TY 2011 Form 990

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(F) Estimated amount of other compensation from the organization and related organizations
(18) CHRISTOPHER O'CONNOR V.P. OF DEVELOPMENT	40.0	X			0	323,754	36,074
(19) DIANNE KOLB CHIEF OPERATING OFFICER - VNA	40.0	X			0	246,568	60,462
(20) SUSAN M WING COO FALMOUTH HOSP (UNTIL 6/12)	40.0	X			0	310,811	31,347
(21) MICHAEL G JONES V.P. OF LEGAL AFFAIRS	40.0	X			0	412,613	69,904
(22) DAVID RYAN VP OF HUMAN RESOURCES	40.0	X			0	249,746	59,472
(23) SHERYL SYPEK VP INFO SYS (UNTIL 10/11)	40.0	X			0	228,052	44,977
(24) JEANNE FALLON VP OF INFO SYS (AS OF 10/11)	40.0	X			0	178,602	18,005
(25) Robert Kleinbauer President - MACC	40.0	X			0	262,936	29,305
(26) RICHARD B ZELMAN MD PHYSICIAN	40.0		X		1,251,118	0	36,543
(27) DANIEL J CANADAY MD PHYSICIAN	40.0		X		606,400	0	46,543
(28) XIANG-YANG D GUO MD PHYSICIAN	40.0		X		578,830	0	58,043
(29) PHILIP DOMBROWSKI MD PHYSICIAN	40.0		X		521,714	0	12,292
(30) ROBERT R MCANAW MD PHYSICIAN	40.0		X		519,697	0	29,400
(31) CHARLES R HULSE FORMER EXEC DIRECTOR - MACC	40.0			X	0	182,272	0
(32) RICHARD F SALLUZZO MD FORMER PRESIDENT/CEO	40.0			X	0	1,078,351	16,991
(33) LINDA HABEEB MD SEE SCHEDULE J, PART III	40.0			X	236,246	0	37,151
(34) JEFFREY S DYKENS SEE SCHEDULE J, PART III	40.0			X	0	286,357	57,008

(A) Name and business address	(B) Description of services	(C) Compensation
SEMRI INC 153 WASHINGTON STREET BELMONT,MA02478	MRI SERVICES	3,675,527
BWPO MEDICINE PO BOX 414105 BOSTON,MA02241	PHYSICIAN SERVICES	3,358,016
MAYO COLLABORATIVE SERVICES INC PO BOX 9146 MINNEAPOLIS,MN554809146	LAB SERVICES	1,653,262
CAPE COD ANESTHESIA ASSOCIATES 110 MAIN STREET - UNIT B HYANNIS,MA02601	PHYSICIAN SERVICES	1,577,432
NEUROSURGEONS OF CAPE COD INC 46 NORTH STREET HYANNIS,MA02601	PHYSICIAN SERVICES	1,507,881
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 64

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 United States. See Part IV, line 21	0
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	0
3	Grants and other assistance to governments, organizations, and individuals outside the United States. 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 ....	29,016	18,000	11,016
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	443,126	414,627	28,499
7	Other salaries and wages	295,893,503	269,195,625	25,862,057	835,821
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	8,289,086	7,519,562	747,139	22,385
9	Other employee benefits .......	66,410,931	60,351,981	5,941,285	117,665
10	Payroll taxes ...........	18,711,638	16,969,610	1,695,930	46,098
11	Fees for services (non-employees):
a	Management ......	4,839,307	4,325,086	514,221
b	Legal .........	13,030		13,030
c	Accounting ...........	690,146		690,146
d	Lobbying ...........	0
e	Professional fundraising. See Part IV, line 17..	0
f	Investment management fees ......	0
g	Other ..........	468,317	417,739	50,578
12	Advertising and promotion ....	151,823	146,129	4,028	1,666
13	Office expenses .......	2,310,795	2,131,291	173,101	6,403
14	Information technology ......	6,410,318	5,784,616	605,132	20,570
15	Royalties ..	0
16	Occupancy ...........	13,119,047	13,119,047
17	Travel ............	3,147,962	3,006,078	129,563	12,321
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	340,184	271,954	27,366	40,864
20	Interest ...........	8,044,539	7,176,324	868,215
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization .....	24,448,161	22,008,301	2,437,335	2,525
23	Insurance ..............	2,302,647	2,179,081	122,802	764
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24f. If line 24f amount exceeds 10% of line 25, column (A) amount, list line 24f expenses on Schedule O.)
a	MEDICAL SUPPLIES	83,303,987	83,303,987
b	PURCHASED SERVICES	38,867,289	35,201,686	3,634,214	31,389
c	HOME OFFICE COST	33,322,942	28,231,828	5,091,114
d	BAD DEBTS	20,390,401	20,390,401
e
f	All other expenses	37,483,914	33,644,272	2,592,011	1,247,631
25	Total functional expenses. Add lines 1 through 24f	669,432,109	615,807,225	51,238,782	2,386,102
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet
	1	Cashnon-interest-bearing ..........	9,379,211	1	12,228,319
2	Savings and temporary cash investments .......	28,861,444	2	28,514,700
3	Pledges and grants receivable, net .........	12,959,162	3	8,888,600
4	Accounts receivable, net .........	63,151,599	4	71,655,629
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........	0	5	0
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 ..........	0	6	0
7	Notes and loans receivable, net .............	2,517,951	7	4,506,692
8	Inventories for sale or use ..............	8,769,838	8	8,404,515
9	Prepaid expenses and deferred charges ............	3,954,064	9	4,397,926
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	573,431,760
b	Less: accumulated depreciation. .....	10b	311,219,345	251,605,287	10c	262,212,415
11	Investments—publicly traded securities ..........	0	11	0
12	Investments—other securities. See Part IV, line 11 ......	250,549,656	12	284,135,415
13	Investments—program-related. See Part IV, line 11 ..	21,499	13	21,500
14	Intangible assets .........	0	14	0
15	Other assets. See Part IV, line 11 ...........	64,674,460	15	30,350,247
16	Total assets. Add lines 1 through 15 (must equal line 34)...	696,444,171	16	715,315,958
	17	Accounts payable and accrued expenses .	67,775,937	17	70,012,723
18	Grants payable ..........	0	18	0
19	Deferred revenue ..........	13,408	19	0
20	Tax-exempt bond liabilities ..........	162,966,917	20	158,532,330
21	Escrow or custodial account liability. Complete Part IV of Schedule D..	0	21	0
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........	0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	0	23	0
24	Unsecured notes and loans payable to unrelated third parties ....	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.....	77,276,183	25	37,281,797
26	Total liabilities. Add lines 17 through 25.....	308,032,445	26	265,826,850
		Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....	315,843,107	27	384,581,163
28	Temporarily restricted net assets .....	46,462,504	28	36,877,477
29	Permanently restricted net assets .....	26,106,115	29	28,030,468
	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 .....	388,411,726	33	449,489,108
34	Total liabilities and net assets/fund balances .....	696,444,171	34	715,315,958

- 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

2011

Open to Public
Inspection

Name of the organization

CAPE COD HEALTHCARE INC & AFFILIATES

Employer identification number

90-0054984

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	(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?


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2011

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) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(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) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(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—2011. 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—2010. 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—2011. 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—2010. 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) 2011

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) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(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) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(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 2011 (line 8 column (f) divided by line 13 column (f)) .........

Public support percentage from 2010 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2011 (line 10c column (f) divided by line 13 column (f)) ......

Investment income percentage from 2010 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2011. 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—2010. 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) 2011

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

Schedule A (Form 990 or 990-EZ) 2011

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2011

Name of organization

CAPE COD HEALTHCARE INC & AFFILIATES

Employer identification number

90-0054984

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not total to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year. ......................... Arrow Bullet

Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on Part I, line 2, of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

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

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 2

Name of organization CAPE COD HEALTHCARE INC & AFFILIATES
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Part I	Contributors (see Instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 3

Name of organization CAPE COD HEALTHCARE INC & AFFILIATES
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Part II	Noncash Property (see Instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 4

Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Name of organization
CAPE COD HEALTHCARE INC & AFFILIATES

Employer identification number

90-0054984

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

$
Use duplicate copies of Part III if additional space is needed

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

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

2011

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, line 35c (Proxy Tax), then
Round Bullet

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

Name of the organization

CAPE COD HEALTHCARE INC & AFFILIATES

Employer identification number

90-0054984

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 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 function 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) 2011

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 (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
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) 2008	(b) 2009	(c) 2010	(d) 2011	(e) Total

2a	Lobbying non-taxable amount

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

c	Total lobbying expenditures

d	Grassroots nontaxable amount

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

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2011

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)).

For each “Yes” response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(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? ..........................

Yes

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

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 carry over 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) and if either (a) BOTH Part III-A, lines 1 and 2 are answered “No” OR (b) Part III-A, line 3 is answered “Yes”.

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

Section 162(e) nondeductible 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, Part II-A; line 5; and Part ll-B, line 1.
Also, complete this part for any additional information.

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

Schedule C (Form 990 or 990EZ) 2011

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, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

CAPE COD HEALTHCARE INC & AFFILIATES

Employer identification number

90-0054984

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 can 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 education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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

			Held at the End of the Year
a	Total number of conservation easements .......................	2a	1
b	Total acreage restricted by conservation easements ..................	2b	13.00
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, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax 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

1.00

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

$ 400

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 (ASC 958), 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 (ASC 958), 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 (ASC 958), 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) 2011

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
1a	Beginning of year balance ....	32,638,639	34,043,109	31,383,995	31,217,343
b	Contributions ........	435,091	361,842	1,110,670	760,805
c	Net investment earnings, gains, and losses ...	3,092,757	-1,080,437	2,116,186	148,865
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........	691,014	685,875	567,742	743,018
f	Administrative expenses ....
g	End of year balance ......	35,475,473	32,638,639	34,043,109	31,383,995

Provide the estimated percentage of the year end balance (line 1g) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

100.000 %

Temporarily restricted endowment SchDMd Bullet

The percentages in lines 2a, 2b, and 2c should equal 100%.

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)

Yes

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

Yes

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

Part VI

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

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	23,863,359		23,863,359
b	Buildings ................	304,107,936	123,977,879	180,130,057
c	Leasehold improvements ............	4,341,132	2,793,202	1,547,930
d	Equipment ................	223,961,155	178,312,577	45,648,578
e	Other .................	17,158,178	6,135,687	11,022,491
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				262,212,415

Schedule D (Form 990) 2011

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) LONG-TERM INVESTMENTS	214,241,024	F
(B) AGREEMENT / INDENTURE	13,672,651	F
(C) TEMP RESTRICTED INVESTMENTS	28,228,339	F
(D) PERM RESTRICTED INVESTMENTS	27,983,284	F
(E) SHORT TERM INVESTMENTS - FDN	10,117	F




Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	284,135,415

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) must 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









Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

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

1.(a) Description of Liability		(b) Book value
Federal Income Taxes		0
FHA SERIES A SWAP INVESTMENT		19,740
DUE TO AFFILIATES		11,069,650
EST. SETTLEMENTS W 3RD PARTIES		21,508,322
OTHER CURRENT LIABILITIES		437,698
OTHER LONG-TERM LIABILITIES		4,246,387




Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		37,281,797
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) 2011

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 through 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 must 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 must 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 II, LINE 9		THE CONSERVATION EASEMENT IS INCLUDED IN LAND ON THE BALANCE SHEET IN PART X, LINE 10.
SCHEDULE D, PART V, LINE 4		THE INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS IS TO FURTHER THE HEALTHCARE MISSION OF CAPE COD HEALTHCARE AND ITS AFFILIATES.
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) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization
CAPE COD HEALTHCARE INC & AFFILIATES

Employer identification number

90-0054984

Part I

General Information on Activities Outside the United States. Complete if the organization answered
“Yes” to Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of its grants

and other assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? ..............................

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other
assistance outside the United States.

Activites per Region. (Use Part V if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees or agents in region or independent contractors	(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in region	(f) Total expenditures for region/investments in region
	Central America and the Caribbean	1	0	Program Services	CAPTIVE INSURANCE	1,133,704
















3a	Sub-total .....	1	0			1,133,704
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)	1	0			1,133,704

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2011

Schedule F (Form 990) 2011

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990,

Part IV, line 15, for any recipient who received more than $5,000. Check this box if no one recipient received more than $5,000 ........ MediumBullet

Use Part V if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of of non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)

Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter ..... MediumBullet

Enter total number of other organizations or entities ........................ MediumBullet

Schedule F (Form 990) 2011

Schedule F (Form 990) 2011Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.

Use Part V if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of non-cash assistance	(g) Description of non-cash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2011

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2011

Page 5

Part V

Supplemental Information
Complete this part to provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

Identifier	ReturnReference	Explanation
SCHEDULE F, PART I, COLUMN F		EXPENSES ARE CODED IN THE GENERAL LEDGER TO THE CAPTIVE INSURANCE COMPANY.

Schedule F (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G (Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19,or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrow

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

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization
CAPE COD HEALTHCARE INC & AFFILIATES

Employer identification number

90-0054984

Part I

Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and e-mail solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

Yes

If “Yes,” list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization. Form 990-EZ filers are not required to complete this table.

(i) Name and address of individual or entity (fundraiser)	(ii) Activity	(iii) Did fundraiser have custody or control of contributions?		(iv) Gross receipts from activity	(v) Amount paid to (or retained by) fundraiser listed in col. (i)	(vi) Amount paid to (or retained by) organization
	(ii) Activity	Yes	No	(iv) Gross receipts from activity		(vi) Amount paid to (or retained by) organization
Total .................

List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt from registration or licensing.

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

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2011

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 on Form 990-EZ, line 6a. List events with gross receipts greater than $5,000.

		(a) Event #1 SUMMER GALA (event type)	(d) Total Events (Add col. (a) through col. (c))
1	Gross receipts . . .	148,658	148,658
2	Less: Charitable contributions . . .	5,695	5,695
3	Gross income (line 1 minus line 2) . . .	142,963	142,963
4	Cash prizes . . .
5	Non-cash prizes . .
6	Rent/facility costs . .	14,149	14,149
7	Food and beverages . .	21,717	21,717
8	Entertainment . . .	8,321	8,321
9	Other direct expenses .	1,475	1,475
10	Direct expense summary. Add lines 4 through 9 in column (d) ...........		45,662
11	Net income summary. Combine lines 3 and 10 in column (d)............		97,301

Part III

Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

(a) Bingo

(b) Pull tabs/Instant
bingo/progressive bingo

(c) Other gaming

(d) Total gaming (Add col. (a) through col. (c))

Gross revenue . . . .

Cash prizes . . . .

Non-cash prizes . . .

Rent/facility costs . . .

Other direct expenses . .

Volunteer labor . . .

	Yes
	No

	Yes
	No

	Yes
	No

Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow

Net gaming income summary. Combine lines 1 and 7 in column (d) .......... right arrow

Enter the state(s) in which the organization operates gaming activities:

Is the organization licensed to operate gaming activities in each of these states? ............

YesNo

If "No," Explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....

YesNo

If "Yes," Explain:

Does the organization operate gaming activities with nonmembers? .................

YesNo

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? ..........................

YesNo

Schedule G (Form 990 or 990-EZ) 2011

Page 3

Indicate the percentage of gaming activity operated in:

The organization's facility ......................

13a

An outside facility ........................

13b

Provide the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? ......................................

YesNo

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

If "Yes," enter name and address:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? ............................

YesNo

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

Part IV

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

Identifier	ReturnReference	Explanation

Schedule G (Form 990 or 990-EZ) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

CAPE COD HEALTHCARE INC & AFFILIATES

Employer identification number

90-0054984

Part I

Charity Care and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a....

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other

Did the organization use FPG to determine eligibility for providing discounted care? If "Yes," indicate which of the

following was the family income limit for eligibility for discounted care: ............

Yes

200% 250% 300% 350% 400% Other

If the organization did not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount?......

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care?...............

Did the organization prepare a community benefit report during the tax year?...........

Yes

If "Yes," did the organization make it available to the public? ...............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a Financial Assistance at cost (from Worksheet 1) ..	10,686,846	9,643,688	1,043,158	0.160 %
b Medicaid (from Worksheet 3, column a) .....	56,844,162	38,508,315	18,335,847	2.830 %
c Costs of other means-tested government programs (from Worksheet 3, column b) .	18,868,648	12,235,050	6,633,598	1.020 %
dTotal Financial Assistance and Means-Tested Government Programs .....	86,399,656	60,387,053	26,012,603	4.010 %
Other Benefits e Community health improvement services and community benefit operations (from (Worksheet 4) ....	1,974,710	0	1,974,710	0.300 %
f Health professions education (from Worksheet 5) ..	674,472	174,696	499,776	0.080 %
g Subsidized health services (from Worksheet 6) ..	79,093,215	61,565,191	17,528,024	2.700 %
h Research (from Worksheet 7)	0	0	0	0 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) ....	1,219,621	0	1,219,621	0.190 %
jTotal Other Benefits ...	82,962,018	61,739,887	21,222,131	3.270 %
kTotal. Add lines 7d and 7j. ..	169,361,674	122,126,940	47,234,734	7.280 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2011

Schedule H (Form 990) 2011

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development	1,118,717	1,118,717	0.170 %
9	Other
10	Total	1,118,717	1,118,717	0.170 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense........

20,390,401

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy .....

1,019,520

Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

199,829,655

Enter Medicare allowable costs of care relating to payments on line 5.....

190,420,710

Subtract line 6 from line 5. This is the surplus or (shortfall)........

