TY 2010 Form 990

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (check all that apply)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) GROVER BAXLEY MD TRUSTEE	2.0	X		0	131,408	0
(2) ROBERT BIRMINGHAM TRUSTEE	2.0	X		0	0	0
(3) KEVIN BRESNAHAM MD TRUSTEE FROM 1/11	2.0	X		0	0	0
(4) ELEANOR CLAUS CLERK UNTIL 5/11/TRUSTEE	2.0	X	X	0	0	0
(5) HOWARD CROW JR TRUSTEE	2.0	X		0	0	0
(6) DEWITT DAVENPORT TRUSTEE	2.0	X		0	0	0
(7) PAUL DEMEO MD TRUSTEE	2.0	X		0	27,225	0
(8) SUMNER B TILTON JR TRUSTEE/TREASURER FROM 5/11	2.0	X	X	0	0	0
(9) SUZANNE GLYNN ESQ TRUSTEE	2.0	X		0	0	0
(10) PHILIP MCLOUGHLIN TRUSTEE	2.0	X		0	0	0
(11) PATRICK MURRAY MD TRUSTEE UNTIL 1/11	2.0	X		0	0	0
(12) NATE RUDMAN MD TRUSTEE	2.0	X		0	0	0
(13) JOEL CROWELL TRUSTEE/CLERK FROM 5/11	2.0	X	X	0	0	0
(14) THOMAS WROE JR CHAIRMAN	2.0		X	0	0	0
(15) RICHARD F SALLUZZO MD PRESIDENT/CEO UNTIL 12/10	40.0		X	1,204,875	0	104,433
(16) MICHAEL K LAUF SEE SCH. O FOR TITLE	40.0		X	552,726	0	82,428
(17) WILLIAM ZAMMER INTERIM TRSR/VICE CHAIRMAN	2.0		X	0	0	0

(A) Name and business address	(B) Description of services	(C) Compensation
DELOITTE CONSULTING LLP PO BOX 7247-6447 PHILADELPHIA,PA191706447	FINANCIAL CONSULTING	461,639
SLOANE WALSH LLP 3 CENTER PLAZA BOSTON,MA02108	LEGAL SERVICES	402,862
PRICEWATERHOUSECOOPERS LLP PO BOX 7247-8001 PHILADELPHIA,PA191708001	FINANCIAL CONSULTING	384,938
FOLEY FOLEY PC 350 GIFFORD STREET UNIT 26 FALMOUTH,MA02540	LEGAL SERVICES	268,525
DOVETAIL HEALTH 140 KENDRICK STREET NEEDHAM,MA02494	HEALTHCARE CONSULT	260,000
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization 15

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21	0
2	Grants and other assistance to individuals in the U.S. See Part IV, line 22	0
3	Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	3,291,350		2,950,687	340,663
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	645,256		645,256
7	Other salaries and wages	12,995,055	10,396,044	2,599,011
8	Pension plan contributions (include section 401(k) and section 403(b) employer contributions) ....	420,791	336,633	84,158
9	Other employee benefits .......	2,239,665	1,791,732	447,933
10	Payroll taxes ...........	893,228	714,582	178,646
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	721,723		721,723
c	Accounting ...........	59,956		59,956
d	Lobbying ...........	199,310	159,448	39,862
e	Professional fundraising. See Part IV, line 17..	0
f	Investment management fees ......	76,123	60,898	15,225
g	Other ..........	2,241,328	1,793,062	448,266
12	Advertising and promotion ....	991,414	793,131	198,283
13	Office expenses .......	203,238	162,590	40,648
14	Information technology ......	1,208,530	966,824	241,706
15	Royalties ..	0
16	Occupancy ...........	1,368,284	1,094,627	273,657
17	Travel ............	120,326	96,261	24,065
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	93,041	74,433	18,608
20	Interest ...........	217	174	43
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization .....	1,213,373	970,698	242,675
23	Insurance ..............	283,950	227,160	56,790
24	Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a	PHYS. ORG CLINICAL INCENTIVE	1,010,768	808,614	202,154
b	COMMUNITY BENEFITS	701,413	561,130	140,283
c	OTHER SUPPLIES	173,341	138,673	34,668
d	PHY ORG 3RD PARTY LEGAL FEES	147,480	117,990	29,490
e	EMPLOYEE RECOGNITION	142,391	113,913	28,478
f	All other expenses	466,130	372,904	93,226
25	Total functional expenses. Add lines 1 through 24f	31,907,681	21,751,521	9,815,497	340,663
26	Joint costs. Check here if following SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation

Part X Balance Sheet
	1	Cashnon-interest-bearing ..........	952,631	1	2,376,223
2	Savings and temporary cash investments .......		2
3	Pledges and grants receivable, net .........		3
4	Accounts receivable, net .........		4
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........		5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........		6
7	Notes and loans receivable, net .............	2,477,093	7	3,051,685
8	Inventories for sale or use ..............	139,386	8	126,832
9	Prepaid expenses and deferred charges ............	378,387	9	1,421,596
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	16,746,690
b	Less: accumulated depreciation. .....	10b	4,547,871	7,712,558	10c	12,198,819
11	Investments—publicly traded securities ..........		11
12	Investments—other securities. See Part IV, line 11 ......	96,771,047	12	106,820,634
13	Investments—program-related. See Part IV, line 11 ..		13
14	Intangible assets .........		14
15	Other assets. See Part IV, line 11 ...........	37,461,250	15	19,499,446
16	Total assets. Add lines 1 through 15 (must equal line 34)...	145,892,352	16	145,495,235
	17	Accounts payable and accrued expenses .	20,197,680	17	21,204,185
18	Grants payable ..........		18
19	Deferred revenue ..........		19
20	Tax-exempt bond liabilities ..........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..	3,662,098	23	3,274,648
24	Unsecured notes and loans payable to unrelated third parties ....	6,900,000	24	3,450,000
25	Other liabilities. Complete Part X of Schedule D.....	24,035,356	25	5,141,258
26	Total liabilities. Add lines 17 through 25.....	54,795,134	26	33,070,091
		Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....	52,504,535	27	75,578,874
28	Temporarily restricted net assets .....	19,745,615	28	18,255,097
29	Permanently restricted net assets .....	18,847,068	29	18,591,173
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances .....	91,097,218	33	112,425,144
34	Total liabilities and net assets/fund balances .....	145,892,352	34	145,495,235

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

CAPE COD HEALTHCARE INC

Employer identification number

22-2600704

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches. section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in

section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. Seesection 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Other

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the the supported organization? ................

11g(i)

(ii) a family member of a person described in (i) above? ......................

11g(ii)

(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of support?
(i) Name of supported organization	(ii) EIN		Yes	No	Yes	No	Yes	No	(vii) Amount of support?
(1) CAPE COD HOSPITAL	042103600	03		No					0
(2) CAPE COD HUMAN SERVICES INC	042323506	03		No					0
(3) CAPE & ISLANDS HEALTH SVCS II INC	043572408	03		No					0
(4) FALMOUTH HOSPITAL ASSOCIATION INC	042220716	03		No					0
(5) JML CARE CENTER INC	042995795	03		No					0
(6) FALMOUTH ASSISTED LIVING INC	223379395	03		No					0
(7) VNA OF CAPE COD INC	042104159	03		No					0
(8) CAPE COD HEALTHCARE FOUNDATION INC	043475950	03		No					0
(9) MEDICAL AFFILIATES OF CAPE COD INC	043187299	03		No					0
Total									0

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2010

Page 2

Part II

Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3..
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public Support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (See instructions.) ..................

First Five Years If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.......................................... right arrow

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f)) .........

Public Support Percentage for 2009 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2010. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ...................... right arrow

33 1/3% support test—2009. If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2010. If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization .................................................. right arrow

10%-facts-and-circumstances test—2009. If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly
supported organization .............................................. right arrow

Private Foundation If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions ................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 3

Part III

Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public Support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13	Total support (Add lines 9, 10c, 11 and 12.).

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f)) .........

Public support percentage from 2009 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f)) ......

Investment income percentage from 2009 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2010. If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .......... right arrow

33 1/3% support tests—2009. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 4

Part IV

Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation
exempt from taxation under IRC Section 501(c)(3). The organization is currently classified as an IRC Section 170(b)(1)(A)(vi) organization. However, the organization is more appropriately classified as a Section 509(a)(3) supporting organization as it serves as the parent company to its affiliates that provide healthcare services to the population of Cape Cod, Massachusetts. (The affiliates noted in Schedule A, Part I file as part of a group Form 990.)

Schedule A (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below.
SchCMd Bullet

Attach to Form 990 or Form 990-EZ. SchCMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

CAPE COD HEALTHCARE INC

Employer identification number

22-2600704

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c) except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities .................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2010

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check if the filing organization belongs to an affiliated group.
B Check if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated Group Totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) Total

2a	Lobbying non-taxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots non-taxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2010

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? If "Yes," describe in Part IV ..........................

Yes

199,310

Total. lines 1c through 1i ...................................

199,310

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.

Dues, assessments and similar amounts from members .....................

Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ...........................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.

Identifier	Return Reference	Explanation
SCHEDULE C, PART II-B, LINE 1I		CAPE COD HEALTHCARE, INC. MADE PAYMENTS OF $199,310 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. CAPE COD HEALTHCARE, INC. ALSO PAID MEMBER DUES TO THE MASSACHUSETTS HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION ON BEHALF OF CAPE COD HOSPITAL AND FALMOUTH HOSPITAL ASSOCIATION, INC. WHICH MAY ENGAGE IN LOBBYING ACTIVITIES.

Schedule C (Form 990 or 990EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

CAPE COD HEALTHCARE INC

Employer identification number

22-2600704

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .......
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) ...
4	Aggregate value at end of year .......

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or pleasure) Preservation of an historically importantly land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06 ........	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................

Yes No

In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 52283D

Schedule D (Form 990) 2010

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIV and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIV.

