CAPE COD HEALTHCARE INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: CAPE COD HEALTHCARE INC (EIN 90-0054984)
Tax period: 2010-10-01 to 2011-09-30
Filed: 2012-08-15
IRS object ID: 201212289349303686
Schema version: 2010v3.7
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule G
Schedule H
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R
Affiliate Listing

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-08-15T16:07:36-05:00	Timestamp
Tax Period End Date	2011-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	900054984	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	CAPE COD HEALTHCARE INC & AFFILIATES	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	CAPE	NameControl
Phone	5089578540	Phone

US Address USAddress

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

Officer Officer

Field	Value	IRS element (for citing)
Name	MICHAEL L CONNORS	Name
Title	Senior VP Finance/CFO	Title
Date Signed	2012-08-13	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	PRICEWATERHOUSECOOPERS LLP	Name
Phone	6175305000	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	MICHAEL K LAUF	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

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

Field	Value	IRS element (for citing)
Gross Receipts	678334041	GrossReceipts
Group Return For Affiliates	true	GroupReturnForAffiliates
All Affiliates Included	true	AllAffiliatesIncluded
Group Exemption Number	3901	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	WWW.CAPECODHEALTH.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Activity Or Mission Description	SEE SCHEDULE O	ActivityOrMissionDescription
Nbr Voting Members Governing Body	13	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	4974	TotalNbrEmployees
Total Nbr Volunteers	1189	TotalNbrVolunteers
Total Gross UBI	4797910	TotalGrossUBI
Net Unrelated Business Txbl Income	824627	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	15478190	ContributionsGrantsPriorYear
Contributions Grants Current Year	19646382	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	620312582	ProgramServiceRevenuePriorYear
Program Service Revenue CY	654804853	ProgramServiceRevenueCY
Investment Income Prior Year	-7436295	InvestmentIncomePriorYear
Investment Income Current Year	2002939	InvestmentIncomeCurrentYear
Other Revenue Prior Year	1984305	OtherRevenuePriorYear
Other Revenue Current Year	1834139	OtherRevenueCurrentYear
Total Revenue Prior Year	630338782	TotalRevenuePriorYear
Total Revenue Current Year	678288313	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	330384178	SalariesEtcPriorYear
Salaries Etc Current Year	346523698	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	1060710	TotalFundrsngExpCurrentYear
Other Expense Prior Year	274832630	OtherExpensePriorYear
Other Expenses Current Year	279117560	OtherExpensesCurrentYear
Total Expenses Prior Year	605216808	TotalExpensesPriorYear
Total Expenses Current Year	625641258	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	25121974	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	52647055	RevenuesLessExpensesCY
Total Assets BOY	664268451	TotalAssetsBOY
Total Assets EOY	696444171	TotalAssetsEOY
Total Liabilities BOY	288594470	TotalLiabilitiesBOY
Total Liabilities EOY	308032445	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	375673981	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	388411726	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	SEE SCHEDULE O	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	558182303	Expense
Revenue	654888254	Revenue
Description	PATIENT SERVICES - SEE SCHEDULES H AND O	Description
Total Program Service Expense	558182303	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	true	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	true	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	true	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	true	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	true	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	450	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	4974	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	true	QuidProQuoContributions
Quid Pro Quo Disclosure	true	QuidProQuoDisclosure
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	13	NbrVotingGoverningBodyMembers
Number Independent Voting Members	10	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	false	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	MA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	MICHAEL L CONNORS	NamePerson
Telephone Number	5089578540	TelephoneNumber

Address US AddressUS

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

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

Form990 Part VII Section A Form990PartVIISectionA (34 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
ROBERT BIRMINGHAM
TRUSTEE	2.0	X	0	0	0
ELEANOR CLAUS
CLERK UNTIL 5/11/TRUSTEE	2.0	X	0	0	0	X
HOWARD CROW JR
TRUSTEE	2.0	X	0	0	0
MICHAEL FISHBEIN MD
TRUSTEE - MACC	2.0	X	0	0	0
PHILIP MCLOUGHLIN
TRUSTEE	2.0	X	0	0	0
GROVER BAXLEY MD
TRUSTEE - MACC	2.0	X	131408	0	0
PATRICK MURRAY MD
TRUSTEE UNTIL 1/11	2.0	X	0	0	0
NATE RUDMAN MD
TRUSTEE	2.0	X	0	0	0
SUMNER B TILTON JR
TRUSTEE/TREASURER FROM 5/11	2.0	X	0	0	0	X
JOEL CROWELL
TRUSTEE/CLERK FROM 5/11	2.0	X	0	0	0	X
PAUL DEMEO MD
TRUSTEE	2.0	X	27225	0	0
SUZANNE GLYNN ESQ
TRUSTEE	2.0	X	0	0	0
KEVIN BRESNAHAM MD
TRUSTEE FROM 1/11	2.0	X	0	0	0
DEWITT DAVENPORT
TRUSTEE	2.0	X	0	0	0
THOMAS WROE JR
CHAIRMAN	2.0		0	0	0	X
RICHARD F SALLUZZO MD
PRESIDENT/CEO UNTIL 12/10	40.0		0	1204875	104433	X
MICHAEL K LAUF
SEE SCHEDULE O FOR TITLE	40.0		0	552726	82428	X
WILLIAM ZAMMER
INTERIM TRSR/VICE CHAIRMAN	2.0		0	0	0	X
MICHAEL L CONNORS
SENIOR VP FINANCE/CFO	40.0		0	416646	77921	X
CHRISTOPHER O'CONNOR
V.P. OF DEV. AS OF 1/19/10	40.0		0	290880	24135		X
DIANNE KOLB
CHIEF OPERATING OFFICER - VNA	40.0		0	233535	27304		X
SUSAN M WING
COO - FALMOUTH HOSPITAL	40.0		0	293741	30894		X
MICHAEL G JONES
V.P. OF LEGAL AFFAIRS	40.0		0	372739	61874		X
CHARLES R HULSE
EXECUTIVE DIRECTOR - MACC	40.0		0	218900	27289		X
DAVID RYAN
VP OF HUMAN RESOURCES	40.0		0	235742	47921		X
SHERYL CROWLEY
VP INFO SYS/CIO	40.0		0	275230	34974		X
RICHARD B ZELMAN MD
PHYSICIAN	40.0		1268819	0	34974			X
DANIEL J CANADAY MD
PHYSICIAN	40.0		612957	0	34974			X
GARY L SHAPIRO MD
PHYSICIAN	40.0		562727	0	38474			X
XIANG-YANG D GUO MD
PHYSICIAN	40.0		542228	0	37474			X
ROBERT R MCANAW MD
PHYSICIAN	40.0		536063	0	34235			X
JEFFREY S DYKENS
CONTROLLER	40.0		0	242066	34236				X
STEPHEN L ABBOTT
FORMER PRESIDENT/CEO	40.0		0	645256	0				X
LINDA HABEEB MD
FORMER MEDICAL DIRECTOR - MACC	40.0		235939	0	35866				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3917366	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	4982336	TotalReportableCompFrmRltdOrgs
Total Other Compensation	769406	TotalOtherCompensation
Number Individuals GT100 K	490	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
SEMRI INC
153 WASHINGTON STREET	BELMONT	MA	02478	MRI SERVICES	3675526
MAYO COLLABORATIVE SERVICES INC
PO BOX 9146	MINNEAPOLIS	MN	554809146	LAB SERVICES	1653262
CAPE COD ANESTHESIA ASSOCIATES
110 MAIN STREET - UNIT B	HYANNIS	MA	02601	PHYSICIAN SERVICES	1577432
NEUROSURGEONS OF CAPE COD INC
46 NORTH STREET	HYANNIS	MA	02601	PHYSICIAN SERVICES	1507881
HEALTHCARE PROVIDER SERVICES
PO BOX 9399	PROVIDENCE	RI	02940	OUTSIDE BLOOD SVCS	1081378

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	79	NumberOfContractorsGT100K
Fundraising Events	15760	FundraisingEvents
Government Grants	1510483	GovernmentGrants
All Other Contributions	18120139	AllOtherContributions
Noncash Contributions	560491	NoncashContributions
Total Contributions	19646382	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICE REVENUE	900099	630621712	630621712
LABORATORY SERVICES	621500	12215632	7926447	4289185
CHILDCARE CENTER REVENUE	624410	508725		508725
INSURANCE/AP REFUNDS	900099	3707277	3707277
PROGRAM RELATED RENTAL INCOME	900099	2118706	2118706

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	5632801	TotalRevenueColumn
Related Or Exempt Function Income	5632801	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	654804853	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1811992	TotalRevenueColumn
Exclusion	$1,811,992	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	83401	TotalRevenueColumn
Related Or Exempt Function Income	83401	RelatedOrExemptFunctionIncome

Royalties Revenue RoyaltiesRevenue

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

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	99654	Securities
Other	7892	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	99654	Securities
Other	7892	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	107546	TotalRevenueColumn
Exclusion	$107,546	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	119670	GrossIncomeFundraisingEvents
Fundraising Direct Expenses	45728	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	73942	TotalRevenueColumn
Exclusion	$73,942	ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

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

Net Income Or Loss NetIncomeOrLoss

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

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
CAFETERIA INCOME	900099	1345797	$1,345,797
EMPLOYEE PHARMACY	900099	414400	$414,400

Field	Value	IRS element (for citing)
Total Other Revenue	1760197	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	678288313	TotalRevenueColumn
Related Or Exempt Function Income	650090344	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	4797910	UnrelatedBusinessRevenue
Exclusion	$3,753,677	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	158633	Total
Program Services	27225	ProgramServices
Management And General	131408	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	505423	Total
Program Services	477605	ProgramServices
Management And General	27818	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	260196935	Total
Program Services	228869466	ProgramServices
Management And General	30691730	ManagementAndGeneral
Fundraising	635739	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	7747111	Total
Program Services	6820048	ProgramServices
Management And General	912962	ManagementAndGeneral
Fundraising	14101	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	59422132	Total
Program Services	52039917	ProgramServices
Management And General	7302653	ManagementAndGeneral
Fundraising	79562	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	18493464	Total
Program Services	16223265	ProgramServices
Management And General	2209076	ManagementAndGeneral
Fundraising	61123	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	3125605	Total
Program Services	2682178	ProgramServices
Management And General	443427	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	417744	Total
Management And General	417744	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	831537	Total
Management And General	831537	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	40409187	Total
Program Services	34616331	ProgramServices
Management And General	5792856	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	247736	Total
Program Services	226653	ProgramServices
Management And General	16475	ManagementAndGeneral
Fundraising	4608	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	3044526	Total
Program Services	2751980	ProgramServices
Management And General	287067	ManagementAndGeneral
Fundraising	5479	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	6588971	Total
Program Services	5700632	ProgramServices
Management And General	862708	ManagementAndGeneral
Fundraising	25631	Fundraising

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	14659329	Total
Program Services	12640065	ProgramServices
Management And General	2019264	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	2197752	Total
Program Services	2108208	ProgramServices
Management And General	83778	ManagementAndGeneral
Fundraising	5766	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	332402	Total
Program Services	292926	ProgramServices
Management And General	39476	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	9048906	Total
Program Services	7742390	ProgramServices
Management And General	1306516	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	33365035	Total
Program Services	28510422	ProgramServices
Management And General	4854613	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	23051788	Total
Program Services	19937736	ProgramServices
Management And General	3111852	ManagementAndGeneral
Fundraising	2200	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	5182419	Total
Program Services	4589851	ProgramServices
Management And General	592262	ManagementAndGeneral
Fundraising	306	Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	FundraisingFundraising	Management And GeneralManagementAndGeneral
PROFESSIONAL FEES	1073899	1068678	5221
PURCHASED SERVICES	3822136	3686295	21216	114625
BAD DEBTS	14317672	14317672
MEDICAL SUPPLIES	87458103	87458103
SUPPLIES	6955421	6086865	19388	849168

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	22987392	Total
Program Services	19307792	ProgramServices
Management And General	3499230	ManagementAndGeneral
Fundraising	180370	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	625641258	Total
Program Services	558182303	ProgramServices
Management And General	66398245	ManagementAndGeneral
Fundraising	1060710	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	9262404	BOY
EOY	9379211	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	22183197	BOY
EOY	28861444	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	12632625	BOY
EOY	12959162	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	55044333	BOY
EOY	63151599	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	938528	BOY
EOY	2517951	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	8262112	BOY
EOY	8769838	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	3299569	BOY
EOY	3954064	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	573106733	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	321501446	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	239961850	BOY
EOY	251605287	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	249594607	BOY
EOY	250549656	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
EOY	21499	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	63089226	BOY
EOY	64674460	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	664268451	BOY
EOY	696444171	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	59512013	BOY
EOY	67775937	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	29907	BOY
EOY	13408	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	169235869	BOY
EOY	162966917	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	111497	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	59705184	BOY
EOY	77276183	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	288594470	BOY
EOY	308032445	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	290636416	BOY
EOY	315843107	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	58473635	BOY
EOY	46462504	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	26563930	BOY
EOY	26106115	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	375673981	BOY
EOY	388411726	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	664268451	BOY
EOY	696444171	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	52647055	ReconcilationRevenueExpenses
Reconcilation Other Changes	-39909310	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$1	OtherActivitiesAmount
Total Lobbying Expenditures IIB	1	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3
Form4720 Filed4912 Tax	false	Form4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	PART II-B, LINE 1I	Identifier
Return Reference	FALMOUTH HOSPITAL ASSOCIATION, INC. AND CAPE COD HOSPITAL PAY MEMBERSHIP	ReturnReference
Explanation	DUES TO THE MASSACHUSETTS HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION WHICH MAY ENGAGE IN LOBBYING ACTIVITIES. THEREFORE, A PORTION OF THE DUES MAY BE ATTRIBUTABLE TO LOBBYING ACTIVITIES.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Protection Of Natural Habitat	X	ProtectionOfNaturalHabitat
Preservation Of Open Space	X	PreservationOfOpenSpace
Total Number Of Easements	1	TotalNumberOfEasements
Total Acreage	13.07	TotalAcreage
Nmbr Hist Struct Easements	0	NmbrHistStructEasements
Nmbr Hist Struct Easements After	0	NmbrHistStructEasementsAfter
Nmbr Easements Modified	0	NmbrEasementsModified
Nmbr States In Which Easements Held	1	NmbrStatesInWhichEasementsHeld
Written Policy Monitoring	false	WrittenPolicyMonitoring
Staff Hours Spent On Enforcement	1.00	StaffHoursSpentOnEnforcement
Expenses Incurred For Enforcement	400	ExpensesIncurredForEnforcement
Sect170h Requirements Satisfied	false	Sect170hRequirementsSatisfied
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	34043109	BeginningOfYearBalance
Contributions	361842	Contributions
Investment Earnings Or Losses	-1080437	InvestmentEarningsOrLosses
Other Expenditures	685875	OtherExpenditures
End Of Year Balance	32638639	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	31383995	BeginningOfYearBalance
Contributions	1110670	Contributions
Investment Earnings Or Losses	2116186	InvestmentEarningsOrLosses
Other Expenditures	567742	OtherExpenditures
End Of Year Balance	34043109	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	31217343	BeginningOfYearBalance
Contributions	760805	Contributions
Investment Earnings Or Losses	148865	InvestmentEarningsOrLosses
Other Expenditures	743018	OtherExpenditures
End Of Year Balance	31383995	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.21000	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.79000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.00000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	true	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	true	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	23203910	OtherCostOrOtherBasis
Book Value	23203910	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	293123428	OtherCostOrOtherBasis
Depreciation	115735577	Depreciation
Book Value	177387851	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3053818	OtherCostOrOtherBasis
Depreciation	2141911	Depreciation
Book Value	911907	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	239652044	OtherCostOrOtherBasis
Depreciation	197749328	Depreciation
Book Value	41902716	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	14073533	OtherCostOrOtherBasis
Depreciation	5874630	Depreciation
Book Value	8198903	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	251605287	TotalOfBookValueLandBuildings
Financial Derivatives		FinancialDerivatives
Closely Held Equity Interests		CloselyHeldEquityInterests

Other Securities OtherSecurities (5 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
LONG-TERM INVESTMENTS	170787103	F
AGREEMENT / INDENTURE	21642641	F
TEMP RESTRICTED INVESTMENTS	32066371	F
PERM RESTRICTED INVESTMENTS	19559802	F
TRUST	6493739	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	250549656	TotalOfBookValueSecurities

Other Assets OtherAssets (5 entries)

DescriptionDescription	Book ValueBookValue
DUE FROM AFFILIATES	49993260
NET DEFFERED FINANCING COSTS	5411205
GOODWILL	7980353
EST SETTLEMENTS W/ 3RD PARTIES	1031731
OTHER ASSETS	257911

Field	Value	IRS element (for citing)
Total Book Value Other Assets	64674460	TotalBookValueOtherAssets
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescription	AmountAmount
FHA SERIES A SWAP INVESTMENT	$67,118
ABANDONED PROPERTY LIAB.	$20,467
DUE TO AFFILIATES	$48,637,030
EST. SETTLEMENTS W 3RD PARTIES	$18,569,697
JV SHIELDS LIABILITY	$328,612
OTHER CURRENT LIABILITIES	$479,149
OTHER LONG-TERM LIABILITIES	$9,174,110

Field	Value	IRS element (for citing)
Total Of Amounts	77276183	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifier	ExplanationExplanation
SCHEDULE D, PART II, LINE 9	THE CONSERVATION EASEMENT IS INCLUDED IN LAND ON THE BALANCE SHEET IN PART X, LINE 10.
SCHEDULE D, PART V, LINE 4	THE INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS IS TO FURTHER THE HEALTHCARE MISSION OF CAPE COD HEALTHCARE AND ITS AFFILIATES.
PART X	THE ORGANIZATION DOES NOT HAVE A FIN 48 FOOTNOTE AS ANY UNCERTAIN TAX POSITIONS WERE DEEMED IMMATERIAL.

