TY 2012 Form 990

(A) Name and business address	(B) Description of services	(C) Compensation
ISGENUITY LLC, 321 Summer Street Suite 401BOSTONMA02210	Architectural Svcs	839,014
RELIABLE ROOFING SHEET METAL LLC, 105 Irving StreetFRAMINGHAMMA01702	Roofing Repair Serv	711,302
MEDCOM, Architectural Group LLC PO Box 15MONUMENT BEACHMA02553	Architectural Svcs	607,184
DOVETAIL HEALTH, 140 Kendrick StreetNEEDHAMMA02494	Quality Improv Serv	570,000
SLOANE WALSH LLP, 3 Center PlazaBOSTONMA02108	Legal Services	456,257
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 21

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 ....	3,860,316		3,603,742	256,574
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	752,580		752,580
7	Other salaries and wages	14,769,584	11,815,667	2,953,917
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	518,410	414,728	103,682
9	Other employee benefits .......	-5,571,283	-4,457,026	-1,114,257
10	Payroll taxes ...........	1,083,552	866,842	216,710
11	Fees for services (non-employees):
a	Management ......	532		532
b	Legal .........	594,336		594,336
c	Accounting ...........	33,942		33,942
d	Lobbying ...........	233,809	187,047	46,762
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	156,306		156,306
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........	60,625	60,625
12	Advertising and promotion ....	966,630	773,304	193,326
13	Office expenses .......	296,084	236,867	59,217
14	Information technology ......	1,403,808	1,123,046	280,762
15	Royalties ..	0
16	Occupancy ...........	1,220,264	976,211	244,053
17	Travel ............	234,990	187,992	46,998
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	0
20	Interest ...........	22,250	17,800	4,450
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization .....	2,113,453	1,690,762	422,691
23	Insurance ..............	192,075	153,660	38,415
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	PURCHASED SERVICES	6,021,228	4,816,982	1,204,246
b	COMMUNITY BENEFITS	971,795	777,436	194,359
c	MEMBERSHIP DUES	150,994	120,795	30,199
d	REPAIRS & MAINTENANCE	187,668	150,134	37,534
e	All other expenses	528,790	423,032	105,758
25	Total functional expenses. Add lines 1 through 24e	30,802,738	20,335,904	10,210,260	256,574
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 .............	2,270,618	1	4,016,330
2	Savings and temporary cash investments .........	0	2	0
3	Pledges and grants receivable, net ...........	0	3	0
4	Accounts receivable, net .............	0	4	0
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 .............	6,993,188	7	5,168,670
8	Inventories for sale or use ..............	107,491	8	115,345
9	Prepaid expenses and deferred charges ..........	1,350,534	9	1,693,034
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	31,952,421
b	Less: accumulated depreciation .....	10b	7,223,996	19,942,885	10c	24,728,425
11	Investments—publicly traded securities ..........	0	11	0
12	Investments—other securities. See Part IV, line 11 .....	129,531,749	12	129,793,082
13	Investments—program-related. See Part IV, line 11 .....	0	13	0
14	Intangible assets ...............	0	14	0
15	Other assets. See Part IV, line 11 ...........	34,484,343	15	38,705,114
16	Total assets. Add lines 1 through 15 (must equal line 34)......	194,680,808	16	204,220,000
	17	Accounts payable and accrued expenses .........	29,374,214	17	28,730,085
18	Grants payable .................	0	18	0
19	Deferred revenue ................	0	19	0
20	Tax-exempt bond liabilities .............	0	20	0
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 ..	2,900,403	23	2,526,158
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....................	24,492,360	25	27,520,479
26	Total liabilities. Add lines 17 through 25.........	56,766,977	26	58,776,722
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	91,961,543	27	98,339,148
28	Temporarily restricted net assets ...........	18,016,188	28	18,479,286
29	Permanently restricted net assets ...........	27,936,100	29	28,624,844
	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 ...........	137,913,831	33	145,443,278
34	Total liabilities and net assets/fund balances ........	194,680,808	34	204,220,000