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current Year	(b)Prior Year	(c)Two Years Back	(d)Three Years Back	(e)Four Years Back
1a	Beginning of year balance ....
b	Contributions ........
c	Investment earnings or losses ...
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the year end balance held as:

Board designated or quasi-endowment: SchDMd Bullet

Permanent endowment: SchDMd Bullet

Term endowment: SchDMd Bullet

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIV the intended uses of the organization's endowment funds.

Part VI

InvestmentsLand, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of investment		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	184,800		184,800
b	Buildings ................	251,896	74,720	177,176
c	Leasehold improvements ............	556,989	436,452	120,537
d	Equipment ................	6,562,598	3,842,052	2,720,546
e	Other .................	9,190,407	194,647	8,995,760
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........				12,198,819

Schedule D (Form 990) 2010

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
(3)Other (A) TEMP RESTRICTED INVESTMENTS	8,847,630	F
(B) PERM RESTRICTED INVESTMENTS	10,181,678	F
(C) BENEFICIAL INTEREST IN TRUSTS	8,156,791	F
(D) LONG TERM INVESTMENTS	79,634,535	F





Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)	106,820,634

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) INVESTMENT IN AFFILIATES				2,439,204
(2) JV WITH SHIELDS/PET/CT				7,875
(3) JV WITH SHIELDS/RAD THERAPY				2,796,500
(4) SHARES OF HBCS STOCK				590,430
(5) DUE FROM AFFILIATES				435,793
(6) SPLIT DOLLAR LIFE				3,829,460
(7) OTHER ASSETS				9,400,184


Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........				19,499,446

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of Liability		(b) Amount
Federal Income Taxes		0
SERP LIABILITY		1,103,082
DUE TO AFFILIATES		1,746,417
ANNUITIES PAYABLE		1,727,753
OTHER LIABILITIES		564,006





Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)		5,141,258
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).

Schedule D (Form 990) 2010

Page 4

Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1	Total revenue (Form 990, Part VIII, column (A), line 12) ....................	1
2	Total expenses (Form 990, Part IX, column (A), line 25) .....................	2
3	Excess or (deficit) for the year. Subtract line 2 from line 1 .............	3
4	Net unrealized gains (losses) on investments ..........................	4
5	Donated services and use of facilities .............................	5
6	Investment expenses ...................................	6
7	Prior period adjustments ..................................	7
8	Other (Describe in Part XIV) .................................	8
9	Total adjustments (net). Add lines 4 - 8 .............................	9
10	Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 .........	10

Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIV): ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIV): ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ......		5

Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements .............		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIV): ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIV): ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ......		5

Part XIV

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation
SCHEDULE D, PART X		THE ORGANIZATION DOES NOT HAVE A FIN 48 FOOTNOTE AS ANY UNCERTAIN TAX POSITIONS WERE DEEMED IMMATERIAL.

Schedule D (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

CAPE COD HEALTHCARE INC

Employer identification number

22-2600704

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....

Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ...............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? ........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 50053T

Schedule J (Form 990) 2010

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.

(A) Name		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported in prior Form 990 or Form 990-EZ
(A) Name		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
(1) STEPHEN L ABBOTT	(i) (ii)	0 0	0 0	645,256 0	0 0	0 0	645,256 0	199,912 0
(2) RICHARD F SALLUZZO MD	(i) (ii)	841,363 0	255,000 0	108,512 0	83,280 0	21,153 0	1,309,308 0	26,488 0
(3) MICHAEL G JONES	(i) (ii)	306,601 0	65,000 0	1,138 0	28,333 0	33,541 0	434,613 0	0 0
(4) MICHAEL K LAUF	(i) (ii)	433,909 0	100,000 0	18,817 0	51,769 0	30,659 0	635,154 0	18,080 0
(5) JAMES D BUTTERICK	(i) (ii)	275,951 0	50,000 0	8,538 0	20,633 0	34,148 0	389,270 0	2,971 0
(6) MICHAEL L CONNORS	(i) (ii)	335,464 0	80,000 0	1,182 0	41,776 0	36,145 0	494,567 0	0 0
(7) CHRISTOPHER O'CONNOR	(i) (ii)	250,115 0	36,000 0	4,765 0	0 0	24,135 0	315,015 0	0 0
(8) SHERYL CROWLEY	(i) (ii)	226,600 0	48,000 0	630 0	9,800 0	25,174 0	310,204 0	0 0
(9) JOHN LIPOMI	(i) (ii)	330,486 0	50,000 0	7,584 0	4,156 0	18,491 0	410,717 0	0 0
(10) DAVID RYAN	(i) (ii)	204,651 0	30,000 0	1,091 0	18,892 0	29,029 0	283,663 0	0 0
(11) JEFFREY S DYKENS	(i) (ii)	214,846 0	25,000 0	2,220 0	9,062 0	25,174 0	276,302 0	0 0
(12) SUSAN M WING	(i) (ii)	220,235 0	42,500 0	31,006 0	23,956 0	6,938 0	324,635 0	28,007 0
(13) DIANNE KOLB	(i) (ii)	200,710 0	27,500 0	5,325 0	12,392 0	14,912 0	260,839 0	0 0

Schedule J (Form 990) 2010

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.

Identifier	Return Reference	Explanation
LINE 4B: 457(F)		CAPE COD HEALTHCARE, INC. AND AFFILIATES SPONSORS A 457(F) VOLUNTARY PERSONAL DEFERRAL PLAN ("THE PLAN") FOR KEY EMPLOYEES. VESTING IS DEFERRED FOR AT LEAST TWO YEARS FROM THE DATE OF THE AWARD. THE PLAN OFFERS PARTICIPATING EMPLOYEES AN ANNUAL DEFERRAL OF CASH COMPENSATION. AMOUNTS PAID UNDER THE PLAN DURING CALENDAR YEAR 2010 WERE AS FOLLOWS: - RICHARD F. SALLUZZO, MD - $26,488 - MICHAEL K. LAUF - $18,080 - JAMES D. BUTTERICK, MD - $2,971 - STEPHEN L. ABBOTT - $645,256 STEPHEN L. ABBOTT, FORMER PRESIDENT/CEO RECEIVED A 457(F) PAYOUT OF $645,256 AS IT WAS VESTED TWO YEARS FROM THE DATE OF TERMINATION. $199,912 REPORTED IN SCHEDULE J, PART II, COLUMN (F) WAS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS FORM 990.