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	Region
Number Of Offices	1	NumberOfOffices
Number Of Employees	0	NumberOfEmployees
Type Of Activities Conducted	Program Services	TypeOfActivitiesConducted
Specific Services Provided	CAPTIVE INSURANCE	SpecificServicesProvided
Total Expenditures	2872657	TotalExpenditures

Field	Value	IRS element (for citing)
Subtotal Number Of Offices	1	SubtotalNumberOfOffices
Subtotal Number Of Employees	0	SubtotalNumberOfEmployees
Total Number Of Offices	1	TotalNumberOfOffices
Total Number Of Employees	0	TotalNumberOfEmployees
Subtotal Amount Spent	2872657	SubtotalAmountSpent
Total Amount Spent	2872657	TotalAmountSpent
Transfer To Foreign Corp	false	TransferToForeignCorp
Interest In Foreign Trust	false	InterestInForeignTrust
Own Foreign Corp	true	OwnForeignCorp
Passive Foreign Invest Co	false	PassiveForeignInvestCo
Foreign Partnership	false	ForeignPartnership
Boycott Countries	false	BoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

Field	Value	IRS element (for citing)
Identifier	SCHEDULE F, PART I, COLUMN F	Identifier
Explanation	EXPENSES ARE CODED IN THE GENERAL LEDGER TO THE CAPTIVE INSURANCE COMPANY.	Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	SUMMER EVENING	NameOfEvent1
Gross Receipts Event1	135430	GrossReceiptsEvent1
Charitable Contributions Event1	15760	CharitableContributionsEvent1
Gross Revenue Event1	119670	GrossRevenueEvent1
Cash Prizes Event1	0	CashPrizesEvent1
Non Cash Prizes Event1	0	NonCashPrizesEvent1
Rent Facility Costs Event1	12696	RentFacilityCostsEvent1
Food And Beverage Event1	23476	FoodAndBeverageEvent1
Entertainment Event1	6175	EntertainmentEvent1
Other Direct Expenses Event1	3381	OtherDirectExpensesEvent1
Total Number Of Other Events	0	TotalNumberOfOtherEvents
Gross Receipts Total	135430	GrossReceiptsTotal
Charitable Contributions Total	15760	CharitableContributionsTotal
Gross Revenue Total Events	119670	GrossRevenueTotalEvents
Cash Prizes Total Events	0	CashPrizesTotalEvents
Non Cash Prizes Total Events	0	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	12696	RentFacilityCostsTotalEvents
Food And Beverage Total Events	23476	FoodAndBeverageTotalEvents
Entertainment Total Events	6175	EntertainmentTotalEvents
Other Direct Expenses Total Events	3381	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	45728	DirectExpenseSummaryEvents
Net Income Summary	73942	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	false	ExpensesExceededBudget
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	11345850	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8903157	DirectOffsettingRevenue
Net Community Benefit Expense	2442693	NetCommunityBenefitExpense
Percent Of Total Expense	0.00400	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	28793296	TotalCommunityBenefitExpense
Direct Offsetting Revenue	18179337	DirectOffsettingRevenue
Net Community Benefit Expense	10613959	NetCommunityBenefitExpense
Percent Of Total Expense	0.01740	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	34376508	TotalCommunityBenefitExpense
Direct Offsetting Revenue	26002240	DirectOffsettingRevenue
Net Community Benefit Expense	8374268	NetCommunityBenefitExpense
Percent Of Total Expense	0.01370	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	74515654	TotalCommunityBenefitExpense
Direct Offsetting Revenue	53084734	DirectOffsettingRevenue
Net Community Benefit Expense	21430920	NetCommunityBenefitExpense
Percent Of Total Expense	0.03510	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1018505	TotalCommunityBenefitExpense
Net Community Benefit Expense	1018505	NetCommunityBenefitExpense
Percent Of Total Expense	0.00170	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	558757	TotalCommunityBenefitExpense
Direct Offsetting Revenue	167807	DirectOffsettingRevenue
Net Community Benefit Expense	390950	NetCommunityBenefitExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	76696293	TotalCommunityBenefitExpense
Direct Offsetting Revenue	53376790	DirectOffsettingRevenue
Net Community Benefit Expense	23319504	NetCommunityBenefitExpense
Percent Of Total Expense	0.03810	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	876572	TotalCommunityBenefitExpense
Net Community Benefit Expense	876572	NetCommunityBenefitExpense
Percent Of Total Expense	0.00140	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	79150127	TotalCommunityBenefitExpense
Direct Offsetting Revenue	53544597	DirectOffsettingRevenue
Net Community Benefit Expense	25605531	NetCommunityBenefitExpense
Percent Of Total Expense	0.04180	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	153665781	TotalCommunityBenefitExpense
Direct Offsetting Revenue	106629331	DirectOffsettingRevenue
Net Community Benefit Expense	47036451	NetCommunityBenefitExpense
Percent Of Total Expense	0.07690	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	2184	TotalCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	35000	TotalCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	743246	TotalCommunityBuildingExpense
Percent Of Total Expense	0.00120	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	780430	TotalCommunityBuildingExpense
Percent Of Total Expense	0.00120	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$7,898,351	BadDebtExpenseAmount
Amount Attributable To	394918	AmountAttributableTo
Amount Reimbursed By Medicare	206084077	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	191327407	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	14756670	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Organization Profit Or OwnershipOrganizationProfitOrOwnership	Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership	Description Ent Primary ActivityDescriptionEntPrimaryActivity
CAPE COD RADIATION
0.50000	0.00000	0.00000
THERAPY SERVICESLLC
			RADIATION THERAPY

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	2	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Er24 HoursEr24Hours
CAPE COD HOSPITAL
1	27 PARK STREET	HYANNIS	MA	02601	X	X	X
FALMOUTH HOSPITAL ASSOCIATION INC
2	100 TER HEUN DRIVE	FALMOUTH	MA	02540	X	X	X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumber
CAPE COD HOSPITAL
1
FALMOUTH HOSPITAL ASSOCIATION INC
2

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	49	NumberOfOtherFacilities

Other Facilities OtherFacilities (49 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
CAPE COD HEALTHCARE CORP
88 Lewis Bay Rd	Hyannis	MA	02601	administrative
Fontaine Medical Center
525 Long Pond Drive	HARWICH	MA	02645	medical group practice
Medical Affiliates of Cape Cod - Bourne
1 Trowbridge Road Suite 100	BOURNE	MA	02532	medical group practice
Bramblebush Medical Group
21 Bramblebush Park	FALMOUTH	MA	02540	medical group practice
Guo X Y David MD PhD
37 Edgerton Drive	North Falmouth	MA	02556	medical group practice
Koehler & Feuer
130 North Street	HYANNIS	MA	02601	medical group practice
Harris Scott MD
1 Trowbridge Road	Bourne	MA	02532	medical group practice
Manning Jr William J MD
700 Attucks Lane Suite 1A	HYANNIS	MA	02601	medical group practice
Seaside Pediatrics
150 Ansel Hallet Road	West Yarmouth	MA	02673	medical group practice
Fontaine - Walk-In
525 Long Pond Drive	Harwich	MA	02645	medical group practice
Elmer David B MD
60 Park Street	HYANNIS	MA	02601	medical group practice
Medical Affiliates of Cape Cod -SandwicH
2 Jan Sebastian Way	Sandwich	MA	02563	medical group practice
Shapiro Gary MD
One Lynxholm Court	Hyannis	MA	02601	medical group practice
Hass Family Medicine Hass Joel J MD
130 North Street	Hyannis	MA	02601	medical group practice
Endocrine Center of Cape Cod
40 Quinlan Way 2nd Fl Suite 206	Hyannis	MA	02601	medical group practice
Ferley - Neurology
40 Quinlan Way 2nd Fl Suite 206	HYANNIS	MA	02601	medical group practice
Surgical Associates of Falmouth
90 Ter Heun Drive 3rd Fl	Falmouth	MA	02540	medical group practice
Yarmouth Internists
257 Station Avenue	SOUTH YARMOUTH	MA	02664	medical group practice
Litterer William E III DO FACP
360 Gifford Street Unit 2	FALMOUTH	MA	02540	medical group practice
Rymzo Walter T Jr MD
171 Main Street	HYANNIS	MA	02601	medical group practice
Malaquias Stephen MD
257 Station Avenue	South Yarmouth	MA	02664	medical group practice
Mannal Practice
700 Attucks Lane Suite 1A	HYANNIS	MA	02601	medical group practice
Theodore A Calianos II MD
5 Industrial Drive Suite 109	MASHPEE	MA	02649	medical group practice
Cape Cod Pediatrices
55 Route 130	Forestdale	MA	02644	medical group practice
Nauset Family Practice
81 Old Colony Way D	ORLEANS	MA	02653	medical group practice
Barnett Practice
348 Gifford Street 3	Falmouth	MA	02540	medical group practice
O'Connor Practice
107 County Road	North Falmouth	MA	02556	medical group practice
Devin McManus Medical Practice
10 Bramble Bush Drive	FALMOUTH	MA	02540	medical group practice
Baxley Practice
51 Ocean Avenue	Cataumet	MA	02534	medical group practice
Visiting Nurse Association of Cape Cod
255 Independence Drive	HYANNIS	MA	02601	home health
Cape Health Insurance Company - FOREIGN
C/O CCHC 25 COMMUNICATION WAY	HYANNIS	MA	02601	administrative
Healthcare Foundation
One Financial Place 297 North Stre	Hyannis	MA	02601	administrative
Healthcare Foundation
Homeport 348C Gifford Street	FALMOUTH	MA	02540	ADMINISTRATIVE
JML Care Center
184 Ter Heun Drive	falmouth	MA	02540	skilled nur & rehab
Cape & Islands Health Services II
14 Yellow Brick Road	HYANNIS	MA	02601	COLLECTION CENTER
Cape & Islands Health Services II
5 Industrial Drive Suite 102	MASHPEE	MA	02649	COLLECTION CENTER
Cape & Islands Health Services II
200 Jones Road	FALMOUTH	MA	02540	COLLECTION CENTER
Cape & Islands Health Services II
525 Long Pond Drive	HARWICH	MA	02645	COLLECTION CENTER
Cape & Islands Health Services II
81 Old Colony Way	ORLEANS	MA	02653	COLLECTION CENTER
Cape & Islands Health Services II
2 Jan Sebastian Way Route 130	SANDWICH	MA	02563	COLLECTION CENTER
Cape & Islands Health Services II
860 Route 134 Unit 2	South Dennis	MA	02660	COLLECTION CENTER
Cape & Islands Health Services II
1 Trowbridge Road	Bourne	MA	02532	COLLECTION CENTER
Cape & Islands Health Services II
68B Route 6A	SANDWICH	MA	02563	COLLECTION CENTER
Cape & Islands Health Services II
12 Bramblebush Park	FALMOUTH	MA	02540	COLLECTION CENTER
Cape & Islands Health Services II
35 Gonsalves Rd	HYANNIS	MA	02601	COLLECTION CENTER
Cape & Islands Health Services II
30 Shankpainter Road	PROVINCETOWN	MA	02657	COLLECTION CENTER
Heritage at Falmouth
140 Ter Heun Drive	FALMOUTH	MA	02540	ASSISTED LIVING
Cape Cod Human Services
460 West Main Street	HYANNIS	MA	02601	outpatient clinic
Cape Cod Medical Office Building Inc
20 Gleason Street	HYANNIS	MA	02601	administrative

