TY 2014 Form 990

(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)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) GROVER BAXLEY MD........................................................................ TRUSTEE - SEE SCH J, PART III	2.0 .......................40.0	X		0	280,082	12,213
(2) ROBERT BIRMINGHAM........................................................................ TRUSTEE	2.0 .......................2.0	X		0	0	0
(3) ELEANOR CLAUS........................................................................ TRUSTEE	2.0 .......................2.0	X		0	0	0
(4) MICHAEL K LAUF........................................................................ PRESIDENT/CEO/TRUSTEE	5.0 .......................55.0	X	X	1,151,706	0	239,881
(5) WILLIAM ZAMMER........................................................................ CHAIRMAN/TRUSTEE	2.0 .......................2.0	X	X	0	0	0
(6) HOWARD CROW JR........................................................................ TRUSTEE	2.0 .......................2.0	X		0	0	0
(7) DEWITT DAVENPORT........................................................................ VICE CHAIRMAN/TRUSTEE	2.0 .......................2.0	X	X	0	0	0
(8) SUMNER B TILTON JR........................................................................ TRUSTEE/TREASURER	2.0 .......................2.0	X	X	0	0	0
(9) SUZANNE FAY GLYNN ESQ........................................................................ TRUSTEE	2.0 .......................2.0	X		0	0	0
(10) PHILIP MCLOUGHLIN........................................................................ TRUSTEE	2.0 .......................2.0	X		0	0	0
(11) NATE RUDMAN MD........................................................................ TRUSTEE	2.0 .......................2.0	X		0	0	0
(12) JOEL CROWELL........................................................................ TRUSTEE	2.0 .......................2.0	X		0	0	0
(13) DIANE COLETTI........................................................................ TRUSTEE	2.0 .......................2.0	X		0	0	0
(14) WILLIAM AGEL MD........................................................................ TRSTEE THRU 1/15 - SEE SCH J	2.0 .......................2.0	X		0	534,639	44,626
(15) PATRICK FLYNN MD........................................................................ TRUSTEE	2.0 .......................2.0	X		0	0	0
(16) PAUL EVANS MD........................................................................ TRUSTEE FROM 1/15	2.0 .......................2.0	X		0	0	0
(17) JAMES MULCAHY MD........................................................................ TRUSTEE FROM 5/15	2.0 .......................2.0	X		0	0	0

(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)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) GARY VACON MD........................................................................ TRUSTEE FROM 5/15	2.0 .......................2.0	X				0	0
(19) THOMAS WROE JR........................................................................ TRUSTEE UNTIL 5/15	2.0 .......................2.0	X				0	0
(20) MICHAEL G JONES........................................................................ SR VP CHIEF LEGAL OFFICER	5.0 .......................55.0		X			402,905	77,952
(21) MICHAEL L CONNORS........................................................................ SENIOR VP FINANCE/CFO	5.0 .......................55.0		X			492,021	83,406
(22) JEANNE FALLON........................................................................ SR VP & CIO	5.0 .......................45.0			X		301,092	69,533
(23) JOHN LIPOMI........................................................................ SR VP OF MANAGED CARE	5.0 .......................45.0			X		438,006	73,937
(24) PATRICK KANE........................................................................ SVP OF MRKTG,COMMUN AND DEVLP	5.0 .......................45.0			X		390,664	57,007
(25) THERESA M AHERN........................................................................ SVP, Strat, Community/gov rel.	5.0 .......................45.0			X		273,114	46,260
(26) EMILY SCHORER........................................................................ SVP HUMAN RESOURCES	5.0 .......................45.0			X		283,958	45,996
(27) MARY FRANCO........................................................................ SVP DEVELOPMENT FROM 1/14-5/14	5.0 .......................45.0			X		322,081	21,078
(28) DONALD GUADAGNOLI MD........................................................................ CMO CAPE COD HOSPITAL	5.0 .......................45.0				X	509,662	91,098
(29) ARTHUR MOMBOURQUETTE........................................................................ COO	5.0 .......................45.0				X	460,528	61,852
(30) KEVIN J MULROY........................................................................ SEE SCHEDULE O FOR TITLE	5.0 .......................45.0				X	381,567	65,739
(31) CHRISTIAN BROWN........................................................................ VP Special Projects	5.0 .......................45.0				X	312,449	63,239
(32) VICTOR OLIVEIRA........................................................................ VP OF PATIENT SERVICES	5.0 .......................45.0				X	291,186	75,009

(A) Name and business address	(B) Description of services	(C) Compensation
BWPO, PO BOX 3684 BOSTON,MA02241	PHYSICIAN SERVICES	4,788,875
CAPE COD EMERGENCY ASSOCIATES, C/O DEPAOLA BEGG ASSOC 220 W MA HYANNIS,MA02601	Physician Services	3,008,635
CAPE COD PEDIATRICS, PO BOX 549 55 ROUTE 130 FORESTDALE,MA02644	PHYSICIAN SERVICES	2,239,159
MAYO COLLABORATIVE SERVICES INC, MAYO MEDICAL LABORATORIES PO BOX MINNEAPOLIS,MN554809146	PHYSICIAN SERVICES	1,849,519
CAPE COD ANESTHESIA ASSOCIATES, 110 MAIN STREET - UNIT B HYANNIS,MA02601	PHYSICIAN SERVICES	1,706,609
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 46

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 domestic organizations and domestic governments. See Part IV, line 21 ....	0
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ....	0
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. 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 ....	5,082,112		5,082,112
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 ....	15,357,448	11,109,943	4,247,505
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	560,358	187,173	373,185
9	Other employee benefits .......	4,050,237	2,201,510	1,848,727
10	Payroll taxes ...........	1,180,442	466,726	713,716
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	859,401		859,401
c	Accounting ...........	25,650		25,650
d	Lobbying ...........	226,788	181,430	45,358
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	332,058		332,058
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ....	2,510,421	65,255	2,445,166
12	Advertising and promotion ....	1,721,018	1,376,814	344,204
13	Office expenses .......	382,010	305,608	76,402
14	Information technology ......	3,662,054	2,929,643	732,411
15	Royalties ..	0
16	Occupancy ...........	1,304,234	1,043,387	260,847
17	Travel ............	194,748	155,798	38,950
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	0
20	Interest ...........	295,493	236,394	59,099
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization .....	3,116,057	2,492,846	623,211
23	Insurance ..............	84,915	67,932	16,983
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	PURCHASED SERVICES	2,368,629	1,894,903	473,726
b	COMMUNITY BENEFITS	886,797	886,797	0
c	REPAIRS & MAINTENANCE	195,324	156,259	39,065
d	EDUCATION	186,693	149,354	37,339
e	All other expenses	811,141	674,571	136,570
25	Total functional expenses. Add lines 1 through 24e	45,394,028	26,582,343	18,811,685	0
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 .............	2,985,267	1	11,915,503
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 .............	7,126,558	7	10,342,900
8	Inventories for sale or use ..............	132,256	8	282,450
9	Prepaid expenses and deferred charges ..........	2,276,955	9	5,488,744
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	34,405,401
b	Less: accumulated depreciation .....	10b	11,571,643	20,528,004	10c	22,833,758
11	Investments—publicly traded securities ..........	0	11	0
12	Investments—other securities. See Part IV, line 11 .....	145,219,078	12	143,834,946
13	Investments—program-related. See Part IV, line 11 .....	3,863,913	13	4,583,057
14	Intangible assets ...............	0	14	0
15	Other assets. See Part IV, line 11 ...........	46,651,529	15	50,376,546
16	Total assets. Add lines 1 through 15 (must equal line 34)......	228,783,560	16	249,657,904
	17	Accounts payable and accrued expenses .........	61,372,628	17	73,684,525
18	Grants payable .................	0	18	0
19	Deferred revenue ................	309,363	19	307,829
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 ..	2,252,864	23	2,079,887
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....................	3,445,312	25	15,038,875
26	Total liabilities. Add lines 17 through 25.........	67,380,167	26	91,111,116
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	110,224,211	27	110,319,413
28	Temporarily restricted net assets ...........	19,946,074	28	16,961,751
29	Permanently restricted net assets ...........	31,233,108	29	31,265,624
	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 ...........	161,403,393	33	158,546,788
34	Total liabilities and net assets/fund balances ........	228,783,560	34	249,657,904

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

OMB No. 1545-0047

2014

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 in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations .............................

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

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2014

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) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(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) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(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 VI.)..
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 section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2013 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2014. 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—2013. 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—2014. 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2013. 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 VI 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) 2014

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) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(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......	32,131,300	35,375,425	30,743,403	54,050,333	45,013,678	197,314,139
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.	32,131,300	35,375,425	30,743,403	54,050,333	45,013,678	197,314,139
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.)						197,314,139

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
9	Amounts from line 6...	32,131,300	35,375,425	30,743,403	54,050,333	45,013,678	197,314,139
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..	423,295	896,444	872,419	1,927,657	4,186,009	8,305,824
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.						0
c	Add lines 10a and 10b.	423,295	896,444	872,419	1,927,657	4,186,009	8,305,824
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.	0	0	4,477	0	127,879	132,356
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..	0	0	0	0	4,203	4,203
13	Total support. (Add lines 9, 10c, 11, and 12.)..	32,554,595	36,271,869	31,620,299	55,977,990	49,331,769	205,756,522

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

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 8, column (f) divided by line 13, column (f)) .........

95.897 %

Public support percentage from 2013 Schedule A, Part III, line 15 ...............

97.529 %

Section D. Computation of Investment Income Percentage

Investment income percentage for 2014 (line 10c, column (f) divided by line 13, column (f)) ......

4.037 %

Investment income percentage from 2013 Schedule A, Part III, line 17 .............

2.469 %

19a

33 1/3% support tests—2014. 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—2013. 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) 2014

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations....

