TY 2019 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)	(F) Estimated amount of other compensation from the organization and related organizations
(1) MICHAEL K LAUF...................................................................... PRESIDENT/CEO/TRUSTEE	5.0 ................. 55.0	X	X			1,667,455	0	264,792
(2) PAUL HOULE MD...................................................................... TRUSTEE (UNTIL 1/20)	2.0 ................. 40.0	X				0	1,070,875	45,020
(3) ROBERT WILSTERMAN MD...................................................................... TRUSTEE (UNTIL 1/20)	2.0 ................. 40.0	X				0	694,083	42,381
(4) MICHAEL L CONNORS...................................................................... SENIOR VP FINANCE/CFO	5.0 ................. 55.0		X			566,015	0	73,488
(5) DONALD A GUADAGNOLI MD...................................................................... SR VP AND CMO	5.0 ................. 45.0				X	541,968	0	64,452
(6) MOLLY SULLIVAN MD...................................................................... TRUSTEE (AS OF 1/20)	2.0 ................. 40.0	X				0	538,195	42,392
(7) JOHN PAUL SOLVERSON...................................................................... SR VP & CIO	5.0 ................. 45.0			X		525,027	0	52,186
(8) KEVIN MULROY...................................................................... SVP CHIEF QUALITY & SAFETY OFF	5.0 ................. 45.0				X	487,621	0	67,566
(9) WILLIAM AGEL MD...................................................................... TRUSTEE (UNTIL 4/20)	2.0 ................. 40.0	X				0	504,701	42,392
(10) CHRISTIAN BROWN...................................................................... SR VP MANAGED CARE	5.0 ................. 45.0			X		439,640	0	61,410
(11) MICHAEL G JONES ESQ...................................................................... SEE SCHEDULE O	5.0 ................. 55.0		X			427,594	0	64,733
(12) ALEXANDER C HEARD MD...................................................................... CMO - FALMOUTH HOSPITAL	5.0 ................. 45.0				X	204,529	216,393	64,283
(13) PATRICK J KANE...................................................................... SVP OF MRKTG,COMMUN AND DEVLP	5.0 ................. 45.0			X		424,663	0	45,107
(14) THEODORE CALIANOS MD...................................................................... TRUSTEE	5.0 ................. 40.0	X				0	372,357	42,221
(15) EMILY SCHORER...................................................................... SVP HUMAN RESOURCES	5.0 ................. 45.0			X		354,522	0	58,064
(16) JEFFREY S DYKENS...................................................................... VP FINANCE	5.0 ................. 45.0			X		356,971	0	50,640
(17) SHERYL DECILIO...................................................................... SEE SCHEDULE O	5.0 ................. 45.0				X	345,307	0	9,076

(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) CHRISTOPHER M LAWSON........................................................................ SVP DEVELOPMENT	5.0 .......................45.0			X		306,516	0	39,044
(19) KUMARA D SIDHARTHA MD........................................................................ MEDICAL DIRECTOR OF PHO	5.0 .......................45.0				X	319,041	3,031	15,928
(20) JEAN BUTLER........................................................................ SVP EMPLYD PHY GRP(AS OF 4/19)	5.0 .......................45.0			X		285,844	0	36,871
(21) NOELENE CERVIN........................................................................ VP BUDGETING AND OPER. SUPPORT	5.0 .......................45.0			X		269,775	0	47,205
(22) THERESA M AHERN........................................................................ SEE SCHEDULE O	5.0 .......................45.0			X		234,105	0	15,369
(23) PAUL J NIEDZWIECKI........................................................................ SEE SCHEDULE O	5.0 .......................45.0			X		195,922	0	21,379
(24) NATHAN RUDMAN MD........................................................................ TRUSTEE	5.0 .......................5.0	X				21,120	0	0
(25) LAWRENCE CAPODILUPO........................................................................ TRUSTEE	2.0 .......................2.0	X				0	0	0
(26) SHARON KENNEDY........................................................................ TRUSTEE	2.0 .......................2.0	X				0	0	0
(27) DEWITT DAVENPORT........................................................................ CHAIRMAN (UNTIL 5/20)	2.0 .......................2.0	X	X			0	0	0
(28) DIANE COLETTI........................................................................ TRUSTEE	2.0 .......................2.0	X				0	0	0
(29) SUMNER B TILTON JR........................................................................ TRUSTEE	2.0 .......................2.0	X				0	0	0
(30) E JAMES MULCAHY JR........................................................................ TRUSTEE	2.0 .......................2.0	X				0	0	0
(31) ROBERT TALERMAN........................................................................ SEE SCHEDULE O	2.0 .......................2.0	X	X			0	0	0
(32) ROBERT BIRMINGHAM........................................................................ VICE CHAIR/TRUST (UNTIL 11/19)	2.0 .......................2.0	X	X			0	0	0
(33) RAMANI AYER........................................................................ SEE SCHEDULE O	5.0 .......................5.0	X	X			0	0	0
(34) BRUCE JOHNSTON........................................................................ SEE SCHEDULE O	5.0 .......................5.0	X	X			0	0	0
(35) CYNTHIA A HINES MD........................................................................ TRUSTEE (AS OF 01/20)	2.0 .......................2.0	X				0	0	0
(36) KEVIN VILSAINT MD........................................................................ TRUSTEE (AS OF 9/20)	2.0 .......................2.0	X				0	0	0

(A) Name and business address	(B) Description of services	(C) Compensation
CAPE COD EMERGENCY ASSOCIATES LLC, 220 WEST MAIN STREET HYANNIS,MA02601	MEDICAL SERVICES	17,519,861
EDWARDS LIFESCIENCES, ONE EDWARDS WAY IRVINE,CA92614	MEDICAL DEVICES	5,718,012
OPTUM360 LLC, 11000 OPTUM CIRCLE EDEN PRAIRIE,MN55344	CONSULTING	5,486,540
DELOITTE CONSULTING LLP, 555 MISSION ST SAN FRANCISCO,CA941050920	CONSULTING	5,281,138
BRIGHAM WOMENS PHYSICIANS ORGANIZ, PO BOX 3684 BOSTON,MA022413684	MEDICAL SERVICES	4,120,601
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 86

- 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.
right arrow

Attach to Form 990 or Form 990-EZ.
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Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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 12, 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 (Form 990 or 990-EZ).)

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 agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

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 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

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 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2019

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 failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
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) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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 2019 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2018 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2019. 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—2018. 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—2019. 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—2018. 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) 2019

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .	0	127,250	286,192	0	9,102	422,544
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	59,790,580	71,484,837	80,915,461	106,030,118	106,756,089	424,977,085
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	59,790,580	71,612,087	81,201,653	106,030,118	106,765,191	425,399,629
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.)						425,399,629

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
9	Amounts from line 6...	59,790,580	71,612,087	81,201,653	106,030,118	106,765,191	425,399,629
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..	2,666,046	2,873,769	3,637,942	4,214,471	4,212,434	17,604,662
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.						0
c	Add lines 10a and 10b.	2,666,046	2,873,769	3,637,942	4,214,471	4,212,434	17,604,662
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.	103,278	146,807	327,193	267,123	24,358	868,759
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..						0
13	Total support. (Add lines 9, 10c, 11, and 12.)..	62,559,904	74,632,663	85,166,788	110,511,712	111,001,983	443,873,050

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 2019 (line 8, column (f) divided by line 13, column (f)) .........

95.838 %

Public support percentage from 2018 Schedule A, Part III, line 15 ...............

95.146 %

Section D. Computation of Investment Income Percentage

Investment income percentage for 2019 (line 10c, column (f) divided by line 13, column (f)) ......

3.966 %

Investment income percentage from 2018 Schedule A, Part III, line 17 .............

4.599 %

19a

331/3% support tests—2019. 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—2018. 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) 2019

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d 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 12a or 12b 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 (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) 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 section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

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

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 9a) 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 9a) 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 section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b 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

Schedule A (Form 990 or 990-EZ) 2019

Page 5

Part IV

Supporting Organizations (continued)

Yes

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

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, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) 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) 2019

Page 6

Part V

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

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). 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

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) 2019

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

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 2019 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-2019	(iii) Distributable Amount for 2019
1 Distributable amount for 2019 from Section C, line 6
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2019:
a From 2014.......
b From 2015.......
c From 2016.......
d From 2017.......
e From 2018.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2019 distributable amount
i Carryover from 2014 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2019 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2019 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2020. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2015.....
b Excess from 2016.....
c Excess from 2017.....
d Excess from 2018.....
e Excess from 2019.....

Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019

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) 2019

Additional Data

Software ID:
Software Version:

- TIN:

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

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Name of the organization

CAPE COD HEALTHCARE INC

Employer identification number

22-2600704

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

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

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

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

501(c)(3) taxable private foundation

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

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

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

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

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

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

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 2

Name of organization CAPE COD HEALTHCARE INC

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Page 3

Name of organization CAPE COD HEALTHCARE INC		Employer identification number 22-2600704

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Page 4


Name of organization CAPE COD HEALTHCARE INC			Employer identification number 22-2600704
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

If the organization answered "Yes" on 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" on 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" on 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 (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

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-.
1
2
3
4
5
6

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

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2019

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) 2016	(b) 2017	(c) 2018	(d) 2019	(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) 2019

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 on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

208,289

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

208,289

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	A. CAPE COD HEALTHCARE, INC. MADE PAYMENTS TO SMITH & RAUSCHENBACH OF $60,000, LAW OFFICES OF O'NEILL, ATHY AND CASEY OF $120,450 AND MCDERMOTT, WILL & EMERY OF $8,250 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 AFFECT CAPE COD HEALTHCARE, INC. B. CAPE COD HEALTHCARE, INC. PAID MEMBERSHIP DUES TO THE AMERICAN HOSPITAL ASSOCIATION, WHICH AHA DETERMINED WAS 25.56% ENGAGED IN LOBBYING ACTIVITIES OR $19,589 OF THE $76,638 DUES PAID.

Return Reference

Explanation

SCHEDULE C, PART II-B, LINE 1I

A. CAPE COD HEALTHCARE, INC. MADE PAYMENTS TO SMITH & RAUSCHENBACH OF $60,000, LAW OFFICES OF O'NEILL, ATHY AND CASEY OF $120,450 AND MCDERMOTT, WILL & EMERY OF $8,250 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 AFFECT CAPE COD HEALTHCARE, INC. B. CAPE COD HEALTHCARE, INC. PAID MEMBERSHIP DUES TO THE AMERICAN HOSPITAL ASSOCIATION, WHICH AHA DETERMINED WAS 25.56% ENGAGED IN LOBBYING ACTIVITIES OR $19,589 OF THE $76,638 DUES PAID.

Schedule C (Form 990 or 990EZ) 2019

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," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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" on 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" on 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 7/25/06, 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, 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" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB 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 FASB 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 on 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 FASB ASC 958 relating to these items:

Revenue included on 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) 2019

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" on 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


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
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" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(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

Term endowment SchDMd Bullet

The percentages on 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" on 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" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	5,066,536		5,066,536
b	Buildings ....	11,440,212	1,403,167	10,037,045
c	Leasehold improvements	8,440,984	2,948,085	5,492,899
d	Equipment ....	77,263,222	43,584,141	33,679,081
e	Other .....	0		0
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				54,275,561

Schedule D (Form 990) 2019

Page 3

Part VII

InvestmentsOther Securities.
Complete if the organization answered "Yes" on 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) LONG TERM INVESTMENTS	144,922,648	F
(B) BENEFICIAL INTEREST IN TRUSTS	22,389,562	F
(C) PERM RESTRICTED INVESTMENTS	13,723,249	F
(D) FUNDS HELD UNDER BOND INDENTUR	1,777,771	F
(E) TEMP RESTRICTED INVESTMENTS	2,671,284	F
(F) SHORT TERM INVESTMENTS	7,258,806	F
(G) INVESTMENT - 457 PLANS	14,147,023	F
(H) CRUT	168,200	F
(I) ANNUITIES INVESTMENT	1,043,205	F
(J) POOLED INCOME FUND	267,724	F
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	208,369,472

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on 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

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1)DUE FROM AFFILIATES				26,231,094
(2)INSURANCE RECOVERY RECEIVABLE				28,999,172
(3)EPIC IMPLEMENTATION PROJECT				51,177,623
(4)HEALTH INS DEPOSIT RECEIVABLE				1,290,166
(5)SHARES OF HBCS STOCK				235,217
(6)PERPETUAL CRUT				199,913
(7)BENEFICIAL INTEREST				149,748
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				108,282,933

Part X

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

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	0
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	119,247,619
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) 2019

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on 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' on 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) 2019

Additional Data

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Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization
CAPE COD HEALTHCARE INC

Employer identification number
22-2600704

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1) BARNSTABLE COUNTY SHERIFF'S OFFICE 6000 SHERIFFS PL BOURNE,MA02532	04-6002284	GOV'T	158,000	FMV	N/A	Access to Healthcare
(2) FALMOUTH ROAD RACE INC 155 KL BATES RD Falmouth,MA02541	04-2676136	501(c)(3)	30,000	FMV	N/A	Prevention & Wellness
(3) CCHC FOUNDATION-EMPLOYEE HARDSHIP FUND PO Box 370 HYANNIS,MA02601	04-3475950	501(c)(3)	28,257	FMV	N/A	ACCESS TO HEALTHCARE
(4) CAPE COD YOUNG PROFESSIONALS INC PO BOX 634 BARNSTABLE,MA02630	30-0455198	501(c)(3)	12,675	FMV	N/A	Access to Healthcare
(5) CAPE COD MEDIA GROUP INC 319 MAIN STREET HYANNIS,MA02601	14-1513238		7,500	FMV	N/A	WELLNESS EVENT
(6) CAPE COD FOUNDATION INC 261 WHITES PATH UNIT 2 YARMOUTH,MA02664	51-0140462	501(c)(3)	147,129	FMV	N/A	Prevention & Wellness

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

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

Cat. No. 50055P

Schedule I (Form 990) 2019

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference

Explanation

SCHEDULE I, PART II

Cape Cod Healthcare monitors the use of grant funds it provides to other organizations through documentation and measurement requirements and metric reporting. The recipient organization agrees to submit an Annual Summary & Outcomes Report to Cape Cod Healthcare for inclusion in Cape Cod Healthcare's Community Benefits State Attorney General's reporting. An outline of specific reporting requirements is included as an attachment in each agreement and a reporting template is provided to each organization. The recipient organization agrees to send a completed template to Cape Cod Healthcare by October 31st of the year the grant is awarded (CCHC grant program schedules run from January 1 - September 30). Additionally, Cape Cod Healthcare may request an Annual Summary & Outcomes Report or documentation of outcomes related to services outlined in the agreement at any time during the duration of the grant.