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
PART I, LINE 3C	N/A	PART 1, LINE 6A N/A
PART I, LINE 7, COLUMN F	THE AMOUNT OF BAD DEBT SUBTRACTED FOR PURPOSES OF CALCULATING THE	PERCENTAGE IN LINE 7, COLUMN F WAS $14,317,672.
PART I, LINE 7	The amounts reported in the table were calculated using the ratio of	patient care cost to charges and by following the Form 990, Schedule H instructions. The total percentage of charity care and certain other community benefits at cost in the table was calculated on a group return basis as required by the Form 990 instructions, and not on a hospital-only basis.
PART III, LINE 4	The Bad debt expense (at cost) reported in part III, Line 2 was	calculated using worksheet A of the Schedule H Instructions by applying the ratio of patient care cost to charges against bad debt. Cape Cod Healthcare receives payments for services rendered from federal and state agencies (under the Medicare and Medicaid programs), managed care payors, commercial insurance companies, and patients. Patient accounts receivable are reported net of contractual allowances and reserves for denials, uncompensated care, and doubtful accounts. The level of reserves is based upon management's assessment of historical and expected net collections, business and economic conditions, trends in Federal and state governmental and private employer health care coverage and other collection indicators.
PART III, LINE 8	The costing method used to determine the Medicare (Program) Allowable	Costs were determined from specific values reported in the Medicare Cost Report representing Program Costs. The general method utilized in the cost report is to take Total Allowable Costs and divide them into Total Charges to determine a Ratio of Cost to Charges (RCC). The RCC is then multiplied by the Program Charges to determine the Program Costs. Cape Cod Hospital incurs losses on certain Medicare Services not reported on the Medicare Cost Report. These services are compensated on a "Fee Schedule" basis and are not subject to settlement on the cost report. They include Laboratory and other Diagnostic services which incur a loss of $3,972,271 and physician services in the hospital that are heavily subsidized by the hospital and incur a loss of $9,172,835. The Medicare cost of diagnostic services is determined by use of the ratio of cost to charges methodology. The Medicare cost of physician services is the product of amount disallowed on the Medicare cost report for the cost of professional services and the Medicare percent of professional fees billed. Both costs have been reduced by the amounts of direct reimbursement by Medicare.
PART III, LINE 9B	Cape Cod Healthcare provides care to patients who meet certain	criteria under its charity care policy without charge or at amounts less than its established rates. Because Cape Cod Healthcare does not pursue collection of amounts determined to qualify as charity care, such amounts are not reported as revenue. The charity care policy is based on the poverty income guidelines established by the Massachusetts Division of Healthcare Finance and Policy. If a patient is ineligible because his or her income exceeds the eligibility guidelines, any uncollectible accounts receivable balance is written off to bad debts.
IN ADDITION TO THE FACILITIES LISTED IN SECTION C, THE LICENSE OF FALMOUTH	HOSPITAL INCLUDES THE FOLLOWING FIVE SATELLITE LOCATIONS:	- FALMOUTH HOSPITAL OUTPATIENT RADIOLOGY - BOURNE HEALTH CENTER - MASHPEE HEALTH CENTER - FALMOUTH HOSPITAL REHABILITATION SERVICES - BAY RADIOLOGY OUTPATIENT DEPARTMENT FALMOUTH HOSPITAL THE LICENSE OF CAPE COD HOSPITAL INCLUDES THE FOLLOWING NINE SATELLITE LOCATIONS: - CAPE COD HOSPITAL MOBILE MRI AT FONTAINE MEDICAL CENTER - BREAST CARE/RADIOLOGY OF CAPE COD HOSPITAL - CAPE COD HOSPITAL REHABILITATION SERVICES AT WILLY'S GYM - CAPE COD HOSPITAL IMAGING SERVICES AT FONTAINE MEDICAL CENTER - PRIMARY CARE INTERNISTS - CAPE COD HOSPITAL REHABILITATION CENTER - CAPE COD HOSPITAL REHABILITATION SERVICES AT FONTAINE MEDICAL CENTER - CAPE COD HOSPITAL OB/GYN CLINIC - THE CLARK CENTER-CAPE COD HEALTHCARE CANCER SERVICES
NEEDS ASSESSMENT:		CAPE COD HEALTHCARE CONDUCTS A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT STUDY EVERY THREE YEARS. CCHC SOLICITS COMMUNITY PARTICIPATION IN THE DESIGN, DATA COLLECTION AND DEVELOPMENT OF RECOMMENDATIONS FOR THE PROGRAM. THE STUDY FINDINGS ARE THE FOUNDATION FOR PROGRAM PLANNING AND IMPLEMENTATION. IN ADDITION, THE PLAN IS UPDATED ON AN ANNUAL BASIS TO REFLECT EMERGING NEEDS BETWEEN CYCLES. CCHC SEEKS COMMUNITY FEEDBACK ABOUT THE SERVICES PROVIDED, SATISFACTION WITH SUCH SERVICES, AND SPECIFIC SERVICES NEEDED. THIS INPUT, TOGETHER WITH SECONDARY DATA FROM MULTIPLE SOURCES, IS USED TO BUILD AN AGENDA AIMED AT PROVIDING NEEDED HEALTH CARE SERVICES AND ADDITIONAL COMMUNITY-BASED PROGRAMS. CAPE COD HEALTHCARE CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT IN 2008-2009. THE ASSESSMENT, PERFORMED IN COLLABORATION WITH COMMUNITY PARTNERS FROM CAPE COD AND THE ISLANDS, CONSISTED OF DATA GATHERING AND ANALYSIS UTILIZING MULTIPLE DATA SOURCES AND HEALTH STATUS INDICATORS. THE ASSESSMENT RESULTED IN THE CREATION OF THE SALIENT HEALTH ISSUES REPORT. IN 2009 "COMMUNITY SOLUTION FORUMS" WERE ORGANIZED TO EXPLORE HOW VARIOUS POPULATIONS IN BARNSTABLE COUNTY WERE IMPACTED BY THE HEALTH ISSUES IDENTIFIED IN THE SALIENT HEALTH ISSUES REPORT. VIABLE SOLUTIONS WERE SOUGHT TO REDUCE OR ELIMINATE IDENTIFIED ISSUES. THE ASSESSMENT COMPLETED IN 2009 CONTINUES TO GUIDE THE COMMUNITY BENEFITS PROGRAM THROUGH FY12. CAPE COD HEALTHCARE BEGAN A NEW COMMUNITY HEALTH NEEDS ASSESSMENT IN FY2011. THIS STUDY WILL CONCLUDE IN FY 12 AND WILL BE THE BASIS OF COMMUNITY BENEFIT PLANNING FOR FY13 - FY15. THE FOLLOWING SOURCES WERE UTILIZED IN THE 2008-2009 COMMUNITY HEALTH NEEDS ASSESSMENT: - ASTHMA PREVENTION AND CONTROL PROGRAMS: STATE OF MASSACHUSETTS - BUREAU OF SUBSTANCE ABUSE SERVICES: MASSACHUSETTS - CAPE COD COMMISSION: OVERVIEW OF CAPE & ISLANDS POPULATION - CENTERS FOR DISEASE CONTROL AND PREVENTION - INJURY SURVEILLANCE PROGRAM: MASSACHUSETTS - JARVI REPORT 2004, CAPE & ISLAND'S BEHAVIORAL HEALTH NEEDS SURVEILLANCE AND GAPS - KEY INFORMANT INTERVIEWS - LOCAL HEALTH AGENCIES - MASSACHUSETTS CANCER REGISTRY - MASSACHUSETTS DEATHS 2000-2005 - MASSACHUSETTS HEALTH DATA CONSORTIUM - MDPH REGIONAL HEALTH STATUS INDICATORS 2007 - MONITORING THE HUMAN CONDITION STUDY 2007 BARNSTABLE COUNTY - NATIONAL INSTITUTE OF HEALTH - SENIOR MOBILITY INITIATIVE ON CAPE COD [SMICC] - U.S. CENSUS CONSULTANTS/OTHER ORGANIZATIONS (NEEDS ASSESSMENT) - BARNSTABLE COUNTY - CAPE AND ISLANDS EMS SYSTEMS, INC. - CAPE AND ISLANDS SUICIDE PREVENTION COALITION - CAPE COD IMMIGRANT CENTER - COMMUNITY ACTION COMMITTEE OF CAPE COD & ISLANDS - COUNCILS ON AGING - DUFFY HEALTH CENTER - GOSNOLD ON CAPE COD - MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH - THE BARNSTABLE HUMAN RIGHTS COMMISSION - THE CAPE AND ISLANDS COMMUNITY HEALTH NETWORK (CHNA 27) - TRI-COUNTY COLLABORATIVE FOR ORAL HEALTH EXCELLENCE DATA SOURCES (NEEDS ASSESSMENT) COMMUNITY FOCUS GROUPS, HOSPITAL, CONSUMER GROUP, INTERVIEWS, MASSCHIP, PUBLIC HEALTH PERSONNEL, SURVEYS, CHNA, OTHER - BUREAU OF SUBSTANCE ABUSE, MASS., MONITORING THE HUMAN CONDITION STUDY 2007 AND 2008, BARNSTABLE COUNTY DEPARTMENT OF HUMAN SERVICES, SALIENT HEALTH ISSUES REPORT, JUNE 2008, BARNSTABLE COUNTY, LOCAL HEALTH AGENCIES
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:	FOR THOSE PATIENTS THAT ARE UNINSURED OR UNDERINSURED, THE HOSPITAL	WILL WORK WITH THEM TO ASSIST WITH APPLYING FOR AVAILABLE FINANCIAL ASSISTANCE PROGRAMS THAT MAY COVER THEIR UNPAID HOSPITAL BILLS. IN ORDER TO ASSIST UNINSURED AND UNDERINSURED PATIENTS IN FINDING AVAILABLE AND APPROPRIATE FINANCIAL ASSISTANCE PROGRAMS, THE HOSPITAL WILL PROVIDE ALL PATIENTS WITH A GENERAL NOTICE OF THE AVAILABILITY OF PROGRAMS IN BOTH THE INITIAL BILL THAT IS SENT TO PATIENTS AS WELL AS IN GENERAL NOTICES POSTED THROUGHOUT THE HOSPITAL. THE GOAL OF THESE NOTICES IS TO INFORM PATIENTS THAT THEY MAY BE ELIGIBLE TO APPLY FOR COVERAGE WITHIN A FINANCIAL ASSISTANCE PROGRAM, SUCH AS, BUT NOT LIMITED TO, MASSHEALTH, COMMONWEALTH CARE, CHILDREN'S MEDICAL SECURITY PLAN, HEALTHY START, HEALTH SAFETY NET, OR MEDICAL HARDSHIP THROUGH THE HEALTH SAFETY NET. THE HOSPITAL WILL PROVIDE, UPON REQUEST, SPECIFIC INFORMATION ABOUT THE ELIGIBILITY PROCESS TO BE DESIGNATED A LOW INCOME PATIENT UNDER EITHER THE STATE HEALTH SAFETY NET PROGRAM OR THROUGH THE HOSPITAL'S OWN INTERNAL CHARITY CARE PROGRAM. THE HOSPITAL WILL ALSO NOTIFY THE PATIENT ABOUT PAYMENT PLANS THAT MAY BE AVAILABLE TO HIM OR HER BASED ON THE SIZE OF HIS OR HER FAMILY AND FAMILY INCOME.
COMMUNITY INFORMATION	DEMOGRAPHIC OVERVIEW	THE PRIMARY SERVICE AREA FOR CCHC IS DEFINED AS THE FIFTEEN TOWNS OF BARNSTABLE COUNTY, COMMONLY KNOWN AS "CAPE COD". THE AREA IS GENERALLY VIEWED AS THE LAND MASS DISSECTED FROM THE MAINLAND BY THE CAPE COD CANAL. HOWEVER, BARNSTABLE COUNTY DOES INCLUDE SECTIONS OF BOURNE WHICH ARE LOCATED "OVER THE BRIDGES." BARNSTABLE COUNTY CONSISTS OF 396 SQUARE MILES WITH A POPULATION DENSITY OF 546 PERSONS PER SQUARE MILE IN 2010. CAPE COD IS MADE UP OF DIVERSE TOWNS AND MANY VILLAGES AND DIVIDED INTO FOUR REGIONS; UPPER CAPE, MID CAPE, LOWER CAPE AND OUTER CAPE. THE OUTER CAPE IS THE MOST RURAL AREA OF CAPE COD DUE TO ITS GEOGRAPHICAL LAYOUT, DISTANCE FROM ACUTE CARE FACILITIES AND LIMITED PUBLIC TRANSPORTATION. CCHC IS WORKING COLLABORATIVELY AND BUILDING RELATIONSHIPS WITH OUTER CAPE COMMUNITY HEALTH PROGRAMS TO IMPROVE HEALTH CARE ACCESS FOR SUCH VULNERABLE POPULATIONS. THE 2010 CENSUS REPORTED THE TOTAL YEAR-ROUND RESIDENT POPULATION FOR BARNSTABLE COUNTY AT 215,888. AFTER LEADING THE STATE IN GROWTH FOR THE LAST FEW DECADES, THE BARNSTABLE COUNTY POPULATION HAS STABILIZED. OVERALL, THE CAPE POPULATION HAS DECLINED SLIGHTLY FROM 2000 TO 2010. THE UPPER CAPE, WHICH IS THE REGION CLOSEST TO THE BRIDGE, IS THE ONLY REGION FOR WHICH THERE WAS GROWTH DURING THIS TIMEFRAME. SEASONAL ESTIMATES BY THE CAPE COD CHAMBER OF COMMERCE SUGGEST THAT THE SUMMERTIME POPULATION ROUTINELY REACHES OVER 500,000 AS A RESULT OF SUMMER RESIDENTS AND VACATIONERS VISITING THE AREA. THE MOST NOTABLE DEMOGRAPHIC CHARACTERISTIC OF THE CAPE IS THE HIGH PROPORTION OF SENIOR RESIDENTS. TWENTY-FOUR PERCENT OF THE YEAR-ROUND POPULATION IS OVER THE AGE OF 65, COMPARED TO 14% FOR THE STATE AND APPROXIMATELY 13% NATIONALLY. THIS SEGMENT IS FORECASTED TO CONTINUE TO GROW. THE 2010 MEDIAN AGE FOR A BARNSTABLE COUNTY RESIDENT IS 49.9 YEARS, THE HIGHEST IN MASSACHUSETTS, COMPARED TO A STATEWIDE MEDIAN AGE OF 39.1 YEARS. THESE DEMOGRAPHIC FACTORS PLACE SIGNIFICANT DEMANDS UPON THE SYSTEM. THEREFORE, CCHC IS ACTIVELY INVOLVED IN COMMUNITY EVENTS AND SUPPORTS PATIENT AND COMMUNITY ADVOCACY THROUGH ITS COMMUNITY BENEFITS PROGRAM.
COMMUNITY BUILDING ACTIVITIES:		COALITION BUILDING CCHC has established a formal process for strategic and operational planning with the four local federally qualified community health centers. The annual planning meeting is attended by Michael Lauf, CEO CCHC, Theresa Ahern, VP Strategy and Community/Governmental Affairs CCHC, Karen Gardner, CEO Community Health Center of Cape Cod, Heidi Nelson, CEO Duffy Health Center, Sally Deane, CEO Outer Cape Health Services, and David Reidy, Executive Director Mid Upper Cape Community Health Center and other senior staff as needed. Throughout the year, CCHC also participates in quarterly health center network meetings which focus on strategic implementation, community assessment, operational improvement and program development. Additionally, CCHC community benefits staff works with the community health centers on an ongoing basis to identify and pursue opportunities to improve collaboration in regard to outreach and education, increasing access, identifying and serving vulnerable populations, developing a medical home model, and physician recruitment. ADVOCACY CCHC is active with advocacy efforts at both the state and federal level to promote delivery of services to vulnerable populations. CCHC regularly works with community-based agencies to advance public policy in a way that recognizes those who lack health insurance or access to services or who face unique health care challenges. WORKFORCE DEVELOPMENT THE PHYSICIAN RECRUITMENT PROGRAM STRIVES TO IDENTIFY AREAS OF UNMET NEED AND IMPROVE ACCESS TO PRIMARY AND SPECIALTY CARE FOR VULNERABLE POPULATIONS, ESPECIALLY THOSE OVER 65. THROUGH RIGOROUS EFFORTS HIGHLY QUALIFIED AND COMPETENT PHYSICIANS AND PHYSICIAN EXTENDERS ARE RECRUITED AND RETAINED TO MEET THE HEALTH CARE NEEDS AND PROVIDE CARE TO THE RESIDENTS OF CAPE COD.
OTHER INFORMATION:	EVERY THREE YEARS CCHC CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT TO	DETERMINE THE HEALTH CARE NEEDS OF THE RESIDENTS OF BARNSTABLE COUNTY. THIS NEEDS ASSESSMENT HELPS IDENTIFY THE MOST VULNERABLE POPULATIONS AND GAPS IN HEALTH CARE SERVICES. RESULTS HELP DRIVE COMMUNITY BENEFITS PLANNING SUCH AS, DIRECT CLINICAL PROGRAMS, HEALTH EDUCATION, WELLNESS PROMOTION, FINANCIAL SUPPORT, HEALTH CARE SUBSIDIES AND ADVOCACY EFFORTS. THE GOAL IS TO REDUCE HEALTH DISPARITIES, INCREASE ACCESS TO QUALITY HEALTH CARE, AND IMPROVE THE HEALTH/WELLNESS OF THE COMMUNITY. THE FOLLOWING IS A LIST OF THE FY11 TARGET POPULATIONS AND PRIORITIES IDENTIFIED BY THE FY2009 NEEDS ASSESSMENT. TARGET POPULATIONS: -THE MEDICALLY UNDERSERVED, UN/UNDERINSURED AND/OR THOSE WITH HEALTH DISPARITIES. -CHRONICALLY ILL RESIDENTS AFFLICTED WITH CARDIOVASCULAR-RELATED DISEASE, DIABETES, AND/OR ORAL HEALTH ISSUES. -COMMUNITY MEMBERS AFFLICTED WITH MENTAL HEALTH AND/OR SUBSTANCE ABUSE RELATED ISSUES. - GERIATRIC POPULATION, ESPECIALLY THOSE WHO ARE AT RISK AND/OR IN HARD TO REACH AREAS. - RESIDENTS WITH EMERGING HEALTH ISSUES.
CAPE COD HEALTHCARE'S COMMUNTIY BENEFIT DEPARTMENT PROVIDED THE FOLLOWING		PROGRAMS IN FY 11: FINANCIAL COUNSELING & ASSISTANCE THE FINANCIAL ASSISTANCE AND COUNSELING PROGRAM PROVIDES COMPREHENSIVE SERVICES TO COMMUNITY MEMBERS SEEKING PUBLIC INSURANCE ENROLLMENT AND RE-VERIFICATION OF ENROLLMENT INTO MASSHEALTH, COMMONWEALTH CARE AND HEALTH SAFETY NET INSURANCE PRODUCTS. FINANCIAL COUNSELORS ARE DEDICATED TO IMPROVING ACCESS TO CARE THROUGH ELIGIBILITY SCREENING, ASSESSED AFFORDABILITY AND INCOME VERIFICATION. REACH (REACHING ELDERS WITH ADDITIONAL COMMUNITY HELP): CAPE & ISLANDS EMERGENCY MEDICAL SERVICES SYSTEM (CIEMSS) THE REACH PROGRAM COORDINATES SERVICES FOR SENIORS IN THEIR HOMES THROUGH THE PROVISION OF REFERRALS TO APPROPRIATE ORGANIZATIONS. BY WORKING IN CONJUNCTION WITH COUNCILS ON AGING, ELDER SERVICES OF CAPE COD AND THE ISLANDS, VNA, EMS AND OTHER COMMUNITY PARTNERS, ISSUES SUCH AS HEALTH, SAFETY, PSYCHOLOGICAL STATUS AND SOCIAL FUNCTIONING ARE ASSESSED, AND APPROPRIATE PLANS ARE DEVELOPED TO ACHIEVE OPTIMAL DAILY LIVING STATUS FOR SENIORS ON CAPE COD. REACH ALSO OFFERS COMMUNITY-BASED TRAININGS FOR SENIOR PROVIDERS WHICH TARGET EMERGING ISSUES AND TRENDS THAT SPECIFICALLY IMPACT SENIOR HEALTH AND WELL-BEING. REFERRALS TO 292 COMMUNITY-DWELLING FRAIL ELDERS WERE MADE TO ORGANIZATIONS WHICH PROVIDED SUPPORT SERVICES TO SENIORS RESIDING ON CAPE COD. COMMUNITY BASED INTERPRETER SERVICES THE COMMUNITY BASED INTERPRETER SERVICES PROGRAM OFFERS FREE MEDICAL LANGUAGE INTERPRETATION IN COMMUNITY-BASED PHYSICIAN PRACTICES AND AT THE COMMUNITY HEALTH CENTERS FOR THE LIMITED AND NON-ENGLISH SPEAKING PATIENTS AND THEIR FAMILIES. THE AVAILABILITY OF PROFICIENT AND PROFESSIONAL INTERPRETER SERVICES ENSURES THE DELIVERY OF SAFE QUALITY HEALTH CARE AND POSITIVE CLINICAL OUTCOMES. SPECIALTY NETWORK FOR THE UNINSURED (SNU) THE SPECIALTY NETWORK FOR THE UNINSURED (SNU) IS PROVIDED IN COLLABORATION WITH THE COMMUNITY HEALTH CENTER NETWORK THROUGH ON-SITE SPECIALTY CLINICS AND VOLUNTEER PHYSICIANS. IT OFFERS ACCESS TO SPECIALTY CARE SERVICES FOR OVER SIX HUNDRED AND FIFTY UNDER/UNINSURED INDIVIDUALS AT NO CHARGE OR ON A SIGNIFICANTLY REDUCED SLIDING-SCALE FEE. ALCOHOLISM: IT TAKES A COMMUNITY "IT TAKES A COMMUNITY" IS A COLLABORATIVE PROGRAM INTENDED TO BROADEN HOSPITAL CLINICAL STAFF KNOWLEDGE OF THE DETOXIFICATION PROCESS BY INVOLVING ADDICTION SPECIALISTS FROM GOSNOLD. ALCOHOL DEPENDENT PATIENTS AT RISK FOR WITHDRAWAL AND INCREASED INCIDENCE OF DELIRIUM TREMENS WERE IDENTIFIED BY A FALMOUTH HOSPITAL ADDICTION SPECIALIST. PATIENTS WERE REFERRED TO A GOSNOLD COUNSELOR FOR ASSESSMENT, TREATMENT AND APPROPRIATE REFERRAL. SERVICES WERE ORGANIZED TO INCLUDE MEDICAL INTERVENTION, CLINICAL COUNSELING, FAMILY SUPPORT, SPECIALTY REFERRAL PROTOCOLS AND CONTINUING EDUCATION FOR NURSES AND PHYSICIANS TO INCREASE THEIR KNOWLEDGE OF ADDICTION AND IMPROVE LINKAGES TO SPECIALTY PROGRAMS, SUCH AS GOSNOLD. AIDS SUPPORT GROUP OF CAPE COD THE AIDS SUPPORT GROUP OF CAPE COD IS A FRAMEWORK OF SERVICES FOR VULNERABLE INDIVIDUALS WHO ARE MONO-INFECTED WITH THE HEPATITIS C VIRUS. THE INITIATIVE UTILIZES A MULTIFACETED APPROACH DESIGNED TO PROVIDE CASE MANAGEMENT AND SUPPORT SERVICES TO CLIENTS RECEIVING INTERFERON-BASED TREATMENT, CLIENTS NEWLY DIAGNOSED WITH THE HEPATITIS C VIRUS AND CLIENTS WITH END-STAGE LIVER DISEASE CO-INFECTED WITH AIDS. THE CORE ELEMENTS OF THE PROGRAM ARE SCREENING, SYRINGE EXCHANGE, HARM REDUCTION, EDUCATION, DRUG OVERDOSE PREVENTION AND REFERRALS FOR TREATMENT. ACCESS TO CARE FOR HOMELESS AND AT RISK ADULTS THE DUFFY HEALTH CENTER PROVIDES ACCESS TO CARE THROUGH ASSISTANCE WITH ENROLLMENT AND RE-ENROLLMENT TO HOMELESS ADULTS AND THOSE AT-RISK FOR HOMELESSNESS INTO MASSHEALTH, COMMONWEALTH CARE, AND OTHER STATE INSURANCE PRODUCTS. CLIENTS RECEIVED ONGOING ACCESS TO CARE, INCLUDING REFERRALS TO PRIMARY CARE PHYSICIANS AND OTHER APPROPRIATE PROVIDERS TO IMPROVE CHRONIC DISEASE MANAGEMENT AND PROMOTE OLDER ADULT WELLNESS. H.O.P.E PROJECT: COMMUNITY ACTION COMMITTEE OF CAPE COD THE H.O.P.E. PROGRAM OFFERS ACCESS TO HEALTH CARE SERVICES THROUGH ENROLLMENT ASSISTANCE TO INDIVIDUALS AND FAMILIES. THE PROGRAM COORDINATOR OFFERS ASSESSMENT OF AFFORDABILITY AND INCOME VERIFICATION TO DETERMINE THE CLIENT'S ABILITY TO OBTAIN MASSHEALTH, COMMONWEALTH CARE, AND OTHER STATE INSURANCE PLANS. THE COORDINATOR ALSO SERVES AS A REFERRAL SOURCE TO PRIMARY CARE PHYSICIANS, OTHER HEALTH AND HUMAN SERVICE ORGANIZATIONS. EDUCATIONAL OPPORTUNITIES EXIST FOR OPTIMIZING THE IDENTIFICATION OF SERVICES AVAILABLE TO ADDRESS THE CLIENTS' UNMET NEEDS. DETERMINATION OF NEED: OFFICE BASED OPIOID TREATMENT PROGRAM (OBOT) THE DUFFY HEALTH CENTER DEVISED AN INTEGRATED MODEL TO PROVIDE THE EVIDENCED-BASED PRACTICE OF OFFICE-BASED OPIOID TREATMENT (OBOT) IN 2009, WITH THE OBJECTIVE OF PROGRAM EXPANSION TO MEMBERS OF THE COMMUNITY HEALTH CENTER NETWORK (CHCN) BY 2011. THE DUFFY HEALTH CENTER (DHC), THE COMMUNITY HEALTH CENTER OF CAPE COD (CHCCC) AND OUTER CAPE HEALTH SERVICES (OCHS) COMPRISE THE GROUP OF CENTERS WHICH FOCUS ON ADDRESSING THE IDENTIFIED HIGH ADDICTION RATES ON CAPE COD. EACH COMMUNITY HEALTH CENTER HAS A SPECIALTY TEAM OF HIGHLY TRAINED PHYSICIANS AND NURSE PRACTITIONERS WHICH MONITOR PATIENTS CLOSELY FOR ADHERENCE TO THEIR TREATMENT PLANS TO ADDRESS THIS VERY COMPLEX ISSUE. DETERMINATION OF NEED: CHNA 27 TOTAL FUNDING OF $401,000 HAS BEEN DESIGNATED TO ADDRESS ISSUES THAT ELIMINATE HEALTH DISPARITIES, PROMOTE WELLNESS, AND PREVENT/MANAGE CHRONIC DISEASE FOR INDIVIDUALS WHO ARE ELDERLY AND/OR PERSONS WITH DISABILITIES. THIS POPULATION WAS IDENTIFIED THROUGH A COMMUNITY HEALTH NEEDS ASSESSMENT BY CAPE COD HEALTHCARE AND ENDORSED BY THE COMMUNITY HEALTH NETWORK AREA 27 (CAPE COD AND THE ISLANDS). PRESCRIPTION ASSISTANCE PROGRAM THE PRESCRIPTION ASSISTANCE PROGRAM IS A JOINT INITIATIVE OF CAPE COD HOSPITAL AND FALMOUTH HOSPITAL EMERGENCY ROOMS AND PHARMACY DEPARTMENTS AS A COMMUNITY BENEFIT TO HELP UNINSURED OR UNDERINSURED PATIENTS WHO HAVE NO OTHER VIABLE MEANS TO PAY FOR MEDICATIONS UPON DISCHARGE FROM THE ER. LAST YEAR PHARMACY VOUCHERS TOTALING OVER $23,000 WERE PROVIDED TO PATIENTS THAT MET THE FINANCIAL CRITERIA. THIS INITIATIVE ENSURES PATIENTS ARE ABLE TO COMPLY WITH THEIR DISCHARGE PLAN. TRANSPORTATION ASSISTANCE PROGRAM CAPE COD HOSPITAL AND FALMOUTH HOSPITAL PROVIDED TRANSPORTATION THROUGH ISSUANCE OF $21,500 WORTH OF TAXI VOUCHERS TO ASSIST FINANCIALLY CHALLENGED PATIENTS WHO ARE BEING DISCHARGED FROM THE EMERGENCY ROOMS AND ARE WITHOUT RESOURCES FOR BEING TRANSPORTED TO THEIR DESTINATION. KICK BUTTS - SMOKING CESSATION PROGRAM CAPE COD HEALTHCARE OFFERS FREE AND REDUCED-FEE PERSONALIZED TOBACCO CESSATION CLASSES. CLASSES FOCUS ON EDUCATING AND MOTIVATING PARTICIPANTS TO STOP UTILIZING USING TOBACCO. THE SIX-WEEK SMOKING CESSATION PROGRAMS OCCUR AT CONVENIENT LOCATIONS IN ORDER TO ACCOMMODATE POTENTIAL PARTICIPANTS. CERTIFIED SMOKING CESSATION EXPERTS FACILITATE THE PROGRAMS. SESSIONS ARE INTERACTIVE AND GROUP SIZES VARY FROM FIVE TO FIFTEEN. CANCER SURVIVORSHIP PROGRAM THE CANCER SURVIVORSHIP PROGRAM AT CAPE COD HEALTHCARE ENCOMPASSES SUPPORT, INFORMATION AND RESOURCES OFFERED TO INDIVIDUALS, FAMILIES AND FRIENDS THROUGH IN-PERSON MEETINGS AND PHONE CONTACT. SUPPORT GROUPS ARE OFFERED ON A MONTHLY BASIS, IN ADDITION TO EDUCATION AND OUTREACH TO ORGANIZATIONS AND THEIR MEMBERSHIP TO INCREASE THE KNOWLEDGE AND AWARENESS OF SURVIVORSHIP. AN ANNUAL "CELEBRATION OF LIFE" EVENT IS ORGANIZED TO EMPHASIZE THE IMPORTANCE OF SUPPORTING SURVIVORS BEYOND THEIR RECOVERY. COMMUNITY-BASED HEALTH EDUCATION AND OUTREACH CAPE COD HEALTHCARE IS COMMITTED TO PROVIDING FREE HEALTH EDUCATION AND OUTREACH IN ORDER TO ENHANCE AND PROMOTE WELLNESS, CONTRIBUTE TO THE PREVENTION OF ILLNESS AND IMPROVE THE MANAGEMENT OF CHRONIC DISEASE. HEALTH CARE PROFESSIONALS, INCLUDING PHYSICIANS AND NURSES, PROVIDE THE MOST UP-TO-DATE HEALTH AND DISEASE MANAGEMENT INFORMATION TO THE COMMUNITY AT LARGE IN ORDER TO INCREASE THEIR AWARENESS OF STRATEGIES WHICH MAY IMPROVE THEIR HEALTH STATUS AND WELL-BEING. HELPING HANDS PROGRAM THE HELPING HANDS PROGRAM OFFERS MEDICATION REVIEW AND OPTIMIZATION WITH A CLINICAL PHARMACIST IN THE PATIENT'S HOME FOR HIGH-RISK PATIENTS BEING DISCHARGED WITH A CHRONIC DISEASE, FIVE OR MORE MEDICATIONS, MULTIPLE REGIMEN CHANGES, AND WHEN AN INCREASE FALL RISK HAS BEEN IDENTIFIED. PATIENTS AND THEIR CAREGIVERS ARE PROVIDED COACHING ON SELF-MANAGEMENT OF THEIR CHRONIC DISEASE, MEDICATION MANAGEMENT AND EVALUATION FOR FALL RISK AND HOME SAFETY. SUPPORT GROUPS AND CLASSES SUPPORT GROUPS AND CLASSES ARE CONDUCTED BY HEALTH CARE PROFESSIONALS ON A REGULAR BASIS. THESE EVENTS WERE OPEN TO ALL MEMBERS OF THE COMMUNITY REGARDLESS OF THEIR PATIENT STATUS OR TIES TO A SPECIFIC HOSPITAL. INFORMATION AND RESOURCES WERE MADE AVAILABLE TO INDIVIDUALS, FAMILIES AND FRIENDS. WORKFORCE DEVELOPMENT CAPE COD HEALTHCARE RECOGNIZES THE IMPORTANCE OF WORKFORCE DEVELOPMENT, AND SUPPORTS THE OPPORTUNITY FOR STUDENTS FROM HIGH SCHOOL THROUGH GRADUATE SCHOO
AFFILIATED HEALTH CARE SYSTEMS ROLES:		THE HOSPITALS ARE PART OF AN AFFILIATED HEALTHCARE SYSTEM AND THEIR RESPECTIVE ROLES ARE: CAPE COD HOSPITAL - A NOT-FOR-PROFIT ACUTE CARE HOSPITAL LOCATED IN HYANNIS, MASSACHUSETTS FALMOUTH HOSPITAL ASSOCIATION, INC. - A NOT-FOR-PROFIT ACUTE CARE HOSPITAL LOCATED IN FALMOUTH, MASSACHUSETTS CAPE COD HEALTHCARE, INC. - A NOT-FOR-PROFIT CORPORATION THAT SERVES AS THE PARENT COMPANY OF VARIOUS ENTITIES PROVIDING HEALTH CARE SERVICES TO THE POPULATION OF CAPE COD, MASSACHUSETTS CAPE COD HEALTHCARE FOUNDATION, INC. - A NOT-FOR-PROFIT CORPORATION ORGANIZED TO PROVIDE DEVELOPMENT AND FUNDRAISING SUPPORT TO CAPE COD HEALTHCARE CAPE AND ISLANDS HEALTH SERVICES II, INC. - A NOT-FOR-PROFIT CORPORATION ORGANIZED TO PROVIDE VARIOUS NONHOSPITAL HEALTH CARE SERVICES MEDICAL AFFILIATES OF CAPE COD, INC. - A NOT-FOR-PROFIT MEDICAL GROUP PRACTICE VISITING NURSE ASSOCIATION OF CAPE COD - A NOT-FOR-PROFIT PROVIDER OF HOME HEALTH SERVICES CAPE COD HUMAN SERVICES, INC. - A NOT-FOR-PROFIT PROVIDER OF OUTPATIENT MENTAL HEALTH SERVICES FALMOUTH ASSISTED LIVING, INC., D/B/A HERITAGE AT FALMOUTH - A NOT-FOR-PROFIT CORPORATION THAT OWNS AN ASSISTED LIVING FACILITY JML CARE CENTER, INC. - A NOT-FOR-PROFIT SKILLED NURSING AND REHABILITATION FACILITY CAPE HEALTH INSURANCE COMPANY - A CAPTIVE INSURANCE COMPANY THAT PROVIDES MEDICAL PROFESSIONAL AND GENERAL LIABILITY INSURANCE TO CAPE COD HEALTHCARE CAPE COD HOSPITAL MEDICAL OFFICE BUILDING - A PROVIDER OF LEASED AND SUBLEASED SPACE TO CAPE COD HOSPITAL AND RELATED AFFILIATIONS ALL STATES WHICH ORGANIZATION FILES A COMMUNITY BENEFIT REPORT: MA