- 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

Employer identification number

22-2600704

Part I

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

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

A church, convention of churches, or association of churches 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	(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of monetary support
(i) Name of supported organization	(ii) EIN		Yes	No	Yes	No	Yes	No	(vii) Amount of monetary support
(A) CAPE COD HOSPITAL	042103600	03		No					0
(B) CAPE COD HUMAN SERVICES INC	042323506	03		No					0
(C) CAPE & ISLANDS HEALTH SVCS II INC	043572408	03		No					0
(D) FALMOUTH HOSPITAL ASSOCIATION INC	042220716	03		No					0
(E) JML CARE CENTER INC	042995795	03		No					0
(F) FALMOUTH ASSISTED LIVING INC	223379395	03		No					0
(G) VNA OF CAPE COD INC	042104159	03		No					0
(H) CAPE COD HEALTHCARE FOUNDATION INC	043475950	03		No					0
(I) MEDICAL AFFILIATES OF CAPE COD INC	043187299	03		No					0
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
EXEMPT FROM TAXATION UNDER IRC SECTION 501(C)(3) AND IS APPROPRIATELY CLASSIFIED AS A SECTION 509(A)(3) SUPPORTING ORGANIZATION AS IT SERVES AS THE PARENT COMPANY TO ITS AFFILIATES THAT PROVIDE HEALTHCARE SERVICES TO THE POPULATION OF CAPE COD, MASSACHUSETTS. (THE AFFILIATES NOTED IN SCHEDULE A, PART I FILE AS PART OF A GROUP FORM 990.) CAPE COD HEALTHCARE, INC. PROVIDES NONMONETARY SUPPORT TO ITS AFFILIATES BY WAY OF MANAGEMENT SERVICES.

Schedule A (Form 990 or 990-EZ) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

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

Complete if the organization is described below. SchCMd Bullet

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

See separate instructions.

OMB No. 1545-0047

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

Employer identification number

22-2600704

Part I-A

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

Provide a description of the organization’s direct and indirect political campaign activities 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

233,809

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

233,809

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
SCHEDULE C, PART II-B, LINE 1I		Cape Cod Healthcare, Inc. made payments to Smith & Rauschenbach of $99,984, Law Offices of O'Neill Athy of $125,325, and McDermott, Will & Emery of $8,500 for lobbying efforts such as monitoring the Federal and state legislatures for matters relating to healthcare reform and informing Cape Cod Healthcare, Inc. on the changes that could affect Cape Cod Healthcare, Inc.

Schedule C (Form 990 or 990EZ) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

CAPE COD HEALTHCARE INC

Employer identification number

22-2600704

Part I

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

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

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

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds 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 ....
b	Contributions ........
c	Net investment earnings, gains, and losses
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......

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

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

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)

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

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 .................	184,800		184,800
b	Buildings ................	251,896	95,049	156,847
c	Leasehold improvements ............	580,889	526,796	54,093
d	Equipment ................	29,107,267	6,602,151	22,505,116
e	Other .................	1,827,569		1,827,569
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				24,728,425

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) TEMP RESTRICTED INVESTMENTS	8,050,081	F
(B) PERM RESTRICTED INVESTMENTS	11,443,327	F
(C) BENEFICIAL INTEREST IN TRUSTS	16,878,500	F
(D) LONG TERM INVESTMENTS	93,421,174	F





Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	129,793,082

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
(1) INSURANCE RECOVERY RECEIVABLE				18,886,874
(2) JV WITH RAD THERAPY/SHIELDS				2,638,879
(3) SHARES OF HBCS STOCK				658,893
(4) SPLIT DOLLAR LIFE				4,191,173
(5) OTHER ASSETS				10,457,978
(6) DUE FROM AFFILIATES				1,871,317



Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				38,705,114

Part X

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

1.(a) Description of liability		(b) Book value
Federal income taxes		0
PROFESSIONAL LIABILITY CLAIMS		18,886,874
DUE TO AFFILIATES		5,302,906
OTHER CURRENT LIABILITIES		392,997
OTHER LONG TERM LIABILITIES		1,951,257
SERP LIABILITY		986,445




Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		27,520,479
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 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 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

Employer identification number

22-2600704

Part I

Questions Regarding Compensation

Yes

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

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

Travel for companions Payments for business use of personal residence

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

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

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement 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? .......

