TY 2012 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) MICHAEL G JONES........................................................................ Sr VP Chief Legal Off/Clerk	55.0 .......................5.0	X				0	417,449	69,978
(19) MICHAEL L CONNORS........................................................................ SENIOR VP FINANCE/CFO	55.0 .......................5.0	X				0	491,918	68,987
(20) CHRISTOPHER O'CONNOR........................................................................ SVP DEVELOPMENT (UNTIL 3/13)	45.0 .......................5.0		X			0	337,608	59,717
(21) DIANNE C KOLB........................................................................ President VNA	45.0 .......................5.0		X			0	253,994	57,232
(22) SUSAN M WING........................................................................ COO-FAL.HOSP (UNTIL 6/12)	45.0 .......................5.0		X			0	285,507	28,695
(23) DAVID RYAN........................................................................ VP of HR (until 2/13)	45.0 .......................5.0		X				269,104	61,923
(24) JEANNE FALLON........................................................................ SR VP & CIO	45.0 .......................5.0		X			0	272,766	45,524
(25) ROBERT KLEINBAUER........................................................................ President - MACC	45.0 .......................5.0		X			0	263,521	45,534
(26) Patrick Kane........................................................................ SVP OF MRKTG,COMMUN AND DEVLP	45.0 .......................5.0		X				381,083	59,119
(27) JASON M ADAMS........................................................................ COO (FROM 10/11 - 5/12)	45.0 .......................5.0		X			0	436,152	11,698
(28) RICHARD B ZELMAN MD........................................................................ PHYSICIAN	40.0 .......................			X		1,449,853		38,537
(29) EMILY TIERNEY MD........................................................................ PHYSICIAN	40.0 .......................			X		922,699		11,099
(30) PAUL HOULE MD........................................................................ PHYSICIAN	40.0 .......................			X		770,809		36,736
(31) ACHILLE PAPAVASILIOU MD........................................................................ PHYSICIAN	40.0 .......................			X		729,201		39,192
(32) ROBERT R MCANAW MD........................................................................ PHYSICIAN	40.0 .......................			X		645,414		32,638
(33) LINDA HABEEB MD........................................................................ SEE SCHEDULE J, PART III	40.0 .......................				X	263,418		29,120
(34) RICHARD F SALLUZZO MD........................................................................ FORMER PRESIDENT/CEO	.......................				X		855,504	2,449
(35) JEFFREY S DYKENS........................................................................ VP OF FINANCE	45.0 .......................5.0				X	0	279,472	57,687

(A) Name and business address	(B) Description of services	(C) Compensation
BWPO MEDICINE, PO BOX 414105BOSTONMA02241	Physician Services	2,520,919
CAPE COD EMERGENCY ASSOC, C/O DePaola Begg Ass 220 West MaHYANNISMA02601	PHYSICIAN SERVICES	1,693,534
MEDICUS HOSPITALISTS SERVICES LLC, PO BOX 414105ROULSTON ROADNH02087	Physician Services	1,652,132
CAPE COD ANESTHESIA ASSOC, 110 Main Street - Unit BHYANNISMA02601	PHYSICIAN SERVICES	1,545,831
HEALTHCARE PROVIDER SERVICES, DBA RI Blood Center PO Box 9399PROVIDENCERI02940	Blood Services	1,425,608
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 62

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 ....	815,389	815,389
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	544,283	544,283
7	Other salaries and wages	316,957,611	294,127,555	22,330,160	499,896
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	8,948,770	8,268,118	667,992	12,660
9	Other employee benefits .......	62,544,670	58,188,435	4,281,921	74,314
10	Payroll taxes ...........	19,801,212	18,355,708	1,418,294	27,210
11	Fees for services (non-employees):
a	Management ......	3,570,769	3,284,750	286,019
b	Legal .........	57,313		57,313
c	Accounting ...........	786,260		786,260
d	Lobbying ...........	0
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........	2,968,000	2,951,231		16,769
12	Advertising and promotion ....	343,327	337,029	3,409	2,889
13	Office expenses .......	2,948,876	2,776,405	161,432	11,039
14	Information technology ......	7,009,672	6,450,394	544,636	14,642
15	Royalties ..	0
16	Occupancy ...........	12,912,672	12,014,985	893,427	4,260
17	Travel ............	3,188,596	3,088,163	91,835	8,598
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	356,171	211,814	17,279	127,078
20	Interest ...........	7,210,687	6,633,654	577,033
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization .....	24,606,191	22,781,383	1,823,630	1,178
23	Insurance ..............	4,530,700	4,219,666	310,530	504
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	82,399,572	82,399,572	0	0
b	PURCHASED SERVICES	35,660,546	33,352,158	2,300,490	7,898
c	HOME OFFICE COST	28,353,382	24,470,664	3,882,718	0
d	BAD DEBTS	18,754,848	18,425,990	328,858	0
e	All other expenses	34,038,003	31,249,705	2,079,850	708,448
25	Total functional expenses. Add lines 1 through 24e	679,307,520	634,947,051	42,843,086	1,517,383
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 Check if Schedule O contains a response to any question in this Part X ...............
	1	Cashnon-interest-bearing .............	12,228,319	1	10,221,189
2	Savings and temporary cash investments .........	28,514,700	2	30,111,315
3	Pledges and grants receivable, net ...........	8,888,600	3	14,386,280
4	Accounts receivable, net .............	71,655,629	4	73,140,358
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
		0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
		0	6	0
7	Notes and loans receivable, net .............	4,506,692	7	5,572,180
8	Inventories for sale or use ..............	8,404,515	8	9,381,662
9	Prepaid expenses and deferred charges ..........	4,397,926	9	6,397,099
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	603,736,719
b	Less: accumulated depreciation .....	10b	333,807,929	262,212,415	10c	269,928,790
11	Investments—publicly traded securities ..........	0	11	0
12	Investments—other securities. See Part IV, line 11 .....	284,135,415	12	329,538,422
13	Investments—program-related. See Part IV, line 11 .....	21,500	13	521,500
14	Intangible assets ...............	0	14	0
15	Other assets. See Part IV, line 11 ...........	30,350,247	15	28,347,359
16	Total assets. Add lines 1 through 15 (must equal line 34)......	715,315,958	16	777,546,154
	17	Accounts payable and accrued expenses .........	70,012,723	17	62,867,476
18	Grants payable .................	0	18	0
19	Deferred revenue ................	0	19	426,495
20	Tax-exempt bond liabilities .............	158,532,330	20	177,437,324
21	Escrow or custodial account liability. Complete Part IV of Schedule D..	0	21	0
22	Loans and other 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....................	37,281,797	25	32,989,801
26	Total liabilities. Add lines 17 through 25.........	265,826,850	26	273,721,096
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	384,581,163	27	423,316,971
28	Temporarily restricted net assets ...........	36,877,477	28	51,783,242
29	Permanently restricted net assets ...........	28,030,468	29	28,724,845
	Organizations that do not follow SFAS 117 (ASC 958), 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 ...........	449,489,108	33	503,825,058
34	Total liabilities and net assets/fund balances ........	715,315,958	34	777,546,154

- 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

2012

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 described in 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. See section 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 - Non-functionally integrated

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 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 monetary support
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of monetary support


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2012

Page 2

Part II

Support Schedule for Organizations Described in Sections 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) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(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) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(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. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
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 2012 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2011 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2012. 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—2011. If the organization did not check a 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—2012. 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—2011. 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) 2012

Page 3

Part III

Support Schedule for Organizations Described in Section 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) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(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) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(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.)..

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 2012 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2011 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2011 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2012. 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—2011. 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) 2012

Page 4

Part IV

Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and 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) 2012

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

2012

Name of the 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) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 2

Name of organization CAPE COD HEALTHCARE INC & AFFILIATES

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) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 3

Name of organization CAPE COD HEALTHCARE INC & AFFILIATES

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) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 4

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) (2012)

Additional Data

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Software Version:

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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

2012

Open to Public
Inspection

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

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

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

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

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

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 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 Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2012

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 SchCMd Bullet

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 SchCMd Bullet

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) 2009	(b) 2010	(c) 2011	(d) 2012	(e) Total

2a	Lobbying nontaxable 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) 2012

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, line 5; Part II-A (affiliated group list); Part II-A, line 2; 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) 2012

Additional Data

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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

2012

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.


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

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

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

Yes No

In Part XIII, 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 XIII, 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 Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2012

Page 2

Part III

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

Using the organization’s acquisition, 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 XIII.

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 XIII 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 XIII. Check here if the explanation has been provided in Part XIII ........

Part V

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

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....	35,475,473	32,638,639	34,043,109	31,383,995	31,217,343
b	Contributions ........	60,508	435,091	361,842	1,110,670	760,805
c	Net investment earnings, gains, and losses	1,238,094	3,092,757	-1,080,437	2,116,186	148,865
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........	713,089	691,014	685,875	567,742	743,018
f	Administrative expenses ....
g	End of year balance ......	36,060,986	35,475,473	32,638,639	34,043,109	31,383,995

Provide the estimated percentage of the current year end balance (line 1g, column (a)) 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 XIII 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 .................	25,608,283		25,608,283
b	Buildings ................	324,453,074	133,531,905	190,921,169
c	Leasehold improvements ............	5,357,865	3,985,009	1,372,856
d	Equipment ................	239,771,101	194,286,336	45,484,765
e	Other .................	8,546,396	2,004,679	6,541,717
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				269,928,790

Schedule D (Form 990) 2012

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	238,754,088	F
(B) AGREEMENT / INDENTURE	27,679,634	F
(C) TEMP RESTRICTED INVESTMENTS	34,325,271	F
(D) PERM RESTRICTED INVESTMENTS	28,774,432	F
(E) SHORT TERM INVESTMENTS - FDN	4,997	F




Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	329,538,422

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
DUE TO AFFILIATES		12,834,607
EST. SETTLEMENTS W 3RD PARTIES		17,121,517
OTHER CURRENT LIABILITIES		62,374
OTHER LONG-TERM LIABILITIES		2,971,303





Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		32,989,801
2. Fin 48 (ASC 740) Footnote. In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII .....................................................

Schedule D (Form 990) 2012

Page 4

Part XI 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 XIII.) ............	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 XIII.) ...........	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 XII 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 XIII.) ............	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 XIII.) ............	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 XIII

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, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation
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) 2012

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

2012

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 the grants or

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 grant funds outside
the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(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 and investments in region
	Central America and the Caribbean	1	Program Services	CAPTIVE INSURANCE	1,993,671
















3a	Sub-total .....	1			1,993,671
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)	1			1,993,671

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2012

Schedule F (Form 990) 2012

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. Part II can be duplicated 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) 2012

Schedule F (Form 990) 2012Page 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.

Part III can be duplicated 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) 2012

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2012

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) 2012

Additional Data

Software ID:
Software Version:

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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. Form 990-EZ filers are not required to complete this part. right arrow

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

See separate instructions.

OMB No. 1545-0047

2012

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 email 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.

(i) Name and address of individual or entity (fundraiser)	(iii) Did fundraiser have custody or control of contributions?
	Yes	No










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

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2012

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 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. 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 . . .	196,490	196,490
2	Less: Contributions . .	2,875	2,875
3	Gross income (line 1 minus line 2) . . .	193,615	193,615
4	Cash prizes . . .
5	Noncash prizes . .
6	Rent/facility costs . .	3,000	3,000
7	Food and beverages .	23,813	23,813
8	Entertainment . . .	23,813	23,813
9	Other direct expenses .	1,302	1,302
10	Direct expense summary. Add lines 4 through 9 in column (d) ...........		51,928
11	Net income summary. Combine line 3, column (d), and line 10. ..........		141,687

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:

Schedule G (Form 990 or 990-EZ) 2012

Page 3

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

Indicate the percentage of gaming activity operated in:

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

13a

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

13b

Enter 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 of the third party:

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

Supplemental Information. Complete this part to provide the explanations required by Part I, line 2b, columns (iii) and (v), and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions).

Identifier	Return Reference	Explanation

Schedule G (Form 990 or 990-EZ) 2012

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

2012

Open to Public Inspection

Name of the organization

CAPE COD HEALTHCARE INC & AFFILIATES

Employer identification number

90-0054984

Part I

Financial Assistance 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) as a factor in determining 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 as a factor in determining 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 used factors other than FPG in determining 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, as a factor in determining 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

Financial Assistance and Means-Tested Government Programs		(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) ..	10,435,516	4,791,125	5,644,392	0.850 %
b	Medicaid (from Worksheet 3, column a) ....	54,878,090	43,201,478	11,676,612	1.770 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .	19,629,741	13,135,714	6,494,027	0.980 %
d	Total Financial Assistance and Means-Tested Government Programs .	84,943,347	61,128,317	23,815,031	3.600 %
Other Benefits		2,355,986	0	2,355,986	0.360 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	2,355,986	0	2,355,986	0.360 %
f	Health professions education (from Worksheet 5) ..	783,989	178,334	605,655	0.090 %
g	Subsidized health services (from Worksheet 6) ..	87,364,278	70,465,792	16,898,486	2.560 %
h	Research (from Worksheet 7)	0	0	0	0 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8)	1,363,933	0	1,363,933	0.210 %
j	Total. Other Benefits ..	91,868,186	70,644,126	21,224,060	3.220 %
k	Total. Add lines 7d and 7j .	176,811,533	131,772,443	45,039,091	6.820 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2012

Schedule H (Form 990) 2012

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	27,732	27,732
7	Community health improvement advocacy
8	Workforce development	952,570	952,570	0.140 %
9	Other
10	Total	980,302	980,302	0.140 %

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. Explain in Part VI the methodology used by the organization to estimate this amount. ......

18,754,848

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

8,734,018

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

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

255,773,707

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

246,643,468

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

9,130,239

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(owned 10% or more by officers, directors, trustees, key employees, and physicians—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 %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2012

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?2 Name, address, and primary website address					Facility reporting group
1	CAPE COD HOSPITAL 27 PARK STREET HYANNIS,MA02601 www.capecodhealth.org/locations/cape-cod	X	X	X	A
2	FALMOUTH HOSPITAL ASSOCIATION INC 100 TER HEUN DRIVE FALMOUTH,MA02540 www.capecodhealth.org/locations/falmouth	X	X	X	A

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

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

	A
Name of hospital facility or facility reporting group

For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

Yes

If “Yes,” indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20 11

In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? 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 ....................

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................

Yes

Did the hospital facility make its CHNA report widely available to the public? .............

Yes

If “Yes,” indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	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.
11	Used FPG to determine eligibility for providing discounted care?.................	11	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.
12	Explained the basis for calculating amounts charged to patients?.................	12	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)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	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 website
b	The policy was attached to 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 on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	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?.......	15	Yes
16	Check all of the following 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)
17	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?..........	17		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)

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the patients regarding the patients’ bills

Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Part VI)

Policy Relating to Emergency Medical Care

Yes

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?..........

Yes

If “No,” indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

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.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

During the tax year, did the hospital facility charge any FAP-eligible individuals 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? ............................

If “Yes,” explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? .........................

If “Yes,” explain in Part VI.

Schedule H (Form 990) 2012

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?58
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	Chatham Medical Group 1629 Main Street Chatham,MA02633	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	Fal Primary CareSpecialty 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 1629 MAIN STREET CHATHAM,MA02633	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
57	Orleans Medical 204 Main Street Orleans,MA02653	Medical Group Practice
58	CC Dermatology Practice 134 Ansel Hallett Road W Yarmouth,MA02673	Medical Group Practice

Schedule H (Form 990) 2012

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; Part V, Section A; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
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.
8	Facility reporting group(s). If applicable, for each hospital facility in a facility reporting group provide the descriptions required for Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.