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed, (ii) the reasons for each such action, (iii) the authority under the organization's organizing document authorizing such action, and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (a) its supported organizations; (b) individuals that are part of the charitable class benefited by one or more of its supported organizations; or (c) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in IRC 4958(c)(3)(C)), a family member of a substantial contributor, or a 35-percent controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part II of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9(a)) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9(a)) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of IRC 4943 because of IRC 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Schedule A (Form 990 or 990-EZ) 2014

Page 5

Part IV

Supporting Organizations (continued)

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (1) a written notice describing the type and amount of support provided during the prior tax year, (2) a copy of the Form 990 that was most recently filed as of the date of notification, and (3) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2014

Page 6

Part V – Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

1. Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6
7	Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2014

Page 7

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2014 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2014	(iii) Distributable Amount for 2014
1 Distributable amount for 2014 from Section C, line 6
2 Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2014:
a From 2009.......X
b From 2010.......X
c From 2011.......X
d From 2012.......X
e From 2013.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2014 distributable amount
i Carryover from 2009 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2014 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2014 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2015. Add lines 3j and 4c.
8 Breakdown of line 7:
a From 2010.......X
b From 2011.......X
c From 2012.......X
d From 2013.......
e From 2014.......

Schedule A (Form 990 or 990-EZ) (2014)

Schedule A (Form 990 or 990-EZ) 2014

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2014

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

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

OMB No. 1545-0047

2014

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) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), 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) 2014

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 separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2011	(b) 2012	(c) 2013	(d) 2014	(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) 2014

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

226,788

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

226,788

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, lines 1 and 2 (see instructions), 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 $99,984, Law Offices of O'Neill Athy and Casey of $120,304, 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 and the American Hospital Association 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 $99,984, Law Offices of O'Neill Athy and Casey of $120,304, 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 and the American Hospital Association which may engage in lobbying activities. Therefore, a portion of the dues may be attributable to lobbying activities.

Schedule C (Form 990 or 990EZ) 2014

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

OMB No. 1545-0047

2014

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 value of contributions to (during year)
3	Aggregate value of 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)

Revenue 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:

Revenue 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) 2014

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, for escrow or custodial account liability?

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 ................	2,182,316	114,792	2,067,524
c	Leasehold improvements ............	515,488	263,719	251,769
d	Equipment ................	31,522,797	11,193,132	20,329,665
e	Other .................
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				22,833,758

Schedule D (Form 990) 2014

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	6,750,540	F
(B) PERM RESTRICTED INVESTMENTS	11,636,539	F
(C) BENEFICIAL INTEREST IN TRUSTS	19,461,068	F
(D) LONG TERM INVESTMENTS	105,986,799	F





Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	143,834,946

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				21,099,266
(2) SHARES OF HBCS STOCK				579,069
(3) SPLIT DOLLAR LIFE				2,946,435
(4) DUE FROM AFFILIATES				13,684,455
(5) DEFERRED FINANCING COSTS, NET				9,314
(6) PERPETUAL CRUT				168,016
(7) BENEFICIAL INTEREST				9,866,043
(8) HEALTH INS DEPOSIT RECEIVABLE				2,023,948
(9) OTHER ASSETS				0
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				50,376,546

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		2,015,207
SERP LIABILITY		1,663,967
DUE TO AFFILIATES		11,359,301
ABANDONED PROPERTY		400





Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		15,038,875
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) 2014

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 (losses) 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, LINE 2	THE ORGANIZATION DOES NOT HAVE A FIN 48 FOOTNOTE AS ANY UNCERTAIN TAX POSITIONS WERE DEEMED IMMATERIAL.

Schedule D (Form 990) 2014

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

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

OMB No. 1545-0047

2014

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), 501(c)(4), and 501(c)(29) organizations 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) 2014

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 in column(B) 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)
1DONALD GUADAGNOLI MDCMO CAPE COD HOSPITAL	(i) (ii)	411,819 ............................... 0	84,702 ............................... 0	13,141 ............................... 0	53,739 ............................... 0	37,359 ............................... 0	600,760 ............................... 0	2,292 ............................... 0
2ARTHUR MOMBOURQUETTECOO	(i) (ii)	397,030 ............................... 0	54,000 ............................... 0	9,498 ............................... 0	36,404 ............................... 0	25,448 ............................... 0	522,380 ............................... 0	0 ............................... 0
3KEVIN J MULROYSEE SCHEDULE O FOR TITLE	(i) (ii)	318,057 ............................... 0	49,725 ............................... 0	13,785 ............................... 0	29,013 ............................... 0	36,726 ............................... 0	447,306 ............................... 0	3,362 ............................... 0
4CHRISTIAN BROWNVP Special Projects	(i) (ii)	255,778 ............................... 0	47,325 ............................... 0	9,346 ............................... 0	29,013 ............................... 0	34,226 ............................... 0	375,688 ............................... 0	1,573 ............................... 0
5VICTOR OLIVEIRAVP OF PATIENT SERVICES	(i) (ii)	231,920 ............................... 0	47,430 ............................... 0	11,836 ............................... 0	38,650 ............................... 0	36,359 ............................... 0	366,195 ............................... 0	7,071 ............................... 0
6GROVER BAXLEY MDTRUSTEE - SEE SCH J, PART III	(i) (ii)	0 ............................... 256,748	0 ............................... 0	0 ............................... 23,334	0 ............................... 10,354	0 ............................... 1,859	0 ............................... 292,295	0 ............................... 0
7MICHAEL G JONESSR VP CHIEF LEGAL OFFICER	(i) (ii)	312,105 ............................... 0	78,906 ............................... 0	11,894 ............................... 0	41,593 ............................... 0	36,359 ............................... 0	480,857 ............................... 0	10,088 ............................... 0
8MICHAEL K LAUFPRESIDENT/CEO/TRUSTEE	(i) (ii)	754,241 ............................... 0	300,000 ............................... 0	97,465 ............................... 0	199,494 ............................... 0	40,387 ............................... 0	1,391,587 ............................... 0	65,977 ............................... 0
9MICHAEL L CONNORSSENIOR VP FINANCE/CFO	(i) (ii)	374,573 ............................... 0	96,059 ............................... 0	21,389 ............................... 0	50,597 ............................... 0	32,809 ............................... 0	575,427 ............................... 0	12,310 ............................... 0
10JEANNE FALLONSR VP & CIO	(i) (ii)	246,997 ............................... 0	50,155 ............................... 0	3,940 ............................... 0	41,524 ............................... 0	28,009 ............................... 0	370,625 ............................... 0	2,974 ............................... 0
11JOHN LIPOMISR VP OF MANAGED CARE	(i) (ii)	340,779 ............................... 0	79,582 ............................... 0	17,645 ............................... 0	48,005 ............................... 0	25,932 ............................... 0	511,943 ............................... 0	8,993 ............................... 0
12PATRICK KANESVP OF MRKTG,COMMUN AND DEVLP	(i) (ii)	305,355 ............................... 0	75,715 ............................... 0	9,594 ............................... 0	24,198 ............................... 0	32,809 ............................... 0	447,671 ............................... 0	7,788 ............................... 0
13WILLIAM AGEL MDTRSTEE THRU 1/15 - SEE SCH J	(i) (ii)	0 ............................... 481,123	0 ............................... 38,150	0 ............................... 15,366	0 ............................... 10,400	0 ............................... 34,226	0 ............................... 579,265	0 ............................... 0
14THERESA M AHERNSVP, Strat, Community/gov rel.	(i) (ii)	217,031 ............................... 0	49,500 ............................... 0	6,583 ............................... 0	21,628 ............................... 0	24,632 ............................... 0	319,374 ............................... 0	4,790 ............................... 0
15EMILY SCHORERSVP HUMAN RESOURCES	(i) (ii)	225,778 ............................... 0	57,550 ............................... 0	630 ............................... 0	11,281 ............................... 0	34,715 ............................... 0	329,954 ............................... 0	0 ............................... 0
16MARY FRANCOSVP DEVELOPMENT FROM 1/14-5/14	(i) (ii)	107,863 ............................... 0	50,000 ............................... 0	164,218 ............................... 0	6,563 ............................... 0	14,515 ............................... 0	343,159 ............................... 0	0 ............................... 0

Schedule J (Form 990) 2014

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, Section A	GROVER BAXLEY, MD AND WILLIAM AGEL, MD WERE compensated in THEIR capacity as physicians, not as trustees. Schedule J, Part I, Line 4(a): Severance Payments Mary Franco, SVP of Development (from 1/14-5/14) received severance payments of $153,454 during calendar year 2014. The arrangement provides for continued payment of the individual's salary and benefit for a period of 15 months, including medical and dental insurance coverage. SCHEDULE J, PART I, LINES 1A & 1B HOUSING ALLOWANCE THE SVP DEVELOPMENT (FROM 1/14-5/14) RECEIVED A HOUSING ALLOWANCE IN CALENDAR YEAR 2014 PURSUANT TO HER EMPLOYMENT CONTRACT WHICH WAS REPORTED AS TAXABLE COMPENSATION TO THE INDIVIDUAL. 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 DEFERRED UNDER THE PLAN ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C) AND AMOUNTS PAID UNDER THE PLAN DURING CALENDAR YEAR 2014 WERE AS FOLLOWS: - MICHAEL K. LAUF - $65,977 - MICHAEL L. CONNORS - $12,310 - MICHAEL G. JONES - $10,088 - VICTOR OLIVEIRA - $7,071 - JOHN LIPOMI - $8,993 - KEVIN MULROY - $3,362 - THERESA AHERN - $4,790 - JEANNE FALLON - $2,974 - DONALD GUADAGNOLI MD - $2,292 - PATRICK KANE - $7,788 - CHRISTIAN BROWN - $1,573 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, PART II, COLUMN (C) AND UNDER THE PLAN, PARTICIPANTS ARE ENTITLED TO CERTAIN BENEFITS UPON RETIREMENT, TERMINATION, OR DEATH. During calendar year 2014, 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 2014 was $102,000 and is included in Schedule J, Part II, Column (C). No amounts were paid in calendar year 2014.
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 9	The COO, SVP Development, SR VP & CIO and SVP Human Resources served under their initial contracts during calendar year 2014.

