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CAPE COD HEALTHCARE INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
CAPE COD HEALTHCARE INC (EIN 22-2600704)
Tax period
2017-10-01 to 2018-09-30
Filed
2019-08-15
IRS object ID
201932279349301473
Schema version
2017v2.3
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 ReturnHeader

FieldValueIRS element (for citing)
Return2019-08-15T08:49:45-05:00ReturnTs
Tax Period End2018-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PricewaterhouseCoopers LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1101 SEAPORT BLVD SUITE 500AddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02210ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN222600704EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CAPE COD HEALTHCARE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% MICHAEL L CONNORSInCareOfNm
Business Name ControlCAPEBusinessNameControlTxt
Phone5087711800PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHAEL L CONNORSPersonNm
Person TitleSR VP FINANCE/ CFOPersonTitleTxt
Signature2019-08-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonGWEN SPENCERPreparerPersonNm
PTINP00641463PTIN
Phone6175305000PhoneNum
Preparation2019-08-07PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address167.68.125.77IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id04363820192275000034FederalOriginalSubmissionId
Federal Original Submission Id2019-08-15FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id502E9D7DF2DC237FB1436A97DBD0F14D19F2DD5AAtSubmissionCreationDeviceId
At Submission Filing Device Id1563161100844465C8187993E1FFC143BF1C91FBAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMICHAEL K LAUFPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line188 LEWIS BAY ROADAddressLine1Txt
CityHYANNISCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02601ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$120,248,216GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CAPECODHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1984FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionSEE SCHEDULE OActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee265TotalEmployeeCnt
Total Volunteers17TotalVolunteersCnt
Total Gross UBI$593,243TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$327,193NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$127,250PYContributionsGrantsAmt
CY Contributions Grants$286,192CYContributionsGrantsAmt
PY Program Service Revenue$71,484,837PYProgramServiceRevenueAmt
CY Program Service Revenue$80,915,461CYProgramServiceRevenueAmt
PY Investment Income$5,791,184PYInvestmentIncomeAmt
CY Investment Income$39,046,563CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$77,403,271PYTotalRevenueAmt
CY Total Revenue$120,248,216CYTotalRevenueAmt
PY Grants And Similar Paid$1,000,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$348,922CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$30,372,336PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$29,637,289CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$40,693,781PYOtherExpensesAmt
CY Other Expenses$51,525,314CYOtherExpensesAmt
PY Total Expenses$72,066,117PYTotalExpensesAmt
CY Total Expenses$81,511,525CYTotalExpensesAmt
PY Revenues Less Expenses$5,337,154PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$38,736,691CYRevenuesLessExpensesAmt
Total Assets BOY$346,544,186TotalAssetsBOYAmt
Total Assets EOY$397,483,660TotalAssetsEOYAmt
Total Liabilities BOY$133,803,032TotalLiabilitiesBOYAmt
Total Liabilities EOY$161,872,878TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$212,741,154NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$235,610,782NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE OMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$59,658,017ExpenseAmt
Grant$348,922GrantAmt
Revenue$80,915,461RevenueAmt
DescORGANIZE AND MANAGE HEALTH CARE RELATED ACTIVITIES FOR THE EXCLUSIVE BENEFIT OF CAPE COD HOSPITAL, FALMOUTH HOSPITAL, INC. AND ITS OTHER AFFILIATES. ALSO SEE SCHEDULE O.Desc
Total Program Service Expenses$59,658,017TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document575IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee265EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountYes (true)ForeignFinancialAccountInd
Foreign CountryBDForeignCountryCd
Foreign CountryCJForeignCountryCd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMICHAEL L CONNORSPersonNm
Phone7744705537PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
PHILIP MCLOUGHLIN
TRUSTEE (UNTIL 5/18)2.02.0Yes (X)$0$0$0
MICHAEL K LAUF
PRESIDENT/CEO/TRUSTEE5.055.0Yes (X)$2,672,978$0$289,344Yes (X)
NATE RUDMAN MD
TRUSTEE2.02.0Yes (X)$0$0$0
JOEL CROWELL
SEE SCH O FOR TITLE2.02.0Yes (X)$0$0$0Yes (X)
SUZANNE FAY GLYNN ESQ
TRUSTEE2.02.0Yes (X)$0$0$0
DEWITT DAVENPORT
CHAIRMAN2.02.0Yes (X)$0$0$0Yes (X)
DIANE COLETTI
TRUSTEE2.02.0Yes (X)$0$0$0
WILLIAM ZAMMER
TRUSTEE2.02.0Yes (X)$0$0$0
SUMNER B TILTON JR
TRUSTEE2.02.0Yes (X)$0$0$0
E JAMES MULCAHY JR
TRUSTEE2.02.0Yes (X)$0$0$0
ROBERT TALERMAN
TRUSTEE2.02.0Yes (X)$0$0$0
GARY VACON
VICE CHAIR/TRUSTEE2.02.0Yes (X)$0$0$0Yes (X)
ROBERT WILSTERMAN MD
TRUSTEE2.040.0Yes (X)$0$791,933$60,781
WILLIAM AGEL MD
TRUSTEE2.040.0Yes (X)$0$523,405$44,677
RAMANI AYER
TRUSTEE (FROM 5/18)2.02.0Yes (X)$0$0$0
THEODORE CALIANOS MD
TRUSTEE2.040.0Yes (X)$0$378,974$43,167
PAUL HOULE MD
TRUSTEE2.040.0Yes (X)$0$1,099,091$62,207
BRUCE JOHNSTON
TRUSTEE/TREAS (FROM 5/18/18)2.02.0Yes (X)$0$0$0Yes (X)
MICHAEL L CONNORS
SENIOR VP FINANCE/CFO5.055.0$539,912$0$92,817Yes (X)
MICHAEL G JONES ESQ
SEE SCH O FOR TITLE5.055.0$412,450$0$78,339Yes (X)
CHRISTIAN BROWN
SR. VP MANAGED CARE5.045.0$393,040$0$79,946Yes (X)
JEANNE FALLON
SR. VP & CIO (UNTIL 4/11/17)5.045.0$316,781$0$22,488Yes (X)
PATRICK J KANE
SVP OF MRKTG,COMMUN AND DEVLP5.045.0$395,113$0$31,505Yes (X)
THERESA M AHERN
SVP, STRAT, COMMUNITY/GOV REL.5.045.0$334,682$0$63,062Yes (X)
EMILY SCHORER
SVP HUMAN RESOURCES5.045.0$331,273$0$58,910Yes (X)
KEVIN RALPH
SVP DEVELOPMENT5.045.0$297,026$0$60,128Yes (X)
NOELENE CERVIN
VP BUDGETING & OPER. SUPPORT5.045.0$262,379$0$58,866Yes (X)
JEFFREY S DYKENS
VP OF FINANCE & OPERATIONS5.045.0$310,981$0$64,327Yes (X)
ALEXANDER HEARD MD
CHIEF MEDICAL OFFICER - FH5.045.0$611,313$84,330$67,672Yes (X)
DONALD GUADAGNOLI MD
CMO CAPE COD HOSPITAL5.045.0$529,045$0$85,338Yes (X)
MICHAEL N BUNDY
COO5.045.0$452,973$0$57,273Yes (X)
KEVIN J MULROY
SVP CHIEF QUALITY & SAFETY OFF5.045.0$474,478$0$75,112Yes (X)
WILLIAM LITTERER III MD
MD - PHO5.045.0$390,029$0$35,087Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$8,724,453TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,877,733TotReportableCompRltdOrgAmt
Total Other Compensation$1,431,046TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K103IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CAPE COD EMERGENCY ASSOCIATES
220 WEST MAIN STHYANNISMA02601MEDICAL SERVICES$16,093,000
BRIGHAM WOMENS PHYSICIANS ORG
PO BOX 3684BOSTONMA022413684MEDICAL SERVICES$4,499,627
ALLSCRIPTS HEALTHCARE INC
24630 NETWORK PLACECHICAGOIL606731246SOFTWARE & SUPPORT$4,390,657
ESOTERIX GENETIC LABORATORIES
PO BOX 12140BURLINGTONNC272162140MEDICAL SERVICES$2,276,389
ECLINICAL WORKS LLC
PO BOX 847950BOSTONMA022847950SOFTWARE & SUPPORT$2,211,323
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K68CntrctRcvdGreaterThan100KCnt
Government Grants$286,192GovernmentGrantsAmt
All Other Contributions$0AllOtherContributionsAmt
Total Contributions$286,192TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
HOME OFFICE COSTS900099$53,073,239$53,073,239
PHYSICIAN ORG ADM SUPPORT REV900099$4,794,166$4,794,166
PROGRAM RELATED RENTAL INCOME900099$377,533$377,533
RETAIL PHARMACY900099$13,725,470$258,171$13,467,299
EMPLOYEE PHARMACY900099$8,188,633$8,188,633

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$756,420TotalRevenueColumnAmt
Unrelated Business Revenue$314,411UnrelatedBusinessRevenueAmt
Exclusion$442,009ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$80,915,461TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,632,014TotalRevenueColumnAmt
Unrelated Business Revenue-$5,928UnrelatedBusinessRevenueAmt
Exclusion$3,637,942ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$35,414,549SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$35,414,549SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$35,414,549TotalRevenueColumnAmt
Unrelated Business Revenue$26,589UnrelatedBusinessRevenueAmt
Exclusion$35,387,960ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$120,248,216TotalRevenueColumnAmt
Related Or Exempt Func Income$58,244,938RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$593,243UnrelatedBusinessRevenueAmt
Exclusion$61,123,843ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$348,922TotalAmt
Program Services$348,922ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$9,180,317TotalAmt
Management And General$9,180,317ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$14,478,130TotalAmt
Program Services$14,138,213ProgramServicesAmt
Management And General$339,917ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$780,550TotalAmt
Program Services$399,741ProgramServicesAmt
Management And General$380,809ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,527,716TotalAmt
Program Services$2,108,152ProgramServicesAmt
Management And General$1,419,564ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,670,576TotalAmt
Program Services$942,278ProgramServicesAmt
Management And General$728,298ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$957,701TotalAmt
Management And General$957,701ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$13,673TotalAmt
Management And General$13,673ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$208,711TotalAmt
Program Services$174,975ProgramServicesAmt
Management And General$33,736ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$254,988TotalAmt
Management And General$254,988ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,383,984TotalAmt
Program Services$55,340ProgramServicesAmt
Management And General$3,328,644ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,427,405TotalAmt
Program Services$1,141,924ProgramServicesAmt
Management And General$285,481ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$369,903TotalAmt
Program Services$295,922ProgramServicesAmt