Identifier	ReturnReference	Explanation
PART I, LINE 3C	N/A	PART I, 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 $ 18,754,848.
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 II, LINE 6 COALITION BUILDING Cape Cod Healthcare plays an active role in community coalitions, various regional task force efforts, and health and human service organizations across Barnstable County including leadership participation with Barnstable County Human Services Advisory Council, Behavioral Health Provider Coalition of Cape Cod & the Islands, the Cape Cod Community Health Area Network (CHNA 27) Steering Committee, Cape & Islands Maternal Depression Task Force, My Life, My Health Coalition, Substance Abuse in Pregnancy Task Force, and the Women's Health Task Force. PART II, LINE 8 WORKFORCE DEVELOPMENT Cape Cod Healthcare's 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 with public health insurance coverage. Through rigorous efforts highly qualified physicians and physician extenders are recruited and retained to meet the health care needs of residents of Cape Cod. PART III, LINE 3 The organization is reporting $8,734,018 of bad debt expense that meets its financial assistance policy. This amount is related to bad debt from both hospitals during FY 13 of uninsured patients who were seen in the ER and received medically necessary services.
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 9(B)		Hospital Financial Assistance Programs Patients who are eligible for enrollment in a state public assistance program, like the Massachusetts MassHealth or Health Safety Net programs, are deemed enrolled in a financial assistance program. For all patients that are enrolled in these state public assistance programs, the hospital may only bill those patients for the specific co-payment, co-insurance, or deductible that is outlined in the applicable state regulations and which may further be indicated on the state Medicaid Management Information System. The hospital will seek a specified payment for those patients that do not qualify for enrollment in a Massachusetts state public assistance program, such as out-of-state residents, but who may otherwise meet the general financial eligibility categories of a state public assistance program. For these patients, the payment amount will be set at: The hospital, when requested by the patient and based on an internal review of each patients financial status, may offer a patient an additional discount on an unpaid bill. Any such review shall be part of a separate hospital financial assistance program that is applied on a uniform basis to patients, and which takes into consideration the patients documented financial situation and the patients inability to make a payment after reasonable collection actions. Any discount that is provided by the hospital is consistent with federal and state requirements, and does not influence a patient to receive services from the hospital. Populations Exempt from Collection Activities There are several situations where a patient can be exempted from further billing and collection procedures once the determination is made that the patient is exempt pursuant to State regulations: a) Patients enrolled in a public health insurance program, including but not limited to, MassHealth, Emergency Aid to the Elderly, Disabled and Children, Healthy Start, Childrens Medical Security Plan, or designated a "Low Income Patient" by the Office of Medicaid, subject to the following exceptions: (i) The hospital may seek to bill and collect the co-payments and deductibles that are set forth by each specific program. (ii) The hospital may also initiate billing and collection efforts for a patient who alleges that he or she is a participant in a financial assistance program that covers the costs of the hospital services, but fails to provide proof of such participation. Upon receipt of satisfactory proof that a patient is a participant in a financial assistance program, (including receipt or verification of the signed application) the hospital shall cease its billing and collection activities. (iii) The hospital will not continue collection action on any Low Income Patient for services rendered by the hospital during the period for which he or she has been determined to be a Low Income Patient by the Office of Medicaid. However, the hospital may continue collection action on a Low Income Patient for services rendered prior to the Low Income Patient determination, provided that the current Low Income Patient status has been terminated, expired, or not otherwise identified on the States Virtual Gateway or Recipient Eligibility Verification System. Once a Low Income Patient is determined eligible and enrolled in the Health Safety Net, MassHealth, or certain Commonwealth Care programs, the hospital will cease its billing and collection efforts for services provided prior to the beginning of their eligibility. (iv) The hospitals may seek collection action against any of the patients participating in the programs listed above for non-covered services that the patient has agreed to be responsible for, provided that the hospital obtained the patients prior written consent to be billed for the service.
PART V, LINE 3	Cape Cod Hospital and Falmouth Hospital followed proposed and pending IRS	regulations and MA Attorney General Guidelines to conduct the most recent community health needs assessment of populations living in the service area of Barnstable County. Input from persons who represent the community was collected from the over 80 community organizations that participated in the community health assessment through focus groups, key informant interviews and community input forums. In 2012, five focus groups were held in three locations across the service area. Preliminary health status data for Barnstable County and priorities set by previous community health needs assessments were reviewed to determine focus group topics and discussion guides. Focus group discussions focused on the issues of youth, mental health, substance abuse, vulnerable populations, barriers to access of health care services and emerging public health needs. Participants were recruited to focus groups based on their areas of expertise concerning the topics and the population that they represented which included the medically underserved, low-income, minority and vulnerable populations. In addition to focus groups, key informant interviews were conducted with individuals involved in non-profit organizations, public health, law enforcement, health care and social services. The discussion guide prepared for the focus groups was utilized for the interview in order to maintain uniformity in qualitative responses. In 2013, two community input forums were hosted to present the identified significant community health needs, receive feedback from community leaders and health experts, and provide an opportunity for input on the prioritization of identified needs via a post-forum electronic survey. Representatives from the following community organizations participated in focus groups, key informant interviews and community input forums: AIDS Support Group of Cape Cod American Cancer Society Barnstable County Human Rights Commission Barnstable County Human Services Barnstable County Public Health Nurse Barnstable School System Big Brothers Big Sisters of Cape Cod and the Islands Bourne Council on Aging Boys & Girls Club of Cape Cod Cape & Islands Emergency Medical Services System Cape & Islands United Way Cape and Islands Suicide Prevention Coalition Cape Cod Center for Women Cape Cod Community College Cape Cod Council of Churches Cape Disability Network Cape Cod District Attorney's Office Cape Cod Foundation Cape Cod Healthcare Diabetes Center Cape Cod Healthcare Infectious Disease Services Cape Cod Healthcare Regional Cancer Network Cape Cod Healthy Families Cape Cod Immigrant Center Cape Cod Justice for Youth Collaborative Cape Cod Justice for Youth Board Cape Cod Medical Reserve Corps Cape Cod Neighborhood Support Coalition Cape Cod WIC Cape& Islands Gay Straight Youth Alliance CCH Patient and Family Advisory Committee Champ Homes Child and Family Services Children's Study Home COAST (COA's Serving Together) Community Health Center of Cape Cod County Network of Cape Cod Duffy Health Center Elder Services of Cape Cod and the Islands Emerald Physicians Falmouth Housing Authority Falmouth Human Services Falmouth Police Department Falmouth Prevention Partnership Falmouth Service Center Freedom from Addiction Network Gosnold on Cape Cod Health Imperatives Health Imperatives - Hyannis Family Planning Helping Our Women HOPE Dementia and Alzheimer's Services of Cape Cod Hope Health Hyannis Youth and Community Center Kennedy Donovan Center Lower Cape Outreach Council Lyme Awareness of Cape Cod MA Department of Mental Health - Cape Cod Mashpee Council on Aging Mashpee Housing Authority Maternal Depression Task Force National Multiple Sclerosis Society Oral Health Excellence Collaborative Parish Nurse Ministries of Cape Cod Provincetown Council on Aging Reaching Elders with Additional Community Help (REACH) Samaritans on Cape Cod and Islands Sandwich Council on Aging Sandwich Housing Authority Serving the Health Information Needs of Others (SHINE) South Bay Mental Health Specialty Network for the Uninsured St. John's Episcopal Project Truro Council on Aging Veterans Outreach Council Visiting Nurse Association of Cape Cod Women and Adolescent Health at Community Health Center of Cape Cod YMCA of Cape Cod Youth Suicide Prevention Project
PART V, LINE 4	THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED JOINTLY BY CAPE COD	HOSPITAL AND FALMOUTH HOSPITAL. PART V, LINE 5 http://www.capecodhealth.org/about/caring-for-our-community/community-bene fits PART V, LINE 7 There were needs identified through the most recently conducted community health needs assessment that fall outside of the core competencies of Cape Cod Hospital and Falmouth Hospital. The identified needs included a lack of transportation, homelessness, unemployment, domestic violence and sexual assault. These needs, while quite important to the community, are outside the scope of significant health needs which the Hospitals can reasonably address. Cape Cod Hospital and Falmouth Hospital rely on other organizations to address these challenges. Outlined below are the specific organizations identified in the community that are working to address these important issues. Transportation Barriers: While transportation was identified as a barrier to obtaining health care services, solving systemic transportation issues requires the skills of organizations such as the Cape Cod Regional Transit Authority (CCRTA) and the Cape Cod Commission who are leading regional efforts to improve transportation in our region. Homelessness: Cape Cod Hospital and Falmouth Hospital are committed to serving homeless individuals/families in need of acute, primary, specialty, or behavioral health services. Organizations such as Housing Assistance Corporation, Duffy Health Center, Lower Cape Outreach Council, Regional Network to End Homelessness, and regional/town housing authorities lead key efforts to help eliminate housing barriers in the service area. Employment Status: Experiencing unemployment or vulnerability related to job status was identified as a need. The skills needed to solve systemic employment issues are better aligned with organizations such as Career Opportunities, and Job Training and Employment Corporation. These agencies will lead efforts to remove barriers to sustainable employment. Domestic Violence and Sexual Assault: As frontline community health providers, the staff at Cape Cod Hospital and Falmouth Hospital plays a vital role in responding to the emergency health needs of victims of domestic violence and sexual assault, in partnership with public safety officials and community-based service providers. The Hospitals rely on the expertise of agencies such as the Cape Cod Center for Women, Children's Cove, and Independence House to provide community leadership on issues related to the education, intervention and prevention of domestic violence and sexual assault. PART V, LINE 20D 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 DIAGNOSTIC IMAGING AT STONEMAN OUTPATIENT CENTER - BOURNE HEALTH CENTER - FALMOUTH HOSPITAL OUTPATIENT SERVICES - FALMOUTH HOSPITAL IMAGING AT COMMUNITY HEALTH CENTER OF CAPE COD - FALMOUTH OUTPATIENT SURGERY CENTER THE LICENSE OF CAPE COD HOSPITAL INCLUDES THE FOLLOWING TEN SATELLITE LOCATIONS: - CAPE COD HOSPITAL MOBILE MRI AT FONTAINE MEDICAL CENTER - OPPENHEIM MEDICAL BUILDING - CAPE COD HOSPITAL IMAGING SERVICES AT FONTAINE MEDICAL CENTER - PRIMARY CARE INTERNISTS - CAPE COD HOSPITAL REHABILITATION CENTER AT 130 NORTH STREET, HYANNIS AND 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
PART VI, LINE 2	NEEDS ASSESSMENT:	The 2014 - 2016 Cape Cod Hospital and Falmouth Hospital Community Health Needs Assessment Report and Implementation Plan was released and made widely available to the public on September 27th, 2013. In an effort to assess the health care needs of their shared service area of Barnstable County, Cape Cod Hospital and Falmouth Hospital collected significant community input and data from national, state, regional and local sources. Special attention was given to vulnerable populations, statewide priorities were considered and the community assets available to meet needs were identified and assessed. An implementation plan related to the significant health needs of Barnstable County residents was developed with outlined goals, objectives, initiatives, resources and potential collaborators. The objectives of the community health needs assessment were to gather statistically valid information and accurate comparisons to state and national benchmarks of health and quality of life measures for residents of Barnstable County and to integrate research findings into community benefit and hospital planning activities that address significant community needs and vulnerable populations. Over 80 community organizations participated in the community health assessment through focus groups, key information interviews and community input forums. Data was collected through a household telephone survey of 464 residents of Barnstable County using a survey instrument adapted from the Centers for Disease Control and Prevention's Behavioral Risk Factor Surveillance System. Primary data collected through community input and the household telephone survey was heavily augmented with secondary data from national, state, and regional sources. The most current Barnstable County health data available was collected, analyzed, synthesized and compared to MA and US data as available. Data collection efforts focused on demographic characteristics, behavioral risk factors associated with health status, disease incidence and prevalence rates, access to care, health status indicators, morbidity/mortality rates and hospital utilization. The significant health needs identified through data collection and community input were distinguished and prioritized based on the frequency, urgency, scope, severity and magnitude of the identified issues. The significant health needs and associated target and vulnerable populations are the foundation for Community Benefits and hospital planning and program implementation spanning Fiscal Years 2014 - 2016. Key data sets featured in the community health needs assessment will be updated annually. Community Benefits and hospital planning activities will be further defined, updated and evaluated through ongoing and annual program evaluation and identification of emerging trends and needs. The following sources were utilized in the most recent community health needs assessments: - Cape Cod Hospital and Falmouth Hospital Utilization Data - Centers for Disease Control and Prevention: Behavioral Risk Factor Surveillance System (BRFSS), Youth Risk Behavioral Surveillance System (YRBSS), National Center for Health Statistics, National Program of Cancer Registries, CDC Wonder Database, Healthy People 2020 -Falmouth Prevention Partnership Community Profile on Youth Substance Abuse in Falmouth 2009 -Massachusetts Department of Elementary and Secondary Education -Massachusetts Department of Labor and Workforce Development - Massachusetts Department of Public Health: Bureau of Substance Abuse Services, MassCHIP (Massachusetts Community Health Information Profile) - Tri-County Collaborative for Oral Health Excellence - U.S. Census Bureau: US Census 2000, US Census 2010, American Community Survey -US Department of Veteran Affairs -Key Informant Interviews -Focus groups -Community forums -Telephone survey of Barnstable County residents - County Health and Human Services department and Local Health Agencies Cape Cod Hospital, Falmouth Hospital and Cape Cod Healthcare conduct formal community health needs assessments every three years. On an ongoing basis, community health needs and emerging trends are regularly assessed through annual community benefits planning and program evaluation, strategic planning, community input and participation in community health coalitions and projects across the service area. Cape Cod Healthcare plays an active role in community coalitions, various regional task force efforts, and health and human service organizations across Barnstable County including leadership participation with Barnstable County Human Services Advisory Council, Behavioral Health Provider Coalition of Cape Cod & the Islands, the Cape Cod Community Health Area Network (CHNA 27) Steering Committee, Cape & Islands Maternal Depression Task Force, My Life, My Health Coalition, Substance Abuse in Pregnancy Task Force, and the Women's Health Task Force. PART VI, LINE 3 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.
PART VI, LINE 4	COMMUNITY INFORMATION:	Cape Cod Hospital, Falmouth Hospital and their parent organization, Cape Cod Healthcare, together share the service area of Barnstable County which comprises the geographically isolated region of Cape Cod, approximately 70 miles from Boston, MA. Barnstable County is comprised of 15 towns with a year-round population of 215,888. It is estimated that more than five million visitors come to the area each year, primarily in the summer and fall seasons. Cape Cod Hospital and Falmouth Hospital provide acute care and outpatient services to all communities of Barnstable County. The largest town in the service area is the Town of Barnstable which has over 45,000 year-round residents. The smallest town is Truro, which has 2,000 year-round residents. Current and historical demographic data from the US Census department clearly demonstrates a population skewed towards older adults. This population significantly increases the demand for and consumption of healthcare services. Overall, the population of Barnstable County is old and getting older. Seniors, over the age of 65, now represent 25% of the total population. In addition, middle-aged residents known as "baby boomers" (born between 1946 and 1964) represent another 25% of the Cape population. The County median age grew to 49.9 years in 2010 - a 12% increase from 2000. Comparatively, Barnstable County's median age is more than a decade older than the Massachusetts (MA) and the United States (US) median age averages. From 2000-2010, the number of residents in Barnstable County over the age of 65 grew by 5%. The most notable change occurred among residents over the age of 85, for which there was growth of 29%. Seniors relying on Social Security income is significantly higher in Barnstable County at 41% compared to 28% for the state and 28% nationally. As baby boomers age into retirement over the next decade, demands on the healthcare system will increase even further. Concurrently, younger residents have migrated out of the service area and birth rates have declined. Barnstable County's overall population declined by 3% from 2000 to 2010, primarily due to an 18% decrease in population of residents aged 0-44. Annual birth counts in Barnstable County demonstrated a slow but continuous decline between 2000 (1,992) and 2010 (1,711). However, due to earlier birth trends and relocations by families to the Cape during the 1990's, there has been a net positive increase in residents aged 15-24 over the past two decades. Residents of the Cape cross all economic boundaries, from affluent to economically challenged, vulnerable populations. Recent data estimates from the American Community Survey 2007-2011 indicate that the percentage of families living in poverty has increased by 1%, and the percentage of individuals living in poverty has increased by 2% since 2000. The most notable increase occurred in children under 18 years old living in poverty, which grew from 6% in 2000 to 12% in 2011. Despite growing rates of poverty among some segments, the median household income for Barnstable County increased overall by 32% from $45,933 in 2000 to $60,525 based on a five-year estimate from 2007-2011. The median household income for Barnstable County is somewhat greater than the United States ($52,762) but still less than Massachusetts ($65,981). The "Cape" is home to a broad mix of retirees, working people and the unemployed. Military veterans comprise 14% of the Cape population, versus 8% state-wide. There is a lack of racial and ethnic diversity in Barnstable County. The general race and ethnicity breakdown remains essentially unchanged. Barnstable County is still predominately white, comprising 95% of the total population in 2010, compared to 96% in 2000. There have been some incremental increases in minority representations, such as Hispanic and Asian populations. Linguistic challenges have increased over the past decade with more new residents for whom English is not a primary language.
PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH:	Cape Cod Healthcare conducts a Community Health Needs Assessment every three years to determine the significant health care needs of the residents of Barnstable County. The objective of the assessment is to gather statistically valid information and accurate comparisons to state and national benchmarks of health and quality of life measures for residents of Barnstable County. The target populations, significant health needs and available resources to address those health needs are integrated into community benefit and hospital planning activities including direct clinical programs, health education, wellness promotion, financial support and community engagement activities. The following is a list of FY13 target populations: - Chronically ill residents afflicted with cancer, cardiovascular-related disease, diabetes and oral health issues. - Community members that are underserved, uninsured, underinsured and those with health disparities. - Community members afflicted with mental health and substance abuse related issues. - Senior population ages 65 and older, especially those who are at risk and in isolated geographic areas. - Residents with emerging health issues including youth and young adults ages 15 - 24 years old. Cape Cod Healthcare and the Cape Cod Healthcare Community Benefits department supported the following programs in FY13: Financial Counseling & Assistance The Financial Assistance and Counseling Program at Cape Cod Hospital and Falmouth Hospital provide comprehensive services to community members seeking public insurance enrollment and re-verification of enrollment for public insurance coverage. Financial counselors are dedicated to improving access to care through eligibility screening, assessed affordability and financial counseling. Physician Recruitment Cape Cod Healthcare's 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 with public health insurance coverage. Through rigorous efforts highly qualified physicians and physician extenders are recruited and retained to meet the health care needs of residents of Cape Cod. Cape Cod Hospital and Falmouth Hospital also assist in bringing private practice physicians into the community to ensure adequate primary care and specialty services. REACH (Reaching Elders with Additional Community Help): Cape & Islands Emergency Medical Services System (CIEMSS) REACH operates through an annual Community Benefits grant to support regional efforts to identify and assist high-risk seniors who are often isolated and face difficulty navigating available services in our region. 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, the Visiting Nurses Association, Emergency Medical Services and other community partners, issues such as health, safety, cognitive status, social functioning and risk of suicide are assessed and appropriate plans are developed to achieve optimal daily living status for identified seniors ages 60 years and older on Cape Cod. Seniors are primarily identified by EMS providers and other aging service professionals as having 'unmet needs'. REACH also coordinates coalitions and trainings for community service providers targeting emerging issues and trends that specifically impact senior health and well-being including chronic disease self-management, healthy-aging activities and transportation. Community Based Interpreter Services Cape Cod Healthcare Community Benefits provides annual support to improve access to primary and specialty care for individuals that face barriers to care due to language through the Community Based Interpreter Services program. The program dispatches free medical language interpreters to community-based physician practices to assist limited and non-English speaking patients and their families. The availability of proficient and professional interpreter services ensures the delivery of safe quality health care and positive clinical outcomes. Specialty Network for the Uninsured Cape Cod Healthcare Community Benefits provides annual support to increase access to specialty care for the uninsured through the Specialty Network for the Uninsured (SNU). The program was established and is managed in collaboration with local community health centers to provide appointments to specialists who provide free or significantly reduced sliding-scale fee structure for office visits, procedures and continued care of uninsured individuals. The program also coordinates on-site specialty clinics providing cardiology, orthopedic and diabetic eye-exam services by volunteer physicians. Prescription Assistance Program The Prescription Assistance Program is an initiative of Cape Cod Hospital and Falmouth Hospital emergency, behavioral health and pharmacy departments as a Community Benefit to help uninsured, under-insured and financially disadvantaged patients who have no other viable means to pay for medications upon discharge from hospital facilities. Transportation Assistance Program In an effort to assist low-income and vulnerable populations, Cape Cod Hospital and Falmouth Hospital provide transportation upon discharge from emergency and behavioral health departments, to those patients without resources, for transportation. Determination of Need: Support of Community Health Area Network (CHNA) 27 Total funding of $401,000 has been designated to address issues that eliminate health disparities, promote wellness, and prevent/manage chronic disease for individuals who are elderly and/or persons with disabilities. This population was identified through a community health needs assessment by Cape Cod Healthcare and endorsed by the Community Health Network Area 27 (Cape Cod and the Islands). 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 and the Islands: Health Insurance Enrollment Program with Linkages to Health Aging Education Project Cape Cod Healthcare Community Benefits provided a grant to support Community Action Committee of Cape Cod and the Islands effort to increase health care insurance enrollment amongst immigrant and low-income families across Barnstable County. This program provides bi-lingual health care enrollment and re-enrollment services, linkages to primary care providers, consumer education workshops and counseling and outreach to seniors and caregivers in the Brazilian community on Cape Cod to build healthy aging skill sets and knowledge.
DUFFY HEALTH CENTER: SUPPORTING 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. In addition to benefit enrollment funding, CCHC Community Benefits provided support to Duffy Health Center for provider recruitment to expand access to care for vulnerable populations. Support Groups and Classes at Cape Cod Hospital and Falmouth Hospital Support groups and classes are conducted on a regular basis and open to all members of the community regardless of their patient status or ties to Cape Cod Hospital or Falmouth Hospital. Classes are hosted at the hospitals and in the community to provide access to all populations. Information and resources are available to individuals, families and friends and many include in-person meetings and contact to offer support and reassurance through their specific disease/health care situation. Workforce Development Initiatives Cape Cod Healthcare recognizes the importance of workforce development and supports the opportunity for students from high school through graduate school to have a positive and professional experience through internships, job shadowing and training with the health care providers in several hospital departments. By training and mentoring students for future employment we hope to successfully engage individuals so they select health care as a viable and admirable vocation, thus decreasing the potential risk for predicted future shortages in the workplace. Helping Hands: In-Home Support for High Risk Patients Nurse case management and medication review by a pharmacist is offered in the patient's home for high-risk patients being discharged from Cape Cod Hospital and Falmouth Hospital with a chronic disease, complex medication regimen, or when high risk of fall 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. Big Brother Big Sister of Cape Cod and the Islands: Healthy Mentoring for Youth In an effort to increase good health role models for high-risk youth, Cape Cod Healthcare Community Benefits supported Big Brothers Big Sisters of Cape Cod & the Islands in a new initiative to create mentoring match relationships for children with specific, identified health needs/risks including obesity, diabetes, eating disorders and substance abuse. Program efforts included the implementation of a marketing and outreach campaign to recruit mentors with backgrounds in health, wellness and fitness and establish an annual calendar of activities for mentors and mentees that focused on health-based activities. Oral Health Excellence Collaborative: SMILE Project Cape Cod Healthcare Community Benefits provided grant support to the Oral Health Excellence Collaborative (OHEC) for efforts to educate low-income seniors about their oral health, hygiene routines and dental care resources. Program activities included placing volunteer oral health educators at each of the 15 Council on Aging offices across Cape Cod, providing one on one oral health surveys and education sessions with seniors, and removing barriers to dental care through strengthening education, information, coordination and referral between residents and oral health providers. Hope Dementia & Alzheimer's Services on Cape Cod & the Islands: Compassionate Alzheimer's Respite, Education and Support (CARES) Program Barnstable County's demographic profile identifies an aging population including 25% of year round residents over the age of 65 years and a growing population of residents over the age of 85. Aligned with growing utilization of health care services, our aging community has also demonstrated a significant need and dependence on caregivers. In an effort to support caregivers in our region, a Cape Cod Healthcare Community Benefits grant was made to HOPE Dementia & Alzheimer's Services to provide support and outreach through the expansion of support groups, telephone helpline and education for families and individuals suffering Alzheimer's disease and related dementias (ADRD). Harbor Community Health Center: Supporting Access to Care for Immigrant and Low-Income Individuals In an effort to increase access to health care for vulnerable populations, Cape Cod Healthcare provided a Community Benefits grant to support the Harbor Community Health Center-Hyannis health care enrollment and re-enrollment services offered to low-income and immigrant populations in the mid and upper regions of Cape Cod. Community Health Center of Cape Cod: Supporting Access and Outreach Efforts Cape Cod Healthcare provided a Community Benefits grant to the Community Health Center of Cape Cod (CHCC) to support efforts to assist patients with insurance enrollment, identification of new off-site venues to provide insurance enrollment services, and increase outreach activities to special populations residing in the Upper Cape, including the Brazilian immigrant community, youth, elder and the Wampanoag tribal members. Outer Cape Health Services: Supporting the Health Communities Program In an effort to increase health care access for vulnerable populations, Cape Cod Healthcare Community Benefits provided grant support to Outer Cape Health Services to support health care insurance enrollment and outreach services to residents of the lower and outer regions of Cape Cod. Helping Our Women: Medical Transportation for the Chronically Ill from the Outer Cape In an effort to reduce barriers to health care for residents from the most geographically isolated region, the Outer Cape, CCHC Community Benefits provided a grant in FY13 to Helping Our Women. Helping Our Women provides safe, reliable and free transportation to medical, diagnostic testing and follow-up appointments for women with chronic, life threatening or disabling conditions who reside from Eastham to Provincetown. Gosnold on Cape Cod: Innovations in Treating Young Adult Opiate Addiction In an effort to address growing rates of opiate use and abuse by youth and young adults, Cape Cod Healthcare Community Benefits department provided a FY13 grant to Gosnold on Cape Cod to pilot innovative strategies to support youth in recovery of opiate addiction. Cape Cod Hoarding Task Force: Addressing the Mental Health of Aging Populations The Cape Cod Hoarding Task Force is a newly established coalition of public health and community organizations formed to address the growing issue of hoarding and related mental health and physical wellness impact amongst elderly residents in our regional. Cape Cod Healthcare Community Benefits provided a grant in FY13 to assist the Cape Cod Hoarding Task Force increase public awareness and coordination of services to assist residents facing hoarding and health issues.
PART VI, LINE 6	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 PART VI, LINE 7 ALL STATES WHERE ORGANIZATION FILES A COMMUNITY BENEFITS REPORT: MA

