CAPE COD HEALTHCARE INC: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- CAPE COD HEALTHCARE INC (EIN 22-2600704)
- Tax period
- 2009-10-01 to 2010-09-30
- Filed
- 2011-08-15
- IRS object ID
- 201122279349302567
- Schema version
- 2009v1.7
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-08-15T12:34:37-05:00 | Timestamp |
| Tax Period End Date | 2010-09-30 | 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 | 2009-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222600704 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CAPE COD HEALTHCARE INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CAPE | NameControl |
| Phone | 5087711800 | 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 | SR VP OF FINANCE/CFO | Title |
| Date Signed | 2011-08-10 | 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 | 2009 | 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 | 29454723 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | WWW.CAPECODHEALTH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1984 | YearFormation |
| State Legal Domicile | MA | StateLegalDomicile |
| Activity Or Mission Description | SEE SCHEDULE O | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 10 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 8 | NbrIndependentVotingMembers |
| Total Nbr Employees | 153 | TotalNbrEmployees |
| Total Nbr Volunteers | 16 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 28332186 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 29966605 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 3132122 | InvestmentIncomePriorYear |
| Investment Income Current Year | -511882 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 3781 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 31468089 | TotalRevenuePriorYear |
| Total Revenue Current Year | 29454723 | 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 | 17731257 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 19881966 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 194319 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 10784701 | OtherExpensePriorYear |
| Other Expenses Current Year | 9942844 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 28515958 | TotalExpensesPriorYear |
| Total Expenses Current Year | 29824810 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 2952131 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -370087 | RevenuesLessExpensesCY |
| Total Assets BOY | 119228716 | TotalAssetsBOY |
| Total Assets EOY | 145892352 | TotalAssetsEOY |
| Total Liabilities BOY | 57188035 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 54795134 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 62040681 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 91097218 | NetAssetsOrFundBalancesEOY |
| Mission Description | SEE SCHEDULE O | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 22330661 | Expense |
| Revenue | 29966605 | Revenue |
| Description | ORGANIZE AND MANAGE HEALTH CARE RELATED ACTIVITIES FOR THE EXCLUSIVE BENEFIT OF CAPE COD HOSPITAL, FALMOUTH HOSPITAL, INC. AND ITS OTHER AFFILIATES. ALSO SEE SCHEDULE O. | Description |
| Total Program Service Expense | 22330661 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | true | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| 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 | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | 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 | true | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 149 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 153 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | true | ForeignFinancialAccount |
| Name Of Foreign Country | BD | NameOfForeignCountry |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Nbr Voting Governing Body Members | 10 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 8 | 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 | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | true | LocalChapters |
| Policies Reference Chapters | true | PoliciesReferenceChapters |
| 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 CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| 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 |
Form990 Part VII Section A Form990PartVIISectionA (28 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | FormerFormer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|---|
| ROBERT BIRMINGHAM | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| HOWARD CROW JR | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| PHILIP MCLOUGHLIN | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| BRIAN O'MALLEY MD | |||||||||
| TRUSTEE UNTIL 5/2010 | 2.0 | X | 0 | 0 | 0 | ||||
| DAVID P SAMPSON | |||||||||
| TRUSTEE UNTIL 5/2010 | 2.0 | X | 0 | 0 | 0 | ||||
| GROVER BAXLEY MD | |||||||||
| TRUSTEE | 2.0 | X | 0 | 57396 | 0 | ||||
| PATRICK MURRAY MD | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| NATE RUDMAN MD | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| SUMNER B TILTON JR | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| JOEL CROWELL | |||||||||
| TRUSTEE FROM 5/2010 | 2.0 | X | 0 | 0 | 0 | ||||
| PAUL DEMEO MD | |||||||||
| TRUSTEE FROM 1/2010 | 2.0 | X | 0 | 18000 | 0 | ||||
| SUZANNE GLYNN ESQ | |||||||||
| TRUSTEE FROM 5/2010 | 2.0 | X | 0 | 0 | 0 | ||||
| THOMAS WROE JR | |||||||||
| CHAIRMAN | 2.0 | 0 | 0 | 0 | X | ||||
| ELEANOR CLAUS | |||||||||
| CLERK | 2.0 | 0 | 0 | 0 | X | ||||
| DOROTHY SAVARESE | |||||||||
| TREASURER | 2.0 | 0 | 0 | 0 | X | ||||
| STEPHEN J GUIMOND | |||||||||
| FMR SR VP FIN./CFO UNTIL 12/08 | 40.0 | 102348 | 0 | 89 | X | ||||
| RICHARD F SALLUZZO MD | |||||||||
| PRESIDENT/CEO | 40.0 | 835609 | 0 | 102585 | X | ||||
| WILLIAM ZAMMER | |||||||||
| VICE CHAIRMAN | 2.0 | 0 | 0 | 0 | X | ||||
| MICHAEL L CONNORS | |||||||||
| SR VP FIN./CFO FROM 3/2009 | 40.0 | 360548 | 0 | 23831 | X | ||||
| MICHAEL G JONES | |||||||||
| V.P. OF LEGAL AFFAIRS | 40.0 | 381826 | 0 | 73453 | X | ||||
| MICHAEL K LAUF | |||||||||
| EXECUTIVE VP/COO | 40.0 | 525812 | 0 | 102945 | X | ||||
| THOMAS MUNDELL | |||||||||
| VP OF DEVELOPMENT UNTIL 1/2010 | 40.0 | 185982 | 0 | 81036 | X | ||||
| JAMES D BUTTERICK | |||||||||
| CMO - CAPE COD HOSPITAL | 40.0 | 318895 | 0 | 50047 | X | ||||
| CHARLES R HULSE | |||||||||
| EXECUTIVE DIRECTOR - MACC | 40.0 | 210382 | 0 | 27231 | X | ||||
| SUSAN M WING | |||||||||
| COO - FALMOUTH HOSPITAL | 40.0 | 270369 | 0 | 58236 | X | ||||
| SHERYL CROWLEY | |||||||||
| VP OF INFO SYSTEMS & CIO | 40.0 | 274073 | 0 | 40129 | X | ||||
| DIANNE KOLB | |||||||||
| CHIEF OPERATING OFFICER - VNA | 40.0 | 233093 | 0 | 19399 | X | ||||
| JEFFREY S DYKENS | |||||||||
| CONTROLLER | 40.0 | 292455 | 0 | 93554 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3991392 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 75396 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 672535 | TotalOtherCompensation |
| Number Individuals GT100 K | 47 | 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 |
|---|---|---|---|---|---|
| DELOITTE CONSULTING LLP | |||||
| PO BOX 7247-6447 | PHILADELPHIA | PA | 191706447 | FINANCIAL CONSULTING | 2591820 |
| M E FOLEY PC | |||||
| 143 PALMER AVENUE | FALMOUTH | MA | 02540 | LEGAL SERVICES | 425000 |
| NUTTER MCCLENNEN FISH LLP | |||||
| WORLD TRADE CENTER 155 SEAPORT BLV | BOSTON | MA | 022102604 | LEGAL SERVICES | 343510 |
| ZEIGLER CAPITAL MARKET GROUP | |||||
| 200 SOUTH WACKER DRIVE SUITE 2000 | CHICAGO | IL | 60606 | FINANCIAL CONSULTING | 304050 |
| CAMBRIDGE ASSOCIATES LLC | |||||
| 100 SUMMER ST | BOSTON | MA | 021102112 | INVESTMENT CONSULT. | 267560 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 13 | NumberOfContractorsGT100K |
| Total Contributions | 0 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| HOME OFFICE COSTS | 900099 | 29926333 | 29926333 |
| OTHER PROGRAM REVENUE | 900099 | 40272 | 40272 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 29966605 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 494001 | TotalRevenueColumn |
| Exclusion | $494,001 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
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 | -1005883 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -1005883 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -1005883 | TotalRevenueColumn |
| Exclusion | -$1,005,883 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 29454723 | TotalRevenueColumn |
| Related Or Exempt Function Income | 29966605 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | -$511,882 | 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 | 3573963 | Total |
| Program Services | 152835 | ProgramServices |
| Management And General | 3226809 | ManagementAndGeneral |
| Fundraising | 194319 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 276610 | Total |
| Management And General | 276610 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12839369 | Total |
| Program Services | 11555432 | ProgramServices |
| Management And General | 1283937 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 377570 | Total |
| Program Services | 339813 | ProgramServices |
| Management And General | 37757 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2065550 | Total |
| Program Services | 1858995 | ProgramServices |
| Management And General | 206555 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 748904 | Total |
| Program Services | 674014 | ProgramServices |
| Management And General | 74890 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1113138 | Total |
| Management And General | 1113138 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19961 | Total |
| Management And General | 19961 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 79200 | Total |
| Program Services | 79200 | ProgramServices |
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 | 207911 | Total |
| Management And General | 207911 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2217544 | Total |
| Program Services | 1995789 | ProgramServices |
| Management And General | 221755 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 764389 | Total |
| Program Services | 687950 | ProgramServices |
| Management And General | 76439 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 250278 | Total |
| Program Services | 225250 | ProgramServices |
| Management And General | 25028 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 820237 | Total |
| Program Services | 738213 | ProgramServices |
| Management And General | 82024 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1336401 | Total |
| Program Services | 1202761 | ProgramServices |
| Management And General | 133640 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 85328 | Total |
| Program Services | 76796 | ProgramServices |
| Management And General | 8532 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 110670 | Total |
| Program Services | 99603 | ProgramServices |
| Management And General | 11067 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14012 | Total |
| Program Services | 12611 | ProgramServices |
| Management And General | 1401 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1086285 | Total |
| Program Services | 977657 | ProgramServices |
| Management And General | 108628 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 171353 | Total |
| Program Services | 154218 | ProgramServices |
| Management And General | 17135 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| COMMUNITY BENEFITS | 629342 | 566408 | 62934 |
| PHO EXPENSE - IPO GUARANTEE | 214634 | 193170 | 21464 |
| SUPPLIES | 213720 | 192348 | 21372 |
| MEMBERSHIP DUES | 177596 | 159837 | 17759 |
| EMPLOYEE RECOGNITION | 105732 | 95159 | 10573 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 325113 | Total |
| Program Services | 292602 | ProgramServices |
| Management And General | 32511 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29824810 | Total |
| Program Services | 22330661 | ProgramServices |
| Management And General | 7299830 | ManagementAndGeneral |
| Fundraising | 194319 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2096184 | BOY |
| EOY | 952631 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 39269278 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4063124 | BOY |
| EOY | 2477093 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 150508 | BOY |
| EOY | 139386 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 384684 | BOY |
| EOY | 378387 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 11400159 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 3687601 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4922990 | BOY |
| EOY | 7712558 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36031731 | BOY |
| EOY | 96771047 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32310217 | BOY |
| EOY | 37461250 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 119228716 | BOY |
| EOY | 145892352 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21484952 | BOY |
| EOY | 20197680 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4480094 | BOY |
| EOY | 3662098 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6900000 | BOY |
| EOY | 6900000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24322989 | BOY |
| EOY | 24035356 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 57188035 | BOY |
| EOY | 54795134 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36276466 | BOY |
| EOY | 52504535 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9440894 | BOY |
| EOY | 19745615 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16323321 | BOY |
| EOY | 18847068 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62040681 | BOY |
| EOY | 91097218 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 119228716 | BOY |
| EOY | 145892352 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2971962 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 476409 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 610785 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 0 | CurrentTaxYearMinus1Year |
| Current Tax Year | 0 | CurrentTaxYear |
| Total | 4059156 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2971962 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 476409 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 610785 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 0 | CurrentTaxYearMinus1Year |
| Current Tax Year | 0 | CurrentTaxYear |
| Total | 4059156 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 4059156 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1385427 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1771067 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1747302 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 754125 | CurrentTaxYearMinus1Year |
| Current Tax Year | 494001 | CurrentTaxYear |
| Total | 6151922 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 10211078 | TotalSupport |