Management And General$73,981ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$4,300,390TotalAmt
Program Services$3,440,312ProgramServicesAmt
Management And General$860,078ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,019,619TotalAmt
Program Services$815,695ProgramServicesAmt
Management And General$203,924ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$245,372TotalAmt
Program Services$196,298ProgramServicesAmt
Management And General$49,074ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$471,854TotalAmt
Program Services$377,483ProgramServicesAmt
Management And General$94,371ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$7,846,491TotalAmt
Program Services$6,277,193ProgramServicesAmt
Management And General$1,569,298ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$46,800TotalAmt
Program Services$37,440ProgramServicesAmt
Management And General$9,360ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$19,858,103$19,858,103
PURCHASED SERVICES$7,522,502$6,018,002$1,504,500
COMMUNITY BENEFITS$1,117,772$1,117,772
REPAIRS & MAINTENANCE$529,048$423,238$105,810

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,950,998TotalAmt
Program Services$1,491,014ProgramServicesAmt
Management And General$459,984ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$81,511,525TotalAmt
Program Services$59,658,017ProgramServicesAmt
Management And General$21,853,508ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$5,411,834BOYAmt
EOY$11,648,824EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

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

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

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

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$18,115,833BOYAmt
EOY$16,087,872EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,592,950BOYAmt
EOY$1,808,921EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$5,067,150BOYAmt
EOY$4,694,178EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$91,976,337LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$26,948,402LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$48,093,961BOYAmt
EOY$65,027,935EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$205,679,503BOYAmt
EOY$208,650,968EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$5,321,608BOYAmt
EOY$5,884,751EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$57,261,347BOYAmt
EOY$83,680,211EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$346,544,186BOYAmt
EOY$397,483,660EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$81,823,601BOYAmt
EOY$52,111,944EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$224,119BOYAmt
EOY$176,009EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,670,903BOYAmt
EOY$4,027,213EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$50,084,409BOYAmt
EOY$105,557,712EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$133,803,032BOYAmt
EOY$161,872,878EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$159,897,112BOYAmt
EOY$185,846,370EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$19,760,100BOYAmt
EOY$15,680,483EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$33,083,942BOYAmt
EOY$34,083,929EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$212,741,154BOYAmt
EOY$235,610,782EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$346,544,186BOYAmt
EOY$397,483,660EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$38,736,691ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,022,185NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$16,889,248OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

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

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$54,050,333CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$45,017,881CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$59,790,580CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$71,484,837CurrentTaxYearMinus1YearAmt
Current Tax Year$80,915,461CurrentTaxYearAmt
Total$311,259,092TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$54,050,333CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$45,017,881CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$59,790,580CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$71,612,087CurrentTaxYearMinus1YearAmt
Current Tax Year$81,201,653CurrentTaxYearAmt
Total$311,672,534TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$311,672,534PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,927,657CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,186,009CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,666,046CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,873,769CurrentTaxYearMinus1YearAmt
Current Tax Year$3,637,942CurrentTaxYearAmt
Total$15,291,423TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,927,657CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,186,009CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,666,046CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,873,769CurrentTaxYearMinus1YearAmt
Current Tax Year$3,637,942CurrentTaxYearAmt
Total$15,291,423TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$127,879CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$103,278CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$146,807CurrentTaxYearMinus1YearAmt
Current Tax Year$327,193CurrentTaxYearAmt
Total$705,157TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$55,977,990CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$49,331,769CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$62,559,904CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$74,632,663CurrentTaxYearMinus1YearAmt
Current Tax Year$85,166,788CurrentTaxYearAmt
Total$327,669,114TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.95118PublicSupportCY509Pct
Public Support PY5090.95291PublicSupportPY509Pct
Investment Income CY0.04667InvestmentIncomeCYPct
Investment Income PY0.04570InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Organization Belongs Afflt GrpYes (X)OrganizationBelongsAffltGrpInd
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$257,058OtherActivitiesAmt
Total Lobbying Expenditures$257,058TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1IFormAndLineReferenceDesc
ExplanationA. Cape Cod Healthcare, Inc. made payments to Smith & Rauschenbach of $71,660, Law Offices of O'Neill, Athy and Casey of $130,301 and McDermott, Will & Emery of $6,750 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 of $29,167 to the Massachusetts Council of Community Hospitals which are considered 100% expended for lobbying purposes, and the American Hospital Association, which AHA determined was 22.73% engage in lobbying activities or $19,180 of the $84,385 dues paid.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$4,104,455OtherCostOrOtherBasisAmt
Book Value$4,104,455BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$11,595,321OtherCostOrOtherBasisAmt
Depreciation$432,301DepreciationAmt
Book Value$11,163,020BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$8,510,280OtherCostOrOtherBasisAmt
Depreciation$1,405,810DepreciationAmt
Book Value$7,104,470BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$67,766,281OtherCostOrOtherBasisAmt
Depreciation$25,110,291DepreciationAmt
Book Value$42,655,990BookValueAmt
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildingsGrp
Total Book Value Land Buildings$65,027,935TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (7 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
TEMP RESTRICTED INVESTMENTS$12,988,170F
PERM RESTRICTED INVESTMENTS$12,302,541F
BENEFICIAL INTEREST IN TRUSTS$21,588,412F
LONG TERM INVESTMENTS$142,631,157F
SHORT TERM INVESTMENTS$7,497,456F
INVESTMENT - 457 PLANS$2,306,858F
FUNDS HELD UNDER BOND INDENTUR$9,336,374F
FieldValueIRS element (for citing)
Total Book Value Securities$208,650,968TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDescBook ValueBookValueAmt
INSURANCE RECOVERY RECEIVABLE$26,419,352
SHARES OF HBCS STOCK$365,666
SPLIT DOLLAR LIFE$0
DUE FROM AFFILIATES$54,500,380
PERPETUAL CRUT$192,976
BENEFICIAL INTEREST$168,823
HEALTH INS DEPOSIT RECEIVABLE$2,033,014
FieldValueIRS element (for citing)
Total Book Value Other Assets$83,680,211TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
OTHER LONG TERM LIABILITIES$1,233,607
SERP LIABILITY$970,188
DUE TO AFFILIATES$66,777,411
ABANDONED PROPERTY$19,606
DEFERRED COMP - 457B$10,137,548
OTHER CURRENT LIABILITIES$26,419,352
FieldValueIRS element (for citing)
Total Liability$105,557,712TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PART X, LINE 2FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION DOES NOT HAVE A FIN 48 FOOTNOTE AS ANY UNCERTAIN TAX POSITIONS WERE DEEMED IMMATERIAL.ExplanationTxt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescPurpose Of GrantPurposeOfGrantTxt
Barnstable County
PO BOX 427BarnstableMA02630046001419GOV'T$158,000FMVN/AAccess to Healthcare
Cape Cod Baseball League Inc
14 Elishas Pond RdYarmouthportMA02675422687718501(c)(3)$25,000FMVN/AYouth
CAPE COD COUNCIL OF CHURCHES INC
PO Box 758HyannisMA02601042382479501(c)(3)$55,629FMVN/AGeneral Support
Cape Cod Young Professionals Inc
PO BOX 634BarnstableMA02630300455198501(c)(3)$7,500FMVN/AAccess to Healthcare
Cape Cod Wellness Collaborative
11 Potter AveHyannisMA02601472360979501(c)(3)$10,000FMVN/AChronic Disease
Housing Assistance Corporation
460 W MAIN STHyannisMA02601237431255501(c)(3)$10,500FMVN/AHousing
Nami Cape Cod Inc
5 MARK LANEHyannisMA02601042785229501(c)(3)$6,000FMVN/ABehavioral Health
New Balance Falmouth Road Race
20 GEST STBostonMA02135042460172$30,000FMVN/APrevention & Wellness
PASTORAL MINISTRY TO THE SICK
786 DARTMOUTH STDartmouthMA02748043096332501(c)(3)$30,000FMVN/AGeneral Support
Riverview School Inc
551 ROUTE 6AEast SandwichMA02537042240919501(c)(3)$12,000FMVN/AYouth
Sandwich Chamber of Commerce
PO BOX 744SandwichMA02563223900406501(c)(6)$5,450FMVN/AAccess to Healthcare
FieldValueIRS element (for citing)
Total501c3 Org10Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART IIFormAndLineReferenceDesc
ExplanationCAPE COD HEALTHCARE, INC. MANAGEMENT OF COMMUNITY BENEFIT ACTIVITIES IS THE RESPONSIBILITY OF THE DIRECTOR OF COMMUNITY BENEFITS AND GRANT ADMINISTRATION.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MICHAEL K LAUF