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (18 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
CHRISTOPHER O'CONNOR
0	250115	0	36000	0	4765	0	0	0	24135	0	315015	0	0
DIANNE KOLB
0	200710	0	27500	0	5325	0	12392	0	14912	0	260839	0	0
SUSAN M WING
0	220235	0	42500	0	31006	0	23956	0	6938	0	324635	0	28007
MICHAEL G JONES
0	306601	0	65000	0	1138	0	28333	0	33541	0	434613	0	0
LINDA HABEEB MD
235519	0	0	0	420	0	9600	0	26266	0	271805	0	0	0
CHARLES R HULSE
0	203873	0	13251	0	1776	0	8781	0	18508	0	246189	0	0
RICHARD F SALLUZZO MD
0	841363	0	255000	0	108512	0	83280	0	21153	0	1309308	0	26488
MICHAEL K LAUF
0	433909	0	100000	0	18817	0	51769	0	30659	0	635154	0	18080
MICHAEL L CONNORS
0	335464	0	80000	0	1182	0	41776	0	36145	0	494567	0	0
RICHARD B ZELMAN MD
1210859	0	50000	0	7960	0	9800	0	25174	0	1303793	0	0	0
DANIEL J CANADAY MD
331034	0	275157	0	6766	0	9800	0	25174	0	647931	0	0	0
GARY L SHAPIRO MD
547882	0	0	0	14845	0	9800	0	28674	0	601201	0	0	0
XIANG-YANG D GUO MD
541598	0	0	0	630	0	9800	0	27674	0	579702	0	0	0
ROBERT R MCANAW MD
327331	0	206926	0	1806	0	9800	0	24435	0	570298	0	0	0
STEPHEN L ABBOTT
0	0	0	0	0	645256	0	0	0	0	0	645256	0	199912
DAVID RYAN
0	204651	0	30000	0	1091	0	18892	0	29029	0	283663	0	0
JEFFREY S DYKENS
0	214846	0	25000	0	2220	0	9062	0	25174	0	276302	0	0
SHERYL CROWLEY
0	226600	0	48000	0	630	0	9800	0	25174	0	310204	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifier

ExplanationExplanation

LINE 4B: 457(F)

CAPE COD HEALTHCARE, INC. AND AFFILIATES SPONSORS A 457(F) VOLUNTARY PERSONAL DEFERRAL PLAN ("THE PLAN") FOR KEY EMPLOYEES. VESTING IS DEFERRED FOR AT LEAST TWO YEARS FROM THE DATE OF THE AWARD. THE PLAN OFFERS PARTICIPATING EMPLOYEES AN ANNUAL DEFERRAL OF CASH COMPENSATION. AMOUNTS PAID UNDER THE PLAN DURING CALENDAR YEAR 2010 WERE AS FOLLOWS: - RICHARD F. SALLUZZO, MD - $26,488 - MICHAEL K. LAUF - $18,080 - STEPHEN L. ABBOTT - $645,256 - SUSAN M. WING - $28,007 - GARY L. SHAPIRO - $1,496 (SERP) STEPHEN L. ABBOTT, FORMER PRESIDENT/CEO RECEIVED A 457(F) PAYOUT OF $645,256 AS IT WAS VESTED TWO YEARS FROM THE DATE OF TERMINATION. $199,912 REPORTED IN SCHEDULE J, PART II, COLUMN (F) WAS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS FORM 990.

THE INDIVIDUALS REPORTED IN SCHEDULE J, PART I AND SCHEDULE J-2

AS BEING PAID FROM A RELATED ORGANIZATION WERE EMPLOYEES OF, AND COMPENSATED BY CAPE COD HEALTHCARE, INC., THE PARENT CORPORATION.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
MHEFA REVENUE BONDS SERIES D
042456001	57586ERMS	2004-12-23	65000000	CONSTRUCTION	false	false	false
MHEFA REVENUE BONDS SERIES E
042456011	57586C7V1	2008-06-18	36710000	REF. OF 93 SER. A&C AND 94 SER	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Capitalized InterestCapitalizedInterest	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Other Spent ProceedsOtherSpentProceeds
3980000	65000000	3880803	2886949	1142687	2267966	54821595	2008	false	false	true	true
4115422	36710000			266112				true	false		true	36443888

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Owning Bond Financed Property	false	OwningBondFinancedProperty
Any Lease Arrangements	false	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	false	MngmentCntrctBondFinancdPrprty
Any Research Agreements	false	AnyResearchAgreements
Bond Counsel Routinely Engaged	true	BondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others	0.00000	PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI	0.00000	PercentageOfPrvtBusinessReUBI
Total Private Business Use	0.00000	TotalPrivateBusinessUse
Post Issuance Compliance Procdrs	true	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
(no name)
false	false	false	false	false	false
BANK OF AMERICA
false	true	true	false	false	false

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
DR KATIE RUDMAN
SPOUSE OF TRUSTEE	176986	MACC EMPLOYEE	false
DR DALE WELDON
SPOUSE OF KEY EMPLOYEE	50260	HOSPITAL EMPLOYEE	false

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArt
Art Historical Treasures		ArtHistoricalTreasures
Art Fractional Interest		ArtFractionalInterest
Books And Publications		BooksAndPublications
Clothing And Household Goods		ClothingAndHouseholdGoods
Cars And Other Vehicles		CarsAndOtherVehicles
Boats And Planes		BoatsAndPlanes
Intellectual Property		IntellectualProperty

Securities Publicly Traded SecuritiesPubliclyTraded

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	31	NumberOfContributions
Noncash Contribs Rptd F990	560491	NoncashContribsRptdF990
Method Of Determining Revenues	VALUE OF STOCK REC'D	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Securities Closely Held Stock		SecuritiesCloselyHeldStock
Securities Prtnrshp Trust Intrsts		SecuritiesPrtnrshpTrustIntrsts
Securities Miscellaneous		SecuritiesMiscellaneous
Qualified Contrib Hist Struct		QualifiedContribHistStruct
Qualified Contrib Other		QualifiedContribOther
Real Estate Residential		RealEstateResidential
Real Estate Commercial		RealEstateCommercial
Real Estate Other		RealEstateOther
Collectibles		Collectibles
Food Inventory		FoodInventory
Drugs And Medical Supplies		DrugsAndMedicalSupplies
Taxidermy		Taxidermy
Historical Artifacts		HistoricalArtifacts
Scientific Specimens		ScientificSpecimens
Archaeological Artifacts		ArchaeologicalArtifacts
Number Of8283 Received	0	NumberOf8283Received
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	true	ReviewProcessUnusualNCGifts
Third Parties Used	false	ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

