CAPE COD HEALTHCARE INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: CAPE COD HEALTHCARE INC (EIN 22-2600704)
Tax period: 2015-10-01 to 2016-09-30
Filed: 2017-08-14
IRS object ID: 201712269349300416
Schema version: 2015v3.0
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-08-14T12:48:19-05:00	ReturnTs
Tax Period End	2016-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	222600704	EIN

Business Name BusinessName

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

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	25 COMMUNICATION WAY	AddressLine1Txt
City	HYANNIS	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02601	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MICHAEL L CONNORS	PersonNm
Person Title	SR VP FINANCE/CFO	PersonTitleTxt
Phone	5087711800	PhoneNum
Signature	2017-08-09	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	GWEN SPENCER	PreparerPersonNm
PTIN	P00641463	PTIN
Phone	6175305000	PhoneNum
Preparation	2017-08-07	PreparationDt

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	25 COMMUNICATION WAY	AddressLine1Txt
City	HYANNIS	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02601	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$64,296,495	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CAPECODHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1984	FormationYr
Legal Domicile State	MA	LegalDomicileStateCd
Activity Or Mission	SEE SCHEDULE O	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	225	TotalEmployeeCnt
Total Volunteers	17	TotalVolunteersCnt
Total Gross UBI	$210,571	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$103,278	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$0	PYContributionsGrantsAmt
CY Contributions Grants	$0	CYContributionsGrantsAmt
PY Program Service Revenue	$45,013,678	PYProgramServiceRevenueAmt
CY Program Service Revenue	$59,790,580	CYProgramServiceRevenueAmt
PY Investment Income	$3,718,119	PYInvestmentIncomeAmt
CY Investment Income	$4,505,915	CYInvestmentIncomeAmt
PY Other Revenue	$4,203	PYOtherRevenueAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$48,736,000	PYTotalRevenueAmt
CY Total Revenue	$64,296,495	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$3,311,000	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$26,230,597	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$27,146,529	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$19,163,431	PYOtherExpensesAmt
CY Other Expenses	$29,791,980	CYOtherExpensesAmt
PY Total Expenses	$45,394,028	PYTotalExpensesAmt
CY Total Expenses	$60,249,509	CYTotalExpensesAmt
PY Revenues Less Expenses	$3,341,972	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$4,046,986	CYRevenuesLessExpensesAmt
Total Assets BOY	$249,657,904	TotalAssetsBOYAmt
Total Assets EOY	$273,712,011	TotalAssetsEOYAmt
Total Liabilities BOY	$91,111,116	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$100,595,297	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$158,546,788	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$173,116,714	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SEE SCHEDULE O	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$36,412,609	ExpenseAmt
Grant	$3,311,000	GrantAmt
Revenue	$59,790,580	RevenueAmt
Desc	ORGANIZE 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	$36,412,609	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (true)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	493	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	225	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	BD	ForeignCountryCd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	17	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	MA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	MICHAEL L CONNORS	PersonNm
Phone	5089578540	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	25 COMMUNICATION WAY	AddressLine1Txt
City	HYANNIS	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02601	ZIPCd

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

Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ELEANOR CLAUS
TRUSTEE	2.0	2.0	Yes (X)	$0	$0	$0
MICHAEL K LAUF
PRESIDENT/CEO/TRUSTEE	5.0	55.0	Yes (X)	$1,726,957	$0	$238,606	Yes (X)
WILLIAM ZAMMER
CHAIRMAN/TRUSTEE	2.0	2.0	Yes (X)	$0	$0	$0	Yes (X)
HOWARD CROW JR
TRUSTEE	2.0	2.0	Yes (X)	$0	$0	$0
DEWITT DAVENPORT
VICE CHAIRMAN/TRUSTEE	2.0	2.0	Yes (X)	$0	$0	$0	Yes (X)
SUMNER B TILTON JR
TREASURER UNTIL 5/16 / TRUSTEE	2.0	2.0	Yes (X)	$0	$0	$0	Yes (X)
SUZANNE FAY GLYNN ESQ
TRUSTEE	2.0	2.0	Yes (X)	$0	$0	$0
PHILIP MCLOUGHLIN
TRUSTEE	2.0	2.0	Yes (X)	$0	$0	$0
NATE RUDMAN MD
TRUSTEE	2.0	2.0	Yes (X)	$0	$0	$0
JOEL CROWELL
TREAS/CLERK AS OF 5/16/TRUSTEE	2.0	2.0	Yes (X)	$0	$0	$0	Yes (X)
DIANE COLETTI
TRUSTEE	2.0	2.0	Yes (X)	$0	$0	$0
PATRICK FLYNN MD
TRUSTEE	2.0	40.0	Yes (X)	$0	$44,332	$919
PAUL EVANS MD
TRUSTEE	2.0	2.0	Yes (X)	$0	$0	$0
JAMES MULCAHY MD
TRUSTEE	2.0	2.0	Yes (X)	$0	$0	$0
GARY VACON MD
TRUSTEE	2.0	2.0	Yes (X)	$0	$0	$0
ROBERT TALERMAN
TRUSTEE AS OF 5/16	2.0	2.0	Yes (X)	$0	$0	$0
ROBERT WILSTERMAN MD
TRUSTEE AS OF 1/16	2.0	40.0	Yes (X)	$0	$91,572	$2,810
GROVER BAXLEY MD
TRUSTEE UNTIL 1/16	2.0	40.0	Yes (X)	$0	$200,278	$9,380
ROBERT BIRMINGHAM
TRUSTEE UNTIL 5/16	2.0	2.0	Yes (X)	$0	$0	$0
MICHAEL G JONES
SR VP CHIEF LEGAL OFFFICER	5.0	55.0		$406,684	$0	$78,218	Yes (X)
MICHAEL L CONNORS
SENIOR VP FINANCE/CFO	5.0	55.0		$526,685	$0	$89,857	Yes (X)
CHRISTIAN BROWN
SR VP MANAGED CARE AS OF 11/15	5.0	45.0		$320,333	$0	$76,339		Yes (X)
JEANNE FALLON
SR VP & CIO	5.0	45.0		$306,361	$0	$69,235		Yes (X)
JOHN LIPOMI
SR VP MANAGED CARE UNTIL 12/15	5.0	45.0		$452,903	$0	$74,119		Yes (X)
PATRICK KANE
SVP OF MRKTG, COMMUN & DEVLP	5.0	45.0		$397,702	$0	$68,813		Yes (X)
THERESA M AHERN
SVP, Strat, Community/gov rel.	5.0	45.0		$306,017	$0	$48,236		Yes (X)
EMILY SCHORER
SVP HUMAN RESOURCES	5.0	45.0		$313,078	$0	$56,834		Yes (X)
KEVIN RALPH
SVP DEVELOPMENT	5.0	45.0		$302,145	$0	$47,865		Yes (X)
DONALD GUADAGNOLI MD
CMO CAPE COD HOSPITAL	5.0	45.0		$530,387	$0	$91,519			Yes (X)
ARTHUR MOMBOURQUETTE
COO	5.0	45.0		$458,522	$0	$10,775			Yes (X)
KEVIN J MULROY
SEE SCHEDULE O FOR TITLE	5.0	45.0		$466,062	$0	$73,555			Yes (X)
VICTOR OLIVEIRA
VP OF PATIENT SERVICES	5.0	45.0		$308,464	$0	$72,433			Yes (X)
JEFFREY DYKENS
VP OF FINANCE	5.0	45.0		$292,218	$0	$63,044			Yes (X)
MARY FRANCO
FORMER SVP DEVELOPMENT	0.0	0.0		$119,475	$0	$1,525				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,233,993	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$336,182	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,174,082	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	91	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
BWPO ANESTHESIA
PO BOX 3684	BOSTON	MA	02241	PHYSICIAN SERVICES	$4,224,032
CAPE COD EMERGENCY ROOM ASSOCIATES
C/O DEPAOLA BEGG ASSOC 220 W MA	HYANNIS	MA	02601	Physician Services	$13,844,100
CAPE COD PEDIATRICSLLP
PO BOX 549 55 ROUTE 130	FORESTDALE	MA	02644	PHYSICIAN SERVICES	$2,149,208
MAYO COLLABORATIVE SERVICES INC
MAYO MEDICAL LABORATORIES PO BOX	MINNEAPOLIS	MN	554809146	PHYSICIAN SERVICES	$2,145,878
CAPE COD ANESTHESIA ASSOCIATES INC
110 MAIN STREET - UNIT B	HYANNIS	MA	02601	PHYSICIAN SERVICES	$1,863,378

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	41	CntrctRcvdGreaterThan100KCnt
Total Contributions	$0	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
HOME OFFICE COSTS	900099	$52,647,895	$52,647,895
PHYSICIAN ORG ADM SUPPORT REV	900099	$3,743,099	$3,743,099
PROGRAM RELATED RENTAL INCOME	900099	$227,335	$227,335
OTHER PROGRAM SERVICE REVENUE	900099	$347,931	$243,726	$104,205
RETAIL PHARMACY	900099	$2,824,320		$83,805	$2,740,515

Field	Value	IRS element (for citing)
Total Program Service Revenue	$59,790,580	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,666,046	TotalRevenueColumnAmt
Unrelated Business Revenue	-$14,671	UnrelatedBusinessRevenueAmt
Exclusion	$2,680,717	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,839,869	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,839,869	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,839,869	TotalRevenueColumnAmt
Unrelated Business Revenue	$37,232	UnrelatedBusinessRevenueAmt
Exclusion	$1,802,637	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

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

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$64,296,495	TotalRevenueColumnAmt
Related Or Exempt Func Income	$56,862,055	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$210,571	UnrelatedBusinessRevenueAmt
Exclusion	$7,223,869	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$3,311,000	TotalAmt
Program Services	$3,311,000	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$5,557,612	TotalAmt
Management And General	$5,557,612	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$16,675,218	TotalAmt
Program Services	$12,280,650	ProgramServicesAmt
Management And General	$4,394,568	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$611,212	TotalAmt
Program Services	$213,125	ProgramServicesAmt
Management And General	$398,087	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$3,012,384	TotalAmt
Program Services	$1,663,937	ProgramServicesAmt
Management And General	$1,348,447	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,290,103	TotalAmt
Program Services	$528,761	ProgramServicesAmt
Management And General	$761,342	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$601,257	TotalAmt
Management And General	$601,257	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$22,175	TotalAmt
Management And General	$22,175	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$235,120	TotalAmt
Program Services	$188,096	ProgramServicesAmt
Management And General	$47,024	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$351,829	TotalAmt
Management And General	$351,829	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$8,183,911	TotalAmt
Program Services	$1,239,485	ProgramServicesAmt
Management And General	$6,944,426	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,574,418	TotalAmt
Program Services	$2,059,534	ProgramServicesAmt
Management And General	$514,884	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$337,511	TotalAmt
Program Services	$270,009	ProgramServicesAmt
Management And General	$67,502	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$3,649,668	TotalAmt
Program Services	$2,919,734	ProgramServicesAmt
Management And General	$729,934	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,721,298	TotalAmt
Program Services	$1,377,038	ProgramServicesAmt
Management And General	$344,260	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$187,394	TotalAmt
Program Services	$149,915	ProgramServicesAmt
Management And General	$37,479	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

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

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$302,731	TotalAmt
Program Services	$242,185	ProgramServicesAmt
Management And General	$60,546	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$3,485,298	TotalAmt
Program Services	$2,788,238	ProgramServicesAmt
Management And General	$697,060	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$236,942	TotalAmt
Program Services	$189,554	ProgramServicesAmt
Management And General	$47,388	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$2,496,389	$2,496,389
PURCHASED SERVICES	$2,467,644	$1,974,115	$493,529
EDUCATION	$1,069,603	$855,682	$213,921
REPAIRS & MAINTENANCE	$223,813	$179,050	$44,763

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,644,979	TotalAmt
Program Services	$1,486,112	ProgramServicesAmt
Management And General	$158,867	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$60,249,509	TotalAmt
Program Services	$36,412,609	ProgramServicesAmt
Management And General	$23,836,900	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$11,915,503	BOYAmt
EOY	$4,863,907	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

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

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

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

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$10,342,900	BOYAmt
EOY	$4,024,734	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$282,450	BOYAmt
EOY	$984,732	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$5,488,744	BOYAmt
EOY	$4,010,714	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$49,694,902	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$14,855,217	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$22,833,758	BOYAmt
EOY	$34,839,685	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$143,834,946	BOYAmt
EOY	$166,033,796	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$4,583,057	BOYAmt
EOY	$5,181,605	EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$50,376,546	BOYAmt
EOY	$53,772,838	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$249,657,904	BOYAmt
EOY	$273,712,011	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$73,684,525	BOYAmt
EOY	$75,816,412	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$307,829	BOYAmt
EOY	$426,433	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$2,079,887	BOYAmt
EOY	$1,874,422	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$15,038,875	BOYAmt
EOY	$22,478,030	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$91,111,116	BOYAmt
EOY	$100,595,297	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$110,319,413	BOYAmt
EOY	$124,518,048	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$16,961,751	BOYAmt
EOY	$16,680,184	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$31,265,624	BOYAmt
EOY	$31,918,482	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$158,546,788	BOYAmt
EOY	$173,116,714	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$249,657,904	BOYAmt
EOY	$273,712,011	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$4,046,986	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$6,672,168	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$3,850,772	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$35,375,425	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$30,743,403	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$54,050,333	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$45,017,881	CurrentTaxYearMinus1YearAmt
Current Tax Year	$59,790,580	CurrentTaxYearAmt
Total	$224,977,622	TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