PRESIDENT/CEO/TRUSTEE$991,489$0$1,488,900$0$192,589$0$249,053$0$40,291$0$2,962,322$0$102,000$0
ROBERT WILSTERMAN MD
TRUSTEE$0$770,101$0$19,060$0$2,772$0$25,080$0$35,701$0$852,714$0$0
WILLIAM AGEL MD
TRUSTEE$0$448,809$0$58,422$0$16,174$0$10,800$0$33,877$0$568,082$0$0
THEODORE CALIANOS MD
TRUSTEE$0$370,781$0$6,387$0$1,806$0$10,800$0$32,367$0$422,141$0$0
PAUL HOULE MD
TRUSTEE$0$932,685$0$165,440$0$966$0$27,506$0$34,701$0$1,161,298$0$0
MICHAEL L CONNORS
SENIOR VP FINANCE/CFO$431,607$0$77,850$0$30,455$0$55,606$0$37,211$0$632,729$0$19,481$0
MICHAEL G JONES ESQ
SEE SCH O FOR TITLE$316,680$0$76,632$0$19,138$0$43,278$0$35,061$0$490,789$0$15,965$0
CHRISTIAN BROWN
SR. VP MANAGED CARE$300,781$0$69,769$0$22,490$0$46,069$0$33,877$0$472,986$0$13,000$0
JEANNE FALLON
SR. VP & CIO (UNTIL 4/11/17)$77,946$0$0$0$238,835$0$13,364$0$9,124$0$339,269$0$12,650$0
PATRICK J KANE
SVP OF MRKTG,COMMUN AND DEVLP$304,840$0$70,684$0$19,589$0$28,480$0$3,025$0$426,618$0$15,540$0
THERESA M AHERN
SVP, STRAT, COMMUNITY/GOV REL.$250,297$0$68,625$0$15,760$0$40,619$0$22,443$0$397,744$0$11,500$0
EMILY SCHORER
SVP HUMAN RESOURCES$257,318$0$62,220$0$11,735$0$24,581$0$34,329$0$390,183$0$10,345$0
KEVIN RALPH
SVP DEVELOPMENT$242,777$0$49,688$0$4,561$0$24,086$0$36,042$0$357,154$0$3,646$0
NOELENE CERVIN
VP BUDGETING & OPER. SUPPORT$216,358$0$39,050$0$6,971$0$25,269$0$33,597$0$321,245$0$0$0
ALEXANDER HEARD MD
CHIEF MEDICAL OFFICER - FH$442,806$84,330$167,877$0$630$0$28,695$3,066$35,911$0$675,919$87,396$0$0
DONALD GUADAGNOLI MD
CMO CAPE COD HOSPITAL$412,488$0$83,475$0$33,082$0$54,775$0$30,563$0$614,383$0$21,001$0
MICHAEL N BUNDY
COO$368,843$0$83,500$0$630$0$24,508$0$32,765$0$510,246$0$0$0
KEVIN J MULROY
SVP CHIEF QUALITY & SAFETY OFF$368,757$0$80,782$0$24,939$0$40,051$0$35,061$0$549,590$0$15,875$0
WILLIAM LITTERER III MD
MD - PHO$327,044$0$57,750$0$5,235$0$10,800$0$24,287$0$425,116$0$0$0
JEFFREY S DYKENS
VP OF FINANCE & OPERATIONS$246,358$0$41,876$0$22,747$0$28,158$0$36,169$0$375,308$0$12,000$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 4AJEANNE FALLON, SR. VP AND CIO UNTIL 4/11/17, RECEIVED SEVERANCE PAYMENTS OF $173,208 DURING CALENDAR YEAR 2017. THE ARRANGEMENT PROVIDES FOR CONTINUED PAYMENT OF THE INDIVIDUAL'S SALARY AND BENEFITS FOR A PERIOD OF 15 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 2017 WERE AS FOLLOWS: MICHAEL K. LAUF - $72,613 MICHAEL G. JONES - $17,334 MICHAEL L. CONNORS - $19,258 CHRISTIAN BROWN - $13,853 JEANNE FALLON - $36,138 PATRICK KANE - $16,817 THERESA AHERN - $12,988 EMILY SCHORER - $11,105 DONALD GUADAGNOLI MD - $22,232 KEVIN MULROY - $16,762 JEFFREY S. DYKENS - $12,704 KEVIN RALPH - $3,931 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 2017, 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 2017 WAS $100,146 AND IS INCLUDED IN SCHEDULE J, PART II, COLUMN (C). IN ADDITION, OPEN WAS PAID OUT FROM HIS CEO SUPPLEMENTAL PLAN, AND IS INCLUDED IN SCHEDULE J, PART II, COLUMN B(III).
SCHEDULE J, PART I, LINE 7Discretionary bonuses are awarded annually based upon both the performance of the organization and the individual. Bonuses are reflected in Schedule J, Part II, Column B(ii).

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (20 entries)

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FORM 990, PART I, LINE 1 AND PART III, LINE 1WE WILL BE THE HEALTH SERVICE PROVIDER OF CHOICE FOR CAPE COD RESIDENTS BY ACHIEVING AND MAINTAINING THE HIGHEST STANDARDS IN HEALTH CARE DELIVERY AND SERVICE QUALITY. TO DO SO, WE WILL PARTNER WITH OTHER HEALTH AND HUMAN SERVICE PROVIDERS AS WELL AS INVEST IN NEEDED MEDICAL TECHNOLOGIES, HUMAN RESOURCES AND CLINICAL SERVICES. ABOVE ALL, WE WILL HELP IDENTIFY AND RESPOND TO THE NEEDS OF OUR COMMUNITY.
Community Benefits Mission StatementCape 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 particular 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 year round 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 Annual Report Hospital/HMO Web Page Publicizing Target Pop. Not Specified Key Accomplishments of Reporting Year The 2017-2019 Cape Cod Hospital and Falmouth Hospital Community Health Needs Assessment Report and Implementation Plan served as the foundation for CCHC's FY18 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 non-profit 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 complemented with a new Oncology Nutrition program, which started in February 2018. The successful Living Fit for You! Cancer Wellness Program at Falmouth Hospital was expanded in August 2018 to include Cape Cod Hospital's campus. The 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 general 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 provided assistance for 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 Centers 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. CCHC provided funding for two innovative community-based programs to support tick-borne disease education in FY18. Through a partnership with the UMASS Laboratory of Medical Zoology, CCHC was the only hospital 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 HealthFirst Aid Training project in partnership with the National Alliance on Mental Illness (NAMI) Cape Cod, which resulted in 13 certified instructors to train exponentially more people in the evidence-based program in our community. 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. Cape Cod Hospital received grant funding from Massachusetts Department of Public Health to provide assistance to pregnant women with Opioid Use Disorders through the Moms Do Care program. The program provides peer-led services to obtain prenatal care, substance use treatment, and address social determinant of health issues. At the conclusion of the grant, CCHC supported transitioning the program to the Duffy Health Center with a Community Benefits grant, and CCHC remains a strategic collaborator on the project. CCHC staff from the maternity and pediatric departments at Cape Cod Hospital and Falmouth Hospital actively participated in statewide initiatives by the Neonatal Quality Improvement Collaborative of MA. Initiatives included staff development and piloting new models of care for newborns and families impacted by perinatal opioid use and neonatal abstinence syndrome. Access to Care In FY18, 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 in 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 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 FY18, 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 warmline 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 is 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 aligns 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. In addition to these FY18 hospital initiatives, community collaborations, and grant investments, CCHC Community Benefits continued to play leadership roles in health and human service organizations and coalitions across our region. These included, but were not limited to, the Barnstable County Economic Development Council, Barnstable County Human Services Advisory Council, Barnstable County Regional Substance Use Council, Behavioral Health Provider Coalition of Cape Cod & the Islands, Cape Cod Chamber of Commerce, and the Cape & Islands Community Health Area Network (CHNA 27) Steering Committee. Plans for Next Reporting Year Annual Community Benefits plans for Cape Cod Hospital, Falmouth Hospital and Cape Cod Healthcare reflect the priorities, goals and objectives embedded in the three-year implementation strategies included in the 2017-2019 Cape Cod Hospital and Falmouth Hospital Community Health Needs Assessment Report and Implementation Plan. CCHC Community Benefits FY17-FY19 Goals: 1.Improve chronic and infectious disease prevention and management to meet the growing needs of an aging and at-risk population. 2.Strengthen regional health services and community resources for individuals with mental health conditions, substance use, co-occurring disorders, and comorbidities. 3.Reduce barriers to care and strengthen the regional health safety net for vulnerable populations. 4.Improve the health and disease prevention of all residents of Barnstable County and sustain the wellness of seniors and caregivers. 5.Support regional health efforts through direct grant funding and a competitive RFP grants program with funding guidelines that are
aligned with Community Benefits priorities and target populations.6.Strengthen regional collaboration and maintain leadership roles with the following community-based coalitions: Barnstable County Human Services Advisory Council, Barnstable County Regional Substance Use Council, Behavioral Health Provider Coalition of Cape Cod & the Islands, Community Health Area Network (CHNA 27) and Healthy Aging Cape Cod. Community Benefits Process Community Benefits Leadership/Team Cape Cod Healthcare, Cape Cod Hospital and Falmouth Hospital, along with our affiliates, strive to be the health service provider of choice for Barnstable County residents and visitors by achieving and maintaining the highest standards in healthcare delivery and service quality. To do so, we partner with other health and human service providers from across the region and invest in needed medical technologies, developing the current and future workforce and clinical services. The development of Cape Cod Healthcare's strategic initiatives and community collaborations, including the Community Benefits program, is led by Michael K. Lauf, Chief Executive Officer and Theresa M. Ahern, Senior Vice President, Strategy, Community and Governmental Affairs. Michael L. Connors, Cape Cod Healthcare's Chief Financial Officer, provides fiscal oversight of the Community Benefits reporting process. The Community Health Committee, a designated subcommittee of Cape Cod Healthcare's Board of Trustees, serves as the Community Benefits Advisory Council and provides strategic oversight to the program. The Committee is comprised of leaders of health and human services organizations, community health centers, county government, and community-based organizations representing residents across a spectrum of ages, socioeconomic status, and racial, cultural and ethnic diversity, as well as current members of the CCHC Board of Trustees. The Committee develops and recommends policies to the