9,408,945

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures

(see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership%	(e) Physicians' profit % or stock ownership %
1CAPE COD RADIATION	RADIATION THERAPY	50.000 %	0 %	0 %
2THERAPY SERVICESLLC
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2011

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest) How many hospital facilities did the organization operate during the tax year?2 Name and address		Other (Describe)
1	CAPE COD HOSPITAL 27 PARK STREET HYANNIS,MA02601	X	X	X
2	FALMOUTH HOSPITAL ASSOCIATION INC 100 TER HEUN DRIVE FALMOUTH,MA02540	X	X	X

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

CAPE COD HOSPITAL

Name of Hospital Facility:

Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2011)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet the community health needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Participation in the development of a community-wide community benefit plan
	d	Participation in the execution of a community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the Needs Assessment
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs. ....		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8	Yes
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........		9	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 200.% If "No," explain in Part VI the criteria the hospital facility used.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care?.................		10	Yes
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 400.% If "No," explain in Part VI the criteria the hospital facility used.
11	Explained the basis for calculating amounts charged to patients?.................		11	Yes
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12	Yes
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......		14	Yes
15	Check all of the following collection actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
16	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........		16		No
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
17	Indicate which efforts the hospital facility made before initiating any of the actions checked in line 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy
	e	Other (describe in Part VI)

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18	Yes
	If “No,” indicate why:
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility’s policy was not in writing
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Individuals Eligible for Financial Assistance
19	Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
	a	The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged
	b	The hospital facility used the average of it's three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged
	c	The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20		No
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its FAP-eligible patients an amount equal to the gross charge for any services provided to that patient?...............................		21		No
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

FALMOUTH HOSPITAL ASSOCIATION INC

Name of Hospital Facility:

Line Number of Hospital Facility (from Schedule H, Part V, Section A):2

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2011)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet the community health needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Participation in the development of a community-wide community benefit plan
	d	Participation in the execution of a community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the Needs Assessment
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs. ....		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8	Yes
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........		9	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 200.% If "No," explain in Part VI the criteria the hospital facility used.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care?.................		10	Yes
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 400.% If "No," explain in Part VI the criteria the hospital facility used.
11	Explained the basis for calculating amounts charged to patients?.................		11	Yes
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12	Yes
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......		14	Yes
15	Check all of the following collection actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
16	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........		16		No
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
17	Indicate which efforts the hospital facility made before initiating any of the actions checked in line 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy
	e	Other (describe in Part VI)

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18	Yes
	If “No,” indicate why:
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility’s policy was not in writing
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Individuals Eligible for Financial Assistance
19	Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
	a	The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged
	b	The hospital facility used the average of it's three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged
	c	The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20		No
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its FAP-eligible patients an amount equal to the gross charge for any services provided to that patient?...............................		21		No
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?56
Name and address		Type of Facility (describe)
1	Visiting Nurse Association of Cape Cod 255 Independence Drive Hyannis,MA02601	home health
2	CAPE COD HEALTHCARE CORP 88 LEWIS BAY RD HYANNIS,MA02601	ADMINISTRATIVE
3	Dermatology and Skin Surgery of Cape Cod 35 Gonsalves Rd Suite A Hyannis,MA02601	medical group practice
4	Fontaine Medical Center 525 Long Pond Drive HARWICH,MA02645	medical group practice
5	BOURNE INTERNAL MEDICINE 1 Trowbridge Road Suite 100 BOURNE,MA02532	medical group practice
6	Harris Scott MD 1 Trowbridge Road Bourne,MA02532	medical group practice
7	Bramblebush Medical Group 21 Bramblebush Park FALMOUTH,MA02540	medical group practice
8	Koehler & Feuer 130 North Street HYANNIS,MA02601	medical group practice
9	Seaside Pediatrics 150 Ansel Hallet Road West Yarmouth,MA02673	medical group practice
10	Manning Jr William J MD 700 Attucks Lane Suite 1A HYANNIS,MA02601	medical group practice
11	Elmer David B MD 60 Park Street HYANNIS,MA02601	medical group practice
12	Fontaine - Walk-In 525 Long Pond Drive Harwich,MA02645	medical group practice
13	Hass Family Medicine 130 North Street Hyannis,MA02601	medical group practice
14	Guo X Y David MD PhD 37 Edgerton Drive North Falmouth,MA02556	medical group practice
15	BAYSIDE INTERNAL MEDICINE 2 Jan Sebastian Way Sandwich,MA02563	medical group practice
16	Shapiro Gary MD One Lynxholm Court Hyannis,MA02601	medical group practice
17	Cape Cod Family Medicine 5 Industrial Drive Rte 28 Suite 2 Mashpee,MA02649	medical group practice
18	Ferley - Neurology 40 Quinlan Way 2nd Fl Suite 206 HYANNIS,MA02601	medical group practice
19	Charles V Casale MD 37 Edgerton Drive North Falmouth,MA02556	medical group practice
20	Theodore A Calianos II MD 5 Industrial Drive Suite 107 MASHPEE,MA02649	medical group practice
21	Surgical Associates of Falmouth 90 Ter Heun Drive 3rd Fl Falmouth,MA02540	medical group practice
22	Yarmouth Internists 257 Station Avenue SOUTH YARMOUTH,MA02664	medical group practice
23	Litterer William E III DO FACP 360 Gifford Street Unit 2 FALMOUTH,MA02540	medical group practice
24	Endocrine Center of Cape Cod 40 Quinlan Way 2nd Fl Suite 206 Hyannis,MA02601	medical group practice
25	Malaquias Stephen MD 257 Station Avenue South Yarmouth,MA02664	medical group practice
26	Rymzo Walter T Jr MD 171 Main Street HYANNIS,MA02601	medical group practice
27	Clark Practice 40 Quinlan Way 2nd Fl Suite 206 Hyannis,MA02601	medical group practice
28	Falmouth Primary Care Practice 90 Ter Heun Drive Suite 2300 Falmouth,MA02540	medical group practice
29	Neurosurgeons of Cape Cod 46 North Street Hyannis,MA02601	medical group practice
30	Cape Cod Pediatrics 55 Route 130 Forestdale,MA02644	medical group practice
31	Nauset Family Practice 81 Old Colony Way STE D ORLEANS,MA02653	medical group practice
32	Barnett Practice 348 Gifford Street Falmouth,MA02540	medical group practice
33	O'Connor Practice 107 County Road North Falmouth,MA02556	medical group practice
34	Devin McManus Medical Practice 10 BrambleBush Drive FALMOUTH,MA02540	medical group practice
35	Baxley Practice 51A Ocean Avenue Cataumet,MA02534	medical group practice
36	Crago Practice 315 Palmer Avenue Falmouth,MA02540	medical group practice
37	Cape Health Insurance Company - FOREIGN C/O CCHC 25 COMMUNICATION WAY HYANNIS,MA02601	administrative
38	Healthcare Foundation One Financial Place 297 North Stre Hyannis,MA02601	administrative
39	Healthcare Foundation Homeport 348C Gifford Street FALMOUTH,MA02540	ADMINISTRATIVE
40	JML Care Center 184 Ter Heun Drive falmouth,MA02540	skilled nur & rehab
41	Cape & Islands Health Services II 14 Yellow Brick Road HYANNIS,MA02601	COLLECTION CENTER
42	Cape & Islands Health Services II 5 Industrial Drive Suite 102 MASHPEE,MA02649	COLLECTION CENTER
43	Cape & Islands Health Services II 200 Jones Road FALMOUTH,MA02540	COLLECTION CENTER
44	Cape & Islands Health Services II 525 Long Pond Drive HARWICH,MA02645	COLLECTION CENTER
45	Cape & Islands Health Services II 81 Old Colony Way ORLEANS,MA02653	COLLECTION CENTER
46	Cape & Islands Health Services II 2 Jan Sebastian Way Route 130 SANDWICH,MA02563	COLLECTION CENTER
47	Cape & Islands Health Services II 860 Route 134 Unit 2 South Dennis,MA02660	COLLECTION CENTER
48	Cape & Islands Health Services II 1 Trowbridge Road Bourne,MA02532	COLLECTION CENTER
49	Cape & Islands Health Services II 68B Route 6A SANDWICH,MA02563	COLLECTION CENTER
50	Cape & Islands Health Services II 12 Bramblebush Park FALMOUTH,MA02540	COLLECTION CENTER
51	Cape & Islands Health Services II 35 Gonsalves Rd HYANNIS,MA02601	COLLECTION CENTER
52	Cape & Islands Health Services II 30 Shankpainter Road PROVINCETOWN,MA02657	COLLECTION CENTER
53	Heritage at Falmouth 140 Ter Heun Drive FALMOUTH,MA02540	ASSISTED LIVING
54	Cape Cod Human Services 460 West Main Street HYANNIS,MA02601	outpatient clinic
55	Cape Cod Human Services 525 Long Pond Drive HARWICH,MA02645	outpatient clinic
56	Cape Cod Medical Office Building Inc 20 Gleason Street HYANNIS,MA02601	administrative