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

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

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

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

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

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$35,375,425	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$30,743,403	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$54,050,333	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$45,017,881	CurrentTaxYearMinus1YearAmt
Current Tax Year	$59,790,580	CurrentTaxYearAmt
Total	$224,977,622	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

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

Substantial Contributors Amt SubstantialContributorsAmtGrp

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

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

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

Field	Value	IRS element (for citing)
Public Support Total509	$224,977,622	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$896,444	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$872,419	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,927,657	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$4,186,009	CurrentTaxYearMinus1YearAmt
Current Tax Year	$2,666,046	CurrentTaxYearAmt
Total	$10,548,575	TotalAmt

Post1975 UBTI Post1975UBTIGrp

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

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$896,444	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$872,419	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,927,657	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$4,186,009	CurrentTaxYearMinus1YearAmt
Current Tax Year	$2,666,046	CurrentTaxYearAmt
Total	$10,548,575	TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$4,477	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$127,879	CurrentTaxYearMinus1YearAmt
Current Tax Year	$103,278	CurrentTaxYearAmt
Total	$235,634	TotalAmt

Other Income509 OtherIncome509Grp

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

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$36,271,869	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$31,620,299	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$55,977,990	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$49,331,769	CurrentTaxYearMinus1YearAmt
Current Tax Year	$62,559,904	CurrentTaxYearAmt
Total	$235,761,831	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.95426	PublicSupportCY509Pct
Public Support PY509	0.95897	PublicSupportPY509Pct
Investment Income CY	0.04474	InvestmentIncomeCYPct
Investment Income PY	0.04037	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Organization Belongs Afflt Grp	Yes (X)	OrganizationBelongsAffltGrpInd
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$300,242	OtherActivitiesAmt
Total Lobbying Expenditures	$300,242	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1I	FormAndLineReferenceDesc
Explanation	Cape Cod Healthcare, Inc. made payments to Smith & Rauschenbach of $108,316, Law Offices of O'Neill, Athy and Casey of $120,304 and McDermott, Will & Emery of $6,500 for lobbying and public policy consulting services such as monitoring the Federal and Massachusetts legislatures for matters relating to healthcare reform and informing Cape Cod Healthcare Inc. on changes that could effect Cape Cod Healthcare, Inc. Cape Cod Healthcare, Inc. pays membership dues of $50,000 to the Massachusetts Council of Community Hospitals which are considered 100% expended for lobbying purposes, and the American Hospital Association, which AHA determined was 21.78% engaged in lobbying activities or $15,122 of the $69,435 dues paid.	ExplanationTxt

Schedule D IRS990ScheduleD

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

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,417,843	OtherCostOrOtherBasisAmt
Book Value	$2,417,843	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,049,086	OtherCostOrOtherBasisAmt
Depreciation	$110,717	DepreciationAmt
Book Value	$7,938,369	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,384,343	OtherCostOrOtherBasisAmt
Depreciation	$444,731	DepreciationAmt
Book Value	$2,939,612	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$35,843,630	OtherCostOrOtherBasisAmt
Depreciation	$14,299,769	DepreciationAmt
Book Value	$21,543,861	BookValueAmt

Field	Value	IRS element (for citing)
Other Land Buildings		OtherLandBuildingsGrp
Total Book Value Land Buildings	$34,839,685	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (6 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
TEMP RESTRICTED INVESTMENTS	$7,901,290	F
PERM RESTRICTED INVESTMENTS	$11,714,076	F
BENEFICIAL INTEREST IN TRUSTS	$20,028,081	F
LONG TERM INVESTMENTS	$103,595,440	F
SHORT TERM INVESTMENTS	$15,837,579	F
INVESTMENT - 457 PLANS	$6,957,330	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$166,033,796	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt
INSURANCE RECOVERY RECEIVABLE	$24,498,254
SHARES OF HBCS STOCK	$505,460
SPLIT DOLLAR LIFE	$2,749,217
DUE FROM AFFILIATES	$14,778,566
PERPETUAL CRUT	$176,325
BENEFICIAL INTEREST	$9,038,064
HEALTH INS DEPOSIT RECEIVABLE	$2,026,952

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$53,772,838	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
OTHER LONG TERM LIABILITIES	$1,900,398
SERP LIABILITY	$1,195,831
DUE TO AFFILIATES	$12,423,978
ABANDONED PROPERTY	$493
DEFERRED COMP - 457B	$6,957,330

Field	Value	IRS element (for citing)
Total Liability	$22,478,030	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
Gosnold Inc
200 Ter Heun Drive	Falmouth	MA	02540	042502970	501(C)(3)	$252,000	General support
Duffy Health Center
94 Main Street	Hyannis	MA	02601	043373741	501(c)(3)	$120,000	General Support
Community Health Center of CC
107 Commercial St	Mashpee	MA	02649	043370560	501(c)(3)	$450,000	General support
Cape Cod Foundation Inc
259 Willow Street	Yarmouth Port	MA	02675	510140462	501(c)(3)	$1,489,000	General support
Cape Cod Community College
2240 Lyannough Rd	WBarnstable	MA	02668	042382943	MA gov't org	$1,000,000	General support