| Gross Receipts From Admissions Etc | 135580466 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.39753 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.36543 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Belongs To Affiliated Group | X | OrgBelongsToAffiliatedGroup |
| 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 | $79,200 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 79200 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
| Form4720 Filed4912 Tax | false | Form4720Filed4912Tax |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE C, PART II-B, LINE 1I | Identifier |
| Explanation | CAPE COD HEALTHCARE, INC. MADE PAYMENTS OF $79,200 TO DENNIS A. SMITH ASSOCIATES AND TO SMITH & RAUSCHENBACH FOR LOBBYING EFFORTS, SUCH AS MONITORING THE MASSACHUSETTS LEGISLATURE AND INFORMING CAPE COD HEALTHCARE, INC. ON THE CHANGES THAT COULD AFFECT CAPE COD HEALTHCARE, INC. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 184800 | OtherCostOrOtherBasis |
| Book Value | 184800 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 552869 | OtherCostOrOtherBasis |
| Depreciation | 364648 | Depreciation |
| Book Value | 188221 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 549720 | OtherCostOrOtherBasis |
| Depreciation | 393976 | Depreciation |
| Book Value | 155744 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6143293 | OtherCostOrOtherBasis |
| Depreciation | 2766771 | Depreciation |
| Book Value | 3376522 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3969477 | OtherCostOrOtherBasis |
| Depreciation | 162206 | Depreciation |
| Book Value | 3807271 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 7712558 | TotalOfBookValueLandBuildings |
| Financial Derivatives | FinancialDerivatives | |
| Closely Held Equity Interests | CloselyHeldEquityInterests |
Other Securities OtherSecurities (3 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| INTERNALLY DESIGNATED INVEST. | 68552954 | F |
| TEMP RESTRICTED INVESTMENTS | 9656476 | F |
| PERM RESTRICTED INVESTMENTS | 18561617 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 96771047 | TotalOfBookValueSecurities |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| OTHER ASSETS | 14283660 |
| DUE FROM AFFILIATES | 19569449 |
| INVESTMENT IN AFFILIATE | 3608141 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 37461250 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| OTHER LIABILITIES | $346,904 |
| DUE TO AFFILIATES | $21,592,773 |
| ANNUITIES PAYABLE | $2,095,679 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 24035356 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE D, PART X | Identifier |
| Explanation | THE ORGANIZATION DOES NOT HAVE A FIN 48 FOOTNOTE AS ANY UNCERTAIN TAX POSITIONS WERE DEEMED IMMATERIAL. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | true | 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 (11 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RICHARD F SALLUZZO MD | |||||||||||||
| 831282 | 0 | 0 | 0 | 4327 | 0 | 78618 | 0 | 23967 | 0 | 938194 | 0 | 0 | 0 |
| MICHAEL G JONES | |||||||||||||
| 299975 | 0 | 40000 | 0 | 41851 | 0 | 24133 | 0 | 49320 | 0 | 455279 | 0 | 40741 | 0 |
| MICHAEL K LAUF | |||||||||||||
| 395040 | 0 | 130000 | 0 | 772 | 0 | 46366 | 0 | 56579 | 0 | 628757 | 0 | 0 | 0 |
| JAMES D BUTTERICK | |||||||||||||
| 283149 | 0 | 20000 | 0 | 15746 | 0 | 16662 | 0 | 33385 | 0 | 368942 | 0 | 10159 | 0 |
| CHARLES R HULSE | |||||||||||||
| 203609 | 0 | 5000 | 0 | 1773 | 0 | 8445 | 0 | 18786 | 0 | 237613 | 0 | 0 | 0 |
| MICHAEL L CONNORS | |||||||||||||
| 264673 | 0 | 95000 | 0 | 875 | 0 | 0 | 0 | 23831 | 0 | 384379 | 0 | 0 | 0 |
| THOMAS MUNDELL | |||||||||||||
| 171601 | 0 | 0 | 0 | 14381 | 0 | 15820 | 0 | 65216 | 0 | 267018 | 0 | 0 | 0 |
| SUSAN M WING | |||||||||||||
| 214361 | 0 | 45000 | 0 | 11008 | 0 | 22858 | 0 | 35378 | 0 | 328605 | 0 | 0 | 0 |
| JEFFREY S DYKENS | |||||||||||||
| 270149 | 0 | 20000 | 0 | 2306 | 0 | 27118 | 0 | 66436 | 0 | 386009 | 0 | 0 | 0 |
| SHERYL CROWLEY | |||||||||||||
| 218299 | 0 | 55000 | 0 | 774 | 0 | 9800 | 0 | 30329 | 0 | 314202 | 0 | 0 | 0 |
| DIANNE KOLB | |||||||||||||
| 195365 | 0 | 35000 | 0 | 2728 | 0 | 9306 | 0 | 10093 | 0 | 252492 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SCHEDULE J, PART I | LINE 1A | Tax indemnification and gross-up payments - The VP of Development received tax-gross up payments during calendar year 2009 which were included in his taxable compensation. |
| LINE 4A | STEPHEN G. GUIMOND RECEIVED SEVERANCE PAYMENTS OF $89,572. THE ARRANGEMENT PROVIDES FOR CONTINUED PAYMENT OF THE INDIVIDUAL'S SALARY AND BENEFITS FOR A PERIOD OF TWELVE MONTHS PLUS ONE MONTH FOR EVERY YEAR OF SERVICE UP TO EIGHTEEN MONTHS. IN THE EVENT THE INDIVIDUAL IS REEMPLOYED AT ANY TIME DURING THE PERIOD, THE AGREED UPON SEVERANCE PAYMENTS WILL BE OFFSET BY OTHER EMPLOYMENT INCOME, SEVERANCE BENEFITS OR UNEMPLOYMENT. | |
| 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 2009 WERE AS FOLLOWS: -MICHAEL G. JONES - $40,741 -JAMES D. BUTTERICK, MD - $10,159 | |
| SCHEDULE J, PART II, COLUMN (B)(II) | SENIOR EXECUTIVES RECEIVED AN INCENTIVE BONUS PAYMENT. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (23 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Community Benefits Report | 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: Number of individuals affected and/or who would benefit and geographic impact. Feasibility (including amenable to change). Multiple benefits would be realized (ripple effect). Impact on overall health status. Resources needed. Ability to generate concrete, measurable outcomes. 2. Name of Target Population: Chronically ill residents afflicted with cardiovascular-related disease, diabetes, and/or oral health issues. Basis for Selection: Number of individuals affected and/or who would benefit and geographic impact. Feasibility (including amenable to change). Multiple benefits would be realized (ripple effect). Impact on overall health status. Ability to generate concrete, measurable outcomes. 3. Name of Target Population: Community members afflicted with mental health and/or substance abuse-related issues. Basis for Selection: Number of individuals affected and/or who would benefit and geographic impact. Feasibility (including amenable to change). Multiple benefits would be realized (ripple effect). Impact on overall health status. Other groups or organizations are not already fully addressing the issue. Resources needed. 4. Name of Target Population: Geriatric population, especially those who are at risk and/or in hard to reach areas. Basis for Selection: Number of individuals affected and/or who would benefit and geographic impact. Feasibility (including amenable to change). Multiple benefits would be realized (ripple effect). Impact on overall health status. 5. Name of Target Population: Residents with emerging health issues. Basis for Selection: Number of individuals affected and/or who would benefit and geographic impact. Feasibility (including amenable to change). Multiple benefits would be realized (ripple effect). Impact on overall health status. 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: As non-profit, tax exempt 501(c)(3) organizations, Cape Cod Hospital and Falmouth Hospital, under the parent company Cape Cod Healthcare (CCHC), re-invests a portion of their net income back into the community though new technologies, vital health services, employment and a robust and responsive Community Benefits program. This support requires balancing a steadfast commitment to our mission while remaining stewards of valuable community programs that keep Cape Cod healthy. Through collaborative partnerships with state and local community health and human service agencies, CCHC develops initiatives to meet the needs of special populations identified through ongoing and formal community health needs assessments, and provides programs which align with Massachusetts State-wide priorities. The following is a list the key accomplishments of the FY2010 Community Benefits Plan and the needs established by the Community Health Committee in June, 2009 for FY2010 - FY2012. Community Benefit Accomplishments FY2010: The year 2010 emerged as turbulent and challenging for the Cape Cod community. Despite these challenges CCHC remained dedicated to its core vision; "identify and respond to the needs of our community." And, with the transition of the Community Benefits Program under new management on October 1, 2009, it presented an opportunity to re-evaluate the objectives of the program which remained flexible throughout the year to meet the needs of Cape Cod, the ability to fund programs and to identify existing hospital-sponsored community initiatives that qualify as community benefit programs per the new Attorney General Guidelines. As always, CCHC's commitment through its Community Benefits Program, Cape-wide partnerships and through the contributions of CCHC's dedicated physicians, employees and volunteers, provided numerous programs that align with the Community Benefits Mission. The following is a list of short-term goals and accomplishments for FY2010: 1. Work with FY2009 Community Benefits contract holders to assess program needs and renew support for FY2010 as appropriate. After careful assessment of FY2009 funded programs, CCHC Community Benefits continued funding 9 programs through FY2010 to prevent gaps in services. This assessment provided an opportunity for the Senior Manager of Community Benefits to learn about the programs to write the FY2009 Attorney General report. 2. Renew the Cape Cod Healthcare Community Health Committee to carry out the objectives of the Community Benefits Plan. The Community Health Committee reviewed the Bylaws, Community Health Priorities for FY2010 and the current membership. The committee's first task was to fill vacant seats and ensure representation from all regions of Barnstable County. 3. Review hospital-sponsored community programs to determine alignment with identified target populations and priorities. A new internal Community Benefits Taskforce convened and identified a number of community-based programs sponsored by Cape Cod Hospital and Falmouth Hospital that align with the Community Benefits Guidelines. 4. Establish a mini-grant process for emerging health care needs by June 2010. Cape Cod Healthcare budgeted for short-term, "one-time" mini grants, to provide assistance for emerging community health issues. The Senior Manger, in collaboration the CHNA 27 RFP Sub-Committee, and several local community organizations developed a formal mini-grant process. The Community Health Committee reviewed and accepted 50% of the submitted proposals which resulted in a total award of $42,060. 5. Develop and improve a strategic RFP process for FY2012 funding by July 2010 to provide more transparency and greater community participation. The Senior Manager of Community Benefits, utilizing best practices, worked closely with local and regional organizations, the CHNA 27 and members of the community experienced in grant processing to revise the grant funding process. The Community Health Committee played an important role in the evaluation of the new RFP process for FY2011 and offered recommendations for improvements in the review and scoring of the proposals for future grant funding. Using the identified community health needs and supporting documentation and data, the Community Health Committee developed the following long-term Community Benefit Goals for FY 2010 - 2012: 1. Improve Access to Health Care and Reduce Health Disparities: In collaboration with the four community health centers and local health and human service agencies, Cape Cod Healthcare increased access to care for community members who have government-funded insurance programs or who are un/underinsured through our physician recruitment program and our collaborative insurance enrollment programs. In addition, CCHC provided programs to assist with cultural and language support for community members who may be unaware of how to access health care, may encounter language barriers, or are hesitant to seek care due to residency documentation. 2. Chronic Disease Management: Diabetes, cardiovascular disease and oral health related issues were identified by the latest formal needs assessment to be the top three preventable diseases based on the following four local indicators; health disparities, growth rates in obesity, decrease in access to specialty care and awareness of the implications of such health issues. 3. Mental Health and Substance Abuse Related Issues: | |
| According to Beinecke, Worlock Moore, and Mandersheid, 2008; Archives of | Cape Cod face more behavioral health problems and challenges than general regions of the state. This may result in increased mental health-related illnesses, substance abuse and suicide. County data shows that during the peak season on Cape Cod, housing becomes more expensive and unavailable. Families working in seasonal industries face fluctuating incomes, high rates of unemployment, bankruptcy and home foreclosures, which may result in feelings of despair, self-medication and suicide attempts and completions. State data shows the suicide rate for Cape Cod and the Islands is 1.5 times the state average creating a greater demand for mental health and substance abuse services. Through collaborations with the Community Health Center Network and local health and human services agencies, CCHC funded programs that increase access to programs that support community members with mental health and substance abuse issues. 4. Promoting Wellness of Vulnerable Populations: For the purposes of this report and per the completed needs assessment in 2009, "vulnerable people" are groups of people whose physical, cultural or mental condition or circumstances render them vulnerable to health-related issues and present significant barriers to access. These include but are not limited to: a. Low-income individuals and families. b. Persons living in poverty. c. The homeless. d. Immigrant populations. e. The elderly. f. Persons with mental retardation, mental health and/or substance abuse disorders. g. Persons lacking resources to meet basic needs (e.g., food, shelter). h. Persons with chronic health issues related to diabetes, cardiovascular disease and/or oral health. i. Persons with chronic diseases which, if left untreated, threaten the public's health (e.g. HIV, Viral Hepatitis, Hepatitis C, tuberculosis). Cape Cod Healthcare considers these populations vulnerable due to their circumstances, the geography of Cape Cod, limited public transportation, and restrictions to access to health care due to the limited number of health care providers accepting MassHealth. 5. Emerging Health Issues: Cape Cod Healthcare budgets for "one-time" donations to assist emerging health issues on a priority basis. Plans for Next Reporting Year: 1. Collaborate with the four community health centers and local health and human service agencies to address health disparities: Cape Cod Healthcare, through its collaborative partnerships with the community health centers and local health and human service agencies, will continue to develop and support programs that that meet the needs of our community. 