Schedule H (Form 990) 2011

Page

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 9, 10, 11h, 13g, 15e, 16e, 17e, 18d, 19d, 20, and 21.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any needs assessments reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Identifier	ReturnReference	Explanation
PART I, LINE 3C	N/A	PART 1, LINE 6A N/A
PART I, LINE 7, COLUMN F	THE AMOUNT OF BAD DEBT SUBTRACTED FOR PURPOSES OF CALCULATING THE	PERCENTAGE IN LINE 7, COLUMN F WAS $20,390,401.
PART I, LINE 7	The amounts reported in the table were calculated using the ratio of	patient care cost to charges and by following the Form 990, Schedule H instructions. The total percentage of charity care and certain other community benefits at cost in the table was calculated on a group return basis as required by the Form 990 instructions, and not on a hospital-only basis.
PART III, LINE 4	Cape Cod Healthcare receives payments for services rendered from	federal and state agencies (under the Medicare and Medicaid programs), managed care payors, commercial insurance companies, and patients. Patient accounts receivable are reported net of contractual allowances and reserves for denials, uncompensated care, and doubtful accounts. The level of reserves is based upon management's assessment of historical and expected net collections, business and economic conditions, trends in Federal and state governmental and private employer health care coverage and other collection indicators. IF A PATIENT IS INELIGIBLE FOR CHARITY CARE BECAUSE HIS OR HER INCOME EXCEEDS THE ELIGIBILITY GUIDELINES, ANY UNCOLLECTIBLE ACCOUNTS RECEIVABLE BALANCE IS WRITTEN OFF TO BAD DEBT AS REPORTED IN PART III, LINE 2.
PART III, LINE 8	The costing method used to determine the Medicare (Program) Allowable	Costs were determined from specific values reported in the Medicare Cost Report representing Program Costs. The general method utilized in the cost report is to take Total Allowable Costs and divide them into Total Charges to determine a Ratio of Cost to Charges (RCC). The RCC is then multiplied by the Program Charges to determine the Program Costs. Cape Cod Hospital incurs losses on certain Medicare Services not reported on the Medicare Cost Report. These services are compensated on a "Fee Schedule" basis and are not subject to settlement on the cost report. They include Laboratory and other Diagnostic services and physician services in the hospital that are heavily subsidized by the hospital. The Medicare cost of diagnostic services is determined by use of the ratio of cost to charges methodology. The Medicare cost of physician services is the product of amount disallowed on the Medicare cost report for the cost of professional services and the Medicare percent of professional fees billed. Both costs have been reduced by the amounts of direct reimbursement by Medicare.
PART III, LINE 9B	Cape Cod Healthcare provides care to patients who meet certain	criteria under its charity care policy without charge or at amounts less than its established rates. Because Cape Cod Healthcare does not pursue collection of amounts determined to qualify as charity care, such amounts are not reported as NET revenue. The charity care policy is based on the poverty income guidelines established by the Massachusetts Division of Healthcare Finance and Policy. If a patient is ineligible because his or her income exceeds the eligibility guidelines, any uncollectible accounts receivable balance is written off to bad debt. PART V, LINE 19D The maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care is 110% of the medicare fee schedule. This applies to both Cape Cod hospital and Falmouth Hospital.
IN ADDITION TO THE FACILITIES LISTED IN SECTION C, THE LICENSE OF FALMOUTH	HOSPITAL INCLUDES THE FOLLOWING FIVE SATELLITE LOCATIONS:	- FALMOUTH HOSPITAL OUTPATIENT RADIOLOGY - BOURNE HEALTH CENTER - MASHPEE HEALTH CENTER - FALMOUTH HOSPITAL REHABILITATION SERVICES - FALMOUTH HOSPITAL OUTPATIENT SURGERY CENTER THE LICENSE OF CAPE COD HOSPITAL INCLUDES THE FOLLOWING NINE SATELLITE LOCATIONS: - CAPE COD HOSPITAL MOBILE MRI AT FONTAINE MEDICAL CENTER - CAPE COD HOSPITAL REHABILITATION SERVICES AT WILLY'S GYM - CAPE COD HOSPITAL IMAGING SERVICES AT FONTAINE MEDICAL CENTER - PRIMARY CARE INTERNISTS - CAPE COD HOSPITAL REHABILITATION CENTER - CAPE COD HOSPITAL REHABILITATION SERVICES AT FONTAINE MEDICAL CENTER - CAPE COD HOSPITAL OB/GYN CLINIC - THE CLARK CENTER-CAPE COD HEALTHCARE CANCER SERVICES - CAPE COD HOSPITAL PAIN CENTER - WILKENS MEDICAL COMPLEX
NEEDS ASSESSMENT:	CAPE COD HEALTHCARE CONDUCTS COMPREHENSIVE COMMUNITY HEALTH NEEDS	ASSESSMENTS FOR THE SERVICE AREA WITH AN ONGOING ANNUAL REVIEW PROCESS. CCHC SOLICITS COMMUNITY PARTICIPATION IN THE DESIGN, DATA COLLECTION AND DEVELOPMENT OF RECOMMENDATIONS FOR THE ASSESSMENT AND PLANNING. THE STUDY FINDINGS ARE THE FOUNDATION FOR PROGRAM PLANNING AND IMPLEMENTATION. 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 BROAD SCALE COMMUNITY HEALTH NEEDS ASSESSMENT IN 2009. AN INTERIM ASSESSMENT WAS CONDUCTED IN 2012 TO ASSESS NEEDS AND PRIORITIES WHILE BEGINNING A COMPREHENSIVE ASSESSMENT AND PLANNING PROCESS IN ALIGNMENT WITH NEW IRS GUIDELINES. THE MOST RECENT ASSESSMENT, PERFORMED IN COLLABORATION WITH COMMUNITY PARTNERS OPERATING IN BARNSTABLE COUNTY, 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. THE FOLLOWING SOURCES WERE UTILIZED IN THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENTS: - ASTHMA PREVENTION AND CONTROL PROGRAMS: STATE OF MASSACHUSETTS - BUREAU OF SUBSTANCE ABUSE SERVICES: MASSACHUSETTS - CAPE COD COMMISSION: OVERVIEW OF CAPE & ISLANDS POPULATION - CAPE COD HOSPITAL DATA - CENTERS FOR DISEASE CONTROL AND PREVENTION - FALMOUTH HOSPITAL DATA - INJURY SURVEILLANCE PROGRAM: MASSACHUSETTS - KEY INFORMANT INTERVIEWS - LOCAL HEALTH AGENCIES - MASSACHUSETTS CANCER REGISTRY - MASSHEALTH DATA CONSORTIUM: INPATIENT MARKET UTILIZATION - MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH: MASSCHIP (MASSACHUSETTS COMMUNITY HEALTH INFORMATION PROFILE) - MDPH REGIONAL HEALTH STATUS INDICATORS - NATIONAL INSTITUTE OF HEALTH - SENIOR MOBILITY INITIATIVE ON CAPE COD [SMICC] - U.S. CENSUS BUREAU Consultants/Other Organizations: -Barnstable County Human Services -Cape and Islands EMS Systems, Inc. -Cape and Islands Suicide Prevention Coalition -Cape Cod Immigrant Center -Community Action Committee of Cape Cod & Islands -Community Health Center of Cape Cod -Councils on Aging -Duffy Health Center -Gosnold on Cape Cod -Harbor Community Health Center - Hyannis -Massachusetts Department of Public Health -The Barnstable Human Rights Commission -The Cape and Islands Community Health Network (CHNA 27) -Oral Health Excellence Collaborative -Outer Cape Health Services DATA SOURCES: COMMUNITY FOCUS GROUPS, HOSPITAL, CONSUMER GROUP, INTERVIEWS, MASSCHIP, PUBLIC HEALTH PERSONNEL, SURVEYS, CHNA.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:	FOR THOSE PATIENTS THAT ARE UNINSURED OR UNDERINSURED, THE HOSPITAL	WILL WORK WITH THEM TO ASSIST WITH APPLYING FOR AVAILABLE FINANCIAL ASSISTANCE PROGRAMS THAT MAY COVER THEIR UNPAID HOSPITAL BILLS. IN ORDER TO ASSIST UNINSURED AND UNDERINSURED PATIENTS IN FINDING AVAILABLE AND APPROPRIATE FINANCIAL ASSISTANCE PROGRAMS, THE HOSPITAL WILL PROVIDE ALL PATIENTS WITH A GENERAL NOTICE OF THE AVAILABILITY OF PROGRAMS IN BOTH THE INITIAL BILL THAT IS SENT TO PATIENTS AS WELL AS IN GENERAL NOTICES POSTED THROUGHOUT THE HOSPITAL. THE GOAL OF THESE NOTICES IS TO INFORM PATIENTS THAT THEY MAY BE ELIGIBLE TO APPLY FOR COVERAGE WITHIN A FINANCIAL ASSISTANCE PROGRAM, SUCH AS, BUT NOT LIMITED TO, MASSHEALTH, COMMONWEALTH CARE, CHILDREN'S MEDICAL SECURITY PLAN, HEALTHY START, HEALTH SAFETY NET, OR MEDICAL HARDSHIP THROUGH THE HEALTH SAFETY NET. THE HOSPITAL WILL PROVIDE, UPON REQUEST, SPECIFIC INFORMATION ABOUT THE ELIGIBILITY PROCESS TO BE DESIGNATED A LOW INCOME PATIENT UNDER EITHER THE STATE HEALTH SAFETY NET PROGRAM OR THROUGH THE HOSPITAL'S OWN INTERNAL CHARITY CARE PROGRAM. THE HOSPITAL WILL ALSO NOTIFY THE PATIENT ABOUT PAYMENT PLANS THAT MAY BE AVAILABLE TO HIM OR HER BASED ON THE SIZE OF HIS OR HER FAMILY AND FAMILY INCOME.
COMMUNITY INFORMATION	DEMOGRAPHIC OVERVIEW	THE PRIMARY SERVICE AREA FOR CCHC IS DEFINED AS THE FIFTEEN TOWNS OF BARNSTABLE COUNTY, COMMONLY KNOWN AS "CAPE COD". THE AREA IS GENERALLY VIEWED AS THE LAND MASS DISSECTED FROM THE MAINLAND BY THE CAPE COD CANAL. HOWEVER, BARNSTABLE COUNTY DOES INCLUDE SECTIONS OF BOURNE WHICH ARE LOCATED "OVER THE BRIDGES." BARNSTABLE COUNTY CONSISTS OF 396 SQUARE MILES WITH A POPULATION DENSITY OF 546 PERSONS PER SQUARE MILE IN 2010. CAPE COD IS MADE UP OF DIVERSE TOWNS AND MANY VILLAGES AND DIVIDED INTO FOUR REGIONS; UPPER CAPE, MID CAPE, LOWER CAPE AND OUTER CAPE. THE OUTER CAPE IS THE MOST RURAL AREA OF CAPE COD DUE TO ITS GEOGRAPHICAL LAYOUT, DISTANCE FROM ACUTE CARE FACILITIES AND LIMITED PUBLIC TRANSPORTATION. CCHC IS WORKING COLLABORATIVELY AND BUILDING RELATIONSHIPS WITH OUTER CAPE COMMUNITY HEALTH PROGRAMS TO IMPROVE HEALTH CARE ACCESS FOR SUCH VULNERABLE POPULATIONS. THE 2010 CENSUS REPORTED THE TOTAL YEAR-ROUND RESIDENT POPULATION FOR BARNSTABLE COUNTY AT 215,888. AFTER LEADING THE STATE IN GROWTH FOR THE LAST FEW DECADES, THE BARNSTABLE COUNTY POPULATION HAS STABILIZED. OVERALL, THE CAPE POPULATION HAS DECLINED SLIGHTLY FROM 2000 TO 2010. THE UPPER CAPE, WHICH IS THE REGION CLOSEST TO THE BRIDGE, IS THE ONLY REGION FOR WHICH THERE WAS GROWTH DURING THIS TIMEFRAME. SEASONAL ESTIMATES BY THE CAPE COD CHAMBER OF COMMERCE SUGGEST THAT THE SUMMERTIME POPULATION ROUTINELY REACHES OVER 500,000 AS A RESULT OF SUMMER RESIDENTS AND VACATIONERS VISITING THE AREA. THE MOST NOTABLE DEMOGRAPHIC CHARACTERISTIC OF THE CAPE IS THE HIGH PROPORTION OF SENIOR RESIDENTS. TWENTY-FIVE PERCENT OF THE YEAR-ROUND POPULATION IS OVER THE AGE OF 65, COMPARED TO 14% FOR THE STATE AND APPROXIMATELY 13% NATIONALLY. THIS SEGMENT IS FORECASTED TO CONTINUE TO GROW. THE 2010 MEDIAN AGE FOR A BARNSTABLE COUNTY RESIDENT IS 49.9 YEARS, THE HIGHEST IN MASSACHUSETTS, COMPARED TO A STATEWIDE MEDIAN AGE OF 39.1 YEARS. THESE DEMOGRAPHIC FACTORS PLACE SIGNIFICANT DEMANDS UPON THE SYSTEM. THEREFORE, CCHC IS ACTIVELY INVOLVED IN COMMUNITY EVENTS AND SUPPORTS PATIENT AND COMMUNITY ADVOCACY THROUGH ITS COMMUNITY BENEFITS PROGRAM.
COMMUNITY BUILDING ACTIVITIES:		WORKFORCE DEVELOPMENT THE PHYSICIAN RECRUITMENT PROGRAM STRIVES TO IDENTIFY AREAS OF UNMET NEED AND IMPROVE ACCESS TO PRIMARY AND SPECIALTY CARE FOR VULNERABLE POPULATIONS, ESPECIALLY THOSE OVER 65. THROUGH RIGOROUS EFFORTS HIGHLY QUALIFIED AND COMPETENT PHYSICIANS AND PHYSICIAN EXTENDERS ARE RECRUITED AND RETAINED TO MEET THE HEALTH CARE NEEDS AND PROVIDE CARE TO THE RESIDENTS OF CAPE COD.
PROMOTION OF COMMUNITY HEALTH:	EVERY THREE YEARS CCHC CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT TO	DETERMINE THE HEALTH CARE NEEDS OF THE RESIDENTS OF BARNSTABLE COUNTY. THIS NEEDS ASSESSMENT HELPS IDENTIFY THE MOST VULNERABLE POPULATIONS AND GAPS IN HEALTH CARE SERVICES. RESULTS HELP DRIVE COMMUNITY BENEFITS PLANNING SUCH AS, DIRECT CLINICAL PROGRAMS, HEALTH EDUCATION, WELLNESS PROMOTION, FINANCIAL SUPPORT, HEALTH CARE SUBSIDIES AND ADVOCACY EFFORTS. THE GOAL IS TO REDUCE HEALTH DISPARITIES, INCREASE ACCESS TO QUALITY HEALTH CARE, AND IMPROVE THE HEALTH/WELLNESS OF THE COMMUNITY. THE FOLLOWING IS A LIST OF THE FY12 TARGET POPULATIONS AND PRIORITIES IDENTIFIED BY THE FY2009 NEEDS ASSESSMENT. TARGET POPULATIONS: -THE UNDERSERVED, UN/UNDERINSURED AND/OR THOSE WITH HEALTH DISPARITIES. - COMMUNITY MEMBERS AFFLICTED WITH MENTAL HEALTH AND/OR SUBSTANCE ABUSE RELATED ISSUES. - GERIATRIC POPULATION, ESPECIALLY THOSE WHO ARE AT RISK AND/OR IN HARD TO REACH AREAS. - RESIDENTS WITH EMERGING HEALTH ISSUES. - CHRONICALLY ILL RESIDENTS AFFLICTED WITH CANCER, CARDIOVASCULAR-RELATED DISEASE, DIABETES, AND/OR ORAL HEALTH ISSUES.
CAPE COD HEALTHCARE'S COMMUNITY BENEFIT DEPARTMENT PROVIDED THE FOLLOWING		PROGRAMS IN FY 12: FINANCIAL COUNSELING & ASSISTANCE THE FINANCIAL ASSISTANCE AND COUNSELING PROGRAM PROVIDES COMPREHENSIVE SERVICES TO COMMUNITY MEMBERS SEEKING PUBLIC INSURANCE ENROLLMENT AND RE-VERIFICATION OF ENROLLMENT INTO MASSHEALTH, COMMONWEALTH CARE AND HEALTH SAFETY NET INSURANCE PRODUCTS. FINANCIAL COUNSELORS ARE DEDICATED TO IMPROVING ACCESS TO CARE THROUGH ELIGIBILITY SCREENING, ASSESSED AFFORDABILITY AND INCOME VERIFICATION. PHYSICIAN RECRUITMENT THE PHYSICIAN RECRUITMENT PROGRAM AT CAPE COD HEALTHCARE 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 AS EMPLOYEES OF CAPE COD HEALTHCARE OR ASSISTED WITH ESTABLISHING A PRIVATE PRACTICE TO ENSURE ADEQUATE PRIMARY CARE AND SPECIALTY SERVICES IN OUR REGION. REACH (REACHING ELDERS WITH ADDITIONAL COMMUNITY HELP): CAPE & ISLANDS EMERGENCY MEDICAL SERVICES SYSTEM (CIEMSS) THE REACH PROGRAM COORDINATES SERVICES FOR SENIORS IN THEIR HOMES THROUGH THE PROVISION OF REFERRALS TO APPROPRIATE ORGANIZATIONS. BY WORKING IN CONJUNCTION WITH COUNCILS ON AGING, ELDER SERVICES OF CAPE COD AND THE ISLANDS, VNA, EMS AND OTHER COMMUNITY PARTNERS, ISSUES SUCH AS HEALTH, SAFETY, PSYCHOLOGICAL STATUS AND SOCIAL FUNCTIONING ARE ASSESSED, AND APPROPRIATE PLANS ARE DEVELOPED TO ACHIEVE OPTIMAL DAILY LIVING STATUS FOR SENIORS ON CAPE COD. REACH ALSO OFFERS COMMUNITY-BASED TRAININGS FOR SENIOR PROVIDERS WHICH TARGET EMERGING ISSUES AND TRENDS THAT SPECIFICALLY IMPACT SENIOR HEALTH AND WELL-BEING. COMMUNITY BASED INTERPRETER SERVICES THE COMMUNITY BASED INTERPRETER SERVICES PROGRAM OFFERS FREE MEDICAL LANGUAGE INTERPRETATION IN COMMUNITY-BASED PHYSICIAN PRACTICES AND AT THE COMMUNITY HEALTH CENTERS FOR THE LIMITED AND NON-ENGLISH SPEAKING PATIENTS AND THEIR FAMILIES. THE AVAILABILITY OF PROFICIENT AND PROFESSIONAL INTERPRETER SERVICES ENSURES THE DELIVERY OF SAFE QUALITY HEALTH CARE AND POSITIVE CLINICAL OUTCOMES. SPECIALTY NETWORK FOR THE UNINSURED (SNU): COMMUNITY HEALTH CENTER OF CAPE COD THE SPECIALTY NETWORK FOR THE UNINSURED (SNU) PROVIDES ACCESS TO SPECIALTY CARE SERVICES FOR UNDER/UNINSURED INDIVIDUALS AT NO CHARGE OR ON A SIGNIFICANTLY REDUCED SLIDING-SCALE FEE. PRESCRIPTION ASSISTANCE PROGRAM THE PRESCRIPTION ASSISTANCE PROGRAM IS A JOINT INITIATIVE OF CAPE COD HOSPITAL AND FALMOUTH HOSPITAL EMERGENCY ROOMS AND PHARMACY DEPARTMENTS AS A COMMUNITY BENEFIT TO HELP UNINSURED OR UNDERINSURED PATIENTS WHO HAVE NO OTHER VIABLE MEANS TO PAY FOR MEDICATIONS UPON DISCHARGE FROM THE ER. LAST YEAR PHARMACY VOUCHERS TOTALING OVER $29,000 WERE PROVIDED TO PATIENTS THAT MET THE FINANCIAL CRITERIA. THIS INITIATIVE ENSURES PATIENTS ARE ABLE TO COMPLY WITH THEIR DISCHARGE PLAN. TRANSPORTATION ASSISTANCE PROGRAM CAPE COD HOSPITAL AND FALMOUTH HOSPITAL PROVIDED TRANSPORTATION THROUGH ISSUANCE OF $24,058 WORTH OF TAXI VOUCHERS TO ASSIST FINANCIALLY CHALLENGED PATIENTS WHO ARE BEING DISCHARGED FROM THE EMERGENCY ROOMS AND ARE WITHOUT RESOURCES FOR BEING TRANSPORTED TO THEIR DESTINATION. DETERMINATION OF NEED: OFFICE BASED OPIOID TREATMENT PROGRAM (OBOT) THE DUFFY HEALTH CENTER DEVISED AN INTEGRATED MODEL TO PROVIDE THE EVIDENCED-BASED PRACTICE OF OFFICE-BASED OPIOID TREATMENT (OBOT) WITH THE OBJECTIVE OF PROGRAM EXPANSION TO ADDITIONAL MEMBERS OF THE COMMUNITY HEALTH CENTER NETWORK (CHCN). 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 HIGH ADDICTION RATES ON CAPE COD. EACH COMMUNITY HEALTH CENTER HAS A SPECIALTY TEAM OF HIGHLY TRAINED PHYSICIANS AND NURSE PRACTITIONERS WHICH MONITOR PATIENTS CLOSELY FOR ADHERENCE TO THEIR TREATMENT PLANS TO ADDRESS THIS VERY COMPLEX ISSUE. DETERMINATION OF NEED: CHNA 27 A TOTAL FUNDING AMOUNT OF $401,000 TO BE DISTRIBUTED OVER FIVE YEARS 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. COMMUNITY ACTION COMMITTEE OF CAPE COD & ISLANDS: H.O.P.E. INSURANCE OUTREACH AND ENROLLMENT 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. ACCESS TO CARE FOR HOMELESS AND AT RISK ADULTS THE DUFFY HEALTH CENTER PROVIDES ACCESS TO CARE THROUGH ASSISTANCE WITH ENROLLMENT AND RE-ENROLLMENT TO HOMELESS ADULTS AND THOSE AT-RISK FOR HOMELESSNESS INTO MASSHEALTH, COMMONWEALTH CARE, AND OTHER STATE INSURANCE PRODUCTS. CLIENTS RECEIVED ONGOING ACCESS TO CARE, INCLUDING REFERRALS TO PRIMARY CARE PHYSICIANS AND OTHER APPROPRIATE PROVIDERS TO IMPROVE CHRONIC DISEASE MANAGEMENT AND PROMOTE OLDER ADULT WELLNESS. COMMUNITY-BASED HEALTH EDUCATION AND OUTREACH CAPE COD HEALTHCARE IS COMMITTED TO PROVIDING FREE HEALTH EDUCATION AND OUTREACH IN ORDER TO ENHANCE AND PROMOTE WELLNESS, CONTRIBUTE TO THE PREVENTION OF ILLNESS AND IMPROVE THE MANAGEMENT OF CHRONIC DISEASE. HEALTH CARE PROFESSIONALS, INCLUDING PHYSICIANS AND NURSES, PROVIDE THE MOST UP-TO-DATE HEALTH AND DISEASE MANAGEMENT INFORMATION TO THE COMMUNITY AT LARGE IN ORDER TO INCREASE THEIR AWARENESS OF STRATEGIES WHICH MAY IMPROVE THEIR HEALTH STATUS AND WELL-BEING. SUPPORT GROUPS AND CLASSES SUPPORT GROUPS AND CLASSES ARE CONDUCTED BY HEALTH CARE PROFESSIONALS ON A REGULAR BASIS. THESE EVENTS WERE OPEN TO ALL MEMBERS OF THE COMMUNITY REGARDLESS OF THEIR PATIENT STATUS OR TIES TO A SPECIFIC HOSPITAL OR HEALTH CARE PROVIDER. INFORMATION AND RESOURCES WERE MADE AVAILABLE TO INDIVIDUALS, FAMILIES AND FRIENDS. WORKFORCE DEVELOPMENT CAPE COD HEALTHCARE RECOGNIZES THE IMPORTANCE OF WORKFORCE DEVELOPMENT, AND SUPPORTS THE OPPORTUNITY FOR STUDENTS FROM HIGH SCHOOL THROUGH GRADUATE 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. HELPING HANDS PROGRAM THE HELPING HANDS PROGRAM OFFERS MEDICATION REVIEW AND OPTIMIZATION WITH A CLINICAL PHARMACIST IN THE PATIENT'S HOME FOR HIGH-RISK PATIENTS BEING DISCHARGED WITH A CHRONIC DISEASE, FIVE OR MORE MEDICATIONS, MULTIPLE REGIMEN CHANGES, AND WHEN AN INCREASE FALL RISK HAS BEEN IDENTIFIED. PATIENTS AND THEIR CAREGIVERS ARE PROVIDED COACHING ON SELF-MANAGEMENT OF THEIR CHRONIC DISEASE, MEDICATION MANAGEMENT AND EVALUATION FOR FALL RISK AND HOME SAFETY. YOUTH SUICIDE PREVENTION PROJECT: ASIST TRAINING A PROGRAM TO PROVIDE APPLIED SUICIDE INTERVENTION SKILLS TRAINING (ASIST) TO CLINICIANS, TEACHERS, MENTAL HEALTH PROFESSIONALS, YOUTH DEVELOPMENT PROFESSIONALS, AND GATEKEEPERS WITH THE GOAL TO REDUCE SUICIDE SPECIFICALLY OF AT-RISK YOUTH. BIG BROTHER BIG SISTER OF CAPE COD AND THE ISLANDS: IMPROVING YOUTH HEALTH THROUGH ONE TO ONE MENTORING THIS PROJECT AIMS TO IMPROVE THE HEALTH AND WELLNESS OF AT-RISK CHILDREN THROUGH MATCHING WITH MENTORS AND FACILITATING HEALTHY ACTIVITIES THROUGH STRATEGIC PARTNERSHIPS WITH A WIDE VARIETY OF PARTNER ORGANIZATIONS AND SERVICE PROVIDERS ON CAPE COD. GOSNOLD: BEHAVIORAL HEALTH IN PRIMARY CARE SETTING PROJECT A COLLABORATIVE PROJECT TO INTEGRATE A BEHAVIORAL HEALTH COUNSELOR INTO A PRIMARY CARE PHYSICIAN PRACTICE TO PROVIDE EARLY IDENTIFICATION AND TREATMENT OF BEHAVIORAL HEALTH ISSUES. ORAL HEALTH EXCELLENCE COLLABORATIVE THE ORAL HEALTH EXCELLENCE COLLABORATIVE (OHEC) INCREASES DENTAL CARE ACCESS FOR LOW-INCOME ELDERS BY REMOVING BARRIERS THROUGH STRENGTHENING EDUCATION, INFORMATION, COORDINATION AND REFERRAL.
ALZHEIMER'S SERVICES OF CAPE COD & THE ISLANDS: HOPE PROGRAM		THE HOPE PROGRAM PROVIDES HOME-BASED COUNSELING FOR PATIENTS WITH ALZHEIMER'S DISEASE AND THEIR CAREGIVERS. HYANNIS FAMILY PLANNING: EDUCATION AND REPRODUCTIVE HEALTH CARE SERVICES HYANNIS FAMILY PLANNING PROVIDED ON-SITE SERVICES RELATED TO EARLY DETECTION, TESTING AND EDUCATION ABOUT PREVENTION OF HIV/AIDS, HEPATITIS B & C, TUBERCULOSIS AND OTHER SEXUALLY TRANSMITTED DISEASES TO VULNERABLE POPULATIONS. SUPPORTING ACCESS TO CARE FOR IMMIGRANT AND LOW-INCOME INDIVIDUALS AT HARBOR COMMUNITY HEALTH CENTER - HYANNIS HARBOR COMMUNITY HEALTH CENTER - HYANNIS (HCHC - H) PROVIDES FINANCIAL COUNSELING TO ASSIST WITH ELIGIBILITY AND ENROLLMENT FOR LOW-INCOME AND IMMIGRANT POPULATIONS ON THE MID AND UPPER REGIONS OF CAPE COD. SAMARITANS: ELDER SUICIDE PREVENTION TRAINING FOR CAPE & ISLANDS COMMUNITIES SAMARITANS OF THE CAPE & ISLANDS DEVELOPED A CURRICULUM AND SERIES OF WORKSHOPS FOR TRAINING GATEKEEPERS AND ELDER SERVICE PROFESSIONALS TO IDENTIFY DEPRESSION AND SUICIDAL TENDENCIES IN OLDER ADULTS. SUPPORTING ACCESS AND OUTREACH EFFORTS AT THE COMMUNITY HEALTH CENTER OF CAPE COD THE COMMUNITY HEALTH CENTER OF CAPE COD PROVIDES ACCESS TO CARE THROUGH ASSISTING NEW PATIENTS WITH INSURANCE ENROLLMENTS, REFERRALS TO PRIMARY CARE AND COMMUNITY OUTREACH TO VULNERABLE AND SPECIAL POPULATIONS IN THE UPPER REGION OF CAPE COD. GOSNOLD ON CAPE COD: CARE COORDINATOR PILOT PROGRAM THIS PILOT PROGRAM WAS DEVELOPED TO ASSESS THE EFFICACY OF POST-EPISODIC TREATMENT FOLLOW-UP COMMUNICATION ON CONTINUING CARE COMPLIANCE AND SUSTAINED RECOVERY (ABSTINENCE). SUPPORTING THE HEALTHY COMMUNITIES PROGRAM AT OUTER CAPE HEALTH SERVICES OUTER CAPE HEALTH SERVICES (OCHS) IS A COMMUNITY HEALTH CENTER THAT PROVIDES PRIMARY AND URGENT CARE TO THE EIGHT TOWNS IN THE LOWER AND OUTER CAPE. OCHS'S HEALTHY CONNECTIONS PROGRAM PROVIDES OUTREACH, INSURANCE ENROLLMENT, AND POST ENROLLMENT SERVICES TO MEMBERS OF OUR COMMUNITY. AFFILIATED HEALTH CARE SYSTEMS ROLES: THE HOSPITALS ARE PART OF AN AFFILIATED HEALTHCARE SYSTEM AND THEIR RESPECTIVE ROLES ARE: CAPE COD HOSPITAL - A NOT-FOR-PROFIT ACUTE CARE HOSPITAL LOCATED IN HYANNIS, MASSACHUSETTS FALMOUTH HOSPITAL ASSOCIATION, INC. - A NOT-FOR-PROFIT ACUTE CARE HOSPITAL LOCATED IN FALMOUTH, MASSACHUSETTS CAPE COD HEALTHCARE, INC. - A NOT-FOR-PROFIT CORPORATION THAT SERVES AS THE PARENT COMPANY OF VARIOUS ENTITIES PROVIDING HEALTH CARE SERVICES TO THE POPULATION OF CAPE COD, MASSACHUSETTS CAPE COD HEALTHCARE FOUNDATION, INC. - A NOT-FOR-PROFIT CORPORATION ORGANIZED TO PROVIDE DEVELOPMENT AND FUNDRAISING SUPPORT TO CAPE COD HEALTHCARE CAPE AND ISLANDS HEALTH SERVICES II, INC. - A NOT-FOR-PROFIT CORPORATION ORGANIZED TO PROVIDE VARIOUS NONHOSPITAL HEALTH CARE SERVICES MEDICAL AFFILIATES OF CAPE COD, INC. - A NOT-FOR-PROFIT MEDICAL GROUP PRACTICE VISITING NURSE ASSOCIATION OF CAPE COD - A NOT-FOR-PROFIT PROVIDER OF HOME HEALTH SERVICES CAPE COD HUMAN SERVICES, INC. - A NOT-FOR-PROFIT PROVIDER OF OUTPATIENT MENTAL HEALTH SERVICES FALMOUTH ASSISTED LIVING, INC., D/B/A HERITAGE AT FALMOUTH - A NOT-FOR-PROFIT CORPORATION THAT OWNS AN ASSISTED LIVING FACILITY JML CARE CENTER, INC. - A NOT-FOR-PROFIT SKILLED NURSING AND REHABILITATION FACILITY CAPE HEALTH INSURANCE COMPANY - A CAPTIVE INSURANCE COMPANY THAT PROVIDES MEDICAL PROFESSIONAL AND GENERAL LIABILITY INSURANCE TO CAPE COD HEALTHCARE CAPE COD HOSPITAL MEDICAL OFFICE BUILDING - A PROVIDER OF LEASED AND SUBLEASED SPACE TO CAPE COD HOSPITAL AND RELATED AFFILIATIONS ALL STATES WHICH ORGANIZATION FILES A COMMUNITY BENEFIT REPORT: MA

Schedule H (Form 990) 2011

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

2011

Open to Public Inspection

Name of the organization

CAPE COD HEALTHCARE INC & AFFILIATES

Employer identification number

90-0054984

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 or provision 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. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

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? ...............

Yes

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 Regulations 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) 2011

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is 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) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and column (E) for that individual.