Schedule I (Form 990) 2019

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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" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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 on 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 on 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 on Line 1a? ..

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on 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? .............

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 on 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," on line 5a or 5b, describe in Part III.

For persons listed on 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," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

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

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

Cat. No. 50053T

Schedule J (Form 990) 2019

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 on 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 on 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)
1MICHAEL K LAUF PRESIDENT/CEO/TRUSTEE	(i) (ii)	977,346 ------------- 0	450,000 ------------- 0	240,109 ------------- 0	233,600 ------------- 0	31,192 ------------- 0	1,932,247 ------------- 0	182,000 ------------- 0
2ROBERT WILSTERMAN MD TRUSTEE (UNTIL 1/20)	(i) (ii)	0 ------------- 672,311	0 ------------- 0	0 ------------- 21,772	0 ------------- 7,561	0 ------------- 34,820	0 ------------- 736,464	0 ------------- 0
3WILLIAM AGEL MD TRUSTEE (UNTIL 4/20)	(i) (ii)	0 ------------- 441,169	0 ------------- 47,326	0 ------------- 16,206	0 ------------- 11,200	0 ------------- 31,192	0 ------------- 547,093	0 ------------- 0
4THEODORE CALIANOS MD TRUSTEE	(i) (ii)	0 ------------- 370,551	0 ------------- 0	0 ------------- 1,806	0 ------------- 11,200	0 ------------- 31,021	0 ------------- 414,578	0 ------------- 0
5PAUL HOULE MD TRUSTEE (UNTIL 1/20)	(i) (ii)	0 ------------- 914,309	0 ------------- 116,000	0 ------------- 40,566	0 ------------- 11,200	0 ------------- 33,820	0 ------------- 1,115,895	0 ------------- 0
6MICHAEL L CONNORS SENIOR VP FINANCE/CFO	(i) (ii)	412,159 ------------- 0	101,200 ------------- 0	52,656 ------------- 0	38,347 ------------- 0	35,141 ------------- 0	639,503 ------------- 0	19,250 ------------- 0
7MICHAEL G JONES ESQ SEE SCHEDULE O	(i) (ii)	312,542 ------------- 0	80,400 ------------- 0	34,652 ------------- 0	30,592 ------------- 0	34,141 ------------- 0	492,327 ------------- 0	15,219 ------------- 0
8PATRICK J KANE SVP OF MRKTG,COMMUN AND DEVLP	(i) (ii)	325,733 ------------- 0	79,600 ------------- 0	19,330 ------------- 0	30,284 ------------- 0	14,823 ------------- 0	469,770 ------------- 0	15,514 ------------- 0
9CHRISTIAN BROWN SR VP MANAGED CARE	(i) (ii)	316,357 ------------- 0	79,200 ------------- 0	44,083 ------------- 0	30,218 ------------- 0	31,192 ------------- 0	501,050 ------------- 0	15,250 ------------- 0
10EMILY SCHORER SVP HUMAN RESOURCES	(i) (ii)	263,136 ------------- 0	66,960 ------------- 0	24,426 ------------- 0	25,923 ------------- 0	32,141 ------------- 0	412,586 ------------- 0	12,950 ------------- 0
11THERESA M AHERN SEE SCHEDULE O	(i) (ii)	205,482 ------------- 0	0 ------------- 0	28,623 ------------- 0	9,927 ------------- 0	5,442 ------------- 0	249,474 ------------- 0	12,000 ------------- 0
12JOHN PAUL SOLVERSON SR VP & CIO	(i) (ii)	420,721 ------------- 0	102,500 ------------- 0	1,806 ------------- 0	37,351 ------------- 0	14,835 ------------- 0	577,213 ------------- 0	0 ------------- 0
13NOELENE CERVIN VP BUDGETING AND OPER. SUPPORT	(i) (ii)	216,812 ------------- 0	44,700 ------------- 0	8,263 ------------- 0	21,419 ------------- 0	25,786 ------------- 0	316,980 ------------- 0	5,500 ------------- 0
14CHRISTOPHER M LAWSON SVP DEVELOPMENT	(i) (ii)	245,550 ------------- 0	60,000 ------------- 0	966 ------------- 0	7,933 ------------- 0	31,111 ------------- 0	345,560 ------------- 0	0 ------------- 0
15PAUL J NIEDZWIECKI SEE SCHEDULE O	(i) (ii)	149,129 ------------- 0	45,751 ------------- 0	1,042 ------------- 0	1,923 ------------- 0	19,456 ------------- 0	217,301 ------------- 0	0 ------------- 0
16SHERYL DECILIO SEE SCHEDULE O	(i) (ii)	264,923 ------------- 0	79,530 ------------- 0	854 ------------- 0	7,727 ------------- 0	1,349 ------------- 0	354,383 ------------- 0	0 ------------- 0
17JEFFREY S DYKENS VP FINANCE	(i) (ii)	242,242 ------------- 0	84,126 ------------- 0	30,603 ------------- 0	23,983 ------------- 0	26,657 ------------- 0	407,611 ------------- 0	13,500 ------------- 0
18DONALD A GUADAGNOLI MD SR VP AND CMO	(i) (ii)	393,304 ------------- 0	96,600 ------------- 0	52,064 ------------- 0	36,860 ------------- 0	27,592 ------------- 0	606,420 ------------- 0	19,957 ------------- 0
19KEVIN MULROY SVP CHIEF QUALITY & SAFETY OFF	(i) (ii)	361,610 ------------- 0	90,500 ------------- 0	35,511 ------------- 0	33,575 ------------- 0	33,991 ------------- 0	555,187 ------------- 0	18,750 ------------- 0
20MOLLY SULLIVAN MD TRUSTEE (AS OF 1/20)	(i) (ii)	0 ------------- 496,550	0 ------------- 20,839	0 ------------- 20,806	0 ------------- 11,200	0 ------------- 31,192	0 ------------- 580,587	0 ------------- 0
21ALEXANDER C HEARD MD CMO - FALMOUTH HOSPITAL	(i) (ii)	160,048 ------------- 179,971	0 ------------- 33,300	44,481 ------------- 3,122	24,656 ------------- 5,657	16,796 ------------- 17,174	245,981 ------------- 239,224	0 ------------- 0
22KUMARA D SIDHARTHA MD MEDICAL DIRECTOR OF PHO	(i) (ii)	268,460 ------------- 3,031	49,951 ------------- 0	630 ------------- 0	5,153 ------------- 41	10,734 ------------- 0	334,928 ------------- 3,072	0 ------------- 0
23JEAN BUTLER SVP EMPLYD PHY GRP(AS OF 4/19)	(i) (ii)	188,563 ------------- 0	77,100 ------------- 0	20,181 ------------- 0	22,749 ------------- 0	14,122 ------------- 0	322,715 ------------- 0	1,438 ------------- 0

Schedule J (Form 990) 2019

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

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 2019 WERE AS FOLLOWS: MICHAEL K. LAUF - $82,576 MICHAEL G. JONES - $17,269 MICHAEL L. CONNORS - $22,423 CHRISTIAN BROWN - $15,965 PATRICK KANE - $16,558 THERESA AHERN - $13,409 EMILY SCHORER - $13,735 DONALD GUADAGNOLI MD - $22,215 KEVIN MULROY - $19,834 JEFFREY S. DYKENS - $16,021 NOELENE CERVIN - $5,490 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 (INCLUDING BONUS) 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 2019, 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 2019 WAS $120,000 AND IS INCLUDED IN SCHEDULE J, PART II, COLUMN (C). IN ADDITION, $118,703 WAS PAID OUT FROM HIS CEO SUPPLEMENTAL PLAN, AND IS INCLUDED IN SCHEDULE J, PART II, COLUMN B(III).

SCHEDULE J, PART I, LINE 7

DISCRETIONARY BONUSES ARE AWARDED ANNUALLY BASED UPON BOTH THE PERFORMANCE OF THE ORGANIZATION AND THE INDIVIDUAL. BONUSES ARE REFLECTED IN SCHEDULE J, PART II, COLUMN B(II).

Schedule J (Form 990) 2019

Additional Data

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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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