Field	Value	IRS element (for citing)
Total501c3 Org	5	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule I Part II, Lines 1-4	CAPE COD HEALTHCARE, INC. RECEIVED THREE TYPES OF GRANTS. Substance use grants will be monitored by the Office of Community Benefits under the direction of Theresa Ahern, Senior Vice President of Strategy and Government Affairs. Cape Cod Healthcare, Inc. Management of Community Benefits activities is the responsibility of Lisa Guyon, Director of Community Benefits and Grant Administration.
Schedule I Part II, Line 5	Nursing programs at the community college will be monitored through communication between the CEO and the President of Cape Cod Community College.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	Yes (true)	InitialContractExceptionInd
Rebuttable Presumption Proc	Yes (true)	RebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DONALD GUADAGNOLI MD
CMO CAPE COD HOSPITAL	$411,719	$0	$94,500	$0	$24,168	$0	$54,395	$0	$37,124	$0	$621,906	$0	$12,722	$0
ARTHUR MOMBOURQUETTE
COO	$30,541	$0	$0	$0	$427,981	$0	$8,808	$0	$1,967	$0	$469,297	$0	$23,333	$0
KEVIN J MULROY
SEE SCHEDULE O FOR TITLE	$361,965	$0	$84,375	$0	$19,722	$0	$37,163	$0	$36,392	$0	$539,617	$0	$9,750	$0
CHRISTIAN BROWN
SR VP MANAGED CARE AS OF 11/15	$255,778	$0	$48,300	$0	$16,255	$0	$42,447	$0	$33,892	$0	$396,672	$0	$8,025	$0
VICTOR OLIVEIRA
VP OF PATIENT SERVICES	$240,705	$0	$48,360	$0	$19,399	$0	$36,309	$0	$36,124	$0	$380,897	$0	$11,375	$0
MICHAEL G JONES
SR VP CHIEF LEGAL OFFFICER	$311,755	$0	$73,106	$0	$21,823	$0	$41,844	$0	$36,374	$0	$484,902	$0	$15,965	$0
MICHAEL K LAUF
PRESIDENT/CEO/TRUSTEE	$846,278	$0	$700,125	$0	$180,554	$0	$198,300	$0	$40,306	$0	$1,965,563	$0	$146,200	$0
MICHAEL L CONNORS
SENIOR VP FINANCE/CFO	$391,729	$0	$102,000	$0	$32,956	$0	$52,735	$0	$37,122	$0	$616,542	$0	$18,911	$0
JEANNE FALLON
SR VP & CIO	$246,997	$0	$49,335	$0	$10,029	$0	$41,561	$0	$27,674	$0	$375,596	$0	$8,625	$0
JOHN LIPOMI
SR VP MANAGED CARE UNTIL 12/15	$350,609	$0	$79,875	$0	$22,419	$0	$48,782	$0	$25,337	$0	$527,022	$0	$17,253	$0
PATRICK KANE
SVP OF MRKTG, COMMUN & DEVLP	$301,455	$0	$71,715	$0	$24,532	$0	$32,439	$0	$36,374	$0	$466,515	$0	$15,450	$0
THERESA M AHERN
SVP, Strat, Community/gov rel.	$234,628	$0	$59,900	$0	$11,489	$0	$23,939	$0	$24,297	$0	$354,253	$0	$9,188	$0
EMILY SCHORER
SVP HUMAN RESOURCES	$251,483	$0	$60,965	$0	$630	$0	$22,402	$0	$34,432	$0	$369,912	$0	$0	$0
KEVIN RALPH
SVP DEVELOPMENT	$240,975	$0	$60,750	$0	$420	$0	$10,491	$0	$37,374	$0	$350,010	$0	$0	$0
JEFFREY DYKENS
VP OF FINANCE	$236,355	$0	$37,200	$0	$18,663	$0	$26,862	$0	$36,182	$0	$355,262	$0	$10,620	$0
MARY FRANCO
FORMER SVP DEVELOPMENT	$0	$0	$0	$0	$119,475	$0	$0	$0	$1,525	$0	$121,000	$0	$0	$0
GROVER BAXLEY MD
TRUSTEE UNTIL 1/16	$0	$179,880	$0	$0	$0	$20,398	$0	$7,855	$0	$1,525	$0	$209,658	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 4A	MARY FRANCO, FORMER SVP OF DEVELOPMENT (FROM 1/14-5/14), RECEIVED SEVERANCE PAYMENTS OF $119,475 DURING CALENDAR YEAR 2015. THE ARRANGEMENT PROVIDES FOR CONTINUED PAYMENT OF THE INDIVIDUAL'S SALARY AND BENEFIT FOR A PERIOD OF 15 MONTHS, INCLUDING MEDICAL AND DENTAL INSURANCE COVERAGE. ARTHUR MOMBOURQUETTE, COO CCHC (FROM 11/12-1/15), RECEIVED SEVERANCE PAYMENTS OF $369,231 DURING CALENDAR YEAR 2015. THE ARRANGEMENT PROVIDES FOR CONTINUED PAYMENT OF THE INDIVIDUAL'S SALARY AND BENEFITS FOR A PERIOD OF 12 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 2015 WERE AS FOLLOWS: - MICHAEL K. LAUF - $65,637 - MICHAEL L. CONNORS - $23,876 - MICHAEL G. JONES - $20,017 - VICTOR OLIVEIRA - $13,664 - JOHN LIPOMI - $19,096 - KEVIN MULROY - $10,245 - THERESA AHERN - $9,683 - JEANNE FALLON - $9,063 - DONALD GUADAGNOLI MD - $13,319 - PATRICK KANE - $15,817 - CHRISTIAN BROWN - $8,482 - ARTHUR MOMBOURQUETTE - $27,226 - JEFFREY DYKENS - $11,276 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 2015, 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 2015 was $102,000 and is included in Schedule J, Part II, Column (C). IN ADDITION, $95,087 WAS PAID OUT FROM HIS CEO SUPPLEMENTAL PLAN, AND IS INCLUDED IN SCHEDULE J, PART II, COLUMN B(iii).
SCHEDULE J, PART I, LINE 7	Discretionary bonuses are awarded annually based upon both the performance of the organization and the individual. Bonuses are reflected in Schedule J, Part II, Column B(ii).
Schedule J, Part I, Line 9	THE COO, SVP DEVELOPMENT (CURRENT AND FORMER), SR VP & CIO, AND SVP OF HUMAN RESOURCES SERVED UNDER THEIR INITIAL CONTRACTS DURING CALENDAR YEAR 2015.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	PAUL EVANS MD	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	TRUSTEE	RelationshipDescriptionTxt
Transaction	$143,813	TransactionAmt
Transaction	MEDICAL SERVICES	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (19 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 1 AND PART III, LINE 1	WE WILL BE THE HEALTH SERVICE PROVIDER OF CHOICE FOR CAPE COD RESIDENTS BY ACHIEVING AND MAINTAINING THE HIGHEST STANDARDS IN HEALTH CARE DELIVERY AND SERVICE QUALITY. TO DO SO, WE WILL PARTNER WITH OTHER HEALTH AND HUMAN SERVICE PROVIDERS AS WELL AS INVEST IN NEEDED MEDICAL TECHNOLOGIES, HUMAN RESOURCES AND CLINICAL SERVICES. ABOVE ALL, WE WILL HELP IDENTIFY AND RESPOND TO THE NEEDS OF OUR COMMUNITY. COMMUNITY BENEFITS MISSION STATEMENT CAPE COD HEALTHCARE, INC., (CCHC) THROUGH ITS COMMUNITY BENEFITS INITIATIVE, 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, ALZHEIMERS DISEASE, HEPATITIS C OR TICK-BORNE DISEASE. 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, ALZHEIMERS DISEASE, HEPATITIS C AND TICK-BORNE DISEASES ARE HIGHLY REPRESENTED AMONG RESIDENTS OF BARNSTABLE COUNTY. THIS TARGET POPULATION WAS IDENTIFIED AND SELECTED IN THE 2014-2016 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT. 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: BARRIERS TO CARE EXIST IN BARNSTABLE COUNTY DESPITE HIGH RATES OF RESIDENTS WITH HEALTH INSURANCE COVERAGE. THIS SPECIFIC TARGET POPULATION WAS IDENTIFIED IN THE 2014-2016 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT. THE REPORT IDENTIFIED THE AVAILABILITY OF PRIMARY CARE AND SPECIALTY CARE PROVIDERS, OUT-OF-POCKET EXPENSES, AND LINGUISTIC CHALLENGES AS SPECIFIC BARRIERS FOR THIS TARGET POPULATION. 3. NAME OF TARGET POPULATION: INDIVIDUALS WITH MENTAL HEALTH DISORDERS AND CO-OCCURRING DISORDERS. BASIS FOR SELECTION: ACCESS TO ADEQUATE MENTAL HEALTH CARE IN BARNSTABLE COUNTY IS AN AREA OF CONCERN, AS EVIDENCED BY HIGH RATES OF PATIENTS PRESENTING WITH MENTAL HEALTH DISORDERS IN HOSPITAL EMERGENCY DEPARTMENTS AND INCREASING RATES OF SUICIDE. SPECIFIC CHALLENGES IDENTIFIED FOR RESIDENTS WITH MENTAL HEALTH DISORDER INCLUDE ACCESS BARRIERS DUE TO A SHORTAGE OF PSYCHIATRIC PROVIDERS, LONG WAIT TIMES FOR OUTPATIENT APPOINTMENTS AND LIMITED ACUTE CARE INSTITUTIONAL OPTIONS FOR SPECIAL POPULATIONS. THIS SPECIFIC TARGET POPULATION WAS IDENTIFIED IN THE 2014-2016 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT. 4. NAME OF TARGET POPULATION: INDIVIDUALS WITH SUBSTANCE USE DISORDERS.BASIS FOR SELECTION: THE IMPACT OF SUBSTANCE USE DISORDERS IS A CRITICAL HEALTH CHALLENGE FOR THE HEALTH SYSTEM AND COMMUNITY IN BARNSTABLE COUNTY. THE OVERALL RATES OF SUBSTANCE USE TREATMENT ADMISSIONS ARE HIGHER IN BARNSTABLE COUNTY THAN MA, SPECIFICALLY FOR ALCOHOL AS A PRIMARY SUBSTANCE. IN ADDITION, TREATMENT ADMISSIONS FOR OPIATES AS A PRIMARY SUBSTANCE OF USE MORE THAN DOUBLED FROM 2007 TO 2011. CHALLENGES CITED INCLUDE THE AVAILABILITY OF ACUTE DETOX AND TREATMENT OPTIONS, AND NAVIGATION OF EXISTING SERVICES. THIS SPECIFIC TARGET POPULATION WAS IDENTIFIED IN THE 2014-2016 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT. 5. NAME OF TARGET POPULATION: SENIOR POPULATION, AGES 65 AND OLDER. BASIS FOR SELECTION: BARNSTABLE COUNTYS MEDIAN AGE OF 49.9 YEARS IS MORE THAN A DECADE OLDER THAN MA AND U.S. MEDIAN AGE AVERAGES. ACCORDING TO THE 2010 U.S. CENSUS, THE POPULATION OF INDIVIDUALS OF THE AGE 65 AND OLDER REPRESENT 25% OF THE YEAR ROUND POPULATION IN BARNSTABLE COUNTY WITH A SIGNIFICANT INCREASE OF RESIDENTS OVER THE AGE OF 85 BETWEEN 2000 AND 2010. NEARLY 40% OF ALL HOUSEHOLDS REPORT A RESIDENT OVER THE AGE OF 65. HIGH UTILIZATION RATES OF HEALTH SERVICES, ISOLATION, AND CHALLENGES RELATED TO NAVIGATION OF SERVICES WERE IDENTIFIED IN THE 2014-2016 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT. 6. NAME OF TARGET POPULATION: YOUTH AND YOUNG ADULTS, AGES 15 TO 24 YEARS OLD. BASIS FOR SELECTION: YOUTH AND YOUNG ADULTS, AGES 1524 YEARS OLD, WERE IDENTIFIED IN THE 2014-2016 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AS A SPECIFIC AT-RISK POPULATION DUE TO INCREASING RATES OF SUBSTANCE ABUSE TREATMENT ADMISSIONS, SEXUALLY TRANSMITTED DISEASES AND MOTOR VEHICLE ACCIDENTS. CAPE COD HEALTHCARE COLLABORATES WITH A BROAD RANGE OF HEALTH AND HUMAN SERVICE AGENCIES TO ADDRESS THE NEEDS OF AT-RISK YOUTH AND YOUNG ADULTS. PUBLICATION OF TARGET POPULATIONS NOT SPECIFIED, OTHER- COMMUNITY HEALTH NEEDS ASSESSMENT REPORT HOSPITAL/HMO WEB PAGE PUBLICIZING TARGET POP. HTTP://WWW.CAPECODHEALTH.ORG/ABOUT/CARING-FOR-OUR-COMMUNITY/
KEY ACCOMPLISHMENTS OF REPORTING YEAR	CAPE COD HEALTHCARE CONTINUED TO STAND OUT IN THE AREA OF QUALITY, INNOVATION AND PATIENT APPRECIATION IN FY2016. CAPE COD HOSPITAL AND FALMOUTH HOSPITALS GARNERED SEVERAL IMPORTANT AWARDS AND RECOGNITIONS, INCLUDING: * AMERICA'S 100 GREAT COMMUNITY HOSPITALS: CAPE COD HOSPITAL WAS NAMED TO THE LIST OF AMERICAS 100 GREAT COMMUNITY HOSPITALS BY BECKERS HOSPITAL REVIEW FOR THE FIFTH CONSECUTIVE YEAR. THIS RECOGNITION IS BASED ON QUALITY OF CARE AND SERVICE TO OUR COMMUNITY, AND DEMONSTRATES THAT THE HOSPITAL IS SUCCESSFULLY AND CONSISTENTLY ACHIEVING TOP RESULTS IN PATIENT CARE AND SATISFACTION. * AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION GET WITH THE GUIDELINES: FALMOUTH HOSPITAL EARNED THE GET WITH THE GUIDELINES-STROKE GOLD-PLUS QUALITY ACHIEVEMENT AWARD FOR THE SEVENTH CONSECUTIVE YEAR. THIS ACHIEVEMENT RECOGNIZES THE HOSPITALS COMMITMENT AND SUCCESS IN IMPLEMENTING SPECIFIC QUALITY IMPROVEMENT MEASURES OUTLINE BY THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION FOR THE TREATMENT OF STROKE PATIENTS. * DISTINGUISHED HOSPITAL AWARD FOR CLINICAL EXCELLENCE: HEALTHGRADES RECOGNIZED BOTH CAPE COD HOSPITAL AND FALMOUTH HOSPITAL WITH ITS 2016 DISTINGUISHED HOSPITAL AWARD FOR CLINICAL EXCELLENCE. THE HONOR RECOGNIZED HOSPITALS PERFORMING IN THE TOP 5 PERCENT NATIONWIDE BASED ON RISK-ADJUSTED CLINICAL OUTCOMES FOR DOZENS OF COMMON PROCEDURES AND CONDITIONS. * BLUE DISTINCTION AWARDS: BLUE CROSS BLUE SHIELD RECOGNIZES HOSPITALS FOR DEMONSTRATED EXPERTISE IN SPECIALTY SERVICES AND QUALITY MEASURES FOR PATIENTS. CAPE COD HOSPITAL WAS RECOGNIZED FOR THE FOLLOWING SPECIALTIES: TOTAL HIP REPLACEMENT, TOTAL KNEE REPLACEMENT, MATERNITY, AND CARDIAC AND SPINE SURGERY. FALMOUTH HOSPITAL WAS RECOGNIZED FOR THE FOLLOWING SPECIALTIES: TOTAL HIP REPLACEMENT AND MATERNITY. * CENTER OF NAS EXCELLENCE: CAPE COD HOSPITAL