TY 2013 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) MICHAEL G JONES........................................................................ SR VP CHIEF LEGAL OFFICER	5.0 .......................55.0	X				419,610	75,386
(19) MICHAEL L CONNORS........................................................................ SENIOR VP FINANCE/CFO	5.0 .......................55.0	X				487,113	82,835
(20) DAVID RYAN........................................................................ VP OF HR (UNTIL 2/27/13)	5.0 .......................45.0		X			272,217	14,241
(21) JEANNE FALLON........................................................................ SR VP & CIO	5.0 .......................45.0		X			299,580	65,686
(22) JOHN LIPOMI........................................................................ SR VP OF MANAGED CARE	5.0 .......................45.0		X			429,345	73,306
(23) PATRICK KANE........................................................................ SVP OF MRKTG,COMMUN AND DEVLP	5.0 .......................45.0		X			380,534	55,040
(24) THERESA M AHERN........................................................................ SVP, Strat, Community/gov rel.	5.0 .......................45.0		X			257,035	43,871
(25) DONALD GUADAGNOLI........................................................................ CMO CAPE COD HOSPITAL	5.0 .......................45.0			X		507,192	90,340
(26) KEVIN J MULROY DO........................................................................ CHIEF MED INFO OFFICER	5.0 .......................45.0			X		397,317	62,442
(27) VICTOR OLIVEIRA........................................................................ VP OF PATIENT SERVICES	5.0 .......................45.0			X		277,425	59,941
(28) CHRISTIAN BROWN........................................................................ VP Special Projects	5.0 .......................45.0			X		310,309	63,574
(29) Arthur Mombourquette........................................................................ COO	5.0 .......................45.0			X		472,874	48,272
(30) RICHARD F SALLUZZO MD........................................................................ FORMER PRESIDENT/CEO	.......................				X	407,371	10,856

(A) Name and business address	(B) Description of services	(C) Compensation
DELOITTE CONSULTING LLP, PO BOX 7247-6447PHILADELPHIAPA191706447	Consulting SVCS	3,251,640
CAPE COD ANESTHESIA ASSOC, 110 MAIN STREET - UNIT BHYANNISMA02601	Physician Services	1,605,597
MAYO COLLABORATIVE SERVICES INC, MAYO MEDICAL LABORATORIES PO BOXMINNEAPOLISMN554809146	Laboratory Services	1,289,988
ISGENUITY LLC, 321 SUMMER STREET SUITE 401BOSTONMA02210	ARCHITECTURAL SVCS	1,254,342
PRICEWATERHOUSECOOPERS LLP, PO BOX 7247-8001PHILADELPHIAPA191708001	AUDIT/TAX SERVICES	1,047,776
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 63

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 ....	5,875,128	937,992	4,659,753	277,383
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0
7	Other salaries and wages	15,477,423	11,608,067	3,869,356
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	546,019	409,514	136,505
9	Other employee benefits .......	9,640,409	7,230,307	2,410,102
10	Payroll taxes ...........	1,107,427	830,570	276,857
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	992,349		992,349
c	Accounting ...........	32,004		32,004
d	Lobbying ...........	208,381	166,708	41,673
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	446,682		446,682
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........	2,426,515	63,088	2,363,427
12	Advertising and promotion ....	1,813,461	1,491,348	322,113
13	Office expenses .......	293,619	234,895	58,724
14	Information technology ......	2,919,847	2,335,878	583,969
15	Royalties ..	0
16	Occupancy ...........	1,264,997	1,011,998	252,999
17	Travel ............	183,606	146,885	36,721
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	0
20	Interest ...........	24,518	19,614	4,904
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization .....	2,875,647	2,300,518	575,129
23	Insurance ..............	136,439	109,151	27,288
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	NON-CAPITAL EQUIP/FIXTURES	3,168,892	2,535,114	633,778
b	PURCHASED SERVICES	2,959,827	2,399,462	560,365
c	COMMUNITY BENEFITS	869,494	869,494
d	REPAIRS & MAINTENANCE	187,201	149,761	37,440
e	All other expenses	1,065,548	938,206	127,342
25	Total functional expenses. Add lines 1 through 24e	54,515,433	35,788,570	18,449,480	277,383
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............	4,016,330	1	2,985,267
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 .............	5,168,670	7	7,126,558
8	Inventories for sale or use ..............	115,345	8	132,256
9	Prepaid expenses and deferred charges ..........	1,693,034	9	2,276,955
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	30,627,648
b	Less: accumulated depreciation .....	10b	10,099,644	24,728,425	10c	20,528,004
11	Investments—publicly traded securities ..........	0	11	0
12	Investments—other securities. See Part IV, line 11 .....	129,793,082	12	145,219,078
13	Investments—program-related. See Part IV, line 11 .....	0	13	3,863,913
14	Intangible assets ...............	0	14	0
15	Other assets. See Part IV, line 11 ...........	38,705,114	15	46,651,529
16	Total assets. Add lines 1 through 15 (must equal line 34)......	204,220,000	16	228,783,560
	17	Accounts payable and accrued expenses .........	28,730,085	17	61,372,628
18	Grants payable .................	0	18	0
19	Deferred revenue ................	0	19	309,363
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 ..	2,526,158	23	2,252,864
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....................	27,520,479	25	3,445,312
26	Total liabilities. Add lines 17 through 25.........	58,776,722	26	67,380,167
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	98,339,148	27	110,224,211
28	Temporarily restricted net assets ...........	18,479,286	28	19,946,074
29	Permanently restricted net assets ...........	28,624,844	29	31,233,108
	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 ...........	145,443,278	33	161,403,393
34	Total liabilities and net assets/fund balances ........	204,220,000	34	228,783,560

- 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.
right arrow

Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

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	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of monetary support
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of monetary support


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2013

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) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(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) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(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 2013 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2012 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2013. 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—2012. 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—2013. 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—2012. 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) 2013

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) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .	0	0	0	0	0	0
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......	29,966,605	32,131,300	35,375,425	30,743,403	54,050,333	182,267,066
3	Gross receipts from activities that are not an unrelated trade or business under section 513..						0
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...						0
5	The value of services or facilities furnished by a governmental unit to the organization without charge..						0
6	Total. Add lines 1 through 5.	29,966,605	32,131,300	35,375,425	30,743,403	54,050,333	182,267,066
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...						0
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.						0
c	Add lines 7a and 7b..						0
8	Public support (Subtract line 7c from line 6.)						182,267,066

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
9	Amounts from line 6...	29,966,605	32,131,300	35,375,425	30,743,403	54,050,333	182,267,066
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..	494,001	423,295	896,444	872,419	1,927,657	4,613,816
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.						0
c	Add lines 10a and 10b.	494,001	423,295	896,444	872,419	1,927,657	4,613,816
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.	0	0	0	4,477	0	4,477
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..						0
13	Total support. (Add lines 9, 10c, 11, and 12.)..	30,460,606	32,554,595	36,271,869	31,620,299	55,977,990	186,885,359

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 2013 (line 8, column (f) divided by line 13, column (f)) .........

97.529 %

Public support percentage from 2012 Schedule A, Part III, line 15 ...............

0 %

Section D. Computation of Investment Income Percentage

Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f)) ......

2.469 %

Investment income percentage from 2012 Schedule A, Part III, line 17 .............

0 %

19a

33 1/3% support tests—2013. 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—2012. 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) 2013

Page 4

Part IV

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

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2013

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. SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

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) 2013

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) 2010	(b) 2011	(c) 2012	(d) 2013	(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) 2013

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

208,381

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

208,381

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

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.

Return Reference	Explanation
SCHEDULE C, PART II-B, LINE 1I	Cape Cod Healthcare, Inc. made payments to Smith & Rauschenbach of $91,652, Law Offices of O'Neill Athy and Casey of $110,229, and McDermott, Will & Emery of $6,500 for lobbying and public policy consulting services such as monitoring the Federal and Massachusetts legislatures for matters relating to healthcare reform and informing Cape Cod Healthcare, Inc. on changes that could effect Cape Cod Healthcare, Inc. Cape Cod Healthcare, Inc. pays membership dues to the Massachusetts Council of Community Hospitals which may engage in lobbying activities. Therefore, a portion of the dues may be attributable to lobbying activities.

Return Reference

Explanation

SCHEDULE C, PART II-B, LINE 1I

Cape Cod Healthcare, Inc. made payments to Smith & Rauschenbach of $91,652, Law Offices of O'Neill Athy and Casey of $110,229, and McDermott, Will & Emery of $6,500 for lobbying and public policy consulting services such as monitoring the Federal and Massachusetts legislatures for matters relating to healthcare reform and informing Cape Cod Healthcare, Inc. on changes that could effect Cape Cod Healthcare, Inc. Cape Cod Healthcare, Inc. pays membership dues to the Massachusetts Council of Community Hospitals which may engage in lobbying activities. Therefore, a portion of the dues may be attributable to lobbying activities.

Schedule C (Form 990 or 990EZ) 2013

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. SchDMd Bullet

Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

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) 2013

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. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. 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 ................	637,604	103,433	534,171
c	Leasehold improvements ............	632,841	560,761	72,080
d	Equipment ................	29,172,403	9,435,450	19,736,953
e	Other .................
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				20,528,004

Schedule D (Form 990) 2013

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. 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	8,181,005	F
(B) PERM RESTRICTED INVESTMENTS	11,610,422	F
(C) BENEFICIAL INTEREST IN TRUSTS	19,265,018	F
(D) LONG TERM INVESTMENTS	106,162,633	F





Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	145,219,078

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment		(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. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) INSURANCE RECOVERY RECEIVABLE				21,169,186
(2) SHARES OF HBCS STOCK				655,269
(3) SPLIT DOLLAR LIFE				4,084,476
(4) OTHER ASSETS				11,723,789
(5) DUE FROM AFFILIATES				9,008,460
(6) DEFERRED FINANCING COSTS, NET				10,349



Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				46,651,529

Part X

Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes		0
OTHER LONG TERM LIABILITIES		2,399,020
SERP LIABILITY		1,046,292







Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		3,445,312
2. Liability for uncertain tax positions 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) 2013

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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

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.

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) 2013

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, line 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

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
directors, trustees, officers, including 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 .............................

Yes

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

Yes

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

Cat. No. 50053T

Schedule J (Form 990) 2013

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)	0 258,414		36,834	0 10,200	0 1,971	0 307,419	0 0
(2)RICHARD F SALLUZZO MDFORMER PRESIDENT/CEO	(i) (ii)	0 0		407,371	0 0	10,856 0	418,227 0	0 0
(3)MICHAEL G JONESSR VP CHIEF LEGAL OFFICER	(i) (ii)	313,055 0	77,106	29,449	41,491 0	33,895 0	494,996 0	28,483 0
(4)MICHAEL K LAUFPRESIDENT/CEO/TRUSTEE	(i) (ii)	726,780 0	267,000	81,346	184,878 0	40,260 0	1,300,264 0	52,468 0
(5)MICHAEL L CONNORSSENIOR VP FINANCE/CFO	(i) (ii)	375,213 0	71,060	40,840	50,915 0	31,920 0	569,948 0	31,760 0
(6)DAVID RYANVP OF HR (UNTIL 2/27/13)	(i) (ii)	41,532 0		230,685	6,716 0	7,525 0	286,458 0	29,745 0
(7)JEANNE FALLONSR VP & CIO	(i) (ii)	237,266 0	56,925	5,389	39,191 0	26,495 0	365,266 0	0 0
(8)JOHN LIPOMISR VP OF MANAGED CARE	(i) (ii)	341,429 0	82,582	5,334	47,913 0	25,393 0	502,651 0	0 0
(9)DONALD GUADAGNOLICMO CAPE COD HOSPITAL	(i) (ii)	415,406 0	81,903	9,883	52,970 0	37,370 0	597,532 0	0 0
(10)KEVIN J MULROY DOCHIEF MED INFO OFFICER	(i) (ii)	328,003 0	49,725	19,589	28,104 0	34,338 0	459,759 0	0 0
(11)PATRICK KANESVP OF MRKTG,COMMUN AND DEVLP	(i) (ii)	306,013 0	72,715	1,806	23,120 0	31,920 0	435,574 0	0 0
(12)WILLIAM AGEL MDTrustee - See Sch J, Part III	(i) (ii)	0 450,278	19,000	14,166	0 10,200	0 34,338	0 527,982	0 0
(13)VICTOR OLIVEIRAVP OF PATIENT SERVICES	(i) (ii)	214,102 0	40,119	23,204	25,633 0	34,308 0	337,366 0	18,439 0
(14)THERESA M AHERNSVP, Strat, Community/gov rel.	(i) (ii)	201,694 0	53,700	1,641	19,286 0	24,585 0	300,906 0	0 0
(15)CHRISTIAN BROWNVP Special Projects	(i) (ii)	253,778 0	49,725	6,806	29,236 0	34,338 0	373,883 0	0 0
(16)Arthur MombourquetteCOO	(i) (ii)	396,068 0	65,000	11,806	15,482 0	32,790 0	521,146 0	0 0

Schedule J (Form 990) 2013

Page 3

Part III

Supplemental Information

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.