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., (CCHC) THROUGH ITS COMMUNITY BENEFITS INITIATIVES, IS COMMITTED TO ENHANCING THE QUALITY OF AND ACCESS TO COMPREHENSIVE HEALTH CARE SERVICES FOR ALL 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: RESIDENTS ACROSS BARNSTABLE COUNTY WITH FOCUS ON SPECIFIC REGIONS OF THE CAPE MOST ACUTELY IMPACTED BY GEOGRAPHIC ISOLATION, ACCESS TO SERVICES, TRANSPORTATION BARRIERS, AND ECONOMIC OPPORTUNITY. BASIS FOR SELECTION: CCHC'S PRIMARY SERVICE AREA IS BARNSTABLE COUNTY, WHICH IS A GEOGRAPHICALLY ISOLATED REGION LOCATED ON THE EASTERN SEABOARD OF MASSACHUSETTS AND IS MADE UP OF 15 TOWNS. NEARLY HALF THE POPULATION OF BARNSTABLE COUNTY RESIDE IN THE THREE LARGEST TOWNS. POPULATION SIZE BECOMES INCREASINGLY SMALLER IN TOWNS OF THE LOWER AND OUTER CAPE, AND MANY OF THESE TOWNS ARE CONSIDERED RURAL. LACK OF ACCESS TO HEALTHCARE AND OTHER SUPPORTIVE SERVICES IS A MAJOR BARRIER TO HEALTH FOR RESIDENTS OF THESE TOWNS. 2. NAME OF TARGET POPULATION: POPULATIONS MANAGING MENTAL HEALTH AND/OR BEHAVIORAL HEALTH DISORDERS. BASIS FOR SELECTION: ACCESS TO, AND AVAILABILITY OF, COMMUNITY-BASED BEHAVIORAL HEALTH CARE IN BARNSTABLE COUNTY IS AN AREA OF CONCERN. THIS IS EVIDENCED BY HIGH RATES OF PATIENTS PRESENTING WITH MENTAL HEALTH AND SUBSTANCE USE DISORDERS IN HOSPITAL EMERGENCY DEPARTMENTS. SPECIFIC CHALLENGES REPORTED BY THE COMMUNITY AND INCLUDED IN THE 2020-2022 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT INCLUDE ACCESS TO SERVICES, LACK OF MENTAL HEALTH SERVICES, SUBSTANCE USE, LACK OF PREVENTATIVE SERVICES AND STIGMA. 3. NAME OF TARGET POPULATION: RESIDENTS OVER THE AGE OF 65. BASIS FOR SELECTION: CONSISTENT WITH THE PREVIOUS CHNA, THE POPULATION OF BARNSTABLE COUNTY IS OLDER THAN FOR THE STATE OVERALL (27.8% VS. 15.1%). BARNSTABLE COUNTY ALSO HAS A HIGHER PROPORTION OF RESIDENTS WHO ARE WITHIN THE "OLDEST" AGE CATEGORIES COMPARED TO MASSACHUSETTS OVERALL, INCLUDING THOSE AGE 75-84 (8.8% VS. 4.4%) AND THOSE AGE 85 AND OLDER (3.9% VS. 2.3%). "AGING HEALTH CONCERNS" WAS THE MOST FREQUENTLY IDENTIFIED HEALTH CONCERN FOR THE COMMUNITY BY SURVEY RESPONDENTS, WITH "HEALTH CARE SERVICES FOCUSED ON SENIORS"SUPPORT TO OLDER ADULTS TO MAINTAIN INDEPENDENT LIVING" RANKING AMONG THE MOST FREQUENTLY SELECTED HEALTH AND SOCIAL SERVICE PRIORITIES BY SURVEY RESPONDENTS. 4. NAME OF TARGET POPULATION: TRANSITIONAL-AGED YOUTH (18-24 YEARS OLD). BASIS FOR SELECTION: THE PROPORTION OF RESIDENTS OF BARNSTABLE COUNTY BETWEEN 18 AND 24 IS LOWER THAN IN THE STATE (7.3% VS. 10.4%). TRANSITIONAL-AGED YOUTH WERE IDENTIFIED IN THE 2020-2022 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AS A SPECIFIC AT-RISK POPULATION DUE TO INCREASING RATES OF SUBSTANCE USE TREATMENT ADMISSIONS AND CONCERNING HEALTH RISK BEHAVIORS. THE CHNA ALSO IDENTIFIED THE FOLLOWING NEEDS THAT IMPACT THIS POPULATION: WORKFORCE DEVELOPMENT, EMPLOYMENT, EDUCATION AND ECONOMIC OPPORTUNITIES. 5. NAME OF TARGET POPULATION: LOW-INCOME INDIVIDUALS AND FAMILIES. BASIS FOR SELECTION: ONE THIRD OF COMMUNITY SURVEY RESPONDENTS IDENTIFIED POVERTY AS ONE OF THEIR TOP SOCIAL CONCERNS. THE OVERALL MEDIAN HOUSEHOLD INCOME FOR BARNSTABLE COUNTY IS SLIGHTLY BELOW THE STATE ($65,382 VS. $70,954), AND GENERALLY MUCH LOWER IN NON-FAMILY AND RENTER-OCCUPIED HOUSEHOLDS. THE INDIVIDUAL POVERTY RATE FOR BARNSTABLE COUNTY IS LOWER THAN FOR THE STATE (5.4% VS. 9%). HOWEVER, THERE IS VARIABILITY BETWEEN TOWNS, WITH PROVINCETOWN (13.2%) AND CHATHAM (12.7%) HAVING HIGHER RATES OF POVERTY THAN THE STATE. PUBLICATION OF TARGET POPULATIONS MARKETING COLLATERAL, WEBSITE COMMUNITY HEALTH NEEDS ASSESSMENT DATE LAST ASSESSMENT COMPLETED CHNA REPORT 2020-2022 PUBLISHED TO CCHC CARING COMMUNITIES WEBSITE SEPTEMBER 2020. DATA SOURCES COMMUNITY FOCUS GROUPS, HOSPITAL, INTERVIEWS, OTHER, SURVEYS, CHNA DOCUMENT COMMUNITY-HEALTH-NEEDS-ASSESSMENT-2020-2022.PDF IMPLEMENTATION STRATEGY IMPLEMENTATION STRATEGY DOCUMENT: FY20_SIP.PDF KEY ACCOMPLISHMENTS OF REPORTING YEAR CCHC COMMUNITY BENEFITS PROVIDED FINANCIAL AND SERVICE SUPPORT TO HEALTH AND HUMAN SERVICES ORGANIZATIONS AND HOSPITAL-BASED PROGRAMS AND SERVICES THAT WERE ALIGNED WITH THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) 2020-2022. WE ADDRESSED BARRIERS TO CARE BY ADDING SUPPORTIVE CONNECTORS IN THE CONTINUUM OF CARE. EXAMPLES: ALZHEIMER'S SUPPORT GROUPS, RECOVERY COACHES, COMMUNITY NAVIGATORS, OUTREACH, INTEGRATIVE THERAPIES AND TRANSPORTATION SOLUTIONS. CCHC COMMUNITY BENEFITS EXPANDED CROSS-SECTOR COMMUNITY PARTNERSHIPS AND LEADERSHIP WITHIN AND THROUGHOUT THE CAPE COD NON-PROFIT HEALTH AND HUMAN SERVICE SYSTEM. THE MAJOR ACCOMPLISHMENT THIS YEAR WAS THE PUBLICATION OF THE 2020-2022 CCH AND FH CHNA AND IMPLEMENTATION PLAN. THIS PLAN SERVED AS THE FOUNDATION FOR CCHC'S FY20 COMMUNITY BENEFITS PROGRAM, WHICH FOCUSED ON THESE 5 PRIORITIES: PHYSICAL HEALTH CONDITIONS, BEHAVIORAL HEALTH, TRANSPORTATION, HOUSING, AND WORKFORCE DEVELOPMENT. NEW AND EXPANDED HOSPITAL PROGRAMS WERE DELIVERED IN ALIGNMENT WITH IMPLEMENTATION GOALS, OBJECTIVES AND STRATEGIES FOR EACH PRIORITY. CCHC SUPPORTED PARTNERSHIPS WITH OVER 50 LOCAL NONPROFIT HEALTH AND HUMAN SERVICE ORGANIZATIONS, AND A NETWORK OF FEDERALLY QUALIFIED HEALTH CENTERS THROUGH PROJECT SUPPORT AND GRANT INVESTMENTS TO IMPROVE THE HEALTH OF BARNSTABLE COUNTY RESIDENTS. HOSPITAL STAFF DEDICATED TIME AND EXPERTISE TO STRATEGIC PARTNERSHIPS, COALITIONS, AND TASK FORCE EFFORTS LOCALLY, REGIONALLY AND ACROSS MASSACHUSETTS. A SECOND MAJOR ACCOMPLISHMENT OF THIS YEAR IS THE ORGANIZATION'S RESPONSE TO OUR COMMUNITY NEEDS STEMMING FROM COVID-19. OUR HOSPITALS CONTINUED TO PROVIDE MEDICAL CARE, WHILE PROVIDING NEW SERVICES TO FIGHT COVID IN OUR COMMUNITY. IN 2020, CCHC: . EXPANDED ICU CAPACITIES AT BOTH HOSPITALS TO HANDLE AN INCREASE IN COVID PATIENTS . BUILT TRIAGE TENTS AT BOTH HOSPITALS . ESTABLISHED 3 TESTING SITES ACROSS THE REGION . UTILIZED THE EXPERTISE OF THE VNA TO LEAD THE COMMUNITY'S CONTACT TRACING PROGRAM . HELPED TO HOUSE HOMELESS PEOPLE WHO NEEDED TO BE QUARANTINED . CREATED A COVID-19 HOTLINE FOR THE COMMUNITY . SET UP A FIELD HOSPITAL AT JOINT BASE CAPE COD . ADMINISTERED COVID-19 VACCINES TO THE COMMUNITY.
PLANS FOR NEXT REPORTING YEAR	IN FY21, CCHC COMMUNITY BENEFITS WILL FOLLOW THE CHNA 2020-2022 GOALS AND STRATEGIC IMPLEMENTATION PLAN. THIS PLAN WAS PUT TOGETHER WITH CCHC LEADERSHIP AND OTHER COMMUNITY STAKEHOLDERS INCLUDING BARNSTABLE COUNTY HUMAN SERVICES AND BEHAVIORAL HEALTH AND INFECTIOUS DISEASE EXPERTS. IT IDENTIFIES THE PRIORITIES, POTENTIAL PARTNERS, AND GOALS AND OBJECTIVES FOR THE IMPLEMENTATION PLAN, WHICH WILL BE FOLLOWED FOR OUR NEXT REPORTING YEAR. THE PRIORITY AREAS AND GOALS FOR THE IMPLEMENTATION PLAN ARE: 1) PHYSICAL HEALTH CONDITIONS - REDUCE AND PREVENT THE OCCURRENCE AND SEVERITY OF CHRONIC AND INFECTIOUS DISEASE IN BARNSTABLE COUNTY THROUGH COLLABORATIVE APPROACHES. 2) BEHAVIORAL HEALTH - BE A LEADING PARTNER IN PROVIDING COMPREHENSIVE REGIONAL HEALTH SERVICES AND COMMUNITY RESOURCES FOR INDIVIDUALS WITH MENTAL HEALTH CONDITIONS AND SUBSTANCE USE DISORDERS. 3) SOCIAL DETERMINANTS OF HEALTH: TRANSPORTATION - WORK WITH REGIONAL TRANSPORTATION SYSTEMS TO INCREASE ACCESS TO HEALTH CARE AND OTHER HEALTH RELATED SERVICES IN BARNSTABLE COUNTY. HOUSING - WORK WITH REGIONAL PARTNERS TO ENSURE THAT VULNERABLE POPULATIONS SHOW IMPROVED HEALTH INDICATORS THROUGH ACCESS TO STABLE AND QUALITY HOUSING. HEALTHCARE WORKFORCE DEVELOPMENT - WORK WITH REGIONAL PARTNERS TO ENSURE OUR COMMUNITY IS SERVED BY A STRONG, ADEQUATE HEALTHCARE WORKFORCE. FOOD/NUTRITION - FOSTER REGIONAL PARTNERS TO DEVELOP OF FOOD SECURITY ASSESSMENT PROCESS. SELF-ASSESSMENT FORM: HOSPITAL SELF-ASSESSMENT UPDATE FORM - YEARS 2 AND 3 COMMUNITY BENEFITS PROGRAMS ANNUAL STRATEGIC GRANTS PROGRAM: CHRONIC AND INFECTIOUS DISEASE AND PREVENTION AND WELLNESS PROJECTS . PROGRAM TYPE: COMMUNITY-CLINICAL LINKAGES. . PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: YES . PROGRAM DESCRIPTIONS: THE FY20 ANNUAL STRATEGIC GRANTS PROGRAM WAS A COMPETITIVE GRANT INITIATIVE WITH THE OBJECTIVE TO SUPPORT COMMUNITY-BASED CHRONIC AND INFECTIOUS DISEASE AND PREVENTION AND WELLNESS PROJECTS ALIGNED WITH THE HEALTH PRIORITIES IDENTIFIED IN THE 2020-2022 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IMPLEMENTATION PLAN. GRANTS WERE AWARDED TO ORGANIZATIONS WITH PROJECTS THAT REACHED VULNERABLE POPULATIONS, MAXIMIZED PARTNERSHIP COLLABORATION AND FEATURED EVIDENCE-BASED PROGRAMS OR PROMISING PRACTICES WITH THE OBJECTIVE TO IMPROVE THE HEALTH OF BARNSTABLE COUNTY RESIDENTS. . PROGRAM HASHTAGS: COMMUNITY EDUCATION, HEALTH SCREENING, PREVENTION, SUPPORT GROUP . EOHHS FOCUS ISSUE(S) (OPTIONAL): CHRONIC DISEASE WITH FOCUS ON CANCER, HEART DISEASE, AND DIABETES, HOUSING STABILITY/HOMELESSNESS, MENTAL ILLNESS AND MENTAL HEALTH, SUBSTANCE USE DISORDERS, . DON HEALTH PRIORITIES (OPTIONAL): BUILT ENVIRONMENT, EDUCATION, HOUSING, SOCIAL ENVIRONMENT. . HEALTH ISSUES: CANCER-BREAST, CANCER-CERVICAL, CANCER-COLORECTAL, CANCER-LUNG, CANCER-MULTIPLE MYELOMA, CANCER-OTHER, CANCER-OVARIAN, CANCER-PROSTATE, CANCER-SKIN, CHRONIC DISEASE-ALZHEIMER'S DISEASE, CHRONIC DISEASE-ARTHRITIS, CHRONIC DISEASE-CARDIAC DISEASE, CHRONIC DISEASE-DIABETES, CHRONIC DISEASE-HYPERTENSION, HEALTH BEHAVIORS/MENTAL HEALTH-DEPRESSION, HEALTH BEHAVIORS/MENTAL HEALTH-MENTAL HEALTH, HEALTH BEHAVIORS/MENTAL HEALTH-RESPONSIBLE SEXUAL BEHAVIOR, INFECTIOUS DISEASE-HEPATITIS, INFECTIOUS DISEASE-LYME DISEASE, INJURY-AUTO/PASSENGER INJURIES, MATERNAL/CHILD HEALTH-CHILD CARE, MATERNAL/CHILD HEALTH-REPRODUCTIVE AND MATERNAL HEALTH, OTHER-SENIOR HEALTH CHALLENGES/CARE COORDINATION, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO HEALTH CARE, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO HEALTHY FOOD, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO TRANSPORTATION, SOCIAL DETERMINANTS OF HEALTH-AFFORDABLE HOUSING, SOCIAL DETERMINANTS OF HEALTH-EDUCATION/LEARNING, SOCIAL DETERMINANTS OF HEALTH-ENVIRONMENTAL QUALITY, SOCIAL DETERMINANTS OF HEALTH-HOMELESSNESS, SOCIAL DETERMINANTS