Schedule H (Form 990) 2012

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

2012

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 of 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 filing organization used 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 ............

Yes

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

Cat. No. 50053T

Schedule J (Form 990) 2012

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 (E) amounts for that individual.

(A) Name and Title		(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 and Title		(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'CONNORSVP DEVELOPMENT (UNTIL 3/13)	(i) (ii)	0 274,055	0 53,585	0 9,968	0 30,750	0 28,967	0 397,325	0 0
(2)DIANNE C KOLBPresident VNA	(i) (ii)	0 206,734	0 41,926	0 5,334	0 36,244	0 20,988	0 311,226	0 0
(3)SUSAN M WINGCOO-FAL.HOSP (UNTIL 6/12)	(i) (ii)	0 197,997	0 40,000	0 47,510	0 25,630	0 3,065	0 314,202	0 44,738
(4)MICHAEL G JONESSr VP Chief Legal Off/Clerk	(i) (ii)	0 314,862	0 77,000	0 25,587	0 40,124	0 29,854	0 487,427	0 18,480
(5)MICHAEL K LAUFPRESIDENT/CEO/TRUSTEE	(i) (ii)	0 674,560	0 245,000	0 45,334	0 156,220	0 34,657	0 1,155,771	0 30,514
(6)GROVER BAXLEY MDTRUSTEE - SEE SCH J, PART III	(i) (ii)	294,576	0	2,772	8,842 0	711 0	306,901 0	0 0
(7)MICHAEL L CONNORSSENIOR VP FINANCE/CFO	(i) (ii)	0 371,195	0 92,000	0 28,723	0 35,494	0 33,493	0 560,905	0 19,856
(8)RICHARD B ZELMAN MDPHYSICIAN	(i) (ii)	1,130,739	275,000	44,114	9,900 0	28,637 0	1,488,390 0	0 0
(9)DAVID RYANVP of HR (until 2/13)	(i) (ii)	208,377	39,760	20,967	0 25,044	0 36,879	0 331,027	0 15,841
(10)JEANNE FALLONSR VP & CIO	(i) (ii)	0 226,181	0 46,001	0 584	0 26,385	0 19,139	0 318,290	0 0
(11)ROBERT KLEINBAUERPresident - MACC	(i) (ii)	0 220,965	40,750	1,806	0 21,426	0 24,108	0 309,055	0 0
(12)LINDA HABEEB MDSEE SCHEDULE J, PART III	(i) (ii)	249,930	13,068	420	4,830 0	24,290 0	292,538 0	0 0
(13)JEFFREY S DYKENSVP OF FINANCE	(i) (ii)	0 222,051	0 35,968	0 21,453	0 24,750	0 32,937	0 337,159	0 14,358
(14)WILLIAM AGEL MDTrustee(fr 1/13)-SCH J, PT III	(i) (ii)	409,115	20,261	966	10,000 0	28,637 0	468,979 0	0 0
(15)EMILY TIERNEY MDPHYSICIAN	(i) (ii)	448,550	473,771	378	692 0	10,407 0	933,798 0	0 0
(16)PAUL HOULE MDPHYSICIAN	(i) (ii)	435,682	334,691	436	17,000 0	19,736 0	807,545 0	0 0
(17)ACHILLE PAPAVASILIOU MDPHYSICIAN	(i) (ii)	432,088	296,822	291	17,000 0	22,192 0	768,393 0	0 0
(18)ROBERT R MCANAW MDPHYSICIAN	(i) (ii)	327,156	316,452	1,806	9,900 0	22,738 0	678,052 0	0 0
(19)RICHARD F SALLUZZO MDFORMER PRESIDENT/CEO	(i) (ii)	0	0	855,504	0 0	0 2,449	0 857,953	0 154,874
(20)Patrick KaneSVP OF MRKTG,COMMUN AND DEVLP	(i) (ii)	304,777	74,500	1,806	0 21,230	0 37,889	0 440,202	0 0
(21)JASON M ADAMSCOO (FROM 10/11 - 5/12)	(i) (ii)	0 188,925		247,227	0 0	0 11,698	0 447,850	0 0

Schedule J (Form 990) 2012

Page 3

Part III

Supplemental Information

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

Identifier	Return Reference	Explanation
FORM 990, PART VII		Grover Baxley, MD, DOUGLAS MANN, MD, KEVIN BRESNAHAN, MD, AND WILLIAM AGEL, MD wERE compensated in THEIR capacity as physicianS, not as trusteeS. TITLES: LINDA HABEEB MD FORMER POSITION HELD - EXECUTIVE DIRECTOR - MACC CURRENT FY 13 POSITION HELD - PHYSICIAN JEFFREY S. DYKENS FORMER POSITION HELD - INTERIM CFO CURRENT FY 13 POSITION HELD - VP OF FINANCE SCHEDULE J, PART I, LINE 4A: SEVERANCE PAYMENTS RICHARD SALUZZO, MD, FORMER PRESIDENT/CEO, RECEIVED SEVERANCE PAYMENTS OF $700,800 DURING CALENDAR YEAR 2012. THE SEVERANCE ARRANGEMENT PROVIDES FOR 32 PAYMENTS EQUAL TO 1/12 OF THE BASE SALARY IN EFFECT ON THE DATE HIS EMPLOYMENT TERMINATED. THERE WERE 12 PAYMENTS MADE IN CALENDAR YEAR 2012. THE ARRANGEMENT ALSO PROVIDES FOR PARTICIPATION OF HIS AND HIS DEPENDENTS IN THE COMPANY'S GROUP MEDICAL AND DENTAL PLANS FOR THIRTY-SIX MONTHS. Jason Adams, COO from 10/11 - 5/12, received severance payments of $237,692. The arrangement provides for nineteen separation payments paid on a bi-weekly basis. The arrangement also provides for participation of his and his dependents in the company's group medical and dental plans during the separation payments period. SCHEDULE J, PART I, LINE 4B: 457(F) CAPE COD HEALTHCARE, INC. AND AFFILIATES SPONSORS A 457(F) VOLUNTARY PERSONAL DEFERRAL PLAN ("THE PLAN") FOR KEY 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 2012 WERE AS FOLLOWS: - MICHAEL K. LAUF - $30,514 - RICHARD SALLUZZO, MD - $154,874 - MICHAEL L. CONNORS - $19,856 - MICHAEL G. JONES - $18,480 - SUSAN WING - $44,738 - JEFFREY S. DYKENS - $14,358 - DAVID RYAN - $15,841 SCHEDULE J, PART I, LINE 7 Discretionary bonuses are awarded annually based upon both the performance of the organization and the individual. Bonuses are reflected in Schedule J, Part II, Column B(ii).
SCHEDULE J, PART II		THE INDIVIDUALS REPORTED IN SCHEDULE J, PART II REPORTED AS BEING PAID FROM A RELATED ORGANIZATION WERE EMPLOYEES OF, AND COMPENSATED BY CAPE COD HEALTHCARE, INC., THE PARENT CORPORATION.

Schedule J (Form 990) 2012

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

2012

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	57586erm5	02-16-2010	63,314,516	REISSUE OF SER. D (2004)		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
D	MDFA REVENUE BONDS SERIES 2013	04-3431814	57584VAH8	07-11-2013	50,831,729	REFUND 2001 SERIES C / CAP. IMP.		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	5,224,516		12,176,667		2,580,000		831,279
2 Amount of bonds legally defeased . . . . . . . . . . .	0		0		0		0
3 Total proceeds of issue . . . . . . . . . . . . . .	63,314,516		36,710,000		25,800,000		50,831,729
4 Gross proceeds in reserve funds . . . . . . . . . . . .	0		0		0		0
5 Capitalized interest from proceeds . . . . . . . . . . .	0		0		0		0
6 Proceeds in refunding escrows . . . . . . . . . . . .	0		0		0		0
7 Issuance costs from proceeds . . . . . . . . . . . .	914,516		266,112		336,100		805,701
8 Credit enhancement from proceeds . . . . . . . . . . .	0		0		0		0
9 Working capital expenditures from proceeds . . . . . . . . .	0		0		0		0
10 Capital expenditures from proceeds . . . . . . . . . . .	0		0		0		15,387,433
11 Other spent proceeds . . . . . . . . . . . . . .	62,400,000		36,443,888		25,463,900		20,735,223
12 Other unspent proceeds . . . . . . . . . . . . . .	0		0		0		13,903,372
13 Year of substantial completion . . . . . . . . . . . .
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .	X		X		X		X
15 Were the bonds issued as part of an advance refunding issue? . . . . .		X		X		X		X
16 Has the final allocation of proceeds been made? . . . . . . . .	X		X		X			X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X		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						X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .		X						X

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

Cat. No. 50193E

Schedule K (Form 990) 2012

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						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						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%		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						X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .		X						X
b If “Yes” to line 8a, enter the percentage of bond-financed property sold or disposed of.	0.00000%		%		%		%
c If “Yes” to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .		X						X
9 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						X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T? . . . . .		X		X		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .	X			X	X		X
b Exception to rebate? . . . . . . . .		X	X			X		X
c No rebate due? . . . . . . . . . .		X	X			X		X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .		X	X			X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider . . . . . . . . .	0		0		0
c Term of hedge . . . . . . . . . .
d Was the hedge superintegrated? . . . . . .
e Was a hedge terminated? . . . . . . .

Schedule K (Form 990) 2012

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X		X		X		X
b Name of provider . . . . . . . . .	0		0		0		0
c Term of GIC . . . . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 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?	X		X		X		X

Part VI

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

Identifier	Return Reference	Explanation
PART IV, LINE 2(C)	0	MHEFA SERIES E - THE DATE THE REBATE COMPUTATION WAS LAST PERFORMED WAS 12/18/2008.

Schedule K (Form 990) 2012

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, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.

OMB No. 1545-0047

2012

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

Enter the amount of tax incurred by 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-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)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 assistance	(d) Type of assistance	(e) Purpose of assistance

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

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2012

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	124,758	MACC EMPLOYEE		No
(2) DR DALE WELDON	SPOUSE OF OFFICER	60,891	HOSPITAL EMPLOYEE		No
(3) OLIVER ZUTHER	SON-IN-LAW OF TRUSTEE	86,319	HOSPITAL EMPLOYEE		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 (Form 990 or 990-EZ) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

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

Attach to Form 990.

OMB No. 1545-0047

2012

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	32	1,299,469	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 ...	X	1	648,450	FMV
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

Yes

If "Yes," describe in Part II.

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

describe in Part II.

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

Cat. No. 51227J

Schedule M (Form 990) (2012)

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, PART I, LINE 32(A) ON OCCASION THE ORGANIZATION UTILIZES A BROKER TO DISPOSE OF NONCASH CONTRIBUTIONS (OTHER THAN PUBLICLY TRADED SECURITIES).

Schedule M (Form 990) (2012)