Schedule J (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

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

Attach to Form 990 or Form 990-EZ.
MediumBullet

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

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

CAPE COD HEALTHCARE INC

Employer identification number

22-2600704

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

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

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

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

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

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






Total ...... $

Part III

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

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

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

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2014

Page 2

Part IV

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

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) GROVER BAXLEY PC	TRUSTEE IS OWNER	198,272	MEDICAL SERVICES		No
(2) PAUL EVANS MD	TRUSTEE	121,919	MEDICAL SERVICES		No
(3) PATRICK FLYNN MD	TRUSTEE	107,800	MEDICAL SERVICES		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2014

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 990-EZ 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

2014

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 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. THIS TARGET POPULATION WAS IDENTIFIED AND SELECTED IN THE 2014- 2016 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT. THIS POPULATION IS CURRENTLY SERVED THROUGH A NETWORK OF HEALTH CARE AND SOCIAL SERVICES PROVIDERS IN OUR REGION BUT UNMET NEEDS STILL EXIST. 2. NAME OF 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. THIS SPECIFIC TARGET POPULATION WAS IDENTIFIED IN THE 2014- 2016 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT. THE REPORT IDENTIFIED THE AVAILABILITY OF PRIMARY CARE AND SPECIALTY CARE PROVIDERS, OUT-OF-POCKET EXPENSES, A LACK OF KNOWLEDGE OF AVAILABLE SERVICES AND LINGUISTIC CHALLENGES AS SPECIFIC BARRIERS FOR THIS TARGET POPULATION. 3. NAME OF TARGET POPULATION: COMMUNITY MEMBERS MANAGING MENTAL HEALTH CONDITIONS. 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 CONDITIONS IN HOSPITAL EMERGENCY CENTERS. RESIDENTS MANAGING MENTAL HEALTH DISORDERS 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. THIS SPECIFIC TARGET POPULATION WAS IDENTIFIED IN THE 2014- 2016 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT. 4. NAME OF TARGET POPULATION: COMMUNITY MEMBERS WITH SUBSTANCE USE DISORDERS. BASIS FOR SELECTION: THE ISSUE OF SUBSTANCE USE DISORDER IS A CRITICAL HEALTH CHALLENGE FOR THE HEALTH SYSTEM AND COMMUNITY IN BARNSTABLE COUNTY. THE OVERALL RATES OF SUBSTANCE USE TREATMENT 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 ACUTE DETOX AND TREATMENT OPTIONS AND NAVIGATION OF SERVICES STILL EXIST. THIS SPECIFIC TARGET POPULATION WAS IDENTIFIED IN THE 2014- 2016 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT. 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 SPECIFIC TARGET POPULATION WAS IDENTIFIED IN THE 2014- 2016 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT. 6. NAME OF TARGET POPULATION: YOUTH AND YOUNG ADULTS, AGES 15 TO 24 YEARS OLD. BASIS FOR SELECTION: YOUTH AND YOUNG ADULTS, AGES 15 - 24 YEARS OLD, WERE IDENTIFIED THROUGH THE 2014 - 2016 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AS A SPECIFIC AT-RISK POPULATION 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	WEBSITE, OTHER- ATTORNEY GENERAL WEBSITE HOSPITAL/HMO WEB PAGE PUBLICIZING TARGET POP. HTTP://WWW.CAPECODHEALTH.ORG/COMMUNITY KEY ACCOMPLISHMENTS OF REPORTING YEAR CAPE COD HEALTHCARE UTILIZED THE 2014-2016 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN TO PRIORITIZE AND GUIDE ALL HEALTH IMPROVEMENT ACTIVITIES. EXISTING HOSPITAL PROGRAMS AND CLINICAL SERVICE LINES HAVE BEEN STRENGTHENED, COLLABORATIONS WITH COMMUNITY BASED HEALTH AND HUMAN SERVICE ORGANIZATIONS EXPANDED AND NEW INITIATIVES LAUNCHED TO ADDRESS THE REGIONAL HEALTH PRIORITIES OF CHRONIC AND INFECTIOUS DISEASE, ACCESS TO CARE, MENTAL HEALTH AND SUBSTANCE USE DISORDERS. IN FY2015, CAPE COD HOSPITAL AND FALMOUTH HOSPITAL RECEIVED RECOGNITION FOR CLINICAL EXCELLENCE AND ACHIEVEMENT RELATED TO ACCESS TO CARE AND CHRONIC DISEASE: o CAPE COD HOSPITAL WAS NAMED ONE OF THE 100 GREAT COMMUNITY HOSPITALS IN THE US BY BECKER'S HOSPITAL REVIEW o CAPE COD HOSPITAL AND FALMOUTH HOSPITAL WERE NAMED 2015 IVANTAGE HEALTHSTRONG TOP HOSPITALS o CAPE COD HOSPITAL RECEIVED THE 2015 DISTINGUISHED HOSPITAL AWARD FOR CLINICAL EXCELLENCE o CAPE COD HOSPITAL RECEIVED THE 2015 DISTINGUISHED HOSPITAL WOMEN'S HEALTH EXCELLENCE AWARD o CAPE COD HOSPITAL WAS NAMED AMONG AMERICA'S 100 BEST HOSPITALS FOR CARDIAC CARE AND AMERICA'S 100 BEST HOSPITALS FOR CORONARY INTERVENTION o CAPE COD HOSPITAL WAS RECOGNIZED AS ONE OF AMERICA'S BEST 100 HOSPITALS FOR ORTHOPEDIC SURGERY AND AMERICA'S BEST 100 HOSPITALS FOR PROSTATE SURGERY o FALMOUTH HOSPITAL EARNED THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES- STROKE GOLD PLUS QUALITY ACHIEVEMENT AWARD CLINICAL CARE ACHIEVEMENTS WERE MATCHED BY INNOVATIVE COMMUNITY-BASED PROGRAMS FOCUSED ON PREVENTION AND MANAGEMENT OF CHRONIC AND INFECTIOUS DISEASES. IN PARTNERSHIP WITH THE US NATIONAL PARK SERVICE AND THE CAPE COD NATIONAL SEASHORE, CAPE COD HEALTHCARE LAUNCHED HEALTHY PARKS, HEALTHY PEOPLE, A WALKING PROGRAM TO PROMOTE HEALTH AND WELLNESS FOR YEAR-ROUND AND SEASONAL RESIDENTS, AS WELL AS VISITORS TO THE CAPE. TWO LOCAL COMMUNITY HEALTH CENTERS, THE COMMUNITY HEALTH CENTER OF CAPE COD AND OUTER CAPE HEALTH SERVICES, RECEIVED COMMUNITY BENEFITS FUNDING TO EXPAND THEIR COMPLEX CARE MANAGEMENT PROGRAMS FOCUSED ON IMPROVING CARE FOR HIGH-RISK RESIDENTS WITH CHRONIC DISEASES. THE AIDS SUPPORT GROUP OF CAPE COD WAS ABLE TO CONTINUE A MOBILE HEPATITIS C AND HIV/AIDS TESTING PROGRAM IN THE COMMUNITY WITH COMMUNITY BENEFITS SUPPORT. THE CAPE COD HUNGER NETWORK UTILIZED A COMMUNITY BENEFITS GRANT TO LAUNCH A NEW PROGRAM FOR PANTRY CLIENTS TO HELP MONITOR THEIR DIABETES AND HEART DISEASE AND ENCOURAGE NUTRITIONAL IMPROVEMENT THROUGH EDUCATION AND DISTRIBUTION OF FRESH FOOD AND VEGETABLES. THE PROGRAM WILL BE EXPANDED FROM ONE FOOD PANTRY SITE IN 2015 TO FOUR PANTRY SITES AND A MOBILE FOOD PROGRAM IN 2016. CAPE COD HOSPITAL AND FALMOUTH HOSPITAL PROVIDED IN-HOME VISITS BY PHARMACISTS AND CARE MANAGERS IN AN EFFORT TO SUPPORT RESIDENTS MANAGING CHRONIC DISEASE AND EDUCATE THEIR CAREGIVERS. CAREGIVERS OF INDIVIDUALS WITH ALZHEIMER'S DISEASE WERE PROVIDED FREE COUNSELING AND ACCESS TO 10 NEW COMMUNITY-BASED SUPPORT GROUPS ACROSS CAPE COD, DEVELOPED THROUGH A COMMUNITY BENEFITS GRANT.