Cape Cod Healthcare Board of Trustees regarding Community Benefits programs, sets priorities, awards priority grant funding to community organizations, and advises on community health issues and initiatives including community health needs assessments and ongoing community engagement. FY18 Community Health Committee Members: Suzanne Fay Glynn, Esq. (Chair) CCHC Board Member Glynn Law Offices 49 Locust Street, Falmouth, MA 02540 508.548.8282 dar@glynnlawoffices.com Representing: CCHC Board of Trustees Elizabeth Albert Director Barnstable County Human Services P.O. Box 427, Barnstable, MA 02630 508.375.6626 balbert@barnstablecounty.org Representing: Regional health and human services community, regional network on homelessness, countywide substance use coalition and regional planning for aging demographics. Leo Blandford Director of Community-Based Coordinated Care Outer Cape Health Services 710 MA Route 28 Harwich Port, MA 02646 lblandford@outercape.org 508-905-2814 Representing: Federally Qualified Health Centers, Lower and Outer Cape region, behavioral health and substance use disorder services. Eleanor Claus Kinlin Grover Real Estate 927 Route 6A, Yarmouthport, MA 02675 508-362-3000 x203 eclaus@kinlingrover.com Representing: Community members at large. Alisa Galazzi Chief Executive Officer Housing Assistance Corporation on Cape Cod 460 West Main Street Hyannis, MA 02601 508-771-5400 agalazzi@haconcapecod.org Representing: Regional programs addressing homelessness, housing security, and development of attainable housing. Mary Devlin Public Health and Wellness Division Manager Visiting Nurse Association of Cape Cod 255 Independence Drive, Hyannis, MA 02601 508-957-7619 mdevlin@vnacapecod.org Representing: Regional public health programs with emphasis on chronic disease prevention and healthy aging of the senior population. Michael McGuire Director Cape Cod Cooperative Extension P.O. Box 367, Barnstable, MA 02630 508-375-6701 mmaguire@barnstablecounty.org Representing: Barnstable County initiatives related to nutrition, food safety, tick borne diseases, water quality protection and youth and family programs. Patricia Mitrokostas Director of Prevention Programs, Public Relations & Organizational Advancement Gosnold, Inc. 350 Gifford Street, Suite W-10, Falmouth, MA 02540 508-540-2317 pmitrokostas@gosnold.org Representing: Regional substance use prevention, intervention, and treatment programs for individuals and families. Stacie Peugh Chief Executive Officer YMCA Cape Cod 2245 Iyannough Rd, West Barnstable, MA 02668 508-362-6500 speugh@ymcacapecod.org Representing: Youth development, chronic disease management programs, wellness and prevention. Susan Travers Director Truro Council on Aging 7 Standish Way, North Truro 02652 508-487-2462 Stravers@truro-ma.gov Representing: Councils on Aging Serving Together (COAST), senior populations, and the Lower and Outer region of Barnstable County. Cape Cod Healthcare member: Theresa M. Ahern Senior Vice President, Strategy, Community and Governmental Affairs Cape Cod Healthcare 297 North Street, Building 3, 3rd Floor Hyannis, MA 02601 774-470-5506 tahern@capecodhealth.org Community Benefits Team Meetings The FY18 Community Health Committee meetings were held on the following dates and times: November 7, 2017 9:00-11:00 am February 27, 2018 4:00-5:30 pm June 13, 2018 4:00-5:30 pm July 17, 2018 4:00-5:00 pm Community Partners AIDS Support Group of Cape Cod Alzheimer's Family Caregiver Support Center Arts Foundation of Cape Cod Barnstable County Cape Cod Cooperative Extension Services Barnstable County Department of Human Services Barnstable County Regional Substance Use Council Barnstable County Sheriff's Office Barnstable Public School District Behavioral Health Innovators Behavioral Health Provider Coalition of Cape Cod & the Islands Big Brothers Big Sisters of Cape Cod & the Islands Boys & Girls Club of Cape Cod Cape & Islands EMS Systems, Inc. Cape & Islands United Way Cape Cod Child Development Cape Cod Community College Cape Cod Foundation Cape Cod Hunger Network Cape Cod Medical Reserve Corps Cape Cod Times Needy Fund Cape Wellness Collaborative Caron Treatment Centers Children's Cove Community Health Network Area 27 Cape Cod & Islands (CHNA 27) Dance in the Rain Peer to Peer Mental Health Center Dream Day Cape Cod Duffy Health Center Falmouth Housing Corporation Family Pantry of Cape Cod Flower Angels USA Glenna Kohl Fund for Hope Good Grief Project Greater Hyannis Civic Association Hyannis Open Streets Project Gosnold, Inc. Harbor Community Health Centers Hyannis Healthy Aging Cape Cod Helping Our Women Housing Assistance Corporation Cape Cod Independence House Massachusetts Department of Public Health Massachusetts Department of Mental Health National Alliance on Mental Illness Cape Cod Outer Cape Health Services Parkinson Support Network of Cape Cod Pause A While Samaritans on Cape Cod and the Islands Shea's Youth Basketball Association Specialty Network for the Uninsured Sustainable CAPE Team Maureen Town of Barnstable Youth Commission Town of Yarmouth Park and Recreations Department United States National Park Service and Cape Cod National Seashore University of Massachusetts Laboratory of Medical Zoology University of Massachusetts Medical School WE CAN WellStrong YMCA Cape Cod Community Health Needs Assessment Date Last Assessment Completed and Current Status The 2017-2019 Cape Cod Hospital and Falmouth Hospital Community Health Needs Assessment Report (CHNA Report) and Implementation Plan was released and made widely available to the public on September 30, 2016. Consultants/Other Organizations The following organizations participated in the 2017-2019 Cape Cod Hospital and Falmouth Hospital community health needs assessment project: AIDS Support Group of Cape Cod, Alzheimer's Family Support Center of Cape Cod, Arbor Counseling Services, Barnstable County Department of Health and Environment, Barnstable County Department of Human Services, Barnstable County Public Nursing Division, Barnstable County Regional Substance Use Council,Barnstable Public School System, Barnstable Town Council, Behavioral Health Provider Coalition of Cape Cod & the Islands, Boys & Girls Club of Cape Cod, Cape & Islands Emergency Medical Services System, Cape & Islands Suicide Prevention Coalition, Cape & Islands United Way, Cape Cod Center for Women, Cape Cod Child Development, Cape Cod Community College, Cape Cod Council of Churches, Cape Cod District Attorney's Office, Cape Cod Foundation, Cape Cod Neighborhood Support Coalition, Cape Cod WIC, Caron Treatment Center, CCHC Centers for Behavioral Health, CCHC Emergency Services, Child and Family Services, Children's Cove, Coalition for Children, Community Action Committee of Cape Cod & the Islands,
Community Development Partnership,Community Health Center ofCape Cod, Community Health Network Area 27, Duffy Health Center, Elder Services of Cape Cod & the Islands, Emerald Physicians, Falmouth Human Services, Falmouth Public School System, Falmouth Service Center, Falmouth Together We Can Falmouth Volunteers in Public Schools, Glenna Kohl Fund for Hope, Gosnold, Inc., Harbor Community Health Center-Hyannis, Health Imperatives Cape Cod, Healthy Living Cape Cod, Helping Our Women, Homeless Prevention Council, HOPE Dementia & Alzheimer's Services of Cape Cod, Hope Health, Housing Assistance Corporation, Independence House, John Snow, Inc., Justice Resource Institute, Lyme Awareness of Cape Cod, MA Department of Mental Health, MA Department of Public Health, Mashpee Wampanoag Tribe Health Service Unit, Mother and Infant Recovery Network, National Alliance on Mental Illness Cape Cod, Outer Cape Health Services, Outer Cape Women Infants and Children (WIC), Samaritans on Cape Cod and the Islands, Sandpiper Nursery School, Sandwich Public School System, SHINE (Serving Health Information Needs of Everyone), Sight Loss Services, Spaulding Rehabilitation Hospital Cape Cod, Specialty Network for the Uninsured, Substance Use in Pregnancy Task Force, The Family Pantry of Cape Cod, Town of Brewster Health Department, Town of Falmouth Council on Aging, Town of Falmouth Health Department, Town of Mashpee Council on Aging, Town of Mashpee Human Services, Town of Provincetown Council on Aging, Town of Sandwich Council on Aging, Town of Truro Council on Aging, Vinfen, Visiting Nurse Association of Cape Cod, WE CAN, Yarmouth Police Department, and the YMCA Cape Cod. Data Sources CHNA, Community Focus Groups, Consumer Group, Hospital, Interviews, MassCHIP, Other, Public Health Personnel, Surveys, US Census: American Community Survey, Center for Disease Control and Prevention, Behavioral Health Risk Factor Surveillance System, and local and regional reports and studies on demographics, health conditions and community needs. CHNA Document - PDF format CCHC CHNA REPORT_2017-2019.PDF Implementation Strategy (optional) File Upload (optional) Not Specified Community Benefits Programs Annual Strategic Grants Program: Chronic and Infectious Disease and Prevention Program Type: Community Education, Community Participation/Capacity Building Initiative, Grant/Donation/Foundation/Scholarship, health Screening, Outreach to Underserved, Prevention, Support Group. Statewide Priority: Address Unmet Health Needs of the Uninsured, Chronic Disease Management in Disadvantaged Populations, Promoting Wellness of Vulnerable Populations, Reducing Health Disparity. EOHHS Focus Issue(s) (optional): Chronic Disease with focus on Cancer, Heart Disease, and Diabetes, Housing Stability/Homelessness, Mental Illness and Mental Health. DoN Health Priorities (optional): Built Environment, Housing. Target Population: Regions Served: County-Barnstable - Health Indicator: Immunization, Mental Health, Other: Cancer, Other: Elder Care, Other: First Aid/ACLS/CPR, Other: Hepatitis, Other: Homelessness, Other: Lyme Disease, Other: Nutrition, Other: Sexually Transmitted Diseases, Other: Stress Management, Physical Activity, Responsible Sexual Behavior - Sex: All - Age Group: All - Ethnic Group: All - Language: All. Goal Description Award up to $250,000 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 Eleven organizations received $250,474 in grants ranging from $5,400 to $30,000. The recipients of grant awards included