING COMMUNITY HEALTH COMMITTEE (CBAC) TEAM WILL INCLUDE MUNICIPAL GOVERNMENT AND PUBLIC HEALTH AGENT FOR A TOWN ON CAPE COD. A NEW INTERNAL PROGRAM COMMITTEE WILL BE DEVELOPED TO CROSS-POLLINATE THOUGHT AND COLLECTIVE LEADERSHIP FROM CCHC MIDDLE MANAGEMENT AND THE COMMUNITY HEALTH INITIATIVE COUNSEL WILL BE ASSEMBLED TO FOCUS ON SOCIAL DETERMINANTS OF HEALTH AND INSURE ALIGNMENT AND INTERSECTION WITH COMMUNITY HEALTH INITIATIVE AS IT RELATES TO DETERMINATION OF NEED AND COMMUNITY ENGAGEMENT. COMMUNITY BENEFITS PROGRAMS ANNUAL STRATEGIC GRANTS PROGRAM: CHRONIC AND INFECTIOUS DISEASE AND PREVENTION PROGRAM TYPE: COMMUNITY-CLINICAL LINKAGES. PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: YES PROGRAM HASHTAGS: COMMUNITY EDUCATION, HEALTH SCREENING, PREVENTION, SUPPORT GROUP EOHHS FOCUS ISSUE(S) (OPTIONAL): CHRONIC DISEASE WITH FOCUS ON CANCER, HEART DISEASE, AND DIABETES, HOUSING STABILITY/HOMELESSNESS, MENTAL ILLNESS AND MENTAL HEALTH, SUBSTANCE USE DISORDERS DON HEALTH PRIORITIES (OPTIONAL): BUILT ENVIRONMENT, HOUSING, SOCIAL ENVIRONMENT. HEALTH ISSUES: CANCER-BREAST, CANCER-CERVICAL, CANCER-COLORECTAL, CANCER-LUNG, CANCER-MULTIPLE MYELOMA, CANCER-OTHER, CANCER-OVARIAN, CANCER-PROSTATE, CANCER-SKIN, CHRONIC DISEASE-ALZHEIMER'S DISEASE, CHRONIC DISEASE-ARTHRITIS, CHRONIC DISEASE-CARDIAC DISEASE, CHRONIC DISEASE-DIABETES, CHRONIC DISEASE- HYPERTENSION, HEALTH BEHAVIORS/MENTAL HEALTH-MENTAL HEALTH, HEALTH BEHAVIORS/MENTAL HEALTH-RESPONSIBLE SEXUAL BEHAVIOR, INFECTIOUS DISEASE-HEPATITIS, INFECTIOUS DISEASE-LYME DISEASE, INJURY-AUTO/PASSENGER INJURIES, MATERNAL/CHILD HEALTH-CHILD CARE, MATERNAL/CHILD HEALTH-REPRODUCTIVE AND MATERNAL HEALTH, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO HEALTHY FOOD, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO TRANSPORTATION, SOCIAL DETERMINANTS OF HEALTH-AFFORDABLE HOUSING, SOCIAL DETERMINANTS OF HEALTH-EDUCATION/LEARNING, SOCIAL DETERMINANTS OF HEALTH- INCOME AND POVERTY, SOCIAL DETERMINANTS OF HEALTH-NUTRITION, SOCIAL DETERMINANTS OF HEALTH-PUBLIC SAFETY, SUBSTANCE ADDICTION-ALCOHOL USE, SUBSTANCE ADDICTION-OPIOID USE, SUBSTANCE ADDICTION-SUBSTANCE USE TARGET POPULATION: REGIONS SERVED: COUNTY-BARNSTABLE - ENVIRONMENTS SERVED: ALL GENDER: ALL AGE GROUP: ALL RACE/ETHNICITY: ALL LANGUAGE: ALL, PORTUGUESE - ADDITIONAL TARGET POPULATION STATUS: DISABILITY STATUS, INCARCERATION HISTORY, LGBT STATUS GOAL DESCRIPTION GRANT AWARDS TO LOCAL NON-PROFIT ORGANIZATIONS OPERATING QUALITY PROGRAMS WITH ANTICIPATED OUTCOMES ALIGNED WITH CAPE COD HOSPITAL AND FALMOUTH HOSPITAL IMPLEMENTATION STRATEGIES RELATED TO CHRONIC AND INFECTIOUS DISEASES AND PREVENTION AND WELLNESS. GOAL STATUS EXECUTION OF AWARDING GRANTS COMPLETED AS SCHEDULED. PARTNER NAME, DESCRIPTION AND WEB ADDRESS AIDS SUPPORT GROUP OF CAPE COD - PROVIDING HEPATITIS C EDUCATION AND TESTING OLDER CAPE COD RESIDENTS - WWW.ASGCC.ORG ALZHEIMER'S FAMILY CAREGIVER SUPPORT CENTER - FREE IN-HOME CARE CONSULTATIONS FOR FAMILIES LIVING WITH ALZHEIMER'S AND DEMENTIA DISEASE- WWW.ALZHEIMERSCAPECOD.ORG A BABY CENTER - BABY BOXES AND CAR SEATS FOR LOW INCOME FAMILIES- WWW.ABABYCENTER.ORG UMASS & CAPE COD EXTENSION - TICK TESTING- WWW.CAPECODEXTENSION.ORG CAPE COD TIMES NEEDY FUND - BASIC NEEDS SAFETY NET FOR INDIVIDUALS WITH CHRONIC AND INFECTIOUS DISEASES- WWW.NEEDYFUND.ORG HOUSING ASSISTANCE CORPORATION ON CAPE COD- WWW.HACONCAPECOD.ORG CAPE WELLNESS COLLABORATIVE - WELLNESS CARDS FOR INTEGRATIVE SERVICES- WWW.CAPEWELLNESS.ORG TEAM MAUREEN - HPV PREVENTION THROUGH CAPE - WIDE EDUCATION - YEAR 2- WWW.TEAMMAUREEN NATIONAL ALLIANCE ON MENTAL ILLNESS CAPE COD - MENTAL WELLNESS IN THE PORTUGUESE COMMUNITY- WWW.NAMICAPECOD SAMARITANS ON CAPE COD & THE ISLANDS - ELDER SUICIDE OUTREACH PREVENTION PROGRAM- WWW.CAPESAMARITANS.ORG YMCA CAPE COD - CHRONIC DISEASE PROGRAM COORDINATOR- WWW.YMCACAPECOD.ORG CAPE ABILITIES INC. - HEALTHY AGING INITIATIVE - WWW.CAPABILITIES.ORG CAPE COD CHILD DEVELOPMENT - FUN, FOOD AND FITNESS SCHOOL AGE PROGRAM - WWW.CCCDP.ORG BOSTON CANCER SUPPORT - TREATMENT TRANSPORT PROGRAM - WWW.BOSTONCANCERSUPPORT.ORG CAPE COD COMMERCIAL FISHERMAN'S ALLIANCE - FISH FOR FAMILIES - WWW.CAPECODFISHERMEN.ORG THE FAMILY PANTRY OF CAPE COD - HEALTHY MEALS IN MOTION - WWW.THEFAMILYPANTRY.COM BARNSTABLE COUNTY SHERIFF - EDUCATIONAL INTERVENTIONS FOR CORRECTIONS - WWW.BSHERIFF.NET HEALTH IMPERATIVES - IMPROVING ACCESS TO WIC NUTRITION SERVICES - WWW.HEALTHIMPERATIVES.ORG WELLSTRONG, INC - ARRIVING AND THRIVING AT WELLSTRONG IN RECOVERY - HTTP://WWW.WELLSTRONG.ORG/ CONTACT INFORMATION MARY PUMPHERY 297 NORTH STREET BUILDING 3, 3RD FLOOR HYANNIS, MA 02601 PHONE: 774-470-5506 DETAILED DESCRIPTION THE FY19 ANNUAL STRATEGIC GRANTS PROGRAM WAS A COMPETITIVE GRANT INITIATIVE WITH THE OBJECTIVE TO SUPPORT COMMUNITY-BASED CHRONIC AND INFECTIOUS DISEASE AND PREVENTION AND WELLNESS PROJECTS ALIGNED WITH TWO OF THE FOUR HEALTH PRIORITIES IDENTIFIED IN THE FY17 - FY19 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IMPLEMENTATION PLAN. GRANTS WERE AWARDED TO ORGANIZATIONS WITH PROJECTS THAT REACHED VULNERABLE POPULATIONS, MAXIMIZED PARTNERSHIP COLLABORATION AND FEATURED EVIDENCE-BASED PROGRAMS OR PROMISING PRACTICES WITH THE OBJECTIVE TO IMPROVE THE HEALTH OF BARNSTABLE COUNTY RESIDENTS.