Return Reference	Explanation
FORM 990, PART VII	Grover Baxley, MD, DOUGLAS MANN, MD, WILLIAM AGEL, MD, AND PATRICK M. FLYNN, MD WERE COMPENSATED in their capacity as physicians, not as trustees. SCHEDULE J, PART I, LINES 1A & 1B HOUSING ALLOWANCE THE CHIEF OPERATING OFFICER RECEIVED A HOUSING ALLOWANCE IN CALENDAR YEAR 2013 PROVIDED PURSUANT TO HIS EMPLOYMENT CONTRACT WHICH WAS REPORTED AS TAXABLE COMPENSATION TO THE INDIVIDUAL. PERSONAL SERVICES IN CONNECTION WITH HIS DEPARTURE, DAVID RYAN, VP OF HUMAN RESOURCES, RECEIVED CERTAIN OUTPLACEMENT SERVICES. THE VALUE OF SUCH SERVICES WAS NOT INCLUDED IN TAXABLE COMPENSATION. SCHEDULE J, PART I, LINE 4A: SEVERANCE PAYMENTS DAVID RYAN, VP OF HUMAN RESOURCES, RECEIVED SEVERANCE PAYMENTS OF $176,374 DURING CALENDAR YEAR 2013. THE ARRANGEMENT PROVIDES FOR CONTINUED PAYMENT OF THE INDIVIDUAL'S SALARY AND BENEFITS FOR A PERIOD OF TWELVE MONTHS, INCLUDING MEDICAL AND DENTAL INSURANCE COVERAGE. RICHARD SALUZZO, MD, FORMER PRESIDENT/CEO, RECEIVED SEVERANCE PAYMENTS OF $407,371 DURING CALENDAR YEAR 2013. 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 7 PAYMENTS MADE IN CALENDAR YEAR 2013. THE ARRANGEMENT ALSO PROVIDES FOR PARTICIPATION OF HIMSELF AND HIS DEPENDENTS IN THE COMPANY'S GROUP MEDICAL AND DENTAL PLANS FOR THIRTY-SIX MONTHS. 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 EXECUTIVES. 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 2013 WERE AS FOLLOWS: - MICHAEL K. LAUF - $52,468 - MICHAEL L. CONNORS - $31,760 - MICHAEL G. JONES - $28,483 - VICTOR OLIVEIRA - $18,439 - DAVID RYAN - $29,745 CAPE COD HEALTHCARE, INC. AND AFFILIATES ALSO SPONSOR A NONQUALIFIED PENSION RESTORATION ACCOUNT PLAN FOR KEY EXECUTIVES. THE ORGANIZATION MAKES CONTRIBUTIONS OF TWO PERCENT OF THE INDIVIDUAL'S ANNUAL SALARY AS OF THE BEGINNING OF THE PLAN YEAR. AMOUNTS DEFERRED ARE INCLUDED IN SCHEDULE J, COLUMN (C) AND UNDER THE PLAN, PARTICIPANTS ARE ENTITLED TO CERTAIN BENEFITS UPON RETIREMENT OR DEATH. During calendar year 2013, Michael Lauf ALSO participated in a Section 457(f) plan. Twelve percent of his base salary was contributed and each contribution is subject to a three year vesting schedule. The amount deferred in calendar year 2013 was $87,720 and is included in Schedule J, Part II, Column (C). SCHEDULE J, PART I, LINE 7 DISCRETIONARY BONUSES ARE AWARDED ANNUALLY BASED UPON BOTH THE PERFORMANCE OF THE ORGANIZATION AND THE INDIVIDUAL. BONUSES ARE REFLECTED IN SCHEDULE J, PART II, COLUMN B(II). SCHEDULE J, PART I, LINE 8 THE COO SERVED UNDER HIS INITIAL CONTRACT DURING CALENDAR YEAR 2013.

Return Reference

Explanation

FORM 990, PART VII

Grover Baxley, MD, DOUGLAS MANN, MD, WILLIAM AGEL, MD, AND PATRICK M. FLYNN, MD WERE COMPENSATED in their capacity as physicians, not as trustees. SCHEDULE J, PART I, LINES 1A & 1B HOUSING ALLOWANCE THE CHIEF OPERATING OFFICER RECEIVED A HOUSING ALLOWANCE IN CALENDAR YEAR 2013 PROVIDED PURSUANT TO HIS EMPLOYMENT CONTRACT WHICH WAS REPORTED AS TAXABLE COMPENSATION TO THE INDIVIDUAL. PERSONAL SERVICES IN CONNECTION WITH HIS DEPARTURE, DAVID RYAN, VP OF HUMAN RESOURCES, RECEIVED CERTAIN OUTPLACEMENT SERVICES. THE VALUE OF SUCH SERVICES WAS NOT INCLUDED IN TAXABLE COMPENSATION. SCHEDULE J, PART I, LINE 4A: SEVERANCE PAYMENTS DAVID RYAN, VP OF HUMAN RESOURCES, RECEIVED SEVERANCE PAYMENTS OF $176,374 DURING CALENDAR YEAR 2013. THE ARRANGEMENT PROVIDES FOR CONTINUED PAYMENT OF THE INDIVIDUAL'S SALARY AND BENEFITS FOR A PERIOD OF TWELVE MONTHS, INCLUDING MEDICAL AND DENTAL INSURANCE COVERAGE. RICHARD SALUZZO, MD, FORMER PRESIDENT/CEO, RECEIVED SEVERANCE PAYMENTS OF $407,371 DURING CALENDAR YEAR 2013. 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 7 PAYMENTS MADE IN CALENDAR YEAR 2013. THE ARRANGEMENT ALSO PROVIDES FOR PARTICIPATION OF HIMSELF AND HIS DEPENDENTS IN THE COMPANY'S GROUP MEDICAL AND DENTAL PLANS FOR THIRTY-SIX MONTHS. 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 EXECUTIVES. 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 2013 WERE AS FOLLOWS: - MICHAEL K. LAUF - $52,468 - MICHAEL L. CONNORS - $31,760 - MICHAEL G. JONES - $28,483 - VICTOR OLIVEIRA - $18,439 - DAVID RYAN - $29,745 CAPE COD HEALTHCARE, INC. AND AFFILIATES ALSO SPONSOR A NONQUALIFIED PENSION RESTORATION ACCOUNT PLAN FOR KEY EXECUTIVES. THE ORGANIZATION MAKES CONTRIBUTIONS OF TWO PERCENT OF THE INDIVIDUAL'S ANNUAL SALARY AS OF THE BEGINNING OF THE PLAN YEAR. AMOUNTS DEFERRED ARE INCLUDED IN SCHEDULE J, COLUMN (C) AND UNDER THE PLAN, PARTICIPANTS ARE ENTITLED TO CERTAIN BENEFITS UPON RETIREMENT OR DEATH. During calendar year 2013, Michael Lauf ALSO participated in a Section 457(f) plan. Twelve percent of his base salary was contributed and each contribution is subject to a three year vesting schedule. The amount deferred in calendar year 2013 was $87,720 and is included in Schedule J, Part II, Column (C). SCHEDULE J, PART I, LINE 7 DISCRETIONARY BONUSES ARE AWARDED ANNUALLY BASED UPON BOTH THE PERFORMANCE OF THE ORGANIZATION AND THE INDIVIDUAL. BONUSES ARE REFLECTED IN SCHEDULE J, PART II, COLUMN B(II). SCHEDULE J, PART I, LINE 8 THE COO SERVED UNDER HIS INITIAL CONTRACT DURING CALENDAR YEAR 2013.

Schedule J (Form 990) 2013

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.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization

CAPE COD HEALTHCARE INC

Employer identification number

22-2600704

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 DEALING 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 DEALING 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 DEALING WITH SUBSTANCE ABUSE. BASIS FOR SELECTION: THE ISSUE OF SUBSTANCE USE AND ABUSE IS A CRITICAL ISSUE FOR THE HEALTH SYSTEM AND COMMUNITY IN BARNSTABLE COUNTY. THE 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. PUBLICATION OF TARGET POPULATIONS NOT SPECIFIED, OTHER- ATTORNEY GENERAL WEBSITE HOSPITAL/HMO WEB PAGE PUBLICIZING TARGET POP. HTTP://WWW.CAPECODHEALTH.ORG/COMMUNITY KEY ACCOMPLISHMENTS OF REPORTING YEAR IN 2014, THE CAPE COD HEALTHCARE (CCHC) COMMUNITY BENEFITS DEPARTMENT CONTINUED TO BUILD UPON SUCCESSFUL HOSPITAL BASED PROGRAMS AND COMMUNITY COLLABORATIONS AND LAUNCHED NEW INITIATIVES TO ADDRESS THE SIGNIFICANT HEALTH NEEDS AND VULNERABLE POPULATIONS OF BARNSTABLE COUNTY. HOSPITAL-BASED INITIATIVES FOCUSED ON THE MANAGEMENT AND PREVENTION OF CHRONIC AND INFECTIOUS DISEASES, ADDRESSING BEHAVIORAL HEALTH NEEDS IN THE ACUTE CARE ENVIRONMENT, IMPROVING ACCESS TO CARE FOR UNINSURED AND UNDER-INSURED RESIDENTS, AND BUILDING COALITIONS AND COLLABORATIONS TO ADDRESS THE IMPACT OF SUBSTANCE ABUSE IN OUR COMMUNITY. CLINICAL AND COMMUNITY-BASED INITIATIVES WERE LAUNCHED TO HELP INDIVIDUALS IMPROVE THEIR SELF-MANAGEMENT OF CHRONIC DISEASES SUCH AS CONGESTIVE HEART FAILURE AND DIABETES. UPON DISCHARGE FROM CAPE COD HOSPITAL AND FALMOUTH HOSPITAL, IN-HOME VISITS BY PHARMACISTS AND CLINICAL CARE MANAGERS WERE PROVIDED IN AN EFFORT TO SUPPORT INDIVIDUALS MANAGING CHRONIC DISEASE AND THEIR CARE-GIVERS. SUPPORT GROUPS AND COMMUNITY OUTREACH AND EDUCATION ACTIVITIES SUCH AS HEALTH FAIRS, PUBLIC ACCESS COMMUNITY TELEVISION AND SPEAKING ENGAGEMENTS BY PHYSICIANS AND CLINICAL EDUCATORS PROVIDED CRITICAL INFORMATION ABOUT DISEASE PREVENTION, DETECTION AND MANAGEMENT TO THE PUBLIC. GRANT-FUNDED INFECTIOUS DISEASE SCREENINGS AND OUTREACH PROGRAMS WERE MANAGED BY HOSPITAL-BASED INFECTIOUS DISEASE STAFF FOR THE REGION AND RECOGNIZED FOR ITS ACHIEVEMENTS. CAPE COD HEALTHCARE INFECTIOUS DISEASE CLINICAL SERVICES RECEIVED THE '2014 INSTITUTIONAL PARTNER AWARD' FROM THE MEDICAL ADVISORY COMMITTEE FOR THE ELIMINATION OF TUBERCULOSIS. FALMOUTH HOSPITAL WAS RECOGNIZED BY THE IMMUNIZATION ACTION COALITION FOR ACHIEVING ONE OF THE HIGHEST REPORTED RATES IN THE STATE FOR ITS WORK TO PROTECT NEWBORNS FROM HEPATITIS B INFECTION. PHYSICIAN LEADERS, CLINICIANS AND COMMUNITY LEADERS COLLABORATED THROUGH COALITIONS AND TASK FORCES TO ADDRESS CRITICAL ISSUES SUCH THE OPIATE USE AND ABUSE CRISIS, SUBSTANCE ABUSE DURING PREGNANCY AND SUBSTANCE EXPOSED NEWBORNS, MATERNAL DEPRESSION, AND COORDINATION BETWEEN MENTAL HEALTH PROVIDERS IN OUR REGION. FINANCIAL ASSISTANCE AND COUNSELING ACTIVITIES PROVIDED GUIDANCE TO UNINSURED AND UNDER-INSURED INDIVIDUALS AND FAMILIES SEEKING HELP NAVIGATING NEW STATE AND FEDERAL INSURANCE PLAN OPTIONS. RESIDENTS WERE PROVIDED TELEPHONE-BASED ACCESS ASSISTANCE AND ONLINE PHYSICIAN FINDER RESOURCES TO ASSIST IN THEIR SEARCH FOR AVAILABLE PRIMARY CARE AND SPECIALTY PROVIDERS IN BARNSTABLE COUNTY. FINANCIAL SUPPORT AND COLLABORATION WITH THE FOUR FEDERALLY QUALIFIED COMMUNITY HEALTH CENTERS OPERATING IN BARNSTABLE COUNTY FOCUSED EFFORTS TO DEVELOP COMPLEX CARE MANAGEMENT INITIATIVES AND EXPANDING ACCESS TO BEHAVIORAL HEALTH SERVICES. IN ADDITION, CCHC CONTINUED TO SUPPORT EFFORTS TO EXPAND ACCESS TO HEALTH CARE FOR VULNERABLE POPULATIONS THROUGH FUNDING INTERPRETER SERVICES FOR COMMUNITY-BASED PHYSICIAN OFFICES AND SUSTAINING A NETWORK OF SPECIALTY CARE PROVIDERS WHO OFFERED SIGNIFICANTLY REDUCED OR FREE CARE TO UNINSURED AND UNDERINSURED INDIVIDUALS IN BARNSTABLE COUNTY.
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. NEW PROGRAMS WERE LAUNCHED THROUGH COMMUNITY BENEFITS GRANT SUPPORT, INCLUDING A PILOT PROGRAM THAT INTEGRATED SUBSTANCE ABUSE COUNSELORS IN AN OBSTETRICS AND GYNECOLOGY OFFICE, THE LAUNCH OF REGIONAL NUTRITION WORKSHOPS FOR SENIORS, AND PLACEMENT OF CLINICIANS IN HEAD START CLASSROOMS TO ADDRESS EARLY-ONSET OF MENTAL HEALTH ISSUES. OTHER PROGRAMS WERE SUSTAINED OR EXPANDED THROUGH CCHC'S SUPPORT, INCLUDING A MENTORING PROGRAM FOR HIGH-RISK YOUTH, AN EDUCATION CAMPAIGN TO PREVENT LYME DISEASE AND A FISH PURCHASING PROGRAM TO IMPROVE THE NUTRITIONAL QUALITY OF FOOD DISTRIBUTED AT LOCAL FOOD PANTRIES. COMMUNITY BENEFITS AND HOSPITAL STAFF CONTINUED TO PLAY LEADERSHIP ROLES IN HEALTH AND HUMAN SERVICE ORGANIZATIONS AND COALITIONS ACROSS BARNSTABLE COUNTY INCLUDING CAPE COD COMMUNITY HEALTH AREA NETWORK (CHNA 27) STEERING COMMITTEE, BARNSTABLE COUNTY HUMAN SERVICES ADVISORY COUNCIL, BARNSTABLE COUNTY REGIONAL SUBSTANCE ABUSE COUNCIL, BEHAVIORAL HEALTH PROVIDER COALITION OF CAPE COD & THE ISLANDS AND THE SUBSTANCE ABUSE IN PREGNANCY TASK FORCE. PLANS FOR NEXT REPORTING YEAR ANNUAL COMMUNITY BENEFITS PLANS FOR CAPE COD HOSPITAL, FALMOUTH HOSPITAL AND CAPE COD HEALTHCARE ALIGN DIRECTLY WITH THE PRIORITIES, GOALS AND OBJECTIVES OF THE THREE-YEAR IMPLEMENTATION PLAN INCLUDED IN THE 2014 - 2016 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT. 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 FY2015: 1. CHRONIC AND INFECTIOUS DISEASE: INVEST IN INITIATIVES, CLINICAL PROGRAMMING AND COMMUNITY EDUCATION AND OUTREACH AIMED AT THE MANAGEMENT AND PREVENTION OF CHRONIC AND INFECTIOUS DISEASE. 2. ACCESS TO CARE: 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. 3. MENTAL HEALTH: PROMOTE EDUCATION, COORDINATION, AND NAVIGATION OF SERVICES TARGETED AT INDIVIDUALS AND FAMILIES FACING MENTAL HEALTH ISSUES. 4. SUBSTANCE ABUSE: ENGAGE IN COLLABORATIVE EFFORTS TO SUPPORT COMMUNITY-BASED SUBSTANCE ABUSE PREVENTION AND EDUCATION EFFORTS. 5. YOUTH AND SENIOR HEALTH: SUPPORT INNOVATIVE AND PREVENTATIVE HEALTH INITIATIVES FOR THE COMMUNITY WITH A SPECIFIC FOCUS ON YOUTH AGES 15-24 YEARS OLD AND SENIORS OVER THE AGE OF 65. 6. 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. 7. 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, BEHAVIORAL HEALTH PROVIDER COALITION OF CAPE COD & THE ISLANDS, THE BARNSTABLE COUNTY HUMAN SERVICES ADVISORY COUNCIL, AND THE BARNSTABLE COUNTY REGIONAL SUBSTANCE ABUSE COUNCIL. 8. ENGAGE PHYSICIANS, NURSES AND CLINICAL STAFF THROUGHOUT CCHC TO INFORM AND ADVISE COMMUNITY BENEFITS PLANNING AND PROGRAM DEVELOPMENT. COMMUNITY BENEFITS LEADERSHIP/TEAM CAPE COD HEALTHCARE, CAPE COD HOSPITAL AND FALMOUTH HOSPITAL, ALONG WITH OUR AFFILIATES, FULFILL THE CRITICAL ROLE OF SAFETY NET PROVIDERS TO THE RESIDENTS OF BARNSTABLE COUNTY AND VISITORS TO OUR REGION. THE DEVELOPMENT OF CAPE COD HEALTHCARE'S STRATEGIC INITIATIVES AND 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 CAPE COD HEALTHCARE BOARD OF TRUSTEES REGARDING COMMUNITY BENEFITS PROGRAMS, SETS PRIORITIES, AWARDS PRIORITY GRANT FUNDING, AND ADVISES ON COMMUNITY HEALTH ISSUES AND INITIATIVES. FY 14 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 ELIZABETH ALBERT BARNSTABLE COUNTY HUMAN SERVICES P.O. BOX 427, BARNSTABLE, MA 02630 508.375.6626 BALBERT@BARNSTABLECOUNTY.ORG REPRESENTING: COMMUNITY AT LARGE & COUNTY DEPARTMENTS 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 2014 WERE: NOVEMBER 19, 2013 9:00 - 11:00 AM FEBRUARY 20, 2014 4:00-5:30 PM JUNE 19, 2014 4:00-5:30 PM JULY 17, 2014 4:00-5:30 PM
COMMUNITY PARTNERS	AIDS SUPPORT GROUP OF CAPE COD AMERICAN CANCER SOCIETY BARNSTABLE COUNTY CAPE COD COOPERATIVE EXTENSION SERVICES BARNSTABLE COUNTY HUMAN SERVICES BARNSTABLE SCHOOL SYSTEM BEHAVIORAL HEALTH PROVIDER COALITION OF CAPE COD & THE ISLANDS 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 HUNGER NETWORK CHILDREN'S COVE COMMUNITY ACTION COMMITTEE OF CAPE COD & ISLANDS COMMUNITY DEVELOPMENT PARTNERSHIP COMMUNITY HEALTH CENTER OF CAPE COD COMMUNITY HEALTH NETWORK AREA 27 CAPE COD & ISLANDS (CHNA 27) 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 MOTHERS AND INFANTS RECOVERY NETWORK NATIONAL ALLIANCE ON MENTAL ILLNESS CAPE COD ORAL HEALTH EXCELLENCE COLLABORATIVE OUTER CAPE HEALTH SERVICES PARKINSON SUPPORT NETWORK OF CAPE COD SIGHT LOSS SERVICES SPECIALTY NETWORK FOR THE UNINSURED COMMUNITY HEALTH NEEDS ASSESSMENT DATE LAST ASSESMENT 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 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 NEEDS 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 ARE UPDATED ON AN ONGOING BASIS. 