AIDS Support Group of Cape Cod, A Baby Center, Alzheimer's Family Caregiver Support Center, Cape Cod Cooperative Extension, Cape Cod Times Needy Fund, Cape Wellness Collaborative, Housing Assistance Corporation on Cape Cod, National Alliance on Mental Illness Cape Cod, Samaritans on Cape Cod & the Islands, Team Maureen, and the YMCA Cape Cod. Partners - Partner Name, Description and Web Address AIDS Support Group of Cape Cod - www.asgcc.org Alzheimers Family Caregiver Support Center - www.alzheimerscapecod.org A Baby Center - www.ababycenter.org Cape Cod Cooperative Extension - www.capecodextension.org Cape Cod Times Needy Fund - www.needyfund.org Housing Assistance Corporation on Cape Cod - www.haconcapecod.org Cape Wellness Collaborative - www.capewellness.org Team Maureen - www.teammaureen National Alliance on Mental Illness Cape Cod - www.namicapecod Samaritians on Cape Cod & The Islands - www.capesamaritans.org YMCA Cape Cod - www.ymcacapecod.org Contact Information Mary Pumphery 297 North Street Building 3, 3rd Floor Hyannis, MA 02601 Phone: 774-470-5506 Detailed Description The FY18 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. Recovery Specialist Program in the Emergency Departments at Cape Cod Hospital and Falmouth Hospital Program Type: Direct Services, Grant/Donation/Foundation/Scholarship, Outreach to Underserved. Statewide Priority: Address Unmet Health Needs of the Uninsured, Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations, reducing Health Disparity. EOHHS Focus Issue(s) (optional): Mental Illness and Mental Health, Substance Use Disorders. DoN Health Priorities (optional): Social Environment. Target Population: Regions Served: County-Barnstable - Health Indicator: Access to Health Care, Mental Health, Other: Alcohol and Substance Abuse, Other: Hepatitis, Other: Uninsured/Underinsured, substance Abuse - Sex: All - Age Group: Adult, Adult-Elder, Adult-Young, All Adults - Ethnic Group: All - Language: All. 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 The Recovery Specialists provided consultations to 548 patients in Cape Cod Hospital and Falmouth Hospital Emergency Departments in FY18. 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 Seventy-six percent (76%) of the 548 patients who received Recovery Specialist consultation and engagement accepted direct transfer or direct referrals to inpatient/outpatient treatment upon discharge from the Emergency Departments. Treatment modalities included inpatient detoxification, hospital transfers, intensive outpatient programs, and Medication Assisted Treatment and Office-Based Addiction Programs. 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 Post-discharge follow-up was offered to patients beginning in February of 2018. Two hundred and eighty-four (284) patients received post-discharge follow-up by phone including Specialists extending their assistance by coordinating referrals and treatment program placement. Twenty-six percent (26%) of those receiving post-discharge follow-up support accepted direct referrals to treatment. 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 Detailed 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 treatmentprogram or direct referrals to outpatient treatment programs. CCHC Cancer Support Services and Survivorship Activities Program Type: Community Education, Direct Services, Grant/Donation/Foundation/Scholarship, Support Group. Statewide Priority: Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations, Reducing Health Disparity. EOHHS Focus Issue(s) (optional): Chronic Disease with focus on Cancer, Heart Disease, and Diabetes. DoN Health Priorities (optional): Built Environment. Target Population: Regions Served: County-Barnstable - Health Indicator: Other: Cancer, Other: Cancer - Breast, Other: Cancer - Cervical, Other: Cancer - Colo-rectal, Other: Cancer - Lung, Other: Cancer - Multiple Myeloma, Other: Cancer - Other, Other: Cancer - Ovarian, Other: Cancer - Prostate, Other: Cancer - Skin, Other: Cardiac Disease, Other: Cultural Competency, Other: Nutrition, Physical Activity - Sex: All - Age Group: All - Ethnic Group: All - Language: All. Goal Description Oncology Social Workers will provide psycho-social support to over 3,000 patients. Goal Status Oncology Social Workers provided services to more than 3,500 oncology patients. Services included direct counseling, family counseling, referrals to support services, referrals to support groups and financial counseling. Patients were provided direct referrals to the following community-based programs: transportation provided by the American Cancer Society's Road to Recovery Program and Lyft rides to appointments through Boston Cancer Support program, access to free complementary services such as massage, acupuncture and nutritional counseling through the Cape Wellness Collaborative, and physical reconditioning programs through CCHC's Living Fit for You! Cancer Wellness Program and the YMCA's LIVESTRONG program. Goal Description Support groups will be provided to patients and families. Goal Status More than 550 patients and family members attended CCHC support groups in FY18. Support groups included Leukemia and Lymphoma Society Family Support Groups, Support for People with Oral, Health, and Neck Cancers, Breast Cancer Support Groups and Ostomy Clinics. Support groups were facilitated by CCHC staff and hosted at CCHC facilities. Goal Description Host a Cancer Survivorship Day event to celebrate survivors, inspire those recently diagnosed and support families and caregivers. Goal Status The FY18 Survivorship Day event hosted more than 150 attendees and 25 volunteers from the CCHC Cancer Program. Support organizations, including The American Cancer Society, Team Maureen, and the Cape Wellness Collaborative provided information on prevention, support programs and self-care. CCHC employees donated 103 gift bags that were distributed to survivors. Goal Description Host a Cancer Survivorship Day event to celebrate survivors, inspire those recently diagnosed and support families and caregivers. Goal Status The FY18 Survivorship Day event hosted more than 150 attendees and 25 volunteers from the CCHC Cancer Program. Support organizations, including The American Cancer Society, Team Maureen, and the Cape Wellness Collaborative provided information on prevention, support programs and self-care. CCHC employees donated 103 gift bags that were distributed to survivors. 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. Goal Status CCHC launched an Oncology Nutrition program and provided 1:1 counseling for 216 patients and their families with a Registered Dietitian through 300 visits. Services offered by the Oncology Nutrition program include meal planning for various diets and nutritional needs, assistance with initiating a tube feed for patients who are no longer able to consume foods orally, working closely with patient's care team to ensure adequate nutrition at patient's home, and providing local grocery store and local organic market gift cards for patients in need of additional monetary/dietary support. 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-well-being/livestrong/ Cape Wellness Collaborative Visiting Nurse Association of Cape Cod Team Maureen www.capewellness.org/ www.vnacapecod.org 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 Detailed 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. Living Fit for you! Cancer Wellness Program at Cape Cod Hospital and Falmouth Hospital Program Type: Direct Services. Statewide Priority: Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations. EOHHS Focus Issue(s) (optional): Chronic Disease with focus on Cancer, Heart Disease, and Diabetes. DoN Health Priorities (optional): Not Specified. Target Population: Regions Served: County-Barnstable - Health Indicator: Mental Health, Other: Cancer, Other: Cancer - Breast, Other: Cancer - Cervical, Other: Cancer - Colo-rectal, Other: Cancer - Lung, Other: Cancer - Multiple Myeloma, Other: Cancer - Other, Other: Cancer - Ovarian, Other: Cancer - Prostate, Other: Cancer - Skin, Other: Chronic Pain, Other: Nutrition, Physical Activity, - Sex: All - Age Group: All - Ethnic Group: All - Language: All. Goal Description Provide free group exercise program, 1:1 wellness counseling, oncology rehabilitation screenings and access to cancer survivorship programs for adults undergoing or recovering from treatment for cancer. Goal Status In FY18, 82 patients were referred to the program with 262 individualized exercise classes and wellness consults provided to address fatigue, de-conditioning, stress reduction, distress management, nutritional services, diabetes education and sleep issues. Goal Description Referrals will be made to appropriate services to continue rehabilitation and improved health outcomes. Goal Status The program referred nearly 90% of patients to additional rehabilitative services including pulmonary, cardiac, nutrition, speech and occupational therapy. Partner Name, Description and Web Address Cape Cod Healthcare - www.capecodhealth.org/classes-events Cape Wellness Collaborative - www.capewellness.org Contact Information: Mary Pumphery Cape Cod Healthcare 297 North Street, Building 3, 3rd Floor Hyannis, MA, 02601 Phone: 774-470-5506 Detailed Description Living Fit for You! is a free, structured, and medically-supervised six-week exercise and education program for cancer survivors before, during or after treatment. Activities focus on improving fatigue, de-conditioning and a loss of physical function. The program was founded at Falmouth Hospital and expanded to include Cape Cod Hospital in August of 2018. Moms Do Care Cape Cod Program Type: Community Participation/Capacity Building Initiative, Direct Services, Grant/Donation/Foundation/Scholarship, Health Screening, Outreach to Underserved, School/Health Center Partnership, Support Group. Statewide Priority: Address Unmet Health Needs of the Uninsured, Promoting Wellness of Vulnerable Populations, Reducing Health Disparity. EOHHS Focus Issue(s) (optional): Housing Stability/Homelessness, Mental Illness and Mental Health, Substance Use Disorders. DoN Health Priorities (optional): Built Environment, Employment, Housing, Social Environment. Target Population: Regions Served: County-Barnstable - Health Indicator: Access to Health Care, Mental Health, Other: Alcohol and Substance Abuse, Other: Family Planning, Other: Homelessness, Other: Language/Literacy, Other: Nutrition, Other: Parenting Skills, Other: Uninsured/Underinsured, Substance Abuse, - Sex: Female- Age Group: All Adults - Ethnic Group: All - Language: English. Goal Description Provide prenatal and postpartum care coordination, access to MAT programs, and addiction recovery services to 75 pregnant women in Barnstable County. Goal Status Moms Do Care enrolled 62 women in the program. Substance use treatment and access to prenatal care services were coordinated by a Certified Addiction Registered Nurse and a Recovery Coach provided peer support services and assistance addressing social determinants