Schedule J (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

CAPE COD HEALTHCARE INC

Employer identification number

22-2600704

Identifier	Return Reference	Explanation
Community Benefits Mission		Community Benefits Mission Statement: Cape Cod Healthcare, Inc., through its Community Benefits initiative, is committed to enhancing the quality of and access to comprehensive health care services for all the residents of Cape Cod. Through continuous assessment of community needs, coordinated planning and the allocation of resources, this commitment includes a special focus on the unmet needs of the financially disadvantaged and underserved populations. We will take a leadership role in collaborative efforts joining our resources, talent, and commitment with that of other providers, organizations and community members. The Community Benefits Mission Statement was affirmed by the CCHC Community Health Committee and the Board of Trustees in 2000 and remains in effect. Target Populations 1. Name of Target Population: The under-served, un/underinsured and/or those with health disparities. Basis for Selection: This population is selected based on well documented evidence that a significant portion of the community needs financial, programmatic, informational or educational support. The data suggests opportunity to impact the overall health status of individuals across the entire service area. Although some aspects may be currently addressed to some degree in the community, unmet needs still exist. 2. Name of Target Population: Chronically ill residents afflicted with cardiovascular-related disease, diabetes, and/or oral health issues. Basis for Selection: This population is selected based on well documented evidence that a significant portion of the community needs financial, programmatic, informational or educational support. The data suggests opportunity to impact the overall health status of individuals across the entire service area. Although some aspects may be currently addressed to some degree in the community, unmet needs still exist. 3. Name of Target Population: Community members afflicted with mental health and/or substance abuse-related issues. Basis for Selection: This population is selected based on well documented evidence that a significant portion of the community needs financial, programmatic, informational or educational support. The data suggests opportunity to impact the overall health status of individuals across the entire service area. Although some aspects may be currently addressed to some degree in the community, unmet needs still exist. 4. Name of Target Population: Geriatric population, especially those who are at risk and/or in hard to reach areas. Basis for Selection: This population is selected based on well documented evidence that a significant portion of the community needs financial, programmatic, informational or educational support. The data suggests opportunity to impact the overall health status of individuals across the entire service area. Although some aspects may be currently addressed to some degree in the community, unmet needs still exist. 5. Name of Target Population: Residents with emerging health issues. Basis for Selection: This population is designated to allow program flexibility to address community health needs not identified at the time of initial plan development. Publication of Target Populations Website, Other- Attorney General Website Hospital/HMO Web Page Publicizing Target Pop. http://www.capecodhealth.org/community
Key Accomplishments of Reporting Year		The Cape Cod Healthcare (CCHC) Community Benefits program provided funding to multiple community agencies. Throughout the year, leadership, staff and physicians worked collaboratively with community agencies to identify and develop programs that were sponsored by CCHC. The program continues to seek opportunities to develop collaborative relationships which benefit the community. The key accomplishments for FY 11 include: 1. HC expanded its collaboration with and support of the federally funded community health centers operating in Barnstable County. 2. CCHC continued its collaboration with a broad spectrum of health and human service agencies which support the residents of Barnstable County. 3. CCHC initiated the first phase of the Community Health Needs Assessment for the service area. During FY 11 the program began study design, identified and selected an independent research firm to assist with the research component and solicited the involvement of other community partners. Secondary research began and the study will conclude and be reported in FY 12. This study will serve as the basis for program planning from FY 13-15. 4. CCHC, in collaboration with the Community Health Committee, stabilized three important and ongoing programs by establishing multi-year plans and funding. These programs provide services to vulnerable populations including the uninsured, elders, people needing access to specialty physicians, and interpretive services in the community. 5. Established an internally based Community Benefits Task Force comprised of clinical, operational and corporate managers throughout CCHC to identify and quantify community benefits initiatives. The task force created an inventory of all community benefit programs which align with the target populations and stated priorities. This group also serves in an advisory capacity which identifies community needs. 6. Developed a comprehensive RFP program for direct funding of community benefit programs. This process resulted in direct funding of $100,000 to programs/agencies which address substance abuse, infectious disease and access through enrollment. 7. CCHC's Community Benefits program staff participates as an active member of CHNA 27 and its steering committee. CHNA 27 members work to build a healthier community through community-based prevention planning, health promotion and improving health status indicators of Cape Cod and the Islands residents pursuant to the mandate from the Massachusetts Department of Public Health. Plans for Next Reporting Year Plans for FY12 will continue to implement priorities established in the FY 10 strategic plan. Staff updates and amends the plan annually to reflect emerging needs. These amendments ensure that the plan has incorporated data and findings from national, regional, state and local studies, particularly those provided by the Mass Department of Public Health and Barnstable County Human Services. The FY 12 plan is compliant with all state and federal requirements.
Goals for FY2012		1. Continue to expand community collaborations to enhance the health of Cape Cod's underserved and vulnerable populations. 2. Strategically partner with the four federally qualified community health centers based on Cape Cod to increase access to primary and specialty care services. 3. Complete a Community Health Needs Assessment and utilize findings to modify the community benefits plan. 4. Develop or modify Community Benefits services to meet prioritized community health needs for FY 13-15. 5. Continue to evaluate services, events and programs for alignment with established priorities, measurable outcomes and cost effectiveness, as well as with CCHC's overall strategic direction. 6. Conduct an annual RFP process and award $150,000 in Impact Priority-Grants. Community Collaborations CCHC continuously seeks opportunities to engage the community in collaborative efforts to enhance the quality of and access to comprehensive health care services for all residents of Cape Cod. FY2012 Community Benefits Priorities 1. Increase health care access through outreach and leadership initiatives resulting in an integrated and coordinated community health care delivery system to reduce health disparities and promote health equity. 2. Create strategic collaborations with existing community health providers and partners who will foster healthy lifestyle choices and promote healthier behaviours that can prevent or delay chronic disease thereby increasing the quality of life. 3. Improve post-hospital discharge and follow-up experience of vulnerable patients, particularly elders and those with chronic disease. 4. Adopt a more preventative, wellness-oriented care model related to mental health and substance abuse. 5. Reduce health risks and unnecessary declines in quality of life through wellness and prevention approaches with attention to particularly vulnerable populations, including, but not limited to: a) Persons 65 and over b) Persons with or at risk of contracting; HIV/AIDS, Hepatitis B and C, tuberculosis and/or sexually transmitted diseases. 6. Address well documented emerging health issues identified by the MA Department of Health, and other reliable sources, such as issues related to youth populations (i.e. violence, bullying and suicide).
Community Benefits Process		Community Benefits Leadership Team A fundamental tenet of Cape Cod Healthcare's mission is to provide excellent care to members of our community. Cape Cod and Falmouth Hospitals, along with our affiliates, play an important role as safety net providers to the Cape Cod region, given our relative geographic isolation. The development of varied community collaborations, including the Community Benefits Program, is lead by Michael K. Lauf, Chief Executive Officer and Theresa M. Ahern, Vice President, Strategy, Community/Governmental Affairs. Management of the program is the responsibility of Carol A. Summersall, Director of Community Benefits and Partnerships. The Community Health Committee provides strategic oversight to the community benefits program as a designated subcommittee of the Board of Trustees. The Committee is comprised of members who work in health care services on Cape Cod, community-based organizations, community advocacy groups and county government, as well as two current members of the CCHC Board of Trustees. The Committee develops and recommends policies to the Board regarding Community Benefits programs, sets priorities and awards priority grant funding, and advises on community health issues and initiatives. Community Health Committee Members Eleanor Claus (Chair) CCHC Board Member 927 Route 6A, Yarmouth Port, MA 02675 508.362.3000 x203 eclaus@kinlingrover.com Representing: CCHC Board of Trustees Elizabeth Albert, Director Barnstable County Human Services P.O. Box 427, Barnstable, 02630 508.375.6626 balbert@barnstablecounty.org Representing: Community at Large: Mid-Cape Karen Cardeira, Director Falmouth Human Services 65 Town Hall Square, Falmouth, MA 02540 508.548.0533 kcardeira@falmouthhumanservices.org Representing: Community at Large: Upper Cape Mary Devlin, Manager Public Health and Wellness Visiting Nurses Association 255 Independence Drive, Hyannis, 02601 508.957.7619 mdevlin@vnacapecod.org VNA of Cape Cod: Provincetown to Plymouth Representing: All 5 Priorities with emphasis on Chronic Disease and Healthy Aging of the Geriatric Population Georgia Carvalho, Grants Developer Cape Cod Community College 2240 Iyannough Road, West Barnstable, 02668 508.362.2131 ext. 4492 gcarvalho@capecod.edu Representing: Education related to all 5 priorities Karen Gardner, CEO Community Health Center of Cape Cod 107 Commercial St., Mashpee, MA 02649 508.477.7090 kgardner@chcofcapecod.org Representing: Community at Large Suzanne Fay Glynn, Attorney CCHC Board Member Glynn Law Offices 49 Locust Street, Falmouth, MA 02540 508.548.8282 ljarvis@glynnlawoffices.com Representing: CCHC Board of Trustees Carmen Lebron, Manager Cape Cod Immigrant Center 624 Osterville West Barnstable Rd Unit E1 - Marstons Mills, MA 02648 508.428.0517 clebron@capecod.edu Representing: All 5 priorities with an emphasis on Immigrant population, Health disparities and Emerging Health Needs Timothy Lineaweaver, Executive Director Cape and Islands Coalition for Suicide Prevention 107 Commercial Street, Mashpee, MA 02649 tnt410@aol.com Representing: Mental Health, Substance Abuse and Suicide Brian O'Malley, MD 30 Shankpainter Road Provincetown, MA 02657 508.487.3505 bomalley@capecodhealth.org Medical Seat Representing: Community at Large: Lower/Outer Cape Elizabeth Smith, Director Lower Cape Councils on Aging (Orleans) 150 Rock Harbor Road, Orleans, 02653 508.255.6333 esmith@town.orleans.ma.us Representing: Healthy Aging to Geriatric Population, Chronic Disease and Emerging Health Needs Cape Cod Healthcare members: Theresa M. Ahern Vice President, Strategy and Community/Governmental Affairs Cape Cod Healthcare 88 Lewis Bay Road Hyannis, MA 02601 508.862.5077 tahern@capecodhealth.org Diane M. Munsell, BSN, RN, EdM Senior Manager, Community Benefits and Clinical Outreach Cape Cod Healthcare 333 North Street Hyannis, MA 02601 508.862.7896 dmunsell@capecodhealth.org Community Benefits Team Meetings The Community Health Committee Meeting Dates for FY11 were: November 18, 2010 4:00-5:30 pm February 24, 2011 4:00-5:30 pm May 5, 2011 4:00-5:30 pm August 4, 2011 4:00-5:30 pm Community Partners AIDS Support Group of Cape Cod Barnstable Equals Smart, Safe and Sober (BES3) Barnstable Human Services Barnstable High School Cape and Islands EMS Systems, Inc. Cape and Islands Suicide Prevention Coalition Cape and Islands United Way Cape Cod Chamber of Commerce Cape Cod Community College Cape Cod Community Foundation Cape Cod Immigrant Center Children's Cove Community Action Committee of Cape Cod & Islands Community Health Center of Cape Cod Councils on Aging Duffy Health Center Falmouth Human Services Gosnold on Cape Cod Housing Assistance Corporation Immigrant Center of Cape Cod Massachusetts Department of Public Health Mid-Upper Cape Community Health Center Outer Cape Health Services Parkinson Support Network of Cape Cod The Cape and Islands Community Health Network (CHNA 27) Tri-County Collaborative for Oral Health Excellence