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 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 COMMUNITY BASED INTERPRETER SERVICES PROGRAM TYPE: COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE, DIRECT SERVICES, GRANT/DONATION/FOUNDATION/SCHOLARSHIP, HEALTH COVERAGE SUBSIDIES OR ENROLLMENT, OUTREACH TO UNDERSERVED, PREVENTION 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 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 GOAL DESCRIPTION: INCREASE ACCESS TO CARE BY PROVIDING MEDICAL INTERPRETATIONS IN COMMUNITY-BASED PRIMARY CARE AND SPECIALTY CARE SETTINGS. GOAL STATUS: COLLABORATION WITH HEALTH CENTERS AND PHYSICIAN OFFICES RESULTED IN 950 LANGUAGE INTERPRETATIONS IN FY14. APPROXIMATELY, 79% OF INTERPRETATIONS WERE FOR RESIDENTS SPEAKING PORTUGUESE AND 21% FOR RESIDENTS SPEAKING SPANISH. PROGRAM EFFORTS ARE ONGOING. PARTNERS PARTNER NAME, DESCRIPTION PARTNER 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 HARBOR COMMUNITY HEALTH CENTER-HYANNIS HTTP://WWW.HHSI.US/CAPE-COD/HARBOR-COMMUNITY-HEALTH-CENTER-HYANNIS/ 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 SPECIALTY 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,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 OR OBJECTIVE: CAPE COD HEALTHCARE COMMUNITY BENEFITS PROVIDES ANNUAL GRANT SUPPORT TO INCREASE ACCESS TO SPECIALTY CARE FOR THE UNINSURED AND UNDER-INSURED RESIDENTS OF BARNSTABLE COUNTY THROUGH THE SPECIALTY NETWORK FOR THE UNINSURED (SNU). THE PROGRAM IS MANAGED IN COLLABORATION WITH LOCAL COMMUNITY HEALTH CENTERS TO PROVIDE APPOINTMENTS WITH SPECIALISTS WHO PROVIDE FREE OR SIGNIFICANTLY REDUCED SLIDING-SCALE FEES FOR OFFICE VISITS, PROCEDURES AND CONTINUED CARE. THE PROGRAM ALSO HOSTS CARDIOLOGY, ORTHOPEDIC AND DIABETIC EYE-EXAM CLINICS WITH SERVICES PROVIDED 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 GOAL DESCRIPTION: INCREASE ACCESS TO SPECIALTY CARE FOR LOW-INCOME, UNINSURED AND UNDER-INSURED INDIVIDUALS. GOAL STATUS: THE SNU PROGRAM PROVIDED 578 PATIENT APPOINTMENTS WITH SPECIALISTS IN FY14. PROGRAM EFFORTS ARE ONGOING. GOAL DESCRIPTION: PROVIDE ACCESS TO SPECIALISTS FOR UNINSURED OR UNDER-INSURED RESIDENTS WHO FACE LANGUAGE BARRIERS TO CARE. GOAL STATUS: SEVENTY-FOUR PERCENT (74%) OF PROGRAM PARTICIPANTS SPOKE PORTUGUESE, 20% SPOKE ENGLISH AND 6% SPOKE SPANISH AS THEIR PRIMARY SPOKEN LANGUAGE. PARTNERS PARTNER NAME, DESCRIPTION, PARTNER 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: DIRECT SERVICES,GRANT/DONATION/FOUNDATION/SCHOLARSHIP, HEALTH COVERAGE SUBSIDIES OR ENROLLMENT,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, SUPPORTING HEALTHCARE REFORM 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 GOAL DESCRIPTION: ASSIST RESIDENTS WHO ARE UNABLE TO AFFORD MEDICATIONS TO ENSURE COMPLIANCE WITH THEIR HOSPITAL DISCHARGE PLANS. GOAL STATUS: CAPE COD HOSPITAL AND FALMOUTH HOSPITAL EMERGENCY AND BEHAVIORAL HEALTH DEPARTMENTS PROVIDED PRESCRIPTION ASSISTANCE TOTALING $22,300 FOR UNINSURED, UNDERINSURED OR FINANCIALLY CHALLENGED PATIENTS. PROGRAM EFFORTS ARE ONGOING. PARTNERS PARTNER NAME, DESCRIPTION AND PARTNER 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,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, SUPPORTING HEALTHCARE REFORM 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 GOAL DESCRIPTION: ASSIST RESIDENTS 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 $34,000 FOR FINANCIALLY DISADVANTAGED PATIENTS UPON DISCHARGE. PROGRAM EFFORTS ARE ONGOING. PARTNERS PARTNER NAME, DESCRIPTION AND PARTNER 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 HEALTH INSURANCE ENROLLMENT SERVICES: COMMUNITY ACTION COMMITTEE OF CAPE COD AND THE ISLANDS PROGRAM TYPE: COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE,DIRECT SERVICES,GRANT/DONATION/FOUNDATION/SCHOLARSHIP,HEALTH COVERAGE SUBSIDIES OR ENROLLMENT,OUTREACH TO UNDERSERVED,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 OR OBJECTIVE: IN FY14, CAPE COD HEALTHCARE COMMUNITY BENEFITS PROVIDED A GRANT TO SUPPORT HEALTH INSURANCE ENROLLMENT AND RE-ENROLLMENT SERVICES AT COMMUNITY ACTION COMMITTEE OF CAPE COD AND THE ISLANDS, A COMMUNITY BASED ORGANIZATION THAT PROVIDES ASSISTANCE IN THE NAVIGATION OF HEALTH INSURANCE OPTIONS FOR RESIDENTS OF BARNSTABLE COUNTY. SERVICES INCLUDE BI-LINGUAL HEALTH CARE ENROLLMENT AND RE-ENROLLMENT SERVICES, LINKAGES TO PRIMARY CARE PROVIDERS, CONSUMER EDUCATION WORKSHOPS AND COUNSELING AND OUTREACH TO LOW-INCOME AND IMMIGRANT RESIDENTS. 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 GOAL DESCRIPTION: ASSIST INDIVIDUALS WITH ACCESS TO HEALTH INSURANCE AND ENROLLMENT/RE-ENROLLMENT SERVICES AND EDUCATION. GOAL STATUS: ASSISTED 2,566 INDIVIDUALS WITH HEALTH INSURANCE ENROLLMENT AND RE-ENROLLMENT SERVICES AND EDUCATION IN BARNSTABLE COUNTY. GOAL DESCRIPTION: PROVIDE "ACCESS TO CARE" CONSUMER EDUCATION SESSIONS TO THOSE SERVED. GOAL STATUS: OVER 685 INDIVIDUALS RECEIVED ONE ON ONE COUNSELING/EDUCATION OR ATTENDED CONSUMER EDUCATION WORKSHOPS. GOAL DESCRIPTION: LINK NEWLY INSURED INDIVIDUALS AND FAMILIES TO PRIMARY CARE PROVIDERS. GOAL STATUS: APPROXIMATELY 683 INDIVIDUALS RECEIVING ENROLLMENT SERVICES WERE LINKED TO PRIMARY CARE PROVIDERS. PARTNERS PARTNER NAME, DESCRIPTION AND PARTNER 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 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 BEHAVIORAL HEALTH SERVICES FOR HOMELESS AND AT RISK ADULTS AT THE DUFFY HEALTH CENTER PROGRAM TYPE: COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE, DIRECT SERVICES, GRANT/DONATION/FOUNDATION/SCHOLARSHIP, HEALTH COVERAGE SUBSIDIES OR ENROLLMENT, HEALTH SCREENING, OUTREACH TO UNDERSERVED, 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 OR OBJECTIVE: THE DUFFY HEALTH CENTER PROVIDES PRIMARY CARE AND BEHAVIORAL HEALTH CARE TO HOMELESS ADULTS AND THOSE AT-RISK FOR HOMELESSNESS IN BARNSTABLE COUNTY. IN FY14, COMMUNITY BENEFITS FUNDING FROM CAPE COD HEALTHCARE SUPPORTED THE DUFFY HEALTH CENTERS BEHAVIORAL HEALTH SERVICES INCLUDING THERAPY, PSYCHIATRY AND CASE MANAGEMENT SUPPORT OF PATIENTS WHO ARE FREQUENT CONSUMERS OF EMERGENCY SERVICES IN THE COMMUNITY. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, MENTAL HEALTH, OTHER: ALCOHOL AND SUBSTANCE ABUSE, OTHER: ELDER CARE, OTHER: HOMELESSNESS, OTHER: STRESS MANAGEMENT, OTHER: UNINSURED/UNDERINSURED SEX: ALL AGE GROUP: ALL ADULTS ETHNIC GROUP: ALL LANGUAGE: ALL GOALS GOAL DESCRIPTION: DUFFY HEALTH CENTER WILL PROVIDE BEHAVIORAL HEALTH SERVICES TO 1,200 PATIENTS. GOAL STATUS: BEHAVIORAL HEALTH SERVICES WERE PROVIDED TO 1,820 INDIVIDUALS THROUGH 9,024 VISITS. GOAL DESCRIPTION: DUFFY HEALTH CENTER WILL PROVIDE PSYCHIATRIC SERVICES, PRIMARILY MEDICATION PRESCRIBING AND MONITORING, TO APPROXIMATELY 300 PATIENTS. GOAL STATUS: PSYCHIATRIC SERVICES, INCLUDING MEDICATION PRESCRIBING AND MONITORING, WERE PROVIDED TO 411 INDIVIDUALS THROUGH 1,894 VISITS. GOAL DESCRIPTION: ALL (100%) NEW DUFFY HEALTH CENTER PATIENTS WILL BE SCREENED FOR BEHAVIORAL HEALTH NEEDS. GOAL STATUS: ALL NEW DUFFY HEALTH CENTER PATIENTS WERE SCREENED FOR BEHAVIORAL HEALTH NEEDS USING THE PHQ-9 TOOL TO DETECT DEPRESSION AND ANXIETY. ANY PATIENTS MEETING A PARTICULAR SCORING THRESHOLD OF THE SCREENING TOOL WERE PROVIDED BEHAVIORAL HEALTH SERVICES. PARTNERS PARTNER NAME, DESCRIPTION AND PARTNER WEB ADDRESS VETERANS AFFAIRS: VARIOUS THE DUFFY HEALTH CENTER WWW.DUFFYHEALTHCENTER.ORG HOUSING ASSISTANCE CORPORATION WWW.HACONCAPECOD.ORG CAPE COD COMMUNITY COLLEGE WWW.CAPECOD.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
SUPPORT GROUPS AND CLASSES AT CAPE COD HOSPITAL AND FALMOUTH HOSPITAL	PROGRAM TYPE: COMMUNITY EDUCATION,COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE,DIRECT SERVICES,GRANT/DONATION/FOUNDATION/ SCHOLARSHIP,OUTREACH TO UNDERSERVED,SUPPORT GROUP 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 OR OBJECTIVE: SUPPORT GROUPS FOR BEREAVEMENT AND CANCER SURVIVORSHIP, AND CLASSES AND COUNSELING FOCUSED ON BREASTFEEDING, FATHERHOOD AND HOLISTIC SERVICES TO COMPLEMENT TRADITIONAL MEDICAL CARE ARE CONDUCTED ON A REGULAR BASIS AND OPEN TO ALL MEMBERS OF THE COMMUNITY. CLASSES ARE HOSTED AT HOSPITALS AND IN THE COMMUNITY TO PROVIDE ACCESS FOR ALL POPULATIONS. INFORMATION AND RESOURCES ARE AVAILABLE TO INDIVIDUALS, FAMILIES AND FRIENDS AND MANY INCLUDE IN-PERSON MEETINGS AND CONTACTS 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 GOAL DESCRIPTION:PROVIDE SUPPORT GROUPS FOR INDIVIDUALS, FAMILIES AND CAREGIVERS ON A CONTINUUM OF ISSUES INCLUDING CANCER SURVIVORSHIP, PRENATAL/NEW PARENTS, BEREAVEMENT AND CHRONIC DISEASE SELF MANAGEMENT. GOAL STATUS: IN FY14, OVER 2,800 HOURS OF SUPPORT GROUPS AND CLASSES WERE OFFERED AND FACILITATED FOR INDIVIDUALS AND FAMILIES. PROGRAM EFFORTS ARE ONGOING. PARTNERS PARTNER NAME, DESCRIPTION AND PARTNER 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 EDUCATION,COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE,HEALTH PROFESSIONAL/STAFF TRAINING,MENTORSHIP/CAREER TRAINING/INTERNSHIP,OUTREACH TO UNDERSERVED,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 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 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 GOAL DESCRIPTION: INCREASE ACCESS TO SERVICES THROUGH WORKFORCE DEVELOPMENT PARTNERSHIPS. GOAL STATUS: IN FY14, OVER 10,800 HOURS OF WORKFORCE DEVELOPMENT EFFORTS TOOK PLACE INCLUDING STUDENT TRAINING, MENTORING AND JOB SHADOWING. PROGRAM EFFORTS ARE ONGOING IN FY15. PARTNERS PARTNER NAME, DESCRIPTION AND PARTNER 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/ MA COLLEGE OF PHARMACY AND HEALTH SCIENCES WWW.MCPHS.EDU UMASS DARTMOUTH WWW.UMASSD.EDU BOSTON COLLEGE WWW.BC.EDU BARNSTABLE HIGH SCHOOL WWW.BARNSTABLE.K12.MA.US ENDICOTT COLLEGE WWW.ENDICOTT.EDU QUINCY COLLEGE WWW.QUINCYCOLLEGE.EDU BRISTOL COMMUNITY COLLEGE WWW.BRISTOL.MASS.