2. Conduct Formal Cape-Wide Community Health Needs Assessment: Cape Cod Healthcare will work with community partners in the development of the framework and objectives for the community health needs assessment to be conducted in 2011. CCHC will work closely with the internal finance department to ensure all fiduciary and tax-related requirements are met. Internal hospital data, public health data, local and regional health status indicators and direct community and patient feedback will be used. In addition, Physician and hospital staff will provide clinical perspective on service line needs currently facing patients. Cape Cod Healthcare will engage an experienced professional research firm to assist with the technical aspects of the study, including the survey design, data collection, analysis and reporting for the study. CCHC, along with the Community Health Committee, will adopt an implementation strategy in collaboration with our community partners, and to meet the community health needs indentified by the assessment. The findings of this study will be made widely available to the public through a variety of communication mechanisms. 3. Re-evaluate contracted programs for multi-year funding: Cape Cod Healthcare, through its Community Benefits Program, funds programs through annual budgeted grant funds via a formal RFP process. In collaboration with the Community Health Committee, CCHC will re-evaluate three (3) of the current Community Benefits programs in FY2011 to determine if multi-year funding might be an option. These programs are: (1) REACH Collaborative program; (2) Specialty Network for the Uninsured Program; and (3) Community Based Interpreter Services Program. The Community Health Committee will prioritize needs in FY2011 through a formal Community Health Needs Assessment and identify more specific programs with defined measurable goals. 4. Enhance tracking of Community Benefits programs and initiatives: Cape Cod Healthcare will establish a uniform infrastructure for collection of community benefit data to structure community benefit plans, track programs, document activities and report the highlights of our hospitals' valuable contributions to the community. Community Benefits Process: Cape Cod Healthcare's Community Benefits program is a division of the Office of Service Line Development. This division with its Community Health Committee (CHC) reports to the Board of Trustees. The Community Health 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 members of the CCHC Board of Trustees. The committee develops and recommends policies to the Board regarding community health and Community Benefits programs. It also conducts formal Community Benefits planning to set priorities on grant funding, advises on community health issues and initiatives, and disperses funds through a formal RFP process. Cape Cod Healthcare addresses potential emergent health care trends. To support such events, CCHC budgets a small reserve for emergent "one-time" donations in support of our community's health and well being, and aligns with our Community Benefits Program. These funds may be used at the discretion of Cape Cod Healthcare's leadership, who make a timely effort to inform the CHC as circumstances arise. As always, the goal of the Community Health Committee is to work openly and collaboratively with our community partners. Community Partners: CCHC's Community Benefits programs are an integral part of Cape Cod Healthcare's mission and commitment to our community. This document highlights the accomplishments of our valuable collaborating partners in FY2010: 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 Foundation Cape Cod Immigrant Center Catholic Social Services Children's Cove CIGSYA Community Action Committee of Cape Cod & Islands Community Coalition of Cape Cod Community Health Center of Cape Cod Councils on Aging (of 15 Towns Cape-wide) Duffy Health Center Friends of the Barnstable Council on Aging Gosnold on Cape Cod Helping Our Women Housing Assistance Corporation Massachusetts Department of Public Health Mid-Upper Cape Community Health Center Outer Cape Health Services Parkinson Support Network of Cape Cod Provincetown Art Association and Museum Sandwich Partnership for Families The Barnstable Human Rights Commission The Boys and Girls Club 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: | Psychiatric Nursing, Vol. 22, No. 3., Seasonal resort communities such as |
| Cape Cod Healthcare's community health needs assessment is fluid and | determine the health care needs of the four regions of Barnstable County, (Upper, Mid, Lower, and Outer Cape Cod), CCHC seeks community opinion about the services provided, satisfaction with such services, and what particular services are needed. These opinions, together with secondary data from multiple sources, are used to build an agenda aimed at providing needed health care services and additional community-based programs. The latest formal Community Health Needs Assessment resulted in a two-tiered process. The first phase of this assessment was in 2008 and involved data gathering and analysis. The committee accessed multiple data sources and health status indicators in collaboration with community partners from Cape Cod and the Islands, which resulted in the creation of the Salient Health Issues Report June, 2008. The committee conducted the second component (the qualitative part of the needs assessment) in 2009, engaging residents and providers from the four regions of Cape Cod through the Community Solutions Forums. These forums explored how various populations on the Cape are specifically affected by the health issues identified in the Salient Health Issues Report. Communities were encouraged to explore viable and relevant solutions to reduce or eliminate the issues. This assessment was completed in June 2009 and continues to guide the Community Benefits program through FY2012. Cape Cod Healthcare plans to begin the next formal Community Health Needs Assessment in FY2011. The Salient Health Issues Report 2008 was the result of the first phase of the Needs Assessment. The report was developed using the following sources: - 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 - 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 - Senior Mobility Initiative on Cape Cod [SMICC] - U.S. Census Below are the consultants/organizations and other sources used during phase two of the needs assessment: Consultants/Other Organizations: 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 (of 15 Towns Cape-wide) 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: Community Focus Groups, Hospital, Consumer Group, Interviews, MassCHIP, Public Health Personnel, Surveys, CHNA, Other - Salient Health Issues Report, June 2008, Bureau of Substance Abuse Services, MA, Monitoring the Human Condition Study 2007 and 2008, Barnstable County Community Benefits 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: Cape Cod Healthcare's 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. They also attend local community and MassHealth meetings and trainings to ensure compliance with up-to-date regulations, assist with advocacy efforts and troubleshooting to avoid coverage delays. 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, Reducing Health Disparity, Supporting Healthcare Reform Goal Description: Cape Cod Healthcare Financial department anticipates assisting approximately 2,500 individuals per year with insurance enrollment/re-enrollment into MassHealth, Commonwealth Care and Health Safety Net insurance products. Goal Status: Assisted 2,600 individuals with the Gateway application and re-verification processes. This process includes face-to-face meetings, education, follow-up phone calls and assistance with forms for community members unable to get to the hospital. Partners: Cape Cod Council of Churches: http://capecouncilofchurches.org/ 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/ Hospice & Palliative Care of Cape Cod: http://www.hospicecapecod.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/ Vin Fenn (Hyannis): http://www.vinfen.org/?s=hyannis Visiting Nurses Association: http://www.vnacapecod.org/index.html All Nursing Homes and Rehabilitation Sites on Cape Cod: Various Emergency Room Behavioral Health: PAT Team: | ongoing, with more formal assessments conducted once every three years. To |
| Program Type: Community Participation/Capacity Building Initiative, Direct | Healthy Communities Partnership, Outreach to Underserved, Prevention Brief Description or Objective: The PAT team performs mental health assessments 24 hours a day, 7 days a week including holidays at Cape Cod Hospital and Falmouth Hospital emergency rooms. Patients are referred to the emergency rooms by concerned family members, schools, law enforcement, private physicians and concerned members of the community. The PAT team serves the psychiatric needs of the community every day of the year. Target Population: -Regions Served: Barnstable -Health Indicator: Access to Health Care, Mental Health, Other: Alcohol and Substance Abuse, Other: Uninsured/Underinsured, Substance Abuse -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, Reducing Health Disparity, Supporting Healthcare Reform Goal Description: Evaluation and appropriate disposition of all patients assisted by PAT team. Goal Status: 1.0: Approximately half of the patients evaluated by the PAT Team require immediate hospitalization in psychiatric or substance abuse facilities due to the severity of the presenting illness. Other patients are discharged back to the community with carefully crafted treatment plans that serve to prevent hospitalization and worsening of psychiatric symptoms. 1.1: In the past year, the PAT Team evaluated 1800 patients and the DMG evaluated 1518 patients at CCH and FH Emergency Rooms providing essential consultation to the patients, their families and the ER staff relative to managing psychiatric crises. Collectively these teams evaluated 3318 patients in the Emergency Rooms in 2010 with appropriate dispositions. Partners: Partner Name, Description: Family members, schools, law enforcement, private physicians and concerned community members. Schools, law enforcement: http://www.barnstablecounty.org/ Physician Recruitment for Community Health Centers: Program Type: Community Participation/Capacity Building Initiative, Healthy Communities Partnership, Outreach to Underserved, Physician/Provider Diversity, Prevention Brief Description or Objective: On Cape Cod access to primary care physicians and specialists is often limited for those patients covered under Medicaid and State subsidized health plans. Cape Cod Healthcare recognizes the importance of health care to this often medically challenging population. The healthcare system works closely with the area's four community health centers providing recruitment assistance. Qualified physicians, specialists and physician extenders are identified and referred to these important community resources so that the professional staff at the clinics can be adequately maintained and expanded to accommodate a growing need. 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, Reducing Health Disparity, Supporting Healthcare Reform Goal Description: Work closely with the area's four community health centers providing recruitment assistance to improve access to quality health care for our target populations. Goal Status: Cape Cod Healthcare provided support to our local Community Health Center Network by recruiting physicians and nurse extenders increasing access to primary care providers. Partners: Partner Name, Description: Community Health Center of Cape Cod: http://www.chcofcapecod.org/ Duffy Health Center: http://www.duffyhealthcenter.org/ Mid-Upper Cape Community Health Center: http://www.hhsi.us/cape-cod/mid-upper-cape-community-health-center/ Outer Cape Health Services: http://www.outercape.org/ Reaching Elders with Additional Community Help [REACH]: Cape & Islands Emergency Medical Service System (CIEMSS): Program Type: Community Education, Community Participation/Capacity Building Initiative, Direct Services, Grant/Donation/Foundation/Scholarship, Health Coverage Subsidies or Enrollment, Health Professional/Staff Training, Health Screening, Healthy Communities Partnership, Outreach to Underserved, Prevention, Support Group Brief Description or Objective: A collaborative program providing community coordination, capacity building and leadership to enhance the safety and wellbeing of the elder population on Cape Cod. Working with the Councils on Aging, VNA, EMS and other community partners, elders are assessed in their homes and referred to appropriate services. REACH also provides community training on elder issues and advocates for elder health and wellness. 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, Reducing Health Disparity, Supporting Healthcare Reform Goal Description: 1. Increase access to care through community coordination. Goal Status: 1.0: With CIEMSS, REACH brought GEMS (Geriatric Education for Emergency Medical Services), to the Cape and trained 25 locally-based GEMS Trainers. Each of these Paramedics is now certified to others. -1.1: A model of education was developed and instruction provided to 2 municipal FD/EMS departments on Community Resources. -1.2: Specific pre-Hospital expertise for EMS with Geriatric patients was advanced through purchase of and ongoing trainings with SIM-MAN, a simulator mannequin designed for the difficult to resuscitate. Goal Description: 2. Through collaborative partners, provide on-the-spot health/resource education, recommendations and/or referrals that assist in care, stabilization or prevention of further decline. Goal Status: 2.0: Through September 2010, REACH connected 434 elders with unmet needs to existing services. Each connection introduces the older adult to additional services exponentially. Goal Description: 3. Increase access through capacity building. Goal Status: 3.0: REACH has found that many professions serving the elderly are not equipped to identify depression in older adults. REACH held a series of 4 inter-disciplinary trainings on suicide prevention, depression, anxiety and behavioral health manifestations. -3.1: REACH added a 2-hour Continuing Education program on Geriatric Community Resources for EMS. -3.2: REACH provided educational opportunities for 140 professionals and consumers on Later Life Depression and cognitive implications in collaboration with Dennis Council on Aging [COA] and coordinated with more than a dozen Cape agencies. | Services, Health Coverage Subsidies or Enrollment, Health Screening, |