(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 as deferred in prior Form 990
(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)	(F) Compensation reported as deferred in prior Form 990
(1) CHRISTOPHER O'CONNOR	(i) (ii)	0 266,370	0 51,726	0 5,658	0 9,332	0 26,742	0 359,828	0 0
(2) DIANNE KOLB	(i) (ii)	0 199,823	0 41,411	0 5,334	0 41,257	0 19,205	0 307,030	0 0
(3) SUSAN M WING	(i) (ii)	0 220,237	0 45,375	0 45,199	0 26,960	0 4,387	0 342,158	0 0
(4) MICHAEL G JONES	(i) (ii)	0 306,366	0 81,663	0 24,584	0 43,162	0 26,742	0 482,517	0 17,656
(5) CHARLES R HULSE	(i) (ii)	0 146,601	0 0	0 35,671	0 0	0 0	0 182,272	0 0
(6) RICHARD F SALLUZZO MD	(i) (ii)	0 0	0 0	0 1,078,351	0 0	0 16,991	0 1,095,342	0 0
(7) MICHAEL K LAUF	(i) (ii)	0 603,323	0 180,000	0 40,563	0 138,900	0 32,432	0 995,218	0 25,230
(8) GROVER BAXLEY MD	(i) (ii)	216,315 0	0 0	2,132 0	0 0	1,444 0	219,891 0	0 0
(9) MICHAEL L CONNORS	(i) (ii)	0 341,343	0 87,275	0 20,241	0 35,600	0 32,390	0 516,849	0 19,275
(10) RICHARD B ZELMAN MD	(i) (ii)	1,249,312 0	0 0	1,806 0	9,800 0	26,743 0	1,287,661 0	0 0
(11) DANIEL J CANADAY MD	(i) (ii)	326,356 0	273,068 0	6,976 0	19,800 0	26,743 0	652,943 0	0 0
(12) XIANG-YANG D GUO MD	(i) (ii)	576,364 0	1,500 0	966 0	26,300 0	31,743 0	636,873 0	0 0
(13) PHILIP DOMBROWSKI MD	(i) (ii)	519,908 0	0 0	1,806 0	9,800 0	2,492 0	534,006 0	0 0
(14) ROBERT R MCANAW MD	(i) (ii)	324,889 0	193,002 0	1,806 0	9,800 0	19,600 0	549,097 0	0 0
(15) DAVID RYAN	(i) (ii)	0 205,366	0 39,376	0 5,004	0 30,565	0 28,907	0 309,218	0 0
(16) SHERYL SYPEK	(i) (ii)	0 189,784	0 0	0 38,268	0 22,740	0 22,237	0 273,029	0 0
(17) JEANNE FALLON	(i) (ii)	0 168,142	0 9,938	0 522	0 0	0 18,005	0 196,607	0 0
(18) Robert Kleinbauer	(i) (ii)	0 227,380	0 33,750	0 1,806	0 2,562	0 26,743	0 292,241	0 0
(19) LINDA HABEEB MD	(i) (ii)	235,076 0	750 0	420 0	9,630 0	27,521 0	273,397 0	0 0
(20) JEFFREY S DYKENS	(i) (ii)	0 226,063	0 40,000	0 20,294	0 26,557	0 30,451	0 343,365	0 18,151

Schedule J (Form 990) 2011

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.

Identifier	Return Reference	Explanation
FORM 990 PART VII		GROVER BAXLEY, MD AND PAUL DEMEO MD, WERE NOT COMPENSATED IN THEIR POSITIONS OF TRUSTEE, BUT RATHER IN THEIR CAPACITY AS PHYSICIAN AND PHYSICIAN DIRECTORSHIP, RESPECTIVELY. TITLES: LINDA HABEEB MD FORMER POSITION HELD - EXECUTIVE DIRECTOR - MACC CURRENT FY 12 POSITION HELD - PHYSICIAN JEFFREY S. DYKENS FORMER POSITION HELD - INTERIM CFO CURRENT FY 12 POSITION HELD - VP OF FINANCE LINE 4A: SEVERANCE PAYMENTS RICHARD SALLUZZO, MD, FORMER PRESIDENT/CEO, RECEIVED SEVERANCE PAYMENTS OF $698,351 DURING CALENDAR YEAR 2011. THE ARRANGEMENT PROVIDES FOR ONE SINGLE LUMP SUM PAYMENT EQUAL TO 30 MULTIPLIED BY 1/12 OF THE BASE SALARY IN EFFECT ON THE DATE HIS EMPLOYMENT TERMINATED. THE ARRANGEMENT ALSO PROVIDES FOR PARTICIPATION OF HIS AND HIS DEPENDENTS IN THE COMPANY'S GROUP MEDICAL AND DENTAL PLANS FOR THIRTY-SIX MONTHS. SHERYL SYPEK, VP OF INFORMATION SYSTEMS UNTIL 10/26/11, RECEIVED SEVERANCE PAYMENTS OF $19,167 DURING CALENDAR YEAR 2011. THE ARRANGEMENT PROVIDES FOR CONTINUED PAYMENT OF HER SALARY FOR A PERIOD OF SIX MONTHS PLUS MEDICAL AND DENTAL INSURANCE COVERAGE. IN THE EVENT SHE IS REEMPLOYED AT ANY TIME DURING THE LAST SIX MONTHS OF THE SEVERANCE PERIOD, SEVERANCE PAYMENTS WILL BE OFFSET BY OTHER EMPLOYMENT INCOME EARNED. CHARLES HULSE, EXECUTIVE DIRECTOR - MACC, UNTIL 3/18/2011, RECEIVED SEVERANCE PAYMENTS OF $103,137 DURING CALENDAR YEAR 2011. THE ARRANGEMENT PROVIDES FOR CONTINUED PAYMENT OF HIS SALARY FOR A PERIOD OF SIX MONTHS. IN THE EVENT HE IS REEMPLOYED AT ANY TIME DURING THE SEVERANCE PERIOD, SEVERANCE PAYMENTS WILL BE OFFSET BY OTHER EMPLOYMENT INCOME EARNED. LINE 4B: 457(F)LINE 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 2011 WERE AS FOLLOWS: - MICHAEL K. LAUF - $25,230 - MICHAEL L. CONNORS - $19,275 - MICHAEL G. JONES - $17,656 - JEFFREY S. DYKENS - $18,151
THE INDIVIDUALS REPORTED IN SCHEDULE J, PART I AND SCHEDULE J-2		AS BEING PAID FROM A RELATED ORGANIZATION WERE EMPLOYEES OF, AND COMPENSATED BY CAPE COD HEALTHCARE, INC., THE PARENT CORPORATION.

Schedule J (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public
Inspection

Name of the organization
CAPE COD HEALTHCARE INC & AFFILIATES

Employer identification number
90-0054984

Part I

Bond Issues

(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	(g) Defeased		(h) On Behalf of Issuer		(i) Pool financing
(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	Yes	No	Yes	No	Yes	No
A	MHEFA REVENUE BONDS SERIES D	04-2456011	57586CDY8	12-23-2004	65,000,000	CONSTRUCTION		X		X		X
B	MHEFA REVENUE BONDS SERIES E	04-2456011	57586C7V1	06-18-2008	36,710,000	REF. OF 93 SER. A&C AND 94 SER.		X		X		X
C	MDFA REVENUE BONDS SERIES 2012A	04-3431814		02-24-2012	25,800,000	REFUND SER. B / PART OF SER. C		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . .	5,415,000		9,232,667		0
2 Amount of bonds legally defeased . . . . . . . . . .	0		0		0
3 Total proceeds of issue . . . . . . . . . . . . .	65,000,000		36,710,000		25,800,000
4 Gross proceeds in reserve funds . . . . . . . .	3,880,803		0		0
5 Capitalized interest from proceeds . . . . . . . . . .	2,886,949		0		0
6 Proceeds in refunding escrows . . . . . . . . . . .	0		0		0
7 Issuance costs from proceeds . . . . . . . . . . .	1,142,687		266,112		336,100
8 Credit enhancement from proceeds . . . . . . . . . .	2,267,966		0		0
9 Working capital expenditures from proceeds . . . . . . .	0		0		0
10 Capital expenditures from proceeds . . . . . . . . . .	54,821,595		0		0
11 Other spent proceeds . . . . . . . . . . .	0		36,443,888		25,463,900
12 Other unspent proceeds . . . . . . . . . . .	0		0		0
13 Year of substantial completion . . . . . . . . . . .	2008
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . .		X	X		X
15 Were the bonds issued as part of an advance refunding issue? . . . .		X		X		X
16 Has the final allocation of proceeds been made? . . . . . .	X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . .	X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .		X

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

Cat. No. 50193E

Schedule K (Form 990) 2011

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . .		X
b If ‘Yes’ to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . .
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . .		X
d If ‘Yes’ to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? .
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0.00000%		0%		0%		%
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .	0.00000%		%		%		%
6 Total of lines 4 and 5 . . .. . . . . . . . .	0.00000%		%		%		%
7 Does the bond issue meet the private security or payment test? . . .	X
8 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2?	X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .		X		X		X
2 Is the bond issue a variable rate issue?		X	X			X
3a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X
b Name of provider . . . . . . . .	0		0		0
c Term of hedge . . . . . . . .
d Was the hedge superintegrated? . . . .		X		X
e Was a hedge terminated? . . . . .		X		X
4a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . .		X		X		X
b Name of provider . . . . . .	0		0		0
c Term of GIC . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . . .
5 Were any gross proceeds invested beyond an available temporary period? . . . . . .		X		X		X
6 Did the bond issue qualify for an exception to rebate? .		X	X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .		X	X		X

Schedule K (Form 990) 2011

Page 3

Part V

Procedures To Undertake Corrective Action

Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? . . . . . . . . . . . . . . YesNo

Part VI

Supplemental Information

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

Identifier	Return Reference	Explanation

Schedule K (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

CAPE COD HEALTHCARE INC & AFFILIATES

Employer identification number

90-0054984

Part I

Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(b) Description of transaction	(c) Corrected?
1(a) Name of disqualified person	(b) Description of transaction	Yes	No

Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.

(a) Name of interested person and purpose	(b) Loan to or from the organization?		(c)Original principal amount	(d)Balance due	(e) In default?		(f) Approved by board or committee?		(g)Written agreement?
(a) Name of interested person and purpose	To	From	(c)Original principal amount	(d)Balance due	Yes	No	Yes	No	Yes	No






Total ............... $				0

Part III

Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b)Relationship between interested person and the organization	(c)Amount of grant or type of assistance

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

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2011

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) DR KATIE RUDMAN	SPOUSE OF TRUSTEE	126,974	MACC EMPLOYEE		No
(2) DR DALE WELDON	SPOUSE OF KEY EMPLOYEE	31,162	HOSPITAL EMPLOYEE		No
(3) CAPE COD EMERGENCY ASSOCIATES	SEE PART V	175,000	PHYSICIAN SERVICES		No

Part V

Supplemental Information

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

Identifier	Return Reference	Explanation
SCHEDULE L, PART IV, LINE 3	THE ENTITY IS MORE THAN 5% OWNED BY EACH OF TWO TRUSTEES.

Schedule L (Form 990 or 990-EZ) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

NonCash Contributions

Complete if the organization answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

CAPE COD HEALTHCARE INC & AFFILIATES

Employer identification number

90-0054984

Part I

Types of Property

	(a) Check if applicable	(b) Number of Contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .	X	40	2,567,889	VALUE OF STOCK REC'D
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( )
26 Other ( )
27 Other ( )
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement ...

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1-28 that it

must hold for at least three years from the date of the initial contribution, and which is not required to be used

for exempt purposes for the entire holding period? ..................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?

Yes

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ............................

32a

If "Yes," describe in Part II.

If the organization did not report revenues in column (c) for a type of property for which column (a) is checked,

describe in Part II.

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

Cat. No. 51227J

Schedule M (Form 990) 2011

Page 2

Part II

Supplemental Information. Complete this part to provide the information required by Part I, lines 30b,
32b, and 33 and whether the organization is reporting in Part I, column (b) the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Identifier	Return Reference	Explanation
SCHEDULE M, PART I, COLUMN (B)		THE ORGANIZATION IS REPORTING THE NUMBER OF ITEMS RECEIVED.