Field	Value	IRS element (for citing)
Identifier	SCHEDULE M, PART I, COLUMN (B)	Identifier
Explanation	THE ORGANIZATION IS REPORTING THE NUMBER OF ITEMS RECEIVED.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (17 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
Community Benefits Mission	Community Benefits Mission Statement: Cape Cod Healthcare, Inc., through its Community Benefits initiative, is committed to enhancing the quality of and access to comprehensive health care services for all the residents of Cape Cod. Through continuous assessment of community needs, coordinated planning and the allocation of resources, this commitment includes a special focus on the unmet needs of the financially disadvantaged and underserved populations. We will take a leadership role in collaborative efforts joining our resources, talent, and commitment with that of other providers, organizations and community members. The Community Benefits Mission Statement was affirmed by the CCHC Community Health Committee and the Board of Trustees in 2000 and remains in effect. Target Populations 1. Name of Target Population: The under-served, un/underinsured and/or those with health disparities. Basis for Selection: This population is selected based on well documented evidence that a significant portion of the community needs financial, programmatic, informational or educational support. The data suggests opportunity to impact the overall health status of individuals across the entire service area. Although some aspects may be currently addressed to some degree in the community, unmet needs still exist. 2. Name of Target Population: Chronically ill residents afflicted with cardiovascular-related disease, diabetes, and/or oral health issues. Basis for Selection: This population is selected based on well documented evidence that a significant portion of the community needs financial, programmatic, informational or educational support. The data suggests opportunity to impact the overall health status of individuals across the entire service area. Although some aspects may be currently addressed to some degree in the community, unmet needs still exist. 3. Name of Target Population: Community members afflicted with mental health and/or substance abuse-related issues. Basis for Selection: This population is selected based on well documented evidence that a significant portion of the community needs financial, programmatic, informational or educational support. The data suggests opportunity to impact the overall health status of individuals across the entire service area. Although some aspects may be currently addressed to some degree in the community, unmet needs still exist. 4. Name of Target Population: Geriatric population, especially those who are at risk and/or in hard to reach areas. Basis for Selection: This population is selected based on well documented evidence that a significant portion of the community needs financial, programmatic, informational or educational support. The data suggests opportunity to impact the overall health status of individuals across the entire service area. Although some aspects may be currently addressed to some degree in the community, unmet needs still exist. 5. Name of Target Population: Residents with emerging health issues. Basis for Selection: This population is designated to allow program flexibility to address community health needs not identified at the time of initial plan development. Publication of Target Populations Website, Other- Attorney General Website Hospital/HMO Web Page Publicizing Target Pop. http://www.capecodhealth.org/community
Key Accomplishments of Reporting Year	The Cape Cod Healthcare (CCHC) Community Benefits program provided funding to multiple community agencies. Throughout the year, leadership, staff and physicians worked collaboratively with community agencies to identify and develop programs that were sponsored by CCHC. The program continues to seek opportunities to develop collaborative relationships which benefit the community. The key accomplishments for FY 11 include: 1. HC expanded its collaboration with and support of the federally funded community health centers operating in Barnstable County. 2. CCHC continued its collaboration with a broad spectrum of health and human service agencies which support the residents of Barnstable County. 3. CCHC initiated the first phase of the Community Health Needs Assessment for the service area. During FY 11 the program began study design, identified and selected an independent research firm to assist with the research component and solicited the involvement of other community partners. Secondary research began and the study will conclude and be reported in FY 12. This study will serve as the basis for program planning from FY 13-15. 4. CCHC, in collaboration with the Community Health Committee, stabilized three important and ongoing programs by establishing multi-year plans and funding. These programs provide services to vulnerable populations including the uninsured, elders, people needing access to specialty physicians, and interpretive services in the community. 5. Established an internally based Community Benefits Task Force comprised of clinical, operational and corporate managers throughout CCHC to identify and quantify community benefits initiatives. The task force created an inventory of all community benefit programs which align with the target populations and stated priorities. This group also serves in an advisory capacity which identifies community needs. 6. Developed a comprehensive RFP program for direct funding of community benefit programs. This process resulted in direct funding of $100,000 to programs/agencies which address substance abuse, infectious disease and access through enrollment. 7. CCHC's Community Benefits program staff participates as an active member of CHNA 27 and its steering committee. CHNA 27 members work to build a healthier community through community-based prevention planning, health promotion and improving health status indicators of Cape Cod and the Islands residents pursuant to the mandate from the Massachusetts Department of Public Health. Plans for Next Reporting Year Plans for FY12 will continue to implement priorities established in the FY 10 strategic plan. Staff updates and amends the plan annually to reflect emerging needs. These amendments ensure that the plan has incorporated data and findings from national, regional, state and local studies, particularly those provided by the Mass Department of Public Health and Barnstable County Human Services. The FY 12 plan is compliant with all state and federal requirements.
Goals for FY2012	1. Continue to expand community collaborations to enhance the health of Cape Cod's underserved and vulnerable populations. 2. Strategically partner with the four federally qualified community health centers based on Cape Cod to increase access to primary and specialty care services. 3. Complete a Community Health Needs Assessment and utilize findings to modify the community benefits plan. 4. Develop or modify Community Benefits services to meet prioritized community health needs for FY 13-15. 5. Continue to evaluate services, events and programs for alignment with established priorities, measurable outcomes and cost effectiveness, as well as with CCHC's overall strategic direction. 6. Conduct an annual RFP process and award $150,000 in Impact Priority-Grants. Community Collaborations CCHC continuously seeks opportunities to engage the community in collaborative efforts to enhance the quality of and access to comprehensive health care services for all residents of Cape Cod. FY2012 Community Benefits Priorities 1. Increase health care access through outreach and leadership initiatives resulting in an integrated and coordinated community health care delivery system to reduce health disparities and promote health equity. 2. Create strategic collaborations with existing community health providers and partners who will foster healthy lifestyle choices and promote healthier behaviours that can prevent or delay chronic disease thereby increasing the quality of life. 3. Improve post-hospital discharge and follow-up experience of vulnerable patients, particularly elders and those with chronic disease. 4. Adopt a more preventative, wellness-oriented care model related to mental health and substance abuse. 5. Reduce health risks and unnecessary declines in quality of life through wellness and prevention approaches with attention to particularly vulnerable populations, including, but not limited to: a) Persons 65 and over b) Persons with or at risk of contracting; HIV/AIDS, Hepatitis B and C, tuberculosis and/or sexually transmitted diseases. 6. Address well documented emerging health issues identified by the MA Department of Health, and other reliable sources, such as issues related to youth populations (i.e. violence, bullying and suicide).
Community Benefits Process	Community Benefits Leadership Team A fundamental tenet of Cape Cod Healthcare's mission is to provide excellent care to members of our community. Cape Cod and Falmouth Hospitals, along with our affiliates, play an important role as safety net providers to the Cape Cod region, given our relative geographic isolation. The development of varied community collaborations, including the Community Benefits Program, is lead by Michael K. Lauf, Chief Executive Officer and Theresa M. Ahern, Vice President, Strategy, Community/Governmental Affairs. Management of the program is the responsibility of Carol A. Summersall, Director of Community Benefits and Partnerships. The Community Health Committee provides strategic oversight to the community benefits program as a designated subcommittee of the Board of Trustees. The Committee is comprised of members who work in health care services on Cape Cod, community-based organizations, community advocacy groups and county government, as well as two current members of the CCHC Board of Trustees. The Committee develops and recommends policies to the Board regarding Community Benefits programs, sets priorities and awards priority grant funding, and advises on community health issues and initiatives. Community Health Committee Members Eleanor Claus (Chair) CCHC Board Member 927 Route 6A, Yarmouth Port, MA 02675 508.362.3000 x203 eclaus@kinlingrover.com Representing: CCHC Board of Trustees Elizabeth Albert, Director Barnstable County Human Services P.O. Box 427, Barnstable, 02630 508.375.6626 balbert@barnstablecounty.org Representing: Community at Large: Mid-Cape 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 Mary Devlin, Manager Public Health and Wellness Visiting Nurses Association 255 Independence Drive, Hyannis, 02601 508.957.7619 mdevlin@vnacapecod.org VNA of Cape Cod: Provincetown to Plymouth Representing: All 5 Priorities with emphasis on Chronic Disease and Healthy Aging of the Geriatric Population Georgia Carvalho, Grants Developer Cape Cod Community College 2240 Iyannough Road, West Barnstable, 02668 508.362.2131 ext. 4492 gcarvalho@capecod.edu Representing: Education related to all 5 priorities Karen Gardner, CEO Community Health Center of Cape Cod 107 Commercial St., Mashpee, MA 02649 508.477.7090 kgardner@chcofcapecod.org Representing: Community at Large Suzanne Fay Glynn, Attorney CCHC Board Member Glynn Law Offices 49 Locust Street, Falmouth, MA 02540 508.548.8282 ljarvis@glynnlawoffices.com Representing: CCHC Board of Trustees Carmen Lebron, Manager Cape Cod Immigrant Center 624 Osterville West Barnstable Rd Unit E1 - Marstons Mills, MA 02648 508.428.0517 clebron@capecod.edu Representing: All 5 priorities with an emphasis on Immigrant population, Health disparities and Emerging Health Needs Timothy Lineaweaver, Executive Director Cape and Islands Coalition for Suicide Prevention 107 Commercial Street, Mashpee, MA 02649 tnt410@aol.com Representing: Mental Health, Substance Abuse and Suicide Brian O'Malley, MD 30 Shankpainter Road Provincetown, MA 02657 508.487.3505 bomalley@capecodhealth.org Medical Seat Representing: Community at Large: Lower/Outer Cape Elizabeth Smith, Director Lower Cape Councils on Aging (Orleans) 150 Rock Harbor Road, Orleans, 02653 508.255.6333 esmith@town.orleans.ma.us Representing: Healthy Aging to Geriatric Population, Chronic Disease and Emerging Health Needs Cape Cod Healthcare members: Theresa M. Ahern Vice President, Strategy and Community/Governmental Affairs Cape Cod Healthcare 88 Lewis Bay Road Hyannis, MA 02601 508.862.5077 tahern@capecodhealth.org Diane M. Munsell, BSN, RN, EdM Senior Manager, Community Benefits and Clinical Outreach Cape Cod Healthcare 333 North Street Hyannis, MA 02601 508.862.7896 dmunsell@capecodhealth.org Community Benefits Team Meetings The Community Health Committee Meeting Dates for FY11 were: November 18, 2010 4:00-5:30 pm February 24, 2011 4:00-5:30 pm May 5, 2011 4:00-5:30 pm August 4, 2011 4:00-5:30 pm Community Partners AIDS Support Group of Cape Cod Barnstable Equals Smart, Safe and Sober (BES3) Barnstable Human Services Barnstable High School Cape and Islands EMS Systems, Inc. Cape and Islands Suicide Prevention Coalition Cape and Islands United Way Cape Cod Chamber of Commerce Cape Cod Community College Cape Cod Community Foundation Cape Cod Immigrant Center Children's Cove Community Action Committee of Cape Cod & Islands Community Health Center of Cape Cod Councils on Aging Duffy Health Center Falmouth Human Services Gosnold on Cape Cod Housing Assistance Corporation Immigrant Center of Cape Cod Massachusetts Department of Public Health Mid-Upper Cape Community Health Center Outer Cape Health Services Parkinson Support Network of Cape Cod The Cape and Islands Community Health Network (CHNA 27) Tri-County Collaborative for Oral Health Excellence
Community Health Needs Assessment	Date Last Assessment Completed and Current Status Cape Cod Healthcare conducts a formal community health needs assessment study every three years. CCHC solicits community participation in the design, data collection and development of recommendations for the program. The study findings are the foundation for program planning and implementation. In addition, the plan is updated on an annual basis to reflect emerging needs between cycles. CCHC seeks community feedback about the services provided, satisfaction with such services, and specific services needed. This input, together with secondary data from multiple sources, is used to build an agenda aimed at providing needed health care services and additional community-based programs. Cape Cod Healthcare conducted a Community Health Needs Assessment in 2008-2009. The assessment, performed in collaboration with community partners from Cape Cod and the Islands, consisted of data gathering and analysis utilizing multiple data sources and health status indicators. The assessment resulted in the creation of the Salient Health Issues Report. In 2009 "Community Solution Forums" were organized to explore how various populations in Barnstable County were impacted by the health issues identified in the Salient Health Issues Report. Viable solutions were sought to reduce or eliminate identified issues. The assessment completed in 2009 continues to guide the Community Benefits program through FY12. Cape Cod Healthcare began a new Community Health Needs Assessment in FY2011. This study will conclude in FY 12 and will be the basis of community benefit planning for FY13 - FY15. The following sources were utilized in the 2008-2009 Community Health Needs Assessment: - Asthma Prevention and Control Programs: State of Massachusetts - Bureau of Substance Abuse Services: Massachusetts - Cape Cod Commission: Overview of Cape & Islands Population - Centers for Disease Control and Prevention - Injury Surveillance Program: Massachusetts - Jarvi Report 2004, Cape & Island's Behavioral Health Needs Surveillance and Gaps - Key Informant Interviews - Local Health Agencies - Massachusetts Cancer Registry - Massachusetts Deaths 2000-2005 - Massachusetts Health Data Consortium - MDPH Regional Health Status Indicators 2007 - Monitoring the Human Condition Study 2007 Barnstable County - National Institute of Health - Senior Mobility Initiative on Cape Cod [SMICC] - U.S. Census Consultants/Other Organizations (Needs Assessment) Barnstable County Cape and Islands EMS Systems, Inc. Cape and Islands Suicide Prevention Coalition Cape Cod Immigrant Center Community Action Committee of Cape Cod & Islands Councils on Aging Duffy Health Center Gosnold on Cape Cod Massachusetts Department of Public Health The Barnstable Human Rights Commission The Cape and Islands Community Health Network (CHNA 27) Tri-County Collaborative for Oral Health Excellence Data Sources (Needs Assessment) Community Focus Groups, Hospital, Consumer Group, Interviews, MassCHIP, Public Health Personnel, Surveys, CHNA, Other - Bureau of Substance Abuse, Mass., Monitoring the Human Condition Study 2007 and 2008, Barnstable County Department of Human Services, Salient Health Issues Report, June 2008, Barnstable County, Local Health Agencies COMMUNITY BENFEITS PROGRAMS Financial Counseling & Assistance Program Type: Community Participation/Capacity Building Initiative, Direct Services, Health Coverage Subsidies or Enrollment, Health Professional/Staff Training, Healthy Communities Partnership, Outreach to Underserved, Prevention Brief Description or Objective: The Financial Assistance and Counseling Program provides comprehensive services to community members seeking public insurance enrollment and re-verification of enrollment into MassHealth, Commonwealth Care and Health Safety Net insurance products. Financial counselors are dedicated to improving access to care through eligibility screening, assessed affordability and income verification. Target Population: Region Served: Barnstable Health Indicator: Access to Health Care, Other: Uninsured/Underinsured Sex: All Age Group: All Ethnic Group: All Language: All Goals Statewide Priority: Address Unmet Health Needs of the Uninsured, Promoting Wellness of Vulnerable Populations, Reducing Health Disparity, Supporting Healthcare Reform 1. Goal Description Increase access to care through enrollment. Goal Status Assisted 3,380 people with Gateway applications and re-verification. Ongoing 2. Goal Description Improve community awareness of state insurance programs. Goal Status Provided outreach and education, which resulted in a 23% increase over prior year in enrollment and re-enrollment for residents of Cape Cod. Ongoing Partners Cape Cod Immigrant Center http://www.ccimmigrantcenter.org/ Community Action Committee of Cape Cod and Islands http://www.cacci.cc/ Community Health Center of Cape Cod http://www.chcofcapecod.org/ Council on Aging on Cape Cod http://www.allcapecod.com/ccic/seniorcenters.cfm Duffy Health Center http://www.duffyhealthcenter.org/ Elder Services of Cape Cod & the Islands http://www.escci.org/ Martha's Vineyard Hospital http://www.mvhospital.com/ Mashpee Wampanoag http://www.mashpeewampanoagtribe.com/ Mid-Upper Cape Community Health Center http://www.hhsi.us/cape-cod/mid-upper-cape-community-health-center/ Nantucket Cottage Hospital http://www.nantuckethospital.org/ Outer Cape Health Services http://www.outercape.org/ Spaulding Rehabilitation Hospital Cape Cod http://www.rhci.org/about/news/rhcispauldingcapecod/ Visiting Nurses Association http://www.vnacapecod.org/index.html All Nursing Homes and Rehabilitation Sites on Cape Cod Various Contact Information Michael Clark, Executive Director of Patient Access, 25 Communication Way, Hyannis, MA 02601, 508.957.8464, mclark@capecodhealth.org Detailed Description Not Specified PHYSICIAN RECRUITMENT Program Type: Community Participation/Capacity Building Initiative, Healthy Communities Partnership, Outreach to Underserved, Physician/Provider Diversity, Prevention Brief Description or Objective: The Physician Recruitment program strives to identify areas of unmet need and improve access to primary and specialty care for vulnerable populations, especially those over 65. Through rigorous efforts highly qualified and competent physicians and physician extenders are recruited and retained to meet the health care needs and provide care to the residents of Cape Cod. Target Population Regions Served: Barnstable Health Indicator: Access to Health Care, Other: Uninsured/Underinsured Sex: All Age Group: All Ethnic Group: All Language: All Goals Statewide Priority: Address Unmet Health Needs of the Uninsured, Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations 1. Goal Description Increase access to care through provider recruitment. Goal Status Fourteen physicians and physician extenders were recruited in FY11. Ongoing 2. Goal Description Address needs of vulnerable populations. Goal Status Recruited primary care and specialty physicians to address the unmet needs of vulnerable populations, such as the elderly. Ongoing
PARTNERS	Partner Name, Description Not Specified Partner Web Address Not Specified Contact Information Keith Ritchie, Director of Physician Services, Cape Cod Healthcare, 88 Lewis Bay Road, Hyannis, MA 02601, 508.862.5481, kritchie@capecodhealth.org REACHING ELDERS WITH ADDITIONAL COMMUNITY HELP (REACH): CAPE & ISLANDS EMERGENCY MEDICAL SERVICES SYSTEM (CIEMSS) Program Type: Community Education, Community Participation/Capacity Building Initiative, Direct Services, Health Coverage Subsidies or Enrollment, Health Professional/Staff Training, Healthy Communities Partnership, Outreach to Underserved, Prevention Brief Description or Objective: REACH coordinates services for seniors in their homes through the provision of referrals to appropriate organizations. By working in conjunction with Councils on Aging, Elder Services of Cape Cod and the Islands, VNA, EMS and other community partners, issues such as health, safety, psychological status and social functioning are assessed, and appropriate plans are developed to achieve optimal daily living status for seniors on Cape Cod. REACH also offers community-based trainings for senior providers which target emerging issues and trends that specifically impact senior health and well-being. Target Population: Regions Served: Barnstable Health Indicator: Access to Health Care, Injury and Violence, Mental Health, Other: Alzheimer Disease, Other: Elder Care, Other: First Aid/ACLS/CPR, Other: Homebound, Other: Homelessness, Other: Hospice, Other: Parkinson's Disease, Other: Safety - Home, Other: Stress Management, Other: Uninsured/Underinsured Sex: All Age Group: Adult-Elder Ethnic Group: All Language: All Goals Statewide Priority: Address Unmet Health Needs of the Uninsured, Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations 1. Goal Description Increase access to care for at least 250 elders. Goal Status Referrals for 292 community-dwelling frail elders were made to organizations which provided support services to improve the overall health, safety and well being of these individuals through community collaboration and coordination. Ongoing 2. Goal Description Promote wellness initiatives which address chronic disease management. Goal Status Assisted senior service organizations in the promotion of wellness through provision of services to prevent unnecessary declines with a focus on older adults with chronic health issues. 3. GOAL DESCRIPTION Increase competency of service providers. Goal Status Competency building educational opportunities were provided to several community organizations to increase and support age-appropriate information, referral and service response. Train the trainer sessions were conducted for 20 responders. On Target Partners Partner Name, Description and Web Address Cape & Islands Emergency Medical Service System (CIEMSS) http://www.ciemss.org/ Council on Aging on Cape Cod http://www.allcapecod.com/ccic/seniorcenters.cfm Elder Services of Cape Cod http://www.escci.org/ Visiting Nurses Association http://www.vnacapecod.org/index.html Contact Information Katherine Wernier REACH Collaborative Coordinator, Reaching Elders with Additional Community Help, 66 Bayview Street, West Yarmouth, MA 02673-8203, 508.771.4510 , reach@ciemss.org Detailed Description Not Specified COMMUNITY BASED INTERPRETER SERVICES Program Type: Community Participation/Capacity Building Initiative, Direct Services, Grant/Donation/Foundation/Scholarship, Health Coverage Subsidies or Enrollment, Healthy Communities Partnership, Outreach to Underserved, Physician/Provider Diversity, Prevention, School/Health Center Partnership Brief Description or Objective: The Community Based Interpreter Services program offers free medical language interpretation in community-based physician practices and at the Community Health Centers for the 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: Barnstable Health Indicator: Access to Health Care, Other: Uninsured/Underinsured Sex: All Age Group: All Ethnic Group: All Language: Haitian Creole , Portuguese , Spanish Goals 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 1. Goal Description Increase access to care by providing at least 1,000 medical language interpretations. Goal Status Collaborated with Community Health Centers and physician offices through outreach and education relative to interpreter services which resulted in 1,020 encounters. Ongoing 2. Goal Description Reduce health care disparities for limited and non-English speaking people. Goal Status Ensured physicians and providers understood the significance of utilizing interpreter services through the distribution of thousands of brochures and offering in-service opportunities. Ongoing Partners Partner Name, Description and Web Address Community Health Center of Cape Cod: The Specialty Network for the Uninsured http://www.chcofcapecod.org/ Community-Based Medical Offices on Cape Cod Various Contact Information Ceci Phelan-Stiles, Sr. Manager of HR Communication Systems, Cape Cod Healthcare, 60 Park Street, Hyannis, MA 02601, 508.862.7822 , cphelan-stiles@capecodhealth.org Detailed Description Not Specified SPECIALTY NETWORK FOR THE UNINSURED (SN): COMMUNITY HEALTH CENTER OF CAPE COD Program Type: Community Participation/Capacity Building Initiative, Direct Services, Grant/Donation/Foundation/Scholarship, Health Coverage Subsidies or Enrollment, Healthy Communities Partnership, Outreach to Underserved, Prevention, School/Health Center Partnership Brief Description or Objective: The Specialty Network for the Uninsured (SNU) is provided in collaboration with the Community Health Center network through on-site specialty clinics and volunteer physicians. It offers access to specialty care services for over six hundred and fifty under/uninsured individuals at no charge or on a significantly reduced sliding-scale fee. Target Population Regions Served: Barnstable Health Indicator: Access to Health Care, Other: Cancer, Other: Cancer - Breast, Other: Cancer - Cervical, Other: Cancer - Colo-rectal, Other: Cancer - Lung, Other: Cancer - Prostate, Other: Cancer - Skin, Other: Cardiac Disease, Other: Colitis/Crohn Disease, Other: Elder Care, Other: Hypertension, Other: Uninsured/Underinsured Sex: All Age Group: All Ethnic Group: All Language: English , Haitian Creole , Portuguese , Spanish Goals 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 1. Goal Description Increase access to specialty care for at least 650 low-income and uninsured individuals. Goal Status The SNU provided 731 patient appointments with specialists. Ongoing 2. Goal Description Increase capability of SNU to accept patients for specialty care. Goal Status The program established agreements with 75 specialists, which represent 19 medical and surgical specialties. Ongoing 3. Goal Description Improve health care outcomes through prevention and health promotion. Goal Status Assisted patients with care coordination and referrals to cancer screenings for breast and prostate as well as eye screenings. Ongoing Partners Partner Name, Description and Web Address Community Health Center of Cape Cod http://www.chcofcapecod.org/ Contact Information Karen Gardner, CEO, 107 Commercial Street, Mashpee, MA 02649, 508.477.7090 , kgardner@chcofcapecod.org Detailed Description Not Specified