Yes

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)GROVER BAXLEY MDTRUSTEE - SEE SCH J, PART III	(i) (ii)	294,576	0	2,772	0 8,842	0 711	0 306,901	0 0
(2)RICHARD F SALLUZZO MDFORMER PRESIDENT/CEO	(i) (ii)	0	0	855,504	0 0	2,449 0	857,953 0	154,874 0
(3)MICHAEL G JONESSR VP CHIEF LEGAL OFF/CLERK	(i) (ii)	314,862	77,000	25,587	40,124 0	29,854 0	487,427 0	18,480 0
(4)MICHAEL K LAUFPRESIDENT/CEO/TRUSTEE	(i) (ii)	674,560	245,000	45,334	156,220 0	34,657 0	1,155,771 0	30,514 0
(5)MICHAEL L CONNORSSENIOR VP FINANCE/CFO	(i) (ii)	371,195	92,000	28,723	35,494 0	33,493 0	560,905 0	19,856 0
(6)CHRISTOPHER O'CONNORSVP DEVELOPMENT (UNTIL 3/13)	(i) (ii)	274,055	53,585	9,968	30,750 0	28,967 0	397,325 0	0
(7)DAVID RYANVP OF HR (UNTIL 2/13)	(i) (ii)	208,377	39,760	20,967	25,044 0	36,879 0	331,027 0	15,841 0
(8)JASON M ADAMSCOO (FROM 10/11 - 5/12)	(i) (ii)	188,925	0	247,227	0 0	11,698 0	447,850 0	0 0
(9)JEANNE FALLONSR VP & CIO	(i) (ii)	226,181	46,001	584	26,385 0	19,139 0	318,290 0	0 0
(10)JOHN LIPOMISR VP OF MANAGED CARE	(i) (ii)	343,701	83,000	5,334	47,662 0	21,638 0	501,335 0	0 0
(11)DONALD GUADAGNOLICMO CCH	(i) (ii)	293,557	98,426	19,320	21,442 0	21,294 0	454,039 0	0 0
(12)SUSAN M WINGCOO-FAL. HOSP (UNTIL 6/12)	(i) (ii)	197,997	40,000	47,510	25,630 0	3,065 0	314,202 0	44,738 0
(13)JEFFREY S DYKENSVP OF FINANCE	(i) (ii)	222,051	35,968	21,453	24,750 0	32,937 0	337,159 0	14,358 0
(14)PATRICK KANESVP OF MRKTG,COMMUN AND DEVLP	(i) (ii)	304,777	74,500	1,806	21,230 0	37,889 0	440,202 0	0 0
(15)WILLIAM AGEL MDTRUSTEE(FR 1/13)-SCH J, Pt III	(i) (ii)	0 409,115	20,261	966	0 10,000	0 28,637	0 468,979	0 0
(16)VICTOR OLIVEIRAVP OF PATIENT SERVICES	(i) (ii)	207,464	41,650	28,904	17,001 0	32,237 0	327,256 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. SCHEDULE J, PART I LINE 1A AND 1B: The COO from 10/11 - 5/12 received a housing allowance of $7,200 during calendar year 2012 that was included in his taxable income WHICH WAS PROVIDED THROUGH HIS EMPLOYMENT CONTRACT. 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 - VICTOR OLIVEIRA - $24,427 - 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 (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