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

2012

Open to Public
Inspection

Name of the organization

CAPE COD HEALTHCARE INC & AFFILIATES

Employer identification number

90-0054984

Identifier	Return Reference	Explanation
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. 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 THE TARGET POPULATION: INDIVIDUALS MANAGING OR AT RISK OF CHRONIC AND/OR INFECTIOUS DISEASES SUCH AS CANCER, CARDIOVASCULAR DISEASE, DIABETES, HIV/AIDS, HEPATITIS C OR DENTAL DISEASE. 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, INFECTIOUS DISEASES AND ORAL HEALTH ISSUES ARE HIGHLY REPRESENTED AMONG RESIDENTS OF BARNSTABLE COUNTY AS EVIDENCED THROUGH A RECENTLY COMPLETED COMMUNITY HEALTH NEEDS ASSESSMENT. THIS POPULATION IS SERVED THROUGH A NETWORK OF HEALTH CARE AND SOCIAL SERVICES PROVIDERS IN OUR REGION BUT UNMET NEEDS STILL EXIST. 2. NAME OF THE TARGET POPULATION: RESIDENTS FACING BARRIERS TO ACCESS TO CARE DUE TO LANGUAGE, COST, OR AGE, INCLUDING THOSE WHO ARE UNINSURED OR UNDER-INSURED. BASIS FOR SELECTION: NEARLY 93% OF RESIDENTS IN BARNSTABLE COUNTY HAVE HEALTH INSURANCE COVERAGE BUT SIGNIFICANT ISSUES RELATED TO ACCESS TO CARE STILL EXIST. THE COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED AVAILABILITY OF CERTAIN PROVIDERS, OUT-OF-POCKET COSTS, A LACK OF KNOWLEDGE OF AVAILABLE SERVICES AND LINGUISTIC CHALLENGES. 3. NAME OF THE TARGET POPULATION: COMMUNITY MEMBERS AFFLICTED WITH MENTAL HEALTH ISSUES. BASIS FOR SELECTION: ACCESS TO ADEQUATE MENTAL HEALTH CARE IS AN AREA OF CONCERN IN BARNSTABLE COUNTY, AS EVIDENCED BY AN INCREASE IN SUICIDE RATES, AND THE HIGH NUMBER OF PATIENTS PRESENTING WITH MENTAL HEALTH DISORDERS IN HOSPITAL EMERGENCY CENTERS. POPULATIONS STRUGGLING WITH MENTAL HEALTH ISSUES ARE SERVED THROUGH A NETWORK OF HEALTH CARE AND SOCIAL SERVICE PROVIDERS IN OUR REGION BUT UNMET NEEDS INCLUDING A SHORTAGE OF AVAILABLE PSYCHIATRIC PROVIDERS AND CHALLENGES NAVIGATING AVAILABLE SERVICES STILL EXIST. 4.NAME OF THE TARGET POPULATION: COMMUNITY MEMBERS STRUGGLING WITH SUBSTANCE ABUSE. BASIS FOR SELECTION: SUBSTANCE ABUSE TREATMENT ADMISSIONS ARE ON THE RISE IN BARNSTABLE COUNTY. OVERALL RATES OF SUBSTANCE ABUSE ADMISSIONS ARE HIGHER IN BARNSTABLE COUNTY THAN MA, SPECIFICALLY FOR ALCOHOL AS A PRIMARY SUBSTANCE. IN ADDITION, TREATMENT ADMISSIONS FOR OPIATES AS A PRIMARY SUBSTANCE OF USE GREW FROM 11% IN 2007 TO 28% IN 2011. ALTHOUGH RESIDENTS WITH SUBSTANCE ABUSE ISSUES ARE SERVED THROUGH A NETWORK OF HEALTH CARE AND TREATMENT PROVIDERS IN OUR REGION, UNMET NEEDS SUCH AS AVAILABILITY OF DETOX AND TREATMENT OPTIONS AND NAVIGATION OF SERVICES STILL EXIST. 5. NAME OF TARGET POPULATION: SENIOR POPULATION AGES 65 AND OLDER. BASIS FOR SELECTION: ACCORDING TO THE 2010 U.S. 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. HIGH UTILIZATION OF THE HEALTH CARE SYSTEM, ACCESS TO CARE AND NAVIGATION OF RESOURCES HAVE BEEN PRESENTED AS CRITICAL ISSUES IN OUR REGION. THIS POPULATION IS SERVED THROUGH A NETWORK OF HEALTH CARE AND SOCIAL SERVICE PROVIDERS BUT UNMET NEEDS STILL EXIST. 6. NAME OF TARGET POPULATION: YOUTH AND YOUNG ADULTS AGES 15- 24 YEARS OLD. BASIS FOR SELECTION: YOUNG ADULTS AND YOUTH, AGES 15 - 24 YEARS OLD, WERE IDENTIFIED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT AS A SPECIFIC POPULATION AT RISK DUE TO INCREASING RATES OF SUBSTANCE ABUSE TREATMENT ADMISSIONS, SEXUALLY TRANSMITTED DISEASES AND MOTOR VEHICLE ACCIDENTS. THIS POPULATION IS SERVED THROUGH A NETWORK OF HEALTH CARE AND SOCIAL SERVICE PROVIDERS BUT UNMET NEEDS STILL EXIST. HOSPITAL/HMO WEB PAGE PUBLICIZING TARGET POP. HTTP://WWW.CAPECODHEALTH.ORG/COMMUNITY KEY ACCOMPLISHMENTS OF REPORTING YEAR IN FY 2013, THE CAPE COD HEALTHCARE (CCHC) COMMUNITY BENEFITS DEPARTMENT BUILT UPON EXISTING ACTIVITIES AND IMPLEMENTED NEW STRATEGIC HOSPITAL BASED PROGRAMS, COMMUNITY SUPPORT INITIATIVES AND COMMUNITY-CLINICAL COLLABORATIONS. ALL ACTIVITIES DIRECTLY IMPACTED KEY VULNERABLE AND TARGET POPULATIONS IN BARNSTABLE COUNTY. HOSPITAL-BASED PROGRAMS FOCUSED ON INCREASING ACCESS TO CARE, SUPPORTING CHRONIC AND INFECTIOUS DISEASE MANAGEMENT AND PREVENTION, PROVISION OF MENTAL HEALTH SERVICES, BUILDING COLLABORATIONS TO ADDRESS SUBSTANCE ABUSE AND EDUCATION AND OUTREACH TO VULNERABLE POPULATIONS. IN AN EFFORT TO INCREASE ACCESS TO CARE, TELEPHONE-BASED AND ONLINE PHYSICIAN ACCESS TOOLS WERE DEVELOPED, AND HOSPITAL-BASED FINANCIAL COUNSELORS PROVIDED ON-SITE HEALTH INSURANCE ENROLLMENT ASSISTANCE TO RESIDENTS WHO WERE UNINSURED OR UNDER-INSURED. CANCER SURVIVORSHIP ACTIVITIES AND SUPPORT GROUPS WERE HOSTED AT EACH HOSPITAL. BREASTFEEDING CLASSES AND NEW PARENT SUPPORT GROUPS WERE OFFERED TO FAMILIES. GRANT-FUNDED INFECTIOUS AND SEXUALLY TRANSMITTED DISEASE SCREENINGS AND OUTREACH PROGRAMS WERE MANAGED BY HOSPITAL-BASED INFECTIOUS DISEASE STAFF FOR THE REGION. IN-HOME VISITS BY PHARMACISTS AND CARE MANAGERS PROVIDED ADDITIONAL SUPPORT TO INDIVIDUALS MANAGING CHRONIC DISEASE AND THEIR FAMILIES. CLINICIANS AND COMMUNITY MEMBERS JOINED FORCES AND WORKED TOGETHER THROUGH TASK FORCES ESTABLISHED TO IMPACT CRITICAL ISSUES SUCH AS SUBSTANCE ABUSE DURING PREGNANCY, MATERNAL DEPRESSION, AND BEHAVIORAL HEALTH IN OUR REGION. PLANNING AND PARTNERSHIP DEVELOPMENT WITH KEY STAKEHOLDERS SUCH AS TREATMENT PROVIDERS, EDUCATORS, LAW ENFORCEMENT PARTNERS, HEALTH AND HUMAN SERVICE ORGANIZATIONS, LOCAL FUNDERS AND COUNTY OFFICIALS WAS LAUNCHED TO DEVELOP A REGIONAL SUBSTANCE ABUSE PREVENTION AND EDUCATION EFFORT. FINANCIAL SUPPORT AND COLLABORATION WITH THE FOUR FEDERALLY QUALIFIED COMMUNITY HEALTH CENTERS OPERATING IN BARNSTABLE COUNTY FOCUSED EFFORTS ON BUILDING PATHWAYS TO ACCESS TO CARE THROUGH HEALTH CARE ENROLLMENT SERVICES. CCHC CONTINUED THAT COMMITMENT THROUGH THE FUNDING OF COMMUNITY-BASED INTERPRETER SERVICES FOR MEDICAL OFFICES AND SUSTAINING A NETWORK OF SPECIALISTS WHO PROVIDED SIGNIFICANTLY REDUCED OR FREE CARE TO UNINSURED INDIVIDUALS IN OUR COMMUNITY.
OVER 20 NON-PROFIT ORGANIZATIONS RECEIVED SUPPORT FROM CCHC THROUGH DIRECT		GRANT FUNDING AND A COMPETITIVE RFP GRANTS PROGRAM OPEN TO ALL COMMUNITY ORGANIZATIONS WITH PROGRAMS ALIGNED WITH COMMUNITY BENEFITS PRIORITIES. SOME PROGRAMS WERE SUSTAINED THROUGH THIS SUPPORT, INCLUDING SUPPORT GROUPS FOR CARE-GIVERS, TRANSPORTATION PROGRAMS FOR CHRONICALLY ILL RESIDENTS OF GEOGRAPHICALLY ISOLATED AREAS OF CAPE COD AND MENTORING PROGRAMS FOR YOUTH IN NEED OF POSITIVE HEALTH ROLE MODELS, JUST TO NAME A FEW. OTHER PROGRAMS WERE LAUNCHED OR EXPANDED THROUGH CCHC'S SUPPORT INCLUDING A ALZHEIMER'S DISEASE ADULT DAY PROGRAM ON THE OUTER CAPE, LEADER TRAINING FOR CHRONIC DISEASE SELF MANAGEMENT CLASSES, SUBSTANCE ABUSE PREVENTION CAMPAIGNS AND A WEBSITE FOR INDIVIDUALS AND FAMILIES SEEKING ASSISTANCE IN THE NAVIGATION OF MENTAL HEALTH SERVICES IN OUR REGION. COMMUNITY BENEFITS STAFF ALSO PLAYED AN ACTIVE ROLE IN COMMUNITY COALITIONS, VARIOUS REGIONAL TASK FORCE EFFORTS, AND HEALTH AND HUMAN SERVICE ORGANIZATIONS ACROSS BARNSTABLE COUNTY INCLUDING LEADERSHIP PARTICIPATION WITH THE CAPE COD COMMUNITY HEALTH AREA NETWORK (CHNA 27) STEERING COMMITTEE, BARNSTABLE COUNTY HUMAN SERVICES ADVISORY COUNCIL, CAPE COD BEHAVIORAL HEALTH STEERING COMMITTEE AND SUBSTANCE ABUSE IN PREGNANCY TASK FORCE. LASTLY, A KEY ACCOMPLISHMENT IN 2013 WAS THE COMPLETION OF THE CAPE COD HOSPITAL AND FALMOUTH HOSPITAL 2014 - 2016 COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IMPLEMENTATION PLAN. THE ASSESSMENT AND PLANNING INCLUDED THE PARTICIPATION OF MORE THAN 80 COMMUNITY ORGANIZATIONS REPRESENTING A WIDE RANGE OF VULNERABLE POPULATIONS, PRIMARY RESEARCH VIA A TELEPHONE SURVEY OF BARNSTABLE COUNTY RESIDENTS AND EXTENSIVE DATA COLLECTION FROM NATIONAL, STATE AND REGIONAL SOURCES. THE CHNA REPORT AND PLAN WAS MADE WIDELY AVAILABLE TO THE PUBLIC AND INCLUDES: -DATA ON THE HEALTH STATUS OF BARNSTABLE COUNTY RESIDENTS WITH ACCURATE COMPARISONS TO STATE AND NATIONAL BENCHMARKS -IDENTIFIED SIGNIFICANT HEALTH NEEDS AND VULNERABLE POPULATIONS -COMMUNITY BENEFITS PROGRAMS, HOSPITAL PLANNING ACTIVITIES AND COMMUNITY ASSETS AVAILABLE TO ADDRESS SIGNIFICANT HEALTH NEEDS PLANS FOR NEXT REPORTING YEAR A PLAN IS DEVELOPED EACH YEAR TO ALIGN CAPE COD HOSPITAL, FALMOUTH HOSPITAL AND CAPE COD HEALTHCARE'S COMMUNITY BENEFITS ACTIVITIES TO THE IDENTIFIED SIGNIFICANT HEALTH NEEDS AND TARGET POPULATIONS IN BARNSTABLE COUNTY. AN ELEVEN-MEMBER 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. COMMUNITY BENEFITS STAFF ENSURES THAT ANNUAL PLANS, PRIORITIES, GOALS AND ACTIVITIES COMPLY WITH MASS ATTORNEY GENERAL (AG) GUIDELINES, MEDICARE GUIDELINES AND IRS REQUIREMENTS. GOALS FOR FY2014: I. INVEST IN INITIATIVES, CLINICAL PROGRAMMING, AND COMMUNITY EDUCATION AND OUTREACH AIMED AT THE MANAGEMENT AND PREVENTION OF CHRONIC AND INFECTIOUS DISEASE. II. SUPPORT REGIONAL HEALTH EFFORTS THROUGH DIRECT GRANT FUNDING AND A COMPETITIVE RFP GRANTS PROGRAM OPEN TO ALL COMMUNITY ORGANIZATIONS WITH PROGRAMS ALIGNED WITH COMMUNITY BENEFITS PRIORITIES. III. IMPROVE ACCESS TO PRIMARY AND SPECIALTY CARE FOR CAPE COD'S UNDERSERVED AND VULNERABLE POPULATIONS THROUGH PARTNERSHIPS AND SUPPORT OF COMMUNITY HEALTH CENTERS, INTERPRETER SERVICES, AND HEALTH CARE ENROLLMENT EFFORTS. IV. PROMOTE EDUCATION, COORDINATION, AND NAVIGATION OF SERVICES TARGETED AT INDIVIDUALS AND FAMILIES FACING MENTAL HEALTH ISSUES. V. ENGAGE IN COLLABORATIVE EFFORTS TO SUPPORT COMMUNITY-BASED SUBSTANCE ABUSE PREVENTION AND EDUCATION EFFORTS. VI. SUPPORT INNOVATIVE AND PREVENTATIVE HEALTH INITIATIVES FOR THE COMMUNITY WITH A SPECIFIC FOCUS ON YOUTH AND SENIORS. VII. ENGAGE PHYSICIANS, NURSES AND CLINICAL STAFF THROUGHOUT CCHC TO INFORM AND ADVISE COMMUNITY BENEFITS PLANNING AND PROGRAM DEVELOPMENT. VIII. MAINTAIN AND DEVELOP COMMUNITY LEADERSHIP OPPORTUNITIES TO IMPROVE THE HEALTH STATUS OF THE RESIDENTS OF BARNSTABLE COUNTY INCLUDING PARTICIPATION WITH THE COMMUNITY HEALTH AREA NETWORK (CHNA 27) STEERING COMMITTEE, THE CAPE COD BEHAVIORAL HEALTH STEERING COMMITTEE, THE BARNSTABLE COUNTY HUMAN SERVICES ADVISORY COUNCIL, AND THE BARNSTABLE COUNTY REGIONAL SUBSTANCE ABUSE COUNCIL. COMMUNITY BENEFITS LEADERSHIP/TEAM GIVEN THE GEOGRAPHIC ISOLATION AND CHANGING DEMOGRAPHICS OF BARNSTABLE COUNTY, CAPE COD HEALTHCARE, CAPE COD HOSPITAL AND FALMOUTH HOSPITAL, ALONG WITH OUR AFFLIATES, PLAY AN IMPORTANT ROLE AS SAFETY NET PROVIDERS TO THE RESIDENTS OF OUR REGION. A FUNDAMENTAL TENANT OF CAPE COD HEALTHCARE'S MISSION IS TO PROVIDE EXCELLENT CARE TO MEMBERS OF OUR COMMUNITY. THE DEVELOPMENT OF VARIED COMMUNITY COLLABORATIONS, INCLUDING THE COMMUNITY BENEFITS PROGRAM, IS LED BY MICHAEL K. LAUF, CHIEF EXECUTIVE OFFICER AND THERESA M. AHERN, SENIOR VICE PRESIDENT, STRATEGY AND 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 PUBLIC HEALTH ORGANIZATIONS, 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, AWARDS PRIORITY GRANT FUNDING, AND ADVISES ON COMMUNITY HEALTH ISSUES AND INITIATIVES. FY 13 COMMUNITY HEALTH COMMITTEE MEMBERS: ELEANOR CLAUS (CHAIR) CCHC BOARD MEMBER KINLIN GROVER REAL ESTATE 927 ROUTE 6A, YARMOUTHPORT, MA 02675 508.362.3000 X203 ECLAUS@KINLINGROVER.COM REPRESENTING: CCHC BOARD OF TRUSTEES ELIZABETH ALBERT BARNSTABLE COUNTY HUMAN SERVICES P.O. BOX 427, BARNSTABLE, MA 02630 508.375.6626 BALBERT@BARNSTABLECOUNTY.ORG REPRESENTING: COMMUNITY AT LARGE & MID-CAPE KAREN CARDEIRA FALMOUTH HUMAN SERVICES 65 TOWN HALL SQUARE, FALMOUTH, MA 02540 508.548.0533 KCARDEIRA@FALMOUTHHUMANSERVICES.ORG REPRESENTING: COMMUNITY AT LARGE & UPPER CAPE MARY DEVLIN PUBLIC HEALTH AND WELLNESS DIVISION, VISITING NURSE ASSOCIATION OF CAPE COD 255 INDEPENDENCE DRIVE, HYANNIS, MA 02601 508.957.7619 MDEVLIN@VNACAPECOD.ORG REPRESENTING: PROVINCETOWN TO PLYMOUTH WITH EMPHASIS ON CHRONIC DISEASE AND HEALTHY AGING OF THE SENIOR POPULATION GEORGIA CARVALHO CAPE COD COMMUNITY COLLEGE 2240 IYANNOUGH ROAD, WEST BARNSTABLE, MA 02668 508.362.2131 EXT. 4492 GCARVALHO@CAPECOD.EDU REPRESENTING: EDUCATION AND YOUNG ADULTS KAREN GARDNER COMMUNITY HEALTH CENTER OF CAPE COD 107 COMMERCIAL ST., MASHPEE, MA 02649 508.477.7090 KGARDNER@CHCOFCAPECOD.ORG REPRESENTING: COMMUNITY HEALTH CENTER NETWORK & UPPER CAPE SUZANNE FAY GLYNN, ESQ. CCHC BOARD MEMBER GLYNN LAW OFFICES 49 LOCUST STREET, FALMOUTH, MA 02540 508.548.8282 LJARVIS@GLYNNLAWOFFICES.COM REPRESENTING: CCHC BOARD OF TRUSTEES CARMEN LEBRON CAPE COD IMMIGRANT CENTER 624 OSTERVILLE WEST BARNSTABLE ROAD, UNIT E1 MARSTONS MILLS, MA 02648 508.428.0517 CLEBRON@CAPECOD.EDU REPRESENTING: COMMUNITY AT LARGE WITH FOCUS ON IMMIGRANT POPULATIONS, HEALTH DISPARITIES AND EMERGING HEALTH NEEDS HADLEY LUDDY BIG BROTHER BIG SISTERS 1934 FALMOUTH ROAD, CENTERVILLE, MA 02601 508-775-5150 HLUDDY@BBBSCCI.ORG REPRESENTING: YOUTH AND YOUNG ADULTS BRIAN O'MALLEY, MD 30 SHANK PAINTER ROAD, PROVINCETOWN, MA 02657 508-487-3505 BOMALLEY@CAPECODHEALTH.ORG REPRESENTING: COMMUNITY AT LARGE & OUTER CAPE CHRIS HOTTLE PROVINCETOWN COUNCIL ON AGING 26 ALDEN STREET, PROVINCETOWN, MA 02657 508-487-7080 CHOTTLE@PROVINCETOWN-MA.GOV REPRESENTING: SENIOR POPULATIONS & OUTER CAPE CAPE COD HEALTHCARE MEMBER: THERESA M. AHERN SENIOR VICE PRESIDENT, STRATEGY AND GOVERNMENTAL AFFAIRS CAPE COD HEALTHCARE 88 LEWIS BAY ROAD HYANNIS, MA 02601 508-862-5077 TAHERN@CAPECODHEALTH.ORG COMMUNITY BENEFITS TEAM MEETINGS THE COMMUNITY HEALTH COMMITTEE MEETING DATES FOR FY 2013 WERE: DECEMBER 6, 2012 4:00-5:00 PM APRIL 9, 2013 8:30-10:00 AM JULY 18, 2013 4:00-5:30 PM NOVEMBER 19, 2013 9:00 - 11:00 AM