| Goal Description: 4. Ensure the interests of elders are represented when | regional level. Goal Status: 4.0: In partnership with Beth Israel Deaconess, BU, RHCI, COAs, and Parkinson's consumers, REACH helped provide accessible non-medical services of education, movement and support groups for individuals and families affected by Parkinson's disease. -4.1: REACH Participation: CHNA Steering Committee. Chair: Beh. Health Workgroup. CHNA Rep for Barnstable County Health and Human Services. Healthy Connected Cape Cod. Councils on Aging. Cape Consortium for At Risk Older Adults. Suicide Coalition. -4.2: REACH played a key role in the formation of COAST (Councils on Aging Serving Together) and continues to act as a consultant to move toward regional planning and cooperation. -4.3: REACH assisted the Lower Cape Adult Day Health Project by writing the grant to the Cape Cod Foundation which led to their start-up funding. This project, VNA COMPASS, will help many Lower Cape older adults remain in the community. -4.4: REACH created a communication network of service providers that fosters the sharing of successful ideas and programs. Partners: Partner Name, Description: 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 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: Cape Cod Healthcare, through its Community-Based Interpreter Services program, promotes excellence and professionalism in interpretative services to improve quality clinical outcomes to Cape Cod's Limited-English population. Interpreting services are provided in local community-based physician practices and in conjunction with the Specialty Network for the Uninsured. Target Population: -Regions Served: Barnstable -Health Indicator: All -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 Goal Description: 1. Ensure physicians/providers understand the importance of qualified interpreter services and the program available to limited-English and non-English speaking population. Goal Status: 1.0: Eight (8) community-based physicians were educated about the importance of qualified interpretation during visits with limited-English or non-English-speaking clients. -1.1: Thousands of Community Medical Interpreter Services brochures were disseminated at medical offices, clinics and the hospitals to ensure the community is aware of these services. Goal Description: 2. Provide professional interpretation services to Limited English Population and non-English population. Goal Status: 2.0: 930 patients (including patients of Specialty Network for the un/underinsured program) received medical interpretation during their community-based visit at no cost to the patient. Goal Description: 3. Increase access through capacity building. Goal Status: 3.0: The grant allowed eight (8) interpreters to take courses in the following areas to support their professional development: Memory Retention, Medical Terminology and Advanced Medical Interpretation for Portuguese. Partners: Partner Name, Description: Community Health Center of Cape Cod: The Specialty Network for the Uninsured: http://www.chcofcapecod.org/ Community-Based Medical Offices on Cape Cod: Various Specialty Network for the Uninsured (SNU): 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) program involves coordination of patient care with health care specialists on Cape Cod who have agreed to accept uninsured patients at a reduced rate and/or to provide specialty clinics on-site at the community health centers. Target Population: -Regions Served: Barnstable -Health Indicator: Access to Health Care, Immunization, Other: Alzheimer Disease, Other: Arthritis, Other: Asthma/Allergies, Other: Cardiac Disease, Other: Chronic Pain , Other: Colitis/Crohn Disease, Other: Cultural Competency, Other: Dental Health, Other: Diabetes, Other: Hearing, Other: Hepatitis, Other: HIV/AIDS, Other: Hypertension, Other: Language/Literacy, Other: Lyme Disease, Other: Nutrition, Other: Osteoporosis/Menopause, Other: Parkinson's Disease, Other: Pregnancy, Other: Pulmonary Disease/Tuberculosis, Other: Sexually Transmitted Diseases, Other: Sickle Cell Disease, Other: Stroke, Other: Uninsured/Underinsured, Other: Vision , Overweight and Obesity, Responsible Sexual Behavior -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 Goal Description: 1. Provide specialty appointments to 650 uninsured patients of Specialty Network Services. Goal Status: 1.0: SNU provided 681 appointments. This number shows that in spite the Health Care mandate in Massachusetts, health centers on Cape Cod are still seeing patients that are uninsured or underinsured and continue to use SNU for health care needs. Goal Description: 2. Recruit specialty physicians to the network to ensure access to specialty services for the uninsured. Goal Status: 2.0: SNU had agreements with 69 specialists from 29 specialties. The number of specialists is down slightly from previous years. This is due to a lack of access to specialties such as endocrinology, and the retiring of other medical providers. Efforts to recruit specialty providers to join the SNU network are ongoing. Goal Description: 3. Monitor the effectiveness of the reduced fee program for ancillaries with Cape Cod Healthcare. Goal Status: 3.0: The reduced fee program has been successful in allowing 681 patients to obtain lower fees and to arrange payment plans with the Hospital. As a result of this program, most patients receive screenings and needed tests ordered by their PCP. Another advantage of the reduced fee program is that it allows patients to avoid costly trips to Boston to care of their ancillary needs on Cape Cod. Partners: Partner Name, Description: Community Health Center of Cape Cod: http://www.chcofcapecod.org/ Coordinated Insurance Enrollment and Outreach: 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 Brief Description or Objective: The Community Health Center of Cape Cod (CHCCC), Duffy Health Center, Mid-Upper Community Cape Health Center (MUCCHC) and Outer Cape Health Services (OCHS) provide outreach and enrollment and re-enrollment into MassHealth, Commonwealth Care and other insurance programs. This program also links clients to health and human services providers immediately and follows up with any post-enrollment and access to other health care issues. Although this is one program, each of the four community health centers received a separate grant and reported accomplishments individually. 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: | basic safety nets fail and there is no one to represent them at the |
| Statewide Priority: Address Unmet Health Needs of the Uninsured, Chronic | Vulnerable Populations, Reducing Health Disparity, Supporting Healthcare Reform Goal Description: 1. CHCCC: Enroll at least 500 individuals into MassHealth and other public health insurance products. Goal Status: 1.0: In FY 2010, the insurance enrollment coordinator completed 600 new enrollments in MassHealth, 403 enrollments in Commonwealth Care, 360 enrollments into the Health Safety Net program and 170 enrollments into the Medical Security Program. Goal Description: 2. CHCCC: Enroll 200 individuals into a reduced or free medications program. Goal Status: 2.0: The Patient Assistance Program helped 60 individuals, while the Xubex mail order prescription program assisted 50 individuals and 100 patients were referred to Walmart's $4 prescription program for a 30 day supply. Goal Description: 3. Community Health Center of Cape Cod (CHCCC): Collaborate with community partners to network and share best practices. Goal Status: 3.0: The CHCCC participated in quarterly Public Benefits Technical Assistance Forums organized by the HOPE Project. The CHCCC promoted the services offered at Community Health Center of Cape Cod. CHCCC shared best practices with other Benefit Coordinators -3.1: The Executive Office of Health and Human Services holds quarterly grant meetings in Taunton for the purpose of sharing best practices. Enrollment Benefit Coordinators from our Cape Cod community health centers, Cape Cod Hospital and Falmouth Hospital, Vineyard Health Care access and Wampanoag tribes participate in these meetings. Goal Description: 4. Duffy Health Center (Duffy): Maintain access to health care for more than 780 individuals returning for additional support, much of it for re-determination assistance. Goal Status: 4.0: Of the more than 780 individuals seen at Duffy, 107 were connected with primary care doctors. 350 of the encounters included finding out why a person was not eligible, helping with paperwork or for repeat visits to follow up on enrollment and re-enrollment. Goal Description: 5. Mid-Upper Cape Community Health Center (MUCCHC): Assist at least 700 individuals with enrollment/re-enrollment into MassHealth and other public health insurance products. Goal Status: 5.0: In FY 2010, the insurance enrollment coordinator completed 717 new enrollments and an additional 956 re-enrollments. All the members newly enrolled were linked to a Primary Care Physician or to a Dentist at MUCCHC. The Clinic averaged approximately 120 New Patients per month. Patient education was provided during each encounter. Goal Description: 6. OCHS: Assist at least 1000 individuals with enrollment/re-enrollment into MassHealth and other public health insurance products. Goal Status: 6.0: Three Healthcare Access Specialists (HASs) submitted MassHealth Virtual Gateway applications and enrolled 1142 individuals into MassHealth, Commonwealth Care or Health Safety Net insurance programs. -6.1: Outer Cape Health Service's free/low cost medication program, Prescription Assistance Program (PAP), enrolled 48 individuals. The PAP program has been eliminated by the advent of Massachusetts Healthcare Reform. Those income eligible for the PAP program are eligible for MassHealth or Commonwealth Care, which includes prescription coverage. Patients who are only eligible for Health Safety Net and who meet PAP eligibility guidelines, have access to OCHS's PAP program. Goal Description: 7. Share Best practices with collaborating community partners. Goal Status: 7.0: OCHS HASs continually share best practices with one another, with other enrollment benefits coordinators, health access workers, advocates, and others interested in expanding access to health care. The forums to share are the HOPE Project sponsored meetings, the MA Healthcare Training Forum, the MH Direct Service Grant Meetings, and the Blue Cross Blue Shield Foundation sponsored meetings. Note: CCHC recognizes that although the above report provides the full scope of the position, CCHC funded a portion of each of the 4 Benefit Coordinator positions. Partners: Partner Name, Description: Community Health Center of Cape Cod: http://www.chcofcapecod.org/ Duffy Health Center: http://www.duffyhealthcenter.org/ Mid-Upper Cape Community Health Center: http://www.hhsi.us/cape-cod/mid-upper-cape-community-health-center/ Outer Cape Health Services: http://www.outercape.org/ Infrastructure Coordinator: Community Health Center of Cape Cod: Program Type: Community Participation/Capacity Building Initiative, Grant/Donation/Foundation/Scholarship, Healthy Communities Partnership Brief Description or Objective: The administrative coordinator supports the executives of the five community health centers which comprise the Cape and Vineyard Community Health Center Network (CVCHCNet). This position ensures efficient communication, collaboration and reduces duplication. The CVCHCNet addresses the unmet needs of existing and new patients. CVCHCNet is a vehicle through which the organizations can engage in joint planning and contribute resources to carry out collaborative and integrative projects. Target Population: -Regions Served: Barnstable -Health Indicator: Access to Health Care -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, Reducing Health Disparity, Supporting Healthcare Reform Goal Description: 1. Ensure collaboration, reduce duplication. Goal Status: 1.0: Through Network Coordination, CVCHCNet has achieved effective and beneficial collaboration on several initiatives. Evidence of success includes coordination the following programs. These programs are: The Specialty Network for the Uninsured (SNU), Office Based Opioid Treatment (OBOT), Oral Health Care, and Chronic Disease Management. Partners: Partner Name, Description: Community Health Center of Cape Cod: http://www.chcofcapecod.org/ Duffy Health Center: http://www.duffyhealthcenter.org/ Mid-Upper Cape Community Health Center: http://www.hhsi.us/cape-cod/mid-upper-cape-community-health-center/ Outer Cape Health Services: http://www.outercape.org/ 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 an initiative of Cape Cod Hospital and Falmouth Hospital Emergency Rooms and Pharmacy Departments, as a community benefit to help uninsured or underinsured patients receive required medications upon discharge from the ER if they have no other means and are struggling financially. 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, Reducing Health Disparity, Supporting Healthcare Reform Goal Description: 1. Assist people who are struggling financially to ensure compliance with their discharge plans. Goal Status: 1.0: Cape Cod Hospital and Falmouth Hospital Emergency Departments provided $32,190 in pharmacy vouchers to assist those in need. Partners: Partner Name, Description: Patients leaving the Cape Cod Hospital or Falmouth Hospital Emergency Rooms who are un/underinsured and struggling financially and Local Pharmacies. Transportation Assistance Program: | Disease Management in Disadvantage Populations, Promoting Wellness of |