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 CLINICAL SUPPORT FOR HIGH-RISK PATIENTS PROGRAM TYPE: DIRECT SERVICES, OUTREACH TO UNDERSERVED, PREVENTION 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: THIS PROGRAM OFFERS CLINICAL NURSE CASE MANAGEMENT AND MEDICATION REVIEW BY A PHARMACIST IN THE HOME FOR HIGH-RISK INDIVIDUALS WITH A CHRONIC DISEASE, COMPLEX MEDICATION REGIMEN, OR WHEN HIGH RISK OF FALLS 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 GOAL DESCRIPTION: PROVIDE HIGH-RISK INDIVIDUALS WITH IN-HOME MEDICATION MANAGEMENT, CHRONIC DISEASE EDUCATION, CLINICAL CARE COORDINATION AND CAREGIVER SUPPORT. GOAL STATUS: IN FY14, 745 INDIVIDUALS RECEIVED FREE SERVICES TO IMPROVE THEIR HEALTH STATUS THROUGH THE PROGRAM. PROGRAM EFFORTS ARE ONGOING. PARTNERS PARTNER NAME, DESCRIPTION AND PARTNER 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 ONE TO ONE MENTORING FOR HIGH-RISK YOUTH: BIG BROTHERS BIG SISTERS OF CAPE COD & THE ISLANDS PROGRAM TYPE: COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE, DIRECT SERVICES,GRANT/DONATION/FOUNDATION/SCHOLARSHIP,OUTREACH TO UNDERSERVED,SCHOOL/HEALTH CENTER PARTNERSHIP STATEWIDE PRIORITY : PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY BRIEF DESCRIPTION OR OBJECTIVE: IN AN EFFORT TO REDUCE THE RISK FACTORS AND INCREASE THE RESILIENCY FACTORS FOR YOUTH AT AN ELEVATED RISK OF SUBSTANCE USE AND ABUSE, CAPE COD HEALTHCARE COMMUNITY BENEFITS PROVIDED A GRANT TO BIG BROTHERS BIG SISTERS OF CAPE COD & THE ISLANDS TO EXPAND MENTORING OPPORTUNITIES ON CAPE COD. BIG BROTHERS BIG SISTERS FOCUSED SPECIFICALLY ON RECRUITING CHILDREN FOR MENTORING WHO MET A MINIMUM OF THREE OF THE FOLLOWING RISK FACTORS ASSOCIATED WITH CHILDHOOD DRUG/ALCOHOL ABUSE: LOW-INCOME HOUSEHOLD, SINGLE-PARENT HOUSEHOLD, ALCOHOL OR DRUG ABUSE IN THE HOUSEHOLD, LOW SELF-ESTEEM/MINIMAL CONFIDENCE AND/OR ISOLATION FROM PEERS/FEW CLOSE FRIENDS. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: MENTAL HEALTH, OTHER: ALCOHOL AND SUBSTANCE ABUSE, OTHER: EDUCATION/LEARNING ISSUES, OTHER: SAFETY, SUBSTANCE ABUSE, TOBACCO USE SEX: ALL AGE GROUP: ADULT-YOUNG, CHILD-PRETEEN, CHILD-PRIMARY SCHOOL ETHNIC GROUP: ALL LANGUAGE: ALL GOALS GOAL DESCRIPTION: RECRUIT AND MATCH CHILDREN AT ELEVATED RISK FOR SUBSTANCE USE AND ABUSE. GOAL STATUS: IN FY14, 75 NEW MATCH RELATIONSHIPS WERE CREATED WITH 56% OF MATCHES MADE FOR YOUTH WITH ELEVATED RISKS FOR SUBSTANCE USE AND ABUSE. GOAL DESCRIPTION: RECRUIT A DIVERSE GROUP OF CHILDREN REPRESENTING DIFFERENT GENDERS, ETHNIC REPRESENTATION AND GEOGRAPHIC LOCATIONS IN BARNSTABLE COUNTY. GOAL STATUS: APPROXIMATELY 60% OF CHILDREN RECRUITED WERE MALE AND 40% WERE FEMALE, 53% WERE CAUCASIAN, 24% MULTI-RACIAL, 17% AFRICAN-AMERICAN AND 6% IDENTIFIED AS HISPANIC, ASIAN OR OTHER RACE. PARTNERS PARTNER NAME, DESCRIPTION AND PARTNER WEB ADDRESS BIG BROTHERS BIG SISTERS CAPE COD & THE ISLANDS HTTP://WWW.BBBSMB.ORG/SITE/C.9GKMJZMXF7LUG/B.8485091/K.84FA/ABOUT_MENTORIN G_ON_CAPE_COD.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,DIRECT SERVICES,GRANT/DONATION/FOUNDATION/SCHOLARSHIP, HEALTH COVERAGE SUBSIDIES OR ENROLLMENT,HEALTH PROFESSIONAL/STAFF TRAINING,HEALTH SCREENING,OUTREACH TO UNDERSERVED,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 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 GOAL DESCRIPTION: RECRUIT, TRAIN AND SECURE SMILE COUNSELORS IN EACH COUNCIL ON AGING ON CAPE COD. GOAL STATUS: VOLUNTEER SMILE COUNSELORS WERE TRAINED, MENTORED AND PLACED IN EACH OF THE 15 COUNCIL ON AGING OFFICES ACROSS CAPE COD. VOLUNTEERS INCLUDE RETIREES, DENTAL HYGIENISTS, HEALTH CARE PROFESSIONALS AND HEALTH EDUCATORS. 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 203 LOW-INCOME RESIDENTS AGES 65+ RECEIVED ONE ON ONE DENTAL HYGIENE COUNSELING FROM A SMILE COUNSELOR. SEVENTY-FIVE (75) SENIORS WERE LINKED TO DENTAL CARE THROUGH SMILE COUNSELORS. PARTNERS PARTNER NAME, DESCRIPTION AND PARTNER 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 SUPPORTING ADOLESCENT HEALTH AND CHRONIC DISEASE MANAGEMENT INITIATIVES AT HARBOR COMMUNITY HEALTH CENTER - HYANNIS PROGRAM TYPE: COMMUNITY EDUCATION,COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE,DIRECT SERVICES,GRANT/DONATION/FOUNDATION/SCHOLARSHIP, HEALTH COVERAGE SUBSIDIES OR ENROLLMENT,HEALTH SCREENING,OUTREACH TO UNDERSERVED,PREVENTION,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 OR OBJECTIVE: CAPE COD HEALTHCARE COMMUNITY BENEFITS PROVIDED A GRANT TO HARBOR COMMUNITY HEALTH CENTER-HYANNIS (HCHC-H) TO IMPROVE ADOLESCENT HEALTH EDUCATION OUTREACH AND CHRONIC DISEASE MANAGEMENT OF PATIENTS. HCHC-H OFFERED UNDERAGE DRINKING AND SUBSTANCE USE/ABUSE PREVENTION SERVICES TO AT-RISK MINORITY YOUTH AND RISK REDUCTION COUNSELING RELATED TO THE TRANSMISSION OF SEXUALLY TRANSMITTED DISEASES. IN ADDITION, THE GRANT SUPPORTED THE EFFORTS OF HCHC-H TO IMPROVE THE CARE COORDINATION OF HIGH-RISK PATIENTS WITH DIABETES, HYPERTENSION AND PEDIATRIC ASTHMA. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR:ACCESS TO HEALTH CARE, MENTAL HEALTH, OTHER: ALCOHOL AND SUBSTANCE ABUSE, OTHER: ASTHMA/ALLERGIES, OTHER: CULTURAL COMPETENCY, OTHER: DIABETES, OTHER: DRUNK DRIVING, OTHER: HEPATITIS, OTHER: HIV/AIDS, OTHER: HYPERTENSION, OTHER: LANGUAGE/LITERACY, OTHER: PREGNANCY, OTHER: PUBLIC SAFETY, OTHER: SAFETY, OTHER: SEXUALLY TRANSMITTED DISEASES, OTHER: SMOKING/TOBACCO, OTHER: STRESS MANAGEMENT, OTHER: STROKE, OTHER: UNINSURED/UNDERINSURED, RESPONSIBLE SEXUAL BEHAVIOR, SUBSTANCE ABUSE, TOBACCO USE SEX: ALL AGE GROUP: ADULT, ADULT-YOUNG, ALL ADULTS, CHILD-PRETEEN, CHILD-TEEN ETHNIC GROUP: ALL LANGUAGE: ALL GOALS GOAL DESCRIPTION: REACH 200 YOUTH THROUGH MOBILE OUTREACH AND HEALTH EDUCATION INITIATIVES. GOAL STATUS: HCHC-H SERVED 541 YOUTH UNDER THE AGE OF 19 YEARS DURING THE GRANT PERIOD. IN ADDITION TO COMMUNITY EDUCATION INITIATIVES, HCHC-H LAUNCHED A WALK-IN HIV AND HEPATITIS C VIRUS TESTING AND COUNSELING SITE FOR ADOLESCENTS. GOAL DESCRIPTION: DEVELOP CHRONIC DISEASE HIGH-RISK REGISTRIES TO IDENTIFY AND MONITOR PATIENTS IN NEED OF INCREASED CARE COORDINATION. GOAL STATUS: HCHC-H DEVELOPED A DIABETES REGISTRY WITH 130 PATIENTS AND A HYPERTENSION REGISTRY WITH 217 PATIENTS IDENTIFIED FOR MONITORING BY STAFF NURSES. A 'TOP PRIORITY' REGISTRY OF 43 PATIENTS WAS DEVELOPED TO MANAGE THE CARE OF HCHC-H'S MOST COMPLEX PATIENTS. PARTNERS PARTNER NAME, DESCRIPTION AND PARTNER 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 TO CARE AND CHRONIC DISEASE MANAGEMENT INITIATIVES AT THE COMMUNITY HEALTH CENTER OF CAPE COD PROGRAM TYPE: COMMUNITY EDUCATION,COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE,DIRECT SERVICES,GRANT/DONATION/FOUNDATION/SCHOLARSHIP, HEALTH SCREENING,OUTREACH TO UNDERSERVED,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 OR OBJECTIVE: CAPE COD HEALTHCARE PROVIDED COMMUNITY BENEFITS FUNDING TO THE COMMUNITY HEALTH CENTER OF CAPE COD (CHCCC) TO SUPPORT EFFORTS TO ASSESS BARRIERS TO CARE SUCH AS TRANSPORTATION, MEDICATION ASSISTANCE, INSURANCE STATUS AND LITERACY FOR NEW PATIENTS AND TO EXPAND SCREENING AND CARE COORDINATION FOR HIGH RISK PATIENTS WITH CHRONIC DISEASE OR BEHAVIORAL HEALTH NEEDS. TARGET POPULATION REGIONS SERVED:COUNTY-BARNSTABLE HEALTH INDICATOR:ACCESS TO HEALTH CARE, MENTAL HEALTH, OTHER: ALCOHOL AND SUBSTANCE ABUSE, OTHER: ASTHMA/ALLERGIES, OTHER: CANCER, OTHER: CARDIAC DISEASE, OTHER: CHRONIC PAIN , OTHER: CULTURAL COMPETENCY, OTHER: DENTAL HEALTH, OTHER: DIABETES, OTHER: HOMELESSNESS, OTHER: HYPERTENSION, OTHER: NUTRITION, OTHER: SAFETY, OTHER: SMOKING/TOBACCO, OTHER: STRESS MANAGEMENT, OTHER: STROKE, OTHER: UNINSURED/UNDERINSURED, OTHER: VISION , SUBSTANCE ABUSE SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL GOALS GOAL DESCRIPTION: ASSESS BARRIERS TO CARE AND PROVIDE ORIENTATION WHICH INCLUDES AN OVERVIEW OF THE PRINCIPLES OF PATIENT CENTERED MEDICAL HOME MODELS AND ACCESSING CARE AFTER NORMAL BUSINESS HOURS FOR ALL NEW HEALTH CENTER PATIENTS. GOAL STATUS: CHCCC CONDUCTED BARRIER TO CARE ASSESSMENTS, INCLUDING ASSESSMENT OF INCOME STATUS, LANGUAGE, INSURANCE STATUS, HOUSING STATUS, TRANSPORTATION NEEDS, AND PRESCRIPTION ASSISTANCE FOR 100% OF THE CURRENT AND NEW PATIENTS REGISTERED. GOAL DESCRIPTION: EXPAND SCREENINGS AND TREATMENT FOR CHRONIC CONDITIONS OF DEPRESSION, DIABETES AND HYPERTENSION. GOAL STATUS: OVER 5,000 PATIENTS WERE SCREENED FOR DEPRESSION, ANXIETY, SUBSTANCE ABUSE AND SUICIDAL IDEATION. CHCCC ACHIEVED NEARLY 90% OF REQUIRED PREVENTATIVE TESTING FOR DIABETES AND NEARLY 100% OF PATIENTS RECEIVED BLOOD PRESSURE SCREENINGS. PARTNERS PARTNER NAME, DESCRIPTION AND PARTNER 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 COMPLEX CARE MANAGEMENT AT OUTER CAPE HEALTH SERVICES PROGRAM TYPE: COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE, DIRECT SERVICES, GRANT/DONATION/FOUNDATION/SCHOLARSHIP, HEALTH COVERAGE SUBSIDIES OR ENROLLMENT, HEALTH SCREENING, OUTREACH TO UNDERSERVED, PREVENTION, SCHOOL/HEALTH CENTER PARTNERSHIP STATEWIDE PRIORITY: ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABL
MEDICAL TRANSPORTATION FOR THE CHRONICALLY ILL FROM THE OUTER CAPE:	HELPING OUR WOMEN PROGRAM TYPE: COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE, DIRECT SERVICES, GRANT/DONATION/FOUNDATION/SCHOLARSHIP, HEALTH COVERAGE SUBSIDIES OR ENROLLMENT, OUTREACH TO UNDERSERVED STATEWIDE PRIORITY: CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY, SUPPORTING HEALTHCARE REFORM. 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 FY14 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 GOAL DESCRIPTION: PROVIDE TRANSPORTATION TO MEDICAL APPOINTMENTS TO RESIDENTS FROM EASTHAM TO PROVINCETOWN. GOAL STATUS: IN FY14, 272 UNITS OF TRANSPORTATION WERE PROVIDED FOR 199 INDIVIDUALS FROM THE OUTER CAPE. CLIENTS FROM THE FOLLOWING TOWNS WERE ASSISTED: PROVINCETOWN (115), WELLFLEET (47), TRURO (22), AND EASTHAM (15). GOAL DESCRIPTION: ESTABLISH AND MAINTAIN RELATIONSHIPS WITH OTHER REGIONAL TRANSPORTATION ORGANIZATIONS TO DEVELOP A TRANSPORTATION SAFETY NET FOR RESIDENTS TO ACCESS HEALTH CARE. GOAL STATUS: RELATIONSHIPS ESTABLISHED OR MAINTAINED WITH CAPE COD REGIONAL TRANSPORTATION AUTHORITY, CAPE AIR, AND COMMUNITY-BASED VOLUNTEER TRANSPORTATION ORGANIZATIONS. PARTNERS PARTNER NAME, DESCRIPTION AND PARTNER 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 SCHOOL BASED EARLY INTERVENTION AND PREVENTION PROGRAM: GOSNOLD PROGRAM TYPE:COMMUNITY EDUCATION,GRANT/DONATION/FOUNDATION/SCHOLARSHIP, HEALTH SCREENING, OUTREACH TO UNDERSERVED,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 OR OBJECTIVE: IN AN EFFORT TO ADDRESS SUBSTANCE USE AND ABUSE BY YOUTH AND YOUNG ADULTS, CAPE COD HEALTHCARE COMMUNITY BENEFITS PROVIDED A FY14 GRANT TO GOSNOLD ON CAPE COD TO PILOT EARLY INTERVENTION AND PREVENTION SERVICES IN A HIGH SCHOOL SETTING. THE MODEL, DEVELOPED BY GOSNOLD ON CAPE COD, PROVIDED ONSITE ACCESS TO COUNSELING SERVICES, IDENTIFIED AND PROVIDED CLINICAL INTERVENTION WITH STUDENTS WHOSE LIVES ARE NEGATIVELY IMPACTED BY SUBSTANCE ABUSE AND ENCOURAGED AND SUPPORTED THE 'CLEAN AND SOBER' STUDENTS IN THE SCHOOL TO HELP BUILD A CULTURE TO FOSTER HEALTHY BEHAVIORS AMONGST PEERS. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, MENTAL HEALTH, OTHER: ALCOHOL AND SUBSTANCE ABUSE, OTHER: SAFETY, OTHER: STRESS MANAGEMENT, OTHER: UNINSURED/UNDERINSURED, SUBSTANCE ABUSE SEX: ALL AGE GROUP: ADULT-YOUNG, CHILD-PRETEEN, CHILD-TEEN ETHNIC GROUP: ALL LANGUAGE: ALL GOALS GOAL DESCRIPTION: PROVIDE ONSITE COUNSELING TO SUPPORT, ASSESS AND PROVIDE CLINICAL COUNSELING FOR STUDENTS IDENTIFIED AS ABUSING SUBSTANCES OR AT RISK FOR ABUSING SUBSTANCES. GOAL STATUS: THIRTY STUDENTS WERE REFERRED TO THE GOSNOLD CLINICIAN DURING THE SCHOOL YEAR. OF THOSE STUDENTS, TWENTY CONTINUED TO RECEIVE ONGOING COUNSELING AND ATTENDED MULTIPLE INDIVIDUAL SESSIONS. GOAL DESCRIPTION: PROVIDE ONSITE COUNSELING TO SUPPORT, ASSESS AND PROVIDE CLINICAL COUNSELING FOR STUDENTS IDENTIFIED AS ABUSING SUBSTANCES OR AT RISK FOR ABUSING SUBSTANCES. GOAL STATUS: FORTY PERCENT OF THE THIRTY STUDENTS SERVED WERE IN THE 11TH GRADE WITH AN EQUAL GENDER MIX. SIXTY PERCENT OF THE STUDENTS WERE REFERRED BY A GUIDANCE COUNSELOR AND THIRTEEN PERCENT OF THE STUDENTS WERE SELF-REFERRED. GOAL DESCRIPTION: ESTABLISH A CHAPTER OF PROJECT PURPLE AT THE SCHOOL IN AN EFFORT TO BUILD A CULTURE OF SOBRIETY AND PREVENTION OF ALCOHOL AND DRUG USE. GOAL STATUS: THE GOSNOLD CLINICIAN AND SCHOOL ADJUSTMENT COUNSELOR ESTABLISHED A PROJECT PURPLE CHAPTER AT THE SCHOOL AND 120 STUDENTS JOINED THE CHAPTER IN THE FIRST YEAR. PARTNERS PARTNER NAME, DESCRIPTION AND PARTNER WEB ADDRESS GOSNOLD ON CAPE COD WWW.GOSNOLD.ORG CAPE COD REGIONAL TECHNICAL HIGH SCHOOL WWW.CAPETECH.US PROJECT PURPLE WWW.GOPROJECTPURPLE.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
EVIDENCE-BASED PROGRAMS FOR SENIORS:	ELDER SERVICES OF CAPE COD & THE ISLANDS PROGRAM TYPE: COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE, DIRECT SERVICES, GRANT/DONATION/FOUNDATION/SCHOLARSHIP, OUTREACH TO UNDERSERVED, PREVENTION 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 OR OBJECTIVE: CAPE COD HEALTHCARE COMMUNITY BENEFITS SUPPORTED THE EFFORTS OF ELDER SERVICES OF CAPE COD & THE ISLANDS TO OFFER TWO EVIDENCE-BASED PROGRAMS TO RESIDENTS OF BARNSTABLE COUNTY: HEALTH EATING FOR SUCCESSFUL LIVING AND POWERFUL TOOLS FOR CAREGIVERS. THESE PROGRAMS SUPPORT ELDERS AGES 60+ IN THE SELF MANAGEMENT OF THEIR NUTRITIONAL HEALTH AND TO PROVIDE CAREGIVERS THE TOOLS FOR SELF-CARE AND CAREGIVING. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: MENTAL HEALTH, OTHER: ALZHEIMER DISEASE, OTHER: CANCER, OTHER: ELDER CARE, OTHER: HOMEBOUND, OTHER: HOSPICE, OTHER: HYPERTENSION, OTHER: NUTRITION, OTHER: PARKINSON'S DISEASE, OTHER: SAFETY, OTHER: SAFETY - HOME, OTHER: STRESS MANAGEMENT SEX: ALL AGE GROUP: ADULT, ADULT-ELDER ETHNIC GROUP: ALL LANGUAGE: ALL GOALS GOAL DESCRIPTION: THIRTY INDIVIDUALS WILL PARTICIPATE IN THE HEALTH EATING FOR SUCCESSFUL LIVING PROGRAM AT ONE OF THE THREE PROGRAM SITES LOCATED IN THE MID-CAPE, LOWER CAPE AND UPPER CAPE REGIONS. GOAL STATUS: FOURTEEN INDIVIDUALS PARTICIPATED IN 2 PROGRAMS OFFERED ON THE MID AND UPPER CAPE. PROGRAM GOALS WERE ASSESSED AND MET ACCORDING TO PARTICIPANT SURVEY DATA. GOAL DESCRIPTION: THIRTY INDIVIDUALS WILL PARTICIPATE IN THE POWERFUL TOOLS FOR CAREGIVERS PROGRAM AT ONE OF THE THREE PROGRAM SITES LOCATED IN THE MID-CAPE, LOWER CAPE AND UPPER CAPE REGIONS. GOAL STATUS: THIRTY INDIVIDUALS PARTICIPATED IN THREE PROGRAMS OFFERED ON THE MID-CAPE, LOWER CAPE AND UPPER CAPE. PROGRAM GOALS WERE ASSESSED AND MET OR SURPASSED EXPECTATIONS ACCORDING TO SURVEY RESULTS. PARTNERS PARTNER NAME, DESCRIPTION AND PARTNER WEB ADDRESS ELDER SERVICES OF CAPE COD & THE ISLANDS 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 TRIPLE AIM OF HEALTHY PHYSICAL, MENTAL AND EMOTIONAL BEHAVIORS IN YOUTH: THE BOYS AND GIRLS CLUB OF CAPE COD PROGRAM TYPE: DIRECT SERVICES, GRANT/DONATION/FOUNDATION/SCHOLARSHIP, OUTREACH TO UNDERSERVED, PREVENTION STATEWIDE PRIORITY: CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY BRIEF DESCRIPTION OR OBJECTIVE: IN AN EFFORT TO INCREASE LOCAL PROGRAMS THAT EMPHASIZE GOOD HEALTH BEHAVIOR IN YOUTH, CAPE COD HEALTHCARE COMMUNITY BENEFITS PROVIDED A GRANT TO SUPPORT THE TRIPLE AIM PROGRAM AT THE BOYS AND GIRLS CLUB OF CAPE COD. TRIPLE AIM IS A HEALTH AND FITNESS PROGRAM THAT INCLUDES STRATEGIES THAT EMPHASIZE HEALTHY EATING AND EXERCISE AS WELL AS PREVENTING ALCOHOL AND DRUG USE. YOUTH, AGES 6 -18 YEARS OLD, ENGAGED IN HEALTHY EATING AND COOKING CLASSES, FITNESS CHALLENGES, ORGANIZED SPORTS LEAGUES, AND SMART MOVES, A DRUG AND ALCOHOL RESISTANCE PROGRAM. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: MENTAL HEALTH, OTHER: ALCOHOL AND SUBSTANCE ABUSE, OTHER: NUTRITION, OTHER: SAFETY, OTHER: SAFETY - SPORTS, PHYSICAL ACTIVITY SEX: ALL AGE GROUP: ADULT-YOUNG, CHILD-PRETEEN, CHILD-PRIMARY SCHOOL, CHILD-TEEN ETHNIC GROUP: ALL LANGUAGE: ALL GOALS GOAL DESCRIPTION: SERVE APPROXIMATELY 170 YOUTH PER DAY AND APPROXIMATELY 840 YOUTH PER YEAR. GOAL STATUS: DURING THE GRANT CYCLE, APPROXIMATELY 838 YOUTH WERE SERVED WITH AN AVERAGE OF 136 YOUTH IN ATTENDANCE DAILY. GOAL DESCRIPTION: OVER 100 YOUTH WILL PARTICIPATE IN THE SMART MOVES DRUG AND ALCOHOL RESISTANCE PROGRAM. GOAL STATUS: FIFTY-NINE YOUTH TOOK PART IN FORMAL SMART MOVES PROGRAM ACTIVITIES WITH ALL CLUB MEMBERS EXPOSED TO ACTIVITIES THROUGHOUT THE YEAR. GOAL DESCRIPTION: USE OF DRUGS AND ALCOHOL BY CAPE BOYS AND GIRLS CLUB MEMBERS WILL BE COMPARED TO NATIONAL STATISTICS VIA THE YOUTH AT RISK SURVEY. GOAL STATUS: SURVEY RESULTS INDICATE A HIGHER RATE OF SUBSTANCE USE AMONGST CAPE-BASED MEMBERS COMPARED TO NATIONAL STATISTICS. SEVENTY-FOUR PERCENT OF CAPE CLUB MEMBERS ABSTAINED FROM USING MARIJUANA COMPARED TO 91% NATIONAL ABSTENTION RATES. GOAL DESCRIPTION: OVER 90 YOUTH WILL PARTICIPATE IN THE HEALTHY HABITS EDUCATION AND COOKING PROGRAM. GOAL STATUS: ONE HUNDRED AND TWENTY ONE YOUTH PARTICIPATED IN THE HEALTH HABITS PROGRAM. GOAL DESCRIPTION: HEALTHY FOOD CONSUMPTION OF CAPE CLUB MEMBERS WILL BE MEASURED VIA THE YOUTH AT RISK SURVEY. GOAL STATUS: FORTY-EIGHT PERCENT OF CAPE-BASED CLUB MEMBERS SELF-REPORTED THAT THEY CONSUMED 3 OR MORE DAIRY PRODUCTS PER DAY COMPARED TO 39% NATIONWIDE. ALSO ONLY 36% OF MEMBERS ARE EATING MORE THAN 3 VEGETABLES PER DAY COMPARED TO NATIONAL NORM OF 39%. GOAL DESCRIPTION: OVER 200 YOUTH WILL PARTICIPATE IN DAILY FITNESS ACTIVITIES. GOAL STATUS: ONE HUNDRED AND EIGHTY-SEVEN YOUTH PARTICIPATED IN DAILY FITNESS CHALLENGES DURING THE SCHOOL YEAR AND 198 PARTICIPATED DURING THE SUMMER. GOAL DESCRIPTION: PHYSICAL ACTIVITY LEVELS OF CAPE CLUB MEMBERS WILL BE MEASURED VIA THE YOUTH AT RISK SURVEY. GOAL STATUS: SEVENTY PERCENT OF CAPE CLUB MEMBERS SELF REPORTED THAT THEY WERE PHYSICALLY ACTIVE 5+ DAYS PER WEEK, AS COMPARED TO A NATIONAL AVERAGE OF 63%. GOAL DESCRIPTION: APPROXIMATELY 270 YOUTH WILL PARTICIPATE IN ORGANIZED SPORTS LEAGUE ACTIVITIES. GOAL STATUS: TWO-HUNDRED AND SEVENTY-SIX YOUTH PARTICIPATED IN ORGANIZED SPORTS LEAGUE ACTIVITIES INCLUDING BASKETBALL LEAGUES AND FLAG FOOTBALL LEAGUES. PARTNERS PARTNER NAME, DESCRIPTION AND PARTNER WEB ADDRESS BOYS AND GIRLS CLUB OF CAPE COD HTTP://WWW.BOYSGIRLSCLUBCAPECOD.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