of health such as housing and transportation.Goal Description Increase positive health outcomes for the women enrolled in program. Outcomes measured using baseline data included, but was not limited to, overdose rates, use of alcohol and illegal use of drugs and increased utilization of outpatient mental health and Medication-Assisted Treatment. Goal Status Advocates for Human Potential, an organization selected by MA Department of Public Health, served as the evaluator for Moms Do Care Cape Cod and Moms Do Care Worcester projects. From baseline reporting at the time of enrollment through follow-up interviews 6 months after their child was delivered, aggregated data from both sites demonstrated that Moms Do Care participants experienced a reduction in the number of overdoses, a reduction in the use of alcohol or illegal drugs, and increased utilization and adherence to mental health and substance use treatment services. Goal Description Develop a sustainability plan to continue program activities in the community at the project funding conclusion in July 2018. Goal Status CCHC worked closely with collaborators transitioning the program to Duffy Health Center in August of 2018. Duffy Health Center was awarded a MA DPH grant to continue the program starting in October 2018. CCHC provided a bridge grant of $21,000 to support the program during the transition and ensure program activities continued between grant cycles. CCHC remains a committed collaborator on the project and refers to the program from different clinical departments including hospital emergency and maternity departments, behavioral health departments, and obstetrical practices. Partner Name, Description and Web Address The Duffy Health Center - www.duffyhealthcenter.org Gandara Center - www.gandaracenter.org Institute for Health and Recovery - www.healthrecovery.org/projects/moms-do-care/ Massachusetts Department of Public Health: Bureau of Substance Addiction Services - www.mass.gov/orgs/bureau-of-substance-addiction-services Contact Information Mary Pumphery Cape Cod Healthcare 297 North Street, Building 3, 3rd Floor Hyannis, MA, 02601 Phone: 774-470-5506 Detailed Description Cape Cod Hospital received grant funds from the MA Department of Public Health to design and operate a program called Moms Do Care with the objectives of expanding access to substance use treatment, prenatal care and peer-based recovery support services for pregnant women with Opioid Use Disorders living in Barnstable County. Specialty Network for the Uninsured: Harbor Community Health Center Hyannis Program Type Grant/Donation/Foundation/Scholarship, Outreach to Underserved. Statewide Priority Address Unmet Health Needs of the Uninsured, Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations. EOHHS Focus Issue(s) (optional) Chronic Disease with focus on Cancer, Heart Disease, and Diabetes. DoN Health Priorities (optional) Not Specified. Target Population: Regions Served: County-Barnstable - Health Indicator: Access to Health Care, Other: Arthritis, Other: Asthma/Allergies, Other: Cancer, Other: Cancer - Prostate, Other: Cardiac Disease, Other: Chronic Pain, Other: Colitis/Crohn Disease, Other: Cultural Competency, Other: Diabetes, Other: Family Planning, Other: Hearing, Other: Hepatitis, Other: Hypertension, Other: Language/Literacy, Other: Lyme Disease, Other: Osteoporosis/Menopause, Other: Parkinson's Disease, Other: Pregnancy, Other: Pulmonary Disease/Tuberculosis, Other: Stroke, Other: Uninsured/Underinsured, Other: Vision,- Sex: All - Age Group: All - Ethnic Group: All - Language: All, Portuguese, Spanish. Goal Description Increase access to specialty care for low-income, uninsured and under-insured individuals. Goal Status In FY18, SNU coordinated 518 appointments with local medical specialists for low-income, uninsured or under-insured individuals. The FY18 program experienced an increase of 5% over the number of visits provided in FY17. Goal Description Provide access to specialists for uninsured or under-insured residents who face language barriers to care. Goal Status The number of SNU participants requesting a medical interpreter during a specialty appointment nearly doubled from FY17 (10%) to FY18 (19%). In FY18, 81% of individuals requesting a medical interpreter requested Portuguese translation and 19% requested Spanish translation. Goal Description Analyze program utilization data to identify the specialty services most needed by SNU program participants. Goal Status In FY18, the five most frequently utilized specialty services included urology, ophthalmology, ear, nose and throat (ENT), cardiology and general surgery. Partner Name, Description and Web Address Cape Cod Healthcare - www.capecodhealth.org Community Health Center of Cape Cod - www.chcofcapecod.org Duffy Health Center - www.duffyhealthcenter.org Harbor Community Health Center Hyannis - www.hhsi.us Island Health Care - www.ihimv.org Contact Information Mary Pumphery Cape Cod Healthcare 297 North Street, Building 3, 3rd Floor Hyannis, MA, 02601 Phone: 774-470-5506 Detailed 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. Barnstable County Tick Disease Testing and Education Project Program Type: Grant/Donation/Foundation/Scholarship. Statewide Priority: Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations. EOHHS Focus Issue(s) (optional): Not Specified. DoN Health Priorities (optional): Not Specified. Target Population Regions Served: County-Barnstable - Health Indicator: Other: Lyme Disease - Sex: All - Age Group: All - Ethnic Group: All - Language: All. 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. Goal Status As of September 30, 2018, just over 1,110 tick tests were completed and the results provided data and information to aid in personal risk assessment. 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. Goal Status Approximately, 32% of the 1,112 tested positive with one or more pathogens. Data and information is shared with the Cape Cod Cooperative Extension. It was also noted that Barnstable residents submitted a relatively low-rate of non-tick samples compared to other regions in MA, signaling that residents assisted by this grant appear more likely to properly detect and identify ticks as opposed to other arthropods or foreign substances. 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. Goal Status A series of ten tick education videos titled "Tickology" were released to the public on September 25, 2018. Promotion of the videos has been targeted towards libraries, garden centers, businesses, museums, land use organizations, and public health officials. Videos can be accessed on the Cape Cod Extension's website, www.capecodextension.org/ticks/ and YouTube. 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 Detailed 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. Community-Based Interpreter Services Program Type: Outreach to Underserved. Statewide Priority: Address Unmet Health Needs of the Uninsured, Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations,
Reducing Health Disparity, Supporting Healthcare Reform.EOHHS Focus Issue(s) (optional): Chronic Disease with focus on Cancer, Heart Disease, and Diabetes,Stability/Homelessness, Substance Use Disorders. DoN Health Priorities (optional): Social Environment. Target Population Regions Served: Regions Served: County-Barnstable - Health Indicator: Access to Health Care, Other: Arthritis, Other: Asthma/Allergies, Other: Cancer, Other: Cardiac Disease, Other: Chronic Pain, Other: Colitis/Crohn Disease, Other: Cultural Competency, Other: Diabetes, Other: Family Planning, Other: Hepatitis, Other: HIV/AIDS, Other: Hypertension, Other: Lyme Disease, Other: Nutrition, Other: Osteoporosis/Menopause, Other: Parkinson's Disease, Other: Pregnancy, Other: Pulmonary Disease/Tuberculosis, Other: Sexually Transmitted Diseases, Other: Sickle Cell Disease, Other: Smoking/Tobacco, Other: Stroke, Other: Uninsured/Underinsured, Overweight and Obesity, Physical Activity, Substance Abuse, Tobacco Use - Sex: All - Age Group: All Adults - Ethnic Group: All, Portuguese, Spanish - Language: All, Portuguese, Spanish. Goal Description Assist more than 800 individuals with free medical interpreters in community-based primary care and specialty care settings. Goal Status The Community Based Interpreters program served 883 individuals with medical interpretation in community-based health care settings. Goal Description Analyze program utilization data to assess regional medical interpretation needs for program evaluation. Goal Status Over 80% of people served requested Portuguese translation and 19% requested Spanish translation. Overall the number of individuals served was similar to FY17; however the regions of Cape Cod where those served by the program reside shifted slightly. The Mid-Cape region experienced an increase of 5% of the total population served and the Upper Cape region experienced a decrease in people served. In FY17 and FY18, only 1% of individuals served by the program resided in the Outer and Lower regions of Cape Cod. 