PRESCRIPTION ASSISTANCE PROGRAM	Program Type: Direct Services, Grant/Donation/Foundation/Scholarship, Health Coverage Subsidies or Enrollment, Healthy Communities Partnership, Outreach to Underserved Brief Description or Objective: The Prescription Assistance Program is a joint initiative of Cape Cod Hospital and Falmouth Hospital Emergency Rooms and Pharmacy Departments as a community benefit to help uninsured or underinsured patients who have no other viable means to pay for medications upon discharge from the ER. Target Population Regions Served: Barnstable Health Indicator: Access to Health Care, Other: Uninsured/Underinsured Sex: All Age Group: All Ethnic Group: All Language: All Goals Statewide Priority: Address Unmet Health Needs of the Uninsured, Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations 1. Goal Description Assist people who are unable to afford medications to ensure compliance with their discharge plan. Goal Status Cape Cod Hospital and Falmouth Hospital Emergency Rooms provided pharmacy vouchers totaling $23,652 for uninsured, underinsured or financially challenged patients who were unable to afford prescriptions upon discharge. Ongoing Partners Partner Name, Description and Web Address Patients leaving the Cape Cod Hospital or Falmouth Hospital Emergency Rooms who are un/underinsured and struggling financially. n/a Local Pharmacies n/a Contact Information: Carol Summersall, RN, Director of Community Benefits and Partnerships, Cape Cod Healthcare, 297 North Street, Suite 333 Hyannis, MA 02601, 508.862.7896 , csummersall@capecodhealth.org Detailed Description: Not Specified TRANSPORTATION ASSISTANCE PROGRAM Program Type: Community Participation/Capacity Building Initiative, Direct Services, Healthy Communities Partnership, Outreach to Underserved Brief Description or Objective: Cape Cod Hospital and Falmouth Hospital provided transportation through issuance of taxi vouchers to assist financially challenged patients who are being discharged from the Emergency Rooms and are without resources for being transported to their destination. Target Population Regions Served: Barnstable Health Indicator: Access to Health Care, Other: Homelessness, Other: Safety, Other: Uninsured/Underinsured Sex: All Age Group: All Ethnic Group: All Language: All Goals Statewide Priority: Address Unmet Health Needs of the Uninsured, Promoting Wellness of Vulnerable Populations 1. Goal Description Assist people who are unable to afford or access transportation to ensure compliance with their discharge plan. Goal Status Cape Cod Hospital and Falmouth Hospital Emergency Rooms provided taxi vouchers totaling $21,523 for uninsured, underinsured or financially challenged patients upon discharge. Ongoing Partners Partner Name, Description, Web address Local Taxi Companies n/a Un/underinsured community members who are struggling financially. n/a Contact Information Carol Summersall, RN, Director of Community Benefits and Partnerships, Cape Cod Healthcare, 297 North Street, Hyannis, MA 02601, 508.862.7896, csummersall@capecodhealth.org KICK BUTTS, STOP SMOKING PROGRAM Program Type: Community Education, Community Participation/Capacity Building Initiative, Direct Services, Healthy Communities Partnership, Outreach to Underserved, Prevention, School/Health Center Partnership Brief Description or Objective: Cape Cod Healthcare offers free and reduced-fee personalized tobacco cessation classes to provide education and motivation to interested individuals that are seeking support to stop using tobacco. A six-week smoking cessation program is conducted in local community sites between Bourne and Hyannis. Certified Smoking Cessation experts facilitate the programs. Sessions are interactive and group sizes vary from five to fifteen. Target Population Regions Served: Barnstable Health Indicator: Access to Health Care, Other: Cancer, Other: Cancer - Lung, Other: Cardiac Disease, Other: Pulmonary Disease/Tuberculosis, Other: Smoking/Tobacco, Other: Uninsured/Underinsured, Tobacco Use Sex: All Age Group: All Adults, Child-Teen Ethnic Group: All Language: English Goals Statewide Priority: Address Unmet Health Needs of the Uninsured, Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations 1. Goal Description Support health promotion by offering at least 6 smoking cessation classes. Goal Status Six Kick Butts, Stop Smoking Classes were offered in FY11. Approximately 50 people registered for classes. Completed Partners Partner Name, Description, Web Address Barnstable High School, Hyannis, MA http://www.barnstable.k12.ma.us/bhs/home.html Barnstable Senior Center http://www.town.barnstable.ma.us/seniorservices/ Bourne Community Center http://www.bournecouncilonaging.org/about.html Contact Information Carol Summersall, RN, Director of Community Benefits and Partnerships, Cape Cod Healthcare, 297 North Street, Suite 333, Hyannis, MA 02601, 508.862.7896, csummersall@capecodhealth.org Detailed Description Download/View Attachment(638865 KB) File Name: Kick Butts Tri-fold.pdf DETERMINATION OF NEED: OFFICE BASED OPIOD TREATMENT PROGRAM (OBOT) Program Type: Community Participation/Capacity Building Initiative, Direct Services, Grant/Donation/Foundation/Scholarship, Health Coverage Subsidies or Enrollment, Health Professional/Staff Training, Healthy Communities Partnership, Outreach to Underserved, Prevention Brief Description or Objective: The Duffy Health Center devised an integrated model to provide the evidenced-based practice of Office-Based Opioid Treatment (OBOT) in 2009, with the objective of program expansion to members of the Community Health Center Network (CHCN) by 2011. The Duffy Health Center (DHC), the Community Health Center of Cape Cod (CHCCC) and Outer Cape Health Services (OCHS) comprise the group of centers which focus on addressing the identified high addiction rates on Cape Cod. Each community health center has a specialty team of highly trained physicians and nurse practitioners which monitor patients closely for adherence to their treatment plans to address this very complex issue. Target Population Regions Served: Barnstable Health Indicator: Access to Health Care, Mental Health, Other: Alcohol and Substance Abuse, Other: Education/Learning Issues, Other: Homelessness, Other: Stress Management, Other: Uninsured/Underinsured, Substance Abuse Sex: All Age Group: All Adults Ethnic Group: All Language: English , Haitian Creole , Portuguese , Spanish Goals Statewide Priority: Address Unmet Health Needs of the Uninsured, Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations, Supporting Healthcare Reform 1. Goal Description Provide Case-Care Management Services to ensure patients have a high level of staff intervention. Goal Status Patients are closely monitored to ensure adherence to program recovery protocols. In FY11 the DHC panel averaged 121 patients, the CHCCC panel average 51 patients and OCHS panel averaged 35 patients. Ongoing 2. Goal Description Increase access to program services. Goal Status OCHS joined the program in FY11, thus increasing access to services for people residing on the Lower/Outer Cape. Access to Gosnold Center is provided to all patients who need detoxification, rehab and Intensive Outpatient Services (IOP). Ongoing 3. Goal Description Recruit and retain providers. Goal Status All 3 centers actively recruited staff to maintain appropriate level of care. Ongoing recruitment is essential as a lack of capacity in any of the service areas including medical, behavioral health or case management creates barriers to treatment. Partners Partner Name, Description, Web Address Community Health Center of Cape Cod http://www.chcofcapecod.org/ Duffy Health Center http://www.duffyhealthcenter.org/ Outer Cape Health Services http://www.outercape.org/ Contact Information Heidi Nelson, FACHE, CEO 94 Main Street, Hyannis, MA 02601, 508.771.7517 , hnelson@duffyhealthcenter.org Detailed Description Not Specified
Determination of Need: CHNA 27	Program Type: Community Participation/Capacity Building Initiative, Grant/Donation/Foundation/Scholarship, Healthy Communities Partnership, Outreach to Underserved, Prevention Brief Description or Objective: Total funding of $401,000 has been designated to address issues that eliminate health disparities, promote wellness, and prevent/manage chronic disease for individuals who are elderly and/or persons with disabilities. This population was identified through a community health needs assessment by Cape Cod Healthcare and endorsed by the Community Health Network Area 27 (Cape Cod and the Islands). This program was specified as part of Cape Cod Hospital's Determination of Need requirement for the Clark Cancer Center development and licensure. FY11 is the second year of a five year program ($80,200 per year). Target Population Regions Served: Barnstable Health Indicator: Access to Health Care, Other: Uninsured/Underinsured Sex: All Age Group: Adult-Elder Ethnic Group: All Language: All Goals Statewide Priority: Address Unmet Health Needs of the Uninsured, Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations 1. Goal Description Issue an RFP supporting collaborative, measurable and evidenced-based regional programs for seniors and/or disabled that provides an impact on the most urgent needs of the identified target population. Goal Status RFP awards were made in 2011 to four organizations which met this criterion. The grant awards ranged from $15,000 to $30,000 and totaled $80,200. The Cape Cod Foundation is the fiscal agent for CHNA 27, and managed the RFP review process. On Target Partners Partner Name, Description, Web Address CHNA 27 N/A The Cape Cod Foundation http://www.capecodfoundation.org/ Contact Information Carol Summersall, RN, Director of Community Benefits and Partnerships, Cape Cod Healthcare, 297 North Street, Suite 333 Hyannis, MA 02601, 508.862.7896 , csummersall@capecodhealth.org Detailed Description Not Specified H.O.P.E INSURANCE OUTREACH AND ENROLLMENT Program Type: Community Participation/Capacity Building Initiative, Direct Services, Grant/Donation/Foundation/Scholarship, Health Coverage Subsidies or Enrollment, Healthy Communities Partnership, Outreach to Underserved, Prevention Brief Description or Objective: The H.O.P.E. program offers access to health care services through enrollment assistance to individuals and families. The program coordinator offers assessment of affordability and income verification to determine the client's ability to obtain MassHealth, Commonwealth Care, and other state insurance plans. The coordinator also serves as a referral source to primary care physicians, other health and human service organizations. Educational opportunities exist for optimizing the identification of services available to address the clients unmet needs. Target Population Regions Served: Barnstable Health Indicator: Access to Health Care, Other: Uninsured/Underinsured Sex: All Age Group: All Ethnic Group: All Language: All Goals Statewide Priority: Address Unmet Health Needs of the Uninsured, Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations, Supporting Healthcare Reform 1. Goal Description Increase access to care through enrollment and re-enrollment. Goal Status Enrollment benefits coordinator assisted individuals with process of determining their qualification for insurance programs, such as MassHealth. Over 1,800 enrollments and re-enrollments occurred. Ongoing 2. Goal Description Expand capacity to enroll clients. Goal Status Multi-site services were provided to improve enrolment and renewals for clients. Students, families and individuals were seen at the Barnstable School Based Health Center and the Falmouth Service Center. Ongoing 3. Goal Description Reduce health disparities through care coordination. Goal Status Gaps in services for expectant mothers were eliminated through a collaborative effort with WIC. Completed Partners Partner Name, Description and Web Address Barnstable High School www.barnstable.k12.ma.us/bhs/ Falmouth Service Center www.falmouthservicecenter.org/ Health Imperatives - Cape Cod WIC www.healthimperatives.org Contact Information Caronanne Procaccini, Interim Director, 115 Enterprise Road, Hyannis, MA 02601, 508.771.1727 , cap@cacci.cc Detailed Description Not Specified ALCOHOL: IT TAKES A COMMUNITY Program Type: Community Participation/Capacity Building Initiative, Direct Services, Grant/Donation/Foundation/Scholarship, Health Professional/Staff Training, Healthy Communities Partnership, Prevention Brief Description or Objective: "It Takes a Community" is a collaborative program intended to broaden the knowledge base of hospital clinical staff regarding the detoxification process. The program includes addiction specialists from Gosnold. Alcohol dependent patients at risk for withdrawal and increased incidence of Delirium Tremens were identified by a Falmouth Hospital addiction specialist. Patients were referred to a Gosnold counselor for assessment, treatment and appropriate referral. Services were organized to include medical intervention, clinical counseling, family support and specialty referral protocols. Continuing education for nurses and physicians was provided to increase their knowledge of addiction and improve linkages to specialty programs, such as Gosnold. Target Population Regions Served: Barnstable Health Indicator: Mental Health, Other: Alcohol and Substance Abuse, Substance Abuse Sex: All Age Group: All Adults Ethnic Group: All Language: English , Haitian Creole , Portuguese , Spanish
GOALS	Statewide Priority: Promoting Wellness of Vulnerable Populations 1. Goal Description Increase access to care for alcohol dependent individuals. Goal Status Withdrawal consultations were completed on 115 patients, which exceeded the projected number of 40 patients. Completed 2. Goal Description Reduce barriers for target population. Goal Status 51 patients accepted a referral to an addiction specialty program. Completed 3. Goal Description Implement education and intervention services. Goal Status 175 clinicians attended training sessions aimed at increasing clinician's knowledge of the identification of addiction and the post-hospital treatment options for supporting the patient upon discharge. Completed Partners Partner Name, Description and Web Address Gosnold on Cape Cod http://www.gosnold.org/ Contact Information: Raymond V. Tamasi, President/CEO, Gosnold on Cape Cod Corporate Office, 200 Ter Heun Dr., Falmouth, MA 02540, 508.540.6550, rtamasi@gosnold.org Detailed Description Not Specified AIDS SUPPORT GROUP OF CAPE COD Program Type: Direct Services, Grant/Donation/Foundation/Scholarship, Outreach to Underserved, Prevention, School/Health Center Partnership, Support Group Brief Description or Objective: The AIDS Support Group of Cape Cod is a framework of services for vulnerable individuals who are mono-infected with the Hepatitis C virus. The initiative utilizes a multifaceted approach designed to provide case management and support services to clients receiving interferon-based treatment, clients newly diagnosed with the hepatitis C virus and clients with end-stage liver disease co-infected with AIDS. The core elements of the program are screening, syringe exchange, harm reduction, education, drug overdose prevention and referrals for treatment. Target Population Regions Served: Barnstable Health Indicator: Access to Health Care, Other: Alcohol and Substance Abuse, Other: HIV/AIDS, Other: Sexually Transmitted Diseases, Other: Stress Management, Other: Uninsured/Underinsured, Substance Abuse Sex: All Age Group: Adult Ethnic Group: All Language: All Goals Statewide Priority: Address Unmet Health Needs of the Uninsured, Promoting Wellness of Vulnerable Populations 1. Goal Description Increase access to services for a vulnerable population. Goal Status Medical Case Management was offered to all clients receiving interferon-based therapy. This included: medical care/social services coordination, adherence support, HIV/STD/HCV risk reduction counseling and other need-based services. Completed 2. Goal Description Provide chronic disease management support. Goal Status The ASGCC offered clients newly diagnosed with HVC infection a range of short-term support services with the goal of sustaining care maintenance to assist in health promotion and disease prevention. Completed 3. Goal Description Manage risk and reduce harm through prevention and screening. Goal Status Prevention programs & screenings were offered by the ASGCC - immediate referrals for positive test results for viral hepatitis C were made for appropriate treatment and counseling and to reduce risk of infections of others. Completed Partners Partner Name, Description and Web Address Duffy Health Center www.duffyhealthcenter.org/ Falmouth Service Center www.falmouthservicecenter.org/ Habit OPCO habitopco.com/ Infectious Disease Clinical Services/CCHC www.capecodhealth.org Contact Information Krystin St. Onge, Interim Executive Director, 428 South Street, Hyannis, MA 02601, 508.778.1954 , kstonge@asgcc.org Detailed Description Not Specified ACCESS TO CARE FOR HOMELESS AND AT RISK ADULTS Program Type: Direct Services, Grant/Donation/Foundation/Scholarship, Health Coverage Subsidies or Enrollment, Health Screening, Healthy Communities Partnership, Outreach to Underserved, Prevention, School/Health Center Partnership Brief Description or Objective: The Duffy Health Center provides access to care through assistance with enrollment and re-enrollment to homeless adults and those at-risk for homelessness into MassHealth, Commonwealth Care, and other state insurance products. Clients received ongoing access to care, including referrals to primary care physicians and other appropriate providers to improve chronic disease management and promote adult wellness. Target Population Regions Served: Barnstable Health Indicator: Access to Health Care, Other: Homelessness, Other: Uninsured/Underinsured Sex: All Age Group: Adult Ethnic Group: All Language: All Goals Statewide Priority: Address Unmet Health Needs of the Uninsured, Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations, Supporting Healthcare Reform 1. Goal Description Increase access to care for hard-to-reach populations. Goal Status The benefits coordinator facilitated 1,140 encounters which resulted in 346 enrollments and renewals into MassHealth, Commonwealth Care, and other insurance programs for hard-to- reach individuals. Ongoing 2. Goal Description Reduce barriers to primary health care through referral. Goal Status Referrals for 134 clients were made to primary care providers. The benefits coordinator is always available, either by phone or in-person to answer any questions for clients of the health center, resulting in fewer health policy terminations. Ongoing 3. Goal Description Improve system navigation by increasing client awareness. Goal Status The benefits coordinator encouraged clients to be an active participant in their health care by working with Duffy to manage the process. This approach resulted in clients improving their knowledge of how to self-navigate the system. Ongoing
PARTNERS	Partner Name, Description & Web Address Cape Cod Hospital Emergency Department www.capecodhealth.org Veterans Affairs Various Contact Information Heidi Nelson, FACHE, CEO, 94 Main Street, Hyannis, MA 02601, 508.771.7517 , hnelson@duffyhealthcenter.org Detailed Description Not Specified COMMUNITY-BASED HEALTH EDUCATION AND OUTREACH Program Type: Community Education, Health Screening, Outreach to Underserved, Prevention, School/Health Center Partnership Brief Description or Objective: Cape Cod Healthcare is committed to providing free health education and outreach in order to enhance and promote wellness, contribute to the prevention of illness and improve the management of chronic disease. Health care professionals, including physicians and nurses, provide the most up-to-date health and disease management information to the community at large in order to increase their awareness of strategies which may improve their health status and well-being. Target Population: Regions Served: Barnstable Health Indicator: Access to Health Care, Other: Arthritis, Other: Cancer, Other: Cancer - Breast, Other: Cancer - Colo-rectal, Other: Cancer - Other, Other: Cancer - Prostate, Other: Cancer - Skin, Other: Cardiac Disease, Other: Diabetes, Other: Elder Care, Other: Hypertension, Other: Nutrition, Other: Stroke, Other: Uninsured/Underinsured Sex: All Age Group: All Ethnic Group: All Language: All Goals Statewide Priority: Address Unmet Health Needs of the Uninsured, Promoting Wellness of Vulnerable Populations 1. Goal Description Provide health information and outreach programs to vulnerable populations and those with chronic illness. Goal Status Over 1,000 people participated in educational and outreach programs which addressed topics aimed at managing disease and chronic illness, such as diabetes, hypertension and arthritis. Ongoing 2. Goal Description Improve awareness of prevention and wellness through health promotion activities. Goal Status Health care providers informed participants of the importance of wellness and prevention strategies, including early detection through screening. Programs are free and are often held in community agencies that serve vulnerable populations. Ongoing Partners Partner Name, Description and Web Address American Cancer Society kerri.medeiros@cancer.org Barnstable High School www.barnstable.k12.ma.us/bhs/ Cape Cod Councils on Aging www.allcapecod.com.ccic.seniorcenters.cfm Falmouth Public Library www.falmouthpubliclibrary.org/ Parish Nurses Various Contact Information Carol Summersall, RN, Director of Community Benefits and Partnerships Cape Cod Healthcare, 297 North Street, Suite 333, Hyannis, MA 02601, 508.862.7896, csummersall@capecodhealth.org Detailed Description Not Specified SUPPORT GROUPS AND CLASSES Program Type: Community Education, Direct Services, Outreach to Underserved, Prevention, Support Group Brief Description or Objective: Support groups and classes are conducted by health care professionals on a regular basis. These events were open to all members of the community regardless of their patient status or ties to a specific hospital. Information and resources were made available to individuals, families and friends. Target Population Regions Served: Barnstable Health Indicator: Access to Health Care, Injury and Violence, Mental Health, Other: Alcohol and Substance Abuse, Other: Arthritis, Other: Bereavement, Other: Cancer, Other: Cancer - Breast, Other: Cancer - Cervical, Other: Cancer - Colo-rectal, Other: Cancer - Lung, Other: Cancer - Other, Other: Cancer - Prostate, Other: Cancer - Skin, Other: Cardiac Disease, Other: Diabetes, Other: Elder Care, Other: HIV/AIDS, Other: Hypertension, Other: Nutrition, Other: Pregnancy, Other: Sexually Transmitted Diseases, Other: Smoking/Tobacco, Other: Stroke, Other: Uninsured/Underinsured, Overweight and Obesity Sex: All Age Group: All Ethnic Group: All Language: All
GOALS	Statewide Priority: Promoting Wellness of Vulnerable Populations 1. Goal Description Increase access to services to reduce stress and improve both physical and mental health outcomes. Goal Status Provided over 2,000 hours of support groups and classes at no charge to individuals, families and friends. Included information and resources to assist participants with their specific disease or health related circumstance. Ongoing Partners Partner Name, Description & Web Address Not Specified Contact Information Carol Summersall, RN, Director of Community Benefits and Partnerships, Cape Cod Healthcare, 297 North Street, Suite 333, Hyannis, MA, 02601, 508.862.7896, csummersall@capecodhealth.org Detailed Description Not Specified WORKFORCE DEVELOPMENT Program Type: Health Professional/Staff Training, Healthy Communities Partnership, Mentorship/Career Training/Internship, School/Health Center Partnership 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 the provision of internships, shadowing and training with health care professionals and providers in several hospital departments. Training and mentoring sessions were conducted to promote interest in health care employment opportunities. Securing a steady supply of workers will mitigate future staff shortages in the workplace and provide necessary access. Target Population Regions Served: Barnstable Health Indicator: Access to Health Care Sex: All Age Group: Adult, Child-Teen Ethnic Group: All Language: All Goals Statewide Priority: Address Unmet Health Needs of the Uninsured, Promoting Wellness of Vulnerable Populations 1. Goal Description Increase access to health care through workforce development. Goal Status Provided students training, mentoring and shadowing opportunities. On target Partners Partner Name, Description & Web Address Barnstable High School www.barnstable.k12.ma.us/bhs/ Boston College Boston College Bristol Community College bristolcc.edu/ Cape Cod Community College www.capecod.edu/ Upper Cape Regional Technical School www.uppercapetech.com/ Contact Information Carol Summersall, RN, Regional Director of Community Benefits and Partnerships, Cape Cod Healthcare, 297 North Street, Suite 333 Hyannis, MA 02601, 508.862.7896, csummersall@capecodhealth.org Detailed Description Not Specified HELPING HANDS PROGRAM Program Type: Direct Services, Prevention Brief Description or Objective: The Helping Hands Program offers medication review and optimization with a clinical pharmacist in the patient's home for high-risk patients being discharged with a chronic disease, five or more medications, multiple regimen changes, and when an increase fall risk has been identified. Patients and their caregivers are provided coaching on self-management of their chronic disease, medication management and evaluation for fall risk and home safety. Target Population Regions Served: Barnstable Health Indicator: Other: Cancer, Other: Cardiac Disease, Other: Diabetes, Other: Education/Learning Issues, Other: Elder Care, Other: Homebound, Other: Hypertension, Other: Pulmonary Disease/Tuberculosis, Other: Safety - Home Sex: All Age Group: Adult, Adult-Elder Ethnic Group: All Language: All Goals Statewide Priority: Promoting Wellness of Vulnerable Populations 1. Goal Description Provide chronic disease and medication management education. Goal Status Provided 101 home visits, post-discharge, by a clinical pharmacist, at no charge, to assure patients and their caregivers were self-sufficient in managing their chronic disease state and their complex medication regime. Ongoing 2. Goal Description Increase access to services through referrals for vulnerable population. Goal Status Provided referrals at points of care to assure patients were receiving a continuum approach to services which addressed their specific plan of care including disease and medication management. Ongoing Partners Partner Name, Description & Web Address Elder Services of Cape Cod and the Islands www.escci.org/ Physician Offices across Cape Cod Skilled Nursing Facilities - various Visiting Nurse Association of Cape Cod www.vnacapecod.org/ Contact Information Molly Nadeau, Director, Case Management, Cape Cod Hospital, 60 Park Street, Hyannis, MA 02601, 508.862.7408, , mnadeau@capecodhealth.org Detailed Description Not Specified
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. TECHNOLOGIES, HUMAN RESOURCES AND CLINICAL SERVICES. ABOVE ALL, WE WILL HELP IDENTIFY AND RESPOND TO THE NEEDS OF OUR COMMUNITY. FUNCTIONAL EXPENSE NOTE FORM 990 PART I AND PART IX FUNDRAISING IS CONDUCTED ON BEHALF OF CAPE COD HEALTHCARE, INC. & AFFILIATES BY CAPE COD HEALTHCARE FOUNDATION, INC. FORM 990, PART III, LINE 6 CAPE COD HEALTHCARE, INC & AFFILIATES' VOLUNTEERS INCLUDE ITS TRUSTEES. FORM 990, PART VI, LINE 7(A) THE ORGANIZATION HAS MEMBERS/INCORPORATORS WHO ELECT THE ORGANIZATION'S TRUSTEES. FORM 990, PART VI, LINE 7(B) THE DECISIONS OF THE GOVERNING BODY THAT NEED APPROVAL BY ITS MEMBERS/INCORPORATORS INCLUDE APPROVAL OF CHANGES MADE TO THE CORPORATION'S BYLAWS AND APPROVAL WHEN THERE IS A DIVESTING OF ONE OF THE MAJOR AFFILIATES OF THE ORGANIZATION. 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 OFFICERS, EXECUTIVES AND KEY EMPLOYEES INCLUDE THE FOLLOWING: 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, SECTION B, LINE 16 - JOINT VENTURE POLICY	THE ORGANIZATION HAD A JOINT VENTURE POLICY IN PLACE AND APPROVED BY AN APPROPRIATE OFFICER, BUT WAS NOT FORMALLY ADOPTED BY THE FULL BOARD OR A COMMITTEE OF THE BOARD BY THE YEAR ENDED SEPTEMBER 30, 2011. 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	EXECUTIVE VP/COO UNTIL 12/10 PRESIDENT/CEO FROM 12/10 FORM 990, PART VII, COLUMN (B) THE INDIVIDUALS REPORTED AS RECEIVING COMPENSATION FROM A RELATED ORGANIZATION IN COLUMNS (E) AND (F) IN SCHEDULE J-2 ARE EMPLOYEES AT CAPE COD HEALTHCARE, INC., A TAX-EXEMPT RELATED ORGANIZATION. EACH OF THESE INDIVIDUALS HAS DEVOTED AN AVERAGE OF 40 HOURS PER WEEK TO THEIR POSITIONS AT CAPE COD HEALTHCARE, INC.	MICHAEL K. LAUF'S TITLE
FORM 990, PART XI, LINE 5	UNREALIZED GAINS/LOSSES ($7,707,212) NET ASSETS RELEASED FROM RESTRICTION ( 3,893,351) TRANSFERS OF NET ASSETS (33,255,573) TRANSFERS TO/FROM AFFILIATES 4,388,598 OTHER 558,228 ------------- (39,909,310)	OTHER CHANGES IN NET ASSETS OR FUND BALANCES
AFFILIATES INCLUDED IN GROUP RETURN	CAPE COD HOSPITAL 04-2103600 CAPE COD HUMAN SERVICES, INC. 04-2323506 CAPE & ISLANDS HEALTH SVCS II, INC. 04-3572408 FALMOUTH HOSPITAL ASSOCIATION, INC. 04-2220716 JML CARE CENTER, INC. 04-2995795 FALMOUTH ASSISTED LIVING, INC. 22-3379395 V.N.A. OF CAPE COD, INC. 04-2104159 CAPE COD HEALTHCARE FOUNDATION, INC. 04-3475950 MEDICAL AFFILIATES OF CAPE COD, INC. 04-3187299 ALL OF THE ABOVE ENTITIES CAN BE REACHED AT: 25 COMMUNICATION WAY HYANNIS, MA 02601