SUBSTANCE USE DISORDER PROGRAMS INCLUDING RECOVERY SPECIALIST	PROGRAM IN THE EMERGENCY DEPARTMENTS AT CAPE COD HOSPITAL AND FALMOUTH HOSPITAL PROGRAM TYPE: COMMUNITY-CLINICAL LINKAGES PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: YES PROGRAM HASHTAGS: COMMUNITY EDUCATION, COMMUNITY HEALTH CENTER PARTNERSHIP, HEALTH PROFESSIONAL/STAFF TRAINING, PREVENTION, SUPPORT GROUP EOHHS FOCUS ISSUE(S) (OPTIONAL): MENTAL ILLNESS AND MENTAL HEALTH, SUBSTANCE USE DISORDERS. DON HEALTH PRIORITIES (OPTIONAL): BUILT ENVIRONMENT, EDUCATION, SOCIAL ENVIRONMENT. HEALTH ISSUES: SOCIAL DETERMINANTS OF HEALTH-ACCESS TO HEALTH CARE, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO TRANSPORTATION, SOCIAL DETERMINANTS OF HEALTH-EDUCATION/LEARNING, SUBSTANCE ADDICTION-ALCOHOL USE, SUBSTANCE ADDICTION-OPIOID USE, SUBSTANCE ADDICTION-SUBSTANCE USE. TARGET POPULATION: REGIONS SERVED: COUNTY-BARNSTABLE - ENVIRONMENTS SERVED: ALL - GENDER: ALL - RACE/ETHNICITY: ALL - LANGUAGE: ALL - ADDITIONAL TARGET POPULATION STATUS: DOMESTIC VIOLENCE HISTORY, INCARCERATION HISTORY, LGBT STATUS, REFUGEE/IMMIGRANT STATUS, VETERAN STATUS GOAL DESCRIPTION ENGAGE AND CONSULT WITH AT LEAST 250 PATIENTS WITH SUBSTANCE USE DISORDERS TREATED IN THE EMERGENCY DEPARTMENTS AT CAPE COD HOSPITAL AND FALMOUTH HOSPITAL. GOAL STATUS EXCEEDED GOAL GOAL DESCRIPTION MOTIVATE AND ASSIST 40% OF PATIENTS WHO RECEIVE A CONSULTATION FROM THE RECOVERY SPECIALIST TO ACCEPT A TRANSFER TO TREATMENT OR DIRECT REFERRAL TO TREATMENT PRIOR TO DISCHARGE FROM THE EMERGENCY DEPARTMENT. GOAL STATUS EXCEEDED GOAL GOAL DESCRIPTION OFFER POST-DISCHARGE FOLLOW-UP AND ASSISTANCE TO PATIENTS WITH SUBSTANCE USE DISORDERS WHO REFUSED SERVICES WHILE IN THE EMERGENCY DEPARTMENTS. GOAL STATUS UNDERWAY ALONG WITH EXTENDING SERVICE FOR INPATIENT GOAL DESCRIPTION RAISE AWARENESS: SUD IS PART OF MENTAL HEALTH AND MENTAL HEALTH ISSUES IN OUR BEHAVIORAL HEALTH PROGRAMS. GOAL STATUS ONGOING PARTNER NAME, DESCRIPTION AND WEB ADDRESS GOSNOLD, INC. - WWW.GOSNOLD.ORG BARNSTABLE COUNTY REGIONAL SUBSTANCE USE COUNCIL - WWW.BCHUMANSERVICES.NET/INITIATIVES/REGIONAL-SUBSTANCE-USE-COUNCIL/ OUTER CAPE HEALTH SERVICES - WWW.OUTERCAPE.ORG DUFFY HEALTH CENTER - WWW.DUFFYHEALTHCENTER.ORG COMMUNITY HEALTH CENTER OF CAPE COD - WWW.CHCOFCAPECOD.ORG HARBOR COMMUNITY HEALTH CENTER- HYANNIS - WWW.HHSI.US/LOCATIONS/HARBOR-COMMUNITY-HEALTH-CENTER-HYANNIS/ CONTACT INFORMATION: MARY PUMPHERY CAPE COD HEALTHCARE 297 NORTH STREET, BUILDING 3, 3RD FLOOR HYANNIS, MA, 02601 PHONE: 774-470-5506 PROGRAM DESCRIPTION CAPE COD HOSPITAL AND FALMOUTH HOSPITAL PARTNERED WITH GOSNOLD, INC. TO PROVIDE PEER-LED RECOVERY SPECIALIST SERVICES IN THE EMERGENCY DEPARTMENTS AT BOTH HOSPITALS. RECOVERY SPECIALISTS HAVE THE LIVED EXPERIENCE OF ADDICTION AND RECOVERY AND ENGAGE PATIENTS WITH SUBSTANCE USE DISORDERS PRIOR TO DISCHARGE FROM THE EMERGENCY DEPARTMENTS. RECOVERY SPECIALISTS WORK AS PART OF THE HOSPITAL CARE TEAM WITH THE OBJECTIVE TO MOTIVATE PATIENTS TO ACCEPT TREATMENT FOR SUBSTANCE USE DISORDERS THROUGH A TRANSFER TO AN INPATIENT TREATMENT PROGRAM OR DIRECT REFERRALS TO OUTPATIENT TREATMENT PROGRAMS. SPECIALTY NETWORK FOR THE UNINSURED AND SUPPORT TO FEDERALLY QUALIFIED HEALTH CENTERS PROGRAM TYPE: COMMUNITY-CLINICAL LINKAGES. PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: YES PROGRAM HASHTAGS: COMMUNITY EDUCATION, COMMUNITY HEALTH CENTER PARTNERSHIP, PREVENTION. EOHHS FOCUS ISSUE(S) (OPTIONAL): CHRONIC DISEASE WITH FOCUS ON CANCER, HEART DISEASE, AND DIABETES, HOUSING STABILITY/HOMELESSNESS, MENTAL ILLNESS AND MENTAL HEALTH, SUBSTANCE USE DISORDERS. DON HEALTH PRIORITIES (OPTIONAL): BUILT ENVIRONMENT, EDUCATION, SOCIAL ENVIRONMENT. HEALTH ISSUES: OTHER-DENTAL HEALTH, OTHER-SENIOR HEALTH CHALLENGES/CARE COORDINATION, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO HEALTH CARE, SOCIAL DETERMINANTS OF HEALTH-HOMELESSNESS, SOCIAL DETERMINANTS OF HEALTH-UNINSURED/UNDERINSURED, SUBSTANCE ADDICTION-SUBSTANCE USE. TARGET POPULATION: REGIONS SERVED: NOT SPECIFIED - ENVIRONMENTS SERVED: ALL GENDER: ALL AGE GROUP: ALL RACE/ETHNICITY: ALL LANGUAGE: ALL - ADDITIONAL TARGET POPULATION STATUS: DISABILITY STATUS, DOMESTIC VIOLENCE HISTORY, INCARCERATION HISTORY, LGBT STATUS, REFUGEE/IMMIGRANT STATUS, VETERAN STATUS GOAL DESCRIPTION