Community Health Needs Assessment		Date Last Assessment Completed and Current Status Cape Cod Healthcare conducts a formal community health needs assessment study every three years. CCHC solicits community participation in the design, data collection and development of recommendations for the program. The study findings are the foundation for program planning and implementation. In addition, the plan is updated on an annual basis to reflect emerging needs between cycles. CCHC seeks community feedback about the services provided, satisfaction with such services, and specific services needed. This input, together with secondary data from multiple sources, is used to build an agenda aimed at providing needed health care services and additional community-based programs. Cape Cod Healthcare conducted a Community Health Needs Assessment in 2008-2009. The assessment, performed in collaboration with community partners from Cape Cod and the Islands, consisted of data gathering and analysis utilizing multiple data sources and health status indicators. The assessment resulted in the creation of the Salient Health Issues Report. In 2009 "Community Solution Forums" were organized to explore how various populations in Barnstable County were impacted by the health issues identified in the Salient Health Issues Report. Viable solutions were sought to reduce or eliminate identified issues. The assessment completed in 2009 continues to guide the Community Benefits program through FY12. Cape Cod Healthcare began a new Community Health Needs Assessment in FY2011. This study will conclude in FY 12 and will be the basis of community benefit planning for FY13 - FY15. The following sources were utilized in the 2008-2009 Community Health Needs Assessment: - Asthma Prevention and Control Programs: State of Massachusetts - Bureau of Substance Abuse Services: Massachusetts - Cape Cod Commission: Overview of Cape & Islands Population - Centers for Disease Control and Prevention - Injury Surveillance Program: Massachusetts - Jarvi Report 2004, Cape & Island's Behavioral Health Needs Surveillance and Gaps - Key Informant Interviews - Local Health Agencies - Massachusetts Cancer Registry - Massachusetts Deaths 2000-2005 - Massachusetts Health Data Consortium - MDPH Regional Health Status Indicators 2007 - Monitoring the Human Condition Study 2007 Barnstable County - National Institute of Health - Senior Mobility Initiative on Cape Cod [SMICC] - U.S. Census Consultants/Other Organizations (Needs Assessment) Barnstable County Cape and Islands EMS Systems, Inc. Cape and Islands Suicide Prevention Coalition Cape Cod Immigrant Center Community Action Committee of Cape Cod & Islands Councils on Aging Duffy Health Center Gosnold on Cape Cod Massachusetts Department of Public Health The Barnstable Human Rights Commission The Cape and Islands Community Health Network (CHNA 27) Tri-County Collaborative for Oral Health Excellence Data Sources (Needs Assessment) Community Focus Groups, Hospital, Consumer Group, Interviews, MassCHIP, Public Health Personnel, Surveys, CHNA, Other - Bureau of Substance Abuse, Mass., Monitoring the Human Condition Study 2007 and 2008, Barnstable County Department of Human Services, Salient Health Issues Report, June 2008, Barnstable County, Local Health Agencies COMMUNITY BENFEITS PROGRAMS inancial Counseling & Assistance Program Type: Community Participation/Capacity Building Initiative, Direct Services, Health Coverage Subsidies or Enrollment, Health Professional/Staff Training, Healthy Communities Partnership, Outreach to Underserved, Prevention Brief Description or Objective: The Financial Assistance and Counseling Program provides comprehensive services to community members seeking public insurance enrollment and re-verification of enrollment into MassHealth, Commonwealth Care and Health Safety Net insurance products. Financial counselors are dedicated to improving access to care through eligibility screening, assessed affordability and income verification. Target Population: Region Served: Barnstable Health Indicator: Access to Health Care, Other: Uninsured/Underinsured Sex: All Age Group: All Ethnic Group: All Language: All Goals Statewide Priority: Address Unmet Health Needs of the Uninsured, Promoting Wellness of Vulnerable Populations, Reducing Health Disparity, Supporting Healthcare Reform 1. Goal Description Increase access to care through enrollment. Goal Status Assisted 3,380 people with Gateway applications and re-verification. Ongoing 2. Goal Description Improve community awareness of state insurance programs. Goal Status Provided outreach and education, which resulted in a 23% increase over prior year in enrollment and re-enrollment for residents of Cape Cod. Ongoing Partners Cape Cod Immigrant Center http://www.ccimmigrantcenter.org/ Community Action Committee of Cape Cod and Islands http://www.cacci.cc/ Community Health Center of Cape Cod http://www.chcofcapecod.org/ Council on Aging on Cape Cod http://www.allcapecod.com/ccic/seniorcenters.cfm Duffy Health Center http://www.duffyhealthcenter.org/ Elder Services of Cape Cod & the Islands http://www.escci.org/ Martha's Vineyard Hospital http://www.mvhospital.com/ Mashpee Wampanoag http://www.mashpeewampanoagtribe.com/ Mid-Upper Cape Community Health Center http://www.hhsi.us/cape-cod/mid-upper-cape-community-health-center/ Nantucket Cottage Hospital http://www.nantuckethospital.org/ Outer Cape Health Services http://www.outercape.org/ Spaulding Rehabilitation Hospital Cape Cod http://www.rhci.org/about/news/rhcispauldingcapecod/ Visiting Nurses Association http://www.vnacapecod.org/index.html All Nursing Homes and Rehabilitation Sites on Cape Cod Various Contact Information Michael Clark, Executive Director of Patient Access, 25 Communication Way, Hyannis, MA 02601, 508.957.8464, mclark@capecodhealth.org Detailed Description Not Specified PHYSICIAN RECRUITMENT Program Type: Community Participation/Capacity Building Initiative, Healthy Communities Partnership, Outreach to Underserved, Physician/Provider Diversity, Prevention Brief Description or Objective: The Physician Recruitment program strives to identify areas of unmet need and improve access to primary and specialty care for vulnerable populations, especially those over 65. Through rigorous efforts highly qualified and competent physicians and physician extenders are recruited and retained to meet the health care needs and provide care to the residents of Cape Cod. Target Population Regions Served: Barnstable Health Indicator: Access to Health Care, Other: Uninsured/Underinsured Sex: All Age Group: All Ethnic Group: All Language: All Goals Statewide Priority: Address Unmet Health Needs of the Uninsured, Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations 1. Goal Description Increase access to care through provider recruitment. Goal Status Fourteen physicians and physician extenders were recruited in FY11. Ongoing 2. Goal Description Address needs of vulnerable populations. Goal Status Recruited primary care and specialty physicians to address the unmet needs of vulnerable populations, such as the elderly. Ongoing
PARTNERS		Partner Name, Description Not Specified Partner Web Address Not Specified Contact Information Keith Ritchie, Director of Physician Services, Cape Cod Healthcare, 88 Lewis Bay Road, Hyannis, MA 02601, 508.862.5481, kritchie@capecodhealth.org REACHING ELDERS WITH ADDITIONAL COMMUNITY HELP (REACH): CAPE & ISLANDS EMERGENCY MEDICAL SERVICES SYSTEM (CIEMSS) Program Type: Community Education, Community Participation/Capacity Building Initiative, Direct Services, Health Coverage Subsidies or Enrollment, Health Professional/Staff Training, Healthy Communities Partnership, Outreach to Underserved, Prevention Brief Description or Objective: REACH coordinates services for seniors in their homes through the provision of referrals to appropriate organizations. By working in conjunction with Councils on Aging, Elder Services of Cape Cod and the Islands, VNA, EMS and other community partners, issues such as health, safety, psychological status and social functioning are assessed, and appropriate plans are developed to achieve optimal daily living status for seniors on Cape Cod. REACH also offers community-based trainings for senior providers which target emerging issues and trends that specifically impact senior health and well-being. Target Population: Regions Served: Barnstable Health Indicator: Access to Health Care, Injury and Violence, Mental Health, Other: Alzheimer Disease, Other: Elder Care, Other: First Aid/ACLS/CPR, Other: Homebound, Other: Homelessness, Other: Hospice, Other: Parkinson's Disease, Other: Safety - Home, Other: Stress Management, Other: Uninsured/Underinsured Sex: All Age Group: Adult-Elder Ethnic Group: All Language: All Goals Statewide Priority: Address Unmet Health Needs of the Uninsured, Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations 1. Goal Description Increase access to care for at least 250 elders. Goal Status Referrals for 292 community-dwelling frail elders were made to organizations which provided support services to improve the overall health, safety and well being of these individuals through community collaboration and coordination. Ongoing 2. Goal Description Promote wellness initiatives which address chronic disease management. Goal Status Assisted senior service organizations in the promotion of wellness through provision of services to prevent unnecessary declines with a focus on older adults with chronic health issues. 