WAS DESIGNATED A CENTER OF EXCELLENCE FOR EDUCATION AND TRAINING FOR INFANTS AND FAMILIES IMPACTED BY NEONATAL ABSTINENCE SYNDROME BY THE VERMONT OXFORD NETWORK. THE DESIGNATION IS AWARDED TO HEALTH CENTERS THAT SUCCESSFULLY TRAIN AT LEAST 85 PERCENT OF THEIR DESIGNATED CARE TEAM USING A NOVEL ONLINE TRAINING PLATFORM TO COMPLETE 17 CRITICAL, EVIDENCE-BASED LEARNING LESSONS. * LEAPFROG HOSPITAL SAFETY SCORE: CAPE COD HOSPITAL WAS ONE OF ONLY 182 HOSPITALS IN THE ENTIRE COUNTRY TO ACHIEVE STRAIGHT AS IN THE ANNUAL HOSPITAL SAFETY SCORE SINCE THE INITIATIVE WAS LAUNCHED IN 2012. FALMOUTH HOSPITAL WAS RECOGNIZED WITH A B HOSPITAL SAFETY SCORE. THE HOSPITAL SAFETY SCORE IS THE GOLD STANDARD RATING FOR PATIENT SAFETY AND IS COMPILED BY THE LEAPFROG GROUP, A NON-PROFIT HOSPITAL SAFETY WATCHDOG. * READMISSION RATES: CAPE COD HOSPITAL WAS RECOGNIZED AS AMONG THE TOP THREE HOSPITALS IN THE STATE WITH THE LOWEST READMISSION RATES IN A REPORT BY THE STATE CENTER FOR HEALTH INFORMATION AND ANALYSIS (CHIA) IN 2016. THE REPORT EXAMINED RATES AT SPECIFIC HOSPITALS AND REGIONS IN THE STATE. CCH HAS CONSISTENTLY BEEN WITHIN THE LOWEST QUARTILE FOR READMISSION RATES OVER THE PAST SEVERAL YEARS. * STANDARD & POORS RAISES CCHC BOND RATING: STANDARD & POORS RATINGS SERVICES REAFFIRMED ITS LONG-TERM "A" RATING FOR CAPE COD HEALTHCARE. THE RATING OUTLOOK REMAINED "STABLE." S&P ATTRIBUTED THE POSITIVE RATING TO CCHC'S FINANCIAL PROFILE AS "STRONG, WITH CONSISTENTLY HEALTHY FINANCIAL OPERATING PERFORMANCE IN RECENT YEARS." STANDARD & POOR'S IS A NATIONALLY RECOGNIZED STATISTICAL RATING ORGANIZATION DESIGNATED BY THE SECURITIES AND EXCHANGE COMMISSION. IN ADDITION TO CLINICAL ACHIEVEMENTS, HOSPITAL-BASED AND COMMUNITY-BASED HEALTH IMPROVEMENT ACTIVITIES CONTINUED IN AN EFFORT TO ADDRESS THE HEALTH NEEDS OF BARNSTABLE COUNTY RESIDENTS. THE 2014-2016 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IMPLEMENTATION PLAN GUIDED HEALTH IMPROVEMENT AND COMMUNITY BENEFITS ACTIVITIES TO FOCUS ON FOUR KEY HEALTH PRIORITIES IDENTIFIED IN THE REPORT: CHRONIC AND INFECTIOUS DISEASE, ACCESS TO CARE, MENTAL HEALTH AND SUBSTANCE USE DISORDERS. THESE PRIORITIES WERE ADDRESSED THROUGH NEW AND EXISTING HOSPITAL PROGRAMS, COLLABORATION WITH FEDERALLY QUALIFIED HEALTH CENTERS, INVESTMENTS IN COMMUNITY-BASED HEALTH AND HUMAN SERVICE ORGANIZATIONS, AND EXPANDED REGIONAL COALITIONS AND TASK FORCE EFFORTS. CHRONIC AND INFECTIOUS DISEASE MANAGEMENT, PREVENTION, SCREENING, AND DETECTION EFFORTS WERE SUPPORTED THROUGH A VARIETY OF CCHC COMMUNITY BENEFITS ACTIVITIES. HOSPITAL EFFORTS INCLUDED CANCER SURVIVORSHIP SERVICES, ONCOLOGY SUPPORT GROUPS, PHYSICIAN-LED CANCER PREVENTION WORKSHOPS AND HEALTH FAIRS, AND CLINICAL-COMMUNITY LINKAGES FOR PATIENTS TO ACCESS COMPLEMENTARY SERVICES SUCH AS MASSAGE, ACUPUNCTURE AND NUTRITIONAL COUNSELING. CCHC INFECTIOUS DISEASE CLINICAL SERVICES COORDINATED HEPATITIS C AND HIV/AIDS SCREENING, TESTING AND DISEASE MANAGEMENT SERVICES FOR THE REGION. CCHC COMMUNITY BENEFITS PROVIDED GRANTS FOR PROJECTS INCLUDING A HPV AWARENESS CAMPAIGN FOR YOUTH, MELANOMA PREVENTION EDUCATION AT BEACHES, AND A TICK TESTING AND TICK-BORNE DISEASE SURVEILLANCE PROGRAM. CAPE COD HEALTHCARE PARTNERED WITH THE CAPE COD HUNGER NETWORK TO EXPAND A PROGRAM FOR CLIENTS OF LOCAL FOOD PANTRIES TO HELP MONITOR THEIR DIABETES AND HEART DISEASE AND ENCOURAGE NUTRITIONAL IMPROVEMENT THROUGH EDUCATION AND DISTRIBUTION OF FRESH FOOD AND VEGETABLES. THE FLAVORX PILOT PROJECT ENCOURAGED PATIENTS TO PURSUE PLANT-BASED DIETS AND OFFERED INCENTIVES TO SHOP AT LOCAL FARMERS MARKETS. HEALTHY PARKS, HEALTHY PEOPLE, A WALKING PROGRAM TO PROMOTE HEALTH AND WELLNESS FOR YEAR-ROUND AND SEASONAL RESIDENTS, AS WELL AS VISITORS TO THE CAPE, WAS CONTINUED THROUGH A PARTNERSHIP BETWEEN THE US NATIONAL PARK SERVICE, THE CAPE COD NATIONAL SEASHORE, AND CAPE COD HEALTHCARE. IMPROVING ACCESS TO CARE FOR TARGET POPULATIONS WAS SUPPORTED THROUGH NEW ACTIVITIES AND EXISTING PROGRAMS IN FY2016. IN PARTNERSHIP WITH THE CAPE AND ISLANDS EMERGENCY MEDICAL SERVICES SYSTEM, CCHC EXPANDED MEDICAL INTERPRETER SERVICES FOR LIMITED-ENGLISH SPEAKING PATIENTS IN PRE-HOSPITAL SETTINGS. THE NEW PROGRAM PROVIDES PHONE BASED INTERPRETER SERVICES TO PARAMEDICS AND FIRST RESPONDERS TO IMPROVE COMMUNICATION WITH PATIENTS UPON ARRIVAL TO A 911 CALL AND DURING TRANSPORT TO THE HOSPITAL. CCHC INTERPRETER SERVICES ALSO PROVIDED FREE MEDICAL INTERPRETER SERVICES FOR LIMITED ENGLISH SPEAKING PATIENTS IN COMMUNITY-BASED PRIMARY AND SPECIALTY CARE OFFICES ACROSS THE REGION. A CCHC GRANT TO THE BARNSTABLE COUNTY HUMAN SERVICES DEPARTMENT SUPPORTED EFFORTS TO INCREASE THE NETWORK OF VOLUNTEERS FOR THE SHINE (SERVING THE HEALTH INSURANCE NEEDS OF EVERYONE) PROGRAM ACROSS ALL 15 TOWNS IN BARNSTABLE COUNTY. IN AN EFFORT TO ENSURE A STRONG AND SKILLED WORKFORCE IN THE REGION, CAPE COD HEALTHCARE AWARDED CAPE COD COMMUNITY COLLEGE A $1 MILLION GRANT TO EXPAND LOCAL NURSING AND ALLIED HEALTH PROGRAMS. CCHC CENTERS FOR BEHAVIORAL HEALTH EXPANDED SERVICES TO INCLUDE A BEHAVIORAL HEALTH TELEMEDICINE PROGRAM AT FALMOUTH HOSPITAL, ADDICTION ASSESSMENT AND DETOX PROTOCOL CONSULTATION AT BOTH HOSPITALS AND A NEW COLLABORATIVE CASE MANAGEMENT MODEL WITH DUFFY HEALTH CENTER TO CARE FOR PATIENTS WHO ARE HOMELESS OR AT RISK OF HOMELESSNESS. CCHCS SUPPORT OF THE BEHAVIORAL HEALTH PROVIDER COALITION OF CAPE COD & THE ISLANDS RESULTED IN TRAINING 40 LOCAL LAW ENFORCEMENT OFFICERS IN MENTAL HEALTH FIRST AID AND HOSTING A BEHAVIORAL HEALTH SUMMIT ATTENDED BY MORE THAN 250 HEALTH, BUSINESS AND COMMUNITY LEADERS. SEVERAL COMMUNITY BENEFITS GRANTS WERE MADE TO EXPAND BEHAVIORAL HEALTH SERVICES IN THE COMMUNITY, INCLUDING A MENTAL HEALTH PROGRAM FOR YOUNG ADULTS AT CAPE COD COMMUNITY COLLEGE, SUPPORT GROUPS FOR SUICIDE ATTEMPT SURVIVORS, AND COUNSELING SUPPORT FOR CAREGIVERS OF INDIVIDUALS WITH ALZHEIMERS DISEASE AND DEMENTIA.
CAPE COD HEALTHCARE LEADERSHIP EFFORTS IN ADDRESSING SUBSTANCE	USE DISORDERS CONTINUED THROUGH A PLEDGE OF $2.5 MILLION IN GRANT SUPPORT TO EXPAND ACCESS TO MEDICATION ASSISTED TREATMENT AT FEDERALLY QUALIFIED HEALTH CENTERS, INCREASE CASE MANAGEMENT SUPPORT, AND IMPROVE TREATMENT NAVIGATION EFFORTS IN THE REGION. CAPE COD HOSPITAL WAS ONE OF TWO SITES AWARDED A MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH GRANT TO PILOT THE MOMS DO CARE PROGRAM. THE PROGRAM PROVIDES INTEGRATED PRENATAL AND SUBSTANCE USE TREATMENT AND PEER RECOVERY SERVICES FOR PREGNANT WOMEN WITH OPIOID USE DISORDERS. PHYSICIAN AND CLINICAL LEADERSHIP IN THE MATERNITY AND PEDIATRIC DEPARTMENT AT CAPE COD HOSPITAL ALSO LED THE EFFORT TO BECOME A DESIGNATED CENTER OF EXCELLENCE FOR EDUCATION AND TRAINING FOR INFANTS AND FAMILIES IMPACTED BY NEONATAL ABSTINENCE SYNDROME BY THE VERMONT OXFORD NETWORK. IN ADDITION, CCHC COMMUNITY BENEFITS ALSO PROVIDED GRANT FUNDING FOR YOUTH PREVENTION PROGRAMS, PARENTING IN RECOVERY CLASSES AND PEER-LED RECOVERY SUPPORT GROUPS FOR MOTHERS. CCHC STRATEGIC PARTNERSHIPS WITH THE FOUR REGIONAL FEDERALLY QUALIFIED HEALTH CENTERS FOCUSED ON ALL HEALTH PRIORITIES. GRANTS SUPPORTED EFFORTS TO EXPAND PSYCHIATRIC SERVICES AND PRIMARY CARE ACCESS, DEVELOP COMPLEX CARE MANAGEMENT PROGRAMS FOR HIGH-RISK PATIENTS AND INCREASE ACCESS FOR OFFICE-BASED OPIOID TREATMENT PROGRAMS FOR INDIVIDUALS WITH SUBSTANCE USE DISORDERS. IN ADDITION TO HOSPITAL-BASED PROGRAMS AND GRANT FUNDED COMMUNITY-BASED PROJECTS, COMMUNITY BENEFITS AND HOSPITAL STAFF CONTINUED TO PLAY LEADERSHIP ROLES IN HEALTH AND HUMAN SERVICE ORGANIZATIONS AND COALITIONS ACROSS BARNSTABLE COUNTY INCLUDING THE CAPE & ISLANDS COMMUNITY HEALTH AREA NETWORK (CHNA 27) STEERING COMMITTEE, BARNSTABLE COUNTY HUMAN SERVICES ADVISORY COUNCIL, BARNSTABLE COUNTY REGIONAL SUBSTANCE USE COUNCIL, BEHAVIORAL HEALTH PROVIDER COALITION OF CAPE COD & THE ISLANDS, QUALITY OF LIFE INITIATIVE AND THE SUBSTANCE USE IN PREGNANCY TASK FORCE. 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 OF THE THREE-YEAR IMPLEMENTATION STRATEGIES INCLUDED IN THE 20172019 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IMPLEMENTATION PLAN. COMMUNITY BENEFITS FY2017FY2019 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. 6. MAINTAIN AND DEVELOP COMMUNITY LEADERSHIP OPPORTUNITIES TO IMPROVE THE HEALTH STATUS OF THE RESIDENTS OF BARNSTABLE COUNTY INCLUDING PARTICIPATION WITH THE COMMUNITY HEALTH AREA NETWORK (CHNA 27) STEERING COMMITTEE, BEHAVIORAL HEALTH PROVIDER COALITION OF CAPE COD & THE ISLANDS, THE BARNSTABLE COUNTY HUMAN SERVICES ADVISORY COUNCIL, AND THE BARNSTABLE COUNTY REGIONAL SUBSTANCE ABUSE COUNCIL. 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 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 AS WELL AS INVEST IN NEEDED MEDICAL TECHNOLOGIES, HUMAN RESOURCES AND CLINICAL SERVICES. ABOVE ALL, WE ARE THE SAFETY NET HEALTH CARE PROVIDER FOR RESIDENTS OF BARNSTABLE COUNTY. THE DEVELOPMENT OF CAPE COD HEALTHCARES 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. MANAGEMENT OF THE PROGRAM IS THE RESPONSIBILITY OF LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS AND GRANTS ADMINISTRATION. THE COMMUNITY HEALTH COMMITTEE, A DESIGNATED SUBCOMMITTEE OF CAPE COD HEALTHCARES BOARD OF TRUSTEES, PROVIDES STRATEGIC OVERSIGHT TO THE COMMUNITY BENEFITS PROGRAM. THE COMMITTEE IS COMPRISED OF LEADERS OF HEALTH AND HUMAN SERVICES ORGANIZATIONS, COMMUNITY ADVOCACY GROUPS AND COUNTY GOVERNMENT, AS WELL AS TWO CURRENT MEMBERS OF THE CCHC BOARD OF TRUSTEES. THE COMMITTEE DEVELOPS AND RECOMMENDS POLICIES TO THE CAPE COD HEALTHCARE BOARD OF TRUSTEES REGARDING COMMUNITY BENEFITS PROGRAMS, SETS PRIORITIES, AWARDS PRIORITY GRANT FUNDING TO COMMUNITY ORGANIZATIONS, AND ADVISES ON COMMUNITY HEALTH ISSUES AND INITIATIVES.
FY 16 COMMUNITY HEALTH COMMITTEE MEMBERS:	ELEANOR CLAUS (CHAIR) CCHC BOARD MEMBER KINLIN GROVER REAL ESTATE 927 ROUTE 6A, YARMOUTHPORT, MA 02675 508.362.3000 X203 ECLAUS@KINLINGROVER.COM REPRESENTING: CCHC BOARD OF TRUSTEES SUZANNE FAY GLYNN, ESQ. CCHC BOARD MEMBER GLYNN LAW OFFICES 49 LOCUST STREET, FALMOUTH, MA 02540 508.548.8282 LJARVIS@GLYNNLAWOFFICES.COM REPRESENTING: CCHC BOARD OF TRUSTEES ELIZABETH ALBERT DIRECTOR BARNSTABLE COUNTY HUMAN SERVICES P.O. BOX 427, BARNSTABLE, MA 02630 508.375.6626 BALBERT@BARNSTABLECOUNTY.ORG REPRESENTING: COMMUNITY AT LARGE & COUNTY DEPARTMENTS KAREN CARDEIRA DIRECTOR FALMOUTH HUMAN SERVICES 65 TOWN HALL SQUARE, FALMOUTH, MA 02540 508.548.0533 KCARDEIRA@FALMOUTHHUMANSERVICES.ORG REPRESENTING: COMMUNITY AT LARGE & UPPER CAPE REGION 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: PROVINCETOWN TO PLYMOUTH WITH EMPHASIS ON CHRONIC DISEASE AND HEALTHY AGING OF THE SENIOR POPULATION KAREN GARDNER CHIEF EXECUTIVE OFFICER COMMUNITY HEALTH CENTER OF CAPE COD 107 COMMERCIAL ST., MASHPEE, MA 02649 508.477.7090 KGARDNER@CHCOFCAPECOD.ORG REPRESENTING: COMMUNITY HEALTH CENTER NETWORK & UPPER CAPE RON HOLMES 39 WADING PLACE PATH CHATHAM, MA 02663 508.726.3931 RON.HOLMES@VERIZON.COM REPRESENTING: REGIONAL BEHAVIORAL HEALTH PROVIDERS AND INITIATIVES STACIE PEUGH CHIEF EXECUTIVE OFFICER YMCA CAPE COD 2245 IYANNOUGH RD, WEST BARNSTABLE, MA 02668 508-362-6500 SPEUGH@YMCACAPECOD.ORG REPRESENTING: YOUTH DEVELOPMENT, WELLNESS, DISEASE MANAGEMENT AND PREVENTION SUSAN TRAVERS DIRECTOR TRURO COUNCIL ON AGING 7 STANDISH WAY, NORTH TRURO 02652 508-487-2462 STRAVERS@TRURO-MA.GOV REPRESENTING: SENIOR POPULATIONS & OUTER CAPE CAPE COD HEALTHCARE MEMBER: THERESA M. AHERN SENIOR VICE PRESIDENT, STRATEGY, COMMUNITY AND GOVERNMENTAL AFFAIRS CAPE COD HEALTHCARE 88 LEWIS BAY ROAD HYANNIS, MA 02601 508-862-5077 TAHERN@CAPECODHEALTH.ORG COMMUNITY BENEFITS TEAM MEETINGS THE FY2016 COMMUNITY HEALTH COMMITTEE MEETINGS WERE HELD ON THE FOLLOWING DATES: NOVEMBER 5, 2015 9:00 11:00 AM APRIL 5, 2016 4:00-5:00 PM JUNE 7, 2016 4:00-5:00 PM JULY 26, 2016 4:00-5:00 PM