COMMUNITY PARTNERS		A BABY CENTER AIDS SUPPORT GROUP OF CAPE COD AMERICAN CANCER SOCIETY BARNSTABLE COUNTY HUMAN SERVICES BARNSTABLE SCHOOL SYSTEM BIG BROTHERS BIG SISTERS OF CAPE COD & THE ISLANDS BOYS AND GIRLS CLUB OF CAPE COD CALMER CHOICE CAPE AND ISLANDS EMS SYSTEMS, INC CAPE AND ISLANDS UNITED WAY CAPE COD CHAMBER OF COMMERCE CAPE COD CHILD DEVELOPMENT CAPE COD FOUNDATION CAPE COD HOARDING TASK FORCE CAPE COD HUNGER NETWORK CHILDREN'S COVE COMMUNITY ACTION COMMITTEE OF CAPE COD & ISLANDS COMMUNITY HEALTH CENTER OF CAPE COD COAST COUNCIL'S ON AGING SERVING TOGETHER DUFFY HEALTH CENTER ELDER SERVICES OF CAPE COD & THE ISLANDS HARBOR COMMUNITY HEALTH CENTER - HYANNIS HELPING OUR WOMEN HOPE HEALTH DEMENTIA & ALZHEIMER'S SERVICES GOSNOLD ON CAPE COD MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH MY HEALTH, MY LIFE: CAPE COD COALITION NATIONAL ALLIANCE ON MENTAL ILLNESS CAPE COD ORAL HEALTH EXCELLENCE COLLABORATIVE OUTER CAPE HEALTH SERVICES PARKINSON SUPPORT NETWORK OF CAPE COD REACH- REACHING ELDERS WITH ADDITIONAL COMMUNITY HELP SAMARITANS OF CAPE COD & THE ISLANDS SIGHT LOSS SERVICES SPECIALTY NETWORK FOR THE UNINSURED THE BOYS AND GIRLS CLUB WE CAN YMCA CAPE COD COMMUNITY HEALTH NEEDS ASSESSMENT DATE LAST ASSESSMENT COMPLETED AND CURRENT STATUS THE 2014 - 2016 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IMPLEMENTATION PLAN WAS RELEASED AND MADE WIDELY AVAILABLE TO THE PUBLIC ON SEPTEMBER 27TH, 2013. CAPE COD HOSPITAL AND FALMOUTH HOSPITAL FOLLOWED THE PROPOSED AND PENDING IRS REGULATIONS AND MA ATTORNEY GENERAL GUIDELINES TO CONDUCT THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT OF POPULATIONS LIVING IN THE SERVICE AREA OF BARNSTABLE COUNTY. SIGNIFICANT COMMUNITY INPUT WAS DOCUMENTED AND DATA WAS COLLECTED FROM NATIONAL, STATE, REGIONAL AND LOCAL SOURCES TO IDENTIFY THE SIGNIFICANT HEALTH NEEDS OF BARNSTABLE COUNTY. SPECIAL ATTENTION WAS GIVEN TO VULNERABLE POPULATIONS, STATEWIDE PRIORITIES WERE CONSIDERED AND THE COMMUNITY ASSETS AVAILABLE TO MEET NEEDS WERE IDENTIFIED AND ASSESSED. AN IMPLEMENTATION PLAN RELATED TO THE SIGNIFICANT HEALTH NEEDS OF BARNSTABLE COUNTY RESIDENTS WAS DEVELOPED WITH OUTLINED GOALS, OBJECTIVES, INITIATIVES, RESOURCES AND POTENTIAL COLLABORATORS. THE OBJECTIVES OF THE COMMUNITY HEALTH NEEDS ASSESSMENT WERE TO GATHER STATISTICALLY VALID INFORMATION AND ACCURATE COMPARISONS TO STATE AND NATIONAL BENCHMARKS OF HEALTH AND QUALITY OF LIFE MEASURES FOR RESIDENTS OF BARNSTABLE COUNTY AND TO INTEGRATE RESEARCH FINDINGS INTO COMMUNITY BENEFIT AND HOSPITAL PLANNING ACTIVITIES THAT ADDRESS SIGNIFICANT COMMUNITY NEEDS AND VULNERABLE POPULATIONS. OVER 80 COMMUNITY ORGANIZATIONS PARTICIPATED IN THE COMMUNITY HEALTH ASSESSMENT THROUGH FOCUS GROUPS, KEY INFORMATION INTERVIEWS AND COMMUNITY INPUT FORUMS. DATA WAS COLLECTED THROUGH A HOUSEHOLD TELEPHONE SURVEY OF RESIDENTS OF BARNSTABLE COUNTY USING A SURVEY INSTRUMENT ADAPTED FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION'S BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM. PRIMARY DATA COLLECTED THROUGH COMMUNITY INPUT AND THE HOUSEHOLD TELEPHONE SURVEY WAS HEAVILY AUGMENTED WITH SECONDARY DATA FROM NATIONAL, STATE, AND REGIONAL SOURCES. THE MOST CURRENT BARNSTABLE COUNTY HEALTH DATA AVAILABLE WAS COLLECTED, ANALYZED, SYNTHESIZED AND COMPARED TO MA AND US DATA AS AVAILABLE. DATA COLLECTION EFFORTS FOCUSED ON DEMOGRAPHIC CHARACTERISTICS, BEHAVIORAL RISK FACTORS ASSOCIATED WITH HEALTH STATUS, DISEASE INCIDENCE AND PREVALENCE RATES, ACCESS TO CARE, HEALTH STATUS INDICATORS, MORBIDITY/MORTALITY RATES AND HOSPITAL UTILIZATION. THE SIGNIFICANT HEALTH NEEDS IDENTIFIED THROUGH DATA COLLECTION AND COMMUNITY INPUT WERE DISTINGUISHED AND PRIORITIZED BASED ON THE FREQUENCY, URGENCY, SCOPE, SEVERITY AND MAGNITUDE OF THE IDENTIFIED ISSUES. THE SIGNIFICANT HEALTH NEEDS AND ASSOCIATED TARGET AND VULNERABLE POPULATIONS ARE THE FOUNDATION FOR COMMUNITY BENEFITS AND HOSPITAL PLANNING AND PROGRAM IMPLEMENTATION SPANNING FISCAL YEARS 2014 - 2016. KEY DATA SETS FEATURED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT WILL BE UPDATED ANNUALLY. COMMUNITY BENEFITS AND HOSPITAL PLANNING ACTIVITIES WILL BE FURTHER DEFINED, UPDATED AND EVALUATED THROUGH ONGOING AND ANNUAL PROGRAM EVALUATION AND IDENTIFICATION OF EMERGING TRENDS AND NEEDS. THE FOLLOWING SOURCES WERE UTILIZED IN THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENTS: - CAPE COD HOSPITAL AND FALMOUTH HOSPITAL UTILIZATION DATA - CENTERS FOR DISEASE CONTROL AND PREVENTION: BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), YOUTH RISK BEHAVIORAL SURVEILLANCE SYSTEM (YRBSS), NATIONAL CENTER FOR HEALTH STATISTICS, NATIONAL PROGRAM OF CANCER REGISTRIES, CDC WONDER DATABASE, HEALTHY PEOPLE 2020 - FALMOUTH PREVENTION PARTNERSHIP COMMUNITY PROFILE ON YOUTH SUBSTANCE ABUSE IN FALMOUTH 2009 - MASSACHUSETTS DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION - MASSACHUSETTS DEPARTMENT OF LABOR AND WORKFORCE DEVELOPMENT - MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH: BUREAU OF SUBSTANCE ABUSE SERVICES, MASSCHIP (MASSACHUSETTS COMMUNITY HEALTH INFORMATION PROFILE) - TRI-COUNTY COLLABORATIVE FOR ORAL HEALTH EXCELLENCE - U.S. CENSUS BUREAU: US CENSUS 2000, US CENSUS 2010, AMERICAN COMMUNITY SURVEY - US DEPARTMENT OF VETERAN AFFAIRS - KEY INFORMANT INTERVIEWS - FOCUS GROUPS - COMMUNITY FORUMS - TELEPHONE SURVEY OF BARNSTABLE COUNTY RESIDENTS - COUNTY HEALTH AND HUMAN SERVICES DEPARTMENT AND LOCAL HEALTH AGENCIES - FOCUS GROUPS - COMMUNITY FORUMS - TELEPHONE SURVEY OF BARNSTABLE COUNTY RESIDENTS - COUNTY HEALTH AND HUMAN SERVICES DEPARTMENT AND LOCAL HEALTH AGENCIES CONSULTANTS/OTHER ORGANIZATIONS AIDS SUPPORT GROUP OF CAPE COD AMERICAN CANCER SOCIETY BARNSTABLE COUNTY HUMAN RIGHTS COMMISSION BARNSTABLE COUNTY HUMAN SERVICES BARNSTABLE COUNTY PUBLIC HEALTH NURSE BARNSTABLE SCHOOL SYSTEM BIG BROTHERS BIG SISTERS OF CAPE COD AND THE ISLANDS BOURNE COUNCIL ON AGING BOYS & GIRLS CLUB OF CAPE COD CAPE & ISLANDS EMERGENCY MEDICAL SERVICES SYSTEM CAPE & ISLANDS UNITED WAY CAPE AND ISLANDS SUICIDE PREVENTION COALITION CAPE COD CENTER FOR WOMEN CAPE COD COMMUNITY COLLEGE CAPE COD COUNCIL OF CHURCHES CAPE DISABILITY NETWORK CAPE COD DISTRICT ATTORNEY'S OFFICE CAPE COD FOUNDATION CAPE COD HEALTHCARE DIABETES CENTER CAPE COD HEALTHCARE INFECTIOUS DISEASE SERVICES CAPE COD HEALTHCARE REGIONAL CANCER NETWORK CAPE COD HEALTHY FAMILIES CAPE COD IMMIGRANT CENTER CAPE COD JUSTICE FOR YOUTH COLLABORATIVE CAPE COD JUSTICE FOR YOUTH BOARD CAPE COD MEDICAL RESERVE CORPS CAPE COD NEIGHBORHOOD SUPPORT COALITION CAPE COD WIC CAPE& ISLANDS GAY STRAIGHT YOUTH ALLIANCE CCH PATIENT AND FAMILY ADVISORY COMMITTEE CHAMP HOMES CHILD AND FAMILY SERVICES CHILDREN'S STUDY HOME COAST (COA'S SERVING TOGETHER) COMMUNITY HEALTH CENTER OF CAPE COD COUNTY NETWORK OF CAPE COD DUFFY HEALTH CENTER ELDER SERVICES OF CAPE COD AND THE ISLANDS EMERALD PHYSICIANS FALMOUTH HOUSING AUTHORITY FALMOUTH HUMAN SERVICES FALMOUTH POLICE DEPARTMENT FALMOUTH PREVENTION PARTNERSHIP FALMOUTH SERVICE CENTER FREEDOM FROM ADDICTION NETWORK GOSNOLD ON CAPE COD HEALTH IMPERATIVES HEALTH IMPERATIVES - HYANNIS FAMILY PLANNING HELPING OUR WOMEN HOPE DEMENTIA AND ALZHEIMER'S SERVICES OF CAPE COD HOPE HEALTH HYANNIS YOUTH AND COMMUNITY CENTER KENNEDY DONOVAN CENTER LOWER CAPE OUTREACH COUNCIL LYME AWARENESS OF CAPE COD MA DEPARTMENT OF MENTAL HEALTH - CAPE COD MASHPEE COUNCIL ON AGING MASHPEE HOUSING AUTHORITY MATERNAL DEPRESSION TASK FORCE NATIONAL MULTIPLE SCLEROSIS SOCIETY ORAL HEALTH EXCELLENCE COLLABORATIVE PARISH NURSE MINISTRIES OF CAPE COD PROVINCETOWN COUNCIL ON AGING REACHING ELDERS WITH ADDITIONAL COMMUNITY HELP (REACH) SAMARITANS ON CAPE COD AND ISLANDS SANDWICH COUNCIL ON AGING SANDWICH HOUSING AUTHORITY SERVING THE HEALTH INFORMATION NEEDS OF OTHERS (SHINE) SOUTH BAY MENTAL HEALTH SPECIALTY NETWORK FOR THE UNINSURED ST. JOHN'S EPISCOPAL PROJECT TRURO COUNCIL ON AGING VETERANS OUTREACH COUNCIL VISITING NURSE ASSOCIATION OF CAPE COD WOMEN AND ADOLESCENT HEALTH AT COMMUNITY HEALTH CENTER OF CAPE COD YMCA OF CAPE COD YOUTH SUICIDE PREVENTION PROJECT
DATA SOURCES		COMMUNITY FOCUS GROUPS, HOSPITAL, CONSUMER GROUP, INTERVIEWS, MASSCHIP, PUBLIC HEALTH PERSONNEL, SURVEYS, CHNA COMMUNITY BENEFITS PROGRAMS FINANCIAL COUNSELING & ASSISTANCE PROGRAM TYPE: COMMUNITY EDUCATION,COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE,DIRECT SERVICES,HEALTH COVERAGE SUBSIDIES OR ENROLLMENT,OUTREACH TO UNDERSERVED STATEWIDE PRIORITY: ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY, SUPPORTING HEALTHCARE REFORM BRIEF DESCRIPTION OF OBJECTIVE: THE FINANCIAL ASSISTANCE AND COUNSELING PROGRAM AT CAPE COD HOSPITAL AND FALMOUTH HOSPITAL PROVIDE COMPREHENSIVE SERVICES TO COMMUNITY MEMBERS SEEKING PUBLIC INSURANCE ENROLLMENT AND RE-VERIFICATION OF ENROLLMENT FOR PUBLIC INSURANCE COVERAGE. FINANCIAL COUNSELORS ARE DEDICATED TO IMPROVING ACCESS TO CARE THROUGH ELIGIBILITY SCREENING, ASSESSED AFFORDABILITY AND FINANCIAL COUNSELING. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, OTHER: UNINSURED/UNDERINSURED SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL GOALS 1.GOAL DESCRIPTION: INCREASE ACCESS TO CARE THROUGH ENROLLMENT ASSISTANCE AND FINANCIAL COUNSELING. GOAL STATUS: OVER 2,950 APPLICATIONS FOR HEALTH INSURANCE COVERAGE WERE SUBMITTED THROUGH FINANCIAL COUNSELING AND ASSISTANCE EFFORTS AT CAPE COD HOSPITAL AND FALMOUTH HOSPITAL. 2.GOAL DESCRIPTION: IMPROVE COMMUNITY AWARENESS OF STATE AND FEDERAL INSURANCE PROGRAMS. GOAL STATUS: PROVIDED OUTREACH AND EDUCATION TO COMMUNITY ORGANIZATIONS AND HOSPITAL DEPARTMENTS TO BUILD AWARENESS OF INSURANCE OPTIONS AND THE ENROLLMENT PROCESS. PROGRAM EFFORTS ONGOING IN FY14. 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 CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601 PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED 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 PROFESSIONAL/STAFF TRAINING,HEALTH SCREENING,OUTREACH TO UNDERSERVED,PREVENTION STATEWIDE PRIORITY: CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY BRIEF DESCRIPTION OR OBJECTIVE: REACH OPERATES THROUGH AN ANNUAL COMMUNITY BENEFITS GRANT TO SUPPORT REGIONAL EFFORTS TO IDENTIFY AND ASSIST HIGH RISK-SENIORS WHO ARE OFTEN ISOLATED AND FACE DIFFICULTY NAVIGATING AVAILABLE SERVICES IN OUR REGION. 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, THE VISITING NURSES ASSOCIATION, EMERGENCY MEDICAL SERVICES AND OTHER COMMUNITY PARTNERS, ISSUES SUCH AS HEALTH, SAFETY, COGNITIVE STATUS, SOCIAL FUNCTIONING AND RISK OF SUICIDE ARE ASSESSED AND APPROPRIATE PLANS ARE DEVELOPED TO ACHIEVE OPTIMAL DAILY LIVING STATUS FOR IDENTIFIED SENIORS AGES 60 YEARS AND OLDER ON CAPE COD. SENIORS ARE PRIMARILY IDENTIFIED BY EMS PROVIDERS AND OTHER AGING SERVICE PROFESSIONALS AS HAVING 'UNMET NEEDS'. REACH ALSO COORDINATES COALITIONS AND TRAININGS FOR COMMUNITY SERVICE PROVIDERS TARGETING EMERGING ISSUES AND TRENDS THAT SPECIFICALLY IMPACT SENIOR HEALTH AND WELL-BEING INCLUDING CHRONIC DISEASE SELF-MANAGEMENT, HEALTHY-AGING ACTIVITIES AND TRANSPORTATION. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, ENVIRONMENTAL QUALITY, INJURY AND VIOLENCE, MENTAL HEALTH, OTHER: ALCOHOL AND SUBSTANCE ABUSE, OTHER: ALZHEIMER DISEASE, OTHER: BEREAVEMENT, OTHER: ELDER CARE, OTHER: FIRST AID/ACLS/CPR, OTHER: HOMEBOUND, OTHER: SAFETY, OTHER: SAFETY - HOME SEX: ALL AGE GROUP: ADULT-ELDER ETHNIC GROUP: ALL LANGUAGE: ALL GOALS 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 281 ELDERS RECEIVED COMMUNITY-BASED WRAP AROUND SERVICES. 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 82 ELDERS FROM VNA RN WELLNESS COACH AND OR MENTAL HEALTH CLINICAL COACH. 3.GOAL DESCRIPTION BUILD CAPACITY TO OFFER CHRONIC DISEASE SELF-MANAGEMENT (CDSM) CLASSES TO SENIORS THROUGH TRAINING ADDITIONAL PROGRAM LAY LEADERS. GOAL STATUS THIRTY-FOUR (34) LAY LEADERS WERE TRAINED TO CONDUCT CDSM CLASSES ACROSS THE REGION. AN ADDITIONAL COMMUNITY BENEFITS GRANT PROVIDED FUNDING TO TRAIN THREE (3) MASTER TRAINERS WHICH WILL PROVIDE LOCAL CAPACITY TO TRAIN ADDITIONAL LAY LEADERS. PARTNERS PARTNER NAME, DESCRIPTION, PARTNER 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 CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601 PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED
COMMUNITY BASED INTERPRETER SERVICES		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,PHYSICIAN/PROVIDER DIVERSITY,SCHOOL/HEALTH CENTER PARTNERSHIP STATEWIDE PRIORITY: PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY BRIEF DESCRIPTION OR OBJECTIVE: CAPE COD HEALTHCARE COMMUNITY BENEFITS PROVIDES ANNUAL SUPPORT TO IMPROVE ACCESS TO PRIMARY AND SPECIALTY CARE FOR INDIVIDUALS THAT FACE BARRIERS TO CARE DUE TO LANGUAGE THROUGH THE COMMUNITY BASED INTERPRETER SERVICES PROGRAM. THE PROGRAM DISPATCHES FREE MEDICAL LANGUAGE INTERPRETERS TO COMMUNITY-BASED PHYSICIAN PRACTICES TO ASSIST LIMITED AND NON-ENGLISH SPEAKING PATIENTS AND THEIR FAMILIES. THE AVAILABILITY OF PROFICIENT AND PROFESSIONAL INTERPRETER SERVICES ENSURES THE DELIVERY OF SAFE QUALITY HEALTH CARE AND POSITIVE CLINICAL OUTCOMES. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, OTHER: UNINSURED/UNDERINSURED SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL GOALS 1.GOAL DESCRIPTION INCREASE ACCESS TO CARE BY PROVIDING MEDICAL LANGUAGE INTERPRETATIONS IN COMMUNITY-BASED PRIMARY CARE AND SPECIALTY SETTINGS. GOAL STATUS COLLABORATION WITH COMMUNITY HEALTH CENTERS AND PHYSICIAN OFFICES RESULTED IN 857 LANGUAGE INTERPRETATIONS IN FY13. OVER 80% OF REQUESTED INTERPRETATIONS WERE FOR RESIDENTS SPEAKING PORTUGUESE AND 18% FOR RESIDENTS SPEAKING SPANISH. 1.GOAL DESCRIPTION PROVIDE EDUCATION AND OUTREACH TO COMMUNITY BASED HEALTH CARE PROVIDERS TO 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. PROGRAM EFFORTS ARE ONGOING IN FY14. PARTNERS PARTNER NAME, DESCRIPTION AND WEB ADDRESS COMMUNITY HEALTH CENTER OF CAPE COD: THE SPECIALTY NETWORK FOR THE UNINSURED HTTP://WWW.CHCOFCAPECOD.ORG/ COMMUNITY-BASED MEDICAL OFFICES ON CAPE COD VARIOUS CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED SPECIALITY NETWORK FOR THE UNINSURED (SNU) PROGRAM TYPE: COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE,DIRECT SERVICES,GRANT/DONATION/FOUNDATION/SCHOLARSHIP,HEALTH COVERAGE SUBSIDIES OR ENROLLMENT,HEALTH SCREENING,OUTREACH TO UNDERSERVED,PHYSICIAN/PROVIDER DIVERSITY,PREVENTION,SCHOOL/HEALTH CENTER PARTNERSHIP STATEWIDE PRIORITY: ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY, SUPPORTING HEALTHCARE REFORM BRIEF DESCRIPTION OF OBJECTIVE: CAPE COD HEALTHCARE COMMUNITY BENEFITS PROVIDES ANNUAL SUPPORT TO INCREASE ACCESS TO SPECIALTY CARE FOR THE UNINSURED THROUGH THE SPECIALTY NETWORK FOR THE UNINSURED (SNU). THE PROGRAM WAS ESTABLISHED AND IS MANAGED IN COLLABORATION WITH LOCAL COMMUNITY HEALTH CENTERS TO PROVIDE APPOINTMENTS TO SPECIALISTS WHO PROVIDE FREE OR SIGNIFICANTLY REDUCED SLIDING-SCALE FEE STRUCTURE FOR OFFICE VISITS, PROCEDURES AND CONTINUED CARE OF UNINSURED INDIVIDUALS. THE PROGRAM ALSO COORDINATES ON-SITE SPECIALTY CLINICS PROVIDING CARDIOLOGY, ORTHOPEDIC AND DIABETIC EYE-EXAM SERVICES BY VOLUNTEER PHYSICIANS. TARGET POPULATION REGIONS SERVED: COUNTY - BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, IMMUNIZATION, OTHER: ALZHEIMER DISEASE, OTHER: ARTHRITIS, OTHER: ASTHMA/ALLERGIES, OTHER: CANCER, OTHER: CARDIAC DISEASE, OTHER: CHRONIC PAIN , OTHER: COLITIS/CROHN DISEASE, OTHER: CULTURAL COMPETENCY, OTHER: DIABETES, OTHER: HEPATITIS, OTHER: HIV/AIDS, OTHER: HYPERTENSION, OTHER: LYME DISEASE, OTHER: OSTEOPOROSIS/MENOPAUSE, OTHER: PARKINSON'S DISEASE, OTHER: PULMONARY DISEASE/TUBERCULOSIS, OTHER: STROKE, OTHER: UNINSURED/UNDERINSURED, OTHER: VISION , OVERWEIGHT AND OBESITY SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL GOALS 1.GOAL DESCRIPTION INCREASE ACCESS TO SPECIALTY CARE FOR LOW-INCOME, UNINSURED AND UNDER-INSURED INDIVIDUALS. GOAL STATUS THE SPECIALTY NETWORK FOR THE UNINSURED PROVIDED 725 PATIENT APPOINTMENTS WITH SPECIALISTS. PROGRAM EFFORTS ARE ONGOING IN FY14. 2.GOAL DESCRIPTION MAINTAIN A STABLE NETWORK OF MEDICAL SPECIALIST IN THE REGION TO ACCEPT PATIENTS FOR SPECIALTY CARE AT NO COST OR A SIGNIFICANTLY REDUCED SLIDING-SCALE FEE. GOAL STATUS THE PROGRAM MAINTAINED AND DEVELOPED AGREEMENTS WITH 71 SPECIALISTS THROUGHOUT THE REGION TO WHICH PATIENTS WERE REFERRED 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 CONTACT INFORMATION: LISA GUYON, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA, 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED PRESCRIPTION ASSISTANCE PROGRAM: CAPE COD HOSPITAL AND FALMOUTH HOSPITAL PROGRAM TYPE: OUTREACH TO UNDERSERVED STATEWIDE PRIORITY: ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY BRIEF DESCRIPTION OR OBJECTIVE: THE PRESCRIPTION ASSISTANCE PROGRAM IS AN INITIATIVE OF CAPE COD HOSPITAL AND FALMOUTH HOSPITAL EMERGENCY, BEHAVIORAL HEALTH AND PHARMACY DEPARTMENTS AS A COMMUNITY BENEFIT TO HELP UNINSURED, UNDER-INSURED AND FINANCIALLY DISADVANTAGED PATIENTS WHO HAVE NO OTHER VIABLE MEANS TO PAY FOR MEDICATIONS UPON DISCHARGE FROM HOSPITAL FACILITIES. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, OTHER: UNINSURED/UNDERINSURED SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL GOALS 1.GOAL DESCRIPTION ASSIST PEOPLE WHO ARE UNABLE TO AFFORD MEDICATIONS TO ENSURE COMPLIANCE WITH THEIR DISCHARGE PLAN. GOAL STATUS CAPE COD HOSPITAL AND FALMOUTH HOSPITAL EMERGENCY AND BEHAVIORAL HEALTH DEPARTMENTS PROVIDED PRESCRIPTION ASSISTANCE TOTALING $42,320 FOR UNINSURED, UNDERINSURED OR FINANCIALLY CHALLENGED PATIENTS WHO WERE UNABLE TO AFFORD PRESCRIPTIONS UPON DISCHARGE. PARTNER NAME, DESCRIPTION AND WEB ADDRESS LOCAL PHARMACIES N/A CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601 PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED TRANSPORTATION ASSISTANCE PROGRAM: CAPE COD HOSPITAL AND FALMOUTH HOSPITAL PROGRAM TYPE: COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE,DIRECT SERVICES,GRANT/DONATION/FOUNDATION/SCHOLARSHIP STATEWIDE PRIORITY: ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, REDUCING HEALTH DISPARITY BRIEF DESCRIPTION OR OBJECTIVE:IN AN EFFORT TO ASSIST LOW-INCOME AND VULNERABLE POPULATIONS, CAPE COD HOSPITAL AND FALMOUTH HOSPITAL PROVIDE TRANSPORTATION UPON DISCHARGE FROM EMERGENCY AND BEHAVIORAL HEALTH DEPARTMENTS, TO THOSE PATIENTS WITHOUT RESOURCES, FOR TRANSPORTATION. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, OTHER: SAFETY, OTHER: UNINSURED/UNDERINSURED SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL GOALS 1.GOAL DESCRIPTION ASSIST PEOPLE WHO ARE UNABLE TO AFFORD OR ACCESS TRANSPORTATION TO ENSURE COMPLIANCE WITH THEIR DISCHARGE PLAN. GOAL STATUS CAPE COD HOSPITAL AND FALMOUTH HOSPITAL EMERGENCY AND BEHAVIORAL HEALTH DEPARTMENTS PROVIDED TAXI VOUCHERS TOTALING $33,522 FOR UNINSURED, UNDER-INSURED OR FINANCIALLY DISADVANTAGED PATIENTS UPON DISCHARGE. PROGRAM EFFORTS ARE ONGOING IN FY14. PARTNERS PARTNER NAME, DESCRIPTION AND WEB ADDRESS LOCAL TAXI COMPANIES N/A CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA, 02601 PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED
SUPPORT OF CHNA 27 AND COMMUNITY-BASED AGENCIES: DETERMINATION OF NEED		SUPPORT OF CHNA 27 AND COMMUNITY-BASED AGENCIES: DETERMINATION OF NEED PROGRAM TYPE: COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE,DIRECT SERVICES,GRANT/DONATION/FOUNDATION/SCHOLARSHIP,HEALTHY COMMUNITIES PARTNERSHIP,OUTREACH TO UNDERSERVED,PREVENTION STATEWIDE PRIORITY: CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY BRIEF DESCRIPTION OF OBJECTIVE: TOTAL FUNDING OF $401,000 HAS BEEN DESIGNATED TO ADDRESS ISSUES THAT ELIMINATE HEALTH DISPARITIES, PROMOTE WELLNESS, AND PREVENT/MANAGE CHRONIC DISEASE FOR INDIVIDUALS WHO ARE ELDERLY AND/OR PERSONS WITH DISABILITIES. THIS POPULATION WAS IDENTIFIED THROUGH A COMMUNITY HEALTH NEEDS ASSESSMENT BY CAPE COD HEALTHCARE AND ENDORSED BY THE COMMUNITY HEALTH NETWORK AREA 27 (CAPE COD AND THE ISLANDS). THIS PROGRAM WAS SPECIFIED AS PART OF CAPE COD HOSPITAL'S DETERMINATION OF NEED REQUIREMENT FOR THE CLARK CANCER CENTER DEVELOPMENT AND LICENSURE. TARGET POPULATION: REGIONS SERVED: BARNSTABLE, COUNTY-BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, MENTAL HEALTH, OTHER: ALZHEIMER DISEASE, OTHER: DIABETES, OTHER: ELDER CARE, OTHER: NUTRITION, OTHER: SAFETY - HOME, OTHER: UNINSURED/UNDERINSURED, OTHER: VISION SEX: ALL AGE GROUP: ADULT-ELDER ETHNIC GROUP: ALL LANGUAGE: ALL GOALS 1.GOAL DESCRIPTION EXPAND THE CAPACITY OF THE COMMUNITY HEALTH NETWORK 27 AND ISSUE AN RFP SUPPORTING COLLABORATIVE, MEASURABLE AND EVIDENCED-BASED REGIONAL PROGRAMS FOR SENIORS AND/OR DISABLED INDIVIDUALS THAT PROVIDES AN IMPACT ON THE MOST URGENT NEEDS OF THE IDENTIFIED TARGET POPULATION. GOAL STATUS IN 2013, CAPE COD HEALTHCARE PROVIDED $80,200 IN DETERMINATION OF NEED FUNDS TO CHNA 27. THOSE FUNDS WERE UTILIZED TO SUPPORT A PART-TIME CHNA 27 COORDINATOR AND PROVIDE GRANT AWARDS TO FOUR ORGANIZATIONS THAT MET FUNDING CRITERIA. 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 HEALTH CENTER OF CAPE COD WWW.CHCOFCAPECOD.ORG DUFFY HEALTH CENTER WWW.DUFFYHEALTHCENTER.ORG SIGHT LOSS SERVICES HTTP://WWW.JWEN.COM/SLS/ DAYBREAK SUPPORTIVE DAY PROGRAM WWW.DAYBREAKTRURO.ORG CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601 PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED HEALTH INSURANCE ENROLLMENT PROGRAM WITH LINKAGES TO HEALTHY AGING EDUCATION PROJECT: COMMUNITY ACTION COMMITTEE OF CAPE COD AND THE ISLANDS PROGRAM TYPE: COMMUNITY EDUCATION,COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE, DIRECT SERVICES, GRANT/DONATION/FOUNDATION/SCHOLARSHIP, HEALTH COVERAGE SUBSIDIES OR ENROLLMENT, OUTREACH TO UNDERSERVED, SCHOOL/HEALTH CENTER PARTNERSHIP STATEWIDE PRIORITY: ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY, SUPPORTING HEALTHCARE REFORM BRIEF DESCRIPTION OR OBJECTIVE: CAPE COD HEALTHCARE COMMUNITY BENEFITS PROVIDED A GRANT TO SUPPORT COMMUNITY ACTION COMMITTEE OF CAPE COD AND THE ISLANDS EFFORT TO INCREASE HEALTH CARE INSURANCE ENROLLMENT AMONGST IMMIGRANT AND LOW-INCOME FAMILIES ACROSS BARNSTABLE COUNTY. THIS PROGRAM PROVIDES BI-LINGUAL HEALTH CARE ENROLLMENT AND RE-ENROLLMENT SERVICES, LINKAGES TO PRIMARY CARE PROVIDERS, CONSUMER EDUCATION WORKSHOPS AND COUNSELING AND OUTREACH TO SENIORS AND CAREGIVERS IN THE BRAZILIAN COMMUNITY ON CAPE COD TO BUILD HEALTHY AGING SKILL SETS AND KNOWLEDGE. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, OTHER: CULTURAL COMPETENCY, OTHER: EDUCATION/LEARNING ISSUES, OTHER: ELDER CARE, OTHER: UNINSURED/UNDERINSURED SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL, PORTUGUESE, SPANISH GOALS 1.GOAL DESCRIPTION ASSIST 1,600 INDIVIDUALS WITH HEALTH INSURANCE ENROLLMENT AND RE-ENROLLMENT NEEDS. GOAL STATUS ASSISTED 1,845 INDIVIDUALS WITH HEALTH INSURANCE ENROLLMENT AND RE-ENROLLMENT IN BARNSTABLE COUNTY. 2.GOAL DESCRIPTION HEALTH INSURANCE CONSUMER EDUCATION WORKSHOPS AND COUNSELING WILL BE OFFERED TO INDIVIDUALS. GOAL STATUS OVER 940 INDIVIDUALS, 51% OF ALL INDIVIDUALS RECEIVING ENROLLMENT SERVICES, RECEIVED ONE ON ONE COUNSELING/EDUCATION OR ATTENDED CONSUMER EDUCATION WORKSHOPS. 3.GOAL DESCRIPTION LINK NEWLY INSURED INDIVIDUALS AND FAMILIES TO PRIMARY CARE PROVIDERS. GOAL STATUS APPROXIMATELY 516 INDIVIDUALS, 28% OF ALL INDIVIDUALS RECEIVING ENROLLMENT SERVICES, RECEIVED REFERRALS TO PRIMARY CARE PROVIDERS 4. GOAL DESCRIPTION DISTRIBUTE HEALTHY AGING TOOL-KITS TO CAREGIVERS AND SENIORS IN THE BRAZILIAN COMMUNITY. GOAL STATUS EIGHTY-SEVEN, (87) TOOL KITS WERE DISTRIBUTED TO BRAZILIAN RESIDENTS OVER THE AGE OF 60 OR THEIR CAREGIVERS. PARTNER NAME DESCRIPTION, 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 COMMUNITY ACTION COMMITTEE OF CAPE COD & ISLANDS WWW.CACCI.CC A BABY CENTER WWW.ABABYCENTER.ORG DUFFY HEALTH CENTER WWW.DUFFYHEALTHCENTER.ORG HARBOR COMMUNITY HEALTH CENTER-HYANNIS WWW.HHSI.US/CAPECOD MASSHEALTH TRAINING FORUMS WWW.MASSHEALTHMTF.ORG CAREER OPPORTUNITIES CENTER WWW.CAPEJOBS.COM THE FORESTDALE SCHOOL HTTP://WWW.EDLINE.NET/PAGES/FORESTDALE_SCHOOL CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED SUPPORTING ACCESS TO CARE FOR HOMELESS AND AT RISK ADULTS AT THE DUFFY HEALTH CENTER PROGRAM TYPE: COMMUNITY EDUCATION,COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE,DIRECT SERVICES,GRANT/DONATION/FOUNDATION/SCHOLARSHIP,HEALTH COVERAGE SUBSIDIES OR ENROLLMENT,OUTREACH TO UNDERSERVED,SCHOOL/HEALTH CENTER PARTNERSHIP STATEWIDE PRIORITY: ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY, SUPPORTING HEALTHCARE REFORM 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 OLDER ADULT WELLNESS. IN ADDITION TO BENEFIT ENROLLMENT FUNDING, CCHC COMMUNITY BENEFITS PROVIDED SUPPORT TO DUFFY HEALTH CENTER FOR PROVIDER RECRUITMENT TO EXPAND ACCESS TO CARE FOR VULNERABLE POPULATIONS. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: OTHER: HOMELESSNESS, OTHER: UNINSURED/UNDERINSURED SEX: ALL AGE GROUP: ADULT ETHNIC GROUP: ALL LANGUAGE: ALL 1.GOAL DESCRIPTION TO COORDINATE AND FACILITATE HEALTH CARE INSURANCE ASSISTANCE, ENROLLMENT AND RE-ENROLLMENT SERVICES FOR LOW-INCOME AND VULNERABLE POPULATIONS. GOAL STATUS THE BENEFITS COORDINATOR PROVIDED HEALTH INSURANCE ENROLLMENT AND RE-ENROLLMENT SERVICES THROUGH 268 INITIAL MEETINGS WITH CLIENTS AND 548 FOLLOW-UP VISITS. NINETY PERCENT (90%) OF INDIVIDUALS WERE ENROLLED OR RE-ENROLLED IN HEALTH INSURANCE PLANS. 2.GOAL DESCRIPTION CONNECT CONSUMERS TO PRIMARY CARE PROVIDERS AT DUFFY HEALTH CENTER OR IN THE COMMUNITY. GOAL STATUS INDIVIDUALS ASSISTED WITH HEALTH INSURANCE ENROLLMENT OR RE-ENROLLMENT ONSITE WERE IMMEDIATELY REGISTERED AS DUFFY PATIENTS. PERSONS WHO WERE ASSISTED WITH BENEFITS ENROLLMENT OFF-SITE WERE REFERRED TO THE COMMUNITY HEALTH CENTER NEAREST WHERE THEY LIVE. 3.GOAL DESCRIPTION RECRUIT, ORIENTATE AND TRAIN NEW MEDICAL PROVIDERS TO PROVIDE CAPACITY TO SERVE GROWING PATIENT BASE. GOAL STATUS TWO MID-LEVEL PROVIDERS AND ONE PHYSICIAN WERE RECRUITED IN FY13. PARTNER NAME, DESCRIPTION AND WEB ADDRESS VETERANS AFFAIRS VARIOUS THE DUFFY HEALTH CENTER WWW.DUFFYHEALTHCENTER.ORG COMMUNITY ACTION COMMITTEE OF CAPE COD & THE ISLANDS WWW.CACCI.CC HOUSING ASSISTANCE CORPORATION WWW.HACONCAPECOD.ORG CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED
SUPPORT GROUPS AND CLASSES AT CAPE COD HOSPITAL AND FALMOUTH HOSPITAL		PROGRAM TYPE: COMMUNITY EDUCATION,DIRECT SERVICES,SUPPORT GROUP STATEWIDE PRIORITY: ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, SUPPORTING HEALTHCARE REFORM BRIEF DESCRIPTION OR OBJECTIVE: SUPPORT GROUPS AND CLASSES ARE CONDUCTED ON A REGULAR BASIS AND OPEN TO ALL MEMBERS OF THE COMMUNITY REGARDLESS OF THEIR PATIENT STATUS OR TIES TO CAPE COD HOSPITAL OR FALMOUTH HOSPITAL. CLASSES ARE HOSTED AT THE HOSPITALS AND IN THE COMMUNITY TO PROVIDE ACCESS TO ALL POPULATIONS. INFORMATION AND RESOURCES ARE AVAILABLE TO INDIVIDUALS, FAMILIES AND FRIENDS AND MANY INCLUDE IN-PERSON MEETINGS AND CONTACT TO OFFER SUPPORT AND REASSURANCE THROUGH THEIR SPECIFIC DISEASE/HEALTH CARE SITUATION. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: OTHER: ARTHRITIS, OTHER: BEREAVEMENT, OTHER: CANCER, OTHER: CHILD CARE, OTHER: CHRONIC PAIN , OTHER: DIABETES, OTHER: HOSPICE, OTHER: HYPERTENSION, OTHER: NUTRITION, OTHER: PARENTING SKILLS, OTHER: PREGNANCY, OTHER: STRESS MANAGEMENT SEX: ALL AGE GROUP: ADULT, ADULT-ELDER, ADULT-YOUNG ETHNIC GROUP: ALL LANGUAGE: ALL GOALS 1.GOAL DESCRIPTION PROVIDE SUPPORT GROUPS FOR INDIVIDUALS, FAMILIES AND CAREGIVERS ON A CONTINUUM OF ISSUES INCLUDING CANCER SURVIVORSHIP, PRENATAL/NEW MOTHERS GROUPS, BEREAVEMENT AND CHRONIC DISEASE SELF MANAGEMENT. GOAL STATUS IN FY13, 2,700 HOURS OF SUPPORT GROUPS AND CLASSES WERE OFFERED AND FACILITATED FOR INDIVIDUALS AND FAMILIES. INFORMATION AND RESOURCES WERE INCLUDED TO ASSIST THEM WITH THEIR SPECIFIC DISEASE OR HEALTH RELATED CIRCUMSTANCE. PARTNER NAME, DESCRIPTION AND WEB ADDRESS VISITING NURSES ASSOCIATION HTTP://WWW.VNACAPECOD.ORG AMERICAN CANCER SOCIETY WWW.CANCER.ORG YMCA CAPE COD HTTP://YMCACAPECOD.ORG/ CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED WORKFORCE DEVELOPMENT INITIATIVES PROGRAM TYPE: COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE,HEALTH PROFESSIONAL/STAFF TRAINING,MENTORSHIP/CAREER TRAINING/INTERNSHIP,SCHOOL/HEALTH CENTER PARTNERSHIP STATEWIDE PRIORITY: REDUCING HEALTH DISPARITY, SUPPORTING HEALTHCARE REFORM BRIEF DESCRIPTION OR OBJECTIVE: CAPE COD HEALTHCARE RECOGNIZES THE IMPORTANCE OF WORKFORCE DEVELOPMENT AND SUPPORTS THE OPPORTUNITY FOR STUDENTS FROM HIGH SCHOOL THROUGH GRADUATE SCHOOL TO HAVE A POSITIVE AND PROFESSIONAL EXPERIENCE THROUGH INTERNSHIPS, JOB SHADOWING AND TRAINING WITH THE HEALTH CARE PROVIDERS IN SEVERAL HOSPITAL DEPARTMENTS. BY TRAINING AND MENTORING STUDENTS FOR FUTURE EMPLOYMENT WE HOPE TO SUCCESSFULLY ENGAGE INDIVIDUALS SO THEY SELECT HEALTH CARE AS A VIABLE AND ADMIRABLE VOCATION, THUS DECREASING THE POTENTIAL RISK FOR PREDICTED FUTURE SHORTAGES IN THE WORKPLACE. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL GOALS 1.GOAL DESCRIPTION INCREASE ACCESS TO SERVICES THROUGH WORKFORCE DEVELOPMENT PARTNERSHIPS. GOAL STATUS IN FY13, OVER 10,700 HOURS OF WORKFORCE DEVELOPMENT EFFORTS TOOK PLACE INCLUDING STUDENT TRAINING, MENTORING AND JOB SHADOWING. 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/ BRISTOL COMMUNITY COLLEGE WWW.BRISTOL.MASS.EDU UMASS DARTMOUTH WWW.UMASSD.EDU CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED HELPING HANDS: IN-HOME SUPPORT FOR HIGH-RISK PATIENTS PROGRAM TYPE: DIRECT SERVICES,PREVENTION STATEWIDE PRIORITY: CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY BRIEF DESCRIPTION OR OBJECTIVE: NURSE CASE MANAGEMENT AND MEDICATION REVIEW BY A PHARMACIST IS OFFERED IN THE PATIENT'S HOME FOR HIGH-RISK PATIENTS BEING DISCHARGED FROM CAPE COD HOSPITAL AND FALMOUTH HOSPITAL WITH A CHRONIC DISEASE, COMPLEX MEDICATION REGIMEN, OR WHEN HIGH RISK OF FALL 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: COUNTY-BARNSTABLE HEALTH INDICATOR: INJURY AND VIOLENCE, OTHER: CANCER, OTHER: CHRONIC PAIN, OTHER: DIABETES, OTHER: ELDER CARE, OTHER: HOMEBOUND, OTHER: HYPERTENSION, OTHER: NUTRITION, OTHER: PARKINSON'S DISEASE, OTHER: PULMONARY DISEASE/TUBERCULOSIS, OTHER: SAFETY - HOME SEX: ALL AGE GROUP: ADULT ETHNIC GROUP: ALL LANGUAGE: ALL GOALS 1.GOAL DESCRIPTION PROVIDE MEDICATION MANAGEMENT VISIT, SERVICES AND EDUCATION POST DISCHARGE FROM CAPE COD HOSPITAL AND FALMOUTH HOSPITAL. GOAL STATUS OVER 390 PATIENTS RECEIVED 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. 2.GOAL DESCRIPTION PROVIDE HIGH-RISK PATIENTS WITH MONTHLY IN-HOME ASSESSMENT WITH A REGISTERED NURSE AND PHARMACIST AS NEEDED, TO CREATE MULTI-MONTH CARE PLAN, CARE COORDINATION AND CAREGIVER SUPPORT. GOAL STATUS PROVIDED 479 HOME VISITS TO ASSURE PATIENTS WERE RECEIVING A CONTINUUM OF SERVICES WHICH ADDRESSED THEIR SPECIFIC PLAN OF CARE INCLUDING DISEASE AND MEDICATION MANAGEMENT. PROGRAM EFFORTS ARE ONGOING IN FY14. 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/ CONTACT INFORMATION: LISA GUYON, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA, 02601 PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED
HEALTH MENTORING FOR YOUTH: BIG BROTHER BIG SISTER OF CAPE COD AND THE	ISLANDS	PROGRAM TYPE: COMMUNITY EDUCATION, DIRECT SERVICES, GRANT/DONATION/FOUNDATION/SCHOLARSHIP, HEALTH SCREENING, MENTORSHIP/CAREER TRAINING/INTERNSHIP, OUTREACH TO UNDERSERVED, PREVENTION STATEWIDE PRIORITY: PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY BRIEF DESCRIPTION OR OBJECTIVE: IN AN EFFORT TO INCREASE GOOD HEALTH ROLE MODELS FOR HIGH-RISK YOUTH, CAPE COD HEALTHCARE COMMUNITY BENEFITS SUPPORTED BIG BROTHERS BIG SISTERS OF CAPE COD & THE ISLANDS IN A NEW INITIATIVE TO CREATE MENTORING MATCH RELATIONSHIPS FOR CHILDREN WITH SPECIFIC, IDENTIFIED HEALTH NEEDS/RISKS INCLUDING OBESITY, DIABETES, EATING DISORDERS AND SUBSTANCE ABUSE. PROGRAM EFFORTS INCLUDED THE IMPLEMENTATION OF A MARKETING AND OUTREACH CAMPAIGN TO RECRUIT MENTORS WITH BACKGROUNDS IN HEALTH, WELLNESS AND FITNESS AND ESTABLISH AN ANNUAL CALENDAR OF ACTIVITIES FOR MENTORS AND MENTEES THAT FOCUSED ON HEALTH-BASED ACTIVITIES. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: MENTAL HEALTH, OTHER: ALCOHOL AND SUBSTANCE ABUSE, OTHER: EDUCATION/LEARNING ISSUES, OTHER: SAFETY - HOME, OVERWEIGHT AND OBESITY, PHYSICAL ACTIVITY, SUBSTANCE ABUSE SEX: ALL AGE GROUP: ADULT-YOUNG, CHILD-PRETEEN, CHILD-PRIMARY SCHOOL, CHILD-TEEN ETHNIC GROUP: ALL LANGUAGE: ALL GOALS 1.GOAL DESCRIPTION CREATE NEW MATCHES THAT MEET OR EXCEED NATIONALLY ESTABLISHED MENTORING MATCH RETENTION AND STRENGTH OF RELATIONSHIP STANDARDS. GOAL STATUS IN FY13, 63 NEW MATCH RELATIONSHIPS WERE CREATED WITH 32% OF MATCHES MADE FOR YOUTH WITH IDENTIFIED HIGH-RISK HEALTH NEEDS. TWELVE MONTH RETENTION RATE REACHED 75% WHICH EXCEEDS NATIONAL AVERAGE BY 10%. 2.GOAL DESCRIPTION A CALENDAR OF HEALTHY ACTIVITIES WILL BE DEVELOPED FOR MENTORS AND MENTEES. GOAL STATUS HEALTH AND WELLNESS ACTIVITIES WERE OFFERED TO MENTORS AND MENTEES OVER 9 MONTH GRANT CYCLE THROUGH PARTNERSHIPS WITH LOCAL BUSINESSES AND NON-PROFITS. PARTNERS PARTNER NAME, DESCRIPTION, WEB ADDRESS CAPE COD NATIONAL SEASHORE WWW.NPS.GOV/CACO/INDEX.HTM CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA, 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED SMILE: ORAL HEALTH EXCELLENCE COLLABORATIVE PROGRAM TYPE: COMMUNITY EDUCATION,COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE,GRANT/DONATION/FOUNDATION/SCHOLARSHIP,HEALTH SCREENING,OUTREACH TO UNDERSERVED,PREVENTION STATEWIDE PRIORITY: CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY BRIEF DESCRIPTION OR OBJECTIVE: CAPE COD HEALTHCARE COMMUNITY BENEFITS PROVIDED GRANT SUPPORT TO THE ORAL HEALTH EXCELLENCE COLLABORATIVE (OHEC) FOR EFFORTS TO EDUCATE LOW-INCOME SENIORS ABOUT THEIR ORAL HEALTH, HYGIENE ROUTINES AND DENTAL CARE RESOURCES. PROGRAM ACTIVITIES INCLUDED PLACING VOLUNTEER ORAL HEALTH EDUCATORS AT EACH OF THE 15 COUNCIL ON AGING OFFICES ACROSS CAPE COD, PROVIDING ONE ON ONE ORAL HEALTH SURVEYS AND EDUCATION SESSIONS WITH SENIORS, AND REMOVING BARRIERS TO DENTAL CARE THROUGH STRENGTHENING EDUCATION, INFORMATION, COORDINATION AND REFERRAL BETWEEN RESIDENTS AND ORAL HEALTH PROVIDERS. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, OTHER: DENTAL HEALTH, OTHER: ELDER CARE, OTHER: UNINSURED/UNDERINSURED SEX: ALL AGE GROUP: ADULT-ELDER, ALL ETHNIC GROUP: ALL LANGUAGE: ALL GOALS 1.GOAL DESCRIPTION RECRUIT, TRAIN AND SECURE SMILE COUNSELORS IN EACH COUNCIL ON AGING ON CAPE COD. PROVIDE BROAD COMMUNITY OUTREACH REGARDING ORAL HEALTH INFORMATION AND SERVICES. GOAL STATUS VOLUNTEER SMILE COUNSELORS WERE TRAINED, MENTORED AND PLACED IN EACH OF THE 15 COUNCIL ON AGING OFFICES ON CAPE COD. OVER 800 INDIVIDUALS WERE REACHED THROUGH OUTREACH AND EDUCATION EFFORTS. 2.GOAL DESCRIPTION IMPROVE THE ORAL HYGIENE ROUTINES OF SENIORS THROUGH ONE ON ONE COUNSELING SESSIONS WITH SMILE COUNSELORS. FACILITATE ACCESS TO DENTAL CARE AND FOLLOW-UP SERVICES FOR SENIORS WITH UNTREATED DENTAL DISEASE. GOAL STATUS OVER 60 LOW-INCOME RESIDENTS AGES 65+ RECEIVED ONE ON ONE DENTAL HYGIENE COUNSELING FROM A SMILE COUNSELOR. THIRTY-EIGHT (38) SENIORS RECEIVED DENTAL CARE THROUGH FACILITATION AND FOLLOW-UP OF SMILE COUNSELORS. 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 CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED
COMPASSIONATE ALZHEIMER'S RESPITE, EDUCATION AND SUPPORT (CARES) PROGRAM:	HOPE DEMENTIA & ALZHEIMER'S SERVICES ON CAPE COD & THE ISLANDS	PROGRAM TYPE: COMMUNITY EDUCATION,COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE,GRANT/DONATION/FOUNDATION/SCHOLARSHIP,OUTREACH TO UNDERSERVED,SUPPORT GROUP STATEWIDE PRIORITY: CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS BRIEF DESCRIPTION OR OBJECTIVE: BARNSTABLE COUNTY'S DEMOGRAPHIC PROFILE IDENTIFIES AN AGING POPULATION INCLUDING 25% OF YEAR ROUND RESIDENTS OVER THE AGE OF 65 YEARS AND A GROWING POPULATION OF RESIDENTS OVER THE AGE OF 85. ALIGNED WITH GROWING UTILIZATION OF HEALTH CARE SERVICES, OUR AGING COMMUNITY HAS ALSO DEMONSTRATED A SIGNIFICANT NEED AND DEPENDENCE ON CAREGIVERS. IN AN EFFORT TO SUPPORT CAREGIVERS IN OUR REGION, A CAPE COD HEALTHCARE COMMUNITY BENEFITS GRANT WAS MADE TO HOPE DEMENTIA & ALZHEIMER'S SERVICES TO PROVIDE SUPPORT AND OUTREACH THROUGH THE EXPANSION OF SUPPORT GROUPS, TELEPHONE HELPLINE AND EDUCATION FOR FAMILIES AND INDIVIDUALS SUFFERING ALZHEIMER'S DISEASE AND RELATED DEMENTIAS (ADRD). TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: OTHER: ALZHEIMER DISEASE, OTHER: ELDER CARE, OTHER: STRESS MANAGEMENT SEX: ALL AGE GROUP: ADULT, ADULT-ELDER, ALL ADULTS ETHNIC GROUP: ALL LANGUAGE: ALL GOALS 1.GOAL DESCRIPTION SUPPORT CAREGIVERS AND INDIVIDUALS WITH ADRD THROUGH NEW SUPPORT GROUPS LOCATED THROUGHOUT CAPE COD AND A TELEPHONE HELPLINE. GOAL STATUS OVER 600 CAREGIVERS AND INDIVIDUALS WITH ADRD PARTICIPATED IN 13 CARES (COMPASSIONATE ALZHEIMER'S RESPITE, EDUCATION AND SUPPORT) GROUPS. SUPPORT WAS PROVIDED TO OVER 1,000 CAREGIVERS AND INDIVIDUALS THROUGH A TELEPHONE HELPLINE. 2.GOAL DESCRIPTION PROVIDE INFORMATION AND EDUCATION ABOUT ADRD THROUGH COMMUNITY PRESENTATIONS, OUTREACH AND NEWSLETTERS. GOAL STATUS NEARLY 800 INDIVIDUALS ATTENDED COMMUNITY PRESENTATIONS OR OUTREACH ACTIVITIES AND 12,000 NEWSLETTERS WERE DISTRIBUTED IN FY13. 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.CFM CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA, 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED SUPPORTING ACCESS TO CARE FOR IMMIGRANT AND LOW-INCOME INDIVIDUALS AT HARBOUR 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,SCHOOL/HEALTH CENTER PARTNERSHIP STATEWIDE PRIORITY: ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY, SUPPORTING HEALTHCARE REFORM BRIEF DESCRIPTION OR OBJECTIVE: IN AN EFFORT TO INCREASE ACCESS TO HEALTH CARE FOR VULNERABLE POPULATIONS, CAPE COD HEALTHCARE PROVIDED A COMMUNITY BENEFITS GRANT TO SUPPORT THE HARBOR COMMUNITY HEALTH CENTER-HYANNIS HEALTH CARE ENROLLMENT AND RE-ENROLLMENT SERVICES OFFERED TO LOW-INCOME AND IMMIGRANT POPULATIONS IN THE MID AND UPPER REGIONS OF CAPE COD. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, OTHER: CULTURAL COMPETENCY, OTHER: LANGUAGE/LITERACY, OTHER: UNINSURED/UNDERINSURED SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL GOALS 1.GOAL DESCRIPTION PROVIDE HEALTH INSURANCE ENROLLMENT AND RE-ENROLLMENT SERVICES FOR RESIDENTS OF THE MID AND UPPER REGION OF CAPE COD. GOAL STATUS APPROXIMATELY 690 NEW APPLICATIONS AND 2,150 RENEWAL APPLICATIONS WERE FACILITATED THROUGH HEALTH INSURANCE ENROLLMENT SERVICES AT HARBOR COMMUNITY HEALTH CENTER-HYANNIS. 2.GOAL DESCRIPTION PROVIDE BI-LINGUAL FINANCIAL COUNSELING AND ENROLLMENT SERVICES AND EXPAND TIME AND DAYS THAT ENROLLMENT ASSISTANCE IS OFFERED. GOAL STATUS HARBOR COMMUNITY HEALTH CENTER-HYANNIS EMPLOYS BI-LINGUAL FINANCIAL COUNSELORS WITH EVENING HOURS OF SERVICES DURING THE WEEK AND EXPANSION OF SERVICE HOURS ON SATURDAY AND SUNDAY. PARTNERS PARTNER NAME, DESCRIPTION AND WEB ADDRESS HARBOR COMMUNITY HEALTH CENTER - HYANNIS WWW.HHSI.US CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED SUPPORTING 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, SCHOOL/HEALTH CENTER PARTNERSHIP STATEWIDE PRIORITY: ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY, SUPPORTING HEALTHCARE REFORM BRIEF DESCRIPTION OR OBJECTIVE: CAPE COD HEALTHCARE PROVIDED A COMMUNITY BENEFITS GRANT TO THE COMMUNITY HEALTH CENTER OF CAPE COD (CHCC) TO SUPPORT EFFORTS TO ASSIST PATIENTS WITH INSURANCE ENROLLMENT, IDENTIFICATION OF NEW OFF-SITE VENUES TO PROVIDE INSURANCE ENROLLMENT SERVICES, AND INCREASE OUTREACH ACTIVITIES TO SPECIAL POPULATIONS RESIDING IN THE UPPER CAPE, INCLUDING THE BRAZILIAN IMMIGRANT COMMUNITY, YOUTH, ELDER AND THE WAMPANOAG TRIBAL MEMBERS. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, OTHER: UNINSURED/UNDERINSURED SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL, PORTUGUESE, SPANISH GOALS 1.GOAL DESCRIPTION ASSIST INDIVIDUALS WITH ENROLLMENT AND RE-ENROLLMENT OF INSURANCE. GOAL STATUS THE COMMUNITY HEALTH CENTER OF CAPE COD INCREASED OUTREACH AND ENROLLMENT STAFF TO 8 FTE'S DURING GRANT CYCLE AND FACILITATED 1,470 HEALTH INSURANCE APPLICATIONS AND RE-ENROLLMENTS. 2.GOAL DESCRIPTION EXPAND OUTREACH THROUGH STRENGTHENING A NETWORK OF COMMUNITY PARTNERS. GOAL STATUS THE COMMUNITY HEALTH CENTER OF CAPE COD OPENED AN ENROLLMENT CENTER IN MASHPEE AND EXTENDED ASSISTANCE SERVICES ON SATURDAY. COLLABORATIONS WERE STRENGTHENED WITH AREA SCHOOLS, BARNSTABLE COUNTY SHERRIFF DEPARTMENT, AND THE FALMOUTH SERVICE CENTER. PARTNERS PARTNER NAME, DESCRIPTION AND WEB ADDRESS FALMOUTH SERVICE CENTER WWW.FALMOUTHHUMANSERVICES.ORG BARNSTABLE COUNTY SHERIFFS DEPARTMENT WWW.BSHERIFF.NET VARIOUS SCHOOL SYSTEMS N/A COMMUNITY HEALTH CENTER OF CAPE COD HTTP://WWW.CHCOFCAPECOD.ORG/ SANDWICH SENIOR CENTER HTTP://WWW.SANDWICHMASS.ORG COMMUNITY ACTION COMMITTEE OF CAPE COD & THE ISLANDS WWW.CACCI.CC/ CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED
SUPPORTING THE HEALTHY COMMUNITIES PROGRAM AT OTHER CAPE HEALTH SERVICES		PROGRAM TYPE: COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE,GRANT/DONATION/FOUNDATION/SCHOLARSHIP,HEALTH COVERAGE SUBSIDIES OR ENROLLMENT,OUTREACH TO UNDERSERVED,SCHOOL/HEALTH CENTER PARTNERSHIP STATEWIDE PRIORITY: ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY, SUPPORTING HEALTHCARE REFORM BRIEF DESCRIPTION OR OBJECTIVE: IN AN EFFORT TO INCREASE HEALTH CARE ACCESS FOR VULNERABLE POPULATIONS, CAPE COD HEALTHCARE COMMUNITY BENEFITS PROVIDED GRANT SUPPORT TO OUTER CAPE HEALTH SERVICES TO SUPPORT HEALTH CARE INSURANCE ENROLLMENT AND OUTREACH SERVICES TO RESIDENTS OF THE LOWER AND OUTER REGIONS OF CAPE COD. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, OTHER: UNINSURED/UNDERINSURED SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL GOALS 1.GOAL DESCRIPTION PROVIDE HEALTH CARE AND COMMUNITY SERVICE ASSISTANCE TO PATIENTS AND COMMUNITY MEMBERS RESIDING IN THE LOWER AND OUTER CAPE. GOAL STATUS THE TOTAL NUMBER OF RESIDENTS AND PATIENTS SERVED BY THE HEALTHCARE ACCESS SPECIALISTS DURING GRANT CYCLE WAS 10,360. 2.GOAL DESCRIPTION ENROLL CLIENTS IN A HEALTH PLAN AND OFFER POST-ENROLLMENT ASSISTANCE. GOAL STATUS APPROXIMATELY 796 CLIENTS WERE ASSISTED WITH APPROVED ENROLLMENT SUBMISSIONS AND 1,465 CLIENTS WITH RE-ENROLLMENT/ELIGIBILITY REVIEW VERIFICATIONS. 3.GOAL DESCRIPTION ASSIST CLIENTS WITH A REFERAL TO A PRIMARY CARE PROVIDER AND ADDITIONAL COMMUNITY SERVICES. GOAL STATUS OVER 1,135 CLIENTS WERE REFERRED TO A PRIMARY CARE PROVIDER AND 5,179 INDIVIDUALS WERE CONNECTED TO OTHER SERVICES AND PROGRAMS. PARTNERS PARTNER NAME, DESCRIPTION AND WEB ADDRESS OUTER CAPE HEALTH SERVICES WWW.OUTERCAPE.ORG WE CAN WWW.WECANCENTER.ORG CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED MEDICAL TRANSPORTATION FOR THE CHRONICALLY ILL FROM THE OUTER CAPE: HELPING OUR WOMEN PROGRAM TYPE: DIRECT SERVICES,GRANT/DONATION/FOUNDATION/SCHOLARSHIP,OUTREACH TO UNDERSERVED STATEWIDE PRIORITY: CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, REDUCING HEALTH DISPARITY BRIEF DESCRIPTION OR OBJECTIVE: IN AN EFFORT TO REDUCE BARRIERS TO HEALTH CARE FOR RESIDENTS FROM THE MOST GEOGRAPHICALLY ISOLATED REGION, THE OUTER CAPE, CCHC COMMUNITY BENEFITS PROVIDED A GRANT IN FY13 TO HELPING OUR WOMEN. HELPING OUR WOMEN PROVIDES SAFE, RELIABLE AND FREE TRANSPORTATION TO MEDICAL, DIAGNOSTIC TESTING AND FOLLOW-UP APPOINTMENTS FOR WOMEN WITH CHRONIC, LIFE THREATENING OR DISABLING CONDITIONS WHO RESIDE FROM EASTHAM TO PROVINCETOWN. TARGET POPULATION REGIONS SERVED: EASTHAM, PROVINCETOWN, TRURO, WELLFLEET HEALTH INDICATOR: ACCESS TO HEALTH CARE, OTHER: CANCER, OTHER: CARDIAC DISEASE, OTHER: DIABETES, OTHER: ELDER CARE, OTHER: SAFETY - AUTO/PASSENGER, OTHER: STROKE SEX: ALL AGE GROUP: ADULT, ADULT-ELDER ETHNIC GROUP: ALL LANGUAGE: ALL GOALS 1.GOAL DESCRIPTION PROVIDE TRANSPORTATION TO MEDICAL APPOINTMENTS TO RESIDENTS FROM EASTHAM TO PROVINCETOWN. GOAL STATUS IN FY13, 240 UNITS OF TRANSPORTATION WERE PROVIDED FOR INDIVIDUALS FROM THE OUTER CAPE. CLIENTS FROM THE FOLLOWING TOWNS WERE ASSISTED: PROVINCETOWN (119), TRURO (36), WELLFLEET (28) AND EASTHAM (17). 2.GOAL DESCRIPTION ESTABLISH AND MAINTAIN RELATIONSHIPS WITH OTHER REGIONAL TRANSPORTATION ORGANIZATIONS TO DEVELOP TRANSPORTATION SAFETY NET FOR RESIDENTS TO ACCESS HEALTH CARE. RELATIONSHIPS ESTABLISHED OR MAINTAINED WITH CAPE COD REGIONAL TRANSPORTATION AUTHORITY, CAPE AIR, AND COMMUNITY-BASED VOLUNTEER TRANSPORTATION ORGANIZATIONS. PARTNERS PARTNER NAME, DESCRIPTION, WEB ADDRESS PROVINCETOWN COUNCIL ON AGING WWW.PROVINCETOWN-MA.GOV EASTHAM COUNCIL ON AGING WWW.EASTHAM-MA.GOV TRURO COUNCIL ON AGING WWW.TRURO-MA.GOV/COUNCIL-ON-AGING WELLFLEET COUNCIL ON AGING WWW.WELLFLEETMA.ORG CAPE COD REGIONAL TRANSIT AUTHORITY WWW.CAPECODTRANSIT.ORG CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED PROGRAM TYPE: COMMUNITY BENEFITS PLANNING PROCESS,DIRECT SERVICES,GRANT/DONATION/FOUNDATION/SCHOLARSHIP,SUPPORT GROUP STATEWIDE PRIORITY: CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS BRIEF DESCRIPTION OR OBJECTIVE: IN AN EFFORT TO ADDRESS GROWING RATES OF OPIATE USE AND ABUSE BY YOUTH AND YOUNG ADULTS, CAPE COD HEALTHCARE COMMUNITY BENEFITS PROVIDED A FY13 GRANT TO GOSNOLD ON CAPE COD TO PILOT INNOVATIVE STRATEGIES TO SUPPORT YOUTH IN RECOVERY OF OPIATE ADDICTION. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: OTHER: ALCOHOL AND SUBSTANCE ABUSE, SUBSTANCE ABUSE SEX: ALL AGE GROUP: ADULT-YOUNG ETHNIC GROUP: ALL LANGUAGE: ALL GOALS 1.GOAL DESCRIPTION TO INCREASE TREATMENT COMPLIANCE RATES OF INDIVIDUALS PARTICIPATING IN PILOT PROJECT. COMPLIANCE GOALS INCLUDE THAT 70% OF PILOT PARTICIPANTS WILL SUCCESSFULLY ENGAGE IN THEIR FIRST CONTINUING CARE APPOINTMENT, 50% WILL KEEP THEIR SECOND APPOINTMENT AND 70% WILL SUSTAIN INVOLVEMENT WITH TWELVE STEP GROUPS. GOAL STATUS FORTY-TWO PATIENTS, AGES 18 TO 26 YEARS OLD, ENROLLED IN THE PROGRAM. NINETY-SEVEN PERCENT (97%) OF PATIENTS ENGAGED IN FIRST CONTINUING CARE APPOINTMENT, 90% KEPT THEIR SECOND APPOINTMENT AND 95% CONTINUED INVOLVEMENT WITH TWELVE STEP GROUPS. 2.GOAL DESCRIPTION AT LEAST 70% OF PATIENTS WILL REPORT NO ADMISSIONS TO EMERGENCY ROOMS OR ACUTE MEDICAL-SURGICAL HOSPITALS OR PSYCHIATRIC HOSPITALS DURING THE PILOT PROJECT. GOAL STATUS OVER 9 MONTHS, NONE OF THE PATIENTS ENROLLED IN THE PILOT PROGRAM HAD BEEN ADMITTED TO AN ER OR MEDICAL-SURGICAL HOSPITAL. 3.GOAL DESCRIPTION LESS THAN 30% OF PATIENTS ENROLLED IN PROJECT WILL HAVE AN ADDITIONAL LEGAL CHARGE DURING THE PROJECT YEAR AND AT LEAST 60% OF PATIENTS WILL REPORT FULL OR PART TIME EMPLOYMENT OR ENROLLMENT IN ACADEMIC OR VOCATIONAL EMPLOYMENT PROGRAM. GOAL STATUS OVER 9 MONTHS, NONE OF THE PATIENTS HAD ANY ARRESTS OR NEW LEGAL ISSUES. OF THE 42 ENROLLED PATIENTS, 50% OF PATIENTS WERE CURRENTLY EMPLOYED. PARTNERS PARTNER NAME, DESCRIPTION, WEB ADDRESS GOSNOLD ON CAPE COD WWW.GOSNOLD.ORG CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED ADDRESSING THE MENTAL HEALTH OF AGING POPULATIONS: CAPE COD HOARDING TASK FORCE PROGRAM TYPE: COMMUNITY BENEFITS PLANNING PROCESS, COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE, GRANT/DONATION/FOUNDATION/SCHOLARSHIP, HEALTH PROFESSIONAL/STAFF TRAINING, SUPPORT GROUP STATEWIDE PRIORITY: PROMOTING WELLNESS OF VULNERABLE POPULATIONS BRIEF DESCRIPTION OR OBJECTIVE: THE CAPE COD HOARDING TASK FORCE IS A NEWLY ESTABLISHED COALITION OF PUBLIC HEALTH AND COMMUNITY ORGANIZATIONS FORMED TO ADDRESS THE GROWING ISSUE OF HOARDING AND RELATED MENTAL HEALTH AND PHYSICAL WELLNESS IMPACT AMONGST ELDERLY RESIDENTS IN OUR REGIONAL. CAPE COD HEALTHCARE COMMUNITY BENEFITS PROVIDED A GRANT IN FY13 TO ASSIST THE CAPE COD HOARDING TASK FORCE INCREASE PUBLIC AWARENESS AND COORDINATION OF SERVICES TO ASSIST RESIDENTS FACING HOARDING AND HEALTH ISSUES. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: ENVIRONMENTAL QUALITY, MENTAL HEALTH, OTHER: ELDER CARE, OTHER: SAFETY - HOME SEX: ALL AGE GROUP: ADULT, ADULT-ELDER ETHNIC GROUP: ALL LANGUAGE: ALL GOALS 1.GOAL DESCRIPTION PROVIDE COMMUNITY EDUCATION OPPORTUNITIES, OPEN TO THE GENERAL PUBLIC, ON ISSUES RELATED TO HOARDING AND MENTAL HEALTH. GOAL STATUS OVER 80 COMMUNITY MEMBERS ATTENDED A PUBLIC AWARENESS EVENT ABOUT HEALTH AND WELLNESS IMPACTS OF HOARDING AND LOCAL RESOURCES AVAILABLE TO ADDRESS THE ISSUE. 2.GOAL DESCRIPTION PROVIDE TRAINING FOR REGIONAL PROVIDERS OF HEALTH AND HUMAN SERVICES ON THE ISSUE OF HOARDING AND RELATED MENTAL HEALTH AND WELLNESS ISSUES. GOAL STATUS OVER 45 LOCAL PUBLIC HEALTH OFFICIALS, ELDER SERVICE PROFESSIONALS AND REPRESENTATIVES FROM COMMUNITY ORGANIZATIONS ATTENDED HOARDING-SPECIFIC TRAININGS. PARTNERS PARTNER NAME, DESCRIPTION, WEB ADDRESS CAPE COD HOARDING TASK FORCE WWW.HOARDINGCAPECOD.ORG GOSNOLD: INNOVATIONS IN TREATING YOUNG ADULT OPIATE ADDICTION METROPOLITAN BOSTON HOUSING PARTNERSHIP WWW.MBHP.ORG/ VISITING NURSE ASSOCIATION OF CAPE COD WWW.VNACAPECOD.ORG CAPE & ISLANDS COGNITIVE BEHAVIOR INSTITUTE WWW.CAPECBI.COM CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED
FUNCTIONAL EXPENSE NOTE		FORM 990, PART I 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 I, 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. 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.
FORM 990, PART XI, LINE 9	OTHER CHANGES IN NET ASSETS OR FUND BALANCES	NET ASSETS RELEASED FROM RESTRICTION ($2,981,208) TRANSFERS TO/FROM AFFILIATES $7,615,511 CHANGE IN VALUE OF SPLIT INTEREST AGREEMENT $328,087 TRANSFER OF NET ASSETS $603,674 -------------- $5,566,064
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) 2012