3. GOAL DESCRIPTION Increase competency of service providers. Goal Status Competency building educational opportunities were provided to several community organizations to increase and support age-appropriate information, referral and service response. Train the trainer sessions were conducted for 20 responders. On Target Partners Partner Name, Description and Web Address Cape & Islands Emergency Medical Service System (CIEMSS) http://www.ciemss.org/ Council on Aging on Cape Cod http://www.allcapecod.com/ccic/seniorcenters.cfm Elder Services of Cape Cod http://www.escci.org/ Visiting Nurses Association http://www.vnacapecod.org/index.html Contact Information Katherine Wernier REACH Collaborative Coordinator, Reaching Elders with Additional Community Help, 66 Bayview Street, West Yarmouth, MA 02673-8203, 508.771.4510 , reach@ciemss.org Detailed Description Not Specified COMMUNITY BASED INTERPRETER SERVICES Program Type: Community Participation/Capacity Building Initiative, Direct Services, Grant/Donation/Foundation/Scholarship, Health Coverage Subsidies or Enrollment, Healthy Communities Partnership, Outreach to Underserved, Physician/Provider Diversity, Prevention, School/Health Center Partnership Brief Description or Objective: The Community Based Interpreter Services program offers free medical language interpretation in community-based physician practices and at the Community Health Centers for the limited and non-English speaking patients and their families. The availability of proficient and professional interpreter services ensures the delivery of safe quality health care and positive clinical outcomes. Target Population Regions Served: Barnstable Health Indicator: Access to Health Care, Other: Uninsured/Underinsured Sex: All Age Group: All Ethnic Group: All Language: Haitian Creole , Portuguese , Spanish Goals Statewide Priority: Address Unmet Health Needs of the Uninsured, Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations, Reducing Health Disparity, Supporting Healthcare Reform 1. Goal Description Increase access to care by providing at least 1,000 medical language interpretations. Goal Status Collaborated with Community Health Centers and physician offices through outreach and education relative to interpreter services which resulted in 1,020 encounters. Ongoing 2. Goal Description Reduce health care disparities for limited and non-English speaking people. Goal Status Ensured physicians and providers understood the significance of utilizing interpreter services through the distribution of thousands of brochures and offering in-service opportunities. Ongoing Partners Partner Name, Description and Web Address Community Health Center of Cape Cod: The Specialty Network for the Uninsured http://www.chcofcapecod.org/ Community-Based Medical Offices on Cape Cod Various Contact Information Ceci Phelan-Stiles, Sr. Manager of HR Communication Systems, Cape Cod Healthcare, 60 Park Street, Hyannis, MA 02601, 508.862.7822 , cphelan-stiles@capecodhealth.org Detailed Description Not Specified SPECIALTY NETWORK FOR THE UNINSURED (SN): COMMUNITY HEALTH CENTER OF CAPE COD Program Type: Community Participation/Capacity Building Initiative, Direct Services, Grant/Donation/Foundation/Scholarship, Health Coverage Subsidies or Enrollment, Healthy Communities Partnership, Outreach to Underserved, Prevention, School/Health Center Partnership Brief Description or Objective: The Specialty Network for the Uninsured (SNU) is provided in collaboration with the Community Health Center network through on-site specialty clinics and volunteer physicians. It offers access to specialty care services for over six hundred and fifty under/uninsured individuals at no charge or on a significantly reduced sliding-scale fee. Target Population Regions Served: Barnstable Health Indicator: Access to Health Care, Other: Cancer, Other: Cancer - Breast, Other: Cancer - Cervical, Other: Cancer - Colo-rectal, Other: Cancer - Lung, Other: Cancer - Prostate, Other: Cancer - Skin, Other: Cardiac Disease, Other: Colitis/Crohn Disease, Other: Elder Care, Other: Hypertension, Other: Uninsured/Underinsured Sex: All Age Group: All Ethnic Group: All Language: English , Haitian Creole , Portuguese , Spanish Goals Statewide Priority: Address Unmet Health Needs of the Uninsured, Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations, Reducing Health Disparity, Supporting Healthcare Reform 1. Goal Description Increase access to specialty care for at least 650 low-income and uninsured individuals. Goal Status The SNU provided 731 patient appointments with specialists. Ongoing 2. Goal Description Increase capability of SNU to accept patients for specialty care. Goal Status The program established agreements with 75 specialists, which represent 19 medical and surgical specialties. Ongoing 3. Goal Description Improve health care outcomes through prevention and health promotion. Goal Status Assisted patients with care coordination and referrals to cancer screenings for breast and prostate as well as eye screenings. Ongoing Partners Partner Name, Description and Web Address Community Health Center of Cape Cod http://www.chcofcapecod.org/ Contact Information Karen Gardner, CEO, 107 Commercial Street, Mashpee, MA 02649, 508.477.7090 , kgardner@chcofcapecod.org Detailed Description Not Specified
PRESCRIPTION ASSISTANCE PROGRAM		Program Type: Direct Services, Grant/Donation/Foundation/Scholarship, Health Coverage Subsidies or Enrollment, Healthy Communities Partnership, Outreach to Underserved Brief Description or Objective: The Prescription Assistance Program is a joint initiative of Cape Cod Hospital and Falmouth Hospital Emergency Rooms and Pharmacy Departments as a community benefit to help uninsured or underinsured patients who have no other viable means to pay for medications upon discharge from the ER. Target Population Regions Served: Barnstable Health Indicator: Access to Health Care, Other: Uninsured/Underinsured Sex: All Age Group: All Ethnic Group: All Language: All Goals Statewide Priority: Address Unmet Health Needs of the Uninsured, Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations 1. Goal Description Assist people who are unable to afford medications to ensure compliance with their discharge plan. Goal Status Cape Cod Hospital and Falmouth Hospital Emergency Rooms provided pharmacy vouchers totaling $23,652 for uninsured, underinsured or financially challenged patients who were unable to afford prescriptions upon discharge. Ongoing Partners Partner Name, Description and Web Address Patients leaving the Cape Cod Hospital or Falmouth Hospital Emergency Rooms who are un/underinsured and struggling financially. n/a Local Pharmacies n/a Contact Information: Carol Summersall, RN, Director of Community Benefits and Partnerships, Cape Cod Healthcare, 297 North Street, Suite 333 Hyannis, MA 02601, 508.862.7896 , csummersall@capecodhealth.org Detailed Description: Not Specified TRANSPORTATION ASSISTANCE PROGRAM Program Type: Community Participation/Capacity Building Initiative, Direct Services, Healthy Communities Partnership, Outreach to Underserved Brief Description or Objective: Cape Cod Hospital and Falmouth Hospital provided transportation through issuance of taxi vouchers to assist financially challenged patients who are being discharged from the Emergency Rooms and are without resources for being transported to their destination. Target Population Regions Served: Barnstable Health Indicator: Access to Health Care, Other: Homelessness, Other: Safety, Other: Uninsured/Underinsured Sex: All Age Group: All Ethnic Group: All Language: All Goals Statewide Priority: Address Unmet Health Needs of the Uninsured, Promoting Wellness of Vulnerable Populations 1. Goal Description Assist people who are unable to afford or access transportation to ensure compliance with their discharge plan. Goal Status Cape Cod Hospital and Falmouth Hospital Emergency Rooms provided taxi vouchers totaling $21,523 for uninsured, underinsured or financially challenged patients upon discharge. Ongoing Partners Partner Name, Description, Web address Local Taxi Companies n/a Un/underinsured community members who are struggling financially. n/a Contact Information Carol Summersall, RN, Director of Community Benefits and Partnerships, Cape Cod Healthcare, 297 North Street, Hyannis, MA 02601, 508.862.7896, csummersall@capecodhealth.org KICK BUTTS, STOP SMOKING PROGRAM Program Type: Community Education, Community Participation/Capacity Building Initiative, Direct Services, Healthy Communities Partnership, Outreach to Underserved, Prevention, School/Health Center Partnership Brief Description or Objective: Cape Cod Healthcare offers free and reduced-fee personalized tobacco cessation classes to provide education and motivation to interested individuals that are seeking support to stop using tobacco. A six-week smoking cessation program is conducted in local community sites between Bourne and Hyannis. Certified Smoking Cessation experts facilitate the programs. Sessions are interactive and group sizes vary from five to fifteen. Target Population Regions Served: Barnstable Health Indicator: Access to Health Care, Other: Cancer, Other: Cancer - Lung, Other: Cardiac Disease, Other: Pulmonary Disease/Tuberculosis, Other: Smoking/Tobacco, Other: Uninsured/Underinsured, Tobacco Use Sex: All Age Group: All Adults, Child-Teen Ethnic Group: All Language: English Goals Statewide Priority: Address Unmet Health Needs of the Uninsured, Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations 1. Goal Description Support health promotion by offering at least 6 smoking cessation classes. Goal Status Six Kick Butts, Stop Smoking Classes were offered in FY11. Approximately 50 people registered for classes. Completed Partners Partner Name, Description, Web Address Barnstable High School, Hyannis, MA http://www.barnstable.k12.ma.us/bhs/home.html Barnstable Senior Center http://www.town.barnstable.ma.us/seniorservices/ Bourne Community Center http://www.bournecouncilonaging.org/about.html Contact Information Carol Summersall, RN, Director of Community Benefits and Partnerships, Cape Cod Healthcare, 297 North Street, Suite 333, Hyannis, MA 02601, 508.862.7896, csummersall@capecodhealth.org Detailed Description Download/View Attachment(638865 KB) File Name: Kick Butts Tri-fold.pdf DETERMINATION OF NEED: OFFICE BASED OPIOD TREATMENT PROGRAM (OBOT) Program Type: Community Participation/Capacity Building Initiative, Direct Services, Grant/Donation/Foundation/Scholarship, Health Coverage Subsidies or Enrollment, Health Professional/Staff Training, Healthy Communities Partnership, Outreach to Underserved, Prevention Brief Description or Objective: The Duffy Health Center devised an integrated model to provide the evidenced-based practice of Office-Based Opioid Treatment (OBOT) in 2009, with the objective of program expansion to members of the Community Health Center Network (CHCN) by 2011. The Duffy Health Center (DHC), the Community Health Center of Cape Cod (CHCCC) and Outer Cape Health Services (OCHS) comprise the group of centers which focus on addressing the identified high addiction rates on Cape Cod. Each community health center has a specialty team of highly trained physicians and nurse practitioners which monitor patients closely for adherence to their treatment plans to address this very complex issue. Target Population Regions Served: Barnstable Health Indicator: Access to Health Care, Mental Health, Other: Alcohol and Substance Abuse, Other: Education/Learning Issues, Other: Homelessness, Other: Stress Management, Other: Uninsured/Underinsured, Substance Abuse Sex: All Age Group: All Adults Ethnic Group: All Language: English , Haitian Creole , Portuguese , Spanish Goals Statewide Priority: Address Unmet Health Needs of the Uninsured, Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations, Supporting Healthcare Reform 1. Goal Description Provide Case-Care Management Services to ensure patients have a high level of staff intervention. Goal Status Patients are closely monitored to ensure adherence to program recovery protocols. In FY11 the DHC panel averaged 121 patients, the CHCCC panel average 51 patients and OCHS panel averaged 35 patients. Ongoing 2. Goal Description Increase access to program services. Goal Status OCHS joined the program in FY11, thus increasing access to services for people residing on the Lower/Outer Cape. Access to Gosnold Center is provided to all patients who need detoxification, rehab and Intensive Outpatient Services (IOP). Ongoing 3. Goal Description Recruit and retain providers. Goal Status All 3 centers actively recruited staff to maintain appropriate level of care. Ongoing recruitment is essential as a lack of capacity in any of the service areas including medical, behavioral health or case management creates barriers to treatment. Partners Partner Name, Description, Web Address Community Health Center of Cape Cod http://www.chcofcapecod.org/ Duffy Health Center http://www.duffyhealthcenter.org/ Outer Cape Health Services http://www.outercape.org/ Contact Information Heidi Nelson, FACHE, CEO 94 Main Street, Hyannis, MA 02601, 508.771.7517 , hnelson@duffyhealthcenter.org Detailed Description Not Specified