CLINICAL STAFF FROM BOTH CAPE COD HOSPITAL AND FALMOUTH HOSPITAL	FACILITATED ACTIVITIES IN THE COMMUNITY RANGING FROM CANCER AND BEREAVEMENT SUPPORT GROUPS TO BREASTFEEDING AND FATHERHOOD CLASSES. COMMUNITY OUTREACH AND EDUCATION ACTIVITIES SUCH AS HEALTH FAIRS, EDUCATIONAL WORKSHOPS BY PHYSICIANS AND THE LAUNCH OF ONECAPE HEALTH NEWS, A NEW HEALTH INFORMATION NEWS HUB, PROVIDED CRITICAL INFORMATION FROM HEALTH EXPERTS ABOUT DISEASE PREVENTION, DETECTION AND MANAGEMENT TO LOCAL RESIDENTS. INDIVIDUALS AND FAMILIES SEEKING HELP NAVIGATING STATE AND FEDERAL INSURANCE PLAN OPTIONS AND ENROLLMENT/RE-ENROLLMENT WERE PROVIDED FINANCIAL ASSISTANCE AND COUNSELING IN BOTH HOSPITALS AND IN COMMUNITY SETTINGS. A COMMUNITY BENEFITS GRANT ENSURED THAT UNINSURED AND UNDER-INSURED RESIDENTS WERE PROVIDED FREE OR LOW-COST ACCESS TO A NETWORK OF SPECIALISTS IN THE REGION FOR A VARIETY OF SERVICES INCLUDING CARDIOLOGY, GENERAL SURGERY, OPTOMETRY, UROLOGY AND ORTHOPEDICS. FREE INTERPRETER SERVICES WERE PROVIDED TO RESIDENTS NEEDING LANGUAGE ASSISTANCE IN COMMUNITY-BASED PHYSICIAN OFFICES AND THE HOSPITALS PROVIDED ONLINE AND TELEPHONE-BASED ASSISTANCE TO RESIDENTS SEARCHING FOR AVAILABLE PRIMARY CARE AND SPECIALTY PROVIDERS. CAPE COD HEALTHCARE'S CENTERS FOR BEHAVIORAL HEALTH EXPANDED SERVICES TO THE LOWER CAPE REGION, INCREASED PROVIDER RECRUITMENT EFFORTS AND PILOTED A NEW MODEL OF CARE IN EMERGENCY ROOM SETTINGS TO SERVE RESIDENTS WITH MENTAL ILLNESS. GROWTH OF THE BEHAVIORAL HEALTH PROVIDER COALITION OF CAPE COD & THE ISLANDS WAS SUPPORTED THROUGH COMMUNITY BENEFITS FUNDING AND LEADERSHIP RESULTING IN STRONGER COLLABORATION BETWEEN BEHAVIORAL HEALTH PROVIDERS AND LAW ENFORCEMENT AGENCIES. SEVERAL COMMUNITY BENEFITS GRANTS WERE MADE TO EXPAND MENTAL HEALTH SERVICES IN THE COMMUNITY, INCLUDING A MENTAL CONSULTATION PROGRAM IN HEAD START CLASSROOMS, PSYCHIATRIC AND COUNSELING SERVICES WITHIN A COMMUNITY HEALTH CENTER, AND SPECIALIZED COUNSELING FOR VETERANS WITH POST-TRAUMATIC STRESS DISORDER AND TRAUMATIC BRAIN INJURIES. CAPE COD HEALTHCARE LED A GROUP OF LOCAL PHILANTHROPIC ORGANIZATIONS IN THE ESTABLISHMENT OF THE CAPE COD SUBSTANCE ABUSE EDUCATION AND PREVENTION INITIATIVE. THIS INITIATIVE INCREASES PRIMARY PREVENTION PROGRAMS FOR YOUTH, AND COMMUNITY BENEFITS STAFF PROVIDED LEADERSHIP TO SUBSTANCE ABUSE EFFORTS TAKING PLACE ACROSS THE REGION. GRANTS WERE PROVIDED TO EXPAND LIFE SKILLS TRAININGS IN SCHOOLS, AFTER-SCHOOL PROGRAMS FOR HIGH-RISK YOUTH AND TOWN-BASED COALITION EFFORTS. OVER 120 CLINICAL PROFESSIONALS PARTICIPATED IN SAFE OPIOID PRESCRIBING TRAININGS THROUGH A PARTNERSHIP WITH BOSTON UNIVERSITY SCHOOL OF MEDICINE AND CAPE COD HEALTHCARE WAS SELECTED BY THE MA DEPARTMENT OF PUBLIC HEALTH TO DEVELOP AN INTEGRATED MODEL OF BEHAVIORAL HEALTH AND SPECIALTY CARE THROUGH THE MOMS DO CARE GRANT PROJECT. IN ADDITION TO HOSPITAL-BASED PROGRAMS AND GRANT FUNDED COMMUNITY-BASED PROJECTS, 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 PLANNING 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. THE 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 MASSACHUSETTS ATTORNEY GENERAL (AG) GUIDELINES, MEDICARE GUIDELINES AND IRS REQUIREMENTS. COMMUNITY BENEFITS GOALS FOR FY2016: 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 BARNSTABLE COUNTY RESIDENTS, PUBLIC HEALTH EXPERTS, AND COMMUNITY LEADERS REPRESENTING MEDICALLY UNDERSERVED AND VULNERABLE POPULATIONS IN THE COLLECTION OF HEALTH INDICATOR DATA AND COMMUNITY INPUT FOR THE 2017- 2020 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT PROJECT. COMMUNITY BENEFITS LEADERSHIP/TEAM CAPE COD HEALTHCARE, CAPE COD HOSPITAL AND FALMOUTH HOSPITAL, ALONG WITH OUR AFFILIATES, COLLABORATE TO BE THE HEALTH SERVICE PROVIDER OF CHOICE FOR BARNSTABLE COUNTY RESIDENTS BY ACHIEVING AND MAINTAINING THE HIGHEST STANDARDS IN HEALTHCARE DELIVERY AND SERVICE QUALITY. TO DO SO, WE 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. WE ARE THE COMMUNITY HEALTH SYSTEM AND SAFETY NET HEALTH CARE PROVIDER FOR RESIDENT OF BARNSTABLE COUNTY. 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 AND LEADERS OF 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 15 COMMUNITY HEALTH COMMITTEE MEMBERS: ELEANOR CLAUS (CHAIR) CCHC BOARD MEMBER KINLIN GROVER REAL ESTATE 927 ROUTE 6A, YARMOUTHPORT, MA 02675 508.362.3000 X203 ECLAUS@KINLINGROVER.COM REPRESENTING: CCHC BOARD OF TRUSTEES ELIZABETH ALBERT DIRECTOR 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 DIRECTOR FALMOUTH HUMAN SERVICES 65 TOWN HALL SQUARE, FALMOUTH, MA 02540 508.548.0533 KCARDEIRA@FALMOUTHHUMANSERVICES.ORG REPRESENTING: COMMUNITY AT LARGE & UPPER CAPE MARY DEVLIN PUBLIC HEALTH AND WELLNESS DIVISION MANAGER 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 KAREN GARDNER CHIEF EXECUTIVE OFFICER 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 RON HOLMES CO-CHAIR BEHAVIORAL HEALTH PROVIDER COALITION OF CAPE COD & THE ISLANDS AND THE CAPE & ISLANDS SUICIDE PREVENTION COALITION 39 WADING PLACE PATH CHATHAM, MA 02663 508.726.3931 RON.HOLMES@VERIZON.COM REPRESENTING: REGIONAL BEHAVIORAL HEALTH PROVIDERS AND INITIATIVES HADLEY LUDDY EXECUTIVE DIRECTOR BIG BROTHER BIG SISTERS 1934 FALMOUTH ROAD, CENTERVILLE, MA 02601 508-775-5150 HLUDDY@BBBSCCI.ORG REPRESENTING: YOUTH AND YOUNG ADULTS CHRIS HOTTLE DIRECTOR 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 FY2015 COMMUNITY HEALTH COMMITTEE MEETINGS WERE HELD ON THE FOLLOWING DATES: NOVEMBER 13, 2014 9:00 - 11:00 AM MARCH 19, 2015 4:00-5:30 PM JUNE 18, 2015 4:00-5:30 PM AUGUST 20, 2015 4:00-5:00 PM COMMUNITY PARTNERS AIDS SUPPORT GROUP OF CAPE COD ALZHEIMER'S FAMILY CAREGIVER SUPPORT CENTER AMERICAN CANCER SOCIETY BARNSTABLE COUNTY CAPE COD COOPERATIVE EXTENSION SERVICES BARNSTABLE COUNTY HUMAN SERVICES BARNSTABLE COUNTY REGIONAL SUBSTANCE ABUSE COUNCIL BARNSTABLE SCHOOL SYSTEM BEHAVIORAL HEALTH PROVIDER COALITION OF CAPE COD & THE ISLANDS BIG BROTHERS BIG SISTERS OF CAPE COD & THE ISLANDS BOYS & GIRLS CLUB OF CAPE COD CALMER CHOICE CAPE & ISLANDS EMS SYSTEMS, INC CAPE & ISLANDS UNITED WAY CAPE & ISLANDS VETERANS OUTREACH CENTER CAPE & ISLANDS YOUTH COUNCIL LEADERSHIP ACADEMY CAPE COD CHAMBER OF COMMERCE CAPE COD CHILD DEVELOPMENT CAPE COD FOUNDATION CAPE COD HUNGER NETWORK CHILDREN'S COVE COALITION FOR CHILDREN 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 FALMOUTH BIKE LAB FAMILY PANTRY OF CAPE COD HARBOR COMMUNITY HEALTH CENTER - HYANNIS HELPING OUR WOMEN HOPE DEMENTIA & ALZHEIMER'S SERVICES GOSNOLD ON CAPE COD MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH MASSACHUSETTS ORGANIZATION FOR ADDICTION RECOVERY MOTHERS AND INFANTS RECOVERY NETWORK NATIONAL ALLIANCE ON MENTAL ILLNESS CAPE COD OUTER CAPE HEALTH SERVICES PARKINSON SUPPORT NETWORK OF CAPE COD SHEA'S YOUTH BASKETBALL ASSOCIATION SIGHT LOSS SERVICES SPECIALTY NETWORK FOR THE UNINSURED UNITED STATES NATIONAL PARK SERVICE AND CAPE COD NATIONAL SEASHORE WE CAN
COMMUNITY HEALTH NEEDS ASSESSMENT	DATE LAST ASSESSMENT COMPLETED AND CURRENT STATUS THE 2014 - 2016 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT (CHNA REPORT) AND IMPLEMENTATION PLAN WAS RELEASED AND MADE WIDELY AVAILABLE TO THE PUBLIC ON SEPTEMBER 27, 2013. OUR OBJECTIVES FOR COMMUNITY HEALTH NEEDS ASSESSMENT PROJECTS ARE 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. FOR THE 2014 - 2016 CHNA REPORT, OVER 80 PUBLIC HEALTH EXPERTS AND COMMUNITY ORGANIZATIONS REPRESENTING LOW-INCOME, MEDICALLY UNDERSERVED AND VULNERABLE POPULATIONS PROVIDED INPUT ON REGIONAL HEALTH ISSUES THROUGH FOCUS GROUPS, KEY INFORMATION INTERVIEWS AND COMMUNITY INPUT FORUMS. ADDITIONAL 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. THE PRIMARY DATA COLLECTED THROUGH COMMUNITY INPUT AND THE HOUSEHOLD TELEPHONE SURVEY WAS HEAVILY AUGMENTED WITH SECONDARY DATA FROM NATIONAL, STATE, AND REGIONAL SOURCES WHICH INCLUDED DEMOGRAPHIC CHARACTERISTICS, DISEASE INCIDENCE AND PREVALENCE RATES, HEALTH STATUS INDICATORS, BEHAVIORAL RISK FACTORS ASSOCIATED WITH HEALTH STATUS, ACCESS TO CARE, MORBIDITY/MORTALITY RATES AND HOSPITAL UTILIZATION. THROUGH THIS COLLECTION OF DATA AND COMMUNITY INPUT THE SIGNIFICANT HEALTH NEEDS OF BARNSTABLE COUNTY RESIDENTS 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 INDENTIFIED THROUGH THE CHNA REPORT HAVE SERVED AS THE FOUNDATION FOR COMMUNITY BENEFITS AND HOSPITAL PLANNING AND PROGRAM IMPLEMENTATION SPANNING FISCAL YEARS 2014 - 2016. IN SEPTEMBER 2015, CAPE COD HOSPITAL AND FALMOUTH HOSPITAL LAUNCHED THE OMMUNITY HEALTH NEEDS ASSESSMENT PROJECT WHICH WILL SERVE AS THE COMMUNITY BENEFITS AND HOSPITAL PLANNING FOUNDATION FOR FY2017 - FY2020. KEY PHASES OF THE PROJECT INCLUDING SECONDARY DATA COLLECTION, COMMUNITY INPUT FORUMS FOR RESIDENTS AND SERVICE PROVIDERS OF VULNERABLE POPULATIONS AND KEY INFORMATIONAL INTERVIEWS OF PUBLIC HEALTH EXPERTS HAVE BEEN COMPLETED AS OF MARCH 2015. THE 2017 - 2020 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IMPLEMENTATION