MENTAL HEALTH CONSULTATION FOR CHILDREN IN DISTRESS:	CAPE COD CHILD DEVELOPMENT PROGRAM TYPE: COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE, GRANT/DONATION/FOUNDATION/SCHOLARSHIP, HEALTH SCREENING, OUTREACH TO UNDERSERVED, 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 OR OBJECTIVE: CAPE COD HEALTHCARE COMMUNITY BENEFITS PROVIDED A GRANT TO CAPE COD CHILD DEVELOPMENT TO SUPPORT A 5-MONTH PILOT PROGRAM TO INTEGRATE AND ADOPT AN EARLY CHILDHOOD MENTAL HEALTH CONSULTATION MODEL INTO THE AGENCY'S PRESCHOOL AND HEAD START PROGRAMS. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, MENTAL HEALTH, OTHER: CHILD CARE, OTHER: CULTURAL COMPETENCY, OTHER: EDUCATION/LEARNING ISSUES, OTHER: PARENTING SKILLS, OTHER: SAFETY - HOME, OTHER: STRESS MANAGEMENT SEX: ALL AGE GROUP: ALL CHILDREN, CHILD-PRIMARY SCHOOL ETHNIC GROUP: ALL LANGUAGE: ALL GOALS GOAL DESCRIPTION: IDENTIFY SPECIFIC CHILDREN EXPERIENCING SIGNIFICANT BEHAVIORAL HEALTH ISSUES AND PROVIDE INDIVIDUAL TREATMENT PLANS THAT INCLUDE TEACHERS AND FAMILY MEMBERS. GOAL STATUS: THE MENTAL HEALTH CONSULTANT WORKED WITH 33 CHILDREN. TWELVE OF THE CHILDREN MET SCHOOL READINESS GOALS THROUGH THE HELP OF TEACHERS, THERAPISTS AND FAMILY MEMBERS WHO COLLECTIVELY WORKED TO ADDRESS AGGRESSION, ANXIETY, AND ENGAGEMENT OF THE CHILD. GOAL DESCRIPTION: PROVIDE CLASSROOM CONSULTATION AND STRENGTHEN SKILL SETS OF TEACHERS TO ADDRESS BEHAVIORAL HEALTH ISSUES OF YOUNG STUDENTS. GOAL STATUS: ALL HEAD START CLASSROOM STUDENTS (AGES 3-5) WERE OBSERVED AND ALL TEACHERS WERE PROVIDED CONSULTATION AND TRAINING IN IMPLEMENTING FRAMEWORKS, SKILLS AND CONCEPTS TO SUPPORT POSITIVE LEARNING AND TRAUMA-INFORMED CARE ENVIRONMENTS. PARTNERS PARTNER NAME, DESCRIPTION AND PARTNER WEB ADDRESS CAPE COD CHILD DEVELOPMENT WWW.CCCDP.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 OF CHNA 27 AND COMMUNITY-BASED AGENCIES: DETERMINATION OF NEED PROGRAM TYPE: COMMUNITY EDUCATION,COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE,DIRECT SERVICES,GRANT/DONATION/FOUNDATION/SCHOLARSHIP, HEALTH COVERAGE SUBSIDIES OR ENROLLMENT,HEALTH PROFESSIONAL/STAFF TRAINING,HEALTH SCREENING,OUTREACH TO UNDERSERVED,PREVENTION,SCHOOL/HEALTH CENTER PARTNERSHIP,SUPPORT GROUP 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 OR OBJECTIVE: TOTAL FUNDING OF $401,000 HAS BEEN DESIGNATED TO ADDRESS ISSUES THAT ELIMINATE HEALTH DISPARITIES, PROMOTE WELLNESS, AND PREVENT/MANAGE CHRONIC DISEASE FOR INDIVIDUALS WHO ARE ELDERLY AND OR PERSONS WITH DISABILITIES. THIS POPULATION WAS IDENTIFIED THROUGH A COMMUNITY HEALTH NEEDS ASSESSMENT BY CAPE COD HEALTHCARE AND ENDORSED BY THE COMMUNITY HEALTH NETWORK AREA27 (CAPE COD AND THE ISLANDS). THIS PROGRAM WAS SPECIFIED AS A PART OF THE DETERMINATION OF NEED REQUIREMENT FOR THE CLARK CANCER CENTER DEVELOPMENT AND LICENSURE. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, OTHER: ELDER CARE, OTHER: UNINSURED/UNDERINSURED SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL GOAL DESCRIPTION: ISSUE AN RFP SUPPORTING COLLABORATIVE, MEASURABLE AND EVIDENCE-BASED REGIONAL PROGRAMS FOR SENIORS AND/OR DISABLED INDIVIDUALS THAT PROVIDE AN IMPACT ON THE MOST URGENT NEEDS OF THE IDENTIFIED TARGET POPULATION. GOAL STATUS: GRANT AWARDS WERE MADE IN 2014 TO FOUR ORGANIZATIONS WHICH MET RFP CRITERIA. THE GRANT AWARDS RANGED FROM $15,000 TO $25,000 AND TOTALED $70,000. THE CAPE COD FOUNDATION MANAGED THE GRANT REVIEW AND SELECTION PROCESS. GOAL DESCRIPTION: EXPAND COMMUNITY CAPACITY BUILDING AND PROGRAM SUPPORT FOR COMMUNITY HEALTH NETWORK AREA 27. GOAL STATUS: DETERMINATION OF NEED FUNDS SUPPORTED A CHNA 27 PART-TIME COORDINATOR AND GRANTS MANAGER TO ADD CAPACITY AND PROCESS TO ONGOING EFFORTS. PARTNERS PARTNER NAME, DESCRIPTION AND PARTNER WEB ADDRESS CHNA 27 WWW.BCHUMANSERVICES.NET/COMMUNITY-HEALTH-NETWORK-AREA-CHNA/ CAPE COD FOUNDATION WWW.CAPECODFOUNDATION.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
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 2 TRUSTEES SIT ON THE BOARD OF THE FOLLOWING: EMERALD PHYSICIAN MEMBER TRUST: THOMAS WROE, JR ROBERT BIRMINGHAM PHILIP MCLOUGHLIN JOEL CROWELL CAPE HEALTH INSURANCE COMPANY: MICHAEL K LAUF MICHAEL L CONNORS MICHAEL G JONES DOUGLAS G MANN, MD PATRICK J FLYNN, MD PHILIP MCLOUGHLIN SUMNER B TILTON, JR THE MEMBERS OF CAPE COD HEALTHCARE, INC.'S BOARD ALSO SIT ON THE BOARD OF CAPE COD MEDICAL OFFICE BUILDING, A FOR-PROFIT RELATED ORGANIZATION. FORM 990, PART VI, LINE 7(A) THE ORGANIZATION HAS MEMBERS/INCORPORATORS WHO ELECT THE ORGANIZATION'S TRUSTEES. FORM 990, PART VI, LINE 7(B) THE DECISIONS OF THE GOVERNING BODY THAT NEED APPROVAL BY ITS MEMBERS/INCORPORATORS INCLUDE APPROVAL OF CHANGES MADE TO THE CORPORATION'S BYLAWS AND APPROVAL WHEN THERE IS A DIVESTING OF ONE OF THE MAJOR AFFILIATES OF THE ORGANIZATION. FORM 990, PART VI, LINE 11 THE ORGANIZATION'S FORM 990 IS REVIEWED AT SEVERAL LEVELS. THE ORGANIZATION ENGAGES A PUBLIC ACCOUNTING FIRM TO ASSIST IN THE PREPARATION AND REVIEW OF ITS FORM 990 AND WHO SIGNS AS PAID PREPARER. SENIOR MANAGEMENT OF THE ORGANIZATION IS RESPONSIBLE FOR THE TIMELY PREPARATION OF FORM 990. THE COMPLETED FORM 990 IS PROVIDED TO THE FINANCE COMMITTEE AND THE ENTIRE BOARD IN ADVANCE OF THE FILING DEADLINE. FORM 990, PART VI, LINE 12 THE ORGANIZATION MAINTAINS A CONFLICT OF INTEREST POLICY AND REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THIS POLICY. ON AN ANNUAL BASIS, EACH TRUSTEE, OFFICER AND EMPLOYEE AT THE SENIOR MANAGEMENT LEVEL COMPLETES A CONFLICT OF INTEREST DISCLOSURE FORM. THE FORMS ARE REVIEWED BY CAPE COD HEALTHCARE, INC.'S ("CCHC") DIRECTOR OF CLINICAL AND RESEARCH COMPLIANCE WHO PREPARES A SUMMARY FOR CCHC'S COMPLIANCE OFFICER. ANY MATERIAL INTERESTS SO DISCLOSED ARE PRESENTED TO THE CORPORATION'S GOVERNANCE COMMITTEE FOR REVIEW AND RESOLUTION. ALL DISCLOSURE STATEMENTS SUBMITTED BY EMPLOYEES WILL BE REVIEWED BY HUMAN RESOURCES AND/OR CCHC'S DIRECTOR OF CLINICAL AND RESEARCH COMPLIANCE. FOR ANY DISCLOSURE THAT IS CONSIDERED SUBSTANTIVE THE EMPLOYEE'S AREA MANAGER WILL BE CONSULTED TO DETERMINE IF THE SITUATION IS GENERALLY ACCEPTABLE, REQUIRES FURTHER EXAMINATION AND POSSIBLE ACTION OR IS GENERALLY NOT ACCEPTABLE. ANY ACTION PLAN CREATED TO MANAGE A CONFLICT OF INTEREST WILL BE MONITORED BY THE EMPLOYEE'S AREA MANAGER OR SUPERVISOR.
FORM 990, PART VI, LINE 15	THE ANNUAL PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO, OFFICERS, EXECUTIVES AND KEY EMPLOYEES INCLUDE THE FOLLOWING: CEO - COMPENSATION WILL BE DETERMINED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES, AND WILL INCLUDE CONSIDERATION OF RELEVANT MARKET DATA FURNISHED BY A DISINTERESTED COMPENSATION CONSULTANT, AND A REVIEW OF JOB PERFORMANCE. OFFICERS, EXECUTIVES AND KEY EMPLOYEES - OFFICER, EXECUTIVE AND KEY EMPLOYEE COMPENSATION WILL BE DETERMINED BY THE CEO AND WILL INCLUDE CONSIDERATION OF RECENT RELEVANT MARKET DATA FURNISHED BY A DISINTERESTED COMPENSATION CONSULTANT, AND A REVIEW OF JOB PERFORMANCE. THE CEO'S DETERMINATION OF SUCH COMPENSATION WILL BE SUBJECT TO THE APPROVAL OF THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. THE PROCESS AND CONCLUSIONS ARE DOCUMENTED IN THE MEETING MINUTES.
FORM 990, PART VI, LINE 19	THE ORGANIZATION MAKES ITS BYLAWS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE ALSO ATTACHED TO THE ANNUALLY FILED FORM PC, A PUBLICLY DISCLOSED TAX-EXEMPT ORGANIZATION FILING FOR THE STATE OF MASSACHUSETTS. FORM 990, PART VII, SECTION A WILLIAM ZAMMER Full title: Vice Chairman until 5/14, Chair from 5/14, Trustee FORM 990, PART VII, SECTION B WITH THE EXCEPTION OF REPORTING FOR VISITING NURSE ASSOCIATION OF CAPE COD, INC, CAPE COD HEALTHCARE, INC. PAYS INDEPENDENT CONTRACTORS ON BEHALF OF ITS AFFILIATES WHO FILE AS PART OF A GROUP FORM 990 AS CAPE COD HEALTHCARE, INC. AND AFFILIATES. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES TRANSFER TO/FROM AFFILIATES $8,946,427 NET ASSETS RELEASED FROM RESTRICTION (751,042) CHANGE IN VALUE OF SPLIT INTEREST AGREEMENT 1,332,389 CHANGE IN VALUE BENEFICIAL INTEREST 614,318 OTHER CHANGES IN NET ASSETS 11,647 ------------ TOTAL $10,153,739