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	CAPE COD HEALTHCARE INC	BusinessNameLine1

Address US AddressUS

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

Field	Value	IRS element (for citing)
EIN	222600704	EIN
Primary Activities	PARENT CORP	PrimaryActivities
Legal Domicile State	MA	LegalDomicileState
Exempt Code Section	501(C)(3)	ExemptCodeSection
Public Charity Status	13b	PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Controlled Org	false	ControlledOrg

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	CountryAddressForeign/Country	Primary ActivityPrimaryActivity	Legal Domicile Foreign CountryLegalDomicileForeignCountry	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1
CAPE HEALTH INSURANCE COMPANY
PO BOX 1051GT	GRAND CAYMAN	CJ	INSURANCE	CJ	N/A	C CORP	0	0	0.00000
CAPE COD MEDICAL OFFICE BUILDING INC
			RENTAL SRVCE		N/A	C CORP	15000	38408	1.00000	27 PARK STREET	HYANNIS	MA	02601	042423073	MA
POOLED INCOME FUNDS (8)
			SUPPORT			T									MA	NA
CHARITABLE LEAD TRUST (1)
			SUPPORT			T									MA	NA

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	true	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	true	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

Field	Value	IRS element (for citing)
Business Name Line1	CAPE HEALTH INSURANCE COMPANY	BusinessNameLine1

Field	Value	IRS element (for citing)
Transaction Type	Q	TransactionType
Amount Involved	2872657	AmountInvolved
Method Of Amt Determination	FMV	MethodOfAmtDetermination

Affiliate Listing AffiliateListing

Affiliate Affiliate (9 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Name ControlNameControl
CAPE COD HOSPITAL
25 COMMUNICATION WAY	HYANNIS	MA	02601	042103600	CAPE
VISITING NURSE ASSN OF CAPE COD INC
25 COMMUNICATION WAY	HYANNIS	MA	02601	042104159	CAPE
FALMOUTH HOSPITAL ASSOCIATION INC
25 COMMUNICATION WAY	HYANNIS	MA	02601	042220716	CAPE
CAPE COD HUMAN SERVICES INC
25 COMMUNICATION WAY	HYANNIS	MA	02601	042323506	CAPE
MEDICAL AFFILIATES OF CAPE COD INC
25 COMMUNICATION WAY	HYANNIS	MA	02601	043187299	CAPE
CAPE COD HEALTHCARE FOUNDATION INC
25 COMMUNICATION WAY	HYANNIS	MA	02601	043475950	CAPE
CAPE & ISLANDS HEALTH SERVICES II
25 COMMUNICATION WAY	HYANNIS	MA	02601	043572408	CAPE
FALMOUTH ASSISTED LIVING INC
25 COMMUNICATION WAY	HYANNIS	MA	02601	223379395	CAPE
JML CARE CENTER INC
25 COMMUNICATION WAY	HYANNIS	MA	02601	042995795	CAPE