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-center-hyannis Contact Information Mary Pumphery Cape Cod Healthcare 297 North Street, Building 3, 3rd Floor Hyannis, MA, 02601 Phone: 774-470-5506 Detailed 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. EMS Interpreter's Services Program: A collaboration between Cape Cod Healthcare and the Cape and Islands Emergency Medical Services System Program Type: Direct Services, Grant/Donation/Foundation/Scholarship, Health Professional/Staff Training. Statewide Priority: Promoting Wellness of Vulnerable Populations, Reducing Health Disparity. EOHHS Focus Issue(s) (optional): N/A. DoN Health Priorities (optional): Social Environment. Brief Description or Objective: CCHC Community Benefits provides support to the regional SHINE program to expand information, counseling and assistance with Medicare and health insurance needs at various outposts across Barnstable County. Target Population Regions Served: County-Barnstable - Health Indicator: Other: Cultural Competency, Other: Language/Literacy - Sex: All - Age Group: All - Ethnic Group: All - Language: All. Goal Description Pilot the program with Hyannis Fire Department and Yarmouth Fire Department; two of the three largest fire and rescue departments in Barnstable County, to assess need, develop training resources and track service utilization. Goal Status According to survey data, over 90% of fire department staff from both towns identified that they had encountered language barriers making it difficult to accurately assess and document health information from a patient who speaks a language other than English prior to arrival at the hospital. In response, CCHC trained firefighters and emergency responders to use phone-based interpreter services and provided a toll free number to access interpreter services from their cell phones. In addition, a language identification poster and a medical visual translator document were provided to each ambulance in the town. In the pilot phase of the program, EMT's utilized the service for 32% of patients who required translation services upon arrival at the hospital. The average translation call was 3.8 minutes and cost less than $4 per call. Goal Description Expand the program beyond two pilot sites to other municipal fire and rescue departments in Barnstable County. Goal Status CCHC Community Benefits provided program funds for ongoing costs of interpreter services and materials for the program, expanding to 13 out of the 15 towns in Barnstable County. Staff from the interpreter services departments at Cape Cod Hospital and Falmouth Hospital provided training to the town departments on use of interpreter services and visual language identifiers. Data collection is ongoing. Partner Name, Description and Web Address Cape and Islands Emergency Medical Services System - www.capeandislandsems.org Contact Information Mary Pumphery Cape Cod Healthcare 297 North Street, Building 3, 3rd Floor Hyannis, MA, 02601 Phone: 774-470-5506 Detailed Description Cape Cod Healthcare (CCHC) and the Cape and Islands Emergency Medical Services System partnered to create a unique program that provides phone-based medical interpreter services offered via the cell phones of paramedics and first responders on ambulances to improve communication with limited-English speaking patients during an emergency and to increase accuracy of information relayed by patients during transport to a hospital. Program Type: Community Participation/Capacity Building Initiative,Grant/Donation/Foundation/Scholarship, Health Screening, Prevention. Statewide Priority: Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations. EOHHS Focus Issue(s) (optional): Chronic Disease with focus on Cancer, Heart Disease, and Diabetes,DoN Health Priorities (optional) Built Environment, Social Environment. Target Population Regions Served: County-Barnstable - Health Indicator: Other: Hypertension, Other: Stroke, Overweight and Obesity, Physical Activity- Sex: All - Age Group: All Ethnic Group: All - Language: All. 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 In FY18, over 285 individuals participated in the summer walking program and 5K Run/Walk at the Cape Cod National Seashore representing a 30% increase in the number of participants over FY17. Partner Name, Description and Web Address Cape Cod National Seashore - www.nps.gov/caco/index.htm National Park Service - www.nps.gov/.../healthy-parks-healthy-people Cape Cod Healthcare - www.capecodhealth.org/wellness-wise/healthy-parks-healthy-people/ National Alliance on Mental Illness (NAMI) Cape Cod www.namicapecod.org Contact Information Mary Pumphery Cape Cod Healthcare 297 North Street, Building 3, 3rd Floor Hyannis, MA, 02601 Phone: 774-470-5506 Detailed 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 CodHospital and Falmouth Hospital Program Type: Direct Services. Statewide Priority: Address Unmet Health Needs of the Uninsured, Chronic Disease Management in Disadvantage Populations, Reducing Health Disparity. EOHHS Focus Issue(s) (optional): Chronic Disease with focus on Cancer, Heart Disease, and Diabetes. DoN Health Priorities (optional): Not Specified. Target Population Regions Served: County-Barnstable - Health Indicator: Access to Health Care, Other: Uninsured/Underinsured- Sex: All Age Group: All Ethnic Group: All Language: All. Goal Description Assist residents who are unable to afford medications to ensure compliance with hospital discharge planning. Goal Status In FY18, Cape Cod Hospital and Falmouth Hospital emergency and behavioral health departments provided prescription vouchers and prescription assistance totaling more than $18,300 for uninsured, under-insured or financially disadvantaged populations. Total spending on the prescription assistance program dropped by approximately 22% from FY17. This reduction is attributed to the hospital pharmacies now providing subsidized prescriptions rather than the previous approach of providing vouchers for patients to purchase
prescriptions from large, national retail pharmacies.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 Detailed 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. Transportation Assistance Program for Vulnerable Populations: Cape Cod Hospital and Falmouth Hospital Program Type Direct Services. Statewide Priority Reducing Health Disparity. EOHHS Focus Issue(s) (optional) Chronic Disease with focus on Cancer, Heart Disease, and Diabetes, Mental Illness and Mental Health, Substance Use Disorders. DoN Health Priorities (optional) Built Environment. Target Population Regions Served: County-Barnstable - Health Indicator: Access to Health Care, Other: Safety, Other: Uninsured/Underinsured - Sex: All - Age Group: All - Ethnic Group: All - Language: All. Goal Description Assist residents who are unable to afford or access transportation to ensure compliance with their discharge plan. Goal Status Cape Cod Hospital and Falmouth Hospital emergency and behavioral health departments provided transportation vouchers totaling more than $62,500 for financially disadvantaged patients upon discharge. FY18 hospital transportation assistance increased more than 50% over FY17. Partner Name, Description and Web Address Local Taxi Companies N/A Contact Information Mary Pumphery Cape Cod Healthcare 297 North Street, Building 3, 3rd Floor Hyannis, MA, 02601 Phone: 774-470-5506 Detailed 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. Health Education and Support Services for Wellness at Cape Cod Hospital and Falmouth Hospital Program Type Community Education, Direct Services, Health Screening, Outreach to Underserved, Prevention, School/Health Center Partnership, Support Group. Statewide Priority Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations, Reducing Health Disparity. EOHHS Focus Issue(s) (optional) Chronic Disease with focus on Cancer, Heart Disease, and Diabetes, Mental Illness and Mental Health, Substance Use Disorders. DoN Health Priorities (optional) Built Environment, Education. Target Population Regions Served: County-Barnstable - Health Indicator: Access to Health Care, Immunization, Mental Health, Other: Alcohol and Substance Abuse, Other: Alzheimer Disease, Other: Arthritis, Other: Asthma/Allergies, Other: Bereavement, Other: Cancer, Other: Cardiac Disease, Other: Cultural Competency, Other: Diabetes, Other: HIV/AIDS, Other: Hypertension, Other: Nutrition, Other: Parenting Skills, Other: Pregnancy, Other: Stroke, Overweight and Obesity, Physical Activity,- Sex: All - Age Group: All - Ethnic Group: All - Language: English, Portuguese, Spanish. 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. Goal Status In FY18, over 14,500 staff hours were dedicated to ensuring health education and support services. Classes and support groups were offered and facilitated for individuals, families and the community. 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 Detailed 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 number of 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. Workforce and Career Development Initiatives: Cape Cod Healthcare Program Type Community Participation/Capacity Building Initiative, Health Professional/Staff Training, Mentorship/Career Training/Internship, Outreach to Underserved, School/Health Center Partnership. Statewide Priority Reducing Health Disparity, Supporting Healthcare Reform. EOHHS Focus Issue(s) (optional) Chronic Disease with focus on Cancer, Heart Disease, and Diabetes, Mental Illness and Mental Health. DoN Health Priorities (optional) Education, Employment. Target Population Regions Served: County-Barnstable - Health Indicator: Access to Health Care - Sex: All - Age Group: Adult, Adult-Young - Ethnic Group: All Language: All. 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. Goal Status In FY18, over 26,000 staff hours were devoted to workforce and career development partnership efforts including supervision of student training, job shadowing and clinical oversight. Staff hours allocated to workforce development initiatives increased by more than 30% over FY17. This increase is reflective of growth in strategic partnerships aimed at increasing educational and employment opportunities in our region. 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 Detailed 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.
FUNCTIONAL EXPENSE NOTEFORM 990 PART I AND PART IX FUNDRAISING IS CONDUCTED ON BEHALF OF CAPE COD HEALTHCARE, INC. BY CAPE COD HEALTHCARE FOUNDATION, INC. CERTAIN OFFICERS ARE COMPENSATED BY CAPE COD HEATHCARE, INC. FUNDS RAISED ARE REPORTED AT CAPE COD HEALTHCARE, INC. AND AFFILIATES.
FORM 990, PART I, LINE 6CAPE COD HEALTHCARE, INC.'S VOLUNTEERS INCLUDE ITS TRUSTEES.