OF HEALTH-INCOME AND POVERTY, SOCIAL DETERMINANTS OF HEALTH-LANGUAGE/LITERACY, SOCIAL DETERMINANTS OF HEALTH-NUTRITION, SOCIAL DETERMINANTS OF HEALTH-PUBLIC SAFETY, SUBSTANCE ADDICTION-ALCOHOL USE, SUBSTANCE ADDICTION-OPIOID USE, SUBSTANCE ADDICTION-SUBSTANCE USE . TARGET POPULATION: REGIONS SERVED: COUNTY-BARNSTABLE - ENVIRONMENTS SERVED: ALL GENDER: ALL AGE GROUP: ALL RACE/ETHNICITY: ALL LANGUAGE: ALL - ADDITIONAL TARGET POPULATION STATUS: INCARCERATION HISTORY, LGBT STATUS GOAL DESCRIPTION GRANT AWARDS TO LOCAL NON-PROFIT ORGANIZATIONS OPERATING QUALITY PROGRAMS WITH ANTICIPATED OUTCOMES ALIGNED WITH CAPE COD HOSPITAL AND FALMOUTH HOSPITAL IMPLEMENTATION STRATEGIES RELATED TO CHRONIC AND INFECTIOUS DISEASES AND PREVENTION AND WELLNESS. GOAL STATUS EXECUTION OF AWARDING GRANTS AND EVALUATING PROGRAMS COMPLETED AS SCHEDULED. PARTNERS PARTNER NAME, DESCRIPTION AND WEB ADDRESS ALZHEIMER'S FAMILY CAREGIVER SUPPORT CENTER - FREE IN-HOME CARE CONSULTATIONS FOR FAMILIES LIVING WITH ALZHEIMER'S AND DEMENTIA DISEASE - WWW.ALZHEIMERSCAPECOD.ORG A BABY CENTER - BABY BOXES AND CAR SEATS FOR LOW INCOME FAMILIES- WWW.ABABYCENTER.ORG CAPE COD TIMES NEEDY FUND - BASIC NEEDS SAFETY NET FOR INDIVIDUALS WITH CHRONIC AND INFECTIOUS DISEASES - WWW.NEEDYFUND.ORG HOUSING ASSISTANCE CORPORATION ON CAPE COD - OUTER CAPE HEALTH SERVICES HOUSING FOR HEALTH PARTNERSHIP - WWW.HACONCAPECOD.ORG CAPE WELLNESS COLLABORATIVE - WELLNESS CARDS FOR INTEGRATIVE SERVICES- WWW.CAPEWELLNESS.ORG TEAM MAUREEN - HPV PREVENTION THROUGH CAPE - WIDE EDUCATION - WWW.TEAMMAUREEN.ORG NATIONAL ALLIANCE ON MENTAL ILLNESS CAPE COD - MENTAL WELLNESS IN THE PORTUGUESE COMMUNITY- WWW.NAMICAPECOD.ORG SAMARITANS ON CAPE COD & THE ISLANDS - ELDER SUICIDE OUTREACH PREVENTION PROGRAM- WWW.CAPESAMARITANS.ORG YMCA CAPE COD - CHRONIC DISEASE PROGRAM COORDINATOR- WWW.YMCACAPECOD.ORG BOSTON CANCER SUPPORT - TREATMENT TRANSPORT PROGRAM - WWW.BOSTONCANCERSUPPORT.ORG CAPE COD COMMERCIAL FISHERMAN'S ALLIANCE - FISH FOR FAMILIES - WWW.CAPECODFISHERMEN.ORG THE FAMILY PANTRY OF CAPE COD - HEALTHY MEALS IN MOTION - WWW.THEFAMILYPANTRY.COM BARNSTABLE COUNTY SHERIFF - EDUCATIONAL INTERVENTIONS FOR CORRECTIONS - WWW.BSHERIFF.NET HEALTH IMPERATIVES - IMPROVING ACCESS TO WIC NUTRITION SERVICES - WWW.HEALTHIMPERATIVES.ORG ASSOCIATION TO PRESERVE CAPE COD - POND HEALTH PROGRAM - WWW.APCC.ORG HELPING OUR WOMEN - ACCESS AND EQUITY FOR OUTER CAPE WOMEN - HTTP://WWW.HELPINGOURWOMEN.ORG BRAIN INJURY ASSOCIATION OF MA - ANNUAL CERE-BRATION - HTTP://WWW.BIAMA.ORG ST. PETER THE APOSTLE CHURCH - ALZHEIMER'S AND DEMENTIA TRAINING FOR FIRST RESPONDERS AND COMMUNITY MEMBERS. - HTTP://WWW.STPETERS-PTOWN.ORG ROAR - RIDE FOR OPIOID ADDICTION RECOVERY - HTTP://WWW.ROARCAPECOD.COM CAPE COD LITERACY COUNCIL - HEALTH LITERACY - HTTP://WWW.CAPECODLITERACYCOUNCIL.ORG BARNSTABLE COUNTY SCHOOL DISTRICT - MEALS PROGRAM - HTTP://WWW.BARNSTABLE.K12.MA.US CAPE COD NATIONAL SEASHORE - HEALTHY PARKS HEALTHY PEOPLE EVENT CAPE COD HEALTHCARE COLLABORATED WITH THE CAPE COD NATIONAL SEASHORE AND THE NATIONAL PARK SERVICES TO PROMOTE COMMUNITY OPEN SPACE FOR WELLNESS, EXERCISE AND PHYSICAL ACTIVITY TO IMPROVE THE HEALTH OF CAPE COD RESIDENTS AND VISITORS. - HTTPS://WWW.NPS.GOV/CACO/INDEX.HTM DETAILED DESCRIPTION THE FY20 ANNUAL STRATEGIC GRANTS PROGRAM WAS A COMPETITIVE GRANT INITIATIVE WITH THE OBJECTIVE TO SUPPORT COMMUNITY-BASED CHRONIC AND INFECTIOUS DISEASE AND PREVENTION AND WELLNESS PROJECTS ALIGNED WITH THE HEALTH PRIORITIES IDENTIFIED IN THE 2020-2022 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IMPLEMENTATION PLAN. GRANTS WERE AWARDED TO ORGANIZATIONS WITH PROJECTS THAT REACHED VULNERABLE POPULATIONS, MAXIMIZED PARTNERSHIP COLLABORATION AND FEATURED EVIDENCE-BASED PROGRAMS OR PROMISING PRACTICES WITH THE OBJECTIVE TO IMPROVE THE HEALTH OF BARNSTABLE COUNTY RESIDENTS. SUBSTANCE USE DISORDER PROGRAMS INCLUDING RECOVERY SPECIALIST PROGRAM IN THE EMERGENCY DEPARTMENTS AT CAPE COD HOSPITAL AND FALMOUTH HOSPITAL . PROGRAM TYPE: COMMUNITY-CLINICAL LINKAGES . PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: YES . PROGRAM HASHTAGS: COMMUNITY HEALTH CENTER PARTNERSHIP, MENTORSHIP/CAREER TRAINING/INTERNSHIP, PREVENTION . EOHHS FOCUS ISSUE(S) (OPTIONAL): MENTAL ILLNESS AND MENTAL HEALTH, SUBSTANCE USE DISORDERS. . DON HEALTH PRIORITIES (OPTIONAL): BUILT ENVIRONMENT, EDUCATION, SOCIAL ENVIRONMENT. . HEALTH ISSUES: HEALTH BEHAVIORS/MENTAL HEALTH-MENTAL HEALTH, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO HEALTH CARE, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO TRANSPORTATION, SOCIAL DETERMINANTS OF HEALTH-EDUCATION/LEARNING, SUBSTANCE ADDICTION-ALCOHOL USE, SUBSTANCE ADDICTION-OPIOID USE, SUBSTANCE ADDICTION-SUBSTANCE USE. . TARGET POPULATION: REGIONS SERVED: COUNTY-BARNSTABLE - ENVIRONMENTS SERVED: ALL - GENDER: ALL - RACE/ETHNICITY: ALL - LANGUAGE: ALL - ADDITIONAL TARGET POPULATION STATUS: NOT SPECIFIED
GOAL DESCRIPTION	ENGAGE AND CONSULT WITH AT LEAST 250 PATIENTS WITH SUBSTANCE USE DISORDERS TREATED IN THE EMERGENCY DEPARTMENTS AT CAPE COD HOSPITAL AND FALMOUTH HOSPITAL. GOAL STATUS EXCEEDED GOAL GOAL DESCRIPTION MOTIVATE AND ASSIST 40% OF PATIENTS WHO RECEIVE A CONSULTATION FROM THE RECOVERY SPECIALIST TO ACCEPT A TRANSFER TO TREATMENT OR DIRECT REFERRAL TO TREATMENT PRIOR TO DISCHARGE FROM THE EMERGENCY DEPARTMENT. GOAL STATUS EXCEEDED GOAL GOAL DESCRIPTION OFFER POST - DISCHARGE FOLLOW-UP AND ASSISTANCE TO PATIENTS WITH SUBSTANCE USE DISORDERS WHO REFUSED SERVICES WHILE IN THE EMERGENCY DEPARTMENTS. GOAL STATUS ONGOING GOAL DESCRIPTION RAISE AWARENESS: SUD IS PART OF MENTAL HEALTH AND MENTAL HEALTH ISSUES IN OUR BEHAVIORAL HEALTH PROGRAMS. GOAL STATUS ONGOING GOAL DESCRIPTION PROVIDE SUPPORT FOR SAFE OPPORTUNITIES FOR YOUTH IN BARNSTABLE COUNTY TO ENGAGE IN MEANINGFUL ACTIVITIES INCLUDING PHYSICAL ACTIVITIES AND MENTORSHIP. GOAL STATUS ONGOING GOAL DESCRIPTION PROVIDE SUPPORT FOR RECOVERY SERVICES IN THE COMMUNITY FOR PATIENTS WITH SUBSTANCE USE DISORDERS. GOAL STATUS ONGOING PARTNER NAME, DESCRIPTION AND WEB ADDRESS GOSNOLD, INC. - RECOVERY SPECIALISTS - WWW.GOSNOLD.ORG BARNSTABLE COUNTY REGIONAL SUBSTANCE USE COUNCIL - WWW.BCHUMANSERVICES.NET/INITIATIVES/REGIONAL-SUBSTANCE-USE-COUNCIL/ OUTER CAPE HEALTH SERVICES - OFFICE BASED ADDICTION TREATMENT - WWW.OUTERCAPE.ORG DUFFY HEALTH CENTER - RECOVERY COACH / NAVIGATOR PROGRAM - WWW.DUFFYHEALTHCENTER.ORG BIG BROTHERS BIG SISTERS - MENTORING PROGRAM FOR CHILDREN AT RISK FOR SUBSTANCE USE DISORDER - HTTPS://EMASSBIGS.ORG/CAPE-COD/ PAUSE A WHILE - PROVIDING ACCESS TO LONG TERM TREATMENT FOR SUD AS A COMPONENT OF THE TREATMENT FOR AND ITS RELATED IMPACT ON PHYSICAL WELLNESS - HTTPS://PAUSEAWHILE.ORG/ PROGRAM DESCRIPTION - CAPE COD HEALTHCARE HAS IDENTIFIED A SIGNIFICANT NEED FOR SUBSTANCE USE DISORDER PREVENTION AND TREATMENT IN OUR COMMUNITY. THROUGH A VARIETY OF PROGRAMS AND PARTNERSHIPS, CCHC HAS MADE A COMMITMENT TO DIRECT RESOURCES TOWARDS THIS COMMUNITY HEALTH ISSUE. PROGRAMS INCLUDE: - CAPE COD HOSPITAL AND FALMOUTH HOSPITAL PARTNERED WITH GOSNOLD, INC. TO PROVIDE PEER-LED RECOVERY SPECIALIST SERVICES IN THE EMERGENCY DEPARTMENTS AT BOTH HOSPITALS. RECOVERY SPECIALISTS HAVE THE LIVED EXPERIENCE OF ADDICTION AND RECOVERY AND ENGAGE PATIENTS WITH SUBSTANCE USE DISORDERS PRIOR TO DISCHARGE FROM THE EMERGENCY DEPARTMENTS. RECOVERY SPECIALISTS WORK AS PART OF THE HOSPITAL CARE TEAM WITH THE OBJECTIVE TO MOTIVATE PATIENTS TO ACCEPT TREATMENT FOR SUBSTANCE USE DISORDERS THROUGH A TRANSFER TO AN INPATIENT TREATMENT PROGRAM OR DIRECT REFERRALS TO OUTPATIENT TREATMENT PROGRAMS. - INVESTMENTS IN PREVENTION PROGRAMS INCLUDING MENTORING FOR AT RISK YOUTH - INNOVATIVE TREATMENTS INCLUDING OFFICE BASED ADDICTION TREATMENT - SUPPORT SERVICES TO MEET COMMUNITY MEMBERS WHERE THEY ARE, INCLUDING MATERNITY DEPARTMENT TOURS FOR MOTHERS EXPERIENCING SUBSTANCE USE DISORDER. SUPPORT TO FEDERALLY QUALIFIED HEALTH CENTERS . PROGRAM TYPE: ACCESS/COVERAGE SUPPORTS. . PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: YES . PROGRAM HASHTAGS: COMMUNITY HEALTH CENTER PARTNERSHIP . EOHHS FOCUS ISSUE(S) (OPTIONAL): MENTAL ILLNESS AND MENTAL HEALTH. . DON HEALTH PRIORITIES (OPTIONAL): BUILT ENVIRONMENT, SOCIAL ENVIRONMENT. . HEALTH ISSUES: HEALTH BEHAVIORS/MENTAL HEALTH-MENTAL HEALTH, INFECTIOUS DISEASES, COVID-19, OTHER-DENTAL HEALTH, OTHER-SENIOR HEALTH CHALLENGES/CARE COORDINATION, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO HEALTH CARE, SOCIAL DETERMINANTS OF HEALTH-HOMELESSNESS, SOCIAL DETERMINANTS OF HEALTH-UNINSURED/UNDERINSURED, SUBSTANCE ADDICTION-SUBSTANCE USE. . TARGET POPULATION: REGIONS SERVED: BARNSTABLE - ENVIRONMENTS SERVED: ALL GENDER: ALL AGE GROUP: ALL RACE/ETHNICITY: ALL LANGUAGE: ALL - ADDITIONAL TARGET POPULATION STATUS: NOT SPECIFIED GOAL DESCRIPTION PROVIDE FUNDING SUPPORT TO THE FEDERALLY QUALIFIED HEALTH CENTERS PER PROPOSALS AND PRIORITIES SET BY EACH OF THE FOUR ENTITIES ON CAPE COD IN ALIGNMENT WITH CHNA 2020-2022. GOAL STATUS COMPLETE. CCHC WILL CONTINUE TO SUPPORT FQHCS IN BARNSTABLE COUNTY TO EXPAND THE CONTINUUM OF CARE AND INCREASE ACCESS TO SERVICES. PARTNER NAME, DESCRIPTION AND WEB ADDRESS HARBOR - JONES DENTAL - HTTPS://WWW.HHSI.US/LOCATIONS/HARBOR-COMMUNITY-HEALTHCENTER-HYANNIS/ DUFFY - NAVIGATORS AND BEHAVIORAL HEALTH - HTTPS://WWW.DUFFYHEALTHCENTER.ORG/ OUTERCAPE HEALTH SERVICES - COMMUNITY NAVIGATORS - HTTPS://OUTERCAPE.ORG/ PROGRAM DESCRIPTION - CAPE COD HEALTHCARE COMMUNITY BENEFITS PROVIDES SUPPORT TO FEDERALLY QUALIFIED HEALTH CENTERS ON CAPE COD TO INCREASE HEALTHCARE ACCESS TO THOSE WHO ARE UN- OR UNDERINSURED. PROGRAMS ALIGN WITH THE PRIORITIES IDENTIFIED IN THE 2020-2022 CHNA. CCHC CANCER SUPPORT SERVICES AND SURVIVORSHIP ACTIVITIES . PROGRAM TYPE: DIRECT CLINICAL SERVICES. . PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: YES . PROGRAM HASHTAGS: COMMUNITY EDUCATION, HEALTH SCREENING, PREVENTION, SUPPORT GROUP. . EOHHS FOCUS ISSUE(S) (OPTIONAL): CHRONIC DISEASE WITH FOCUS ON CANCER, HEART DISEASE, AND DIABETES. . DON HEALTH PRIORITIES (OPTIONAL): EDUCATION, SOCIAL