PROVIDE FUNDING SUPPORT TO THE FEDERALLY QUALIFIED HEALTH CENTERS PER PROPOSALS AND PRIORITIES SET BY EACH OF THE FOUR ENTITIES ON CAPE COD IN ALIGNMENT WITH CHNA 17-19. GOAL STATUS SUPPORT FOR COMMUNITY NAVIGATORS, BEHAVIORAL HEALTH AND DENTAL EXPANSION HAS BENEFITTED THE CONTINUUM OF CARE. PARTNER NAME, DESCRIPTION AND WEB ADDRESS HARBOR - JONES DENTAL - HTTPS://WWW.HHSI.US/LOCATIONS/HARBOR-COMMUNITY-HEALTHCENTER-HYANNIS/ DUFFY - NAVIGATORS AND BEHAVIORAL HEALTH - HTTPS://WWW.DUFFYHEALTHCENTER.ORG/ OUTERCAPE HEALTH SERVICES COMMUNITY NAVIGATORS - HTTPS://OUTERCAPE.ORG/ CONTACT INFORMATION: MARY PUMPHERY CAPE COD HEALTHCARE 297 NORTH STREET, BUILDING 3, 3RD FLOOR HYANNIS, MA, 02601 PHONE: 774-470-5506 PROGRAM DESCRIPTION CAPE COD HEALTHCARE COMMUNITY BENEFITS PROVIDES ANNUAL GRANT SUPPORT TO HARBOR COMMUNITY HEALTH CENTER - HYANNIS TO COORDINATE THE SPECIALTY NETWORK FOR THE UNINSURED (SNU). THE SNU PROGRAM INCREASES ACCESS TO SPECIALTY CARE FOR UNINSURED AND UNDER-INSURED RESIDENTS OF BARNSTABLE COUNTY THROUGH MANAGING A NETWORK OF MEDICAL SPECIALISTS WHO PROVIDE OFFICE VISITS, PROCEDURES AND CONTINUED CARE OF UNINSURED AND UNDER-INSURED INDIVIDUALS. CCHC CANCER SUPPORT SERVICES AND SURVIVORSHIP ACTIVITIES PROGRAM TYPE: COMMUNITY-CLINICAL LINKAGES. PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: YES PROGRAM HASHTAGS: COMMUNITY EDUCATION, HEALTH SCREENING, PREVENTION, SUPPORT GROUP. EOHHS FOCUS ISSUE(S) (OPTIONAL): CHRONIC DISEASE WITH FOCUS ON CANCER, HEART DISEASE, AND DIABETES. DON HEALTH PRIORITIES (OPTIONAL): BUILT ENVIRONMENT, EDUCATION, SOCIAL ENVIRONMENT. HEALTH ISSUES: CANCER-BREAST, CANCER-CERVICAL, CANCER-COLORECTAL, CANCER-LUNG, CANCER-MULTIPLE MYELOMA, CANCER-OTHER, CANCER-OVARIAN, CANCER-PROSTATE, CANCER-SKIN, HEALTH BEHAVIORS/MENTAL HEALTH- DEPRESSION, OTHER-HOSPICE, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO HEALTH CARE, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO HEALTHY FOOD, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO TRANSPORTATION, SOCIAL DETERMINANTS OF HEALTH-EDUCATION/LEARNING, SOCIAL DETERMINANTS OF HEALTH-NUTRITION, SOCIAL DETERMINANTS OF HEALTH-UNINSURED/UNDERINSURED. TARGET POPULATION: REGIONS SERVED: COUNTY-BARNSTABLE - ENVIRONMENTS SERVED: ALL GENDER: ALL AGE GROUP: ALL RACE/ETHNICITY: ALL LANGUAGE: ALL - ADDITIONAL TARGET POPULATION STATUS: NOT SPECIFIED GOAL DESCRIPTION ONCOLOGY SOCIAL WORKERS WILL PROVIDE PSYCHOSOCIAL SUPPORT TO OVER 3,000 PATIENTS. TIMEFRAME: YEAR 1 OF 3 GOAL STATUS AN ESTIMATED 5000 PATIENTS WERE SERVICED. GOAL DESCRIPTION SUPPORT GROUPS WILL BE PROVIDED TO PATIENTS AND FAMILIES. TIMEFRAME: YEAR 3 OF 3 GOAL STATUS SUPPORT GROUPS WERE PROVIDED TO PATIENTS AND FAMILIES GOAL DESCRIPTION HOST A CANCER SURVIVORSHIP DAY EVENT TO CELEBRATE SURVIVORS, INSPIRE THOSE RECENTLY DIAGNOSED AND SUPPORT FAMILIES AND CAREGIVERS. TIMEFRAME: YEAR 3 OF 3 GOAL STATUS CANCER SURVIVORSHIP DAY WAS ATTENDED BY 160 SURVIVORS AND 95 GUESTS. GOAL DESCRIPTION THROUGH A GRANT FROM THE AMERICAN CANCER SOCIETY, CCHC WILL OFFER AN ONCOLOGY NUTRITION PROGRAM TO IMPROVE PATIENTS' QUALITY OF LIFE AND OUTCOMES. TIMEFRAME: YEAR 3 OF 3 GOAL STATUS DIETICIAN WAS PROVIDED THREE DAYS PER WEEK. PARTNER NAME, DESCRIPTION AND WEB ADDRESS AMERICAN CANCER SOCIETY - WWW.CANCER.ORG/ABOUT-US/LOCAL/MASSACHUSETTS.HTML YMCA CAPE COD LIVESTRONG - WWW.YMCACAPECOD.ORG/PROGRAMS/HEALTH-WELLBEING/LIVESTRONG/ CAPE WELLNESS COLLABORATIVE - WWW.CAPEWELLNESS.ORG/ VISITING NURSE ASSOCIATION OF CAPE COD - WWW.VNACAPECOD.ORG TEAM MAUREEN - WWW.TEAMMAUREEN.ORG BOSTON CANCER SUPPORT - WWW.BOSTONCANCERSUPPORT.ORG CONTACT INFORMATION: MARY PUMPHERY CAPE COD HEALTHCARE 297 NORTH STREET, BUILDING 3, 3RD FLOOR HYANNIS, MA, 02601 PHONE: 774-470-5506 PROGRAM DESCRIPTION CCHC CANCER SUPPORT SERVICES PROVIDES ONCOLOGY PATIENTS AND THEIR FAMILIES' PSYCHOLOGICAL AND SOCIAL SUPPORT DURING THEIR TREATMENT JOURNEY. A TEAM OF ONCOLOGY SOCIAL WORKERS PROVIDE ONGOING COUNSELING AND SUPPORT GROUPS AND DIRECT REFERRALS TO SERVICES SUCH AS TRANSPORTATION, HOME CARE, AND COMMUNITY BASED WELLNESS SERVICES SUCH AS REIKI, ACUPUNCTURE AND MASSAGE. A NEW ONCOLOGY NUTRITION PROGRAM WAS STARTED IN FY18 AND CANCER SURVIVORSHIP IS CELEBRATED, SUPPORTED AND RECOGNIZED WITHIN HOSPITAL DEPARTMENTS AND IN THE COMMUNITY.