FORM 990, PART VI, LINE 2TRUSTEES AND OFFICERS SIT ON THE BOARDS OF THE FOLLOWING: EMERALD PHYSICIANS MEMBER TRUST: PHILIP MCLOUGHLIN JOEL CROWELL CAPE HEALTH INSURANCE COMPANY: MICHAEL K LAUF MICHAEL L CONNORS MICHAEL G JONES BRUCE JOHNSTON PHILIP MCLOUGHLIN 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, FOR-PROFIT RELATED ORGANIZATIONS.
Form 990, Part VI, Line 4THE ORGANIZATION'S BYLAWS WERE AMENDED TO INCLUDE THE FOLLOWING ITEMS: DELETION OF THE DEVELOPMENT AND PHILANTHROPY COMMITTEE AS A STANDING BOARD COMMITTEE AS THE FUNCTION HAS BEEN ABSORBED BY CAPE COD HEALTHCARE FOUNDATION; DELETION OF A MINIMUM NUMBER OF MEMBERS; PRIOR AUTOMATIC REMOVAL AS A MEMBER FOR FAILING TO ATTEND THREE CONSECUTIVE ANNUAL MEETINGS HAVE BEEN REMOVED; TRUSTEES MAY SERVE A MAXIMUM OF THREE CONSECUTIVE 3-YEAR TERMS INSTEAD OF FOUR; PHYSICIAN TRUSTEES MAY SERVE THREE CONSECUTIVE 2-YEAR TERMS INSTEAD OF FOUR, ESTABLISHMENT OF A REQUIREMENT FOR THE COMPLIANCE OFFICER TO MAKE AN ANNUAL COMPLIANCE REPORT TO THE BOARD OF TRUSTEES, AND PROXY VOTES MAY BE SUBMITTED BY FACSIMILE TRANSMISSION. 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 11THE ORGANIZATION'S FORM 990 IS REVIEWED AT SEVERAL LEVELS. THE ORGANIZATION ENGAGES A PUBLIC ACCOUNTING FIRM TO ASSIST IN THE PREPARATION AND REVIEW OF ITS FORM 990 AND WHO SIGNS AS PAID PREPARER. SENIOR MANAGEMENT OF THE ORGANIZATION IS RESPONSIBLE FOR THE TIMELY PREPARATION OF FORM 990. THE COMPLETED FORM 990 IS PROVIDED TO THE FINANCE COMMITTEE AND THE ENTIRE BOARD IN ADVANCE OF THE FILING DEADLINE.
FORM 990, PART VI, LINE 12THE ORGANIZATION MAINTAINS A CONFLICT OF INTEREST POLICY AND REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THIS POLICY. ON AN ANNUAL BASIS, EACH TRUSTEE, OFFICER AND EMPLOYEE AT THE SENIOR MANAGEMENT LEVEL COMPLETES A CONFLICT OF INTEREST DISCLOSURE FORM. THE FORMS ARE REVIEWED BY CAPE COD HEALTHCARE, INC.'S ("CCHC") DIRECTOR OF CLINICAL AND RESEARCH COMPLIANCE WHO PREPARES A SUMMARY FOR CCHC'S COMPLIANCE OFFICER. ANY MATERIAL INTERESTS SO DISCLOSED ARE PRESENTED TO THE CORPORATION'S GOVERNANCE COMMITTEE FOR REVIEW AND RESOLUTION. ALL DISCLOSURE STATEMENTS SUBMITTED BY EMPLOYEES WILL BE REVIEWED BY HUMAN RESOURCES AND/OR CCHC'S DIRECTOR OF CLINICAL AND RESEARCH COMPLIANCE. FOR ANY DISCLOSURE THAT IS CONSIDERED SUBSTANTIVE THE EMPLOYEE'S AREA MANAGER WILL BE CONSULTED TO DETERMINE IF THE SITUATION IS GENERALLY ACCEPTABLE, REQUIRES FURTHER EXAMINATION AND POSSIBLE ACTION OR IS GENERALLY NOT ACCEPTABLE. ANY ACTION PLAN CREATED TO MANAGE A CONFLICT OF INTEREST WILL BE MONITORED BY THE EMPLOYEE'S AREA MANAGER OR SUPERVISOR.
FORM 990, PART VI, LINE 15THE ANNUAL PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO, OFFICERS, EXECUTIVES AND KEY EMPLOYEES INCLUDE THE FOLLOWING: CEO - COMPENSATION WILL BE DETERMINED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES, AND WILL INCLUDE CONSIDERATION OF RELEVANT MARKET DATA FURNISHED BY A DISINTERESTED COMPENSATION CONSULTANT, AND A REVIEW OF JOB PERFORMANCE. OFFICERS, EXECUTIVES AND KEY EMPLOYEES - OFFICER, EXECUTIVE AND KEY EMPLOYEE COMPENSATION WILL BE DETERMINED BY THE CEO AND WILL INCLUDE CONSIDERATION OF RECENT RELEVANT MARKET DATA FURNISHED BY A DISINTERESTED COMPENSATION CONSULTANT, AND A REVIEW OF JOB PERFORMANCE. THE CEO'S DETERMINATION OF SUCH COMPENSATION WILL BE SUBJECT TO THE APPROVAL OF THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. THE PROCESS AND CONCLUSIONS ARE DOCUMENTED IN THE MEETING MINUTES.
FORM 990, PART VI, LINE 19THE ORGANIZATION MAKES ITS BYLAWS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE ALSO ATTACHED TO THE ANNUALLY FILED FORM PC, A PUBLICLY DISCLOSED TAX-EXEMPT ORGANIZATION FILING FOR THE STATE OF MASSACHUSETTS.
FORM 990, PART VII, SECTION ATITLE FOR JOEL CROWELL: TRUSTEE, SERVED AS TREASURER/CLERK/TRUSTEE UNTIL 5/18 TITLE FOR MICHAEL G. JONES, ESQ: SR. VP & CHIEF LEGAL OFFICER / CLERK FROM 5/18 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 9OTHER CHANGES IN NET ASSETS OR FUND BALANCES NET ASSETS RELEASED FROM RESTRICTION $(5,596,482) TRANSFER TO/FROM AFFILIATES $(12,709,696) CHANGE IN VALUE OF SPLIT INTEREST AGREEMENT $ 598,383 CHANGE IN VALUE BENEFICIAL INTEREST $ 492,636 TRANSFER OF NET ASSETS $ 325,911 OTHER CHANGES IN NET ASSETS $(16,889,248)

Schedule R IRS990ScheduleR

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1CAPE & ISLANDS ENDOSCOPY CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1700 ATTUCKS LANEAddressLine1Txt
CityHYANNISCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02169ZIPCd
FieldValueIRS element (for citing)
EIN263910955EIN
Primary ActivitiesENDOSCOPY CENTERPrimaryActivitiesTxt
Legal Domicile StateMALegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeTypeTxt
Share Of Total Income$609,646ShareOfTotalIncomeAmt
Share Of EOY Assets$216,337ShareOfEOYAssetsAmt
Disproportionate AllocationsfalseDisproportionateAllocationsInd
UBI Code V$0UBICodeVAmt
General Or Managing PartnerYes (true)GeneralOrManagingPartnerInd
Ownership0.33000OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdLegal Domicile StateLegalDomicileStateCd
CAPE HEALTH INSURANCE COMPANY
PO BOX 1051GTGRAND CAYMANCJ981230418INSURANCECJNAC CORP$1,453,832$39,010,4411.00000Yes (true)
CAPE COD MEDICAL OFFICE BUILDING INC
042423073RENTAL SVCSCape Cod HsptlC CORP$0$0Yes (true)27 PARK STREETHYANNISMA02601MA
EMERALD PHYSICIAN SERVICES LLC
043369730PRIMARY CAREEMERALD TRUSTS CORP$0$0Yes (true)433 WEST MAIN STREETHYANNISMA02601MA
EMERALD PHYSICIANS MEMBER TRUST
467220648EMRLD SHAREHOMACCTRUST$0$0Yes (true)27 PARK STREETHYANNISMA02601MA
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (20 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
VISITING NURSE ASSOCIATION OF CAPE COD INC
S$450,000FMV
CAPE COD HOSPITAL
S$37,807,232FMV
MEDICAL AFFILIATES OF CAPE COD INC
S$1,822,991FMV
FALMOUTH HOSPITAL ASSOCIATION INC
S$12,602,411FMV
JML CARE CENTER INC
S$75,000FMV
FALMOUTH ASSISTED LIVING INC
S$75,000FMV
Emerald Physician Services LLC
S$270,280FMV
CAPE COD HEALTHCARE FOUNDATION INC
Q$1,553,551FMV
CAPE COD HOSPITAL
Q$313,167,703FMV
FALMOUTH HOSPITAL ASSOCIATION INC
Q$70,820,337FMV
CAPE AND ISLANDS HEALTH SERVICES II INC
Q$2,450,457FMV
CAPE COD HUMAN SERVICES INC
Q$946,763FMV
JML CARE CENTER INC
Q$7,667,851FMV
FALMOUTH ASSISTED LIVING INC
Q$1,840,356FMV
MEDICAL AFFILIATES OF CAPE COD INC
Q$36,193,407FMV
VISITING NURSE ASSOCIATION OF CAPE COD INC
Q$14,154,893FMV
EMERALD PHYSICIAN SERVICES LLC
Q$372,046FMV
Emerald Physician Services LLC
A$314,411FMV
CAPE HEALTH INSURANCE COMPANY
S$463,846FMV
FALMOUTH HOSPITAL ASSOCIATION INC
J$138,837FMV