Determination of Need: CHNA 27		Program Type: Community Participation/Capacity Building Initiative, Grant/Donation/Foundation/Scholarship, Healthy Communities Partnership, Outreach to Underserved, Prevention Brief Description or Objective: Total funding of $401,000 has been designated to address issues that eliminate health disparities, promote wellness, and prevent/manage chronic disease for individuals who are elderly and/or persons with disabilities. This population was identified through a community health needs assessment by Cape Cod Healthcare and endorsed by the Community Health Network Area 27 (Cape Cod and the Islands). This program was specified as part of Cape Cod Hospital's Determination of Need requirement for the Clark Cancer Center development and licensure. FY11 is the second year of a five year program ($80,200 per year). Target Population Regions Served: Barnstable Health Indicator: Access to Health Care, Other: Uninsured/Underinsured Sex: All Age Group: Adult-Elder Ethnic Group: All Language: All Goals Statewide Priority: Address Unmet Health Needs of the Uninsured, Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations 1. Goal Description Issue an RFP supporting collaborative, measurable and evidenced-based regional programs for seniors and/or disabled that provides an impact on the most urgent needs of the identified target population. Goal Status RFP awards were made in 2011 to four organizations which met this criterion. The grant awards ranged from $15,000 to $30,000 and totaled $80,200. The Cape Cod Foundation is the fiscal agent for CHNA 27, and managed the RFP review process. On Target Partners Partner Name, Description, Web Address CHNA 27 N/A The Cape Cod Foundation http://www.capecodfoundation.org/ Contact Information Carol Summersall, RN, Director of Community Benefits and Partnerships, Cape Cod Healthcare, 297 North Street, Suite 333 Hyannis, MA 02601, 508.862.7896 , csummersall@capecodhealth.org Detailed Description Not Specified H.O.P.E INSURANCE OUTREACH AND ENROLLMENT Program Type: Community Participation/Capacity Building Initiative, Direct Services, Grant/Donation/Foundation/Scholarship, Health Coverage Subsidies or Enrollment, Healthy Communities Partnership, Outreach to Underserved, Prevention Brief Description or Objective: The H.O.P.E. program offers access to health care services through enrollment assistance to individuals and families. The program coordinator offers assessment of affordability and income verification to determine the client's ability to obtain MassHealth, Commonwealth Care, and other state insurance plans. The coordinator also serves as a referral source to primary care physicians, other health and human service organizations. Educational opportunities exist for optimizing the identification of services available to address the clients unmet needs. Target Population Regions Served: Barnstable Health Indicator: Access to Health Care, Other: Uninsured/Underinsured Sex: All Age Group: All Ethnic Group: All Language: All Goals Statewide Priority: Address Unmet Health Needs of the Uninsured, Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations, Supporting Healthcare Reform 1. Goal Description Increase access to care through enrollment and re-enrollment. Goal Status Enrollment benefits coordinator assisted individuals with process of determining their qualification for insurance programs, such as MassHealth. Over 1,800 enrollments and re-enrollments occurred. Ongoing 2. Goal Description Expand capacity to enroll clients. Goal Status Multi-site services were provided to improve enrolment and renewals for clients. Students, families and individuals were seen at the Barnstable School Based Health Center and the Falmouth Service Center. Ongoing 3. Goal Description Reduce health disparities through care coordination. Goal Status Gaps in services for expectant mothers were eliminated through a collaborative effort with WIC. Completed Partners Partner Name, Description and Web Address Barnstable High School www.barnstable.k12.ma.us/bhs/ Falmouth Service Center www.falmouthservicecenter.org/ Health Imperatives - Cape Cod WIC www.healthimperatives.org Contact Information Caronanne Procaccini, Interim Director, 115 Enterprise Road, Hyannis, MA 02601, 508.771.1727 , cap@cacci.cc Detailed Description Not Specified ALCOHOL: IT TAKES A COMMUNITY Program Type: Community Participation/Capacity Building Initiative, Direct Services, Grant/Donation/Foundation/Scholarship, Health Professional/Staff Training, Healthy Communities Partnership, Prevention Brief Description or Objective: "It Takes a Community" is a collaborative program intended to broaden the knowledge base of hospital clinical staff regarding the detoxification process. The program includes addiction specialists from Gosnold. Alcohol dependent patients at risk for withdrawal and increased incidence of Delirium Tremens were identified by a Falmouth Hospital addiction specialist. Patients were referred to a Gosnold counselor for assessment, treatment and appropriate referral. Services were organized to include medical intervention, clinical counseling, family support and specialty referral protocols. Continuing education for nurses and physicians was provided to increase their knowledge of addiction and improve linkages to specialty programs, such as Gosnold. Target Population Regions Served: Barnstable Health Indicator: Mental Health, Other: Alcohol and Substance Abuse, Substance Abuse Sex: All Age Group: All Adults Ethnic Group: All Language: English , Haitian Creole , Portuguese , Spanish
GOALS		Statewide Priority: Promoting Wellness of Vulnerable Populations 1. Goal Description Increase access to care for alcohol dependent individuals. Goal Status Withdrawal consultations were completed on 115 patients, which exceeded the projected number of 40 patients. Completed 2. Goal Description Reduce barriers for target population. Goal Status 51 patients accepted a referral to an addiction specialty program. Completed 3. Goal Description Implement education and intervention services. Goal Status 175 clinicians attended training sessions aimed at increasing clinician's knowledge of the identification of addiction and the post-hospital treatment options for supporting the patient upon discharge. Completed Partners Partner Name, Description and Web Address Gosnold on Cape Cod http://www.gosnold.org/ Contact Information: Raymond V. Tamasi, President/CEO, Gosnold on Cape Cod Corporate Office, 200 Ter Heun Dr., Falmouth, MA 02540, 508.540.6550, rtamasi@gosnold.org Detailed Description Not Specified AIDS SUPPORT GROUP OF CAPE COD Program Type: Direct Services, Grant/Donation/Foundation/Scholarship, Outreach to Underserved, Prevention, School/Health Center Partnership, Support Group Brief Description or Objective: The AIDS Support Group of Cape Cod is a framework of services for vulnerable individuals who are mono-infected with the Hepatitis C virus. The initiative utilizes a multifaceted approach designed to provide case management and support services to clients receiving interferon-based treatment, clients newly diagnosed with the hepatitis C virus and clients with end-stage liver disease co-infected with AIDS. The core elements of the program are screening, syringe exchange, harm reduction, education, drug overdose prevention and referrals for treatment. Target Population Regions Served: Barnstable Health Indicator: Access to Health Care, Other: Alcohol and Substance Abuse, Other: HIV/AIDS, Other: Sexually Transmitted Diseases, Other: Stress Management, Other: Uninsured/Underinsured, Substance Abuse Sex: All Age Group: Adult Ethnic Group: All Language: All Goals Statewide Priority: Address Unmet Health Needs of the Uninsured, Promoting Wellness of Vulnerable Populations 1. Goal Description Increase access to services for a vulnerable population. Goal Status Medical Case Management was offered to all clients receiving interferon-based therapy. This included: medical care/social services coordination, adherence support, HIV/STD/HCV risk reduction counseling and other need-based services. Completed 2. Goal Description Provide chronic disease management support. Goal Status The ASGCC offered clients newly diagnosed with HVC infection a range of short-term support services with the goal of sustaining care maintenance to assist in health promotion and disease prevention. Completed 3. Goal Description Manage risk and reduce harm through prevention and screening. Goal Status Prevention programs & screenings were offered by the ASGCC - immediate referrals for positive test results for viral hepatitis C were made for appropriate treatment and counseling and to reduce risk of infections of others. Completed Partners Partner Name, Description and Web Address Duffy Health Center www.duffyhealthcenter.org/ Falmouth Service Center www.falmouthservicecenter.org/ Habit OPCO habitopco.com/ Infectious Disease Clinical Services/CCHC www.capecodhealth.org Contact Information Krystin St. Onge, Interim Executive Director, 428 South Street, Hyannis, MA 02601, 508.778.1954 , kstonge@asgcc.org Detailed Description Not Specified ACCESS TO CARE FOR HOMELESS AND AT RISK ADULTS Program Type: Direct Services, Grant/Donation/Foundation/Scholarship, Health Coverage Subsidies or Enrollment, Health Screening, Healthy Communities Partnership, Outreach to Underserved, Prevention, School/Health Center Partnership Brief Description or Objective: The Duffy Health Center provides access to care through assistance with enrollment and re-enrollment to homeless adults and those at-risk for homelessness into MassHealth, Commonwealth Care, and other state insurance products. Clients received ongoing access to care, including referrals to primary care physicians and other appropriate providers to improve chronic disease management and promote adult wellness. Target Population Regions Served: Barnstable Health Indicator: Access to Health Care, Other: Homelessness, Other: Uninsured/Underinsured Sex: All Age Group: Adult Ethnic Group: All Language: All Goals Statewide Priority: Address Unmet Health Needs of the Uninsured, Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations, Supporting Healthcare Reform 1. Goal Description Increase access to care for hard-to-reach populations. Goal Status The benefits coordinator facilitated 1,140 encounters which resulted in 346 enrollments and renewals into MassHealth, Commonwealth Care, and other insurance programs for hard-to- reach individuals. Ongoing 2. Goal Description Reduce barriers to primary health care through referral. Goal Status Referrals for 134 clients were made to primary care providers. The benefits coordinator is always available, either by phone or in-person to answer any questions for clients of the health center, resulting in fewer health policy terminations. Ongoing 3. Goal Description Improve system navigation by increasing client awareness. Goal Status The benefits coordinator encouraged clients to be an active participant in their health care by working with Duffy to manage the process. This approach resulted in clients improving their knowledge of how to self-navigate the system. Ongoing