HEALTH EDUCATION AND SUPPORT SERVICES FOR WELLNESS AT CAPE COD	HOSPITAL AND FALMOUTH HOSPITAL PROGRAM TYPE: TOTAL POPULATION OR COMMUNITY-WIDE INTERVENTIONS. PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: NO PROGRAM HASHTAGS: COMMUNITY EDUCATION, PREVENTION. EOHHS FOCUS ISSUE(S) (OPTIONAL): CHRONIC DISEASE WITH FOCUS ON CANCER, HEART DISEASE, AND DIABETES. DON HEALTH PRIORITIES (OPTIONAL): EDUCATION, SOCIAL ENVIRONMENT. HEALTH ISSUES: CHRONIC DISEASE-DIABETES, CHRONIC DISEASE-HYPERTENSION, CHRONIC DISEASE-OSTEOPOROSIS, CHRONIC DISEASE-OVERWEIGHT AND OBESITY, CHRONIC DISEASE-PULMONARY DISEASE, CHRONIC DISEASE-STROKE, HEALTH BEHAVIORS/MENTAL HEALTH-BEREAVEMENT, HEALTH BEHAVIORS/MENTAL HEALTH-STRESS MANAGEMENT, MATERNAL/CHILD HEALTH-CHILD CARE, MATERNAL/CHILD HEALTH-FAMILY PLANNING, MATERNAL/CHILD HEALTH-MENOPAUSE, MATERNAL/CHILD HEALTH-PARENTING SKILLS, MATERNAL/CHILD HEALTH-REPRODUCTIVE AND MATERNAL HEALTH, OTHER-SENIOR HEALTH CHALLENGES/CARE COORDINATION, SOCIAL DETERMINANTS OF HEALTH-EDUCATION/LEARNING. TARGET POPULATION: REGIONS SERVED: COUNTY-BARNSTABLE - ENVIRONMENTS SERVED: ALL GENDER: ALL AGE GROUP: ALL RACE/ETHNICITY: ALL LANGUAGE: ALL - ADDITIONAL TARGET POPULATION STATUS: NOT SPECIFIED GOAL DESCRIPTION PROVIDE HEALTH EDUCATION AND SUPPORT ACTIVITIES FOR THE COMMUNITY ON A CONTINUUM OF ISSUES INCLUDING, BUT NOT LIMITED TO, CHRONIC DISEASE PREVENTION, SCREENING AND SELF-MANAGEMENT FOR CONDITIONS SUCH AS CANCER, HEART DISEASE, AND DIABETES, BREASTFEEDING AND PARENTING, BEHAVIORAL HEALTH, AND CULTURAL COMPETENCY IN CARE. TIMEFRAME: YEAR 3 OF 3 GOAL STATUS EDUCATION AND SUPPORT ACTIVITIES ARE ONGOING AND SUSTAINING AND UTILIZATION IS INCREASING. PARTNER NAME, DESCRIPTION AND WEB ADDRESS AMERICAN CANCER SOCIETY - WWW.CANCER.ORG VISITING NURSES ASSOCIATION OF CAPE COD - WWW.VNACAPECOD.ORG YMCA CAPE COD - WWW.YMCACAPECOD.ORG CONTACT INFORMATION: MARY PUMPHERY CAPE COD HEALTHCARE 297 NORTH STREET, BUILDING 3, 3RD FLOOR HYANNIS, MA, 02601 PHONE: 774-470-5506 PROGRAM DESCRIPTION AT CAPE COD HOSPITAL AND FALMOUTH HOSPITAL, HEALTH EDUCATION AND OUTREACH ACTIVITIES, CLASSES, SUPPORT GROUPS AND SERVICES TO INCREASE WELLNESS ARE OFFERED TO THE COMMUNITY ACROSS A FEW DIFFERENT HEALTH AREAS. FROM MATERNITY DEPARTMENT TOURS AND NEW PARENTING CLASSES, TO COMMUNITY-BASED DIABETES AND STROKE EDUCATION, FALL PREVENTION CLASSES, BEREAVEMENT SUPPORT GROUPS AND ADVANCE CARE PLANNING PRESENTATIONS, THE HOSPITALS DEDICATE CLINICAL STAFF AND RESOURCES TO SUPPORT THE WELLNESS OF BARNSTABLE COUNTY RESIDENTS. COMMUNITY-BASED INTERPRETER SERVICES PROGRAM TYPE: COMMUNITY-CLINICAL LINKAGES. PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: YES PROGRAM HASHTAGS: PREVENTION. EOHHS FOCUS ISSUE(S) (OPTIONAL): CHRONIC DISEASE WITH FOCUS ON CANCER, HEART DISEASE, AND DIABETES, HOUSING STABILITY/HOMELESSNESS, MENTAL ILLNESS AND MENTAL HEALTH, SUBSTANCE USE DISORDERS,. DON HEALTH PRIORITIES (OPTIONAL): BUILT ENVIRONMENT, SOCIAL ENVIRONMENT. HEALTH ISSUES: CANCER-BREAST, CANCER-CERVICAL, CANCER-COLORECTAL, CANCER-LUNG, CANCER-MULTIPLE MYELOMA, CANCER-OTHER, CANCER-OVARIAN, CANCER-PROSTATE, CANCER-SKIN, CHRONIC DISEASE-ALZHEIMER'S DISEASE, CHRONIC DISEASE-ARTHRITIS, CHRONIC DISEASE-ASTHMA/ALLERGIES, CHRONIC DISEASE-CARDIAC DISEASE, CHRONIC DISEASE-CHRONIC PAIN, CHRONIC DISEASE-COLITIS/CROHN'S DISEASE, CHRONIC DISEASE-DIABETES, CHRONIC DISEASE-HYPERTENSION, CHRONIC DISEASE-OSTEOPOROSIS, CHRONIC DISEASE-OVERWEIGHT AND OBESITY, CHRONIC DISEASE-PULMONARY DISEASE, CHRONIC DISEASE-SICKLE CELL DISEASE, CHRONIC DISEASE-STROKE, HEALTH BEHAVIORS/MENTAL HEALTH-BEREAVEMENT, HEALTH BEHAVIORS/MENTAL HEALTH-DEPRESSION, HEALTH BEHAVIORS/MENTAL HEALTH-IMMUNIZATION, HEALTH BEHAVIORS/MENTAL HEALTH-MENTAL HEALTH, HEALTH BEHAVIORS/MENTAL HEALTH-PHYSICAL ACTIVITY, HEALTH BEHAVIORS/MENTAL HEALTH-RESPONSIBLE SEXUAL BEHAVIOR, HEALTH BEHAVIORS/MENTAL HEALTH-STRESS MANAGEMENT, INFECTIOUS DISEASE-HEPATITIS, INFECTIOUS DISEASE-HIV/AIDS, INFECTIOUS DISEASE-LYME DISEASE, INFECTIOUS DISEASE-SEXUALLY TRANSMITTED DISEASES, INFECTIOUS DISEASE-TUBERCULOSIS, INJURY-AUTO/PASSENGER INJURIES, INJURY-FIRST AID/ACLS/CPR, INJURY-HOME INJURIES, INJURY-OTHER, INJURY-SPORTS INJURIES, MATERNAL/CHILD HEALTH-CHILD CARE, MATERNAL/CHILD HEALTH-FAMILY PLANNING, MATERNAL/CHILD HEALTH-MENOPAUSE, MATERNAL/CHILD HEALTH-PARENTING SKILLS, MATERNAL/CHILD