| Program Type: Community Participation/Capacity Building Initiative, Direct | Brief Description or Objective: Cape Cod Hospital and Falmouth Hospital provided transportation through Taxi Vouchers to various locations on Cape Cod to help needy patients who are being discharged from CCH and FH Emergency Rooms. 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, Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations, Reducing Health Disparity, Supporting Healthcare Reform Goal Description: 1. Assist people who are struggling financially to ensure compliance with their discharge plans. Goal Status: 1.0: Cape Cod Hospital and Falmouth Hospital Emergency Rooms provided $20,594 in transportation vouchers to assist those in need to ensure safe transportation to prescribed discharge location. Partners: Partner Name, Description: Local Taxi Companies and Un/underinsured community members who are struggling financially. Brazilian Mental Health: 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: Catholic Social Services offers mental health counseling in Portuguese to Brazilians living on Cape Cod by providing a diverse program designed to reach out to those facing socioeconomic, cultural and racial barriers. Target Population: -Regions Served: Barnstable -Health Indicator: Mental Health, Other: Stress Management, Other: Uninsured/Underinsured -Sex: All -Age Group: All Adults -Ethnic Group: Hispanic/Latino -Language: Portuguese 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 Goal Description: 1. Increase counseling hours to reduce wait times. Goal Status: 1.0: The Cape Cod Healthcare Community Benefits Grant allowed more counseling hours, resulting in reduced wait times and quicker access for Brazilians requiring mental health counseling. -1.1: The program maintained a client base of 40 clients through referrals from the community health centers and mental health services. Partners: Partner Name, Description: Catholic Social Services: 154 Bearses Way Hyannis, MA 02601 508.778.2225: http://www.cssdioc.org/contact/hyannis.html Cultural Competence Program: Program Type: Community Education, Community Participation/Capacity Building Initiative, Direct Services, Health Professional/Staff Training, Healthy Communities Partnership, Outreach to Underserved, Physician/Provider Diversity Brief Description or Objective: To ensure access and reduce health disparities, Cape Cod Healthcare offers translation of medical documents to community-based physician practices in Portuguese and Spanish at no cost to the patient or the physician practice. CCHC recognizes the fact that cultural competence goes beyond language barriers and provides programs to enhance the skills of CCHC's employees at every level. Cultural awareness is improved through educational venues, beginning with initial orientation and a Cross Cultural Awareness and Health Care program. Target Population -Regions Served: Barnstable -Health Indicator: Access to Health Care, Other: Language/Literacy, Other: Safety, 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 Goal Description: 1. Provide medical consent translation for community physician offices and medical information translation of emergency room documents. Goal Status: 1.0: CCHC translated medical consent forms used by community physician practices in Portuguese and Spanish. -1.1: Translated medical documents and discharge instructions for emergency rooms at Cape Cod Hospital and Falmouth Hospital Goal Description: 2. Offer Cultural Competence programs to employees. Goal Status: 2.0: CCHC provided a Cultural Awareness component to employee orientation approximately three times per month. In addition, 30 staff members attended Cross Cultural Awareness and Health Care programs. Formal feedback was positive from all participants who recommended that this program should be mandatory for all employees. Partners: Partner Name, Description: Local Community Physician Practices. 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, support and motivation to quit using tobacco. The smoking cessation program is a 6-week program held 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, Reducing Health Disparity, Supporting Healthcare Reform Goal Description: 1. Provide at least 6 programs per year in areas of high demand. Goal Status: 1.0: Ten (10) Kick Butts, Stop Smoking sessions were scheduled in FY2010 with one cancelled due to low enrollment. -1.1: A total of 62 participants registered with 51 actually attending. Of the 51 attendees, approximately 30% completed the full six weeks. -1.2: Follow-up surveys and calls to the 15 who completed the program, approximately six months into the year resulted in 15% stating they were smoke-free after three months and 8% after 6 months. Partners: Partner Name, Description: 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 Diabetes and Nutrition Education: | Services, Healthy Communities Partnership, Outreach to Underserved |
| Program Type: Community Education, Community Participation/Capacity | Enrollment, Health Screening, Healthy Communities Partnership, Outreach to Underserved, Prevention Brief Description or Objective: Through community wellness events, Cape Cod Healthcare provides community members with identified issues back to their primary care physician or link them with appropriate care, if they do not have a health care home. In addition, CCHC holds Heart Healthy eating programs that follow the ADA guidelines to educate participants on how to make more thoughtful and healthy food choices. This program is free or reduced rate for the un/underinsured and those enrolled in state-subsidized health insurance programs. Target Population: -Regions Served: Barnstable -Health Indicator: Access to Health Care, Other: Diabetes, Other: Education/Learning Issues, Other: Nutrition, Other: Uninsured/Underinsured, Overweight and Obesity -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, Reducing Health Disparity, Supporting Healthcare Reform Goal Description: 1. Participate in/provide at least four programs per year. Goal Status: 1.0: Four (4) community wellness/education events were held at local senior centers serving over 1,425 individuals. Three (3) Heart Healthy Eating programs were scheduled in FY2010. Heart Healthy Eating: Approximately 30 callers inquired and registered with only 11 participants attending the program. Partners: Partner Name, Description: Local community-based physician offices Community at Large Council on Aging on Cape Cod: http://www.allcapecod.com/ccic/seniorcenters.cfm Determination of Need: Office Based Opioid 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: OBOT Duffy Health Center, working with the CHC Network of Cape Cod & Islands, developed a coordinated model to provide the evidence-based practice of Office-Based Opioid Treatment (OBOT) across three Cape Cod Health Centers (Community Health Center Network) using Duffy Health Center's integrated model. This is a tiered process that started in FY2009 with the goal of including three Community Health Centers by year 3 in FY2011. Participants in FY2010 (Year 2) include: Duffy Health Center (DHC) and the Community Health Center of Cape Cod (CHCCC). The OBOT program addresses the high rates of identified addiction on Cape Cod. This program involves a specially trained medical team of physicians and nurse practitioners prescribing very low doses of Suboxone. Teaching of life skills, addressing mental health issues, and holding patients accountable for their actions is this program's approach to this very complex issue. Funded under Cape Cod Healthcare's Massachusetts Department of Public Health Determination of Need Program, the licensed OBOT program completed the second year of a four-year expansion plan. 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, Reducing Health Disparity, Supporting Healthcare Reform Goal Description: 1. Provide case/care management services to ensure patients receive a high level of program staff intervention and connections to a variety of community services. Goal Status: 1.0: With the successful recruitment of two new Suboxone-certified physicians and a qualified registered nurse in 2010, the Community Health Center of Cape Cod (CHCCC) was fully operational. CHCCC had a full panel of 27 active patients, 6 patients in the enrollment process and 15 patients on the waiting list. -1.1: A 32-hour psychiatric NP was hired at Duffy Health Center (DHC) to follow selected OBOT patients for care, which result in increased capacity for psychopharm evaluation and treatment. -1.2: DHC OBOT panel continued at 100 patients in early 2010 with access to mental health and substance use services. The waiting list fluctuated from 10-14 patients. The OBOT panel increased to 130 patients when Dr Lawrence Fontana was certified to prescribe for 30 additional patients at DHC. Goal Description: 2. Provide standardized guidelines for OBOT physicians prescribing, and monitor concurrent mental health services and RN case management. Goal Status: 2.0: Both centers provide case management and care management per the guidelines set by Duffy Health Center. Goal Description: 3. Develop standardized policies and procedures, data collection and outcomes monitoring. Goal Status: 3.0: To enhance program tracking, the IT specialist at CHCCC began working on a program to track ethnicity of CHCCC OBOT patients to identify what data to collect regarding strengths, weaknesses and overall efficacy of program. -3.1: Through regular meetings of the executive team, meetings of the clinical staff, with the help of the CCHC grant-funded Network Coordinator, data collection and outcomes monitoring relative to housing, education and employment was possible. Goal Description: 4. Include three Community Health Centers by year 3, FY2011. Goal Status: 4.0: Outer Cape Health Services reported to be ready to start initial steps to begin implementation of an OBOT program in FY2011, year three of the CHC Network grant cycle. Prescribers were identified and plans for certification are under way. Partners: Partner Name, Description: Community Health Center of Cape Cod: http://www.chcofcapecod.org/ | Building Initiative, Direct Services, Health Coverage Subsidies or |
| Duffy Health Center: http://www.duffyhealthcenter.org/ | http://www.hhsi.us/cape-cod/mid-upper-cape-community-health-center/ Outer Cape Health Services: http://www.outercape.org/ 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: Cape Cod Healthcare, through the Clark Cancer Center DoN, agreed with the Department of Public Health to disperse a total of $401,000 over a 5-year period commencing in late FY2010 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). 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, Reducing Health Disparity, Supporting Healthcare Reform Goal Description: 1. The goal of the Community Impact Grant Program is for entities to develop innovative, collaborative, measurable and replicable evidence-based regional projects or programs that provide a direct impact on the most urgent needs of the target populations. The RFP process will be designed in FY2010 and Grants will be awarded in FY2011 ranging from $15,000 to $40,000 totaling the first disbursement to CHNA 27 of $80,200. During this period the Cape Cod Foundation [fiscal agent of CHNA 27] will be manage the funding. Goal Status: 1.0: RFP process was completed and will be announced in FY2011. Partners: Partner Name, Description: CHNA 27 The Cape Cod Foundation: http://www.capecodfoundation.org/ Suicide Prevention Education Campaign: Cape & Islands Suicide Prevention Coalition: Program Type: Community Education, Community Participation/Capacity Building Initiative, Grant/Donation/Foundation/Scholarship, Health Professional/Staff Training, Healthy Communities Partnership, Outreach to Underserved, Prevention, School/Health Center Partnership Brief Description or Objective: State and local data shows that the suicide rate on Cape Cod and the Islands is 1.5 times the state average. In order to begin to address this problem, the Cape and Islands Regional Suicide Prevention Coalition was formed in 2009. The Coalition brings together a diverse group of community stakeholders to raise awareness around suicide in order to reduce the number of suicides. The Cape & Islands Suicide Prevention Coalition provided an aggressive, community-wide public education campaign throughout the region to increase awareness of and to promote discussions about the issue, reduce stigma and save lives. Target Population: -Regions Served: Barnstable -Health Indicator: Injury and Violence, Mental Health, Other: Alcohol and Substance Abuse, Other: Homelessness, Other: Safety, Other: Stress Management, Other: Uninsured/Underinsured, Substance Abuse -Sex: All -Age Group: All Adults, All Children, Child-Preteen, Child-Teen -Ethnic Group: All -Language: English Goals: Statewide Priority: Address Unmet Health Needs of the Uninsured, Promoting Wellness of Vulnerable Populations Goal Description: 1. C&ISPC proposed to hold three (3) community forums to increase awareness of the critical issues surrounding suicide. Goal Status: 1.0: The Coalition held three (3) community forums with Community Benefits funds. The first forum on June 21, 2010 at Barnstable High School included all candidates and elected officials at an informational session. -1.1: The second forum in Harwich featured a nationally-known speaker, Dr. Sally Spencer-Thomas, who spoke on the importance of a building community and individual response to suicide and prevention. -1.2: The Coalition also co-sponsored a third community forum on Martha's Vineyard. Approximately 180 people attended these three events. -1.3: In addition, leveraging Community Benefit funds, the Coalition co-sponsored three (3) other presentations by Dr. Sally Spencer Thomas during her visit to the region in October. One session was held for the Clergy, another at Mass Maritime and the third one on Nantucket. A total of 400 people attended these events. Goal Description: 2. Create and distribute educational materials that will increase awareness of the critical issues surrounding suicide. Goal Status: 2.0: The Coalition produced a professional quality 2-minute slide show on the issue of suicide that will be used at all events and forums sponsored by the Coalition. -2.1: In addition, a logo was designed and 7,500 brochures were printed and disseminated. Partners: Partner Name, Description: Cape & Islands Suicide Prevention Coalition: http://www.bchumanservices.net/community-partners/suicide-prevention-coali tion/ 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. project, a program of the Community Action Committee of Cape Cod and the Islands, offers access to health care services through assistance with enrolling individuals and families in MassHealth, Commonwealth Care, and other state insurance plans. It also connects them to primary care and other needed services and provides educational information. Unfortunately, the wait times for assistance exceeded one to two weeks in many cases, due to the limited hours of the benefits coordinator prior to CCHC Community Benefits funding. 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, Reducing Health Disparity, Supporting Healthcare Reform Goal Description: 1. Increase number of hours of the benefit coordinator to reduce wait times. Goal Status: 1.0: The H.O.P.E. Project increased the number of coordinator hours from 21 to 32 hours per week between July and September 2010, resulting in wait times for appointments being reduced to 48 hours or less. -1.1: With the assistance of this funding, the benefits coordinator reported screening 420 individuals, served an additional 313 clients and re-enrolled 192 members. -1.2: 129 new applications for enrollment were completed and 189 individuals received educational information. Goal Description: 2. Increase access to primary care. Goal Status: 2.0: The benefit coordinator linked 106 individuals to a PCP and referred 678 individuals to local agencies for needed services. Partners: Partner Name, Description: Community Action Committee of Cape Cod and Islands: http://www.cacci.cc/ Oral Health Priorities Project: | Mid-Upper Cape Community Health Center: |