ENVIRONMENT. . HEALTH ISSUES: CANCER-BREAST, CANCER-CERVICAL, CANCER-COLORECTAL, CANCER-LUNG, CANCER-MULTIPLE MYELOMA, CANCER-OTHER, CANCER-OVARIAN, CANCER-PROSTATE, CANCER-SKIN, HEALTH BEHAVIORS/MENTAL HEALTH-DEPRESSION, OTHER-HOSPICE, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO HEALTH CARE, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO HEALTHY FOOD, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO TRANSPORTATION, SOCIAL DETERMINANTS OF HEALTH-EDUCATION/LEARNING, SOCIAL DETERMINANTS OF HEALTH-NUTRITION, SOCIAL DETERMINANTS OF HEALTH-UNINSURED/UNDERINSURED. . TARGET POPULATION: REGIONS SERVED: COUNTY-BARNSTABLE - ENVIRONMENTS SERVED: ALL GENDER: ALL AGE GROUP: ALL RACE/ETHNICITY: ALL LANGUAGE: ALL - ADDITIONAL TARGET POPULATION STATUS: NOT SPECIFIED GOAL DESCRIPTION ONCOLOGY SOCIAL WORKERS WILL PROVIDE PSYCHO-SOCIAL SUPPORT TO OVER 3,000 PATIENTS. TIMEFRAME: YEAR 1 OF 3 GOAL STATUS EXCEEDED GOAL. GOAL DESCRIPTION SUPPORT GROUPS WILL BE PROVIDED TO PATIENTS AND FAMILIES. TIMEFRAME: YEAR 1 OF 3 GOAL STATUS ALTHOUGH COVID IMPACTED NUMBERS, THIS GOAL WAS MET. GOAL DESCRIPTION CCHC WILL OFFER AN ONCOLOGY NUTRITION PROGRAM TO IMPROVE PATIENTS' QUALITY OF LIFE AND OUTCOMES. TIMEFRAME: YEAR 1 OF 3 GOAL STATUS GOAL ACHIEVED. PARTNER NAME, DESCRIPTION AND WEB ADDRESS AMERICAN CANCER SOCIETY - WWW.CANCER.ORG/ABOUT-US/LOCAL/MASSACHUSETTS.HTML YMCA CAPE COD LIVESTRONG - WWW.YMCACAPECOD.ORG/PROGRAMS/HEALTH-WELLBEING/LIVESTRONG/ CAPE WELLNESS COLLABORATIVE - WWW.CAPEWELLNESS.ORG/ VISITING NURSE ASSOCIATION OF CAPE COD - WWW.VNACAPECOD.ORG TEAM MAUREEN - WWW.TEAMMAUREEN.ORG BOSTON CANCER SUPPORT - WWW.BOSTONCANCERSUPPORT.ORG PROGRAM DESCRIPTION - CCHC CANCER SUPPORT SERVICES PROVIDES ONCOLOGY PATIENTS AND THEIR FAMILIES' PSYCHOLOGICAL AND SOCIAL SUPPORT DURING THEIR TREATMENT JOURNEY. A TEAM OF ONCOLOGY SOCIAL WORKERS PROVIDE ONGOING COUNSELING AND SUPPORT GROUPS AND DIRECT REFERRALS TO SERVICES SUCH AS TRANSPORTATION, HOME CARE, AND COMMUNITY-BASED WELLNESS SERVICES SUCH AS REIKI, ACUPUNCTURE AND MASSAGE. SERVICES INCLUDE AN ONCOLOGY NUTRITION PROGRAM AND THE LIVING FIT FOR YOU! CANCER WELLNESS PROGRAM. CANCER SURVIVORSHIP IS CELEBRATED, SUPPORTED AND RECOGNIZED WITHIN HOSPITAL DEPARTMENTS AND IN THE COMMUNITY. CCHC ALSO OFFERS SPECIAL FINANCIAL NAVIGATORS IN THE CANCER CENTERS SPECIALLY TRAINED IN CANCER TREATMENT EXPENSES.
HEALTH EDUCATION	. PROGRAM TYPE: TOTAL POPULATION OR COMMUNITY-WIDE INTERVENTIONS. . PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: NO . PROGRAM HASHTAGS: COMMUNITY EDUCATION, PREVENTION. . EOHHS FOCUS ISSUE(S) (OPTIONAL): CHRONIC DISEASE WITH FOCUS ON CANCER, HEART DISEASE, AND DIABETES, MENTAL ILLNESS AND MENTAL HEALTH. . DON HEALTH PRIORITIES (OPTIONAL): EDUCATION. . HEALTH ISSUES: CANCER-BREAST, CANCER-CERVICAL, CANCER-COLORECTAL, CANCER-LUNG, CANCER-MULTIPLE MYELOMA, CANCER-OTHER, CANCER-OVARIAN, CANCER-PROSTATE, CANCER-SKIN, CHRONIC DISEASE-ALZHEIMER'S DISEASE, CHRONIC DISEASE-CARDIAC DISEASE, CHRONIC DISEASE-DIABETES, CHRONIC DISEASE-HYPERTENSION, CHRONIC DISEASE-OVERWEIGHT AND OBESITY, CHRONIC DISEASE-PULMONARY DISEASE, CHRONIC DISEASE-STROKE, HEALTH BEHAVIORS/MENTAL HEALTH-BEREAVEMENT, HEALTH BEHAVIORS/MENTAL HEALTH-DEPRESSION, HEALTH BEHAVIORS/MENTAL HEALTH-IMMUNIZATION, HEALTH BEHAVIORS/MENTAL HEALTH-MENTAL HEALTH, HEALTH BEHAVIORS/MENTAL HEALTH-PHYSICAL ACTIVITY, HEALTH BEHAVIORS/MENTAL HEALTH-STRESS MANAGEMENT, INFECTIOUS DISEASES, COVID-19, INJURY-HOME INJURIES, MATERNAL/CHILD HEALTH-PARENTING SKILLS, MATERNAL/CHILD HEALTH-REPRODUCTIVE AND MATERNAL HEALTH, OTHER-SENIOR HEALTH CHALLENGES/CARE COORDINATION, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO HEALTH CARE, SOCIAL DETERMINANTS OF HEALTH-EDUCATION/LEARNING. . TARGET POPULATION: REGIONS SERVED: BARNSTABLE - ENVIRONMENTS SERVED: ALL GENDER: ALL AGE GROUP: ALL RACE/ETHNICITY: ALL LANGUAGE: ALL - ADDITIONAL TARGET POPULATION STATUS: NOT SPECIFIED GOAL DESCRIPTION AT CAPE COD HOSPITAL AND FALMOUTH HOSPITAL, HEALTH EDUCATION AND OUTREACH ACTIVITIES ARE OFFERED TO THE COMMUNITY ACROSS A NUMBER OF DIFFERENT HEALTH AREAS. FROM MATERNITY DEPARTMENT TOURS AND NEW PARENTING CLASSES, TO COMMUNITY-BASED DIABETES AND STROKE EDUCATION, FALL PREVENTION CLASSES, AND ADVANCE CARE PLANNING PRESENTATIONS, THE HOSPITALS DEDICATE CLINICAL STAFF AND RESOURCES TO SUPPORT THE EDUCATION AND HEALTH LITERACY OF BARNSTABLE COUNTY RESIDENTS. TIMEFRAME: YEAR 1 OF 3 GOAL STATUS EDUCATIONAL OFFERINGS ARE ONGOING. DUE TO COVID-RELATED RESTRICTIONS, MANY OFFERINGS PIVOTED TO VIRTUAL EVENTS. STAFF IS READY TO CONTINUE WITH IN-PERSON OFFERINGS WHEN APPROPRIATE. PARTNER NAME, DESCRIPTION AND WEB ADDRESS AMERICAN CANCER SOCIETY - WWW.CANCER.ORG VISITING NURSES ASSOCIATION OF CAPE COD - WWW.VNACAPECOD.ORG PROGRAM DESCRIPTION - AT CAPE COD HOSPITAL AND FALMOUTH HOSPITAL, HEALTH EDUCATION AND OUTREACH ACTIVITIES ARE OFFERED TO THE COMMUNITY ACROSS A NUMBER OF DIFFERENT HEALTH AREAS. FROM MATERNITY DEPARTMENT TOURS, BREASTFEEDING AND NEW PARENTING CLASSES, TO COMMUNITY-BASED DIABETES, AND STROKE EDUCATION, THE HOSPITALS DEDICATE CLINICAL STAFF AND RESOURCES TO SUPPORT THE EDUCATION AND HEALTH LITERACY OF BARNSTABLE COUNTY RESIDENTS. THIS YEAR WE ALSO ENGAGED IN AWARENESS CAMPAIGNS ON ISSUES RELATED TO WOMEN'S HEALTH, HEART HEALTH, AND COVID-19. POPULAR PROGRAMS THIS YEAR INCLUDED AN ADVANCED CARE PLANNING PRESENTATION, COMMUNITY EDUCATION ON GENETIC TESTING AND CANCER SCREENINGS AND VARIOUS BEHAVIORAL HEALTH COMMUNITY EDUCATION EVENTS. COMMUNITY-BASED INTERPRETER SERVICES . PROGRAM TYPE: ACCESS/COVERAGE SUPPORTS. . PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: YES . PROGRAM HASHTAGS: HEALTH PROFESSIONAL/STAFF TRAINING. . EOHHS FOCUS ISSUE(S) (OPTIONAL): CHRONIC DISEASE WITH FOCUS ON CANCER, HEART DISEASE, AND DIABETES, HOUSING STABILITY/HOMELESSNESS, MENTAL ILLNESS AND MENTAL HEALTH, SUBSTANCE USE DISORDERS,. . DON HEALTH PRIORITIES (OPTIONAL): BUILT ENVIRONMENT, SOCIAL ENVIRONMENT. . HEALTH ISSUES: CANCER-BREAST, CANCER-CERVICAL, CANCER-COLORECTAL, CANCER-LUNG, CANCER-MULTIPLE MYELOMA, CANCER-OTHER, CANCER-OVARIAN, CANCER-PROSTATE, CANCER-SKIN, CHRONIC DISEASE-ALZHEIMER'S DISEASE, CHRONIC DISEASE-ARTHRITIS, CHRONIC DISEASE-ASTHMA/ALLERGIES, CHRONIC DISEASE-CARDIAC DISEASE, CHRONIC DISEASE-CHRONIC PAIN, CHRONIC DISEASE-COLITIS/CROHN'S DISEASE, CHRONIC DISEASE-DIABETES, CHRONIC DISEASE-HYPERTENSION, CHRONIC DISEASE-OSTEOPOROSIS, CHRONIC DISEASE-OVERWEIGHT AND OBESITY, CHRONIC DISEASE-PULMONARY DISEASE, CHRONIC DISEASE-SICKLE CELL DISEASE, CHRONIC DISEASE-STROKE, HEALTH BEHAVIORS/MENTAL HEALTH-BEREAVEMENT, HEALTH BEHAVIORS/MENTAL HEALTH-DEPRESSION, HEALTH BEHAVIORS/MENTAL HEALTH-IMMUNIZATION, HEALTH BEHAVIORS/MENTAL HEALTH-MENTAL HEALTH, HEALTH BEHAVIORS/MENTAL HEALTH-PHYSICAL ACTIVITY, HEALTH BEHAVIORS/MENTAL HEALTH-RESPONSIBLE SEXUAL BEHAVIOR, HEALTH BEHAVIORS/MENTAL HEALTH-STRESS MANAGEMENT, INFECTIOUS DISEASE-HEPATITIS, INFECTIOUS DISEASE-HIV/AIDS, INFECTIOUS DISEASE-LYME DISEASE, INFECTIOUS DISEASE-SEXUALLY TRANSMITTED DISEASES, INFECTIOUS DISEASE-TUBERCULOSIS, INJURY-AUTO/PASSENGER INJURIES, INJURY-FIRST AID/ACLS/CPR, INJURY-HOME INJURIES, INJURY-OTHER, INJURY-SPORTS INJURIES, MATERNAL/CHILD HEALTH-CHILD CARE, MATERNAL/CHILD HEALTH-FAMILY PLANNING, MATERNAL/CHILD HEALTH-MENOPAUSE, MATERNAL/CHILD HEALTH-PARENTING SKILLS, MATERNAL/CHILD HEALTH-REPRODUCTIVE AND MATERNAL HEALTH, OTHER-CULTURAL COMPETENCY, OTHER-DENTAL HEALTH, OTHER-EMERGENCY PREPAREDNESS, OTHER-HEARING, OTHER-HOSPICE, OTHER-SENIOR HEALTH CHALLENGES/CARE COORDINATION, OTHER-VISION, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO HEALTH CARE, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO HEALTHY FOOD, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO TRANSPORTATION, SOCIAL DETERMINANTS OF HEALTH-AFFORDABLE HOUSING, SOCIAL DETERMINANTS OF HEALTH-DOMESTIC VIOLENCE, SOCIAL DETERMINANTS OF HEALTH-EDUCATION/LEARNING, SOCIAL DETERMINANTS OF HEALTH-ENVIRONMENTAL QUALITY, SOCIAL DETERMINANTS OF HEALTH-HOMELESSNESS, SOCIAL DETERMINANTS OF HEALTH-INCOME AND POVERTY, SOCIAL DETERMINANTS OF HEALTH-LANGUAGE/LITERACY, SOCIAL DETERMINANTS OF HEALTH-NUTRITION, SOCIAL DETERMINANTS OF HEALTH-PUBLIC SAFETY, SOCIAL DETERMINANTS OF HEALTH-RACISM AND DISCRIMINATION, SOCIAL DETERMINANTS OF HEALTH-UNINSURED/UNDERINSURED, SOCIAL DETERMINANTS OF HEALTH-VIOLENCE AND TRAUMA, SUBSTANCE ADDICTION-ALCOHOL USE, SUBSTANCE ADDICTION-DRIVING UNDER THE INFLUENCE, SUBSTANCE ADDICTION-OPIOID USE, SUBSTANCE ADDICTION-SMOKING/TOBACCO USE, SUBSTANCE ADDICTION-SUBSTANCE USE. . TARGET POPULATION: REGIONS SERVED: COUNTY-BARNSTABLE - ENVIRONMENTS SERVED: ALL GENDER: ALL AGE GROUP: ALL RACE/ETHNICITY: ALL LANGUAGE: ALL - ADDITIONAL TARGET POPULATION STATUS: NOT SPECIFIED.