Employer identification number

22-2600704

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. COMMUNITY BENEFITS MISSION STATEMENT CAPE COD HEALTHCARE, INC., THROUGH ITS COMMUNITY BENEFITS INITIATIVE, IS COMMITTED TO ENHANCING THE QUALITY OF AND ACCESS TO COMPREHENSIVE HEALTH CARE SERVICES FOR ALL THE RESIDENTS OF CAPE COD. THROUGH CONTINUOUS ASSESSMENT OF COMMUNITY NEEDS, COORDINATED PLANNING AND THE ALLOCATION OF RESOURCES, THIS COMMITMENT INCLUDES A SPECIAL FOCUS ON THE UNMET NEEDS OF THE FINANCIALLY DISADVANTAGED AND UNDERSERVED POPULATIONS. WE WILL TAKE A LEADERSHIP ROLE IN COLLABORATIVE EFFORTS JOINING OUR RESOURCES, TALENT, AND COMMITMENT WITH THAT OF OTHER PROVIDERS, ORGANIZATIONS AND COMMUNITY MEMBERS. THE COMMUNITY BENEFITS MISSION STATEMENT WAS AFFIRMED BY THE CCHC COMMUNITY HEALTH COMMITTEE AND THE BOARD OF TRUSTEES IN 2000 AND REMAINS IN EFFECT. TARGET POPULATIONS 1. NAME OF 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. BY CAPE COD HEALTHCARE FOUNDATION, INC. CERTAIN OFFICERS ARE COMPENSATED BY CAPE COD HEALTHCARE, INC. FUNDS RAISED ARE REPORTED AT CAPE COD HEALTHCARE, INC. AND AFFILIATES. FORM 990, PART I, LINE 6 CAPE COD HEALTHCARE, INC'S VOLUNTEERS INCLUDE ITS TRUSTEES. FORM 990, PART VI, LINE 7(A) THE ORGANIZATION HAS MEMBERS/INCORPORATORS WHO ELECT THE ORGANIZATION'S TRUSTEES. FORM 990, PART VI, LINE 7(B) THE DECISIONS OF THE GOVERNING BODY THAT NEED APPROVAL BY ITS MEMBERS/INCORPORATORS INCLUDE APPROVAL OF CHANGES MADE TO THE CORPORATION'S BYLAWS AND APPROVAL WHEN THERE IS A DIVESTING OF ONE OF THE MAJOR AFFILIATES OF THE ORGANIZATION. FORM 990, PART VI, LINE 11 THE ORGANIZATION'S FORM 990 IS REVIEWED AT SEVERAL LEVELS. THE ORGANIZATION ENGAGES A PUBLIC ACCOUNTING FIRM TO ASSIST IN THE PREPARATION AND REVIEW OF ITS FORM 990 AND WHO SIGNS AS PAID PREPARER. SENIOR MANAGEMENT OF THE ORGANIZATION IS RESPONSIBLE FOR THE TIMELY PREPARATION OF FORM 990. THE COMPLETED FORM 990 IS PROVIDED TO THE FINANCE COMMITTEE AND THE ENTIRE BOARD IN ADVANCE OF THE FILING DEADLINE. FORM 990, PART VI, LINE 12 THE ORGANIZATION MAINTAINS A CONFLICT OF INTEREST POLICY AND REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THIS POLICY. ON AN ANNUAL BASIS, EACH TRUSTEE, OFFICER AND EMPLOYEE AT THE SENIOR MANAGEMENT