PARTNERS		Partner Name, Description & Web Address Cape Cod Hospital Emergency Department www.capecodhealth.org Veterans Affairs Various Contact Information Heidi Nelson, FACHE, CEO, 94 Main Street, Hyannis, MA 02601, 508.771.7517 , hnelson@duffyhealthcenter.org Detailed Description Not Specified COMMUNITY-BASED HEALTH EDUCATION AND OUTREACH Program Type: Community Education, Health Screening, Outreach to Underserved, Prevention, School/Health Center Partnership Brief Description or Objective: Cape Cod Healthcare is committed to providing free health education and outreach in order to enhance and promote wellness, contribute to the prevention of illness and improve the management of chronic disease. Health care professionals, including physicians and nurses, provide the most up-to-date health and disease management information to the community at large in order to increase their awareness of strategies which may improve their health status and well-being. Target Population: Regions Served: Barnstable Health Indicator: Access to Health Care, Other: Arthritis, Other: Cancer, Other: Cancer - Breast, Other: Cancer - Colo-rectal, Other: Cancer - Other, Other: Cancer - Prostate, Other: Cancer - Skin, Other: Cardiac Disease, Other: Diabetes, Other: Elder Care, Other: Hypertension, Other: Nutrition, Other: Stroke, Other: Uninsured/Underinsured Sex: All Age Group: All Ethnic Group: All Language: All Goals Statewide Priority: Address Unmet Health Needs of the Uninsured, Promoting Wellness of Vulnerable Populations 1. Goal Description Provide health information and outreach programs to vulnerable populations and those with chronic illness. Goal Status Over 1,000 people participated in educational and outreach programs which addressed topics aimed at managing disease and chronic illness, such as diabetes, hypertension and arthritis. Ongoing 2. Goal Description Improve awareness of prevention and wellness through health promotion activities. Goal Status Health care providers informed participants of the importance of wellness and prevention strategies, including early detection through screening. Programs are free and are often held in community agencies that serve vulnerable populations. Ongoing Partners Partner Name, Description and Web Address American Cancer Society kerri.medeiros@cancer.org Barnstable High School www.barnstable.k12.ma.us/bhs/ Cape Cod Councils on Aging www.allcapecod.com.ccic.seniorcenters.cfm Falmouth Public Library www.falmouthpubliclibrary.org/ Parish Nurses Various Contact Information Carol Summersall, RN, Director of Community Benefits and Partnerships Cape Cod Healthcare, 297 North Street, Suite 333, Hyannis, MA 02601, 508.862.7896, csummersall@capecodhealth.org Detailed Description Not Specified SUPPORT GROUPS AND CLASSES Program Type: Community Education, Direct Services, Outreach to Underserved, Prevention, Support Group Brief Description or Objective: Support groups and classes are conducted by health care professionals on a regular basis. These events were open to all members of the community regardless of their patient status or ties to a specific hospital. Information and resources were made available to individuals, families and friends. Target Population Regions Served: Barnstable Health Indicator: Access to Health Care, Injury and Violence, Mental Health, Other: Alcohol and Substance Abuse, Other: Arthritis, Other: Bereavement, Other: Cancer, Other: Cancer - Breast, Other: Cancer - Cervical, Other: Cancer - Colo-rectal, Other: Cancer - Lung, Other: Cancer - Other, Other: Cancer - Prostate, Other: Cancer - Skin, Other: Cardiac Disease, Other: Diabetes, Other: Elder Care, Other: HIV/AIDS, Other: Hypertension, Other: Nutrition, Other: Pregnancy, Other: Sexually Transmitted Diseases, Other: Smoking/Tobacco, Other: Stroke, Other: Uninsured/Underinsured, Overweight and Obesity Sex: All Age Group: All Ethnic Group: All Language: All
GOALS		Statewide Priority: Promoting Wellness of Vulnerable Populations 1. Goal Description Increase access to services to reduce stress and improve both physical and mental health outcomes. Goal Status Provided over 2,000 hours of support groups and classes at no charge to individuals, families and friends. Included information and resources to assist participants with their specific disease or health related circumstance. Ongoing Partners Partner Name, Description & Web Address Not Specified Contact Information Carol Summersall, RN, Director of Community Benefits and Partnerships, Cape Cod Healthcare, 297 North Street, Suite 333, Hyannis, MA, 02601, 508.862.7896, csummersall@capecodhealth.org Detailed Description Not Specified WORKFORCE DEVELOPMENT Program Type: Health Professional/Staff Training, Healthy Communities Partnership, Mentorship/Career Training/Internship, School/Health Center Partnership Brief Description or Objective: Cape Cod Healthcare recognizes the importance of workforce development, and supports the opportunity for students from high school through graduate school to have a positive and professional experience through the provision of internships, shadowing and training with health care professionals and providers in several hospital departments. Training and mentoring sessions were conducted to promote interest in health care employment opportunities. Securing a steady supply of workers will mitigate future staff shortages in the workplace and provide necessary access. Target Population Regions Served: Barnstable Health Indicator: Access to Health Care Sex: All Age Group: Adult, Child-Teen Ethnic Group: All Language: All Goals Statewide Priority: Address Unmet Health Needs of the Uninsured, Promoting Wellness of Vulnerable Populations 1. Goal Description Increase access to health care through workforce development. Goal Status Provided students training, mentoring and shadowing opportunities. On target Partners Partner Name, Description & Web Address Barnstable High School www.barnstable.k12.ma.us/bhs/ Boston College Boston College Bristol Community College bristolcc.edu/ Cape Cod Community College www.capecod.edu/ Upper Cape Regional Technical School www.uppercapetech.com/ Contact Information Carol Summersall, RN, Regional Director of Community Benefits and Partnerships, Cape Cod Healthcare, 297 North Street, Suite 333 Hyannis, MA 02601, 508.862.7896, csummersall@capecodhealth.org Detailed Description Not Specified HELPING HANDS PROGRAM Program Type: Direct Services, Prevention Brief Description or Objective: The Helping Hands Program offers medication review and optimization with a clinical pharmacist in the patient's home for high-risk patients being discharged with a chronic disease, five or more medications, multiple regimen changes, and when an increase fall risk has been identified. Patients and their caregivers are provided coaching on self-management of their chronic disease, medication management and evaluation for fall risk and home safety. Target Population Regions Served: Barnstable Health Indicator: Other: Cancer, Other: Cardiac Disease, Other: Diabetes, Other: Education/Learning Issues, Other: Elder Care, Other: Homebound, Other: Hypertension, Other: Pulmonary Disease/Tuberculosis, Other: Safety - Home Sex: All Age Group: Adult, Adult-Elder Ethnic Group: All Language: All Goals Statewide Priority: Promoting Wellness of Vulnerable Populations 1. Goal Description Provide chronic disease and medication management education. Goal Status Provided 101 home visits, post-discharge, by a clinical pharmacist, at no charge, to assure patients and their caregivers were self-sufficient in managing their chronic disease state and their complex medication regime. Ongoing 2. Goal Description Increase access to services through referrals for vulnerable population. Goal Status Provided referrals at points of care to assure patients were receiving a continuum approach to services which addressed their specific plan of care including disease and medication management. Ongoing Partners Partner Name, Description & Web Address Elder Services of Cape Cod and the Islands www.escci.org/ Physician Offices across Cape Cod Skilled Nursing Facilities - various Visiting Nurse Association of Cape Cod www.vnacapecod.org/ Contact Information Molly Nadeau, Director, Case Management, Cape Cod Hospital, 60 Park Street, Hyannis, MA 02601, 508.862.7408, , mnadeau@capecodhealth.org Detailed Description Not Specified FORM 990, PART I, LINE 1 AND PART III, LINE 1 WE WILL BE THE HEALTH SERVICE PROVIDER OF CHOICE FOR CAPE COD RESIDENTS BY ACHIEVING AND MAINTAINING THE HIGHEST STANDARDS IN HEALTH CARE DELIVERY AND SERVICE QUALITY. TO DO SO, WE WILL PARTNER WITH OTHER HEALTH AND HUMAN SERVICE PROVIDERS AS WELL AS INVEST IN NEEDED MEDICAL TECHNOLOGIES, HUMAN RESOURCES AND CLINICAL SERVICES. ABOVE ALL, WE WILL HELP IDENTIFY AND RESPOND TO THE NEEDS OF OUR COMMUNITY. FUNCTIONAL EXPENSE NOTE FORM 990 PART I AND PART IX FUNDRAISING IS CONDUCTED ON BEHALF OF CAPE COD HEALTHCARE, INC. BY CAPE COD HEALTHCARE FOUNDATION, INC. CERTAIN OFFICERS ARE COMPENSATED BY CAPE COD HEALTHCARE, INC. FUNDS RAISED ARE REPORTED AT CAPE COD HEALTHCARE, INC. AND AFFILIATES. FORM 990, PART I, LINE 6 CAPE COD HEALTHCARE, INC'S VOLUNTEERS INCLUDE ITS TRUSTEES. FORM 990, PART VI, LINE 7(A) THE ORGANIZATION HAS MEMBERS/INCORPORATORS WHO ELECT THE ORGANIZATION'S TRUSTEES. FORM 990, PART VI, LINE 7(B) THE DECISIONS OF THE GOVERNING BODY THAT NEED APPROVAL BY ITS MEMBERS/INCORPORATORS INCLUDE APPROVAL OF CHANGES MADE TO THE CORPORATION'S BYLAWS AND APPROVAL WHEN THERE IS A DIVESTING OF ONE OF THE MAJOR AFFILIATES OF THE ORGANIZATION. FORM 990, PART VI, LINE 11 THE ORGANIZATION'S FORM 990 IS REVIEWED AT SEVERAL LEVELS. THE ORGANIZATION ENGAGES A PUBLIC ACCOUNTING FIRM TO ASSIST IN THE PREPARATION AND REVIEW OF ITS FORM 990 AND WHO SIGNS AS PAID PREPARER. SENIOR MANAGEMENT OF THE ORGANIZATION IS RESPONSIBLE FOR THE TIMELY PREPARATION OF FORM 990. THE COMPLETED FORM 990 IS PROVIDED TO THE FINANCE COMMITTEE AND THE ENTIRE BOARD IN ADVANCE OF THE FILING DEADLINE.
FORM 990, PART VI, LINE 12		THE ORGANIZATION MAINTAINS A CONFLICT OF INTEREST POLICY AND REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THIS POLICY. ON AN ANNUAL BASIS, EACH TRUSTEE, OFFICER AND EMPLOYEE AT THE SENIOR MANAGEMENT LEVEL COMPLETES A CONFLICT OF INTEREST DISCLOSURE FORM. THE FORMS ARE REVIEWED BY CAPE COD HEALTHCARE, INC.'S ("CCHC") DIRECTOR OF CLINICAL AND RESEARCH COMPLIANCE WHO PREPARES A SUMMARY FOR CCHC'S COMPLIANCE OFFICER. ANY MATERIAL INTERESTS SO DISCLOSED ARE PRESENTED TO THE CORPORATION'S GOVERNANCE COMMITTEE FOR REVIEW AND RESOLUTION. ALL DISCLOSURE STATEMENTS SUBMITTED BY EMPLOYEES WILL BE REVIEWED BY HUMAN RESOURCES AND/OR CCHC'S DIRECTOR OF CLINICAL AND RESEARCH COMPLIANCE. FOR ANY DISCLOSURE THAT IS CONSIDERED SUBSTANTIVE THE EMPLOYEE'S AREA MANAGER WILL BE CONSULTED TO DETERMINE IF THE SITUATION IS GENERALLY ACCEPTABLE, REQUIRES FURTHER EXAMINATION AND POSSIBLE ACTION OR IS GENERALLY NOT ACCEPTABLE. ANY ACTION PLAN CREATED TO MANAGE A CONFLICT OF INTEREST WILL BE MONITORED BY THE EMPLOYEE'S AREA MANAGER OR SUPERVISOR.
FORM 990, PART VI, LINE 15		THE ANNUAL PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO, OFFICERS, EXECUTIVES AND KEY EMPLOYEES INCLUDE THE FOLLOWING: CEO - COMPENSATION WILL BE DETERMINED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES, AND WILL INCLUDE CONSIDERATION OF RELEVANT MARKET DATA FURNISHED BY A DISINTERESTED COMPENSATION CONSULTANT, AND A REVIEW OF JOB PERFORMANCE. OFFICERS, EXECUTIVES AND KEY EMPLOYEES - OFFICER, EXECUTIVE AND KEY EMPLOYEE COMPENSATION WILL BE DETERMINED BY THE CEO AND WILL INCLUDE CONSIDERATION OF RECENT RELEVANT MARKET DATA FURNISHED BY A DISINTERESTED COMPENSATION CONSULTANT, AND A REVIEW OF JOB PERFORMANCE. THE CEO'S DETERMINATION OF SUCH COMPENSATION WILL BE SUBJECT TO THE APPROVAL OF THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. THE PROCESS AND CONCLUSIONS ARE DOCUMENTED IN THE MEETING MINUTES.
FORM 990, PART VI, SECTION B, LINE 16 - JOINT VENTURE POLICY		THE ORGANIZATION HAD A JOINT VENTURE POLICY IN PLACE AND APPROVED BY AN APPROPRIATE OFFICER, BUT WAS NOT FORMALLY ADOPTED BY THE FULL BOARD OR A COMMITTEE OF THE BOARD BY THE YEAR ENDED SEPTEMBER 30, 2011. FORM 990, PART VI, LINE 19 THE ORGANIZATION MAKES ITS BYLAWS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE ALSO ATTACHED TO THE ANNUALLY FILED FORM PC, A PUBLICLY DISCLOSED TAX-EXEMPT ORGANIZATION FILING FOR THE STATE OF MASSACHUSETTS. FORM 990, PART XI, LINE 5 OTHER CHANGES IN NET ASSETS OR FUND BALANCES UNREALIZED GAINS/LOSSES ($4,434,820) NET ASSETS RELEASED FROM RESTRICTION 1,687,231 TRANSFERS OF NET ASSETS 22,621,224 TRANSFER FROM AFFILIATE 480,934 ----------- $20,354,569
FORM 990, PART VII		MICHAEL K. LAUF'S TITLE EXECUTIVE VP/COO UNTIL 12/10 PRESIDENT/CEO FROM 12/10