GOAL DESCRIPTION	ASSIST MORE THAN 800 INDIVIDUALS WITH FREE MEDICAL INTERPRETERS IN COMMUNITY-BASED PRIMARY CARE AND SPECIALTY CARE SETTINGS. GOAL STATUS WE CONTINUED TO ASSIST INDIVIDUALS WITH FREE INTERPRETER SERVICES, ALTHOUGH NUMBERS ARE DOWN THIS YEAR DUE TO COVID. GOAL DESCRIPTION ANALYZE PROGRAM UTILIZATION DATA TO ASSESS REGIONAL MEDICAL INTERPRETATION NEEDS FOR PROGRAM EVALUATION. GOAL STATUS COMPLETED. GOAL DESCRIPTION REACH MORE AREAS THROUGHOUT THE CAPE BY IMPLEMENTING A VIDEO INTERPRETER PROGRAM GOAL STATUS COMPLETED: IMPLEMENTED 10 VIDEO REMOTE UNITS TO ENSURE THAT LIMITED SPEAKING PATIENTS HAVE BETTER ACCESS FOR AN INTERPRETER PARTNER NAME, DESCRIPTION AND WEB ADDRESS COMMUNITY BASED MEDICAL OFFICES ON CAPE COD - VARIOUS HARBOR COMMUNITY HEALTH CENTER HYANNIS - WWW.HHSI.US/CAPE-COD/HARBOR-COMMUNITY-HEALTH-CENTERHYANNIS/ COMMUNITY BASED MEDICAL OFFICES ON CAPE COD - VARIOUS OFFICE OF MULTICULTURAL AFFAIRS - DPH - HTTPS://WWW.MASS.GOV/OREI PROGRAM DESCRIPTION - CCHC PROVIDES FREE MEDICAL LANGUAGE INTERPRETERS TO COMMUNITY-BASED PHYSICIAN OFFICES AND HOSPITALS 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. CHILDREN'S COVE PARTNERSHIP . PROGRAM TYPE: DIRECT CLINICAL SERVICES. . PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: NO . PROGRAM HASHTAGS: HEALTH PROFESSIONAL/STAFF TRAINING. . EOHHS FOCUS ISSUE(S) (OPTIONAL): VIOLENCE. . DON HEALTH PRIORITIES (OPTIONAL): HEALTH BEHAVIORS/MENTAL HEALTH-DEPRESSION, HEALTH BEHAVIORS/MENTAL HEALTH-MENTAL HEALTH, INJURY-HOME INJURIES, SOCIAL DETERMINANTS OF HEALTH-VIOLENCE AND TRAUMA,. . TARGET POPULATION: REGIONS SERVED: BARNSTABLE - ENVIRONMENTS SERVED: ALL GENDER: ALL AGE GROUP: CHILDREN, INFANTS, TEENAGERS RACE/ETHNICITY: ALL, HYANNIS LANGUAGE: ALL - ADDITIONAL TARGET POPULATION STATUS: DOMESTIC VIOLENCE HISTORY GOAL DESCRIPTION THE NURSE PRACTITIONER WILL: PROVIDE AN ONSITE VISUAL MEDICAL EXAM IN A CHILD-FRIENDLY SETTING ENSURE THE HEALTH AND SAFETY OF CHILD THROUGH A NON-INVASIVE EXAM "USING A DO NO HARM APPROACH" IDENTIFY, EDUCATE AND PROVIDE REFERRALS FOR INSTANCES OF SEXUALLY TRANSMITTED INFECTIONS AND/OR PREGNANCY PHOTO-DOCUMENT AND COLLECT EVIDENCE IF INDICATED. SUPPORT THE CHILD IN THEIR WELLNESS. GOAL STATUS ALL MEDICAL EXAMS ARE COMPLETED PRIVATELY AT CHILDREN'S COVE AND WITH PARENTAL PERMISSION. CHILDREN ARE ALWAYS TREATED WITH DIGNITY AND RESPECT, AND THE FOCUS OF THE EXAM IS TO SUPPORT THE CHILD IN THEIR WELLNESS. DURING THE EXAM, THE NURSE PRACTITIONER DOES NOT: USE ANY INVASIVE TOOLS CAUSE ANY PAIN INTERVIEW THE CHILD SPECULATE IF ANYTHING DID OR DID NOT HAPPEN. PARTNER NAME, DESCRIPTION AND WEB ADDRESS CHILDREN'S COVE - HTTP://WWW.CHILDRENSCOVE.ORG PROGRAM DESCRIPTION - FUNDING FOR A SPECIALTY TRAINED NURSE PRACTITIONER TO PROVIDE A NON-INVASIVE PHYSICAL EXAM TO CHILD VICTIMS OF ABUSE AND SEXUAL ASSAULT. AFTER A CHILD HAS MADE THE BRAVE CHOICE TO DISCLOSE THEIR ABUSE THERE IS OFTEN THE QUESTION "IS MY BODY OK?" WE WANT TO ALLEVIATE SOME OF THE STRESS FROM A CHILD AND CAREGIVERS MIND. BECAUSE OF THAT WE HAVE PARTNERED WITH CHILDREN'S COVE AND THE MASSACHUSETTS PEDIATRIC SEXUAL ASSAULT NURSE EXAMINER PROGRAM (PEDISANE) TO HAVE A SPECIALLY TRAINED NURSE PRACTITIONER ON STAFF TO ENSURE THE BEST HEALTH AND WELFARE OF THE CHILD. ALSO INCLUDED IS THE COST OF LAB TESTING SERVICES FOR THESE PATIENTS. MENTAL HEALTH SERVICES IN THE COMMUNITY . PROGRAM TYPE: DIRECT CLINICAL SERVICES. . PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: NO . PROGRAM HASHTAGS: COMMUNITY EDUCATION, COMMUNITY HEALTH CENTER PARTNERSHIP, HEALTH PROFESSIONAL/STAFF TRAINING. . EOHHS FOCUS ISSUE(S) (OPTIONAL): MENTAL ILLNESS AND MENTAL HEALTH. . DON HEALTH PRIORITIES (OPTIONAL): SOCIAL ENVIRONMENT. . HEALTH ISSUES: HEALTH BEHAVIORS/MENTAL HEALTH-BEREAVEMENT, HEALTH BEHAVIORS/MENTAL HEALTH-DEPRESSION, HEALTH BEHAVIORS/MENTAL HEALTH-MENTAL HEALTH, HEALTH BEHAVIORS/MENTAL HEALTH-STRESS MANAGEMENT. . TARGET POPULATION: REGIONS SERVED: BARNSTABLE - ENVIRONMENTS SERVED: ALL GENDER: ALL AGE GROUP: ADULTS, CHILDREN, ELDERLY, TEENAGERS, RACE/ETHNICITY: ALL LANGUAGE: ALL - ADDITIONAL TARGET POPULATION STATUS: NOT SPECIFIED. GOAL DESCRIPTION 90% OF PATIENTS SEEN BY THE DUFFY TEAM AT CAPE COD HOSPITAL CONNECT TO DUFFY SERVICES POST-DISCHARGE. GOAL STATUS ACHIEVED. PARTNER NAME, DESCRIPTION AND WEB ADDRESS DUFFY HEALTH CENTER - BRIDGE CLINIC PROGRAM - HTTPS://WWW.DUFFYHEALTHCENTER.ORG PROGRAM DESCRIPTION - CAPE COD HEALTHCARE BEHAVIORAL HEALTH PHYSICIANS AND CLINICIANS PROVIDE COMMUNITY-BASED MENTAL HEALTH SERVICES IN OUR REGION. THIS INCLUDES PSYCHIATRIC CONSULTS TO FIRST RESPONDERS, SERVING AS THE ON-CALL PSYCHIATRIST TO THE COMMUNITY, A BEHAVIORAL HEALTH COMMUNITY HELPLINE, AND THE BRIDGE CLINIC, WHICH CONNECTS PATIENTS IN INPATIENT TREATMENT WITH COMMUNITY SERVICES. SHINE PROGRAM . PROGRAM TYPE: ACCESS/COVERAGE SUPPORTS. . PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: YES . PROGRAM HASHTAGS: COMMUNITY EDUCATION, HEALTH PROFESSIONAL/STAFF TRAINING. . EOHHS FOCUS ISSUE(S) (OPTIONAL): N/A. . DON HEALTH PRIORITIES (OPTIONAL): N/A. . HEALTH ISSUES: SOCIAL DETERMINANTS OF HEALTH-ACCESS TO HEALTH CARE. . TARGET POPULATION: REGIONS SERVED: BARNSTABLE - ENVIRONMENTS SERVED: ALL GENDER: ALL AGE GROUP: ELDERLY RACE/ETHNICITY: ALL, HYANNIS LANGUAGE: ALL - ADDITIONAL TARGET POPULATION STATUS: NOT SPECIFIED. GOAL DESCRIPTION PROVIDE OVER 5,000 COUNSELING SESSIONS TO CAPE & ISLAND RESIDENTS. TIMEFRAME: YEAR 1 OF 3. GOAL STATUS EXCEEDED GOAL: IN FY20 SHINE PROVIDED 6,197 COUNSELING SESSIONS RESULTING IN 4,513 COUNSELING HOURS. GOAL DESCRIPTION REACH 1500 RESIDENTS THROUGH COMMUNITY TRAININGS AND PRESENTATIONS. TIMEFRAME: YEAR 1 OF 3. GOAL STATUS EXCEEDED GOAL. PARTNER NAME, DESCRIPTION AND WEB ADDRESS BARNSTABLE COUNTY DEPARTMENT OF HEALTH & HUMAN SERVICES - HTTPS://WWW.BARNSTABLECOUNTYHEALTH.ORG/ PROGRAM DESCRIPTION - SHINE (SERVING THE HEALTH INSURANCE NEEDS OF EVERYONE) PROVIDES FREE HEALTH INSURANCE INFORMATION, COUNSELING AND ASSISTANCE TO MEDICARE BENEFICIARIES. THESE COMMUNITY BENEFITS FUNDS ARE SPECIFICALLY TARGETED TO HIRING PART TIME PROGRAM STAFF TO ASSIST THE PROGRAM MANAGER IN HANDLING THE INCREASING NUMBER OF SENIORS SEEKING ASSISTANCE WITH MEDICARE ENROLLMENT, ESPECIALLY DURING THE SEVEN WEEKS OF OPEN ENROLLMENT (OCTOBER 15 -DECEMBER 7). SHINE ASSISTS HUNDREDS OF ADDITIONAL MEDICARE BENEFICIARIES IN BARNSTABLE COUNTY.
ASSISTANCE PROGRAM FOR VULNERABLE POPULATIONS	. PROGRAM TYPE: ACCESS/COVERAGE SUPPORTS. . PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: YES . PROGRAM HASHTAGS: HEALTH SCREENING, PREVENTION. . EOHHS FOCUS ISSUE(S) (OPTIONAL): CHRONIC DISEASE WITH FOCUS ON CANCER, HEART DISEASE, AND DIABETES, HOUSING STABILITY/HOMELESSNESS, MENTAL ILLNESS AND MENTAL HEALTH, . DON HEALTH PRIORITIES (OPTIONAL): SOCIAL DETERMINANTS OF HEALTH-ACCESS TO HEALTH CARE, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO TRANSPORTATION, SOCIAL DETERMINANTS OF HEALTH-INCOME AND POVERTY. . TARGET POPULATION: REGIONS SERVED: BARNSTABLE - ENVIRONMENTS SERVED: ALL GENDER: ALL AGE GROUP: ALL RACE/ETHNICITY: ALL LANGUAGE: ALL - ADDITIONAL TARGET POPULATION STATUS: NOT SPECIFIED. GOAL DESCRIPTION ASSIST PATIENTS WHO ARE UNABLE TO AFFORD OR ACCESS TRANSPORTATION TO ENSURE COMPLIANCE WITH THEIR DISCHARGE PLAN. TIMEFRAME: YEAR 1 OF 3. GOAL STATUS ACUITY/LYFT AND VOUCHERS FOR LOCAL TAXI SERVICE USED AT BOTH HOSPITALS. GOAL DESCRIPTION ASSIST RESIDENTS WHO ARE UNABLE TO AFFORD MEDICATIONS TO ENSURE COMPLIANCE WITH HOSPITAL DISCHARGE PLANNING. TIMEFRAME: YEAR 1 OF 3. GOAL STATUS ONGOING ASSISTANCE OCCURS THROUGH PHARMACIES AT BOTH HOSPITALS GOAL DESCRIPTION ASSIST PATIENTS IN NEED WITH THEIR FINANCIAL QUESTIONS AND NEEDS. TIMEFRAME: YEAR 1 OF 3. GOAL STATUS FINANCIAL COUNSELORS ARE AVAILABLE AT BOTH HOSPITALS. COUNSELORS ARE TRAINED IN THE SPECIFIC NEEDS OF THEIR DEPARTMENTS (EX. CANCER TREATMENT EXPENSES) PARTNER NAME, DESCRIPTION AND WEB ADDRESS CAPE COD HEALTHCARE PHARMACIES AT CAPE COD HOSPITAL AND FALMOUTH HOSPITAL - HTTPS://WWW.CAPECODHEALTH.ORG/MEDICAL-SERVICES/PHARMACY/ ACUITY/LYFT - SCHEDULING & TRANSPORTATION - HTTPS://WWW.LYFT.COM/BLOG/POSTS/RESEARCH-IMPROVING-ACCESS-TO-CARE-MEDICAID AMERICAN CANCER SOCIETY - HTTP://WWW.CANCER.ORG PROGRAM DESCRIPTION - IN AN EFFORT TO ASSIST LOW-INCOME AND VULNERABLE POPULATIONS, CAPE COD HOSPITAL AND FALMOUTH HOSPITAL PROVIDED VARIOUS SERVICES TO INCREASE ACCESS TO HEALTHCARE. THIS INCLUDES: - ACCESS TO TRANSPORTATION UPON DISCHARGE TO THOSE PATIENTS WITHOUT RESOURCES FOR TRANSPORTATION. - THE PRESCRIPTION ASSISTANCE PROGRAM: AN INITIATIVE OF CAPE COD HOSPITAL AND FALMOUTH HOSPITAL EMERGENCY, BEHAVIORAL HEALTH AND PHARMACY DEPARTMENTS AS A COMMUNITY BENEFIT ASSISTING UNINSURED, UNDER-INSURED AND FINANCIALLY DISADVANTAGED PATIENTS WITH NO OTHER VIABLE MEANS TO PAY FOR MEDICATIONS UPON DISCHARGE FROM HOSPITAL FACILITIES. THE ASSISTANCE PROGRAM FOR VULNERABLE POPULATIONS IS HIGHLY UTILIZED IN THE BEHAVIORAL HEALTH CENTER, THE CANCER CENTERS, AND THE EMERGENCY DEPARTMENTS. - FINANCIAL COUNSELORS ASSIST PATIENTS WITH COMPLICATED MEDICAL BILLS AND CONNECT THOSE IN NEED TO COMMUNITY RESOURCES. WORKFORCE AND CAREER DEVELOPMENT INITIATIVES . PROGRAM TYPE: TOTAL POPULATION OR COMMUNITY-WIDE INTERVENTIONS. . PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: NO . PROGRAM HASHTAGS: HEALTH PROFESSIONAL/STAFF TRAINING, MENTORSHIP/CAREER TRAINING/INTERNSHIP, PHYSICIAN/PROVIDER DIVERSITY, . EOHHS FOCUS ISSUE(S) (OPTIONAL): N/A. . DON HEALTH PRIORITIES (OPTIONAL): EDUCATION, EMPLOYMENT, SOCIAL ENVIRONMENT. . HEALTH ISSUES: SOCIAL DETERMINANTS OF HEALTH-ACCESS TO HEALTH CARE, SOCIAL DETERMINANTS OF HEALTH-EDUCATION/LEARNING, SOCIAL DETERMINANTS OF HEALTH-INCOME AND POVERTY. . TARGET POPULATION: REGIONS SERVED: BARNSTABLE - ENVIRONMENTS SERVED: ALL GENDER: ALL AGE GROUP: ADULTS, TEENAGERS, RACE/ETHNICITY: ALL LANGUAGE: ALL - ADDITIONAL TARGET POPULATION STATUS: DISABILITY STATUS. GOAL DESCRIPTION CCHC STAFF IN VARIOUS DEPARTMENTS WILL PROVIDE CLINICAL OVERSIGHT AND SUPERVISION TO STUDENTS ENGAGED IN ALLIED HEALTH PROGRAMS AND VARIOUS JOB TRAINING INITIATIVES IN THE REGION. TIMEFRAME: YEAR 1 OF 3. GOAL STATUS COVID-19 RESTRICTIONS LIMITED STUDENT SUPERVISION OPPORTUNITIES THIS YEAR. GOAL DESCRIPTION CCHC WILL OFFER HIGH QUALITY AND DIVERSE TRAINING OPPORTUNITIES TO CLINICAL STAFF SERVING RESIDENTS OF BARNSTABLE COUNTY TO ENSURE RESIDENTS RECEIVE THE HIGHEST QUALITY HEALTHCARE. GOAL STATUS ALTHOUGH COVID-19 RESTRICTIONS REDUCED THE NUMBER OF IN-PERSON TRAINING OPPORTUNITIES, TRAINING PROGRAMS PIVOTED TO VIRTUAL OFFERINGS WHEN APPROPRIATE. PARTNER NAME, DESCRIPTION AND WEB ADDRESS THE RIVERVIEW SCHOOL - WWW.RIVERVIEWSCHOOL.ORG UPPER CAPE REGIONAL TECHNICAL SCHOOL - WWW.UPPERCAPETECH.COM/ CAPE COD COMMUNITY COLLEGE - HTTPS://WWW.CAPECOD.EDU/ DUFFY HEALTH CENTER - HTTP://WWW.DUFFYHEALTHCENTER.ORG OUTER CAPE HEALTH - HTTP://WWW.OUTERCAPE.ORG HARBOR HEALTH CENTER - HTTPS://WWW.HHSI.US/LOCATION/CAPE-COD-SOUTH-SHORE-HEALTH-CENTERS/ COMMUNITY HEALTH CENTER OF CAPE COD - HTTPS://CHCOFCAPECOD.ORG/ PROGRAM DESCRIPTION - CCHC INVESTS IN PARTNERSHIPS WITH LOCAL HIGH SCHOOLS, VOCATIONAL SCHOOLS, COMMUNITY COLLEGES, AND ALLIED HEALTH PROGRAMS FOR JOB TRAINING AND SHADOWING AND INTERNSHIPS WITH HEALTH CARE PROVIDERS IN VARIOUS HOSPITAL DEPARTMENTS INCLUDING, BUT NOT LIMITED TO, PHLEBOTOMY, RADIOLOGY, BEHAVIORAL HEALTH, AND MATERIALS MANAGEMENT. OUR