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

2012

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" to Form 990, Part IV, line 33.)

(a) Name, address, and EIN (if applicable) 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" to 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 entity?
(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	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2012

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to 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" to 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	(i) Section 512(b)(13) controlled entity?
(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		Yes	No
(1) CAPE HEALTH INSURANCE COMPANY PO BOX 1051GT GRAND CAYMAN CJ	INSURANCE	CJ	CAPE COD HLTHCR	C CORP	0	0		Yes
(2) CAPE COD MEDICAL OFFICE BUILDING INC 27 PARK STREET HYANNIS,MA02601 04-2423073	RENTAL SRVCE	MA	NA	C CORP	15,000	33,353	100.000 %	Yes
(3) POOLED INCOME FUNDS (8)	SUPPORT	MA	NA	T				Yes

Schedule R (Form 990) 2012

Page 3

Part V

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

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

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 or (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 Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

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

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

Yes

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

Yes

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

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

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

Yes

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

Yes

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

Yes

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

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

Yes

s 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-s)	(c) Amount involved	(d) Method of determining amount involved
(1) CAPE HEALTH INSURANCE COMPANY	R	1,993,671	FMV

Schedule R (Form 990) 2012

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to 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) 2012

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 2012 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	17
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	5,116
6	Total number of volunteers (estimate if necessary) .............	6	809
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	3,569,112
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	187,290

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	13,524,136	17,223,613
9	Program service revenue (Part VIII, line 2g) .........	706,902,256	698,271,349
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	5,828,575	6,961,356
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	2,216,066	2,111,122
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	728,471,033	724,567,440
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)	389,777,300	409,611,935
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 1,517,383
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	279,654,809	269,695,585
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	669,432,109	679,307,520
19	Revenue less expenses. Subtract line 18 from line 12.......	59,038,924	45,259,920
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	715,315,958	777,546,154
21	Total liabilities (Part X, line 26).............	265,826,850	273,721,096
22	Net assets or fund balances. Subtract line 21 from line 20.....	449,489,108	503,825,058

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 634,947,051 including grants of $ ) (Revenue $ 698,271,249 )
	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 expenses634,947,051

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(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 .......................2.0	X		0		0
(2) ELEANOR CLAUS........................................................................ TRUSTEE	2.0 .......................2.0	X		0		0
(3) HOWARD CROW JR........................................................................ TRUSTEE	2.0 .......................2.0	X		0		0
(4) PHILIP MCLOUGHLIN........................................................................ TRUSTEE	2.0 .......................2.0	X		0		0
(5) MICHAEL K LAUF........................................................................ PRESIDENT/CEO/TRUSTEE	55.0 .......................5.0	X	X	0	964,894	190,877
(6) GROVER BAXLEY MD........................................................................ TRUSTEE - SEE SCH J, PART III	40.0 .......................2.0	X		297,348		9,553
(7) NATE RUDMAN MD........................................................................ TRUSTEE	2.0 .......................2.0	X
(8) JOEL CROWELL........................................................................ TRUSTEE	2.0 .......................2.0	X		0		0
(9) SUZANNE FAY GLYNN ESQ........................................................................ TRUSTEE	2.0 .......................2.0	X		0		0
(10) KEVIN BRESNAHAM MD........................................................................ TRUSTEE - SEE SCH J, PART III	2.0 .......................2.0	X		15,600		0
(11) DEWITT DAVENPORT........................................................................ TRUSTEE	2.0 .......................2.0	X		0		0
(12) DIANE COLETTI........................................................................ TRUSTEE	2.0 .......................2.0	X		0		0
(13) WILLIAM AGEL MD........................................................................ Trustee(fr 1/13)-SCH J, PT III	40.0 .......................2.0	X		430,342		38,637
(14) DOUGLAS MANN MD........................................................................ TRUSTEE - SEE SCH J, PART III	2.0 .......................2.0	X		28,800		0
(15) THOMAS WROE JR........................................................................ CHAIRMAN/TRUSTEE	2.0 .......................2.0	X	X
(16) WILLIAM ZAMMER........................................................................ VICE CHAIRMAN/TRUSTEE	2.0 .......................2.0	X	X
(17) SUMNER B TILTON JR........................................................................ TRUSTEE/TREASURER	2.0 .......................2.0	X	X

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	5,553,484	5,508,972	994,932

				(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		2,875
d	Related organizations...1d
e	Government grants (contributions)1e		1,383,203

f	All other contributions, gifts, grants, and similar amounts not included above1f		15,837,535

g	Noncash contributions included in lines 1a-1f:$		1,947,919
h	Total. Add lines 1a-1f.......			17,223,613
			Business Code
2a	PATIENT SERVICE REVENUE		900099	666,392,245	666,392,245
b	LABORATORY SERVICES		621500	12,002,260	9,162,931	2,839,329
c	QUALITY EARNED PAYMENTS		900099	6,830,485	6,830,485
d	PROGRAM RELATED RENTAL INCOME		900099	2,893,017	2,716,717	176,300
e	MEANINGFUL USE		900099	5,763,540	5,763,540
f	All other program service revenue .			4,389,802	3,836,319	553,483
g	Total. Add lines 2a–2f........			698,271,349
3	Investment income (including dividends, interest, and other similar amounts).......			680,260			680,260
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)	0	0
d	Net rental income or (loss).......			0
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	6,281,096
b	Less: cost or other basis and sales expenses
c	Gain or (loss)	6,281,096
d	Net gain or (loss)..........			6,281,096			6,281,096
8a	Gross income from fundraising events (not including $ 2,875 of contributions reported on line 1c). See Part IV, line 18 ..
	a		193,615
b	Less: direct expenses ...b		51,928
c	Net income or (loss) from fundraising events..			141,687			141,687
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		900099	1,436,140			1,436,140
b	MEDICAL RECORDS		900099	183,010			183,010
c	EMPLOYEE PHARMACY		900099	350,285			350,285
d	All other revenue ....
e	Total. Add lines 11a–11d ......			1,969,435
12	Total revenue. See Instructions......			724,567,440	694,702,237	3,569,112	9,072,478


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing .............			12,228,319	1	10,221,189
2	Savings and temporary cash investments .........			28,514,700	2	30,111,315
3	Pledges and grants receivable, net ...........			8,888,600	3	14,386,280
4	Accounts receivable, net .............			71,655,629	4	73,140,358
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
				0	6	0
7	Notes and loans receivable, net .............			4,506,692	7	5,572,180
8	Inventories for sale or use ..............			8,404,515	8	9,381,662
9	Prepaid expenses and deferred charges ..........			4,397,926	9	6,397,099
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	603,736,719
b	Less: accumulated depreciation .....	10b	333,807,929	262,212,415	10c	269,928,790
11	Investments—publicly traded securities ..........			0	11	0
12	Investments—other securities. See Part IV, line 11 .....			284,135,415	12	329,538,422
13	Investments—program-related. See Part IV, line 11 .....			21,500	13	521,500
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			30,350,247	15	28,347,359
16	Total assets. Add lines 1 through 15 (must equal line 34)......			715,315,958	16	777,546,154
17	Accounts payable and accrued expenses .........			70,012,723	17	62,867,476
18	Grants payable .................			0	18	0
19	Deferred revenue ................			0	19	426,495
20	Tax-exempt bond liabilities .............			158,532,330	20	177,437,324
21	Escrow or custodial account liability. Complete Part IV of Schedule D..			0	21	0
22	Loans and other 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....................			37,281,797	25	32,989,801
26	Total liabilities. Add lines 17 through 25.........			265,826,850	26	273,721,096
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			384,581,163	27	423,316,971
28	Temporarily restricted net assets ...........			36,877,477	28	51,783,242
29	Permanently restricted net assets ...........			28,030,468	29	28,724,845
	Organizations that do not follow SFAS 117 (ASC 958), 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 ...........			449,489,108	33	503,825,058
34	Total liabilities and net assets/fund balances ........			715,315,958	34	777,546,154

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, Return by a U.S. Transferor of Property to a Foreign Corporation (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 organizationmay be required to file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (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