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2013

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" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

CAPE COD HEALTHCARE INC

Employer identification number

22-2600704

Part I

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

(a) Name, address, and EIN (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" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled 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) 2013

Page 2

Part III

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

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

Part IV

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(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	97,511	27,193,528	100.000 %	Yes
(2) CAPE COD MEDICAL OFFICE BUILDING INC 27 PARK STREET HYANNIS,MA02601 04-2423073	RENTAL SVCS	MA	Cape Cod Hsptl	C CORP	0	0		Yes
(3) EMERALD PHYSICIAN SERVICES LLC 433 WEST MAIN STREET HYANNIS,MA02601 04-3369730	PRIMARY CARE	MA	EMERALD TRUST	S CORP	0	0		Yes
(4) EMERALD PHYSICIANS MEMBER TRUST 27 PARK STREET HYANNIS,MA02601 46-7220648	EMRLD SHAREHOLDER	MA	MACC	TRUST	0	0		Yes

Schedule R (Form 990) 2013

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on 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 . . . . . . . . . . . . . . . . . . . . . . .

Yes

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 related 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	36,568,743	FMV
(3) MEDICAL AFFILIATES OF CAPE COD INC	S	1,725,683	FMV
(4) FALMOUTH HOSPITAL ASSOCIATION INC	S	12,021,466	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) MEDICAL AFFILIATES OF CAPE COD INC	J	159,697	FMV
(9) EMERALD PHYSICIAN MEMBER TRUST	A	554	FMV
(10) CAPE COD HEALTHCARE FOUNDATION	Q	746,323	FMV
(11) CAPE COD HOSPITAL	Q	74,432,802	FMV
(12) FALMOUTH HOSPITAL ASSOCIATION INC	Q	24,178,873	FMV
(13) CAPE AND ISLANDS HEALTH SERVICES II INC	Q	1,292,443	FMV
(14) CAPE COD HUMAN SERVICES INC	Q	551,127	FMV
(15) JML CARE CENTER INC	Q	2,531,315	FMV
(16) FALMOUTH ASSISTED LIVING INC	Q	900,476	FMV
(17) MEDICAL AFFILIATES OF CAPE COD INC	Q	7,716,495	FMV

Schedule R (Form 990) 2013

Page 4

Part VI

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

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

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

Schedule R (Form 990) 2013

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2013

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	16
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	9
5	Total number of individuals employed in calendar year 2013 (Part V, line 2a) ......	5	201
6	Total number of volunteers (estimate if necessary) .............	6	12
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	23,901
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	10,327

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	0	0
9	Program service revenue (Part VIII, line 2g) .........	30,743,403	54,050,333
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	3,707,841	4,542,826
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	32,186	0
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	34,483,430	58,593,159
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)	15,413,159	32,646,406
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 277,383
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	15,389,579	21,869,027
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	30,802,738	54,515,433
19	Revenue less expenses. Subtract line 18 from line 12.......	3,680,692	4,077,726
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	204,220,000	228,783,560
21	Total liabilities (Part X, line 26).............	58,776,722	67,380,167
22	Net assets or fund balances. Subtract line 21 from line 20.....	145,443,278	161,403,393

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 35,788,570 including grants of $ ) (Revenue $ 54,050,333 )
	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 expenses35,788,570

(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		0	295,248	12,171
(2) THOMAS WROE JR........................................................................ CHAIRMAN UNTIL 5/14/TRUSTEE	2.0 .......................2.0	X	X
(3) ROBERT BIRMINGHAM........................................................................ TRUSTEE	2.0 .......................2.0	X
(4) ELEANOR CLAUS........................................................................ TRUSTEE	2.0 .......................2.0	X
(5) MICHAEL K LAUF........................................................................ PRESIDENT/CEO/TRUSTEE	5.0 .......................55.0	X	X	1,075,126	0	225,138
(6) WILLIAM ZAMMER........................................................................ SEE SCHEDULE O FOR TITLE	2.0 .......................2.0	X	X
(7) HOWARD CROW JR........................................................................ TRUSTEE	2.0 .......................2.0	X
(8) DEWITT DAVENPORT........................................................................ TRUSTEE/VICE CHAIR FROM 5/14	2.0 .......................2.0	X	X
(9) SUMNER B TILTON JR........................................................................ TRUSTEE/TREASURER	2.0 .......................2.0	X	X
(10) SUZANNE FAY GLYNN ESQ........................................................................ TRUSTEE	2.0 .......................2.0	X
(11) PHILIP MCLOUGHLIN........................................................................ TRUSTEE	2.0 .......................2.0	X
(12) NATE RUDMAN MD........................................................................ TRUSTEE	2.0 .......................2.0	X
(13) JOEL CROWELL........................................................................ TRUSTEE	2.0 .......................2.0	X
(14) DIANE COLETTI........................................................................ TRUSTEE	2.0 .......................2.0	X
(15) WILLIAM AGEL MD........................................................................ Trustee - See Sch J, Part III	2.0 .......................40.0	X		0	483,444	44,538
(16) DOUGLAS MANN MD........................................................................ TRUST. UNTIL 1/14 SCH J PT III	2.0 .......................2.0	X		0	32,400	0
(17) Patrick Flynn MD........................................................................ Trustee from 2/14	2.0 .......................2.0	X		0	110,158	0

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	5,993,048	921,250	1,027,637

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
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	50,993,892	50,993,892
b	PHYSICIAN ORG ADM SUPPORT REV		900099	2,656,790	2,656,790
c	PROGRAM RELATED RENTAL INCOME		900099	159,697	159,697
d	OTHER PROGRAM SERVICE REVENUE		900099	239,954	239,954
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			54,050,333
3	Investment income (including dividends, interest, and other similar amounts).......			1,918,092		-22,213	1,940,305
4	Income from investment of tax-exempt bond proceeds..			0
5	Royalties...........			0
		(i) Real	(ii) Personal
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)	0	0
d	Net rental income or (loss).......			0
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	2,941,582	-316,848
b	Less: cost or other basis and sales expenses
c	Gain or (loss)	2,941,582	-316,848
d	Net gain or (loss)..........			2,624,734		46,114	2,578,620
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......			58,593,159	54,050,333	23,901	4,518,925


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			4,016,330	1	2,985,267
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 .............			5,168,670	7	7,126,558
8	Inventories for sale or use ..............			115,345	8	132,256
9	Prepaid expenses and deferred charges ..........			1,693,034	9	2,276,955
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	30,627,648
b	Less: accumulated depreciation .....	10b	10,099,644	24,728,425	10c	20,528,004
11	Investments—publicly traded securities ..........			0	11	0
12	Investments—other securities. See Part IV, line 11 .....			129,793,082	12	145,219,078
13	Investments—program-related. See Part IV, line 11 .....			0	13	3,863,913
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			38,705,114	15	46,651,529
16	Total assets. Add lines 1 through 15 (must equal line 34)......			204,220,000	16	228,783,560
17	Accounts payable and accrued expenses .........			28,730,085	17	61,372,628
18	Grants payable .................			0	18	0
19	Deferred revenue ................			0	19	309,363
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 ..			2,526,158	23	2,252,864
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....................			27,520,479	25	3,445,312
26	Total liabilities. Add lines 17 through 25.........			58,776,722	26	67,380,167
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			98,339,148	27	110,224,211
28	Temporarily restricted net assets ...........			18,479,286	28	19,946,074
29	Permanently restricted net assets ...........			28,624,844	29	31,233,108
	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 ...........			145,443,278	33	161,403,393
34	Total liabilities and net assets/fund balances ........			204,220,000	34	228,783,560