HEALTH-REPRODUCTIVE AND MATERNAL HEALTH, OTHER-CULTURAL COMPETENCY, OTHER-DENTAL HEALTH, OTHER-EMERGENCY PREPAREDNESS, OTHER-HEARING, OTHER-HOSPICE, OTHER-SENIOR HEALTH CHALLENGES/CARE COORDINATION, OTHER-VISION, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO HEALTH CARE, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO HEALTHY FOOD, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO TRANSPORTATION, SOCIAL DETERMINANTS OF HEALTH-AFFORDABLE HOUSING, SOCIAL DETERMINANTS OF HEALTH-DOMESTIC VIOLENCE, SOCIAL DETERMINANTS OF HEALTH- EDUCATION/LEARNING, SOCIAL DETERMINANTS OF HEALTH-ENVIRONMENTAL QUALITY, SOCIAL DETERMINANTS OF HEALTH-HOMELESSNESS, SOCIAL DETERMINANTS OF HEALTH-INCOME AND POVERTY, SOCIAL DETERMINANTS OF HEALTH-LANGUAGE/LITERACY, SOCIAL DETERMINANTS OF HEALTH-NUTRITION, SOCIAL DETERMINANTS OF HEALTH-PUBLIC SAFETY, SOCIAL DETERMINANTS OF HEALTH-RACISM AND DISCRIMINATION, SOCIAL DETERMINANTS OF HEALTH-UNINSURED/UNDERINSURED, SOCIAL DETERMINANTS OF HEALTH-VIOLENCE AND TRAUMA, SUBSTANCE ADDICTION-ALCOHOL USE, SUBSTANCE ADDICTION-DRIVING UNDER THE INFLUENCE, SUBSTANCE ADDICTION-OPIOID USE, SUBSTANCE ADDICTION-SMOKING/TOBACCO USE, SUBSTANCE ADDICTION-SUBSTANCE USE. TARGET POPULATION: REGIONS SERVED: COUNTY-BARNSTABLE - ENVIRONMENTS SERVED: ALL GENDER: ALL AGE GROUP: ALL RACE/ETHNICITY: ALL LANGUAGE: ALL - ADDITIONAL TARGET POPULATION STATUS: DISABILITY STATUS, DOMESTIC VIOLENCE HISTORY, INCARCERATION HISTORY, LGBT STATUS, REFUGEE/IMMIGRANT STATUS, VETERAN STATUS. GOAL DESCRIPTION ASSIST MORE THAN 800 INDIVIDUALS WITH FREE MEDICAL INTERPRETERS IN COMMUNITY-BASED PRIMARY CARE AND SPECIALTY CARE SETTINGS. GOAL STATUS 984 ASSISTED. GOAL DESCRIPTION ANALYZE PROGRAM UTILIZATION DATA TO ASSESS REGIONAL MEDICAL INTERPRETATION NEEDS FOR PROGRAM EVALUATION. GOAL STATUS COMPLETED. PARTNER NAME, DESCRIPTION AND WEB ADDRESS COMMUNITY BASED MEDICAL OFFICES ON CAPE COD VARIOUS HARBOR COMMUNITY HEALTH CENTER HYANNIS - WWW.HHSI.US/CAPE-COD/HARBOR-COMMUNITY-HEALTH-CENTERHYANNIS/ COMMUNITY BASED MEDICAL OFFICES ON CAPE COD VARIOUS HARBOR COMMUNITY HEALTH CENTER HYANNIS - WWW.HHSI.US/CAPE-COD/HARBOR-COMMUNITY-HEALTH-CENTERHYANNIS/ CONTACT INFORMATION: MARY PUMPHERY CAPE COD HEALTHCARE 297 NORTH STREET, BUILDING 3, 3RD FLOOR HYANNIS, MA, 02601 PHONE: 774-470-5506 PROGRAM DESCRIPTION CCHC PROVIDES FREE MEDICAL LANGUAGE INTERPRETERS TO COMMUNITY BASED PHYSICIAN OFFICES TO ASSIST LIMITED AND NON-ENGLISH SPEAKING PATIENTS AND THEIR FAMILIES. THE AVAILABILITY OF PROFICIENT AND PROFESSIONAL INTERPRETER SERVICES ENSURES THE DELIVERY OF SAFE, QUALITY HEALTH CARE AND POSITIVE CLINICAL OUTCOMES. HEALTHY PARKS, HEALTHY PEOPLE: A COLLABORATION BETWEEN CAPE COD HEALTHCARE AND THE CAPE COD NATIONAL SEASHORE PROGRAM TYPE: TOTAL POPULATION OR COMMUNITY-WIDE INTERVENTIONS. PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: YES PROGRAM HASHTAGS: COMMUNITY EDUCATION, PREVENTION. EOHHS FOCUS ISSUE(S) (OPTIONAL): N/A. DON HEALTH PRIORITIES (OPTIONAL): BUILT ENVIRONMENT, EDUCATION, SOCIAL ENVIRONMENT. HEALTH ISSUES: CHRONIC DISEASE-CARDIAC DISEASE, CHRONIC DISEASE-DIABETES, CHRONIC DISEASE-HYPERTENSION, CHRONIC DISEASE-OSTEOPOROSIS, CHRONIC DISEASE-OVERWEIGHT AND OBESITY, HEALTH BEHAVIORS/MENTAL HEALTH-DEPRESSION, HEALTH BEHAVIORS/MENTAL HEALTH-PHYSICAL ACTIVITY, HEALTH BEHAVIORS/MENTAL HEALTH-STRESS MANAGEMENT, SOCIAL DETERMINANTS OF HEALTH-EDUCATION/LEARNING,. TARGET POPULATION: REGIONS SERVED: COUNTY-BARNSTABLE - ENVIRONMENTS SERVED: ALL GENDER: ALL AGE GROUP: ALL RACE/ETHNICITY: ALL LANGUAGE: ALL - ADDITIONAL TARGET POPULATION STATUS: NOT SPECIFIED GOAL DESCRIPTION INCREASE THE NUMBER OF RESIDENTS PARTICIPATING IN THE HEALTH PARKS, HEALTHY PEOPLE SEASONAL WALKING PROGRAM AND 5K RUN/WALK AIMED AT IMPROVING HEALTH KNOWLEDGE AND AWARENESS OF FREE AND OPEN SPACES FOR PHYSICAL ACTIVITY. GOAL STATUS INCREASED PARTICIPATION BY 15 PEOPLE. PARTNER NAME, DESCRIPTION AND WEB ADDRESS NOT SPECIFIED NOT SPECIFIED CONTACT INFORMATION: MARY PUMPHERY CAPE COD HEALTHCARE 297 NORTH STREET, BUILDING 3, 3RD FLOOR HYANNIS, MA, 02601 PHONE: 774-470-5506 PROGRAM DESCRIPTION CAPE COD HEALTHCARE COLLABORATED WITH THE CAPE COD NATIONAL SEASHORE AND THE NATIONAL PARK SERVICES TO PROMOTE COMMUNITY OPEN SPACE FOR WELLNESS, EXERCISE AND PHYSICAL ACTIVITY TO IMPROVE THE HEALTH OF CAPE COD RESIDENTS AND VISITORS.