| Program Type: Community Health Needs Assessment, Community | Grant/Donation/Foundation/Scholarship, Healthy Communities Partnership, Outreach to Underserved, Prevention Brief Description or Objective: The Tri-County Collaborative for Oral Health Excellence (Tri-CCOHE) is an organization committed to reducing dental disease and providing affordable dental care to low-income children and families. Tri-CCOHE, a collaborative of 12 organizations, was awarded $5,000 to recruit and convene people with disabilities as well as agencies and groups serving people with disabilities to complete a needs assessment and produce a report related to the dental needs of the disabled. Target Population: -Regions Served: Barnstable -Health Indicator: Access to Health Care, Other: Dental Health, Other: Elder Care, Other: Homebound, Other: Homelessness, 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 Goal Description: 1. Design and conduct a survey to understand and prioritize oral health needs and barriers to care. Goal Status: 1.0: As a result of the support from CCHC's Community Benefits Impact Mini-Grant, Tri-CCOHE established new, and cemented existing, relationships with 9 organizations serving people with disabilities. Project participants gathered quantitative and qualitative data about the oral health needs and access barriers faced by 539 adults with developmental disabilities. Data was analyzed and interpreted resulting in a thorough document describing the local preparation needed for the development of a service delivery plan. The quantitative and qualitative findings will inform planning partners to increase local access to quality oral health services for this underserved group. Partners: Partner Name, Description: Tri-County Collaborative for Oral Health Excellence Airway Management and Training: Program Type: Community Participation/Capacity Building Initiative, Direct Services, Grant/Donation/Foundation/Scholarship, Health Professional/Staff Training, Healthy Communities Partnership, Outreach to Underserved, Prevention Brief Description or Objective: The Airway Management training program involved the purchase of an Emergency Simulation Advanced Life Support STAT Manikin, dubbed "Sim-Man", to enhance the quality of and access to pre-hospital emergency medicine for individuals in the community. Sim-Man provides emergency first responders with a simulated experience not previously available, in a safe, controlled training environment. Patients who benefit most are those having specific challenges with airway management related to obesity, anatomical and physiological issues such as bariatric surgery or pre-existing traumatic incidents. Target Population: -Regions Served: Barnstable -Health Indicator: Access to Health Care, Other: Cardiac Disease, Other: Public Safety, Other: Uninsured/Underinsured, Overweight and Obesity -Sex: All -Age Group: All -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 Goal Description: 1. Purchase Emergency Simulation Advanced Life Support STAT Manikin to enhance skills of EMS providers. Goal Status: 1.0: CIEMSS purchased and fully integrated the use of the STAT Manikin into EMS curriculum to provide ongoing EMS teaching and training programs. Goal Description: 2. Provide 3-day EMS training to emergency first responders by September 30, 2010. Goal Status: 2.0: CIEMSS held a three-day pre-hospital Trauma Life Support Training for 30 paramedics using the STAT Manikin. CIEMSS expects this Manikin to continue to function as a simulator devise for a minimum of 8 to 10 years. Partners: Partner Name, Description: Cape & Islands Emergency Medical Services System (CIEMSS): http://www.ciemss.org/ Healthy Vida: Program Type: Community Education, Community Participation/Capacity Building Initiative, Grant/Donation/Foundation/Scholarship, Health Professional/Staff Training, Healthy Communities Partnership, Outreach to Underserved, Prevention, School/Health Center Partnership, Support Group Brief Description or Objective: Healthy Vida is a wellness program targeted to Brazilian members of the community to address the health care disparities that are experienced by immigrants in the United States. The program supports healthy choices in order to prevent illnesses like diabetes and high blood pressure. The program focuses on nutrition education, healthy eating, physical activity and stress reduction activities. Healthy Vida proposed to use a creative and innovative strategy to bring education to this underserved population by offering free community health nutrition education in unique and comfortable settings (beauty salons where many lifestyle-related health issues are discussed by members of the Portuguese and Spanish speaking community). In addition, Healthy Vida scheduled supermarket shopping classes at local grocery stores to provide education on label reading, affordable healthy foods, and selecting and preparing unknown produce. Target Population: -Regions Served: Barnstable -Health Indicator: Other: Diabetes, Other: Education/Learning Issues, Other: Nutrition, Other: Stress Management, Other: Uninsured/Underinsured, Overweight and Obesity, Physical Activity -Sex: Female -Age Group: Adult, Adult-Young -Ethnic Group: Hispanic/Latino -Language: English, Portuguese Goals: Statewide Priority: Address Unmet Health Needs of the Uninsured, Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations, Reducing Health Disparity Goal Description: 1. Increase healthy eating habits through innovative partnerships to offer local Brazilian women information and education about healthy food choices. Goal Status: 1.0: Healthy Vida trained 23 salon workers ("Beauty Promotoras") to have "healthy conversations" with their clients about healthful eating Salon workers were able to teach their clients about healthy lifestyle choices in a non-threatening environment. These "healthy conversations" were held during salon-sponsored Healthy Vida "Women's Health Beauty Evenings". -1.1: In addition, two (2) Salon Spa Days with the participation of approximately 25/30 women of the immigrant community were held. -1.2: The Plate Method was discussed: a recommended way of eating for diabetic self management and useful strategy for healthy weight attainment and obesity prevention in all people. Goal Description: 2. Increase healthy activity habits through innovative partnerships to offer local Brazilian women information and education about healthy food choices. Goal Status: 2.0: Per the above programs, another topic covered: Increase healthy activity habits through innovative partnerships to offer local Brazilian women information and education about healthy food choices. Goal Description: 3. Promote stress reduction techniques through innovative partnerships to offer local Brazilian women information and education about healthy food choices. Goal Status: 3.0: Per the above programs, the final topic covered: 3. Stress Reduction: simple ways to relax in five minutes or less. -3.1: Additional trainings were held with church groups. Due to conflicts in work schedules of the target population, Supermarket Shopping to be rescheduled for FY2011 Partners: Partner Name, Description: Cape Cod Immigrant Center: http://www.ccimmigrantcenter.org/ Transportation & Escort Program: | Participation/Capacity Building Initiative, |
| Program Type: Community Participation/Capacity Building Initiative, Direct | or Enrollment, Healthy Communities Partnership, Outreach to Underserved, Support Group Brief Description or Objective: Created in 1997 as an extension program of the Barnstable Senior Center, the Adult Supportive Day Program is a place where seniors needing a bit of assistance are able to spend the day in a stimulating, safe and fun environment. Supportive professional services to seniors who cannot or do not wish to stay home during the day are provided. This program is suitable for memory or physically-impaired individuals and provides much needed respite for caregivers. Target Population: -Regions Served: Barnstable -Health Indicator: Access to Health Care, Other: Elder Care, Other: Uninsured/Underinsured -Sex: All -Age Group: Adult-Elder -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 Goal Description: 1. Increase access to Elder Day Care Goal Status: 1.0: A Transportation and Escort Driver was hired serving the town of Barnstable and providing 1,200 one-way escorted transportation services to 20 participants of the Barnstable Adult Supportive Day Program. -1.1: The quality of the transportation services were improved during this period as the Transportation Coordinator was no longer needed to fill in for drivers and was available on-site to manage the operations of the Center's Transportation program Partners: Partners Name, Description: Friends of the Barnstable Council on Aging: http://www.town.barnstable.ma.us/SeniorServices/ Elder Art: Program Type: Community Education, Community Participation/Capacity Building Initiative, Direct Services, Grant/Donation/Foundation/Scholarship, Healthy Communities Partnership, Mentorship/Career Training/Internship, Outreach to Underserved, Support Group Brief Description or Objective: The Elder Art program, a collaboration between the Provincetown Art Association and Museum (PAAM), the Provincetown Councils on Aging, and Helping Our Women, provided six (6) engaging, high-quality creative learning opportunities for community elders and seniors suffering from chronic illness in a supportive museum and professional art studio environment. Target Population: -Regions Served: Barnstable -Health Indicator: Access to Health Care, Mental Health, Other: Alzheimer Disease, Other: Education/Learning Issues, Other: Elder Care, Other: Homebound, Other: Stress Management, Other: Uninsured/Underinsured -Sex: All -Age Group: Adult-Elder -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, Reducing Health Disparity Goal Status: 1.0: Participants were asked to complete intake and exit questionnaires and individual class evaluations. In reference to outcome #1, participants responded in a variety of positive ways to the question What did you learn in Elder Art? Examples include: "The joy of creating in new mediums." "That I was able to create!" "So Much! About materials, techniques, composition, color, and how to be less self-centered." "Many techniques that are the basis of creative expression and the stress reduction that the creative process encompasses." -1.1: In exit questionnaires, fourteen participants said they believed that creativity and learning has a direct correlation to their mental and physical health and three said they believed there was some connection. Sixteen participants said they felt "more connected to the community" as a result of participating in Elder Art. One participant reported "less connected." Nine participants said their general mental outlook had improved as a result of participation in Elder Art, and five said it had improved greatly. Two said their outlook was the same and one did not know. Partners: Partner Name, Description: Provincetown Art Association and Museum: http://www.paam.org/ Aging and Mental Health (COAST) Forum: Program Type: Community Education, Community Health Needs Assessment, Community Participation/Capacity Building Initiative, Direct Services, Grant/Donation/Foundation/Scholarship, Health Professional/Staff Training, Healthy Communities Partnership, Outreach to Underserved, Prevention, Support Group Brief Description or Objective: The Aging and Mental Health COAST Forum is a program designed to engage older adults in their own healthy aging and help connect them with others. This fosters healthy communities, builds resiliency and well-being with the purpose of achieving and improving mental health and wellness. The forum was based on a national program from Mental Health America called "Live Your Life Well." The program was adapted for the target population: at risk elders on Cape Cod experiencing isolation and depression. Target Population: -Regions Served: Barnstable -Health Indicator: Mental Health, Other: Alzheimer Disease, Other: Elder Care, Other: Homebound, Other: Stress Management, Other: Uninsured/Underinsured, Physical Activity -Sex: All -Age Group: Adult-Elder -Ethnic Group: All -Language: English Goals: Statewide Priority: Chronic Disease Management in Disadvantage | Services, Grant/Donation/Foundation/Scholarship, Health Coverage Subsidies |
| Populations, Promoting Wellness of Vulnerable Populations | provide tools for at risk elders on Cape Cod experiencing isolation and depression. Goal Status: 1.0: Coast held a pilot Forum on September 23, 2010 at the Harwich Council on Aging. The number of requested registrations exceeded the capacity limit of 70. Goal Description: 2. Improve awareness of mental health and wellbeing in elders on Cape Cod experiencing isolation and depression. Goal Status: 2.0: Ten tools to build resiliency were introduced through a unique teaching design, banners, handouts and attendee tables decorated with references to each tool. The COAST Forum engaged ten community "experts." Each expert was assigned a topic (tool) and a table. Participants were seated at one of the ten tables for ten minutes. Participants rotated to each table until each attendee was exposed to all ten tools. The Table Topic Leaders led their small group of 7 in hands-on learning that went from table exercise, to meditation to animated conversation. -2.1: The COAST forum helped the attendees change the way they viewed wellness. Attendees learned that physical and mental wellness are linked and they have a right to expect mental wellness as they age. -2.2: COAST evaluated that outcome by using a simple card asking if the participant would now: 1. try this tool, 2. maybe try, 3. would not try. Approximately 80% said they would try 9 of the 10 tools. Partners: Partner Name, Description: Councils on Aging Serving Together (COAST): http://www.allcapecod.com/ccic/seniorcenters.cfm Parkinson Movement/Wellness Program: Program Type: Community Education, Community Participation/Capacity Building Initiative, Direct Services, Grant/Donation/Foundation/Scholarship, Healthy Communities Partnership, Outreach to Underserved, Prevention, Support Group Brief Description or Objective: The Parkinson Support Network is a community network of providers and consumers striving to ensure quality of life for people with Parkinson's and their families. Their mission is to ensure Cape Cod is a place where Parkinson's families can find opportunities within reasonable driving distance from their homes for Parkinson's-specific exercise and movement programs, education, and support. Target Population: -Regions Served: Barnstable -Health Indicator: Other: Elder Care, Other: Homebound, Other: Parkinson's Disease, Physical Activity -Sex: All -Age Group: All Adults -Ethnic Group: All -Language: English Goals: Statewide Priority: Promoting Wellness of Vulnerable Populations Goal Description: 1. Offer more accessible services to Cape Cod Parkinson's patients and their care givers. Goal Status: 1.0: Three Drumming and Dance [wellness/exercise] classes were held at the Barnstable Senior Center programs for individuals living with PD with 15 attendees. The Choral Group was hosted by the Cape Cod Conservatory