LEVEL COMPLETES A CONFLICT OF INTEREST DISCLOSURE FORM. THE FORMS ARE REVIEWED BY CAPE COD HEALTHCARE, INC.'S ("CCHC") DIRECTOR OF CLINICAL AND RESEARCH COMPLIANCE WHO PREPARES A SUMMARY FOR CCHC'S COMPLIANCE OFFICER. ANY MATERIAL INTERESTS SO DISCLOSED ARE PRESENTED TO THE CORPORATION'S GOVERNANCE COMMITTEE FOR REVIEW AND RESOLUTION. ALL DISCLOSURE STATEMENTS SUBMITTED BY EMPLOYEES WILL BE REVIEWED BY HUMAN RESOURCES AND/OR CCHC'S DIRECTOR OF CLINICAL AND RESEARCH COMPLIANCE. FOR ANY DISCLOSURE THAT IS CONSIDERED SUBSTANTIVE THE EMPLOYEE'S AREA MANAGER WILL BE CONSULTED TO DETERMINE IF THE SITUATION IS GENERALLY ACCEPTABLE, REQUIRES FURTHER EXAMINATION AND POSSIBLE ACTION OR IS GENERALLY NOT ACCEPTABLE. ANY ACTION PLAN CREATED TO MANAGE A CONFLICT OF INTEREST WILL BE MONITORED BY THE EMPLOYEE'S AREA MANAGER OR SUPERVISOR.
FORM 990, PART VI, LINE 15		THE ANNUAL PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO, OFFICERS, EXECUTIVES AND KEY EMPLOYEES INCLUDE THE FOLLOWING: CEO - COMPENSATION WILL BE DETERMINED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES, AND WILL INCLUDE CONSIDERATION OF RELEVANT MARKET DATA FURNISHED BY A DISINTERESTED COMPENSATION CONSULTANT, AND A REVIEW OF JOB PERFORMANCE. OFFICERS, EXECUTIVES AND KEY EMPLOYEES - OFFICER, EXECUTIVE AND KEY EMPLOYEE COMPENSATION WILL BE DETERMINED BY THE CEO AND WILL INCLUDE CONSIDERATION OF RECENT RELEVANT MARKET DATA FURNISHED BY A DISINTERESTED COMPENSATION CONSULTANT, AND A REVIEW OF JOB PERFORMANCE. THE CEO'S DETERMINATION OF SUCH COMPENSATION WILL BE SUBJECT TO THE APPROVAL OF THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. THE PROCESS AND CONCLUSIONS ARE DOCUMENTED IN THE MEETING MINUTES.
FORM 990, PART VI, 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 IX, LINE 9 OTHER Employee benefits expense includes a health insurance IBNR adjustment. This negative adjustment is BEING REPORTED AS a reduction of expense, consistent with the audited financial statements. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES TRANSFER TO/FROM AFFILIATES $2,573,813 NET ASSETS RELEASED FROM RESTRICTION ($696,322) CHANGE IN VALUE OF SPLIT INTEREST AGREEMENT $379,322 CHANGE IN VALUE BENEFICIAL INTEREST $635,748 ------------ TOTAL $2,892,561