PLAN WILL BE RELEASED BY SEPTEMBER 30, 2016. CONSULTANTS/OTHER ORGANIZATIONS THE FOLLOWING ORGANIZATIONS PARTICIPATED IN THE 2014 - 2016 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT PROJECT: 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 INTERPRETER SERVICES FOR COMMUNITY-BASED PHYSICIAN OFFICES PROGRAM TYPE: OUTREACH TO UNDERSERVED STATEWIDE PRIORITY: ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY BRIEF DESCRIPTION OR OBJECTIVE: COMMUNITY BENEFITS PROVIDES ANNUAL SUPPORT TO IMPROVE ACCESS TO PRIMARY AND SPECIALTY CARE FOR INDIVIDUALS WHO 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: LANGUAGE/LITERACY SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL GOAL DESCRIPTION: INCREASE ACCESS TO CARE BY PROVIDING MEDICAL LANGUAGE INTERPRETATIONS IN COMMUNITY-BASED PRIMARY CARE AND SPECIALTY SETTINGS. GOAL STATUS: COLLABORATION WITH COMMUNITY HEALTH CENTERS AND PHYSICIAN OFFICES RESULTED IN 925 LANGUAGE INTERPRETATIONS IN FY15. APPROXIMATELY, 84 % OF REQUESTED INTERPRETATIONS WERE FOR RESIDENTS SPEAKING PORTUGUESE AND 16% FOR RESIDENTS SPEAKING SPANISH. PARTNERS PARTNER NAME, DESCRIPTION PARTNER WEB ADDRESS COMMUNITY-BASED MEDICAL OFFICES ON CAPE COD: VARIOUS HARBOR COMMUNITY HEALTH CENTER-HYANNIS: HTTP://WWW.HHSI.US/CAPE-COD/HARBOR-COMMUNITY-HEALTH-CENTER-HYANNIS/ COMMUNITY HEALTH CENTER OF CAPE COD: WWW.CHCOFCAPECOD.ORG CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED SPECIALITY NETWORK FOR THE UNINSURED: HARBOR COMMUNITY HEALTH CENTER HYANNIS PROGRAM TYPE: OUTREACH TO UNDERSERVED STATEWIDE PRIORITY: ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS. BRIEF DESCRIPTION OR OBJECTIVE: CAPE COD HEALTHCARE COMMUNITY BENEFITS PROVIDES ANNUAL GRANT SUPPORT TO HARBOR COMMUNITY HEALTH CENTER - HYANNIS TO COORDINATE THE SPECIALTY NETWORK FOR THE UNINSURED (SNU). THE SNU PROGRAM INCREASES ACCESS TO SPECIALTY CARE FOR UNINSURED AND UNDER-INSURED RESIDENTS OF BARNSTABLE COUNTY THROUGH MANAGING A NETWORK OF MEDICAL SPECIALISTS WHO WILL PROVIDE FREE OR SIGNIFICANTLY REDUCED SLIDING-SCALE FEES FOR OFFICE VISITS, PROCEDURES AND CONTINUED CARE OF UNINSURED AND UNDER-INSURED INDIVIDUALS. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, OTHER: ARTHRITIS, OTHER: ASTHMA/ALLERGIES, OTHER: CANCER, OTHER: CARDIAC DISEASE, OTHER: CHRONIC PAIN, OTHER: DIABETES, OTHER: FAMILY PLANNING, OTHER: HEARING, OTHER: HEPATITIS, OTHER: HYPERTENSION, OTHER: LYME DISEASE, OTHER: OSTEOPOROSIS/MENOPAUSE, OTHER: PARKINSON'S DISEASE, OTHER: PREGNANCY, OTHER: PULMONARY DISEASE/TUBERCULOSIS, OTHER: STROKE, OTHER: UNINSURED/UNDERINSURED, OTHER: VISION 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 408 PATIENT APPOINTMENTS WITH SPECIALISTS IN FY15. PROGRAM EFFORTS ARE ONGOING IN FY16 GOAL DESCRIPTION: PROVIDE ACCESS TO SPECIALISTS FOR UNINSURED OR UNDER-INSURED RESIDENTS WHO FACE LANGUAGE BARRIERS TO CARE. GOAL STATUS: TWENTY-SEVEN PERCENT (27%) OF SNU PATIENTS REQUESTED A MEDICAL INTERPRETER. NINETY-FOUR PERCENT (94%) OF THOSE PATIENTS REQUIRED INTERPRETATION FOR PORTUGUESE AND 6% REQUIRED INTERPRETATION FOR SPANISH. GOAL DESCRIPTION: MAINTAIN REFERRAL RELATIONSHIP BETWEEN SNU PROGRAM AND FEDERALLY QUALIFIED HEALTH CENTERS IN THE REGION. GOAL STATUS: NEARLY ONE HUNDRED PERCENT (99.75%) OF ALL PROGRAM REFERRALS WERE MADE BY REGIONAL FEDERALLY QUALIFIED HEALTH CENTERS INCLUDING HARBOR COMMUNITY HEALTH CENTER-HYANNIS, COMMUNITY HEALTH CENTER OF CAPE COD, DUFFY HEALTH CENTER AND ISLAND HEALTH CENTER. 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 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 FOR VULNERABLE POPULATIONS:	CAPE COD HOSPITAL AND FALMOUTH HOSPITAL PROGRAM TYPE: DIRECT SERVICES STATEWIDE PRIORITY: ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, REDUCING HEALTH DISPARITY BRIEF DESCRIPTION OR OBJECTIVE: THE PRESCRIPTION ASSISTANCE PROGRAM IS AN INITIATIVE OF CAPE COD HOSPITAL AND FALMOUTH HOSPITAL EMERGENCY, BEHAVIORAL HEALTH AND PHARMACY DEPARTMENTS AS A COMMUNITY BENEFIT TO ASSIST 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 SAVED: COUNTY- BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, OTHER: UNINSURED/UNDERINSURED SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL GOAL DESCRIPTION: ASSIST RESIDENTS WHO ARE UNABLE TO AFFORD MEDICATIONS TO ENSURE COMPLIANCE WITH HOSPITAL DISCHARGE PLANNING. GOAL STATUS: CAPE COD AND FALMOUTH HOSPITALS EMERGENCY AND BEHAVIORAL HEALTH DEPARTMENTS PROVIDED PHARMACY VOUCHERS AND PRESCRIPTION ASSISTANCE TOTALLY $23,800 FOR UNINSURED, UNDER-INSURED OR FINANCIALLY CHALLENGED PATIENTS WHO WERE UNABLE TO AFFORD PRESCRIPTIONS PARTNERS PARTNER NAME, DESCRIPTION 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 FOR VULNERABLE POPULATIONS: CAPE COD HOSPITAL AND FALMOUTH HOSPITAL PROGRAM TYPE: DIRECT SERVICES STATEWIDE PRIORITY: REDUCING HEALTH DISPARITY BRIEF DESCRIPTION OR OBJECTIVE: IN AN EFFORT TO ASSIST LOW-INCOME AND VULNERABLE POPULATIONS, CAPE COD HOSPITAL AND FALMOUTH HOSPITAL PROVIDE TRANSPORTATION UPON DISCHARGE FROM EMERGENCY AND BEHAVIORAL HEALTH DEPARTMENTS, TO THOSE PATIENTS WITHOUT RESOURCES FOR TRANSPORTATION. TARGET POPULATION REGIONS SAVED: COUNTY- BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, OTHER: UNINSURED/UNDERINSURED SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL 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 MORE THAN $37,000 FOR UNINSURED, UNDER-INSURED OR FINANCIALLY DISADVANTAGED PATIENTS UPON DISCHARGE
PARTNERS	PARTNER NAME, DESCRIPTION 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 DUFFY HEALTH CENTER: SUPPORTING BEHAVIORAL HEALTH SERVICES FOR HOMELESS AND AT RISK ADULTS PROGRAM TYPE: SCHOOL/HEALTH CENTER PARTNERSHIP STATEWIDE PRIORITY: ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, 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 FY15, COMMUNITY BENEFITS FUNDING FROM CAPE COD HEALTHCARE SUPPORTED THE DUFFY HEALTH CENTERS BEHAVIORAL HEALTH SERVICES INCLUDING THERAPY, PSYCHIATRY AND CASE MANAGEMENT SUPPORT FOR HEALTH CENTER PATIENTS. TARGET POPULATION REGIONS SERVED: COUNTY- BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, MENTAL HEALTH, OTHER: ALCOHOL AND SUBSTANCE ABUSE, OTHER: HOMELESSNESS, OTHER: UNINSURED/UNDERINSURED, SUBSTANCE ABUSE SEX: ALL AGE GROUP: ADULT, ADULT-ELDER, ADULT-YOUNG ETHNIC GROUP: ALL LANGUAGE: ALL GOAL DESCRIPTION: TO PROVIDE BEHAVIORAL HEALTH SERVICES TO 1,200 PATIENTS. GOAL STATUS: BEHAVIORAL HEALTH SERVICES WERE PROVIDED TO 1,069 DUFFY HEALTH CENTER PATIENTS THROUGH 7,586 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 247 PATIENTS. GOAL DESCRIPTION: 100% OF ALL NEW DUFFY HEALTH CENTER PATIENTS WILL BE SCREENED FOR BEHAVIORAL HEALTH NEEDS. GOAL STATUS: APPROXIMATELY 71.2% OF NEW PATIENTS WERE SCREENED AND 50% OF ESTABLISHED PATIENTS WERE SCREENED DURING VISITS IN FY15. PARTNERS PARTNER NAME, DESCRIPTION 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 HEALTH EDUCATION CLASSES AT CAPE COD HOSPITAL AND	FALMOUTH HOSPITAL PROGRAM TYPE: SUPPORT GROUP STATEWIDE PRIORITY: CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY BRIEF DESCRIPTION OR OBJECTIVE: AT CAPE COD AND FALMOUTH HOSPITAL, SUPPORT GROUPS FOR BEREAVEMENT AND CANCER SURVIVORSHIP, CLASSES AND COUNSELING FOCUSED ON BREASTFEEDING AND FATHERHOOD AND HOLISTIC SERVICES TO COMPLEMENT TRADITIONAL MEDICAL CARE ARE CONDUCTED ON A REGULAR BASIS AND OPEN TO ALL MEMBERS OF THE COMMUNITY. CLASSES AND GROUPS ARE AVAILABLE TO INDIVIDUALS, FAMILIES AND CAREGIVERS 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 GOAL DESCRIPTION: PROVIDE SUPPORT GROUPS AND EDUCATIONAL ACTIVITIES FOR PATIENTS, FAMILIES AND CAREGIVERS ON A CONTINUUM OF ISSUES INCLUDING CANCER SURVIVORSHIP, PRENATAL/NEW MOTHERS AND FATHERS GROUPS, BEREAVEMENT AND CHRONIC DISEASE SELF MANAGEMENT. GOAL STATUS: IN FY15, OVER 3,200 HOURS OF SUPPORT GROUPS AND CLASSES WERE OFFERED AND FACILITATED FOR INDIVIDUALS AND FAMILIES. INFORMATION AND RESOURCES WERE INCLUDED TO ASSIST THEM WITH THEIR SPECIFIC DISEASE OR HEALTH RELATED CIRCUMSTANCE. PARTNERS PARTNER NAME, DESCRIPTION PARTNER WEB ADDRESS VISITING NURSES ASSOCIATION HTTP://WWW.VNACAPECOD.ORG AMERICAN CANCER SOCIETY: WWW.CANCER.ORG YMCA CAPE COD: HTTP://YMCACAPECOD.ORG/ VISITING NURSES ASSOCIATION: HTTP://WWW.VNACAPECOD.ORG AMERICAN CANCER SOCIETY: WWW.CANCER.ORG YMCA CAPE COD: HTTP://YMCACAPECOD.ORG/ 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 AND CAREER DEVELOPMENT INITIATIVES: CAPE COD HEALTHCARE PROGRAM TYPE: MENTORSHIP/CAREER TRAINING/INTERNSHIP STATEWIDE PRIORITY: REDUCING HEALTH DISPARITY, SUPPORTING HEALTHCARE REFORM