Schedule M (Form 990) 2011

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

2011

Open to Public
Inspection

Name of the organization

CAPE COD HEALTHCARE INC & AFFILIATES

Employer identification number

90-0054984

Identifier	Return Reference	Explanation
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: ALIGNED WITH STATEWIDE HEALTH PRIORITIES AND HEALTH CARE REFORM THIS POPULATION IS IDENTIFIED THROUGH REGIONAL AND LOCAL DATA COLLECTION, HOSPITALS AND COMMUNITY PARTNER ORGANIZATIONS AS A KEY TARGET POPULATION. THIS POPULATION IS SERVED THROUGH A NETWORK OF HEALTH CARE AND SOCIAL SERVICE PROVIDERS IN OUR REGION BUT UNMET NEEDS STILL EXIST. 2. NAME OF TARGET POPULATION: COMMUNITY MEMBERS AFFLICTED WITH MENTAL HEALTH AND/OR SUBSTANCE ABUSE-RELATED ISSUES. BASIS FOR SELECTION: RATES OF SUICIDE AND SUBSTANCE ABUSE ADMISSIONS ARE SIGNIFICANTLY HIGHER IN BARNSTABLE COUNTY THAN OTHER COUNTIES IN MASSACHUSETTS. BARRIERS TO ACCESS AND AVAILABILITY TO PSYCHIATRIC CARE IS A PRIMARY CONCERN VOICED BY MANY LOCAL HEALTH PROVIDERS IN OUR REGION THROUGH NEEDS ASSESSMENTS AND KEY STAKEHOLDER INTERVIEWS. THIS POPULATION IS SERVED THROUGH A NETWORK OF HEALTH CARE AND SOCIAL SERVICE PROVIDERS IN OUR REGION BUT UNMET NEEDS STILL EXIST. 3. NAME OF TARGET POPULATION: GERIATRIC POPULATION, ESPECIALLY THOSE WHO ARE AT RISK AND/OR IN HARD TO REACH AREAS. BASIS FOR SELECTION: ACCORDING TO THE 2010 CENSUS, THE POPULATION OF INDIVIDUALS AGE 65 AND OLDER REPRESENT OVER 25% OF THE YEAR ROUND POPULATION IN BARNSTABLE COUNTY WITH A SIGNIFICANT INCREASE OF RESIDENTS OVER THE AGE OF 85 BETWEEN 2000 AND 2010. NEARLY 40% OF ALL HOUSEHOLDS REPORT A RESIDENT OVER THE AGE OF 65. ACCESS TO CARE IN THIS POPULATION IS ALSO EFFECTED BY TRANSPORTATION BARRIERS AND ISOLATION ISSUES IN OUR REGION. THIS POPULATION IS SERVED THROUGH A NETWORK OF HEALTH CARE AND SOCIAL SERVICE PROVIDERS BUT UNMET NEEDS STILL EXIST. 4. NAME OF TARGET POPULATION: RESIDENTS WITH EMERGING HEALTH ISSUES. BASIS FOR SELECTION: THIS POPULATION IS INCLUDED AND DESIGNATED TO ALLOW PROGRAM FLEXIBILITY IN ADDRESSING THE EMERGING, CHANGING AND MAGNIFYING COMMUNITY HEALTH NEEDS OF SPECIFIC POPULATIONS THAT INCLUDE, BUT ARE NOT LIMITED TO, YOUTH, INDIVIDUALS AT RISK OF CONTRACTING COMMUNICABLE DISEASES AND PERSONS OVER THE AGE OF 65. THIS POPULATION IS SERVED THROUGH A NETWORK OF HEALTH CARE AND SOCIAL SERVICES PROVIDERS IN OUR REGION BUT UNMET NEEDS STILL EXIST. 5. NAME OF TARGET POPULATION: CHRONICALLY ILL RESIDENTS AFFLICTED WITH CANCER, CARDIOVASCULAR-RELATED DISEASE, DIABETES, AND/OR ORAL HEALTH ISSUES. BASIS FOR SELECTION: ALIGNED WITH STATEWIDE HEALTH PRIORITIES AND NATIONAL STATISTICS, RESIDENTS MANAGING CHRONIC ILLNESS ARE AT THE GREATEST RISK OF DECLINED HEALTH AND DEATH. CANCER, CARDIOVASCULAR-RELATED DISEASE, DIABETES AND ORAL HEALTH ISSUES ARE HIGHLY REPRESENTED AMONG RESIDENTS OF BARNSTABLE COUNTY AS EVIDENCED THROUGH HEALTH NEEDS ASSESSMENTS. THIS POPULATION IS SERVED THROUGH A NETWORK OF HEALTH CARE AND SOCIAL SERVICES PROVIDERS IN OUR REGION BUT UNMET NEEDS STILL EXIST. PUBLICATION OF TARGET POPULATIONS: NOT SPECIFIED, OTHER- ATTORNEY GENERAL WEBSITE HOSPITAL/HMO WEB PAGE PUBLICIZING TARGET POP.: HTTP://WWW.CAPECODHEALTH.ORG/COMMUNITY
KEY ACCOMPLISHMENTS OF REPORTING YEAR		IN FY 2012, THE CAPE COD HEALTHCARE (CCHC) COMMUNITY BENEFITS DEPARTMENT PROVIDED FUNDING TO NUMEROUS COMMUNITY AGENCIES AS WELL AS OFFERED SEVERAL PROGRAMS TO THE COMMUNITY SPONSORED BY CAPE COD HOSPITAL AND FALMOUTH HOSPITAL. THE COMMUNITY BENEFITS STAFF WORKED WITH OTHER HOSPITAL STAFF, REPRESENTATIVES FROM MULTIPLE COMMUNITY AGENCIES, AND OTHER MEMBERS OF THE COMMUNITY TO ASSESS FUNDING NEEDS AND IDENTIFY EXISTING HOSPITAL SPONSORED COMMUNITY PROGRAMS, WHILE LOOKING FOR OPPORTUNITIES TO DEVELOP NEW RELATIONSHIPS WHERE COLLABORATIVE EFFORTS COULD BENEFIT THE COMMUNITY. THE FOLLOWING IS A LIST OF THE KEY ACCOMPLISHMENTS OF THE CCHC COMMUNITY BENEFITS DEPARTMENT IN FY 2012. I. CCHC CONTINUED ITS COLLABORATION WITH A BROAD SPECTRUM OF HEALTH AND HUMAN SERVICE AGENCIES WHICH SUPPORT THE RESIDENTS OF BARNSTABLE COUNTY. THIS INCLUDED PARTICIPATION 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. II. CCHC CONTINUED TO COLLABORATE WITH AND PROVIDE FINANCIAL SUPPORT TO THE FOUR FEDERALLY QUALIFIED HEALTH CENTERS OPERATING IN BARNSTABLE COUNTY TO PROVIDE ACCESS TO SERVICES, SUCH AS PRIMARY AND SPECIALTY CARE TO THE UNDERSERVED. III. CCHC CONDUCTED PRIMARY AND SECONDARY COMPONENTS OF A COMMUNITY HEALTH NEEDS ASSESSMENT FOR THE SERVICE AREA. IV. CCHC'S COMMUNITY HEALTH COMMITTEE, A SUBCOMMITTEE OF THE BOARD OF TRUSTEES, REVIEWED PLANNING DATA AND CONTINUED MULTI-YEAR FUNDING TO THREE CRITICAL LOCAL PROGRAMS. THESE PROGRAMS PROVIDE SERVICES TO VULNERABLE POPULATIONS INCLUDING THE UNINSURED, ELDERS, PEOPLE NEEDING ACCESS TO SPECIALTY PHYSICIANS, AND COMMUNITY-BASED INTERPRETER SERVICES. V. CCHC CONTINUED TO SUPPORT COMMUNITY INITIATIVES THROUGH DIRECT GRANT FUNDING AND A COMPETITIVE RFP GRANTS PROGRAM OPEN TO ALL COMMUNITY ORGANIZATIONS WITH PROGRAMS ALIGNED WITH COMMUNITY BENEFITS PRIORITIES. THIS PROCESS RESULTED IN FUNDING 14 PROGRAMS/AGENCIES WHICH ADDRESS A BROAD RANGE OF COMMUNITY ISSUES INCLUDING SUBSTANCE ABUSE, INFECTIOUS DISEASE MANAGEMENT AND ACCESS THROUGH INSURANCE ENROLLMENT. PLANS FOR NEXT REPORTING YEAR EACH YEAR, A PLAN IS DEVELOPED TO REFLECT EMERGING NEEDS AND ENSURE THAT EFFORTS ARE ALIGNED WITH CURRENT DATA AND FINDINGS FROM NATIONAL, REGIONAL STATE AND LOCAL STUDIES, PARTICULARLY THOSE PROVIDED BY THE MASS DEPARTMENT OF PUBLIC HEALTH. THE COMMUNITY HEALTH COMMITTEE, A SUBCOMMITTEE OF THE BOARD OF TRUSTEES OF CAPE COD HEALTHCARE, PROVIDES OVERSIGHT AND INPUT TO ANNUAL PLANNING AND IMPLEMENTATION OF KEY INITIATIVES. IN ADDITION, CCHC STAFF ENSURES THAT THE FY2013 PLAN COMPLIES WITH MASS ATTORNEY GENERAL (AG) GUIDELINES, MEDICARE GUIDELINES AND IRS REQUIREMENTS.
FY13 GOALS		I. IMPROVE ACCESS TO PRIMARY AND SPECIALIZED CARE FOR CAPE COD'S UNDERSERVED AND VULNERABLE POPULATIONS THROUGH PARTNERSHIPS AND SUPPORT OF COMMUNITY HEALTH CENTERS, INTERPRETER SERVICES, PHYSICIAN RECRUITMENT AND HEALTH CARE ENROLLMENT EFFORTS. II. PROMOTE EDUCATION, COORDINATION AND NAVIGATION OF SERVICES FOR MENTAL HEALTH AND SUBSTANCE ABUSE. III. INVEST IN INITIATIVES, CLINICAL PROGRAMMING AND COMMUNITY EDUCATION AND OUTREACH AIMED AT THE MANAGEMENT AND PREVENTION OF CHRONIC AND INFECTIOUS DISEASE. IV. SUPPORT INNOVATIVE AND PREVENTATIVE HEALTH AND WELLNESS INITIATIVES FOR THE COMMUNITY WITH A SPECIFIC FOCUS ON YOUTH, SENIORS, AND CAREGIVERS. V. COMPLETE THE COMMUNITY HEALTH NEEDS ASSESSMENT WITH COLLABORATIVE PARTNERS TO INFORM PLANNING AND DIALOGUE IN OUR REGION. VI. ENGAGE PHYSICIANS, NURSES AND CLINICAL STAFF THROUGHOUT CCHC TO INFORM AND ADVISE COMMUNITY BENEFITS PLANNING AND PROGRAM DEVELOPMENT. REQUEST FOR PROPOSAL (RFP) PROCESS CAPE COD HEALTHCARE COMMUNITY BENEFITS WILL CONTINUE TO OFFER AND FACILITATE AN ANNUAL PRIORITY GRANTS RFP PROGRAM. COMMUNITY COLLABORATIONS THE COMMUNITY BENEFITS DIVISION WILL CONTINUE TO PARTICIPATE WITH COMMUNITY COALITIONS, TASK FORCES AND HEALTH AND HUMAN SERVICE ORGANIZATIONS ACROSS CAPE COD WHICH INCLUDES LEADERSHIP PARTICIPATION WITH THE CAPE COD COMMUNITY HEALTH AREA NETWORK (CHNA 27) STEERING COMMITTEE AND BARNSTABLE COUNTY HUMAN SERVICES ADVISORY COUNCIL. CAPE COD HEALTHCARE IS COMMITTED TO SERVING THE NEEDS OF RESIDENTS AND IMPROVING THEIR HEALTH STATUS. COMMUNITY PARTNERS BARNSTABLE COUNTY HUMAN SERVICES BIG BROTHERS BIG SISTERS OF CAPE COD CAPE AND ISLANDS EMS SYSTEMS, INC CAPE AND ISLANDS SUICIDE PREVENTION CAPE AND ISLANDS UNITED WAY CAPE COD CHAMBER OF COMMERCE CAPE COD FOUNDATION CAPE COD HOARDING TASK FORCE COMMUNITY ACTION COMMITTEE OF CAPE COD & ISLANDS COMMUNITY COALITION OF CAPE COD COMMUNITY HEALTH CENTER OF CAPE COD COUNCILS ON AGING DUFFY HEALTH CENTER HARBOR COMMUNITY HEALTH CENTER - HYANNIS HELPING OUR WOMEN HOPE HEALTH DEMENTIA & ALZHEIMER'S SERVICES GOSNOLD ON CAPE COD MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH ORAL HEALTH EXCELLENCE COLLABORATIVE OUTER CAPE HEALTH SERVICES PARKINSON SUPPORT NETWORK OF CAPE COD SAMARITANS OF CAPE COD & THE ISLANDS THE BOYS AND GIRLS CLUB THE CAPE AND ISLANDS COMMUNITY HEALTH NETWORK (CHNA 27)
COMMUNITY BENEFITS PROCESS		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 LED 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 LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS. 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. FY 12 COMMUNITY HEALTH COMMITTEE: 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, MA 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, MA 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 HADLEY LUDDY EXECUTIVE DIRECTOR BIG BROTHER BIG SISTERS 1934 FALMOUTH ROAD, CENTERVILLE, MA 02601 508-775-5150 HLUDDY@BBBSCCI.ORG REPRESENTING: YOUTH AND EMERGING NEEDS BRIAN O'MALLEY, MD 30 SHANK PAINTER ROAD, PROVINCETOWN, MA 02657 508-487-3505 BOMALLEY@CAPECODHEALTH.ORG MEDICAL SEAT REPRESENTING: COMMUNITY AT LARGE: LOWER/OUTER CAPE CHRIS HOTTLE DIRECTOR PROVINCETOWN COUNCIL ON AGING 26 ALDEN STREET, PROVINCETOWN, MA 02657 508-487-7080 CHOTTLE@PROVINCETOWN-MA.GOV REPRESENTING: HEALTHY AGING TO GERIATRIC POPULATION, CHRONIC DISEASE AND EMERGING HEALTH NEEDS CAPE COD HEALTHCARE MEMBER: 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 THE COMMUNITY HEALTH COMMITTEE MEETING DATES FOR FY 2012: DECEMBER 1, 2011 4:00-5:30 PM MARCH 1, 2012 4:00-5:30 PM JUNE 12, 2012 4:00-5:30 PM SEPTEMBER 13, 2012 4:00-5:30 PM
COMMUNITY HEALTH NEEDS ASSESSMENT		CAPE COD HEALTHCARE CONDUCTS COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENTS FOR THE SERVICE AREA WITH AN ONGOING ANNUAL REVIEW PROCESS. CCHC SOLICITS COMMUNITY PARTICIPATION IN THE DESIGN, DATA COLLECTION AND DEVELOPMENT OF RECOMMENDATIONS FOR THE ASSESSMENT AND PLANNING. THE STUDY FINDINGS ARE THE FOUNDATION FOR PROGRAM PLANNING AND IMPLEMENTATION. 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 BROAD SCALE COMMUNITY HEALTH NEEDS ASSESSMENT IN 2009. AN INTERIM ASSESSMENT WAS CONDUCTED IN 2012 TO ASSESS NEEDS AND PRIORITIES WHILE BEGINNING A COMPREHENSIVE ASSESSMENT AND PLANNING PROCESS IN ALIGNMENT WITH NEW IRS GUIDELINES. THE MOST RECENT ASSESSMENT, PERFORMED IN COLLABORATION WITH COMMUNITY PARTNERS OPERATING IN BARNSTABLE COUNTY, 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. THE FOLLOWING SOURCES WERE UTILIZED IN THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENTS: - ASTHMA PREVENTION AND CONTROL PROGRAMS: STATE OF MASSACHUSETTS - BUREAU OF SUBSTANCE ABUSE SERVICES: MASSACHUSETTS - CAPE COD COMMISSION: OVERVIEW OF CAPE & ISLANDS POPULATION - CAPE COD HOSPITAL DATA - CENTERS FOR DISEASE CONTROL AND PREVENTION - FALMOUTH HOSPITAL DATA - INJURY SURVEILLANCE PROGRAM: MASSACHUSETTS - KEY INFORMANT INTERVIEWS - LOCAL HEALTH AGENCIES - MASSACHUSETTS CANCER REGISTRY - MASSHEALTH DATA CONSORTIUM: INPATIENT MARKET UTILIZATION - MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH: MASSCHIP (MASSACHUSETTS COMMUNITY HEALTH INFORMATION PROFILE) - MDPH REGIONAL HEALTH STATUS INDICATORS - NATIONAL INSTITUTE OF HEALTH - SENIOR MOBILITY INITIATIVE ON CAPE COD [SMICC] - U.S. CENSUS BUREAU CONSULTANTS/OTHER ORGANIZATIONS: -BARNSTABLE COUNTY HUMAN SERVICES -CAPE AND ISLANDS EMS SYSTEMS, INC. -CAPE AND ISLANDS SUICIDE PREVENTION COALITION -CAPE COD IMMIGRANT CENTER -COMMUNITY ACTION COMMITTEE OF CAPE COD & ISLANDS -COMMUNITY HEALTH CENTER OF CAPE COD -COUNCILS ON AGING -DUFFY HEALTH CENTER -GOSNOLD ON CAPE COD -HARBOR COMMUNITY HEALTH CENTER - HYANNIS -MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH -THE BARNSTABLE HUMAN RIGHTS COMMISSION -THE CAPE AND ISLANDS COMMUNITY HEALTH NETWORK (CHNA 27) -ORAL HEALTH EXCELLENCE COLLABORATIVE -OUTER CAPE HEALTH SERVICES DATA SOURCES: COMMUNITY FOCUS GROUPS, HOSPITAL, CONSUMER GROUP, INTERVIEWS, MASSCHIP, PUBLIC HEALTH PERSONNEL, SURVEYS, CHNA.
COMMUNITY BENEFITS PROGRAMS		FINANCIAL COUNSELING & ASSISTANCE PROGRAM TYPE: COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE, DIRECT SERVICES, HEALTH COVERAGE SUBSIDIES OR ENROLLMENT, HEALTH PROFESSIONAL/STAFF TRAINING, OUTREACH TO UNDERSERVED, AND PREVENTION. BRIEF DESCRIPTION OR OBJECTIVE: THE FINANCIAL COUNSELING AND ASSISTANCE 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 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, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY, AND SUPPORTING HEALTHCARE REFORM. 1. GOAL DESCRIPTION IMPROVE COMMUNITY AWARENESS OF STATE INSURANCE PROGRAMS. GOAL STATUS PROVIDED OUTREACH AND EDUCATION TO 19 COMMUNITY ORGANIZATIONS AND HOSPITAL DEPARTMENTS TO BUILD AWARENESS OF INSURANCE OPTIONS AND THE ENROLLMENT PROCESS. ONGOING. 2. GOAL DESCRIPTION INCREASE ACCESS TO CARE THROUGH ENROLLMENT. GOAL STATUS ASSISTED 3,300 INDIVIDUALS WITH VIRTUAL GATEWAY APPLICATIONS AND REVERIFICATIONS. ONGOING. PARTNERS PARTNER NAME, DESCRIPTION AND WEB ADDRESS COMMUNITY ACTION COMMITTEE OF CAPE COD AND ISLANDS HTTP://WWW.CACCI.CC/ THE FALMOUTH SERVICE CENTER WWW.FALMOUTHSERVICECENTER.ORG FALMOUTH HUMAN SERVICES WWW.FALMOUTHHUMANSERVICES.ORG VICTIM'S COMPENSATION OFFICE, MA ATTORNEY GENERAL'S OFFICE WWW.MASS.GOV BRAMBLEBUSH PEDIATRICS WWW.BRANMBLEBUSHPEDIATRICS.COM THE FAMILY PANTRY WWW.THEFAMILYPANTRY.COM WE CAN WWW.WECANCENTER.ORG COMMUNITY HEALTH CENTER OF CAPE COD WWW.CHCOFCAPECOD.ORG PHYSICIAN RECRUITMENT PROGRAM TYPE: COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE, OUTREACH TO UNDERSERVED, AND PHYSICIAN/PROVIDER DIVERSITY. BRIEF DESCRIPTION OR OBJECTIVE: THE PHYSICIAN RECRUITMENT PROGRAM AT CAPE COD HEALTHCARE 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 AS EMPLOYEES OF CAPE COD HEALTHCARE OR ASSISTED WITH ESTABLISHING A PRIVATE PRACTICE TO ENSURE ADEQUATE PRIMARY CARE AND SPECIALTY SERVICES IN OUR REGION. TARGET POPULATION REGIONS SERVED: BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, OTHER: UNINSURED/UNDERINSURED SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL GOALS STATEWIDE PRIORITY: ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY, AND SUPPORTING HEALTHCARE REFORM. GOAL DESCRIPTION INCREASE ACCESS TO HEALTH CARE THROUGH PHYSICIAN AND PHYSICIAN EXTENDER RECRUITMENT FOR OUR REGION. GOAL STATUS TWENTY-TWO PROVIDERS WERE RECRUITED TO INCREASE ACCESS TO HEALTH CARE IN OUR REGION WHICH INCLUDED SIXTEEN PROVIDERS FOR PRIMARY CARE SERVICES AND SIX PROVIDERS FOR SPECIALTY CARE SERVICES. ONGOING. REACHING ELDERS WITH ADDITIONAL COMMUNITY HELP [REACH]: CAPE & ISLANDS EMERGENCY MEDICAL SERVICES SYSTEM (CIEMSS) PROGRAM TYPE: COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE, DIRECT SERVICES, GRANT/DONATION/FOUNDATION/SCHOLARSHIP, HEALTH COVERAGE SUBSIDIES OR ENROLLMENT, HEALTH PROFESSIONAL/STAFF TRAINING, HEALTH SCREENING, OUTREACH TO UNDERSERVED, AND 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, AND REDUCING HEALTH DISPARITY. 1. GOAL DESCRIPTION INCREASE ACCESS TO CARE THROUGH COMMUNITY COLLABORATION AND COORDINATION REFERRALS FOR AT LEAST 300 FRAIL ELDERLY RESIDENTS. GOAL STATUS IDENTIFIED AT-RISK ELDERS AND REFERRED 306 PEOPLE TO COMMUNITY BASED SERVICES. ONGOING. 2. GOAL DESCRIPTION CONTINUE SUPPORT AND DISPATCH SERVICES FOR WELLNESS AND SUICIDE PREVENTION THROUGH UTILIZATION OF PARTNER ORGANIZATIONS AND CLINICIANS. GOAL STATUS PROVIDED ADDITIONAL SUPPORT TO 85 ELDERS FROM VISITING NURSE ASSOCIATION'S RN WELLNESS COACH OR MENTAL HEALTH CLINICAL COACH. ONGOING. 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 NURSE ASSOCIATION WWW.VNACAPECOD.ORG COMMUNITY BASED INTERPRETER SERVICES PROGRAM TYPE: COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE, DIRECT SERVICES, GRANT/DONATION/FOUNDATION/SCHOLARSHIP, HEALTH COVERAGE SUBSIDIES OR ENROLLMENT, OUTREACH TO UNDERSERVED, PHYSICIAN/PROVIDER DIVERSITY, PREVENTION, AND 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, AND SUPPORTING HEALTHCARE REFORM. 1. GOAL DESCRIPTION INCREASE ACCESS TO CARE BY PROVIDING 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 1,022 INTERPRETATIONS. 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 SPECIALTY NETWORK FOR THE UNINSURED (SNU): COMMUNITY HEALTH CENTER OF CAPE COD PROGRAM TYPE: COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE, DIRECT SERVICES, GRANT/DONATION/FOUNDATION/SCHOLARSHIP, HEALTH COVERAGE SUBSIDIES OR ENROLLMENT, OUTREACH TO UNDERSERVED, PHYSICIAN/PROVIDER DIVERSITY, PREVENTION, AND SCHOOL/HEALTH CENTER PARTNERSHIP. BRIEF DESCRIPTION OR OBJECTIVE: THE SPECIALTY NETWORK FOR THE UNINSURED (SNU) PROVIDES ACCESS TO SPECIALTY CARE SERVICES FOR 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, IMMUNIZATION, OTHER: ALZHEIMER DISEASE, OTHER: ARTHRITIS, OTHER: CANCER, OTHER: CARDIAC DISEASE, OTHER: CHRONIC PAIN , OTHER: COLITIS/CROHN DISEASE, OTHER: CULTURAL COMPETENCY, OTHER: DENTAL HEALTH, OTHER: DIABETES, OTHER: ELDER CARE, OTHER: HEARING, OTHER: HEPATITIS, OTHER: HIV/AIDS, OTHER: HYPERTENSION, OTHER: LYME DISEASE, OTHER: NUTRITION, OTHER: OSTEOPOROSIS/MENOPAUSE, OTHER: PARKINSON'S DISEASE, OTHER: PREGNANCY, OTHER: PULMONARY DISEASE/TUBERCULOSIS, OTHER: SEXUALLY TRANSMITTED DISEASES, OTHER: SICKLE CELL DISEASE, OTHER: STROKE, OTHER: UNINSURED/UNDERINSURED, OTHER: VISION , OVERWEIGHT AND OBESITY SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL GOALS STATEWIDE PRIORITY: ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY, AND SUPPORTING HEALTHCARE REFORM. 1. GOAL DESCRIPTION INCREASE ACCESS TO SPECIALTY CARE FOR AT LEAST 650 LOW-INCOME AND UNINSURED PATIENTS. GOAL STATUS THE SNU PROVIDED 856 PATIENT APPOINTMENTS WITH SPECIALISTS. ONGOING. 2. GOAL DESCRIPTION MAINTAIN CAPACITY OF SNU TO ACCEPT PATIENTS FOR SPECIALTY CARE. GOAL STATUS THE PROGRAM MAINTAINED AND DEVELOPED AGREEMENTS WITH 76 SPECIALISTS AND COORDINATED THREE SPECIALTY CLINICS INCLUDING CARDIOLOGY, ORTHOPEDICS, AND DIABETIC EYE EXAMS. ONGOING. PARTNERS PARTNER NAME, DESCRIPTION AND WEB ADDRESS COMMUNITY HEALTH CENTER OF CAPE COD HTTP://WWW.CHCOFCAPECOD.ORG/ HARBOR COMMUNITY HEALTH CENTER- HYANNIS WWW.HHSI.US DUFFY HEALTH CENTER WWW.DUFFYHEALTHCENTER.ORG NANTUCKET COTTAGE HOSPITAL WWW.NANTUCKETHOSPITAL.ORG ISLAND HEALTH CARE WWW.IHIMV.ORG CAPE COD HEALTHCARE WWW.CAPECODHEALTH.ORG PRIMARY CARE INTERNISTS OF HYANNIS