PRESCRIPTION ASSISTANCE PROGRAM FOR VULNERABLE POPULATIONS:	CAPE COD HOSPITAL AND FALMOUTH HOSPITAL PROGRAM TYPE: COMMUNITY-CLINICAL LINKAGES. PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: NO PROGRAM HASHTAGS: NOT SPECIFIED. EOHHS FOCUS ISSUE(S) (OPTIONAL): CHRONIC DISEASE WITH FOCUS ON CANCER, HEART DISEASE, AND DIABETES. DON HEALTH PRIORITIES (OPTIONAL): BUILT ENVIRONMENT. HEALTH ISSUES: SOCIAL DETERMINANTS OF HEALTH-ACCESS TO HEALTH CARE. TARGET POPULATION: REGIONS SERVED: COUNTY-BARNSTABLE - ENVIRONMENTS SERVED: ALL GENDER: ALL AGE GROUP: ALL RACE/ETHNICITY: ALL LANGUAGE: ALL - ADDITIONAL TARGET POPULATION STATUS: DISABILITY STATUS. GOAL DESCRIPTION ASSIST RESIDENTS WHO ARE UNABLE TO AFFORD MEDICATIONS TO ENSURE COMPLIANCE WITH HOSPITAL DISCHARGE PLANNING. GOAL STATUS ONGOING ASSISTANCE OCCURS THROUGH PHARMACIES AT CAPE COD HOSPITAL AND FALMOUTH HOSPITAL. PARTNER NAME, DESCRIPTION AND WEB ADDRESS CAPE COD HOSPITAL - WWW.CAPECODHEALTH.ORG FALMOUTH HOSPITAL - WWW.CAPECODHEALTH.ORG CONTACT INFORMATION: MARY PUMPHERY CAPE COD HEALTHCARE 297 NORTH STREET, BUILDING 3, 3RD FLOOR HYANNIS, MA, 02601 PHONE: 774-470-5506 PROGRAM DESCRIPTION THE PRESCRIPTION ASSISTANCE PROGRAM IS AN INITIATIVE OF CAPE COD HOSPITAL AND FALMOUTH HOSPITAL EMERGENCY, BEHAVIORAL HEALTH AND PHARMACY DEPARTMENTS AS A COMMUNITY BENEFIT ASSISTING UNINSURED, UNDER-INSURED AND FINANCIALLY DISADVANTAGED PATIENTS WITH NO OTHER VIABLE MEANS TO PAY FOR MEDICATIONS UPON DISCHARGE FROM HOSPITAL FACILITIES. BARNSTABLE COUNTY TICK DISEASE TESTING AND EDUCATION PROJECT PROGRAM TYPE: TOTAL POPULATION OR COMMUNITY-WIDE INTERVENTIONS. PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: YES PROGRAM HASHTAGS: COMMUNITY EDUCATION, HEALTH SCREENING, PREVENTION. EOHHS FOCUS ISSUE(S) (OPTIONAL): N/A. DON HEALTH PRIORITIES (OPTIONAL): BUILT ENVIRONMENT, EDUCATION. HEALTH ISSUES: INFECTIOUS DISEASE-LYME DISEASE. TARGET POPULATION: REGIONS SERVED: COUNTY-BARNSTABLE - ENVIRONMENTS SERVED: ALL GENDER: ALL AGE GROUP: ALL RACE/ETHNICITY: ALL LANGUAGE: ALL - ADDITIONAL TARGET POPULATION STATUS: NOT SPECIFIED. GOAL DESCRIPTION PROVIDE UP TO 1,500 SUBSIDIZED TICK TESTS FOR BARNSTABLE COUNTY RESIDENTS. TESTING TO INCLUDE: IDENTIFICATION OF TICK SPECIES AND LIFE STAGE, HIGH RESOLUTION MICROGRAPHS OF TICK, ASSESSMENT OF FEEDING STATUS, AND SECURE PRIVATE DELIVERY OF PATHOGEN TESTING RESULTS. TIMEFRAME: YEAR 3 OF 3. GOAL STATUS ACTUAL TICK TESTS 1,112. GOAL DESCRIPTION PROVIDE COUNTY-WIDE SURVEILLANCE DATA FOR USE BY MEDICAL PROVIDERS AND PUBLIC HEALTH OFFICIALS. THE DETECTION OF ONE OR MORE PATHOGENS IN TICKS WILL BE REPORTED. TIMEFRAME: YEAR 3 OF 3. GOAL STATUS PROVIDED. GOAL DESCRIPTION THE CAPE COD EXTENSION WILL DEVELOP, PRODUCE AND RELEASE AN ONLINE SERIES OF TICK DISEASE EDUCATION AND PREVENTION VIDEOS FOR THE PUBLIC FEATURING A LOCAL EPIDEMIOLOGIST. THE ONLINE VIDEOS WILL BE PROMOTED ACROSS THE COUNTY VIA PUBLIC LOCATIONS INCLUDING SCHOOLS, LIBRARIES, COUNCILS ON AGING AND OTHER CIVIC GATHERING LOCATIONS. TIMEFRAME: YEAR 3 OF 3. GOAL STATUS OUTREACH EDUCATION COMPLETED AS DESCRIBED. PARTNER NAME, DESCRIPTION AND WEB ADDRESS CAPE COD COOPERATIVE EXTENSION - WWW.CAPECODEXTENSION.ORG UMASS LABORATORY OF MEDICAL ZOOLOGY - WWW.TICKDISEASES.ORG CONTACT INFORMATION: MARY PUMPHERY CAPE COD HEALTHCARE 297 NORTH STREET, BUILDING 3, 3RD FLOOR HYANNIS, MA, 02601 PHONE: 774-470-5506 PROGRAM DESCRIPTION CCHC COMMUNITY BENEFITS PROVIDED GRANT FUNDING TO SUBSIDIZE A TICK-BORNE PATHOGEN TESTING PROGRAM AND EXPANDED TICK-BORNE DISEASE PREVENTION EDUCATION FOR RESIDENTS OF BARNSTABLE COUNTY. TICK-TESTING AND REPORTING WAS CONDUCTED BY THE UMASS LABORATORY OF MEDICAL ZOOLOGY. THE CAPE COD COOPERATIVE EXTENSION DEVELOPED, PRODUCED AND RELEASED TO THE PUBLIC A 10-PART ONLINE VIDEO SERIES TITLED "TICKOLOGY" PROVIDING EASILY ACCESSIBLE COMMUNITY EDUCATION ON TICK DISEASE PREVENTION BY LOCAL EPIDEMIOLOGISTS. TRANSPORTATION ASSISTANCE PROGRAM FOR VULNERABLE POPULATIONS: CAPE COD HOSPITAL AND FALMOUTH HOSPITAL (SDOH) PROGRAM TYPE: COMMUNITY-CLINICAL LINKAGES. PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: YES PROGRAM HASHTAGS: COMMUNITY EDUCATION, HEALTH SCREENING, PREVENTION. EOHHS FOCUS ISSUE(S) (OPTIONAL): CHRONIC DISEASE WITH FOCUS ON CANCER, HEART DISEASE, AND DIABETES, HOUSING STABILITY/HOMELESSNESS, MENTAL ILLNESS AND MENTAL HEALTH, SUBSTANCE USE DISORDERS, DON HEALTH PRIORITIES (OPTIONAL): BUILT ENVIRONMENT, EDUCATION. HEALTH ISSUES: CANCER-BREAST, CANCER-CERVICAL, CANCER-COLORECTAL, CANCER-LUNG, CANCER-MULTIPLE MYELOMA, CANCER-OTHER, CANCER-OVARIAN, CANCER-PROSTATE, CANCER-SKIN, CHRONIC DISEASE-ALZHEIMER'S DISEASE, CHRONIC DISEASE-ARTHRITIS, CHRONIC DISEASE-ASTHMA/ALLERGIES, CHRONIC DISEASE-CARDIAC DISEASE, CHRONIC DISEASE-CHRONIC PAIN, CHRONIC DISEASE-COLITIS/CROHN'S DISEASE, CHRONIC DISEASE-DIABETES, CHRONIC DISEASE-HYPERTENSION, CHRONIC DISEASE-OSTEOPOROSIS, CHRONIC DISEASE-OVERWEIGHT AND OBESITY, CHRONIC DISEASE-PULMONARY DISEASE, CHRONIC DISEASE-STROKE, HEALTH BEHAVIORS/MENTAL HEALTH-DEPRESSION, HEALTH BEHAVIORS/MENTAL HEALTH-MENTAL HEALTH, OTHER-SENIOR HEALTH CHALLENGES/CARE COORDINATION, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO TRANSPORTATION, SUBSTANCE ADDICTION-ALCOHOL USE, SUBSTANCE ADDICTION-DRIVING UNDER THE INFLUENCE, SUBSTANCE ADDICTION-OPIOID USE, SUBSTANCE ADDICTION-SUBSTANCE USE TARGET POPULATION: REGIONS SERVED: COUNTY-BARNSTABLE - ENVIRONMENTS SERVED: ALL GENDER: ALL AGE GROUP: ALL RACE/ETHNICITY: ALL LANGUAGE: ALL - ADDITIONAL TARGET POPULATION STATUS: DISABILITY STATUS, DOMESTIC VIOLENCE HISTORY, INCARCERATION HISTORY, LGBT STATUS, REFUGEE/IMMIGRANT STATUS, VETERAN STATUS. GOAL DESCRIPTION ASSIST RESIDENTS WHO ARE UNABLE TO AFFORD OR ACCESS TRANSPORTATION TO ENSURE COMPLIANCE WITH THEIR DISCHARGE PLAN. TIMEFRAME: YEAR 1 OF 1. GOAL STATUS ACUITY/LYFT UTILIZED AT BOTH HOSPITALS IN ADDITION TO LOCAL TAXI VOUCHER SYSTEM. PARTNER NAME, DESCRIPTION AND WEB ADDRESS LOCAL TAXI COMPANIES N/A ACUITY/LYFT SCHEDULING & TRANSPORTATION - HTTPS://WWW.ACUITY-LINK.NET/PARTNERSHIP-LYFT-ACUITY-LINKNOW-OFFERS-FULL-SU ITE-MEDICAL-TRANSPORTATION-OPTIONSHEALTHCARE-PROVIDERS CONTACT INFORMATION: MARY PUMPHERY CAPE COD HEALTHCARE 297 NORTH STREET, BUILDING 3, 3RD FLOOR HYANNIS, MA, 02601 PHONE: 774-470-5506 PROGRAM DESCRIPTION IN AN EFFORT TO ASSIST LOW-INCOME AND VULNERABLE POPULATIONS, CAPE COD HOSPITAL AND FALMOUTH HOSPITAL PROVIDED ACCESS TO TRANSPORTATION UPON DISCHARGE FROM EMERGENCY AND BEHAVIORAL HEALTH DEPARTMENTS, TO THOSE PATIENTS WITHOUT RESOURCES FOR TRANSPORTATION.