BRIEF DESCRIPTION OR OBJECTIVE: CAPE COD HEALTHCARE RECOGNIZES THE	IMPORTANCE OF WORKFORCE DEVELOPMENT AND SUPPORTS THE OPPORTUNITY FOR STUDENTS FROM HIGH SCHOOL THROUGH GRADUATE SCHOOL TO HAVE A POSITIVE AND PROFESSIONAL EXPERIENCE THROUGH INTERNSHIPS, JOB SHADOWING AND TRAINING WITH 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: ADULT, ADULT-YOUNG ETHNIC GROUP: ALL LANGUAGE: ALL GOAL DESCRIPTION: INCREASE THE SUPPLY OF QUALIFIED HEALTH PROFESSIONALS THROUGH OFFERING WORKFORCE AND CAREER DEVELOPMENT PARTNERSHIPS. GOAL STATUS: IN FY15, OVER 14,600 HOURS OF WORKFORCE AND CAREER DEVELOPMENT EFFORTS TOOK PLACE INCLUDING STUDENT TRAINING, MENTORING, AND JOB SHADOWING. PARTNERS PARTNER NAME, DESCRIPTION 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 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
SUPPORTING COMPLEX CARE MANAGEMENT INITIATIVES AT THE COMMUNITY HEALTH	CENTER OF CAPE COD PROGRAM TYPE: GRANT/DONATION/FOUNDATION/SCHOLARSHIP 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 EXPANSION OF SCREENING AND CARE COORDINATION FOR HIGH RISK PATIENTS WITH CHRONIC DISEASE OR BEHAVIORAL HEALTH NEEDS AND PROVIDE REFERRALS TO COMMUNITY-BASED WELLNESS PROGRAMS. 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 GOAL DESCRIPTION: CONNECT 1,000 PATIENTS TO THE COMPLEX CARE MANAGEMENT PROGRAM GOAL STATUS: APPROXIMATELY, 700 PATIENTS WERE CONNECTED TO THE COMPLEX CARE MANAGEMENT TEAM IN FY15. THE COMPLEX CARE MANAGEMENT REACHED OUT TO THOSE PATIENTS OVER 2,500 TIMES UTILIZING TELEPHONIC AND WEB-BASED TOOLS. GOAL DESCRIPTION: ENROLL 100 PATIENTS IN CHRONIC DISEASE SELF MANAGEMENT ACTIVITIES. GOAL STATUS: OVER 85 PATIENTS WERE ENROLLED IN CHRONIC DISEASE SELF MANAGEMENT PROGRAMS FOCUSED ON DIABETES, HYPERTENSION, AND RISK OF FALLS. PARTNERS PARTNER NAME, DESCRIPTION PARTNER WEB ADDRESS COMMUNITY HEALTH CENTER OF CAPE COD: HTTP://WWW.CHCOFCAPECOD.ORG/ YMCA CAPE COD: WWW.YMCACAPECOD.ORG HEALTHY LIVING CAPE COD: WWW.HEALTHYLIVINGCAPECOD.ORG BARNSTABLE COUNTY HUMAN SERVICES: WWW.BCHUMANSERVICES.NET 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 INTEGRATING BEHAVIORAL HEALTH SERVICES WITH COMPLEX CARE MANAGEMENT AT OUTER CAPE HEALTH SERVICES PROGRAM TYPE: GRANT/DONATION/FOUNDATION/SCHOLARSHIP 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 GRANT SUPPORT TO OUTER CAPE HEALTH SERVICES FOR THE EXPANSION OF COMPLEX CARE MANAGEMENT SERVICES AND INTEGRATION OF BEHAVIORAL HEALTH COUNSELING FOR HIGH-RISK PATIENTS ON THE LOWER AND OUTER CAPE. THE PROGRAM FEATURES IN-HOME VISITS FOR PATIENTS WHO ARE GEOGRAPHICALLY AND SOCIALLY ISOLATED, IMMOBILE OR WOULD OTHERWISE RELY UPON EMERGENCY MEDICAL SERVICE PROVIDERS EVEN FOR NON-URGENT CARE. TARGET POPULATION REGIONS SERVED: COUNTY- BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, MENTAL HEALTH, OTHER: ALCOHOL AND SUBSTANCE ABUSE, OTHER: ALZHEIMER DISEASE, OTHER: CANCER, OTHER: CARDIAC DISEASE, OTHER: DENTAL HEALTH, OTHER: DIABETES, OTHER: ELDER CARE, OTHER: HEPATITIS, OTHER: HIV/AIDS, OTHER: HOMEBOUND, OTHER: HOSPICE, OTHER: HYPERTENSION, OTHER: PARKINSON'S DISEASE, OTHER: PULMONARY DISEASE/TUBERCULOSIS, OTHER: SAFETY, OTHER: STRESS MANAGEMENT, OTHER: UNINSURED/UNDERINSURED, SUBSTANCE ABUSE SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL GOAL DESCRIPTION: DEFINE AND IDENTIFY A HIGH-RISK POPULATION OF PATIENTS TO BENEFIT FROM INTENSIVE CASE MANAGEMENT INCLUDING HOME VISITS. GOAL STATUS: IN FY15, 185 PATIENTS WERE IDENTIFIED AND ENROLLED IN COMPLEX CASE MANAGEMENT SERVICES INCLUDING HOME VISITS. THE MAJORITY OF ENROLLED PATIENTS ARE MANAGING CHRONIC DISEASES SUCH AS DIABETES, HEART DISEASE AND COPD. GOAL DESCRIPTION: DEVELOP A MULTI-DISCIPLINARY TEAM TO MANAGE PATIENTS ENROLLED IN COMPLEX CARE MANAGEMENT SERVICES INCLUDING THE ADDITION OF A BEHAVIORAL HEALTH CASE MANAGER. GOAL STATUS: A BEHAVIORAL HEALTH CASE MANAGER WAS ADDED TO THE CARE TEAM WHICH INCLUDED A NURSE PRACTITIONER AND NURSE CASE MANAGER. THE TEAM IMPLEMENTED SBIRT AS A STANDARD PROTOCOL DURING CARE COORDINATION VISITS.
PARTNERS	PARTNER NAME, DESCRIPTION PARTNER WEB ADDRESS OUTER CAPE HEALTH SERVICES WWW.OUTERCAPE.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 HIV AND HEPATITIS C RAPID TESTING AND EDUCATION PROGRAM: AIDS SUPPORT GROUP OF CAPE COD PROGRAM TYPE: GRANT/DONATION/FOUNDATION/SCHOLARSHIP 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 PROVIDED GRANT FUNDING TO THE AIDS SUPPORT GROUP OF CAPE COD TO SUPPORT A MOBILE RAPID HIV AND HEPATITIS C COUNSELING AND TESTING PROGRAM TO REACH HIGH-RISK, HARD TO REACH POPULATIONS OF BARNSTABLE COUNTY. TARGET POPULATION REGIONS SERVED: COUNTY- BARNSTABLE HEALTH INDICATOR: OTHER: ALCOHOL AND SUBSTANCE ABUSE, OTHER: HEPATITIS, OTHER: HIV/AIDS, OTHER: HOMELESSNESS, OTHER: SEXUALLY TRANSMITTED DISEASES, OTHER: UNINSURED/UNDERINSURED, RESPONSIBLE SEXUAL BEHAVIOR, SUBSTANCE ABUSE SEX: ALL AGE GROUP: ADULT, ADULT-YOUNG, ALL ADULTS ETHNIC GROUP: ALL LANGUAGE: ALL GOAL DESCRIPTION: CONDUCT RAPID HIV AND HEPATITIS C TESTING AND OUTREACH TARGETING HARD TO REACH POPULATIONS AT OUTPOST LOCATION ACROSS REGION. EACH TESTING CLIENT WILL RECEIVE A RISK ASSESSMENT AND COUNSELING; HARM REDUCTION AND RISK REDUCTION PLANNING AND APPROPRIATE HEALTH CARE REFERRALS. GOAL STATUS: FROM APRIL 2015 - DECEMBER 2015, 388 INDIVIDUALS WERE SCREENED. OF THE 382 CLIENTS SCREENED FOR HIV, 4 (1%) TESTED POSITIVE AND OF THE 302 INDIVIDUALS SCREENED FOR HEPATITIS C, 66 (22%) TESTED POSITIVE. GOAL DESCRIPTION: HIV, HEPATITIS C AND OVERDOSE PREVENTION EDUCATION SESSIONS WILL BE CONDUCTED AT BARNSTABLE COUNTY CORRECTION FACILITIES. GOAL STATUS: THIRTY EDUCATION SESSIONS WERE CONDUCTED WITH 338 INMATE ATTENDEES FROM OCTOBER 2014 - SEPTEMBER 2016. PARTNERS PARTNER NAME, DESCRIPTION PARTNER WEB ADDRESS BARNSTABLE COUNTY CORRECTIONAL FACILITY: WWW.BSHERIFF.NET HABIT OPCO: WWW.CRCHEALTH.COM SOUTH BAY MENTAL HEALTH: WWW.SOUTHBAYMENTALHEALTH.COM GOSNOLD ON CAPE COD: WWW.GOSNOLD.ORG CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE:508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED
CREATION OF FREE FAMILY AND INDIVIDUAL COUNSELING SERVICES FOR THE	DEMENTIA COMMUNITY OF CAPE COD: ALZHEIMER'S FAMILY CAREGIVER SUPPORT CENTER PROGRAM TYPE: GRANT/DONATION/FOUNDATION/SCHOLARSHIP STATEWIDE PRIORITY: CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY BRIEF DESCRIPTION OR OBJECTIVE: IN AN EFFORT TO SUPPORT CAREGIVERS IN OUR REGION, A CAPE COD HEALTHCARE COMMUNITY BENEFITS GRANT WAS MADE TO ALZHEIMER'S FAMILY CAREGIVER SUPPORT CENTER TO PROVIDE FREE FAMILY AND INDIVIDUAL COUNSELING AND EDUCATION FOR FAMILIES AND INDIVIDUALS SUFFERING ALZHEIMER'S DISEASE AND AGE RELATED DEMENTIA. TARGET POPULATION REGIONS SERVED: COUNTY- BARNSTABLE HEALTH INDICATOR: MENTAL HEALTH, OTHER: ALZHEIMER DISEASE, OTHER: ELDER CARE, OTHER: HOMEBOUND SEX: ALL AGE GROUP: ADULT, ADULT-ELDER ETHNIC GROUP: ALL LANGUAGE: ALL GOAL DESCRIPTION: ASSIST 200 CAREGIVERS WITH INTAKE AND INFORMATION AND PROVIDE FREE COUNSELING TO 55 INDIVIDUALS MONTHLY. GOAL STATUS: ALZHEIMER'S FAMILY CAREGIVER SUPPORT CENTER SERVED 250 PEOPLE PER MONTH THROUGH PHONE CONSULTATION AND SUPPORT GROUPS AND 70 FAMILIES RECEIVED SUPPORTIVE COUNSELING PER MONTH. GOAL DESCRIPTION: EXPAND SUPPORT GROUPS AND SERVICES TO LOWER AND OUTER CAPE COMMUNITIES. GOAL STATUS: CAREGIVER SUPPORT GROUPS WERE STARTED IN PROVINCETOWN/TRURO (2 GROUPS), WELLFLEET (2 GROUPS), EASTHAM (2 GROUPS), ORLEANS (1 GROUP), BREWSTER (2 GROUPS), CHATHAM (4 GROUPS), AND HARWICH (4 GROUPS). PARTNERS PARTNER NAME, DESCRIPTION PARTNER WEB ADDRESS ALZHEIMER'S FAMILY CAREGIVER SUPPORT CENTER: WWW.ALZHEIMERSCAPECOD.COM/ CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02668, PHONE:508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED FOODS TO ENCOURAGE - NUTRITION'S ROLE IN DIABETES AND HYPERTENSION TREATMENT AND PREVENTION PILOT PROGRAM: CAPE COD HUNGER NETWORK PROGRAM TYPE: GRANT/DONATION/FOUNDATION/SCHOLARSHIP 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: FOODS TO ENCOURAGE IS A PILOT PROGRAM TO MONITOR AND IMPROVE DIABETES AND HYPERTENSION DISEASE OUTCOMES IN LOW TO MODERATE INCOME RESIDENTS WHO ACCESS FOOD FROM CAPE FOOD PANTRIES. TARGET POPULATION REGIONS SERVED: COUNTY- BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, OTHER: CARDIAC DISEASE, OTHER: DIABETES, OTHER: HYPERTENSION, OTHER: NUTRITION, OVERWEIGHT AND OBESITY SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL GOAL DESCRIPTION: APPROXIMATELY, 120-160 PEOPLE WILL BE ENROLLED IN THE WEEKLY BLOOD PRESSURE AND BLOOD GLUCOSE TESTING PROGRAM FOR 29 WEEKS. GOAL STATUS: A TOTAL OF 162 PARTICIPANTS WERE REGISTERED IN THE PROGRAM BETWEEN JANUARY 2015 AND SEPTEMBER 2015. THE MOST PREVALENT AGE DEMOGRAPHIC WAS BETWEEN 45-55 AND 65 YEARS OR OLDER. GOAL DESCRIPTION: BLOOD SUGAR AND BLOOD PRESSURE MONITORING WILL SHOW IMPROVEMENTS OVER TIME WITH INCREASED INTAKE OF FRESH FRUITS AND VEGETABLES AND NUTRITION EDUCATION. GOAL STATUS: OVER 30% OF PARTICIPANTS SHOWED IMPROVED BLOOD SUGAR LEVELS AND 20% SHOWED IMPROVEMENT IN BLOOD PRESSURE OVER TIME. FIFTY PERCENT (50%) OF THOSE PARTICIPATED IN MORE THAN 75% OF THE SCREENINGS SHOWED IMPROVED BLOOD PRESSURE.
PARTNERS	PARTNER NAME, DESCRIPTION PARTNER WEB ADDRESS CC HUNGER NETWORK: WWW.CAPECODHUNGERNETWORK.ORG FALMOUTH SERVICE CENTER: WWW.FALMOUTHSERVICECENTER.ORG BARNSTABLE COUNTY HEALTH DEPARTMENT: WWW.BARNSTABLECOUNTYHEALTH.ORG/PROGRAMS-AND.../PUBLIC-HEALTH-NURSE CAPE COD COOPERATIVE EXTENSION: WWW.CAPECODEXTENSION.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 CAPE COD REGIONAL SUBSTANCE ABUSE EDUCATION AND PREVENTION INITIATIVE PROGRAM TYPE: COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE STATEWIDE PRIORITY: CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY BRIEF DESCRIPTION OR OBJECTIVE: CAPE COD HEALTHCARE HAS LED A COLLABORATIVE EFFORT TO INCREASE SUBSTANCE USE EDUCATION AND PREVENTION PROGRAMS AND ACTIVITIES FOR YOUTH ACROSS BARNSTABLE COUNTY. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: OTHER: ALCOHOL AND SUBSTANCE ABUSE, SUBSTANCE ABUSE SEX: ALL AGE GROUP: ADULT-YOUNG, ALL CHILDREN, CHILD-PRETEEN, CHILD-PRIMARY SCHOOL, CHILD-TEEN ETHNIC GROUP: ALL LANGUAGE: ALL GOAL DESCRIPTION: ASSIST IN THE COORDINATION OF A BARNSTABLE COUNTY REGIONAL SUBSTANCE ABUSE COUNCIL AND PROVIDE LEADERSHIP TO PLANNING AND IMPLEMENTATION EFFORTS. GOAL STATUS: KEY HOSPITAL STAFF ENGAGED IN DEVELOPING THE INITIAL STRUCTURE OF THE 35 MEMBER COUNCIL LED PREVENTION AND EDUCATION WORKGROUPS AND PROVIDED HOSPITAL UTILIZATION AND COST DATA TO ESTABLISH COMMUNITY BENCHMARKS FOR THE IMPACT OF SUBSTANCE ABUSE. GOAL DESCRIPTION: WORK ACROSS THE COMMUNITY WITH HEALTH PROFESSIONALS, SCHOOLS, COMMUNITY AGENCIES, AND TOWN COALITIONS TO LAUNCH A SERIES OF EDUCATION EVENTS ON SUBSTANCE USE DISORDER. GOAL STATUS: THE INITIATIVE ENGAGED OVER 120 MEDICAL PROFESSIONALS IN THE SCOPE OF PAIN OPIATE PRESCRIBING TRAINING, HOSTED THREE FORUMS ON RECOVERY WITH THE MA ORGANIZATION FOR ADDICTION RECOVERY, SUPPORT FIVE TOWN COALITION/YOUTH ORGANIZED EDUCATION EVENTS. GOAL DESCRIPTION: ASSIST IN PILOTING OR IMPLEMENTING NEW AND EMERGING STRATEGIES AND PROGRAMS IN THE COMMUNITY TO IMPACT YOUTH. GOAL STATUS: THE INITIATIVE PROVIDED FUNDING AND LEADERSHIP SUPPORT TO LAUNCH THE YMCA'S TEEN ACHIEVERS PROGRAM, EXPAND BOTVIN LIFE SKILLS TRAINING TO YOUTH, SUPPORT AFTER SCHOOL PROGRAMS AND PILOT A HOSPITAL TO HOME PROGRAM FOR SUBSTANCE EXPOSED NEWBORNS. PARTNERS PARTNER NAME, DESCRIPTION PARTNER WEB ADDRESS YMCA CAPE COD: HTTP://YMCACAPECOD.ORG/ BARNSTABLE COUNTY HUMAN SERVICES: WWW.BCHUMANSERVICES.NET GOSNOLD ON CAPE COD: WWW.GOSNOLD.ORG THE KELLEY FOUNDATION: HTTP://WWW.KELLEYFOUNDATION.ORG/ THE PALMER AND JANE D. DAVENPORT FOUNDATION: HTTP://WWW.DAVENPORTFOUNDATION.ORG/ CARON TREATMENT CENTERS: WWW.CARON.ORG 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 HEALTHY PARKS, HEALTHY PEOPLE: A WELLNESS COLLABORATION BETWEEN CAPE COD HEALTHCARE AND THE CAPE COD NATIONAL SEASHORE PROGRAM TYPE: PREVENTION STATEWIDE PRIORITY: CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS BRIEF DESCRIPTION OR OBJECTIVE: CAPE COD HEALTHCARE COLLABORATED WITH THE CAPE COD NATIONAL SEASHORE TO PROMOTE WELLNESS, EXERCISE AND PHYSICAL ACTIVITY TO IMPROVE THE HEALTH OF CAPE COD RESIDENTS AND VISITORS. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: PHYSICAL ACTIVITY SEX: ALL AGE GROUP: ADULT ETHNIC GROUP: ALL LANGUAGE: ALL GOAL DESCRIPTION: HEALTHY PARKS, HEALTHY PEOPLE FEATURED A SEASON-LONG WALKING PASSPORT PROGRAM TO ENGAGE AND ENCOURAGE RESIDENTS AND PROVIDE ONSITE HEALTH ASSESSMENT SERVICES TO PARTICIPANTS. GOAL STATUS: OVER 170 INDIVIDUALS ARE PARTICIPATING IN THE PROGRAM AND RECEIVED PRE-WALK ASSESSMENTS, BLOOD PRESSURE TESTING AND SCHEDULED HEALTH CLINICS. HEALTH IMPROVEMENT DATA IS CURRENTLY BEING COLLECTED AND ANALYZED. PARTNERS PARTNER NAME, DESCRIPTION PARTNER WEB ADDRESS NATIONAL PARK SERVICE: WWW.NPS.GOV/.../HEALTHY-PARKS-HEALTHY-PEOPLE COA'S SERVING TOGETHER (COAST): HTTPS://WWW.FACEBOOK.COM/CAPECODCOAST/ 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
LIVESTRONG CANCER SURVIVORSHIP PROGRAM AT THE YMCA CAPE COD PROGRAM TYPE:	GRANT/DONATION/FOUNDATION/SCHOLARSHIP STATEWIDE PRIORITY: CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY BRIEF DESCRIPTION OR OBJECTIVE: LIVESTRONG AT THE YMCA CAPE COD IS A FREE 12-WEEK PROGRAM FOR CANCER SURVIVORS SPECIALLY DESIGNED TO HELP SURVIVORS REGAIN PHYSICAL STRENGTH, OVERCOME FATIGUE, INCREASE FLEXIBILITY AND BUILD SOCIAL CONNECTIONS TO OTHER SURVIVORS. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: PHYSICAL ACTIVITY SEX: ALL AGE GROUP: ADULT ETHNIC GROUP: ALL LANGUAGE: ALL GOAL DESCRIPTION: CONDUCT TWO 12 WEEK LIVESTRONG SESSIONS FOR NINE PARTICIPANTS PER SESSION. GOAL STATUS: A TOTAL OF 18 RESIDENTS PARTICIPATED IN TWO FULL COMPLETED SESSIONS WHICH OFFERED OVER 95 HOURS OF LIVESTRONG SPECIFIC CLASSES TO PARTICIPANTS. GOAL DESCRIPTION: PARTICIPANT SURVEYS WERE CONDUCTED PRIOR TO THE START OF THE PROGRAM AND AT THE END OF THE PROGRAM TO GAUGE INCREASED MUSCLE STRENGTH AND ENDURANCE, INCREASED FLEXIBILITY, REDUCTION OF SEVERITY OF SIDE EFFECTS OF MEDICATION AND IMPROVED SELF-ESTEEM AND ENERGY LEVELS. GOAL STATUS: 100% OF PARTICIPANTS IN EACH SESSION REPORTED IMPROVEMENTS IN STRENGTH, FLEXIBILITY AND SELF-ESTEEM, A REDUCTION IN THE SIDE EFFECTS OF MEDICATION SINCE ENROLLMENT IN THE PROGRAM. PARTNERS PARTNER NAME, DESCRIPTION PARTNER WEB ADDRESS YMCA CAPE COD: YMCACAPECOD.ORG/PROGRAMS/HEALTH-WELL-BEING/LIVESTRONG/ 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 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 Title for Kevin Mulroy: Chief Medical Info Officer (from 8/14) and Chief Quality & Safety Officer until 2/15, COO from 2/15. 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 $3,210,329 NET ASSETS RELEASED FROM RESTRICTION (762,757) CHANGE IN VALUE OF SPLIT INTEREST AGREEMENT (1,432,558) CHANGE IN VALUE BENEFICIAL INTEREST (1,474,906) OTHER CHANGES IN NET ASSETS (55,702) ------------ TOTAL ($515,594)