PRESCRIPTION ASSISTANCE PROGRAM		PROGRAM TYPE: DIRECT SERVICES, GRANT/DONATION/FOUNDATION/SCHOLARSHIP, HEALTH COVERAGE SUBSIDIES OR ENROLLMENT, AND 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, AND REDUCING HEALTH DISPARITY. GOAL DESCRIPTION ASSIST INDIVIDUALS WHO ARE UNABLE TO AFFORD MEDICATIONS TO ENSURE COMPLIANCE WITH THEIR DISCHARGE PLAN. GOAL STATUS CAPE COD HOSPITAL AND FALMOUTH HOSPITAL EMERGENCY DEPARTMENTS PROVIDED PHARMACY VOUCHERS TOTALING $29,390 FOR UNINSURED, UNDERINSURED OR FINANCIALLY CHALLENGED PATIENTS WHO WERE UNABLE TO AFFORD PRESCRIPTIONS UPON DISCHARGE. ONGOING. TRANSPORTATION ASSISTANCE PROGRAM PROGRAM TYPE: COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE, DIRECT SERVICES, GRANT/DONATION/FOUNDATION/SCHOLARSHIP, AND 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: SAFETY, OTHER: UNINSURED/UNDERINSURED SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL GOALS STATEWIDE PRIORITY: ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, AND REDUCING HEALTH DISPARITY. 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 DEPARTMENTS PROVIDED TAXI VOUCHERS TOTALING $24,058 FOR UNINSURED, UNDERINSURED OR FINANCIALLY CHALLENGED PATIENTS UPON DISCHARGE. ONGOING. DETERMINATION OF NEED: OFFICE BASED OPIOID TREATMENT PROGRAM (OBOT) PROGRAM TYPE: COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE, DIRECT SERVICES, GRANT/DONATION/FOUNDATION/SCHOLARSHIP, HEALTH COVERAGE SUBSIDIES OR ENROLLMENT, HEALTH PROFESSIONAL/STAFF TRAINING, OUTREACH TO UNDERSERVED, PREVENTION, AND SUPPORT GROUP. BRIEF DESCRIPTION OR OBJECTIVE: IN AN EFFORT TO ADDRESS THE GROWING RATES OF OPIATE ADDICTION IN OUR REGION, THE DUFFY HEALTH CENTER DEVISED AN INTEGRATED MODEL TO PROVIDE THE EVIDENCED-BASED PRACTICE OF OFFICE-BASED OPIOID TREATMENT (OBOT) WITH THE OBJECTIVE OF PROGRAM EXPANSION TO ADDITIONAL MEMBERS OF THE COMMUNITY HEALTH CENTER NETWORK (CHCN). 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 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: ALL GOALS STATEWIDE PRIORITY: ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, AND REDUCING HEALTH DISPARITY. 1. GOAL DESCRIPTION PROVIDE CASE-CARE MANAGEMENT SERVICES TO ENSURE PATIENTS HAVE A HIGH LEVEL OF STAFF INTERVENTION DURING TREATMENT. GOAL STATUS IN FY12, THE DHC PANEL AVERAGED 122 PATIENTS, THE CHCCC PANEL AVERAGED 56 PATIENTS AND THE OCHS PANEL AVERAGED 135 PATIENTS. PATIENTS WERE CLOSELY MONITORED TO ENSURE ADHERENCE TO PROGRAM RECOVERY PROTOCOLS. 2. GOAL DESCRIPTION INCREASE ACCESS TO PROGRAM SERVICES. GOAL STATUS ALL THREE PROVIDERS OFFER A VARIETY OF CARE MANAGEMENT, SUPPORT GROUPS AND SUPPORT. ACCESS TO GOSNOLD ON CAPE COD IS PROVIDED TO ALL PATIENTS FROM EACH HEALTH CENTER THAT NEED DETOXIFICATION, REHAB OR INTENSIVE OUTPATIENT SERVICES. PARTNERS PARTNER NAME, DESCRIPTION AND 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/ DETERMINATION OF NEED: CHNA 27 PROGRAM TYPE: COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE, GRANT/DONATION/FOUNDATION/SCHOLARSHIP, HEALTHY COMMUNITIES PARTNERSHIP, OUTREACH TO UNDERSERVED, AND 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 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. TARGET POPULATION REGIONS SERVED: BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, OTHER: ELDER CARE, OTHER: UNINSURED/UNDERINSURED SEX: ALL AGE GROUP: ADULT-ELDER, ALL ETHNIC GROUP: ALL LANGUAGE: ALL GOALS STATEWIDE PRIORITY: CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, AND REDUCING HEALTH DISPARITY. 1. GOAL DESCRIPTION ISSUE AN RFP SUPPORTING COLLABORATIVE, MEASURABLE AND EVIDENCE BASED REGIONAL PROGRAMS FOR THE ELDERLY AND PERSONS WITH DISABILITIES THAT PROVIDE AN IMPACT ON THE MOST URGENT NEEDS OF THE IDENTIFIED TARGET POPULATION. GOAL STATUS THROUGH A TOTAL OF $80,200 OF DETERMINATION OF NEED FUNDING, THREE GRANTS WERE AWARDED IN 2012 TO ORGANIZATIONS THAT MET THIS CRITERION. THE GRANT AWARDS RANGED FROM $15,000 TO $35,000 AND TOTALED MORE THAN $66,500. ONGOING. 2. GOAL DESCRIPTION EXPAND COMMUNITY CAPACITY BUILDING AND PROGRAM SUPPORT FOR COMMUNITY HEALTH NETWORK AREA 27. GOAL STATUS CHNA 27 HIRED A PART-TIME NETWORK COORDINATOR AND A GRANTS MANAGER ADDING CAPACITY AND PROCESS TO ONGOING EFFORTS. ONGOING. PARTNERS PARTNER NAME, DESCRIPTION AND WEB ADDRESS THE CAPE COD FOUNDATION HTTP://WWW.CAPECODFOUNDATION.ORG/ CHNA 27 HTTP://WWW.BCHUMANSERVICES.NET/COMMUNITY-HEALTH-NETWORK-AREA-CHNA/
COMMUNITY ACTION COMMITTEE OF CAPE COD & ISLANDS	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, OUTREACH TO UNDERSERVED, AND 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, REDUCING HEALTH DISPARITY, AND SUPPORTING HEALTHCARE REFORM. 1. GOAL DESCRIPTION TO ENROLL 400 INDIVIDUALS AND PROVIDE RE-ENROLLMENT ASSISTANCE TO 500 MASSHEALTH CONSUMERS. GOAL STATUS ASSISTED 998 INDIVIDUALS WITH ENROLLMENT AND 1,400 INDIVIDUALS WITH RE-ENROLLMENT IN MASSHEALTH. ONGOING. 2. GOAL DESCRIPTION REACH 1,400 RESIDENTS THROUGH EDUCATION AND WORKSHOPS ON HEALTH INSURANCE ENROLLMENT. GOAL STATUS OVER 2,600 RESIDENT ENCOUNTERS WERE ESTABLISHED THROUGH PROGRAM EFFORTS. ONGOING. 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 THE FORESTDALE SCHOOL IN SANDWICH, MA WWW.SANDWICH.K12.MA.US COMMUNITY ACTION COMMITTEE OF CAPE COD & ISLANDS WWW.CACCI.CC ACCESS TO CARE FOR HOMELESS AND AT RISK ADULTS PROGRAM TYPE: COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE, DIRECT SERVICES, GRANT/DONATION/FOUNDATION/SCHOLARSHIP, HEALTH COVERAGE SUBSIDIES OR ENROLLMENT, HEALTH SCREENING, OUTREACH TO UNDERSERVED, PREVENTION, AND 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 AND OLDER 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, REDUCING HEALTH DISPARITY, AND SUPPORTING HEALTHCARE REFORM. 1. GOAL DESCRIPTION TO COORDINATE AND FACILITATE HEALTH CARE INSURANCE ENROLLMENT WITH HARD TO REACH AND VULNERABLE POPULATIONS. GOAL STATUS THROUGH 396 ENCOUNTERS THE FOLLOWING RESULTS OCCURRED: 241 RENEWALS/REDETERMINATIONS AND 118 INITIAL MASSHEALTH APPLICATIONS WERE PROCESSED. ONGOING. 2. GOAL DESCRIPTION CONNECT CONSUMERS TO PRIMARY CARE PROVIDERS. GOAL STATUS REFERRALS FOR 98 CLIENTS WERE MADE TO PRIMARY CARE PROVIDERS. ONGOING. 3. GOAL DESCRIPTION RECRUIT AND TRAIN NEW MEDICAL PROVIDERS TO INCREASE CAPACITY TO SERVE GROWING PATIENT BASE. GOAL STATUS A NURSE PRACTITIONER WAS HIRED AND TRAINED. A PRIMARY CARE PROVIDER ASSESSMENT WAS COMPLETED AND GOALS FOR PROVIDER RECRUITMENT FOR 2013 WERE SET. ONGOING. PARTNERS PARTNER NAME, DESCRIPTION AND WEB ADDRESS VETERANS AFFAIRS VARIOUS THE DUFFY HEALTH CENTER WWW.DUFFYHEALTHCENTER.ORG COMMUNITY-BASED HEALTH EDUCATION AND OUTREACH PROGRAM TYPE: COMMUNITY EDUCATION, HEALTH SCREENING, OUTREACH TO UNDERSERVED, PREVENTION, AND 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, IMMUNIZATION, OTHER: ALCOHOL AND SUBSTANCE ABUSE, OTHER: BEREAVEMENT, OTHER: CANCER, OTHER: CANCER - BREAST, OTHER: CANCER - COLO-RECTAL, OTHER: CANCER - OTHER, OTHER: CANCER - OVARIAN, OTHER: CANCER - PROSTATE, OTHER: CARDIAC DISEASE, OTHER: CHILD CARE, OTHER: CHRONIC PAIN , OTHER: CULTURAL COMPETENCY, OTHER: DIABETES, OTHER: ELDER CARE, OTHER: FAMILY PLANNING, OTHER: HIV/AIDS, OTHER: HOSPICE, OTHER: HYPERTENSION, OTHER: NUTRITION, OTHER: OSTEOPOROSIS/MENOPAUSE, OTHER: PARKINSON'S DISEASE, OTHER: PREGNANCY, OTHER: PULMONARY DISEASE/TUBERCULOSIS, OTHER: SEXUALLY TRANSMITTED DISEASES, OTHER: STRESS MANAGEMENT, OTHER: STROKE, OTHER: UNINSURED/UNDERINSURED, OVERWEIGHT AND OBESITY, PHYSICAL ACTIVITY, SUBSTANCE ABUSE SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL GOALS STATEWIDE PRIORITY: ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY, AND SUPPORTING HEALTHCARE REFORM. 1. GOAL DESCRIPTION PROVIDE HEALTH INFORMATION AND OUTREACH TO VULNERABLE POPULATIONS AND THOSE AT RISK OF OR MANAGING CHRONIC ILLNESS. GOAL STATUS NEARLY 2,650 STAFF HOURS WERE DEDICATED TO COMMUNITY EDUCATION AND OUTREACH PROGRAMS THAT ADDRESSED TOPICS TARGETED AT PREVENTING DISEASE AND MANAGING CHRONIC ILLNESS. ONGOING. 2. GOAL DESCRIPTION PROVIDE OUTREACH AND ACCESS TO VULNERABLE POPULATIONS. GOAL STATUS PROGRAMS ARE OFFERED AT NO CHARGE AND ARE PROMOTED TO THE GENERAL COMMUNITY AND VULNERABLE POPULATIONS THROUGH THE USE OF COMMUNITY AGENCY NEWSLETTERS AND BULLETINS. ONGOING. PARTNERS PARTNER NAME, DESCRIPTION AND WEB ADDRESS CAPE COD COUNCILS ON AGING WWW.ALLCAPECOD.COM.CCIC.SENIORCENTERS.CFM CAPE COMMUNITY MEDIA CENTER WWW.CAPEMEDIA.ORG HARWICH MEN'S CLUB WWW.HARWICHCOMMUNITYCENTER.ORG CAPE & PLYMOUTH BUSINESS MAGAZINE WWW.CAPEPLYMOUTHBUSINESS.COM AIDS SUPPORT GROUP OF CAPE COD WWW.ASGCC.ORG SILENT SPRING INSTITUTE WWW.SILENTSPRING.ORG PARISH NURSE MINISTRIES OF CAPE COD SUPPORT GROUPS AND CLASSES PROGRAM TYPE: COMMUNITY EDUCATION, DIRECT SERVICES, OUTREACH TO UNDERSERVED, PREVENTION, AND 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, TIES TO A SPECIFIC HOSPITAL OR HEALTH CARE PROVIDER. TARGET POPULATION REGIONS SERVED: BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, MENTAL HEALTH, OTHER: ALCOHOL AND SUBSTANCE ABUSE, OTHER: BEREAVEMENT, OTHER: CANCER, OTHER: CANCER - BREAST, OTHER: CANCER - OTHER, OTHER: CANCER - PROSTATE, OTHER: CARDIAC DISEASE, OTHER: DIABETES, OTHER: ELDER CARE, OTHER: HYPERTENSION, OTHER: NUTRITION, OTHER: PARENTING SKILLS, OTHER: PARKINSON'S DISEASE, OTHER: PREGNANCY, OTHER: SEXUALLY TRANSMITTED DISEASES, OTHER: STRESS MANAGEMENT, OTHER: STROKE, OTHER: UNINSURED/UNDERINSURED SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL GOALS STATEWIDE PRIORITY: NOT SPECIFIED GOAL DESCRIPTION PROVIDE EDUCATION AND SUPPORT TO INDIVIDUALS, CAREGIVERS, FAMILY MEMBERS AND THE COMMUNITY AT LARGE ON A NUMBER OF CHRONIC DISEASE ISSUES. GOAL STATUS OVER 2,400 HOURS OF STAFF TIME WAS DEDICATED TO FACILITATE SUPPORT GROUPS AND CLASSES TO INDIVIDUALS, FAMILIES AND FRIENDS. INFORMATION AND RESOURCES WERE INCLUDED TO ASSIST WITH SPECIFIC DISEASE OR HEALTH RELATED CIRCUMSTANCES. ONGOING. PARTNERS PARTNER NAME, DESCRIPTION AND WEB ADDRESS VISITING NURSES ASSOCIATION HTTP://WWW.VNACAPECOD.ORG AMERICAN CANCER SOCIETY WWW.CANCER.ORG WORKFORCE DEVELOPMENT PROGRAM TYPE: COMMUNITY EDUCATION, COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE, HEALTH PROFESSIONAL/STAFF TRAINING, MENTORSHIP/CAREER TRAINING/INTERNSHIP, AND 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, OTHER: EDUCATION/LEARNING ISSUES SEX: ALL AGE GROUP: ADULT, ADULT-YOUNG, CHILD-TEEN ETHNIC GROUP: ALL LANGUAGE: ALL GOALS STATEWIDE PRIORITY: ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY, AND SUPPORTING HEALTHCARE REFORM. GOAL DESCRIPTION INCREASE ACCESS TO HEALTH CARE THROUGH SUPPORTING WORKFORCE DEVELOPMENT PARTNERSHIPS. GOAL STATUS CAPE COD HEALTHCARE STAFF DEDICATED OVER 8,035 HOURS TO STUDENT TRAINING, MENTORING AND SHADOWING. ONGOING. PARTNERS PARTNER NAME, DESCRIPTION AND WEB ADDRESS CAPE COD COMMUNITY COLLEGE WWW.CAPECOD.EDU/ UPPER CAPE REGIONAL TECHNICAL SCHOOL WWW.UPPERCAPETECH.COM/ CAPE COD REGIONAL TECHNICAL HIGH SCHOOL HTTP://WWW.CAPETECH.US/ GOODWIN COLLEGE WWW.GOODWIN.EDU MA COLLEGE OF PHARMACY AND HEALTH SCIENCES WWW.MCPHS.EDU MASSASOIT COMMUNITY COLLEGE HTTP://WWW.MASSASOIT.MASS.EDU/ SANFORD BROWN COLLEGE WWW.SANFORDBROWN.EDU BRISTOL COMMUNITY COLLEGE WWW.BRISTOL.MASS.EDU WWW.BRISTOL.MASS.EDU
HELPING HANDS PROGRAM		PROGRAM TYPE: COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE, DIRECT SERVICES, OUTREACH TO UNDERSERVED, AND 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, MULTIPLE MEDICATIONS, MULTIPLE REGIMEN CHANGES, OR 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: CHRONIC PAIN , OTHER: DIABETES, OTHER: EDUCATION/LEARNING ISSUES, OTHER: ELDER CARE, OTHER: HOMEBOUND, OTHER: HYPERTENSION, OTHER: PULMONARY DISEASE/TUBERCULOSIS, OTHER: SAFETY - HOME, OTHER: STROKE SEX: ALL AGE GROUP: ADULT, 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, AND REDUCING HEALTH DISPARITY. 1. GOAL DESCRIPTION PROVIDE MEDICATION MANAGEMENT VISIT, SERVICES AND EDUCATION POST-DISCHARGE FROM CAPE COD HOSPITAL AND FALMOUTH HOSPITAL. GOAL STATUS PROVIDED 229 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 PROVIDE HIGH-RISK PATIENTS WITH MONTHLY IN-HOME ASSESSMENT WITH A REGISTERED NURSE AND PHARMACIST AS NEEDED, TO PROVIDE MULTI-MONTH CARE PLAN, CARE COORDINATION AND CAREGIVER SUPPORT. GOAL STATUS PROVIDED 195 HOME VISITS 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 AND 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/ YOUTH SUICIDE PREVENTION PROJECT: ASIST TRAINING PROGRAM TYPE: COMMUNITY EDUCATION, COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE, DIRECT SERVICES, GRANT/DONATION/FOUNDATION/SCHOLARSHIP, HEALTH PROFESSIONAL/STAFF TRAINING, HEALTH SCREENING, OUTREACH TO UNDERSERVED, PREVENTION, SCHOOL/HEALTH CENTER PARTNERSHIP, AND SUPPORT GROUP. BRIEF DESCRIPTION OR OBJECTIVE: A PROGRAM TO PROVIDE APPLIED SUICIDE INTERVENTION SKILLS TRAINING (ASIST) TO CLINICIANS, TEACHERS, MENTAL HEALTH PROFESSIONALS, YOUTH DEVELOPMENT PROFESSIONALS, AND GATEKEEPERS WITH THE GOAL TO REDUCE SUICIDE SPECIFICALLY OF AT-RISK YOUTH. TARGET POPULATION REGIONS SERVED: BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, INJURY AND VIOLENCE, MENTAL HEALTH, SUBSTANCE ABUSE SEX: ALL AGE GROUP: ADULT, ADULT-YOUNG, CHILD-PRETEEN, CHILD-TEEN ETHNIC GROUP: ALL LANGUAGE: ALL GOALS STATEWIDE PRIORITY: CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, AND REDUCING HEALTH DISPARITY. GOAL DESCRIPTION TRAIN 100 INDIVIDUALS TO IDENTIFY PEOPLE WHO HAVE SUICIDAL BEHAVIOR AND DEVELOP A PLAN TO INCREASE SAFETY FROM SUICIDAL RISK. GOAL STATUS OVER 400 INDIVIDUALS REPRESENTING SEVERAL COMMUNITY ORGANIZATIONS AND INITIATIVES ATTENDED SIX TRAINING WORKSHOPS ON SUICIDE AWARENESS, PREVENTION, INTERVENTION, AND POST-VENTION TRAININGS AND PRESENTATIONS. PARTNERS PARTNER NAME, DESCRIPTION AND WEB ADDRESS COMMUNITY HEALTH CENTER OF CAPE COD HTTP://WWW.CHCOFCAPECOD.ORG/ BIG BROTHER BIG SISTER OF CAPE COD AND THE ISLANDS: IMPROVING YOUTH HEALTH THROUGH ONE TO ONE MENTORING PROGRAM TYPE: DIRECT SERVICES, GRANT/DONATION/FOUNDATION/SCHOLARSHIP, MENTORSHIP/CAREER TRAINING/INTERNSHIP, OUTREACH TO UNDERSERVED, AND PREVENTION. BRIEF DESCRIPTION OR OBJECTIVE: THIS PROJECT AIMS TO IMPROVE THE HEALTH AND WELLNESS OF AT-RISK CHILDREN THROUGH MATCHING WITH MENTORS AND FACILITATING HEALTHY ACTIVITIES THROUGH STRATEGIC PARTNERSHIPS WITH A WIDE VARIETY OF PARTNER ORGANIZATIONS AND SERVICE PROVIDERS ON CAPE COD. TARGET POPULATION REGIONS SERVED: BARNSTABLE HEALTH INDICATOR: MENTAL HEALTH, OTHER: SAFETY, OVERWEIGHT AND OBESITY, PHYSICAL ACTIVITY, RESPONSIBLE SEXUAL BEHAVIOR, SUBSTANCE ABUSE, TOBACCO USE SEX: ALL AGE GROUP: ADULT, ADULT-YOUNG, CHILD-PRETEEN, CHILD-TEEN ETHNIC GROUP: ALL LANGUAGE: ALL GOALS STATEWIDE PRIORITY: CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, AND REDUCING HEALTH DISPARITY. 1. GOAL DESCRIPTION CREATE NEW MENTORING MATCHES THAT MEET OR EXCEED NATIONALLY ESTABLISHED MENTORING MATCH RETENTION AND STRENGTH OF RELATIONSHIP STANDARDS. GOAL STATUS OVER 60 NEW MATCH RELATIONSHIPS WERE CREATED WITH STRENGTH OF RELATIONSHIP STANDARDS EXCEEDING 95% POSITIVE AND A 12 MONTH RETENTION RATE OF 75% WHICH EXCEEDS THE NATIONAL AVERAGE BY 10%. ONGOING. 2. GOAL DESCRIPTION A CALENDAR OF HEALTHY ACTIVITIES WILL BE DEVELOPED FOR MENTORS AND MENTEES. GOAL STATUS NINE HEALTH AND WELLNESS ACTIVITIES WERE OFFERED TO MENTORS AND MENTEES OVER EIGHT MONTHS THROUGH PARTNERSHIPS WITH LOCAL BUSINESSES AND NON-PROFIT ORGANIZATIONS. ONGOING.