COMMUNITY PARTNERS	ALZHEIMERS FAMILY CAREGIVER SUPPORT CENTER BARNSTABLE COUNTY CAPE COD COOPERATIVE EXTENSION SERVICES BARNSTABLE COUNTY HUMAN SERVICES BARNSTABLE COUNTY REGIONAL SUBSTANCE ABUSE COUNCIL BARNSTABLE COUNTY SHERIFF BEHAVIORAL HEALTH PROVIDER COALITION OF CAPE COD & THE ISLANDS BIG BROTHERS BIG SISTERS OF CAPE COD & THE ISLANDS BOYS & GIRLS CLUB OF CAPE COD CALMER CHOICE CAPE & ISLANDS EMS SYSTEMS, INC CAPE & ISLANDS UNITED WAY CAPE COD CHILD DEVELOPMENT CAPE COD CHILDRENS MUSEUM CAPE COD CHILDRENS PLACE CAPE COD COMMUNITY COLLEGE CAPE COD FOUNDATION CAPE COD HUNGER NETWORK CHILDRENS COVE COALITION FOR CHILDREN COMMUNITY DEVELOPMENT PARTNERSHIP COMMUNITY HEALTH CENTER OF CAPE COD COMMUNITY HEALTH NETWORK AREA 27 CAPE COD & ISLANDS (CHNA 27) DUFFY HEALTH CENTER FALMOUTH SERVICE CENTER FAMILY PANTRY OF CAPE COD GANDARA MENTAL HEALTH GLENNA KOHL FUND FOR HOPE GOSNOLD ON CAPE COD HARBOR COMMUNITY HEALTH CENTER - HYANNIS HELPING OUR WOMEN HOPE DEMENTIA & ALZHEIMERS SERVICES INDEPENDENCE HOUSE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH MOTHERS AND INFANTS RECOVERY NETWORK NATIONAL ALLIANCE ON MENTAL ILLNESS CAPE COD OPEN DOORWAY OF CAPE COD OUTER CAPE HEALTH SERVICES PARKINSON SUPPORT NETWORK OF CAPE COD SAIL CAPE COD SAMARITANS ON CAPE COD AND THE ISLANDS SHEAS YOUTH BASKETBALL ASSOCIATION SPECIALTY NETWORK FOR THE UNINSURED TOWN OF BARNSTABLE YOUTH COMMISSION TOWN OF YARMOUTH PARK AND RECREATIONS DEPARTMENT UNITED STATES NATIONAL PARK SERVICE AND CAPE COD NATIONAL SEASHORE UPPER CAPE SPARTANS WE CAN 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. THE GOALS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT PROJECT ARE TO MONITOR REGIONAL HEALTH DATA, ENGAGE HOSPITAL STAKEHOLDERS, PROMOTE PARTNERSHIPS BETWEEN THE HOSPITALS AND COMMUNITY ORGANIZATIONS AND DEVELOP MULTI-YEAR IMPLEMENTATION STRATEGIES TO GUIDE HOSPITAL INITIATIVES TO IMPROVE THE HEALTH OF BARNSTABLE COUNTY RESIDENTS. THE METHODOLOGY FOR CONDUCTING THE ASSESSMENT INCLUDED THE COLLECTION AND ANALYSIS OF PRIMARY AND SECONDARY HEALTH DATA, GATHERING SIGNIFICANT INPUT FROM THE COMMUNITY, AND THE IDENTIFICATION AND PRIORITIZATION OF KEY HEALTH NEEDS FOR THE REGION. OVER 20 DATA SOURCES WERE UTILIZED TO COLLECT BARNSTABLE COUNTY AND TOWN-LEVEL HEALTH STATISTICS ON DISEASE INCIDENCE AND PREVALENCE, HOSPITAL UTILIZATION, MORBIDITY AND MORTALITY, BARRIERS TO ACCESSING CARE, AND BEHAVIORAL RISK FACTORS. REGIONAL STATISTICS WERE ANALYZED AND COMPARED TO STATE AND NATIONAL STATISTICS TO IDENTIFY WHERE DEMOGRAPHIC AND HEALTH DISPARITIES EXIST. ONCE COLLECTED, STATISTICAL DATA WAS VETTED AND AUGMENTED WITH COMMUNITY INPUT. MORE THAN 140 INDIVIDUALS AND 90 COMMUNITY ORGANIZATIONS REPRESENTING LOW-INCOME, MEDICALLY UNDERSERVED AND VULNERABLE POPULATIONS PROVIDED CRITICAL INSIGHT AND FEEDBACK ON THE REGIONAL HEALTH NEEDS THROUGH KEY INFORMATION INTERVIEWS AND COMMUNITY INPUT FORUMS. THROUGH THIS COLLECTION OF DATA AND COMMUNITY INPUT THE SIGNIFICANT HEALTH NEEDS OF BARNSTABLE COUNTY RESIDENTS WERE DISTINGUISHED AND PRIORITIZED BASED ON THE FREQUENCY, URGENCY, SCOPE, SEVERITY AND MAGNITUDE OF THE IDENTIFIED ISSUES. THE SIGNIFICANT HEALTH NEEDS AND ASSOCIATED TARGET POPULATIONS IDENTIFIED THROUGH THE CHNA REPORT WILL SERVE AS THE FOUNDATION FOR COMMUNITY BENEFITS AND HOSPITAL PLANNING SPANNING FISCAL YEARS 2017-2019.
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 ALZHEIMERS 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 ABUSE 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 ATTORNEYS 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 CHILDRENS COVE COALITION FOR CHILDREN COMMUNITY ACTION COMMITTEE OF CAPE COD & THE ISLANDS COMMUNITY DEVELOPMENT PARTNERSHIP COMMUNITY HEALTH CENTER OF CAPE 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 ON CAPE COD HARBOR COMMUNITY HEALTH CENTER-HYANNIS HEALTH IMPERATIVES HEALTHY LIVING CAPE COD HELPING OUR WOMEN HOMELESS PREVENTION COUNCIL HOPE DEMENTIA & ALZHEIMERS 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 HEALTH SERVICE UNIT MASHPEE WAMPANOAG TRIBE HEALTH SERVICES 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 YMCA OF CAPE COD DATA SOURCES COMMUNITY FOCUS GROUPS, HOSPITAL, INTERVIEWS, MASSCHIP, PUBLIC HEALTH PERSONNEL, SURVEYS, CHNA
COMMUNITY BENEFITS PROGRAMS	INTERPRETER SERVICES FOR COMMUNITY-BASED PHYSICIAN OFFICES 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 BRIEF DESCRIPTION OR OBJECTIVE: CCHC COMMUNITY BENEFITS PROVIDES ANNUAL SUPPORT TO IMPROVE ACCESS TO PRIMARY AND SPECIALTY CARE FOR INDIVIDUALS WHO FACE BARRIERS TO CARE DUE TO LANGUAGE THROUGH THE COMMUNITY BASED INTERPRETER SERVICES PROGRAM. THE PROGRAM DISPATCHES FREE MEDICAL LANGUAGE INTERPRETERS TO COMMUNITY-BASED PHYSICIAN PRACTICES TO ASSIST LIMITED AND NON-ENGLISH SPEAKING PATIENTS AND THEIR FAMILIES. THE AVAILABILITY OF PROFICIENT AND PROFESSIONAL INTERPRETER SERVICES ENSURES THE DELIVERY OF SAFE, QUALITY HEALTH CARE AND POSITIVE CLINICAL OUTCOMES. TARGET POPULATION: REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, OTHER: 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: PARKINSONS DISEASE, OTHER: PREGNANCY, OTHER: PULMONARY DISEASE/TUBERCULOSIS, OTHER: SAFETY - HOME, OTHER: SEXUALLY TRANSMITTED DISEASES, OTHER: SICKLE CELL DISEASE, OTHER: SMOKING/TOBACCO, OTHER: STROKE, OTHER: UNINSURED/UNDERINSURED, OVERWEIGHT AND OBESITY, PHYSICAL ACTIVITY, RESPONSIBLE SEXUAL BEHAVIOR, SUBSTANCE ABUSE, TOBACCO USE SEX: ALL AGE GROUP: ALL ADULTS ETHNIC GROUP: ALL LANGUAGE: ALL GOAL DESCRIPTION: REDUCE LANGUAGE BARRIERS TO CARE BY PROVIDING MEDICAL INTERPRETATIONS IN COMMUNITY-BASED PRIMARY CARE AND SPECIALTY SETTINGS. GOAL STATUS: COLLABORATION WITH COMMUNITY HEALTH CENTERS AND PHYSICIAN OFFICES RESULTED IN 816 LANGUAGE INTERPRETATIONS IN FY16. APPROXIMATELY, 82 % OF REQUESTED INTERPRETATIONS WERE FOR RESIDENTS SPEAKING PORTUGUESE AND 18% FOR RESIDENTS SPEAKING SPANISH. PARTNERS PARTNER NAME, DESCRIPTION PARTNER WEB ADDRESS COMMUNITY-BASED MEDICAL OFFICES ON CAPE COD: VARIOUS HARBOR COMMUNITY HEALTH CENTER-HYANNIS: HTTP://WWW.HHSI.US/CAPE-COD/HARBOR-COMMUNITY-HEALTH-CENTER-HYANNIS/ COMMUNITY HEALTH CENTER OF CAPE COD: WWW.CHCOFCAPECOD.ORG CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED SPECIALITY NETWORK FOR THE UNINSURED: HARBOR COMMUNITY HEALTH CENTER HYANNIS 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 BRIEF DESCRIPTION OR OBJECTIVE: 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 WILL PROVIDE FREE OR SIGNIFICANTLY REDUCED SLIDING-SCALE FEES FOR OFFICE VISITS, PROCEDURES AND CONTINUED CARE OF UNINSURED AND UNDER-INSURED INDIVIDUALS. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, OTHER: ARTHRITIS, OTHER: ASTHMA/ALLERGIES, OTHER: CANCER, OTHER: CARDIAC DISEASE, OTHER: CHRONIC PAIN , OTHER: DIABETES, OTHER: FAMILY PLANNING, OTHER: HEARING, OTHER: HEPATITIS, OTHER: HYPERTENSION, OTHER: LYME DISEASE, OTHER: OSTEOPOROSIS/MENOPAUSE, OTHER: PARKINSONS DISEASE, OTHER: PREGNANCY, OTHER: PULMONARY DISEASE/TUBERCULOSIS, OTHER: STROKE, OTHER: UNINSURED/UNDERINSURED, OTHER: VISION SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL GOAL DESCRIPTION: INCREASE ACCESS TO SPECIALTY CARE FOR LOW-INCOME, UNINSURED AND UNDER-INSURED INDIVIDUALS. GOAL STATUS: THE SNU PROGRAM PROVIDED 681 PATIENT APPOINTMENTS WITH SPECIALISTS IN FY16. THE MOST UTILIZED SPECIALTIES INCLUDED UROLOGY, OPHTHALMOLOGY, EARS, NOSE AND THROAT (ENT), ORTHOPEDICS AND PODIATRY. GOAL DESCRIPTION: PROVIDE ACCESS TO SPECIALISTS FOR UNINSURED OR UNDER-INSURED RESIDENTS WHO FACE LANGUAGE BARRIERS TO CARE. GOAL STATUS: SIXTEEN PERCENT (16%) OF SNU PATIENTS REQUESTED A MEDICAL INTERPRETER. NINETY-FOUR PERCENT (94%) OF THOSE PATIENTS REQUIRED INTERPRETATION FOR PORTUGUESE AND 6% REQUIRED INTERPRETATION FOR SPANISH. GOAL DESCRIPTION: MAINTAIN REFERRAL RELATIONSHIP BETWEEN SNU PROGRAM AND FEDERALLY QUALIFIED HEALTH CENTERS IN THE REGION. GOAL STATUS: NEARLY ALL (99%) PROGRAM REFERRALS WERE MADE BY REGIONAL FEDERALLY QUALIFIED HEALTH CENTERS INCLUDING HARBOR COMMUNITY HEALTH CENTER-HYANNIS, COMMUNITY HEALTH CENTER OF CAPE COD, DUFFY HEALTH CENTER AND ISLAND HEALTH CARE. PARTNERS PARTNER NAME, DESCRIPTION PARTNER WEB ADDRESS COMMUNITY HEALTH CENTER OF CAPE COD: HTTP://WWW.CHCOFCAPECOD.ORG/ HARBOR COMMUNITY HEALTH CENTER- HYANNIS: WWW.HHSI.US DUFFY HEALTH CENTER: WWW.DUFFYHEALTHCENTER.ORG ISLAND HEALTH CARE: WWW.IHIMV.ORG CAPE COD HEALTHCARE: WWW.CAPECODHEALTH.ORG CONTACT INFORMATION: LISA GUYON, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA, 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED
PRESCRIPTION ASSISTANCE PROGRAM FOR VULNERABLE POPULATIONS:	CAPE COD HOSPITAL 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 BRIEF DESCRIPTION OR OBJECTIVE: THE PRESCRIPTION ASSISTANCE PROGRAM IS AN INITIATIVE OF CAPE COD HOSPITAL AND FALMOUTH HOSPITAL EMERGENCY, BEHAVIORAL HEALTH AND PHARMACY DEPARTMENTS AS A COMMUNITY BENEFIT TO ASSIST UNINSURED, UNDER-INSURED AND FINANCIALLY DISADVANTAGED PATIENTS WHO HAVE NO OTHER VIABLE MEANS TO PAY FOR MEDICATIONS UPON DISCHARGE FROM HOSPITAL FACILITIES. TARGET POPULATION REGIONS SAVED: 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: CAPE COD HOSPITAL AND FALMOUTH HOSPITAL EMERGENCY AND BEHAVIORAL HEALTH DEPARTMENTS PROVIDED PHARMACY VOUCHERS AND PRESCRIPTION ASSISTANCE TOTALING MORE THAN $15,500 FOR UNINSURED, UNDER-INSURED OR FINANCIALLY CHALLENGED PATIENTS. PARTNERS PARTNER NAME, DESCRIPTION PARTNER WEB ADDRESS LOCAL PHARMACIES: N/A CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601 PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED TRANSPORTATION ASSISTANCE PROGRAM FOR VULNERABLE POPULATIONS: CAPE COD HOSPITAL AND FALMOUTH HOSPITAL PROGRAM TYPE: DIRECT SERVICES STATEWIDE PRIORITY: REDUCING HEALTH DISPARITY BRIEF DESCRIPTION OR OBJECTIVE: IN AN EFFORT TO ASSIST LOW-INCOME AND VULNERABLE POPULATIONS, CAPE COD HOSPITAL AND FALMOUTH HOSPITAL PROVIDE TRANSPORTATION UPON DISCHARGE FROM EMERGENCY AND BEHAVIORAL HEALTH DEPARTMENTS, TO THOSE PATIENTS WITHOUT RESOURCES FOR TRANSPORTATION. TARGET POPULATION REGIONS SAVED: 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 OR ACCESS TRANSPORTATION TO ENSURE COMPLIANCE WITH THEIR DISCHARGE PLAN. GOAL STATUS: CAPE COD HOSPITAL AND FALMOUTH HOSPITAL EMERGENCY AND BEHAVIORAL HEALTH DEPARTMENTS PROVIDED TAXI VOUCHERS TOTALING MORE THAN $37,500 FOR UNINSURED, UNDER-INSURED OR FINANCIALLY DISADVANTAGED PATIENTS UPON DISCHARGE. PARTNERS PARTNER NAME, DESCRIPTION PARTNER WEB ADDRESS LOCAL TAXI COMPANIES: N/A CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA, 02601 PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED
DUFFY HEALTH CENTER: SUPPORTING BEHAVIORAL HEALTH SERVICES FOR	HOMELESS AND AT RISK ADULTS PROGRAM TYPE: SCHOOL/HEALTH CENTER PARTNERSHIP STATEWIDE PRIORITY: ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS BRIEF DESCRIPTION OR OBJECTIVE: THE DUFFY HEALTH CENTER PROVIDES PRIMARY CARE AND BEHAVIORAL HEALTH CARE TO HOMELESS ADULTS AND THOSE AT-RISK FOR HOMELESSNESS IN BARNSTABLE COUNTY. IN FY16, COMMUNITY BENEFITS FUNDING FROM CAPE COD HEALTHCARE SUPPORTED THE DUFFY HEALTH CENTERS BEHAVIORAL HEALTH SERVICES INCLUDING THERAPY, PSYCHIATRY AND CASE MANAGEMENT SUPPORT FOR HEALTH CENTER PATIENTS. TARGET POPULATION REGIONS SAVED: COUNTY- BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, MENTAL HEALTH, OTHER: ALCOHOL AND SUBSTANCE ABUSE, OTHER: HOMELESSNESS, OTHER: UNINSURED/UNDERINSURED, SUBSTANCE ABUSE SEX: ALL AGE GROUP: ADULT, ADULT-ELDER, ADULT-YOUNG ETHNIC GROUP: ALL LANGUAGE: ALL GOAL DESCRIPTION: TO PROVIDE BEHAVIORAL HEALTH SERVICES TO 1,200 PATIENTS. GOAL STATUS: BEHAVIORAL HEALTH SERVICES WERE PROVIDED TO MORE THAN 1,300 DUFFY HEALTH CENTER PATIENTS THROUGH 10,000 VISITS. GOAL DESCRIPTION: DUFFY HEALTH CENTER WILL PROVIDE PSYCHIATRIC SERVICES, PRIMARILY MEDICATION PRESCRIBING AND MONITORING, TO APPROXIMATELY 300 PATIENTS. GOAL STATUS: PSYCHIATRIC SERVICES, INCLUDING MEDICATION PRESCRIBING AND MONITORING, WERE PROVIDED TO 596 PATIENTS. GOAL DESCRIPTION: 100% OF ALL NEW DUFFY HEALTH CENTER PATIENTS WILL BE SCREENED FOR BEHAVIORAL HEALTH NEEDS. GOAL STATUS: APPROXIMATELY 75% OF NEW PATIENTS WERE SCREENED IN FY16. PARTNERS PARTNER NAME, DESCRIPTION PARTNER WEB ADDRESS THE DUFFY HEALTH CENTER : WWW.DUFFYHEALTHCENTER.ORG CATHOLIC SOCIAL SERVICES: HTTPS://WWW.CSSDIOC.ORG/ CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED SUPPORT GROUPS AND HEALTH EDUCATION CLASSES AT CAPE COD HOSPITAL AND FALMOUTH HOSPITAL PROGRAM TYPE: COMMUNITY EDUCATION SUPPORT GROUP STATEWIDE PRIORITY: CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS BRIEF DESCRIPTION OR OBJECTIVE: AT CAPE COD AND FALMOUTH HOSPITAL, SUPPORT GROUPS FOR BEREAVEMENT AND CANCER SURVIVORSHIP, CLASSES AND COUNSELING FOCUSED ON BREASTFEEDING AND FATHERHOOD AND HOLISTIC SERVICES TO COMPLEMENT TRADITIONAL MEDICAL CARE ARE CONDUCTED ON A REGULAR BASIS AND OPEN TO ALL MEMBERS OF THE COMMUNITY. CLASSES AND GROUPS ARE AVAILABLE TO INDIVIDUALS, FAMILIES AND CAREGIVERS AND INCLUDE IN-PERSON MEETINGS TO OFFER SUPPORT AND REASSURANCE THROUGH THEIR SPECIFIC DISEASE/HEALTH CARE SITUATION. TARGET POPULATION REGIONS SAVED: COUNTY- BARNSTABLE HEALTH INDICATOR: OTHER: ARTHRITIS, OTHER: BEREAVEMENT, OTHER: CANCER, OTHER: CHILD CARE, OTHER: CHRONIC PAIN , OTHER: DIABETES, OTHER: HOSPICE, OTHER: HYPERTENSION, OTHER: NUTRITION, OTHER: PARENTING SKILLS, OTHER: PREGNANCY, OTHER: STRESS MANAGEMENT SEX: ALL AGE GROUP: ADULT, ADULT-ELDER, ADULT-YOUNG ETHNIC GROUP: ALL LANGUAGE: ALL GOAL DESCRIPTION: PROVIDE SUPPORT GROUPS AND EDUCATIONAL ACTIVITIES FOR PATIENTS, FAMILIES AND CAREGIVERS ON A CONTINUUM OF ISSUES INCLUDING CANCER SURVIVORSHIP, PRENATAL/NEW MOTHERS AND FATHERS GROUPS, BEREAVEMENT AND CHRONIC DISEASE SELF-MANAGEMENT. GOAL STATUS: IN FY16, OVER 4,300 HOURS OF SUPPORT GROUPS AND CLASSES WERE OFFERED AND FACILITATED FOR INDIVIDUALS AND FAMILIES. INFORMATION AND RESOURCES WERE INCLUDED TO ASSIST THEM WITH THEIR SPECIFIC DISEASE OR HEALTH RELATED CIRCUMSTANCE. PARTNERS PARTNER NAME, DESCRIPTION, PARTNER WEB ADDRESS VISITING NURSES ASSOCIATION HTTP://WWW.VNACAPECOD.ORG AMERICAN CANCER SOCIETY: WWW.CANCER.ORG YMCA CAPE COD: HTTP://YMCACAPECOD.ORG/ CAPE COD HEALTHCARE: HTTP://WWW.CAPECODHEALTH.ORG/CLASSES-EVENTS/ CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED
WORKFORCE AND CAREER DEVELOPMENT INITIATIVES: CAPE COD HEALTHCARE	PROGRAM TYPE: MENTORSHIP/CAREER TRAINING/INTERNSHIP STATEWIDE PRIORITY: REDUCING HEALTH DISPARITY, SUPPORTING HEALTHCARE REFORM BRIEF DESCRIPTION OR OBJECTIVE: CAPE COD HEALTHCARE RECOGNIZES THE IMPORTANCE OF WORKFORCE DEVELOPMENT AND SUPPORTS THE OPPORTUNITY FOR STUDENTS FROM HIGH SCHOOL THROUGH GRADUATE SCHOOL TO HAVE A POSITIVE AND PROFESSIONAL EXPERIENCE THROUGH INTERNSHIPS, JOB SHADOWING AND TRAINING WITH HEALTH CARE PROVIDERS IN SEVERAL HOSPITAL DEPARTMENTS. BY TRAINING AND MENTORING STUDENTS FOR FUTURE EMPLOYMENT, WE HOPE TO SUCCESSFULLY ENGAGE INDIVIDUALS SO THEY SELECT HEALTH CARE AS A VIABLE AND ADMIRABLE VOCATION, THUS DECREASING THE POTENTIAL RISK FOR PREDICTED FUTURE SHORTAGES IN THE WORKPLACE. TARGET POPULATION REGIONS SAVED: COUNTY- BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE SEX: ALL AGE GROUP: ADULT, ADULT-YOUNG ETHNIC GROUP: ALL LANGUAGE: ALL GOAL DESCRIPTION: INCREASE THE SUPPLY OF QUALIFIED HEALTH PROFESSIONALS THROUGH OFFERING WORKFORCE AND CAREER DEVELOPMENT PARTNERSHIPS. GOAL STATUS: IN FY16, OVER 22,000 HOURS OF WORKFORCE AND CAREER DEVELOPMENT EFFORTS TOOK PLACE INCLUDING STUDENT TRAINING, MENTORING, AND JOB SHADOWING. PARTNERS PARTNER NAME, DESCRIPTION PARTNER WEB ADDRESS CAPE COD COMMUNITY COLLEGE: WWW.CAPECOD.EDU/ UPPER CAPE REGIONAL TECHNICAL SCHOOL: WWW.UPPERCAPETECH.COM/ COD REGIONAL TECHNICAL HIGH SCHOOL: HTTP://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 CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED INTEGRATING BEHAVIORAL HEALTH SERVICES WITH COMPLEX CARE MANAGEMENT AT OUTER CAPE HEALTH SERVICES PROGRAM TYPE: GRANT/DONATION/FOUNDATION/SCHOLARSHIP STATEWIDE PRIORITY: ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY, SUPPORTING HEALTHCARE REFORM BRIEF DESCRIPTION OR OBJECTIVE: CAPE COD HEALTHCARE COMMUNITY BENEFITS PROVIDED GRANT SUPPORT TO OUTER CAPE HEALTH SERVICES FOR THE EXPANSION OF COMPLEX CARE MANAGEMENT SERVICES AND INTEGRATION OF BEHAVIORAL HEALTH COUNSELING FOR HIGH-RISK PATIENTS ON THE LOWER AND OUTER CAPE. THE PROGRAM FEATURES IN-HOME VISITS FOR PATIENTS WHO ARE GEOGRAPHICALLY AND SOCIALLY ISOLATED, IMMOBILE OR WOULD OTHERWISE RELY UPON EMERGENCY MEDICAL SERVICE PROVIDERS EVEN FOR NON-URGENT CARE. TARGET POPULATION REGIONS SAVED: COUNTY- BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, MENTAL HEALTH, OTHER: ALCOHOL AND SUBSTANCE ABUSE, OTHER: ALZHEIMER DISEASE, OTHER: CANCER, OTHER: CARDIAC DISEASE, OTHER: DENTAL HEALTH, OTHER: DIABETES, OTHER: ELDER CARE, OTHER: HEPATITIS, OTHER: HIV/AIDS, OTHER: HOMEBOUND, OTHER: HOSPICE, OTHER: HYPERTENSION, OTHER: PARKINSONS DISEASE, OTHER: PULMONARY DISEASE/TUBERCULOSIS, OTHER: SAFETY, OTHER: STRESS MANAGEMENT, OTHER: UNINSURED/UNDERINSURED, SUBSTANCE ABUSE SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL GOAL DESCRIPTION: DEFINE AND IDENTIFY A HIGH-RISK POPULATION OF PATIENTS TO BENEFIT FROM INTENSIVE CASE MANAGEMENT INCLUDING HOME VISITS. GOAL STATUS: IN FY16, 110 PATIENTS WERE IDENTIFIED AND ENROLLED IN COMPLEX CASE MANAGEMENT SERVICES INCLUDING HOME VISITS. THE MAJORITY OF ENROLLED PATIENTS ARE MANAGING CHRONIC DISEASES SUCH AS DIABETES, HEART DISEASE AND COPD. GOAL DESCRIPTION: DEVELOP A MULTI-DISCIPLINARY TEAM TO MANAGE PATIENTS ENROLLED IN COMPLEX CARE MANAGEMENT SERVICES INCLUDING THE ADDITION OF A BEHAVIORAL HEALTH CASE MANAGER. GOAL STATUS: IN FY16, 35% OF ALL PATIENTS ENROLLED IN THE PROGRAM RECEIVED COORDINATION OF CARE FOR BEHAVIORAL HEALTH CONCERNS. PARTNERS PARTNER NAME, DESCRIPTION PARTNER WEB ADDRESS OUTER CAPE HEALTH SERVICES WWW.OUTERCAPE.ORG CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED
SUPPORTING THE HEALTH INSURANCE NEEDS OF EVERYONE (SHINE):	BARNSTABLE DEPARTMENT OF HUMAN SERVICES PROGRAM TYPE: GRANT/DONATION/FOUNDATION/SCHOLARSHIP STATEWIDE PRIORITY: REDUCING HEALTH DISPARITY, SUPPORTING HEALTHCARE REFORM BRIEF DESCRIPTION OR OBJECTIVE: CAPE COD HEALTHCARE COMMUNITY BENEFITS PROVIDED A GRANT TO THE REGIONAL SHINE PROGRAM TO EXPAND INFORMATION, COUNSELING AND ASSISTANCE TO BARNSTABLE COUNTY RESIDENTS WITH MEDICARE AND THEIR CAREGIVERS. TARGET POPULATION REGIONS SAVED: COUNTY- BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, OTHER: ELDER CARE, OTHER: UNINSURED/UNDERINSURED SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL GOAL DESCRIPTION: INCREASE THE NUMBER OF REGIONAL MEDICARE BENEFICIARIES ASSISTED BY THE SHINE PROGRAM. GOAL STATUS: IN FY16, SHINE SERVED 7,300 INDIVIDUALS IN BARNSTABLE COUNTY, A 13% INCREASE COMPARED TO THE PREVIOUS YEAR. GOAL DESCRIPTION: INCREASE THE NUMBER OF TRAINED SHINE VOLUNTEER COUNSELORS AVAILABLE IN COUNCIL ON AGING OFFICES AND OTHER ORGANIZATIONS. GOAL STATUS: SHINE INCREASED THE NUMBER OF TRAINED COUNSELORS IN THE REGION BY 18% IN FY16. GOAL DESCRIPTION: INCREASE THE NUMBER OF HOURS THE SHINE PROGRAM CONDUCTS OF COMMUNITY OUTREACH AND PRESENTATIONS IN THE COMMUNITY. GOAL STATUS: SHINE INCREASED THE NUMBER OF HOURS CONDUCTING OUTREACH IN THE COMMUNITY BY MORE THAN 27% COMPARED TO THE PREVIOUS YEAR. PARTNERS PARTNER NAME, DESCRIPTION PARTNER WEB ADDRESS BARNSTABLE COUNTY HUMAN SERVICES: WWW.BCHUMANSERVICES.NET/INITIATIVES/SHINE/ CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE:508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED GROWING A DEMENTIA FRIENDLY COMMUNITY: HOPE DEMENTIA AND ALZHEIMERS SERVICES PROGRAM TYPE: GRANT/DONATION/FOUNDATION/SCHOLARSHIP STATEWIDE PRIORITY: CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY BRIEF DESCRIPTION OR OBJECTIVE: CAPE COD HEALTHCARE COMMUNITY BENEFITS AWARDED A GRANT TO HOPE DEMENTIA AND ALZHEIMERS SERVICES TO OFFER COMMUNITY TRAININGS FOR CAREGIVERS AND EMERGENCY RESPONDERS TITLED ALZHEIMERS DISEASE: WHAT YOU NEED TO KNOW. TARGET POPULATION REGIONS SAVED: COUNTY- BARNSTABLE HEALTH INDICATOR: MENTAL HEALTH, OTHER: ALZHEIMER DISEASE, OTHER: ELDER CARE SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL GOAL DESCRIPTION: TRAIN 150-200 COMMUNITY FRONTLINE PROFESSIONALS WITH THE KNOWLEDGE AND RESOURCES TO CARE FOR AN INDIVIDUAL WITH ALZHEIMERS DISEASE OR AGE-RELATED DEMENTIA (ADRD). GOAL STATUS: IN FY16, 160 INDIVIDUAL PARTICIPATED IN THE HALF-DAY TRAININGS. GOAL DESCRIPTION: INCREASE THE KNOWLEDGE AND IDENTIFICATION OF RESOURCES FOR INDIVIDUALS THAT PARTICIPATED IN TRAININGS. GOAL STATUS: POST TRAINING SURVEYS DEMONSTRATED: 58% INCREASE IN UNDERSTANDING ADRD, 52% INCREASE IN UNDERSTANDING ADRD DISEASE PROGRESSION, 53% INCREASE IN KNOWLEDGE AND ABILITY TO APPLY EFFECTIVE COMMUNICATION WITH ARDRD POPULATION AND 54% INCREASED ABILITY TO MORE EFFECTIVELY HELP ADRD INDIVIDUALS AND FAMILIES MINIMIZE CRISES AND AVOID HOSPITALIZATION/READMISSIONS. PARTNERS PARTNER NAME, DESCRIPTION PARTNER WEB ADDRESS HOPE DEMENTIA & ALZHEIMER'S SERVICES: WWW. HOPEHEALTHMA.ORG/SERVICES/DEMENTIA-ALZHEIMERS-SERVICES CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02668, PHONE:508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED
FOODS TO ENCOURAGE - NUTRITION'S ROLE IN DIABETES AND	HYPERTENSION TREATMENT AND PREVENTION PILOT PROGRAM: CAPE COD HUNGER NETWORK PROGRAM TYPE: GRANT/DONATION/FOUNDATION/SCHOLARSHIP STATEWIDE PRIORITY: CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, SUPPORTING HEALTHCARE REFORM BRIEF DESCRIPTION OR OBJECTIVE: FOODS TO ENCOURAGE IS A PROGRAM TO MONITOR AND IMPROVE DIABETES AND HYPERTENSION DISEASE OUTCOMES IN LOW TO MODERATE INCOME RESIDENTS WHO ACCESS FOOD FROM CAPE FOOD PANTRIES. THE FY16 COMMUNITY BENEFITS GRANT FROM CAPE COD HEALTHCARE ALLOWED THE PROGRAM TO EXPAND FROM ONE LOCATION TO FOUR FOOD PANTRIES ACROSS CAPE COD. TARGET POPULATION REGIONS SAVED: COUNTY- BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, OTHER: CARDIAC DISEASE, OTHER: DIABETES, OTHER: HYPERTENSION, OTHER: NUTRITION, OVERWEIGHT AND OBESITY SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL GOAL DESCRIPTION: THE PROGRAM WILL EXPAND ENROLLMENT FROM 100 TO 200 PARTICIPANTS. GOAL STATUS: IN FY16, A TOTAL OF 222 PARTICIPANTS WERE REGISTERED IN THE PROGRAM. NEW PROGRAM LOCATIONS PROVIDED AN OPPORTUNITY TO REACH A BROAD DEMOGRAPHIC OF INDIVIDUALS FROM AGES 35 TO 80 YEARS OLD. GOAL DESCRIPTION: BLOOD SUGAR AND BLOOD PRESSURE MONITORING WILL SHOW IMPROVEMENTS OVER TIME WITH INCREASED INTAKE OF FRESH FRUITS AND VEGETABLES AND NUTRITION EDUCATION. GOAL STATUS: OVER 35% OF PARTICIPANTS WHO ATTENDED WEEKLY PROGRAM ACTIVITIES DEMONSTRATED IMPROVED BLOOD SUGAR LEVELS AND 2% SHOWED IMPROVEMENT IN BLOOD PRESSURE. IMPROVEMENT IN BOTH HEALTH INDICATORS VARIED BY INDIVIDUAL BUT THERE WAS A STRONG CORRELATION BETWEEN NUMBER OF ATTENDED ACTIVITIES AND A PARTICIPANTS IMPROVED HEALTH INDICATORS. PARTNERS PARTNER NAME, DESCRIPTION PARTNER WEB ADDRESS CC HUNGER NETWORK: WWW.CAPECODHUNGERNETWORK.ORG FALMOUTH SERVICE CENTER: WWW.FALMOUTHSERVICECENTER.ORG BARNSTABLE COUNTY HEALTH DEPARTMENT: WWW.BARNSTABLECOUNTYHEALTH.ORG/PROGRAMS-AND.../PUBLIC-HEALTH-NURSE CAPE COD COOPERATIVE EXTENSION: WWW.CAPECODEXTENSION.ORG CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE:508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED CAPE COD COOPERATIVE EXTENSION TICK TESTING AND DISEASE SURVEILLANCE PROJECT PROGRAM TYPE: GRANT/DONATION/FOUNDATION/SCHOLARSHIP STATEWIDE PRIORITY: CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS BRIEF DESCRIPTION OR OBJECTIVE: CAPE COD HEALTHCARE PROVIDED COMMUNITY BENEFITS FUNDING TO THE CAPE COD COOPERATIVE EXTENSION TO SUBSIDIZE A TICK TESTING AND TICK-BORNE DISEASE SURVEILLANCE PROGRAM FOR BARNSTABLE COUNTY RESIDENTS. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: OTHER: LYME DISEASE SEX: ALL AGE GROUP: ADULT ETHNIC GROUP: ALL LANGUAGE: ALL GOAL DESCRIPTION: PROMOTE TICK TESTING SERVICES TO LOCAL RESIDENTS. RESIDENTS WILL MAIL TICK TO UMASS LABORATORY OF MEDICAL ZOOLOGY AND RECEIVE EPIDEMIOLOGICAL AND INFECTION STATUS OF TICK TO SHARE WITH HEALTH CARE PROVIDER. GOAL STATUS: IN TOTAL, 309 TICKS WERE SUBMITTED BY RESIDENTS FOR TESTING. THE GREATEST NUMBER OF TICKS SUBMITTED FOR TESTING WAS DURING THE MONTHS OF MAY, JUNE AND JULY. GOAL DESCRIPTION: IDENTIFY THE EPIDEMIOLOGICAL AND INFECTION STATUS OF TICKS TESTED FROM BARNSTABLE COUNTY. GOAL STATUS: OF THE 309 TICKS TESTED, 25% TESTED POSITIVE FOR LYME DISEASE, 8% TESTED POSITIVE FOR BABESIOSIS AND 6% TESTED POSITIVE FOR ANAPLASMOSIS. PARTNERS PARTNER NAME, DESCRIPTION, PARTNER WEB ADDRESS CAPE COD COOPERATIVE EXTENSION WWW.CAPECODEXTENSION.ORG UMASS LABORATORY OF MEDICAL ZOOLOGY WWW.TICKDISEASES.ORG CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE:508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED
HEALTHY PARKS, HEALTHY PEOPLE: A WELLNESS COLLABORATION BETWEEN	CAPE COD HEALTHCARE AND THE CAPE COD NATIONAL SEASHORE PROGRAM TYPE: PREVENTION STATEWIDE PRIORITY: CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS BRIEF DESCRIPTION OR OBJECTIVE: CAPE COD HEALTHCARE COLLABORATED WITH THE CAPE COD NATIONAL SEASHORE TO PROMOTE WELLNESS, EXERCISE AND PHYSICAL ACTIVITY TO IMPROVE THE HEALTH OF CAPE COD RESIDENTS AND VISITORS. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: HYPERTENSION, OTHER: STROKE, OVERWEIGHT AND OBESITY, PHYSICAL ACTIVITY SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL GOAL DESCRIPTION: ENGAGE INDIVIDUALS IN SEASONAL WALKING AND WELLNESS PROGRAMS AIMED AT IMPROVING HEALTH OUTCOMES. GOAL STATUS: OVER 120 INDIVIDUALS PARTICIPATED IN THE SUMMER WALKING PROGRAM AT THE CAPE COD NATIONAL SEASHORE AND THE WINTER WALKING PROGRAM AT THE CAPE COD MALL. GOAL DESCRIPTION: IMPACT WELLNESS AND REDUCE BLOOD PRESSURE READINGS TO HEALTHY LEVELS FOR PROGRAM PARTICIPANTS. GOAL STATUS: THE SUMMER PROGRAM ENGAGED 61 PARTICIPANTS. THE PRE-PROGRAM AVERAGE BLOOD PRESSURE WAS 131/78 COMPARED TO THE POST-PROGRAM AVERAGE BLOOD PRESSURE OF 121/72. PARTNERS PARTNER NAME, DESCRIPTION, PARTNER WEB ADDRESS NATIONAL PARK SERVICE: WWW.NPS.GOV/.../HEALTHY-PARKS-HEALTHY-PEOPLE CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE:508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED LIVING FIT FOR YOU! CANCER WELLNESS PROGRAM AT FALMOUTH HOSPITAL PROGRAM TYPE: DIRECT SERVICES STATEWIDE PRIORITY: CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS BRIEF DESCRIPTION OR OBJECTIVE: LIVING FIT FOR YOU IS A FREE, STRUCTURED, AND MEDICALLY-SUPERVISED EXERCISE AND EDUCATION PROGRAM THAT ASSISTS INDIVIDUALS UNDERGOING TREATMENT FOR CANCER TO MANAGE FATIGUE, DE-CONDITIONING AND A LOSS OF PHYSICAL FUNCTION. 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 EXERCISE AND EDUCATION CLASSES FOR CANCER SURVIVORS OF ALL AGES. GOAL STATUS: IN FY16, 253 EXERCISE AND EDUCATION CLASSES WERE OFFERED. GOAL DESCRIPTION: PROVIDE ONE-TO-ONE WELLNESS CONSULTATIONS FOR INDIVIDUALS UNABLE TO ATTEND THE STRUCTURED EXERCISE AND EDUCATION CLASSES. GOAL STATUS: IN FY16, 68 ONE-ON-ONE EXERCISE AND EDUCATION CONSULTATIONS WERE PROVIDED TO INDIVIDUALS. PARTNERS PARTNER NAME, DESCRIPTION, PARTNER WEB ADDRESS CAPE COD HEALTHCARE: WWW.CAPECODHEALTH.ORG/CLASSES-EVENTS CAPE WELLNESS COLLABORATIVE: WWW.CAPEWELLNESS.ORG CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED
FUNCTIONAL EXPENSE NOTE	FORM 990, PART I & PART IX FUNDRAISING IS CONDUCTED ON BEHALF OF CAPE COD HEALTHCARE, INC. BY CAPE COD HEALTHCARE FOUNDATION, INC. CERTAIN OFFICERS ARE COMPENSATED BY CAPE COD HEALTHCARE, INC. FUNDS RAISED ARE REPORTED AT CAPE COD HEALTHCARE, INC. AND AFFILIATES. FORM 990, PART I, LINE 6 CAPE COD HEALTHCARE, INC.'S VOLUNTEERS INCLUDE ITS TRUSTEES. FORM 990, PART VI, LINE 2 TRUSTEES SIT ON THE BOARD OF THE FOLLOWING: EMERALD PHYSICIAN MEMBER TRUST: PHILIP MCLOUGHLIN JOEL CROWELL CAPE HEALTH INSURANCE COMPANY: MICHAEL K LAUF PATRICK J FLYNN, MD PHILIP MCLOUGHLIN SUMNER B TILTON, JR THE MEMBERS OF CAPE COD HEALTHCARE, INC.'S BOARD ALSO SIT ON THE BOARD OF CAPE COD MEDICAL OFFICE BUILDING, A FOR-PROFIT RELATED ORGANIZATION. FORM 990, PART VI, LINES 6 & 7(A) THE ORGANIZATION HAS MEMBERS/INCORPORATORS WHO ELECT THE ORGANIZATION'S TRUSTEES. FORM 990, PART VI, LINE 7(B) THE DECISIONS OF THE GOVERNING BODY THAT NEED APPROVAL BY ITS MEMBERS/INCORPORATORS INCLUDE APPROVAL OF CHANGES MADE TO THE CORPORATION'S BYLAWS AND APPROVAL WHEN THERE IS A DIVESTING OF ONE OF THE MAJOR AFFILIATES OF THE ORGANIZATION. FORM 990, PART VI, LINE 11 THE ORGANIZATION'S FORM 990 IS REVIEWED AT SEVERAL LEVELS. THE ORGANIZATION ENGAGES A PUBLIC ACCOUNTING FIRM TO ASSIST IN THE PREPARATION AND REVIEW OF ITS FORM 990 AND WHO SIGNS AS PAID PREPARER. SENIOR MANAGEMENT OF THE ORGANIZATION IS RESPONSIBLE FOR THE TIMELY PREPARATION OF FORM 990. THE COMPLETED FORM 990 IS PROVIDED TO THE FINANCE COMMITTEE AND THE ENTIRE BOARD IN ADVANCE OF THE FILING DEADLINE. FORM 990, PART VI, LINE 12 THE ORGANIZATION MAINTAINS A CONFLICT OF INTEREST POLICY AND REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THIS POLICY. ON AN ANNUAL BASIS, EACH TRUSTEE, OFFICER AND EMPLOYEE AT THE SENIOR MANAGEMENT LEVEL COMPLETES A CONFLICT OF INTEREST DISCLOSURE FORM. THE FORMS ARE REVIEWED BY CAPE COD HEALTHCARE, INC.'S ("CCHC") DIRECTOR OF CLINICAL AND RESEARCH COMPLIANCE WHO PREPARES A SUMMARY FOR CCHC'S COMPLIANCE OFFICER. ANY MATERIAL INTERESTS SO DISCLOSED ARE PRESENTED TO THE CORPORATION'S GOVERNANCE COMMITTEE FOR REVIEW AND RESOLUTION. ALL DISCLOSURE STATEMENTS SUBMITTED BY EMPLOYEES WILL BE REVIEWED BY HUMAN RESOURCES AND/OR CCHC'S DIRECTOR OF CLINICAL AND RESEARCH COMPLIANCE. FOR ANY DISCLOSURE THAT IS CONSIDERED SUBSTANTIVE THE EMPLOYEE'S AREA MANAGER WILL BE CONSULTED TO DETERMINE IF THE SITUATION IS GENERALLY ACCEPTABLE, REQUIRES FURTHER EXAMINATION AND POSSIBLE ACTION OR IS GENERALLY NOT ACCEPTABLE. ANY ACTION PLAN CREATED TO MANAGE A CONFLICT OF INTEREST WILL BE MONITORED BY THE EMPLOYEE'S AREA MANAGER OR SUPERVISOR.
FORM 990, PART VI, LINE 15	THE ANNUAL PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO, OFFICERS, EXECUTIVES AND KEY EMPLOYEES INCLUDE THE FOLLOWING: CEO - COMPENSATION WILL BE DETERMINED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES, AND WILL INCLUDE CONSIDERATION OF RELEVANT MARKET DATA FURNISHED BY A DISINTERESTED COMPENSATION CONSULTANT, AND A REVIEW OF JOB PERFORMANCE. OFFICERS, EXECUTIVES AND KEY EMPLOYEES - OFFICER, EXECUTIVE AND KEY EMPLOYEE COMPENSATION WILL BE DETERMINED BY THE CEO AND WILL INCLUDE CONSIDERATION OF RECENT RELEVANT MARKET DATA FURNISHED BY A DISINTERESTED COMPENSATION CONSULTANT, AND A REVIEW OF JOB PERFORMANCE. THE CEO'S DETERMINATION OF SUCH COMPENSATION WILL BE SUBJECT TO THE APPROVAL OF THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. THE PROCESS AND CONCLUSIONS ARE DOCUMENTED IN THE MEETING MINUTES.
FORM 990, PART VI, LINE 19	THE ORGANIZATION MAKES ITS BYLAWS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE ALSO ATTACHED TO THE ANNUALLY FILED FORM PC, A PUBLICLY DISCLOSED TAX-EXEMPT ORGANIZATION FILING FOR THE STATE OF MASSACHUSETTS. FORM 990, Part VII, Section A Title for Kevin Mulroy: Chief Medical Info Officer and Chief Quality & Safety Officer until 2/15, COO from 2/15. FORM 990, PART VII, SECTION B WITH THE EXCEPTION OF REPORTING FOR VISITING NURSE ASSOCIATION OF CAPE COD, INC, CAPE COD HEALTHCARE, INC. PAYS INDEPENDENT CONTRACTORS ON BEHALF OF ITS AFFILIATES WHO FILE AS PART OF A GROUP FORM 990 AS CAPE COD HEALTHCARE, INC. AND AFFILIATES. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES TRANSFER TO/FROM AFFILIATES 3,062,755 NET ASSETS RELEASED FROM RESTRICTION (741,182) CHANGE IN VALUE OF SPLIT INTEREST AGREEMENT 905,364 CHANGE IN VALUE BENEFICIAL INTEREST 567,014 TRANSFER OF NET ASSETS 22,000 OTHER CHANGES IN NET ASSETS 34,821 ------------ TOTAL 3,850,772
FORM 990 PART IX LINE 11G	DESCRIPTION:CONSULTING TOTAL FEES:2200000
FORM 990 PART IX LINE 11G	DESCRIPTION:INFO SYSTEMS CONSULTING TOTAL FEES:1300000
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER TOTAL FEES:4683911