with an additional 8 attendees. Pre-and post-program surveys were conducted resulting in the following responses: -1.1: Pre-Program Surveys: 70% of participants had previously participated in a class or program specifically designed for individuals with Parkinson's disease but most of these experiences were in formal rehabilitation settings. Participants took advantage of opportunities to learn about Parkinson's disease, and were receptive to new kinds of experiences. When queried about "what brings you to" this class, the majority of respondents (almost to the person) said it was the chance for physical activity and social interaction. -1.2: Post-Program Evaluations 100% of participants ranked the programs "excellent" and that all expectations were met. The facilities were also rated well. -The only suggestions for improvement were to extend the length of the program (the individual sessions and the length of the course). Partners: Partner Name, Description: Parkinson Support Network of Cape Cod Spaulding Rehabilitation Hospital of Cape Cod: http://www.rhci.org/ Barnstable Senior Center: http://www.town.barnstable.ma.us/seniorservices/ Beth Israel Deaconess Medical Center Parkinson Disease Center of Excellence: http://www.bidmc.org/ American Parkinson Disease Association: http://www.apdaparkinson.org/userND/index.asp Hospice and Palliative Care of Cape Cod: http://www.hospicecapecod.org/ Boston University Medical Campus Parkinson's Disease: http://www.bumc.bu.edu/parkinsonsdisease/ 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: The Gosnold pilot program, "It Takes a Community," was aimed at broadening hospital clinical staff knowledge of the detoxification process. This includes assessment of status, needed interventions and signs and symptoms of withdrawal. The anticipated outcome is to reduce the incidences of Delirium Tremens requiring transfer into the intensive care unit, improvement in the patient experience and quality of care. A training component was originally proposed, as well as onsite consultations with Gosnold professionals. Target Population: -Regions Served: Barnstable -Health Indicator: Mental Health, Other: Alcohol and Substance Abuse, Substance Abuse -Sex: All Substance Abuse | Goal Description: 1. Hold a pilot forum to assess to assess needs and |
| -Age Group: All Adults | -Language: English, Haitian Creole, Portuguese, Spanish Goals: Statewide Priority: Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations, Reducing Health Disparity Goal Description: 1. It was projected that 25 consultations would be completed during the grant period, some on the med-surg floors, and some in the Emergency Department. Goal Status: 1.0: Thirteen (13) consultations were done and all were done on the med-surg floors. A retrospective review of twenty-five (25) medical records was completed from the six-month period immediately preceding the pilot period. The records were randomly selected from a group of patients who were hospitalized at Falmouth Hospital for alcohol withdrawal treatment or for an alcohol-related condition (pancreatitis, cirrhosis, etc.). -1.1: The review sought to learn how many of these 25 patients required transfer to the Intensive Care Unit. Thirteen (13), or 52% of the sample, required ICU care. It is interesting to note that of the thirteen (13) patients who received consulting services provided by this grant, only four (4), or 31%, required transfer to the ICU. While this data is based on a very small sample, it is nonetheless encouraging for future consideration regarding alcoholism specialist services in the hospital and the potential it provides for fewer complications, earlier identification and better patient care. Goal Description: 2. Provide education and training to hospital medical/clinical staff re: patients at risk for alcohol withdrawal syndrome. Goal Status: 2.0: With the grants being awarded at the busiest time of the season on Cape Cod, [the Emergency Department population increases significantly on Cape Cod between June and September], CCHC's Community Benefit award funded the consultation component of the program, as data shows trainings during this critical time of the year are not well attended. Partners: Partner Name, Description: Gosnold on Cape Cod: http://www.gosnold.org/ Children's Mental Health Resource Guide: Program Type: Community Participation/Capacity Building Initiative, Grant/Donation/Foundation/Scholarship, Healthy Communities Partnership, School/Health Center Partnership Brief Description or Objective: In 2004, the Sandwich Public Schools received a one-time grant from the Massachusetts Department of Education to convene a group of stakeholders to identify and prioritize the resources needed to support mental health in young children. The subcommittee concluded that services were available for families, but not easily identifiable or accessible, especially during times of crisis when families needed immediate assistance. The subcommittee created a resource guide that listed practitioners and payment options. It was updated in 2006, with an added section on Maternal Depression. The request for this Mini-Grant was to provide printed up-to-date mental health service information for the Cape Cod community. The Community Health Committee found this to be a valuable resource guide and provided a grant with the contingency that the group would upload the information on the Mass 2-1-1 Website, a national website providing free access to health and human services Information and referral. Target Population: -Regions Served: Barnstable -Health Indicator: Access to Health Care, Mental Health, Other: Child Care, Other: Rape, Other: Safety, Other: Sexually Transmitted Diseases, Other: Stress Management -Sex: All -Age Group: All Children -Ethnic Group: All -Language: English Goals: Statewide Priority: Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations Goal Description: 1. Update resource guide and upload the information on the Mass 2-1-1 Website. Goal Status: 1.0: The Children's Mental Health Resource Guide for Cape Cod was updated, printed in hard copy and published on the Sandwich Partnership for Families Website accessible to all. The directory provides a listing of mental health practitioners and agencies on Cape Cod, and their regional entities to ensure school personnel, pediatricians and health and human service personnel have access to Cape-wide mental health resources. -1.1: Providers continue to utilize hard copies of the directory for support and client referrals. Sandwich Partnership, in collaboration with Mass 2-1-1, updated the information. Partners: Partner Name, Description: Sandwich Partnership for Families: http://sandwichpartnership.org/ MASS 211: http://www.mass211.org/ Bridging the Gap: Local Cable Access for Chronic Health: | -Ethnic Group: All |
| Program Type: Community Education, Community Participation/Capacity | Coverage Subsidies or Enrollment, Healthy Communities Partnership, Outreach to Underserved, Prevention, Support Group Brief Description or Objective: Helping Our Women (HOW) is a 501(c) 3 community-based non-profit organization located in Provincetown serving Eastham to Provincetown. Established in 1993, it provides direct services that assist in creating a more manageable lifestyle for women with chronic and life-threatening illnesses through referrals and advocacy that improve access to health care, social services and benefits programs. HOW requested a CCHC Community Benefits Mini-Grant to help produce a 12-part cable access TV/Internet program (Bridging the Gap) in conjunction with Provincetown TV. It focused on human service providers who are filling the gaps in services. Bridging the Gap has provided timely outreach and education to the community, especially the elderly and those who have been impacted by chronic illness or poverty. Target Population: -Regions Served: Barnstable -Health Indicator: Access to Health Care, Mental Health, Other: Alcohol and Substance Abuse, Other: Alzheimer Disease, Other: Bereavement, Other: Cancer - Breast, Other: Child Care, Other: Education/Learning Issues, Other: Elder Care, Other: HIV/AIDS, Other: Homebound, Other: Homelessness, Other: Hospice, Other: Uninsured/Underinsured, Responsible Sexual Behavior, Substance Abuse -Sex: All -Age Group: All Adults -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, Reducing Health Disparity, Supporting Healthcare Reform Goal Description: 1. Produce a 12-part cable access TV/Internet program (Bridging the Gap) in conjunction with Provincetown TV. Goal Status: 1.0: Bridging the Gap has become a staple of Provincetown TV's programming. Feedback has been positive and the programs are now being offered to all local access cable stations on the Cape. It is also available on PTV's website and is linked from the Websites of many of their guest organizations. Helping Our Women will to provide the program in partnership with non-profit PTV, with a focus on specific areas on health and human services. Partners: Partner Name, Description: Helping Our Women: http://www.helpingourwomen.org/ AIDS Support Group of Cape Cod: http://www.asgcc.org/ Alzheimer's Service of Cape Cod: http://www.alzcapecod.org/ Cape Cod Children's Place: http://capecodchildrensplace.com/ Community Development Partnership: http://www.capecdp.org/ Dana Farber/Brigham & Women's Cancer Center: http://www.dfbwcc.org/default.html Gosnold on Cape Cod: https://www.gosnold.org/about.htm Homeless Prevention Council: http://homelessonline.org/default.php Hospice & Palliative Care of Cape Cod: http://www.hospicecapecod.org/ Lower Cape Outreach Council: http://lcoutreach.org/ We Can: http://www.wecancenter.org/ Financial Counseling: Cape Cod Healthcare's 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. They attend local community and MassHealth meetings and trainings to ensure compliance with up-to-date regulations, assist with advocacy efforts and troubleshooting to avoid coverage delays. PAT Team: The PAT team performs mental health assessments 24 hours a day, 7 days a week including holidays at Cape Cod Hospital and Falmouth Hospital emergency rooms. Patients are referred to the emergency rooms by concerned family members, schools, law enforcement, private physicians and concerned members of the community. The PAT team serves the psychiatric needs of the community every day of the year. Physician Recruitment: On Cape Cod access to primary care physicians and specialists is often limited for those patients covered under Medicaid and State subsidized health plans. Cape Cod Healthcare recognizes the importance of health care to this often medically challenging population. The healthcare system works closely with the area's four community health centers providing recruitment assistance. Qualified physicians, specialists and physician extenders are identified and referred to these important community resources so that the professional staff at the clinics can be adequately maintained and expanded to accommodate a growing need. REACH: A collaborative program providing community coordination, capacity building and leadership to enhance the safety and wellbeing of the elder population on Cape Cod. Working with the Councils on Aging, VNA, EMS and other community partners, elders are assessed in their homes and referred to appropriate services. REACH provides community training on elder issues and advocates for elder health and wellness. Community Based Interpreter Services: Cape Cod Healthcare, through its Community-Based Interpreter Services program, promotes excellence and professionalism in interpretative services to improve quality clinical outcomes to Cape Cod's Limited-English population. Interpreting services are provided in local community-based physician practices and in conjunction with the Specialty Network for the Uninsured. SNU: The Specialty Network for the Uninsured (SNU) program involves coordination of patient care with health care specialists on Cape Cod who have agreed to accept uninsured patients at a reduced rate and/or to provide specialty clinics on-site at the community health centers. Coordinated Insurance Enrollment: The Community Health Center of Cape Cod (CHCCC), Duffy Health Center, Mid-Upper Community Cape Health Center (MUCCHC) and Outer Cape Health Services (OCHS) provide outreach and enrollment and re-enrollment into MassHealth, Commonwealth Care and other insurance programs. This program also links clients to health and human services providers immediately and follows up with any post-enrollment and access to other health care issues. Although this is one program, each of the four community health centers received a separate grant and reported accomplishments individually. Infrastructure Coordinator: The administrative coordinator supports the executives of the five community health centers which comprise the Cape and Vineyard Community Health Center Network (CVCHCNet). This position ensures efficient communication, collaboration and reduces duplication. The CVCHCNet addresses the unmet needs of existing and new patients. CVCHCNet is a vehicle through which the organizations can engage in joint planning and contribute resources to carry out collaborative and integrative projects. Prescription Assistance Program: | Building Initiative, Grant/Donation/Foundation/Scholarship, Health |