PARTNERS		PARTNER NAME, DESCRIPTION AND WEB ADDRESS BIG BROTHER BIG SISTER OF CAPE COD AND THE ISLANDS WWW.BBBSMB.ORG WILLY'S GYM WWW.WILLYSGYM.COM CAPE COD MARITIME MUSEUM WWW.CAPECODMARITIMEMUSEUM.ORG CAPE COD MUSEUM OF ART WWW.CCMOA.ORG LONG PASTURE WILDLIFE SANCTUARY WWW.MASSAUDUBON.ORG CAMP BURGESS WWW.CAMPBURGESSANDHAYWARD.COM YMCA OF MARTHA'S VINEYARD WWW.YMCAMV.ORG TONY KENT ARENA WWW.TONYKENTARENA.COM THORNTON BURGESS SOCIETY WWW.THORNTONBURGESS.ORG GOSNOLD: BEHAVIORAL HEALTH IN PRIMARY CARE SETTING PROJECT PROGRAM TYPE: COMMUNITY EDUCATION, DIRECT SERVICES, GRANT/DONATION/FOUNDATION/SCHOLARSHIP, HEALTH PROFESSIONAL/STAFF TRAINING, HEALTH SCREENING, OUTREACH TO UNDERSERVED, PHYSICIAN/PROVIDER DIVERSITY, AND PREVENTION. BRIEF DESCRIPTION OR OBJECTIVE: A COLLABORATIVE PROJECT TO INTEGRATE A BEHAVIORAL HEALTH COUNSELOR INTO A PRIMARY CARE PHYSICIAN PRACTICE TO PROVIDE EARLY IDENTIFICATION AND TREATMENT OF BEHAVIORAL HEALTH ISSUES. TARGET POPULATION REGIONS SERVED: BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, MENTAL HEALTH, OTHER: ALCOHOL AND SUBSTANCE ABUSE, OTHER: CHRONIC PAIN , OTHER: DIABETES, OTHER: DOMESTIC VIOLENCE, OTHER: HYPERTENSION, OTHER: OSTEOPOROSIS/MENOPAUSE, OTHER: SAFETY, OVERWEIGHT AND OBESITY, RESPONSIBLE SEXUAL BEHAVIOR, SUBSTANCE ABUSE SEX: ALL AGE GROUP: ALL ADULTS ETHNIC GROUP: ALL LANGUAGE: ALL GOALS STATEWIDE PRIORITY: CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY, AND SUPPORTING HEALTHCARE REFORM. 1. GOAL DESCRIPTION MANAGE HIGH UTILIZING PATIENTS WITH CHRONIC HEALTH AND BEHAVIORAL HEALTH CONCERNS TO REDUCE INAPPROPRIATE MEDICAL UTILIZATION AND PRODUCE BETTER FUNCTIONAL OUTCOMES. GOAL STATUS OVER 8 MONTHS, 44 PATIENTS RANGING IN AGE FROM 21 TO 88 YEARS OLD, WERE REFERRED FROM THE PHYSICIAN TO THE BEHAVIORAL HEALTH CLINICIAN FOR A RANGE OF CONDITIONS INCLUDING ANXIETY, DEPRESSION AND PAIN MANAGEMENT. 2. GOAL DESCRIPTION INCREASE PRODUCTIVITY OF PRIMARY CARE TEAM BY SHIFTING BEHAVIORAL HEALTH INTERVENTIONS TO BEHAVIORAL HEALTH CLINICIAN. GOAL STATUS APPROXIMATELY 34% OF CLIENTS ASSESSED BY THE BEHAVIORAL HEALTH CLINICIAN COULD HAVE BEEN DIRECTED AWAY FROM MEDICAL STAFF AND TO CLINICIANS, THUS INCREASING THE TIME AND PRODUCTIVITY OF THE MEDICAL STAFF. PARTNERS PARTNER NAME, DESCRIPTION AND WEB ADDRESS GOSNOLD ON CAPE COD WWW.GOSNOLD.ORG ORAL HEALTH EXCELLENCE COLLABORATIVE PROGRAM TYPE: COMMUNITY EDUCATION, COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE, DIRECT SERVICES, GRANT/DONATION/FOUNDATION/SCHOLARSHIP, HEALTH COVERAGE SUBSIDIES OR ENROLLMENT, HEALTH SCREENING, OUTREACH TO UNDERSERVED, PREVENTION, AND SCHOOL/HEALTH CENTER PARTNERSHIP. BRIEF DESCRIPTION OR OBJECTIVE: THE ORAL HEALTH EXCELLENCE COLLABORATIVE (OHEC) INCREASES DENTAL CARE ACCESS FOR LOW-INCOME ELDERS BY REMOVING BARRIERS THROUGH STRENGTHENING EDUCATION, INFORMATION, COORDINATION AND REFERRAL. TARGET POPULATION REGIONS SERVED: BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, OTHER: DENTAL HEALTH, OTHER: ELDER CARE SEX: ALL AGE GROUP: ADULT, ADULT-ELDER ETHNIC GROUP: ALL LANGUAGE: ALL GOALS STATEWIDE PRIORITY: ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY, AND SUPPORTING HEALTHCARE REFORM. 1. GOAL DESCRIPTION LINK 250 ELDERS WITH AFFORDABLE AND ACCESSIBLE DENTAL CARE. GOAL STATUS SERVED 97 ELDERS THROUGH 203 DENTAL VISITS AND 336 DENTAL PROCEDURES. ONGOING. 2. GOAL DESCRIPTION INCREASE OUTREACH THROUGH CAPACITY BUILDING AND PARTNERSHIP WITH VARIOUS COMMUNITY AGENCIES. GOAL STATUS EXPANDED CAPACITY THROUGH EXPANDING PATIENT COORDINATION RESOURCES FROM 10 HOURS TO 30 HOURS AND TRAINED 132 OUTREACH WORKERS IN VARIOUS ORGANIZATIONS TO EDUCATE AND REFER ELDERS FOR DENTAL CARE. ONGOING. PARTNERS PARTNER NAME, DESCRIPTION AND WEB ADDRESS ORAL HEALTH EXCELLENCE COLLABORATIVE WWW.ORALHEALTHEXCELLENCE.NET CAPE COD DISTRICT DENTAL SOCIETY WWW.MASSDENTAL.ORG/CAPECOD COUNCILS ON AGING SERVING TOGETHER (COAST) WWW.CAPECOAST.TUMBLR.COM SERVING HEALTH INFORMATION NEEDS OF ELDERS WWW.CAPECODSENIORS.ORG ELDER SERVICES OF CAPE COD WWW.ESCCI.ORG ALZHEIMER'S SERVICES OF CAPE COD & THE ISLANDS: HOPE PROGRAM PROGRAM TYPE: DIRECT SERVICES, GRANT/DONATION/FOUNDATION/SCHOLARSHIP, HEALTH SCREENING, OUTREACH TO UNDERSERVED, PREVENTION, AND SUPPORT GROUP. BRIEF DESCRIPTION OR OBJECTIVE: THE HOPE PROGRAM PROVIDES HOME-BASED COUNSELING FOR PATIENTS WITH ALZHEIMER'S DISEASE AND THEIR CAREGIVERS. TARGET POPULATION REGIONS SERVED: BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, MENTAL HEALTH, OTHER: ALZHEIMER DISEASE, OTHER: ELDER CARE, OTHER: HOMEBOUND, OTHER: STRESS MANAGEMENT SEX: ALL AGE GROUP: ADULT, ADULT-ELDER ETHNIC GROUP: ALL LANGUAGE: ALL GOALS STATEWIDE PRIORITY: CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, AND REDUCING HEALTH DISPARITY. GOAL DESCRIPTION INCREASE SUPPORT AND EDUCATION FOR PATIENTS WITH ALZHEIMER'S DISEASE AND CAREGIVERS IN THEIR HOME. GOAL STATUS OVER 1,000 CAREGIVERS WERE PROVIDED SUPPORT AND COUNSELING IN THEIR HOMES THROUGH HELPLINE SERVICES, 105 FAMILY MEETINGS WERE FACILITATED AND 784 PHYSICIAN INFORMATION VISITS WERE ARRANGED. ONGOING. PARTNERS PARTNER NAME, DESCRIPTION AND WEB ADDRESS HOPE DEMENTIA AND ALZHEIMER'S SERVICES HTTP://HOPEHEALTHCO.ORG/SERVICES/DEMENTIA-ALZHEIMERS-SERVICES COUNCIL ON AGING- VARIOUS ORGANIZATIONS HTTP://WWW.ALLCAPECOD.COM/CCIC/SENIORCENTERS.CF
HYANNIS FAMILY PLANNING EDUCATION AND REPRODUCTIVE HEALTH CARE SERVICES		PROGRAM TYPE: COMMUNITY EDUCATION, COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE, DIRECT SERVICES, GRANT/DONATION/FOUNDATION/SCHOLARSHIP, HEALTH COVERAGE SUBSIDIES OR ENROLLMENT, HEALTH PROFESSIONAL/STAFF TRAINING, HEALTH SCREENING, HEALTHY COMMUNITIES PARTNERSHIP, OUTREACH TO UNDERSERVED, PREVENTION, SCHOOL/HEALTH CENTER PARTNERSHIP, AND SUPPORT GROUP. BRIEF DESCRIPTION OR OBJECTIVE: HYANNIS FAMILY PLANNING PROVIDED ON-SITE SERVICES RELATED TO EARLY DETECTION, TESTING AND EDUCATION ABOUT PREVENTION OF HIV/AIDS, HEPATITIS B & C, TUBERCULOSIS AND OTHER SEXUALLY TRANSMITTED DISEASES TO VULNERABLE POPULATIONS. TARGET POPULATION REGIONS SERVED: BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, IMMUNIZATION, OTHER: CULTURAL COMPETENCY, OTHER: FAMILY PLANNING, OTHER: HEPATITIS, OTHER: HIV/AIDS, OTHER: PREGNANCY, OTHER: SEXUALLY TRANSMITTED DISEASES, OTHER: UNINSURED/UNDERINSURED, RESPONSIBLE SEXUAL BEHAVIOR SEX: ALL AGE GROUP: ADULT, CHILD-PRETEEN, CHILD-TEEN ETHNIC GROUP: ALL LANGUAGE: ALL GOALS STATEWIDE PRIORITY: ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY, AND SUPPORTING HEALTHCARE REFORM. 1. GOAL DESCRIPTION OFFER SERVICES, EDUCATION AND TESTING TO 300 MALE INMATES AT THE BARNSTABLE COUNTY CORRECTIONAL FACILITY. GOAL STATUS RAPID TESTING WAS OFFERED TO 350 INMATES OF WHOM 114 WERE TESTED AND INFORMED OF THEIR STD STATUS, 14 INMATES ATTENDED EDUCATION SESSIONS AND 70 INMATES WERE EDUCATED ON REDUCING THEIR RISK OF INFECTION. 2. GOAL DESCRIPTION PROVIDE OUTREACH AND EDUCATION TO YOUTH AND ADULTS AT THE CAPE & ISLANDS GAY STRAIGHT YOUTH ALLIANCE AND ROBERT F. KENNEDY ADOLESCENT TREATMENT CENTER. GOAL STATUS OVER 170 YOUTH MEMBERS WERE REACHED, 72 GROUP EDUCATION SESSIONS WERE FACILITATED AND 9 EDUCATION SESSIONS WERE COORDINATED THROUGH YOUTH PEER LEADERS. PARTNERS PARTNER NAME, DESCRIPTION AND WEB ADDRESS BARNSTABLE COUNTY CORRECTIONAL FACILITY WWW.BSHERIFF.NET BARNSTABLE COMMUNITY CORRECTIONS CENTER WWW.MASS.GOV CAPE AND ISLANDS GAY STRAIGHT YOUTH ALLIANCE (CIGSYA) WWW.CIGSYA.ORG ROBERT F. KENNEDY CHILDREN'S ACTION CORPS CAPE COD ADOLESCENT TREATMENT CENTER WWW.RFKCHILDREN.ORG HYANNIS FAMILY PLANNING WWW.HEALTHIMPERATIVES.ORG/.../HYANNIS-FAMILY-PLANNING SUPPORTING ACCESS TO CARE FOR IMMIGRANT AND LOW-INCOME INDIVIDUALS AT HARBOR COMMUNITY HEALTH CENTER - HYANNIS PROGRAM TYPE: COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE, DIRECT SERVICES, GRANT/DONATION/FOUNDATION/SCHOLARSHIP, HEALTH COVERAGE SUBSIDIES OR ENROLLMENT, OUTREACH TO UNDERSERVED, AND SCHOOL/HEALTH CENTER PARTNERSHIP. BRIEF DESCRIPTION OR OBJECTIVE: HARBOR COMMUNITY HEALTH CENTER - HYANNIS (HCHC - H) PROVIDES FINANCIAL COUNSELING TO ASSIST WITH ELIGIBILITY AND ENROLLMENT FOR LOW-INCOME AND IMMIGRANT POPULATIONS ON THE MID AND UPPER REGIONS 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, REDUCING HEALTH DISPARITY, AND SUPPORTING HEALTHCARE REFORM. 1. GOAL DESCRIPTION ENROLL 500 INDIVIDUALS FOR HEALTH INSURANCE AND ASSIST 1,350 PATIENTS WITH RENEWAL ENROLLMENT. GOAL STATUS APPROXIMATELY 660 INDIVIDUALS WERE ENROLLED AND 1,430 PATIENTS WERE ASSISTED WITH RE-ENROLLMENT. ONGOING. 2. GOAL DESCRIPTION ASSIST 650 PATIENTS WITH NEW VIRTUAL GATEWAY APPLICATIONS. GOAL STATUS APPROXIMATELY 659 PATIENTS WERE ASSISTED WITH VIRTUAL GATEWAY APPLICATIONS. ONGOING. PARTNERS PARTNER NAME, DESCRIPTION AND WEB ADDRESS HARBOR COMMUNITY HEALTH CENTER - HYANNIS WWW.HHSI.US SAMARITANS: ELDER SUICIDE PREVENTION TRAINING FOR CAPE & ISLANDS COMMUNITIES PROGRAM TYPE: COMMUNITY EDUCATION, COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE, DIRECT SERVICES, GRANT/DONATION/FOUNDATION/SCHOLARSHIP, HEALTH PROFESSIONAL/STAFF TRAINING, HEALTH SCREENING, OUTREACH TO UNDERSERVED, AND PREVENTION. BRIEF DESCRIPTION OR OBJECTIVE: SAMARITANS OF THE CAPE & ISLANDS DEVELOPED A CURRICULUM AND SERIES OF WORKSHOPS FOR TRAINING GATEKEEPERS AND ELDER SERVICE PROFESSIONALS TO IDENTIFY DEPRESSION AND SUICIDAL TENDENCIES IN OLDER ADULTS. TARGET POPULATION REGIONS SERVED: BARNSTABLE HEALTH INDICATOR: INJURY AND VIOLENCE, MENTAL HEALTH, OTHER: ELDER CARE, OTHER: SAFETY SEX: ALL AGE GROUP: ADULT-ELDER ETHNIC GROUP: ALL LANGUAGE: ALL
GOALS		STATEWIDE PRIORITY: PROMOTING WELLNESS OF VULNERABLE POPULATIONS, AND REDUCING HEALTH DISPARITY. 1. GOAL DESCRIPTION DEVELOP A FOUR HOUR CURRICULUM FOR TRAINING GATEKEEPERS TO IDENTIFY DEPRESSION AND SUICIDAL TENDENCIES IN OLDER ADULTS AND CONDUCT THREE TRAINING SESSIONS. GOAL STATUS A 7.5 HOUR CURRICULUM WAS DEVELOPED TO ADDRESS THE SPECIFIC NEEDS OF ELDERS ACROSS THE CAPE AND ISLANDS. FOUR TRAINING SESSIONS WERE CONDUCTED. 2. GOAL DESCRIPTION LEAD TRAINING SESSIONS FOR AT LEAST 75 ELDER SERVICE PROVIDERS AND GATEKEEPERS OF OLDER ADULTS. GOAL STATUS TRAINING SESSIONS WERE ATTENDED BY 34 ELDER SERVICE PROFESSIONALS AND GATEKEEPERS AND ABBREVIATED TRAINING WAS PROVIDED TO 36 SAMARITAN VOLUNTEERS. PARTNERS PARTNER NAME, DESCRIPTION AND WEB ADDRESS VNA OF CAPE COD WWW.VNACAPECOD.ORG CAPE AND ISLANDS EMS SYSTEM HTTP://WWW.CIEMSS.ORG/ MA DEPARTMENT OF MENTAL HEALTH WWW.MASS.GOV/DMH MA DEPARTMENT OF PUBLIC HEALTH WWW.MASS.GOV/DPH ELDER SERVICES OF CAPE COD AND THE ISLANDS HTTP://WWW.ESCCI.ORG/ CAPE CONSORTIUM FOR AT-RISK OLDER ADULTS N/A COMMUNITY HEALTH NETWORK AREA 27 (CHNA 27) HTTP://WWW.BCHUMANSERVICES.NET/COMMUNITY-HEALTH-NETWORK-AREA-CHNA/ SUPPORTING ACCESS AND OUTREACH EFFORTS AT THE COMMUNITY HEALTH CENTER OF CAPE COD PROGRAM TYPE: COMMUNITY EDUCATION, COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE, DIRECT SERVICES, GRANT/DONATION/FOUNDATION/SCHOLARSHIP, HEALTH COVERAGE SUBSIDIES OR ENROLLMENT, OUTREACH TO UNDERSERVED, PREVENTION, AND SCHOOL/HEALTH CENTER PARTNERSHIP. BRIEF DESCRIPTION OR OBJECTIVE: THE COMMUNITY HEALTH CENTER OF CAPE COD PROVIDES ACCESS TO CARE THROUGH ASSISTING NEW PATIENTS WITH INSURANCE ENROLLMENTS, REFERRALS TO PRIMARY CARE AND COMMUNITY OUTREACH TO VULNERABLE AND SPECIAL POPULATIONS IN THE UPPER REGION OF CAPE COD. TARGET POPULATION REGIONS SERVED: BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, OTHER: CULTURAL COMPETENCY, 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, REDUCING HEALTH DISPARITY, AND SUPPORTING HEALTHCARE REFORM. 1. GOAL DESCRIPTION ASSIST 350 INDIVIDUALS WITH ENROLLMENT AND RE-ENROLLMENT OF INSURANCE. GOAL STATUS ASSISTED NEARLY 1,000 INDIVIDUALS WITH OVER 3,000 APPLICATIONS. ONGOING. 2. GOAL DESCRIPTION EXPAND OUTREACH THROUGH STRENGTHENING A NETWORK OF COMMUNITY PARTNERS. GOAL STATUS THE COMMUNITY HEALTH CENTER OF CAPE COD EXPANDED HOURS AT OFFSITE LOCATION WHERE ASSISTANCE IS OFFERED IN HEALTH INSURANCE ENROLLMENT AND CARE. ADDITIONAL COLLABORATIONS WERE STRENGTHENED WITH AREA SCHOOLS, SHELTERS AND NON-PROFIT ORGANIZATIONS. ONGOING. PARTNERS PARTNER NAME, DESCRIPTION AND WEB ADDRESS FALMOUTH SERVICE CENTER WWW.FALMOUTHHUMANSERVICES.ORG BARNSTABLE COUNTY SHERIFF'S DEPARTMENT WWW.BSHERIFF.NET VARIOUS SCHOOL SYSTEMS N/A COMMUNITY HEALTH CENTER OF CAPE COD HTTP://WWW.CHCOFCAPECOD.ORG/ GOSNOLD ON CAPE COD: CARE COORDINATOR PILOT PROGRAM PROGRAM TYPE: COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE, DIRECT SERVICES, GRANT/DONATION/FOUNDATION/SCHOLARSHIP, OUTREACH TO UNDERSERVED, PREVENTION, AND SUPPORT GROUP. BRIEF DESCRIPTION OR OBJECTIVE: THIS PILOT PROGRAM WAS DEVELOPED TO ASSESS THE EFFICACY OF POST-EPISODIC TREATMENT FOLLOW-UP COMMUNICATION ON CONTINUING CARE COMPLIANCE AND SUSTAINED RECOVERY (ABSTINENCE). TARGET POPULATION REGIONS SERVED: BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, MENTAL HEALTH, OTHER: ALCOHOL AND SUBSTANCE ABUSE, SUBSTANCE ABUSE SEX: ALL AGE GROUP: ADULT, ADULT-YOUNG, CHILD-TEEN ETHNIC GROUP: ALL LANGUAGE: ALL GOALS STATEWIDE PRIORITY: CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, AND REDUCING HEALTH DISPARITY. 1. GOAL DESCRIPTION TO PROVIDE 75 PATIENTS, AGES 18 - 26 YEARS OLD, WITH OVERSIGHT AND MANAGEMENT OF THEIR AFTERCARE PLANS TO ENSURE COMPLIANCE. GOAL STATUS DURING THE PILOT PHASE, 55 PATIENTS RECEIVED OVERSIGHT OF THEIR AFTERCARE PLANS AND 100% OF PATIENTS WERE CONTACTED WITHIN 24 HOURS OF DISCHARGE OR CONTINUED INPATIENT OR RESIDENTIAL TREATMENT. ONGOING. 2. GOAL DESCRIPTION PATIENTS TO BE CONTACTED WEEKLY TO DISCUSS COMPLIANCE WITH TREATMENT PLAN. GOAL STATUS FOLLOW-UP COMMUNICATION INDICATED THAT 53% OF PATIENTS HAD KEPT THEIR INITIAL CONTINUING CARE APPOINTMENT, 33% OF THOSE PATIENTS MISSED THEIR SECOND APPOINTMENT AND 77% MISSED THEIR THIRD APPOINTMENT. ONGOING. PARTNERS PARTNER NAME, DESCRIPTION AND WEB ADDRESS GOSNOLD ON CAPE COD WWW.GOSNOLD.ORG SUPPORTING THE HEALTHY COMMUNITIES PROGRAM AT OUTER CAPE HEALTH SERVICES PROGRAM TYPE: COMMUNITY EDUCATION, COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE, DIRECT SERVICES, GRANT/DONATION/FOUNDATION/SCHOLARSHIP, HEALTH COVERAGE SUBSIDIES OR ENROLLMENT, OUTREACH TO UNDERSERVED, AND SCHOOL/HEALTH CENTER PARTNERSHIP. BRIEF DESCRIPTION OR OBJECTIVE: OUTER CAPE HEALTH SERVICES (OCHS) IS A COMMUNITY HEALTH CENTER THAT PROVIDES PRIMARY AND URGENT CARE TO THE EIGHT TOWNS IN THE LOWER AND OUTER CAPE. OCHS'S HEALTHY CONNECTIONS PROGRAM PROVIDES OUTREACH, INSURANCE ENROLLMENT, AND POST ENROLLMENT SERVICES TO MEMBERS OF OUR COMMUNITY. TARGET POPULATION REGIONS SERVED: BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, OTHER: UNINSURED/UNDERINSURED SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL GOALS STATEWIDE PRIORITY: ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY, AND SUPPORTING HEALTHCARE REFORM. 1. GOAL DESCRIPTION ENROLL CLIENTS IN A HEALTH PLAN AND OFFER POST-ENROLLMENT ASSISTANCE. GOAL STATUS ASSISTED 965 CLIENTS WITH APPROVED ENROLLMENT SUBMISSIONS AND 1,299 CLIENTS WITH RE-ENROLLMENT/ELIGIBILITY REVIEW VERIFICATIONS. ONGOING. 2. GOAL DESCRIPTION ASSIST CLIENTS WITH CONNECTIONS TO PRIMARY CARE PROVIDER AND COMMUNITY-BASED SERVICES. GOAL STATUS PROVIDED 1,191 CLIENTS WITH REFERRALS TO PRIMARY CARE PROVIDERS AND 1,786 REFERRALS TO OTHER COMMUNITY-BASED SERVICES AND PROGRAMS. ONGOING. PARTNERS PARTNER NAME, DESCRIPTION AND WEB ADDRESS OUTER CAPE HEALTH SERVICES WWW.OUTERCAPE.ORG
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. & AFFILIATES 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 III, LINE 6 CAPE COD HEALTHCARE, INC & AFFILIATES' VOLUNTEERS INCLUDE ITS TRUSTEES. FORM 990, PART VI, LINE 7(A) THE ORGANIZATION HAS MEMBERS/INCORPORATORS WHO ELECT THE ORGANIZATION'S TRUSTEES. FORM 990, PART VI, LINE 7(B) THE DECISIONS OF THE GOVERNING BODY THAT NEED APPROVAL BY ITS MEMBERS/INCORPORATORS INCLUDE APPROVAL OF CHANGES MADE TO THE CORPORATION'S BYLAWS AND APPROVAL WHEN THERE IS A DIVESTING OF ONE OF THE MAJOR AFFILIATES OF THE ORGANIZATION. MAJOR AFFILIATES OF THE ORGANIZATION. FORM 990, PART VI, LINE 11 THE ORGANIZATION'S FORM 990 IS REVIEWED AT SEVERAL LEVELS. THE ORGANIZATION ENGAGES A PUBLIC ACCOUNTING FIRM TO ASSIST IN THE PREPARATION AND REVIEW OF ITS FORM 990 AND WHO SIGNS AS PAID PREPARER. SENIOR MANAGEMENT OF THE ORGANIZATION IS RESPONSIBLE FOR THE TIMELY PREPARATION OF FORM 990. THE COMPLETED FORM 990 IS PROVIDED TO THE FINANCE COMMITTEE AND THE ENTIRE BOARD IN ADVANCE OF THE FILING DEADLINE. FORM 990, PART VI, LINE 12 THE ORGANIZATION MAINTAINS A CONFLICT OF INTEREST POLICY AND REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THIS POLICY. ON AN ANNUAL BASIS, EACH TRUSTEE, OFFICER AND EMPLOYEE AT THE SENIOR MANAGEMENT LEVEL COMPLETES A CONFLICT OF INTEREST DISCLOSURE FORM. THE FORMS ARE REVIEWED BY CAPE COD HEALTHCARE, INC.'S ("CCHC") DIRECTOR OF CLINICAL AND RESEARCH COMPLIANCE WHO PREPARES A SUMMARY FOR CCHC'S COMPLIANCE OFFICER. ANY MATERIAL INTERESTS SO DISCLOSED ARE PRESENTED TO THE CORPORATION'S GOVERNANCE COMMITTEE FOR REVIEW AND RESOLUTION. ALL DISCLOSURE STATEMENTS SUBMITTED BY EMPLOYEES WILL BE REVIEWED BY HUMAN RESOURCES AND/OR CCHC'S DIRECTOR OF CLINICAL AND RESEARCH COMPLIANCE. FOR ANY DISCLOSURE THAT IS CONSIDERED SUBSTANTIVE THE EMPLOYEE'S AREA MANAGER WILL BE CONSULTED TO DETERMINE IF THE SITUATION IS GENERALLY ACCEPTABLE, REQUIRES FURTHER EXAMINATION AND POSSIBLE ACTION OR IS GENERALLY NOT ACCEPTABLE. ANY ACTION PLAN CREATED TO MANAGE A CONFLICT OF INTEREST WILL BE MONITORED BY THE EMPLOYEE'S AREA MANAGER OR SUPERVISOR.
FORM 990, PART VI, LINE 15		THE ANNUAL PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO, OFFICERS, EXECUTIVES AND KEY EMPLOYEES INCLUDE THE FOLLOWING: CEO - COMPENSATION WILL BE DETERMINED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES, AND WILL INCLUDE CONSIDERATION OF RELEVANT MARKET DATA FURNISHED BY A DISINTERESTED COMPENSATION CONSULTANT, AND A REVIEW OF JOB PERFORMANCE. OFFICERS, EXECUTIVES AND KEY EMPLOYEES - OFFICER, EXECUTIVE AND KEY EMPLOYEE COMPENSATION WILL BE DETERMINED BY THE CEO AND WILL INCLUDE CONSIDERATION OF RECENT RELEVANT MARKET DATA FURNISHED BY A DISINTERESTED COMPENSATION CONSULTANT, AND A REVIEW OF JOB PERFORMANCE. THE CEO'S DETERMINATION OF SUCH COMPENSATION WILL BE SUBJECT TO THE APPROVAL OF THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. THE PROCESS AND CONCLUSIONS ARE DOCUMENTED IN THE MEETING MINUTES.
FORM 990, PART VI, LINE 19		THE ORGANIZATION MAKES ITS BYLAWS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE ALSO ATTACHED TO THE ANNUALLY FILED FORM PC, A PUBLICLY DISCLOSED TAX-EXEMPT ORGANIZATION FILING FOR THE STATE OF MASSACHUSETTS.
FORM 990, PART VII, COLUMN (B)		THE INDIVIDUALS REPORTED AS RECEIVING COMPENSATION FROM A RELATED ORGANIZATION IN COLUMNS (E) AND (F) IN PART VII ARE EMPLOYEES AT CAPE COD HEALTHCARE, INC., A TAX-EXEMPT RELATED ORGANIZATION. EACH OF THESE INDIVIDUALS HAS DEVOTED AN AVERAGE OF 40 HOURS PER WEEK TO THEIR POSITIONS AT CAPE COD HEALTHCARE, INC.
FORM 990, PART XI, LINE 5	OTHER CHANGES IN NET ASSETS OR FUND BALANCES	UNREALIZED GAINS/LOSSES $14,035,009 NET ASSETS RELEASED FROM RESTRICTION ($7,934,114) TRANSFERS TO/FROM AFFILIATES ($6,420,818) CHANGE IN VALUE OF SPLIT INTEREST AGREEMENT $771,774 CHANGE IN VALUE OF PERPETUAL TRUST $1,586,607 ------------- $2,038,458
AFFILIATES INCLUDED IN GROUP RETURN		CAPE COD HOSPITAL 04-2103600 CAPE COD HUMAN SERVICES, INC. 04-2323506 CAPE & ISLANDS HEALTH SERVICES II, INC. 04-3572408 FALMOUTH HOSPITAL ASSOCIATION, INC. 04-2220716 JML CARE CENTER, INC. 04-2995795 FALMOUTH ASSISTED LIVING, INC. 22-3379395 V.N.A. OF CAPE COD, INC. 04-2104159 CAPE COD HEALTHCARE FOUNDATION, INC. 04-3475950 MEDICAL AFFILIATES OF CAPE COD, INC. 04-3187299 ALL OF THE ABOVE ENTITIES CAN BE REACHED AT: 25 COMMUNICATION WAY HYANNIS, MA 02601