WORKFORCE AND CAREER DEVELOPMENT INITIATIVES:	CAPE COD HEALTHCARE (SDOH) PROGRAM TYPE: INFRASTRUCTURE TO SUPPORT CB COLLABORATION. PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: YES PROGRAM HASHTAGS: COMMUNITY EDUCATION, HEALTH PROFESSIONAL/STAFF TRAINING, MENTORSHIP/CAREER TRAINING/INTERNSHIP EOHHS FOCUS ISSUE(S) (OPTIONAL): CHRONIC DISEASE WITH FOCUS ON CANCER, HEART DISEASE, AND DIABETES, HOUSING STABILITY/HOMELESSNESS, MENTAL ILLNESS AND MENTAL HEALTH, SUBSTANCE USE DISORDERS. DON HEALTH PRIORITIES (OPTIONAL): BUILT ENVIRONMENT, EDUCATION, EMPLOYMENT, SOCIAL ENVIRONMENT. HEALTH ISSUES: SOCIAL DETERMINANTS OF HEALTH-EDUCATION/LEARNING. TARGET POPULATION: REGIONS SERVED: COUNTY-BARNSTABLE - ENVIRONMENTS SERVED: ALL GENDER: ALL AGE GROUP: ALL RACE/ETHNICITY: ALL LANGUAGE: ALL - ADDITIONAL TARGET POPULATION STATUS: DISABILITY STATUS, LGBT STATUS, REFUGEE/IMMIGRANT STATUS, VETERAN STATUS. GOAL DESCRIPTION CCHC STAFF IN VARIOUS DEPARTMENTS WILL PROVIDE CLINICAL OVERSIGHT AND SUPERVISION TO STUDENTS ENGAGED IN ALLIED HEALTH PROGRAMS AND VARIOUS JOB-TRAINING INITIATIVES IN THE REGION. TIMEFRAME: YEAR 2 OF 3. GOAL STATUS WORKFORCE SHORTAGE HAS LIMITED EXPANSION OF STUDENT SUPERVISION. PARTNER NAME, DESCRIPTION AND WEB ADDRESS BARNSTABLE HIGH SCHOOL - WWW.BARNSTABLE.K12.MA.US CAPE COD COMMUNITY COLLEGE - WWW.CAPECOD.EDU/ CAPE COD REGIONAL TECHNICAL HIGH SCHOOL - WWW.CAPETECH.US MA COLLEGE OF PHARMACY AND HEALTH SCIENCES - WWW.MCPHS.EDU THE RIVERVIEW SCHOOL - WWW.RIVERVIEWSCHOOL.ORG UNIVERSITY OF MASSACHUSETTS - WWW.MASSACHUSETTS.EDU/ UPPER CAPE REGIONAL TECHNICAL SCHOOL - WWW.UPPERCAPETECH.COM/ CONTACT INFORMATION: MARY PUMPHERY CAPE COD HEALTHCARE 297 NORTH STREET, BUILDING 3, 3RD FLOOR HYANNIS, MA, 02601 PHONE: 774-470-5506 PROGRAM DESCRIPTION - CCHC INVESTS IN PARTNERSHIPS WITH LOCAL HIGH SCHOOLS, VOCATIONAL SCHOOLS, COMMUNITY COLLEGES, AND ALLIED HEALTH PROGRAMS FOR JOB TRAINING AND SHADOWING AND INTERNSHIPS WITH HEALTH CARE PROVIDERS IN VARIOUS HOSPITAL DEPARTMENTS INCLUDING, BUT NOT LIMITED TO, PHLEBOTOMY, RADIOLOGY, BEHAVIORAL HEALTH, AND MATERIALS MANAGEMENT. OUR EFFORTS CONTRIBUTED TO REGIONAL ECONOMIC DEVELOPMENT EFFORTS TO INCREASE OPPORTUNITY FOR EDUCATIONAL ATTAINMENT AND PROVIDE EXPERIENCE FOR INDIVIDUALS TO OBTAIN STABLE, QUALITY, AND WELL-COMPENSATED JOBS IN OUR REGION. FOOD: FISH FOR FAMILIES (SDOH) PROGRAM TYPE: TOTAL POPULATION OR COMMUNITY-WIDE INTERVENTIONS. PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: YES PROGRAM HASHTAGS: COMMUNITY EDUCATION, HEALTH SCREENING, PREVENTION. EOHHS FOCUS ISSUE(S) (OPTIONAL): CHRONIC DISEASE WITH FOCUS ON CANCER, HEART DISEASE, AND DIABETES. DON HEALTH PRIORITIES (OPTIONAL): BUILT ENVIRONMENT, EDUCATION, SOCIAL ENVIRONMENT. HEALTH ISSUES: SOCIAL DETERMINANTS OF HEALTH-ACCESS TO HEALTHY FOOD, SOCIAL DETERMINANTS OF HEALTH-INCOME AND POVERTY, SOCIAL DETERMINANTS OF HEALTH-NUTRITION. TARGET POPULATION: REGIONS SERVED: BARNSTABLE, BOURNE, BREWSTER, CHATHAM, DENNIS, EASTHAM, FALMOUTH, HARWICH, MASHPEE, ORLEANS, PROVINCETOWN, SANDWICH, TRURO, WELLFLEET, YARMOUTH, ENVIRONMENTS SERVED: ALL GENDER: ALL - AGE GROUP: ALL, ELDERLY - RACE/ETHNICITY: ALL LANGUAGE: ALL, PORTUGUESE, SPANISH - ADDITIONAL TARGET POPULATION STATUS: DISABILITY STATUS, DOMESTIC VIOLENCE HISTORY, INCARCERATION HISTORY, LGBT STATUS, REFUGEE/IMMIGRANT STATUS, VETERAN STATUS. GOAL DESCRIPTION EXPAND THE FISH FOR FAMILIES OFFERINGS THROUGH FOUR DISTRIBUTIONS WITH THE CAPE COD HUNGER NETWORK AND THE FAMILY, PANTRY OF CAPE COD. TARGET IS FOUR DISTRIBUTION SITES. TIMEFRAME: YEAR 1 OF 1. GOAL STATUS ACHIEVED. GOAL DESCRIPTION PROVIDE AT LEAST 8000 POUNDS OF SEAFOOD AT NO COST TO ELDERLY AND ECONOMICALLY CHALLENGED CAPE COD RESIDENTS. TIMEFRAME: YEAR 1 OF 1. GOAL STATUS EXCEEDED. ACTUAL: 8720 POUNDS. GOAL DESCRIPTION CREATE CONNECTIONS BETWEEN FISHING COMMUNITY AND HUNGER NETWORK COMMUNITY; INCREASING SUPPORT FOR LOCAL SEAFOOD. TIMEFRAME: YEAR 1 OF 1. GOAL STATUS ACHIEVED. PARTNER NAME, DESCRIPTION AND WEB ADDRESS CAPE COD COMMERCIAL FISHERMAN'S ALLIANCE - HTTPS://CAPECODFISHERMEN.ORG/ THE FAMILY PANTRY OF CAPE COD - THE FAMILY PANTRY OF CAPE COD IS A NON-PROFIT, NONDENOMINATIONAL ACTIVITY DEDICATED TO SERVING THE NEEDS OF THE LESS FORTUNATE OF CAPE COD - HTTPS://WWW.THEFAMILYPANTRY.COM/ABOUT-US THE CAPE COD HUNGER NETWORK - HTTP://WWW.CAPECODHUNGERNETWORK.ORG/ CAPE COD COUNCILS ON AGING SERVING TOGETHER - COAST COUNCILS ON AGING DIRECTORS COUNCIL DEDICATED TO REGIONAL AND LOCAL SOLUTIONS - HTTPS://WWW.FACEBOOK.COM/CAPECODCOAST CONTACT INFORMATION: MARY PUMPHERY CAPE COD HEALTHCARE 297 NORTH STREET, BUILDING 3, 3RD FLOOR HYANNIS, MA, 02601 PHONE: 774-470-5506 PROGRAM DESCRIPTION - FISHERMEN PROVIDE FISH TO FLASH FREEZE FOR FOOD PANTRY DISTRIBUTION.