EFFORTS CONTRIBUTED TO REGIONAL ECONOMIC DEVELOPMENT EFFORTS TO INCREASE OPPORTUNITY FOR EDUCATIONAL ATTAINMENT AND PROVIDE EXPERIENCE FOR INDIVIDUALS TO OBTAIN STABLE, QUALITY, AND WELL-COMPENSATED JOBS IN OUR REGION. CCHC ALSO INVESTS IN TRAININGS FOR CLINICAL STAFF PRACTICING IN BARNSTABLE COUNTY. EXAMPLES INCLUDE CREDENTIALING FOR BARNSTABLE COUNTY'S FQHC MEDICAL STAFF, SPECIALTY TRAININGS SUCH AS "AGE SPECIFIC CONSIDERATIONS IN CARING FOR THE CANCER PATIENT,TECHNICAL TRAININGS SUCH AS "INTRA-AORTIC BALLOON COUNTERPULSATION THERAPY." ADDITIONALLY, CCHC ENGAGES IN RECRUITMENT OF PROVIDERS FOR BARNSTABLE COUNTY'S FQHCS, WHICH INCREASES ACCESS TO HEALTHCARE BY INCREASING THE NUMBER OF PROVIDERS AVAILABLE IN THE REGION. COMMUNITY LEADERSHIP IN HEALTHCARE . PROGRAM TYPE: COMMUNITY-CLINICAL LINKAGES. . PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: NO . PROGRAM HASHTAGS: COMMUNITY EDUCATION, HEALTH PROFESSIONAL/STAFF TRAINING. . EOHHS FOCUS ISSUE(S) (OPTIONAL): CHRONIC DISEASE WITH FOCUS ON CANCER, HEART DISEASE, AND DIABETES, HOUSING STABILITY/HOMELESSNESS, MENTAL ILLNESS AND MENTAL HEALTH, SUBSTANCE USE DISORDERS. . DON HEALTH PRIORITIES (OPTIONAL): N/A. . HEALTH ISSUES: CANCER-BREAST, CANCER-CERVICAL, CANCER-COLORECTAL, CANCER-LUNG, CANCER-MULTIPLE MYELOMA, CANCER-OTHER, CANCER-OVARIAN, CANCER-PROSTATE, CANCER-SKIN, CHRONIC DISEASE-ALZHEIMER'S DISEASE, HEALTH BEHAVIORS/MENTAL HEALTH-BEREAVEMENT, HEALTH BEHAVIORS/MENTAL HEALTH-DEPRESSION, HEALTH BEHAVIORS/MENTAL HEALTH-IMMUNIZATION, HEALTH BEHAVIORS/MENTAL HEALTH-MENTAL HEALTH, HEALTH BEHAVIORS/MENTAL HEALTH-PHYSICAL ACTIVITY, HEALTH BEHAVIORS/MENTAL HEALTH-RESPONSIBLE SEXUAL BEHAVIOR, HEALTH BEHAVIORS/MENTAL HEALTH-STRESS MANAGEMENT, INFECTIOUS DISEASE?"COVID-19, INJURY-HOME INJURIES, INJURY-OTHER, MATERNAL/CHILD HEALTH-CHILD CARE, MATERNAL/CHILD HEALTH-FAMILY PLANNING, MATERNAL/CHILD HEALTH-PARENTING SKILLS, MATERNAL/CHILD HEALTH-REPRODUCTIVE AND MATERNAL HEALTH, OTHER-SENIOR HEALTH CHALLENGES/CARE COORDINATION, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO HEALTH CARE, SOCIAL DETERMINANTS OF HEALTH-AFFORDABLE HOUSING, SOCIAL DETERMINANTS OF HEALTH-HOMELESSNESS, SOCIAL DETERMINANTS OF HEALTH-UNINSURED/UNDERINSURED, SOCIAL DETERMINANTS OF HEALTH-VIOLENCE AND TRAUMA, SUBSTANCE ADDICTION-ALCOHOL USE, SUBSTANCE ADDICTION-OPIOID USE, SUBSTANCE ADDICTION-SUBSTANCE USE. . TARGET POPULATION: REGIONS SERVED: BARNSTABLE, ENVIRONMENTS SERVED: ALL GENDER: ALL - AGE GROUP: ALL - RACE/ETHNICITY: ALL LANGUAGE: ALL - ADDITIONAL TARGET POPULATION STATUS: NOT SPECIFIED.
GOAL DESCRIPTION	CCHC STAFF WILL SERVE AS LEADERS FOR COMMUNITY COALITIONS AND INITIATIVES THAT ADDRESS NEEDS IDENTIFIED IN THE 2020-2022 CHNA. TIMEFRAME: YEAR 1 OF 3. GOAL STATUS ALTHOUGH SOME COALITIONS PAUSED OPERATIONS DURING THE COVID-19 CRISIS, MANY CONTINUED TO WORK VIRTUALLY. CCHC STAFF CONTINUED IN THEIR ROLES ON VARIOUS BOARDS AND COALITIONS IN THE COMMUNITY. PARTNER NAME, DESCRIPTION AND WEB ADDRESS ZERO SUICIDE INITIATIVE - HTTPS://ZEROSUICIDE.EDC.ORG/ JML CARE CENTER - SKILLED NURSING FACILITY COORDINATION - HTTPS://WWW.CAPECODHEALTH.ORG/LOCATIONS/PROFILE/JML-CARE-CENTER/ PROGRAM DESCRIPTION - CCHC STAFF ARE LEADERS IN OUR REGION ON ISSUES RELATED TO COMMUNITY HEALTH AND WELLNESS. STAFF SERVE IN LEADERSHIP POSITIONS ON A VARIETY OF COALITIONS AND INITIATIVES INCLUDING: THE ZERO SUICIDE INITIATIVE; VARIOUS COALITIONS WORKING ON MENTAL HEALTH, WELLNESS AND SUBSTANCE USE; COUNTY-LEVEL BOARD AND COMMITTEE POSITIONS; REGIONAL NETWORK ON HOMELESSNESS; POSTPARTUM DEPRESSION TASK FORCE; AND COORDINATION BETWEEN SKILLED NURSING FACILITIES IN OUR AREA. CCHC STAFF ARE INSTRUMENTAL IN CREATING POLICY AND PROGRAMS TO SERVE THE HEALTH AND WELLNESS OF OUR COMMUNITY. SUPPORT GROUPS AND COMMUNITY RESOURCES FOR WELLNESS . PROGRAM TYPE: DIRECT CLINICAL SERVICES. . PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: NO . PROGRAM HASHTAGS: COMMUNITY EDUCATION, SUPPORT GROUP. . EOHHS FOCUS ISSUE(S) (OPTIONAL): CHRONIC DISEASE WITH FOCUS ON CANCER, HEART DISEASE, AND DIABETES, MENTAL ILLNESS AND MENTAL HEALTH. . DON HEALTH PRIORITIES (OPTIONAL): BUILT ENVIRONMENT, EDUCATION, SOCIAL ENVIRONMENT. . HEALTH ISSUES: CANCER-BREAST, CHRONIC DISEASE-ALZHEIMER'S DISEASE, CHRONIC DISEASE-CARDIAC DISEASE, CHRONIC DISEASE-DIABETES, HEALTH BEHAVIORS/MENTAL HEALTH-BEREAVEMENT, HEALTH BEHAVIORS/MENTAL HEALTH-DEPRESSION, HEALTH BEHAVIORS/MENTAL HEALTH-MENTAL HEALTH, HEALTH BEHAVIORS/MENTAL HEALTH-STRESS MANAGEMENT, MATERNAL/CHILD HEALTH-CHILD CARE, MATERNAL/CHILD HEALTH-FAMILY PLANNING, MATERNAL/CHILD HEALTH-PARENTING SKILLS, MATERNAL/CHILD HEALTH-REPRODUCTIVE AND MATERNAL HEALTH, OTHER-SENIOR HEALTH CHALLENGES/CARE COORDINATION,. . TARGET POPULATION: REGIONS SERVED: BARNSTABLE, ENVIRONMENTS SERVED: ALL GENDER: ALL - AGE GROUP: ALL - RACE/ETHNICITY: ALL LANGUAGE: ALL - ADDITIONAL TARGET POPULATION STATUS: NOT SPECIFIED. GOAL DESCRIPTION WORK WITH COMMUNITY STAKEHOLDERS AND PROVIDERS TO DETERMINE NEEDS FOR SUPPORT GROUPS AND MENTAL HEALTH WELLNESS SERVICES AND IMPLEMENT SERVICES IN A WAY THAT MAKES THEM ACCESSIBLE TO THE ENTIRE COMMUNITY. TIMEFRAME: YEAR 1 OF 3. GOAL STATUS SUPPORT GROUPS WERE IMPLEMENTED BASED ON FINDINGS FROM THE CHNA. GROUPS WERE ABLE TO PIVOT TO CONTINUE TO OFFER SERVICES DESPITE THE COVID-19 CRISIS. PARTNER NAME, DESCRIPTION AND WEB ADDRESS VISITING NURSE ASSOCIATION OF CAPE COD - VNA -HTTPS://WWW.CAPECODHEALTH.ORG/ABOUT/VNA/ PROGRAM DESCRIPTION - CAPE COD HEALTHCARE OFFERS A VARIETY OF SUPPORT GROUPS AND OTHER RESOURCES FOR MENTAL HEALTH AND WELLNESS IN OUR COMMUNITY. THESE INCLUDE HELPLINES FOR BEHAVIORAL HEALTH AND BREASTFEEDING HELP, VARIOUS SUPPORT GROUPS FOR NEW PARENTS, SUPPORT GROUPS FOR VARIOUS DISEASES AND PHYSICAL CONDITIONS, AND BEREAVEMENT SUPPORT GROUPS. THESE SERVICES NOT ONLY PROVIDE A SOCIAL SUPPORT SYSTEM THAT ENCOURAGES SHARING SIMILAR EXPERIENCES WITH THE GROUP, BUT ALSO ACTS AS A PLACE TO MEET PATIENTS WHERE THEY ARE AND REFER THEM TO ANY COMMUNITY SERVICES THEY MAY NEED. CONGESTIVE HEART FAILURE CLINIC . PROGRAM TYPE: DIRECT CLINICAL SERVICES. . PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: NO . PROGRAM HASHTAGS: COMMUNITY EDUCATION, PREVENTION,. . EOHHS FOCUS ISSUE(S) (OPTIONAL): CHRONIC DISEASE WITH FOCUS ON CANCER, HEART DISEASE, AND DIABETES. . DON HEALTH PRIORITIES (OPTIONAL): BUILT ENVIRONMENT, EDUCATION. . HEALTH ISSUES: CHRONIC DISEASE-CARDIAC DISEASE,. . TARGET POPULATION: REGIONS SERVED: BARNSTABLE, ENVIRONMENTS SERVED: ALL GENDER: ALL - AGE GROUP: ADULTS, ELDERLY, - RACE/ETHNICITY: ALL, HYANNIS LANGUAGE: ALL - ADDITIONAL TARGET POPULATION STATUS: NOT SPECIFIED. GOAL DESCRIPTION PROVIDE THE NECESSARY MATERIALS FOR THIS DEPARTMENT TO BE COMPLIANT WITH THE PROPER PROCEDURES AND DISPOSAL OF SHARPS TO PATIENTS IN THE CONGESTIVE HEART FAILURE CLINIC. TIMEFRAME: YEAR 1 OF 3. GOAL STATUS ONGOING. GOAL DESCRIPTION KEEP HEART FAILURE PATIENTS OUT OF THE HOSPITAL. TIMEFRAME: YEAR 1 OF 3. GOAL STATUS ONGOING. GOAL DESCRIPTION MODIFY PATIENTS' RISK FACTORS FOR HEART FAILURE SYMPTOMS AND CHANGE THE COURSE OF THEIR DISEASE. TIMEFRAME: YEAR 1 OF 3. GOAL STATUS ONGOING. PARTNER NAME, DESCRIPTION AND WEB ADDRESS CAPE COD HEALTHCARE HEART FAILURE CLINIC - HTTPS://WWW.CAPECODHEALTH.ORG/MEDICAL-SERVICES/HEART-VASCULAR-CARE/CARDIOL OGY/HEART-FAILURE-CLINIC/ PROGRAM DESCRIPTION - CAPE COD HEALTHCARE HELPS THOSE DIAGNOSED WITH HEART FAILURE STAY ACTIVE AND AVOID HOSPITALIZATION THROUGH THE HEART FAILURE CLINIC. THE COMMUNITY-BASED HEART FAILURE CLINIC AT THE CARDIOVASCULAR CENTER IN HYANNIS, UNDER THE DIRECTION OF CARDIOLOGIST ELISSA THOMPSON, MD, IS A RESOURCE DESIGNED TO EDUCATE AND HELP PATIENTS MAINTAIN THE BEST POSSIBLE QUALITY OF LIFE AND MANAGE THEIR SYMPTOMS. THE HEART FAILURE CLINIC PROVIDES ACCESS TO A MULTIDISCIPLINARY TEAM THAT INCLUDES A CARDIOLOGIST, NURSE PRACTITIONER, NUTRITIONIST, VISITING NURSE AND PHARMACIST TO TREAT AND EDUCATE PATIENTS. ONCE REFERRED TO THE CLINIC BY THEIR PRIMARY CARE PHYSICIAN, CARDIOLOGIST OR OTHER SPECIALIST, PATIENTS ARE OFFERED SAME-DAY OR NEXT-DAY APPOINTMENTS, AS WELL AS SCHEDULED VISITS, TO MANAGE THE SYMPTOMS OF HEART FAILURE. THE CLINIC WORKS WITH PATIENTS AS WELL AS FAMILIES AND TEACHES THEM HOW TO LIVE WITH THEIR ILLNESS. PATIENTS HAVE ONE-STOP ACCESS TO THE MULTIDISCIPLINARY TEAM. COMMUNITY BENEFITS ALSO PROVIDED FUNDING FOR SHARPS COMPLIANCE TRAINING AND MATERIALS TO CAPE COD HEALTHCARE'S CONGESTIVE HEART FAILURE CLINIC. CONTACT INFORMATION JENNIFER CUMMINGS 32 MAIN ST. HYANNIS, MA 02601 PHONE: 508-862-7849
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 HEATHCARE, 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 AND OFFICERS SIT ON THE BOARDS OF THE FOLLOWING: CAPE HEALTH INSURANCE COMPANY: MICHAEL K LAUF MICHAEL L CONNORS MICHAEL G JONES BRUCE JOHNSTON THE MEMBERS OF CAPE COD HEALTHCARE, INC.'S BOARD ALSO SIT ON THE BOARD OF CAPE COD MEDICAL OFFICE BUILDING, INC., A FOR-PROFIT RELATED ORGANIZATION.
FORM 990, PART VI, LINES 6 & 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	THE FULL TITLE FOR BRUCE JOHNSTON IS TRUSTEE/TREASURER (UNTIL 5/20) AND TRUSTEE/CHAIR (AS OF 5/20) THE FULL TITLE FOR THERESA AHERN IS SENIOR VICE PRESIDENT, STRATEGY & GOVERNMENT AFFAIRS (UNTIL 6/19) THE FULL TITLE FOR PAUL J. NIEDZWIECKI IS VICE PRESIDENT, STRATEGY & GOVERNMENT AFFAIRS (AS OF 5/19) THE FULL TITLE FOR SHERYL DECILIO IS VICE PRESIDENT OF PATIENT FINANCIAL SERVICES & REVENUE CYCLE (AS OF 1/19) THE FULL TITLE FOR MICHAEL G. JONES, ESQ IS CLERK (UNTIL 5/20) AND SR VP & CHIEF LEGAL OFFICER THE FULL TITLE FOR ROBERT TALERMAN IS TRUSTEE (UNTIL 5/20), CLERK (AS OF 5/20) THE FULL TITLE FOR RAMANI AYER IS TRUSTEE (UNTIL 5/20), VICE CHAIR & TREASURER (AS OF 5/20) 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 CHANGE IN VALUE SPLIT INTEREST AGREEMENT $ 85,752 CHANGE IN PERPETUAL TRUSTS $ 428,194 TRANSFERS TO/FROM AFFILIATES $(2,940,093) NET ASSETS RELEASED FROM RESTRICTIONS $(1,086,958) 457B&F EXPENSES $(1,081,890) OTHER $(1,074,167) ------------- OTHER CHANGES IN NET ASSETS $(5,669,162) =============