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

Employer identification number

22-2600704

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

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	NA	C CORP	360,196	25,919,629	100.000 %	Yes
(2) CAPE COD MEDICAL OFFICE BUILDING INC 27 PARK STREET HYANNIS,MA02601 04-2423073	RENTAL SERVIC	MA	Cape Cod Hsptl	C CORP	0	0	0 %	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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

Yes

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) VISITING NURSE ASSOCIATION OF CAPE COD INC	S	450,000	FMV
(2) CAPE COD HOSPITAL	S	19,558,139	FMV
(3) MEDICAL AFFILIATES OF CAPE COD INC	S	1,810,979	FMV
(4) FALMOUTH HOSPITAL ASSOCIATION INC	S	6,340,014	FMV
(5) JML CARE CENTER INC	S	75,000	FMV
(6) FALMOUTH ASSISTED LIVING INC	S	75,000	FMV
(7) CAPE & ISLANDS HEALTH SERVICES II INC	S	78,000	FMV
(8) CAPE COD HEALTHCARE FOUNDATION	S	113,506	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:

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	12
5	Total number of individuals employed in calendar year 2011 (Part V, line 2a) ......	5	190
6	Total number of volunteers (estimate if necessary) .............	6	16
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	22,261
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	4,477

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	0	0
9	Program service revenue (Part VIII, line 2g) .........	35,375,425	30,743,403
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	3,682,268	3,707,841
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	0	32,186
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	39,057,693	34,483,430
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)	21,684,191	15,413,159
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 256,574
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	13,891,208	15,389,579
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	35,575,399	30,802,738
19	Revenue less expenses. Subtract line 18 from line 12.......	3,482,294	3,680,692
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	194,680,808	204,220,000
21	Total liabilities (Part X, line 26).............	56,766,977	58,776,722
22	Net assets or fund balances. Subtract line 21 from line 20.....	137,913,831	145,443,278

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 20,335,904 including grants of $ ) (Revenue $ 30,743,403 )
	ORGANIZE AND MANAGE HEALTH CARE RELATED ACTIVITIES FOR THE EXCLUSIVE BENEFIT OF CAPE COD HOSPITAL, FALMOUTH HOSPITAL, INC. AND ITS OTHER AFFILIATES. ALSO SEE SCHEDULE O.

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












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












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses20,335,904

(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) GROVER BAXLEY MD........................................................................ TRUSTEE - SEE SCH J, PART III	2.0 .......................40.0	X			297,348	9,553
(2) THOMAS WROE JR........................................................................ CHAIRMAN/TRUSTEE	2.0 .......................2.0	X	X
(3) ROBERT BIRMINGHAM........................................................................ TRUSTEE	2.0 .......................2.0	X
(4) KEVIN BRESNAHAM MD........................................................................ TRUSTEE - SEE SCH J, PART III	2.0 .......................2.0	X			15,600	0
(5) ELEANOR CLAUS........................................................................ TRUSTEE	2.0 .......................2.0	X
(6) MICHAEL K LAUF........................................................................ PRESIDENT/CEO/TRUSTEE	5.0 .......................55.0	X	X	964,894		190,877
(7) WILLIAM ZAMMER........................................................................ VICE CHAIRMAN/TRUSTEE	2.0 .......................2.0	X	X
(8) HOWARD CROW JR........................................................................ TRUSTEE	2.0 .......................2.0	X
(9) DEWITT DAVENPORT........................................................................ TRUSTEE	2.0 .......................2.0	X
(10) SUMNER B TILTON JR........................................................................ TRUSTEE/TREASURER	2.0 .......................2.0	X	X
(11) SUZANNE FAY GLYNN ESQ........................................................................ TRUSTEE	2.0 .......................2.0	X
(12) PHILIP MCLOUGHLIN........................................................................ TRUSTEE	2.0 .......................2.0	X
(13) NATE RUDMAN MD........................................................................ TRUSTEE	2.0 .......................2.0	X
(14) JOEL CROWELL........................................................................ TRUSTEE	2.0 .......................2.0	X				0
(15) DIANE COLETTI........................................................................ TRUSTEE	2.0 .......................2.0	X
(16) WILLIAM AGEL MD........................................................................ TRUSTEE(FR 1/13)-SCH J, Pt III	2.0 .......................40.0	X		0	430,342	38,637
(17) DOUGLAS MANN MD........................................................................ TRUSTEE - SEE SCH J, PART III	2.0 .......................2.0	X			28,800	0