Schedule R IRS990ScheduleR

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

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

US Address USAddress

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

Field	Value	IRS element (for citing)
EIN	202527971	EIN
Primary Activities	ENDOSCOPY CENTER	PrimaryActivitiesTxt
Legal Domicile State	MA	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Predominant Income Type	RELATED	PredominantIncomeTypeTxt
Share Of Total Income	$622,282	ShareOfTotalIncomeAmt
Share Of EOY Assets	$202,632	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
UBI Code V	$0	UBICodeVAmt
General Or Managing Partner	Yes (true)	GeneralOrManagingPartnerInd
Ownership	0.33000	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

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

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

Transactions Related Org TransactionsRelatedOrgGrp (17 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
VISITING NURSE ASSOCIATION OF CAPE COD INC
S	$450,000	FMV
CAPE COD HOSPITAL
S	$37,778,809	FMV
MEDICAL AFFILIATES OF CAPE COD INC
S	$1,718,619	FMV
FALMOUTH HOSPITAL ASSOCIATION INC
S	$12,674,377	FMV
JML CARE CENTER INC
S	$75,000	FMV
FALMOUTH ASSISTED LIVING INC
S	$75,000	FMV
CAPE & ISLANDS HEALTH SERVICES II INC
S	$78,000	FMV
MEDICAL AFFILIATES OF CAPE COD INC
J	$50,192	FMV
Emerald Physician Services
A	$104,205	FMV
CAPE COD HEALTHCARE FOUNDATION
Q	$1,410,558	FMV
CAPE COD HOSPITAL
Q	$266,465,034	FMV
FALMOUTH HOSPITAL ASSOCIATION INC
Q	$72,302,678	FMV
CAPE AND ISLANDS HEALTH SERVICES II INC
Q	$3,118,518	FMV
CAPE COD HUMAN SERVICES INC
Q	$961,376	FMV
JML CARE CENTER INC
Q	$6,986,010	FMV
FALMOUTH ASSISTED LIVING INC
Q	$1,722,440	FMV
MEDICAL AFFILIATES OF CAPE COD INC
Q	$30,246,992	FMV