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2011

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

2011

Open to Public Inspection

Name of the organization

CAPE COD HEALTHCARE INC & AFFILIATES

Employer identification number

90-0054984

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
(1) CAPE COD HEALTHCARE INC 25 COMMUNICATION WAY HYANNIS,MA02601 22-2600704	PARENT CORP	MA	501(C)(3)	13b	NA		No

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

Cat. No. 50135Y

Schedule R (Form 990) 2011

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	CAPE COD HLTHCR	C CORP	0	0	0 %
(2) CAPE COD MEDICAL OFFICE BUILDING INC 27 PARK STREET HYANNIS,MA02601 04-2423073	RENTAL SRVCE	MA	NA	C CORP	15,000	57,127	100.000 %
(3) POOLED INCOME FUNDS (8)	SUPPORT	MA	NA	T

Schedule R (Form 990) 2011

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 related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

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

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

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

h Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

Yes

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

Yes

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

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

m Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

Yes

n Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

o Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

Yes

r Other transfer of cash or property from related 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) CAPE HEALTH INSURANCE COMPANY	Q	1,133,704	FMV
(1)
(2)
(3)
(4)
(5)
(6)

Schedule R (Form 990) 2011

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)	(e) Are all partners section 501(c)(3) organizations?		(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 entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(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

Schedule R (Form 990) 2011

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:

- TIN:

TY 2011 AffiliateListing

Name:

CAPE COD HEALTHCARE INC & AFFILIATES

EIN: 90-0054984

Name	Address	EIN	Name control
CAPE COD HOSPITAL	25 COMMUNICATION WAY HYANNIS, MA 02601	04-2103600	CAPE
VISITING NURSE ASSN OF CAPE COD INC	25 COMMUNICATION WAY HYANNIS, MA 02601	04-2104159	CAPE
FALMOUTH HOSPITAL ASSOCIATION INC	25 COMMUNICATION WAY HYANNIS, MA 02601	04-2220716	CAPE
CAPE COD HUMAN SERVICES INC	25 COMMUNICATION WAY HYANNIS, MA 02601	04-2323506	CAPE
MEDICAL AFFILIATES OF CAPE COD INC	25 COMMUNICATION WAY HYANNIS, MA 02601	04-3187299	CAPE
CAPE COD HEALTHCARE FOUNDATION INC	25 COMMUNICATION WAY HYANNIS, MA 02601	04-3475950	CAPE
CAPE & ISLANDS HEALTH SERVICES II	25 COMMUNICATION WAY HYANNIS, MA 02601	04-3572408	CAPE
FALMOUTH ASSISTED LIVING INC	25 COMMUNICATION WAY HYANNIS, MA 02601	22-3379395	CAPE
JML CARE CENTER INC	25 COMMUNICATION WAY HYANNIS, MA 02601	04-2995795	CAPE

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	16
4	Number of independent voting members of the governing body (Part VI, line 1b) ....	4	11
5	Total number of individuals employed in calendar year 2011 (Part V, line 2a) ...	5	5,081
6	Total number of volunteers (estimate if necessary) ....	6	783
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ..	7a	4,616,857
b	Net unrelated business taxable income from Form 990-T, line 34 ..	7b	814,019

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	19,646,382	13,524,136
9	Program service revenue (Part VIII, line 2g) .........	654,804,853	706,902,256
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	2,002,939	5,828,575
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	1,834,139	2,216,066
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	678,288,313	728,471,033
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)	346,523,698	389,777,300
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 2,386,102
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f)....	279,117,560	279,654,809
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	625,641,258	669,432,109
19	Revenue less expenses. Subtract line 18 from line 12.......	52,647,055	59,038,924
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	696,444,171	715,315,958
21	Total liabilities (Part X, line 26).............	308,032,445	265,826,850
22	Net assets or fund balances. Subtract line 21 from line 20.....	388,411,726	449,489,108

Sign Here

	Signature of officer	Date

	Type or print name and title.


4a	(Code: ) (Expenses $ 615,807,225 including grants of $ ) (Revenue $ 706,902,256 )
	PATIENT SERVICES - SEE SCHEDULES H AND 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$ 615,807,225

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)		(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
(1) ROBERT BIRMINGHAM TRUSTEE	2.0	X
(2) THOMAS WROE JR CHAIRMAN/TRUSTEE	2.0	X	X
(3) ELEANOR CLAUS TRUSTEE	2.0	X
(4) HOWARD CROW JR TRUSTEE	2.0	X
(5) PHILIP MCLOUGHLIN TRUSTEE	2.0	X
(6) MICHAEL K LAUF PRESIDENT/CEO/TRUSTEE	40.0	X	X	0	823,886	171,332
(7) WILLIAM ZAMMER VICE CHAIRMAN/TRUSTEE	2.0	X	X
(8) GROVER BAXLEY MD TRUSTEE - SEE SCH J, PART III	40.0	X		218,447	0	1,444
(9) NATE RUDMAN MD TRUSTEE	2.0	X
(10) SUMNER B TILTON JR TRUSTEE/TREASURER	2.0	X	X
(11) JOEL CROWELL TRUSTEE/CLERK	2.0	X	X
(12) PAUL DEMEO MD TRUSTEE - SEE SCH J, PART III	2.0	X		18,000	0	0
(13) SUZANNE GLYNN ESQ TRUSTEE	2.0	X
(14) KEVIN BRESNAHAM MD TRUSTEE	2.0	X
(15) DEWITT DAVENPORT TRUSTEE	2.0	X
(16) DIANE COLETTI TRUSTEE (FROM 11/11)	2.0	X		0	0	0
(17) MICHAEL L CONNORS SENIOR VP FINANCE/CFO	40.0		X	0	448,859	67,990

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	3,950,452	5,032,807	884,283

				(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		5,695
d	Related organizations...1d
e	Government grants (contributions)1e		1,337,592

f	All other contributions, gifts, grants, and similar amounts not included above1f		12,180,849
g	Noncash contributions included in lines 1a-1f:$ 2,567,889
h	Total. Add lines 1a-1f.......			13,524,136
			Business Code
2a	PATIENT SERVICE REVENUE		900,099	683,410,672	683,410,672
b	LABORATORY SERVICES		621,500	11,913,895	7,880,210	4,033,685
c	QUALITY EARNED PAYMENTS		900,099	7,898,758	7,898,758
d	PROGRAM RELATED RENTAL INCOME		900,099	2,233,009	2,233,009
e	CHILDCARE CENTER REVENUE		624,410	583,172		583,172
f	All other program service revenue .			862,750	862,750
g	Total. Add lines 2a–2f........			706,902,256
3	Investment income (including dividends, interest
	and other similar amounts).....			2,203,229			2,203,229
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	4,353,011	-727,665
b	Less: cost or other basis and sales expenses	0	0
c	Gain or (loss)	4,353,011	-727,665
d	Net gain or (loss)..........			3,625,346			3,625,346
8a	Gross income from fundraising events (not including $ 5,695 of contributions reported on line 1c). See Part IV, line 18 ...
	a		142,963
b	Less: direct expenses ...b		45,662
c	Net income or (loss) from fundraising events..			97,301			97,301
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	CAFETERIA INCOME		900,099	1,429,249			1,429,249
b	EMPLOYEE PHARMACY		900,099	689,516			689,516
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			2,118,765
12	Total revenue. See Instructions....			728,471,033	702,285,399	4,616,857	8,044,641


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........			9,379,211	1	12,228,319
2	Savings and temporary cash investments .......			28,861,444	2	28,514,700
3	Pledges and grants receivable, net .........			12,959,162	3	8,888,600
4	Accounts receivable, net .........			63,151,599	4	71,655,629
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........			0	5	0
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 ..........			0	6	0
7	Notes and loans receivable, net .............			2,517,951	7	4,506,692
8	Inventories for sale or use ..............			8,769,838	8	8,404,515
9	Prepaid expenses and deferred charges ............			3,954,064	9	4,397,926
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	573,431,760
b	Less: accumulated depreciation. .....	10b	311,219,345	251,605,287	10c	262,212,415
11	Investments—publicly traded securities ..........			0	11	0
12	Investments—other securities. See Part IV, line 11 ......			250,549,656	12	284,135,415
13	Investments—program-related. See Part IV, line 11 ..			21,499	13	21,500
14	Intangible assets .........			0	14	0
15	Other assets. See Part IV, line 11 ...........			64,674,460	15	30,350,247
16	Total assets. Add lines 1 through 15 (must equal line 34)...			696,444,171	16	715,315,958
17	Accounts payable and accrued expenses .			67,775,937	17	70,012,723
18	Grants payable ..........			0	18	0
19	Deferred revenue ..........			13,408	19	0
20	Tax-exempt bond liabilities ..........			162,966,917	20	158,532,330
21	Escrow or custodial account liability. Complete Part IV of Schedule D..			0	21	0
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........			0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..			0	23	0
24	Unsecured notes and loans payable to unrelated third parties ....			0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.....			77,276,183	25	37,281,797
26	Total liabilities. Add lines 17 through 25.....			308,032,445	26	265,826,850
	Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....			315,843,107	27	384,581,163
28	Temporarily restricted net assets .....			46,462,504	28	36,877,477
29	Permanently restricted net assets .....			26,106,115	29	28,030,468
	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 .....			388,411,726	33	449,489,108
34	Total liabilities and net assets/fund balances .....			696,444,171	34	715,315,958

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926 (see instructions for Form 926).................	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If " Yes," the organization may be required to file Form 3520 and/or Form 3520-A. (see instructions for Forms 3520 and 3520-A)..........	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with respect to Certain Foreign Corporations. (see instructions for Form 5471)..............................	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If "Yes," the organization may be required to file Form 8621, Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see instructions for Form 8621)	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with respect to Certain Foreign Partnerships. (see instructions for Form 8865)....................................	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see instructions for Form 5713)................................................	Yes	No