FUNCTIONAL EXPENSE NOTE	FORM 990 PART I AND PART IX FUNDRAISING IS CONDUCTED ON BEHALF OF CAPE COD HEALTHCARE, INC. BY CAPE COD HEALTHCARE FOUNDATION, INC. CERTAIN OFFICERS ARE COMPENSATED BY CAPE COD HEATHCARE, INC. FUNDS RAISED ARE REPORTED AT CAPE COD HEALTHCARE, INC. AND AFFILIATES.
FORM 990, PART I, LINE 6	CAPE COD HEALTHCARE, INC.'S VOLUNTEERS INCLUDE ITS TRUSTEES.
FORM 990, PART VI, LINE 2	TRUSTEES AND OFFICERS SIT ON THE BOARDS OF THE FOLLOWING: CAPE HEALTH INSURANCE COMPANY: MICHAEL K LAUF MICHAEL L CONNORS MICHAEL G JONES BRUCE JOHNSTON ROBERT M BIRMINGHAM THE MEMBERS OF CAPE COD HEALTHCARE, INC.'S BOARD ALSO SIT ON THE BOARDS OF CAPE COD MEDICAL OFFICE BUILDING AND EMERALD PHYSICIAN SERVICES, LLC (THROUGH MAY 1, 2019), FOR-PROFIT RELATED ORGANIZATIONS.
FORM 990, PART VI, LINES 6 & 7(A)	THE ORGANIZATION HAS MEMBERS/INCORPORATORS WHO ELECT THE ORGANIZATION'S TRUSTEES.
FORM 990, PART VI, LINE 7(B)	THE DECISIONS OF THE GOVERNING BODY THAT NEED APPROVAL BY ITS MEMBERS/INCORPORATORS INCLUDE APPROVAL OF CHANGES MADE TO THE CORPORATION'S BYLAWS AND APPROVAL WHEN THERE IS A DIVESTING OF ONE OF THE MAJOR AFFILIATES OF THE ORGANIZATION.
FORM 990, PART VI, LINE 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, 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 $(2,773,340) TRANSFER TO/FROM AFFILIATES $(3,638,275) CHANGE IN VALUE OF SPLIT INTEREST AGREEMENT $(79,315) CHANGE IN VALUE BENEFICIAL INTEREST $(399,866) ------------- OTHER CHANGES IN NET ASSETS $(6,890,796) =============

Schedule R IRS990ScheduleR

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	CAPE & ISLANDS ENDOSCOPY CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	700 ATTUCKS LANE	AddressLine1Txt
City	HYANNIS	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02169	ZIPCd

Field	Value	IRS element (for citing)
EIN	263910955	EIN
Primary Activities	ENDOSCOPY CEN	PrimaryActivitiesTxt
Legal Domicile State	MA	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Predominant Income Type	RELATED	PredominantIncomeTypeTxt
Share Of Total Income	$609,675	ShareOfTotalIncomeAmt
Share Of EOY Assets	$257,105	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
UBI Code V	$0	UBICodeVAmt
General Or Managing Partner	Yes (true)	GeneralOrManagingPartnerInd
Ownership	0.33330	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Legal Domicile StateLegalDomicileStateCd
CAPE HEALTH INSURANCE COMPANY
PO BOX 1051GT	GRAND CAYMAN	CJ	981230418	INSURANCE	CJ	NA	C CORP	$925,728	$40,286,777	1.00000	Yes (true)
CAPE COD MEDICAL OFFICE BUILDING INC
			042423073	RENTAL SVCS		Cape Cod Hsptl	C CORP	$0	$0		Yes (true)	27 PARK STREET	HYANNIS	MA	02601	MA
EMERALD PHYS SERVICES LLC (UNTIL 519)
			043369730	PRIMARY CARE		EMERALD TRUST	S CORP	$0	$0		Yes (true)	433 WEST MAIN STREET	HYANNIS	MA	02601	MA
EMERALD PHYS MEMBER TRUST (UNTIL 519)
			467220648	EMRLD SHAREHOLDER		MACC	TRUST	$0	$0		Yes (true)	27 PARK STREET	HYANNIS	MA	02601	MA

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	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	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (true)	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	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (18 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CAPE COD HOSPITAL
Q	$333,025,132	FMV
FALMOUTH HOSPITAL ASSOCIATION
Q	$78,412,115	FMV
CAPE AND ISLANDS HEALTH SERVICES II INC
Q	$1,968,081	FMV
VISITING NURSE ASSOCIATION OF CAPE COD INC
Q	$21,820,566	FMV
CAPE COD HUMAN SERVICES INC
Q	$816,861	FMV
FALMOUTH ASSISTED LIVING INC
Q	$2,132,571	FMV
JML CARE CENTER INC
Q	$14,747,002	FMV
MEDICAL AFFILIATES OF CAPE COD INC
Q	$44,220,778	FMV
Cape Cod Healthcare ACO LLC
Q	$114,954	FMV
EMERALD PHYSICIAN SERVICES LLC
Q	$861,236	FMV
CAPE COD HOSPITAL
S	$51,027,288	FMV
FALMOUTH HOSPITAL ASSOCIATION
S	$17,009,096	FMV
VISITING NURSE ASSOCIATION INC
S	$450,000	FMV
FALMOUTH ASSISTED LIVING INC
S	$75,000	FMV
JML CARE CENTER
S	$75,479	FMV
MEDICAL AFFILIATES OF CAPE COD INC
S	$1,800,878	FMV
EMERALD PHYSICIAN SERVICES LLC
S	$563,745	FMV
EMERALD PHYSICIAN SERVICES LLC
A	$233,792	FMV