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2014

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

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

OMB No. 1545-0047

2014

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) 2014

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?		(k) Percentage ownership
(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
(1) SHIELDS IMAGING OF MASSACHUSETTS 700 CONGRESS ST SUITE 204 QUINCY,MA02169 26-3910955			NA	28,619	62,313			0		No	37.500 %

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	318,938	26,852,116	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	0 %	Yes
(3) EMERALD PHYSICIAN SERVICES LLC 433 WEST MAIN STREET HYANNIS,MA02601 04-3369730	PRIMARY CARE	MA	EMERALD TRUST	S CORP	0	0	0 %	Yes
(4) EMERALD PHYSICIANS MEMBER TRUST 27 PARK STREET HYANNIS,MA02601 46-7220648	EMRLD SHAREHO	MA	MACC	TRUST	0	0	0 %	Yes

Schedule R (Form 990) 2014

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	27,912,579	FMV
(3) MEDICAL AFFILIATES OF CAPE COD INC	S	1,694,168	FMV
(4) FALMOUTH HOSPITAL ASSOCIATION INC	S	9,304,193	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	1,073,082	FMV
(9) Emerald Physician Services	A	44,089	FMV
(10) CAPE COD HEALTHCARE FOUNDATION	Q	1,286,702	FMV
(11) CAPE COD HOSPITAL	Q	81,633,521	FMV
(12) FALMOUTH HOSPITAL ASSOCIATION INC	Q	70,334,961	FMV
(13) CAPE AND ISLANDS HEALTH SERVICES II INC	Q	2,861,161	FMV
(14) CAPE COD HUMAN SERVICES INC	Q	1,050,946	FMV
(15) JML CARE CENTER INC	Q	6,623,549	FMV
(16) FALMOUTH ASSISTED LIVING INC	Q	1,725,686	FMV
(17) MEDICAL AFFILIATES OF CAPE COD INC	Q	23,832,480	FMV
(18) Emerald Physician Services	A	15,294	FMV

Schedule R (Form 990) 2014

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) 2014

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) 2014

Additional Data

Software ID:
Software Version:

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	0	0
9	Program service revenue (Part VIII, line 2g) .........	54,050,333	45,013,678
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	4,542,826	3,718,119
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	0	4,203
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	58,593,159	48,736,000
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)	32,646,406	26,230,597
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	21,869,027	19,163,431
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	54,515,433	45,394,028
19	Revenue less expenses. Subtract line 18 from line 12.......	4,077,726	3,341,972
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	228,783,560	249,657,904
21	Total liabilities (Part X, line 26).............	67,380,167	91,111,116
22	Net assets or fund balances. Subtract line 21 from line 20.....	161,403,393	158,546,788

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 26,582,343 including grants of $ ) (Revenue $ 45,013,678 )
	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 expenses26,582,343

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	6,010,939	814,721	1,128,826

				(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	39,588,940	39,588,940
b	PHYSICIAN ORG ADM SUPPORT REV		900099	3,482,655	3,482,655
c	OTHER PROGRAM SERVICE REVENUE		900099	1,942,083	1,870,687	71,396
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			45,013,678
3	Investment income (including dividends, interest, and other similar amounts).......			4,186,009		79,258	4,106,751
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	-467,890
b	Less: cost or other basis and sales expenses
c	Gain or (loss)	-467,890
d	Net gain or (loss)..........			-467,890			-467,890
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	RETAIL PHARMACY		900099	4,203			4,203
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			4,203
12	Total revenue. See Instructions......			48,736,000	44,942,282	150,654	3,643,064

1	Briefly describe the organization’s mission or most significant activities: SEE SCHEDULE O
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	17
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	13
5	Total number of individuals employed in calendar year 2014 (Part V, line 2a) ......	5	211
6	Total number of volunteers (estimate if necessary) .............	6	16
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	150,654
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	127,879


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			2,985,267	1	11,915,503
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 .............			7,126,558	7	10,342,900
8	Inventories for sale or use ..............			132,256	8	282,450
9	Prepaid expenses and deferred charges ..........			2,276,955	9	5,488,744
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	34,405,401
b	Less: accumulated depreciation .....	10b	11,571,643	20,528,004	10c	22,833,758
11	Investments—publicly traded securities ..........			0	11	0
12	Investments—other securities. See Part IV, line 11 .....			145,219,078	12	143,834,946
13	Investments—program-related. See Part IV, line 11 .....			3,863,913	13	4,583,057
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			46,651,529	15	50,376,546
16	Total assets. Add lines 1 through 15 (must equal line 34)......			228,783,560	16	249,657,904
17	Accounts payable and accrued expenses .........			61,372,628	17	73,684,525
18	Grants payable .................			0	18	0
19	Deferred revenue ................			309,363	19	307,829
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 ..			2,252,864	23	2,079,887
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....................			3,445,312	25	15,038,875
26	Total liabilities. Add lines 17 through 25.........			67,380,167	26	91,111,116
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			110,224,211	27	110,319,413
28	Temporarily restricted net assets ...........			19,946,074	28	16,961,751
29	Permanently restricted net assets ...........			31,233,108	29	31,265,624
	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 ...........			161,403,393	33	158,546,788
34	Total liabilities and net assets/fund balances ........			228,783,560	34	249,657,904