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

CAPE COD HEALTHCARE INC

Employer identification number

22-2600704

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)

(a) Name, address, and EIN of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled organization
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2010

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership
(1) CAPE HEALTH INSURANCE COMPANY PO BOX 1051GT GRAND CAYMAN CJ	INSURANCE	CJ	N/A	C CORP	216,166	23,040,565	100.000 %
(2) CAPE COD MEDICAL OFFICE BUILDING INC 27 PARK STREET HYANNIS,MA02601 04-2423073	RENTAL SERVIC	MA	Cape Cod Hsptl	C CORP	0	0	0 %

Schedule R (Form 990) 2010

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III or IV.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .

m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of other organization	(b) Transaction type(a-r)	(c) Amount involved	(d) Method of determining amount involved
(1) VISITING NURSE ASSOCIATION OF CAPE COD INC	R	450,000	FMV
(2) CAPE COD HOSPITAL	R	21,498,307	FMV
(3) MEDICAL AFFILIATES OF CAPE COD INC	R	1,732,633	FMV
(4) FALMOUTH HOSPITAL ASSOCIATION INC	R	6,982,271	FMV
(5) JML CARE CENTER INC	R	75,000	FMV
(6) FALMOUTH ASSISTED LIVING INC	R	75,000	FMV

Schedule R (Form 990) 2010

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Are all partners section 501(c)(3) organizations?		(e) Share of end-of-year assets	(f) Disproprtionate allocations?		(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(h) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(e) Share of end-of-year assets	Yes	No	(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2010

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

Identifier	Return Reference	Explanation

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: SEE SCHEDULE O
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ....	3	12
4	Number of independent voting members of the governing body (Part VI, line 1b) ....	4	10
5	Total number of individuals employed in calendar year 2010 (Part V, line 2a) ...	5	177
6	Total number of volunteers (estimate if necessary) ....	6	14
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ..	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 ..	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	0	0
9	Program service revenue (Part VIII, line 2g) .........	29,966,605	32,131,300
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	-511,882	749,746
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	0	0
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	29,454,723	32,881,046
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4) ....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	19,881,966	20,485,345
16a	Professional fundraising fees (Part IX, column (A), line 11e)....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 340,663
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f)....	9,942,844	11,422,336
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	29,824,810	31,907,681
19	Revenue less expenses. Subtract line 18 from line 12......	-370,087	973,365
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16)............	145,892,352	145,495,235
21	Total liabilities (Part X, line 26)............	54,795,134	33,070,091
22	Net assets or fund balances. Subtract line 21 from line 20 .....	91,097,218	112,425,144

Sign Here

	Signature of officer	Date

	Type or print name and title.

Paid Preparer's Use Only	Preparer's signature	Date	Check if self- employed	Preparer’s taxpayer identification number (see instructions)
	Firm’s name (or yours if self-employed), address, and ZIP + 4			EIN
				Phone no.


4a	(Code: ) (Expenses $ 21,751,521 including grants of $ ) (Revenue $ 32,131,300 )
	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.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services. (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses$ 21,751,521

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)					(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) MICHAEL L CONNORS SR VP FINANCE/CFO	40.0	X				416,646	0	77,921
(19) MICHAEL G JONES VP OF LEGAL AFFAIRS	40.0		X			372,739	0	61,874
(20) CHRISTOPHER O'CONNOR VP OF DEVLPMT AS OF 1/19/10	40.0		X			290,880	0	24,135
(21) SHERYL CROWLEY VP INFO SYS/CIO	40.0		X			275,230	0	34,974
(22) DAVID RYAN VP OF HUMAN RESOURCES	40.0		X			235,742	0	47,921
(23) JAMES D BUTTERICK CMO - CAPE COD HOSPITAL	40.0			X		334,489	0	54,781
(24) JOHN LIPOMI VP OF MANAGED CARE	40.0			X		388,070	0	22,647
(25) JEFFREY S DYKENS CONTROLLER	40.0			X		242,066	0	34,236
(26) SUSAN M WING COO - FALMOUTH HOSPITAL	40.0			X		293,741	0	30,894
(27) DIANNE KOLB CHIEF OPERATING OFFICER - VNA	40.0			X		233,535	0	27,304
(28) STEPHEN L ABBOTT FORMER PRESIDENT/CEO	40.0				X	645,256	0	0

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	5,485,995	158,633	603,548

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d
e	Government grants (contributions)1e

f	All other contributions, gifts, grants, and similar amounts not included above1f
g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			0
			Business Code
2a	HOME OFFICE COSTS		900,099	30,813,211	30,813,211
b	PHYSICIAN ORG ADM SUPPORT REV		900,099	1,161,005	1,161,005
c	OTHER PROGRAM SERVICE REVENUE		900,099	157,084	157,084
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			32,131,300
3	Investment income (including dividends, interest
	and other similar amounts).....			423,295			423,295
4	Income from investment of tax-exempt bond proceeds..			0
5	Royalties............			0
		(i) Real	(ii) Personal
6a	Gross Rents
b	Less: rental expenses
c	Rental income or (loss)
d	Net rental income or (loss).......
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	326,451
b	Less: cost or other basis and sales expenses
c	Gain or (loss)	326,451
d	Net gain or (loss)..........			326,451			326,451
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...			0
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..			0
Miscellaneous Revenue			Business Code
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			0
12	Total revenue. See Instructions....			32,881,046	32,131,300		749,746


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........			952,631	1	2,376,223
2	Savings and temporary cash investments .......				2
3	Pledges and grants receivable, net .........				3
4	Accounts receivable, net .........				4
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........				5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........				6
7	Notes and loans receivable, net .............			2,477,093	7	3,051,685
8	Inventories for sale or use ..............			139,386	8	126,832
9	Prepaid expenses and deferred charges ............			378,387	9	1,421,596
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	16,746,690
b	Less: accumulated depreciation. .....	10b	4,547,871	7,712,558	10c	12,198,819
11	Investments—publicly traded securities ..........				11
12	Investments—other securities. See Part IV, line 11 ......			96,771,047	12	106,820,634
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets .........				14
15	Other assets. See Part IV, line 11 ...........			37,461,250	15	19,499,446
16	Total assets. Add lines 1 through 15 (must equal line 34)...			145,892,352	16	145,495,235
17	Accounts payable and accrued expenses .			20,197,680	17	21,204,185
18	Grants payable ..........				18
19	Deferred revenue ..........				19
20	Tax-exempt bond liabilities ..........				20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..			3,662,098	23	3,274,648
24	Unsecured notes and loans payable to unrelated third parties ....			6,900,000	24	3,450,000
25	Other liabilities. Complete Part X of Schedule D.....			24,035,356	25	5,141,258
26	Total liabilities. Add lines 17 through 25.....			54,795,134	26	33,070,091
	Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....			52,504,535	27	75,578,874
28	Temporarily restricted net assets .....			19,745,615	28	18,255,097
29	Permanently restricted net assets .....			18,847,068	29	18,591,173
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances .....			91,097,218	33	112,425,144
34	Total liabilities and net assets/fund balances .....			145,892,352	34	145,495,235