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)					(D) Reportable compensation from the organization (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) MICHAEL G JONES........................................................................ SR VP CHIEF LEGAL OFF/CLERK	5.0 .......................55.0	X				417,449	69,978
(19) MICHAEL L CONNORS........................................................................ SENIOR VP FINANCE/CFO	5.0 .......................55.0	X				491,918	68,987
(20) CHRISTOPHER O'CONNOR........................................................................ SVP DEVELOPMENT (UNTIL 3/13)	5.0 .......................45.0		X			337,608	59,717
(21) DAVID RYAN........................................................................ VP OF HR (UNTIL 2/13)	5.0 .......................45.0		X			269,104	61,923
(22) JASON M ADAMS........................................................................ COO (FROM 10/11 - 5/12)	5.0 .......................45.0		X			436,152	11,698
(23) JEANNE FALLON........................................................................ SR VP & CIO	5.0 .......................45.0		X			272,766	45,524
(24) PATRICK KANE........................................................................ SVP OF MRKTG,COMMUN AND DEVLP	5.0 .......................45.0		X			381,083	59,119
(25) JOHN LIPOMI........................................................................ SR VP OF MANAGED CARE	5.0 .......................45.0			X		432,035	69,300
(26) DONALD GUADAGNOLI........................................................................ CMO CCH	5.0 .......................45.0			X		411,303	42,736
(27) SUSAN M WING........................................................................ COO-FAL. HOSP (UNTIL 6/12)	5.0 .......................45.0			X		285,507	28,695
(28) JEFFREY S DYKENS........................................................................ VP OF FINANCE	5.0 .......................45.0			X		279,472	57,687
(29) VICTOR OLIVEIRA........................................................................ VP OF PATIENT SERVICES	5.0 .......................45.0			X		278,018	49,238
(30) RICHARD F SALLUZZO MD........................................................................ FORMER PRESIDENT/CEO	.......................				X	855,504	2,449

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	6,112,813	772,090	866,118

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

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

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			0
			Business Code
2a	HOME OFFICE COSTS		900099	28,353,282	28,353,282
b	PHYSICIAN ORG ADM SUPPORT REV		900099	2,107,098	2,107,098
c	OTHER PROGRAM SERVICE REVENUE		900099	283,023	283,023
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			30,743,403
3	Investment income (including dividends, interest, and other similar amounts).......			838,518		-1,715	840,233
4	Income from investment of tax-exempt bond proceeds..			0
5	Royalties...........			0
		(i) Real	(ii) Personal
6a	Gross rents		32,186
b	Less: rental expenses
c	Rental income or (loss)	0	32,186
d	Net rental income or (loss).......			32,186			32,186
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	2,869,323
b	Less: cost or other basis and sales expenses
c	Gain or (loss)	2,869,323
d	Net gain or (loss)..........			2,869,323		23,976	2,845,347
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ..
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...			0
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..			0
Miscellaneous Revenue			Business Code
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			0
12	Total revenue. See Instructions......			34,483,430	30,743,403	22,261	3,717,766


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing .............			2,270,618	1	4,016,330
2	Savings and temporary cash investments .........			0	2	0
3	Pledges and grants receivable, net ...........			0	3	0
4	Accounts receivable, net .............			0	4	0
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 .............			6,993,188	7	5,168,670
8	Inventories for sale or use ..............			107,491	8	115,345
9	Prepaid expenses and deferred charges ..........			1,350,534	9	1,693,034
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	31,952,421
b	Less: accumulated depreciation .....	10b	7,223,996	19,942,885	10c	24,728,425
11	Investments—publicly traded securities ..........			0	11	0
12	Investments—other securities. See Part IV, line 11 .....			129,531,749	12	129,793,082
13	Investments—program-related. See Part IV, line 11 .....			0	13	0
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			34,484,343	15	38,705,114
16	Total assets. Add lines 1 through 15 (must equal line 34)......			194,680,808	16	204,220,000
17	Accounts payable and accrued expenses .........			29,374,214	17	28,730,085
18	Grants payable .................			0	18	0
19	Deferred revenue ................			0	19	0
20	Tax-exempt bond liabilities .............			0	20	0
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 ..			2,900,403	23	2,526,158
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....................			24,492,360	25	27,520,479
26	Total liabilities. Add lines 17 through 25.........			56,766,977	26	58,776,722
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			91,961,543	27	98,339,148
28	Temporarily restricted net assets ...........			18,016,188	28	18,479,286
29	Permanently restricted net assets ...........			27,936,100	29	28,624,844
	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 ...........			137,913,831	33	145,443,278
34	Total liabilities and net assets/fund balances ........			194,680,808	34	204,220,000