| The Prescription Assistance Program is an initiative of Cape Cod Hospital | community benefit to help uninsured or underinsured patients receive required medications upon discharge from the ER if they have no other means and are struggling financially. Transportation Assistance Program: Cape Cod Hospital and Falmouth Hospital provided transportation through Taxi Vouchers to various locations on Cape Cod to help needy patients who are being discharged from CCH and FH Emergency Rooms. Brazilian Mental Health: Catholic Social Services offers mental health counseling in Portuguese to Brazilians living on Cape Cod by providing a diverse program designed to reach out to those facing socioeconomic, cultural and racial barriers. Cultural Competence: To ensure access and reduce health disparities, Cape Cod Healthcare offers translation of medical documents to community-based physician practices in Portuguese and Spanish at no cost to the patient or the physician practice. CCHC recognizes the fact that cultural competence goes beyond language barriers and provides programs to enhance the skills of CCHC's employees at every level. Cultural awareness is improved through educational venues, beginning with initial orientation and a Cross Cultural Awareness and Health Care program. Kick Butts: Cape Cod Healthcare offers free and reduced-fee personalized tobacco cessation classes to provide education, support and motivation to quit using tobacco. The smoking cessation program is a 6-week program held 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. Diabetes and Nutrition Education: Through community wellness events, Cape Cod Healthcare provides community members with identified issues back to their primary care physician or link them with appropriate care, if they do not have a health care home. In addition, CCHC holds Heart Healthy eating programs that follow the ADA guidelines to educate participants on how to make more thoughtful and healthy food choices. This program is free or reduced rate for the un/underinsured and those enrolled in state-subsidized health insurance programs. OBOT: Duffy Health Center, working with the CHC Network of Cape Cod & Islands, developed a coordinated model to provide the evidence-based practice of Office-Based Opioid Treatment (OBOT) across three Cape Cod Health Centers (Community Health Center Network) using Duffy Health Center's integrated model. This is a tiered process that started in FY2009 with the goal of including three Community Health Centers by year 3 in FY2011. Participants in FY2010 (Year 2) include: Duffy Health Center (DHC) and the Community Health Center of Cape Cod (CHCCC). The OBOT program addresses the high rates of identified addiction on Cape Cod. This program involves a specially trained medical team of physicians and nurse practitioners prescribing very low doses of Suboxone. Teaching of life skills, addressing mental health issues, and holding patients accountable for their actions is this program's approach to this very complex issue. Funded under Cape Cod Healthcare's Massachusetts Department of Public Health Determination of Need Program, the licensed OBOT program completed the second year of a four-year expansion plan. CHNA 27: Cape Cod Healthcare, through the Clark Cancer Center DoN, agreed with the Department of Public Health to disperse a total of $401,000 over a 5-year period commencing in late FY2010 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). Suicide Coalition: State and local data shows that the suicide rate on Cape Cod and the Islands is 1.5 times the state average. In order to begin to address this problem, the Cape and Islands Regional Suicide Prevention Coalition was formed in 2009. The Coalition brings together a diverse group of community stakeholders to raise awareness around suicide in order to reduce the number of suicides. The Cape & Islands Suicide Prevention Coalition provided an aggressive, community-wide public education campaign throughout the region to increase awareness of and to promote discussions about the issue, reduce stigma and save lives. H.O.P.E.: The H.O.P.E. project, a program of the Community Action Committee of Cape Cod and the Islands, offers access to health care services through assistance with enrolling individuals and families in MassHealth, Commonwealth Care, and other state insurance plans. It also connects them to primary care and other needed services and provides educational information. Unfortunately, the wait times for assistance exceeded one to two weeks in many cases, due to the limited hours of the benefits coordinator prior to CCHC Community Benefits funding. Tri-CCOH: The Tri-County Collaborative for Oral Health Excellence (Tri-CCOHE) is an organization committed to reducing dental disease and providing affordable dental care to low-income children and families. Tri-CCOHE, a collaborative of 12 organizations, was awarded $5,000 to recruit and convene people with disabilities as well as agencies and groups serving people with disabilities to complete a needs assessment and produce a report related to the dental needs of the disabled. Airway Management: The Airway Management training program involved the purchase of an Emergency Simulation Advanced Life Support STAT Manikin, dubbed "Sim-Man", to enhance the quality of and access to pre-hospital emergency medicine for individuals in the community. Sim-Man provides emergency first responders with a simulated experience not previously available, in a safe, controlled training environment. Patients who benefit most are those having specific challenges with airway management related to obesity, anatomical and physiological issues such as bariatric surgery or pre-existing traumatic incidents. Healthy Vida: | and Falmouth Hospital Emergency Rooms and Pharmacy Departments, as a |
| Healthy Vida is a wellness program targeted to Brazilian members of the | immigrants in the United States. The program supports healthy choices in order to prevent illnesses like diabetes and high blood pressure. The program focuses on nutrition education, healthy eating, physical activity and stress reduction activities. Healthy Vida uses creative and innovative strategy to bring education to this underserved population by offering free community health nutrition education in unique and comfortable settings (beauty salons where many lifestyle-related health issues are discussed by members of the Portuguese and Spanish speaking community). In addition, Healthy Vida schedules supermarket shopping classes at local grocery stores to provide education on label reading, affordable healthy foods, and selecting and preparing unknown produce. Transportation and Escort: Created in 1997 as an extension program of the Barnstable Senior Center, the Adult Supportive Day Program is a place where seniors needing a bit of assistance are able to spend the day in a stimulating, safe and fun environment. Supportive professional services to seniors who cannot or do not wish to stay home during the day are provided. This program is suitable for memory or physically-impaired individuals and provides much needed respite for caregivers. Elder Art: The Elder Art program, a collaboration between the Provincetown Art Association and Museum (PAAM), the Provincetown Councils on Aging, and Helping Our Women, provides engaging, high-quality creative learning opportunities for community elders and seniors suffering from chronic illness in a supportive museum and professional art studio environment. COAST: The Aging and Mental Health COAST Forum is a program designed to engage older adults in their own healthy aging and help connect them with others. This fosters healthy communities, builds resiliency and well-being with the purpose of achieving and improving mental health and wellness. The forum is based on a national program from Mental Health America called "Live Your Life Well." This program is adapted for the target population: at risk elders on Cape Cod experiencing isolation and depression. PSN: The Parkinson Support Network is a community network of providers and consumers striving to ensure quality of life for people with Parkinson's and their families. Their mission is to ensure Cape Cod is a place where Parkinson's families can find opportunities within reasonable driving distance from their homes for Parkinson's-specific exercise and movement programs, education, and support. Gosnold: The Gosnold pilot program, "It Takes a Community," is aimed at broadening hospital clinical staff knowledge of the detoxification process. This includes assessment of status, needed interventions and signs and symptoms of withdrawal. The anticipated outcome is to reduce the incidences of Delirium Tremens requiring transfer into the intensive care unit, improvement in the patient experience and quality of care. Children's Mental Health Guide: In 2004, the Sandwich Public Schools received a one-time grant from the Massachusetts Department of Education to convene a group of stakeholders to identify and prioritize the resources needed to support mental health in young children. The subcommittee concluded that services were available for families, but not easily identifiable or accessible, especially during times of crisis when families needed immediate assistance. The subcommittee created a resource guide that listed practitioners and payment options. It was updated in 2006, with an added section on Maternal Depression. The guide was updated in FY2010 and information was uploaded on Mass 2-1-1 Website, a national website providing free access to health and human services Information and referral. Bridging the Gap: Helping Our Women (HOW) is a 501(c) 3 community-based non-profit organization located in Provincetown serving Eastham to Provincetown. Established in 1993, it provides direct services that assist in creating a more manageable lifestyle for women with chronic and life-threatening illnesses through referrals and advocacy that improve access to health care, social services and benefits programs. HOW requested a CCHC Community Benefits Mini-Grant to help produce a 12-part cable access TV/Internet program (Bridging the Gap) in conjunction with Provincetown TV. It focused on human service providers who are filling the gaps in services. Bridging the Gap has provided timely outreach and education to the community, especially the elderly and those who have been impacted by chronic illness or poverty. | community to address the health care disparities that are experienced by |
| 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. | |
| FUNCTIONAL EXPENSE NOTE | FUNDRAISING IS CONDUCTED ON BEHALF OF CAPE COD HEALTHCARE, INC. BY CAPE COD HEALTHCARE FOUNDATION, INC. CERTAIN OFFICERS ARE COMPENSATED BY CAPE COD HEALTHCARE, INC. FUNDS RAISED ARE REPORTED AT CAPE COD HEALTHCARE, INC. AND AFFILIATES. | FORM 990 PART I AND PART IX |
| FORM 990, PART III, LINE 6 | CAPE COD HEALTHCARE, INC'S VOLUNTEERS INCLUDE ITS TRUSTEES. | |
| FORM 990, PART VI, LINE 11 | THE ORGANIZATION'S FORM 990 IS REVIEWED AT SEVERAL LEVELS. THE ORGANIZATION ENGAGES A PUBLIC ACCOUNTING FIRM TO ASSIST IN THE PREPARATION AND REVIEW OF ITS FORM 990 AND WHO SIGNS AS PAID PREPARER. SENIOR MANAGEMENT OF THE ORGANIZATION IS RESPONSIBLE FOR THE TIMELY PREPARATION OF FORM 990. THE COMPLETED FORM 990 IS PROVIDED TO THE FINANCE COMMITTEE AND THE ENTIRE BOARD IN ADVANCE OF THE FILING DEADLINE. | |
| FORM 990, PART VI, LINE 12 | THE ORGANIZATION MAINTAINS A CONFLICT OF INTEREST POLICY AND REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THIS POLICY. ON AN ANNUAL BASIS, EACH TRUSTEE, OFFICER AND EMPLOYEE AT THE SENIOR MANAGEMENT LEVEL COMPLETES A CONFLICT OF INTEREST DISCLOSURE FORM. THE FORMS ARE REVIEWED BY CAPE COD HEALTHCARE, INC.'S ("CCHC") DIRECTOR OF CLINICAL AND RESEARCH COMPLIANCE WHO PREPARES A SUMMARY FOR CCHC'S COMPLIANCE OFFICER. ANY MATERIAL INTERESTS SO DISCLOSED ARE PRESENTED TO THE CORPORATION'S GOVERNANCE COMMITTEE FOR REVIEW AND RESOLUTION. ALL DISCLOSURE STATEMENTS SUBMITTED BY EMPLOYEES WILL BE REVIEWED BY HUMAN RESOURCES AND/OR CCHC'S DIRECTOR OF CLINICAL AND RESEARCH COMPLIANCE. FOR ANY DISCLOSURE THAT IS CONSIDERED SUBSTANTIVE THE EMPLOYEE'S AREA MANAGER WILL BE CONSULTED TO DETERMINE IF THE SITUATION IS GENERALLY ACCEPTABLE, REQUIRES FURTHER EXAMINATION AND POSSIBLE ACTION OR IS GENERALLY NOT ACCEPTABLE. ANY ACTION PLAN CREATED TO MANAGE A CONFLICT OF INTEREST WILL BE MONITORED BY THE EMPLOYEE'S AREA MANAGER OR SUPERVISOR. | |
| FORM 990, PART VI, LINE 15 | THE ANNUAL PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO, OFFICERS, EXECUTIVES AND KEY EMPLOYEES INCLUDE THE FOLLOWING: CEO - COMPENSATION WILL BE DETERMINED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES, AND WILL INCLUDE CONSIDERATION OF RELEVANT MARKET DATA FURNISHED BY A DISINTERESTED COMPENSATION CONSULTANT, AND A REVIEW OF JOB PERFORMANCE. OFFICERS, EXECUTIVES AND KEY EMPLOYEES - OFFICER, EXECUTIVE AND KEY EMPLOYEE COMPENSATION WILL BE DETERMINED BY THE CEO AND WILL INCLUDE CONSIDERATION OF RECENT RELEVANT MARKET DATA FURNISHED BY A DISINTERESTED COMPENSATION CONSULTANT, AND A REVIEW OF JOB PERFORMANCE. THE CEO'S DETERMINATION OF SUCH COMPENSATION WILL BE SUBJECT TO THE APPROVAL OF THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. THE PROCESS AND CONCLUSIONS ARE DOCUMENTED IN THE MEETING MINUTES. | |
| FORM 990, PART VI, LINE 19 | THE ORGANIZATION MAKES ITS BYLAWS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE ALSO ATTACHED TO THE ANNUALLY FILED FORM PC, A PUBLICLY DISCLOSED TAX-EXEMPT ORGANIZATION FILING FOR THE STATE OF MASSACHUSETTS. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (11 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|
| CAPE COD CARDIAC CATH INC(UNTIL 52010) | ||||||||||
| 27 PARK STREET | HYANNIS | MA | 02601 | 043294389 | HEALTH SVCS | MA | 501(C)(3) | 11A | N/A | |
| CAPE COD HOSPITAL | ||||||||||
| 25 COMMUNICATION WAY | HYANNIS | MA | 02601 | 042103600 | HOSPITAL | MA | 501(C)(3) | 3 | NA | |
| FALMOUTH HOSPITAL ASSOCIATION INC | ||||||||||
| 25 COMMUNICATION WAY | HYANNIS | MA | 02601 | 042220716 | HOSPITAL | MA | 501(C)(3) | 3 | NA | |
| MEDICAL AFFILIATES OF CAPE COD INC | ||||||||||
| 25 COMMUNCIATION WAY | HYANNIS | MA | 02601 | 043187299 | PHYS. OFFICES | MA | 501(C)(3) | 11A | NA | |
| CAPE & ISLANDS HEALTH SERVICES II INC | ||||||||||
| 25 COMMUNICATION WAY | HYANNIS | MA | 02601 | 043572408 | LAB SERVICES | MA | 501(C)(3) | 11A | NA | |
| CAPE COD HEALTHCARE FOUNDATION INC | ||||||||||
| 25 COMMUNICATION WAY | HYANNIS | MA | 02601 | 043475950 | FUNDRAISING | MA | 501(C)(3) | 7 | NA | |
| VNA OF CAPE COD INC | ||||||||||
| 25 COMMUNICATION WAY | HYANNIS | MA | 02601 | 042104159 | NURSING SVCS | MA | 501(C)(3) | 11A | NA | |
| JML CARE CENTER INC | ||||||||||
| 25 COMMUNICATION WAY | HYANNIS | MA | 02601 | 042995795 | REHAB SVCS | MA | 501(C)(3) | 11A | NA | |
| FALMOUTH ASSISTED LIVING INC | ||||||||||
| 25 COMMUNICATION WAY | HYANNIS | MA | 02601 | 223379395 | SUPPORT | MA | 501(C)(3) | 11A | NA | |
| CAPE COD HUMAN SERVICES INC | ||||||||||
| 25 COMMUNICATION WAY | HYANNIS | MA | 02601 | 042323506 | SUPPORT | MA | 501(C)(3) | 11A | NA | |
| WOMEN'S IMG CTR OF CC INC (UNTIL 510) | ||||||||||
| 25 COMMUNICATION WAY | HYANNIS | MA | 02601 | 043502480 | SUPPORT | MA | 501(C)(3) | 11A | NA | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | CountryAddressForeign/Country | Primary ActivityPrimaryActivity | Legal Domicile Foreign CountryLegalDomicileForeignCountry | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CAPE HEALTH INSURANCE COMPANY | ||||||||||||||
| PO BOX 1051GT | GRAND CAYMAN | CJ | INSURANCE | CJ | C CORP | 165071 | 20786599 | 1.00000 | ||||||
| CAPE COD MEDICAL OFFICE BUILDING INC | ||||||||||||||
| RENTAL SERVIC | C CORP | 0 | 0 | 0.00000 | 27 PARK STREET | HYANNIS | MA | 02601 | 042423073 | MA | ||||
| 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 | true | 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 | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (11 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| CAPE COD HEALTHCARE FOUNDATION INC | |
| E | 6981 |
| CAPE COD HOSPITAL | |
| I | 8155 |
| CAPE COD HOSPITAL | |
| P | 96275986 |
| CAPE & ISLANDS HEALTH SERVICES II INC | |
| Q | 1970402 |
| MEDICAL AFFILIATES OF CAPE COD INC | |
| Q | 4568096 |
| CAPE COD HOSPITAL | |
| R | 17711546 |
| FALMOUTH ASSISTED LIVING INC | |
| R | 75000 |
| FALMOUTH HOSPITAL ASSOCIATION INC | |
| R | 7418804 |
| JML CARE CENTER INC | |
| R | 75000 |
| MEDICAL AFFILIATES OF CAPE COD INC | |
| R | 1995983 |
| VISITING NURSE ASSOCIATION OF CAPE COD INC | |
| R | 450000 |