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2019

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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) 2019

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	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(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) CAPE & ISLANDS ENDOSCOPY CENTER 700 ATTUCKS LANE HYANNIS,MA02169 26-3910955	ENDOSCOPY CENTER	MA	NA	RELATED	574,623	324,197		No	0	Yes		49.000 %

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 98-1230418	INSURANCE	CJ	NA	C CORP	921,503	43,522,049	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	100.000 %	Yes

Schedule R (Form 990) 2019

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) ............................

Yes

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

Yes

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) CAPE COD HOSPITAL	Q	292,781,485	FMV
(2) FALMOUTH HOSPITAL ASSOCIATION	Q	72,492,760	FMV
(3) CAPE AND ISLANDS HEALTH SERVICES II INC	Q	1,692,408	FMV
(4) VISITING NURSE ASSOCIATION OF CAPE COD INC	Q	18,468,165	FMV
(5) CAPE COD HUMAN SERVICES INC	Q	619,151	FMV
(6) FALMOUTH ASSISTED LIVING INC	Q	1,841,493	FMV
(7) JML CARE CENTER INC	Q	10,748,435	FMV
(8) CAPE COD HEALTHCARE FOUNDATION INC	Q	1,419,108	FMV
(9) MEDICAL AFFILIATES OF CAPE COD INC	Q	47,441,602	FMV
(10) CAPE COD HOSPITAL	S	49,801,869	FMV
(11) FALMOUTH HOSPITAL ASSOCIATION	S	16,600,623	FMV
(12) VISITING NURSE ASSOCIATION INC	S	748,822	FMV
(13) FALMOUTH ASSISTED LIVING INC	S	75,000	FMV
(14) JML CARE CENTER	S	75,000	FMV
(15) MEDICAL AFFILIATES OF CAPE COD INC	S	2,759,632	FMV
(16) CAPE COD HEALTHCARE FOUNDATION INC	A	8,470	FMV
(17) CAPE COD HOSPITAL	A	528,704	FMV
(18) FALMOUTH HOSPITAL ASSOCIATION INC	A	467,016	FMV
(19) CAPE & ISLANDS HEALTH SERVICES II INC	A	22,940	FMV
(20) MEDICAL AFFILIATES OF CAPE COD INC	A	1,039,394	FMV
(21) CAPE HEALTH INSURANCE COMPANY	S	428,192	FMV

Schedule R (Form 990) 2019

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) 2019

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) 2019

Additional Data

Software ID:
Software Version:

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	0	9,102
9	Program service revenue (Part VIII, line 2g) .........	106,030,118	106,756,089
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	7,828,990	9,708,117
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	0	0
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	113,859,108	116,473,308
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	531,678	424,556
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)	34,210,616	31,635,627
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)....	71,814,458	75,025,757
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	106,556,752	107,085,940
19	Revenue less expenses. Subtract line 18 from line 12.......	7,302,356	9,387,368
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	403,786,407	424,302,862
21	Total liabilities (Part X, line 26).............	176,334,104	188,854,573
22	Net assets or fund balances. Subtract line 21 from line 20.....	227,452,303	235,448,289

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 84,641,949 including grants of $ 424,556 ) (Revenue $ 106,756,089 )
	ORGANIZE AND MANAGE HEALTH CARE RELATED ACTIVITIES FOR THE EXCLUSIVE BENEFIT OF CAPE COD HOSPITAL, FALMOUTH HOSPITAL ASSOCIATION, 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 expenses84,641,949

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	7,973,635	3,399,635	1,265,999

		Business Code
2a	HOME OFFICE COSTS	900099	70,060,946	70,060,946
b	PHYSICIAN ORG ADM SUPPORT REV	900099	5,475,291	5,475,291
c	PROGRAM RELATED RENTAL INCOME	900099	2,066,524	2,066,524
d	RETAIL PHARMACY	900099	28,517,720	28,197,168	320,552
e	OTHER PROGRAM SERVICE REVENUE	900099	635,608	635,608
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		106,756,089

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	14
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	10
5	Total number of individuals employed in calendar year 2019 (Part V, line 2a) ......	5	345
6	Total number of volunteers (estimate if necessary) .............	6	12
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	343,975
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	24,358

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e	9,002

f	All other contributions, gifts, grants, and similar amounts not included above		1f	100

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		9,102

3 Investment income (including dividends, interest, and othersimilar amounts) ......			4,212,434		6,496	4,205,938
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents			6a
b	Less: rental expenses			6b
c	Rental income or (loss)	0	0	6c
d	Net rental income or (loss).......			0
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		5,495,683	7a
b	Less: cost or other basis and sales expenses			7b
c	Gain or (loss)		5,495,683	7c
d	Net gain or (loss).........			5,495,683		16,927	5,478,756
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a	0
b	Less: direct expenses ...		8b	0
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a	0
b	Less: direct expenses ...		9b	0
c	Net income or (loss) from gaming activities..			0
10a	Gross sales of inventory, less returns and allowances ..
			10a	0
b	Less: cost of goods sold ..		10b	0
c	Net income or (loss) from sales of inventory..			0
Business Code			Miscellaneous Revenue
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			0
12	Total revenue. See instructions.....			116,473,308	106,435,537	343,975	9,684,694

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	424,556	424,556
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 ...........	6,628,186	0	6,628,186
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........	18,111,726	16,500,522	1,611,204
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	1,039,486	709,910	329,576
9	Other employee benefits .......	4,050,867	2,701,765	1,349,102
10	Payroll taxes ...........	1,805,362	1,175,049	630,313
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	769,057		769,057
c	Accounting ...........	2,625		2,625
d	Lobbying ...........	188,700	150,960	37,740
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	198,503		198,503
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	1,955,081	10,500	1,944,581	0
12	Advertising and promotion ....	1,125,781	900,625	225,156
13	Office expenses .......	1,771,261	1,417,009	354,252
14	Information technology ......	12,451,736	9,961,389	2,490,347
15	Royalties ..	0
16	Occupancy ...........	3,659,941	2,927,953	731,988
17	Travel ............	201,804	161,443	40,361
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	0
20	Interest ...........	699,569	559,655	139,914
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	10,880,864	8,704,691	2,176,173
23	Insurance ...	905,936	724,749	181,187
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	26,229,738	26,229,738
b	PURCHASED SERVICES	7,811,966	6,249,573	1,562,393
c	REPAIRS & MAINTENANCE	1,568,868	1,255,094	313,774
d	EDUCATION	1,743,446	1,394,757	348,689
e	All other expenses	2,860,881	2,482,011	378,870
25	Total functional expenses. Add lines 1 through 24e	107,085,940	84,641,949	22,443,991	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).

1	Cash–non-interest-bearing ........			5,829,851	1	24,416,214
2	Savings and temporary cash investments .........			0	2	0
3	Pledges and grants receivable, net ......			0	3	0
4	Accounts receivable, net .............			27	4	0
5	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				0	6	0
7	Notes and loans receivable, net ...........			14,472,066	7	14,628,634
8	Inventories for sale or use ............			1,324,974	8	918,517
9	Prepaid expenses and deferred charges ......			7,797,934	9	5,825,047
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	102,210,954
b	Less: accumulated depreciation	10b	47,935,393	61,058,644	10c	54,275,561
11	Investments—publicly traded securities .			0	11	0
12	Investments—other securities. See Part IV, line 11 .....			200,588,548	12	208,369,472
13	Investments—program-related. See Part IV, line 11 ..			6,023,729	13	7,586,484
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			106,690,634	15	108,282,933
16	Total assets. Add lines 1 through 15 (must equal line 33)...			403,786,407	16	424,302,862

17	Accounts payable and accrued expenses .....	54,089,200	17	65,662,677
18	Grants payable ...	0	18	0
19	Deferred revenue .........	153,370	19	119,676
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 any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
		0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	4,091,964	23	3,824,601
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	117,999,570	25	119,247,619
26	Total liabilities. Add lines 17 through 25..	176,334,104	26	188,854,573

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	179,609,617	27	187,101,031
28	Net assets with donor restrictions ...........	47,842,686	28	48,347,258
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	227,452,303	32	235,448,289
33	Total liabilities and net assets/fund balances ........	403,786,407	33	424,302,862